Kan thluak, lu leh hmai a thisen petu thisen kalna kawng lian ber berte chu kan kawr lehlamah a awm a. Hengte hi kan taksaa main highway ang mai an ni. Chûng kawngpui lian zînga pakhat chu bang chak lo tak neiin, balloon ang maia bul chhuak ta se eng ang nge ni ang tih han ngaihtuah teh. Chu chu vawiinah kan sawi tum chu a ni a, carotid artery aneurysm a ni. Hlauhawm deuhin a ri thei a, mahse hriat reng a pawimawh.
Carotid Artery Aneurysm tih hi eng nge ni?
A awlsam zawngin, carotid artery aneurysm hi i kawr sir lehlamah i thluak thlenga thisen phurtu thisen kalna kawng lian tak (carotid artery) wall thenkhat a chak lo va, thisen sang chu bubble ang maia pawn lam hawia a bul chhuak thin a ni.
Balloon pakhat, inflated a nih lai kha han ngaihtuah teh. Balloon wall chu a inflated deuh deuh chuan a thim zual zel a ni lawm ni? I inflate tam zawk chuan eng nge thleng ang? A puak darh ta. Chutiang chuan he aneurysm hi a bulge thin. Hun a kal zel a, a lian chho zel thei bawk. A lian chhoh zel chuan a bang chu a thim zual zel a, ni khat chu a chhe mai thei bawk. Chuvangin aneurysm a lian poh leh a hlauhawm zual thei.
He dinhmun hi engtiang chiahin nge a pawi thei ang?
Carotid artery aneurysms hi natna khirh tak a ni a, kan thluaka thisen direct-a pe chhuaktu thisen kalna kawngte a nghawng a, chuvangin thil awlsam tak a ni lo. Mahse, aneurysm zawng zawng hi a hlauhawm inang vek lo. Ṭhenkhat chu a te hle a, kum tam tak chhung chu harsatna thlen lovin an awmna hmunah an awm thei a ni.
Mahse, hlauhawmna lian ber pahnih a awm a, chungte chu:
1. Thisen zam: Thisen zam (Blood clot): Aneurysm chhungah thisen zam a lo awm thei a, a chi khat chu a chhe thei a, thluaka thisen kalna kawng te tak teah a tang thei bawk. Hei hian thluaka thisen kal chu a titawp thei a, transient ischemic attack (TIA) , "mini stroke," emaw full-blown ischemic stroke emaw a thlen thei a ni.
2. Aneurysm rupture: Aneurysm lian tak a rupture chuan thluak chhungah emaw, a chhehvelah emaw thisen nasa tak a chhuak thei a ni. Chuta chhuak stroke chu hemorrhagic stroke an ti a . Hei hi emergency pawi tak leh nunna atana hlauhawm tak a ni.
Aneurysm dik leh dik lo hi eng nge an danglamna?
Hei hi damdawi lam thil deuh a ni a, mahse awlsam takin i hrethiam ang u. Kan thisen kalna bang hi layer thum atanga siam a ni.
- True Aneurysm: Hei hi artery layer pathum zawng zawng a chak lo a, pawn lam hawia a bulge vek hian a ni. Hei hi artery wall-a thau awm (atherosclerosis) vang a ni tlangpui.
- False Aneurysm emaw Pseudoaneurysm emaw a ni thei:Hei hi thisen kalna kawng (blood vessel wall) layer khat emaw pahnih emaw a chhiat a, thisen engemaw zat a chhuak a, thisen kalna hmun vel a awm khawm a, bubble a siam hun a ni. Strict takin sawi ila, hei hi thisen chhuak dik tak a ni lo. Accident emaw, infection emaw, damdawi lam enkawlna engemaw avanga harsatna avanga lo awm thei a ni.
A chi hnih hian harsatna a thlen thei a, chuvangin an pahnih hian enkawl a ngai thei bawk.
He natna hi tuin nge vei tam ber? Tin, a awm fo em?
Carotid artery aneurysm hi puitling tu pawhah awm thei mahse, kum 50 leh 60 inkar ah a awm tam ber a, naupang ah pawh a awm tlem hle bawk.
Mahse thu lawmawm tak chu hei hi a awm lo hle a ni . Taksa chhunga aneurysm zawng zawng zinga 1% aia tlem lo chu carotid artery aneurysm a ni.
Hei hi eng symptoms nge ni?
A tam zawkah chuan heng aneurysm te hi chhinchhiahna awm lovin a awm thei a ni. A châng chuan chhan dang vanga lu scan ang chi thil tih a nih chuan accident-in an hmu ṭhin.
Mahse symptoms a awm tak tak chuan stroke emaw transient ischemic attack (TIA) emaw chhinchhiahna a ni fo thin.
TIA hi ni emaw kar emaw lo awm turah hian stroke lian tak a lo thleng dawn tih hriattirna pawi tak a ni thei a, chuvangin heng symptoms te hi uluk taka ngaihven a pawimawh hle.
| Stroke emaw TIA emaw emergency symptoms - heng zinga pakhat tal i neih chuan ETU-ah kal nghal rawh! | |
|---|---|
| Mitdel nghal vat | Mit pakhat emaw, mit pahnih emawa mitdel emaw, mit hmuh lohna emaw. |
| Taksa sir khatah rilru hah emaw, chak lohna emaw | Hmai, kut leh ke sir khata rilru hahna awm. (e.g., hmai sir khata tlak) . |
| Thusawi harsa | Thusawi slurring, thusawi hriatthiam harsa. |
| Kal harsa leh balance hloh | Luak chhuak, ding thei lo, kal laiin a sir khata hruai. |
| Lu na tak, na tak | A hmaa a la awm ngai loh angin lu na na tak a lo awm nghal. |
Hetiang symptoms i neih chuan nangmah ngeiin damdawi in i call thei lo mai thei. Hemi chungchang hi in chhung mite hriattir hi a pawimawh hle a ni.
Symptom dang a awm bawk
Stroke symptoms bakah hian aneurysm chu a lian tawk a, a kawr chhunga nerve dang emaw thisen kalna kawng dang emaw a press thei a nih chuan, symptoms te chu:
- Lu na
- Aw ri bengchheng tak
- Kawng a na
- Hmai a hring chhuak
- Kawngkhar ah lump ang maia hriat leh a throbbing
- Chaw ei harsa
- Mit lama harsatna dangte
Heng symptoms te hi i neih chuan a rang thei ang bera doctor pan la , hrilh rawh.
Engvangin nge hetiang hian aneurysm hi a lo awm? A chhante chu engte nge ni?
Carotid artery aneurysm awm chhan awm thei engemaw zat a awm.
- Atherosclerosis: Hei hi a chhan ber leh a tam ber a ni. Hetiang dinhmun hi thisen kalna kawng bangah cholesterol leh thau a punkhawm a, bang a tichak lo a nih chuan a lo awm thei a ni.
- Thisen kalna kawng bang tichak lo thei natna: Natna thenkhat, ``Fibromuscular dysplasia,'' te hian thisen kalna kawng bang a hrisel lo.
- Damdawi hmanga enkawlna avanga harsatna awm thei: Kawng surgery thenkhat, central line thenkhat emaw, cancer enkawlna radiation therapy emaw avanga harsatna angin a awm thei bawk.
- Accident: Accident na tak avanga thisen kalna kawng a chhiat, silai kah emaw, thal kah emaw.
Risk Factors awm thei te
Thisen kalna kawng bang tichak lo thei thil engemaw zat a awm a, chu chuan thisen kalna kawng (aneurysm) a neih theihna a tipung a ni:
- Chhungkaw chanchin: I chhungkuaa mi pakhatin thisen (aneurysm) a nei a nih chuan nang pawh hi i hlauhawmna a sang zawk.
- Thisen sang (Hypertension): Thisen sang a san chuan thisen kalna kawng bang ah pressure a pe tam zawk thin. Hei hian bangte a tichak lo thei a ni.
- Meizial zuk: Meizial hi thisen kalna kawng tichhetu lian tak a ni. Arteries bang a tichak lo va, aneurysm vei theihna nasa takin a tipung bawk.
He natna hi engtin nge doctor hian a hriat theih ang?
Doctor chuan he natna hi a hriat theih nan step engemaw zat a zawm thin.
1. Taksa endik: Doctor chuan i kawr ah stethoscope dahin a ngaithla ang. A châng chuan, he aneurysm kal tlanga thisen a luang chhuah hian ‘swooshing’ ri danglam tak (carotid bruit) a hriat theih bawk.
2. Nang leh i chhungte damdawi lam chanchin: Doctor chuan i damdawi lam natna dang i neih leh i chhungte zingah hetiang natna hi an nei tawh em tih a zawt ang.
3. Imaging Tests: Hei hi natna hriat chian dan tha ber a ni. Heng test te hian i carotid artery chhunga thil thleng chu chiang takin a hmu thei a ni.
- CT scan (Computed Tomography hmanga enfiah) a ni.
- MRA Scan (Magnetic Resonance Angiography) hmanga tihchhuah a ni.
- Ultrasound hmanga scan a ni
Heng test-te hian doctor-te chuan aneurysm lian leh te, a pianzia leh a awmna dik tak chu an hre thei a, chutiang chuan enkawlna tha ber an hre thei bawk.
Enkawlna kawng hrang hrangte chu engte nge ni?
Enkawlna chu i thisen kalna (aneurysm) lian leh te, a lo thang chak dan leh i natna lan chhuah danah a innghat a ni. Enkawl dan chi thum a awm a.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| 1. Enkawlna | Aneurysm hi a tlem hle a, a lan chhuah dan a awm lo a nih chuan i doctor chuan operation nei lovin rei vak lo nghah a rawt thei ang. Hei hi "watchful waiting" an ti a. Thla 6 emaw kum khatah emaw scan i nei ang a, aneurysm hi a lian chho zel em tih i en ang. Chutih lai chuan pressure control nan damdawi pek i ni mai thei. |
| 2. Open Surgery neih a ni | Hei hi traditional surgical procedure a ni. Hetiang tihnaah hian surgeon chuan a kawngah incision a siam a, thisen kalna kawng chhia, aneurysm awmna chu a paih chhuak thin. Tichuan, thisen kalna kawng khat emaw, i taksa peng dang (entir nan, i ke) atanga lak chhuah artificial tube (graft) emaw hmangin thisen kalna tur kawng thar siam a ni. |
| 3. Endovascular enkawlna (Endovascular Stent Grafting) tih a ni. | Hei hi less invasive procedure a ni a, incision lian tak a ngai lo. I doctor chuan i kut chhunga thisen kalna kawng pakhatah khur te tak te a siam ang a, chuta tang chuan tube te tak te (catheter) a dah ang. X-ray kaihhruaina hnuaiah tube chu aneurysm thlengin an kal hmasa a, a chhungah chuan special mesh ang chi tube (stent graft) dah a ni. Hei hian thisen chu aneurysm chhungah kal lovin tube thar hmangin a luang lut thei a ni. |
I doctor chuan a biak hnuah engkim a hrilhfiah hnuah eng damdawi nge i tana tha ber tih a rel ang.
He risk tihtlem nan hian eng nge ka tih theih ang?
Risk factor thenkhat (family history ang chi) kan thunun thei lo a, mahse kan thisen kalna kawng hrisel taka awm theihna tur leh aneurysm vei theihna tur tihtlem nan thil tam tak kan tih theih a awm.
- Meizial i zu a nih chuan vawiin hian bansan rawh. Hei hi i tih theih tha ber a ni. I doctor hnenah tanpuina dil rawh.
- Thinlung hrisel ei tur ei rawh. Chaw hriak, chi, leh sugar tamna ei tur tihtlem. Thlai, thei leh thlai chi hrang hrang ei tam rawh.
- Exercise neih fo thin ang che. I doctor-in a thurawn angin i tana ṭha tur exercise-ah tel ve rawh.
- Thisen sang control. Thisen sang i neih chuan i doctor-in damdawi a pek chu a hun takah ei thin ang che.
- Damdawi lam thurawn zawm rawh. A hun takah medical checkup turin kal rawh.
Kawngkhar chhunga thisen (aneurysm) leh luruh chhunga thisen (aneurysm) hi a danglamna a awm em?
Hei hi damdawi lam deuh a ni a, mahse a awlsam zawngin han sawi ila: Kan carotid artery hi kawr thlengin a tlan a, luruh chhungah a tlan lut a.
- Luruh pawn lam , chu chu kawr chhunga lo awm thin aneurysm te hi `extracranial` an ti a.
- Luruh chhunga aneurysm lo awm chu `intracranial` an ti a.
I doctor-in heng thute hi i tan a hman chuan aneurysm awmna hmun a sawina mai a ni. Heng thute hi i zir chhuah a ngai lo. I hriatthiam loh zawng zawngah i doctor hnenah chiang zawka hriattirna zawt rawh.
Aneurysm i nei tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse tunlai scanning technology leh treatment changkang tak tak hmang hian mi tam tak chuan nun pangngai an hmang thei ta a ni. A pawimawh ber chu i doctor thupek uluk taka zawm a, checkup neih reng reng hi a ni.
Take-Home Thuchah a ni
- Carotid artery aneurysm chu thluaka thisen phurtu, kawr chhunga thisen kalna kawng lian tak, a bang a chak lo va, balloon ang maia a bulh chhuah a ni.
- Chumi atanga lo awm thei hlauhawm ber pahnih chu thisen zam avanga stroke leh aneurysm puak hi a ni.
- Stroke symptoms i neih chuan i hmai sir khat a tlak thut, i kut a bengchheng emaw, tawng harsa emaw i neih chuan emergency a ni. Hospital-a Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Enkawlna chu aneurysm lian leh te leh a natna lan chhuah danah a innghat a ni. A châng chuan en mai mai pawh a tawk mai thei. A châng chuan zai a ngai mai thei.
- Hetiang dinhmun laka inven nan hian thisen sang control leh meizuk loh hi a pawimawh hle.
- Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
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