Thisen sang hian thluak a nghawng em? Hypertensive encephalopathy chungchang hi i zir dawn teh ang!

"Hypertensive Encephalopathy" tih thumal hi i hre tawh em? Letter tam tak a neih avangin hming serious deuh angin a ri mai thei, a dik em? A awlsam zawngin, hei hi i taksaa pressure, chu chu thisen sang, rang taka a san a, i thluak hnathawhna a nghawng nasat em emna dinhmun a ni. Hei hi thil tenawm tak a ni lo, a chhan chu hei hi emergency medical treatment mamawhna a nih vang a ni. Vawiin hian he thu hi chiang tak leh in hriatthiam theih turin kan sawi dawn a ni.

Hypertensive Encephalopathy hi eng nge ni tak tak?

Awle, a tir atang khan tan ila. "Hypertensive" tih hian thisen sang tihna a ni. "Encephalopathy" tih hian thluak hnathawh tihdanglam emaw, tihchhiatna emaw a kawk a ni. Tichuan heng pahnih hi an inzawm khawm chuan hypertensive encephalopathy hi thisen sang avanga thluak hnathawh tibuaitu hun engemaw chen a ni. Hemiah hian a langsar ber chu i rilru dinhmun inthlak danglamna hi a ni.

Tunah chuan i hre tawh ang, kan taksa thisen kal tlanga thisen a luang chhuah rual hian chu thisen kalna kawng bang chu pressure engemaw zat a siam a ni. Chu chu thisen sang, a nih loh leh "pressure" kan tih chu a ni. A tlangpuiin mi hrisel thisen sang hi 130/80 mmHg (mercury millimeter) aia hniam a ni. Mahse he hypertensive encephalopathy condition hi a lo awm chuan pressure chu 220/130 mmHg thlengin a kal thei a ni. A châng chuan, he dinhmun hi 160/100 mmHg level-ah pawh a awm thei niin an sawi.

A pawimawh ber chu hei hi medical emergency a ni a, nunna atana hlauhawm tak pawh a ni. Chuvangin natna lanchhuahna i hmuh chuan damdawi lam thurawn la nghal a tha ber.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan thisen sang emergency hi damdawi ina emergency room-a lo kal zawng zawng zinga 2% aia tlem loah a thleng thin. Mahse, hypertensive encephalopathy hi 15% velin a awm thung. Chumi awmzia chu mi zawng zawng chunga thil thleng a ni lo tihna a ni a, mahse a thleng a nih chuan enkawl vat a pawimawh tihna a ni.

Eng nge a lan chhuah dan? Engtin nge i hriat hmasak theih ang?

Hetiang dinhmunah hian symptoms hi a lo lang nghal lo. Zawi zawiin an lo thang chho zel a. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle.

A lan chhuah theihna hmasa ber chu:

• Lu na: Hei hi lu na tak a ni thei a, a zual zel bawk. Miin i lu chhung lam a rawn nawr ang maiin a lang thei.
• Chauhna: Hna thawk lo pawhin chau lutuk tih hriat a ni.
• Nausea: I luak dawn ang maia inhriatna.
• Luak chhuak: A chang chuan luak chhuak a awm thei.

Tichuan i rilru dinhmun tichhe thei symptoms i nei thei ang:

Heng symptoms te hian he dinhmun hi a pawi hle tih min hriattir a ni.

• Buaina: I awmna hmun, eng hun nge ni tih leh tu nge i nih hriat lohna dinhmun.
• Mihring nun inthlak danglamna: Thinrimna emaw, tihbuai emaw ang chi inthlak danglamna.
• Restlessness: Hmun khata awm thei lo leh che vel.
• Mit hmuh hloh: Mit hmuh chu a fiah lo nghal thei a, a bo vek thei bawk.
• Seizures: Taksa inthlak danglam, fit ang chi.
• Thil hriatna hloh: I hriatna hloh a, i tlu thei. Hei hi dinhmun hlauhawm ber a ni.

Nangmah emaw i hriat tu emaw hian heng symptoms pakhat emaw a aia tam emaw, thisen sang nen a neih chuan 911 call nghal la, damdawi in emergency room hnai ber pan rawh. Hetiang hun lai hian hun hi a pawimawh ber a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

A awlsam zawngin sawi ila, hypertensive encephalopathy thlentu ber chu thisen sang lutuk hi a ni. Ngaihtuah teh, tui pipe-in ​​a tuar theih aia rang zawka tui i thawn chuan eng nge thleng ang? Pipe hi a chhe thei a ni lawm ni? Chutiang chu a ni a, pressure sang chuan thluaka thisen kalna kawng nalh tak takte chu a tichhe tan ta a ni. Tichuan, chu thisen kalna atang chuan tui ang chi tui chu thluaka a luang lut tan ta a ni. Hei hi cerebral edema kan ti a. Chutah chuan thluak hnathawh a tibuai ta a ni.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Mi thenkhat chuan he natna hi an nei tam zawk. Tute nge an nih hi han thlir ila:

• Thisen sang an nei tih hre lo mi: Mi tam tak chuan an thisen sang an endik loh avangin an nei em tih pawh an hre lo. Chutiang mite chu hetiang dinhmun hlauhawm takah hian an lut thut thei a ni.
• Thisen sang damdawi ei khap nghaltute: Doctor rawn hmasa lova mahni chauha damdawi ei khap chu a hlauhawm hle.
• Kal natna vei: Kal hi taksa peng pawimawh tak a ni a, kan taksaah thisen sang control-na atan a pui a ni. Kidney natna i neih chuan i thisen sang a sang zawk thin.
• Hmeichhia naupai laia thisen sang (eclampsia) nei: Hei pawh hi fimkhur taka enkawl ngai a ni.
• Cancer enkawlna thenkhat (chemotherapy) dawngtu te: Cancer damdawi thenkhat hian side effect angin thisen sang a tisang thei a.

Hei hian eng harsatna nge a thlen theih? A serious em?

Ni e, hei hi uluk taka enkawl a nih loh chuan harsatna lian tak tak a thleng thei a ni.

• Permanent brain damage: Enkawl vat loh chuan thluak cell te permanent damage a awm thei.
• Cerebral edema: Kan sawi tawh ang khan hei hi a pawimawh ber a ni.
• Peng dang tihchhiat: Thisen sang hian kal a tichhe thei a, mit a tichhe thei a, heart attack a thlen thei bawk.
• Coma: Hriat lohna dinhmun, muthilh thuk taka tlu ang chi.
• Nunna hloh: 1.1.Enkawl loh chuan thihna pawh a thleng thei.

Chuvang chuan hei hi emergency anga ngaih a ni.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

Emergency room-a i kal hunah doctor ten i rilru dinhmun leh thisen sang an enfiah hmasa phawt ang. I thluak hnathawh dan enfiah turin general physical exam leh neurological exam an ti ang. I medical history te, tuna i damdawi ei mek te, leh tun hnaia i ei tawh loh damdawi te pawh an zawt bawk ang.

Pressure tehna bakah hian taksa peng dang a chhiat leh chhiat loh hriat nan test dang engemaw zat tih theih a ni bawk:

• Thisen test: Kal hnathawh dan leh thisen chi (blood salt level) ang chi thil te enfiah thin.
• ECG test (Electrocardiogram): Thinlung electric hnathawh dan en rawh.
• Chest X-ray hmanga enfiah a ni.
• Brain CT scan emaw MRI scan: Thluak a hring emaw thisen chhuak emaw enfiah nan.

Heng zawng zawng hi doctor-te’n hypertensive encephalopathy dik taka an hriat dan a ni.

Engtin nge enkawl ang? (Tihdamna)

Hei hi enkawl huna tum ber chu i thisen sang tihhniam hi a rang thei ang bera, mahse him taka tihhniam hi a ni.

Emergency hmanga enkawl a ni

• Antihypertensive damdawi: Heng damdawi te hi a tir lamah chuan ka ei a ni lo. Kut chhunga vein pakhata dah cannula te tak te hmanga pek an ni. Hei hian pressure dik taka control a awlsam phah hle.
• Intensive care unit (ICU) enkawlna: I enkawl lai hian doctor leh nurse ten uluk takin an enkawl ang che. He enkawlna hi intensive care unit (ICU)-ah tih a ni tlangpui.
• Thisen sang tihhniam chakna: I thisen sang chu 220/120 mmHg ni ta se han ngaihtuah teh. Tichuan darkar khatna chhungin pressure chu 10% leh 15% inkar a tihhniam a ni. Darkar 24 chhungin 25% aia tam a tlahniam lo. A chhan chu, vawi khata i tihtlem lutuk chuan thluaka thisen kalna kawngte hian damna hun an nei tlem hle a, stroke ang chi harsatna dang a awm thei bawk. Chuvangin damdawi dose hi uluk takin siam a ni.
• Damdawi ei: Pressure control a nih hnuah darkar 8 atanga darkar 24 hnuah ei tan theih a ni.
• Seizure enkawlna: Seizure ang chi i neih chuan chutiang atan pawh chuan hun rei lote chhung atan damdawi pek i ni thei bawk.

Hun rei tak chhunga enkawl dan

Damdawi in atanga i haw hnuah pawh i doctor chuan i thisen sang damdawi (oral antihypertensive medications) ei chhunzawm turin a hrilh mai thei che a ni. Heng damdawi te hian i thisen sang control nan a pui thei a ni. Tin, nunphung tihdanglamna tlemte siam turin an hrilh bawk ang che:

• Diet control: Chi (sodium) tih tlem, chaw thau ei tlem.
• Exercise: Nitin exercise hi a tha hle.

Eng damdawi nge enkawl nan hman thin?

He natna enkawlna atan hian fast-acting/rapid-onset antihypertensive damdawi chi hrang hrang a awm a. Entir nan:

• Nicardipine a ni
• Labetalol a ni
• Hydralazine a ni
• Fenoldopam tih a ni
• Clevidipine a ni
• Sodium nitroprusside hmanga siam a ni

Hengte hi damdawi i ei mai mai theih a ni lo. Damdawi in pakhata doctor-in a pek thin a ni.

Enkawlna hian side effect a nei em?

Ni e, thisen sang tihhniam thuai hian side effect engemaw zat a awm thei. Mahse, lungngai suh, chu pawh chu doctor ten an ngaihven em em a ni.

• Chau lutuk
• Luak chhuak, lu hahthlak tih hriat
• Fainting a ni
• Kidney hliam a awm
• Thai

Heng side effects te hi a nasat em avangin i enkawlna chhung zawng hian uluk takin an enkawl ang che.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

I thisen sang a tlahniam tan chuan i rilru a hahdam tan ang. Hei hi darkar 24 atanga darkar 48 chhungin a thleng tlangpui. Mahse, encephalopathy-in i thluak hnathawh a nghawng nasat dan azirin, a dam kim theih nan ni engemaw zat, a nih loh leh kar tam tak pawh a ngai thei. Harsatna a lo awm chuan dam leh hun chhung a rei zawk thei.

Hetiang dinhmun hi eng nge a thlir ang? (Hmuh dan tur) .

Thu lawmawm tak chu rang tak leh uluk taka enkawl a nih chuan hypertensive encephalopathy-in nghawng a neih chu a let leh thei a ni. Chu chu pressure a tlahniam deuh deuh chuan thluak chhiatna avanga symptoms awmte chu a bo zauh zauh tihna a ni. Mahse, thisen sang nen hian comorbidities dang i neih chuan complication i nei tam zawk. Chuvang chuan doctor ten enkawl lai hian uluk takin an lo vil reng ang che.

Hetiang dinhmun i enkawl hnuah i doctor chuan i thisen sang a enfiah fo ang. I damdawi ei hmang hian i thisen sang a control tha em tih en rawh. I theih chuan in lamah blood pressure monitor la la, i doctor-in a sawi angin i thisen sang record rawh. Side effect i neih chuan doctor hnenah hrilh rawh . Doctor thurawn tel lo chuan i thisen sang damdawi ei kha bansan ngai suh.

Hei hi a veng thei lo em ni? Eng nge tih theih ang?

A ven kim thei lo nain, i thisen sang control-na hmangin he hlauhawmna hi nasa takin i tihziaawm thei a ni. Chutianga i tih theih ṭhenkhat chu hetiang hi a ni:

• Ei leh in hrisel ei: Thlai leh thei chi hrang hrang ei tam rawh. Oil, chi leh sugar te tihtlem rawh.
• Chi ei tlem: Ni khatah chi gram 2 aia tlem ei tur a ni.
• Exercise neih fo: Ni khatah minute 30 tal kea kal ang chi thil.
• Zuk leh hmuam hman loh tur: Cigarette zuk hi bansan vek rawh.
• Stress enkawl dan: Meditation leh yoga ang chi thilte hian a pui thei a ni.
• Zu in tam lutuk tihtlem.
• Doctor-in thisen sang damdawi a pek ang chiah leh a hun taka ei.

Engtikah nge Doctor ka hmuh ang?

Thisen sang i neih chuan doctor pan fo a, checkup neih a pawimawh. I doctor chuan enkawlna dik tak a pe ang che a, a nghawng dan pawh a enfiah ang che. Doctor thurawn tel lovin i damdawi ei kha bansan suh tih hre reng ang che. Symptom thar emaw, side effect thar emaw i neih chuan i doctor hnenah hrilh rawh .

Engtikah nge damdawi in pan nghal tur? (ETU) a ni.

Kan sawi tawh ang khan hypertensive encephalopathy symptoms (lu na nasa tak, buaina, mitdelna, seizures ang chi) i neih chuan 911 call emaw, damdawi ina emergency room hnai ber pan emaw chu tihkhawtlai lovin kal rawh. Thisen sang hi a hlauhawm a, enkawl vat loh chuan nunna atana hlauhawm thei a ni.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal dawnin heng zawhnate hi zawh a tha ang:

• Engtin nge ka thisen sang ka thunun theih ang?
• Eng ang enkawlna nge min rawt?
• Chutiang enkawlnate hian side effect a nei em?
• Hrisel taka awm theih nan eng nge ei leh in loh tur?
• Eng ang exercise him tak nge ka tih theih ang?

Take-Home Thuchah hnuhnung ber

Dik tak chuan, i thisen sang thunun hi thil awlsam a ni lo. Nunphung hrisel nei reng tur chuan hun te, chakna te, leh inpekna te a ngai a ni. Mahse, thisen sang vanga lo awm, hypertensive encephalopathy ang chi natna hi eng angin nge a hlauhawm theih tih hi han ngaihtuah teh. Enkawl vat chuan tihdam theih ni mah se, a lo thlen hmaa ven hi a tha ber a ni. Chutiang ti tur chuan doctor nen thawk ho la, i thisen sang chu uluk taka control turin i thawk ang. I thisen sang damdawi ei kha doctor phalna la hmasa lovin eng vangin pawh bansan suh. I hriselna chu i kutah a awm!

` Hypertensive Encephalopathy, thisen sang, thluak lama harsatna, pressure, emergency treatment, lu na, seizures