Intracranial Hemorrhage: He dinhmun hlauhawm tak hi han sawi mai ila

Mi pakhat chu "brain hemorrhage" a neih avangin damdawi inah dah nghal a ni tih i hre ngai em? I chhungte emaw, i thian emaw chungah a thleng pawh a ni mai thei. Lu na rang tak, na tak, taksa sir khatah rilru hahna, tawng thei lo... heng thu i hriat hian i rilru a ti na lo em ni? Intracranial hemorrhage hi eng nge ni tak tak? Engvangin nge a hlauhawm em em? A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.

Thluak thisen chhuak mai mai chu eng nge ni?

I thluak hi i taksaa computer lian ber angin ngaihtuah rawh. He computer hian a thawk chhunzawm zel theih nan oxygen leh nutrients a mamawh a ni. Chûngte chu thisen kalna kawng te tak te network hmangin thluak-ah an pe chhuak a ni. Tunah chuan heng thisen kalna kawng pakhat hi a puak nghal a, a nih loh leh a hliam a, thisen a chhuak tan a nih chuan eng nge thleng ang tih han ngaihtuah teh?

Chu chu intracranial hemorrhage kan tih chu a ni. Hei hi a takah chuan stroke chi khat a ni.

Kan lu ruh hi bawm khar ang mai a ni. A chhunga hmun awm chu a tlem hle. Chuvangin thisen kalna kawng atanga thisen a chhuah chuan chu thisen chu luruh chhungah a awm khawm a, thluak chu a nawr tan ta a ni. Hetiang pressure avang hian thluak cell te hian an mamawh oxygen leh nutrition an dawng tawh lo va, chu cell te chu an thi tan ta a ni. Oxygen tel lo chuan thluak cell te hi hun rei lo te chhung chauh, minute thum atanga minute li vel chauh an dam thei a ni. Chuvangin, hei hi natna khirh tak a ni a, damdawi hmanhmawh taka enkawl ngai a ni a, nunna atana hlauhawm pawh a ni thei.

Thluaka thisen kal dan chi hrang hrang a awm em?

Ni e, he thisen chhuahna hi a awmna hmun a zirin chi hrang hrangah then theih a ni. A hmun dik tak hriat hi doctor-te tan chuan enkawl a pawimawh hle.

Hei hi hrethiam tur chuan thluak insiam dan hi han thlir hmasa ila. Kan thluak hi luruh nen hian direct-in a inzawm lo. An pahnih inkarah hian venhimna atan membrane layer thum a awm a. Medical lamah chuan hengte hi meninges kan ti thin. Onion vun layer engemaw zat nei ang mai a ni. He thisen chhuahna hi thluak tissue chhungah ngei pawh a awm thei a, a nih loh leh heng membrane layer inkarah hian a thleng thei bawk.

Heng chi hrang hrangte hi a hnuaia table atang hian chiang takin i hre thei ang.

Hetiang natna lan chhuah dan hi engte nge ni?

Brain hemorrhage symptoms chu a lo lang nghal thei a ni. Thisen chhuahna chi leh hmun a zirin an danglam thei bawk. Mahse, a lan chhuah dan tlangpui ṭhenkhat chu i ngaihven nghal tur a awm .

A hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan emergency anga ngaih tur a ni.

• Hmai, kut emaw, ke emaw, a bik takin taksa sir khatah emaw, a rilru a buai nghal vat a, a chak lo emaw, a hriatna hloh (paralysis) emaw a ni.
• Lu na tak, na tak a ni.
• Nausea leh luak chhuak.
• Rilru tibuai.
• Luak chhuak thei.
• Thusawi harsa, tawng thei lo (slurred speech).
• Mutthilh lutuk, chakna tlakchhamna.
• Chaw ei harsa.
• Mit lama inthlak danglamna, mit hmuhna hloh nghal.
• Kawngkhar khauh tak.
• Eng en harsa.
• Taksa a balance hloh.
• Thâwk lak dan leh thinlung thawk dan dik lo.
• Seizures a awm thin.
• Thil hriatna hloh.

Nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan hun khawhral suh la, damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.

Thluak thisen chhuak chhan berte chu engte nge ni?

Thluaka thisen kalna kawng (blood vessel) a puak emaw, a leak emaw theihna chhan engemaw zat a awm.

• Lu natna: A chhan lian ber chu lu-a vuakna nasa tak, tlu emaw, car accident emaw, infiamna lama accident emaw ang chi hi a ni.
• Thisen sang: Hun kal zelah thisen sang thunun loh chuan thluaka thisen kalna kawng nalh tak takte bang chu a tichak lo va, a puak darh nasa hle.
• Cerebral aneurysm: Thisen kalna kawng bang a hmun chak lo chu balloon ang maiin a bulh thei a, a puak nghal thei bawk.
• Atherosclerosis: He hlauhawmna hi artery wall-a thau awmte a khauh avangin a pung bawk.
• Thisen kalna kawng dik lo: Pianpui natna thenkhat, arteriovenous malformations (AVMs) te, thisen kalna kawng leh thisen kalna kawng dik lo taka inzawmkhawmna te hian thisen a chhuah tir thei a ni.
• Brain tumors: Brain tumor hian a bul hnaia thisen kalna kawng a press emaw, a tihchhiat emaw avangin thisen a chhuah tir thei a ni.
• Blood thinners/Anticoagulants: Heng damdawi te hi thinlung natna ang chi natna enkawlna atana hman thin te hian a chang chuan thisen chhuah theihna a tipung thei a ni.
• Meizial leh ruihhlo hman.

Engtin nge he natna hi hriatchhuah leh enkawl a nih?

Damdawi ina admit i nih chuan doctor-te tih hmasak ber chu i dinhmun hi rang taka an zirchian hmasak ber a ni. I natna lan chhuah dan te, i hriatna te, leh i taksa che vel te an enfiah thin.

Tichuan, thisen chhuah a awm leh awm loh chiang taka en turin imaging test atan refer i ni ang a, a awm a nih chuan khawiah nge a awm tih leh engzat nge a lian tih hriat theih a ni bawk ang.

• CT scan (Computed Tomography scan): Hei hian rang takin thluak thlalak a la thei a, thisen a chhuak em tih a enfiah thei a ni. Hei hi emergency-ah hman a ni ber.
• MRI scan (Magnetic Resonance Imaging): Hei hian thluak thlalak chiang zawk, chipchiar zawk a siam thei a ni.

Heng test neih zawh hian i dinhmun a zirin enkawl dan tur rel a ni ang. Enkawlna atana thil tum lian tak pahnih a awm a, chungte chu:

1. Thisen chhuah tihtawp.

2. Thluak a pressure tihziaawm a, a chhiat belh zel loh nan.

Enkawl dan tur

Damlo hrang hrangah enkawl dan a inang lo thei.

• Surgery: A then phei chuan thisen khawlkhawm chu paih chhuah nan leh thluaka pressure tihziaawm nan surgery neih a ngai mai thei. Hei hian thisen chhuahna tur luruh chhunga khur te tak te siam (decompression) emaw, pressure tihziaawmna turin luruh hmun tlemte chu rei lo te chhung lakchhuah (craniotomy) emaw a ni thei.
• Damdawi hman tur: 1.1.
• Thisen sang control nana damdawi.
• Thluak natna tihziaawmna damdawi.
• Seizures laka invenna damdawi.
• Natna tihdamna damdawi.

Enkawl an nih hnuah mi tam tak chuan an dinhmun pangngaia an awm leh theih nan rehabilitation an mamawh a ni. Hei hian physical therapy, speech therapy, leh occupational therapy ang chi thilte a huam a ni.

He hlauhawmna hi kan tihtlem thei ang em?

Ni e, a dik tak zet a ni. Brain hemorrhage thlentu thenkhat (e.g., congenital conditions) kan thunun theih loh laiin, a hlauhawmna tihtlem nan thil tam tak kan tih theih a awm.

• I thisen sang kha control la. Thisen sang i neih chuan i doctor-in damdawi a pek chu a hun takah ei thin ang che.
• Cholesterol level control rawh.
• I taksa rihna hrisel tak vawng reng rawh.
• Meizial i zuk chuan chawlhsan nghal rawh.
• Zu in hi tihtlem rawh.
• Ei leh in hrisel, inthlau tak ei rawh.
• Exercise neih fo thin ang che.
• Zunthlum i vei chuan i thisen sugar level kha control tha rawh.
• Accident lakah inveng rawh. Bicycle leh motor khalh dawnin helmet vuah tur a ni. Lirtheiah chuan seat belt vuah tur a ni.

Heng nunphung inthlak danglamna hian stroke hlauhawmna a tihziaawm mai bakah thinlung natna leh natna hrik kai theih loh tam tak lakah a venghim thei bawk ang che.