Zunthlum i nei em? Chutiang a nih chuan i doctor-in i thisen sang a enfiah fo tawh ngei ang. 'Engvangin nge sugar damdawi i ei hian i thisen sang pawh an teh?' I ngaihtuah mai thei. Dik tak chuan zunthlum leh thisen sang (`(Hypertension)`) hi tangka pakhat sir hnih ang mai a ni. An pahnih inzawmna hi i hriatthiam chuan hriselna lama harsatna lian tak tak, heart attack leh stroke ang chi tam tak i pumpelh thei ang.
Engvangin nge zunthlum leh thisen sang hi inzawmna nghet tak a awm?
A awlsam zawngin sawi ila, zunthlum hi kan taksa chhunga thisen kalna kawng (arteries) te a tichhe zauh zauh thin. Hun kal zelah thisen sugar level a san chuan kan thisen kalna kawngte chu a chhe tan thin. An elasticity an hloh a, tlem an thim deuh thin.
Tui pipe chhunga bawlhhlawh a lo punkhawm hian tui luang a tlahniam a, pipe chhunga pressure a sang zawk tih han ngaihtuah teh, a dik em? Chu chu kan thisen kalna kawngah a thleng thin. Heng thisen kalna kawng chhia te hian thau leh cholesterol a awm tam zawk. Damdawi lamah chuan hei hi ``Atherosclerosis'' kan ti a, thisen kalna kawng a zim chuan thisen pump turin thinlung hian nasa zawkin hna a thawk a ngai thin. Hei hian thisen kalna kawng chhunga pressure a tisang a. Chu chu thisen sang emaw "thisen sang" emaw kan tih chu a ni.
Chutiang chuan zunthlum natnain thisen sang a tihsan ang bawkin, thisen sang a san avangin zunthlum natnain harsatna a thlen chu a na zual zel a ni. A bik takin, zunthlum vanga mit chhiatna (Diabetic Retinopathy) leh kal (Diabetic Nephropathy) te chu thisen sangin a ti na zual thei a ni.
Heng pahnih hi an awm dun chuan eng hlauhawmna nge awm?
Zunthlum leh thisen sang ve ve ve ve mi pakhatin natna thenkhat a vei theihna chu mi pangngai aiin a let nga zetin a tam zawk a ni. Chu chu eng nge ni tih i han thlir teh ang.
| Risk/Complication awm thei | A sawifiahna awlsam tak |
|---|---|
| Coronary Artery natna a ni | Thinlung hnena thisen petu thisen kalna kawngte a tawi emaw, a khar emaw. Hei hian heart attack a thlen thei a ni . |
| Thai | Thluak lama thisen phurtu thisen kalna kawng chu a inkhar emaw, a puak emaw a, thluak hmun thenkhat a tichhia a ni. |
| Peripheral Vascular Disease natna a ni | Thisen kalna kawng, a bik takin ke leh ke-ah a zim a, kea kal laiin ke a na thei a, hliam a dam zawi zawi bawk. |
| Lung lam chak lohna | Hun kal zelah thinlungin hna a thawh nasat lutuk avangin thinlung ruh chu a chak lo va, taksaah thisen a pump tling thei lo. |
| Kidney Failure a awm | Zunthlum leh thisen sang hi kal (kidney) tichhetu ber pahnih an ni. Hun a kal zel a, kal (kidney) hnathawh chu a bo vek thei a ni. |
Mi thenkhat chuan pressure a sang deuh chauh a nih chuan a pawi lo niin an ngai. Mahse 120/80 leh 129/80 inkar a nih pawhin a la hlauhawm tho tho. Chu chu i taksain vaukhânna a pe che tihna a ni.
Chuti a nih chuan ka thisen sang chu eng nge ni ang?
Hei hi mi hrang hrangah a inang lo deuh thei a, mahse zunthlum vei tan chuan a tum tlangpui chu an thisen sang 130/80 mmHg aia hniam lo tura dah a ni. I doctor chuan i dinhmun a zirin he thiltum hi a siamrem thei a ni.
Tunah chuan en teh, pressure i teh hian value pahnih a awm a ni lawm ni?
- The top number (Systolic pressure): Hei hi thinlungin a na a, thisen a pump luh hian thisen kalna kawng chhunga pressure sang ber a ni.
- Diastolic pressure: Hei hi hearty-a pressure hniam ber a ni a, chu chu heart beat inkar a relax a nih chuan a ni.
Zunthlum natna avanga harsatna awm lo tur ven nan thisen sugar bakah thisen sang control hi a pawimawh hle tih hre reng ang che.
Engtin nge i thisen sang a sang tih i hriat theih ang? Symptoms a awm em?
Hei hi thil hlauhawm ber a ni. Thisen sang hian symptom a nei lo fo.. Chuvang chuan 'Silent Killer' kan ti a ni. Thisen sang hlauhawm tak i nei thei a, symptom engmah nei lovin i nei thei bawk. Hriat chian theihna awmchhun chu i thisen sang enfiah fo hi a ni . Chuvang chuan doctor i hmuh apiangin i thisen sang an enfiah thin. I doctor pawhin in lamah i thisen sang enfiah turin a rawt thei bawk.
Okay, chuti a nih chuan hei hi control turin eng nge ka tih theih ang?
Thu lawmawm tak chu i zunthlum control nana i thil tih tam tak hian i thisen sang control nan a pui bawk ang. Chumi awmzia chu lung pakhatin sava pahnih i that thei tihna a ni.
| Eng nge tih tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Ei leh in hrisel tak ei rawh . | Thlai, thei, legumes leh whole grains te ei tam rawh. Chaw hriak, sugar, chhangphut leh chi tamna ei tur chu tihtlem la. |
| Salt ei tam lutuk kha tihtlem rawh . | Salt hian taksaah tui a tikhawlo a, thisen sang a tisang bawk. Chaw leh processed food-a chi (salt) tamna hmuna chi (salt) dah zat tihtlem. |
| Insawizawi . | Exercise awlsam tak ti la, chu chu ni khatah minute 30 chhung, kar khatah ni 5 tal chak taka kal ang chi hi a ni. Hei hian i thinlung a tichak ang. |
| I taksa rihna hrisel tak vawng reng rawh . | Thau lutuk hian thinlungah extra strain a siam a ni. Thau tihtlem hian thisen sang tihhniamna kawngah kawng thui tak a zawh thei a ni. |
| Meizial zuk kha bansan rawh . | Meizial hi thisen kalna kawng tichhetu lian ber a ni. I chawlhsan chuan i thinlungin lawmthu a sawi ang che. |
| Zu in hi tihtlem rawh . | Zu in tam lutuk hian thisen sang a tisang thei a ni. |
| Damdawi lam thurawn zawm rawh . | Date ruat saah clinic-ah kal rawh. Doctor-in damdawi a pek chu a hun takah ei tur a ni. |
Damdawi chungchang tlem han zir ila? (Tihdamna)
Nunphung tihdanglam ringawt hian i thisen sang a thunun loh chuan i doctor chuan damdawi a pe mai thei. Doctor ten zunthlum vei te thisen sang damdawi an pek hian an fimkhur hle.
Damdawi thlan hmasak ber chu `(ACE inhibitor)` (`(Angiotensin-Converting Enzyme inhibitor)`) leh `(ARBs)` (`(Angiotensin II Receptor Blockers)`) te hi a ni fo thin. Hei hi a chhan chu, heng damdawi te hian thisen sang control bakah hian zunthlum vanga kal (kidney) chhiatna tur venna emaw control emaw a pui bawk.
Chu bakah damdawi dang pawh hman a ni a, chu chu ``diuretics'' kan ti tlangpui a, chu chu taksa atanga tui tul lo paih chhuaktu leh thisen sang tihhniamtu "tui pill" tih te hi a ni.
Hriat reng tur thil!
Thisen sang damdawi thenkhat hian thisen sugar leh cholesterol level a tichhe thei a ni. Mipa thenkhat chuan erectile dysfunction ang chi natna an nei thei bawk. Chuvangin i damdawi ei tur leh a side effects chungchang hi doctor nen zalen taka sawipui hlau suh. Harsatna i neih chuan i doctor chuan i tana tha tur damdawi dang a pe thei ang.
Take-Home Thuchah a ni
- Zunthlum leh thisen sang hi natna pahnih kal dun a ni a, harsatna hlauhawm tak tak a thlen thei a ni.
- Thisen sang hian symptom a nei lo fo thin a, chuvangin i thisen sang enfiah fo a pawimawh.
- Zunthlum vei tan thisen sang target chu 130/80 mmHg aia tlem a ni tlangpui.
- Nunphung tihdanglamna, ei leh in hrisel, exercise, meizuk bânsan, chi ei tlem te hi control-na bulpui ber a ni.
- I doctor-in damdawi a pek chu a tih angin, a hun ruat angin ei rawh. Harsatna emaw, side effect emaw i neih chuan i doctor nen inbia ang che.
- Heart attack, stroke, leh kal natna ang chi natna khirh tak tak laka invenna atan thisen sugar control hi a pawimawh ang bawkin thisen sang control hi a pawimawh hle bawk.
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