Cardiac Cachexia hi i hre tawh em? Kan sawi dun teh ang!

I chhungkuaa mi tu emaw, a bik takin heart failure nei te chu zawi zawiin a thau a tlahniam a, taksa ruh a tlahniam niin i hria em? Chaw ei duh lohna nen hian i chau hle em? Chutiang a nih chuan hei hi kan sawi tum chu a ni thei. Hei hi cardiac wasting kan ti a, doctor-te’n ``Cardiac Cachexia`` an tih angin kan ti bawk.

He cardiac cachexia an tih hi eng nge ni?

A awlsam zawngin, `(Cardiac Cachexia)` hi ei leh in lama harsatna leh taksa ruh hlohna (malnutrition and muscle loss ) dinhmun bik a ni a, chu chu thinlung natna khirh tak nena lo awm a ni a, a bik takin natna hnuhnung ber a ni. "Cachexia" tih thumal hi a awmzia takah chuan "dinna tha lo" tihna a ni. Hei hi thinlung lam natna mai ni lovin, natna khirh tak dang engemaw zat nen pawh a thleng thei bawk. Heta thil thleng chu, theihtawp chhuah lovin taksa chu a hring a, taksa ruh (muscle tissue) a bo ta a ni.

Doctor-te chuan he natna chhinchhiahna ber pakhat chu kum kalta chhung khan i taksa rihna 5% tal i hloh tawh a, i taksa rihna tihtlem nan engmah tih loh hi a ni an ti. Mithiam thenkhat sawi dan chuan he zat hi 6% aia tam a nih chuan, a lan chhuah dan dang engemaw zat a awm chuan ``Cardiac Cachexia'' a ni thei.

Cardiac Cachexia hi engtiang chiahin nge a awm?

Khawvelah hian lung natna khirh tak nei mi maktaduai 20 chuang an awm a ni. Chumi zingah chuan symptomatic chronic heart disease 10% leh 39% inkar chuan he natna (Cardiac Cachexia) hi an vei tih an sawi. Chumi awmzia chu chutiang chuan thil mak a ni lo tihna a ni.

Hei hi eng symptoms nge ni?

Heng symptoms zinga pakhat emaw pahnih emaw i neih chuan hlauthawng suh tih hre reng ang che. Mahse an beih tlat chuan Doctor hmuh a tha ber.

• Kum khat pawh tling lo chhunga i taksa rihna zawng zawng atanga 5% aia tam thawhrimna tel lova tihtlem (hei hi taksa thau tihtlem a ni a, tui rit tihtlem a ni lo).
• Muscle chakna hloh, chak lohna hriatna.
• Chau lutuk leh chau lutuk anga inhria.
• Nitin hna pawimawh tak tak pawh thawk thei lo, chakna tlakchham vang.
• Chaw ei chakna hloh.

Ngaihtuah teh, i pi emaw, i pi emaw hian thinlung natna a vei a nih chuan, a hma anga ei leh in a ei loh chuan, a kal thei lo a nih chuan, khumah a inkhung tlat a nih chuan, a thawmhnaw chu a lian lutuk anga lang a nih chuan, he thil hi tlem tal i ngaihtuah tur a ni.

Engvangin nge Cardiac Cachexia hi a lo awm? A chhante chu engte nge ni?

He natna hi ``Cardiac Cachexia'' tia koh hi a chhan pakhat vang a ni lo. Lung natna nasa tak nei taksaa inthlak danglamna tam tak inzawmkhawm a ni. A nghawngtu ber chu:

• I taksa metabolism a inthlauhna (imbalance) a awm. Chu chu i taksain chakna a siam chhuah leh a hman danah harsatna a awm tihna a ni.
• Ei leh in atanga protein tam tak hmuh loh.Muscle mass siam leh vawn that nan protein hi a pawimawh hle.
• I ei leh in atanga nutrients tha taka lakluh loh.
• Taksa tihchakna leh exercise engmah tih loh.

Cardiac Cachexia avanga harsatna awm thei te chu engte nge ni?

He dinhmun hi uluk taka enkawl a nih loh chuan harsatna pakhat hnu pakhat a lo chhuak thei a ni.

• Sarcopenia: Hei hian taksa ruh (muscle mass) a tlahniam tihna a ni.
• A chang chuan heart muscle-ah hian scarring a awm thei bawk.
• Chak lohna leh chak lohna a awm thei a, chu chuan tlu leh hliam a thlen fo thin.
• Anorexia hian taksaah electrolyte leh fluid inthlauhna a thlen thei a ni .
• Osteoporosis a awm thei. Chumi awmzia chu ruh density a tlahniam a, ruhte pawh awlsam takin a chhe thei tihna a ni.
• Lungchhiatthlak takin he natna (Cardiac Cachexia) hi a na hle thei a, thihna pawh a thlen thei bawk.

Doctor-te hian engtin nge hei hi an hriat?

Doctor chuan kum kalta chhunga i taksa rihna 5% emaw a aia tam emaw i tihtlem zauh zauh a, a hnuaia harsatna pathum tal i neih chuan ``Cardiac Cachexia'' tih natna hi a hmuchhuak thin:

• Chauh lutuk, hah lutuk.
• Muscle chakna emaw mass emaw hloh.
• Anorexia a awm.
• Taksa chhunga inflammation awm.
• Thisen tlakchhamna (Anaemia).
• Taksaah protein albumin an tih level hniam tak neih.

Hemi atan hian eng test nge tih a nih?

He natna hi dik taka finfiah nan doctor chuan test hrang hrang a ti thei a ni.

• Thisen test: Hengte hian thil tam tak a enfiah thei a, chu chu protein level, thisen tlakchhamna, leh inflammatory conditions te hi a ni.
• Electrocardiogram (EKG): Thinlung electric hnathawh dan en rawh.
• Echocardiogram: Thinlung hnathawh leh a insiam dan thlirletna, ultrasound scan ang chi.
• Chest X-ray neih a ni.
• `DEXA (DXA) scan`: Ruh density leh taksa awm dan (muscle, fat) a teh thin.
• `Computed Tomography (CT)` hmanga tihchhuah a ni.
• Magnetic Resonance Imaging (MRI) hmanga enfiah a ni.
• Cardiopulmonary exercise testing: Thinlung leh lungin exercise an lak dan en rawh.

Heng test te hi a pawimawh hle a, a chhan chu thinlung natna vei te hian tui an retention leh swelling an nei thin a, chu chuan body mass index (BMI) a ti sang thei a ni.Dik taka teh a harsa thei hle. Swelling hian i taksa rihna tihtlem nasat zia dik tak chu a khuh bo thei a ni.

Test bik ``right heart catheterization'' tih hian i doctor chu i taksaah extra fluid i neih zat a hriat theih nan a pui thei a ni. Hei hian i taksa rihna i tihtlem tak tak leh tui i vawn zat hriatthiamna a pe thei bawk.

Cardiac Cachexia hi eng enkawlna nge ni?

Hei hi dinhmun buaithlak tak a nih avangin, "Ei tam mai la, a pawi lo ang" tih hi ngaihtuah harsa tak a ni. Enkawlna pakhat chauh hmanga tihdam theih a ni lo. Angle hrang hrang atanga hnaih a ngai a ni.

• Exercise: I doctor chuan aerobic exercise (i heart rate tisangtu) engemaw zat tihsak turin a rawt mai thei. Hei hian taksa ruh (muscle wasting) nasa zawk a awm loh nan a pui dawn a ni. Zirchiangtute chuan exercise hi cardiac cachexia enkawlna tha ber pakhat a ni tih an hmuchhuak a. Cardiac rehab programme hian heart failure nei tan hlawkna tam tak a nei a:
• Nunphung i tichangtlung thei a ni.
• Damdawi ina awm tlem theih a ni.
• I dam chhung chu i ti sei thei a ni.

• Damdawi ina awm: I rilru a hah emaw, i thisen sang a hniam lutuk emaw chuan i doctor chuan damdawi inah a admit thei che a ni. I rih zawng leh i ei leh in zat chu enfiah a ni ang. Ei leh in tha tawk i dawn hnuah i haw thei tawh ang. Kar hnih atanga kar li chhungin a hnuaia specialist te hi i hmuh a ngai dawn a ni:
• Cardiologist pakhat a ni.
• Ei leh in lama mithiam.
• I chhungkaw doctor (`Primary care provider`) a ni.

• Lung natna hnuaia awm enkawl dan: I thinlung natna chu a zual zel a nih chuan a hnuaia lung natna enkawl loh chuan cachexia chu tihdanglam a harsa thei. Hei hian cardiologist thiam tak hmuh a ngai dawn a ni. Damdawi mamawh a pe thei a, a remchan chuan mechanical heart pump a dah thei a, heart transplant turin a refer thei bawk.

Damdawi bik emaw supplement emaw pek

Doctor chuan hetiang hi a pe thei a:

• Protein tihpunna tur a ni.
• Vitamin C leh E te hi a ni.
• Omega-3 thau acids a awm bawk.
• Anabolic steroid hmanga siam a ni.
• Mihring thanna hormone (`Mihring thanna hormone - HGH`).
• Ghrelin receptor agonists te hi a awm a.
• Beta-blockers te pawh a awm.
• Androgen receptor modulator thlan chhuah te.

Enkawlna hian side effect a nei em?

`Cardiac Cachexia` atana hman tlanglawn damdawi thenkhat hian side effect a thlen thei a, chungte chu:

• Vun thau tak.
• Ankle a hring chhuak.
• Chau.
• Luhai.
• Luak chhuak thei.
• Mu thei lo.

Cardiac Cachexia vei theihna hi engtin nge kan tihziaawm theih ang?

Hetiang natna hlauhawmna tihziaawmna atan hian i doctor chuan heng ang damdawi hi a pe thei ang (hengte hi heart attack tan chuan an pe tlangpui):

• Angiotensin tidanglam thei enzyme (ACE) titawp thei a ni.
• Beta-blockers te pawh a awm.
• Loop diuretics (tui pills) hmanga siam a ni.
• Aldosterone dotu a ni.

Cardiac Cachexia vei chuan eng nge a beisei theih ang?

Dik tak chuan `(Cardiac Cachexia)` hi a prognosis tha lo fo thin a ni. Mahse, a hmaa hriatchhuah leh enkawl chuan a rah chhuah a titha thei a ni. Enkawlna an tan hma chuan a natna chu tihdanglam theihna chance a sang zawk.

Cardiac cachexia hian thihna pawh a thlen thei em?

Ni e, a thleng thei. ``Cardiac Cachexia'' prognosis hi a tha vak lo. Hetiang natna vei zinga 50% vel chu thla 18 chhungin an thi niin an sawi . Zirna pakhatah chuan mi ṭhenkhat chu thla thum, thla ruk, a nih loh leh thla sâwm leh pahnih chhûngin an thi thei a ni. Hei hi i hlauhthawn nan ni lovin, he dinhmun pawizia i hriatthiam theih nan a ni.

Engtin nge keimah emaw, ka enkawltu emaw ka enkawl ang?

Hetiang natna i vei a nih chuan i tanpui theih tur thil tlemte a awm a:

• Chaw nêm ei hian ei laiin thawk harsatna a veng thei a ni.
• Tin, chaw te zawk ei tam a tha zawk bawk a, vawi khata chaw lian tak ei ai chuan.
• Doctor te hian chi engzat nge i ei tur tih chungchangah ngaihdan hrang hrang an nei a. Chuvangin, i doctor hnenah thurawn zawt rawh. Doctor tam tak chuan Mediterranean Diet leh DASH diet hi Cardiac Cachexia vei tan a tha an ti.
• I doctor-in a puih theih tura a ngaih nutritional supplement eng pawh ei rawh. Chungte chuan i nunphung leh i dam chhung a tichangtlung thei a ni. Nutrients tling tak neih hian heart transplant i neih dawn chuan i inbuatsaih theih phah bawk.

Engtikah nge Doctor ka hmuh ang?

I doctor chu eng chen nge i hmuh a ngaih tih sawipui rawh. Check-in neih fo a ngai mai thei.A tlem berah chuan i rihna leh calorie i ei zat i report a ngai dawn a ni.

Doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah hetiang zawhna hi zawt hreh suh:

• Ka `(Cardiac Cachexia)` natna hi engtiang chiahin nge a nasat?
• Ka tan chuan special diet i recommend thei ang em?
• Eng nutritional supplement nge ka tan a tha ber?

A pawimawh ber: Lung natna na tak i neih a, i thau a tlahniam a nih chuan i doctor nen inbia nghal ang che. Lung natna vei te hian an taksa a hring deuh thin a, chuvangin i taksa rihna i tihtlem dan chu i hre lo mai thei. Mahni in enkawl la, i mamawh tanpuina dawng rawh. Chumi hnuah chauh chuan natna a zual zel loh nan i veng thei ang.

A tawi zawngin, take-home message

Okay, chuti a nih chuan tunah chuan kan sawi tawh `(Cardiac Cachexia)` tih condition kha i hrethiam tawh zawk. Hei hi heart failure nena lo awm thei natna khirh tak a ni tih hre reng ang che. Inhriat loha i taksa rihna i tihtlem a, ei duh lohna, leh hah ang chi symptom i neih chuan ngaihthah suh.

A hmaa hriat chian leh enkawl dan dik hi a pawimawh ber a ni. Hei hi damdawi pakhat mah a awm lo va, exercise, ei leh in leh a tul chuan damdawi inkawp a ni. Doctor nen zalen taka inbiakna leh a thurawn dik taka zawm a pawimawh hle. I thian pakhatin he natna hi a vei a nih chuan fuih leh a tul anga tanpuina pek theihnghilh suh.

` Cardiac Cachexia, thinlung natna, bawlhhlawh, taksa ruh khawhral, ​​ei leh in tha lo, thinlung natna, ei leh in tha lo