I thinlung pawh a chhe hle niin i hria em? He "Broken Heart Syndrome" chungchang hi han sawi ila!

I lungngaih, i mangang, a nih loh leh i hlim lutuk lai hian i thinlung a na em em a, i rilru a tikhauh a, i thawk a harsa zawk tih i hre ngai em? "Thinlung chhe" neih chungchang hi kan sawi vek a, mahse a takah chuan hei hi damdawi lam chhan a awm a ni. Doctor-te chuan he natna hi "Broken Heart Syndrome" emaw "Takotsubo Cardiomyopathy" emaw an ti a. Ngaihtuah buai suh, hei hi a enkawl that chuan a dam kim vek thei a ni.

"Broken Heart Syndrome" hi eng nge ni tak tak?

A awlsam zawngin, hei hi thinlung ruh thenkhat chu rang taka leh rei lo te chhunga a chak lohna dinhmun a ni. Hetiang hian han ngaihtuah teh: i thinlung sir khat chu "lazy" deuh a nih chuan a peng dangte chuan i taksa pum puia thisen pump turin an thawkrim zawk a ngai a ni. Hetiang chak lohna hi taksa emaw rilru lama harsatna nasa tak hnuah a thleng tlangpui.

Lung ruh a chak loh chuan thinlungin thisen a mamawh zat a hmu lo va, thisen a pump tha tawk lo bawk. I hria em, kan taksaa cell tin hian oxygen an mamawh a, chu chu thisenin a hmuh chu a ni. Chuvangin thinlung hian hna a thawk tha lo a nih chuan taksa pum a nghawng a ni.

He natna hi hming dang engemaw zat a awm bawk:

• Takotsubo hi rilru lam natna (Cardiomyopathy) a ni
• Apical Ballooning Cardiomyopathy emaw Transient Apical Ballooning Syndrome emaw a awm thei a ni
• Stress Cardiomyopathy emaw, Stress-induced Cardiomyopathy emaw a ni thei
• Gebrochenes-Herz Syndrome (Hei hi German tawng a ni a, "thinlung chhe tawh" tihna a ni) .

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

"Broken Heart Syndrome" hi chi li a awm a. Chungte chu thinlung hmun a nghawng dan azirin an thliar hrang a ni:

1. Apical type: Hei hi type tlanglawn ber a ni , damlo 80% aia tam an awm. Hei hian thinlung chanve hnuai lam a nghawng a ni. Thinlung hnuai lam chu balloon ang maia a bul chhuak chu han mitthla teh.

2. Mid-ventricular type: Hetiang chi hian thinlung hnuai lam chamber lai tak, ventricles a nghawng a. A natna hmun chu thinlung vel band ang mai a ni. He band chung leh a hnuai lam part te hi a pangngaiin an thawk thin.

3. Basal type: Hei hi mid-ventricular type nen a inang a, mahse a nghawng "belt" chu thinlungah a sang deuh deuh a ni. Chutiang a nih chuan belt hnuai lam chauh chu a thawk dan pangngaiin a thawk thei. This is very rare , mi 2% vel chauh ah a thleng thin.

4. Focal type: Hei hi a rarest type a ni a, 1% velin a thleng thin. Hetiang chiah hian thinlung hmun tlemte chauh a nghawng a ni. A natna hmun chu bulge te tak te angin a lang.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Heart attack nei nia inngai doctor pan tura lo kal zinga 2% vel chuan he "Broken Heart Syndrome" hi an nei tih hmuhchhuah a ni. Mahse, a chang chuan doctor-te chuan dik taka an hriat theih loh avangin, zirchiangtute chuan damlo awm tak tak chu a tam zawk mai thei niin an ngai.

He natna, Takotsubo Cardiomyopathy tia koh hian hmeichhiate a tuar tam ber . Hri kai report zinga 89% chu hmeichhia an ni. A bik takin menopause hnuah (a tlangpuiin kum 58 leh 77 inkar) a hlauhawm hle.

Hei hi a chhan pakhat chu hmeichhe taksaa hormone ``estrogen'' an tih hian stress laiin taksain hormone tha lo a siam chhuah lakah thinlung a venghim niin an ngai. Kan tar chhoh zel chuan he ``estrogen'' level hi a tlahniam a, chu chuan thinlung chu rang taka stress-in a nghawng theihna a tipung a ni.

Eng nge a lan chhuah dan?

Thil rapthlak tak thleng atanga minute engemaw zat atanga darkar tlemte chhungin "Broken Heart Syndrome" symptoms i nei thei. Stress avanga hormone chhuak hian hun eng emaw chen chu heart muscle chu a "stupefy" thin. A symptoms hi heart attack pangngai nen a inang a ni .

A lan chhuah dan ber chu:

• Vawikhatmah, rilru na tak (angina).
• Thâwk harsa.
• Thinlung veilam ventricle chak lo (hei hi doctor-te’n test hmanga an hriat theih chhinchhiahna a ni).
• Lung rhythm mumal lo (arrhythmias) a awm.
• Thisen sang hniam (hypotension).
• I thinlung a na hle tih hriatna (palpitations).
• A tlem berah chuan hriatna hloh (syncope).

"Broken Heart Syndrome" leh heart attack hi eng nge a danglamna?

An pahnih symptoms hi a inang em em (chhung na, thawk hah) avangin heart attack i nei niin i ngai mai thei. Mahse a danglamna pawimawh ber chu "Broken Heart Syndrome" ah hian thinlunga thisen pe thin coronary arteries te chu blockage a awm lo. Tin, thinlungah chhiatna nghet tak a awm lo tlangpui bawk. A tam zawkah chuan dam lehna hi a rang a, a famkim bawk.

Eng thilin nge hei hi a thlen?

Researcher-te chuan a chhan pakhat mah la chiang thei lo mah se, rilru emaw taksa lama harsatna nasa tak, rang tak, na tak avanga lo awm niin an ngai. I hmangaih tak i chan hnua i lungngaihnate, accident-a i awm hnua, a nih loh leh i hna i hloh hnua i lungngaihnate kha han ngaihtuah teh. Taksa emaw rilru emawa stress nasa tak i neih hian i taksa hian i thisenah stress hormone a chhuah tir thin. Mithiamte chuan heng hormone te hian hun eng emaw chen chu thinlung hnathawh theihna a tibuai niin an ngai.

Mahse, mi tlemte chauh (Takotsubo Cardiomyopathy vei zingah) chuan thil buaithlak tak tak langsar tak an hmu thei lo mai thei.

He natna hi nu leh pa atanga fate hnenah genetically-in a kai chho tih finfiahna a la awm lo.

Eng rilru leh taksa lama harsatna nge hetiang hi thlen thei?

Sudden mental stressor entirnan:

• Hmangaihte thihna avanga lungngaihna nasa tak, emaw, hlohna lian tak (inzawmna tihchhiat, in, sum leh pai, emaw ran vulh duh tak hloh) avanga lungngaihna nasa tak.
• Chanchin \ha pawh hian a chang chuan hetiang hi a thlen thei! (Entirnan, beisei loh huna surprise party, lottery draw lian tak).
• Thu tha lo dawng.
• Accident leh lirnghing ang chi thil rapthlak tak takte.
• Hlauhna nasa tak (pawl hmaa thu sawi tura kal, ralthuam kenga rukbo hmachhawn).
• Thinrim lutuk.

Taksa lama harsatna thlentu rang tak entirnan:

• Natna nasa tak a nei.
• Taksa tihchakna hahthlak tak a ni.
• Hriselna lama harsatna: Asthma attack, thawk harsatna nasa tak, seizure, stroke, khawsik sang, hypoglycemia, thisen chhuak nasa tak, emaw operation tih te.

Hetiang hi tuin nge nei tam zawk?

"Broken Heart Syndrome" i vei theihna a sang zawk a , chu chu :

• Hmeichhia i nih chuan .
• Kum 50 aia upa i nih chuan .
• Tun hmaa rilru natna (anxiety emaw depression emaw ang chi) i neih tawh chuan.
• Tun hmaa nervous system natna (seizures emaw stroke emaw ang chi) i neih tawh chuan.

Hei hian eng harsatna nge a thlen theih?

"Broken Heart Syndrome" natna hi a tlem hle , mahse a chang chuan a na thei hle. Chung zinga ṭhenkhat chu:

• Pulmonary edema a awm thin.
• Left ventricle rupture (a tlem hle).
• Left ventricle atanga thisen kal dan block.
• Lung lam chak lohna.
• Thisen zam chu left ventricle wall-ah a tang a.
• Thisen sang hniam (Hypotension).
• Heart rhythm pattern pangngai lo (arrhythmia) a awm.
• Cardiogenic shock hi thinlung hnathawh that lohna avanga lo awm a ni.
• Heart block a ni.
• A tlem hle a, thihna pawh a thleng thei.

Pawimawh: Heng harsatnate hi a tlem hle nachungin, a lan chhuah veleh damdawi lam thurawn lak a pawimawh hle.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Doctor chuan taksa a enfiah hmasa ang che a, i medical history a zawt ang che. Tichuan, an dinhmun finfiah nan test eng emaw zat an ti thei ang:

• Thisen test: Thisen chhunga heart muscle cell chhia atanga enzyme bik chhuak leh awm loh enfiah thin.
• EKG (ECG - Electrocardiogram): Thinlung electric hnathawh dan chhinchhiahna test a ni.
• Coronary angiography: Lung chhunga coronary arteries-a blockage awm leh awm loh enfiahna atana X-ray test bik a ni. Hei hian hei hi heart attack a nih leh nih loh hriat theih nan a pui ang.A pawimawh hle mai .
• Echocardiography: Ultrasound scan hmanga thinlung hnathawh dan, a lian leh te, a pianzia te enfiah a ni.
• Chest X-ray neih a ni.
• Heart MRI (Magnetic Resonance Imaging): Thinlung chipchiar taka thlalak siam theihna test a ni.
• Ventriculogram: Thinlung veilam ventricle-ah dye an inject a, chu chamber lian leh te leh a thisen pump dan tur chu X-ray an la a.

Test-ah hian thinlung chhunga chhiatna hmunte hmuh theih ni mah se, heart attack a nih lohzia finfiah nan coronary angiography hi a pawimawh hle. Hei hi a chhan chu, heart attack ang lo takin "Broken Heart Syndrome" ah chuan heart chhunga thisen kalna kawng (arteries) te chu a block lo.

Enkawlnate chu engte nge ni?

"Broken Heart Syndrome" emaw "Takotsubo Cardiomyopathy" emaw hi "damdawi" bik awm lo mah se, mi tam tak chuan damdawi hmangin an dam kim vek a ni.

Enkawlna atana hman tur damdawi chi hrang hrang: 1.1.

• Aspirin: Thisen kal dan a titha a, thisen zam a veng bawk.
• ACE inhibitor (Angiotensin-Converting Enzyme inhibitors) emaw ARBs (Angiotensin Receptor Blockers): Thisen sang a tihniam bakah thinlunga inflammation a tihziaawm.
• Beta-blockers: Lung chakna a ti hniam.
• Diuretics: Taksa chhunga tui tam lutuk tihtlem.

A tlem hle a, thinlung hian thisen pump-na atana tanpuina a mamawh chuan ``intra-aortic balloon pump'' emaw ``left ventricular assist device'' emaw ang chi hmanrua hman a ngai mai thei.

Enkawlna hian harsatna emaw, side effect emaw a nei em?

A tlangpuiin, he `(Takotsubo Cardiomyopathy)` enkawlna chhunga side effect awm thei thenkhat chu:

• Damdawi ei avanga allergic reaction emaw adverse reaction emaw, damdawi dang i ei tur chungchanga harsatna i neih te.
• ``Left ventricular assist device'' emaw ``intra-aortic balloon pump'' hman tlem vang hian thisen chhuah, natna kai, thisen zam, stroke, heart attack hlauhawmna tlemte chauh a awm.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Mi tam tak chuan "Broken Heart Syndrome" enkawlna an dawn hian an rilru a hahdam tan thin. Hei hi damdawi ina an awm laiin a thleng thei a, a nih loh leh enkawl tan atanga darkar tlemte chhung emaw, ni rei lo te chhungin a thleng thei bawk.

Hetiang thil thleng tur ven dan tur a awm em?

"Broken Heart Syndrome" lo awm tur venna tur kawng bik a awm lo. Engpawhnise,Stress enkawl dan leh harsatna chinfel dan zir hian taksa leh rilru hahna tihtlem nan a pui thei che a ni.

Relaxation technique te hian a pui thei hle. Entirna thenkhat chu hetiang hi a ni:

• Yoga tih te, meditation te, journaling te, emaw mindfulness tih te.
• Tui lum takah inbual.
• Rimtui hâl hâl.
• Thâwk rei tak, thûk tak la a, zawi zawiin thawk chhuah.

I stress chhan a zirin, support group-ah tel vein, chu chu sawipui tur leh coping strategies insem i duh mai thei. Professional counselor hnen atangin tanpuina i dil thei bawk.

Chu bâkah, nungchang hrisêl tak neih hian taksa leh rilru lama harsatnate pawh a thunun thei bawk. Chûng tih dânte chu:

• Ei leh in tha tak ei (entir nan, Mediterranean diet).
• Exercise neih fo (kar khatah ni nga chhung minute 30 tal).
• Nitin darkar sarih leh darkar kua inkar mut theih.
• Midang nena hun hman.
• Damdawi lam enfiahna leh hriselna endiknaah a hun taka kal.
• Zuk leh hmuam thil, ruihhlo leh zu in tam lutuk hi pumpelh rawh. (I bânsan theihna tura ṭanpuina i mamawh chuan i doctor chuan a kaihruai thei che a ni).

He dinhmun hian min nghawng chhunzawm zel dawn em ni? Eng ang thlirna nge ni ang?

"Broken Heart Syndrome" emaw ``Takotsubo Cardiomyopathy'' emaw hi mi tam zawk tan chuan hun eng emaw chen atana awm thin a ni . Hun rei tak chhung lung lam harsatna nei lovin i dam leh mai thei.

Hun rei tak chhunga hriselna lama harsatna (stroke, asthma, emaw seizures ang chi) avanga "Broken Heart Syndrome" i neih chuan, chutiang hriselna lama harsatna awmte enkawl dan tur chu doctor pan rawh.

A then phei chuan, i doctor chuan he thil thleng hnu kar li atanga kar ruk hnuah echocardiogram tih nawn leh turin a rawt thei a, chu chu thinlung hriselna lama harsatna dang i neih loh nan leh i left ventricle chu a thawk tha leh tawh tih a chiang thei a ni.

Hetiang dinhmun hi eng chen nge a daih ang?

A tlangpuiin, mite chu thil buaithlak tak aṭangin ni engemaw zat aṭanga kar tlemte chhungin an dam leh ṭhin. Mahse, mi tam tak chuan "Broken Heart Syndrome" an neih hnuah thla tam tak chhung chu chakna tlakchhamna an nei thei. Hei hian a chang chuan lungngaihna a thlen thei. Hei hi i chungah a lo thleng a nih chuan doctor hnenah tanpuina zawng ngei ang che.

"Broken Heart Syndrome" chungchanga hmalam hun thlir dan.

Damdawi lam thil (natna emaw, operation emaw ang chi) avanga "Broken Heart Syndrome" vei te hian rilru lam thil thleng avanga natna vei te aiin a rah chhuah a chhe deuh thei a ni.

Mipa hian he natna hi nei tlem zawk mah se, a rah chhuah na zawk an nei tam zawk. Hei hi damdawi lam natna khirh tak dang an neih vang pawh a ni thei.

Zirchiangtute chuan ACE inhibitor emaw ARBs an tih damdawi ei hian dam rei zawng a tisang tih an hmuchhuak.

"Broken Heart Syndrome" avanga thihna rate hi a hniam hle . 0% leh 8% inkar a ni. A tam zawkah chuan hei hi hun eng emaw chen atana awm, a dam kim vek thin a ni.

Engtin nge ka in enkawl ang?

I damdawi pek chu thla thum atanga thla ruk chhung i ei chhunzawm a ngai mai thei. Broken Heart Syndrome i nei a nih chuan i inenkawlna atana tha ber chu i damdawi ei tur a tih angin i ei a, a rawtna angin doctor i pan a ni. Heng pahnih hi a pawimawh hle a, a chhan chu Takotsubo Cardiomyopathy avanga hun rei tak chhunga hlauhawm awm thei a ni.

Hetiang dinhmun hi a lo lang leh thei a, a nih loh leh hriselna lama harsatna dang a awm thei a, episode hmasa ber atanga kar tam tak atanga kum tam tak chhung a lo awm thei bawk. A vei tawh zinga 4% leh 10% inkarah a lo lang leh thin.

Engtikah nge doctor i hmuh ang?

Symptom thar i neih emaw, i symptom awm tawha inthlak danglamna i hmuh emaw chuan (a bik takin nitin nunphung pangngai a nghawng chuan) doctor pan nghal rawh. Chutiang a nih loh chuan i doctor chuan a tul angin follow-up appointment a pe ang che.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

"Broken Heart Syndrome" symptoms hi heart attack nen a inang avangin heart attack symptoms i neih chuan damdawi inah i kal ngei ngei tur a ni. Heng symptoms te hi:

• A rilru a na (angina).
• Thâwk harsa.
• Sawifiah loh taka hriatna hloh i neih chuan, emaw, vawi tam tak i luak chhuak a, i muhil mai mai thei tih i hriat chuan.
• I thinlung a na hle tih hriatna (palpitations).
• Heartbeat danglam tak, slow emaw fast emaw i neih chuan, emaw, i heartbeats skip emaw extra beats nei emaw anga i hriat chuan.

"Broken Heart Syndrome" emaw "Takotsubo Cardiomyopathy" emaw symptoms i neih chuan emergency doctor pan nghal rawh. "Broken Heart Syndrome", heart attack emaw, damdawi lama harsatna dang emaw i neih leh neih loh chiang taka hriat theihna awmchhun chu test neih hi a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Damdawi min pek hi eng chen nge ka ei a ngaih?
• Test dang (follow-up testing) neih belh a ngai em?
• Eng chen nge ka rawn hmu ang che?

Nitin nunah stress pangngai hian "Broken Heart Syndrome" a thlen thei em?

A nihna takah chuan, ni lo. Thil thleng rang tak emaw, lungkhamna nasa tak emaw a thlen hnuah a symptoms hi a intan thin.Nitin stress hniam tak i tawh lai pawhin i rilru a na fo emaw, thawk hah lutuk emaw i neih chuan doctor pan rawh.

Symptoms awm reng hi "Broken Heart Syndrome" chhinchhiahna a ni tlangpui lo. I doctor chuan stress enkawl dan zir turin a pui thei che a, lungkhamna a awm chuan damdawi a pe thei che a, hriselna lama harsatna hriat loh a rinhlelh chuan test tir turin a ti thei bawk.

"Broken Heart Syndrome" hi natna khirh tak a ni em?

A tlem hle, a ni. Thil natna khirh tak emaw, nghet lo emaw nei te chu uluk taka enkawl an ngai thei a, enkawlna hmasawn zawk, mechanical support device ang chi te pawh an mamawh thei bawk.

I thinlung ruh chak loh dan azirin i doctor chuan cardiac rehabilitation pawh a rawt thei bawk.

I hriat reng tur pawimawh ber berte

Miten "thinlung chhe tawh" tih rilru put hmang an sawi hi kan hre vek tawh. Mahse "Broken Heart Syndrome," a nih loh leh Takotsubo Cardiomyopathy hi damdawi lam natna tak tak a ni a, chu chu rilru lam emaw taksa lama harsatna i tawh thut hnua lo awm thei a ni.

Thu lawmawm tak chu hei hi hun rei lote chhunga awm a ni a, a tlangpuiin thinlungah chhiatna nghet tak a thlen lo. Mahse, a natna lan chhuah dan chu heart attack nen a inang avangin mahni inhriatchhuah ngai suh la, "Broken Heart Syndrome" i nei tih ngaihtuah ngai suh. Emergency room-ah check out fo thin ang che. Test chauhvin i heart symptoms chu heart attack, "Broken Heart Syndrome," emaw hriselna lama harsatna dang emaw a nih leh nih loh a hriat theih.

` broken heart syndrome, takotsubo cardiomyopathy, heart attack, stress, rilru na, thawk hah, hmeichhe hriselna