Acute Heart Failure: I hriat tur

Tuiah i pil ang maiin, i rilru a hrual a, i ke a hrual a, i kekawrte chu i bun pawh theih loh khawpin i inhria ngai em? I chau hle tih i hria a, stairs pawh i chho thei lo... Hengte hi taksa natna anga ngaih mai suh. Hengte hi acute heart failure chhinchhiahna pawi tak a ni thei . Hei hi nunna atana hlauhawm medical emergency a ni. Chuvangin, hlauthawng suh. Vawiin hian engkim hi awlsam tak, hriatthiam awlsam takin kan sawi dawn a ni.

Okay, he heart failure (Acute Heart Failure) hi eng nge ni?

A awlsam zawngin, hei hian kan thinlungin taksain oxygen tamna thisen a mamawh zat a pump thei lo nghal mai ṭhinna dinhmun a kawk a ni.

I taksa chu khawpui lian tak niin han ngaihtuah teh, i thinlung chu chu khawpui tui supply tu pumping station lian ber a ni. He pumping station hi a thawk tha chhung chuan khawpui chhunga in tin leh hmun tinah tui an hmu vek a ni. Mahse, he pumping station hi a chak lo thut emaw, a chhe emaw a nih chuan eng nge thleng ang? Khawpui hian tui a hloh a ni lawm ni? Chutiang chu a ni. Kan thinlung tia koh pump chu a chak lo thut chuan kan taksa peng pawimawh tak tak thluak, kal leh thin te hian oxygen leh nutrition an mamawh ang an hmu lo. Hei hi Acute Heart Failure an ti a.

Hetiang dinhmun hi zan khat thil thuah a thleng lo. Vawi tam tak chu, thinlungin hun kal zelah phurrit a phur belh a ngaih hunah, zawi zawiin a danglam ṭan ṭhin.

• Thinlung lian: Mi rit phurtu taksa ruh a lian ang bawkin, thawhrim lutuk a ngaih hunah chuan thinlung ruh a thim thei a, thinlung a lian thei bawk.
• Thisen kalna a tlahniam: Lung a chak lo deuh deuh chuan thisen a pump chhuah zat a tlahniam a.
• Thisen kalna kawng (thinning of blood vessels): Taksain chutianga insiamrem a tum hian thisen kalna kawngte pawh a thim thei a ni.
• Thinlung thawk chak emaw, mumal lo emaw (Arrhythmia): Thinlung a pressure avangin a rhythm pangngai a hloh thin.
• Heart muscle tihkhauh: Heart muscle hi a nghet lo thei a, a inthlak danglam thei lo bawk.

Heng inthlak danglamna te hi a tir lamah chuan a tlem hle. Symptoms engmah i nei lo mai thei. Mahse hun kal zelah heng inthlak danglamna te hi a pung a, thinlungin phurrit a tuar theih tawh loh chuan emergency Acute Heart Failure an tih chu a lo awm ta a ni.

Hei hi kum 65 chunglam damdawi ina dah chhan ber a ni tlangpui a, mahse hei hi kum eng pawha thleng thei a ni tih hre reng ang che.

Hei hi chi hrang hrang a awm em?

Ni e, chi hnih a awm ber.

1. Acute Decompensated Heart Failure (ADHF): Hei hi lung natna (entir nan, coronary artery disease, thisen sang) i neih tawh chuan a thleng thin. Hei hi i thinlung hi rei tak a chak loh laia an vuah a ni a, eng emaw chhan (damdawi ei loh, chi ei tam lutuk ang chi) avanga natna chu a zual thut a ni.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.De Novo Acute Heart Failure: Hetiang a nih chuan a hmain lung natna i nei lo. Amaherawhchu, damdawi lam natna dang, zunthlum ang chi hian i hriat lohvin hun rei tak chhung chu i thinlung a tichhe tawh a, he natna hi a lo awm thut thei a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian thuai theih ang?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan damdawi in pakhat Emergency Department (ETU)-ah kal nghal la, tihkhawtlai ngai lovin. Hei hi in lama vawn reng theih natna a ni lo.

Heng symptoms te hi a hnuaia table atang hian chiang takin kan hre thei ang.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Thinlung chunga pressure emaw, strain emaw pe thei thil eng pawh hian hetiang hi a thlen thei a ni. A chhan ber thenkhat chu hetiang hi a ni:

• Coronary Artery Disease: Cholesterol awm vangin thinlunga thisen petu thisen kalna kawng (arteries) a khar.
• Hypertension: Thisen sang thunun loh chuan hun kal zelah thinlungin hna a thawk nasa zawk thin.
• Heart Valve Disease: Heart chhunga valve te hi a khar loh emaw, a inhawng tha lo emaw chuan thisen chu hnunglam hawiin a luang tan thin.
• Cardiomyopathy: Thil chi hrang hrang avanga thinlung ruh chak lo, thik emaw, lian emaw.
• Heartbeat irregularities (Arrhythmia): Lungphut chak lo emaw, mumal lo emaw a ni.
• Pulmonary Embolism: Hei hi emergency condition a ni a, chu chuan thinlung dinglamah pressure sang tak a thlen nghal a ni.
• Zunthlum thunun loh: Zunthlum hian thisen kalna kawng leh nerve a tichhe thei a, thinlung a tichak lo thei bawk.
• Kidney disease: Kal hnathawh that loh chuan taksaah tui leh chi a awm khawm a, chu chuan thinlungah harsatna a siam a ni.
• Zu insualna (Alcohol Use Disorder): Hun rei tak zu in hian thinlung ruh (heart muscle) a tichhe nghal vek a ni.
• Viral infection: Virus thenkhat (entir nan, rheumatic heart disease nena inzawm virus) hian heart muscle a kai thei a, a tichak lo thei bawk.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

A chunga kan sawi takte zinga pakhat hi nei mah la, thil engemaw tak chuan Acute Heart Failure a thlen nghal thei a ni. Hengte hi ‘triggers’ kan ti thin.

• Damdawi pek tur dik taka ei loh:Thisen sang, zunthlum, thinlung natna damdawi i ei loh chuan natna chu thunun theih lohvin i thinlungah pressure a siam belh thei a ni.
• Chi leh tui in control loh: I doctor-in chi tihtlem leh tui in tihtlem tura a hrilh che chuan i zawm ngei ngei tur a ni. Chi ei tam lutuk hian i taksaah tui a vawng tlat thin. I thinlung chak lo tak chuan he tui tam lutuk hi pump chhuah tumin nasa zawkin hna a thawk a ngai a ni.
• Zu leh ruihhlo hman: Hengte hian thinlung a tichhe nghal vek.
• Painkiller thenkhat (NSAIDs): Damdawi lam thurawn tel lova natna tidamtu thenkhat, ibuprofen ang chi hman chhunzawm zel pawh hi thinlung tan a tha lo.

Engtin nge doctor hian hei hi a hriat chian?

Emergency Treatment Unit (ETU) i kal chuan doctor-te chuan rang takin an enfiah ang che a, diagnosis thlen an tum ang.

1. Zawhna tam tak an zawt che a: i natna lan chhuah dan te, natna dang i neih te, i chhungte zingah lung natna nei an awm em tih te, damdawi i ei dan te, i zuk leh hmuam te.

2. Taksa endik: Thinlung leh lungte chu Stethoscope hmanga ngaihthlak a ni. Ke chu a hring em tih enfiah a ni a, kawr chhunga vein awmte pawh enfiah thin a ni. Thisen sang tehna a ni.

Tichuan, test eng emaw zat an nei a, chu chu a natna hmuhchhuah a nih thu finfiah a ni.

Hei hi eng enkawlna nge ni?

Enkawlna hi chi hnih ah then theih a ni a, emergency treatment leh long-term management.

Emergency hmanga enkawl a ni

ETU-ah chuan doctor-te thil tum hmasa ber chu i dinhmun tihngheh hi a ni.

• Oxygen Therapy: Oxygen hi face mask hmanga pek a ni a, thawk harsatna tihziaawmna tur leh thisena oxygen level siam that lehna tur a ni.
• Diuretics - "water pills": Heng damdawi te hi injection angin pek thin a ni a, chu chuan taksa atanga tui tam lutuk chu zun hmanga a paih chhuah thuai theih nan a pui thin. Hei hian lung chhunga tui awm zat a ti tlem a, thawk a ti awlsam a, a hring a ti tlem bawk.
• Vasodilators: Heng damdawi te hian thisen kalna kawng a tizau a, thinlungin thisen a pump theihna dodalna a ti tlem a, a chunga pressure a tihziaawm bawk.

Hun rei tak chhunga enkawl leh enkawl dan

Emergency hnuah chuan a chhan natna hnuaia awm chu enkawl a ngai a ni.

• Damdawi: Lung hnathawh thatna tur, thisen sang control thei tur leh thinlung venghimtu damdawi chi hrang hrang (e.g., beta-blockers, ACE inhibitors) i ei chhunzawm zel a ngai dawn a ni.
• Surgery leh tih dan dang: A chang chuan damdawi ei ringawt pawh a tawk lo thei. Chutiang a nih chuan, hetiang thil hi i hmang a ngai mai thei:
• Angioplasty leh Stenting: Coronary artery blocked hawn a, a khar leh loh nan mesh ang chi device (stent) dah.
• Bypass Surgery: Thisen kalna kawng thar siam nan thisen kalna kawng thar siam nan thisen kalna kawng khar (blocked artery).
• Valve Repair/Replacement: Heart valve chhia siamthat emaw, artificial valve dah emaw.
• Pacemaker emaw ICD device dah: Lungphun a mumal lo a nih chuan heng hmanrua te hi rilru vun hnuaiah dahin a pangngaia a awm leh thin.
• Lungphun thlak dan:Damdawi dang hmanga tihdam theih loh, end-stage heart condition-a thluak thi tawh atanga thinlung hrisel tak thlak.

Hetiang dinhmun hi engtin nge kan nunpui ang?

Dik tak chuan hei hi condition na tak a ni. Hetiang natna vei tawh chuan a vei leh theihna chance a sang hle. Zirna thenkhatah chuan he natna vei mi tam tak chu kum khat chhungin an thi tih hmuhchhuah a ni.

Mahse, lungngai suh. Mi zawng zawng tan a inang lo. I hmalam hun tur chu thil tlemtein a hril ang:

• Hei hi a thlentu natna hnuaia awm leh a nasat dan.
• Engtiang chiahin nge enkawlna i dawng thuai.
• I hriselna zawng zawng leh i taksain enkawlna a dawn dan.
• A pawimawh ber chu: thinlung hrisel nunphung i neih theihna tura i inpekna.

I inpek a, i doctor thupek dik taka i zawm chuan he natna hi i enkawl tha thei a, dam rei tak i nung thei bawk.

Damdawi in chhuahsan hnuah eng nge ka tih ang?

Damdawi in atanga haw chuan a tawp tawh tihna a ni lo. Dik tak chuan, i nun thar, thinlung hrisel tak chu chuta ṭang chuan a inṭan a ni.

• I damdawi chu a hun takah ei rawh: Dose khat pawh skip suh.
• Zing tin in rit rawh: A rualin, saruak emaw, thawmhnaw eng emaw ha chungin in rit la, lehkhabuah ziak rawh. Ni khat emaw ni hnih emaw chhunga kilo 1-2 vela i taksa rihna a san nghal chuan tui i vawng tlat tihna a ni thei. Hetiang a nih chuan doctor hnenah hriattir nghal tur a ni.
• Chi control: I chaw eiah chi dah leh chi tamna ei tur, pickles, sangha hring, sauce, leh sausage te ei kha titawp vek rawh.
• Tui leh tui: Tui (tui, tea, bawnghnute, leh soup te pawh tel) i doctor-in ni khata in tur a rawt aia tam lo.
• Meizial zu leh zu hi bansan vek rawh.
• Exercise light: Doctor-in a rawt angin kea kal ang chi exercise light tak tak nei rawh.
• Ni ruat saah clinic-ah kal rawh: Doctor-in a hmu tura a pek ni-ah chuan kal ngei ngei tur a ni.