I luak chhuak nghal vat a, i taksa sir khatah bengchheng tak tak i nei a, tawng harsa i ti ngai em? A châng chuan hengte hi mini-stroke chhinchhiahna a ni thei bawk. Chutiang a nih chuan doctor-te’n an zawn ber tur chu i kawr chhunga thisen kalna kawng (main artery)-ah blockage a awm em tih hi a ni. Chu chu vawiinah kan sawi dawn a ni.
Carotid Angiography tih hi eng nge ni?
A awlsam zawngin, carotid angiogram, a nih loh leh angiogram tih hi i kawr sir lehlama thisen kalna kawng lian pahnih (carotid arteries kan tih)-a thisen kal dan enfiahna special test a ni. Heng artery pahnih hi i thinlung atanga i thluak thlenga thisen phurtu artery lian pahnih angin ngaihtuah rawh. He test hi heng arteries zingah hian blockage emaw narrowing emaw a awm em tih hriat nan an ti thin.
Hei hian X-ray hmanga thlalak lak a huam a ni. Mahse X-ray awlsam tak hmang pawhin heng thisen kalna kawngte hi chiang takin a lang lo. Chuvangin, taksaah hian tui bik, dye chi khat ``contrast dye'' an tih chu an inject a ni. He dye hian X-ray-ah thisen kalna kawngte chu a var angin a lantir a ni. Kawngpui thim takah headlight on chunga i tlan lai ang bawkin kawngpui chu chiang takin i hmu thei a ni.
Engvangin nge he test hi i tih a ngaih?
He test hi tih chhan ber chu Carotid Artery Disease rinhlelhna a awm chuan a ni . Hemi kawngah hian thil thleng chu hun kal zelah heng thisen kalna kawng chhungah hian cholesterol ang chi thil a lo awm khawm a, thisen kalna kawng bang a ti thim a, thisen kal pawh a ti tawi a ni. Hun kal zelah kan in chhunga tui pipe chhungah rust a lo awm ang bawkin tui luang chu a tikhawlo a ni. Damdawi lamah chuan hei hi `(Atherosclerosis)` kan ti a.
I doctor-in he test atana a refer theihna chhan lian tak tak a awm a:
- I doctor-in carotid artery disease symptoms i neih a rinhlelh chuan.
- Tun hmaa mini-stroke , emaw, damdawi lama ``Transient Ischemic Attack - TIA'' tia hriat chu i lo nei tawh a nih chuan.
- Tun hmain major stroke i lo nei tawh a nih chuan .
A pawimawh ber chu heng thisen kalna kawng (arteries) inkharkhip hian thluaka thisen kal zat a ti tlem thei a ni. Hei hian stroke vei theihna nasa takin a tipung a ni. Chuvangin he test hi tihsak a, a dinhmun hriat hmasak a pawimawh hle.
He test hma hian test dang i ti dawn em?
Awle. A tlangpuiin doctor chuan he angiography test atan hian a refer nghal ngai lo. Chumi hma chuan a tam zawkah chuan carotid ultrasound an ti thin.Test neih a ni. Hei hi sound wave hmanga scanning test awlsam tak, hrehawm lo tak a ni. Mahse, a chang chuan he ultrasound test atanga thlalak te hi a chiang vak lo a nih chuan, emaw, doctor in artery dinhmun hriat belh a duh chuan, a dawt leh tur chu carotid angiography test lam a ni.
Test atan engtin nge kan inbuatsaih ang?
I doctor emaw hospital staff emaw chuan he test atana inbuatsaih dan tur chiang takin an pe ang che. Chu thupekte chu dik taka zawm a pawimawh hle.
| Section buatsaih tur a ni | Eng nge tih tur leh sawifiahna |
|---|---|
| Ei leh in tur | Test hma darkar tlemte chhung chu engmah ei leh in lo turin an hrilh ang che. Hei hian chaw nghei a ngai tihna a ni. Chu thurawn chu zawm chiang rawh. |
| Damdawi i ei thin te | Nitin damdawi i ei apiang (e.g. aspirin, zunthlum damdawi, thisen sang damdawi) leh Ayurvedic damdawi i ei apiang chu doctor hnenah hrilh ngei ang che. Test hma ni khatah damdawi thenkhat ei kha bansan turin an ti mai thei che. |
| Thil hlu tak tak | I thil hlu, jewelry leh pawisa te chu in lamah dah la. Hengte hi damdawi inah rawn hruai loh tur. |
| Damdawi in kal leh haw | Test zawhah i khalh thei lo mai thei a, chuvangin in lama khalhtu tur i neih a pawimawh hle. |
Test neih chhung hian eng nge thleng?
A kalphung zawng zawng hi darkar khat emaw darkar khat leh a chanve emaw vel a ni tlangpui. Ngaihtuah buai a ngai lo, engkim hi i himna ngaihtuahin tih vek a ni.
Damdawi in an thlen hnu chuan
Hospital gown ha tur pek i ni ang. Glasses emaw, hearing aid emaw i bun chuan test laiin i bun theih leh theih loh doctor emaw nurse emaw zawt la. Amaherawhchu contact lens te hi lakchhuah a ngai a ni.
Testing kalpui dan tur
A hnuaia table hian he kalphung hi a hrethiam zawk ang.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| IV line dah a ni | I kut chhunga vein pakhatah tube te tak te (IV catheter) dah a ni ang. Hemi hmang hian damdawi leh tui mamawh te pek a ni ang. |
| Sedatives pek a ni | I rilru hahdamna tur leh i lungkhamna tihziaawmna turin mild sedative pek i ni ang. Hei hian muthilh theih nan a pui thei bawk. |
| Heart rate enfiah a ni | Electrode hi i rilruah dahin EKG machine-ah a inzawm a ni. Hei hian test chhung zawngin i thinlung hnathawh dan a enfiah vek a ni. |
| Numbness damdawi pek | Catheter dahna hmunah hian local anesthetic an inject a, a tlangpuiin groin area emaw, a chang chuan arm emaw-ah an inject thin. |
| Catheter dah leh die drilling te pawh a awm bawk | Anesthesia an tih zawh hian thisen kalna kawngah tube (catheter) te tak te, flexible tak tak dahin, kawr chhunga carotid artery-ah hruai a ni. Tichuan, tube kaltlangin dye an inject leh thin. Chumi hnuah X-ray image an la leh thin. |
Hei hi a hrehawm em?
Ni lo, hei hi test hrehawm tak a ni tlangpui lo. Catheter chu a numbed avangin natna engmah i hre lovang. Engpawhnise,Dye hi taksaa inject a nih chuan lumna emaw, tingling sensation emaw tlem i nei thei. Hei hi thil pangngai a ni. Second tlemte chhungin a lumna chu a bo vek ang.
Mahse, test laiin a hnuaia symptoms te hi i neih chuan doctor emaw nurse emaw hnenah i hrilh nghal tur a ni:
- Chhuak na emaw, nuam lo emaw
- Skin rash emaw itching emaw a awm
- Nauseous tih hriatna.
- I rilru a buai ang maia hriat
- Mit hmuhna lama inthlak danglamna emaw, a fiah lo emaw eng pawh
Test zawhah eng nge thleng?
Test zawh a nih chuan doctor chuan catheter chu a la chhuak ang a, thisen chhuah tihtawp nan bandage a vuah ang. Tichuan, i heart rate leh thisen sang chu enfiah a ni ang a, darkar engemaw zat chawlh hahdam turin room hranah sawn i ni ang.
Hemi hun chhung hian tui tam tak in turin a hriattir ang che. Hei hi a chhan chu i taksaa dye inject chu i zun kaltlangin rang taka i chhuah a ngai a ni. Chuvangin zun tlem tal i mamawh a nih chuan lungngai suh, thil pangngai a ni.
Results hian eng nge a sawi a, engtikah nge a awm ang?
He test atanga X-ray thlalak lakte hian i carotid arteries-ah blockage emaw narrowing emaw a awm leh awm loh chiang takin a tarlang thei a ni.
Heng thlalak te hi specialist, radiologist ten an enfiah a, report an siam thin. He report hi i enkawltu doctor hnenah thawn a ni. Chumi hnuah chuan doctor chuan a bia ang che a, a result leh a tul chuan a hnuaia hmalakna turte a hrilhfiah ang che.
Take-Home Thuchah a ni
- Carotid angiography hi X-ray test bik a ni a, i kawr chhunga thisen kalna kawng (main arteries) a blockage awm leh awm loh enfiah thin a ni.
- He test hi stroke thlen thei arteries-a narrowing emaw blockage emaw hriat hmasak nan a pawimawh hle.
- Hetiang tih dan hi a na lo tlangpui a, mahse test hma leh test zawhah doctor thupek uluk taka zawm a pawimawh hle.
- Test zawhah natna danglam bik (e.g., allergic reaction, catheter dahna hmuna natna nasa tak) i neih chuan doctor hnenah hriattir nghal rawh.
- I test result leh nakin lawka i enkawl dan tur chungchangah i doctor nen zalen takin sawipui fo ang che.
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