Lacunar Stroke tih hi eng nge ni? A awlsam zawngin sawi ila!

Vawiin hian natna khirh tak, fimkhur a pawimawh em em chungchang kan sawi dawn a ni. Stroke tih hi i hre tawh mai thei. Stroke chi hrang hrang pakhat chu lacunar stroke a ni. A awlsam zawngin sawi ila, hei hi thluaka thisen kalna kawng te tak te takah thisen zam (blood clot) a lo awm hian a lo awm thin a ni. Tui pipe blocked, tui luang chhuak titawp ang mai a ni.

Lacunar stroke hi thluak thuk tak thisen kalna kawng te tak tea thisen kal chu a tawp emaw, thisen zam a lo dang emaw a, chu chuan thluak hmun chu a tichhia a ni. Hei hi stroke chi khat ischemic stroke an tih a ni . Doctor-te chuan lacunar infarction an ti \hin. ‘Infarction’ tih thumal hian taksaa tissue pakhatin a thisen a hloh chuan chu tissue chu a thi tihna a ni. Stroke chu thluaka thisen kalna titawptu eng thil pawh a ni.

Hei hi nunna atana hlauhawm medical emergency , accident ang mai a ni. Chuvângin, nangmah emaw, i hriat mi emaw chuan stroke chhinchhiahna i neih chuan 911 (a nih loh leh i awmna hmuna emergency number) chu call nghâl rawh . Damdawi in i thlen hma a, enkawl i tan chuan nunna chhanhim theihna chance i nei sang zawk. Second tin hi a chhiar tel vek.

Lacunar stroke natna lan chhuah dan chu engte nge ni?

Lacunar stroke symptoms hi ischemic stroke chi dang nen a inang hle. Chung zinga pakhat emaw, a aia tam emaw chu vawi khatah a thleng thei a ni:

• Hmai leh taksa sir khatah chak lohna emaw, rilru hahna emaw hriatna.
• Thusawi harsa, tawngkam slurring, leh a chang chuan thusawi hloh vek (hei hi ‘aphasia’ kan ti thin ).
• Thusawi thiam lo, tawng thei lo (hei hi ‘dysarthria’ an ti a ni ).
• Hmai sir khata muscle control hloh (kawng chu a sir khata hrual ang chi).
• Kan hriatna panga (hmuh, hriat, rim, thlum, khawih) zinga pakhat emaw, a aia tam emaw chak lo emaw, hloh nghal emaw.
• Mit hmuh fiah lo, mit pahnih ( diplopia ).
• Balance hloh leh taksa peng hrang hrang control theih lohna, zu rui ang maia ( ‘Ataxia’ ).
• Luak chhuak emaw, vertigo emaw tih hriat.
• Nausea leh luak chhuak.

Stroke i rinhlelh chuan he ‘BE FAST’ method hi hre reng ang che!

Nangmah emaw, i hmangaih tak emawin stroke vaukhânna chhinchhiahna i neih leh neih loh hriat thuai theih nân heng English hawrawp ‘BE FAST’ tihna hi hriat reng a ṭangkai hle. Eng nge an nih hi han thlir ila:

• B for Balance: I balance i hloh nghal em tih en rawh. Ding leh kal harsa i nei em?
• Mit tan E: Mit pakhat emaw, mit pahnih emaw-ah hian mit hmuhna hloh nghal, mitmeng (blurring) emaw, inthlak danglamna emaw a awm em tih en rawh.
• F for Face: Nui turin hrilh rawh. An hmai sir khat emaw, a sir lehlamah emaw a tlak hmel em tih en rawh. An hmui chu a sir khatah an hrual em?
• A for Arms: An kut pahnih chu chawi sang turin hrilh rawh. Stroke an neih chuan kut pakhat chu a dang angin a sang lo thei a, a tla thla thei bawk.
• S for Speech: Thusawi laiin ṭawngkam dik lo, ṭawngkam dik tak hmuh harsat leh harsat loh enfiah rawh. Thumal awlsam tak sawi tura tih hunah chiang takin i sawi thei em?
• T for Time: Hun hi a pawimawh ber a ni! If you notice any of these symptoms , seek help immediately, which means calling 1990. A theih chuan, i darthlalang emaw, i phone emaw enin i symptoms a intan hun kha chhinchhiah rawh. I natna lan chhuah tirh atanga i doctor hnena hrilh hian i tan eng damdawi nge tha ber tih an rel thei a ni.

'Mini-Stroke' chungchang pawh i zir ve ang u?

A chang chuan ‘Transient Ischemic Attack’ emaw ‘TIA’ emaw a awm thei. Mi thenkhat chuan hei hi ‘Mini-Stroke’ an ti bawk. Hei hi stroke ang chi symptoms i neih a, mahse hun rei lote hnuah (a tlangpuiin darkar 24 chhungin) a reh hunah a ni. Mahse, hei hi stroke tak tak a lo thleng thuai mai thei tih vaukhânna pawi tak a ni. TIA nei tawh pawhin damdawi lam pan vat a ngai bawk. Ngaihsak lo mai mai chu thil tha a ni lo.

Eng thilin nge lacunar stroke hi a thlen?

Lacunar stroke hi ka sawi tawh ang khan thisen zam in i thluak thuk taka thisen kalna kawng te tak te a block vang a ni. Heng thluak hmunte hi kan hriatna (felings, vision, etc.) leh kan chetna thununtu center pawimawh tak tak, Basal Ganglia leh Thalamus te awmna hmun a ni.

Hriselna lama harsatna engemaw zat a awm a, chu chuan thisen zam a siam thei a, lacunar stroke a thlen thei bawk. Entir nan:

• Thisen sang (Hypertension): Hei hi a hlauhawm ber leh pawi ber a ni . I thisen sang a sang tih i hriat chuan control a pawimawh hle.
• Thisen cholesterol level sang (Hyperlipidemia): Cholesterol ‘tha lo’ a san chuan thisen kalna kawng chhungah a deposit a, a tikhawlo thei a ni.
• Clotting disorders: Mi thenkhat chuan an thisen chu awlsam taka tihkhawtlai duhna an nei a.
• COVID-19 infection: Hei hi a then phei chuan thisen zam nen a inzawm thei bawk.
• Taksa tissue tichhe thei natna: Entirnan, sepsis ang chi natna khirh takah chuan tissue thi chi hrang hrang thisenah a inkhawm thei a, thluak lamah a kal thei a, a lodge thei a ni.

Thisen sang hi lacunar stroke hmêlma lian ber a ni tih hre reng ang che. I thisen sang chungchang hi doctor nen sawiho la, hrisel taka dah tum ang che.

Tute nge lacunar stroke vei theihna chance sang zawk?

Tu pawhin lacunar stroke an nei thei a, mahse mi thenkhat chu an hlauhawm zawk. Chung zingah chuan:

• Kum 65 chunglamte.
• Black descent mi (hei hi genetic leh socioeconomic factors nen a inzawm thei).
• Mi zu in emaw, nicotine awmna thil dang hmang emaw (e.g. vaping).
• Ruihhlo hmangtute.

Tin, damdawi lam harsatna thenkhat nei te chu an hlauhawm zawk bawk:

• ‘NOTCH3’ gene-a genetic mutation nei te (hei hi CADASIL an tih natna hlauhawm tak nen a inzawm a ni).
• Heart rhythm irregularities nei te, atrial fibrillation (chu chuan thinlungah thisen zam a siam thei).
• Zu in hmansualna.
• ‘Atherosclerosis’ nei tan chuan thisen kalna kawng bang a thim a, a nghet lo.
• Zunthlum (Diabetes Mellitus) natna a ni.

Engtin nge doctor-te hian lacunar stroke hi dik taka an hriat theih?

Doctor chuan i natna lan chhuah dan enfiahin, neurological exam , taksa enfiahna, leh special test dang engemaw zat tih hmangin lacunar stroke i nei em tih a hre thei ang. Emergency room-a hruai i nih chuan chuta doctor-te chuan he diagnosis hi an siam thei a ni.

Doctor-te chuan lacunar stroke i neih leh neih loh finfiah nan hetiang test hi an hmang thin:

• Thisen test: Thisen zam harsatna, zunthlum, leh cholesterol level ang chi thil te enfiah thin ang che.
• CT scan: Hei hian thluak thlalak a la thei a, thisen chhuak emaw, thisen kalna kawng a inkhar emaw tih chu rang takin a hriat theih.
• EEG (Electroencephalogram): Thluak electrical activity a enfiah thin (a then phei chuan a tul mai thei).
• ECG (Electrocardiogram): Lung natna mumal lo leh thinlung natna chhinchhiahna a awm leh awm loh enfiah thin ang che.
• MRI: Hei hian thluak thlalak chiang zawk, chipchiar zawk a siam thei a ni. Hei hi stroke vanga thluak chhiatna dik taka tehna atan a pawimawh hle.

Lacunar stroke hi eng enkawlna nge ni?

Lacunar stroke enkawlna atana pawimawh ber chu a rang thei ang bera thluaka thisen kal lehna tur a ni. Doctor-te chuan a rang thei ang bera an tih chhan chu thluak chhiatna leh thihna awm reng theihna a tihziaawm vang a ni.

Enkawl dan tlangpui pahnih a awm a, chungte chu:

• Thrombolytic therapy: Heng damdawi te hi thisen zam tithianghlimtu an ni. An natna lan chhuah tirh atanga darkar li leh a chanve chhunga pek an ni tlangpui a, a chhan chu a hnua pek a nih chuan taksa chhunga thisen chhuah hlauhawm tak a awm theihna a sang zawk a ni.
• Mechanical thrombectomy: Hei hi surgery hmanga thisen zam paih chhuah a ni. Surgeon chuan i taksa hmun danga thisen kalna kawngah tube te tak te, te tak te (catheter) a dah a, i thluaka thisen zam chhungah a thread lut a. Chumi hnuah chuan clot chu vawi khatah an suck chhuak vek emaw, a then phel a, an suck chhuak vek emaw a ni. Mahse, lacunar stroke tam takah chuan thisen kalna kawng a natna chu a te lutuk a, he thrombectomy hi tih theih a ni lo. I doctor leh surgeon chuan i dinhmun atana tha ber tur an hrilh ang che.

Hei bakah hian enkawlna dang i mamawh thei bawk:

• Thisen tithianghlimtu: Anticoagulant damdawi hian i thisen a tikhawlo awlsam lo. Hengte hi thrombolytic therapy hnuah pawh pek theih a ni.
• Thisen sang control dan: Doctor-te chuan i pressure control nan leh a him level-a dah turin damdawi an pe thin.

Stroke hnuah rehabilitation hi a pawimawh em?

Ni e, a dik tak zet! Stroke hnua enkawlnaah hian rehabilitation hi a pawimawh hle. He rehabilitation treatment hian stroke avanga i thluak leh taksaa inthlak danglamna thleng tawhte chu a insiamrem theih nan a pui che a ni. Stroke hmaa i theihna neih tawhte neih leh theih nân emaw, rualbanlo tharte nena nun dâna insiamrem tûrin emaw ṭanpuina i mamawh mai thei. Heng enkawlna pakhat emaw, a inzawm emaw i mamawh mai thei:

• Speech therapy: Hei hian i ṭawng thiamna, i thusawi thiamna a tipung thei a, i thusawi, thawk, ei leh ei leh in lama ṭanpuitu taksa ruhte a thunun thei bawk. Lacunar stroke hnuah antiplatelet damdawi hman a ngai fo thin.
• Physical therapy: Hei hian i taksa ruhte a tichak thei a, i balance a ti tha thei a, i kut leh ke hman tangkai leh theih nan a pui thei bawk.
• Occupational therapy: Hei hian nitin hnathawh tur, a bik takin hnathawh tha tak tak (e.g., ei leh in, incheina, ziak) te chu him takin a ti thei a ni.
• Cognitive rehab: Hei hian i hriatrengna, i ngaihtuahna sen leh rilru lama theihna dangte a tichak a ni.

Lacunar stroke hnua dam rei zawng chu engzat nge ni? A pum puia dam leh theih a ni em?

Stroke atanga damchhuak an pung zel a, hei hi enkawlna tha zawk, rang zawk avang a ni. Mahse, recovery schedule emaw, outlook emaw, one-size-fits-all a awm em tih erawh sawi chian a harsa hle.

Lacunar stroke (leh ‘ischemic stroke’ chi dang) hian a tlangpuiin hemorrhagic stroke , thluaka thisen chhuah avanga lo awm thin aiin damchhuahna rate a sang zawk. Mahse chu chuan midang aiin i dam rei zawk dawn tihna erawh a ni lo.

Mi tin taksa hian stroke a awm chuan a chhan dan a inang lo. I tan "complete recovery" tih awmzia chu midang tan a awmzia nen a danglam thei. I thluak leh taksa chu a thawk tha leh thei a, mahse lacunar stroke hnuah pawh chak lohna thar emaw, danglam emaw i nei thei bawk.

I beisei theih chu thil engemaw zatah a innghat a ni:

• i kum zat.
• Engtiang chiahin nge stroke chu enkawl a nih thuai.
• I hriselna zawng zawng.

Mi tam zawk chuan an dam leh theih nan thla engemaw zat an hmang thin. I doctor chuan i beisei tur a hrilh ang che. I hriselna a zirin i dam leh theihna tur tum leh beisei tur siam turin a pui ang che.

Lacunar stroke hi ven theih a ni em?

Ni e, a ni tak zet! Hriselna pum pui tha neih hi lacunar stroke venna tha ber a ni. Hengte hi tih tum ang che:

• I thisen sang, cholesterol level leh damdawi lam thil dang (e.g., zunthlum) te chu control la. I damdawi ei tur chu Doctor-in a tih angin ei thin ang che.
• Chaw hrisel (thlai, thei, legumes, leh fiber) ei tam zawk rawh. I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
• Meizial i zu a nih chuan bansan rawh. Nicotine telna thil dang lakah inthiarfihlim rawh.
• Taksa exercise neih fo thin ang che. Ni khatah minute 30 tal kea kal ang chi thil ti rawh.

Kum tin (a nih loh leh i doctor-in a rawt angin) medical checkup neih thin ang che. Lacunar stroke thlen thei natna leh harsatna tam tak chu hun kal zelah a lo awm zauh zauh thin. Symptoms engmah i hmu lo mai thei. I doctor chuan heng vaukhânna chhinchhiahnate hi a hmain a hriat theih nân a ṭanpui thei che a, enkawl tûrin a ṭanpui thei bawk che a ni.

Stroke hnuah engtin nge ka in enkawl ang?

Stroke atanga dam leh rehabilitation programme kalpui hi thil awlsam a ni lo, hna tam tak a ni. I doctor nen in enkawl dan tur ruahmanna in siam zawh chuan a theih ang anga ngun takin zawm rawh. A tlangpuiin a hnuaia mite hi i ti tur a ni:

• I damdawi ei tur chu a tih ang chiah khan ei thin ang che. Hei hi thisen tithianghlimtu damdawi i ei a nih chuan a pawimawh hle. Nakin lawka thisen zam a awm theihna tur tihziaawm a pawimawh a, doctor-in a sawi angin i damdawi ei chuan i taksa a tidam thei dawn a ni.
• I rehab leh treatment appointment dangte chu vawng reng ang che. Eng thil pawhin i rilru a hahdam lo emaw, a him lo emaw a nih chuan i therapist hnenah 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. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Lungngaihna emaw, lungkhamna emaw chuan chak lo emaw, hlawhchham emaw a siam lo. I dam leh lai hian thil engemaw takin a tihbuai che a nih chuan i doctor emaw, rilru lam hriselna chungchanga counselor emaw nen inbia ang che .

Eng ei leh in nge ka ei loh tur?

I doctor chuan i ei leh in aṭanga ei tur ṭhenkhat dah belh emaw, paih emaw a rawt thei ang. I damdawi lam dinhmun enkawlnaah leh/ emaw, lacunar stroke hnua nakin lawka thisen zam i neih theihna tur tihtlem nan nitin nunphungah inthlak danglamna tenau te siam a rawt thei bawk.

Chaw ei loh tur tlangpui chu:

• Zu
• Caffeine tamna in tur (tea leh coffee i in tlem theih chuan a tha zawk ang) .
• Sugar tamna ei tur (chaw thlum, in tur) .
• Chaw chi (sodium) tamna (ei tur chi (salt) tihtlem, processed food chi tamna ei loh tur) .
• Chaw hmin (fried foods) te
• Chaw siam thatna (e.g. sausage, meatballs, ei tur packaged) .

Engtikah nge Emergency Department (ETU) ah ka kal leh a ngai ang?

Stroke dang i nei leh ang tih i hriat chuan 911 (or i local emergency number) ah call nghal rawh. Stroke dang chuan harsatna lian tak a thlen a, thihna thlengin a thlen thei bawk. Ṭanpuina zawng emaw, emergency room-a kal emaw chu tikhawtlai suh.

Lacunar stroke vei tawhte chu harsatna lian zawk an neih theihna a sang hle. Entir nan:

• Deep Vein Thrombosis (DVT) (ke ruh thuk takah thisen a chhuak) .
• Lung natna
• Pneumonia natna (Pneumonia) a ni
• Pulmonary embolism ( lung chhunga thisen kalna kawng khata thisen zam) .
• Seizures a awm thin

Heng harsatna zinga pakhat tal chhinchhiahna 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 zawhna i neih apiang zawt hreh suh. I zawh duh tur thenkhat chu hetiang hi a ni:

• 'Ka thluak khawiah chiah nge he lacunar stroke hi ka neih?'
• 'Eng natna nge buainain he thil hi a thlen?'
• 'Eng damdawi nge ka mamawh a, engtin nge ka hman ang?'
• 'Ka nitin nunah eng inthlak danglamna nge ka neih?'
• 'Stroke dang ka neih leh loh nan eng nge ka tih belh ang?'
• ‘Ka rehabilitation program hi eng chen nge a daih ang? Eng result nge ka beisei ang?'

A tawp berah chuan hriat reng tur tlemte

Lacunar stroke (‘lacunar infarct’ tia sawi bawk) hi i thluak chhung thuk taka thisen kalna kawng te te a nghawng a, mahse i hriselnaah nghawng lian tak a nei thei a ni. Chuvang chuan checkup neih reng a pawimawh. I doctor chuan hun kal zelah stroke i vei theihna tipungtu hriselna lama harsatna (thisen sang, cholesterol, leh zunthlum ang chi) te hriatchhuah leh enkawl turin a pui thei che a ni. I doctor nen i hriat chhuah risk factors enkawl dan tha ber berte sawipui rawh.

Stroke atanga i dam chhoh zel chuan, i hmasawnna tenau te pawh lawm hi theihnghilh suh. Ni engemaw zat chu i duh lo mai thei, mahse hlawhtlinna eng pawh hi lawm tlak a ni. I rehabilitation-a i thawhrimna hi i chhuang thei a ni.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Lacunar Stroke, Lacunar Infarct, Lacunar Infarct, Stroke, Thisen zam, Thisen sang, Stroke Symptoms te