Zunthlum i vei chuan i thinlung, kal leh thluak hriselna chungchang tlem tal i ngaihtuah a ngai a ni. A chhan chu zunthlum hian stroke an tih natna hlauhawm tak nei lo mi aiin a let hnih zetin a tipung zawk a ni. Mahse, lungngai suh. Nunphung hrisel leh enkawlna dik tak kan neih chuan he hlauhawmna hi nasa takin kan thunun thei a ni. Chuvangin, he thu hi awlsam takin han sawi ila.
Stroke hi eng nge ni tak tak?
A awlsam zawngin sawi ila, stroke chu thluaka thisen kalna tihtawp a ni. Kan thluaka tui pump chhuaktu pipe system angin han ngaihtuah teh. Heng thisen kalna kawngte hian thluak cell-te chu an dam khawchhuahna atana an mamawh oxygen leh nutrients an pe a ni. Stroke-a thil thleng chu heng thisen kalna kawng pakhat hi a inkhar emaw, a chhe nghal emaw a ni. Thluak hmun khata thisen kal chu minute 3-4 aia rei a tawp chuan chu hmuna cell te chu an thi tan thin. Hei vang hian taksaa hnathawh hrang hrang a bo phah a ni.
Stroke hi chi hnih a awm a, chungte chu:
- Ischemic Stroke: Hei hi a tam ber a ni. Thluaka thisen petu thisen kalna kawng chu thisen zam (blood clot) in a tihkhawtlai hian a thleng thin.
- Hemorrhagic Stroke: Hei hi thluaka thisen kalna kawng a puak a, thluaka thisen a chhuah chuan a thleng thin.
Zunthlum vei chuan stroke a neih chuan taksain a chhan let theihna a tlahniam bawk. A tlangpuiin thisen kalna kawng pakhat a inkhar a nih chuan taksain thisen kalna kawng dang bypass ang maia thluaka thisen pek a tum thin. Mahse zunthlum nen chuan chutiang thisen kalna kawng tam zawk pawh chu hun kal zelah thau (plaque) nen a tawi thei a, a thim thei bawk. Damdawi lamah chuan hei hi ``Atherosclerosis'' kan ti thin. Tui pipe chhunga rust lo awm ang mai a ni. Tichuan, chu thisen kalna pawimawh tak chu nasa takin a tikhawlo ta a ni.
Stroke thlentu berte chu engte nge ni?
Stroke vei theihna tur risk factor ber chu thisen sang a ni . Chu bakah, a hnuaia thilte hian a hlauhawmna a tipung bawk:
- Zuk leh hmuam zuk leh hmuam.
- Thisenah cholesterol tha lo (High LDL Cholesterol) a sang chho zel.
- Zunthlum thunun theih loh.
- Lung natna.
Heng symptoms te hi fimkhur hle ang che!
Zunthlum i nei emaw nei lo emaw, stroke hi medical emergency a ni. Nangmah emaw i hriat tu emaw hian heng natna lan chhuah dan hi i neih chuan damdawi in emergency department (ETU)-ah tihkhawtlai lohvin i kal tur a ni . Hun hi a pawimawh ber a ni.
| Emergency natna lan chhuah dan | Engtin nge i hriatthiam? |
|---|---|
| Numbness emaw chak lohna emaw | Hmai, kut, ke (a bik takin taksa sir khatah) rang taka natna emaw, chak lohna emaw a awm. |
| Thusawi harsa | Thumal a inzawm khawm a, sentence awlsam tak pawh i hrethiam thei lo va, i sawi thei lo bawk. |
| Mit lama harsatna nei | Mit pakhat emaw, mit pahnih emawa hmuh theihna chu a fiah lo emaw, a bo emaw nghal vek. |
| Chaw ei harsat | Vawilehkhatah thil i ei thei lo. |
| Luak chhuak, balance hloh | Luak chhuak nghal, kea kal laiin balance hloh leh tlu hlauhawm. |
| Paralysis a awm | Vawikhatmah i taksa peng pakhat, entirnan, kut emaw ke emaw i che thei lo. |
| Lu na na tak | Lu natna nasa tak, nasa tak, chhan hriat loh, i nunah i la tawn ngai loh. |
Enkawlnate chu engte nge ni?
Ischemic stroke, chu chu thisen zam avanga stroke tihna a ni a, a enkawlna ber chu thisen zam tithianghlimtu damdawi `(tPA) tih a ni.` Mahse hei hi a lan chhuah tirh atanga darkar 3-4.5 chhungin pek tur a ni Chuvang chuan ETU-ah kal nghal tur kan ti a ni. Mahse he damdawi hi mi zawng zawng hnenah pek theih a ni lo. Tun hnaia surgery lian tak nei emaw, lu hliam emaw ang chi case-ah pek a ni lo.
Chu bakah, enkawl dan dang a awm bawk:
- Carotid Endarterectomy: Hei hi thluaka thisen pe chhuaktu artery lian tak carotid artery chhunga thau awm (plaque) awmte chu surgery hmanga paih chhuah a ni.
- Carotid Angioplasty leh Stenting: Hetiang tih danah hian balloon ang chi hmanrua chu tube te tak te hmangin thisen kalna kawngkhar khar chhungah dahin, a zau zawka siam turin an inflate a ni . Chumi hnuah chuan vessel chu a zim leh tawh loh nan mesh ang chi stent dah a ni.
- Thil tih dan dang: Damlo thenkhat tan chuan tunah chuan thisen zam chu paih chhuah nan Merci Retrieval System leh Penumbra System te ang chi specialized device te hman a ni tawh.
I doctor chuan i tana enkawlna tha ber tur a ruat ang.
Engtin nge stroke i damchhuah theih?
Zunthlum vei tan chuan stroke laka invenna tur thil tam tak a awm a. Hengte hi i nunphungah telh hi invenna tha ber a ni.
| Eng nge zawm tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Meizial zuk loh vek tur a ni. | Meizial zuk hian thisen kalna kawng a tichhe a, stroke hlauhawmna nasa takin a tipung bawk. |
| Thisen sugar level control. | Zunthlum control tha tak hian thisen kalna kawng a tichhe tlem thei hle. |
| I taksa rihna hrisel tak vawng reng rawh. | Thau lutuk hian thisen sang, cholesterol, leh zunthlum a thlen thin. |
| Exercise neih fo thin ang che. | Ni khatah minute 30 tal, kar khatah ni 5 chhung exercise lak hian thinlung leh thisen kalna kawng a tichak a ni. |
| Cholesterol level enfiah thin ang che. | I LDL (bad) cholesterol level chu 70 mg/dl hnuaiah dah tum ang che. Hemi chungchangah hian i doctor chuan thurawn a pe ang che. |
| Zu hi tihtlem rawh. | Hmeichhia tan ni khatah vawi khat aia tam in loh a tha a, mipa tan pawh pahnih aia tam in loh a tha. |
| I thisen sang kha enfiah fo thin ang che. | I thisen sang a san chuan i Doctor thupek zawm la, control la. |
| Damdawi te chu Doctor-in a sawi ang chiah chiah ei tur a ni. | I doctor-in damdawi a pek (e.g., aspirin, cholesterol tihhniamna damdawi) te chu a pek angin ei a pawimawh. Damdawi lam thurawn tel lo chuan damdawi ei tan ngai suh, titawp ngai suh. |
Take-Home Thuchah a ni
- Diabetes neih hian stroke hlauhawmna nasa takin a tipung a ni.
- Damdawi in pakhata Emergency Department (ETU) pan nghal a pawimawh hle a, emergency symptoms i hriat chuan taksa sir khata rilru hahna/hriatthiam lohna, tawng harsa, etc.
- Stroke laka invenna tha ber chu thisen sugar, thisen sang, leh cholesterol level te control hi a ni.
- Meizial zuk bânsan te, exercise neih fo te, ei leh in hrisel ei te hian i nunna a chhanhim thei a ni.
- Doctor nen inbia fo la, a thurawn angin enkawlna leh nunphung thlak danglam rawh.
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