I thluaka thisen kal a reh chuan eng nge thleng ang? (Ischemic Stroke) A chungchang hi i zir belh leh ang u.

Aw, i thluaka thisen kal chu a tawp nghal a nih chuan eng nge thleng ang tih han ngaihtuah teh? Dinhmun hlauhawm tak a ni. Hei hi ischemic stroke kan ti a . Hei hi medical emergency a ni a, nunna atana hlauhawm thei a ni. Hetiang dinhmun hian thluak cell te chu a thi a, chutiang a nih chuan chu cell-te thunun taksa hnathawh chu a bo thei a ni. Khawvela stroke zawng zawng zinga 80% vel chu Ischemic Stroke a ni. Chuvang chuan nang leh i hmangaih ten he thu hi hriat a pawimawh hle a ni.

Chuti a nih chuan, ``Ischemic Stroke'' symptoms chu engte nge ni?

Ischemic stroke symptoms hi thluak a nghawng dan azirin a danglam thei. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Hmai emaw taksa emaw sir khatah rilru hah emaw, ke ruh tliak emaw tih hriatna .
• Thusawi harsa, emaw, thusawi hloh vek (Aphasia) .
• Thusawi chu a slurred a, thumal pawh a ri dik thei lo (Dysarthria) .
• Hmai sir khata taksa ruh (muscles) control theih lohna.
• I rim hriatna, i ei thiamna, i khawih theihna, i hriatna hriatna hloh emaw, tihchhiat emaw chu a pawi lo.
• Mit hmuh fiah lo emaw, mit pahnih emaw (Diplopia) .
• Taksa inrem lohna, thil man thiam lohna, leh tlu (Ataxia) .
• Lung a na hle tih a hriat.
• Nausea leh luak chhuak.
• A kawr khauh tak.
• Mood emaw, mize emaw inthlak danglam nghal.
• Buaina leh rilru hahdam lo taka inhriatna.
• Seizure neih a ni.
• Amnesia chu hriatrengna hloh hi a ni.
• Lu na tak, na tak a ni.
• Hriat lohna hloh a, tlu tur.
• Coma-ah a tlu lut.

Warning signs - BE FAST tih hre reng ang che!

``Ischemic Stroke'' hian symptom hrang hrang a nei thei. Hetiang thil hi nangmah emaw, i hriat mi emaw chungah a thleng em tih hriat nân, heng thute hi hre reng ang che BE FAST .

• B - Balance: I balance i hloh nghal em tih en rawh .
• E - Mit: Mit pakhat emaw, mit pahnih emawa mit hmuhna hloh nghal, emaw, mit hmuhna inthlak danglamna emaw zawng rawh.
• F - Hmel: Nui la, hmai sir khat a tla em tih en rawh .
• A - Arms: Kut pahnih chu han chawi sang rawh. Kut pakhat chu a tlahniam lo emaw, a chak lo ang tih emaw en rawh.
• 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 dil nghal rawh (Sri Lanka-ah chuan 1990 call rawh)A theih chuan i natna lan chhuah tirh hun chu watch emaw phone record emaw-ah dah la. Tun ṭumah hian i doctor hrilh chuan i tana enkawlna ṭha ber thlang turin a pui ang.

Second tin hi a chhiar tel vek! Stroke i rinhlelh chuan tihkhawtlai lovin damdawi in pan nghal mai tur a ni.

Eng thilin nge ``Ischemic Stroke'' a thlen?

A awlsam zawngin sawi ila, ``Ischemic Stroke'' hi thil pakhatin i thluaka thisen kal a tihkhawtlai hian a thleng thin. Doctor-te chuan hei hi ``Ischemia'' an ti a, ``Ischemia'' tih awmzia chu cell te hi thisen an hmuh tlem avangin an thi tihna a ni. Chutiang chu thluaka a thlen chuan ``Ischemic Stroke'' a lo awm thin. A tam zawkah chuan a chhan ber chu thisen zam vang a ni.

Hetiang hian hriselna dinhmun hrang hrang avangin thisen zam (blood clots) a lo awm thei a ni. Entirna thenkhat chu:

• Atherosclerosis chu thisen kalna kawng a zim a, a khauh a, thisen kal a tikhawlo a ni. Tui pipe-a bawlhhlawh a tlakbuak ang mai a ni.
• Thisen zam (blood clotting disorder) a awm.
• Atrial fibrillation hi natna a ni a, chu chu thinlung thawk mumal lo tak a ni.
• Thinlung chhiatna pianpui, thinlunga khur (Atrial septal defects emaw Ventricular septal defects) ang chi.
• ``Microvascular ischemic disease`` an tih hian thluaka thisen kalna kawng te te a tikhawlo thei a ni.

`(Ischemic Stroke)` hi eng chi nge ni?

``Ischemic Stroke'' hi chi hnih a awm a:

1. Thrombotic strokes: Hei hi thluak chhunga thisen zam a lo awm hian a ni . Doctor-te chuan he process hi thrombosis an ti a.

2. Embolic strokes: Hei hi taksa hmun danga thisen zam (embolism) lo awm (a tam zawk chu thinlungah) thisen kalna kawng hrang hrang kal tlanga thluaka thisen kalna kawng (artery)-a a lo awm hian a thleng thin.

Tin, `(Transient Ischemic Attack - TIA)` an tih "mini stroke" chungchang pawh i zir ve ang u

`(Transient Ischemic Attack)` emaw `(TIA)` emaw hi stroke ang a ni a, mahse a natna lan chhuah dan chu hun rei lote hnuah (a tlangpuiin darkar 24 chhungin) a bo thin . ``Mini-stroke`` an ti bawk. Mahse, a te avangin thlah suh. `(TIA)` hi stroke lian zawk, a awm reng hmaa vaukhânna chhinchhiahna chak tak a ni fo . `(TIA)` nei tawh tan chuan emergency medical treatment a rang thei ang bera zawn a pawimawh hle.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Tu pawhin ``Ischemic Stroke'' an nei thei. Mahse mi thenkhat chu risk sang zawk an ni. Anni chu:

• Kum 65 chunglamte.
• African hnam chhuak (hei hi Sri Lanka nen hian a inzawm vak lo a, mahse hriat a tha).
• Mi zuk emaw, zuk leh hmuam emaw nicotine chi dang (vaping ang chi) hmang emaw.
• Dan loa ruihhlo hmangtute.

Tin, hriselna lama harsatna thenkhat nei te chu an hlauhawm zawk bawk:

• Thisen sang (Hypertension) nei tan .
• Thisen cholesterol sang nei tan (Hyperlipidemia) .
• Zu ruihhlo ngawlvei (`Zu hmansualna`) tan.
• Type 2 Diabetes vei tan chuan .
• Tun hmaa COVID-19 vei tawhte pawh hi eng emaw chen chu hlauhawmah an awm tih zirchianna a awm.

Engtin nge doctor-te hian hei hi an hriat chian?

Doctor chuan ``Neurological exam`` leh test dang engemaw zat i neih hnuah chauh ``Ischemic Stroke`` i neih chuan chiang takin a hrilh ang che. Emergency room-a hruai i nih chuan chuta doctor-te chuan hei hi an hmuchhuak thei a ni.

``Ischemic Stroke`` i neih leh neih loh finfiah nan test engemaw zat i tih theih a awm a:

• `(CT scan)` (CT scan): Hei hian thluak thlalak a la a.
• Electrocardiogram (EKG): Thinlung electric hnathawh dan enfiah a ni.
• `(MRI)` (MRI): Hei hian thluak thlalak chipchiar takin a la thei bawk.
• Electroencephalogram (EEG): Thluak electrical wave pattern hi enfiah a ni.
• Thisen test: Thisen zam harsatna leh sugar level ang chi thil te enfiah thin ang che.

Hei hi eng enkawl dan nge ni ang?

``Ischemic stroke'' enkawlna atana pawimawh ber chu a rang thei ang bera thluaka thisen kal lehna tur a ni . Doctor-te chuan thluak chhiatna leh thihna awm reng tur tihziaawmna turin hetiang hian an ti vat thin.

Enkawl dan rang tak tak

Enkawlna pahnih hman fo thin chu:

1. Thrombolytic therapy: Hengte hi thisen tithianghlimtu damdawi an ni. Doctor te chuan hengte hi stroke atanga darkar li leh a chanve chhunga a lan chhuah tan chauhvin an pe thin . Hei hi a chhan chu chhungril lama thisen chhuah hlauhawm tak an tihpun theih vang a ni.

2. Thrombectomy: Hei hi surgery tih a ni. Surgeon chuan i taksa hmun dangah (a tlangpuiin i groin-ah) vein pakhatah tube te tak te, te tak te (catheter) a dah lut a, i thluaka thisen zam awmna hmunah a kaihruai a ni. Chumi hnuah chuan clot chu an suck out (`vacuum' ang chi) emaw, a then phel a, an paih chhuak emaw a ni.

Enkawlna dang

Enkawlna dang i mamawh mai thei a, chungte chu:

• Thisen tithianghlimtu: Hengte hi anticoagulant an ti a. Heng damdawi te hian i thisen chu awlsam taka a inzawm loh nan a veng a ni. Doctor-te chuan thisen tithianghlimtu i ei hnuah heng damdawi te hi an pe thei che a ni.
• Oxygen therapy: Stroke lai hian thluak hian oxygen a hmu tlem hle. Chuvangin doctor-te chuan i hnar kal tlanga oxygen extra pe thei tur device an pe thei che a ni. Hei hian thawk a ti awlsam a, thluaka oxygen a awm leh theih nan a pui bawk.
• Thisen sugar enkawl dan: 1.1.Doctor-te chuan i thluak a dam leh theih nan i thisen glucose level an enfiah fo thin.
• Mild intentional hypothermia: A châng chuan doctor-te chuan him takin i taksa lumna chu tlem a tihniam thei a. Hei hian stroke lai leh stroke hnua thluak chhiatna a tihziaawm thei a ni. Mahse, hei hi tih fo a ni lo va, thil bik bikah chauh tih a ni.

Stroke rehab pawh hi kan fimkhur tur em ni?

Stroke hnuah stroke rehab hi a pawimawh hle. Nun hmachhawn leh turin chakna nasa tak a pe che a ni. Stroke avanga i thluak leh taksaa inthlak danglamna thleng tawhte chu i insiamrem theih nan a pui thin. I theihna hmasa kha i neih leh a ngai mai thei a, a nih loh leh rualbanlo tharte nena nun danah i insiamrem a ngai mai thei. Hei hi therapist hrang hrangte puihnain tih theih a ni:

• Speech therapy: Hei hian thusawi thiamna, tawng thiamna leh taksa ruh controlna tichaktu a ni a, chu chuan thusawi, thawk, ei leh ei leh in tur a pui a ni.
• Physical therapy: Hei hian taksa ruh a tichak a, balance a ti tha a, kut leh ke hman tangkai leh theih nan a pui bawk.
• Occupational therapy: Hei hian nitin hnathawh tur, a bik takin hna tha taka thawh ngai (e.g., kawr button vuah, ziak) te chu him takin a thawk thei a ni.
• Cognitive therapy: Hei hian rilru lama thiamna, hriatrengna, ngaihvenna, leh harsatna chinfel thiamna te a tichak a ni.

Engtin nge he `(Ischemic Stroke)` lakah hian kan inven theih ang?

Hriselna pum pui tha neih hi ischemic stroke neih theihna tur a ni. Hengte hi tih tum ang che:

• I thisen sang, cholesterol level , leh hriselna lama harsatna i neih zawng zawng (zunthlum ang chi) te chu uluk takin thunun rawh.
• Ei leh in tha tak (Mediterranean diet ang chi, thlai, thei, legumes, leh whole grains tamna) ei la, i taksa rihna hrisel tak, i duh ang ang vawng reng rawh.
• Meizial zu kha bansan vek la , cigarette meikhu i thawhna hmun atang hian hla takah awm rawh.
• Exercise neih fo thin ang che. Ni khata minute 30 vel kal ang chi thil awlsam tak pawh hi a tha hle.
• Zu in hi tihtlem emaw tihtawp vek emaw .

Kum khatah vawi khat tal (a nih loh leh i doctor-in a rawt angin) doctor hmu la, checkup neihpui rawh. Ischemic stroke thlen thei dinhmun tam tak chu hun kal zelah a lo awm thei a, i hriat loh pawhin a na zual thei bawk. Thisen sang leh cholesterol sang nei tam tak chuan symptom an nei lo. I doctor chuan heng vaukhânna chhinchhiahnate hi a hmain a hriat theih nân a ṭanpui thei che a, a enkawl thei che a, a hnua stroke i neih theihna pawh a tihtlem thei bawk.

Dam leh theihna tur chu eng nge ni?

Mi zawng zawng tana tha tur recovery rate sawi a harsa hle. `(Ischemic Stroke)` hian thihna a thlen thei a, chak lohna nghet tak a thlen thei bawk. Mahse mi zawng zawng hian dam leh hun leh beisei dan inang an nei vek lo. Enkawlna an dawn hma chuan dam theihna chance a sang zawk.

Ischemic stroke hian hemorrhagic stroke aiin outcome tha zawk a nei tlangpui. Mahse chu chuan i dam lehna chu a awlsam zawk ang a, a rang zawk ang a, a tha zawk ang tihna erawh a ni lo.

Eng chen nge a dam theih ang?

Mi tin taksa hian stroke a awm chuan a chhan dan a inang lo. I beisei theih tur (`prognosis`) hi thil engemaw zatah a innghat a ni:

• Eng ang chi ``Ischemic Stroke'' nge i neih?
• I thluak hmun engte nge a nghawng?
• Engtiang chiahin nge enkawlna i dawng thuai.
• I hriselna zawng zawng.

Mi tam zawk chu thla engemaw zat chhungin stroke atanga an dam leh thin. Damna tam zawk hi stroke hnu thla thum atanga thla ruk chhungin a thleng thin. Mahse, a symptom leh side effect te hi kum khat emaw a aia rei emaw chhung a awm thei. Stroke hian permanent disability a thlen thei bawk a, i taksa hman dan pawh a tidanglam thei bawk.

I doctor chuan i beisei tur a hrilh ang che. I hriselna leh dinhmun nena inmil tur dam lehna tum leh beisei tur siam turin a pui ang che.

Stroke hnuah engtin nge ka in enkawl ang?

Stroke hnua dam leh hahdam hi hna tam tak a ni. I inpekna leh i chhungte thlawpna hi a pawimawh hle. I doctor nen in enkawl dan tur ruahmanna in siam zawh chuan a theih ang anga ngun takin zawm rawh.

• I damdawi ei tur dik tak leh a hun takah ei la, a bik takin thisen tithianghlimtu i ei a nih chuan. Hei hi nakin lawka thisen zam a awm theihna tur tihtlem nan a pawimawh a, doctor-in a sawi angin i damdawi ei hian i taksa a tidam thei bawk ang.
• I rehab leh treatment appointment dang ah te kal ngei ngei tur a ni. Eng thil pawhin i rilru a hahdam lo emaw, a him lo emaw a nih chuan i therapist te hrilh rawh. Rehabilitation hi hna hahthlak tak a ni a, mahse hrehawm leh lungawi lohna reng reng i neih a ngai lo.
• I rilru hriselna pawh ngaihtuah teh. Stroke hnua lungngaihna leh lungkhamna hi a awm fo thin. Lungngaihna, lungngaihna, thinrimna tih hian i chak lo emaw, i chak lo emaw tihna a ni lo. Chutiang rilru put hmang chu thil pangngai a ni. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. I dam leh hunah thil engemaw chungchanga thutlukna siam i harsat chuan i doctor emaw, rilru lam hriselna chungchanga counselor emaw nen inbiakna neihpui rawh . Ṭanpuina lian tak a ni thei.

Eng ei leh in nge ka paih chhuah tur ?

I doctor chuan i ei leh inah ei tur thenkhat dah belh emaw, paih emaw turin a hrilh thei che a ni. I hriselna dinhmun enkawlna atana pui turin nitin nunphungah inthlak danglamna tenau te siam turin a hrilh thei bawk che a, a nih loh leh ischemic stroke hnua thisen zam dang i neih theihna tur tihtlem nan emaw a hrilh thei bawk che a ni.

Ei leh in tur tihbo emaw tihtlem emaw tura fuih tlangpui chu:

• Chaw chi (sodium) tamna ei tur. (pickles, sangha hring, sauce, ei tur packaged)
• Sugar tamna ei tur (sweetened drinks, cake, biscuit, toffee) .
• Chaw siam thatna ( sausage, ham, meatballs ang chi) .
• Chaw hmin leh trans fats awmna ei tur (French fries, margarine chi thenkhat) .
• Zu.
• Caffeine ei tam lutuk (ni khatah tea leh coffee cup tlemte chauh ei hi a tha ber) .

Engtikah nge emergency care-ah ka kal leh a ngai ang?

Stroke dang i nei leh ang tih i hriat chuan ( BE FAST -a tarlan angin) 911 (emergency ambulance service) call nghal la, a nih loh leh emergency room hnai ber pan rawh. Stroke dang i neih chuan harsatna lian tham leh thihna thlen theihna a sang zawk. Ṭanpuina dil emaw, emergency room-a kal emaw chu tikhawtlai suh.

Ischemic stroke nei tawh chuan harsatna lian zawk a neih theihna a sang zawk. Entir nan:

• Pneumonia natna (Pneumonia) a ni
• Ke ruh thuk takah thisen a chhuak (Deep Vein Thrombosis - DVT) .
• Pulmonary Embolism natna a awm
• Lung natna
• Seizures a awm thin

Heng harsatna (e.g., thawk harsa, rilru na, ke hring) i neih chuan emergency services i call emaw, emergency room-ah emaw i kal nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh theihnghilh suh:

• Eng thilin nge stroke ka neih chhan?
• Stroke dang ka neih leh theihna tur tihziaawmna tur thil tha ber berte chu engte nge ni?
• Hei hian hun rei tak chhung ka chungah nghawng a nei dawn em ni?
• Eng chen nge rehabilitation (`Stroke rehab`) ka mamawh ang?
• Ka nitin nunah eng inthlak danglamna nge ka tih ngai (ei leh in, exercise, workout)?

A tawp berah chuan thil hriat reng tur

Stroke hi thil hlauhawm tak, nun tidanglam thei a ni thei. Ischemic stroke venna tha ber chu stroke vaukhânna chhinchhiahnate hriatchhuah a, a thlen hmain i risk factors te control hi a ni. Kum khatah vawi khat tal doctor hmu la, stroke vei theihna tipung thei (thisen sang, zunthlum, cholesterol ang chi) eng pawh control turin tanpuina dawng rawh.

Stroke i neih chuan i khawvel pum pui a danglam tawh ang maiin a lang thei. Mahse nang chu nangmah i la ni reng tho. Recovery leh rehabilitation hi hna hahthlak tak a ni a, zinkawng thui tak a ni thei bawk. Ni thenkhat chu a dang aiin a harsa zawk mai thei. Mahse hnehna tenau i neih te, milestone i thlen te lawmna chu theihnghilh suh. Nangmah chauh i ni lo va, i tanpui tur chhungte, ṭhiante, doctor leh therapist i nei bawk.

` Stroke, ischemic stroke, thluaka thisen zam, symptoms, BE FAST, stroke enkawlna, stroke venna