Pressure hian mit a nghawng em? (Hypertensive Retinopathy) chungchang hi han sawi ila!

Thisen sang, a nih loh leh hypertension i nei em? A nih loh leh i chhungte emaw, i thiante emaw tu emaw chuan a nei em? A tam zawkah chuan hypertension chungchang kan sawi hian taksa peng lian ber ber, thinlung, thluak leh kal (kidney) te chauh a nghawng niin kan ngai. Mahse, he thisen sang hian, a dik tak chuan, a rukin i mit a tichhe thei tih i hria em? Vawiin hian chutiang dinhmun chu kan sawi dawn a ni. Hei hi damdawi lamah chuan `(Hypertensive Retinopathy)` an ti a. A hming hi a buaithlak deuh nachungin, awlsam takin i hrethiam ang u.

Hei hi eng nge ni `(Hypertensive Retinopathy)`? A awlsam zawngin...

A awlsam zawngin, `(Hypertensive Retinopathy)` tih hi i mit chhunga layer sensitive tak `(Retina)` , thisen sang avanga tihchhiat a ni. Ngaihtuah teh, kan mit hi camera ang mai a ni. He camera-a film ang hian `(Retina)` hi a che a ni. Mit chhunga êng a luh chuan hei hian lem a siam a, thluak lamah a thawn a ni. Chuvangin, kan hmuh that theih nan `(Retina)` hrisel hi a pawimawh hle.

Tunah chuan thisen sang, a nih loh leh thisen sang i neih hian eng nge thleng thin? Kan taksa thisen kalna kawng (doctor-te chuan ``Arteries'' an ti) kaltlangin thisen chu a tlangpui aia sangin a luang chhuak thin. Faucet atanga tui lo chhuak ang mai a ni a, chakna nasa tak nen. Thisen kalna kawngte chu rei tak pressure hnuaia dah a nih chuan a chhe tan thin. He chhiatna hian taksa pum puia thisen kalna kawng a nghawng thei a ni.

Chuvangin, hei hi `(Hypertensive Retinopathy)` ah hian a thleng thin. `(Retina)`-a thisen petu thisen kalna kawng nalh tak takte chu he pressure sang vang hian a chhe vek a ni. Tichuan `(Retina)` hian a mamawh oxygen leh nutrition a hmu lo. Hun a kal zel a, hei hian `(Retina)` hmun thenkhat a tichhe thei a, mit a tichhe thei a, a chang chuan mit a tidel thei bawk.

Hei hi vaukhânna a ni!

Mahse thawnthu hi chutiang chuan a tawp lo. Hypertensive Retinopathy hi mit chauh a ni lo. I taksa peng dangah thisen kal danah harsatna a awm tih hriattirna chak tak a ni. Ngaihtuah teh, thisen sang hian mit a nghawng mai lo va, a peng dang a theihnghilh mai mai lo. Taksa pum puia thisen kalna kawng a nghawng a ni. Hei hian a bik takin kan thinlung leh thluaka thisen petu vein te a nghawng thei a ni.

A châng chuan he chhiatna chhinchhiahna hi kum tam tak chhûng hmuh theih lohvin a awm thei bawk. Mahse mi thenkhat tan chuan hei hi thisen sangin an taksa a tichhe tih chhinchhiahna hmasa ber a ni. Dik tak chuan, hypertensive retinopathy vei te hian nakin lawkah cardiovascular disease , coronary artery disease leh stroke ang chi te hi an vei theihna a sang hle.

Kawngpuiah chuan eng sen hring ang mai a ni. 'Fimkhur la, slow la, fimkhur takin hma la rawh' tih signal a ni. Chuvangin, `(Hypertensive Retinopathy)` i vei tih hriatchhuah chu a hlauhawm thei hle. Mahse, i hriselna enkawl theihna hun remchang angin ngaihtuah rawh. Hemi chungchangah hian i mit specialist leh family doctor te nen inbia ang che. Thisen sang hian i hriselna a nghawng dan leh enkawlna hmanga enkawl dan tur dik tak hriatthiam a pawimawh.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Kum 40 chunglam puitling zingah thisen sang hi a awm fo avangin hypertensive retinopathy pawh hi an zingah a hluar hle. Zirchiangtute chuan he natna hian zunthlum vei lo puitling 4% leh 18.7% inkar a nghawng niin an chhut. Hnam hrang hrangah nghawng nei thei mah se, mipa hring leh Chinese hnam zingah chuan a hluar deuh hlek a ni.

`(Hypertensive Retinopathy)` natna lan chhuah dan chu engte nge ni?

Mi tam takin symptoms an nei lo. Hei hi thil hlauhawm ber a ni. Harsatna i nei tih i hriat loh chuan chhiatna nasa zawk a thlen thei a ni. Mahse, a natna a zual zel chuan a hma angin thil i hmu chiang thei lo mai thei. Hei hian mitdelna i nei thei tihna a ni.

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

Hypertensive retinopathy thlentu ber chu hun rei tak chhunga thisen sang a ni. I retina-a thisen kalna kawng nalh tak takte chhûnga pressure a san chuan, chu thisen kalna kawngte chu a pangngai aia rei zâwk chu a tight a, a inkharkhip a ni tih han ngaihtuah teh. Hei hi Doctor-te chuan vasospasm an ti a. Thisen kalna kawng lumen a zim chuan retina-a thisen kal zat chu a tlem hle. I kut hmanga in tur hrui i hrual ang mai a ni a, thisen kalna kawng chu a inzawm khawm ta a ni.

Hun a kal zel a, retina-a thisen kalna kawngte chu a thim zauh zauh a, a nghet chho zel bawk. Hei hian thisen kal a ti harsa zual a ni. Pressure a san zel chuan heng thisen kalna kawngte hi a chhe zual thei a, mitdelna ang chi harsatna lian tak tak a thlen thei a ni.

Hei hi eng risk factors nge awm?

Risk factor pawimawh ber chu hun rei tak chhunga thisen sang hi a ni. Chu bakah, risk factor dang engemaw zat a awm bawk:

• Cardiovascular disease nei tawh, a bik takin kawng chhunga thisen kalna kawng lian ber ber (carotid artery disease) tichhe thei dinhmun nei.
• Meizial zuk emaw, zuk leh hmuam hman emaw.
• Thisenah cholesterol level sang tak a awm.
• Obesity, chu chu thau lutuk tihna a ni.
• Thisen sugar level sang (prediabetes emaw hyperglycemia emaw).
• Bawlhhlawh, a tlangpuiin kal (kidney)-in a filter thin `(Creatinine),` level sang.
• I zun chhungah `(Albumin)` (protein chi khat) tlemte awm.

`(Hypertensive Retinopathy)` avanga harsatna awm thei te chu engte nge ni?

Hei hi uluk taka enkawl a nih loh chuan harsatna engemaw zat a awm thei a:

• Mit hmuhna a chhe zauh zauh a, mitdelna hial a thlen thei bawk.
• Retina a hring (swelling) hi macular edema an ti a.
• Retina leh optic nerve-a thisen supply tling lo.
• Retinal detachment chu retina leh a supporting tissue te inthenna a ni.

Tin, thisen sang, hypertensive retinopathy thlentu hian mit natna dang a vei theihna a tipung bawk. Entir nan:

• Retinal artery occlusion chu retina-a thisen pe chhuaktu thisen kalna kawngkhar a block a ni.
• Retinal vein occlusion chu retina atanga thisen chhuahna vein blockage a ni.
• Diabetes kaihhnawih retinopathy (zunthlum avanga mit tichhe thei) chu a na zual zel a.

Engtin nge `(Hypertensive Retinopathy)` hriat theih ang?

Mit lam doctor te hian he natna hi an hmuchhuak thin. Chutiang ti tur chuan a hnuaia mite hi an ti thin:

• I medical history (a bik takin thisen sang i neih leh neih loh leh eng chen nge i neih tawh tih te) zir rawh .
• Mit enfiahna kimchang tak neih a ni.
• I retina thlalak te chu lak a ni. Chumi atan chuan scanning technique bik Optical Coherence Tomography (OCT) te hman a ni.

Doctor hian eng symptom nge a hmuh?

`(Hypertensive Retinopathy)` symptoms hi nangmah chauhin i hmu thei lo mai thei. Mahse mit lam doctor chuan hengte hi exam laiin a zawng ang. `(Retina)` a symptom hmuh theih thenkhat chu:

• Thisen kalna kawng te tak te (Arterioles) te a tawi.
• Chung `(Arterioles)` bang chu a thim ta hle mai.
• Var, chhum ang chi (Cotton wool spots).
• Microaneurysms (hengte hi thisen kalna kawng te tak te, dilated te) te, red dots te tak te ang maia lang te an ni.
• Hard exudates chu thisen kalna kawng chhia atanga thau leh protein leak atanga siam yellow spot a ni.
• Mit nerve lu a hring (Papilledema).

Symptom thenkhat, ``(Papilledema),'' ang chi te hi natna a nasat deuh deuh chauhvin a lang chhuak thin.

`(Hypertensive Retinopathy)` hi eng stage nge ni?

Doctor-te chuan natna a nasat dan sawina atan "stages" emaw "grades" tih thumal an hmang thin. Hypertensive retinopathy hi a nasat dan a zirin grade li (Grade 1 atanga Grade 4)-ah then a ni tlangpui. Grade 1-ah hian a lan chhuah dan bulpui ber, arterioles a narrowing te hi a langsar ber a ni. Grade 4-ah hian retina a tichhia nasa hle.

Classification dang chuan stage thum ah a then a, chungte chu Mild, Moderate, leh Malignant (hei hi stage na ber a ni). I mit a enfiah hnuah i doctor chuan i dinhmun chu eng stage-ah nge a awm tih leh a nghawng dan tur a hrilhfiah ang che.

Hei hi engtin nge kan enkawl ang?

Enkawlna tum ber chu i thisen sang tihhniam hi a ni.Hei hian nunphung thlak danglam leh/ emaw damdawi ei a huam tlangpui. I doctor chuan i tana tha tur treatment plan a siam ang.

Nunphung inthlak danglamna chungchang sawi ila:

• I tan taksa rihna hrisel tak vawn reng.
• Lung hrisel ei leh in zawm a pawimawh hle a, a bik takin chi ei tlem hi a pawimawh hle.
• Exercise tih fo thin ang che . Kar khatah minute 150 tal exercise nasa tak, kea kal ang chi, tih tum ang che.
• Zu in tur tihtlem.

I thisen sang tan damdawi i mamawh a nih chuan i doctor chuan eng damdawi chi nge i mamawh tih leh engzat nge i ei tur tih a hrilh ang che. Damdawi pek ang chiah leh a hun taka ei a pawimawh hle. Doctor nen inbia lovin i damdawi ei kha bansan ngai suh.

Hypertensive Retinopathy hi tihdam theih a ni em?

Ni e, i ti thei! I thisen sang tihhniamna tur damdawi ei hian i retina a tidam thei a ni. Research atanga a lan dan chuan hypertensive retinopathy symptom thenkhat chu enkawl a nih chuan hun kal zelah a tha thei hle. Mahse, chutiang chu a thleng ngai lo va, i dinhmun nasat danah a innghat a ni. Enkawlna i tan hma chuan, natna a na zual hma chuan i mit (retina) chhiatna chu tihdanglam theihna chance i nei tha zawk.

Chuvangin i thisen sang leh hriselna zawng zawng enkawl dan tur doctor te nen thawhhona tha tak neih a pawimawh hle.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei theih ang?

I prognosis hi thil tam takah a innghat a, i dinhmun nasat dan leh enkawlna i zawn thuai dan te pawh a tel. Mi thenkhat chuan mitdelna an nei lo tak zet a, hypertensive retinopathy symptoms te chu pressure tihhniam a nih chuan a bo vek thin. Mi dangte chuan mitdel emaw, harsatna dang emaw, enkawl belh ngai emaw an nei thei bawk.

I mit lam doctor leh chhungkaw doctor te chuan i mimal dinhmun a zirin i beisei tur chu an hrilh thei che a ni.

Hypertensive Retinopathy leh Lung natna hlauhawmna

Kan sawi tawh ang khan `(Hypertensive Retinopathy)` hi i taksa peng dangah thisen kal danah harsatna a awm tih hriattirna a ni. Heng harsatnate hi a awm tawh mai thei, a nih loh leh nakin lawkah a lo awm thei bawk. `(Hypertensive Retinopathy)` vei te hian rilru lam natna chi hrang hrang an vei theihna a sang hle. Chung zingah chuan i thinlung lama harsatna leh thluaka thisen petu thisen kalna kawng (Carotid arteries)-a thisen kal harsatna te a tel.

Chuvangin, i doctor chuan i thinlung emaw, i carotid arteries emaw hriselna enfiah turin test thenkhat tih a rel mai thei. A chhan chu i retina hian thisen a hmu tlem a nih chuan i thluak pawhin thisen a dawng tlem hle mai thei.

Heng natna te hi i vei theihna tur tihtlem nan i doctor nen thawhhona tha tak neih a pawimawh hle. Hei hian nunphung tihdanglam te, damdawi ei te, leh enkawlna dangte pawh a huam thei a ni. Damdawi lam dinhmun awmsa enkawl dan tur leh stroke ang chi harsatna lian tham i neih theihna tur tihtlem nan damdawi thenkhat i ei a ngai thei bawk.

Hypertensive Retinopathy hi ven theih a ni em?

Ni e, he dinhmun hi eng emaw chen chu i pui thei ang:

• Kum tin medical checkup nei turin kal thin ang che. I doctor chuan i thisen sang a teh ang a, a result a hrilh ang che. Thisen sang i nei tih hriat hi a tihhniamna hmasa ber a ni.
• Thisen sang enkawl. I thisen sang a san chuan i doctor chuan hrisel level-a tihhniam dan tur a sawipui ang che. Entirnan, nunphung thlak danglam (thinlung hrisel ei ang chi) emaw, exercise neih fo emaw an rawt thei a ni. Damdawi an pe thei bawk.

Engtin nge ka in enkawl ang?

I tih theih pawimawh ber chu i thisen sang enkawl dan tur doctor thupek zawm hi a ni. Hei hian i damdawi ei tur a tih ang anga ei a huam a ni. I enkawlna ruahmanna emaw, i zawm theih dan emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neihpui rawh.

Engtikah nge damdawi lam thurawn ka lak ang?

Kum tin medical checkup nei turin kal thin ang che. I doctor chuan i vital signs , i thisen sang pawh a enfiah ang. Hetiang ang checkup neih fo hian harsatna a nasat hmain a hmain a hriat theih nan a pui thei che a ni.

Mit enfiahna atan pawh mit specialist i pan fo tur a ni. Kum 40 chunglam puitling tam zawk chuan kum khat emaw kum hnih emaw chhungin mit enfiahna kimchang an nei tur a ni. I mit specialist chuan i mit hriselna, i kum leh thil dang a zirin engzat nge i tlawh tur tih a hrilh ang che.

Engtikah nge emergency room-ah ka kal ang?

Hypertensive crisis symptoms i neih chuan 911 emaw i local emergency number emaw ah call nghal rawh. Hei hi vaukhânna tel lova thisen sang a sanna dinhmun a ni. A lan chhuah dan chu:

• Thisen sang 180/120 mmHg aia sang a ni.
• A rilru a na.
• Thâwk harsa.
• Numbness a awm.
• Mit hmuhna lama inthlak danglamna.
• Thusawi harsa.

Hypertensive Retinopathy i vei tih hriat chu thil mak tak a ni thei. I thisen sang a sang tih i hria a, mahse i mit a nghawng tih i hre lo. A nih loh leh i thisen sang chu a pangngai lo tih i hre lo pawh a ni thei. Mahse, tunah hian i diagnosis chungchang leh i tana a awmzia hriat belh hun a ni. I mit lam doctor leh chhungkaw doctor te nen thawk ho la, i mamawh enkawlna i hmu ang. In thawhhona chuan kum tam tak chhung chu in mit hmuhna leh hriselna pum pui chu in humhim thei ang.

Take-Home Thuchah a ni

• Hypertensive Retinopathy hi thisen sang vanga mit retina tihchhiatna a ni.
• Vawi tam tak chu a tir lamah hian symptom a awm lo va, chuvangin i mit enfiah fo a pawimawh.
• Hetiang dinhmun hi taksa peng dang, thinlung leh thluak-a thisen kalna kawng hrang hranga harsatna awmte vaukhânna chhinchhiahna a ni thei bawk.
• Enkawlna ber chu thisen sang control a ni a, chu chu nunphung thlak danglam leh a tul chuan damdawi ei a ni.
• A hmaa hmuhchhuah leh enkawl a nih chuan mit chhiatna chu a tlem thei a, a dam vek pawh a ni mai thei.
• I doctor te nen inbia la, an thupek dik tak zawm rawh.

Hlauthawng suh, hriattir la, a tul angin hma la rawh. I hriselna chu i kutah a awm!

` Thisen sang, mit, mit, mit natna, mit natna, lung natna, stroke, mit natna, pressure, Hypertensive Retinopathy