I thisen sang tlem a sang em? (Prehypertension) chungchang hi han sawi ila!

Doctor hnenah i kal a, "Ka thisen sang tlem a sang a, mahse damdawi ei tur khawpa sang lo" tih ang chi hi i hrilh tawh em? A nih loh leh chutiang chu ṭhian emaw, chhungte emaw chungah a thleng em? Dik tak chuan mi tam zawk chuan he ‘slightly high’ condition hi an ngaihtuah vak lo. An ngaihtuah mai mai a, "Aw, natna a la ni lo." Mahse vawiinah hian eng nge a nih tak tak, engvangin nge tlem a hlauhawm theih tih leh fimkhur leh hrisel taka kan awm theih dan tur kan sawi dawn a ni. Doctor-te chuan he natna hi `(Prehypertension)` tiin an sawi thin.

`(Prehypertension)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Okay, a hmasain `(Prehypertension)` tih hi eng nge a nih kan en ang. A awlsam zawngin, i thisen sang chu a pangngai aia tlem a san lai a ni . A tlangpuiin mi hrisel thisen sang (`Blood Pressure` emaw BP) chu mercury millimeter 120/80 vel (120/80 mmHg) vel a ni tur a ni. I thisen sang i en chuan value pahnih a awm a, chungte chu top value (`Systolic pressure`) leh bottom value (`Diastolic pressure`) an ti a. `(Prehypertension)` ah chuan i top value chu 120 leh 139 inkar a ni thei a , i bottom value chu 80 leh 89 inkar a ni thei bawk a, heng value pahnih zinga pakhat emaw chu heng range-ah hian a awm a nih chuan `(Prehypertension)` anga ngaih a ni. A chang chuan doctor te pawhin i top value 120 leh 129 inkar a nih a, i bottom value 80 hnuai lam a nih chuan "elevated blood pressure" an ti bawk a, chubakah top number chu 130 leh 139 inkar a nih chuan bottom number chu 80 leh 89 inkar a nih chuan "stage 1 high blood pressure" an ti thei bawk. Mahse he ``(Prehypertension)`` hi hming tlangpui a ni a, heng natna pahnih hi a huam vek a ni. I pressure chu a chung lam number-ah 140 emaw a aia sang emaw a nih chuan, leh/ emaw a hnuai lam number-ah 90 aia sang a nih chuan, chu chu thisen sang (`Hypertension`` emaw "high blood pressure") kan tih chu a ni.

Hei hi ``(Prehypertension)'' hi a hlauhawm em? Engvângin nge kan buaipui ang?

"Aw, tlem a tam lutuk chauh, eng thil nge thleng?" i ngaihtuah mai thei. Mahse, thudik tak chu, a ni, hei hi ngaihtuah tur a ni. Ngaihtuah teh, he `(Prehypertension)` natna vei te hian thisen sang pangngai nei te aiin natna khirh tak tak, heart attack, heart failure, stroke te hi a let hnih atanga a let thum velin an vei tam zawk! Chu mai ni lovin `(Prehypertension)` vei tam tak chuan hun kal zelah hypertension an nei tak tak a ni. Zirna thenkhatah chuan `(Prehypertension)` vei tam zawk chuan kum thum atanga kum li chhungin hypertension an nei thin tih hmuhchhuah a ni. Phên dangin sawi ila, hei hi êng dum ang mai a ni. Tunah hian kan fimkhur loh chuan light sen a rawn eng rei lovang.

`(Prehypertension)` hi engtiang chiahin nge a awm?

Hei hi i ngaihtuah aiin a tam zawk hle. A tlangpuiin khawvel pumah puitling pathum zinga pakhat velin ``prehypertension`` an nei nia chhut a ni.Ka nghak reng a. Hetiang dinhmun hi Sri Lanka-ah pawh hetiang hian a awm ve mai thei. Chuvangin hei hi tu tan pawh hman theih a ni.

`(Prehypertension)` hian symptom a nei em?

Hei hi he thila thil hlauhawm ber a ni. `(Prehypertension)` hian symptom bik a nei lo. He harsatna hi i taksa chhungah zawi zawiin a pung thei a, engmah hrehawmna leh natna i nei lo. A chang chuan luak chhuak emaw, lu hah emaw i nei thei a, mahse hengte hi `(Prehypertension)`-a symptom bik a ni lo.

Chuvangin, ``Prehypertension'' i neih leh neih loh chiang taka hriat theihna awmchhun chu i thisen sang teh fo hi a ni.

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

Symptoms awm lo mahse, ``Prehypertension`` vei taksa chhungah hian inthlak danglamna tha lo thenkhat a awm tan thei a ni. Hengte hi ``Atherosclerosis`` (chu chu thisen kalna kawng chhungah thau (fatty deposits) a lo awm a, chu chuan a hring leh a khauh zawk) tih hriatna hmasa ber a ni thei. Entir nan:

• Kawngkhar chhunga thisen kalna kawng lian ber ber (``carotid artery`') bang chu a tlangpui aia thuk zawk a ni.
• Heart chamber thenkhat tihzauh.
• Thinlung thisen petu coronary arteries -a calcium awm tam lutuk.

Hengte hi pawn lam chhinchhiahna a ni lo va, mahse heng taksa chhunga inthlak danglamna thleng hian lung natna leh stroke ang chi natna khirh tak tak thlenna kawng chu siam a ni tih a tilang a ni.

`(Prehypertension)` awm chhante chu engte nge ni?

Thisen sang chhan pakhat chauh hmuh ni lo mah se, a thlentu thil tam tak a awm. A awlsam zawngin kan nunphung hi a pawimawh ber a ni.

• Chi ei tam lutuk: Kan ei leh inah chi a awm. Tunah chuan han ngaihtuah teh, kan hriat lohvin in lama kan eitur siamah hian chi tlem kan dah tam lutuk a, a bik takin curry, sambol, pickles. Chutiang bawkin dawr atanga kan thil lei, a bik takin `short-eats`, `processed foods` (i.e. canned, packaged foods) te pawh hian chi (salt) a pai bawk. Heng thilte hi kan ei chhunzawm zel atang hian buaina hi a intan thin.
• Zu in hman : Zu in tam lutuk hi thisen sang thlentu lian tak a ni bawk.
• Exercise neih loh: Taksa tana exercise engmah nei lo hmun khata ṭhut hian thisen sang a tisang bawk.

Thisen sang nei zinga 95% vel tan chuan a chhan pakhat chauh a awm lo. Thil engemaw zatin thisen sang a tisang a ni. A bak 5% tan chuan damdawi dangin thisen sang a thlen thei a ni. Entirnan:

• Mut theih lohna (sleep apnea) a ni
• Kal natna
• Thyroid natna a ni

Tute nge ``(Prehypertension)`` vei theihna chance sang zawk?

Mi thenkhat chuan midang aiin ``Prehypertension`` an nei tam zawk. Heng risk factors te hi han en ila:

• Zuk leh hmuam hman: He hlauhawmna hi cigarette, bidis, leh cigar in thinte tan chauh ni lovin, zuk leh hmuam (chewing gum with lime ang chi) hmangtute tan pawh a sang zawk a ni.
• Body Mass Index (BMI) kum 25 chunglam: A awlsam zawngin sawi ila, i san zawng aiin i thau lutuk tihna a ni. Hei hi awlsam takin online-a BMI calculator zawng la, i san zawng leh i rih zawng ziakin i check thei ang.
• Chhungkaw chanchin: I nu leh pa emaw, i unaute emaw thisen sang an neih chuan ``prehypertension'' emaw thisen sang emaw i vei tam zawk. Hei hi genetic influence a ni.

Engtin nge `(Prehypertension)` i vei tih chiang taka i hriat theih ang? (Diagnosis) tih a ni.

Doctor i pan chuan i thisen sang vawi khat chauh an check a, a sang vang mai maiin ``Prehypertension'' i nei tih an sawi lo. A tlangpuiin, doctor chuan ni hrang hrangah, hun hrang hrangah thisen sang vawi hnih tal i neih chuan ``Prehypertension'' i nei tih a hrilh ang che , chu chhiar dan chu a tlangpui aia sang a nih reng chuan. Thisen sang hi ``cuff'' an tih hmanrua hmanga teh a ni a, chu chu i kut chunglam ah khuh a, inflated leh deflated a ni. Hei hi test hrehawm lo tak a ni. ``Prehypertension'' range hi upper reading-ah 120 leh 139 inkar a ni a , lower reading-ah chuan 80 leh 89 inkar a ni.

`(Prehypertension)` enkawl a ngai em?

A ni tak zet! Hei hi a tha chho mai mai emaw, ngaihthah theih mai emaw a ni lo. Hetiang `(Prehypertension)` stage-ah hian control turin hma kan la lo a nih chuan zawi zawiin a pung a, ``Hypertension`` a nih theihna chance a sang hle. Thisen sang hi a mah chauha a ṭhat theih thil a ni lo.

Engtin nge `(Prehypertension)` hi enkawl a nih?

Thu lawmawm tak chu ``prehypertension`` vei tam tak chuan damdawi tel lovin an dinhmun an thunun thei a, an nunphungah inthlak danglamna awlsam tak tak engemaw zat an siam mai mai a ni Chûng inthlâk danglamnate chu engte nge ni?

• Exercise neih fo: Kar khatah ni engemaw zat minute 30 tal moderate-intensity exercise neih a pawimawh. Kal chak tak atanga tlan, tlan, cycle khalh, tui chawi atanga eng pawh hi a tha.
• I taksa rihna hrisel tak vawng reng rawh: I san zawng a zirin taksa rihna hrisel tak vawng reng tum ang che. I thau lutuk a nih chuan tlem tal tihtlem hian danglamna nasa tak a thlen thei a ni.
• Zuk leh hmuam hman tawh loh: Cigarette i in chuan bansan vek rawh. Zuk leh hmuam chi dang i hman chuan i hman pawh bansan rawh.
• Ei leh in thlak danglam:
• Chi tihtlem: I chaw ei tur chi i dah zat tihtlem. Tin, chi (salt) tamna ei tur (processed foods, fast foods, leh sa leh sangha chi (salted foods) te) i ei tlem bawk ang che.
• Oil tihtlem: Chaw thau, hmin (fried foods) tihtlem.
• Thlai, thei leh thlai chi hrang hrang ei tam rawh.
• Hetiang ei leh in hi ``DASH diet - Dietary Approaches to Stop Hypertension'' an ti bawk. I doctor emaw, nutritionist emaw zawtin i hre belh thei ang.
• Zu khap: Zu i in chuan hmeichhia tan ni khatah standard drink pakhat leh mipa tan ni khatah standard drink pahnih chauh tihkhawtlai tur a ni.
• Stress management: Stress lutuk hian thisen sang a thlen thei bawk. Yoga te, ngaihtuahna te, leh chawlh hahdam dan tur zawn te hian hei hi a pui thei a ni.

Mahse, prehypertension leh hriselna lama harsatna dang, zunthlum, kal natna, emaw, rilru lam natna emaw i neih chuan i doctor chuan antihypertensive damdawi a pe tan thei che a ni. Damdawi chi hrang hrang a awm a. Damdawi thenkhat hian side effect a thlen thei a, chuvangin heng side effects te hi i neih chuan damdawi dang hman dan tur chungchangah doctor nen sawiho rawh.

`(Prehypertension)` vei theihna tihziaawm nan eng nge kan tih theih ang?

Hei hi a hmaa kan sawi tawh angin enkawl dan nen a inang hle. Prehypertension i neih hma pawha heng tih dante hi i zawm chuan i vei theihna chu nasa takin i tihtlem thei a ni:

• Zuk leh hmuam thil (cigarette, meikhu tel lo, `vaping` thlengin) hi pumpelh vek tur a ni.
• Kar khatah ni engemaw zat tal exercise tha la.
• I nunah lungkhamna awmte chu i thunun theih dan tur zawng rawh.
• Zu i in zat khap tlat ang che.
• Chaw ei tur chi (salt) dah zat tihtlem.
• I taksa rihna hrisel tak vawng reng rawh.

`(Prehypertension)` ka neih chuan eng nge ka beisei ang?

Zirna lian tak pakhatah chuan ``Prehypertension`` vei te hi thisen sang nei te aiin thinlung natna leh stroke vei an tam zawk tih hmuhchhuah a ni. ``Prehypertension`` vei te hi hun kal zelah thisen sang lamah an kal fo thin. Thisen sang hian kal natna leh type 2 diabetes vei theihna a tipung bawk.

Mahse, hlauthawng suh! A pawimawh ber chu, he ``Prehypertension'' dinhmun hi i hriat hma chuan i nitin nunphung i thlak thei a, thisen sang lo awm tur i veng thei a, chu chuan rilru lam natna vei theihna a ti tlem thei bawk.

Engtikah nge Doctor ka hmuh ang?

Kum khatah vawi khat tal chhungkaw doctor pan a pawimawh hle a, medical examination kimchang (`annual physical` emaw `checkup` emaw) neih a pawimawh hle.I doctor chuan ``prehypertension'' i nei tih a sawi chuan eng chen nge i lo haw leh tur tih a hrilh ang che. Hei hi a chhan chu i nunphung i tihdanglamna nen i thisen sang a tlahniam em tih i enfiah fo a ngai a, a nih loh leh thisen sang lam a pan em tih i enfiah fo a ngai a ni. Chutiang a nih chuan enkawl tan thuai theih a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• "Doctor, engtin nge ka thisen sang tihhniam nan ka ei leh in hi ka thlak ang?"
• "He `(Prehypertension)` natna atan hian damdawi ka ei a ngai em?"
• "Ni khatah engzat nge exercise ka tih ang? Eng ang exercise nge ka thisen sang tan a tha ber?"
• "Chi tihtlem chungchang hi ka zir belh thei ang em?"

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

Mi zawng zawng hian hrisel leh thisen sang pangngai neih kan duh a. Amaherawhchu, a chang chuan kan hriat loh pawhin thisen sang kan nei thei a. ``Prehypertension'' i nei tih i hriat chuan hlauthawng suh. Nangmah chauh i ni lo; a awm dan tlangpui a ni. A tha ber chu, i thunun thei a ni. Nunphung awlsam tlemte tihdanglam chuan i thisen sang chu hrisel takah i dah leh thei ang. I taksa rihna tihtlem, meizuk bânsan, emaw, ei leh in hrisel tak i ṭan theihna tura ṭanpuina i mamawh chuan i doctor emaw, health professional emaw zawt rawh.

Vawiina i hmalakna tenau tak hi i hmalam hun atana i thinlung hriselna atana investment lian tak a ni! Chuvangin, tlai suh, vawiin atang hian tan rawh.

Pressure, Thisen sang, Prehypertension, Thisen sang, Lung natna, Hriselna, Nunphung