Kan taksa peng pawimawh ber pakhat chu thluak hi a ni. Chuti a nih chuan thluak hian thisen a hmu tlem a nih chuan engtin nge ni ang? Hun rei lote chhunga thil thleng tur chu han ngaihtuah teh. Hei hi tunlai dinhmun hlauhawm tak, stroke an tih ang chi hi a ni. ‘Paralysis’ an tih hi i hre tawh mai thei. Hei hi thil pawi tak a ni a, chuvangin nang leh i hmangaih tak takte tan chuan i tih tur dik tak hriat a pawimawh hle.
Stroke tih hi eng nge ni? Thluak hi eng nge thleng tak tak?
A awlsam zawngin sawi ila, stroke hi kan thluaka oxygen leh nutrients phurtu thisen supply chu a tawp emaw, a tlahniam emaw a nih chuan a ni. Kan in chhunga tui pipe khar hian tui tlakchhamna a thlen thei ang bawkin thluak thisen a hloh chuan thluak cell te chu an thi tan thin. Hei hi a hlauhawm hle a, a chhan chu thluak cell te hi vawi khat an thih chuan siam thar leh a harsa hle a ni.
Doctor-te chuan hei hi ``Cerebrovascular Accidents (CVAs)'' an ti \hin a, chu chu "thluaka thisen kalna kawnga accident" tihna a ni. Khawvel pumah stroke hi thihna thlentu lian ber pahnihna a nih avangin ngaihthah tur a ni lo.
Stroke hi kawng lian pahnih a awm thei a:
1. Ischemic Stroke: Hei hi stroke chi khat zingah chuan a tam ber a ni . Thisen zam hian thluaka thisen phurtu thisen kalna kawng a tikhawlo a, thisen kal chu a tikhawlo vek emaw, a then emaw a tikhawlo a ni.
2. Hemorrhagic Stroke: Hei hi thluaka thisen kalna kawng a puak a, thluak chhungah emaw, a chhehvelah emaw thisen a chhuah hian a thleng thin.
Engti kawng pawhin, stroke hi medical emergency a ni. Second tin hi a chhiar tel vek. Enkawlna tan hma chuan thluak chhiatna tihziaawmna leh nunna chhanhim theihna chance a sang zawk.
Stroke natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?
Stroke natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Tin, thluaka khawi hmunah nge stroke awmna a zirin an danglam bawk. Mahse, a lan chhuah dan tlangpui thenkhat a awm. Chung zinga pakhat emaw, a aia tam emaw chu a rualin a thleng thei a ni:
- Thusawi harsa, emaw, thusawi hloh vek (`Aphasia`). Thusawi thiam lo, i sawi duh thu sawi thiam lohna, leh mi dangte thusawi hriatthiam harsa.
- Mit hmuh fiah lo, mit pahnih (`Diplopia`), emaw mit pakhat emaw, mit pahnih emawa mit hmuh lohna nghal mai.
- Buaina leh lungkhamna neia inhriatna.
- A chang chuan hriatna hloh (`Coma`) a awm thei bawk.
- Luak chhuak, inher chhuak (`Vertigo`) tih hriatna.
- Lu na tak, na tak a ni. Hei hi lu na pangngai aiin a na zawkin a lang thei.
- Hmai sir khatah muscle control hloh. Nui chungin hmai chu a sir khatah hrual ang maiin a lang thei.
- Balance hloh, kut leh ke thunun theih lohna, zu rui ang maia tlu (`Ataxia`).
- Hriatrengna hloh (`Amnesia`).
- Thiltih dan inthlak danglam nghal, thinrimna leh buaina ang chi te.
- Nausea leh luak chhuak.
- Kawngkhar khauh tak.
- Vawikhatmah faint leh tlu mai tur.
- Seizures a awm thin.
- Thusawi thiam lo, tawng thei lo (Dysarthria).
- Taksa hriatna (mit, hriat, rim, thlum, khawih) te chu a tlahniam thut emaw, a bo emaw chu thil pangngai a ni.
- Taksa sir khat (hmai, kut, ke)-a rilru hahna, chak lohna, emaw thiltihtheihna hloh vek (Paralysis).
Nangmah emaw, i hriat miin emaw heng symptoms pakhat emaw a aia tam emaw i neih chuan a tha ber chu doctor thurawn lak nghal hi a ni. Hun khawhral suh.
Stroke hi eng chen nge a awm theih? Eng nge a nghawng?
Stroke hi eng chen nge a awm tih hi thluaka thisen kalna tur a tihtawp rei danah a innghat a ni. Thluak cell te hi oxygen tel lo chuan rei tak an dam thei lo. Minute tlemte chhungin an thi tan thin. Hmun pakhatah thluak cell tling tawk an thih chuan a chhiatna chu a awm reng thei a ni. Chumi awmzia chu thusawi, kal leh hriatrengna lama harsatnate hi dam chhung zawng a awm thei tihna a ni.
Chuvangin hun hi a pawimawh ber kan ti a ni . A rang thei ang bera thluaka thisen kal chu kan siam ṭha leh chuan, a chhiatna awm reng chu kan veng thei a, a tlem berah chuan a nasatzia kan ti tlem thei bawk.
Enkawlna hnuah pawh stroke-in a nghawng chu hun engemaw chen a daih thei a ni. Symptom leh side effect thenkhat chu kum khat emaw a aia rei emaw chhung a awm thei.
Stroke a awm tih hriattirna chhinchhiahna! 'BE FAST' tih hi hre reng ang che.
Stroke hriat theihna awlsam tak a awm. ‘BE FAST’ tih a ni. Hei hi English thumal engemaw zat letter hmasa ber inzawmkhawma siam acronym a ni. Hei hi i hriat reng chuan nangmah emaw, i hnaih ber emawin stroke symptoms an hriat chuan i che nghal vat thei a ni.
- B - Balance: I balance a hloh nghal mai thei , i lu a buai thei a, kal pawh i harsat phah thei bawk.
- E - Mit: Mit a fiah nghal vat a, mit pakhat emaw, mit pahnih emaw a mit a hloh emaw, a then emaw a hmu thei lo.
- F - Hmai: Hmai chu a sir khatah a hrual thei . Nui turin an tih chuan a hmai sir khat chu a tla thla niin a lang.
- A - Kut: Kut pahnih chawi sang tura tih a nih chuan kut pakhat chu a chawi sang thei lo a, a tla thla thei a, a nih loh leh kut pakhat chu a hlim lo thei bawk.
- S - Thusawi: Thusawi laiin thumal slurring, sawi tur hriat reng loh, emaw i thusawi bengchheng ang maia inhriatna. Mi dangte thusawi hriatthiam a har thei bawk.
- T - Hun: Hun hi a hlu!If you see any of these signs , 1990 (Suwa Sariya) call nghal la , a rang thei ang bera damdawi in hnai ber pan rawh. A natna lan chhuah tirh hun hriatrengna hian doctor chu a enkawlna kawngah nasa takin a pui bawk ang. A chhan chu enkawlna thenkhat chu natna lan chhuah tan atanga hun bituk chhung chauh pek theih a nih vang a ni.
Stroke thlentu berte chu engte nge ni?
Kan sawi tawh ang khan stroke hi chi hnih a awm a, a chhan hrang hrang a awm.
1. Thisen kalna kawng a inkhar (Ischemic Stroke) .
Hei hi thisen zam emaw thil dang emaw chu thluaka thisen phurtu thisen kalna kawngah a tlakbuak hian a thleng thin. Tui pipe-a bawlhhlawh chi khat a tlakbuak ang mai a ni. Hei hi a chhan chu:
- Atherosclerosis: Hei hi hun kal zelah thisen kalna kawng bangah cholesterol ang chi thau tak tak a lo awm khawm a, chu chuan thisen kalna kawng chu a zim zauh zauh thin. Tui pipe hlui chhunga rust lo awm ang mai a ni. Heng hmun zim takah hian awlsam takin thisen zam a lo awm thei a, a tang thei bawk.
- Atrial Fibrillation: Hei hi thinlung thawk mumal lo a ni. Thinlung a nat tawk loh chuan thinlung chhungah thisen zam a lo piang thei a ni. Heng clots te hi a chhuak thei a, thluaka thisen kalna kawng khatah a tang thei bawk. Hetiang dinhmun hi a bik takin bengchheng (Sleep Apnea) te tan chuan a awm thei hle.
- Clotting disorders: Mi thenkhat chuan an thisen chu awlsam taka tihkhawtlai duhna an nei a.
- Thinlung chhiatna pianpui: Entirnan, thinlunga khur nei, ``Atrial Septal Defect`` emaw ``Ventricular Septal Defect`` emaw ang chi te.
- Microvascular ischemic disease: Thluaka thisen kalna kawng te tak te te a tichhia.
2. Thisen kalna kawng a puak vang (Hemorrhagic Stroke) .
Hei hi thluak chhunga thisen kalna kawng a puak a, thisen a chhuah tan chuan a thleng thin. Hei hi a chhan chu:
- Brain aneurysms: Hei hi thluaka thisen kalna kawng bang a chak lo va, balloon ang maia a bulh lai a ni. Hei hi a puak nghal thei.
- Brain tumors: Brain tumor thenkhat hian thisen kalna kawng a pressure a siam thei a, a puak darh thei bawk.
- Thisen sang: Hun rei tak chhung thisen sang thunun loha dah a nih chuan thisen kalna kawng a chhiat bakah a puak darh theihna chance a sang zawk.
- Moyamoya natna leh thluaka thisen kalna kawng tichak lo thei dangte.
TIA nge 'Mini-Stroke' chungchang pawh i zir ve ang u?
Transient Ischemic Attack (TIA) tih hi i hre tawh mai thei. "Mini-stroke" an ti bawk. Stroke nen a inang a, mahse a lan chhuah dan chu rei lo te chauh a ni. Minute tlemte atanga darkar tlemte chhungin a natna lanchhuahna chu a bo vek a ni. Thil thleng chu thluaka thisen kal chu hun eng emaw chen a titawp a, mahse a titawp chu a reh tlangpui a, thisen kal chu a lo tha leh ta a ni.
Mahse, TIA i neih chuan engtin nge ni ang?Chu chu vaukhânna pawi tak a ni! Nakin lawkah stroke tak tak neih theihna a sang hle tihna a ni. Chuvangin TIA symptoms nei chuan damdawi lam pan vat a ngai a ni. Doctor-te chuan a lo awm chhan an zawng chhuak thei a, stroke lian tham i neih loh nan a tul angin enkawlna an pe thei che a ni.
Tute nge stroke vei theihna sang zawk?
Tu pawhin stroke nei thei mahse, mi thenkhat chu an hlauhawm zawk. Chung zingah chuan:
- Kum 65 chunglam .
- Mi zuk leh hmuam, emaw, zuk leh hmuam chi dang hmang (e.g. chewing tobacco), chutiang bawkin vape hmangte pawh.
- Ruihhlo hmangtute.
Tin, damdawi lam harsatna thenkhat nei te chu stroke vei an hlauhawm zawk bawk:
- Zu ruihhlo ngawlvei (`Zu hmansualna`).
- Mi thenkhat COVID-19 vei te hian naupan laiah stroke an vei theihna a sang zawk thei tih hmuhchhuah a ni.
- Migraine lu na fo thinte.
- Thisen sang (hypertension) nei te. Mi tam tak chuan thisen sang an nei tih pawh an hre lo.
- Thisen cholesterol sang (Hyperlipidemia) nei te.
- Type 2 Diabetes vei te.
Engtin nge stroke dik taka i hriat theih ang?
Emergency room-a hruai i nih chuan doctor-in a tih hmasak ber tur chu neurological exam a ni ang. Chumi awmzia chu i thusawi thiamna te, i chakna te, i balance leh i mit hmuhna te enfiah a ni.
Tichuan, stroke a nih leh nih loh, eng chi nge a nih tih leh thluaka khawiah nge a nghawng tih chiang takin test eng emaw zat an nei thin. A bulpui berte chu:
- Thisen test: Thisen zam harsatna, sugar level, leh cholesterol level te ang chi thil te enfiah thin ang che.
- CT scan: Hei hian thluak thlalak a la a, thisen chhuak emaw, thisen kalna kawng khar emaw chu rang takin a enfiah thei a ni.
- MRI scan: Hei hian thluak thlalak chipchiar takin a la bawk. Hei hian thluaka chhiatna thlengte chiang taka hriat theihna turin a pui a ni.
- E.C.G.-in a sawi. (`Electrocardiogram - EKG`): Thinlung hnathawh dan a enfiah thin. `(Atrial Fibrillation)` ang chi harsatna a hmuchhuak thei.
- EEG (Electroencephalogram - EEG): Hei hian thluaka electric hnathawh dan a teh a. A châng chuan hei hian seizure a awm leh awm loh finfiah nan a pui thei bawk.
Stroke natna enkawl dan tur chu engte nge ni?
I enkawlna tur chu thil engemaw zatah a innghat ang. Chung zingah chuan:
- Stroke vangin thluak chhiatna engzat nge awm?
- Thluak hmun eng nge a nghawng?
- Eng ang stroke nge i neih? (Thisen kalna kawng khar emaw, puak emaw?)
Mahse, doctor-te thil tum hmasa ber chu thluaka thisen kal dan pangngaia rang thei ang bera siam leh a ni a, chu chuan thluak chhiatna nghet tak a tihziaawm thei a ni.
- Miin thisen kalna kawngkhar a block avanga ischemic stroke a neih chuan a enkawlna chu thisen zam khap chu tihthianghlim emaw, paih emaw a ni.
- Thrombolytic damdawi: Hengte hi natna lan chhuah tirh atanga darkar tlemte chhunga pek a nih chuan a hlawk ber.
- Surgery (`Mechanical thrombectomy`): A chang chuan, a bik takin thisen zam lian tak a nih chuan, ke emaw, kut emaw kaltlangin tube te tak te chu thluak chhungah dahin, thisen zam chu an la chhuak thin.
- Thisen sang control nan damdawi pek a ni bawk.
- Thisen kalna kawng puak vanga thisen chhuak (hemorrhagic stroke) tuar tan chuan a tum ber chu thluak chhunga thisen chhuak tihtawp a, thluaka pressure tihziaawm hi a ni.
- Thisen chhuah tihtawp nan leh thisen sang control nan damdawi pek thin a ni.
- A châng chuan thluak chhûnga thisen awm khâwm chu paih chhuah nân emaw, thisen kalna kawng chhe tawh siamṭhat nân emaw, thluaka pressure tihhniam nân emaw (intracranial pressure) operation neih a ngai mai thei.
I doctor chuan eng enkawlna nge i tana tha ber tih chiang takin a hrilh ang che, chuta tang chuan eng nge i beisei tur tih leh dam lehna tur hun rei tak a la ngai dawn tih a hrilh ang che.
Stroke hnua rehabilitation hi engtiang chiahin nge a pawimawh?
Stroke enkawlnaah hian rehabilitation hi a pawimawh hle. A bul tan thar ang mai a ni. Stroke vanga i thluak chhiatna avanga i taksa leh rilru inthlak danglamna lo thleng tawhte chu i insiamrem theih nan a pui thin. I theihna hmasa neih leh emaw, rualbanlo thar nena nun zir emaw i tan a pawimawh hle.
A tlangpuiin, rehabilitation program-ah hian a hnuaia mi pakhat emaw, a aia tam emaw a tel thei a ni:
- Cognitive rehab: Rilru lama thiamna tihchangtlun, hriatrengna, ngaihtuahna leh harsatna chinfel thiamna te.
- Occupational therapy: Nitin hna (e.g., incheina, ei leh in, inbual, inchhung hna) mahni inrintawkna leh him taka thawk leh tura zirtirna. Hei hi hnathawh tur, chetna tha tak tak mamawhna atan chuan a pawimawh hle.
- Physical therapy: Taksa a tichak a, balance a ti tha a, kut leh ke hman tangkai leh theih nan a pui bawk. Hei hian kal leh ding ang chi thilah a pui thei a ni.
- Speech therapy: Thusawi leh tawng hriatthiamna siam\hatna kawngah a pui. Tin, thusawi, thawk, ei leh ei leh in lama puitu ruh (muscles) control dan tur a zirtir bawk.
He rehabilitation process hi a harsa deuh thei a, mahse beidawng suh. Tlemtein hma i sawn thei a ni.
Stroke hnua recovery rate leh recovery time hi eng ang nge ni?
Stroke atanga mi zawng zawng an dam that dan hi chiang taka sawi a harsa khawp mai. Stroke hian thihna a thlen thei a, permanent disability a thlen thei bawk. Mahse, beiseina nei reng a pawimawh. Mi zawng zawng recovery schedule emaw outcome emaw a inang vek lo.
Thisen kalna kawng a puak vanga lo awm, thisen kalna kawng (blood vessel) puak avanga lo awm thin, thisen kalna kawng (blood vessel) a inkharkhip avanga lo awm, ischemic stroke aiin a hlauhawm zawka ngaih a ni tlangpui. Mahse, chu chuan stroke chi dang atanga dam leh chu a awlsam zawk, a rang zawk, a tha zawk tihna erawh a ni lo.
I dam lehna hmasawnna chu thil engemaw zatah a innghat a ni:
- Engtiang chiahin nge enkawlna i dawng thuai.
- Thluak hmun eng nge a nghawng?
- Eng ang stroke nge i neih?
- I hriselna pum pui chu engtin nge a awm?
Mi tam tak chu stroke hnuah eng emaw chen chu an dam leh theih nan thla engemaw zat a ngai a ni. I doctor chuan i dinhmun a zirin i beisei tur a hrilh ang che. I tana ṭha tur recovery goal siam turin a pui bawk ang che.
Stroke laka inven nan eng nge kan tih theih ang?
"Tihdam aiin invenna a tha zawk," an ti. Chuvangin stroke kan veng thei a nih chuan chu chu tih tur tha ber a ni. A hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm a:
- Ei leh in hrisel ei rawh. Thei, thlai, whole grains, leh fiber ei tam zawk rawh. Oil, chi leh sugar te tihtlem rawh. I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.
- Exercise neih fo thin ang che. Kar khatah ni 5 tal minute 30 chhung, thawmhnaw ti na thei workout ti thin ang che.
- I damdawi lam dinhmun (thisen sang, cholesterol, leh zunthlum ang chi) te chu thunun la. Doctor-in damdawi a pekte chu a hun takah ei thin ang che.
- Meizial i zu a nih chuan bansan rawh. Meizial zu thinte bula awm pawh a tha lo.
- Kum khatah vawi khat tal doctor hmu la, medical check-up kimchang neihpui rawh. A tam zawkah chuan thisen sang leh cholesterol ang chi thil hi sang mahse symptom kan nei lo. Test hmang chauha hriat theih an ni. Tichuan, kan enkawl hma thei a, stroke ang chi natna lian tham kan pumpelh thei bawk.
Stroke hnuah engtin nge i in enkawl ang? Eng thil nge i hriat reng tur?
Stroke hnua dam leh hahdam hi thil harsa tak a ni. I doctor-in enkawl dan tur a pek hnuah a theih ang anga ngun takin zawm rawh. A tlangpuiin hengte hi hre reng ang che:
- I rehabilitation leh therapy appointment dangte chu kal ngei ngei tur a ni.Eng thil pawha i rilru a hah emaw, i him lo emaw a nih chuan i therapist te hrilh rawh. Rehabilitation hi a harsa hle 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 tam hle. Lungngaihna emaw, lungkhamna emaw hian chak lohna a siam che niin ngai suh. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Ṭanpuina i mamawh nia i hriat chuan doctor emaw, mental health counselor emaw biak rawh .
- I damdawi ei tur dik takin ei rawh. Doctor-in a hrilh angin i damdawi ei chuan i taksa a tidam thei ang.
Heng symptoms te hi a lo lang leh a nih chuan engtikah nge damdawi in ka pan nghal ang?
Stroke dang i nei nia i hriat chuan 911 call nghal la, a nih loh leh damdawi in hnai ber emergency room-ah pawh tlai lovin kal rawh. Stroke dang i neih chuan harsatna lian tham tak tak leh thihna thleng pawh a sang hle.
Stroke vei tawhte pawhin harsatna lian tham dang an nei thei bawk a, chungte chu:
- Kea thisen zam (Deep Vein Thrombosis - DVT) .
- Lung natna
- Pneumonia natna (Pneumonia) a ni
- Pulmonary embolism a awm thin
- Seizures a awm thin
Hetiang natna lanchhuahna i neih chuan emergency medical services i call nghal tur a ni a, damdawi inah i kal nghal tur a ni.
Doctor hnena zawh tur pawimawhte chu engte nge ni?
Stroke i neih hnuah doctor hnenah hetiang zawhna hi zawt la a tha ang:
- Eng ang stroke nge ka neih?
- He stroke hian hun rei tak chhung ka chungah nghawng a nei dawn em ni?
- Eng ang therapy leh rehabilitation nge ka mamawh?
- Stroke dang a lo thleng leh dawn em tih hriat nan eng warning sign nge ka fimkhur tur?
Nang aia i taksa hi tumahin an hre chiang lo. Thil dik lo emaw, a hmuna awm lo emaw nia i hriat chuan hma la rawh. Stroke hi medical emergency a ni. Stroke i nei nia i hriat chuan tanpuina zawng nghal rawh. A rang thei ang bera diagnosis leh treatment neih hi i nunna chhanhimna leh damna famkim neih theihna kawng tha ber a ni.
Chuti a nih chuan, he thusawi zawng zawng a\ang hian eng thil nge pawimawh ber chu in lama hruai i duh?
Okay, chuvangin, kan sawi tawh atang hian thil engemaw zat hriat reng tur a awm:
Stroke hi thluak a rawn beih nghal mai a ni. A hlauhawm hle a, nunna atana hlauhawm tak a ni thei bawk.
‘BE FAST’ tih warning sign te kha hre reng ang che. Heng chhinchhiahnate hi i hmuh chuan 1990 ah call emaw, damdawi in pan nghal vat tur a ni.
Stroke laka invenna tha ber chu nun hrisel taka nun a, i damdawi lam dinhmun (thisen sang, cholesterol, zunthlum) te uluk taka thunun hi a ni.
Stroke atanga dam leh chu thil harsa tak a ni thei a, mahse thawhrimna leh inpekna nen chuan hmasawnna i nei thei ngei ang. I rehabilitation chu uluk takin ti rawh.
Nangmah chauh i ni lo. Chhungte, ṭhiante, doctor leh therapist-te chu ṭanpui turin an awm vek a ni.
Stroke hi nun tidanglam thei thil a ni thei. Mahse damna kawng zawh hi a phu a ni. Hmasawnna tlemte i neih apiang chu lawm rawh. Hnehna tlemte pawh hi i dam lehna kawngah hmasawnna lian tak a ni.
` Stroke, thluak stroke, paralysis, BE FAST, stroke symptoms, stroke enkawlna, stroke venna











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