Acute Coronary Syndrome chungchanga hriat tur awmte!

I rilruah hian mak tak maiin i rilru a buai, a na emaw, thawk hah emaw i nei tawh ngai em? A nih loh leh i hriat mi pakhatin chutianga a tih chu i hmu tawh em? Heng symptoms te hi a chang chuan thinlung natna hlauhawm tak chhinchhiahna a ni thei bawk. Acute Coronary Syndrome (ACS) hi natna engemaw zat, a lo awm nghal mai a, chu chu thinlunga thisen petu thisen kalna kawng (arteries) a inkharkhip vang a ni.

Acute coronary syndrome (ACS) tih hi eng nge ni?

A awlsam zawngin Acute Coronary Syndrome (ACS) hi emergency condition a ni a, chu chu thinlunga thisen phurtu coronary arteries te chu a inkhar nghal a, chu chuan thinlungin a mamawh oxygen a hmuh theih loh phah a ni. I in chhunga tui pump-a tui phurtu pipe-ah thil pakhat a lo tang nghal a nih chuan han ngaihtuah teh. Tichuan tui chu pump-ah a luang tha lo. Chutiang bawk chu thinlungah pawh a thleng thin. Hei hi natna pakhat chauh a ni lo va, thinlung natna chi thum inzawmkhawm a ni zawk. Heng zawng zawng hi nunna atana hlauhawm a nih avangin damdawi lam pan vat a pawimawh hle.

Lung natna chi hrang hrang ACS hnuaia tla?

Okay, chuti a nih chuan ACS hnuaia lung natna chi hrang hrang awmte chu engte nge ni? A chi thum a awm a. Chungte chu thinlung chhunga khawiah nge thisen kalna kawng khar a nih, eng chen nge a inkhar tawh tih leh thinlung tihchhiatna engzat nge a awm tih a zirin a inang lo.

1. Unstable Angina: Hei hi i rilru natna emaw, i tightness emaw i neih thut lai a ni a, chawlh hahdam lai pawhin. Miin i rilru a rawn hnim ang maiin a lang thei. Hei hi a takah chuan heart attack vaukhânna chhinchhiahna a ni . A hmaa rilru natna awm tawh (stable angina) a nasat chuan a thleng thei bawk.

2. NSTEMI (Non-ST-elevation myocardial infarction): Hei hi heart attack chi khat a ni bawk. Mahse, hetiang dinhmunah hian , thinlung electrical activity tehna EKG (Electrocardiogram) test-ah hian danglamna lian tham a awm lo. Amaherawhchu thisen test-ah chuan heart muscle a chhiat tih hriat theih a ni. Hetah hian coronary artery hi a block kim lo a, a block a nih chuan hun rei lote chhung chauh a ni.

3. STEMI (ST-elevation myocardial infarction): Hei hi heart attack na ber a ni . EKG leh thisen test hmangin chiang takin a hriat theih a ni. Heta thil thleng hi chu thinlunga thisen pe chhuaktu thisen kalna kawng (artery) chu rei tak chhung chu a inkharkhip vek a, chu chuan thinlung hmun zau tak a tichhia a ni.

He ACS natna hi tuin nge nei thei ang?

Tunah chuan tute nge ACS nei thei ang tih i ngaihtuah mai thei. Dik tak chuan tu pawhin an tipung thei a ni. Mahse, risk factor thenkhat nei te chuan an vei tam zawk.

Kum leh nunphung: 1.1.

• Kum: Mipa kum 45 chunglam leh hmeichhia menopause paltlang tawhte chu an hlauhawm zawk.
• Thau lutuk/thau lutuk.
• Cocaine ang chi ruihhlo hman.
• Taksa exercise neih loh vang.
• Meizial zuk.
• Ei leh in hrisel lo (thai, chi, chi, thlum tamna ei tur).

Damdawi lam harsatna dang i neih leh chhungkaw history:

• COVID-19 hi lo darh ta se.
• Zunthlum.
• I chhungte zingah tu emaw chuan rilru natna, thinlung natna, stroke ang chi natna an nei tawh a nih chuan.
• Thisenah cholesterol level sang tak a awm.
• Thisen sang (Thisen sang / thisen sang).
• Naupai laiin thisen sang, preeclampsia, zunthlum i neih chuan.

ACS nena inmil symptoms lantir thei dinhmun dang

Mahse ACS hi rilru natna thlentu a ni tih ring suh. ACS ang chi natna dang engemaw zat a awm bawk. Chuvangin diagnosis dik tak neih a pawimawh a, enkawl vat a pawimawh . Hetiang symptoms nei thei dinhmun thenkhat chu:

• Aortic stenosis a awm thin.
• Asthma natna a ni.
• Pulmonary embolism a awm thin.
• Chaw ei leh in lama harsatna, chronic acid reflux (GERD - Gastroesophageal Reflux Disease) emaw, chaw kawng (esophageal spasms) emaw a awm thei.
• Pericarditis natna (Pericarditis) a ni.
• Muscle emaw ruh emaw lama harsatna nei.
• Rib ruh tliak a awm.
• Pneumonia natna (Pneumonia) a ni.
• Pum lam harsatna, ulcer ang chi te.
• Stress, lungkhamna, emaw, lungngaihna emaw.

ACS hi engtiang chiahin nge a awm?

Coronary Artery Disease (CAD) hi khawvela lung natna tlanglawn ber leh thihna thlentu lian ber a ni. Chuvangin, CAD nena inzawm natna ACS hian kum tin mi tam tak a that thin. Hetiang hlauhawmna hi mipa leh coronary heart disease hnuaia awmte tan a sang hle.

Engtin nge ACS hi a lo awm?

Okay, tunah chuan he ACS dinhmun hi engtin nge a lo awm tih hi han en ila.

Kan thinlung hi muscle a ni. A hnathawh \ha tur chuan oxygen tamna thisen supply reng reng a mamawh a ni. He thisen hi coronary arteries leh chuta chhuak thisen kalna kawng te te te hian a pe chhuak thin a ni.

A châng chuan hun kal zelah heng thisen kalna kawng chhungah hian plaque a lo awm khawm a , a ti tawi a ni. Hei hi atherosclerosis an ti a . Hun kal zelah tui pipe-a rust lo awm ang mai a ni.

He thau (plaque) deposited layer hi a puak emaw, a rupture emaw chuan ACS hi a lo awm nghal thin.

Chutiang a nih chuan a chhe lai chu thisen zam a lo awm ta a ni.He thisen zam hian thisen kalna chu a ti tawi a, a nih loh leh a tikhawlo vek a ni. Tichuan, thinlung hmun thenkhat (myocardium) chuan a mamawh oxygen a hmu lo. Hetianga oxygen tlakchhamna (ischemia) hian thinlung ruh a tichhe thin. Chu chu a hmaa kan sawi tawh ang khan unstable angina emaw heart attack emaw a lo awm ta a ni.

A tlem hle a, ACS hi chhan dang vang pawh a ni thei:

• Coronary artery embolism chu thisen zam, boruak bubble emaw thau chi hrang hrangin coronary artery a block a ni.
• Coronary artery a lo chhuak thin.
• Amah ngeiin coronary artery dissection (SCAD) tih a ni.

ACS natna lan chhuah dan chu engte nge ni?

ACS symptoms hi thisen kalna kawng khar na hmun, a block nasat dan, i kum, i mipa leh hmeichhia, leh damdawi dang, zunthlum ang chi i neih leh neih loh a zirin a danglam thei.

Vawi tam tak chu heng symptoms te hi vaukhânna awm lovin a lo lang ṭhin a, chawlh lai pawhin a lo lang ṭhin. A lan chhuah dan tlangpui chu rilru natna emaw, nuam lo emaw (angina) . Hei hi hetiang hian a awm thei:

• Natna ang maiin a lang.
• Kangmei ang maiin.
• Chest chu a rit hle niin a lang.
• A rilru a na hle.
• Push, squeeze ang maiin.
• Trapped ang mai a ni.

He natna hi ke veilam, kut hnuai lam, kawr hnuai lam, hnungzang emaw, hmui hnuai lam thlengin a darh thei a ni. Mahse, mi thenkhat chuan rilru natna engmah an nei lo mai thei.

A lan chhuah dan tlangpui dang:

• Luak chhuak, lu hah, leh muhil mai mai tur ang maia inhriatna.
• Vawikhatmah thawk hah lutuk (diaphoresis).
• Chauhna, hahna.
• I thinlung a na hle tih hriat te, i rilru a na (heart palpitations) ang maia hriat te.
• Pum chunglam natna (mi thenkhat chuan hei hi chaw ei kham loh emaw, pum natna emaw a ni tih an hre sual mai thei).

A bik takin hmeichhiate hian ACS neih chhung hian rilru lam natna an nei tlem hle. Heng symptoms te hi an tawng tam zawk thei a ni:

* Nausea emaw luak chhuak emaw.

* Natna chu kekawrte, kawr, pum, emaw, hmui hmun emaw thlenga radiate.

* Thâwk harsa (dyspnea).

Heng chhinchhiahnate hi a awm reng emaw, a zual emaw chuan a rang thei ang bera doctor hnenah hrilh rawh . Hei hi heart attack a nih theih nia i hriat chuan aspirin ei nghal la, hospital emergency department hnai ber pan la, a nih loh leh 911 ah call rawh.

Engtin nge ACS hi hmuhchhuah a nih?

Doctor-te hian engtin nge ACS hi an hriat theih?

Pakhatnaah chuan taksa lam enfiah i ni ang. Tichuan, thisen test engemaw zat leh EKG (Electrocardiogram) i nei ang.Pakhat chu tihfel a ni. EKG hian thinlunga electrical activity a record a. Heng test result atang hian doctor chuan heart attack emaw unstable angina emaw i nei tih a hre thei a ni.

Chu bakah, test dang pawh tih theih a ni a, chu chuan natna dang a awm loh nan leh enkawlna tha ber thlan theih a ni. Entirnan, exercise stress test emaw medication stress test emaw hian i heart rate a ti sang a, a maximum-a i hnathawh huna i thinlungin a chhan dan a teh bawk.

Imaging study, CT scan emaw heart MRI emaw hmangin heart image chipchiar tak tak hmuh theih a ni bawk. Imaging test dangte chu:

• Calcium-score hmanga enfiahna thinlung scan.
• Cardiac catheter hmanga tih a ni.
• Coronary computed tomography angiogram (CCTA) hmanga enfiah a ni.
• Coronary angiogram hmanga enfiah a ni.
• Echocardiogram hmanga tih a ni.
• Nuclear damdawi hmanga thil siam chhuah (imaging).

ACS hi medical emergency a ni a. Test-naah chuan thinlunga thisen kal chu a block tih a chiang a nih chuan enkawl nghal i ni ang . I natna lan chhuah dan na tak, hriatna hloh ang chi i neih chuan, i natna hmuhchhuah a nih hma pawhin enkawl tan theih a ni.

ACS hi damdawi tluantling a awm em?

ACS hi damdawi a awm lo . Mahse, a hmaa hriatchhuah leh enkawl chuan i thinlung chu a tichhe zual thei lo va, a theih ang anga hna thawk reng turin a pui thei bawk. I doctor chuan i hlauhawmna tihtlem dan tur leh harsatna i neih loh dan tur a hrilh belh thei che a ni.

ACS hi engtin nge enkawl a nih?

ACS enkawlna atana thil tum ber chu natna tihziaawmna leh thisen kal dan siam that leh a rang thei ang bera thinlung hnathawh tihchangtlun a ni. I doctor chuan i dinhmun bik a zirin enkawlna a pe ang che. A tlangpuiin damdawi leh surgery hmanga thisen kalna kawng hawn leh thinlung hnathawh that lehna tur a ni.

ACS tan hian eng damdawi nge doctor in a pek theih ang?

Damdawi i dawn chi chu i dinhmun bik a zirin a innghat ang. A then phei chuan i doctor chuan i natna a hriat chian hmain damdawi a pe thei a ni. Heng damdawi te hi a hnuaia mi ang hian a ni thei:

• Anticoagulants emaw thisen tithianghlimtu emaw, aspirin emaw heparin emaw ang chi.
• Angiotensin-converting enzyme (ACE) inhibitor, thisen sang tihhniamtu a ni.
• Beta-blockers, thisen sang control leh heart rate ti hniam thei.
• Nitroglycerin, thisen kal dan a titha a, rilru natna a tiziaawm bawk.
• Natna tidamtu.
• Statins, thisen cholesterol level tihhniamtu a ni.
• Heart attack atanga darkar 12 chhunga thrombolytic damdawi ei tur .

I doctor chuan thinlung lam harsatna dang, a kaihhnawih damdawi a pe thei bawk a, chungte chu:

• Cholesterol sang tak a ni.
• Thisen sang a sang.
• Thinlung thawk mumal lo (Arrhythmia).

ACS vangin operation ka mamawh dawn em?

ACS enkawlna surgical treatment tum ber chu thisen kalna kawng khar chu hawn leh a, thisen kal dan pangngaia siam leh a ni. I doctor chuan enkawlna hrang hrang a rawt thei ang:

• Angioplasty with stent: Metal mesh (stent) te tak te dahin thisen kalna kawng khar chu hawn a ni.
• Coronary artery bypass surgery (CABG): Thisen kalna tur kawng thar siam.
• Percutaneous coronary intervention (PCI): Artery khar tawh hawn.

Engtin nge ACS vei theihna tihziaawm theih ang?

Lung hrisel nunphung i hman hian ACS leh rilru lam natna dang i vei theihna a ti tlem thei a ni. Chutianga i tih theih nâna ṭanpui thei tûr tips ṭhenkhat chu hetiang hi a ni:

• Meizial zuk loh tur: Meizial zuk emaw, nicotine product i hman emaw chuan, i doctor hnenah meizuk bânsan thei tur program leh damdawi te zawt la.
• Lung hrisel ei rawh: I doctor emaw, registered dietitian emaw hnenah i taksa rihna hrisel tak neih theihna tur leh thinlung natna i vei theihna tur ti tlem thei tur ei tur chungchang sawipui rawh. Mediterranean leh DASH diet hi eitur tha pahnih a ni.
• Zu in tlem: Hmeichhiain ni khatah vawi khat in tur leh mipain ni khatah vawi hnih in tur tihkhawtlai.
• Hriselna lama harsatna, cholesterol sang, thisen sang, zunthlum, stress, lungngaihna, leh lungkhamna te enkawl rawh. Hei hi i doctor emaw, rilru lam hriselna lama counselor emaw chuan a pui thei a, a enkawl thei bawk.
• Tay active: Exercise hian i taksa rihna a tihniam thei a, i fitness a tichak a, stress a ti tlem thei bawk. Exercise program eng pawh i tan hmain i doctor nen inbia ang che.

ACS dinhmun tur chu eng nge ni?

ACS hmalam hun tur chu i dinhmun bik, a nasat dan leh thinlung ruh tihchhiat zat a innghat a ni. A hun taka natna hmuhchhuah leh enkawl a nih bakah nunphung thlak danglam a nih chuan nun hrisel tak neih theihna hun tha ber i nei thei ang.

I doctor thurawn zawm la, thinlung hriselna atana tha tih dan phung vawng reng rawh. I doctor chu a hun takah hmu la, i doctor-in a tih tur test eng pawh ti zo la, hun rei tak chhunga i enkawlna chungchang sawi la, chutiang chuan i hlauhawmna tihziaawmna tur leh harsatna lo thleng tur venna atana i tih theih turte i hrethiam thei ang.

Heart attack i vei tawh a nih chuan, i doctor chuan chakna i neih leh theih nan, hriselna atana hlauhawmna tihziaawmna tur leh i nunphung tihchangtlun nan cardiac rehabilitation program a rawt thei che a ni.

ACS tan hian engtikah nge damdawi lam thurawn i lak ang?

ACS natna lanchhuahna i neih chuan emergency medical attention pan nghal rawh . ACS symptoms i neih thut a nih chuan, emaw, heart attack a nih i rin chuan i bula damdawi in emergency department-ah kal la, a nih loh leh 911 ah call la, hun khawhral suh!

Medical team hnenah eng information nge pek tur?

Damdawi in i kal hunah medical team te chuan i natna lan chhuah dan te, engtik atanga tan nge a nih tih leh a nasat dan te an zawt ang che.

Detail tam zawk i pek theih poh leh a tha zawk. Hêng thilte hi han ngaihtuah teh:

• Engtik lai khan nge symptoms ka hriat hmasak ber?
• Chutih lai chuan eng nge ka tih?
• Eng nge a lan chhuah dan?
• Eng chen nge an awm tawh?
• Natna ka nei em? Khawiah nge a awm?
• 1 atanga 10 inkar scale-ah chuan engzat nge ka natna?
• Damdawi lam harsatna dang ka nei em?
• Tunah hian eng damdawi nge ka ei?

Acute Coronary Syndrome hi thinlung natna tlanglawn tak a ni a, damdawi lam pan vat a ngai a ni. Heart attack nei ang maiin i inhria mai thei. Insum lovin 1990 call la, a nih loh leh damdawi in hnai ber pan nghal rawh. Hriat chian leh enkawl vat chuan i thinlung chu a pangngaia a awm leh theih nan leh a dam leh theih nan a pui thei che a ni.

He thawnthu atang hian eng nge kan in lama hruai haw duh ber? (In lama hruai tur thuchah)

A awlsam khawp mai. Acute Coronary Syndrome (ACS) hi natna khirh tak, natna khirh tak a ni. I rilru natna, thawk hah, emaw, thawk hah nghal mai ang chi symptoms i neih chuan , doctor thurawn dil nghal chu nunna chhanhim thei a ni. Hei hi zunthlum, thisen sang, cholesterol sang ang chi risk factors i neih chuan a pawimawh hle. Nun hrisel taka nun te, meizuk bânsan te, doctor thurawn zawm te hi he natna laka invenna kawng pawimawh tak a ni. I thinlung kha enkawl rawh!

` Acute Coronary Syndrome, Lung natna, Hnung na, Angina, Coronary Artery, Lung natna, Emergency Treatment