Thâwk harsat rualin rilru tightness i nei bawk em? Cardiac asthma a ni thei ang em?

A chang chuan thawk harsatna nei angin i inhria em? I rilru atang pawhin thawm ri, gurgling ri ang maia lo chhuak i hre bawk em? A tam zawkah chuan hetiang thil hi a thleng hian, "Aw... hei hi asthma a ni," tiin kan ngaihtuah thin. Mahse, heng natna lan chhuahna, mahse a takah chuan asthma ni lo, natna dang a awm tih i hria em? Chu chu ‘Cardiac Asthma’ kan tih chu a ni. A hming chu Asthma ni mahse, hei hi a takah chuan lung lam harsatna avanga lo awm a ni. Hemi chungchang hi vawiinah hian chipchiar takin sawi ila, a chhan chu hei pawh hi thil pawimawh tak, kan hriat chian a ngai a ni.

‘Cardiac Asthma’ hi eng nge ni tak tak?

A awlsam zawngin sawi ila, ‘Cardiac Asthma’ hi i thinlunga chak lohna avanga i lungah tui a khat thin a ni. Doctor-te chuan hei hi ‘Pulmonary Edema’ an ti bawk. Hetiang hian han ngaihtuah teh: i lung chu sponge ang mai a ni. Tui an khat chuan thawk a harsa thin, a dik em? Chu chu hetah pawh hian a thleng mek a ni.

Hetiang dinhmun hi ‘Pulmonary Hypertension’ tih natna avanga lo awm a ni. Hei hi i lung chhunga thisen kalna kawng hrang hranga pressure tihsan a ni. Hei hi thinlung veilam a thawk tha lo a nih chuan a thleng fo thin a, chu chu ‘Left-sided Heart Failure’ an ti a ni.

Pawimawh: Miten ‘Thinlung chak lohna’ tih thumal an hriat hian thinlungin hna a thawk tha lo tih an hlau thin. Hei hi a ni lo. Thinlung hian taksa mamawh phuhruk thei tur thisen a pump thei lo tihna mai a ni.

Chuti a nih chuan bronchial asthma leh cardiac asthma hi eng nge an danglamna?

An pahnih hian thawk harsa leh rilru atanga thawm ri chhuak ang chi symptom nei mahse, a chhan chu a danglam vek.

• Bronchial Asthma: Hei hi hun rei tak chhung natna a ni a, chu chu lungah a awm a. Thlawhna kawng a lo hring a, a zim a, thawk harsa a ti a, khuh a ti na a, rilru a ti na bawk. Heng symptoms te hi leivut, boruak bawlhhlawh, leh pollen ang chi thila inhnamhnawih hian a zual thei hle.

• Cardiac Asthma: Hetiang a nih chuan harsatna chu thinlungah a awm a ni. Thinlung hnathawh a chhiat chuan lung chu tuiin a khat a, chu chu thawk harsatna thlentu a ni.

A danglamna chu i hrethiam em? Pakhat chu lung lam harsatna a ni a, pakhat zawk chu lung lam harsatna a ni a, chu chuan lung a tibuaitu a ni.

Tute nge ‘Cardiac Asthma’ vei theihna sang zawk?

He natna hian thinlung natna ‘Congestive Heart Failure’ an tih nei te a nghawng tam ber a ni. Hei hi thisen kalna kawnga thisen kal a pun zel avangin heart failure a nasat hun a ni. Lung chak lohna a zual zel chuan, thawhrimna tlemte pawh hian thawk a ti harsa thei hle.

Cardiac asthma vei theihna tur risk factor engemaw zat a awm a:

• Thisen sang a sang
• Zunthlum (Diabetes Mellitus) natna a ni.
• Thinlung valve natna nei
• Angina (rilru na) .
• Tun hmaa heart attack nei tawh

Hetiang natna vei hian ‘cardiac asthma’ a vei tam zawk.

Engtin nge ‘Cardiac Asthma’ hian taksa a nghawng?

I lung a tui a khat chuan thawk a harsa hle thei. Hei hi i mut emaw, i mut emaw hian a dik hle. I tho a, i ṭhut emaw, i ding emaw chuan thawk a awlsam zawk mai thei. Entirnan, zan lama i mut that hnua i harh a, rang taka thawk i hah chuan chu chu he natna lan chhuahna a ni thei.

Hei hi eng symptoms nge ni?

Cardiac asthma vei chuan a natna lan chhuahna a nei thei a, chungte chu:

• Zanah darkar engemaw zat mut hnua thawk harsa taka harh hi mi tam tak tan chuan symptom lian tak a ni.
• A rilru a buai hle.
• Khuh. He khuh hi khuh hring (dry cough) a ni thei a, a nih loh leh khuh (phlegm) nei a ni thei bawk. A châng chuan phlegm chu thisen tlem nen a inhmeh bawk.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

Eng thilin nge ‘Cardiac Asthma’ hi a thlen?

Kan sawi tawh ang khan a chhan ber chu ‘Heart Failure’ . Hei hian ‘Pulmonary Hypertension’ , chu chu lung chhunga thisen sang tihsan a ni. Hei hian ‘Pulmonary Edema’ , a nih loh leh lung chhunga tui awmkhawmna a thlen thin. Hetianga lung chhunga tui awmkhawm hian thawk a ti harsa a, chu chu ‘Cardiac Asthma’ thlentu a ni.

Doctor ten ‘Cardiac Asthma’ hi engtin nge an hriat theih?

Doctor i hmuh chuan i natna lan chhuah dante a zawt ang che a, i medical history a la ang a, taksa enfiahna a ti ang che . Hengte bakah hian testing engemaw zat an nei thei bawk a, an natna hi an finfiah thei bawk.

Hei atan hian eng test nge tih thin?

Doctor chuan cardiac asthma a hriat theih nan a hnuaia test te hi a hmang thei ang:

• Thisen test a ni
• Zun test a ni
• Electrocardiogram (EKG) - Hei hian thinlunga electric hnathawh dan a teh a.
• Echocardiogram - Hei hi thinlung ultrasound scan ang a ni. Thinlung lian leh te, a pianzia leh pumping action te a en thei a ni.
• Chest X-ray - lung chhunga tui awm leh thinlung lian tham awm leh awm loh enfiah nan .
• Cardiopulmonary stress test neih a ni- Exercise neih laiin thinlung leh lung hnathawh dan enfiah a ni.
• Cardiac catheterization - Thinlung thisen kalna kawng (hearters) a blockage awm leh awm loh enfiahna test a ni.
• Cardiac CT (Computed Tomography) hmanga enfiah a ni
• Magnetic Resonance Imaging (MRI) hmanga tihchhuah a ni.

Heng test zawng zawng hi mi zawng zawng tan tih vek a ni lo. I doctor chuan i dinhmun a zirin eng test nge a tul tih a rel ang.

‘Cardiac Asthma’ enkawl dan tur engte nge ni?

‘Cardiac Asthma’ enkawl dan hi Asthma pangngai (Bronchial Asthma) enkawl dan nen a danglam hle. Hei hi a chhan a danglam vang a ni. ‘Cardiac Asthma’ enkawlna atan a hnuaia mite hi hman theih a ni:

• Exercise: Doctor-in a tih angin exercise dik tak tih.
• Damdawi: Damdawi chi hrang hrang pek theih a ni.
• Cardiac rehabilitation: Hei hi damdawi lam enkawlna hnuaia exercise leh nunphung tihdanglamna program a ni.
• Implantable Cardioverter Defibrillator (ICD): Thinlung thawk mumal lo siamthatna tur hmanrua a ni.
• Biventricular pacemaker: Thinlung chamber pahnih inzawmkhawmna tura puitu hmanrua a ni.
• Left Ventricular Assist Device (LVAD): Mechanical device a ni a, thinlung hian thisen a pump thei a.
• Heart transplant: A tawp berah chuan mi thenkhat chuan heart transplant an mamawh mai thei.

Hemi atan hian eng damdawi nge hman thin?

A hnuaia damdawi te hi heart failure, cardiac asthma awm chhan bulpui ber enkawlna atan hman a ni:

• ACE inhibitor te hi a ni
• Beta-blockers te pawh a awm
• Diuretics: Hengte hi "tui pills" an ti bawk. Taksa atanga tui tam lutuk chu zun hmanga paih chhuah nan an pui thin.
• SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) te hi a tha ber pawl a ni.
• Aldosterone tihkhawtlai a ni
• SGLT2 inhibitor te hi an ni

Heng damdawi te hian thinlunga phurrit tihziaawmna, thisen sang control leh taksa atanga tui tam lutuk paih chhuahna hmangin hna an thawk a ni.

Enkawlna hian side effect a nei em?

Damdawi dang ang bawkin heng damdawi te hian side effect engemaw zat a nei thei a ni. Damdawi a zirin side effect a inang lo thei. Entirna tlemte chu hetiang hi a ni:

• ACE inhibitors: Khuh vawt, luak chhuak, hah, lu na.
• Beta-blockers: Luak chhuak, mutthilh, luak chhuak, leh lungngaihna pawh a awm thei.

Symptom thar i neih chuan, emaw damdawi i ei tan hnua thil danglam tak i hriat chuan doctor hnenah i hriattir nghal tur a ni.

Engtin nge ‘Cardiac Asthma’ vei theihna tihziaawm theih ang?

‘Cardiac asthma’ hi lungphu chak loh vang a ni. Chuvangin, heart failure hlauhawmna i tihtlem chuan ‘cardiac asthma’ hlauhawmna pawh a tlahniam dawn a ni.

A pahnih hlauhawmna tihziaawmna turin heng thilte hi i ti thei ang:

• Damdawi dang, thisen sang emaw, zunthlum emaw i neih chuan, uluk taka enkawl leh thunun rawh.
• I taksa rihna hrisel tak vawng reng rawh.
• Stress control rawh.
• Exercise neih fo thin ang che.
• Lung hrisel ei tur (thei leh thlai ang chi) ei tam rawh.
• Zuk leh hmuam thil (cigarette leh beedis ang chi) hman loh vek tur a ni.
• Zu in hi tihtlem la, a nih loh leh tihtawp vek rawh.
• Ruihhlo hman loh tur.

Heng thilte zawm hian i thinlung hriselna kawngah kawng thui tak a zawh dawn a ni.

‘Cardiac Asthma’ vei chuan eng nge a beisei ang?

Heart failure, ‘cardiac asthma’ tia hriat bawk hi hun kal zelah zawi zawiin a zual thei a ni. Rin loh takin symptoms a pung thei bawk. Nunphung thlak danglam leh damdawi ei hian hun engemaw chen chu he natna hi a thunun thei a ni.

Mahse, a châng chuan thawhrimna tel lo pawhin thawk harsa i tih theihna hmunah i thleng thei a ni. Hei hi ‘Advanced Heart Failure’ an ti a.

Hetiang hmuna i thlen hma hian i chhungte leh doctor te nen eng ang enkawlna nge i duh tih sawi hmasak a pawimawh. Entirnan, thawk harsatna tam tak i neih chuan i rilruah thawkna tube dah tir i duh ang em? Hengte hi thutlukna siam lawk a tha.

‘Cardiac Asthma’ hi eng chen nge a awm?

Cardiac asthma hi a thlentu damdawi lam dinhmun a awm reng chhung chuan a awm reng a ni. A tlangpuiin, chu dinhmun chu thinlung chak lohna a ni. Tunah hian damdawi a la awm lo. Chuvangin inenkawlna tha ber i hmuh a pawimawh.

Engtin nge ka in enkawl ang?

I natna lan chhuah dan tihziaawmna tur leh i nunphung tihchangtlun nan i doctor thupek dik tak i zawm tur a ni:

• Damdawi lam thil dang (e.g., zunthlum, thisen sang), thinlung chak lohna tizual thei tur enkawlna dik tak dawng rawh.
• Nunphung thlak danglam rawh. Entirnan, i chaw ei tur chi i dah zat tihtlem.
• I doctor-in damdawi a pek chu a hun takah leh dik takin ei thin ang che. Ni khat pawh lo tlai tawh suh.

Engtikah nge Doctor ka hmuh ang?

Symptom thar i neih chuan, a nih loh leh i symptom a na zual a nih chuan doctor pan nghal rawh.

I doctor hnenah hrilh la, a bik takin a hnuaia mi hi i neih chuan:

• Thâwk harsa a pun chuan.
• A ke ruh a hring a nih chuan (Swollen ankles).
• I taksa rihna a lo pung nghal a nih chuan.
• Mut harsat.
• Ei duh lohna a awm chuan.

Heng symptoms te hi ngaihthah suh.

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

Damdawi i ei lai allergy i neih chuan – entirnan, i lei emaw, i hmui emaw a hring chhuak a nih chuan – 911 call nghal la, i hnai ber damdawi inah emergency room-ah kal rawh. Tin, thawk harsatna nasa tak i neih a, eng thil pawh ti ila a tha lo a nih chuan emergency room-ah i kal ngei ngei tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• "Ka dinhmun hi eng ang enkawlna nge i rawt?"
• "Eng exercise nge ka tih theih ang?"
• "Engtiang chiahin nge follow-up appointment nei tura lo haw ka mamawh?"

Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt rawh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Cardiac asthma hi natna lian zawk, thinlung chak lohna chhinchhiahna a ni . Lung natna damdawi awm lo mah se, a thunun thei tur damdawi leh enkawlna chi hrang hrang a awm. I doctor chuan i tana tha ber tur enkawlna thlang turin a pui thei che a ni. Hun kal zelah heart failure hi a na zual thei a, chuvangin i natna lan chhuah dan tur doctor hriattir reng a pawimawh. I thinlung natna a zual zel a nih chuan eng enkawlna nge i duh ang tih i doctor hriattir hmasak pawh a finthlak hle bawk. I thinlung enkawl la, hrisel takin awm rawh!

` Cardiac asthma, cardiac asthma, thawk hah lo, pulmonary edema, heart attack, thinlung natna, thawk lama harsatna nei