Carotid arteries (Carotid Bruit) atanga thawm mak tak tak lo chhuak - Hlauh tur thil a ni em?

Doctor i pan hian i rilruah chauh ni lovin, a chang chuan i kawr lehlamah stethoscope a dah tih i hmuchhuak tawh mai thei. Chu chu i hmuh chuan, "Ka kawr chhunga thisen kalna kawng atanga thawm te tak te lo chhuak ka hre thin," a tih chuan i lungkham deuh mai thei. A nihna takah chuan thil pangngai a ni. Mahse, hlau suh. Hei hian natna khirh tak a tilang ngai lo. Vawiin hian mi tam takin an hriat ngai loh, mahse hriat hlawh tak, ‘carotid bruit’ an tih dinhmun kan sawi dawn a ni.

A awlsam zawngin, he carotid bruit hi eng nge ni?

‘Carotid bruit’ hi natna a ni lo. Stethoscope hmang chauha doctor hriat theih ri a ni. A dik tak chuan i kawr sir lehlama ‘carotid arteries’ atanga thisen a luang chhuah hian i hriat thin ‘whooshing’ ri danglam tak, rang tak a ni.

Ngaihtuah teh, tui pipe atanga tui zalen taka a luang chuan thawm a awm lo. Mahse pipe chhungah hian blockage emaw, bawlhhlawh te te a awm chuan tui chu rang tak leh buai takin a luang a, thawm a ri ta a ni. Hei hi he thil nen hian a inang reng a ni. Kan thluaka thisen pe chhuaktu artery lian ber chu carotid artery a ni. He artery kaltlanga thisen kalna tur daltu eng emaw a awm chuan thisen kal dan chu a buai (turbulent flow) a, he aw hi a lo piang ta a ni.

Engvangin nge chutiang thawm chu a awm? A chhan ber chu eng nge ni?

Hei hi a chhan ber leh a tam ber chu ‘atherosclerosis’ an tih hi a ni. A hming hi a buaithlak hlein a ri a ni lawm ni? Mahse a awlsam khawp mai.

A awlsam zawngin, thil thleng chu cholesterol, thau leh thil dangte chu kan thisen kalna chhungril bang-ah an pungkhawm a, ‘plaques’ an siam a ni . Tui pipe chhunga limescale ang mai a ni. Heng plaque te hi a lo lian zauh zauh a, thisen kalna tur kawng chu a zim ta hle a ni. Tichuan, chu hmun zim tak chu thisenin a tlan chhuah tum chuan, chu thawm tibuaitu, a nih loh leh ‘bruit’ chu a ri ta a ni.

Hetianga carotid artery tihtlem hi ‘Carotid Artery Stenosis’ an ti a .

Hei hi ngaihtuahawm tak a ni. A chhan chu thluaka thisen phurtu main artery a block chuan thluak hian oxygen leh nutrients a hloh thei a ni. Tin, a chang chuan plaque te tak te chu a chhe thei a, thluaka thisen kalna kawng te tak te dang chu a tikhawlo vek thei bawk. Hei hian transient ischemic attack (TIA) emaw ischemic stroke emaw a thlen theihna a tipung a ni.

Chuvangin, he thawm hi doctor-in a hriat chuan chutiang hlauhawmna a awm leh awm loh hriat chian nan ‘clue’ pawimawh takah a hmang thin.

Chhan dang a awm em?

Awle. Cholesterol deposit vang a ni ngai lo. Achangin,

• He aw hi thisen kalna kawng bang inthlak danglamna avang pawh a ni thei a, chu chu Fibromuscular Dysplasia (FMD) .
• Mi hrisel thenkhatah phei chuan thisen kalna kawng inrem dan a inang lo deuh avangin he thawm hi hriat theih a ni.

I doctor chuan i medical history leh thil dang a ngaihtuah hnuah a chhan dik tak chu a hre chhuak ang.

Carotid bruit neih hi natna khirh tak a ni em?

He zawhna hi "yes" emaw "no" emaw hmanga chhan theih a ni lo.

A châng chuan, hei hi red flag a ni thei a, chu chuan stroke hlauhawmna nasa tak a thlen thei a ni. Mahse, chutiang chu a ni ngai lo.

I doctor chu detective ang maiin han ngaihtuah teh. He ‘Bruit’ ri hi a ‘evidence’ a hmuh hmasak ber chauh a ni. Chu evidence chauh chuan "hetah hian misual chu a awm" tih a hrilh lo. A chhui chian lehzual a ngai a ni. Chutiang bawkin, he aw hi hriat ringawt hian natna khirh tak i nei tih a hril lo. Investigation neih belh a ngai tih signal mai a ni.

Doctor chuan carotid bruit a awm a tih chuan eng nge thleng leh ang?

He thawm hian i doctor chu a ti hlauhawm lovang. A dawt leh tur chu eng thil nge a chhan dik tak chu a zawng chhuak ang. Test awlsam tak, natna nei lo, tih thin chu ‘Carotid Duplex Ultrasound’ scan hi a ni.

Hei hi hmeichhe naupai chunga scan an tih nen a inang hle. Sound wave hmangin kawr chhunga thisen kalna kawngte thlalak a la thin. A ti thei:

• Thisen kalna kawng chhungah cholesterol plaques awm leh awm loh enfiah thin ang che.
• A awm chuan vein engzat nge block tih chiang takin teh rawh.
• Thisen kal chak dan leh a kal dan tur enfiah thin ang che.

He scan result a\ang hian doctor chuan enkawlna i mamawh leh mamawh loh a rel ang a, a mamawh a nih chuan eng nge i tih ang tih a rel ang.

A bik takin, a hnuaia risk factor pakhat emaw, a aia tam emaw i neih chuan i doctor chuan he scan hi a rawt mai thei.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu mi zawng zawng hian operation emaw procedure emaw an mamawh vek lo. Enkawlna chu i thisen kalna kawng (artery) a block dan te, i kum te, leh damdawi lam harsatna dang i neih theih danah a innghat a ni.

Enkawlna hi chi thum ah then theih a ni.

1. Damdawi chi hrang hrang

Hei hi a bul tanna hmasa ber a ni fo thin. Hengte hi a tawk mai thei a, a bik takin vein blockage a nasat loh chuan.

• Cholesterol tihhniamna damdawi: Hengte hian thisen a cholesterol tha lo awm zat a tihziaawm bakah plaque siam belh zel a titawp thei bawk.
• Thisen sang damdawi: Thisen sang a control a, thisen kalna kawng chhiatna a ti tlem bawk.
• Anticoagulant damdawi: A châng chuan, thisen zam hlauhawmna tihziaawmna turin aspirin ang chi damdawi an pe thei bawk.

2. Nunphung inthlak danglamna

Hei hi damdawi aiin a pawimawh zawk mai thei. Heng thilte hian thisen kalna kawng (blood vessel constriction) tam zawk control-na kawngah nasa takin a pui dawn a ni.

• Meizial zuk bansan vek rawh: Meizial zu mi i nih chuan i tih theih ṭha ber chu vawiinah hian bânsan hi a ni. Hemi chungchangah hian tanpuina i mamawh chuan i doctor nen inbia ang che.
• Lung hrisel ei leh in: Hriak, chi, leh sugar tamna ei tur tihtlem. Sa sen (bawngsa, vawk sa) chu sangha leh vawk nen thlak leh rawh. I eitur ah hian thlai, thei leh greens tam tak telh bawk ang che.
• Exercise neih fo: Ni khatah minute 30 vel kal ang maia awlsam a ni thei. Exercise thar i tan hmain i doctor nen inbia la, i tana tha tur chu i en hmasa phawt ang che.

3. Surgery leh tih dan dangte

Hengte hi thisen kalna kawng a zim nasa hle (severe stenosis) a, doctor-in stroke hlauhawmna a sang hle tih a hriat chuan a tul chauh a ni.

• Carotid Endarterectomy: Hei hian kawr chhungah hliam tenau siam a, thisen kalna kawng hawn a, a chhunga cholesterol plaques lo awm tawhte chu operation hmanga paih chhuah a ni.
• Carotid Angioplasty leh Stenting: Hei hian thisen kalna kawngkhar chhungah needle ang chi hmanrua pass a, balloon te tak te inflate a, blockage zau zawk siam a ni. Tichuan, artery-ah hian mesh tube te tak te, stent an tih chu a zim leh tawh loh nan dah a ni.