I taksa sir khat chu thunun theih loh nghal mai, tawng thiam lo, emaw, rei lo te chhung mit hmuh lohna, minute tlemte chhunga thil awmdan pangngaia lo awm leh vek ang maiin i inhriat ngai em? Hetiang thil tawn i neih hian mi tam tak chuan, "Aw... hahna a ni ngei ang," tiin an ngaihtuah thin. Mahse hei hi engtikah mah i ngaih awlsam tur a ni lo. Hei hi vaukhânna chhinchhiahna a ni thei a, i nun tichhe thei stroke na tak hmahruaitu hlauhawm tak a ni thei bawk. Vawiin hian he dinhmun hi mi tam takin an ngaihthah, mahse a pawimawh hle tih kan sawi dawn a ni. Chu chu TIA, a nih loh leh Transient Ischemic Attack a ni.
TIA chu eng nge ni tak tak?
A awlsam zawngin TIA (Transient Ischemic Attack) hi hun eng emaw chen atana paralysis a ni. Kan thluak cell te hian hna thawk turin oxygen leh nutrients an mamawh a. Chungte chu thisen atanga lak chhuah a ni. Thluak hmun khata thisen phurtu thisen kalna kawng khat chu rei lo te chhung a inkhar a nih chuan chu peng chuan thisen a dawng lo. Hei hi `(Ischemia)` kan ti a. Hetih lai hian chu thluak peng in a thunun taksa hnathawh chu rei lo te chhung chu a tawp ta a ni. Mahse, TIA-ah chuan he thisen kalna kawng khar hi hun eng emaw chen atan a ni . Minute emaw darkar tlemte chhungin blockage chu a chhuak nghal vek a, thluaka thisen kal chu a lo let leh ta a ni. A symptoms pawh a bo vek.
A pawimawh ber chu TIA hi stroke ang mai a ni a, damdawi lam pan vat a ngai a ni. A chhan chu symptoms a lo lan tan chuan hei hi minute tlemte chhunga dam tur TIA nge, i nun tichhe thei tur stroke lian tak a ni em tih chu tumahin an hre thei lo. Chuvangin minute khat pawh khawhral suh.
"Mini-Stroke" tih hming hi a dik lo em ni?
TIA hi "mini-stroke" an ti fo thin a, mahse chu chu hming dik tak a ni lo. "Mini" hian thil tenawm leh pawi lo tak tak min ngaihtuah tir thin. Mahse TIA hian thluak hmun zau tak a nghawng thei a ni. Tin, TIA hian minute emaw, darkar emaw, ni engemaw zat chhungin stroke lian tak a thlen thei bawk.
TIA leh major stroke hi danglamna lian tak pahnih a awm a:
1. TIA pakhat chu a mah chauhin a tawp ang. Mahse stroke chu a tawp dawn lo va, enkawl a ngai a ni.
2. Stroke-ah hian thluak chhiatna nghet tak a awm avangin MRI scan-ah chiang takin a lang thei. Mahse, TIA-ah hian thluak chhiatna nghet tak a awm loh avangin, a natna lan chhuah dan a reh hnua MRI scan-ah chuan danglamna a awm lo tlangpui.
TIA natna lan chhuah dan chu engte nge ni?
TIA symptoms hi stroke symptoms nen a inang hle. Heng symptoms te hi a lo lang nghal a, engmah vaukhânna awm lovin . Heng symptoms zinga pakhat emaw a aia tam emaw hi a rualin a awm thei.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Taksa sir khat chak lohna/paralysis (Hemiplegia) . | Kut, ke leh hmai sir khatah rilru hah emaw, rit emaw tih hriat nghal mai. I pass out dawn ang maiin. |
| Thusawi harsa (Aphasia / Dysarthria) . | Thusawi chungchangah i buai a, sawi tur i ngaihtuah thei lo va, i thusawi laiin i bengchheng ang maiin i inhria. |
| Hmai sir khatah hrual | Nuih ka tum chuan ka hmui sir khat chu a tla thla a. Ka hmai ruh chu ka thunun thei lo. |
| Mit lama harsatna (Diplopia) 1.1. | Mit pakhat emaw, mit pahnih emaw-ah i mit a hloh nghal a, i mit a fiah lo va, a nih loh leh vawi khatah thil pahnih i hmu ta a ni. |
| Kal harsatna leh balance hloh (Ataxia) . | Vawikhatmah ka lu a buai a, ka kal tha thei lo va, ka inher ang maiin ka hria. |
| Lu na tak, na tak | Lu na tak, na tak, i nunah i la tawn ngai loh, chhan hriat loh. |
| Buaina leh hriatthiam harsa | Midangte thusawi hriatthiam a har a, i awmna hmun leh a hun ang chi thilte chu i theihnghilh nghal mai thin. |
Engvangin nge he TIA hi a lo awm?
A TIA leh stroke hi thil inang vang a ni. A chhan ber chu thluaka thisen petu thisen kalna kawng khat, hun eng emaw chen a inkharkhip vang a ni. Hei hi a thlen theih dan kawng hrang hrang a awm a:
- Thrombosis: Thluaka thisen kalna bang (hei hi atherosclerosis an ti)-ah cholesterol leh thil dang a lo awm khawm chuan thisen zam (blood clots) a lo piang a, thisen kalna kawng chu a tikhawlo thei a ni.
- Hmun danga thisen zam lo lo awm tawh chu thluak lamah a kal (Thromboembolism): Thinlung emaw, kawr emaw chhunga thisen kalna kawng lian tak (``carotid artery``)-a lo awm, a inthen a, thisen nen a kal a, thluaka thisen kalna kawng te tak teah a tang a, chu chu han ngaihtuah teh. Hetiang hlauhawmna hi ``Atrial fibrillation`` tih natna nei tan a sang zawk a, chu chu thinlung thawk mumal lo a ni.
- Lacunar stroke: Hetiang dinhmun hi thluak chhung thuk taka thisen kalna kawng te tak te tak tak a inkharkhip vang pawh a ni thei.
- Unexplained TIA (Cryptogenic TIA): A châng chuan test nasa tak nei mah se, TIA awm chhan chiang tak hmuh tur a awm lo.
Tute nge TIA vei theihna chance sang zawk?
Mi thenkhat chuan midang aiin TIA an nei tam zawk. Chungte chu risk factor an ti a. Chung zinga ṭhenkhat chu kan thunun thei a ni.
| Risk factor a ni | Engtin nge a nghawng |
|---|---|
| Thisen sang (Hypertension) 1.1. | Hei hi risk factor ber leh hlauhawm ber a ni. Thisen sang hian thisen kalna kawng a tichhia a, a block theihna a tipung bawk. |
| Zunthlum `(Type 2 Diabetes)` | Thisen thlum a san chuan thisen kalna kawng a chhia a, thisen zam a tipung a ni. |
| Meizial zuk | Meizial zuk hian thisen a ti thim a, thisen kalna bang a tichhia a, thisen sang a tisang bawk. |
| Cholesterol sang `(Hyperlipidemia)` | Thisen chhunga cholesterol tha lo (LDL) chu thisen kalna kawng bang-ah a awm thei a, zawi zawiin a zim a, a tikhawlo thei bawk. |
| Lung natna (a bik takin `Atrial fibrillation`) . | Lungphun mumal lo hian thinlung chhungah thisen zam a siam a, thluak lamah a kal thei a ni. |
| Thau lutuk (taksa rihna tihpun) . | Taksa rihna hi thisen sang, zunthlum leh cholesterol nen a inzawm tlat a ni. |
| Kum upa lam | Kum upat chhoh zel chuan thisen kalna kawngte a inthlak danglam loh avangin a hlauhawmna a sang chho zel a ni. |
TIA hi engtiang chiahin nge a hlauhawm?
TIA hi emergency a nih chhan ber chu major stroke hmahruaitu a nih vang a ni. TIA a lo awm chuan i taksa chuan vaukhânna lian tak a thawn che a, "Thinlung lama thisen kal danah harsatna a awm a, hei hi thil ti vat la, chuti lo chuan chhiatna nasa tak a thlen thei a ni," a ti.
TIA nei zinga 20% vel chuan ni 90 chhungin major stroke an nei dawn tih hre reng ang che. Chumi zinga a chanve chuan ni hnih chhungin an nei ang! Chumi awmzia chu TIA darkar 48 lo awm tur chu a pawimawh hle tihna a ni.
Engtin nge doctor hian TIA a hriat theih ang?
TIA symptoms neia damdawi in i kal chuan doctor-te chuan TIA nge major stroke nge condition dang tih hriat an tum hmasa ang. Heng test te hi an hmang ang:
1. Chipchiar zawka zawh che: I natna lan chhuah dan te, eng chen nge a awm tawh tih te, leh i dinhmun hriat theihna turin eng natna dang nge i neih tih zawh che.
2. Taksa leh nervous system examination: I taksa chakna, balance, tawng leh mit hmuh dan te test a ni a, thluak peng eng nge a nghawng tih hriat tum a ni.
3. Scan te: 1.1.
- CT (Computed Tomography) hmanga scan dan: 1.1.Hei hian minute tlemte chhungin thluak thlalak a la thei a ni. A bik takin thluaka thisen chhuak a enfiah thin.
- MRI (Magnetic Resonance Imaging) Scan: Hei hian thluak tissue chiang zawkin a hmu thei a ni. TIA leh stroke chhiatna nghet tak nei te dik taka thliar hran nan MRI scan hi a pawimawh hle.
Hei bakah hian heart test ``(ECG)``, ``(Echocardiogram)``, leh thisen test te pawhin a chhan hriat theih a ni bawk.
TIA te hi engtin nge enkawl an nih?
TIA hi hun eng emaw chen atan a nih avangin chutih lai chuan enkawlna bik a awm lo. Mahse, enkawlna tum ber chu nakin lawkah stroke lian tham a thlen loh nan a ni. Chu chu TIA thlentu harsatna bulpui enkawl tihna a ni.
Damdawi chi hrang hrang
- Anticoagulants: Thisen zawrh hlauhawmna tihziaawm nan damdawi aspirin ang chi hi pek thin a ni. Damdawi dang clopidogrel te pawh pek theih a ni.
- Thisen sang damdawi: I thisen sang a san chuan a thunun nan damdawi an pe ang che.
- Cholesterol tihhniamna damdawi (Statins): Atorvastatin emaw Rosuvastatin ang damdawi hian thisen a cholesterol tha lo awm zat a ti tlem a.
- Anticoagulants: Atrial fibrillation ang chi natna i neih chuan thisen zam lo turin damdawi chak tak tak Warfarin leh Apixaban te pek i ni thei.
Enkawlna dang
A then phei chuan kawr chhunga thisen kalna bulpui (`carotid artery`) chu a zim hle a nih chuan, a pangngaia awm leh turin kawng hrang hrang hman a ni.
- Endovascular procedures: Thisen kalna kawngkhar chhungah catheter te tak te an kalpui a, a blockage chu balloon ang chi (angioplasty) emaw, stent ang chi hmanrua emaw hmangin thisen kalna kawng hawn reng turin an dah a.
- Surgery: A chang chuan carotid endarterectomy an tih surgery an tih hian thisen kalna chhunga cholesterol awmte chu paih chhuakin, thisen kalna kawng chu tihfai a ni.
TIA i neih chuan eng nge i tih ang?
He thuziak atanga i hriat reng tur pawimawh ber chu hei hi a ni: Nangmah emaw, i hriat mi tu emaw chuan a chunga kan sawi tak paralysis symptoms te hi i tawng a nih chuan minute khat pawh tikhawtlai suh.
"Aw... hei hi rei lo te hnuah a tha leh ang" tih i hriat hma chu nghak suh. Minute tlemte chhungin a natna lanchhuahna chu a bo tawh a nih pawhin ngaihthah suh. Ambulance call nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Hun hi thluak cell a ni tih hre reng ang che. Minute liam apiang hian chhiatna nasa zawk a thlen thei a ni.
Take-Home Thuchah a ni
- TIA hi hun eng emaw chen atana paralysis a ni a, mahse stroke na tak hmahruaitu hlauhawm tak a ni.
- TIA symptoms (taksa sir khata bengchheng, tawng harsa, hmai tlak) hi stroke symptoms nen a inang chiah a ni. A danglamna chu minute engemaw zat emaw darkar tlemte emaw chhungin an bo vek a ni.
- Symptoms bo hi ngaihthah ngai suh. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- TIA enkawl tum ber chu nakin lawkah stroke lian tham a thlen loh nan a ni. Chutiang ti tur chuan i doctor thupek leh damdawi te dik takin zawm tur a ni.
- Thisen sang, zunthlum, leh cholesterol control te, meizuk pumpelh te, nunphung hrisel zawm te hian TIA leh stroke vei theihna a ti tlem thei a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh