Hemorrhagic Stroke: Hetiang dinhmun hlauhawm tak hi han sawi ila!

Aw, i lu chhunga thisen kalna te tak te, chu chu i thluak chhunga thisen kalna kawng te tak te chu a puak nghal a nih chuan eng nge thleng ang tih han ngaihtuah teh? Ngaihtuah a hlauhawm takzet a ni lawm ni? Hei hi ‘hemorrhagic stroke ’ kan tih chu a ni a, thluak chhunga thisen kalna kawng a puak a, thisen a chhuah avanga paralysis natna a ni. Hei hi nunna atana hlauhawm tak, emergency dinhmun a ni. "Hemorrhage" tih hi doctor-te'n, a awlsam zawnga sawi chuan, taksa chhung hmun khat atanga thisen chhuak tihna a ni.

Hetianga thluaka thisen a luang lut tan chuan thluak hian thisen emaw oxygen emaw a dawng tlem hle. Chuvangin thluak hian hna a thawk thei lo. Chu mai pawh ni lovin, lu chhunga pressure sang lutuk hian thluak cell te a tichhe thei a, a that thei hial a ni. Hetiang stroke (hemorrhagic stroke) chi hi a pawi hle a, a chhan chu a natna lan chhuah dan a lang thuai a, a zual thuai thuai bawk. Damdawi inenkawlna i hmuh vat loh chuan thluak a tichhe reng thei a, thihna thlengin i thlen thei a ni. Nangmah emaw, i bula awm tu emaw chu stroke nei nia i ngaih chuan 911 (or i local emergency number) ah call nghal rawh. A pawimawh ber chu damlo chu damdawi inah a rang thei ang bera thlen a, enkawl tan a ni. Hetah hian second tin hi a chhiar tel vek.

‘Hemorrhagic stroke’ a lan chhuah dan chu engte nge ni?

Hemorrhagic stroke a awm chuan vawi khatah symptom pakhat emaw a aia tam emaw a lang thei. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Thunderclap headaches: Lu na, tuar theih loh, na tak.
• Photophobia: Eng eng emaw, ni eng emaw a awm chuan mit a sen thin.
• Luak chhuak emaw, vertigo emaw.
• Midang thusawi hriatthiam harsa emaw, tawng harsa emaw (Aphasia).
• Thumal a slurred a, thusawi pawh a chiang lo (Dysarthria).
• Kawng khata chak lohna emaw, paralysis emaw.
• Hriatthiamna peng hrang hrang, mit hmuhna, hriatna leh khawih theihna te hian an hnathawh a hloh ta a ni.
• Neck stiffness, ben harsa.
• Luak chhuak leh luak chhuak .
• Fit a lo thleng dawn (Seizures).
• Passing out emaw, muhil emaw.
• Coma ah a awm.

‘Hemorrhagic stroke’ tih hriattirna chhinchhiahnate chu engte nge ni?

He paralysis hian symptom hrang hrang a thlen thei a ni. Nangmah emaw, i hmangaih tak emaw hian hetiang dinhmun hi i nei em tih hriat duh chuan BE FAST rawhAcronym kha hre reng ang che. English thumal tlemtea letter hmasa berte inzawmkhawma siam a ni.

• B - Balance : Balance hloh nghal mai tur chu en reng ang che. Ding nghet thei lo ang maiin.
• E - Mit: Mit pakhat emaw, mit pahnih emaw-ah hian mit hmuhna hloh nghal a awm em tih en la, thil danglam a awm em tih en bawk ang che.
• F - Hmêl: Nui chungin tum rawh. I hmai sir khat emaw, a sir lehlamah emaw a tlak hmel em tih en rawh.
• A - Kut: Kut pahnih chu chawi sang tum ang che. I paralyzed , i kut pakhat i chawi thei lo mai thei a, i tlu thei lo va, i chak lo hle mai thei.
• S - Thusawi: Thusawi chu a slur em tih emaw, thumal dik tak hmuh a harsa em tih emaw en rawh.
• T - Hun: Hun hi a pawimawh ber - tanpuina zawng nghal rawh. A theih chuan darthlalang emaw phone emaw en la, i natna lan chhuah tirh hun kha chhinchhiah rawh. I natna lan chhuah tirh atanga doctor hnena hrilh hian i tan eng damdawi nge tha ber tih an rel thei a ni.

Heng BE FAST chhinchhiahna te hi i neih chuan stroke a ni thei tih hre reng ang che. Chuvangin hun khawhral suh la, damdawi in pan nghal rawh.

Mini-stroke (Transient Ischemic Attack - TIA) chungchang pawh i zir dawn nia.

A châng chuan ‘mini-stroke’ an tih natna a awm a, chu chu doctor-te chuan ‘transient ischemic attack’ ( TIA ) an ti a ni. Hei hi stroke ang mai a ni a, mahse a natna lan chhuah dan chu rei vak lo hnuah a bo thin. Mahse hei hi vaukhânna pawi tak a ni ! TIA nei tawh chu nakin lawkah stroke lian tak a vei theihna chance a sang hle. Chuvangin TIA nei tawh tan chuan a rang thei ang bera damdawi lam pan a pawimawh hle.

He ‘hemorrhagic stroke’ lo awm chhan hi engte nge ni?

A awlsam zawngin, i thluaka thisen kalna kawng tichhe thei leh puak chhuak thei thil eng pawh hian hei hi a thlen thei a ni. Thisen sang (hypertension) hi a chhan ber leh a tam ber a ni. He hlauhawmna hi a bik takin i thisen sang a san em em a, a nih loh leh hun rei tak chhung control loh a nih chuan a sang hle.

A chhan dang thenkhat chu hetiang hi a ni:

• Brain aneurysm chu thluaka thisen kalna kawng, balloon ang maia bulge emaw bulge emaw a ni. Chungte chu a chak lo thei a, a puak nghal thei bawk.
• Thluak natna (brain tumor) a awm.
• Moyamoya natna: Hemiah hian thluaka thisen pe chhuaktu thisen kalna kawng lian ber berte chu a inkhar a, thisen kalna kawng te te te te a lo piang a, mahse an chak lo hle.
• Cerebral amyloid angiopathy: Hemi ah hian thluaka thisen kalna kawng bang ah protein pakhat a awm a, chu chuan a tichak lo hle.
• Lu hliam.
• COVID -19 hri kai hi a chang chuan hei hi a awm thei tih hmuhchhuah a ni.
• A châng chuan thluaka thisen zam vanga ischemic stroke a awm hnuah chu hmunah chuan thisen a chhuak ṭan thei ṭhin.

‘Hemorrhagic stroke’ chi hrang hrang a awm em?

Ni e, hetiang hian thluaka thisen a luang lut thei hi kawng hnih a awm a:

1. Intracerebral hemorrhage: Hei hi thluak chhunga thisen kalna kawng a puak chhuak a ni . Chumi hnuah thisen chu thluak tissue chhungah a awm khawm a, pressure a siam a ni. A chhunga tui balloon puak ang maiin han ngaihtuah teh.

2. Subarachnoid hemorrhage: Kan thluak hi a hual vel a, a vengtu membrane te tak te, arachnoid membrane an tih hian a hual vel a ni. He membrane leh thluak inkar hmun hi subarachnoid space an ti a. Hemi kal tlanga thisen kalna kawng a chhe a nih chuan thisen chu he hmunah hian a awm khawm thin. Hei hian luruh chhung lam atang hian thluak chu pressure a siam a ni.

Tute nge hengte hi vei theihna hlauhawm zawk?

Tu pawhin hemorrhagic stroke an nei thei a, mahse a hnuaia mite hi an hlauhawm zawk:

• Kum 65 chunglamte.
• Mi zuk (a nih loh leh zuk leh hmuam chi dang hmang) te.
• Dan loa ruihhlo hmangtute.

Tin, i circulatory system tichhe thei heng hriselna lama harsatna i neih chuan stroke i vei theihna a sang zawk bawk:

• Thisen sang (Hypertension).
• Zu in hmansualna.
• Cholesterol sang (Hyperlipidemia) a ni.
• Migraine lu na, a bik takin aura nei te.
• Zunthlum (Diabetes Mellitus) natna a ni.

Doctor-te hian engtin nge hei hi an hriat?

Doctor chuan hemorrhagic stroke a nei tih a hriat theih nan neurological exam a tih bakah test te a ti a, chungte chu:

• CT scan: Hei chauh hi thluaka thisen chhuak a awm leh awm loh rang taka enfiah theihna a ni.
• Thisen test: Thisen zam harsatna leh sugar level ang chi thil te enfiah thin ang che.
• ECG (Electrocardiogram - EKG): Thinlung hnathawh dan a enfiah thin.
• MRI: Hei hian thluak hi chipchiar zawka hmuh theih nan a pui a ni.

Hemorrhagic stroke enkawlna atana hmanraw pawimawh ber berte chu engte nge ni?

Hemi atana enkawl dan lian ber pahnih chu damdawi leh zai hi a ni.

‘Hemorrhagic stroke’ damdawi hman dan tur.

He natna enkawl nan hian Doctor-te chuan damdawi chi hrang hrang an hmang thin. Kawng lian pahnih hmangin hna an thawk a:

1. Thisen zam chakna: Mi tam tak chuan thisen zam hi thil tha lo niin an ngai (a nihna takah chuan thisen zam hi a hlauhawm thei a ni). Mahse thisen zam (blood clotting) hi kan taksain thisen chhuah a tihtawp dan pianphung a ni. Doctor te chuan i taksain thluaka thisen a chhuah loh nan Vitamin K therapy emaw Prothrombin complex concentrate ang chi damdawi an pe thei che a ni.

2. I thisen sang control: I thisen sang hi a him taka vawn reng chuan thluaka thisen chhuah a ti tlem thei a ni. Thisen kalna kawng chhiaah thisen zam (blood clots) a awm loh nan a pui bawk. I doctor chuan IV (intravenous) blood pressure tihhniamna damdawi a pe tan thei che a ni.

‘Hemorrhagic stroke’ avanga zai a ni.

Stroke vanga thisen a khawlkhawm hian thisen chhuak thisen kalna vel thluak tissue-ah pressure nasa tak a siam a ni. Luruh chhunga pressure (intracranial pressure) a san lutuk chuan emergency surgery i mamawh mai thei. Surgeon hian thisen a khawlkhawm chu a la chhuak ang a, thluaka pressure a tihziaawm bawk ang.

Stroke Rehabilitation neih a ni

Rehabilitation hi hemorrhagic stroke enkawlna atana thil pawimawh tak a ni. I thluak leh taksa inthlak danglamnaah insiamrem turin a pui che a ni. Thiamna hloh tawhte chu i neih leh a ngai mai thei a, a nih loh leh rualbanlo tharte nena nun i zir a ngai mai thei. A hnuaia enkawlna pakhat emaw, a inzawm emaw i mamawh mai thei:

• Speech therapy: I tawng leh tawng thiamna siam that emaw, tihchangtlun emaw. Hei hian thusawi, thawk, ei leh ei leh in tur atana puitu ruh (muscles) te chu a thunun thei a ni.
• Physical therapy: Taksa tichaktu, balance tihchangtlun, kut leh ke hnathawhna siam that.
• Occupational therapy: Nitin hnathawh tur him taka i thawh theih nan a pui che a, a bik takin chetna tha tak tak mamawh hnate chu a pui che a ni.
• Cognitive therapy: Hriatrengna, ngaihtuahna leh rilru lama theihna dangte tihchangtlun nan a pui thin.

Hemorrhagic stroke hi ven theih a ni em?

Thisen sang hrisel tak vawn reng hi hemorrhagic stroke venna atana pawimawh ber a ni. Thisen sang i neih chuan i doctor chuan a thunun thei che a ni. Damdawi leh nitin nunphung i tihdanglam tur chungchangah thurawn an pe thei che a ni.

Thil dang chu:

• Damdawi lam harsatna dang i neih (zunthlum leh cholesterol ang chi) te chu thunun la.
• Chaw hrisel ei tam la, i taksa rihna hrisel tak, i duh ang ang vawng reng rawh.
• Exercise tha tak nei rawh.
• Kum tin (a nih loh leh i doctor-in a tih angin) medical checkup neih thin ang che.
• Meizial i zu a nih chuan titawp nghal rawh.

‘Hemorrhagic stroke’ hnua dam rei zawng chu engzat nge ni?

Hemorrhagic stroke hnuah eng chen nge i dam theih ang tih leh a dam leh zat hi sawi chian a harsa a, a chhan chu mi zawng zawng taksa leh hriselna dinhmun a inang lo.

Paralysis hian thihna a thlen thei a, permanent disability a thlen thei a, mahse one-size-fits-all recovery schedule leh outlook a awm lo.

Hemorrhagic stroke hian ischemic stroke aiin thihna a thlen tam zawk a, hei hi thluaka thisen zam vang a ni. Mahse chu chuan midang aiin a rah chhuah chhe zawk i nei ngei ang tihna erawh a ni lo.

Mi tin taksa hian stroke a awm chuan a chhan dan a inang lo. Stroke hnua i beisei theih (prognosis) chu thil engemaw zatah a innghat a ni:

• Thluak hmun engte nge a nghawng?
• Engtiang chiahin nge enkawlna i dawng thuai.
• I hriselna zawng zawng.

I doctor chuan i beisei tur a hrilh ang che. I hriselna leh dinhmun a zirin i dam leh theihna tur tum leh beisei tur siam turin an pui ang che.

Hemorrhagic stroke hnuah engtin nge ka in enkawl ang?

Stroke hnua dam leh hahdam hi thil awlsam a ni lo. I doctor nen in enkawl dan tur ruahmanna in siam zawh chuan a theih ang anga ngun takin zawm rawh. A tlangpuiin:

• I damdawi ei dik rawh: Doctor-in a sawi angin i damdawi ei chuan i taksa a tidam thei ang. I thisen sang control hi a pawimawh hle.
• I rehab leh treatment appointment dangteah kal fo ang che: I therapist-te hnenah thil eng emaw avanga i rilru hahdam loh emaw, him lo emaw a awm chuan hrilh rawh. Rehab hi a harsa a, mahse natna leh lungawi lohna reng reng i neih a ngai lo.
• I rilru hriselna ngaihtuah rawh: Stroke hnuah lungngaihna leh lungkhamna hi a awm fo thin. Lungngaihna emaw, lungngaihna emaw i neih chuan i chak lo emaw, i hlawhchham tihna a ni lo. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. I dam leh laia thil sawiho tura tanpuina i mamawh chuan i doctor emaw, rilru lam hriselna chungchanga counselor emaw nen inbia ang che .

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Stroke dang i nei leh ang tih i hriat chuan 911 (or emergency number) ah call nghal rawh. Stroke dang chu thihna thlen thei emaw, harsatna lian tham tak thlen thei emaw a nih a rinawm hle. Ṭanpuina zawngin tlai suh.

Stroke vei tawh chuan harsatna lian tham dang a nei thei bawk a, chungte chu:

• Pulmonary embolism a awm thin.
• Lung natna a ni.
• Ke ruh thuk takah thisen a chhuak (Deep vein thrombosis - DVT).

Heng harsatna zinga pakhat tal chhinchhiahna i neih nia i hriat chuan emergency services call nghal la, emergency room-ah kal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Engtin nge ka damdawi hi ka ei ang?
• Eng chen nge therapy ka mamawh ang?
• Ka nitin nunah eng inthlak danglamna nge ka neih?
• Stroke dang a lo thleng leh dawn tih hriattirna eng warning sign nge ka fimkhur tur?
• Engtikah nge ka rawn hmu leh ang che?

Hemorrhagic stroke hian i nunah nghawng lian tak a nei thei a ni. I thluak tichhe thei reng reng chu a hlauhawm hle. Stroke symptoms i neih nia i hriat chuan tanpuina la nghal rawh. Doctor-in a natna a hriatchhuah leh a enkawl hma chuan a tha zawk.

Hriselna leh dinhmun nghet takah i awm tawh chuan rehabilitation chu a intan ta a ni. Hna hahthlak tak a ni a, mahse a phu a ni. I rilru put hmang chu ngaihthah suh la, i lungawi lohnate chu i doctor leh therapist-te hnenah sawi rawh. I dam lehna chu step tenauah a lo thleng thei a, mahse i hlawhtlinna apiang lawmpui chu theihnghilh suh.

Take-Home Thuchah a ni

Hemorrhagic stroke hi thluaka thisen kalna kawng puak avanga hlauhawm tak, emergency medical condition a ni. Hei hi a chhan ber chu thisen sang a ni.

A lan chhuah dan hriat thuai theih nan acronym BE FAST (Balance, Eyes, Face, Arms, Speech, Time) tih kha hre reng ang che. If you have any of the symptoms , damdawi inah kal nghal rawh.

Enkawlnaah hian damdawi leh surgery te a tel a ni. Rehabilitation (speech, physical, occupational, cognitive therapy) hi dam lehna kawngah a pawimawh hle.

Chumi laka inven nan chuan i thisen sang kha thunun la, nunphung hrisel tak zawm la, zu in loh tur.

I theihnghilh suh, hetiang dinhmunah hian second tin hi a pawimawh vek. Hmanhmawh taka hma lak hian nunna a chhanhim thei a, hliam na tak a veng thei bawk.

` Paralysis, Thluaka thisen chhuak, Hemorrhagic Stroke, Thisen sang, Stroke Symptoms, Stroke Enkawlna, Rehabilitation