I kawr chhunga thisen kalna kawngte chu a zim em? Paralysis hlauhawm tak (Carotid Artery Stenosis) a thlen thei a ni.

Stroke chungchang hi kan hre vek tawh a ni lawm ni? A hlauhawm zia kan hria. Mahse hei hi a chhan ber chu kan kawngah a ni tih i hriat chuan mak i ti mai thei. Ni e, kan kawr sir lehlama thisen kalna kawng lian pahnih thluaka thisen phurtu chu a inkhar a, chu chuan he dinhmun hlauhawm tak hi a thlen thei a ni. Vawiin hian natna pakhat `Carotid Artery Stenosis` tih kan sawi dawn a, chu chu kawr chhunga thisen kalna kawng a zim a ni.

A awlsam zawngin, carotid artery disease chu eng nge ni?

Kan taksa chhunga thisen kalna kawngte hi tui thianghlim pipe angin ngaihtuah teh. Thisen chu engmah block lovin a luang chhuak a. Kan kawr lehlamah thisen kalna kawng pawimawh tak pahnih Carotid Arteries an tih chu a awm a . Hengte hi kan thluak, hmai leh lu-ah oxygen tamna thisen supply tu an ni.

Tunah chuan `Carotid Artery Stenosis` an tih dinhmunah chuan heng thisen kalna kawng chhungah hian thau (plaque) a lo awm tan ta a ni. He `plaque` hi cholesterol ang chi thau tam tak awmna a ni. Tui pipe chhunga rust a lo awm ang bawkin heng `plaque` deposit te hian thisen kalna kawng chhunga hmun awm chu a ti tlem zauh zauh thin. Hetianga thisen kalna kawng a zim hi atherosclerosis kan tih hi a ni .

Hetianga thisen kalna kawng a inkhar chuan thluaka thisen kal zat a tlem phah thin. Tin, a châng chuan chu thau layer tê tête chu a chhe thei a, thluaka thisen kalna kawng nalh tak chu a tikhawlo vek thei bawk. Chutah chuan natna hlauhawm tak , stroke an tih chu a lo awm ta a ni. Hei hi kawr sir khata thisen kalna kawng khat emaw, pahnih emaw-ah a thleng thei a ni. Enkawl loh chuan he natna hi hun kal zelah a zual thei a, nunna atana hlauhawm pawh a ni thei.

Hei hi eng risk factors nge a nghawng?

Hetiang dinhmun hi zan khat thil thua lo awm thei thil a ni lo. Hun kal zelah kan nunphung leh hriselna lama kan tih dan leh harsatna thenkhat avanga lo awm a ni. Chûng thil ṭhenkhat chu kan thlak danglam thei a ni. Heng thilte hi nangmah pawh a hman theih em tih en rawh.

He natna lan chhuah dan engte nge ni?

Hetah hian harsatna lian ber chu he thisen kalna kawngkhar block hian stroke emaw transient ischemic attack (TIA) emaw a thlen hma loh chuan symptoms a nei lo thei a ni.

TIA chu thluaka thisen kalna hun eng emaw chen a tihkhawtlai a ni a, chu chu hun rei lote hnuah a lo awm leh ta a ni. Hei hi major stroke hmaa vaukhânna chhinchhiahna na tak anga ngaih tur a ni.

Stroke emaw TIA emaw natna lan chhuah dan

Nangmah emaw, midang emaw chuan heng symptoms te hi i hriat chuan, .Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh. Hun hi a pawimawh ber a ni.

• Hmai sir khata tla: Kawng sir khat chu a tla thla niin a lang. Nui tura tih a nih chuan a sir pakhat chauh chu nuihzatthlak takin a lang.
• Thusawi harsa: Thusawi hrual, i sawi duh sawi theih loh, emaw, mi dang thusawi hriatthiam harsat.
• Mit pakhata mit hmuhna hloh: Mit pakhat hmaah puan dum a tla ang maiin a lang thei.
• Taksa sir khata rilru hahna: Kut, ke leh hmai sir khata hriatna hloh.
• Taksa sir khata chak lohna: a sir khata kut emaw ke emaw chawi thei lo, hriatna hloh.

Engtin nge doctor hian hei hi a hmuh theih?

Hetiang dinhmun hi paralysis symptoms i neih hnuah hriatchhuah a ni fo thin. A nih loh leh, i doctor-in a enfiah che a, i kawngah stethoscope a dah chuan, thisen kalna kawngkhar khar atanga thisen chhuak ang maia ri, "whooshing" ri (bruit) danglam tak an hre thei bawk.

He natna hi finfiah nan leh thisen kalna kawng chu engtiang chiahin nge a block tih leh khawiah nge a block tih hriat chian nan test eng emaw zat an ti thin.

• Ultrasound: Hei hi painless test a ni a, sound wave hmangin taksa chhungril thlalak a la thin. Thisen kaltlanga thisen kal dan leh blockage awmna hmun chiang takin a hmu thei a ni.
• Computed Tomography Angiography (CTA): Hei hi CT scan bik a ni a, X-ray hmanga enfiah a ni. I thisen kalna kawngte chu dye bik inject-in a thlalak chiang tak tak a la thin.
• Cerebral Angiography: Hei hi thisen kalna kawng (blood vessel) atanga tube (catheter) te tak te tak tak kal tlanga blockage en tur a ni. Thisen kalna kawng chipchiar taka thlalak lak nan dye an inject bawk.
• MRA scan (Magnetic Resonance Angiography - MRA): Hei hi CTA scan nen a inang a, mahse X-ray ai chuan magnetic field chak tak hmangin thisen kalna kawng chipchiar tak tak a la thei a ni.

Heng test neih zawh hian i doctor chuan i thisen kalna kawng engzat nge a block tih a hre thei ang. A tlangpuiin mild (50% aia tlem), moderate (50% leh 79%) inkar, leh severe (80% aia tam) tiin an thliar hrang thin.

Engtin nge enkawl a nih?

Enkawlna tum ber chu natna a zual zel tur ven leh paralysis hlauhawmna tihziaawm hi a ni.

1. Nunphung thlak danglam leh damdawi hman dan

Hei hi a hmasa ber leh a pawimawh ber a ni.

• Ei leh in hrisel: Oil, chi leh sugar tlakchhamna ei leh in thiam.
• Exercise: Nitin exercise neih.
• Meizial zuk bân: Hei hi i tih tur a ni ngei ang.
• Damdawi: 1.1.I doctor chuan thisen zam tihtlem nan aspirin ang damdawi a pe thei a, chubakah cholesterol tihhniamna damdawi leh thisen sang damdawi te pawh a pe thei bawk .

2. Surgery leh tih dan dang

Natna a nasat chuan, emaw, TIA emaw, stroke emaw i neih tawh chuan, i doctor chuan zai a rawt thei ang.

• Carotid Endarterectomy: Hetiang tihnaah hian surgeon chuan a kawngah incision te tak te a siam a, thisen kalna kawng a hawng a, blocked fatty layer (plaque) chu a scrape chhuak thin.
• Stenting: Hetiang tih danah hian thisen kalna kawngah hian needle ang chi thil lian tak dahin, a block na hmunah hian mesh ang chi tube (stent) te tak te dahin thisen kalna chu a zau zawk a ni. Hei hian thisen kalna daltu chu a ti bo a ni.

Hei hi enkawl loh chuan a hlauhawm hle thei a ni. Amaherawhchu, natna hi a hmaa hriatchhuah a, a remchan dan anga enkawl a nih chuan a rah a tha hle. Mi tam zawk chu operation an neih hnuah an dam thuai a, ni khat emaw ni hnih emaw chhung damdawi inah an awm thin.