I fa kum tin medical check-up a neih lai hian doctor chuan, "I naute thisen sang deuh niin a lang a, i check leh ang u?" Nu leh pa tam tak ang bawkin, tlem chuan hlauhna leh lungkhamna i nei mai thei. " Oh my , hetiang kum naupang takah hian thisen sang? Engtin nge chu chu?" I ngaihtuah mai thei. Mahse hei hi hlauh tur a ni tak tak lo. Mahse, ngaihthah tur pawh a ni lo. Vawiin hian thisen sang, a nih loh leh thisen sang sang, puitling chauh ni lo, naupang tê tê pawh a nghawng thei tih kan sawi dawn a ni.
A awlsam zawngin, he nawrna hi eng nge ni?
Kan taksaah thisen luang chhuak kan nei vek a. Tui pipe atanga tui luang ang maiin han ngaihtuah teh. Thisen chu thisen kal tlanga a kal zel chuan thisen kalna kawng bangah pressure tlem a nei a. Chu pressure chu "thisen sang" kan tih chu a ni. He pressure hi a tlangpui aia sang reng reng a nih chuan hypertension kan ti a ni. Hetiang dinhmun hi naupang tê leh tleirawlte a lo awm chuan pediatric hypertension kan ti a ni.
Tuna data atanga a lan dan chuan naupang kum 12-19 inkar 25 zinga pakhat velin thisen sang an nei a ni. Tin, naupang 10 zinga pakhat vel chuan thisen sang a tisang bawk.
A pawimawh ber chu thisen sang hian hun rei tak chhung chu naupang thinlung, kal leh mit ang chi taksa peng pawimawh tak takte a tichhe thei a ni. Chuvangin he natna hi hriat hmasak a, a tul anga enkawlna zawn a pawimawh hle.
Naupangin thisen sang a nei tih tilangtu symptoms engte nge ni?
Hei hi nu leh pa tam tak mak tih ber a ni. A tam zawkah chuan naupang thisen sang nei te hian symptom an nei lo. An khel a, an tlan a, an sikul hna pawh a pangngaiin an thawk bawk. Hei vang hian doctor pan a, routine checkup an neih laiin an thisen sang tehna an neih hian thisen sang an hmuchhuak tlangpui.
A nasat deuh chuan lu na, rilru na, thawk harsa tih ang chi symptoms a awm thei a, mahse hei hi a tlem hle.
Hetianga ngawi renga awm a nih avangin, i fa chu regular checkups neihpui turin a pawimawh hle , natna awm lo mahse. Hei hi i fain thisen sang a neih theihna tur risk factors a neih chuan a pawimawh hle.
Engvangin nge naupang tê tête hian thisen sang an neih? A chhan berte chu engte nge ni?
Naupang thisen sang tichhe thei chhan lian tak pahnih a awm a. Hengte hi a awlsam zawngin hriatthiam tum ila.
| Hypertension chi hrang hrang | Hrilhfiahna awlsam tak |
|---|---|
| Primary Hypertension a ni | Hei hi naupang zinga hmuh tam ber chi a ni. Thisen sang chhoh chhan pakhat chauh hi he natna vang nia sawi theih a ni lo. A chhan hrang hrang inzawmkhawm a ni thei. |
| Secondary Hypertension a ni | Hetah hian damdawi lam dinhmun dang hnuaia awm vangin pressure a sang chho zel a ni. Chu chu natna dang side effect angin pressure a sang tihna a ni. |
Primary Hypertension chungchang tlem tal chu...
Hei hi naupang zinga hmuh tam ber chi a ni. Hetiang natna vei naupangte hian mizia inang lo engemaw zat an nei a:
- Kum 6 aia upa a ni.
- Chhungkuaa thisen sang (nu, pa, pi, pi, pi) nei. Hei hi genetic influence a ni.
- Thau lutuk emaw thau lutuk emaw. Naupang chu an san zawng avanga thau lutuk a nih chuan an thisen sang a tisang thei a ni. Doctor-te chuan hei hi BMI (Body Mass Index) tih value hmangin an teh a ni.
Secondary Hypertension chungchang tlem tal chu...
Hetah hian natna dang vangin pressure a sang tih kan sawi a. Naupang secondary hypertension thlentu ber chu kal natna a ni. Kidney-a thisen petu vein te a tawi te, kal natna (Glomerulonephritis, Pyelonephritis) te ang chi thilte hian hei hi a nghawng thei a ni.
Kidney natna bakah hian a chhan dang engemaw zat a awm a:
- Congenital heart disease: Entirnan, `(Aortic Coarctation)` an tih hi a ni.
- Hormone inthlauhna: Hyperthyroidism ang chi natna.
- Mut laiin thawk hahna nena inzawm thawk harsatna: Hei hi `(Obstructive Sleep Apnea)` kan ti a.
- Damdawi thenkhat: Naupai venna damdawi thenkhat, steroid (Corticosteroids) te.
- Genetic diseases: Genetic condition awm lo tak tak `(Neurofibromatosis type 1)` ang chi te.
- Environment thilte: 1.1.Lead ang chi metal rit tak takte nena inzawmna.
Thisen sang thlen theihna tur risk factors te chu engte nge ni?
I fain heng thilte hi a neih chuan thisen sang a neih theihna chance a sang deuh hlek a ni.
- Thau lutuk emaw thau lutuk: Taksa thau a pun chuan kal (kidney) ah pressure a siam a, thisen sang a tisang thei bawk.
- Chhungkaw chanchin: I nu emaw, i pa emaw, i pi emaw, i pi emaw hian kum 60 a tlin hmaa thisen sang a nei a nih chuan i fain a vei theihna chance chu a let hnih a ni.
- Chaw chi (salt) tamna: Chi (sodium) hi taksain tui a vawng tlat a. Kan chaw ei hi a chi tam lutuk chuan thisenah tui a tam a, thisen kalna kawng a pressure a sang bawk. Biscuit, sausage, cheese, preserved foods, leh pickles ang chi thilte hian chi a pai tam hle.
- Exercise neih loh: Naupang chu nilengin hmun khatah (phone, tablet, TV hmaah) a ṭhut chuan thinlung a chak lo. Thinlung hian exercise a tih hian a chak zawk a, theihtawp chhuah tlem zawka thisen pump a thiam thin.
- Zunthlum: Hun kal zelah thisen sugar level sang chuan thisen kalna kawng leh kal a tichhe thei a, thisen sang a tisang thei bawk.
- Nau piang hma leh nau piang tlem: Zirchianna thar atanga a lan dan chuan nausen a piang hma emaw, nau piang tlem a nih chuan nakin lawkah thisen sang a san theihna a awm tih hmuhchhuah a ni.
Doctor hian naupang thisen sang a nih leh nih loh engtin nge a hriat?
Puitling thisen sang enfiah ang lo takin, naupang thisen sang enfiah chu a buaithlak deuh a, a chhan chu thisen sang zat pangngai chu naupang kum, mipa leh hmeichhia, leh san zawng a zirin a inang lo .
Doctor hian pressure vawi khat enfiahin natna a hmuchhuak lo. Ni engemaw zat, vawi eng emaw zat pressure chu a teh thin. A chhan a awm. Naupang (leh puitling) thenkhat chu doctor an hmuh emaw, damdawi ina an lo kal emaw hian an hlauthawng deuh a, an hlauthawng deuh bawk. Chutih hunah chuan pressure chu rei lo te chhungin a pung thei a ni. Hei hi White Coat Syndrome kan ti a ni . Chuvang chuan vawi eng emaw zat an teh thin.
Pressure a sang tih finfiah a nih chuan doctor chuan a chhan zawng chhuah a tum leh ang. Chutiang ti tur chuan:
- Naupang leh nu leh pate chu an ei leh in, exercise, leh chhungkaw natna chungchang zawt rawh .
- Thisen test hi kidney function leh hormone level te enfiah nan an ti thin.
- Thinlung hnathawh dan enfiah nan EKG (Electrocardiogram) test an nei thin.
- A tul chuan thinlung emaw kal emaw imaging test atan refer i ni ang.
Naupang thisen sang level pangngai leh pangngai lo chu engte nge ni?
Naupang kum 13 leh a chunglam tan chuan puitling tan ang bawkin value te hi an ruat a ni.
| Pressure level a ni | Value (kum 13+ tan) 1.1. |
|---|---|
| Pangngai | Systolic chu 120 aia tlem a ni a, Diastolic chu 80 aia tlem a ni.(120/80 mm Hg aia tlem) |
| Tlem a sang zawk (Elevated) . | Upper limit chu 120-129 a ni a, lower limit chu 80 aia tlem a ni. |
| Thisen sang - Stage 1 Hypertension | A chunglam value 130-139 emaw a hnuai lam value 80-89 emaw a ni. |
| Stage 2-na a ni | Value sang 140 aia sang emaw value hniam 90 aia sang emaw. |
Naupang kum 12 hnuai lam tan chuan normal range chu an kum leh san zawng tehkhin percentile chart hmanga teh a ni. I doctor chuan hei hi a hrilhfiah ang che.
Naupang thisen sang control nan eng nge tih theih ang?
Thu lawmawm tak chu naupang thisen sang hi tha taka thunun theih a ni. Naupang hrang hrangah enkawl dan a inang lo thei.
1. Nunphung inthlak danglamna
Hengte hi doctor-te rawtna hmasa ber a ni fo. Chhungkaw pum puiin hengte hi an zawm chuan a rah chhuah chu a hlawhtling hle.
- Ei leh in hrisel: Ei leh in bik a awm a, chu chu DASH Diet tih a ni. A awlsam zawngin, thlai, thei, legumes, nut, leh whole grains ei tam a huam a ni. Tin, ei tur chi, sugar leh thau tamna (a bik takin saturated fat) tihtlem.
- Taksa tihpun: 1.1.Naupangte tan chuan an thawmhnaw hak a, an muthilh thlenga tlan leh inkhelh hi a pawimawh hle. Hetiang exercise hi ni khatah minute 40-60 tal, kar khatah ni 3-5 chhung an tih chuan pressure tihziaawmna kawngah a pui hle ang.
- Stress enkawl dan: Ni e, naupang te pawhin exam leh sikul hnathawh ang chi thil avang hian stress an nei thin. He stress hian thisen sang a tisang thei bawk. He dinhmun hi thawk lakna exercise leh meditation ang chi thil hmangin control theih a ni.
2. Damdawi ei tur
Nunphung inthlak danglamna ringawt hian i thisen sang a thunun thei lo a nih chuan, a nih loh leh i thisen sang lutuk a nih chuan i doctor chuan damdawi a pe ang che.
Enkawlna hi a tlem ber atanga tan a ni tlangpui.
- ACE inhibitor te hi a ni
- Angiotensin II receptor blocker (ARB) te hi a tha hle.
- Calcium channel blocker a ni
- Beta-blockers te pawh a awm
- Diuretics (tui chi hrang hrang) .
Damdawi chi hrang hrang: Heng damdawi zawng zawng hian side effect a nei vek thei. Chuvangin damdawi eng pawh i ei tan hmain i doctor nen an chungchang sawipui hmasa phawt ang che.
Kan fain thisen sang a neih loh nan kan veng thei ang em?
Ni e, a hlauhawmna tihziaawmna tur hian kan tih theih tam tak a awm.
- I fa san zawng atan taksa rihna hrisel tak vawng reng rawh.
- Chhungkaw angin chi, chi, leh thau tamna ei tur ei tlem ula. Store-a thil lei, in tur thlum, leh snacks ang chi thilte chu tihtlem rawh.
- I fa chu ni khatah darkar khat tal active turin fuih rawh.
- Mut tha rawh. Hun ruat saa mut leh hun ruat saa harh chu tih danah siam rawh.
- I fa chu zuk leh hmuam lakah hla takah dah la. Inchhunga miin zu a in chuan naupang (secondhand smoke) pawh a nghawng dawn a ni.
Chhungkaw chanchin ang chi genetic factors kan thlak thei lo tih hre reng la, mahse chu risk pawh chu nun hrisel tak zawm chungin kan thunun thei a ni.
I fain thisen sang a nei tih i hriat chuan lungngaihna leh hlauhna i neih hi thil pangngai a ni. Mahse a pawimawh ber chu, hei hi manageable condition a ni. I doctor leh healthcare team te chu he zinkawng zawh tur hian nangmah, i fa leh i chhungte tanpui leh kaihruai turin an awm a ni.
Take-Home Thuchah a ni
- Naupang thisen sang hi natna tlanglawn tak a ni a, a tam zawkah chuan symptoms a awm lo.
- Chuvang chuan nausen chu a natna lanchhuahna a awm lo a nih pawhin damdawi lam test \ha tak nei tura refer a pawimawh hle.
- Thau lutuk, chhungkaw history, chi tamna ei leh in, exercise lak loh te hi a hlauhawm ber a ni.
- A tirah chuan enkawlna tur rawtna chu nunphung hrisel leh ei leh in thlak danglam hi a ni. Chhungkaw pum puiin he thila an tel ve hian a hlawk ber.
- Uluk taka control loh chuan thisen sang hian nakin lawkah taksa peng hrang hrang, thinlung leh kal (kidney) te a tichhe thei a ni.
- Hemi chungchangah hian ngaihtuahna emaw rinhlelhna emaw i neih chuan i doctor nen inbia nghal rawh.
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