I kawr emaw, i lu-ah emaw, i ngaihtuah phak loh khawpa na, rang tak, na tak i nei tawh em? " Sprain mai mai a ni mai thei " emaw, "Migraine ka nei a ni" emaw tih i ngaihtuah mai thei. Mahse, a châng chuan hetiang ang natna khirh tak, a bîk takin tleirawlte tân chuan ngaihtuahawm tak a ni thei. Vawiin hian chutiang dinhmun pakhat kan sawi dawn a, chu chu hriselna lama harsatna awm lo mahse pawimawh tak Cervical Artery Dissection tih a ni.
A awlsam zawngin, Cervical Artery Dissection tih hi eng nge ni?
Okay, hei hi a awlsam zawngin han sawi ila. I kawr chhungah thisen kalna kawng lian tak tak (arteries) i nei a. Hengte hi i thluaka oxygen leh nutrients phurtu thisen kalna bulpui (main arteries) ang an ni. A dik tak chuan i kawr sir lehlama awm carotid arteries te, i kawr hnung lama awm vertebral arteries te chu i vertebrae chhunga awm te hi a ni.
Tunah chuan tui pipe hi han ngaihtuah teh. A bangte hi layer engemaw zat atanga siam a ni lawm ni? Chutiang bawkin kan thisen kalna bang pawh hi layer engemaw zat atanga siam a ni. Cervical Artery Dissection chu chu thisen kalna kawngkhar chhung lam layer pakhata tear emaw, crack emaw a awm chuan a ni.
Hei hi a takah chuan naupang leh kum chanve vela stroke thlentu ber a ni a, chuvangin hei hi hriat a pawimawh hle.
He dinhmun hian engtin nge i hriselna a nghawng?
Okay, tunah chuan zawhna i nei ta, "Engtin nge nerve-a mittui te te hian stroke a thlen?" Hetiang hian a lo thleng thin.
1. Mittui (Tear formation): Pakhatnaah chuan thisen kalna kawng chhungril lamah mittui a lo awm a.
2. Thisen chhuak: He mittui tla atang hian thisen chu vessel wall layer hrang hrangah a luang tan thin. Hei hian vessel wall a ti hring a, vessel chhunga hmun a ti tlem bawk.
3. Thisen zam (formation of a blood clot): Mittui tlakna hmunah hian kan taksaa thil awm dan pangngai angin thisen zawrh a lo awm tan a. Kan vun hliam a nih chuan thisen chhuah tihtawp nan thisen zam (blood clot) a lo awm ang bawkin.
4. Risk: A hlauhawm ber chu he thisen zam hi a chhuak thei a, thisen nen thluak lamah a kal thei a, thluaka thisen kalna kawng te tak te a tikhawlo thei a ni.
5. Stroke: Hetianga thluaka thisen kalna a tihtawp chuan thluak cell te chu oxygen dawng lovin an thi tan thin. Chu chu ischemic stroke kan tih chu a ni.
A awlsam zawngin sawi ila, kawr chhunga thisen kalna kawng khata mittui tla tlemte chuan thisen zam a siam thei a, chu chuan thluaka thisen kalna chu a titawp thei a, chu chuan stroke na tak a thlen thei a ni.
Eng thilin nge hetiang hi a thlen theih?
Hei hi chhan pakhat mah a awm lo. A châng chuan chhan hriat lohvin a thleng thei bawk. Mahse a tlangpuiin a chhan lian ber tlemte a awm a, chu chu a thlen thei a ni. Chiang takin han thlir ila.
| A chhan awm thei | Entirna leh sawifiahna |
|---|---|
| Kawng emaw lu emaw a trauma | Hei hi a chhan tam ber a ni. Entirnan, car accident-a kawr (whiplash) rang lutuk vang te, infiamna lama accident vang te, tlu nghal vang te pawh a ni thei. |
| Vawikhatmah, rang taka chetna | Thil chi hrang hrang, roller coaster khalh ang chi kawng inher chak lutuk te, chiropractic treatment thenkhat (a zawng zawng ni lo, mahse hlauhawmna a awm thei), leh kawng inher nghal mai te. |
| Taksa tibuaitu thiltih | Hei hi taksa a stress lai pawhin a thleng thei a, chu chu thil rit phurh a\angin, exercise nasa lutuk a\angin, khuh nasat a\angin, thawk hah a\angin emaw, ril\am fo a\angin emaw a ni thei bawk. |
| Connective Tissue lama harsatna awm thei | Mi thenkhat chuan genetic condition an nei a, chu chuan an thisen kalna kawng bang a tichak lo va, hliam tenau tuar pawh nise an chhe thei hle. Entirnan: Ehlers-Danlos natna , Fibromuscular dysplasia , Marfan natna . |
| Hriselna atana hlauhawm dangte | Thisen sang, atherosclerosis, leh meizuk hian a hlauhawmna a tipung bawk. |
Hetiang natna lan chhuah dan hi engte nge ni?
Hemi chungchanga hlauhawm tak chu a natna lan chhuah dan hi a chang chuan rilru natna pangngai emaw lu na emaw ang maiin a lang thin. Chuvangin mi tam takin an ngaihthah mai thei. Mi thenkhat phei chuan he natna hi an vei tih hriat a nih hma hian thla khat thleng symptoms an nei thei bawk.
Symptoms hi chi thum ah then theih a ni.
| Symptom category hrang hrang a awm | Hmuh theih thil chi hrang hrang |
|---|---|
| Lu emaw, kawr emaw a na |
|
| Stroke ang chi natna lanchhuahna | Heng symptoms te hi thluaka thisen kalna a tlahniam hian a awm thin.
|
| Horner-a natna (syndrome) a ni | Hetiang hi mi zawng zawngah a thleng lo. Heng symptoms te hi hmai sir khata nerve te a nghawng hian a lo lang thei a ni.
|
Pawimawh tak: A chunga kan tarlan stroke ang chi pakhat emaw a aia tam emaw nen, i kawng emaw, lu emaw na tak i neih thut chuan damdawi in Emergency Department (ETU) ah kal nghal rawh. Hetah hian hun hi a pawimawh ber a ni.
Diagnosis leh enkawl dan tur
Engtin nge hei hi kan hriat theih ang?
I doctor hnenah i symptoms i hrilh hian he natna hi a rinhlelh chuan a finfiah nan special scan engemawzat neih a rawt ang.
- CT Angiography (CTA): Hei hi CT scan chi khat bik a ni. Contrast dye hmangin thisen kalna kawngah a inject a, thisen kalna kawngte chu chiang takin a siam a ni. Mittui, blockage, blockage eng pawh hriat theihna turin a pui thei a ni.
- MR Angiography (MRA): Hei hi MRI scanner hmanga thisen kalna kawng thlalak lak dan a ni. Hei hi thisen kalna kawngte dinhmun enfiah nan pawh hman theih a ni.
Engtin nge enkawl a nih?
He thu hi i hriat chuan mak i ti mai thei. A tam zâwk chuan, he thisen kalna mittui hi hun kal zêlah a mah chauhin a dam ṭhîn . Chuvangin enkawlna tum ber chu mittui a dam hma loh chuan stroke hlauhawmna tihtlem hi a ni. Chu chu thisen zam (blood clot) lo awm tur tihtawp nan a ni.
Hemi atan hian doctor-te chuan damdawi chi hnih an hmang ber a:
1. Antiplatelet damdawi: Hengte hian thisen platelet te chu a inzawm khawm loh nan leh thisen zam a siam loh nan hna a thawk a ni. Hemi category-a damdawi hman tam ber chu Aspirin leh Clopidogrel a ni.
2. Anticoagulant damdawi: Hengte hi "thisen tithianghlimtu" an ti tlangpui. Thisen zam (blood clotting process) an veng a ni. Heparin (injection anga pek) leh Warfarin (pill anga ei) te hi he category-ah hian an tel a ni.
I doctor chuan eng enkawlna kawng nge i tan a tha ber tih a rel ang.
Thil thleng tlemte tak takah chuan damdawi a hlawk loh emaw, thisen kalna kawng a chhiat nasa lutuk emaw chuan stenting tih hi hman theih a ni. Hei hian thisen kalna kawng chhungah mesh ang chi thil te tak te, a inhawng reng theih nan dah a huam a ni.
Eng nge thleng leh ang? Tin, engtin nge a ven theih ang?
A tlangpuiin engtin nge recovery hi a kal zel?
Hei hi chanchin tha ber a ni. Cervical Artery tihfai a niMi tam zawk chu an dam tha hle. Thisen kalna kawng chhe tawh chu thla 3 atanga thla 6 chhungin a dam tlangpui. Hemi hun chhung hian Doctor-in damdawi a pek angin ei a pawimawh a, a hun taka clinic-a check-up neih a pawimawh hle.
A hlauhawmna tihtlem nan eng nge tih theih ang?
Hetiang dinhmun hi i vei thei a nih chuan (entir nan, connective tissue natna i neih chuan), i hlauhawmna tihtlem nan thil engemaw zat i tih theih a awm a:
- I kawr tibuaitu dinhmunte chu pumpelh rawh: Entirnan, i kawr chu hmun khatah rei tak vawn suh, ceiling painting ang chiah hian.
- Hmanhmawh taka che leh rang taka che chu pumpelh rawh: Roller coaster leh infiamna ang chi thil, i kawr hnung leh hnung lama jerking te hi a tha ber.
- Thil rit phurh loh tur: I taksaah harsatna nasa tak thlen thei thil rit phur loh tur.
- Thinlung hrisel ei tur: Hriak, chi, leh sugar tlem, thei leh thlai tamna ei tur.
- Exercise neih fo: Mahse, i doctor hnenah eng exercise nge i tana tha ber tih zawt rawh.
- I thisen sang control: Thisen sang i neih chuan i damdawi ei tur chu i doctor-in a tih ang chiah chiah kha ei la.
- Meizial zuk loh vek tur a ni.
Take-Home Thuchah a ni
- Kawng leh lu na (a bik takin mit hnunglam) rang tak, danglam tak, na tak (a bik takin mit hnunglam) chu ngaihthah ngai suh.
- Cervical Artery Dissection hi kawr chhunga thisen kalna kawng bang a tikehsawm a, stroke thlentu lian tak a ni a, thalai zingah pawh a ni.
- Lu na nasa tak i neih a, i taksa peng khata bengchheng, tawng harsa, mit a inthlak danglam ang chi symptoms i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- He natna hi a mah chauhin a reh fo va, enkawlna tum ber chu stroke ven hi a ni.
- Doctor thupek zawm a, damdawi a pek ang chi ei a, checkup neih fo a pawimawh hle.
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