Thluak panna thisen kalna kawng chu a inkharkhip a nih chuan engtin nge ni ang? Embolic stroke chungchang hi han sawi ila!

Kan taksa hmun khata thisen zam lo awm chu a lo chhuak a, kan thluaka thisen kalna kawng khatah a tang a nih chuan eng nge thleng ang? Ngaihtuahna hlauhawm tak a ni lawm ni? Ni e, hei hi ‘embolic stroke’ kan tih chu a ni. Hei hi nunna atana hlauhawm medical emergency a ni. Hetiang thil a thlen hian second tin hi a pawimawh a, chuvangin a rang thei ang bera enkawl hi a pawimawh ber a ni.

Embolic stroke tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, embolic stroke chu thisen zam emaw thil dang emaw (hei hi ‘embolism’ kan ti a ) chu thluaka thisen phurtu thisen kalna kawng khatah a tlakbuak a, thluak hmun khata thisen kal chu a titawp a, chu hmun chu a tichhia a ni. Hei hi category lian zawk ‘ischemic stroke’ tih zingah a tel a ni. Tui pipe-a bawlhhlawh chi hrang hrang a tlakbuak a, a luang chu a titawp ang maiin han ngaihtuah teh. Hetah hian he ‘embolism’ tih hi thisen zam tihna a ni a, taksa hmun dangah, thinlungah pawh a ni mai thei, thisen kalna kawng lian takah a lo piang fo va, chuta tang chuan a chhuak a, thisen kal tlangin a kal a, thluaka thisen kalna kawng te tak te takah a tang a ni. Tichuan chu vein hmanga thisen pe chhuak thluak peng chuan oxygen leh nutrients a dawng lo.

Embolic stroke natna lan chhuah dan chu engte nge ni?

A symptoms hi ischemic stroke chi dang nen a inang hle. They can come on suddenly , chuvangin nang leh i hmangaih tak takte tan chuan an hriat a pawimawh.

• Aphasia chu thusawi thiamna a tlahniam emaw, a bo vek emaw a ni. Thu sawi chu i hrethiam lo pawh a ni thei.
• Sudden blurring of vision , double vision (Diplopia), emaw mit pakhat emaw, mit pahnih emawa mit hmuh lohna.
• Buaina leh buaina awm nghal mai , i awmna hmun leh eng hun nge tih theihnghilh.
• In some severe cases , hriatna hloh vek (Coma) a awm .
• Vertigo hi spinning leh balance hloh tihna a ni .
• Lu na tak, na tak . Hei hi lu na pangngai nen a danglam a, tuar theih loh a ni thei bawk.
• Amnesia chu hriatrengna hloh nghal mai a ni .
• Sudden changes in behavior , thinrim emaw, thinrim emaw mai mai ang chi.
• Nausea leh luak chhuak .
• Kawngkhar ah tightness a awm tih hriat .
• Hrilhfiah a, hriat loha tlu .
• Fit (Seizures) neih hi .
• Thusawi thiam lo leh thumal dik taka sawi thiam loh (Dysarthria).
• Mit hmuh, hriatna, rim hriat, ei leh in, leh khawih ang chi hriatna lama tihtlem nghal emaw, hloh vek emaw .
• Hmai emaw, taksa emaw sir khatah rilru hah, tingling, emaw chak lohna emaw .

Embolic stroke avanga warning signs te chu engte nge ni? 'BE FAST' tih hi hre reng ang che!

Nangmah emaw i hriat emaw stroke a vei em tih hriat nan English tawng 'BE FAST' tih awmzia hriat reng a pawimawh. Hetih lai hian second tin hi a chhiar tel vek ! I thiltih hma poh leh chhiatna i thlen tlem zawk.

• B - Balance: I balance i hloh nghal em tih emaw , i kal laiin i tlu em tih emaw en rawh.
• E - Mit: Mit a hloh thut, mit a fiah lo, emaw, mit pahnih a awm leh awm loh enfiah rawh .
• F - Hmel: Nui la, en rawh. Hmai sir khat a tla emaw, a hrual hmel emaw en rawh.
• A - Arms: Kut pahnih chu hmalam pan rawh. Stroke i neih chuan kut pakhat chu a chawi sang thei lo a, a tla emaw, a vawn harsa emaw a ni thei.
• S - Thusawi: I emaw, mi dang emaw thusawi chu a rilru a buai em em a, thumal dik thlan a harsat em tih emaw, hriatthiam a harsa em tih emaw en rawh .
• T - Hun: Hun hi a pawimawh ber a ni! Heng symptoms te hi i hmuh chuan 911 ah call nghal la , ambulance la rawh . A theih chuan i darthlalang emaw phone emaw en la, i natna lan chhuah tirh hun kha hre reng ang che. Chumi ṭum chuan Doctor i hrilh chuan an tan chuan enkawlna tha ber thlan chu a awlsam zawk ang.

Eng thilin nge embolic stroke hi a thlen?

Embolic stroke thlentu ber chu kan sawi tawh ang khan , ‘embolism’ a ni. Chumi awmzia chu taksa hmun khata thisen zam (a tlangpuiin boruak bubble, thau chi emaw thil dang emaw) lo awm chu chuta tang chuan a inthen a, thisen kal tlangin a kal a, thluaka thisen kalna kawng khatah a tang ta tihna a ni.

Thisen zam siam thei natna engemaw zat a awm a:

• Atrial Fibrillation: Hei hi thinlung (atria) chunglam chamber te chu a inzawm tha lo va, chu ai chuan chak tak leh mumal lo taka a beat thinna a ni. Hei hian thinlung chhungah thisen a khawlkhawm a, thisen zam a lo awm theihna a tipung a ni. Hengte hi chu a inthen darh a, thluak lam pan a awlsam ber a ni.
• Atherosclerosis: Hei hi thisen kalna kawng (arteries) chhungah cholesterol ang chi thau a lo awm khawm a, chu chuan thisen kalna kawng bang a tikhauh a, a ti tawi a ni. Heng thau (plaques) te hian thluaka thisen kalna kawng (arteries) te chu a ti chhe thei a, a tikhawlo thei bawk.
• Clotting disorders: Mi thenkhat chuan an thisen zam awlsam tak an nei thei a, hei hi genetic factors emaw natna dang vang emaw a ni thei.
• Hri kai theihna thenkhat, COVID-19 te pawhin thisen zam a tipung bawk.
• Tissue thihna thlentu natna hrik . Entirnan, sepsis -ah chuan natna khirh tak, bacteria emaw, tissue thi chi hrang hrang emaw chu thisenah a lut thei a, thluak lamah a kal thei a ni. Hei hi heart valve infection (infective endocarditis) ah pawh a thleng thei bawk.

A rilru a buai em em a, a rilru a hah em em bawk a. embolic transient ischemic attack (TIA) .

A châng chuan transient ischemic attack (TIA), mini-stroke tia hriat bawk a awm thei bawk. Hei hi stroke nen a inang a, thluaka thisen kalna chu rei lo te chhung a titawp a ni. Mahse, a natna lan chhuah dan chu minute tlemte atanga darkar khat emaw darkar hnih emaw chhungin a reh tlangpui a, chu chu clot chu a lo hmin emaw, a kal kual emaw a, blockage atanga a chhuah chuan a ni. Mahse, hei hi nakin lawkah stroke lian tak i neih theihna tur hlauhawm tak i nihzia hriattirna a ni . TIA vei tawh chuan a chhan hriat chian nan leh stroke lian tham a neih loh nan enkawl tan nan damdawi lam pan vat a ngai mai thei.

Tute nge embolic stroke vei theihna chance sang zawk?

Tu pawhin embolic stroke an nei thei a, mahse mi thenkhat chu an hlauhawm zawk:

• Mihring dum tan chuan.
• Kum 65 chunglam tan (kum upat dan azirin a hlauhawmna a sang chho zel).
• Meizial zu emaw, zuk leh hmuam/nicotine thil dang hmang emaw (e.g., vapers, chewers) tan. Meizial zuk hian thisen kalna kawng a tichhe a, thisen zam a siam bawk.
• Ruihhlo (a bik takin cocaine leh amphetamines) hmangtute tan .

Tin, damdawi lam harsatna thenkhat nei te chu an hlauhawm zawk bawk:

• Zu in tam lutuk tan (Alcohol use disorder).
• Zunthlum vei tan chuan . Zunthlum hian thisen kalna kawng a tichhe thei a ni.
• Thisen sang (hypertension) nei tan . Hei hi thunun loh chuan hun rei tak chhung thisen kalna kawng a tichhe thei a ni.
• Thisen a cholesterol sang (Hyperlipidemia) nei tan . Hei hian ‘atherosclerosis’ a thlen thin.
• Lung natna nei (e.g. atrial fibrillation, heart valve lama harsatna nei, a hmaa heart attack nei) te.

Engtin nge embolic stroke hi kan hriat theih ang? (Diagnosis) tih a ni.

Doctor chuan embolic stroke chu eng nge a nih chiang takin a hrilh ang che. Damdawi in i kal hian an tih hmasak ber chu i symptoms te an zawt thin a, an tan tirh ang khan. Tichuan neurological exam an nei leh thin . Hei hian i thusawi, i mit hmuhna, i chakna leh i rilru put hmang (reflexes) a enfiah a ni. Tin, general physical exam leh test dang tlemte an nei bawk.

Hetiang test hi stroke a awm tih finfiah nan hman a ni:

• Thisen test: Thisen zam harsatna, sugar level, leh cholesterol ang chi thil te enfiah thin ang che.
• CT scan: Hei hian thluak thlalak a la a, thisen chhuah emaw, thisen kalna kawng (ischemic stroke) emaw a awm leh awm loh a hriat chian thuai thei.
• MRI scan: Hei hian CT scan aiin image chipchiar zawk a pe a. Thluak-ah eng chhiatna nge thleng tih chiang taka hriat theih nan a pui a ni.
• ECG (Electrocardiogram - EKG) test: Hei hian thinlung electrical activity test a, heart rhythm lama harsatna awm leh awm loh, atrial fibrillation te a enfiah thin.
• EEG (Electroencephalogram - EEG) test: Hei hi thluaka electrical activity enfiah nan pawh tih theih a ni a, seizure ang chi condition hi a chang chuan stroke nen a inthlau thei a ni.
• Carotid Ultrasound: Kawr chhunga thisen kalna bulpui (carotid arteries) te thau awm leh tawi te enfiah nan.
• Echocardiogram: Thinlung ultrasound hmanga test a ni. Thinlung leh valve lama harsatna awm leh awm loh enfiah nan.

Embolic stroke hi eng enkawlna nge ni?

Embolic stroke enkawlna atana pawimawh ber chu a rang thei ang bera thluaka thisen kal tir leh hi a ni . Doctor-te chuan a rang thei ang bera hetiang hian an ti a, a chhan chu hei hian thluak chhiatna nghet tak a tihziaawm thei a, nunna pawh a chhanhim thei a ni. Thufing pakhat a awm a, "Time is Brain," tih awmzia chu hun awm lovin hun kal tawh apiangin thluak cell te chu an thi vek tihna a ni.

Enkawlna hmanraw lian pahnih hman fo a awm a, chungte chu:

• Thrombolytic therapy: Hengte hi thisen zam damdawi (e.g., Alteplase) a ni. Heng damdawi te hi thisen zam chu a tithianghlim a, thisen kal tha leh turin vein pakhatah inject a ni. Doctor-te chuan hengte hi stroke symptoms i neih tan atanga darkar li leh a chanve (darkar 4.5) chhunga damdawi in i thlen chauhvin an pe tlangpui . A hnua pek chuan thluak chhunga thisen chhuah theihna a tipung thei a ni.
• Mechanical thrombectomy: Hei hi non-surgical procedure a ni a, thisen zam chu paih chhuah nan hmanraw bik hmanga tihchhuah a ni. Surgeon (interventional neuroradiologist) chuan groin emaw arm emaw chhunga vein lian tak kaltlangin tube te tak te, te tak te (catheter) a thun a, X-ray kaihhruaina hnuaiah thluaka thisen zam (blood clot) thlengin a kalpui a ni. Chumi hnuah chuan mesh ang chi, stent retriever emaw suction catheter emaw hmangin clot chu lakchhuah a ni. Hei hi stroke symptoms a lo lan atanga darkar 6 chhungin tih theih a ni tlangpui a, mahse a then phei chuan darkar 24 thleng tih theih a ni. Hei hi vein lian takah thisen zam nei tan a tha ber.

Chu bâkah, enkawlna dang a ngai thei bawk:

• Thisen sang leh thisen sugar level control: I doctor ten i thisen sang leh thisen glucose level an enfiah fo ang a, chu chuan i thluak a dam theih nan a pui ang. Thluak chhiatna tihtlem nan i thisen sang tihhniam emaw (a then phei chuan) tihsan emaw damdawi an pe thei bawk.
• Thisen tithianghlimtu: Thisen ti na thei (e.g. Warfarin, Apixaban) emaw, antiplatelets emaw(Ex: Aspirin, Clopidogrel) Thisen zam awlsam taka tihkhawtlai thei damdawi. Stroke awm chhan a zirin thrombolytic therapy hnuah pawh heng damdawi te hi i ei chhunzawm zel a ngai mai thei a, chu chu stroke dang i neih loh nan a ni.
• Endarterectomy emaw stent dah: Kawnga carotid arteries te chu thau awmna (carotid stenosis) avanga na taka a zim chuan, thau awmte chu surgery hmanga lakchhuah theih a ni (endarterectomy) emaw, thisen kaltlangin stent dahin a hawng thei bawk. Hei hian thisen zam dang (embolism) awm theihna a ti tlem thei a ni.
• Mild intentional hypothermia: A then phei chuan doctor ten him takin i taksa lumna chu tlem a tihniam thei a. Zirna thenkhatah chuan hei hian stroke lai leh a hnua thluak chhiatna a tihziaawm thei tih an tarlang a, mahse hei hi standard treatment a la ni lo.
• Oxygen therapy: Stroke lai hian thluak hian oxygen a hmu tlem hle. I thisen oxygen level a hniam chuan doctor-te chuan nasal cannula emaw face mask emaw hmangin oxygen extra an pe thei che a ni. Hei hian thawk a ti awlsam a, i taksa leh thluak ah oxygen a thawn chhuak thei bawk.

Embolic stroke hnua rehabilitation hi engtin nge a awm?

Stroke rehab hi enkawlna atana pawimawh tak a ni. Stroke hnua i thluak leh taksa inthlak danglamna nena insiamrem leh i theihna hloh tawh chu a tam thei ang ber i neih let leh theih nan a pawimawh hle. Rehabilitation program hi nangmah tan bik a ni a, i mamawh dan azirin a ni. Hei hian therapist-te puihna a huam thei a, chungte chu:

• Physical therapy: I taksa ruh tichak la, i balance siam that la, i kal theihna leh i kut leh ke hman theihna i nei leh bawk.
• Occupational therapy: Nitin hna (ei leh in, incheina, leh inbual ang chi) chu mahni inrintawkna neia thawk leh turin a pui che a ni. In chhung leh hnathawhna hna, a bik takin taksa chetna tha tak mamawh hnate him taka thawk turin a pui bawk.
• Speech therapy: I tawng leh tawng thiamna (Aphasia, Dysarthria) neih leh emaw, tihchangtlun emaw a pui che a ni. Tin, thusawi, thawk, ei leh ei leh in (Dysphagia) puitu ruh (muscles) control turin a zirtir bawk.
• Cognitive rehab: I hriatrengna, ngaihtuahna, harsatna chinfel thiamna, leh rilru lama theihna dangte (stroke-in a nghawng a nih chuan) tihchangtlun.
• Psychiatric counselling pawh a ngai thei a, stroke hnua lungngaihna, lungkhamna leh mood swings neih hi thil awmze nei tak a nih avangin.

Embolic stroke atanga damchhuah theihna chance engzat nge awm?

Stroke atanga damchhuak hi nitin an pung zel a, enkawlna thar, rang zawk kan hmuh avangin. Mahse, mi zawng zawng tana thawk thei tur recovery time emaw prognosis emaw pakhat mah a awm lo.

Mithiamte chuan embolic stroke vei zinga 80% vel chu thla khat tal an dam tih an sawi . I stroke hmasa ber hnuah stroke dang i neih leh theihna a sang chho zel. Stroke tam tak nei tawhte chu damchhuahna rate a hniam zawk. Chuvang chuan stroke dang ven hi a pawimawh em em a ni.

Embolic stroke atanga dam leh theih nan eng chen nge hun a duh?

Mi tin taksa hian embolic stroke hi a chhan dan a inang lo. I beisei theih (`prognosis`) chu thil engemaw zatah a innghat a ni:

• Engtiang chiahin nge enkawlna i dawng rang .
• Thluak hmun engte nge a nghawng tih leh eng chen nge a nghawng tih .
• I kum leh i hriselna zawng zawng (damdawi dang i neih pawhin).
• Rehabilitation program ah hian engtiang chiahin nge i tel tha em .

Mi tam zawkte tan chuan damna level engemaw chen an neih theih nan thla tam tak atanga kum khat emaw a aia tam emaw a ngai thei . Mi thenkhat chu permanent disability nen an khawsa a ngai mai thei. I doctor chuan i beisei tur a hrilh ang che. I hriselna leh dinhmun nena inmil tur i dam lehna tur thil tum leh beisei tur siam turin an pui ang che.

Engtin nge embolic stroke hi kan ven theih ang?

Embolism leh embolic stroke venna tha ber chu i hriselna zawng zawng vawng reng tur leh i risk factors te control hi a ni . Hengte hi tih tum ang che:

• Exercise neih fo (kar khatah ni 5 chhung minute 30 tal).
• Ei leh in inthlau tak, ei tur tha (thei, thlai, legumes, leh whole grains fiber tam zawk, chi, sugar leh thau tlem zawk) ei rawh. I taksa rihna hrisel tak vawng reng rawh. I doctor chuan Mediterranean diet ang chi diet plan zawm turin a rawt mai thei .
• I thisen sang, cholesterol, leh thisen sugar level te enfiah fo la, control la . I damdawi ei tur chu i doctor-in a tih ang chiah khan ei thin ang che.
• Meizial zu kha bansan vek la, midangte zukna hmuna awm loh tur.
• Zu in khap emaw, bansan emaw .
• Atrial fibrillation ang chi heart condition i neih chuan a enkawlna dik tak la rawh.

Kum tin (a nih loh leh i doctor-in a rawt angin) doctor hmu la , check-up neihpui rawh . Embolic stroke thlen thei natna leh harsatna tam tak chu hun kal zelah a lo awm thin. Anni chuan i rilru a ti hahdam thei hial a ni. I doctor chuan vaukhânna chhinchhiahnate chu stroke vei theihna a tihpun hmain hriatchhuah leh enkawl tûrin a ṭanpui thei che a ni.

Embolic stroke hnuah engtin nge ka in enkawl ang?

Stroke hnua dam lehna leh insiamthat hi hun rei tak, hun rei tak chhung a ni thei. Nang leh i doctor-in enkawlna ruahmanna in siam zawh chuan a theih ang anga ngun takin zawm rawh. A tlangpuiin, hetiang hian i ti tur a ni:

• I rehab leh therapy class dang ah te pawh tel ve ngei ang che . I therapist-te’n exercise an pek che chu in lamah ti rawh. Eng thil pawha i rilru a hah emaw, i him lo emaw a nih chuan i therapist te hrilh rawh. Rehabilitation hi hna hahthlak tak a ni a, mahse hrehawm leh lungawi lohna reng reng i neih a ngai lo.
• I rilru hriselna pawh ngaihtuah teh . Stroke hnua lungngaihna leh lungkhamna hi a tam hle. "Engvangin nge hetiang hi ka chungah a lo thlen?" "Ka awmdan ang kha ka ni leh dawn em ni?" Lungngaihna emaw, beidawnna emaw hian chak lo emaw, hlawhchham emaw a siam lo. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. I dam leh hunah thil engemaw chhui chhuah theihna tura tanpuina i mamawh nia i hriat chuan doctor emaw, rilru lam hriselna lama mithiam (counselor, psychiatrist) emaw nen inbia ang che. Chhungte leh \hiante \anpuina pawh he hun lai hian a pawimawh hle.
• I damdawi ei tur dik tak, a hun takah, leh a zat dik takah ei rawh . Hei hi thisen tithianghlimtu, thisen sang, cholesterol, zunthlum damdawi i ei a nih chuan a pawimawh hle. Nakin lawkah thisen zawrh hlauhawmna tihziaawm a pawimawh a, doctor-in a tih anga i damdawi ei chuan i taksa a tidam thei ang.

Engtikah nge Emergency Department (ETU) ah ka kal leh a ngai ang?

Stroke dang i nei leh nia i hriat chuan (BE FAST tih hre reng ang che!) , 911 emaw i awmna hmuna emergency number emaw call nghal rawh . Stroke dang i neih leh chuan harsatna lian tham leh thihna thlen theihna a sang zawk . Ṭanpuina dil emaw, emergency room-a kal emaw chu tihkhawtlai suh.

Embolic stroke vei tawhte chu harsatna lian zawk nei thei an ni a, chungte chu:

• Ke ruh thuk takah thisen a chhuak (Deep vein thrombosis - DVT): a hring, a sen, a ke a na.
• Heart attack: Chhung na, thawk harsa.
• Pneumonia: Khawsik, khuh, thawk harsa (a bik takin ei harsate tan chuan chaw chu lungah a lut thei - Aspiration Pneumonia).
• Pulmonary embolism: Thâwk a harsa nghal vat a, rilru a na a, thinlung a na bawk. Hei hi DVT atanga thisen zam a chhuah vang a ni thei.
• Fit (Seizures) neih a ni.

Heng harsatna lanchhuahna i neih chuan emergency services call nghal la, emergency room-ah kal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Stroke i neih hnuah nang leh i chhungte hian zawhna tam tak in nei mai thei. An chanchin hi i doctor zawh hlau suh.

• "Engvangin nge he stroke hi ka neih? Khawiah nge thisen zam (embolism) hi a lo awm?"
• "Eng natna nge buainain he thil hi a thlen?"
• "Stroke dang ka neih leh theihna tur risk chu eng nge ni?"
• "Eng damdawi nge ka ei chhunzawm zel a ngai, engtin nge ka ei ang? An side effects eng nge ni?"
• "Ka nitin nunah eng inthlak danglamna nge ka neih? Diet, exercise, etc. ang chi thil."
• "Eng chen nge rehabilitation ka tih a ngai dawn?"
• "Ka khalh thei ang em, hna ka thawk leh thei ang em? Chu chu engtikah nge a nih ang?"

"Stroke i neih hian i nun a tidanglam thei a ni. Mahse, chu chuan nangmah i ni lo tihna erawh a ni lo. I rehabilitation leh recovery chhunga i thil tihhlawhtlin tam zia chu nangmah ngeiin chawimawi tur a ni tih hre reng ang che. A duh loh zawng zawng ni lo mahse, hlawhtlinna tlemte zawng zawng hi lawm tlak a ni.

Nakin lawkah stroke dang laka invenna atana i tih theih turte chu i doctor-te nen sawiho rawh. Stroke dang i neih theihna tur tihtlem nan nitin i tih dan tur siamrem turin an pui thei che a ni. Zawhna zawh hreh suh. Nangmah leh i hriselna atana advocate tha ber i ni , an hrilh che zawng zawng hriatthiam theihna i nei bawk.

I tana pawimawh ka tih thenkhat (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian kan hriat reng tur thenkhat hi han thlir mai ila.

• Embolic stroke chu taksa hmun dangah (thinlung chhungah a tam zawk) thisen zam lo awm chu thluaka thisen kalna kawng khatah a awm a ni. Hei hi medical emergency a ni!
• ‘BE FAST’ tih chhinchhiahna (balance hloh, mit hmuh dan inthlak, hmai tlak, kut pakhata rilru hah, thusawi thiam lo) te hi fimkhur rawh. Heng chhinchhiahna te hi i hmuh chuan 1990 ah call nghal rawh . Hun hi a pawimawh ber a ni.
• Thisen sang, zunthlum, thinlung natna (a bik takin atrial fibrillation), cholesterol sang, leh meizuk te hi hei hi a hlauhawm ber a ni.
• A rang thei ang bera enkawl tan a pawimawh hle. Thrombolytic therapy leh mechanical thrombectomy te hi a enkawl dan ber a ni.
• Stroke hnuah rehabilitation hi a pawimawh hle . Hemi atan hian thusawi therapy, physical therapy, occupational therapy, leh cognitive therapy te hian a pui thei a ni.
• Stroke dang laka inven nan chuan nunphung hrisel tak thlak danglam (ei leh in tha, exercise neih fo , meizuk bânsan vek, leh zu tihtlem) leh damdawi lam thurawn dik taka zawm a pawimawh hle.
• Nangmah chauh i ni lo . He zinkawngah hian doctor, therapist, chhungte leh thiante an awm a, an pui thei che a ni. I doctor hnenah eng thil pawh zawt la, tanpuina dil rawh. Rilru hriselna hi taksa hriselna ang bawkin a pawimawh a ni.

He thu hi in tan a tangkai ka beisei, thian duh tak takte u. Mi zawng zawng hrisel leh hlim takin awm rawh u!

` Embolic stroke, stroke, stroke, thluak stroke, thisen zam, thisen kalna kawng khar, stroke symptoms, stroke enkawlna