Lungngaihna hian thinlung a ti na em? ‘Broken Heart Syndrome’ chungchang hi han sawi ila.

Lungngaihna nasa tak emaw, mangang lutuk emaw hian thinlung a tichhe thei tak zet tih i hre ngai em? A châng chuan kan hmangaih tak kan chan emaw, harsatna lian tak kan tawh emaw hian kan rilruah natna mak tak mai kan nei a, chu natna rualin thawk harsa kan ti bawk. Vawiin hian hetiang hun laia lo awm thei, heart attack ang chiaha hriat, mahse heart attack ni lo, natna mak tak mai kan sawi dawn a ni. Hei hi ‘Broken Heart Syndrome’ an ti a. Hei hi hriatna mai ni lovin, damdawi lama hriat chhuah tak tak a ni.

He ‘broken heart syndrome’ hi eng nge ni?

A awlsam zawngin sawi ila, hei hi hun rei lote chhunga awm, i thinlung ruh peng pakhat chu taksa emaw rilru lam emaw a tihbuai thut avanga chak lo nghal mai a ni. Ngaihtuah teh, i thinlung peng pakhatin hna a thawh that loh chuan peng dangte chu an thawkrim lehzual a ngai a ni. He heart muscle chak lo tak hian thisen a pump tha thei lo.

Kan taksaa cell tin hian oxygen kan mamawh vek a. He oxygen hi thisenin a phur a ni. Chuvangin thinlung hian thisen a pump tha lo a nih chuan taksa pum a nghawng a ni. Mahse a tha ber chu, hei hi hun rei lote chhunga awm tur a ni tlangpui.

Hetiang dinhmun atan hian hming dang engemaw zat hman a ni. Doctor-in heng hming zinga pakhat a sawi chuan hlau suh, an awmzia a inang vek.

• Takotsubo hi rilru lam natna (cardiomyopathy) a ni
• Apical ballooning hmanga rilru natna (cardiomyopathy) a awm
• Stress rilru lam natna (cardiomyopathy) a awm

Hetiang dinhmun hi chi hrang hrang lian ber ber a awm em?

Ni e, he natna hi chi li a awm a. Thinlung chak lohna hmun atanga hriat theih a ni. Eng nge an nih i en ang u.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a nei tam zawk?

Heart attack nia rinhlelh doctor pan thin zinga 2% vel chu ‘broken heart syndrome’ an nei tih hmuhchhuah a ni. Mahse, zirchiangtute chuan mi tam zawkin he natna hi an nei tawh niin an ngai a, mahse a chang chuan dik taka hriat theih a ni lo.

Mak tak maiin, he natna hi hmeichhiaah a tam ber . Hri kai report zinga 89% chu hmeichhia an ni. A bik takin menopause hnuah a hlauhawm hle a, kum 58-77 inkar a ni.

Hei hi sawifiahna pakhat chu hmeichhia taksaa awm hormone estrogen , a ni. He hormone hian stress laia taksain hormone tha lo a siam chhuah lakah thinlung a venghim niin an ngai. Kan tar chhoh zel chuan estrogen level a tlahniam avangin hmeichhiate hian stress rang tak an tawh chuan thinlung a tichhe nasa zawk a ni.

Hei hi eng symptoms nge ni?

Heng symptoms te hi thil rapthlak tak a thlen hnu minute engemaw zat atanga darkar engemaw zat chhungin a lang thei a ni. Stress rapthlak tak karah taksain hormone a siam chhuah te hian hun eng emaw chen chu heart muscle chu a ti paralyze thin. He natna lan chhuah dan hi heart attack pangngai nen a inang hle.

Hei hi heart attack nen engtin nge a danglam?

Hei hi mi tam tak buaina hmun a ni. Symptoms hi inang mahse, heng condition pahnih hi a danglamna lian tak a awm.

Eng ang thil nge hetiang hi thlen thei?

Researcher-te chuan a chhan pakhat mah la chiang thei lo mah se, thil rapthlak tak thleng nghal mai chu a chhan ber niin an ngai. Hetiang hunah hian kan taksa hian stress hormone tam tak thisenah a chhuah nghal a. Heng hormone te hian hun eng emaw chen chu thinlung hnathawh tibuaitu nia ngaih a ni.

Rilru lama nghawng nei emergency:

• Hmangaih tak thihna: chhungte, ṭhian emaw, ran vulh emaw pawh a ni thei.
• Inzawmna inthen, inthenna.
• Thu lawmawm: Mak tak maiin, a chang chuan thil hlimawm tak, lottery-a chak ang chi pawh hian hetiang hi a thlen thei a ni.
• Chanchin tha lo: hna hloh, sum tam tak hloh ang chi thil.
• Thil rapthlak tak, accident emaw lirnghing emaw ang chi.
• Hlauhna nasa tak: Mipui hmaa thusawi ngai, rukruk hmachhawn, etc.
• Thinrim hle mai.

Taksa lama nghawng nei emergency-ah:

• Natna nasa tak a nei.
• Taksa tihchakna hahthlak tak a ni.
• Asthma hi attack a ni a, thawk harsatna nasa tak a ni.
• Seizures leh stroke ang chi dinhmun.
• Khawsik sang, thisen sugar level hniam tak (hypoglycemia).
• Thisen chhuahna nasa tak emaw, operation emaw tih a ni.

Engtin nge doctor hian hei hi a hriat chian?

Damdawi ina i rilru natna neia i kal chuan Doctor chuan a enfiah hmasa ang che a, thil thleng chungchang a zawt hmasa ang che. Tichuan, test tlemte an kalpui ang a, heart attack nge ‘broken heart syndrome’ tih an zirchiang ang.

• Thisen test: Lung ruh a chhiat chuan thisenah enzyme a awm khawm thin. An level te enfiah thin ang che.
• EKG (electrocardiogram): Thinlung electric hnathawh dan chhinchhiahna test a ni.
• Echocardiogram: Hei hi thinlung scan ang a ni. Thinlung chamber, valve leh heart muscle te hnathawh dan a en thei a ni. Broken Heart Syndrome-ah chuan thinlung peng pakhat a chak loh dan chiang takin a lantir thei a ni.
• Coronary Angiogram: Hei hi test pawimawh ber a ni. Hei hian thinlunga thisen phurtu thisen kalna kawng (arteries)-ah dye bik inject a, X-ray lak a huam a ni. Hei hian chu thisen kalna kawng (arteries)-ah chuan blockage a awm leh awm loh chiang takin a lantir thei a ni. Heart attack-ah chuan heng arteries te hi a block a, mahse Broken Heart Syndrome ah chuan chutiang blockage chu hmuh tur a awm lo. He test hi heng condition pahnih hi dik taka thliar hran theihna awmchhun a ni.
• Chest X-ray leh Heart MRI: Heng test te hi a tul chuan tih theih a ni bawk.

Engtin nge enkawl a nih?

Hemi atan hian ‘damdawi’ bik awm lo mah se, a natna lan chhuah dan thunun nan leh thinlung dam lehna tura pui turin damdawi pek a ni. Mi tam tak chuan heng damdawi hmang hian damna famkim an nei thin.

• Aspirin: Thisen zam a veng.
• ACE inhibitor emaw ARBs: Thisen sang control.
• Beta-blockers: Heart rate a ti hniam a, heart pressure a tihziaawm bawk.
• Diuretics: Taksa atanga tui tul lote paih chhuakin thinlunga phurrit a tihziaawm.

Ni engemaw zat atanga kar tlemte chhungin thinlung hi a pangngaiin a lo kir leh tlangpui. Mahse, mi ṭhenkhat chuan thla tam tak chhung chu chau leh nunna nei loin an inhria thei a ni. Chutiang hunah chuan doctor nena inbiakna neih a pawimawh hle.

Hei hi pumpelh tur leh mahni inenkawl turin eng nge kan tih theih ang?

Hetiang dinhmun hi lo awm lo tura ven dan tur chiang tak awm lo mah se, kan nunah lungkhamna lo thleng thinte enkawl dan zir hi a \angkai hle thei a ni.

• Stress management: Yoga, meditation, leh rilrua thlamuanna thlen thei thil tih te hi a pawimawh hle. Deep breathing exercise te pawh hian a pui hle bawk.
• Nunphung hrisel: 1.1.
• Ei leh in tha tak ei rawh.
• Exercise neih fo (kar khatah ni 5 chhung minute 30 tal).
• Ni khatah darkar 7-9 vel mut tha rawh.
• Meizial zu te, ruihhlo te, zu in tam lutuk te chu pumpelh vek tur a ni.
• Ṭanpuina zawng rawh: Nangmah chauha i thunun theih loh lungkhamna i neih chuan, chu mi chu i rintlak tak hnênah sawipui rawh. A tul chuan professional counselor tanpuina la rawh.