Thinlung pump theihna: Ejection Fraction chungchang chiang takin i zir ang u!

‘Ejection Fraction’ tih tawngkam hi i hre ngai em? I doctor emaw, chhungte emaw hnen atangin thinlung natna chungchang an sawi lai khan i hre tawh mai thei. A nihna takah chuan thil pawimawh tak a ni a, kan thinlung a hrisel zia tehna a ni. Chuvangin, vawiinah hian he ‘Ejection Fraction’ hi eng nge a nih leh kan thinlung hriselna chungchanga a sawite chipchiar takin kan sawi dawn a ni.

Ejection Fraction chu eng nge ni? A awlsam zawngin...

A awlsam zawngin Ejection Fraction hi i thinlungin thisen a pump that dan tehna a ni. A dik zawk chuan thinlung hnuai lama main chamber (ventricles an ti bawk) atanga thisen chhuak zat a ni.

Hei hi hrethiam tur chuan thinlunga thisen kal dan hi tawi te tein i hrechhuak ang u:

1. Thisen hi thinlung dinglam chunglam (hei hi `right atrium` an ti) ah a lut hmasa ber thin.

2. Tichuan, heartbeat inkar rei vak lo chawlh chhung hian he thisen hi valve pakhat kaltlangin thinlung veilam chamber hnuai lam (`left ventricle`) ah a inkhawm thin.

3. Tunah chuan he left ventricle hi thisenin a khat a, a hnua heartbeat nen chuan chu thisen a\anga a \hen chu taksa dang zawng zawngah pump chhuah a ni. Thisen pump chhuah zat hi ejection fraction hmanga kan tehna a ni.

Thinlung hrisel tak ejection fraction pangngai chu engzat nge ni?

Thinlung hrisel leh thawk tha tak ejection fraction chu a tlangpuiin 50% leh 70% inkar a ni tur a ni . Chumi awmzia chu thinlung vawi khat a na chuan veilam ventricle-a thisen 50% leh 70% inkar chu taksaah pump chhuah a ni tihna a ni.

Mahse hei hi a awm bawk. Mi thenkhat chuan ejection fraction pangngai an nei thei a, mahse heart failure an la nei thei tho. Hei hi `Heart Failure with preserved Ejection Fraction (HFpEF)` kan ti a. Chumi awmzia chu ejection fraction tha viau mah se, heart failure hi thinlunga harsatna dang vang a ni tihna a ni.

Engvangin nge ka Ejection Fraction hi hriat a pawimawh?

I Ejection Fraction hi i thinlung hnathawh that zia tilangtu pawimawh tak a ni. Ejection Fraction hniam chuan heart failure i nei emaw, i nei emaw tihna a ni tlangpui. Chuvangin he hlutna hriat hi enkawl dan tur ruahmanna siam nan leh i thinlung dinhmun enfiah nan a pawimawh hle.

Ejection Fraction chi hrang hrang a awm em?

Ni e, he tehna hi thinlung veilam leh dinglam chamber (`ventricles`) pahnih ah hian lak theih a ni ber.

Left Ventricular Ejection Fraction (LVEF) atanga chhuak a ni.

Thinlung veilam hi Ejection Fraction tiin kan sawi tlangpui. Avang,Left ventricle hian taksa pum puia taksa peng hrang hrangah oxygen tamna thisen a pump chhuak a. Chuvangin, he `LVEF` hlutna hian thinlung veilam sir ah chak lohna a awm leh awm loh hriat theih nan a pui a, a awm a nih chuan engtiang chiahin nge a nasat tih hriat nan a pui bawk.

Dinglam Ventricular Ejection Fraction (RVEF) hmanga tihchhuah a ni.

Hei hian oxygen tlachham, thianghlim lo, thinlung ventricle dinglam atanga lung (oxygen re-oxygenated na hmun) thlenga pump chhuah zat a teh a ni. He RVEF value hi right-sided heart failure i neih chuan a pawimawh hle. Mahse, he natna hi left-sided heart failure angin a awm lo.

Ejection Fraction value te hian eng nge a awmzia?

A awlsam zawngin, i Ejection Fraction a hniam poh leh i thinlung hian thisen pump theihna a chak lo zawk thin. Hei hi heart failure na tak nei te zingah hmuh tur a awm. Heart failure tan tirh lamah pawh a hniam thei bawk. Treatment options chu i Ejection Fraction chu normal atanga a hlat danah a innghat.

• 40% leh 49% inkar a nih chuan: Hei hi `mid-range ejection fraction` an ti a. Chumi awmzia chu thinlung pumpui pump theihna chu a pangngai aia tlem a ni tihna a ni. Heart failure symptoms i nei lo mai thei. A nih loh leh, thawhrimna hun lai, exercise lai ang chiah hian symptoms a awm thei a, chawlh hahdam laiin a bo thei bawk.
• 39% aia tlem: Hei hi `Heart Failure with reduced Ejection Fraction (HFrEF)` an ti a. Hei hian pumping ability chu a tlangpui aiin a hniam zawk tihna a ni. Ejection fraction a hniam chuan nunna atana hlauhawm, sudden cardiac arrest (`Cardiac Arrest`) ang chi harsatna a awm theihna a sang zawk. Symptoms chu a na thei hle a, thut mai mai pawhin i hrehawm lo thei bawk.

Ejection fraction chu normal mahse heart failure (HFpEF) a awm thei em?

Ni e, a hmaa kan sawi tawh ang khan `Heart Failure with preserved Ejection Fraction (HFpEF)` tih dinhmunah hian thinlung hian a beng hian taksaah thisen tam tak a pump chhuak thin. Mahse, buaina chu veilam ventricle-a thisen awm zawng zawng a tlahniam a ni. Hei hi a chhan chu heart muscle a thick emaw stiffen emaw a, chu chuan chamber lian tham a ti tlem a ni. Tichuan, taksain a mamawh angin thisen a pump thei lo.

A hnuaia thilte avang hian HFpEF vei theihna i nei thei a ni:

• Cardiac Tamponade (thinlung chhehvela tui awmkhawm) .
• Coronary Artery natna a ni
• Lung Valve Natna
• Thisen sang lutuk

Ejection fraction tlahniam chhante chu engte nge ni?

Heart ventricles te hi a inzawm khawm a, thisen a pump chhuah theih nan heart muscle fiber hrisel tak tak a mamawh a ni. Heart muscle tichak lo emaw, tichhe thei emaw dinhmun a awm chuan he contraction hi a thleng dik lo va, pumping efficiency a tlahniam bawk.

Chutah chuan thinlung chuan a hna thawk tur chuan a thawkrim lehzual a ngai a ni. He extra strain hian thinlung a ti na thei a, scar tissue a siam thei bawk. Hei hian chamber-te chu thisen a khat a, thisen pump a ti harsa zawk a ni. I ejection fraction chu tlem a tlahniam a nih pawhin a tir lamah chuan danglamna lian tham i hmu lo mai thei. Mahse i thinlung hnathawh a tlahniam zauh zauh a, i ejection fraction a lo na zual a nih chuan na takin i natna a thlen thei a ni.

Ejection fraction hniam a nih chuan eng symptoms nge a neih?

In general , ejection fraction a hniam poh leh heart failure symptoms a na zual thin. Hetiang hi i tawng thei a ni:

• Buaina: Thil chiang taka ngaihtuah harsa.
• Chauhna: Hnathawh lai chauh pawha chau tih hriat.
• Heart palpitations: Kan rilru a na emaw, a na emaw tih hriatna .
• Luhai.
• Dyspnea: Thâwk harsa, a bik takin mut lai.
• Water retention: Pum emaw ke emaw tuiin a lo hring chhuak thin.
• Chaklohna.

Heng symptoms te hi i neih chuan doctor lam pan vat a pawimawh hle tih hre reng ang che.

Ejection Fraction chu a tlangpui aia sang a nih chuan engtin nge ni ang?

Ejection fraction 75% aia tam a awm hi a tlem hle. Mahse a lo thleng a nih chuan a hlauhawm thei hle. Hei hi `Hypertrophic Cardiomyopathy` (heart muscle thickening dik lo) ang chi natna nei te tan pawh a thleng thei.

Tu ejection fraction nge teh tur?

Natna emaw risk factor emaw, heart failure thlen thei i neih chuan i ejection fraction hriat hi a tangkai hle. Hetiang ang case-ah hian:

• Natna `ATTR Amyloidosis` ang chi, thinlung tichhe thei.
• Cancer emaw natna dang emaw chemotherapy hmanga enkawlna thenkhat chuan thinlung a tichhe thei (cardiotoxicity).
• Pianpui Lung natna.
• Heart attack i neih chuan.
• Lung Valve Natna.
• Myocarditis natna (Myocarditis) a ni.
• Thisen sang na tak.
• Heart chamber-a heartbeat mumal lo (`Ventricular Arrhythmia`).

Engtin nge Ejection Fraction hi enkawlna atan hman a nih?

He hlutna hian doctor-te chu i tan heart failure treatment tha ber thlang turin a pui thin. Tin, i enkawlna chhung zawngin i ejection fraction chu a hun hunah enfiah hian i thinlung hnathawh a tha em tih hriat theih nan a pui thei bawk.

Heart attack enkawlna bulpui thenkhat chu:

• Pacemaker chi khat bik (`Biventricular pacemaker`) a ni.
• Lung lam natna damdawi.
• Lung thlak (Heart transplant) a ni.
• Heart valve siamthat emaw thlak emaw.
• Taksa chhunga hmanraw te tak te, emergency electric shock thinlunga thlen thei (Implantable Cardioverter Defibrillator - ICD) dah.

Engtin nge Ejection Fraction hi an teh thin?

Ejection fraction tehna kawng hrang hrang a awm. Test hman tlanglawn ber chu echocardiogram a ni a, chu chu thinlung ultrasound scan ang mai a ni.

Chu bakah, heng test te hian ejection fraction pawh a teh thei bawk:

• Cardiac Catheter hmanga tih a ni.
• Thinlung `CT` scan (`Cardiac Computed Tomography (CT) scan`) a ni.
• Lung lam MRI.
• `MUGA` scan (`Multigated Acquisition Scan`), chu chu `Nuclear Stress Test` tia koh bawk a ni.

Ka Ejection Fraction hi ka ti tha thei ang em?

Ni e, a dik tak zet. Heart failure therapies hian ejection fraction hniam chhan bulpui ber chu a enkawl a ni. Entirnan, ejection fraction hniam hi heartbeat mumal lo (arrhythmia) vang a nih chuan biventricular pacemaker hmangin hahdamna a pe thei. A chhan dang, thisen sang vang a nih chuan damdawi ei a ngai mai thei.

Tin, i thinlunga harsatna awm thei tihziaawmna tur leh i enkawlna atanga hlawkna tam ber i hmuh theih nan a hnuaia mite hi i ti thei bawk ang:

• Taksa tihpun: Cardiac rehabilitation program hian him taka exercise i tih tan theih nan a pui thei che a ni.
• Rihna hrisel tak vawn reng.
• Diet-a chi (sodium) leh tui awm zat tihtlem.
• Meizial zu te, ruihhlo te, zu in te ang chi thil tha lo tak takte bânsan.

Engtin nge ka ejection fraction a tha chho zel tih ka hriat theih ang?

I ejection fraction a hniam chuan i doctor pan fo a ngai dawn a, chu chu enfiah a ngai dawn a ni. Damdawi lam appointment zawng zawngah tel vek a pawimawh a, natna i neih loh pawhin i tel vek a pawimawh.

I symptoms a lo tha chho zel a nih chuan i ejection fraction a lo tha chho zel tihna a ni thei. Mahse, i symptoms chu a zual thei a, symptom thar a lo lang thei bawk. Chûngte chuan i ejection fraction a chhe zual tih a târ lang thei a ni.

Hetiang thil hi a lo thleng a nih chuan i doctor hnenah hriattir nghal la, i doctor appointment lo awm tur chu nghak lovin:

• Thâwk harsa, a bikin mut lai.
• Lungphun chak lo tak anga hriatna.
• Chaw ei chak lohna emaw, luak chhuak emaw.
• Rihna a inthlak thut (hei hi tui tlakchham vang pawh a ni thei).
• Chak lohna emaw, luak chhuak emaw chu chhan awm lovin a awm.

Ejection Fraction hi engzat nge teh tur?

Doctor-te chuan a hnuaia thil awm danah hian i ejection fraction hi an ngaihtuah mai thei:

• Heart failure symptoms i neih chuan.
• Heart attack emaw, heart hnathawh tichhe thei thil dang emaw i neih chuan.
• Lung natna vei theihna tipungtu damdawi lam harsatna i neih chuan.

He test hi heart failure i neih thu hriat a nih hnuah engzat nge i tih tur tih hi thil engemaw takah a innghat a, chutah chuan i initial ejection fraction a hniam dan pawh a tel. I ejection fraction a na zual zel a nih chuan i check fo a ngai mai thei. A stable a nih chuan test fo a ngai lo mai thei.

Heart Failure dinhmun tehna atan hian Ejection Fraction chauh hi test a ni em?

No. Ejection fraction hi doctor-te’n i thinlung dinhmun tehna atana an hman dan tam tak zinga pakhat chauh a ni. I natna chhan dik tak hriat chian nan leh enkawlna dik ber pek theih nan test dang neih belh a ngai a ni.

Heng test dangte hi a hnuaia mi ang hian a ni thei:

• Angiography hmanga enfiah a ni.
• Chest X-ray neih a ni.
• Echocardiogram hmanga tih a ni.
• Electrocardiogram (`Electrocardiogram - EKG`) tih a ni.
• Exercise Stress Test neih dan tur.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Ejection Fraction hi thinlung chakna tilangtu pawimawh tak a ni. Thinlung hian a beat apiangin taksaah oxygen tamna thisen a pump chhuah zat a teh a ni. Ejection fraction hniam hi heart failure chhinchhiahna a ni tlangpui. Mahse, lungngai suh. I lam atanga enkawl dan dik leh nunphung thlak danglam chuan i ejection fraction chu a pangngaiah i hruai kir leh thei fo thin. A pawimawh ber chu doctor thupek zawm a, checkup leh appointment-a tel reng hi a ni. Hei hian i thinlung hriselna kawngah kawng thui tak a zawh dawn a ni.

` Ejection Fraction, Lung natna, Lung hriselna, LVEF, RVEF, Lung natna lan chhuah dan, Lung enkawl dan