Hetiang harsatna hi i kawr chhunga artery awm vangin i nei em? (Vertebral Artery Dissection) A chanchin i zir chiang ang u.

I kawr a tight emaw, lu na emaw, mit pakhata thil pahnih hmuh thut mai emaw i nei ngai em? Chûngte chu thil awlsam tak anga lang mah se, a châng chuan a hnung lamah thil pawi zâwk a awm thei a ni. Chutiang dinhmun pakhat chu vawiin a kan sawi tur chu ``Vertebral Artery Dissection`` a ni.

Vertebral Artery Dissection tih hi eng nge ni?

A awlsam zawngin, hei hi i kawr hnunglam, i ruhro dunga thisen kalna kawng lian tak, i thluak thlenga thisen phurtu – vertebral artery an tih – chhungril atanga mittui tlak lai a ni. Puan pakhat a hrual ang bawkin artery wall layer khat emaw a aia tam emaw a chhe thei a ni. This is actually a rare cause of stroke in younger people , kum 45 hnuai lam, kum upa lam aiin.

Chuti a nih chuan he vertebral artery hi eng nge ni?

Ngaihtuah teh, i kawr hnung lamah chuan thisen kalna kawng pahnih a awm a, chu chu i ruhro chungah a tlan chho a. Vertebral arteries kan ti a. An hnathawh ber chu i thluak leh i ruhroah thisen thianghlim, oxygen nei supply hi a ni . Tui pipe ang mai a ni a, mahse chu aia buaithlak zawk a ni.

He artery hian layer lian pathum a nei a:

• Intima : Hei hi a chhungril ber a ni a, thisen kalna hnaih ber a ni.
• Media : Hei hi middle layer a ni. Thisen chu kawng khatah a kal theih nan a pui a ni.
• Adventitia : Hei hi pawn lam layer a ni. Thisen kalna kawng chu a pianzia leh chakna petu a ni.

He dissection hian engtin nge i hriselna a nghawng?

Tunah chuan ka sawi tawh ang khan, thisen kalna kawng chhung lam (artery) a chhiat chuan, intima leh media an tih layer pahnih inkarah thisen a chhuak tan tih hi han ngaihtuah teh. Tichuan, chutah chuan thisen chu a khawlkhawm thei a, balloon te tak te ang maiin a hring thei a ni. He thisen khawlkhawm hi chutah chuan a tang thei a , thisen zam a siam thei a ni . He thisen zam hian thisen kalna kawng chhunga thisen kal chu a tikhawlo thei a, a titawp vek thei hial a ni. Artery pawh a hring (dilate) thei bawk.

Hei hi a rah chhuah hlauhawm ber chu stroke a ni :

• Ischemic stroke : Hei hi thisen zam chu a lian tawk a, thluaka thisen kalna tur a tikhawlo vek emaw, a then emaw a tikhawlo thei a nih chuan a thleng thin. A châng chuan, chu thisen zam chu a chhe thei a, thluaka thisen kalna aṭangin a kal thla thei a, thisen kalna kawng te tak teah a awm thei bawk.
• Hemorrhagic stroke : Hei hi artery wall layer pathum zawng zawng a chhe vek hian a thleng thin. Tichuan thisen chu thluak chhungah ni lovin, thisen kalna kawng atang chuan a chhuak tan ta a ni. He mittui hi thluak chhung thuk takah a luh chuan thluak chhehvel hmunah thisen a luang lut thei a – subarachnoid hemorrhage kan ti a – a nih loh leh thluak tissue-ah thisen a chhuak thei bawk.

Tute nge vertebral artery dissection nei tam zawk?

Mi thenkhat chuan chhan hriat lohvin he natna hi an nei thei a ni. Mahse, hriselna lama harsatna engemaw i neih chuan i vei theihna chance a sang deuh mai thei. Heng thilte hian nangmah pawh a nghawng em tih en rawh:

• Meizial zuk : Hei hi natna tam tak laka inhawngtu thil a ni.
• Genetic conditions thenkhat : Entirnan , cystic medial necrosis , Ehlers-Danlos syndrome , Marfan syndrome , leh osteogenesis imperfecta te hian thisen kalna kawng bang a tichak lo thei a ni.
• Fibromuscular dysplasia : Hei hi thisen kalna kawng (arteries)-a cell pangngai lo (abnormal cells) a lo thang lian thinna a ni.
• Thisen sang : Thisen sang, a bik takin lung leh thinlung thlunzawmtu arteries-ah (arterial hypertension).
• Polycystic kidney disease : Kal chhunga cyst lo awm thin natna a ni.
• Vasculitis : Thisen kalna kawng a na.

Risk factor dang a awm em?

Ni e, a dik tak zet. He dissection hi kawr hliam thenkhat vang pawh a ni thei. Hei hi a bik takin a kawr hi hyperextended position a awm emaw , a kawng chu rang taka a inthlak emaw chuan a thleng thei a ni . Hetiang thil hi han ngaihtuah teh:

• Lirthei chetsualna thleng thin.
• Kawng enkawlna thenkhat, chiropractic adjustment leh deep tissue neck massage te hi a \angkai thei hle. Mahse, hengte hian mi zawng zawng tan hna a thawk lo mai thei a, hlauhawmna a awm bawk.
• I hmui chu nasa taka clench-a mucus hawn nan.
• Yoga kan tih hian a kawr chu an vawn sang a, rei tak an hawitir thin.
• Ceiling painting ang mai a ni a, i kawr chu ben chungin hna thawk chhunzawm zel ang mai a ni.
• Cardiopulmonary resuscitation (CPR) tih hi cardiac arrest nghal a awm chuan enkawlna a ni.
• A thawk chhuak ringawt.
• Luak chhuak.
• Betting infiamna (`Wrestling`) a ni.
• Thil rit tak tak phurh.
• Kawng hliam thlen thei thil dang eng pawh.

Arterial dissection dang vangin stroke pawh a awm thei em?

Ni e, i kawr chhunga thisen kalna kawng (artery) a chhiat chuan, chu chu cervical artery dissection kan ti tlangpui. Hei hian kan sawi tak vertebral arteries te, chubakah i kawr hmalam atanga kal carotid arteries pahnih te pawh a huam tel bawk. Chûng thisen kalna kawng zînga pakhat chu a inthlak danglam chuan thluaka thisen kal chu a titawp thei a, chu chuan stroke a thlen thei a ni .

Stroke vei theihna dik tak chu eng nge ni?

Dik tak chuan hei hi vertebral emaw carotid artery dissection vang a ni.Stroke vei theihna zawng zawng hi a hniam hle. Ischemic stroke hi stroke zawng zawng zinga 2% vel a ni. Ischemic stroke tam zawk hi atherosclerosis an tih natna avanga lo awm a ni . Hei hi risk factor dang, zuk leh hmuam, thisen sang, cholesterol sang, leh zunthlum te avanga thisen kalna kawng (arteries) te chu a thim a, a zim deuh thin a ni.

Mahse hei hi a pawimawh ber chu a ni: Vertebral artery dissection hi naupang leh kum chanve velah stroke thlentu lian ber a ni. Hetiang kum lama stroke 25% thleng, a nih loh leh pali zinga pakhat thleng a thlen thei a ni.

Vertebral artery dissection tih hian eng symptoms nge a neih?

A tir lamah chuan symptoms i nei lo mai thei. Mahse, thisen kalna kawng a puak emaw, thisen zam chuan thluaka thisen kal a tikhawlo emaw a nih chuan, stroke chhinchhiahna i nei thei a ni .

Heng mizia te hi hre reng ang che:

• Ataxia : Kal lai emaw, ding lai emawa balance hloh, hna tha taka thawk thei lo.
• Luak chhuak thei.
• Hriatna hloh.
• Double vision hmuh theihna.
• Kawng na (a tam zawk chu a sir khatah).
• Lu na na tak.
• Thusawi thiam lo (Dysarthria).
• Vertigo - A inher chhuak tih hriatna.

Engtin nge vertebral artery dissection i neih leh neih loh i hriat theih ang?

Eng thil nge thleng tih chiang taka hriat theihna tur test tha ber chu magnetic resonance angiography (MRA) . Hei hian MRI scan leh angiography tih technique te chu a thlunzawm a, i vertebral arteries te chu chiang takin a la thei a ni. Hei hian doctor-te chu dissection awmna hmun, a nasat zia leh eng chen nge a awm tawh tih te chu rang takin a hre thei a ni.

Mahse, he MRA test hi hmun tinah a awm lo va, tih a awlsam lo. Chuvangin, doctor-te chuan he natna hi CT scan (`Computed Tomography - CT scan`) emaw CT angiography (`CT angiography`) emaw hmangin an hmuchhuak fo thin. Hengte hi mi a lo luh huna test hmasa ber zinga mi an ni tlangpui.

A châng chuan, i doctor chuan angiography pangngai pawh a rawt thei bawk . Hei hian i kutphah emaw, i ke ruh emaw hmangin tube sei tak (catheter) te tak te i dah a, dye bik (contrast dye) i inject a, X-ray thlalak la a, thisen chu artery chhunga a luang dan te, dissection a zau zawng te, leh a hliam awmna hmun te hriat a ni.

Hei hi engtin nge enkawl a nih?

A tam zawkah chuan heng dissection condition te hi hun kal zelah anmahni chauhin an dam leh ang. Amaherawhchu, thisen zam hlauhawmna tihziaawm nan thisen tihthianghlimna damdawi pek i ni thei bawk.Hengte hi enkawlna bulpui berte chu an ni. Entirnan, aspirin , damdawi dang ( Plavix® ang chi) , heparin liquid form, emaw warfarin tablet emaw pek theih a ni.

Mahse, dissection chu thluak chhung thuk takah a darh tawh a nih chuan, emaw, hemorrhagic stroke i nei tawh a nih chuan, heng thisen tithianghlimtu damdawi hi pek hi a him lo mai thei. I doctor chuan enkawlna dang a rawn rawt ang che.

Enkawlna pangngai a hlawhtlin loh chuan eng nge tih ang?

Chutiang a nih chuan procedure i neih a ngai mai thei. Heng hmanrua te hi hemorrhagic stroke nei tawh tan pawh hman a ni .

Vertebral artery dissection tih dan tur chu hetiang hi a ni.

• Endovascular embolization : Sawi tawh ang khan kutphah emaw, ke ruh emaw kaltlangin, dissection awmna hmunah chuan tube te tak te (catheters) dahin, embolic agent inject emaw, metal coil te te dah emaw a ni. Artery hmun pangngai lo chu he thil emaw, coil emaw hmang hian seal a ni. Hei hian a chhunga thisen luang chhuak tur chu a titawp a ni.
• Angioplasty : Hei hian dissection na hmuna kal turin tube te tak te (catheter) hman a, thisen kalna kawng chhe tawh siamthat nan balloon bik inflating a huam bawk.
• Intracranial stenting : Hei hian dissection awmna hmunah hian tube (catheter) te tak te dahin, artery chhungah mesh ang chi metal device (stent an tih) dah a ni bawk. Hei hian artery wall a tichak a ni. Hei hi mi zawng zawng tan tih a ni lo va, damlo thlan bikte tan chauh tih a ni. Vawi tam tak chu doctor-te chuan angioplasty leh stent-te chu an ti dun ṭhin.
• Surgery : A chunga kan sawi tak endovascular procedures ti thei lo tan chuan surgery neih a ngai mai thei. Surgery an tih lai hian doctor-te chuan metal clip te te hmangin thisen kalna kawng pangngai lo chu an khar thin.

Hetiang natna vei te hi an dam leh zat chu engzat nge ni?

Mi tam zawk chu an dam chhuak vek . Mahse, nakin lawkah pawh hetiang dissection hi i la nei thei tho mai thei. Mahse chu risk chu hun kal zelah a tlahniam ta a ni.

Vertebral artery dissection hmanga nun chu eng ang nge ni?

Hei hi a dam vek tawh tih i chian hma loh chuan doctor-te chuan an lo enfiah reng ang che. A tlangpuiin thla thum atanga thla ruk danah magnetic resonance angiography (MRA) i nei thin ang.Test thenkhat tih tir i ni ang. Hemi chhung hian thisen tithianghlimtu damdawi i ei chhunzawm zel a ngai bawk ang. Nakin lawka dissection neih hlauhawmna sang tak nei te chuan kum tam tak chhung chu an doctor te hnenah thurawn (`follow-up care`) an lak a ngai dawn a ni.

Vertebral artery dissection hnuah eng nge ka tih loh tur?

Exercise i ti thei a, mahse hetiang thil hi i hlat tur a ni:

• I taksa rihna kut chungah dahin exercise tih thin, push-up leh pull-up te hi a ni.
• Pound 25-30 (kg 11-13.5 vel) aia rit phurh a ni.
• Lu chungah rit phurh.
• Infiamna lam biak theih a ni.
• Roller coaster ang chi ride chak tak takah chuan.
• Chiropractor-in i lu/i kawng khawih tir.
• Kawr chu chak takin massage a.
• Sky diving ang chi thil te.
• Hnathawh dang, rang taka speed tisang/tihniam.
• "Plank" awmna (`Plank awmna`). (Mahse chutiang tih loh chu yoga emaw Pilates emaw tih hi harsatna a awm lo, chu chuan kawr chungah pressure a siam loh phawt chuan).
• Kawr chu a hnunglam hawia tiharh nghal (whiplash injury), emaw, kawr chu chunglam hawia inzar pharh chhunzawm zel (hyperextension) thil tih zawng zawng chu pumpelh rawh.

Take-Home Thuchah a ni

Vertebral Artery Dissection hi i kawr hnung lama thisen kalna kawng bang atanga tear a ni. Stroke a thlen tam lo hle . Mahse a awm a nih chuan enkawl vat (a tam zawkah chuan thisen tithianghlimtu emaw, tih dan emaw) chuan i nunna a chhanhim thei a ni. Damdawi lam enkawlna leh damdawi lam enkawlna chhunzawm zel hian he natna vei te hi harsatna an tawh loh nan a pui thei a ni. Chuvangin, he thuziak-a kan sawi tak symptoms i neih chuan doctor thurawn la nghal rawh. Chu chu a pawimawh ber a ni.

` Vertebral Artery Dissection, stroke, paralysis, kawng na, lu na, luak chhuak, thisen kalna kawng rupture