Kan kawr emaw, kan lu-ah emaw natna nasa tak kan neih thut a, emaw, tleirawl pakhatin stroke ang chi symptoms a neih chuan, kan lungngai deuh thin a ni lawm ni? A chang chuan heng thilte chhan lian tak chu kawr chhunga thisen kalna kawng (ruptured artery) an tih hi a ni. Hemi chungchang hi vawiin hian chipchiar tak leh awlsam takin i sawi dawn nia.
Cervical Artery Dissection tih hi eng nge ni?
A awlsam zawngin, cervical artery dissection chu kan kawr chhunga thisen kalna kawng, emaw, thisen kalna kawng (arteries) bang layer pakhat emaw a aia tam emaw a chhiat emaw, a rupture emaw a ni. Tui pipe-a puak tlemte ang mai a ni.
I hria em, kan kawngah hian artery chi hnih pawimawh tak tak a awm a.
1. Carotid arteries: Hei hi kan thluak hmalam panna thisen petu arteries te an ni.
2. Vertebral arteries: Hengte hian thluak hnunglam leh kan ruhro (spinal cord) ah thisen a pe chhuak thin.
Chuvangin, heng thisen kalna kawng pakhatah hian mittui a awm a nih chuan chu chu `Cervical Artery Dissection` kan tih chu a ni. Heta thil pawi ber chu hei hi stroke thlentu lian tak a ni thei a, a bik takin naupang leh kum chanve velah .
He dinhmun hian engtin nge i hriselna a nghawng?
Chu artery wall chu a chhiat chuan, chu break atang chuan thisen engemaw zat chu wall layer hrang hrang inkarah a chhuak tan ta tih han ngaihtuah teh. Hei hian chutah chuan thisen zam a siam thei a ni. A hlauhawm ber chu, he thisen zam hi a chhuak a, thluaka thisen kalna kawng te tak te a block chuan thluak hmun thenkhata thisen kal chu a titawp thei a, stroke a thlen thei a, a bik takin ischemic stroke a thlen thei a ni.
A awlsam zawngin sawi ila, thisen kalna kawng (artery) a chhiat chuan thisen zam a lo awm a, thluaka a kal chuan stroke a thlen thei a ni.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi chhan pakhat mah a awm lo. Thil engemaw zat a inrawlh thei a ni.
1. Lu emaw kawng emaw a trauma
Vawi tam tak chu hei hi a chhan ber chu accident emaw, lu emaw, kawr emaw a hliam vang a ni. Entir nan:
- Car accident avanga kawng hliam (whiplash ang chi) te.
- Sports khelh laiin a kawngah nasa taka vuak.
- A tlu nghal zat.
2. Mi thenkhat tan hahna vang a ni thei bawk (Non-traumatic causes) .
A chang chuan hetiang hi hlauhawm lian tham awm lovin a thleng thei bawk.
- Thil rit tak chawi laia thawhrim lutuk. Gym-a kal a, rang takin rit tam tak chawi chhuah tum chu han mitthla teh.
- Khuh, thawk hah, emaw, luak chhuak nasa lutuk hian kawr chhunga thisen kalna (arteries) a pressure vang a ni.
3. Connective tissue lama harsatna awm thei
Kan taksaa Connective tissue hi ruh, cartilage, vun, leh thisen kalna kawng hrang hrangte inzawmkhawmna atana puitu tissue chi khat a ni. He connective tissue tichak lotu hian genetic disease thenkhat a awm a. Chutiang natna vei te pawhin `Cervical Artery Dissection` an neih theihna chance a sang zawk bawk. Entirna tlemte chu hetiang hi a ni:
- Ehlers-Danlos natna a ni
- Fibromuscular dysplasia a awm thin
- Marfan syndrome a ni
- Osteogenesis a famkim lo
Heng natnate hian thisen kalna kawng bang a tichak lo thei bawk a, chu chuan a tikehsawm awlsam zawk a ni.
4. Kawng Trauma bik (specific Neck Trauma) a awm
Hengte hi hliam pangngai nen chuan a danglam deuh hlek a ni.
- Neck Sprains leh Strains: Sawi tawh ang khan automobile accident-ah hian whiplash condition a awm thin.
- I kawr chu hmun khata rei tak vawn: Entirnan, mi pakhatin ceiling-a a lu nghah rei tak a painting.
- Sudden, rapid neck movements: Roller coaster ang chi thila chuang lai te, emaw, chiropractic neck manipulations thenkhat neih lai te (hengte hi mi thiam takin tih tir a pawimawh).
- Thil rit phurh leh phurh: A bik takin tih dik loh a nih chuan.
5. Tun hnaia natna vei te
Hetiang dinhmun hi natna thenkhat avanga kan chau lai pawhin a awm thei bawk.
- Pum a na a, a luak fo thin: Hetih lai hian kawr chhunga thisen kalna kawng (arteries) te chu pressure pek a ni.
- Thluak lam natna, khawsik leh khawsik leh khuh chhunzawm zel.
6. Risk factor dangte
Thil dang thenkhat chuan a hlauhawmna a tipung:
- Atherosclerosis: Hei hi thisen kalna kawng chhungah thau (fatty deposit) a lo awm a, thisen kalna kawng (arteries) a ti tawi a ni.
- Thisen sang: Hei hian thisen kalna kawng (arteries) ah pressure a siam reng thin.
- Meizial zuk: Meizial zuk hian thisen kalna kawng a tichhe nasa hle.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
Thil tam takah chuan cervical artery dissection hi a lan chhuah atanga thla khat vel hnuah chauh hriat chian theih a ni lo. Mahse, a lan chhuah dan chi hrang hrang a awm.
1. Lu na, rang taka lu na emaw, kawng na emaw
Hei hi a lan chhuah dan tlangpui a ni. He natna hi lu na pangngai ang a ni lo.
- A intan nghal a.
- A bo lo, a awm chhunzawm zel.
- He natna hi lu sir khatah (a bik takin mit pakhat hnung lamah) emaw, kawr sir khatah emaw a awm fo thin .
- Cluster headache , migraine , emaw thunderclap headache ang maiin a lang thei ( thunderclap headache chu lu natna nasa tak, rang taka lo thleng, lightning ang maia lo awm a ni).
2. Horner-a natna (syndrome) a awm
Hei hian kan mit leh hmai mahni insiam dan a nghawng a ni. A lan chhuah dan chu:
- Mitmeng a tla thla.
- Mit pakhat pupil chu mit dang aiin a te zawk.
- Hmai sir khata thawk hahna tlahniam emaw awm lo emaw.
He `Horner's syndrome` hian lu sir khat chauh a nghawng tlangpui.
3. Stroke ang chi natna lanchhuahna
Heng symptoms te hi thluak hmun thenkhatin thisen a hmuh tlem hian a awm thin. Hengte hi emergency anga ngaih a nih avangin damdawi lam thurawn lak nghal tur a ni.
- Kal harsa, staggering (ataxia).
- Taksa a balance hloh (Balance problems).
- Mit hmuh a fiah lo.
- Luak chhuak thei.
- Mit pahnih hmuh theihna (Diplopia).
- Kut emaw ke emaw a natna emaw, chak lohna emaw.
- Thusawi harsa / Dysarthria emaw Aphasia emaw. (Thu sawi mumal lo, chiang taka tawng thei lo)
- Thil inher chhuak ang maia inhriatna (Vertigo).
Hemi chungchangah hian tute nge a bik takin ngaihtuah tur?
Cervical Artery Dissection hi hriat chian a harsa deuh thei. Mahse, a chunga kan sawi tak symptom pakhat emaw a aia tam emaw i neih chuan, a bik takin stroke symptoms te nen i kawng/lu na tak tak i neih chuan i doctor hnenah i hrilh ngei tur a ni. I doctor chuan hei hi a ringhlel thei a, a tul angin test a ti thei bawk.
Engtin nge doctor-te hian hei hi an hriat chian?
Hetiang dinhmun hi a awm em tih chiang taka hriat theih nan special test a awm bawk.
- CTA Scan (Computed Tomography Angiography - CTA): Hei hian thisen kalna kawng chipchiar takin a la thei a.
- MRA Scan (Magnetic Resonance Angiography - MRA): Hei hi thisen kalna kawng en nana hman thin advanced scan dang a ni.
Heng scan te hian artery-ah tear a awm em tih emaw, thisen zam a lo awm em tih emaw chiang takin a hmu thei a ni.
Hei hi eng enkawlna nge ni? (Tihdamna)
Thu lawmawm tak chu heng arterial tears tam zawk hi hun kal zelah anmahni chauhin an dam chhuak thin. Mahse, stroke ang chi natna khirh tak tak laka inven nan enkawl a pawimawh hle.
Enkawlna ber chu thisen zam tihziaawmna damdawi te hi a ni:
- Antiplatelet therapy: Hei hi thisena platelet awmte chu a inzawm khawm loh nan leh thisen zam a siam loh nan tih a ni. Hei hi entirnan `Aspirin` leh `Clopidogrel` ang chi damdawi te hi a ni.
- Anticoagulant damdawi: Hengte hi "thisen tithianghlimtu" an ti bawk. Thisen zam (blood clotting process) an titawp thin. Heparin hi injection angin pek a ni a, Warfarin hi pill angin pek a ni bawk.
Doctor chuan heng damdawi zingah hian eng damdawi nge pek tur tih leh eng chen nge pek tur tih chu i dinhmun a zirin a rel ang.
Enkawlna pangngai a hlawhtlin loh chuan engtin nge ni ang?
A tlem hle a, damdawi chauhvin a natna a thunun theih loh chuan stenting hman theih a ni.Surgery pawh a ngai mai thei. Stent chu mesh tube te tak te, thisen kalna chhunga dah luh a ni a, a mittui a siam that a, thisen bang a tichak a, thisen a kal tha zawk bawk.
Hetiang dinhmun lakah hian engtin nge i inven theih ang? (Invenna) 1.1.
Damdawi lam harsatna (a chunga kan sawi tak connective tissue natna ang chi) i neih chuan `Cervical Artery Dissection` i neih theihna tur a tipung a nih chuan vascular specialist hnenah checkup neih fo a pawimawh hle.
He hlauhawmna tihziaawm nan hian midang zawng zawng hian hengte hi an ti thei a ni:
- I kawr chu a awmna hmunah rei lutuk (e.g., ceiling painting ang chi) dah suh .
- Kawng leh lu inher nghal vat (roller coaster riding leh neck manipulation technique thenkhat ang chi) te chu pumpelh rawh .
- Thawhrimna nasa lutuk nen thil rit phurh loh tur.
- Lung hrisel ei tur (thau leh hriak tlem, thei leh thlai tamna) ei rawh.
- Exercise neih fo thin ang che. (I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.)
- I thisen sang control rawh. A tul chuan ACE inhibitor ang chi damdawi ei tur a ni.
- Meizial zuk kha bansan vek rawh.
Prognosis chu eng nge ni? (Prognosis) tih a ni.
Cervical artery dissection tam zawk hi chu a dam tha hle. Artery chu a normal leh ta. He damna hi thla thum atanga thla ruk chhung a ni tlangpui .
Hetiang dinhmun hi engtin nge nunpui chu a nih?
Cervical artery dissection i neih chuan i doctor-in a dam vek tawh tih a chian hma loh chuan checkup (scan ang chi) neih fo a ngai ang. Hemi hun chhung hian a hmaa kan sawi tawh angin antiplatelet emaw anticoagulant damdawi te pawh i ei chhunzawm zel a ngai bawk ang.
Kum 40 leh 60 inkar zingah cervical artery dissection hi stroke thlentu lian ber ni mahse, a vei zawng zawng hian stroke an nei vek dawn lo. Mi tam zawk chu test leh enkawlna mumal tak neih chuan harsatna awm lovin an dam leh thin. Symptom nei te enkawl tum ber chu stroke laka invenna a ni.
Take-Home Thuchah a ni
Cervical artery dissection hi natna khirh tak a ni thei a, a bik takin thalai tan chuan stroke a thlen thei a ni.
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Kawng/lu na nghal, na tak, mit hnung lama na, emaw, stroke (thusawi harsa, ke ruh natna, kal harsa) symptoms i neih chuan doctor lam pan nghal rawh.
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Hetiang dinhmun hi thil engemaw zatin a thlen thei a, chung zingah chuan accident te, thawhrim lutuk te, leh genetic disease thenkhat te pawh a tel a ni.
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He natna hi enkawl dan dik leh damdawi lam enkawlna hnuaiah tihdam theih a ni fo. A pawimawh ber chu rang taka hmalak a, symptoms ngaihthah loh hi a ni.
Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!
` Cervical Artery Dissection, Stroke, Kawng na, Lu na, Thisen kalna kawng, Thluak a thisen pek
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