I thisen kalna kawngte chu a inzawm khawm nghal em? Hei hi (Vasospasm) an ti!

I taksa peng pakhatah hian rang takin, tight, emaw, hrehawmna emaw i nei ngai em? I thisen kalna kawng pakhat a inkharkhip nghal vang pawh a ni thei. Damdawi lam hawi chuan hei hi vasospasm , a nih loh leh thisen kalna kawng (constriction of blood vessels) an ti a. A awlsam zawngin, tui pipe chu a inkhar nghal a, tui luang chhuak chu a titawp ang mai a ni. Hei hi hriatthiam a pawimawh a, a chhan chu i taksa peng hrang hrang tam tak a nghawng thei a ni.

Hei hi eng nge ni tak tak (Vasospasm)?

A awlsam zawngin, vasospasm chu i taksaa thisen kalna kawng, a nih loh leh thisen kalna kawngte, a rang leh rei tak a inkharkhip leh a zim lutuk hi a ni. I kut i beng a, i kut zungtang i hrual rei chuan eng nge thleng ang tih han ngaihtuah teh? Hun engemaw chen hnuah a na tan thin a ni lawm ni? Chu chu i thisen kalna kawng (arteries) a inzawm tlat chuan a thleng thin.

Kan artery wall te hi muscle atanga siam a ni . Heng ruhte hi thisen sang control turin an inzawm khawm reng a, an relax reng bawk. Hei hi thil pangngai a ni. Mahse, vasospasm-ah chuan heng ruhte hi a pangngai lo va, rei lutukin an inzawm khawm a ni . Hei hian chu thisen kal tlanga thisen kal chu a ti tlem a ni. Hei hian a chhehvel tissue-a oxygen a thlen zat a tihtlem phah a ni. Chutianga a kal zel chuan artery walls te chu a chhe thei a ni.

A bik takin thisen kalna kawng hrang hranga thil dik lo awm, (endothelial dysfunction) kan tih hmunah chuan (vasospasm) a awm theihna a sang zawk.

Vasospasm a awm chuan eng nge thleng?

Vasospasm a awm chuan arteries wall-a smooth muscles te hian signal to contract an dawng nasa lutuk a . A tlangpuiin heng ruhte hi rei lo te chhungin an inzawm khawm thin. Mahse vasospasm-ah chuan a tul aia rei zawk an contract thin.

Engtin nge (Vasospasm) hian ka taksa a nghawng?

Vasospasm hi kan taksaa thisen kalna kawng hrang hrangah a awm thei a, mahse hmun thenkhatah chuan a tam zawk. Entir nan:

• Coronary Arteries: Thinlung thisen petu arteries-a vasospasm a awm chuan Prinzmetal angina an ti a. Hei hian thinlunga thisen kal a tikhawtlai thei a, heart attack a thlen thei bawk. Ngaihtuah teh, rang takin, rilru lam natna nasa tak a awm a, a chang chuan thawk harsa tak a ni.
• Cerebral Arteries: Thluaka thisen pe chhuaktu arteries (vasospasm) a lo awm chuan thluaka thisen kalna a tlahniam thei a, chu chuan thluak tissue a tichhia (cerebral infarct) , chu chu thluaka ``heart attack'' ang chi a ni. Hei hian tawng harsatna a thlen thei a, kut leh ke hnathawh pawh a hloh thei bawk.
• Kut zungtang leh ke ruh chhunga arteries: Kut zungtangah vasospasm a awm chuan kut zungtang chu a vawt thei a, a hring thei a, a rawng pawh a danglam thei bawk. Hei hi dinhmun nuam lo tak a ni.
• Nipple Vasospasm: Hetiang dinhmun hi nu hnute pe laiah a awm a nih chuan nau hnute pek hi a na hle thei a ni.

Vasospasm hi engtiang chiahin nge a awm?

Zirna thenkhatah chuan nu naupai zinga 20% thleng chuan an hnute kawng (milk ducts)-ah vasospasm an nei thei a ni. Tin, thluaka thisen kalna kawng (aneurysm) ang chi natna nei zinga 50% leh 90% inkar chu vasospasm vei theihna an nei bawk.

Vasospasm natna lan chhuah dan chu engte nge ni?

Vasospasm awmna hmun azirin symptoms a inang lo. Engtin nge a thawh tih i lo en ang u.

Coronary Vasospasms natna lan chhuah dan

Chûngte chu chawlh laiin, zan lamah, zing hma takah, leh khaw lum nasa tak an tawh hnuah a thleng fo . Research thenkhatah chuan rilru lam thil chi hrang hrang lungkhamna leh lungngaihna nen pawh an inzawm tih hmuhchhuah a ni .

A lan chhuah dan ber chu:

• Cardiac arrest emaw aborted emaw chuan cardiac thihna rapthlak tak a nei.
• Fainting a ni.
• Stable angina: Hei hian rilru natna a kawk a, a bik takin thawhrimna nen.
• Acute coronary syndrome: Hei hi heart attack emaw angina nghet lo emaw a ni thei.

Cerebral Vasospasms natna lan chhuah dan

Thluaka vasospasm hian natna lan chhuahna a thlen thei a, chungte chu:

• Lu na, na tak, second tlemte chhunga zual zel.
• Mutthilh lutuk.
• Kut, ke emaw, taksa sir khat emaw, hriatna hloh emaw, che thei lo emaw.

Kut emaw Ke emawa Vasospasm awm dan

I kut, ke emaw, i kut zungtang emawa vasospasm i neih chuan a hnuaia symptoms te hi i nei thei ang:

• Kut zungtang lum emaw, hring emaw.
• Vun rawng a inthlak (a var, a sen, a sen).
• Kut zungtang chhunga throbbing emaw tingling emaw hriatna.

Nu Naupai laia Nipple Vasospasms awm dan

Nu hnute pe lai hian he natna hi a neih chuan a natna lan chhuahna te chu a nei thei a ni:

• Hnute natna nasa tak .
• Nu hnute tui kawng (breast milk duct) rawng inthlak danglam (a var a ni thei a, chutah chuan a sen, a sen emaw, a sen emaw a ni thei).

Vasospasm hi engte nge ni?

Taksa hmun hrang hrangah vasospasm awm chhan hrang hrang a awm a.

Thinlung chhunga Vasospasm awm chhan

Hei hi a chhan dik tak hriat ni lo mah se, he natna nena inzawm thil engemaw zat a awm a:

• Chemical chu Serotonin tih a ni .
• Cancer dona damdawi (Chemotherapy) hmanga enkawl a ni.
• Cocaine, amphetamines, a nih loh leh cannabis ang chi ruihhlo hman .
• Genetic mutations a awm thin.
• Pun.
• Migraine natna (Migraine) a awm.

Thluak chhunga Vasospasm awm chhan

Thluaka vasospasm hi hetiang hian a awm thei:

• Thluak thisen (brain aneurysm) a rupture.
• Thluak vel a thisen chhuah chhan dang.
• Vasoactive substance emaw damdawi emaw nena inzawmna.
• Thluak vel a thisen zam (Subarachnoid blood clot).

Kut emaw Ke emawa Vasospasm awm chhan

Hei hi a chhan ber chu:

• Raynaud-a thil thleng: Hemi kawngah hian khawsik emaw, stress emaw kan tawh chuan kut zungtang-a thisen kal chu a tichhe thin.
• Scleroderma: Hei hi natna a ni a, vun a ti thim a, a ti khauh bawk.
• Atherosclerosis: Artery wall-a thau awm vangin thisen kalna kawng (arteries) a tawi.
• Thisen a chhuak thin.

Nu naupai lai nu hnute tui kawngkhar (vasospasm) awm chhan

Hei hi nghawng thei chhan hrang hrang a awm a:

• Raynaud-a phenomenon chu a ni.
• Damdawi thenkhat.
• A hnute surgery a neih tawh avangin.
• Autoimmune natna te.
• Khua a vawt avanga inhriatthiamna.
• Naute in a in zawh hnua naute chu unlatching nghal.
• Topical antifungals leh cream thenkhat APNO cream ang chi te.
• Naute in mumal loh vang emaw, hnute pump hman vang emawa nu hnute tui kawng (breast milk ducts) a chhiat.
• Zuk leh hmuam hman.
• A chhan hriat loh.

Engtin nge (Vasospasm) hi kan hriat theih ang?

Diagnosis atan doctor-in taksa a enfiah hi a pawimawh hle. Mahse, a hnuaia test te hi tih theih a ni bawk:

• ECG (Electrocardiogram - EKG): Thinlung electric hnathawh dan en rawh.
• Angiogram: Thinlung thisen kalna kawng (arteries)-a damdawi inject a, vasospasm thlentu test a ni.
• Positron Emission Tomography (PET) hmanga tihchhuah a ni.
• CT scan (Computed Tomography - CT) hmanga tih a ni.
• MRI scan (Magnetic Resonance Imaging - MRI) hmanga tih a ni.
• Echocardiogram: Ultrasound hmanga thinlung enfiahna a ni.

(Vasospasm) hi eng enkawl dan nge ni?

Vasospasm awmna hmun azirin enkawl dan a inang lo.

Heart Arteries-a Vasospasm enkawl dan

• Calcium channel blockers group-a damdawi ei.
• Nitrate group-a damdawi ei.
• Thil thau tihtlem.
• Ruihhlo leh zuk leh hmuam hman tawh loh.
• Heart rhythm mumal lo , ventricular tachycardia ang chi a awm chuan Implantable Cardioverter Defibrillator (ICD) tih hmanrua dah tur a ni.

Thluak a Vasospasm natna enkawl dan

• Fluids tam zawk in thin.
• Thisen sang (damdawi lam thurawn angin).
• Vasospasm awm chhan tihbo.
• Damdawi verapamil emaw nimodipine emaw chu vein (intravenous - IV) hmanga pek. Hengte hi vasodilator an ni.
• A tlem hle a, a tul chuan intra-arterial dilator damdawi pek theih a ni.

Kut emaw Ke emawa Vasospasm awm enkawlna

• Socks, mittens leh thawmhnaw lum dang ha.
• Zuk leh hmuam hman loh.
• Calcium channel blockers group atanga damdawi ei, entirnan felodipine emaw amlodipine (Norvasc® emaw Katerzia®) emaw.
• Surgery neih emaw, botulinum toxin injection emaw neih emaw.

Mammary glands-a vasospasm awm enkawlna

• Nu hnute tuikhuah lum leh khuh vek.
• Thisen kalna kawng tikhawtlai thei thil, entirnan, meizuk.
• A chunga kan sawi takte hian natna hi a control loh chuan a chang chuan calcium channel blocker nifedipine (Nifedical®XL emaw Procardia®XL) emaw Selective Serotonin Reuptake Inhibitor (SSRI) emaw a ngai thei bawk.

Enkawlna hian side effect a nei em?

Vasospasm atana hman damdawi thenkhat hian side effect a thlen thei a, chungte chu:

• Lu na.
• Pum natna.
• Luak chhuak thei.
• Lung hlim lo tak .
• Seizures - Hei hi a tlem hle.

Engtin nge vasospasm hlauhawmna tihziaawm theih ang?

Vasospasm hlauhawmna tihtlem dan thenkhat chu a takah chuan i thinlung leh thisen kalna kawng (cardiovascular) hriselna zawng zawng atan a tha hle.

• Zuk leh hmuam hman loh tur.
• I cholesterol level chu a normal range chhungah dah la.
• Zu in hi tihtlem rawh.
• Type 2 diabetes i neih chuan control tha rawh.
• Thisen sang i neih chuan control la.
• Cocaine ang chi ruihhlo hman loh tur.

Engtin nge (Vasospasm) hi kan ven theih ang?

Vasospasm laka inven nan, a bik takin thluaka a awm loh nan doctor chuan hetiang hi a ti thei a:

• I damdawi ei tur list kha en la, thisen kalna kawng tikhawtlai thei vasoactive damdawi a awm lo tih chian rawh.
• Intracranial pressure sang tak venna.
• Calcium channel blocker damdawi nimodipine emaw verapamil emaw pek che.

Pawimawh: He thu hi hriat tur tlangpui chauh a ni. Symptoms i neih emaw, hemi chungchang hi hriat belh duh i neih chuan doctor hnenah thurawn la rawh.

Vasospasms hi natna khirh tak a ni em?

Kut zungtang, ke ruh emaw, hnute emaw a vasospasm hi a na thei a, a tibuai thei bawk. Mahse, nunna atana hlauhawm an ni lo .

Mahse, i thinlung emaw, i thluaka emaw vasospasm a awm chuan , chu taksa peng hrang hranga thisen kal tlem chuan tissue a tichhe thei a ni. Hei hian thinlung leh thluak hnathawhnaah nghawng na tak a nei thei a ni.

Coronary vasospasm vei zinga 5% aia tlem lo chuan heart failure a thlen thin. Mahse, heart failure enkawlna hian nunphung a tichangtlung thei a ni.

Brain vasospasm na tak nei te chu damdawi inah kar tam tak an awm a ngai mai thei.

Engtin nge ka in enkawl ang?

• Damdawi hi i doctor-in a sawi ang chiah khan hmang ang che.
• I natna lan chhuah dan a tha lo a nih chuan doctor hnenah hriattir tur a ni.
• Vasospasm thlentu thilte pumpelh hian he natna hi a veng thei a ni.
• Heart attack symptoms (e.g., rilru natna nasa tak, thawk harsa, luak chhuak) i neih chuan emergency room-ah kal nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

(vasospasm) i vei tih hmuhchhuah emaw, i vei nia rinhlelh emaw i nih chuan i doctor hnenah hetiang zawhna hi i zawt thei ang:

• Tuna damdawi hman mek hian a puih loh chuan damdawi dang ka ei theih tur a awm em?
• Lactation issues ( milk ducts vasospasm ka neih chuan)-a pui thei tur specialist hnenah min refer thei ang em?
• Eng chen nge ka hmuh tur che (follow-up appointment)?
• Ka dinhmun tur prognosis chu eng nge ni?

A tawp berah chuan thil hriat reng tur

Vasospasm hian kan taksa hi kawng hrang hrangin a nghawng thei a ni. Vasospasm chi hrang hrang kan control theih leh kan ven theih a awm. Chuvangin, he thil chungchangah hian zawhna emaw rinhlelhna emaw i neih chuan zak suh la, i doctor nen inbiakna nei rawh . I tana enkawlna tur ruahmanna leh inven dan tur dik ber tur a hrilh ang che. Hrisel takin awm rawh!

` Vasospasm, thisen kalna kawng khar, thisen kalna kawng (arterial constriction), thinlung natna, thluak natna, thisen kal dan lama harsatna, kut zungtang hrual