I thisen sang number sang ber chauh a sang em? Chu chu Isolated Systolic Hypertension a ni em?

I thisen sang endik a, a chunglam number chauh a sang a, a hnuai lam number erawh chu a pangngai a ni tawh em? Chu chu doctor pakhatin a hrilh che pawh a ni mai thei. Hei hi Isolated Systolic Hypertension kan tih chu a ni. Hemi chungchang hi mi tam takin an hre vak lo. Chuvangin, vawiinah hian chipchiar zawkin i sawi dawn nia.

Isolated Systolic Hypertension tih hi eng nge ni?

A awlsam zawngin, hei hi i thisen sang number sang ber, systolic number , chu a recommended level aia a san lai a ni. A hnuai lam number, diastolic number chu a pangngai emaw a hniam emaw pawh a ni thei. A dik tak chuan hei hi systolic number chu mercury millimeter 130 (mmHg) aia tam a nih laiin diastolic number chu mercury millimeter 90 aia hniam a nih chuan a ni. A tlangpuiin mi hrisel tak thisen sang hi 120/80 mmHg aia hniam a ni. Systolic pressure tih awmzia i hria em? Kan thinlung a thawk a, taksa pum puiah thisen a pump chhuah hian chu thisen chuan kan thisen kalna kawng bangte chu pressure a siam a ni. Diastolic pressure tih hian thinlung hi a relax deuh a, chu chu thisen a pump loh lai a thisen kalna kawng a resistance a kawk a ni.

Hei hi engtiang chiahin nge a hluar? Kum upat rualin a pung zel em?

Hetiang dinhmun hi a takah chuan a awm fo thin a, a bik takin kan tar chhoh zel chuan. Statistics atanga a lan dan chuan kum 60 chunglam zinga 15% vel chuan Isolated Systolic Hypertension an nei a ni. Dik tak chuan hei hi kum 70 chunglam zingah hypertension chi khat a ni ber a, chuvangin kum upat rualin he hlauhawmna hi a pung tih a chiang a ni lawm ni?

Isolated Systolic Hypertension hi a hlauhawm em?

Ni e, uluk taka enkawl loh chuan a hlauhawm thei hle. Enkawl loh chuan thisen sang chi dang ang bawkin i taksa peng hrang hrang a tichhe thei a ni. Ngaihtuah teh, rilru lam natna (i.e. thinlung natna, thluaka thisen kalna leh taksa pum puia thisen kalna kawng lian tak tak), thihna, leh kal (kidney failure) ang chi natna khirh tak tak thleng thei tur risk factor a ni. Chuvangin hei hi thil awlsam tak a ni lo.

Hei hi emergency a ni em?

Isolated Systolic Hypertension hi a tlangpuiin emergency a ni lo. Mahse, i systolic reading chu 180 mmHg aia sangin a sang nghal a nih chuan emergency a ni. Hei hi ‘Hypertensive crisis’ kan ti a. Hetiang a nih chuan damdawi lam pan vat tur a ni.

Hei hi eng symptoms nge ni?

Thisen sang chi dang ang bawkin hei hian a tir lamah chuan symptom lian tak a nei lo.Mi tam tak chuan he natna hi an nei tih pawh an hre lo. Chuvang chuan thisen sang enfiah fo a pawimawh. Mahse rei tak enkawl loha a awm a, i taksa peng hrang hrang a tihchhiat tan chuan symptom thenkhat a lo lang thin. Anni chu:

• A rilru a na.
• Thâwk hahna .
• Lu na fo thin .
• Vision chiang lo zawk .

Hetiang symptoms i neih chuan doctor pan ngei ngei tur a ni.

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

A chhan ber chu kan tar chhoh zel hian kan thisen kalna kawng (arteries)-ah inthlak danglamna a awm thin vang a ni.

Tar leh artery inthlak danglamna

Kan tar chhoh zel chuan kan thisen kalna kawngte chu a nghet zual a, a inthlak danglam thei lo bawk. Kan naupan lai angin an stretch leh contract awlsam lo. Chutiang a nih chuan thinlungin thisen a pump chhuah avanga pressure siam, systolic pressure an tih chu a sang chho zel a ni. Chutih rual chuan arteries te hian an elasticity an hloh a, chuvang chuan diastolic pressure pawh a tlahniam ta a ni. Rubber tube hlui tak, a khauh deuh a, mahse a inzawm awlsam lo ang mai a ni.

Damdawi lam thil dang

A chhan dang chu atherosclerosis an tih natna a ni. Hei hi thisen kalna kawng chhungah calcium leh collagen ang chi thil a awm a, chu chuan thisen kalna kawng a khauh leh a tawi zawk thin a ni. Hetianga arteries-a elasticity hloh hian isolated systolic hypertension a thlen thei a ni.

Risk factors te chu engte nge ni?

Hetiang dinhmunah hian hlauhawmna belhchhahtu thil engemaw zat a awm. Anni chu:

• Thisenah cholesterol level sang tak a awm.
• Zunthlum vei te .
• Thutthleng nun, exercise engmah nei lo. Nilengin hmun khata thawk mi pakhat han mitthla teh.
• Body mass index (BMI) 30 aia tam ( thau lutuk ).
• Zuk leh hmuam thil (cigarette, beedis ang chi) hman.
• Processed foods leh chi leh oil tamna ei tur, fried rice, sausage, leh packaged foods ei fo .

Ṭhalaite pawhin hei hi an nei thei ang em?

Hei hi kum upa lam zingah a tam zawk viau nachungin, thalai kum 40 hnuai lam zingah pawh a thleng thei bawk.Tunah chuan he natna, Isolated Systolic Hypertension hi a hluar chho zel tih hmuhchhuah a ni ta. Mak a ti lo maw? Kum naupan lai atanga he natna vei tam zawk chuan:

• Body mass index (BMI) chu 30 (chu chu thau lutuk tihna a ni) aia tam a ni.
• A tam zawk chu mipa an ni.
• Zuk leh hmuam hmanga siam.
• Health insurance nei lo pawh i hmu thei bawk.

Enkawl loh chuan eng harsatna nge awm thei?

Kan sawi tawh ang khan hei hi uluk taka enkawl a nih loh chuan, chu chu enkawl a nih loh chuan harsatna hlauhawm tak tak a thleng thei a ni. Chungte chu:

• Lung lam chak lohna
• Lung natna
• Thai
• Kidney natna rei tak awm thei
• Peripheral artery disease - Hei hi taksa peng hrang hranga thisen petu thisen kalna kawng (arteries) a zim lutuk hi a ni.
• Aneurysm - Hei hi thisen kalna kawng a chak lo va, balloon ang maia a bulh chuan a ni.

Engtin nge hei hi i hriat chian?

He natna hi i hriat hmain i doctor chuan i chhungkaw chanchin, i ei leh in, i activity level leh i damdawi lam harsatna dang i neih dan te a zawt ang che. Natna dang ang bawkin, a hmaa hriatchhuah hi a enkawl dan tha ber a ni.

Eng ang test nge tih thin?

Doctor-in Isolated Systolic Hypertension a hriat chian hmain vawi hnih emaw vawi thum emaw i thisen sang an enfiah ang. Vawikhat chauh an check a, an ti mai dawn lo. Chu bâkah, rilru lam natna vei theihna tûr hlauhawmna i neih dân hriat nân test dang engemaw zât an ti thei bawk. Entir nan:

• ECG (Electrocardiogram - EKG) hmanga enfiah a ni. Hei hian thinlung electrical activity a check thin.
• Thisen test a ni. A bik takin, cholesterol level enfiahna tur lipid panel.

Hetiang dinhmunah hian ka awm a nih chuan eng nge ka tih ang?

I doctor chuan Isolated Systolic Hypertension i nei tih a hrilh che a nih chuan a pawimawh ber chu an thupek dik taka zawm hi a ni. Hlauthawng suh. A tam zawkah chuan i nitin nunphungah inthlak danglamna engemaw zat siam turin an hrilh ang che a, damdawi ei tan pawh a ni mai thei.

Engtin nge enkawl a nih?

Hei hi i enkawl hian i doctor chuan nunphung thlak danglam turin a hrilh thei che a, a tul chuan damdawi (antihypertensives) ei tan tir che a ni thei bawk.

Nunphung a inthlak danglam thin

Hengte hi i tih theih pawimawh ber berte chu an ni:

• Chaw ei tur chi (salt) dah tlem. Ni khatah chi gram 1.5 aia tam ei loh a tha.
• DASH diet zawm a ni.Hei hi special diet plan a ni a, thisen sang control nan a pui hle.
• Thlai leh thlai thar ei tam.
• Dairy foods thau tamna (e.g. cheese, butter) tihtlem.
• Saturated fats awmna ei tur (e.g. sa sen, thau nei ei tur) tihtlem.
• Thau tihtlem (thau lutuk a nih chuan).
• Exercise tam zawk neih. Ni khatah minute 30 tal kea kal ang chi thil.
• Zu i in chuan khap tlat ang che.
• Stress enkawl dan. A châng chuan meditation emaw yoga emaw hian a ṭanpui thei a ni.
• Chaw ei atanga potassium tam zawk hmuh tum (e.g. banana, orange, spinach) .
• Zuk leh hmuam thil siamte tihtawp vek.

Hêng inthlâk danglamna tê tête hian i nun pum puiah nghawng lian tak a neih theih dân chu han ngaihtuah teh!

Damdawi chi hrang hrang

Nunphung tihdanglam bakah hian doctor-te chuan Isolated Systolic Hypertension enkawlna atan antihypertensives an tih damdawi an pe bawk. Damdawi hman tlanglawn tak tak thenkhat chu:

• Diuretics: Hengte hian taksain tui leh chi tam lutuk chu zun hmangin a paih chhuak a, chu chuan thisen sang a ti hniam a ni.
• Calcium channel blockers: Hengte hian thisen kalna kawng bang a ti hahdam a, thisen kal a ti awlsam a ni.
• Angiotensin-converting enzyme inhibitors (ACE inhibitors): Hei hian thisen kalna kawng (blood vessel constriction) tihziaawmin thisen sang a control bawk.
• Angiotensin II Receptor Blockers (ARBs): Heng damdawi te hian ACE inhibitor te nen an thawk dun a.

I doctor chuan he list-a damdawi hmasa pahnih zinga pakhatah hian a tan tir thei che a ni. Tichuan, i taksain a chhan dan azirin a tul chuan damdawi pahnihna emaw, pathumna emaw an belh leh thei bawk. I tar deuh deuh chuan thisen kalna kawng a khauh zual a, chu chuan thisen sang control a harsat phah a ni. Mahse, heng antihypertensives te hian i thisen kalna kawng (arteries) te chu eng emaw chen chu a ti na thei a ni.

Enkawlna hian side effect a nei em?

Damdawi dang ang bawkin mi thenkhat chuan heng enkawlna atang hian side effect tenau te an nei thei a ni. Mi zawng zawngin an tawng vek dawn lo a, mahse fimkhur a tha.

• Lu na
• Luak chhuak thei
• Chaw chakna
• Dry cough (a bik takin ACE inhibitor atanga lo chhuak) .
• Sam tlakchham (a tlem) .

Hetiang thil hi i tawng a nih chuan i doctor hnenah hrilh hreh suh. Damdawi chu a thlak danglam thei a, a dose pawh a tihtlem thei bawk.

Hetiang hlauhawmna tihziaawmna tur hian eng nge tih theih ang?

Kan upa vek tawh. A kaihhnawih thil thenkhat chu Isolated Systolic Hypertension thlen thei thil a ni. Mahse, he natna hi i vei theihna tur tihtlem nan thil tam tak i tih theih a awm. Chung zingah chuan:

• Zunthlum i neih chuan control tha rawh.
• Cholesterol sang i neih chuan chu pawh chu control rawh.
• Exercise neih fo thin ang che. Kar khatah ni 5 tal, ni khatah minute 30 tal.
• I body mass index (BMI) chu 30 hnuaiah dah la.
• Zuk leh hmuam hman loh tur.
• Processed foods leh thau leh chi tamna ei tur te chu a theih ang anga tihtlem tur a ni. In lama siam chaw ei hi a tha ber.

Hetiang dinhmun nen hian eng nge i beisei tur?

Enkawlna tha ber chu he natna hi i vei tih hriat veleh tan a ni a, thisen sang chi hrang hrang hian hriselna lama harsatna dang, heart attack leh stroke te a tipung a ni.

Hei hi tihdam theih a ni em?

Ni lo, a dam kim thei lo. Mahse, lungngai suh! Nunphung tihdanglamna leh/ emaw doctor-in a pek damdawi ei hmangin i enkawl thei a, nun pangngai i hmang thei bawk.

Hetiang dinhmun hi eng chen nge a daih ang?

Isolated Systolic Hypertension hi natna rei tak, hun rei tak chhunga awm thei a ni. Hei hian i dam chhung zawng i enkawl a, i enkawl a ngai dawn tihna a ni. Research atanga a lan dan chuan Isolated Systolic Hypertension dik taka enkawl hian danglamna nasa tak a thlen thei a ni. Lung natna, stroke, leh thihna hlauhawmna chu 30% velin a tihniam thei! Chu chu thil lian tak a ni lo maw?

Engtin nge ka in enkawl ang?

Hetiang dinhmun hi enkawl tur chuan i damdawi ei tur chu doctor-in a tih ang chiah, a hun taka ei a pawimawh hle. Thil tih danah siam rawh. I phone-a reminder set hian a pui mai thei. Tin, exercise leh ei leh in chi leh thau tlem ei hi i thisen sang leh thinlung hriselna atan a tha hle bawk.

Engtikah nge Doctor ka hmuh ang?

I doctor chuan he natna damdawi ei tir che a nih chuan thla khat vel hnuah lo kal leh turin a ti mai thei che a ni. Chutah chuan damdawi hian hna a thawk em tih emaw, side effects buaithlak tak a thlen em tih emaw a hmu thei a ni. Chutih lai chuan, kar khatah vawi khat, a aia tam emaw, in lamah i thisen sang enfiah turin an ti mai thei che a ni.Chu chhiarnate chu thla khat vel zet i khawlkhawm a, i doctor hnenah i entir chuan damdawi chu a thawk tha em tih a hriatthiam a awlsam zawk ang. Tin, doctor chuan i systolic value leh i diastolic value a tlahniam lutuk em tih a en bawk ang. A chhan chu i diastolic value a tlahniam lutuk chuan i taksa peng hrang hrangte hian thisen an hmu tlem tihna a ni thei.

Engtikah nge emergency treatment i zawn ang?

‘Hypertensive crisis’ , i thisen sang 180/120 mmHg aia sang tihna i neih chuan emergency medical care i pan nghal tur a ni. Heng symptoms te hi i nei thei ang:

• A rilru a na
• Thâwk harsa
• Luak chhuak thei
• Lu na na tak

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawh a tha ang:

• Eng chen nge ka rawn hmuh che ka mamawh?
• Engtin nge exercise program ka tan ang? Eng exercise nge ka tan a dik?
• Damdawi ka ei a ngai em, a nih loh leh nunphung tihdanglam hi ka dinhmun atan a tawk em?
• He damdawi atang hian eng side effect nge ka beisei theih ang?
• In lama ka thisen sang ka enfiah hian eng value nge ka ngaihtuah tur?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Isolated Systolic Hypertension i neih chuan nangmah chauh i ni lo. Mi tam tak chuan he thisen sang natna hi an nei a. Lungngai suh. Nunphung inthlak danglamna tam tak a awm a, chu chuan a pui thei che a ni. Chu inthlâk danglamna chu nangmah ngeiin i siam thei a ni. A tul chuan damdawi pawh a awm.

Hetiang dinhmun hi enkawl hi i hmalam hun hriselna atana investment ropui tak a ni. I future self chuan lawmthu a sawi ang che!

Chuvangin, i thisen sang kha enkawl la, enfiah fo la, i doctor thupek zawm rawh. Tichuan nun hrisel, hlim takin i nung thei ang.

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` Isolated Systolic Hypertension, Thisen sang, Systolic, Diastolic, Hypertension, Lung hriselna, Sri Lanka