Coronary arteries block vek a ni em? CTO (Chronic Total Occlusion) chungchang hi han sawi ila

Tlemte i chau lai emaw, stairs i chhoh lai emaw hian i rilru a tight emaw, a na emaw i nei fo thin em? Nge thawk harsa i ti em? Chungte chu hahna pangngai a ni thei a, mahse a chang chuan kan thinlunga thisen phurtu vein pakhatah harsatna a awm thei bawk. Vawiin hian kan sawi dawn a, kan dinhmun hi a na deuh a, mahse a fimkhur a pawimawh hle. Chu chu CTO, a nih loh leh Chronic Total Occlusion an tih natna a ni.

A awlsam zawngin CTO (Chronic Total Occlusion) tih hi eng nge ni?

I in chhunga tui rawn thlentu main pipe i nei ang tih han ngaihtuah teh. Hun a kal zel a, he pipe hi hnim leh bawlhhlawhin a khuh a, a tawpah chuan a inkhar vek a, tui tlemte pawh a luang chhuak thei lo.

Kan thinlungah pawh chutiang bawk chu a thleng thin. Kan thinlungah thisen thianghlim pe chhuaktu thisen kalna kawng (heng coronary arteries kan ti) kan nei a. Heng vein chhungah hian oil leh cholesterol ang chi thil hi hun engemaw chen a awm a, chu vein chu a block vek (100%) a nih chuan, chu chu he blockage hi thla thum aia rei a awm reng tihna a ni , chu chu Chronic Total Occlusion (CTO) kan ti a ni.

Chutianga thisen kalna kawng (artery) chu a inkharkhip vek chuan thinlunga a natna hmun chuan a mamawh oxygen leh nutrients a dawng lo. Hei hian symptoms a thlen thei a, chu chu rilru na leh thawk harsa tih ang chi a ni. A then phei chuan hei hi a na thei hle a, heart attack pawh a thlen thei bawk.

He CTO condition hi tu nge vei thei ber?

CTO hi thinlung natna nei, a bik takin coronary artery disease (CAD) nei te zingah hmuh tur a tam ber. CAD vei mi pathum zinga pakhat vel pawhin CTO an nei thei niin an chhut.

Lung natna thlentu tlangpui risk factor ang chiah hian CTO a thlen bawk. Heng thilte hi nang pawhin i nei em tih hi han en teh.

CTO natna lan chhuah dan chu engte nge ni?

CTO symptoms hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse, a lan chhuah dan tlangpui chu:

• Chest na, tightness, pressure: Miin i rilru a chet ang maiin a lang thei.
• Thâwk harsa (Dyspnea): .I thawhrim laia thawk hah lutuk, hla vak lo kal lai emaw, stairs i chhoh lai emaw.
• Chauhna nasa tak: Hna engmah thawk lo pawh ni se, chau lutuk anga inhriatna.
• Lung a na hle tih a hriat.
• Lungphun mumal lo.
• Luhai.
• Kut chunglam natna: a bik takin kut veilam natna.

A pawimawh ber chu heng symptoms te hi i chau lai hian a langsar ber a ni. I chawlh laiin an reh thin. Mahse, a chang chuan heng symptoms te hi i chau loh lai pawhin a awm thei.

Engtin nge doctor hian hei hi a hmuh theih?

Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni. A enfiah ang che a, a tul chuan test engemaw zat nei turin a refer ang che.

CTO i neih leh neih loh finfiahna atana test ber chu coronary angiogram a ni . Chutah chuan tube te tak te tak mai chu i kut emaw ke emaw a vein pakhat kaltlangin thinlung thisenah i kal a, tui bik (contrast dye) i inject a ni. Tichuan, he tui hi thinlung thisen kal tlanga a luang chhuah dan tur X-ray an la a. Vein pakhatah blockage a awm chuan he liquid hi a luang chhuak thei lo va, chuvangin chiang takin a lang ang.

Chu bakah, doctor chuan test dang a rawt thei bawk a, chungte chu:

• ECG (Electrocardiogram): Thinlung electric hnathawh dan en rawh.
• Echocardiogram (Echo): Thinlung hnathawh dan leh thisen kal dan enfiahna scan a ni.
• Stress Test: I thawhrimna tlem (treadmill-a tlan ang chi) hian i thinlungin a chhan dan en rawh.
• Cardiac MRI: Thinlung insiam dan leh thisen kal dan chiang zawka hriat theih.

CTO enkawlna tur engte nge ni?

CTO i nei tih hmuhchhuah a nih chuan hlauthawng suh. Tunah chuan hei hi enkawlna tha tak tak a awm ta. Enkawl dan tur ruahmanna chu i natna lan chhuah dan nasat dan te, thisen kalna kawngkhar (blocked vein) awmna hmun leh i hriselna zawng zawngah a innghat ang. Enkawlna chi hnih a awm a.

1. Percutaneous Coronary Intervention (PCI) hmanga tihdam theih a ni.

Hei hi hman tlanglawn ber, non-surgical treatment a ni. Angiogram ang bawkin tih a ni.

• Tube (catheter) te tak te tak chu kut emaw ke emaw chhunga vein kaltlangin thinlungah a kal a, chutah chuan thisen kalna kawngkhar (blocked artery) a awm a.
• Chu tube atang chuan balloon te tak te chu an kalpui a, a block na hmunah chuan an inflated a ni. Chumi hnuah chuan vein chhunga oil layer lo awm tawh chu a sir lamah an press a, vein chu a hawng ta a ni.
• Tichuan, a hawnna chungah chuan mesh tube te tak te, stent an tih chu dah a ni. Stent hian artery chu a inhawng reng a, a block leh loh nan a pui bawk.

Zirna hrang hrangah he method hi damlo 86% vel tan a hlawhtling tih hmuhchhuah a ni.

2. Coronary Artery Bypass Graft Surgery (CABG) hmanga tihdam theih a ni.

Hei hi open-heart surgery a ni. Artery tam tak a block a nih chuan, emaw, blockage chu PCI hmanga hawn theih loh khawpa complex a nih chuan a tha ber.

A awlsam zawngin, hei hian vein blocked tan "bypass" siam a huam a ni. Chu chu i taksa peng dang (a tlangpuiin i rilru emaw i ke atanga emaw) atanga vein chi khat lak a ni a, chu chu a block tawhna hmun vel a thisen a kal theihna tur kawng thar siam a ni tihna a ni.

He surgery hian damlo 60% vel tan result hlawhtling tak a siam thin.

I cardiologist chuan eng treatment method nge i tan a tha ber tih chipchiar takin a hrilhfiah ang che.

I doctor zawh tur zawhna

CTO vei nia hriat i nih chuan i rilruah zawhna tam tak awm hi thil pangngai a ni. Heng zawhnate hi doctor hnenah zawh hreh lo la, hreh suh.

• "Doctor, he CTO symptom hmasa berte hi eng nge ni?"
• "Hei hi finfiah tur hian eng test nge ka tih ngai?"
• "Hetiang dinhmun hi a awm loh nan ka nunphungah eng inthlak danglamna nge ka neih?"
• "Eng treatment option nge ka neih? Ka tan eng nge tha ber?"
• "Enkawl a nih hnuah he natna hi a lo awm leh theihna chance chu eng nge ni?"