I thisen sang hi natna dang vang a ni em? Secondary hypertension chungchang zir rawh.

I thisen sang damdawi i ei a, a control tha lo em ni? Nge i naupan lai pawhin thisen sang i nei em? Hei hi thisen sang chu a ni tih i ngaihtuah mai thei. Mahse thisen sang natna zawng zawng hian chhan bik a nei thei lo. A châng chuan kan taksaa natna dang, damdawi kan ei hian he thisen sang hi a thlen thei a ni. Vawiin hian chutiang thil chiang tak, chu chu secondary hypertension -a lo awm thin thisen sang chungchang kan sawi a ni.

Secondary Hypertension chu eng nge ni?

A awlsam zawngin, hei hian thisen sang, a chhan chiang tak hriat theih , kan taksaa natna dang emaw, damdawi kan ei emaw avanga lo awm tihna a ni.

Doctor-te sawi angin, mi tam zawkin kan hriat thisen sang pangngai chu Primary Hypertension -ah hmuh theih a ni lo. Kan genes, nunphung, kan ei leh in, exercise lak loh te ang chi thil tam takin a nghawng a ni. Mahse `Secondary Hypertension`-ah chuan chutiang chu a ni lo, kan kut zungtang kan kawhhmuh thei a, `Ah... hei hi pressure chhan a ni' kan ti thei.

Hei hi han mitthla teh. I faucet atanga tui lo chhuak chu a tlahniam tawh. Tank chhungah tui a awm em tih i check thin. Tui a awm. Chuti a nih chuan eng nge buaina chu? Tui pipe chhungah thil eng emaw a tang mai thei. Hei hi chutiang chu a ni. Pressure a sang hle a, mahse chutiang a nih chhan chu a pressure ngei pawh a buaina a ni lo va, taksa hmun dangah a buaina a ni.

Doctor-te chuan thisen sang nei zinga 5% atanga 10% chauhvin secondary hypertension an nei niin an ngai thin. Mahse zirchianna thar chuan a tam zawk thei tih a tarlang a, a chhan chu he natna hi hriat sual a nih fo avangin thisen sang pangngai anga enkawl a ni.

Secondary hypertension thlentu berte chu engte nge ni?

Tunah chuan eng natna chi nge hetiang hi thlen thei tih i ngaihtuah mai thei. He list hi lo en ve teh. Hengte hi a chhan tam ber a ni. Heng zawng zawng hi chipchiar zawkin han thlir ila.

Damdawi leh thil dang thisen sang tisang thei

Damdawi kan ei \henkhatte hian kan hriat lohvin kan thisen sang a tisang thei bawk.

• Khawsik leh allergy damdawi thenkhat (Decongestants) .
• Natna tidamtu (NSAIDs) .
• Naupai venna damdawi (Oral Contraceptives) 1.1.
• Antidepressant thenkhat
• Corticosteroids - e.g. prednisone a ni
• Immunosuppressant hmanga taksa hriselna tichhe thei
• Cancer damdawi thenkhat

Chu bâkah, zu in tam lutuk, nicotine hman tam lutuk, thing leh mau ṭhenkhat , leh ruihhlo hmansualna pawh hi thisen sang thlentu lian ber a ni.

Secondary hypertension natna lan chhuah dan chu engte nge ni?

A tam zawkah chuan `Secondary Hypertension` nena inzawm symptoms a awm lo. Chumi awmzia chu i thisen sangah danglamna lian tham i hmu lo mai thei (hlauhawm taka sang a nih loh chuan). Mahse, thisen sang thlentu dinhmun bulpui (underlying condition) chhinchhiahna i nei thei a ni .

Entirnan, i thisen sang hi thyroid harsatna avanga lo awm a nih chuan heart rate sang, thawk hah lutuk, thau lutuk te ang chi symptoms i nei thei. Chutiang bawkin, a chhan bulpui a zirin symptoms pawh a inang lo ang.

Engtik laiin nge doctor chuan he thil hi a rinhlelh?

I doctor-in secondary hypertension i neih nia a rinhlelh theihna tur thil engemaw zat a awm. Chungte chu condition atan "red flags" an ti a.

• I thisen sang chu a tlangpuiin control theih a nih a, a sang nghal a nih chuan.
• Kum 30 hnuai lam miin thisen sang a neih chuan.
• Pressure hlauhawm taka a san thut chuan (Hypertensive Crisis).
• Damdawi pathum emaw a aia tam emaw hmang chung pawha i thisen sang control theih loh chuan (Resistant Hypertension).

Hei bakah hian, .Naupang tê têin a puitlin hmaa a thisen a san chuan chu chu a chhan dang zawng tûra min chêttîrtu lian tak a ni ngei ang.

Enkawl loh chuan eng hlauhawmna nge awm?

Hetiang dinhmun hi enkawl a nih loh chuan hun rei tak chhung thisen sang hian thinlung, thisen kalna kawng, thluak leh kal (kidney) te a tichhe thei a ni. Hei hi hypertensive heart disease kan ti a .

Tin, pressure thlentu damdawi lam dinhmun hnuaia awm a\angin harsatna a awm thei bawk. Mahse hei hi a tha lam a awm. `Secondary Hypertension` hriatchhuah hi i taksaa natna dang thup tawh hriat theihna atana clue hmasa ber a ni thei. Chuvangin, a enkawl hi a hnuaia natna awm pawh enkawl dan tur tha tak a ni.

He natna hi Doctor ten engtin nge an hriat chian?

A chhan tam tak a nih avangin, a châng chuan diagnosis dik tak siam theih nân hun rei tak a la ngai thei a ni. Doctor chuan a chhan ṭhenkhat chu a paih chhuak a, ṭhenkhat chu ngun zawka a chhui a ngai mai thei.

Testing process hi a tlangpuiin hetiang hian a kal thin:

1. Enfiahna hmasa ber: A hmasa berin i doctor chuan taksa a enfiah ang che, i medical history, damdawi i ei dan leh supplement i ei dan te a zawt ang che. I ei leh in, chi in leh zu in dan te a sawi bawk ang.

2. Basic test: Chumi hnuah EKG (ECG) test, thisen leh zun test bulpui thenkhat tih a ni.

3. Specialized tests: Test hmasa atanga a chhan hriat chian loh chuan damdawi lam dinhmun rinhlelh dan azirin specialized test dang neih leh thin a ni.

• Kidney Ultrasound hmanga tih a ni
• CT Angiogram emaw MRA (thisen kalna kawng enfiahna bik scan) .
• Mut zir emaw polysomnography emaw hmanga zir chian
• Hormone level bik en turin thisen leh zun test tam zawk neih a ni

Engtin nge enkawl a nih?

Hei hi enkawl dan tur chu pressure awm chhan ah a innghat vek a ni. Mi zawng zawng tan enkawlna pakhat chauh a awm lo. I doctor chuan i tana tha tur treatment plan a siam ang a, a hrilhfiah ang che.

I enkawl dan tur ruahmannaah hian:

• Thisen sang tihhniam nan damdawi ei.
• Damdawi dang ei a, a hnuaia damdawi lam dinhmun enkawl.
• Ei leh in lama inthlak danglamna siam (e.g. chi tihtlem).
• Zu in tam lutuk tihtlem.
• Meizial zuk bânsan vek.
• Taksa exercise neih fo thin.
• Mut laiin thawk harsatna i neih chuan CPAP machine ang chi hmanrua hmang rawh .
• A châng chuan operation emaw, damdawi lam thil dang emaw tih a ngai mai thei.

Hetiang dinhmun enkawl hian rah tha tak a chhuah thei a ni. A chhan bulpui ber chu uluk taka enkawl a nih chuan i thisen sang chu a normal leh thei tawh ang. I thisen sang tlem a san chhunzawm chuan a thunun theih nan damdawi i ei chhunzawm a ngai mai thei. A pawimawh ber chu a chhan zawng chhuakin, uluk taka enkawl hi a ni.