"Cholesterol" tih thumal hi kan hlau deuh vek a ni lawm ni? Cholesterol sang hian heart attack leh stroke a thlen thei tih kan hre fo thin. A nihna takah chuan he thawnthuah hian thudik tam tak a awm. Kan thisen kalna kawngah cholesterol a lo pungkhawm a, a tikhawlo tan chuan heng natna hlauhawm tak takte hi harsatna a lo awm ta a ni. Chuvangin vawiin hian heng cholesterol deposit te hi eng nge an nih, engtin nge an lo awm tih leh an pumpelh dan tur leh hrisel taka awm dan tur kan sawi dawn nia.
Cholesterol deposition leh atherosclerosis tih hi eng nge ni?
A awlsam zawngin kan tui pipe chhunga bawlhhlawh lo awm khawm a, hun kal zelah a tikhawlo ang mai a ni. Cholesterol, thau leh thil dangte chu thisen kalna kawngah an pungkhawm a, chu chu arteries an ti a, "plaques" an siam a ni. Damdawi lamah chuan he thil hi atherosclerosis an ti a .
Hei hi a mawhphurtu ber chu LDL cholesterol a ni . Kan hriat vek angin hei hi "bad cholesterol" an ti a. He LDL cholesterol hian thisen kalna kawng (arteries) bang a tichhe a, chutah chuan a awm tan thin. A hlauhawm ber chu he thil thleng hi taksa chhungah kum tam tak chhung chu ngawi rengin a lo thang lian a, engmah chhinchhiahna a awm lo.
He natna hi atherosclerosis an tih hi natna khirh tak tak, heart attack, stroke, leh peripheral arterial disease te thlentu ber a ni.
Engtin nge heng cholesterol deposit te hi an lo awm?
Hei hi zan khat thil thuah a thleng lo. Hei hi thil buaithlak tak a ni a, kum tam tak a daih a ni. Kan thisen kalna kawngte chu tube ang mai, a chhung lam chu a hrual hle a, silk ang maiin a awm ang tih han ngaihtuah teh. He process hi hetiang hian a thleng thin.
- Step 1: Artery wall tihchhiat: Cholesterol sang, meizuk, thisen sang, leh zunthlum ang chi thilte hian thisen kalna kawng (endothelium) chhunga lining smooth tak chu a ti hrual thei a, a tichhe thei bawk. Bang mawi tak hrual ang mai a ni.
- Step 2: Cholesterol Ingress: Heng hmun chhia atang hian thisena LDL cholesterol "tha lo" lo luang chhuak chu zawi zawiin artery wall-ah a lut ta a ni. Tichuan chutah chuan a pungkhawm tan ta a ni.
- Step Pathumna: Plaque Formation: Kan taksa thisen var te chu he cholesterol artery wall-a lut chu "ei" turin an lo kal a. Mahse hei hi indona ang a ni. Hun a kal zel a, heng cell thi zawng zawng leh cholesterol te hi an pung khawm a, porridge ang maia thick mass an siam ta a ni. Chu chu cholesterol plaque kan tih chu a ni.
Hetiang dinhmun hi a hluar em em a, a chang chuan heng deposit (fatty streaks) te hi a tir lam hi thalai te thisen kalna kawng (arteries) ah pawh hmuh theih a ni.
Heng deposit te hian kan taksaah eng chhiatna nge a thlen theih?
Artery wall chhunga an lo awm tawh chuan heng deposit te hi kawng hrang hrangin an awm thei a ni. Ṭhenkhat chu an lian lo thei a, chutiang chuan an awm reng thei bawk. Ṭhenkhat chu a lianin, zawi zawiin thisen kal a tikhawlo thei a ni. Mahse thil hlauhawm ber chu he deposit hi a puak darh (rupture) nghal mai hi a ni.
Chutiang a lo thlen chuan kan taksa chuan thisen zam a siam nghal a, chu chuan hliam chu a khar a ni. Thisen zam chu a lo insiam nghal a, chu chu a khar vek a nih chuan eng nge thleng ang tih han ngaihtuah teh? Chu chu heart attack emaw stroke emaw thlentu ber a ni.
| Damdawi lam dinhmun | Engtin nge a lo thlen a, eng nge a awmzia |
|---|---|
| Coronary Artery natna a ni | Heng deposit te hi thinlunga thisen petu arteries-a a lo awm chuan rilru natna (angina) a thlen thei a ni. Deposit chu a rupture a, artery a block vek chuan heart muscle chu thisen pek lohvin a thi a ni. Hei hi heart attack kan ti a . |
| Cerebrovascular Disease a awm thei | Thluak thisen petu artery-a clot a puak chuan thluak a tichhia thei a, stroke a thlen thei bawk . A châng chuan thisen kalna kawng chu rei lo têah a inkharkhip a, natna lan chhuah dân a lo lang chhuak a, a bo bawk. Hei hi TIA (Transient Ischemic Attack) kan ti a. Hei hi stroke lian tak a lo thleng dawn tih hriattirna pawi tak a ni. |
| Peripheral Arterial Disease (PAD) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo. | Kea thisen petu thisen kalna kawng (arteries) a block. Hei hian kea kal laiin ke a ti na thei a, hliam a dam zawi zawi bawk. Natna a zual chuan ke tan pawh tan a ngai mai thei. |
Engtin nge he dinhmun hlauhawm tak hi kan pumpelh theih ang?
Thu lawmawm tak chu atherosclerosis hi ven theih a ni. Heart attack 90% thlentu risk factor lian 9 a awm a. Eng nge an nih i han thlir teh ang.
| Risk factor a ni | Kan hriat tur chu |
|---|---|
| Meizial zuk | Direct takin arterial walls a tichhia. |
| Cholesterol sang tak a ni | Deposit siamna atana mamawh raw material a pe. |
| Thisen sang a sang | Artery walls te chu pressure pein a tichhia a ni. |
| Zunthlum | Thisen sugar level sang hian thisen kalna kawng (arteries) tan a pawi hle. |
| Pum chhunga thau lutuk (belly fat) . | Lung natna vei theihna tipungtu chhinchhiahna. |
| Rimtawng | Hun rei tak chhung stress hi taksa tan a pawi hle. |
| Thlai leh thei ei tlem | Taksa hian a mamawh antioxidants a dawng lo. |
| Zu in tam lutuk | Cholesterol leh thisen sang a nghawng. |
| Taksa exercise neih loh vang | Cholesterol tha level a tihniam bakah cholesterol tha lo a tipung bawk. |
I hmuh angin, heng risk factor tam zawk hi kan thunun theih thil a ni . Chumi awmzia chu kan nunphung thlak danglamin he natna hlauhawm tak pumpelh theihna chance ropui tak kan nei tihna a ni.
Engtin nge enkawl leh enkawl dan?
Atherosclerosis hi tihdanglam vek a harsa hle. Mahse, enkawlna dik leh nunphung tihdanglam chuan heng deposit te hi tihtawp emaw, tihkhawtlai emaw theih a ni . Treatment chak tak tak thenkhat chuan deposit te chu a ti tlem thei a, a paih thei hial tih finfiahna a awm bawk.
Nunphung inthlak danglamna
Hei hi a pawimawh ber leh tih hmasak ber a ni.
- Exercise: I taksa rihna tihtlem emaw tihtlem lo emaw, nitin exercise hian HDL cholesterol "tha" a tipung a ni.
- Ei leh in hrisel: Fiber tamna leh thau tlem ei tur. Thei, thlai leh greens ei tam rawh.
- Omega-3: Omega-3 tamna ei tur, sangha hriak (salmon, mackerel, herring) te hian HDL cholesterol "tha" a tipung thei a ni.
- Meizial zuk bansan rawh: Vawiin hian zu in bansan rawh. I thinlung i pek theih thilpek tha ber pawl a ni.
Damdawi chi hrang hrang
Nunphung tihdanglam bâkah, mi ṭhenkhat chu an doctor-in damdawi a pe thei bawk.
- Statins: Hengte hi cholesterol tihhniamna damdawi hman tam ber a ni. LDL cholesterol "tha lo" chu nasa takin an tihtlem thei a ni. (Ex: Atorvastatin, Rosuvastatin, Simvastatin) te hi a ni. Plaque te chu an stabilize a, rupture hlauhawmna an ti tlem bawk.
- Fibrates: Hengte hian thau chi dang triglycerides an tih (e.g. Gemfibrozil, Fenofibrate) tihziaawmna kawngah a pui thin.
- Thisen sang damdawi: Thisen sang i neih chuan a tih ang chiah chiah a control theih nan damdawi i ei tur a ni.
- Thisen tithianghlimtu: Damdawi aspirin leh clopidogrel te hian thisen zam a tihziaawm thei. Mahse, doctor rawn hmasa lovin heng damdawi te hi ei tan ngai suh .
A chang chuan tih theih tur special procedure te
Arteries nasa taka a block a, symptoms a nasat chuan doctor-te chuan special procedure an hmang thei a ni.
- Angioplasty leh Stent hmanga tihchhuah te:Hetah hian ke emaw kut emaw chhunga thisen kalna kawng (artery) kal tlangin tube (catheter) te tak te tak mai chu thinlungah an kal a, balloon te tak te hmangin a block lai chu an inflate thin. Tichuan, artery-ah hian mesh ang chi tube (stent) te tak te chu a zim leh tawh loh nan dah a ni.
- Bypass Surgery: Hetah hian surgeon-te chuan taksa peng dang (ke emaw, rilru emaw) atanga thisen kalna kawng hrisel tak an la a, a blocked area vel a thisen kalna tur kawng thar an siam thin. Kawngpui inkharkhip paltlang tura bypass siam ang deuh.
Heng hmanrua te hian hlauhawmna engemaw zat a keng tel avangin, a nasat berna hmunah chauh hman tur a ni.
Take-Home Thuchah a ni
- Atherosclerosis hi natna hlauhawm tak a ni a, kum tam tak chhung taksa chhungah ngawi rengin a lo awm thin. Symptoms a lan hun nghak suh.
- I nunphung hi i ralthuam ropui ber a ni. Ei leh in hrisel, exercise, leh meizuk bânsan hian danglamna nasa tak a thlen thei a ni.
- I cholesterol, thisen sang leh sugar level te hi hre reng ang che. Medical checkup neih fo thin ang che.
- Thil ngaihtuah tur i neih emaw, chhungkaw history-a cholesterol emaw, thinlung natna emaw i neih chuan i doctor nen inbiakna neihpui ngei ang che.
- I damdawi ei tur chu i doctor-in a tih ang chiah, a hun ruat angin ei rawh. Nangmah chauhin damdawi ei tan emaw, tihtawp emaw loh tur.
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