I harh thut a, i lu a buai a, i lu a hlim tawh ngai em? A nih loh leh nilengin i chau a, i chau hle em? Mi tam tak chuan hengte hi thil pangngaiah ngai mahse, hei hi thisen sang, a nih loh leh ``hypotension'' chhinchhiahna a ni thei. Mi tam takin thisen sang chungchang sawi mah se, thisen hniam hi kan hriatthiam a ngai bawk. Chuvangin vawiinah hian thumal awlsam takin he thu hi han sawi ila.
Thisen sang (Hypotension) hi eng nge ni tak tak?
A awlsam zawngin, thisen sang (Hypotension) tih chu i thisen kal tlanga thisen kal avanga pressure (thrust) siam chu beisei aia hniam zawk a nih chuan a ni.
Pressure kan teh hian value pahnih kan sawi thin tih i hria mai thei.
- The top number (Systolic): Hei hian i thinlung a thawk leh thisen a pump apianga i thisen kalnain pressure a neih dan a kawk a ni.
- Diastolic: Hei hian heartbeat pahnih inkara thisen kalna pressure a kawk a, chu chu heart relaxed deuh a nih chuan a ni.
A tlangpuiin mi hrisel thisen sang hi 120/80 mm Hg (mercury millimeters) ah kan ngai thin. I thisen sang 90/60 mm Hg aia hniam a nih chuan low blood pressure (Hypotension) an ti.
Mahse hetah hian thu pawimawh tak a awm. Mi thenkhat, a bik takin thalai exercise tam tak leh hriselna tha tak nei te hi an pian tirh atanga thisen sang tlem zawk neiin an piang mai thei. Symptoms an neih loh chuan harsatna a awm lo. An dinhmun pangngai chauh a ni. Buaina chu thisen sang hniam vangin i lungawi lohna a awm a, chu chu symptom i neih tan tirh hian a ni.
Low pressure chi hrang hrangte chu engte nge ni?
Thisen sang hniam hi kawng lian pahnih hmangin kan hre thei a. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.
| Thisen sang hniam chi | A awlsam zawngin... |
|---|---|
| Absolute Hypotension a ni | Hei hi ‘blood pressure hniam’ kan tih tlangpui chu a ni. I thisen sang chu chawlh laiin (entir nan, thut laiin) teh a nih chuan 90/60 mm Hg aia tlem a ni. |
| Orthostatic Hypotension (Postural Hypotension) tih hi a awm lo. | Hei hi a danglam deuh hlek a ni. Hei hi thut emaw, mut emaw atanga i ding chhuah hian thisen sang tlahniam nghal kan tih chu a ni. A tlangpuiin kan taksa hi second tlemte chhungin hei atang hian a lo dam leh thin. Mahse hetiang natna vei tan chuan an thisen sang chu a ding chhuah hnuah minute 3 vel a hniam reng a ni. Hei hi kan tar chhoh zel chuan a hluar zual zel a ni. |
Thisen sang nei chuan eng symptom nge a neih?
Kan sawi tawh ang khan mi thenkhat chuan thisen sang a hniam lai pawhin symptom engmah an nei lo mai thei. Mahse, symptoms a awm tak tak a nih chuan:
- Dizziness or lightheadedness: Lu chhungah engmah awm lo ang maia tui chunga tui chunga awm ang maia hriatna.
- Fainting or loss of consciousness (Syncope): I hriatna hloh thut a, leiah i tlu thei.
- Mit blue emaw blurred vision: I harh thut chuan thim ang maia inhriatna, a nih loh leh thil chiang taka hmuh theih loh.
- Nausea emaw vomiting: I pum thlengin i na emaw, i luak emaw pawh a ni thei.
- Chau lutuk emaw, nunna nei lo emaw anga inhria: Nilengin engmah ti lo pawhin chau leh chakna tlachham anga inhriatna.
- Thâwk hi a rang a, a thuk lo bawk.
- Thil ngaihtuah harsa: Hnathawh laiin ngaihtuahna hloh.
- Restlessness emaw, i nungchang inthlak danglam emaw: I awm dan pangngai aia danglamin i awm thei a, i buai thei bawk.
Kan taksa hi a mak khawp mai. A tlangpuiin kan thisen sang a tlahniam tan chuan kan taksa hian thunun a tum thin. Kan heart rate an tisang emaw, kan thisen kalna kawng an tikhawtlai emaw a, pressure tihsan tumin an bei thin. Mahse hetianga kan taksain a thunun theih loh chuan heng symptoms te hi kan nei tan thin.
Engvangin nge hetiang hian pressure a tlahniam? A chhan engte nge ni?
Thisen sang hniam chhan pakhat chauh a awm lo va, thil tam takin a thlen thei a ni. A chhan berte han thlir ila.
- Orthostatic hypotension: Kan sawi tawh ang khan, i ding nghal vat a, thluaka thisen kal a tlahniam nghal vang a ni thei.
- Dehydration: Ni khat chhunga thawmhnaw nasa tak, luak chhuak, emaw riltamna i neih chhunga tui i in loh chuan i taksain tui a hloh thin. Hei hian i thisen volume a ti tlahniam thei a, chu chuan i thisen sang a ti tlahniam thei a ni.
- Hliam na tak leh thisen chhuak: Taksa atanga thisen tam tak a bo chuan, accident ang chiah hian thisen sang a tlahniam thut thin.
- Naupai lai:Naupai thla hmasa lamah chuan hmeichhe thisen kal dan (circulatory system) a inthlak danglam chuan a thisen sang a ti tlahniam thei a ni. Hei hi naute pian hnuah a pangngaiin a lo kir leh tlangpui.
- Damdawi i ei lai thenkhat: Thisen sang, thinlung natna, leh lungngaihna damdawi thenkhat chuan side effect angin thisen sang a ti hniam thei. Mahse, doctor rawn hmasa lovin i damdawi ei kha bansan ngai suh tih hre reng ang che.
- Heart disease: Heart beat mumal lo (arrhythmias), heart attack, leh heart muscle chak lohna ang chi natna avanga thisen a pump tha thei lo a nih chuan thisen sang a tlahniam thin.
- Hormone lama harsatna: Thisen sang hniam hi hormone kaihhnawih natna, hypothyroidism leh zunthlum vang te pawh a ni thei.
- Severe Infection (Sepsis): Taksain na taka a kai chuan a chhanna atan thisen kalna kawng hrang hrangah inthlak danglamna a awm thei a, chu chuan thisen sang chu hlauhawm takin a tlahniam thei a ni.
- Allergy na tak (Anaphylaxis): Chaw thenkhat, damdawi emaw, rulhut chi emaw allergy na tak chuan thisen sang a ti tlahniam nghal thei bawk.
- Nutritional deficiencies: Vitamin B12 leh folate ang chi nutrients a tlakchham chuan thisen tlakchhamna (anemia) a lo awm thei a, chu chuan thisen sang a ti hniam thei bawk.
- Zu leh ruihhlo: Zu leh ruihhlo thenkhat hian thisen sang a ti hniam thei bawk.
Thisen sang hniam i ngaihthah mai mai chuan eng thil pawi tak nge thleng thei?
Thisen sang hniam hi a lan chhuah loh chuan harsatna lian tak a ni lo. Mahse symptoms a awm chuan i ngaihtuah tur a ni, a chhan chu harsatna lian tak a thlen thei a ni.
Hetah hian tlu leh hliam hi a hlauhawm ber leh a rang ber a ni. I tlu nghal a, i tlu a nih chuan eng nge thleng ang tih han ngaihtuah teh. I lu i vuak thei a, i kut emaw, i ke emaw i tikehsawm thei a, i hip i tikehsawm thei a, chu chuan dam chhung zawnga chak lohna a thlen thei a ni.
- Tlu leh Hliam: Luak chhuak leh lu hah lutuk hian tlu hlauhawmna a tipung. Hei hian ruh tliak leh lu hliam na tak (concussions) a thlen thei a ni.
- Shock: Thisen sang a tlak hniam lutuk chuan taksa peng pawimawh tak tak thluak, kal leh thinlung te hian thisen leh oxygen mamawh zat an dawng lo. Hei hian chu taksa peng hrang hrangte chu a tichhe thei a ni. Hei hian nunna a tichhe thei a ni.
- Lung natna leh stroke: Thisen sang hniam tihna a ni a, taksa pum puia thisen pump turin thinlung hian nasa zawka hna a thawh a ngai tihna a ni. Hun a kal zel a, hei hian thinlung a tichhe thei a ni. Tin, thisen a kal tha loh avangin thisen zam (blood clots) a lo awm thei a, thluak lamah a kal thei bawk a, chu chuan stroke ang chi natna a thlen thei bawk.
Engtin nge doctor hian hei hi a hmuh theih?
Thisen hniam chhinchhiahna i neih chuan Doctor pan a tha ber. I thisen sang a hniam em tih hriat a awlsam hle. Thisen sang tehna hmanrua (BP apparatus) enin i hre thei ang.
Mahse a harsa ber chu i thisen sang a hniam chhan hriat hi a ni . Doctor chuan i natna lan chhuah dan te, damdawi i ei dan te, leh damdawi lam harsatna dangte a zawt ang che. Tichuan, a chhan hriat tumin test tlemte an nei mai thei.
| Test chi hrang hrang | Eng nge i en? |
|---|---|
| Thisen leh zun test a ni | Zunthlum, thyroid hormone lama harsatna, vitamin tlakchhamna, leh thisen tlakchhamna te enfiah thin ang che. |
| ECG (Electrocardiogram) hmanga tih a ni. | Thinlung electrical activity enfiah la, heartbeat mumal lo ang chi harsatna a awm em tih enfiah rawh. |
| Echocardiogram hmanga tih a ni | Hei hi thinlung scan a ni. Thinlung insiam dan leh hnathawh dan chiang taka hriat theih nan a pui thin. |
| Tilt Table Test a ni | Hei hi orthostatic hypotension hriat theihna tura ruahman bik test a ni. Khum chungah mu turin siam i ni a, khum chu zawi zawiin dinglam hawia a inher avangin i thisen sang leh thinlung chakna chu enfiah a ni. |
Thisen sang hniam enkawl dan leh enkawl dan
Enkawlna atana pawimawh ber chu thisen sang tlahniam chhan bulpui zawng chhuakin enkawl hi a ni. Entirnan, thisen sang hniam chhan chu damdawi pakhat side effect vang a nih chuan doctor chuan chu damdawi chu a dose a thlak ang emaw, damdawi dang a pe ang che. Dehydration vang a nih chuan saline ang chi fluid pek i ni ang.
A chhan enkawl bakah hian symptoms enkawl nan hetiang thil hi i ti thei bawk:
- Ei leh in thlak danglam: Mi thenkhat chu an doctor-in an ei leh inah chi tlem tal dah belh turin a fuih mai thei. Hei hi a chhan chu chi (sodium) hian taksaa tui awm zat a tipung a, thisen sang a tisang thei bawk. Amaherawhchu, hei hi doctor thurawn ang chauha tih tur a ni. I duh ang chi chi ei hi a tha lo.
- Tui tlem in tur: Ni khatah tui glass 8-10 tal in tur a ni. Hei hian taksaa tui awm zat a vawng reng ang a, tui tlakchhamna a veng bawk ang.
- Compression Stockings: Heng stockings hian ke leh keah pressure zawi zawiin a pe a, keah thisen a awm khawm loh nan leh chunglam a sawn loh nan a pui a ni. Hei hian pressure a tipung thei a ni.
- Damdawi: A then phei chuan i doctor chuan thisen sang tihsan nan damdawi bik a pe thei a.
I thisen sang a hniam chuan engtin nge i in enkawl theih ang?
I doctor-in enkawlna a pek che bakah hian i nitin nunah heng thil tenawm tak takte hi i enkawl chuan thisen sang tlahniam chhinchhiahnate hi a tam zawkah i pumpelh thei a ni.
- Zawi zawiin tho rawh: Zing khum atanga i tho chuan tho thut suh. A hmasa berin khumah minute khat vel thu rawh. Tichuan zawi zawiin tho rawh. Chair atanga tho pawh chutiang bawk chu a ni.
- Chaw ei: Chaw lian, chawhmeh tui tak ei ai chuan chaw te tak te, ei fo thin ang che. Mi thenkhat chuan chaw tam tak ei zawhah thisen sang a tlahniam thei a, a bik takin carbohydrates tamna (buhfai leh chhang ang chi).
- Zu tihtlem: Zu in hian dehydration a thlen thei a, thisen sang a tihniam thei bawk a, chuvangin zu in tlem a pawimawh hle.
- I luak chhuak dawnin thu rawh: I luak chhuak emaw, i lu a hah emaw i tih chuan, eng thil pawh ti mah la, leiah emaw, chair-ah emaw thu nghal rawh. Hei hi i himna atan a pawimawh hle a, i tlu loh nan a veng thei a ni.
Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?
Hei hi a pawimawh hle a ni. Engtikah nge a pangngaia doctor i hmuh tur tih leh engtikah nge damdawi in pan nghal tur tih i hriat a ngai a ni.
| Doctor hmuh hun tur | Engtikah nge damdawi ina Emergency Treatment Unit (ETU) pan nghal tur |
|---|---|
| Thisen sang tihhniam (luak chhuak, muhil ang chi) i neih fo chuan. | I rilru natna i neih chuan . |
| Heng symptoms te hian nitin hnathawhna a tibuai a nih chuan. | Ni tawp hnua i hriatna i hloh chuan. |
| Damdawi i ei lai hian i thisen sang a tihniam nia i rinhlelh chuan. | Luak chhuak avanga i lu i tlu a, i hliam a nih chuan (a bik takin thisen tithianghlimtu i ei a nih chuan ). |
| Naupai laiin heng symptoms te hi a lo lang a nih chuan. | Shock chhinchhiahna i lantir a nih chuan: vun lum, thawk hah, thawk rang, thinlung na rang, hmui emaw kut zungtang emaw blue. |
Take-Home Thuchah a ni
- Thisen sang hniam (Hypotension) hi natna a ni ngai lo. Mahse, luak chhuak emaw, muhil emaw ang chi symptom i neih chuan ngaihthah suh. Doctor hmu ngei ang.
- Enkawlna atana pawimawh ber chu thisen sang tlahniam chhan bulpui ber zawn chhuah a, enkawl hi a ni.
- Thil awlsam tak tak, nitin tui tam tak in te, dinhmun thlak zauh te, doctor-in a rawt angin i ei leh in siamrem te hian natna lan chhuah dan chu nasa takin a thunun thei a ni.
- I luak chhuak tih i hriat veleh himna ngaihtuah la, leiah emaw, chair-ah emaw thu rawh. Tlu ven hi thil pawimawh ber a ni.
- I rilru na, hriatna hloh, tlu leh lu hliam, emaw, shock chhinchhiahna i neih chuan emergency a ni. Damdawi in Emergency Department (ETU) ah kal nghal rawh.
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