Mi tam tak tan chuan hlauhthawnna lian tak chu heart attack neih hi a ni. Hetiang dinhmun, a châng chuan chhinchhiahna awm lovin a lo lang nghal mai ṭhin, a hmaa vaukhânna chi khat neih chu eng angin nge a ṭhat ang tih i ngaihtuah ngai em? Awle, vawiinah hian i thinlunga thisen kalna kawng hriselna chungchanga hriat tur pawimawh tak tak min pe thei tur test bik kan sawi dawn a ni. Hei hi Calcium Score Test an ti a.
A awlsam zawngin sawi ila, he Calcium Score Test hi eng nge ni?
Hei hi a takah chuan CT scan (Computed Tomography Scan) test bik a ni. I thinlung, coronary arteries-a thisen petu thisen kalna kawng lian ber ber, coronary arteries-a calcium awm zat a zawng thin.
Tunah chuan, "Calcium hi ruh tan a tha a ni lawm ni? Engvangin nge thinlung thisen kalna kawng hrang hrangah a awm a nih chuan harsatna a awm ang?" Ni e, chu thawnthu chu a dik a ni. Mahse, he calcium buildup hi kawng dangin a thleng thin. Kan in chhunga tui pipe awmte hi han ngaihtuah teh. Hun a kal zel a, chu pipe chhungah chuan rust leh bawlhhlawh ang chi thil a lo awm a, chu chuan pipe chhunga hmun a ti tlem a ni lawm ni? Chutiang bawkin kan coronary arteries chhungah cholesterol leh thau ang chi thil te chu a lo pungkhawm a, ‘plaque’ kan tih layer a siam a ni. Damdawi lamah chuan he natna hi Atherosclerosis emaw Coronary Artery Disease (CAD) emaw kan ti thin. Hun a kal zel a, he plaque hi a khauh a, an chhungah calcium a pung khawm thin.
Chuvangin, he Calcium Score Test hian a tih chu chutiang calcium-bound, hardened area chu engzat nge awm tih leh engzat nge awm tih hriat chhuah hi a ni. He calcium level a san hian i thisen kalna chhunga plaque awm chu a pung a, thisen kalna kawngte pawh a zim zauh zauh tih a tilang chiang hle. Hei hian nakin lawkah heart attack kan neih theih dan tur ngaihtuahna tha tak min pe thei a ni.
He Calcium Score Test hi tuin nge tih duh?
Hei hi mi zawng zawng tana hman tur test a ni lo. Lung natna vei hlauhawm tak, mahse a lan chhuahna (e.g., rilru na, thawk hah) nei lo tan a tangkai ber . Kum 40 leh 70 inkar, a hnuaia risk factor pakhat emaw a aia tam emaw nei te chuan he test chungchangah hian an doctor nen an inbia thei ang.
| Risk Factor a ni | Hemi chungchang hi tlem tal sawi belh leh ila |
|---|---|
| Chhungkaw chanchin | I chhungte hnai tak tak, i nu, i pa, i unaute emaw, mi dang emaw pawhin an naupan lai atanga lung natna (mipa tan kum 55 hnuai lam, hmeichhia tan kum 65 hnuai lam) an nei tawh a nih chuan. |
| Zuk leh hmuam hman | Tunah hian meizuk i nih emaw, tun hmaa zu in tawh emaw i nih chuan. |
| Damdawi lam thil dang | Cholesterol sang, zunthlum, thisen sang i neih chuan. |
| Thau lutuk emaw thau lutuk emaw | I body mass index (BMI) 25 aia tam (overweight) emaw 30 aia tam (obese) emaw a nih chuan. |
| Inactive nunphung | Exercise tha tawk lo leh ni tam zawk thut thin i nih chuan. |
Chu bâkah, mi ṭhenkhat chuan thlahtute natna , familial hypercholesterolemia , an nei thei bawk. Chutiang mi chu kum 40 hnuai lam pawh nise he test atan hian ngaihtuah theih a ni.
Mahse thil pakhat ngaihtuah tur a awm. He test hian calcium hmanga khauh tawh plaque khauh tak tak chauh a zawng thin. Plaque thar, nem tak tak, a chang chuan a chhe thei a, heart attack a thlen thei bawk. Chuvangin i risk test 100% dik tak a ni lo. I doctor-in cholesterol tihhniamna damdawi statin ang chi ei tan a ngai em tih a ngaihtuah theihna tur hmanraw dang mai a ni.
He test hi engzat nge tih tur?
A tlangpuiin he test hi a vawi khatna atana i tih a, result ‘Zero’ a nih chuan tunah hian risk a hniam hle tihna a ni. Risk a la hniam tih chian i duh chuan kum 3 atanga kum 5 hnuah test dang i neih leh a ngai mai thei.Retesting hian hlawkna engemaw zat a nei thei. Mahse, i result chu vawi khat tal a dik lo (zero aia sang) a nih chuan retesting-ah hian hlawkna a tlem hle. Chutiang a nih chuan enkawlna leh nunphung tihdanglamna lam ngaihtuah tur a ni.
He test hi tute nge ti lo tur?
He test hi hmeichhe naupai chungah tih ngai lo, CT scan atanga radiation chhuak hian nausen pum chhunga naute tan a tichhe thei a ni.
Tin, he test hi a hnuaia thil thlengah hian a tangkai vak lo.
- Lung natna vei theihna tur risk factors nei lo tan .
- Lung natna vei theihna chance sang tak an nei tih hre tawh tan chuan (heng mite hian engti kawng pawhin enkawl an mamawh).
- Coronary Artery Disease vei tawh tan chuan .
- Mi pakhatin thinlung natna (a rilru natna ang chi) symptoms nei tawh .
- Tun hmaa coronary artery disease (e.g. stent dah, bypass surgery) enkawl tawh tu pawh .
Hetiang thil thlengah hian i dinhmun hriat theihna emaw, enfiah emaw atana test dang eng nge tha tih chu i doctor nen sawiho rawh.
Engtin nge fiahna atan i inbuatsaih thin? Engtin nge test i neih thin?
Hei hi test awlsam tak, hrehawm lo tak a ni. Chuvangin hlauhna tur a awm lo. A kalphung zawng zawng hi minute 10 atanga 15 chhung chauh a ni.
Test hma hian...
- Allergy i neih apiang te, damdawi i ei lai te, naupai emaw, naupai theih emaw a nih chuan doctor hnenah hrilh ngei ang che.
- Test hma darkar li chhung ei tur, in tur, caffeine awmna ei tur coffee ang chi, leh zuk leh hmuam thil chi hrang hrang ei loh tur a ni.
- I bun tur thir thil eng pawh, bengbeh, kawrfual, leh glasses te chu i paih vek a ngai ang.
- Hospital gown ha tur pek i ni ang.
Test neih chhung hian...
- Khum bik chungah mu turin siam i ni ang a, chutah chuan doughnut lian tak ang maia siam scanner machine hmangin i sawn ang.
- Technician chuan i rilru hmun thum a tifai ang (leh a sam pawh a tifai thei) ang a, electrode te tak te, sticky-sticky tak tak a dah ang .
- Heng electrode te hi EKG (Electrocardiogram) machine -ah an inzawm a, chu chuan test laiin i thinlung hnathawh dan a record a ni. Hei hian scan hian i thinlung rhythm thlalak a la thei a ni.
- Machine khalhtu chuan room hran pakhata glass hmangin a lo en reng che a ni. I sawipui thei a, a thusawi pawh i hre thei bawk.
- Scan chhung hian second 10 atanga 20 chhung thawk khap turin an ti ang che . Hei hi thlalak chiang tak tak hmuh theihna tura pui turin a ni.
- Tichuan, computer program chuan heng thlalakte hi a zirchiang a, coronary arteries-ah calcium a awm em tih a hre thei a ni.
Test zawhah eng nge thleng? Risk a awm em?
Test zawh veleh i thil tih dan pangngai chu i chhunzawm thei tawh ang. Ei leh inah khapna a awm lo.
Risk chungchang sawi ila, he test atan hian taksaah contrast dye inject a nih loh avangin a kaihhnawih side effects a awm lo.
Hei hi CT scan a nih avangin radiation tlemte chauh i tawk a ni. Mahse lungngai suh, radiation i hmuh zat hi kum khat chhunga i taksain boruak atanga radiation a dawn zat zat nen a inang tlangpui. Chuvangin cancer vei theihna hi a tlem hle. Mahse, kum 40 hnuai lam CT scan nei fo tan chuan a hlauhawmna chu a sang deuh thei a ni. Chuvang chuan hei hi a mamawhtute tan chauh tih a ni.
Engtin nge a rah chhuah chu kan hriatthiam theih ang?
Ni khat atanga ni hnih chhungin result a awm tlangpui. Radiologist chuan scan te chu a enfiah ang a, report a siam ang a, i doctor hnenah a thawn ang.
‘Positive’ test tih awmzia chu i coronary arteries-ah calcium a awm tihna a ni. Chumi awmzia chu coronary artery disease (CAD) degree engemaw chen i nei tihna a ni. Calcium hmuh zat a zirin score pek i ni bawk ang. He score hi zero atanga 1000 aia tam thleng a ni thei.
| Calcium Score hlutna a ni | Chu chu eng nge a awmzia? |
|---|---|
| 0 (zero) a ni. | Hei hi ‘Negative’ scan an ti a. Calcium deposit a awm lo. Kum 2-5 chhunga heart attack neih theihna chance a tlem hle. |
| 1 - 100 inkar a ni | Coronary artery disease (CAD) a awm tih finfiahna a tlem hle . Risk a tlem a, mahse nunphung tihdanglam a pawimawh. |
| 101 - 400 inkar a ni | Coronary artery disease (CAD) a awm tih finfiahna a tlem hle . Nakin lawkah heart attack neih theihna a tlem hle. Doctor chuan enkawlna tan a rawt fo ang. |
| 400 chuang zet a ni | Coronary artery disease (CAD) a awm tih finfiahna nghet tak a awm a. Thisen kalna kawngah hian plaque nasa tak a awm thei. Heart attack hlauhawmna a sang hle. Enkawl vat leh test belh a ngai mai thei. |
He score chauh hi i thutlukna siam a ni lo tih hre reng ang che. I doctor chuan he result hi thil dang zawng zawng nen, i chhungkaw chanchin, nunphung, cholesterol level, leh thisen sang te nen a ngaihtuah ang a, chu chuan i hlauhawmna kimchang a hmu thei ang.
Results a dik lo a nih chuan eng nge i tih leh ang?
I score chu zero aia sang a nih chuan risk-ah i awm tihna a ni. Chutih hunah chuan i doctor chuan cardiologist hnenah a refer thei che a ni. Results leh risk factor dangte a zirin a hnuaia mi hi an rawt thei ang:
- Cholesterol control thei damdawi statins ang chi hman tan .
- Nitin exercise laknaah inhmang .
- Dietary change siam (oil, sugar, salt tihtlem, thei leh thlai ei tam).
- A tul chuan test dang neih belh leh turin referral a ni.
- Doctor tlawh fo la , a dinhmun enfiah thin ang che .
He test hian vein pakhat a block em tih dik takin a tarlang em?
Ni lo, a dik chiah lo. He test hian thisen kalna kawng bangah calcium a awm tawh em tih leh plaque a lo awm tawh em tih chauh a tarlang a ni. Hei hian thisen kalna kawng (arteries) tihtlem (narrowing) kalpui a tan tawh em tih a hriattir a ni.
Mahse, vein pakhat chu engtiang chiahin nge a block tih leh a chhunga thisen a kal that dan chu a hril thei lo. Chumi atan chuan specialized test dang a awm a, chu chu angiogram te hi a ni. Calcium Score Test hi test rang tak, hrehawm lo tak a ni a, hmalam hun atana hlauhawm tur tehna atan hman theih a ni.
Take-Home Thuchah a ni
- Calcium Score Test hi CT scan bik a ni a, i thinlung thisen kalna kawng hrang hranga calcium awm leh awm loh enfiah a ni.
- Hei hi nakin lawka heart attack hlauhawmna awm thei, mahse symptom la nei lote tan a tangkai hle.
- I score zero (0) a nih chuan thu lawmawm tak a ni. Tunah hian risk a hniam hle tihna a ni.
- Score a san chuan thinlung natna vei theihna a sang chho zel a, enkawl a ngai a, nunphung pawh a danglam bawk.
- He test result hi a chanchin thenkhat chauh a ni. Thutlukna hnuhnung ber chu i doctor-in i hriselna chungchang zawng zawng a ngaihtuah hnuah a siam thin.
- He test chungchangah emaw, a result emaw chungchanga zawhna i neih chuan doctor zawt hreh suh.











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