Lu chhunga thisen chhuak nghal? (Subarachnoid Hemorrhage - SAH) Vawiin hian kan sawi dawn!

I lu a puak ang maia lang, emaw, êngin a rawn nuai che ang maia lu natna nasa tak i nei tawh ngai em? Mi thenkhat chuan "i nunah lu na ber" an ti. Hei hi fiamthu a ni lo. Hei hi dinhmun hlauhawm tak a ni thei. Damdawi lamah chuan he natna hi `(Subarachnoid Hemorrhage)` emaw `(SAH)` emaw kan ti thin. Hei hi medical emergency a ni tak zet a ni. Chuvangin he thu hi chipchiar deuhin, thu awlsam takin sawi ila, okay?

Hei hi eng nge ni tak tak (Subarachnoid Hemorrhage)? A awlsam zawngin hrethiam ila, kan hrethiam ang em?

A awlsam zawngin, `(Subarachnoid Hemorrhage)` tih hi kan thluak leh thluak vel khuh tu te tak te inkar hmun ah thisen a chhuak a ni . Ngaihtuah teh, kan thluak hi lunghlu hlu tak ang a ni. Chuvangin a humhim nan nature chuan thin covering membrane layer thum min pe a ni. Chungte chu `(Meninges)` kan ti a. Onion vun ang mai a ni a, a layer engemaw zat chu coconut hnah ang mai a ni.

Heng khuhna pathumte hi:

• Dura mater: Hei hi luruh hnuai chiaha pawn lam khuhna nghet deuh deuh a ni.
• Arachnoid mater: Hei hi a lai khuhna a ni. Spider web ang maia membrane nalh tak.
• Pia mater: Hei hi thluak ngeia inbun, a chhungril ber khuhna te tak te a ni.

Tunah chuan he `(Subarachnoid Hemorrhage)`-a thil thleng chu a laiah (chu chu "sub-arachnoid" space-ah) arachnoid membrane hnuaiah thisen chhuahna a awm tih hi a ni. Hei hi a hlauhawm hle a, a chhan chu he thisen chhuah hian thluak ah pressure a siam thei a, thluak cell te pawh a tichhe thei bawk. Chuvang chuan hei hi medical emergency anga ngaih a ni.

(Subarachnoid Hemorrhage) leh (Subdural Hematoma) hi eng nge an danglamna?

``Subdural Hematoma'' tih natna dang i hre tawh mai thei. An pahnih hian thluak chhungah thisen an chhuak vek a. A danglamna chu thisen chhuahna hmun a ni .

• ``Subdural Hematoma'' ah chuan thisen chu a pawn lam khuhna hnuaia space, kan sawi tawh ang khan ``dura mater'' ah a luang lut thin.
• Subarachnoid hemorrhage-ah chuan thisen chu arachnoid membrane hnuaia space-ah a luang lut a ni .

An pahnih symptom hi a chang chuan a inang thei a, an pahnih hian thluak a tichhe thei a, an pahnih hian emergency medical treatment mamawhna dinhmun an ni.

Tute nge SAH vei tam zawk? Risk factors te chu engte nge ni?

He natna hi ``Subarachnoid Hemorrhage'' tia koh hi tu pawhah a awm thei. Mahse, kum 40 leh 60 inkar ah a tam zawk .

Lu natna (SAH) hi puitling kum upa zawkte zingah a tam zawk a, a chhan chu mi kum upa lam a nih chuan tlu leh balance hloh theihna a sang zawk a ni. Tleirawl zingah motor chetsualna hi a chhan lian ber a ni.

Tin, SAH lo awm theihna tura pui thei risk factor dang engemaw zat a awm bawk. Anni chu:

• I thluak emaw, i taksa hmun dangah emaw, unruptured aneurysm neih (aneurysm chu thisen kalna kawng balloon ang maia bulge a ni).
• Tun hmaa thluak (brain aneurysm) ruptured tawh tawhna history nei.
• Zuk leh hmuam zuk leh hmuam. (Hei hi natna tam tak thlentu a ni lawm ni?)
• Thisen sang (Hypertension) nei. ("High pressure" kan ti thin).
• Genetic condition thenkhat, entirnan, connective tissue natna ``Fibromuscular dysplasia (FMD)`` leh ``Ehlers-Danlos syndrome`` te.
• Kal natna ``(Polycystic kidney disease)'' tih nei.
• Cocaine leh/ emaw methamphetamine ang chi ruihhlo hman.
• Zu in tam lutuk.
• Thisen tithianghlimtu Warfarin ang chi hman (Hengte hi doctor thurawn ang chauha hman tur a ni).
• I chhungkuaa mi pakhatin aneurysm (chu chu chhungkaw history nghet tak tihna a ni) a neih chuan .

Pawimawh: Heng risk factor pakhat emaw a aia tam emaw i neih chuan SAH i vei ngei ang tihna a ni lo. Mahse, i risk a sang zawk tihna a ni. Chuvangin damdawi lam thurawn lak a pawimawh hle.

He dinhmun hlauhawm tak hi eng chhinchhiahna nge ni? Engtin nge i hriat chian?

Subarachnoid hemorrhage chhinchhiahna ber leh hlauhawm ber chu a hmaa kan sawi tawh "thunderclap headache" hi a ni. Hei hi lu na tak, rang tak a ni. I lu chhungah thil puak ang maiin a awm thei. Mi tam tak chuan, "Ka dam chhungin hetiang hian lu na hi ka la nei ngai lo," an ti.

Hetiang lu na tak, rang taka i neih chuan, a bik takin a hnuaia tarlan symptom dang i neih chuan, 911 (1990 Suwaseriya in Sri Lanka) ah hian tihkhawtlai lohvin call la, a nih loh leh emergency room hnai ber ah kal thuai rawh. Hei hian i nunna a chhanhim thei a ni!

A lan chhuah dan dangte chu:

• Thil hriatna tlahniam leh muhil harsat.
• Nausea leh luak chhuak.
• Kawngkhar a nghet lo tih hriat, kawr ben harsa (Stiff neck) .
• I nunna hloh nghal mai ang maia inhriatna.
• Mood leh mize inthlak danglam (e.g., agitation, irritability).
• Luak chhuak .
• Photophobia (mit êng êng tak laka hriatna) .
• Muscle pain , a bik takin kawr leh kekawrteah.
• Taksa peng pakhata natna (numbness) a awm.
• Fit (seizure) neih `(Seizures)` .
• Vision changes : Double vision, mit hmuhnaah hmun dum, mit pakhatah hun eng emaw chen a hloh.

Heng symptom pakhat emaw a aia tam emaw chu chu lu natna nasa tak nen chuan a awm a nih chuan SAH a nih theihna chance a sang hle.

Engvangin nge hetiang (Subarachnoid Hemorrhage) hi a lo awm? A chhan berte chu engte nge ni?

Subarachnoid hemorrhage a awm chhan lian ber pahnih a awm.

1. Lu natna: Hei hi a chhan ber a ni. Entîr nân, tlu na tak emaw, motor accident emaw chuan lu-ah nasa takin a vuak thei a ni.

2. Ruptured brain aneurysm: Hei pawh hi a chhan tam tak a ni. Kan sawi tawh ang khan aneurysm hi thluaka thisen kalna kawng bang a chak lo tak, balloon ang maia bulge a ni. A puak nghal a nih chuan thisen chu arachnoid membrane hnuaia space-ah a luang lut nghal a ni. Hei hi lu hliam nei lo sudden aneurysm ruptures (SAH) 85% awm chhan a ni.

Heng chhan lian pahnih bakah hian chhan dang tam lo zawk engemaw zat a awm bawk:

• Thisen kalna kawng inzawmkhawm atanga thisen chhuak. Hei hi ``Arteriovenous malformation (AVM)`` an ti a.
• Thisen chhuahna lama harsatna thenkhat.
• Thisen tithianghlimtu hman (damdawi lam thurawn tel lova hman a nih chuan).
• Cocaine leh/ emaw methamphetamine ang chi ruihhlo hman.

Engtin nge doctor-te hian hei hi an hriat chian? Eng test nge an tih?

I natna lan chhuah dan leh a hmasa ber enfiah hnuah doctor chuan ``Subarachnoid Hemorrhage'' i nei nia a rinhlelh chuan ``CT scan'' (Computerized Tomography scan) a ti nghal ang.

CT scan hmangin kan taksa chhunga tissue awmte chu chipchiar takin a la thei a ni. SAH a awm leh awm loh hriat nan thluak CT scan hi a tangkai hle. A châng chuan CT angiography (CTA) scan, thisen kalna kawng (vein)-a tui bik inject-na hmangin thisen kalna kawngte dinhmun pawh a en thei bawk.

Mahse, SAH te tak te a nih chuan, emaw, kar hnih aia rei lovah a thleng a nih chuan CT scan hmangin a hriat theih loh mai thei. Chutiang a nih chuan doctor chuan test tlemte a tih belh a ngai mai thei.

Anni chu:

• Lumbar puncture: Hei hi i hnungzang hnuai lam ah needle te tak te tak te dahin i thluak leh i ruhro vel (cerebrospinal fluid - CSF an tih) atanga tui sample lak a ni. He fluid hi xanthochromia (a sen hring) a awm leh awm loh an test leh thin. A awm a nih chuan SAH i nei tihna a ni thei.
• Brain magnetic resonance imaging (MRI): Hei hian tun hnaia thluak thisen chhuak leh awm loh a enfiah thei bawk.

SAH a awm tih hriat a nih hnuah damdawi ina enkawlna chu a chhan zawn leh enkawl atanga tan a ni a, chubakah harsatna lo awm thei zawng zawng enkawl a ni bawk. Lu hliam nei lo SAH zinga 80% aia tam hi thisen kalna (aneurysm) avanga lo awm a nih avangin doctor-te chuan cerebral angiogram an tih test an ti fo a, chu chuan thluaka thisen kalna kawng (arteries) thlalak a la a, thisen kalna chu a enkawl a ni.

Hei hi eng enkawlna nge ni? Eng chen nge a dam leh theih ang?

Subarachnoid hemorrhage hi nunna atana hlauhawm emergency a ni a, damdawi in intensive care unit (ICU) -ah enkawl a ni tlangpui a, chutah chuan thluak lam natna lama thiamna a awm a ni. Enkawlna atana thil tum berte chu:

• I nunna chhanhim.
• Thisen chhuah chhan hriatchhuah a, enkawl.
• Symptoms tihziaawmna.
• Harsatna (e.g. Vasospasm - thisen kalna kawng (constriction of blood vessels), Hydrocephalus - thluaka tui awmkhawm, thluak chhiatna awm reng) venna .

Nunna chhanhimna damdawi leh symptom control enkawlnaah hian:

• Nunna puihna system hrang hrang.
• Thluaka pressure tihziaawmna turin tube dah.
• Thluak lam venna kawng hrang hrang.
• Luruh chhunga natna tihziaawmna damdawi.
• Thisen sang control nan damdawi thisen kal tlanga pek thin.
• Vasospasm laka invenna damdawi.
• Lu na tan natna tidamtu leh lungkhamna dona damdawi.
• Fit venna emaw enkawlna tur damdawi.

SAH leh a chhan enkawlna atan pawh operation i mamawh thei bawk:

• SAH hi hliam avanga lo awm a nih chuan thisen zam lian tak tak lo awm tawh zawng zawng chu paih chhuak la, a nih loh leh thluaka pressure tihziaawmna tur a ni.
• Aneurysm a rupture a, ``SAH'' a lo nih chuan aneurysm chu siamthat tur a ni.

Damdawi ina i awm rei zawng chu i hriselna dinhmun a zirin a inang lo ang. SAH vei tam zawk chu damdawi inah ni 10 atanga ni 20 chhung an awm ang , an dinhmun leh rehabilitation an mamawh leh mamawh loh a zirin.

SAH lo thang zel tur ven nan eng nge kan tih theih ang?

Subarachnoid hemorrhage tam zawk hi lu hliam leh/ emaw thluak thisen (brain aneurysm) ruptured vang a ni. Chuvangin, subarachnoid hemorrhage kan neih loh nan kan tih theih tha ber chu heng natna pahnih a risk factors te hi control tum hi a ni.

I lu hliam lo turin fimkhur rawh:

• Bicycle, motorcycle, emaw high-risk sports khelh hunah helmet vuah fo ang che.
• Hrisel takin lirthei khalh la , traffic dan zawm reng bawk ang che.
• I tlu fo chuan physical therapist emaw occupational therapist emaw hmu la, tlu loh dan tur zir la, i in boruak him zawk siam rawh.

Brain aneurysm lo awm theihna tur tihtlem nan leh/ emaw, aneurysm awm tawh chu a puak darh loh nan:

• I doctor nen hrisel taka awm theihna tura i tih theih turte sawipui rawh. A hnuaia mite hi a rawt fo ang:
• Thisen sang control (damdawi leh nunphung thlak danglamin).
• Meizial zuk loh tur.
• Exercise neih fo (mahse vawi khatah thil rit phurh loh tur, hei hian aneurysm a tipuak thei a ni).
• Ei leh in inthlau tak ei rawh.
• Zu leh ruihhlo hman chungchangah harsatna i neih chuan tanpuina la rawh. Cocaine ang chi stimulant hmang suh.

Hetiang dinhmun hnuah hian eng nge beisei theih ang? (Prognosis leh harsatna awm thei) .

Subarachnoid hemorrhage hnua prognosis chu a chhan, a nasat dan leh harsatna dang emaw hliam emaw a awm leh awm lohah a innghat a ni.

Hei hi natna khirh tak a ni . SAH vei zinga a chanve vel chu an thi nghal vek a ni . Damdawi in pan thei zingah chuan:

• hmun thuma ṭhena hmun khat vel chu damdawi inah an thi.
• hmun thuma ṭhena hmun khat vel chu rualbanlohna chi khat neiin an khawsa a ni.
• hmun thuma ṭhena hmun khat vel chu an dinhmun pangngaiah an kir leh ṭhin.

SAH avanga harsatna awm nghal te chu:

• Fit (Seizures) neih a ni.
• Vasospasm (thluaka thisen kalna kawng a zim, thisen kal dan a tikhawlo).
• Enkawl hmasak hnuah thisen a chhuak leh.
• Hydrocephalus (thluaka tui awmkhawm).
• Intracranial pressure a sang chho zel.
• Thluak herniation a awm.
• Cerebral infarction / ischemic stroke hi thluaka thisen pek tlem vang a ni.
• Thihna.

SAH hian hun rei tak chhunga harsatna a thlen theihte chu engte nge ni?

Subarachnoid hemorrhage hian thluak a tihchhiat theih avangin hun rei tak chhung, a awm reng thei bawk. Hun rei tak chhunga harsatna awm thei te chu:

• Taksa lama harsatna: Mutthilh leh hah fo, taksa peng hrang hrangah rilru hah emaw chak lo emaw, ei harsat, balance hloh.
• Cognitive issues: hriatrengna lama harsatna, ngaihtuahna seng harsa, ruahmanna siam leh hna harsa tak tak thawh harsat.
• Thusawi harsatna: Thusawi thiam lo emaw, thusawi slow emaw. I mamawh thumal hmuh harsat.
• Mental health issues: SAH hi nunah harsatna lian tak a ni. Depression, generalized anxiety, leh post-traumatic stress disorder (PTSD) ang chi dinhmun a thlen thei a ni.

Heng hun rei tak chhunga harsatna awm thei te hi enkawlna hrang hrang a awm a. Entir nan:

• Taksa lam enkawlna.
• Occupational therapy hmanga enkawlna.
• Thusawi hmanga enkawlna.
• Psychotherapy (thusawi hmanga enkawlna) a ni.

Damdawi thenkhat pawhin hei hi a pui thei bawk. Heng harsatna te hi i neih chuan i medical team te nen inbia ang che.

Enkawl loh chuan SAH hian kum khat chhungin a thih theihna chance 65% a nei a ni. Mahse, uluk taka hriatchhuah leh enkawl a nih chuan kum khat chhunga thih theihna chance chu 18% velin a tlahniam thei a ni.

SAH i vei tih hmuhchhuah i nih chuan i hriselna leh hmasawnna enfiah turin i medical team i hmuh fo a ngai dawn a ni. Harsatna a lo awm chuan taksa, hnathawhna leh/ emaw thusawi lama therapy i mamawh thei bawk.

Take-Home Thuchah a ni

Okay, chuvangin tunah chuan vawiin a kan sawi tawh, `(Subarachnoid Hemorrhage) hi hriatthiamna tha zawk in neih ka beisei.` tih hi hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Lu na rang tak, na tak, thunderclap ang maia na hi SAH symptom pawimawh tak a ni thei.
• `(SAH)` hi damdawi lam emergency a ni . Symptoms i neih chuan tihkhawtlai lohvin doctor tanpuina zawng rawh.
• Lu hliam leh thluak (brain aneurysm) ruptured te hi a chhan ber a ni.
• SAH vei theihna chu risk factors control a, nunphung him tak hman a nih chuan tihziaawm theih a ni.
• Hetiang dinhmun hi pawi hle mah se, enkawl vat leh insiamthatna dik tak hmanga nunna chhanhim leh nun tha neih theihna hun remchang a awm a ni.

Chuvangin, hei pawh hi hre reng ang che. Nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan hma la nghal rawh. Hrisel takin awm rawh!

` Subarachnoid Hemorrhage, SAH, Thluak Thisen chhuak, Thunderclap Lu na, Thluak Aneurysm, Thluak Aneurysm, Emergency Treatment, Lu Inhliam, Thluak Covering