Thinlung thisen kalna kawng chu a inkhar vek em? (Chronic Total Occlusion - CTO) chungchang hi han sawi ila!

Thinlung thlenga thisen phurtu thisen kalna kawngkhar a khar vek tih i hre ngai em? A châng chuan hei hi thla tam tak a daih thei bawk. Hei hi damdawi lama chronic total occlusion (CTO) kan tih chu a ni. Hei hi thawnthu serious tak a ni a, mahse lungngai suh, a chhan chu fimkhur a pawimawh a ni.

Chronic Total Occlusion (CTO) hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, `(Chronic Total Occlusion)` emaw `(CTO)` emaw tih hian i thinlunga thisen petu coronary artery pakhat emaw a aia tam emaw chu a block vek, a nih loh leh 100% a ni tihna a ni. He blockage hi thla thum emaw a aia rei emaw a awm tawh chuan hetah hian `(Chronic)` tih thumal kan belh thin. Tui pipe chu thil pakhatin a lo dang vek ang maiin han ngaihtuah teh. Hei hian thinlung ruhte mamawh oxygen leh nutrients a tikhawtlai a ni. Hei hian rilru natna, thawk hah, `(Dyspnea),` ang chi symptoms a thlen thei a, a chang chuan heart attack pawh a thlen thei bawk. Hetiang dinhmun hi a na thei hle.

Hetiang (CTO) hi tute nge vei theihna sang zawk?

Dik tak chuan he natna `(Chronic Total Occlusion)` an tih hi Coronary Artery Disease (CAD) vei te zingah hmuh tur a tam ber a ni. Zirna thenkhatah chuan `(CAD)` vei mi pathum zinga pakhat velin `(CTO)` an nei thei.

Tunah chuan `(CTO)` siam chhuahna atana risk factors te chu `(CAD)` siamna atana risk factors te nen a tam zawk chu a inang vek tawh a ni. Meizial zu mi i nih chuan, emaw, a hnuaia risk factors te pawh i neih chuan `(CTO)` i vei theihna a sang zawk:

• Body mass index (BMI) 30 aia tam (chu chu thau lutuk tihna a ni).
• Zunthlum (Diabetes Mellitus) natna (Diabetes Mellitus) .
• Chhungkaw zinga mi tu emaw chuan lung natna (hereditary link) a neih chuan .
• Thisen sang (Hypertension) .
• Thisenah cholesterol level sang (Hyperlipidemia) .
• Tun hmaa heart attack emaw coronary artery bypass surgery emaw i neih tawh chuan .
• Inactive lifestyle (chu chu exercise lak loh tihna a ni) i hman chuan.

Kan u Sunil kha han ngaihtuah teh. Cigarette a in nasa hle a, sugar tlem a nei tam lutuk a, thisen sang a nei bawk. Exercise a ti tha lo. Chutiang mite chu he ``(CTO)'' tia koh natna hi an vei theihna chance sang ber an ni.

(CTO) Hetiang dinhmun hi engtiang chiahin nge a awm?

Hetiang dinhmun, ``(CTO)`` tia koh hi kum upat chhoh zel chuan a hluar zual zel a ni. Statistics atanga a lan dan chuan:

• Kum 65 hnuai lam zinga 37% vel an ni.
• Kum 65 leh 79 inkar mi 40% vel an ni.
• Kum 85 chunglam zinga 41% vel an ni.

Hei hi a hnathawh dan a ni. Mahse, mithiamte chhut aiin khawtlang nunah `(CTO)` dinhmun hi a hluar zawk mai thei. A chhan chu `(CTO)` thenkhatin symptom an lantir loh vang a ni. Chuvangin mi thenkhat chuan `(CTO)` an nei tih pawh an hre lo mai thei. Chu chu official diagnosis dawng lovin tihna a ni.

(Chronic Total Occlusion) natna lan chhuah dan chu engte nge ni?

Okay, tunah chuan `(CTO)` i neih chuan eng symptom nge i neih theih ang tih kan en ang. Heng symptoms te hi a chang chuan i chau lai te, exercise i tih laiin a pung thei a, i chawlh lai pawhin a tlahniam thei bawk. Mahse, mi thenkhat chuan chawlh hahdam lai pawhin heng symptoms te hi an nei thei a ni. Tin, a chang chuan symptoms engmah i nei thei lo tih hriat reng a pawimawh bawk.

A lan chhuah dan tlangpui chu:

• Chest pain, tightness, or pressure , mi pakhatin i rilru a tihbuai ang maiin.
• Luak chhuak tih hriatna .
• Chauhna nasa tak a awm . Thil tenawm tak tih hnu pawha chau tih hriat.
• Thinlung thawk mumal lo .
• Luhai .
• Racing emaw thinlung thawk chak tak emaw .
• Thâwk harsa (Dyspnea) . Rei vak lo i kal hnuah pawh thawk harsa i ti hle.
• Natna chu a kekawr bul atanga kut hnuai lam thleng .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a tha ber a, hengte hi thinlung natna chhinchhiahna a nih theih avangin.

(CTO) din chhan ber chu eng nge ni?

A awlsam zawngin sawi ila, `(Chronic Total Occlusion)` awm chhan ber chu i coronary artery pakhat emaw a aia tam emaw- a thil thau tak a awm vang a ni. Hei hi `plaque` kan ti a ni. He plaque a awm avang hian artery wall te chu a zim zauh zauh a, a nghet ta hle bawk. Hetiang kalphung hi damdawi lamah chuan `(Atherosclerosis)` an ti a. Hetiang `(Atherosclerosis)` natna hi i coronary arteries-a a lo awm hian Coronary Artery Disease (CAD) kan ti thin. Hun a kal zel a, he plaque hi a pung khawm a, a tawpah chuan artery chu a block vek (100%). Chu chu `(CTO)` a lo pian hun a ni.

Engtin nge doctor te hian Chronic Total Occlusion hi an hriat theih? (Diagnosis) tih a ni.

Doctor-te chuan chronic total occlusion an hriat theih nan coronary angiogram an tih test an hmang tlangpui. Hei hian i kut emaw, i ke emawa thisen kalna kawngah special dye (contrast dye) inject a huam a ni. He dye hian X-ray-ah i thisen kalna kawng a ti chiang hle. Chumi hnuah chuan doctor chuan i coronary arteries-a thisen a kal dan leh blockage a awm leh awm loh a en thei ang.

Chu bakah, doctor chuan test dang eng emaw zat a ti thei bawk. Chung zinga ṭhenkhat chu:

• Lung lam MRI hmanga siam a ni: Hei hian thinlung insiam dan leh thisen kal dan a hmu thei a.
• Cardiac Stress Test : He test hi treadmill-a tlan ang chi exercise-a i thinlungin a chhan dan enfiah nan tih a ni.
• Echocardiogram (Echocardiogram - echo) : Hei hian thinlung bang, valve, leh thinlung chhunga thisen kal dan te a teh thei a ni.
• Electrocardiogram (EKG) : Hei hian thinlung electrical signal leh heart rhythm a en thei a.

Heng test zawng zawng a tih zawh hnuah chauh doctor chuan ``(CTO)'' chungchangah thutlukna chiang tak a siam thei a ni.

Engtin nge (CTO) chu enkawl a nih?

`(CTO)` nei mi kan enkawl hian thil tum lian tak pahnih a awm a. Pakhat chu symptoms tihtlem hi a ni . A dang chu thinlung lam thil, heart attack ang chi thil thleng theihna tihtlem a ni . Enkawlna i mamawh chi chu i natna lan chhuah dan a nasat dan leh `(CAD)` enkawl tawh i nih leh nih lohah a innghat ang.

I doctor chuan heng enkawlnate hi a rawn rawt thei ang:

• Percutaneous Coronary Intervention (PCI) : Hei hi angioplasty leh stenting an ti fo thin. Hetiang tihnaah hian i doctor chuan i kut emaw, i kutphah emaw hmangin i thinlung chhunga coronary artery-ah tube te tak te, hollow (catheter) a dah lut thin. Tichuan, catheter kaltlangin balloon te tak te chu an inflated a, chu chuan blocked plaque chu a sir lamah an nawr a. Tichuan, artery chu a zim leh tawh loh nan mesh tube (stent) te tak te dah a ni. Hei hian thisen kal dan a siam tha leh thin.

• Coronary Artery Bypass Graft (CABG) : Hei hi thinlung zau taka zai a ni. Hetiang tih danah hian surgeon chuan i taksa peng dang (a tlangpuiin i ke emaw i rilru emaw) atanga artery emaw vein hrisel tak a la a, coronary artery blocked vel chu kawng thar (bypass) a siam a ni. Kawngpuiah blockage a awm laiin kawng dang zawh ang mai a ni.

Heng enkawlna pahnihte hian `(CTO) natna hi hlawhtling takin a enkawl thei tih hre reng ang che.I doctor chuan i tana tha ber tur enkawlna i thlan theih nan a pui ang che.

(CTO) dinhmun nen hian hmalam hun tur eng nge ni?

Chronic Total Occlusion hi natna khirh tak a ni a, mahse lungngai suh, he natna hi enkawl dan dik tak chuan uluk taka enkawl theih a ni.

Zirna thenkhatah chuan PCI hian damlo 86% thlengin CTO chu hlawhtling takin a enkawl thei tih hmuhchhuah a ni a, zirchianna thenkhatah chuan CABG hian damlo 60% vel chu hlawhtling takin a enkawl thei tih hmuhchhuah a ni bawk.

Chuvangin, enkawl dan dik leh nunphung thlak danglam chuan nun hrisel takin i nung thei a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

`(Chronic Total Occlusion)` i neih chuan, emaw, he natna hi i nei thei nia i ngaih chuan, i doctor hnenah hetiang zawhna hi zawh a pawimawh hle:

• `(CTO)` a lan chhuah hmasak berte chu engte nge ni?
• `(CTO)` ka neih leh neih loh hriat nan eng test nge ka tih ngai ?
• `(CTO)` ka neih theihna tur tihtlem nan eng nunphung tihdanglam nge ka tih theih ang ? (e.g. ei leh in, exercise) .
• `(CTO)` tan hian eng enkawlna tur nge awm? Ka tan eng nge tha ber?
• Enkawlna hnuah CTO a lo awm leh theihna chance chu engzat nge ni? A ven nan eng nge tih theih ang?

I dinhmun hriatthiamna chiang tak neih theih nan heng zawhnate hi zawt rawh. Tichuan i enkawlna chu i thlawp tha zawk thei ang.

Take-Home Thuchah a ni

Okay, chuvangin, a tawi zawngin, hengte hi kan sawi tawh `(Chronic Total Occlusion - CTO)` chungchanga hriat reng tur pawimawh ber berte chu an ni.

Coronary artery occlusion (CTO) chu i thinlunga thisen petu coronary artery chu thla thum chuang zet a block vek tawhna a ni. Hei hian thinlunga thisen kalna a ti tlem thei a, harsatna lian tak tak, heart attack ang chi a thlen thei bawk.

Amaherawhchu, uluk taka enfiah leh enkawl a nih chuan natna lan chhuah dan chu thunun theih a ni a, nun tha tak a awm thei bawk. Percutaneous Coronary Intervention (PCI) leh Coronary Artery Bypass Graft (CABG) te pahnih hi CTO hlawhtling taka enkawl nan hman a ni.

Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan damdawi lam thurawn la nghal mai chu a finthlak hle ang . I thinlung kha enkawl rawh!

` Lung natna, coronary artery, blocked artery, CTO, heart attack, angioplasty, bypass surgery tih te a ni