Naupai laia hypertension chungchang i zir dawn teh ang. Engtin nge nang leh i naute a nghawng?

Nu nih beisei mi i nih chuan i rilruah zawhna tam tak i nei ngei ang. A bik takin, naupai laiin hriselna lama harsatna engemaw zat i hlau deuh mai thei. Mi tam takin an sawi thin, mahse an hriat tak tak loh thil pakhat chu hypertension a ni a, chu chu naupai laiin thisen sang a sang tihna a ni. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

Naupai laiin thisen sang chu eng nge ni? (`Naupai laia thisen sang`) tih a ni.

A awlsam zawngin, naupai kar 20 vel hnuah i thisen sang emaw, i thisen sang emaw chu a pangngai aia sang a ni a, chu chu gestational hypertension kan tih chu a ni. Hetiang dinhmun hi naupai 6% atanga 8% ah a awm thin. A châng chuan i doctor pawhin naupai vanga hypertension a ti thei bawk. Hemi chungchanga thil danglam bik chu naute i neih hnu ni engemaw zat chhungin a bo tlangpui.

Mahse, he hun chhunga i thisen sang a san chuan symptom lian tak tak i hmu lo mai thei. Chuvangin i prenatal clinic-ah a hun taka kal a pawimawh hle. Tichuan doctor chuan i thisen sang chu a teh reng thei ang. A chhan chu, hetianga thisen sang a san chuan nang leh naute tan harsatna engemaw zat a awm thei a ni. Chuvangin, doctor chuan naupai chhung zawngin nang leh naute chu uluk takin a enkawl ang a, i thisen sang control turin a pui ang che.

Thisen sang (Hypertension) hi eng nge ni tak tak?

Thisen sang, a nih loh leh ``Hypertension`` tih hi eng nge ni tih hi han en hmasa ila. I taksa thisen kal tlanga thisen a kal chuan chu thisen kalna kawng bang chunga pressure pek chu thisen sang kan tih chu a ni. He pressure hi a tlangpui aia a san chuan chu chu thisen sang, a nih loh leh "high pressure" kan tih chu a ni.

Naupai laia thisen sang sang hi engtin nge hun dang nen a danglam?

Naupai lai hian i thisen sang a sang a, chu chuan naupai loh lai aiin i taksa a nghawng dan a danglam hle. Ngaihtuah teh, i thinlung hian naupai lai hian a hma aia nasa zawkin hna a thawk a ngai a, a chhan chu i taksa pum puiah thisen tam zawk a pump chhuah a ngai a ni. Hei hian i taksaah extra strain a siam a ni.

Tin, thisen sang hian nausen (placenta) lo thanglian dan leh hnathawh dan a nghawng thei bawk. Naute mamawh chaw tha leh oxygen pe theitu chu placenta hi a ni. Chuvangin a nghawng a nih chuan naute hian a pangngaia a thanlen theih nan a mamawh ei tur a hmu lo mai thei. Thisen sang i neih chuan nang leh i naute hi nau piang hma, nau neih lai leh pian hnuah harsatna i tawk thei zawk a ni.

Naupai lai hian eng ang pressure nge a awm theih?

Naupai lai hian thisen sang hi chi hrang hrang a awm thei a. Chungte chu pressure a san tan tirh leh a natna lan chhuah dan azirin a danglam thin.

A chi hrang hrang hmuh chhuah berte chu:

• Chronic hypertension tih hi a ni: 1.1.Hei hian naupai hmaa thisen sang awm tawh, emaw, naupai kar 20 hmasa bera intan tawh emaw a kawk a ni. Hetiang pressure hi naute pian hnuah pawh a chhunzawm thei a ni. Chronic high blood pressure nei te pawhin ``Preeclampsia`` tih natna an nei thei bawk. Hei hi ``chronic hypertension with superimposed preeclampsia`` an ti a.
• Gestational hypertension: Hei hi a hmaa kan sawi tawh ang khan thisen sang a ni a, naupai hnuhnung ber atanga tan a ni. Gestational hypertension nei thenkhat chu a hnuah preeclampsia an nei thei bawk. Hetiang dinhmun hi i neih chuan i doctor hian a hmuh fo a ngai dawn a ni.
• Preeclampsia: Hei hi naupai hun chanve hnihna (a tlangpuiin kar 27 hnuah) chauh a lo lang thin a ni. Hetiang dinhmun hi i doctor-in i thisen sang a tih leh i zun-ah protein a awm tih a hriat chuan a hriat theih a ni. I thin, kal, lung, thluak leh nausen (placenta) te a nghawng thei a ni. Thluak a nghawng chuan seizures (eclampsia) a awm theihna a awm.

Naupai laiin tute nge hypertension vei theihna chance sang zawk?

Tûnah chuan, ‘Hetiang hi mi zawng zawng chungah a thleng em? A nih loh leh, hlauhawm bik mi an awm em?’ tiin a sawi. Dik tak chuan mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih hi han thlir ila:

• Kum 20 hnuai lam emaw kum 40 aia upa emaw i nih chuan.
• Naupai hmaa gestational hypertension emaw preeclampsia emaw i neih tawh chuan.
• Chhungkaw zinga mi pakhatin ``gestational hypertension`` (hereditary a ni thei tihna) a nei tawh a nih chuan.
• Diabetes emaw gestational diabetes emaw i neih chuan.
• Immune system natna i neih chuan, entirnan, lupus.
• Kidney natna i neih chuan.
• Naute tam tak i beisei a nih chuan, twins emaw triplets emaw ang chi te.
• Mihring dum i nih chuan (genetic factor thenkhat hian chanvo an nei thei).

``Gestational Hypertension`` leh ``Preeclampsia`` hi thil hrang hrang pahnih a ni em?

Ni e, heng pahnih hi a danglam deuh hlek a ni. ``Gestational Hypertension`` tih hi naupai hun tawp lama thisen sang lo awm mai a ni. Mahse, i kal (kidney) a nghawng lo va, chu chu i zunah protein i nei lo tihna a ni. Mahse, he natna hi ``Preeclampsia``-ah a lo chang thei a, chuvang chuan doctor-te chuan an check fo ang che.

Preeclampsia hi a na zawk a ni . Naupai hun tawp lamah pawh a awm bawk. Hetiang dinhmunah hian thisen sang nen hian protein hi zunah a lo lang tan thin. Enkawl loh chuan taksa peng hrang hrang, kal, thin, leh thluak te a tichhe thei a ni. Preeclampsia hian naute than danah harsatna a thlen thei bawk a, thi thei nau neih theihna a tipung thei bawk.

Naupai lai hian eng thilin nge thisen sang a thlen?

Dik tak chuan naupai laiin thisen sang chhan dik tak hi hmuhchhuah a la ni lo . Mahse, a hmaa kan sawi tawh dinhmun leh thil thenkhatte hian he hlauhawmna hi a tipung thei a ni.

Naupai laia thisen sang chhinchhiahna engte nge ni?

Thisen sang hi a chang chuan "silent killer" an ti a, a chhan chu mi tam takin thisen sang an nei tih an hriat loh vang a ni. I doctor-in i thisen sang a hrilh che bakah hian a lan chhuah dan dang a awm thei bawk:

• Swelling (edema an ti bawk). A bik takin hmai, kut leh ke a hring thei.
• Lu na. Lu na nasa tak, awm reng i nei thei.
• Sudden thau lutuk.
• Mit a inthlak danglam (mit fiah lo, mit pahnih, êng laka sensitivity).
• Nausea emaw, luak chhuak emaw.
• Vawi khatah zun tlemte chauh a kal chhuak thin.
• Pum natna (a bik takin pum dinglam chunglam).

Heng chhinchhiahnate hi i hmuh chuan Doctor i pan nghal tur a ni.

Naupai laiin thisen sang hian eng hlauhawm nge a neih?

Mi zawng zawng hian naupai laiin thisen sang vangin harsatna an nei vek lo. Mahse, thisen sang hian harsatna a thlen thei a, chungte chu:

• Seizures a awm thin
• Thai
• Hun eng emaw chen chu kal (kidney) a tha lo
• Liver lama harsatna a awm
• Thisen zam harsatna a awm

Tin, thisen sang i neih chuan cesarean section (C-section) hmanga naute i neih a ngai tam zawk bawk.

Engtin nge gestational hypertension hian ka naute hi a nghawng?

Naupai lai hian pressure sang chuan thisen chu nausen (placenta) (nausen hnena ei leh in leh oxygen pekna kawng) thleng a ti tlem thei a ni. Hetianga thisen leh ei tur tha a tlakchhamna hian naute chu:

• Nau piang rit lo emaw, Intrauterine Growth Restriction (IUGR) emaw a ni thei. Nausen pian tirh atanga pound 5 leh ounces 8 (kilogram 2.5 vel) aia rit lo a nih chuan nausen rihna hniam hi a ni.
• Nau piang hma (kar 37 hmaa nau).
• Nau piang thi tawh .
• Labour induction hi naute a puitlin loh (kar 39 hma) a awm thin a ni .

Mahse hre reng ang che, a tam zawkah chuan he natna hi naupai tirh lamah hriat chhuah a nih a, pressure chu uluk taka control a nih chuan naute hrisel tak a piang thei a ni. A natna a nasat poh leh harsatna lian tham a thlen theihna a sang zawk.

Naupai laiin thisen sang pangngai chu engzat nge ni?

I thisen sang tehnaah hian number pahnih a awm a. Number hmasa ber chu ``Systolic blood pressure`` a ni. Hei hian i thinlung a inzawm khawm huna pressure a teh thin. Number pahnihna chu ``Diastolic blood pressure`` a ni. Hei hian i thinlung chu beat inkar a chawlh laiin pressure a teh a ni.

Thisen sang hi mercury millimeter (mmHg)-a teh a ni. Doctor chuan pressure chu "120 over 80" (120/80 mmHg) tiin a chhiar ang a, chu chu a chung lama systolic pressure leh a hnuai lama diastolic pressure a ni.

Naupai lai hian i thisen sang level pangngai hriat nan doctor pan a pawimawh hle. Second trimester-ah chuan thisen sang a tlahniam tlangpui a, chuvangin chronic hypertension hriat a harsa thei hle. Naupai laiin i thisen sang 140/90 mmHg aia sang a nih chuan i doctor chuan a control theih nan damdawi a pe thei ang. Systolic blood pressure 160 mmHg aia sang emaw diastolic blood pressure 110 mmHg aia sang emaw hian natna khirh tak tak, stroke emaw seizures emaw a thlen thei a ni. Chutiang hunah chuan naupai laiin damdawi ina dah a ngai mai thei.

Naupai lai hian engtin nge thisen sang hi i hriat theih?

I doctor chuan i antenatal clinic i tlawh apiangin i thisen sang a teh ang. Nitin i thisen sang hi a inthlak danglam thei a, thil tam tak avangin a sang thei bawk.

I thisen sang level pangngaiah inthlak danglamna i hmu a, a nih loh leh a pangngai aia sang a nih chuan i doctor chuan thisen sang i nei tih a ringhlel thei a ni. Tih hmasak ber tur chu rei vak lo hnuah clinic-ah i thisen sang teh leh tur a ni. I thisen sang a la pangngai lo a nih chuan i doctor chuan test engemaw zat a ti leh thei bawk.

Pressure tehna tam zawk lak bakah hian doctor chuan a hnuaia mite hi a ti thei bawk:

• I zun chu protein a awm leh awm loh enfiah rawh.
• Swelling a awm leh awm loh kan check ang che.
• Liver leh kidney hnathawh dan leh thisen zam (blood clotting factors) enfiah nan thisen test neih thin ang che.

Gestational Hypertension enkawlna tur engte nge ni?

Doctor ten naupai laiin thisen sang hi kawng hrang hrangin an enkawl a. Enkawlna chu i natna nasat dan te, i hriselna zawng zawng te, leh i naupai chhunga i awm rei danah a innghat a ni.

I doctor chuan i thisen sang chu uluk takin a enfiah duh ang a, thisen sang chhinchhiahna a awm leh awm loh a en duh ang. Hei hian clinic tlawh fo a, i thisen sang leh zun-ah preeclampsia chhinchhiahna a awm leh awm loh enfiah a huam ang. I doctor chuan a hnuaia enkawlnate hi a rawt thei bawk ang:

• In lama i thisen sang enfiah .
• I thisen sang tihhniamna tur damdawi .
• Damdawi inah dah a ni .

Enkawlna tum ber chu i thisen sang tihhniam a ni a, a tlem berah chuan a na zual a, harsatna a thlen loh nan ven hi a ni.

Tin, Doctor ten naute an enfiah fo a, naute hriselna endik nan test pawh an nei fo bawk. Chung test thenkhat chu:

• Ultrasound hmanga scan (`Ultrasound`) hmanga tih a ni.
• Nonstress test a ni
• Biophysical profile a ni
• Doppler ultrasound (hei hian thisen kal dan a teh) .
• I nausen che vel chhiar emaw kick chhiar emaw

I doctor-in i naute chu a hun hmaa piang tura a ngaih chuan i naute lung a puitlin theih nan steroid pek i ni thei bawk. Heng steroid te hian i naute pian hnua thawk lama harsatna a neih theihna tur a ti tlem thei a ni.

Ka thisen sang a sang chung pawhin him taka ka naute hrin theih nan eng nge ka tih theih ang?

Naute him leh hrisel tak neih theihna chance tihpun nan thil engemaw zat i tih theih a awm a:

• I thisen sang damdawi chu a pek ang chiah chiah ei rawh.
• In lamah i thisen sang enfiah fo thin ang che.
• Naupai enkawlna hmun apiangah kal ngei ngei tur a ni.
• A tul chuan a hmaa nau neih chu remti rawh.
• Ei leh in hrisel ei la, chi ei tlem rawh. (Entirnan, i chaw eiah chi i dah zat te, chi tamna ei tur te, leh preservatives nei ei tur te chu a theih ang anga tihtlem la.)
• Thiltih leh exercise chungchangah doctor thurawn zawm rawh.

A pawimawh ber chu thisen sang control tha a nih chuan naupai leh nau neih chhungin harsatna lian tham a awm lovang.

`Gestational Hypertension` ka neih chuan `induced` (labor artificially started) ka ni ang em?

Maithei. I doctor chuan i naute nau neih hma chu a him a tih chuan nau neih tan (`inducing labor`) a rawt thei ang. Hei hi i naute kar 37 (preterm birth an tih) a tlin hma pawhin a thleng thei.

Bed Rest hian Gestational Hypertension a pui em?

Awle. I doctor chuan naupai laiin thisen sang enkawlna atan ``bed rest`` a rawt mai thei. Chumi awmzia chu a theih ang anga chawlh hahdam turin thurawn i dawng mai thei tihna a ni.

Naute ka neih hnuah pawh pressure ka nei chhunzawm zel dawn em ni?

Naupai laia thisen sang (hypertension) lo awm thin chu i naute i neih hnuah a bo tlangpui. Mahse, nakin lawkah thisen sang leh lung natna vei theihna a tipung thei a ni. Preeclampsia na tak emaw gestational hypertension emaw i neih tawh chuan i naute i neih hnu kar engemaw zat chhung chu damdawi i ei a ngai mai thei. Nau neih laiin thisen sang na tak i nei a nih chuan nau i pai atanga ni 10 chhungin doctor pan a pawimawh.

Naupai hmaa chronic hypertension nei tawhte chuan naute an neih hnuah pawh an nei chhunzawm zel tlangpui. A châng chuan, naute i neih hnuah pawh i thisen sang chu a sang reng thei a, chu chu enkawl nân damdawi i ei a ngai mai thei bawk. I doctor hian naupai hnua i thisen sang enkawl danah a pui thei che a ni.

Engtikah nge Gestational Hypertension hi ka ngaihtuah tur?

Heng symptoms zinga pakhat tal i neih chuan , i antenatal clinic doctor ko nghal rawh:

• Lu na, a lo thleng nghal a, eng chen pawh rei se a reh lo.
• Mit hmuh fiah lo, mit pahnih hmuh theihna.
• Swelling (a bik takin hmai, kut, ke).
• A tlangpui aia zun chhuah tlem zawk.

I doctor-in thisen sang i nei tih a hrilh tawh che a nih chuan, i natna enkawl dan tur ṭha ber chungchang sawipui rawh. Thisen sang avanga nang leh i naute tan harsatna lian tham i neih loh nan an pui thei che a ni.

Naupai lai hian thisen sang hi ven theih a ni em?

Naupai laia thisen sang thlentu kan hriat chian loh avangin inven a harsa deuh. Mahse naupai lai (leh naupai loh lai pawhin thisen sang venna atana i tih theih tha ber berte chu hetiang hi a ni):

• I taksa rihna hrisel tak vawng reng rawh.
• Ei leh in hrisel ei rawh. (Thlai, thlai leh greens ei tam rawh. Oil, chi, leh sugar te tihtlem rawh.)
• Kar khatah ni engemaw zat exercise engemaw zat, kea kal te, cycle khalh te, a nih loh leh yoga te ti thin ang che.
• Meizial leh zu in loh vek tur a ni.
• Chawlh hahdam tawk la, muhil tha rawh.

Thisen sang vei hlauhawm i nih chuan i doctor chuan ni khatah naute aspirin ei turin a rawt thei ang. Thisen sang i vei theihna tur hriatthiamna leh vaukhânna chhinchhiahna hriat hian he natna aṭanga harsatna lian tak tak i neih loh nân a ṭanpui thei che a ni.

I thisen sang chungchangah emaw, thisen sang i vei theihna tur emaw ngaihtuahna i neih chuan i doctor nen inbiakna neihpui ngei ang che.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

Naupai laiin thisen sang, ``gestational hypertension'' an tih hian nang leh i naute tan pawh harsatna lian tak a thlen thei a ni. Mahse thu lawmawm tak chu he thisen sang chi hi naute i neih hnuah a bo tlangpui.

Enkawlna ber chu thisen sang teh reng a, a tul chuan damdawi ei a, nunphung thlak danglam (ei leh in leh exercise ang chi) hi a ni. Thisen sang hi uluk taka enkawl a nih chuan harsatna lian tham a thlen lo. Mahse, a thunun loh chuan nau piang hma leh nausen hnute (placental abruption) ang chi harsatna lian tak tak a thleng thei a ni.

Chuvangin, i thisen sang chhiar dan emaw, i thisen sang enkawl dan tur emaw chungchangah rinhlelhna emaw zawhna emaw i neih chuan i doctor nen inbiakna neih hreh suh. I himna leh i naute piang lai himna hi a pawimawh ber a ni!

` Gestational hypertension, pressure, preeclampsia, naupai hriselna, naute hriselna, thisen sang, naupai harsatna