Zunthlum i neih chuan stroke i vei thei em? Hemi chungchang hi han sawi ila!

Zunthlum i nei em? Tichuan i thisen sugar level hi i ngaihtuah reng tur a ni, a dik em? Chu chu thil tha tak a ni. Mahse, zunthlum avanga natna khirh zawk lo awm thei pakhat chu stroke, a nih loh leh English-a kan sawi angin stroke . Mi tam takin hei hi an hre lo. Chuvangin, vawiin hian zunthlum leh stroke inzawmna te, a thlen theih dan te, a pawimawh ber chu a laka inven dan tur te chipchiar takin kan sawi dawn a ni. A chhan chu hei hi nang leh i hmangaihte tan a pawimawh hle thei a ni.

Stroke tih hi eng nge ni? A awlsam zawngin i hrethiam ang u

Okay, stroke tih hi eng nge a nih kan en hmasa phawt ang. A awlsam zawngin, stroke hi kan thluaka thisen phurtu thisen kalna kawng a inkhar emaw, a puak emaw hian a thleng thin. Tui pipe luang chhuak tawh lo ang maiin han ngaihtuah teh. Kan thluak cell te hian hna thawk turin oxygen leh nutrients an mamawh a. Chûngte chu thisen a\anga lo chhuak a ni. Chuvangin chutianga thisen kal chu a tawp chuan thluak peng pakhatin oxygen leh nutrients a dawng lo. Tichuan chu thluak cell te chu an thi tan ta a ni.

Pawimawh: Thluak a chhiat chuan a chhiain a thunun taksa hnathawh a tichhe thei a ni.

Hei hi thil engemaw zat a awm thei a, chungte chu:

• Thusawi harsa, a nih loh leh thusawi hriatthiam theih loh. A châng chuan thute chu a inzawm khawm a, chu chuan thusawi dik a ti harsa ṭhin.
• Hriatrengna hloh. Thil hriat lar tak takte pawh i theihnghilh mai thei.
• Taksa sir khata rilru hah emaw, chak lohna emaw (hei hi paralysis an ti). Entîr nân, hmai, kut, a nih loh leh ke sir khat chu a paralyze thei a.
• Taksa natna nei.
• Emotion thunun harsa, emaw, lungngaihna emaw, lungngaihna emaw hriat nghal mai.
• Ngaihtuah harsa, ngaihtuahna seng, thil thar zir leh thutlukna siam harsa.
• In some severe cases , thihna pawh a thleng thei.

He dinhmun hi a pawi zia chu i hmu a ni.

Zunthlum vei tan chuan stroke vei theihna chu eng nge ni?

Tunah chuan zunthlum vei pakhatin stroke a neih theih dan tur hi han en ila. Dik tak chuan, zunthlum nei lo mi nêna khaikhin chuan, zunthlum vei puitling chu a let 1.5-in stroke a vei tam zâwk a ni . Tin, zunthlum vei te hi zunthlum vei lo te aiin thinlung natna emaw, stroke emaw avanga thihna hi a let hnih vel zetin an tam zawk bawk. Heng statistics te hi a hlauhawm deuh a ni lawm ni? Mahse lungngai suh, hei hi hriat chian hi a hmasa ber a ni.

Engtin nge zunthlum hian paralysis a thlen ?

Engvangin nge hetiang hi a lo awm? Zunthlum kan neih hian kan taksain ei tur a hmang tha thei lo. I taksa hian insulin tih hormone a siam tling thei lo va, a nih loh leh a siam insulin chu a hmang tha thei lo bawk. He insulin hi kan eitur a sugar awm a ni a, chu chu glucose an ti a., chu chuan kan cell-ah a lut a, chakna siam turin a pui a ni.

Chuvangin, insulin hian hna a thawk tha lo a nih chuan he glucose hi cell-ah a lut lo va, chu ai chuan thisenah a pung khawm zawk thin. Hetianga thisen sugar level rei tak a san chuan kan taksa chhunga thisen kalna kawngte a tichhe thin. Rust ei vek ang mai a ni. Thisen kalna kawng bangte chu a thim a, a tawi a, a inthlak danglam theihna a hloh bawk. Hetiang dinhmun hi (atherosclerosis) kan ti bawk. Chutiang a lo thlen chuan thisen kalna kawngte chu awlsam takin a inkhar emaw, a puak emaw thei a ni. Hei hi thluaka thisen kalna kawng, stroke thlen theituah chuan a dik hle.

Zunthlum vei puitling tam tak chuan hriselna lama harsatna dang an nei thei bawk a, chu chuan stroke an vei theihna a tipung thei a ni:

• Taksa rihna tam lutuk: Thau tam lutuk, a bik takin pum chhehvel. Rihna hrisel chu a tlangpuiin Body Mass Index (BMI) 18.5 leh 24.9 inkar tihna a ni.
• Lung natna: Zunthlum hi thinlung natna thlentu lian tak a ni bawk.
• Thisen sang: Hei hian thisen kalna kawng a tichhe bawk.
• Cholesterol sang: Thisen a thau tam lutuk hian thisen kalna kawng a tikhawlo thei bawk.

Heng zawng zawng hi a inzawm khawm chuan paralysis hlauhawmna a sang lehzual a ni.

Zunthlum vanga paralysis natna lanchhuahna chu engte nge ni?

Hetah hian hriat tur pakhat chu zunthlum vanga stroke natna lan chhuah dan hi stroke pangngai lan chhuah dan nen a inang a ni. Chumi awmzia chu heng symptoms te hi i hmuh chuan hmalak vat a ngai tihna a ni.

• Thusawi harsa thenkhat: thusawi slurring, thusawi hriatthiam theih loh, thusawi thiam loh.
• Luak chhuak, kea kal laiin balance hloh emaw, kal harsa emaw.
• Lu na na tak, rang tak: Hei hi lu na pangngai ang a ni lo va, natna khirh tak, rang taka lo awm thin a ni.
• Sudden confusion: Thil hriatna hloh, hmun leh hun hloh.
• Mit lama harsatna: mit a fiah nghal vat a, mit pahnih a hmu thei.
• Taksa sir khata chak lohna emaw, rilru hahna emaw: Entirnan, hmai sir khata tlak, kut emaw ke emaw chawi thei lo, nunna nei lo anga inhriatna.

Ngaihtuah rawh! Paralysis hi medical emergency a ni a . Heng symptoms te hi i hmuh chuan damdawi in pan nghal tur a ni. Second a liam apiang hian thluak chhiatna a tipung a ni. Sri Lanka-ah chuan kum 1990-a Suwaseriya ambulance service pawh i biak theih bawk.

Stroke hi engtin nge kan hriat theih ang?

Stroke i vei nia i rinhlelh chuan doctor-te chuan a hnuaia mi ang hian an ti ang:

• I hmai ruh, kut leh ke te i che tha thei em tih an enfiah ang.
• I rilru dinhmun enfiah turin zawhna awlsam tak tak an zawt ang che, a nih loh leh thlalak emaw thil dang emaw sawifiah turin an ti ang che.
• I thluak thlalak lak nan test an order ang. Hei hian CT scan pawh a huam thei.Pakhat – chu chu i thluak cross-sectional thlalak la thei X-ray test bik – emaw MRI scan – magnetic wave hmanga thluak chipchiar taka thlalak lak theihna test – a tel thei bawk.
• I thinlung enfiah nan electrocardiogram (ECG) ang chi test i nei thei a, ultrasound scan emaw arteriogram ang chi test i nei thei bawk a, i thisen kalna kawng i enfiah thei bawk.

Heng test-ah hian thil tam tak a lang thei a, chu chu stroke a awm leh awm loh, a awm a nih chuan eng chi nge a nghawng tih leh thluaka khawiah nge a nghawng tih te hi a ni.

Engtin nge zunthlum vanga paralysis hi enkawl a nih?

Stroke emaw, stroke hlauhawmna emaw hriat hmasak a nih chuan enkawlna thenkhat chuan a pui thei a ni.

Enkawlna rang tak

• Clot-busting drugs: Thisen kalna kawng a block chuan heng damdawi te hian thisen zam chu a tithianghlim thei a, thisen kal dan a siam tha thei bawk. Mahse natna lan chhuah tirh atanga darkar tlemte chhungin pek tur a ni. Chuvang chuan damdawi in pan vat a pawimawh.
• Carotid Stenting: A chang chuan kawr chhunga thisen kalna bulpui (carotid artery) chu a inkhar thei. A chhungah hian mesh ang chi device (stent) te tak te chu dahin, a vessel chu a inhawng reng a ni .
• Carotid Endarterectomy: Hei hi carotid arteries-a thau awm avanga blockage a awm chuan surgery tih a ni bawk .

Rehabilitation neih a ni

Mi thenkhat chuan stroke hnuah hun rei tak chhung nghawng an nei thei. An nunphung pangngaia an awm leh theih nan rehabilitation treatment hi a pawimawh hle.

• Occupational therapy: Nitin hna pawimawh tak tak, ziak leh incheina te chu mahni inrintawkna neia tih zir turin a pui che a ni.
• Physical therapy: Exercise leh treatment te hi kut leh ke chakna leh hnathawhna siam that nan hman a ni.
• Psychological counseling: Paralysis avanga rilru lam harsatna (depression leh anxiety ang chi) lo awm thei te i hmachhawn theih nan a pui che a ni.
• Speech therapy: Thusawi a nghawng a nih chuan a tichak thei.

He rehabilitation process hian hun engemaw chen a duh a, dawhtheihna a mamawh a, mahse hmasawnna nasa tak a thlen thei a ni.

Zunthlum vanga paralyzed tawh mi pakhat dam lehna dinhmun chu eng nge ni?

Stroke atanga dam leh dan hi mi hrang hrangah a inang lo hle. Thil tam takah a innghat a, chung zingah chuan stroke chi hrang hrang, thluak tihchhiat nasat dan leh enkawlna an dawn thuai dan te pawh a tel. Mi thenkhat chuan stroke tenau te an nei thei a, hun rei tak chhung nghawng nei lovin an dam thuai thei bawk. Mi dangte chuan stroke na tak an nei thei a, chu chuan dam chhung zawng chak lohna a thlen thei a ni.

Chutiang bawkin, mi ṭhenkhat chu paralysis enkawlna hnuah an haw nghal vat thei a, ṭhenkhat erawh chuan damdawi inah emaw, rehabilitation center-ah emaw rei zawk an awm a ngai mai thei.

Diabetes ka nei a, stroke ka vei theihna tur ka tihtlem thei ang em?

Ni e, i ti thei! Hei hi he thuziak pawimawh ber a ni. Zunthlum i vei a nih chuan stroke vei theihna tur tihziaawmna tur thil tam tak a awm a. Chûngte chu i nun dâna i tihdanglam theih tê tê tê chauh a ni.

• I thisen glucose level enfiah fo thin ang che. Hriselna level-ah dah tum ang che (chaw ei hmain 70-130 mg/dL, chaw ei hnu darkar hnih hnuah 140 mg/dL aia tlem). I damdawi ei tur chu doctor-in a tih ang chiah khan ei rawh.
• I thisen sang kha enfiah fo thin ang che. Thil ngaihtuah tur i neih chuan doctor hnenah hrilh rawh. 140/90 mmHg hnuaiah dah tum ang che.
• Ei leh in tha tak, inthlau tak ei rawh. Hei hian cholesterol a tihhniam bakah taksa rihna hrisel tak a neih theih nan a pui thei bawk. Oil, chi leh sugar ei tlem la, thlai, thei, green leh fiber tamna ei tur tam zawk ei bawk ang che.
• Exercise neih fo thin ang che. Ni khata minute 30 kal ang chi thil awlsam tak pawh hian a pui thei a ni.
• I taksa mamawh mut chu hmu rawh. Ni khatah darkar 7-8 tal mut thin ang che.
• Doctor te hnenah a hun takah kal la, an thupek zawm rawh.
• I ei leh in a chi i dah zat kha tihtlem la. Hei hian thisen sang control nan a pui dawn a ni.
• I duh ang taksa rihna hrisel tak vawng reng la, a bik takin pum thau tihtlem rawh.
• Meizial i zuk chuan chawlhsan nghal rawh. Tin, zuk leh hmuam hman pawh bansan rawh.
• Damdawi an pek zawng zawng chu i doctor-in a hrilh ang chiah chein ei vek la, a hun takah ei bawk ang che.

Heng thilte hi dik taka i zawm chuan stroke hlauhawmna lakah chauh ni lovin, zunthlum avanga harsatna dang tam tak lakah pawh i inveng thei a ni.

Engtikah nge damdawi in pan nghal tur? (A nih loh leh 1990 call rawh?)

Diabetes i vei a nih chuan nang leh i chhungte tan stroke symptoms hriat chian a pawimawh hle. Heng symptoms te hi i hmuh chuan tihkhawtlai suh la, doctor tanpuina zawng nghal rawh.

• Thusawi harsa thenkhat.
• Luak chhuak, kea kal laiin balance hloh emaw, kal harsa emaw.
• Lu na na tak, rang tak a ni.
• Buaina thut.
• Hmu harsa, thil pakhat emaw thil pahnih emaw hmuh harsa.
• Taksa sir khat (e.g., hmai, kut, ke emaw) chak lohna emaw, rilru hahna emaw a awm.

Heng mizia te hi hriat reng nan FAST tih acronym pawh i hmang thei bawk.

Hmai – I hmai sir khat chu a tla thla em? I nuih hian a sir khat chu a inher em?

Arms – Kut pahnih chawi sang tura tih a nih chuan kut pakhat a tla em?

Thusawi – Thusawi laiin i buai em? Thumal awlsam tak pawh dik takin i sawi thei lo em ni?

Hun – Heng mizia zinga pakhat tal a awm chuan, .Hun khawhral suh la, 1990 call nghal la, damdawi inah kal rawh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Zunthlum vei te hi stroke vei an tam zawk. Hriselna lama harsatna lian tak leh rualbanlona a thlen thei a ni. Mahse thu lawmawm tak chu he hlauhawmna hi nasa takin i tihtlem thei tih hi a ni.

I thisen sugar level, thisen sang, cholesterol level, leh taksa rih zawng control a pawimawh. Nunphung hrisel tak hmang rawh. I doctor thupek chu uluk takin zawm rawh.

I doctor nen stroke i neih theihna tur leh a ven dan tur te sawipui rawh. Lungngai suh, awareness leh proactivity hi nun hrisel neihna kawng tha ber a ni. Hrisel taka awm theihna chakna i hmu rawh se!

` Zunthlum, Paralysis, Stroke, Diabetes Mellitus, Thluak Stroke, Sugar Level, Thisen sang, Cholesterol, Hriselna, Sri Lanka