Damdawi chi thum hman hnuah pawh thisen sang chu a la tlahniam lo ang. Resistant Hypertension chungchang hi han sawi ila.

Thisen sang nei, kan hriat vek angin "pressure" damdawi ei thin i ni em? Doctor-in damdawi a pek zawng zawng chu a hun takah i ei vek a, i ei leh in leh in i control bawk a, mahse in lama i thisen sang i check apiangin 140/90 aia sang a ni fo thin. Engvangin nge hetiang thil hi a lo awm tih pawh i ngaihtuah em? Vawiina kan sawi tum hi i nei mai thei, ‘resistant hypertension’ emaw resistant hypertension . Ngaihtuah buai suh, thumal awlsam takin engkim kan sawi dawn a ni.

Resistant Hypertension hi eng nge ni tak tak?

A awlsam zawngin, hei hi i thisen sang hi enkawlna "very resistant" tihna a ni. Damdawi lam hawi chuan doctor-in i thisen sang control nan damdawi pathum emaw a aia tam emaw a pek lai pawha i thisen sang chu 140/90 mmHg aia sang a nih chuan, a dose sang berah chuan chu natna chu Resistant Hypertension an ti a ni.

Heng damdawi chi thumte hi a tlangpuiin:

• Diuretic chi khat: Hengte hi ‘tui pill’ kan tihte hi a ni. Zun hmangin taksa atanga tui leh chi tam zawk paih chhuakin hna an thawk thin.
• Calcium channel blocker chi khat: Hengte hian thisen kalna kawng a ti hahdam a, thisen kal a ti awlsam bawk.
• ACE inhibitor emaw ARB emaw: Heng damdawi pahnih (Angiotensin-Converting Enzyme inhibitor / Angiotensin II Receptor Blocker) hian thisen kalna kawng a nghawng a, thisen sang a tihniam bawk.

Heng damdawi pathumte hi a tam thei ang ber i ei hnua thla ruk chhunga i thisen sang i control theih loh chuan i doctor chuan resistant hypertension i nei tih a ringhlel mai thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Thisen sang hi Sri Lanka bakah khawvelah pawh a awm fo tawh a ni. Zirna hrang hrangah chuan thisen sang nei zinga 10% atanga 12% velin he Resistant Hypertension an tih hi an nei thei tih hmuhchhuah a ni. Hei hi thil awm lo tak a ni lo tihna a ni.

Resistant Hypertension natna lan chhuah dan chu engte nge ni?

Hetah hian hlauhawm ber chu thisen sang hi "silent killer" a ni. Mi tam takin symptom an nei lo. Mi thenkhat chuan kum tam tak chhung chu thisen sang an nei tih pawh an hre lo. Mahse enkawl loh a nih chuan taksaah chhiatna nasa tak a thlen thei a ni.

Mahse, mi thenkhat chuan a hnuaia symptoms te hi an nei thei a ni:

• Lu na
• Chest tight emaw pressure emaw a awm
• Thâwk harsa

Engvangin nge hetiang hian pressure hi control theih a nih loh? A chhan engte nge ni?

Hei hi chhan hrang hrang a awm a. A then hrang hrangah then ila.

Tute nge resistant hypertension vei theihna chance sang zawk?

A hnuaia mite hi he natna hi an vei theihna chance a sang deuh hlek a ni:

• Chronic Kidney Disease nei tan chuan
• Zunthlum vei tan
• African-American hnam chhuak tan chuan
• Hmeichhia tan (mipa nena khaikhin chuan) .

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Hetianga thunun harsa tak, resistant hypertension nei chu damdawi hmanga thisen sang control a nih aiin a hnuaia mi hi a hlauhawm zawk hle.

• Thai
• Kidney Natna a awm
• Lung natna leh thinlung tha lo

Chuvang chuan he dinhmun hi ngaihthah mai mai a tha lo.

Engtin nge doctor hian hei hi a hriat chian?

Resistant hypertension i neih leh neih loh chiang taka hriat theih nan i doctor chuan thil engemaw zat a en ang.

1. I damdawi lam chanchin leh nunphung zawt rawh.

Doctor chuan hetiang zawhna hi a zawt thei che a ni:

• "Engtia rei nge pressure i neih?"
• "In lama i thisen sang i check hian enge i tih thin? Machine kha i hmang dik em?"
• "Tunah hian eng damdawi nge i ei? (vitamin leh herbal remedies te pawh tel). I damdawi hi i doctor-in a tih angin, a hun takah, leh a pek zat angin i ei em?".. tiin a sawi.
• "Zu emaw, cigarette emaw i hmang em?"
• "I mutnaah i bengchheng em? I thaw halh ang maiin i inhria em?"

2. Taksa enfiahna tih

He examination neih chhung hian doctor chuan a bik takin a hnuaia mite hi a zawng ang:

• Mit enfiah: Hei hian thisen sang avanga mit chhunga thisen kalna kawng a chhiat leh chhiat loh a enfiah thin. Hei hi `Hypertensive Retinopathy` an ti a.
• Thisen kalna kawng lian tak tak ngaihthlak: Thisen kalna kawng lian thenkhat (e.g., kawr emaw, kal emaw) atanga thisen kal thawm ngaihthlak a, thawm danglam (`bruit`) a awm leh awm loh hriat. Hei hian vessels te hi a tawi em tih ngaihtuahna a pe thei a ni.

3. Laboratory leh thildang test

• Zun test: 1.1.Zun chhunga protein awm leh awm loh enfiah thin ang che.
• Thisen test: Kal hnathawh (Creatinine), sugar level (Glucose), leh electrolytes sodium leh potassium ang chi te enfiah thin.
• Hormone test: Adrenal glands emaw thyroid gland emaw hnathawh danah harsatna a awm leh awm loh enfiah thin.
• Scans: Ultrasound leh CT scan hmanga kal leh adrenal glands dinhmun enfiah theih a ni.
• Sleep Study: Sleep apnea i nei nia i rinhlelh chuan special sleep study nei turin refer i ni thei.

Hei hi engtin nge enkawl a nih?

Lungngai suh. Hei hi enkawl dan tur a awm. A bulpui ber pahnih a awm.

1. Nunphung tihdanglam

Hengte hi i tih tur pawimawh ber a ni. Damdawi ei mai mai a, heng thilte hi tih loh hi a tangkai lo.

• Salt control: Ni khatah chi i ei zat chu milligram 2,400 (teaspoon khat aia tlem) chauh tihtlem la. Table-a chi rawn ken kha bansan rawh. Processed leh packaged foods i ei tam loh tur.
• Zu tih tlem.
• Painkillers: Damdawi Ibuprofen leh Diclofenac ang chi hi doctor rawn hmasa lovin ei loh tur a ni. A tul chuan i doctor nen Paracetamol ang damdawi chungchang sawipui rawh.
• Exercise: Exercise engemaw zat, kea kal emaw, cycle khalh emaw ang chi, ni khatah minute 30 tal, kar khatah ni engemaw zat ti thin ang che.

2. Damdawi hman dik

Hei hi mi tam tak kal sualna hmun a ni.

Damdawi hian hna a thawh theih nan nitin, a hun takah, leh a dose dik takah ei a ngai a ni . Mi thenkhat chuan an damdawi ei harsatna (side effects) (e.g., luak chhuak, khuh) vangin an ei harsa thin. Chutiang harsatna i neih chuan doctor hnenah hrilh rawh. Chumi hnuah chuan damdawi dang a pe thei ang. I damdawi ei kha titawp ngai suh la, doctor zawt lovin a dose pawh thlak ngai suh.

I damdawi ei dik hnu pawha i thisen sang control a nih loh chuan i doctor chuan damdawi palina emaw pangana emaw a dah belh thei a ni. Entirnan, diuretic Spironolactone emaw beta-blocker emaw .

Engtikah nge damdawi in (ETU) pan nghal tur?

A chang chuan thisen sang hi a sang hle thut thei. Hei hi hypertensive crisis an ti a . Hei hi emergency medical treatment mamawhna a ni.

I thisen sang 180/120 mmHg aia sang a nih a, a hnuaia symptoms te pawh i neih chuan hospital emergency room hnai ber pan nghal rawh:(ETU - Emergency Treatment Unit) ah kal rawh.

• Lu na na tak
• Palpitations (i thinlung a thawk chak ang maia hriat) .
• Luak chhuak thei
• Thâwk harsa

I doctor zawh tur zawhna

I dinhmun hi hriatthiamna tha tak neih a pawimawh. Doctor i hmuh leh hunah heng zawhnate hi zawt hreh suh.

• "Doctor, ka damdawi ei kha thlak a ngai em?"
• "Eng damdawi inkawp nge ka tan a tha ber?"
• "In lamah engzat nge ka thisen sang ka check ang?"
• "Engtikah nge doctor rawn hmuh leh tur?"

Damdawi tam tak ei tawh mahse hmasawnna i hmuh loh laia lungawi lohna i neih hi thil pangngai a ni. Amaherawhchu, a tha ber chu i doctor nen zalen taka inbia a, i harsatna chinfel dan tur zawn hi a ni.