Vasodilation tih hi eng nge ni? A awlsam zawngin sawi ila!

Engvangin nge i taksa chhunga thisen kalna kawngte hi a chang chuan a lian a, a chang chuan a te zawk tih i ngaihtuah ngai em? Hetiang thisen kalna kawng zau zel hi medical science-ah chuan `(Vasodilation)` kan tih hi a ni. Hei hi a takah chuan kan taksaa thil thleng pangngai ni mah se, a chang chuan harsatna lian tak a thlen thei a ni. Chuvangin, vawiinah hian `(Vasodilation)` hi eng nge a nih chiang takin i zir ang u, kan ti ang em?

`(Vasodilation)` tih hi eng nge ni tak tak? Engtin nge hetiang hi a lo thlen?

A awlsam zawngin ``Vasodilation`` tih hi i taksa chhunga thisen kalna kawng zau zawng tihzauh hi a ni. Heng thisen kalna kawngte hi a zau deuh chuan thisen tam zawk a luang chhuak thin. Hei hian i thisen sang a ti hniam a ni. Hei hi i taksa chhunga thil thleng reng reng a ni a, i hriat loh pawh nise.

Tunah chuan kan taksaa thisen hnathawh hi han en teh. Kan thisen hi taksaah oxygen leh nutrients phurtu a ni a, taksa lum leh vawt tihreh nan a pui bawk.

Chuvangin heng thisen kalna kawngte hi tube mai a ni lo. Muscle layer an nei a. Heng taksa ruhte hian thisen kalna kawngte hi engtikah nge a zau tur tih leh engtikah nge a zim tur tih hi a tichiang a ni. Hetianga thisen kalna kawng a zau chuan `(Vasodilation)` kan ti thin. Hemi lehlam, thisen kalna kawng a zim chuan `(Vasoconstriction)` an ti a. I hrethiam em?

Engtik laiin nge he `(Vasodilation)` hi a pianphungah a lo awm?

Heng thilte hi i chungah pawh a thleng tawh mai thei, heng entîrnate hi han en teh:

• Mualphona i neih chuan i hmai a sen vek a ni lawm ni? Chutih lai chuan i hmai chu a lum deuh niin i hria a, a chhan chu i vun hnuaia thisen kalna kawng te tak te, ``capillaries`` kan tih te hi ``vasodilated.`` an lo ni ta a ni.`` Tichuan i hmaiah thisen kal a pung ta a ni. Naupang te tak te mualpho taka rawn sen chhuak ang mai a ni.
• Tub lum chhunga i luh chuan: Tui lum chhunga i luh veleh i taksa chhunga capillary te chu a zau tan thin. Hei hi i taksaa lumna lo pung nghal mai tur control nan leh i lum reng theih nan a ni. Mahse, hei vang pawh hian tui lum ah rei lutuk awm hi a tha lo. Chutianga i tih chuan i thisen sang lutuk a tlahniam thei a, i muhil thei bawk. Chuvangin fimkhur rawh!
• Exercise i tih hian: Exercise i tih nasat emaw, i tlan emaw, i zuang emaw hian i taksa cell, a bik takin muscle cell te hian oxygen leh nutrients an mamawh thuai a. Tichuan thisen kalna kawngte chu a zau a, chu mamawh phuhruk nan thisen tam zawk a thawn chhuak ta a ni.
• Taksaah natna hrik a awm chuan: I taksa hmun khatah hliam a lo hring tan tawh angin han ngaihtuah teh. Chutiang infection a lo awm chuan kan taksa chuan a natna hmuna thisen kalna a tipung a, a chhang let thin. Hei hian taksain natna a do a, a chhiatna a siam that a awlsam phah a ni.

Kan ei leh in hian ``Vasodilation'' a thlen thei em?

Ni e, a theih tak zet a ni. Kan ei leh in thenkhat hian thisen kalna kawng a tizau a, thisen sang a tihniam thei bawk. En teh:

• Nitrates tamna ei tur:Leafy greens, spinach, lettuce, radishes, leh bok choy te hian nitrates a pai tam hle. Kan taksa hian nitrates hi chemical nitric oxide an tih ah a chantir a. Nitric oxide hian thisen kalna kawng a tizau thei hle.
• Zu: Zu tlem i in veleh taksaah ``Vasodilation`` a awm bawk. Chuvangin mi thenkhat chu zu an in hian an flush thin. Mahse hei hi hun eng emaw chen atan a ni. Hun engemaw chen hnuah thisen sang chu a pangngaiin a lo let leh thin. Mahse, zu i in tam chuan i thisen sang a sang dawn tih hre reng ang che. Hei hi doctor ten zu tam lutuk lo tura thurawn an pek chhan ber a ni.

``Vasodilation'' thlen thei damdawi a awm em?

A awm, a tam. Damdawi thenkhat chu ``Vasodilation'' thlen thei tura siam a ni.Hei hi damdawi thenkhat side effect angin a thleng bawk.

• Thisen sang damdawi: Thisen sang damdawi tam zawk hian thisen kalna kawng zau takin hna an thawk a. Chu chu chu damdawi hnathawh ber chu a ni.
• Nitroglycerin: Hei hi vasodilator hriat lar tak a ni bawk. Heart attack leh rilru natna, angina tia hriat bawk enkawlna atan hman a ni.
• Erectile dysfunction damdawi: Sildenafil (Viagra® tia hriat bawk) ang chi damdawi hian vasodilation hmangin hna a thawk a. Chungte chuan penis-a thisen kalna a tipung a ni.

`(Vasodilation)` avanga thisen sang a tlak hniam lutuk chuan engtin nge kan tih ang?

Thisen kalna kawng (dilation) avanga i thisen sang a tlahniam lutuk a, chu chu hypotension an ti a, enkawl dan kawng hrang hrang a awm. Hei hi damdawi inah a thleng tlangpui.

• Fluid resuscitation: Hei hian tui, saline ang chi chu vein (IV fluids)-ah pek a ni. Hei hian taksaa tui awm zat a tipung a, thisen sang tisang turin a pui bawk.
• Thisen sang damdawi: Thisen sang enkawlna atan hian damdawi chi hnih, ``Vasoconstrictors'' leh ``Vasopressors'' te a awm a. Heng damdawi te hian thisen kalna kawng (dilated blood vessels) te chu a tikhawlo (vasoconstriction) hmangin hna a thawk a, chu chuan thisen sang chu a pangngaiah a hruai kir leh thin.

`(Vasodilation)` hi a hlauhawm thei em?

Ni e, ṭhenkhatah chuan hei hi a hlauhawm thei hle. ``Vasodilation'' awm chhan, engtikah nge a awm tih leh a nasat danah a innghat. Thil thleng nasa tak ṭhenkhatah chuan thisen kalna kawng (leh a kaihhnawih natna lan chhuahna) zau lutuk hi nunna atana hlauhawm tak pawh a ni thei.

Hei hi han ngaihtuah teh: Hetiang dinhmun nunna atana hlauhawm takah hian `(Vasodilation)` pawh hi a chhan a ni:

• Allergy na tak tak: 1.1.Hei hi `(Anaphylaxis)` an ti bawk. Hei hi taksa immune system-in thil (e.g. ei leh in, damdawi, insect sting) a tihchhiat nasat em avangin a thihpui thei a ni. `(Anaphylaxis)` a lo awm chuan mi chu `(shock)`-ah a lut a, `(thisen sang)` chu hlauhawm takin a tlahniam a, thawkna kawng a inkhar a, thawk a harsa hle. Chutiang emergency-a damdawi `(Epinephrine)` pek chu `(vasoconstrictor) chak tak a ni.` Chu chu `(blood pressure)` a tisang leh a, thawk a ti awlsam a, immune response a tikhawtlai bawk.
• Septic shock: Sepsis hi nunna atana hlauhawm tak a ni a, taksain natna hrik a tawh chuan nasa takin a chhang let a, nunna atana hlauhawm tak a ni thei. Septic shock hi a na ber (leh thihna thlen thei) a ni. Hetiang dinhmunah hian thisen sang chu nasa takin a tlahniam a, hei hi vasodilation (taksa pum puia thisen kalna kawng zau zel) vang a ni. Chutiang dinhmun khirh takah chuan mi nunna chhanhim nan IV tui leh thisen sang tisangtu damdawi te hi a pawimawh hle.

`(Vasodilation)` chungchangah engtikah nge doctor i hmuh ang?

A tam zawkah chuan `(Vasodilation)` hi ngaihtuah tur a awm lo. Dik tak chuan `(Vasodilation)` i nei tih pawh i hre lo mai thei a, a chhan chu i hmuh theih loh vang a ni. Mahse, a nghawng chu i hmu thei a ni. Entirnan, i faint chuan `(blood pressure)` hniam vang pawh a ni thei. I thisen sang a tlahniam lutuk a, `(shock)`-ah i lut a nih chuan nunna atana hlauhawm a ni thei.

Shock symptoms te chu:

• Rilru dinhmun inthlak danglamna: buaina, rilru hahdam lohna, emaw, buaina, bo ang maia awm.
• Ka hmui leh kut zungtang blue discoloration.
• Luak chhuak, lu hah, emaw, muthilh emaw.
• Vun chu a vawt a, a thawmhnaw a hring emaw, a hring emaw a ni. Thisen tlem i hloh tawh ang maiin.
• Thaw hah lutuk.
• Thâwk chu a thuk lo emaw, a rang emaw a ni.
• Pulse chak leh chak lo.

Mi pakhat chu a muhil a, ``shock'' a nei nia i rinhlelh chuan hengte hi i ti tur a ni:

• Ngawi rengin awm la, hlauthawng suh. 1990 (Sri Lanka emergency ambulance service) ah call nghal rawh. Symptoms a na zual hma chu nghak suh. Second tin hi a chhiar tel vek.
• Mi thaw kawng a thianghlim em tih enfiah thin ang che. A thaw chhuak em? A thaw chhuak a nih pawhin minute nga danah ambulance a lo thlen hma loh chuan enfiah thin ang che. Thawmhnaw emaw, belt emaw a tang thei zawng zawng chu phelh rawh.
• Pulse a awm leh awm loh enfiah rawh. Pulse a awm loh chuan cardiopulmonary resuscitation (CPR) tan nghal la, tanpuina a lo thlen hma loh chuan chhunzawm rawh.
• Chu mi chuan a lu, a kawr, a ke leh a hnungzang a hliam na tak a neih loh chuan, .A ke hnuaiah pillow emaw thil dang emaw dah la, feet khat (inches 12) vel chawi sang rawh. Hei hi ``shock position'' an ti a. Eng vangin a lu chu chawi sang suh.
• A theih leh a remchan chuan hliam hmuh theih dangte chu first aid pe rawh.
• Mi chu lum tir rawh. Blanket hmanga khuh theih ni se a tha ber ang.
• Ei leh in tur engmah pe suh.
• Chu mi chu a luak chhuak emaw, a ka atanga mucus a chhuak emaw a nih chuan, a lu, a kawr leh a hnungzang a hliam rinhlelhna a awm loh chuan, a lu chu a sir khatah hawitir la, chu chu a rilru a buai loh nan.

A tawp berah chuan thil hriat reng tur

Vasodilation hi a takah chuan kan taksaah hian natural process a ni a, chu chuan thisen a tipung a, thisen sang a ti hniam bawk. A tam zawkah chuan hei hi kan tan a hlawkpui thin. Hei hi taksa pum puia oxygen leh nutrients phurh luh a puih vang a ni. Mahse, a then phei chuan vasodilation hian a tichhe thei a ni. Hypotension na tak (thisen hniam) a thlen thei.

Chuvangin, ``shock'' chhinchhiahna te chu lo thlir reng ang che: rilru dinhmun inthlak danglam, vun hring, leh thawk thuk lo emaw, thawk rang emaw. Nangmah emaw, i hriat miin emaw heng natna hlauhawm tak tak te hi i neih chuan damdawi lam pan nghal rawh. Chu chu a tha ber a ni.

` vasodilation, thisen kalna kawng, thisen sang, thisen kal dan, anaphylaxis, septic shock, first aid, hypotension, shock