I kawr chhunga he vein pawimawh tak hi i hria em? Carotid Artery chungchang hi han sawi ila.

I kawr sir lehlamah i kut zungtang i dah hian eng ang nge a nih tih i ngaihtuah ngai em? Chu chu kan thinlung ang bawka thawk, kan thluak, hmai leh kawr thlenga nunna thlentu thisen kalna kawng pawimawh tak pahnih an ni. Vawiin hian kan taksaa heng silent worker pahnih, Carotid Arteries chungchang kan sawi dawn a ni. He thuziakah hian an hriselna hi kan nunah a pawimawh zia kan sawi dawn a ni.

A awlsam zawngin, carotid arteries te hi engte nge ni?

Kan taksa hi khawpui lian tak niin han ngaihtuah teh. Tichuan thisen kalna kawngte chu chu khawpui chhunga kawngpui ang mai a ni. Heng kawngte hian taksa peng tinah oxygen leh nutrient mamawh a phur a. Chutiang chuan heng carotid arteries te hi kan taksa control center ni thin thluak lam panna kawngpui lian pahnih ang mai an ni.

Heng thisen kalna kawng lian pahnih hi kan kawr sir lehlamah awmin, a sir lehlamah pakhat a awm a:

• Left common carotid artery a awm a
• Dinglam common carotid artery a awm bawk

Hêng thisen kalna kawng pahnih hi kan rilru chung lam aṭangin an inṭan a, kan kawr chung lamah an kal a, chutah chuan branch lian pahnih dangah an inṭhen leh a, chu chu kan hmui hnuai lam deuhah a ni. Y letter ang mai a ni a, he in\henna hi ``Carotid Bifurcation'' kan ti a.

Chu branch pahnih chu:

1. Internal Carotid Artery: Hei hi Highway hmunpui ber a ni. Luruh chhungah a lut nghal a, kan thluaka thisen a pe chhuak a ni .

2. External Carotid Artery: He branch hian kan luruh pawn lam, kan hmai, kan kawr leh kan lu vun te hnenah thisen a pe chhuak thin .

Chutianga inthen darh thisen kalna kawngte chu hnah tenau zawk tam takah an inthen a, kan lu leh kan kawr chhunga tissue leh organ zawng zawngah oxygen tamna thisen an pe chhuak a ni.

Engtin chiah nge heng arteries te hian hna an thawh?

Carotid arteries hnathawh ber leh awmchhun chu oxygen tamna, thisen thianghlim, thinlungin a pump chhuah chu thluak leh lu hmun dangah pawh tihbuai loha phurh chhuah hi a ni. He zinkawng hi a awlsamin a rang hle tur a ni.

Mahse, han ngaihtuah teh, he highway-ah hian khawi emaw laiah bawlhhlawh leh bawlhhlawh a pungkhawm a, kawngpui a dang a nih chuan eng nge thleng ang? Traffic jam a awm ngei ang, a ni lo maw? Chutiang chuan cholesterol ang chi thilte chu heng arteries chhungah hian a awm a (hei hi `(Plaque)` kan ti) a, thisen kalna kawng a zim chuan thisen kalna a tikhawlo thin. Chutiang a nih chuan stroke ang chi natna khirh tak tak a awm thei a ni.

Carotid arteries taksa peng hrang hrangte hi chipchiar deuhin han thlir ila.

He part hi medical deuh a ni a, mahse awlsam taka siam tum ila. Heng hming zawng zawng hi hriat reng a ngai lo va, mahse an hnathawh dan hi a rough idea neih a phu hle.

Pawn lam Carotid Artery atanga chhuak

Y letter ang maia a inthen na hmun atanga tan a ni a, beng lam pan chuan a chho ta a ni. Branch lian 8 vel ah a inthen a. Heng branch te hian kan hmai, kan lei, kan thyroid gland, kan beng leh kan lu vun chhunga thau te hnenah thisen a pe chhuak thin. I hmui i khawih chuan a sen a, i sam i sam chuan thisen a chhuak thin. Heng zawng zawng hi he pawn lam carotid artery atanga branch chhuak branch te nen a inzawm vek a ni.

Carotid Artery chhungril lam

Hei hi branch pawimawh ber a ni. A kawngah a kal chho a, luruh bul hnaia khur bik ``Carotid Canal`` an tih hmangin luruh chhungah a lut a ni. Luruh chhunga a luh hnu chuan he thisen kalna kawng hian kawng engemaw chen inzawm khawm, buaithlak tak a zawh a.

Luruh chhungah hian he thisen kalna kawng hi zung lian engemaw zatah a inthen a. Hengte hian kan thluak leh kan mit hmun tam takah thisen an pe chhuak thin .

Eng natna nge heng arteries te hi a nghawng?

Heng expressway-ah hian harsatna a awm thei a ni. An tih chuan a rah chhuah chu a hlauhawm hle thei a ni. Harsatna lian ber ber hmuh tur thenkhat chu hetiang hi a ni.

• Carotid Artery Disease: Hei hi `(Carotid Artery Stenosis)` an ti bawk. `(Stenosis)` tih awmzia chu ``narrowing.`` tihna a ni.`` Hei hi artery wall-ah cholesterol, thau leh thil dangte a lo awm khawm a, `(Plaque) layer thuk tak a siam vang a ni.`` Tui pipe chhunga rust leh bawlhhlawh lo awm ang mai a ni a, tui luang chhuak tur kawng a tikhawlo a ni. Hetiang dinhmun hi `(Atherosclerosis) kan ti a.`` He `(Plaque)`` hian thisen kalna kawng a tizau a, a chang chuan a chi khat chu a chhe thei a, thluaka thisen kalna kawng te tak te a tikhawlo thei bawk. A nih loh leh, he `(Plaque)` chungah hian thisen zam a lo awm thei a, chu chuan thluaka thisen kalna kawng (vessel) chu a titawp thei a, a tikhawlo thei bawk. Hei hi transient ischemic attack (TIA) emaw , full-blown stroke emaw thlentu lian ber a ni .

• Carotid Artery Aneurysm: Hei hi artery wall-a hmun chak lo tak a ni a, balloon ang maia bulge chhuak a ni. He bulge-ah hian thisen zam a lo awm thei a ni. Tin, a lianin a puak nghal thei bawk (rupture).

• Carotid Artery Dissection: Hei hi artery wall chhungril layer-a tear emaw, rupture emaw a ni. Hei hian thisen kal dan a tikhawlo thei a, a tikhawlo thei bawk. Hei hian stroke a thlen thei bawk.

• Fibromuscular Dysplasia (FMD): Hei hi thil awm lo tak a ni a, artery wall-a cell te lo thang dan pangngai lo chuan thisen kalna kawng a ti tawi thei a, thisen kalna kawng (aneurysm) emaw, dissection emaw a thlen thei a ni.

Heng symptoms te hi fimkhur hle ang che!

Carotid artery natna vei tam tak chuan symptom an nei lo. A lan chhuah dan hi emergency hnuah a awm tlangpui a, chu chu transient ischemic attack (TIA) emaw stroke emaw a ni. Chuvangin, nang leh i chhungte tan a hnuaia symptoms te hi hriat chian hian nunna chhanhimna kawngah a pui thei a ni.

Heng symptoms zinga pakhat tal a awm chuan second khat pawh tihkhawtlai suh la, 1990 (Suvaseriya) ambulance service call nghal la, damdawi in hnai ber Emergency Treatment Unit (ETU) ah kal nghal rawh.

• Hmai sir khata tla emaw, nunna nei lo anga inhriatna emaw.
• Thusawi thiam lo, thumal siam theih lohna, a nih loh leh thusawi laiin thusawi thiam lo .
• Mit pakhat emaw mit pahnih emaw a hmuh theih lohna emaw a fiah lo emaw . Mit hmaah puan dum a tla ang maiin a lang thei.
• Taksa sir khatah (kut, ke) rilru hahna, chak lohna emaw, hriatna hloh emaw .
• Taksa sir khata hriatna hloh.

Engtin nge i carotid arteries te hi i check thin?

I doctor-in i carotid artery-ah thil dik lo a awm nia a rinhlelh chuan an tih hmasak ber tur chu i kawr chungah stethoscope dahin, chuta thisen luang ri chu an ngaithla ang. Artery a zim chuan thisen a luang chhuah rualin ‘whooshing’ thawm danglam tak (carotid bruit) i hre thei.

Tin, thil awmdan hi finfiah lehzual tur chuan a hnuaia test te hi i en thei bawk ang:

• Carotid Ultrasound: Test awlsam tak, natna nei lo, sound wave hmanga thisen kalna kawng chhunga thisen kal dan leh a zim dan enfiahna a ni. (Ngawi teh, "বিৰ্দা দাসন" tih hi Bengali a ni. Chu chu ka pumpelh a ngai. Ka sawi nawn leh ang: "সাব্ৰ তাৰ্নে পৰিষা..."). Test awlsam tak, natna nei lo, sound wave hmanga thisen kalna kawng chhunga thisen kal dan leh a zim dan enfiahna.
• CT Scan / CT Angiogram: X-ray hmanga thisen kalna kawng chipchiar taka thlalak lak.
• MRA (Magnetic Resonance Angiogram - MRA): Magnetic field hmanga thisen kalna kawng chipchiar tak tak thlalak lak.
• Carotid Angiogram: X-ray hmanga thisen kalna kawngkhar chhunga tui bik inject a, a chhunga blockage awm chu chiang taka hmuh theihna test a ni.

Enkawlnate chu engte nge ni?

I carotid artery a tawi emaw, a block emaw a nih chuan enkawlna tur a awm. Enkawlna chu thisen kalna kawng (artery) a tawi dan te, i natna lan chhuah dan te, leh i hriselna zawng zawngah a innghat a ni.

Damdawi hmanga enkawl

• Antiplatelet damdawi: Aspirin ang damdawi hian thisen zam a tihziaawm.
• Thisen sang damdawi: Thisen sang hian thisen kalna kawng a tihchhiat avangin control a pawimawh hle.
• Cholesterol tihhniamna damdawi: ``Statins`` ang chi damdawi hian artery wall-a ``plaque`` awm zat a ti tlem a.

Surgery leh tih dan dangte

• Carotid Endarterectomy: Hei hi surgery a ni a, artery hawn a, a chhunga plaque lo awm tawh chu a scrape chhuak a ni. Hei hian artery a tifai a, thisen kal dan a siam tha leh bawk.
• Carotid Angioplasty leh Senting: Hei hi incision te tak te hmanga tih a ni. Balloon vuah wire chu thisen kalna kawng tawi takah chuan an kalpui a, chu balloon chu a zau zawng zau zawka zau turin an inflated a ni. Tichuan, a hmun chu a zim leh tawh loh nan mesh ang chi tube te tak te (Stent) an dah a.

Engtin nge ka carotid arteries te hi ka hrisel theih ang?

I carotid arteries chauh ni lovin i thinlung leh vascular system zawng zawng hrisel taka awm theih nan thil tam tak i tih theih a ni.

• Meizial zuk loh vek tur a ni.Meizial hi i thisen kalna kawng (arteries) tichhetu lian ber a ni. I bânsan theihna tura ṭanpuina i mamawh chuan i doctor zawt rawh.
• Thinlung hrisel ei tur ei rawh. Mediterranean diet hmang la, chutah chuan thlai, thei, legumes, sangha, leh olive oil ang chi thau hrisel tak tak te pawh a tel. Oil, sugar leh chi tamna ei tur ei tlem rawh.
• Exercise neih fo thin ang che. Ni khatah minute 30 tal exercise tih tum la, chu chu kea kal te, tlan te, cycle khalh te hi a ni. Exercise program eng pawh i tan hmain doctor rawn hmasa phawt ang che.
• I taksa rihna hrisel tak vawng reng rawh. Thau lutuk hi thinlung natna thlentu lian tak a ni a, thisen kalna kawng (arteries) a zim thin.
• Zunthlum, thisen sang, a nih loh leh cholesterol , i neih chuan i doctor thupek zawm la, uluk takin control rawh.