I thluaka thisen kalna kawngte chu a block em? Carotid Artery Stenting chungchang hi han sawi ila

Stroke tih hi i hre ngai em? Mi tam tak hlauthawng thei leh an nun tidanglam thei dinhmun na tak a ni. Chuvangin he stroke kan thlen chhan ber chu kan thluaka oxygen leh nutrients phurtu thisen kalna kawng lian ber berte a block vang a ni. Main pipe blocked ang mai a ni a, chu chuan huanah tui a phur a ni. Vawiin hian enkawl dan pawimawh tak, heng thisen kalna kawngkhar khar te hi hawn leh a, thluaka thisen kal tha tak a phalsak a, stroke hlauhawmna a ti tlem thei tih kan sawi dawn a ni.

A awlsam zawngin, Carotid Artery Stenting hi eng nge ni?

Kan kawr sir lehlamah "arteries" lian pahnih kan nei a, chu chuan kan thluak, kan hmai leh kan kawr ah thisen a pe chhuak thin tih han ngaihtuah teh. Hengte hi damdawi lam atanga kan sawi thin Carotid Arteries te hi an ni . Hun a kal zel a, a bik takin cholesterol (doctor-te’n `plaque` an tih) chu heng thisen kalna kawng bangah hian a lo awm tan ta a ni. Tui pipe chhunga rust lo awm ang mai a ni. Zawi zawiin heng deposit te hi a lo pungkhawm a, thisen kalna kawng chu a zim a, a chang chuan a tikhawlo vek bawk. Hetiang natna hi Carotid Artery Stenosis an ti a .

Hei hi a block laiah hian metal tube te tak te tak, mesh ang maia dah luh a ni a, thisen kalna kawng tawi tak chu a zau leh ta a ni. Hei hi carotid artery stent kan tih chu a ni .

He enkawlna hi specialist trained bik, Interventional Cardiologist, Vascular Surgeon, emaw Endovascular Neurosurgeon te hian an ti thin.

He enkawlna hi tuin nge mamawh tak tak?

I doctor-in he enkawlna hi a rawt hmain i kawr thisen kalna kawngte chu ultrasound scan, CT scan emaw MRI scan emaw an ti tlangpui ang a, engzat nge a block tih an hmu ang. He enkawlna hi mite tan a ngai fo thin a, chungte chu:

• Stroke emaw ministroke emaw symptoms nei tawh leh carotid artery scan hmanga 50% aia tam block a nih thu finfiah tawhte.
• Symptom nei lo, mahse scan-a carotid artery 70% aia tam block nei tan.

Engtin nge enkawl hmain ka inbuatsaih ang?

Hei hi surgery angin lian lo mah se, inbuatsaihna engemaw chen a ngai a ni. I doctor chuan hetiang hian a sawi mai thei:

• Anticoagulants: I enkawl hma ni thum atanga ni nga chhungin aspirin leh a ang chi damdawi dang (e.g., Clopidogrel, Ticagrelor) ei tan turin an ti thei che a ni. Heng damdawi te hi i doctor-in a tih ang chiah, a tih ang taka ei a pawimawh. Chutianga i tih loh chuan i enkawlna chu a tlai thei a ni.
• Ei leh In: Enkawl hma darkar engemaw zat chaw nghei tura tih i ni ang. Hemi chungchangah pawh hian i doctor chuan thupek chiang tak a pe ang che.

Enkawl lai hian eng nge thleng?

I kawr chhunga thisen kalna kawng chhungah stent dah dan tlangpui pahnih a awm. I doctor chuan eng method nge i tan a tha ber tih a rel ang.

He enkawl chhung hian thisen zam lo turin damdawi heparin ang chi pek i ni ang. Procedure pumpui hi darkar khat emaw darkar hnih emaw vel a ni tlangpui. Mahse, damdawi inah ni khat i awm a ngai dawn a, chutah chuan inbuatsaihna hun leh a hnua enfiahna te pawh a tel ang.

Enkawl hnuah eng nge thleng?

Stent hlawhtling taka dah a nih hnuah medical team chuan a hnuaia mite hi an ti ang:

• Angiogram ang chi test hmangin stent hi a zau tawk em tih leh thisen a kal tha em tih enfiah thin a ni.
• Catheter zawng zawng chu lakchhuah vek a ni. Stent chu a hmunah a awm reng a ni.
• I rilru hahna tihziaawmna turin damdawi tul tak tak pek i ni ang.
• Enkawlna result chu nang leh i chhungte hnenah hrilhfiah a ni ang.
• In i haw hnuah i damdawi ei dan tur, ei tur leh exercise i tih dan tur zirtirna pek i ni ang. A bik takin aspirin leh thisen tithianghlimtu damdawi dangte ei chhunzawm zel turin an hrilh ang che.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Stent hman hian carotid endarterectomy hmanlai nen khaikhin chuan a thatna engemaw zat a nei a ni.

A thatna ber

• Surgery lian tham neih a ngai lo: Hei hi taksaah nghawng a neih tlem zawkna hmanrua a ni.
• Incision tenau emaw, incision awm lo emaw: Thil tih dan thenkhatah chuan puncture site chauh a awm.
• Kawngkhar chhunga nerve te tihchhiat theihna a ti tlem.
• Enkawl hnua natna a tlahniam.

Risk awm thei (Complications) 1.1.

Damdawi zawng zawng ang bawkin, hlauhawmna engemaw zat a awm. Mahse hengte hi mi zawng zawngah a thleng lo.

• Thisen sang a tlahniam (`Hypotension`) emaw, a sang (`Hypertension`) emaw a ni.
• Lung natna (Bradycardia) a ti hniam.
• Tube dahna hmun atanga thisen chhuak.
• Thisen a chhuak.
• Stroke: Enkawl lai emaw, enkawl zawh hnu emawa thisen zam te tak te thluaka kal avanga stroke awm theihna a tlem hle.
• Thluak chhunga thisen chhuak.

He hlauhawmna hi i kum a zirin a danglam thei a, damdawi dang i neih leh neih loh leh thisen kalna kawng a inkhar nasat dan azirin a inang lo thei bawk. Chuvangin, he thu hi i doctor hnenah inhawng takin sawi la, zawhna i neih apiang zawt rawh.

Results tha ber i hmuh theih nan eng nge i tih ang?

Stent dah hnua thisen kalna kawng (atherosclerosis) tikhawtlaitu dinhmun chu a dam kim dawn lo. Chuvangin, nakin lawkah pawh hetiang harsatna hi a thlen loh nan i nunphung thlak danglam hi a pawimawh hle.

• Meizial zu hi pumpelh vek tur a ni: Cigarette, bidis, leh cigar chauh ni lovin, `vaping` pawh hi tihtawp a ngai.
• I damdawi ei tur dik tak: I doctor-in damdawi a pekte chu a hun takah leh a zat dik takah ei thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Exercise neih fo: Ni khata minute 30 vel kal pawh a tha.
• Thinlung hrisel ei tur zawm rawh: hriak, chi, leh sugar ei tlem la, thei leh thlai ei tam rawh.
• Natna dang control:Zunthlum, thisen sang, cholesterol i neih chuan control tha la (e.g., thisen sang 130 hnuai lam, LDL cholesterol 70 hnuai lam, leh HbA1c 7 hnuai lama dah tur).
• Follow-up checkups nei turin kal rawh: Doctor-in stent dinhmun enfiah tura lo kal tura a tih ni-ah chuan kal ngei ngei tur a ni.

Recovery period engzat nge ni a, engtikah nge doctor ka koh ang?

In i haw hnu kar hmasa berah chuan tlem i chawlh a ngai a ni.

• Thil rit (kg 10 aia tam) chawi loh tur.
• Tube dahna hmun chu kar khat chhung tuiah thun loh tur (e.g., inbual, tui chawi). Inbual hi a buaithlak lo.
• Stairs i lawn dawn a nih chuan tlem chuan zawi zawiin lawn rawh.

Thil awmdan ngaihven nghal ngai:

Tin, tube awmna hmunah thisen a chhuak chhunzawm zel a, a hring chhuak chhunzawm zel a, a hring chhuak chhunzawm zel a nih chuan doctor ko nghal rawh.