I kawr chhungah thisen kalna kawng a block em? Stroke vengtu Carotid Artery Stenting chungchang i zir dawn teh ang.

I doctor chuan i kawr chhunga thisen kalna kawng lian tak a inkhar tih leh stroke i neih theihna tur a nih thu a hrilh che em? Hetiang thil i hriat hian hlauhna tlem a awm chu thil pangngai a ni. Mahse, lungngai suh. Tunlai hian damdawi lam hi a changkang hle. Chutiang blockage tihdam nan leh stroke hlauhawmna tihziaawmna tur damdawi tha tak tak a awm. Vawiin hian chutiang enkawlna \ha tak leh buaithlak vak lo pakhat chu kan sawi dawn a ni: carotid stent dah a ni.

A awlsam zawngin, carotid stent hi eng nge ni?

Okay, a awlsam zawngin sawifiah ila. Kan kawr sir lehlamah thisen kalna kawng lian pahnih kan nei a, chu chuan kan thluak, hmai leh kawr ah thisen a pe chhuak thin. Hengte hi Carotid Arteries kan tih te hi an ni . Hun a kal zel a, kan ei leh in atanga thau leh cholesterol ang chi thil te hi heng thisen kalna kawng bang ah hian a lo awm tan thin. Hei hi ‘plaque’ kan ti a ni. Tui pipe chhunga rust lo awm ang mai a ni.

He plaque hian a siam khawm a, artery chhunga kalna kawng chu a ti tawi a, a chang chuan a tikhawlo vek bawk. Hetiang dinhmun hi carotid artery stenosis an ti a . Chutiang a lo thlen chuan thluaka thisen kal a tlahniam a, chu chu stroke thlentu lian tak a ni.

Chuvangin, carotid stenting hi thisen kalna kawngkhar (blocked artery) hawn lehna damdawi a ni. Hetah hian doctor chuan stent , mesh ang maia siam thir tube te tak te chu a block laiah a dah a, a chhung atangin a inflate a. Chumi hnuah chuan artery block chu a zau leh a, thisen kal dan a siam tha leh ta a ni. He stent hi artery chhungah a nghetin dah a ni. Bang chim tur prop-a innghat ang mai a ni a, chu chuan artery chu a zim leh tawh loh nan a pui a ni.

He enkawlna hi tute nge mamawh?

Doctor chuan i carotid artery a block leh awm loh a enfiah hnuah he enkawlna hi a rawt tlangpui ang. Hei hian carotid ultrasound , CT scan , MRI ang chi test te a huam thei a ni . He enkawlna hi a mamawh fo thin:

• Ministryoke emaw stroke emaw symptom nei tawh leh thisen kalna kawng 50% aia tam a block tawhte tan.
• Symptom nei lo mahse an thisen kalna kawng 70% aia tam a block te tan.

I doctor chuan he enkawlna hi i dinhmun atan a tha em, a nih loh leh surgery dang (Carotid Endarterectomy) a tha em tih a rel ang.

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Enkawlna atana inbuatsaih leh tihfel

I doctor chuan i tih hma ni engemaw zat hnuah thisen tihthianghlimna damdawi ṭhenkhat, aspirin leh clopidogrel -te chu a ei ṭan mai thei che a ni.

Heng damdawi te hi i doctor-in a hrilh ang chiaha ei a pawimawh hle. Chutiang a nih loh chuan i enkawlna chu sawn a ngai mai thei. I doctor chuan i enkawl hmain eng chen nge ei leh in loh tur tih a hrilh bawk ang che.

Engtin nge enkawlna hi an tih?

Hei hi hemi atan hian specialist doctor, special training nei tawhin a ti thin. Enkawl lai hian natna i neih loh nan damdawi pek i ni ang. Stent dahna tur hian hmanraw lian tak tak engemaw zat a awm a.

I doctor chuan eng method nge i tan a tha ber tih a rel ang. Procedure zawng zawng hi darkar khat emaw darkar hnih emaw vel a ni. Mahse, damdawi inah ni khat i awm a ngai dawn a, a hnuah inbuatsaihna leh enfiahna atan darkar engemaw zat a la ngai dawn a ni.

Enkawl hnuah eng nge thleng?

Enkawl zawhah doctor chuan angiogram a ti ang a, stent chu a thawk tha em tih leh thisen kal dan pangngai a lo let leh tawh em tih a enfiah ang. Tichuan, catheter leh hmanraw dangte chu lakchhuah a ni ang a, natna tidamtu leh thupek dang i mamawh apiang pek i ni ang.

A pawimawh ber chu i in lama i haw hnuah pawh thisen tithianghlimtu damdawi (e.g., Aspirin, Clopidogrel) i ei chhunzawm zel a ngai dawn a ni. Doctor nen inbia lovin he damdawi hi ei khap suh. He damdawi hi thla engemaw zat chhung i ei a ngai tlangpui ang.

In lama haw hnua dam leh hun

• Kar khat chhung chu pound 20 aia rit (tui bucket ang chi) engmah chawi suh.
• Incision/piercing site chu enkawlna hnuah kar khat chhung tuiah (bath, swimming pool awm lo) thun loh tur. Swimming pawh a pawi lo.
• Stairs chhoh dawnin tlem tal fimkhur lehzual ang che.
• Zawi zawiin kar khat chhungin i tih dan pangngai chu hmang thiam rawh.

Enkawlna hlawkna, hlauhawmna leh hun rei tak chhunga hlawhtlinna

He enkawlna hi traditional open surgery aiin a invasive lo zawk a , hei hian thatna engemaw zat a nei a ni. A bulpui ber chu incision tenau zawk, kawr chhunga nerve tihchhiat theihna a tlem a, enkawl hnua natna a tlem zawk a ni.

Damdawi dang ang bawkin, hlauhawmna a awm thei a, chu chu hriat reng a pawimawh.

A hlauhawmna awm thei chu thisen chhuah, thisen sang/hniam (Hypotension/Hypertension), thinlung chakna (Bradycardia), thisen zam, leh a tlem hle a, stroke te a ni. I doctor chuan heng hlauhawmnate hi chipchiar takin a hrilhfiah ang che.

A pawimawh ber chu he enkawlna hian a hnuaia natna (atherosclerosis) chu a tidam lo tih hi a ni. Blockage awmsa chu a paih chhuak chauh a ni. Chuvangin, thisen kalna kawng (artery) a inkhar leh tawh loh nan i nunphung thlak danglam a pawimawh hle.

• Meizial zu leh vaping kha bansan vek rawh.
• Doctor-in damdawi a pek chu a hun takah ei tur a ni.
• I taksa rihna hrisel tak vawng reng rawh.
• Exercise neih fo thin ang che.
• Thinlung hriselna atana tha ei tur, hriak, chi leh sugar tlem, thei leh thlai tamna ei tur.
• I thisen sang, cholesterol (LDL 70 aia tlem), leh zunthlum (HbA1c 7 aia tlem) te chu uluk takin control la.
• Hun ruat saah doctor hmu la, enfiah rawh.

Rikrum! Heng symptoms te hi i neih chuan engtin nge i tih ang?

Hei hi a pawimawh hle. A hnuaia symptoms te hi i neih chuan 1990 Ambulance Service ah hian call nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

• Stroke chhinchhiahna: hmai sir khata tlu, thu sawi emaw hriatthiam harsa, kut emaw ke emawa hriatna hloh emaw, rilru hahna emaw.
• Stent dahna hmunah (groin, arm, emaw neck) thisen chhuah tam lutuk emaw, hliam emaw a awm chuan.

A châng chuan enkawlna hmuna tissue lo piang leh vangin artery chu a tawi thei bawk. Hei hi ‘restenosis’ kan ti a ni. Chuvang chuan ultrasound neih fo a pawimawh.