I thluaka thisen kalna kawng pakhat a block a nih chuan engtin nge ni ang? 'Thrombotic Stroke' hi i fimkhur ang u!

Thluak lama thisen kal dan tur a tihkhawtlai avanga stroke lo awm thin hi i hre tawh em? A châng chuan i thusawi thiamna chu i hloh thut a, a nih loh leh i taksa sir khatah thununna i hloh ang maiin i inhria. Hei hi ‘thrombotic stroke’ kan tih chu a ni. Hei hi nunna atana hlauhawm emergency a nih avangin nang leh i hmangaih te tan beisei tur hriat a pawimawh hle.

‘Thrombotic Stroke’ tih hi eng nge ni? A awlsam zawngin i zawng chhuak ang u!

A awlsam zawngin sawi ila, thrombotic stroke chu i thluaka thisen kalna kawng chhungah thisen zam (thrombus) a lo awm a, a block hian stroke a ni. Bawlhhlawh pakhat tui pipe-a a tlakbuak a, tui luang tur a titawp ang maiin han ngaihtuah teh. He thisen zam hian thluak hmun thenkhatin an mamawh thisen an hmuh loh nan a veng a, chu chu oxygen leh nutrients tihna a ni. Thluak cell te hi oxygen tel lo chuan rei tak an dam thei lo va, chutiang a nih chuan chu cell te chu an thi tan thin.

Hetianga thisen kalna kawngkhar a block avanga stroke eng pawh hi ‘ischemic stroke’ an ti. ‘Thrombotic stroke’ hi ‘ischemic stroke’ chi khat bik a ni.

Hei hi medical emergency a ni a, nunna atana hlauhawm thei a ni. Chuvangin nangmah emaw i hriat miin emaw heng symptoms te hi i neih chuan 911 call nghal la, ambulance call la, a nih loh leh a rang thei ang bera damdawi in hnai ber pan rawh. Second tin hi a pawimawh tih hre reng ang che. Enkawlna i hmuh hma poh leh thluak chhiatna tihziaawmna leh nunna chhanhim theihna a sang zawk.

‘Thrombotic stroke’ natna lan chhuah dan chu engte nge ni?

Thrombotic stroke symptoms hi ischemic stroke chi dang nen a inang hle. Chung zinga pakhat emaw a aia tam emaw chu a thleng nghal thei a, vaukhânna tel lovin :

• Double vision (diplopia) chu mit pakhata mit hmuhna chu a fiah nghal mai a ni.
• Lu na tak, tuar theih loh khawpa na.
• Hmai sir khata taksa ruh (muscle control) hloh, a sir khatah hmui hrual emaw, mit pakhat dik taka khar theih lohna emaw.
• New onset nausea leh luak chhuak.
• Passing out / Fainting tih hi a ni.
• Thusawi laiin thu sawi hrual, tawng thei lo ang maia sawi, leh thu sawi uar (Dysarthria).
• I hriatna pakhat emaw a aia tam emawa hriatna hloh nghal mai. Chumi awmzia chu mit hmuh, hriat, rim, thlum leh khawih ang chi thilte chu a bo nghal vek tihna a ni.
• Thusawi harsa, emaw, sawi tur thumal hmuh theih loh emaw, tawngkam hloh vek (aphasia) emaw pawh nise.
• Kal harsa, taksain a balance a hloh tawh ang maia inhriatna, leiah a ke a pen tha lo ang maia inhriatna (unsteady gait).
• Engmah chhanna pe lo. Thusawi emaw, khawih emaw pawhin chhanna a awm lo mai thei.
• Hmai leh taksa sir khat (dinglam emaw veilam emaw) paralysis emaw chak lohna emaw a awm.

Heng symptoms te hi a lo awm thut avangin hei hi ngaihven a pawimawh hle.

Stroke vaukhânna chhinchhiahna: ‘BE FAST’ tih hre reng ang che!

Nangmah emaw, i hmangaih tak emaw hian stroke i vei em tih hriat nan heng English hawrawp ‘BE FAST’ tihna te hi hre reng ang che. An sawi tum chu i lo en ang u:

• B - Balance: Kal laiin balance hloh nghal emaw, a nghet lo emaw tih enfiah thin ang che.
• E - Mit: Mit pakhat emaw, mit pahnih emawa mit hmuhna hloh nghal, mit fim lo, mit pahnih hmuh theihna tur zawng rawh.
• F - Hmel: Entu chu nuihzat turin hrilh rawh. Hmai sir khat chu a tla emaw, a tla emaw a lang em tih en rawh.
• A - Arms: An kut pahnih chu an hmaah dinglam hawia chawi chhuak turin hrilh rawh. Kut pakhat a tla emaw, a chak lo emaw, a dang angin a sang thei lo emaw a nih leh nih loh en rawh.
• S - Thusawi: I thusawi a buai em tih te, thumal dik thlan i harsat em tih te, i tawng thei lo tak tak em tih te en rawh. Zawhna i dawn hunah sentence awlsam tak i sawi dik thei em tih en rawh.
• T - Hun: Hun hi a hlu hle mai! Heng symptoms te hi engtik atang khan nge a lo intan tih chiang taka hriat tum ang che. A theih chuan darthlalang emaw, phone emaw en la, a hun tur ziak rawh. Hei hian doctor-te chu enkawl dan tur thlang turin a pui dawn a ni. Heng symptoms te hi i neih chuan 1990 ah hian call nghal vat rawh!

‘Thrombotic stroke’ awm chhante chu engte nge ni?

Tunah chuan ‘thrombotic stroke’ hi i thluak chhunga thisen kalna kawngkhar a inkharkhip vang a ni tih kan hre ta. ‘Thrombus’ tih hi damdawi hmanga thisen zam tihna a ni. ‘Thrombosis’ tih hi thisen zam a lo awm dan a ni. Chuvangin, ‘thrombotic stroke’ chu ‘thrombus’ a ni a, thisen zam avanga stroke tihna a ni.

Hetianga thisen zam (blood clots) lo awm chhan hi hriselna lama harsatna engemaw zat a awm a:

• Atherosclerosis (artery walls hardening/clogging): Hei hi kan thisen kalna kawng chhungah cholesterol leh thau a lo pungkhawm a, chu chuan thisen kalna kawng chu a ti thim a, a khauh zauh zauh a, thisen kalna tur kawng a ti tawi a ni. Tui pipe hlui chhunga rust lo awm ang mai a ni. Heng hmun tawi te hian thisen zam a siam tam zawk.
• Atrial Fibrillation: Hei hi thinlung thawk mumal lo tak a ni. Thinlung hi a thawk tha tawk lo a, thinlung chhungah thisen zam a lo awm thei a, chu chuan thluak lamah a kal thei a, thisen kalna kawng (arteries) a tikhawlo thei a ni.
• Clotting lama harsatna nei: 1.1.Mi thenkhat chuan an pian tirh atang emaw, a hnu lama natna lo awm thin vang emaw pawh nise, awlsam taka thisen zam an neih duhna an nei thei bawk.
• Covid-19: Covid-19 hri kai hian mi thenkhatah thisen zam a tipung tih hmuhchhuah a ni bawk.
• Thisen sang (Hypertension): Thisen sang hian thisen kalna kawng a tichhia a, thisen zam a siam theihna a tipung bawk.
• Cholesterol sang / Hyperlipidemia: Cholesterol level a san chuan atherosclerosis vei theihna a sang chho zel a.
• Infection: Bacteria emaw fungal emaw infection thenkhat, sepsis, leh heart valve infection ang chi thil avang hian thisen zam a lo awm thei bawk.

‘Transient Ischemic Attack’ (TIA) chungchang pawh i zir ve ang u.

‘Transient ischemic attack’ hi mi thenkhat chuan ‘mini-stroke’ an ti bawk. Stroke ang mai a ni a, mahse a lan chhuah dan chu rei lo te chhung chauh a ni. Heng symptoms te hi darkar 24 aia rei lovah a reh tlangpui a, minute tlemte chhungin a reh fo thin. TIA symptoms hi stroke symptoms nen a inang tlangpui.

A TIA hi thil tenawm mai a ni lo. Vaukhânna pawi tak a ni! TIA nei tawh chuan nakin lawkah stroke tak tak a neih theihna chance a sang zawk hle. Chuvangin, TIA chhinchhiahna a lo awm a nih chuan, a bo a nih pawhin, damdawi lam thurawn lak vat a pawimawh hle.

Tute nge ‘thrombotic stroke’ vei theihna sang zawk?

Tu pawhin thrombotic stroke nei thei mahse, mi thenkhat chu an hlauhawm zawk:

• Kum 65 chunglam mite.Thin kalna kawng a inthlak danglam avangin kum upat danah a hlauhawmna a sang chho zel.
• Khawvel hmun hrang hranga hnam thenkhatte pawhin an hlauhawmna a sang zawk tih hmuhchhuah a ni bawk. (A original article-ah chuan "Black" mite a sawi a; Sri Lanka audience tan chuan local data bik tarlan a nih loh chuan hei hi generalise a tha zawk.)
• Meizial zu emaw, zuk leh hmuam/nicotine-based product dang (vaping ang chi) hmangtute tan. Meizial zuk hian thisen kalna kawng a tichhe nasa hle.
• Dan loa ruihhlo hmangtute tan.

Tin, hriselna lama harsatna thenkhat nei te chu an hlauhawm zawk bawk:

• Zu in tam lutuk tan (Alcohol use disorder).
• Thisen sang (Hypertension) nei tan.
• Zunthlum vei tan. Zunthlum hian thisen kalna kawng a tichhe thei bawk.

Engtin nge doctor-te hian ‘thrombotic stroke’ an hriat chhuah?

Stroke i vei nia i rinhlelh chuan doctor-te chuan neurological exam an ti hmasa ang. Hei hian i hriatrengna, i thusawi, i chakna leh i balance an check dawn tihna a ni. Physics exam leh test dang tlemte pawh an ti dawn bawk. Emergency room-a hruai i nih chuan chuta doctor-te chuan heng test-te hi an tan nghal mai ang.

Hetiang test hmang hian stroke a awm tih finfiah theih a ni:

• Thisen test: Thisen zam harsatna, sugar level, leh cholesterol level te ang chi thil te enfiah thin ang che.
• Carotid ultrasound: Hei hian kawr chhunga thisen kalna bulpui (carotid arteries)-ah blockage a awm em tih hriat nan a pui a ni.
• CT scan leh/ emaw CT angiogram: Hei hian thluak thlalak a la a, thisen chhuah emaw, thisen zam emaw, thluak chhiatna emaw a awm leh awm loh a hre nghal thei. CT angiogram hmangin thisen kalna kawngte dinhmun chiang takin a hmu thei a ni.
• Echocardiogram: He test hi thinlung hnathawh dan leh thinlungah thisen zam a awm leh awm loh enfiah nan tih a ni.
• MRI leh/ emaw MRI angiogram: Hei hian thluak leh thisen kalna kawng chipchiar takin a la thei bawk. CT scan aiin thluak chhiatna a lantir chiang zawk.

‘Thrombotic stroke’ enkawl dan tur chu engte nge ni?

Thrombotic stroke enkawlna atana pawimawh ber chu a rang thei ang bera thluaka thisen kal lehna tur a ni. Doctor-te chuan thluak chhiatna awm reng, rualbanlo thar leh thihna te tihziaawmna turin hetiang hi tih an tum a ni.

Enkawl dan tlangpui pahnih hman a ni a, chungte chu:

1. Mechanical thrombectomy: Hei hian thisen zam chu tube te tak te, te tak te (catheter) hmanga lakchhuah a ni. Doctor chuan i kutphah emaw, i ke ruh emawa vein pakhatah tube chu a thun a, i thluaka thisen zam chhungah a thread lut a. Chumi hnuah doctor chuan a clot chu a la chhuak nghal emaw, a then a then a, a then te chu a la chhuak emaw a ni. He enkawlna hi a lan chhuah atanga darkar 24 chhungin tih theih a ni.

2. Thrombolytic therapy: Heng damdawi te hi thisen zam tithianghlimtu an ni. Amaherawhchu, heng damdawi te hi natna lan chhuah atanga darkar li leh a chanve (4.5) chhung chauh pek theih a ni. Chuvang chuan hun hi a pawimawh ber a ni an ti.

Heng enkawlna lian ber berte bakah hian enkawlna dang i mamawh thei bawk:

• Blood sugar management: I thisen glucose level control reng hian i thluak a tidam thei a ni.
• Thisen tithianghlimtu: 1.1.A tam zawkah chuan antiplatelet damdawi, aspirin ang chi i ei a ngai dawn a ni. Atrial fibrillation emaw thisen zam natna (blood clotting disorder) i neih chuan anticoagulant damdawi chak zawk pek i ni thei. Chungte chuan thisen zam lo awm leh theihna a ti tlem a ni.
• Endarterectomy: Hei hi thisen kalna kawng tawi emaw, block emaw atanga plaque lakchhuahna surgery a ni. Hei hian thisen zam dang siam theihna a ti tlem thei a ni.
• Mild intentional hypothermia: A then phei chuan doctor ten him takin i taksa lumna chu tlem an tihhniam thin. Hei hian stroke lai leh a hnua thluak chhiatna a tihziaawm thei a ni.
• Oxygen therapy: Stroke hnuah thluak hian oxygen a hmu tlem hle. Chuvangin doctor-te chuan i hnar chhunga dah tube hmangin oxygen extra an pe thei che a ni. Hei hian thawk a ti awlsam a, i taksain i thluaka oxygen tam zawk a thlen theih nan a pui bawk.
• Stenting: Stent hi mesh ang chi tube te tak te, thisen kalna kawng chhunga dah a ni a, a inhawng reng theih nan a pui a, thisen chu awlsam zawkin a kal thei a ni.

Thrombotic stroke hnua rehabilitation hi engtiang chiahin nge a pawimawh?

Stroke hnuah rehabilitation hi a pawimawh hle. Stroke hian i thluak leh taksaah danglamna a thlen thin. Rehabilitation treatment-te chuan chutiang inthlâk danglamnate chu i insiamrem thei a, i theihna hmasate chu i neih leh theih nân, a nih loh leh rualbanlo tharte nêna nun zir tûrin a ṭanpui thei che a ni. A hnuaia enkawlna pakhat emaw, a inzawm emaw i mamawh mai thei:

• Cognitive rehab: Hei hian rilru lama thiamna hrang hrang, i hriatrengna, ngaihtuahna sen dan, leh harsatna chinfel thiamna te a tichangtlung thei a ni.
• Occupational therapy: He enkawlna hian nitin hnathawh tur, a bik takin hnathawh tha tak tak (e.g., ei leh in, incheina, ziak) ngai te chu him takin a ti thei che a ni.
• Physical therapy: Hei hian taksa ruhte a tichak a, balance a ti tha a, kut leh ke hmanna a neih leh theih nan a pui bawk.
• Speech therapy: He enkawlna hian i tawng leh tawng thiamna a neih leh theih nan a pui che a, chubakah thusawi, thawk, ei leh ei leh in tur atana puitu taksa peng hrang hrangte a thunun thei bawk.

Rehabilitation kalpui dan hi a harsa deuh thei a, mahse a rah chhuah erawh a phu hle.

‘Thrombotic stroke’ atanga damchhuah theihna chance engzat nge awm?

Vanneihthlak takin stroke enkawlna thar, rang zawk siam chhuah a nih rualin stroke atanga damchhuak an pung zel a ni. Mahse, mi zawng zawng tana dam leh hun dik tak emaw, thlirna dik tak chu eng nge ni tih sawi a harsa hle.

Thrombotic stroke (leh ischemic stroke chi dang) hi a tlangpuiin hemorrhagic stroke aiin a dam rei zawk a, chu chu thluaka thisen kalna kawng puak vang a ni. Mahse chu chuan midang aiin i dam khawchhuah theihna a sang zawk tihna erawh a ni lo. Mi zawng zawng taksa hian stroke hi a chhan dan a inang lo a, chuvangin doctor tan chuan mi zawng zawng tana thawk thei tur prognosis dik tak pek a harsa hle.

Prognosis chu eng nge ni?

Eng ang dinhmun nge i beisei theih tih chu thil engemaw zatah a innghat a ni:

• Engtiang chiahin nge enkawlna i dawng thuai.
• Thluak peng engte nge a chhiat?
• I hriselna pum pui chu engtin nge a awm?

A dam kim theih nan thla engemaw zat a ngai fo thin. Ṭhenkhat tan chuan hun rei zawk a daih thei. I doctor chuan i beisei tur a hrilh ang che. Lungngai suh, i tana tha tur recovery goal siam leh tihhlawhtlin nan an pui ang che.

Thrombotic stroke hi a veng thei ang em?

Ni e, i ti thei! Hriselna pum pui tha neih hi thrombotic stroke leh a thlentu thisen zam venna kawng tha ber a ni. Heng thilte hi han ti ve teh:

• 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. Exercise chi khat, i thawmhnaw ti na thei tur, ni khatah minute 30 tal, kar khatah ni 5 tal ti rawh.
• I cholesterol level, thisen sang leh hriselna lama harsatna dang (zunthlum ang chi) te chu control la. Doctor-in a tih angin i damdawi ei tur a ni.
• Meizial i zuk chuan chawlhsan vek rawh. I bânsan theihna tura ṭanpuina i mamawh chuan doctor emaw, bânsan tûra ṭanpuitu program emaw aṭangin ṭanpuina zawng rawh.

Kum khatah vawi khat tal (a nih loh leh i doctor-in a rawt angin) doctor hmu la, hriselna endikna kimchang neihpui rawh. ‘Thrombotic stroke’ thlentu hriselna lama harsatna tam tak a lo awm zauh zauh a. An symptoms te chu i hre lo mai thei. Chuvangin, medical test-ah chuan chutiang warning signs te chu a hmain hriatchhuah theih a ni a, control theih a ni bawk.

‘Thrombotic stroke’ hnuah engtin nge ka in enkawl ang?

Stroke hnua dam leh hahdam hi thil awlsam a ni lo, thawhrimna lian tak a ni. I doctor nen in insiam dun enkawlna tur ruahmanna chu a theih ang angin zawm rawh. A tlangpuiin hengte hi enkawl rawh:

• I rehab leh treatment appointment dang ah te kal ngei ngei tur a ni. Eng thil pawhin i rilru a hahdam lo emaw, a him lo emaw a nih chuan i therapist hnenah hrilh rawh. Rehab hi a harsa viau a, mahse hrehawm tuar reng reng a ngai lo.
• I rilru hriselna pawh theihnghilh suh.Stroke hnua lungngaihna leh lungkhamna hi a tam hle. I rilru hriselna hi i taksa hriselna ang bawkin a pawimawh a ni. Lungngaihna emaw, lungkhamna emaw hian chak lohna a siam che niin ngai suh. I dam leh theihna tura tanpuina i mamawh nia i hriat chuan doctor emaw, rilru lam hriselna lama counselor emaw nen inbia .
• I damdawi ei tur chu a pek ang chiah, a hun dik takah leh a dose dik takah ei thin ang che. A bik takin thisen tithianghlimtu damdawi i ei a nih chuan dik takin i ei ngei ngei tur a ni. I damdawi ei dik hi nakin lawka thisen zam i neih theihna tur tihtlem nan a pawimawh hle.

Engtikah nge Emergency Department (ETU) ah ka kal leh a ngai ang?

Stroke dang i nei leh tawh nia i inhriat chuan (a hmaa kan sawi tawh BE FAST symptoms ang khan), 1990 chu tihkhawtlai lovin call la, a nih loh leh damdawi inah kal nghal rawh. Stroke vawi hnihna i neih chuan harsatna lian tham leh nunna chan theihna a sang zawk hle.

Thrombotic stroke vei tawh chuan harsatna lian tham dang a nei thei a, chungte chu:

• Ke ruh thuk takah thisen zam (Deep vein thrombosis - DVT) .
• Lung natna
• Pulmonary embolism a awm thin
• Pneumonia natna (Pneumonia) a ni
• Epileptic natna/ seizures awm thei

Hetiang complication symptoms i neih chuan emergency services call emaw damdawi inah emaw kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

• Ka nitin nunah eng inthlak danglamna nge ka neih?
• Engvangin nge he stroke hi ka neih?
• Ka thluak khawiah nge thisen zam chu a lo awm?
• Eng ang damdawi nge ka ei ang a, engtin nge ka ei ang?
• Stroke dang ka neih leh theihna tur risk chu eng nge ni? Engtin nge ka tih tlem theih ang?

A tawp berah chuan eng nge hriat reng tur! (In lama hruai tur thuchah)

Thrombotic stroke hi emergency rang tak ni mahse, a thlentu harsatnate chu hun kal zelah zawi zawiin a lo awm tlangpui. Chuvang chuan kum khatah vawi khat tal doctor pan a, i hriselna endik a pawimawh. Chutiang chuan thisen zam a lo awm a, stroke a thlen hmain vaukhânna chhinchhiahnate chu i hre thei ang a, i enkawl thei ang. I doctor nen stroke i vei theihna tur chungchang sawipui rawh. I hriselna zawng zawng enkawl leh i risk factors enkawl danah a pui thei che a ni.

Stroke i vei tawh a, tunah hian i dam chho mek a nih chuan i dam lehna kawngah hmasawnna tlemte i neih apiangah hlim takin awm rawh.Ni thenkhat chu a dang aiin a harsa zawk dawn a, mahse nangmah i chhuang tur a ni. Recovery hi thawhrimna lian tak a ni a, chuvang chuan i inzah tur a ni. Lungngai suh, nangmah chauh i ni lo. Doctor, therapist, chhungte leh ṭhiante ṭanpui thei tur che an awm.

` Thrombotic Stroke, Thrombotic Stroke, Stroke, Thluaka thisen zam, Stroke Symptoms, Stroke enkawl dan, Stroke venna