Heart Attack hnua Recovery leh Rehabilitation: Hemi chungchang hi i sawiho ang u!

Heart attack i neih tawh chuan damdawi in atanga i haw hnuah hlauhna leh rinhlelhna nasa tak i neih hi thil pangngai a ni. I rilruah zawhna tam tak i nei ngei ang, "Tunah engtin nge ka nun ang?", "Chutiang bawk chuan hna ka thawk leh thei tawh ang em?" Chu chu thil pangngai tak a ni. Chuvangin, he thuziak ah hian he dinhmun khirh tak atanga zawi zawiin kan dam leh theih dan tur te, chumi atana kan tih tur te kan sawi dawn a ni.

Heart attack atanga dam leh theih nan eng chen nge hun a duh?

A awlsam zawngin, heart attack atanga a dam kim theih nan kar hnih atanga thla thum vel a ngai thei. I dam kim tawh chuan i hnaah i kir leh thei a, nitin hnathawh dan pangngai angin i thawk thei tawh ang.

Mahse, he damna hun hi mi tin a inang lo thei. A nghawng thei thil engemaw zat a awm a:

• I heart attack nasat dan: Heart attack thenkhat chu a tenau hle a, thenkhat erawh chu a lian hle thung. Chumi ang chuan dam leh hun pawh a inang lo ang.
• Enkawlna i dawn rang dan: Enkawlna i dawn hma poh leh thinlung chhiatna a tlem a, dam leh hun pawh a tawi zawk.
• Enkawlna i dawn dan: Entirnan, open-heart surgery i neih chuan percutaneous coronary intervention (a then chuan stenting an tih) aiin a dam rei deuh ang.
• I hriselna pum pui leh damdawi lam dinhmun dang: Damdawi dang, zunthlum emaw, thisen sang emaw i neih chuan i dam hun chhung pawh a nghawng thei bawk.

Chuvangin eng chen nge a daih dawn tih chiang taka hriat theih nan doctor nen inbiak a tha ber.

Recovery chhung hian eng nge beisei tur?

Damdawi in atanga i haw hnuah doctor leh nurse te hnen atanga hla taka i awm laia hlauhna tlem leh mahni chauha inhriat hi thil pangngai tak a ni. I chhungte pawhin engtin nge an ṭanpui theih che tih an ngaihtuah mai thei bawk. Zawi zawiin i nun pangngai i hman thiam chhoh zel chuan a hnuaia thilteah hian inthlak danglamna tenau engemaw zat i beisei thei ang:

• I activity level a ni
• Exercise tih dan tur
• Ei leh in tur
• I rilru put hmang
• Sex nun dan

A pawimawh ber chu he recovery period chhung hian chawlh leh activity inkara balance neih hi a ni. I thinlung a dam theih nan chawlh hahdamna tam tak i neih a ngai a ni. Tin, i thiltih pangngaiah a rang thei ang bera, him takin i kir leh a ngai bawk. Dam lehna atan exercise hi a pawimawh hle. Heng zawng zawng hi i doctor chuan a kaihruai ang che.

I activity level chu eng ang nge ni ang?

Damdawi in atanga in haw kar hmasa berah chuan i chau a, i chak lo thei bawk. Hei hi thil pangngai tak a ni.I heart muscle chu heart attack vangin a chhiat avangin a dam theih nan hun a duh a ni. Tin, hei hi khumah chawlh hahdam hnua i tho leh hnathawhna hmuna i kal thut hian a thleng thin. Chuvangin, i thiltih pangngaiah zawi zawiin i thiam theih nan hun hmang rawh.

In lama i haw hnu kar hmasa lama ṭanpui thei tur tips ṭhenkhat chu hetiang hi a ni:

• Zing tin inchei rawh. I inbual thiam tur a ni a, i mimal faina i enkawl thei tur a ni.
• In chhunga hna tenau te thawk tan la, mahse i inpeih tawh tih i hriat hunah chauh. Thil silna thenkhat fold te, chaw siamna lama tanpui te, huan siam te, leivut paih te, leh dish thenkhat sil te ang chi te.
• Nitin i hnathawh chu thehdarh rawh. Vawikhatah thawkrim suh. I chau nia i hriat chuan ding la, chawlh hahdam rawh. Hna dang zawng chu ni dangah thawk rawh.
• Stairs i chhoh zat kha tihtlem rawh. I doctor-in a tih loh chuan ni khatah vawi engemaw zat in lama stairs hman chu a pawi lo. Mahse, chho leh chhuk fo hi tih danah siam suh.
• Thil rit tak takte chu chawi, nawr, leh hrual ṭan nghal suh. I doctor-in a pawi lo a tih hma chu nghak rawh.
• Doctor thupek dik takin zawm rawh. Engtikah nge lirthei i khalh theih ang a, hnathawhna hmunah i kal thei ang a, thil hahthlak tak tak i tih tan theih hun tur chu a hrilh ang che. Chu thupekte chu dik takin zawm rawh. Vawi khatah i thawkrim lutuk suh.
• Heart attack hnua heart catheterization i neih chuan i doctor chuan hliam na hmun atanga thisen chhuah tihtawp nan hun eng emaw chen khapna dang a siam thei bawk. Hengte pawh hi zawm ve rawh.

Eng exercise nge i dam leh theih nan a pui che?

Exercise hi i dam lehna atana thil pawimawh tak a ni. Heart attack hnua taksa peng thar leh theihna kawng tha ber pakhat chu cardiac rehabilitation program-a tel hi a ni. Heng programme te hian i tan a tha tur exercise program him tak, supervised exercise program siam turin an thawk ho thin. Tin, nunphung hrisel tak inthlâk danglamna tûrin an ṭanpui bawk che a—chu chu ei leh in hrisêl tak ei te, lungkhamna thunun te, leh zu in bânsan te ang chi hi a ni. I doctor nen cardiac rehabilitation program i tel theihna tur chungchang sawipui rawh.

I rehabilitation program a zawh hnuah pawh exercise hi i nitin thil tihnaah a tel tur a ni. I heart attack hma khan exerciser lian tak i ni lo a nih chuan nitin exercise la tura tih nghal mai chu a buaithlak deuh thei. Mahse, cardiac rehabilitation program chuan zawi zawiin exercise i tih thiam theih nan a pui ang che. Chuvangin, a tawp hunah chuan nangmah chauhin exercise i ti thei tawh ang. Beidawng suh, hun kal zelah danglamna lian tak thlen thei step tenau te a ni.

Ei leh in chu engtin nge a awm tur?

Nakin lawka rilru lam natna avanga harsatna lo thleng tur ven nan thinlung hriselna atana tha ei leh in zawm a pawimawh hle.Lung hrisel ei tur ruahmanna tam tak a awm laiin, zirchianna atanga a lan dan chuan Mediterranean Diet hi i thinlung venhimna atan a tha ber a ni. He diet hi:

• I chaw ei ber tur chu thlai, thei, bean, leh whole grains ang chi thlai atanga siam ei tur velin ruahman rawh.
• Olive oil, avocado, leh nut ang chi hriak hrisel ei.
• Seafood, lean poultry, egg, leh low-fat dairy te chu a tlem berah ei thin ang che.
• Sa sen (bawngsa, vawk sa, bawnghnute, beram sa), chaw hmin, leh thil thlum te tihtlem.

Engtin nge i awm? (Rilru lam hriselna) .

Lung natna i neih hnuah, lungngaihna, thinrimna, leh hlauhna te i nei thei a ni . Hengte hi thil tih dan pangngai a ni a, nitin nun i tih leh hunah chuan zawi zawiin a bo vek ang. Hêng rilru put hmangte hmachhawn tûra ṭanpui thei thil ṭhenkhat chu hetiang hi a ni:

• Zing tin tho la, puan inbel rawh. Khumah awm suh, i pajama ha chungin awm suh.
• Nitin rei vak lovah kal thin ang che. Mahse doctor-in exercise a pek angin i zawm tur a ni.
• Zawi zawiin i hobby leh social activities-ah te lut leh rawh. Mahse, vawi khatah mi tam tak i in chhungah hruai lut suh. Zawi zawiin i social interaction te chu i rilru a hahdam ang zelin tipung rawh.
• I rilru a awm chu share ve rawh. I ṭhian, chhungte, counselor emaw, support group emaw nen inbiakna neihpui rawh.
• Zan mut nuam tak nei rawh. Mut tlem chuan i chau thei a, i thinrim thei bawk. Zanah awlsam taka muthilh theih nan nilengin mut tam lutuk loh tur a ni.
• Cardiac rehab program-ah tel ve rawh. Hetiang guided exercise leh educational program hian rilru lam hahdamna a pe thei bawk.
• Zawhna zawh hreh suh. Zawhna i neih apiangin i medical team hnenah zawt thin ang che. Damdawi lam thumal awmzia leh i enkawlna tur ruahmanna hrethiam rawh. Lung natna chungchang leh a nunpui dan zir hian chakna nasa tak a pe ang che. Ka ne

I hriat tam poh leh i hriselna atana \angkai tur thutlukna i siam thei zawk ang.

Mipat hmeichhiatna lam pawh kan zir ve dawn em ni?

Engtiang chiahin nge sex i hman leh theih ang tih chu eng enkawlna nge i dawn leh tuna i rilru put hmangah a innghat a ni. Open-heart surgery i neih chuan i hnute ruh a dam theih nan kar li atanga kar ruk vel a ngai ang. Chuvangin, chumi hma chuan sex hman loh tur a ni.

Surgery i la neih loh chuan i heart attack hnu kar hnih atanga kar li vel ah sex i hmang thei tur a ni. I rilru put hmang leh i chakna level chu en rawh. I rilru natna awm lovin stairs pahnih i lawn thei a nih chuan sex hman theihna tur chakna i nei tling thei a ni.

Hêng thilte hian nun pangngaia i lo kir leh hunah a ṭanpui ang:

• I kawppui nen i rilru put hmang leh i chakna level chungchang chu zalen takin sawi rawh.
• I kawppui nena inpawh tawnna tur kawng dang zawng rawh.
• I rilru hahdam leh taksa lama i hlim laiin sex hmang rawh .
• Filling meal ei hnuah darkar hnih tal sex hmang rawh .
• Thil ngaihtuah tur i neih chuan i doctor nen inbia ang che. Lung natna leh damdawi thenkhatte hian mipat hmeichhiatna lama harsatna a thlen thei a ni. Chutiang a nih chuan nangmah chauh i ni lo. I mamawh puihna dawng turin i doctor nen inbia ang che.

Heart attack hnuah hian heart hi a dam kim em?

I thinlung hi heart attack hnuah a dam thei a, mahse hun a duh a ni. Tin, heart attack hian thinlungah chhiatna engemaw zat a hnutchhiah thei a, chu chu `scar tissue` an ti a ni. He chhiatna hi a tam dan hi a zirin a inang lo:

• Enkawl hun: Enkawlna i dawn hma poh leh i thinlung chhiatna a tlem phah ang.
• Artery a block na hmun: I coronary arteries hian i thinlung hmun hrang hrangah thisen a pe chhuak thin. Artery pakhat a block chuan, chu thisen kalna atanga i thinlung peng chu thisen kalna a\angin a titawp ta a ni. Chuvangin, i thinlung tihchhiat zat chu khawiah nge blockage a awm tih leh i thinlung atanga chu artery chuan a tlangpuiin thisen a supply zat ah a innghat a ni.

I thinlung ruh (heart muscle) a dam theih nan thla hnih vel a ngai thei. Mahse, scar tissue la awm hian i thinlung tan thisen pump a ti harsa thei hle. Hun a kal zel a, hei hian harsatna dang a thlen thei a, chu chu heart failure te hi a ni. I thinlung a chhiat nasat zia leh i beisei tur chungchang doctor nen sawiho rawh.

Heart attack atanga dam leh kim theih a ni em?

Mi tam tak chu heart attack a\angin an dam chhuak vek a, dam rei tak an ni. Mahse, hlauhawmah i awm tih i hriat a ngai bawk. Kum 45 aia upa mi 5 zinga 1 vel chuan kum nga chhungin heart attack vawi hnihna an nei ang. Chumi awmzia chu i hlauhawmna tihtlem leh hun rei tak hrisel taka awm i duh chuan invenna hmalakna hi a pawimawh hle tihna a ni.

Engtin nge heart attack dang ka ven theih ang?

Heart attack hnuah hian nakin lawkah i thinlung a tihchhiat loh nan theihtawp chhuah a pawimawh. I doctor chuan nangmah leh i dinhmun bik atana thurawn a pe ang che. A hnuaia tarlan te hi i thinlung hriselna atana puitu tur general tips thenkhat tarlan a ni.

Damdawi hi a pek ang chiah chiah ka hman a ngai em?

Ni e, a dik ngei ang! Heart attack i neih hnuah i doctor chuan heng thil atan hian damdawi a pe ang che:

• Nakin lawka thisen zam tur ven.
• I thinlung phurrit tihziaawm la, thinlung hnathawh leh damna tichangtlung rawh.
• I cholesterol level tihhniam rawh.

A tul chuan doctor chuan heng thil atan hian damdawi a pe thei bawk ang:

• Heart rhythm mumal lo (arrhythmias) enkawl thin ang che.
• I thisen sang tihhniam rawh.
• Angina (rilru na emaw, nuam lo emaw) control rawh.
• Lung chak lohna enkawl rawh.

I doctor chuan i damdawi ei tur a hrilhfiah ang che. Eng damdawi nge i ei tih te, eng side effect nge a neih theih tih te, engvangin nge i ei tih zawhna i neih apiang zawh loh theihnghilh suh.

I dam kim vek a nih pawhin i damdawi pek zawng zawng chu a hun takah ei vek tur a ni. I damdawi te hi i damna tur a ni. Side effect i neih chuan notebook-ah ziak la, a lo awm hunah doctor hnenah hrilh rawh.

A tawp berah chuan i damdawi ei zawng zawng list siam la, engtik lai pawhin i hnenah dah reng ang che. List-ah hian a hnuaia mite hi a tel tur a ni:

• Damdawi hmingte.
• Damdawi pakhat zel i ei chhan sawifiah.
• Damdawi pakhat zel hi engzat nge ei tur a, engtik laiin nge ei tur a ni.

Nunphung tihdanglam i duh em?

Ni e, hei hi a pawimawh hle. Coronary artery disease vei theihna tur risk factor thenkhat (kum leh chhungkaw history ang chi) kan thlak thei lo. Mahse, i risk tihziaawmna tur thil engemaw zat i tih theih a awm. Hengte chungchang hi i doctor nen sawiho la, tanpuina dil rawh:

• Zuk leh hmuam i in emaw, vape emaw, zuk leh hmuam dang i hman chuan bansan vek rawh. Zuk leh hmuam hman hi coronary artery disease vei theihna tur modifiable risk factor pawimawh ber pakhat a ni. Bansan hi thil awlsam a ni lo a, mahse i thinlung hriselnaah danglamna nasa tak a thlen thei a ni.
• Zu hi tihtlem rawh. A theih chuan titawp vek la, a nih loh leh doctor-in a tih angin tihtlem rawh.
• Cholesterol level tihhniam thei diet zawm rawh. I doctor emaw nutritionist emaw hnenah Mediterranean Diet emaw, ruahmanna dang emaw hi i tan a tha ber em tih zawt rawh.
• I taksa rihna hrisel tak vawng reng rawh. I thau chhoh chuan i thinlung hian i taksa peng dang zawng zawnga thisen pump turin a thawkrim zawk a ngai a ni. Thau lutuk hian thisen sang, cholesterol sang leh zunthlum vei theihna a tipung bawk. I doctor hnenah i ideal weight chu eng nge ni tih leh chuta thlen theih nan eng nge i tih theih tih zawt rawh.
• Exercise hi i nitin thil tihnaah telh la. Exercise neih fo hian i chakna level a tisang thei a, cholesterol a tihniam thei a, i rihna a control thei a, stress a ti tlem thei bawk. Exercise plan eng pawh i tan hmain i doctor nen inbia ang che.
• Zunthlum hi control theih a ni. Research atanga a lan dan chuan thisen sugar level sang hian coronary artery disease a thlen theihna a tipung a ni. Diabetes hi ei leh in thlak danglam, exercise leh damdawi hmanga control theih a ni.
• Thisen sang control. Thisen sang hian i coronary arteries lining a tichhia thei a, coronary artery disease a thlen thei a ni. Chi tlem ei leh in, exercise leh damdawi ei hian i thisen sang chu hrisel taka a awm theih nan a pui thei a ni.
• Engtik lai pawhin i rilru hahdam tum ang che. Yoga, meditation, leh deep breathing exercise ang chi thilte hian stress leh thinrimna i thunun thei a ni. Heng emotion te hian coronary artery disease vei theihna a tipung bawk.

Doctor hmuh fo i duh em?

Ni e, chu pawh chu a pawimawh hle. Hospital i chhuahsan atanga kar li atanga kar ruk hnuah follow-up appointment i nei ang. Chumi hnuah doctor chuan i dam leh tawh dan a enfiah ang.

Test neih fo a ngai bawk ang a, chu chu exercise stress test ang chi te hi a ni. Heng test te hian i doctor chuan i thinlung a enfiah thei a, blockage thar emaw, a na zual emaw a awm leh awm loh a enfiah thei bawk.

Heng symptoms te hi i neih chuan appointment nghah ngai lovin doctor ko la:

• Angina hi a lo awm fo a, a nasat a, a rei zawk emaw, hmun dangah a darh emaw a nih chuan.
• Thâwk harsa, a bik takin chawlh laiin.
• Luak chhuak thei.
• Heartbeat mumal lo a awm.

Angina i neih chuan eng nge i tih ang?

Angina hi i thinlungin oxygen tamna thisen a dawng tlem tih chhinchhiahna a ni. Angina hian hetiang hian a hre thei a ni:

• I rilruah hrehawmna, pressure, rit emaw, na emaw i nei a. Hetiang rilru put hmang hi i hnungzang, i hmui, i ril, emaw i kut ah pawh a darh thei bawk.
• Pum, chaw ei loh emaw, chaw ei kham lohna emaw hriatna.

Hei hi mi hrang hrangah a inang lo thei a, mahse a tlangpuiin a hun apiangah chutiang bawk chuan a awm thin. Chu chu angina i neih chuan chutiang bawk chuan i inhria fo tihna a ni.

Heart attack hnua angina i neih hian hlauhna i neih hi thil pangngai a ni. Chutiang dinhmunah chuan i doctor thupek zawm rawh. Tips tlangpui thenkhat chu hetiang hi a ni:

1. I thil tih lai kha titawp rawh. Thu la, chawl rawh.

2. Nitroglycerin i neih chuan i lei hnuaiah tablet pakhat dah la, a hmin tir ang che. A nih loh leh, i lei hnuaiah nitroglycerin spray spray la.

3. Minute nga vel nghak rawh.

4. Minute nga hnuah pawh angina i la nei a nih chuan 1990 (Sri Lanka emergency ambulance service) ah call nghal rawh. Tikhawtlai suh.

5. Emergency call center officer chuan aspirin pakhat chew leh ei turin a hrilh thei che (damdawi lam thila aspirin ei loh tur i neih loh chuan). Heart attack hmaa aspirin ei hian i dam lehna a ti tha thei hle.

6. Damdawi inah nangmah chauhin lirthei khalh suh.Emergency medical personnel te chuan i thinlung chhanchhuahna tura pui turin chutah ngei chuan enkawlna an tan thei a ni.

I nitroglycerin chu i hnenah dah reng tur a ni tih hre reng ang che. Tin, hengte hi hre reng ang che:

• Nitroglycerin hi tablet emaw spray emaw angin a awm a.
• I nitroglycerin chu bottle thim takah, lum leh vawt atanga hla takah i dah tur a ni.
• Bottle-a expiry date en rawh. Bottle i hawn atanga thla ruk chhungin a thar i lei tur a ni.

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

Heart attack atanga dam leh tur hian hun, dawhtheihna leh i hriselna tur ngaihtuah dan thar a mamawh a ni. Nitin i mawhphurhna dang zawng zawng nen i hriselna ngaih pawimawh hmasak hun neih chu thil harsa tak a ni thei. Mahse, heart attack hi i taksa hian tlem a enkawl a ngai tih hriat nawn tirna chak tak a ni.

Tunah hian i nunah bul tan thar leh hun rei tak chhunga i hriselna atana pui thei tur thilte ngaihtuah hun a ni. I hmalam hun atana thinlung hriselna atana tha ruahmanna siam turin i doctor nen thawk ho rawh. Dam leh thuai turin duhsakna kan hlan e!

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