Adenosine Stress Test tih tir che i ni tawh em? A awlsam zawngin sawi ila.

Doctor-in heart test neih a ngai tih a hrilh che chuan tlem a hlauthawng leh hlauhthawn hi thil pangngai a ni. "Stress test" tih thumal kan hriat hian a tam zawk chuan treadmill-a tlan chhuahna test kan ngaihtuah thin. Mahse chutiang exercise chu mi zawng zawngin an ti thei lo. Chutiang dinhmunah chuan i thinlungin thisen a lakluh that dan enfiah nan test bik adenosine stress test an tih chu an ti thin. Chuvangin, hlauhna leh rinhlelhna awm lovin, thumal awlsam takin sawi ila.

He adenosine stress test hi eng nge ni tak tak?

A awlsam zawngin, hei hi i thinlung hnathawh that dan enfiahna test a ni. Exercise kan neih te, kan tlan te, kan zuang emaw hian kan thinlung a na zual sauh a. Hei hian heart muscle te hian thisen a mamawh tam phah a ni. He test-ah hian adenosine an tih damdawi tlemte pek che a ni a, chu chuan exercise i tih ang maiin i thinlung chhunga thisen kalna kawngte chu a hawng a ni.

Ngaihtuah teh, he damdawi hian artificial takin treadmill-a i tlan lai dinhmun a siam a ni. Tichuan, doctor-te chuan chawlh hahdam laiin i thinlungin thisen a pump dan leh hetiang "stress" hnuaia thisen a pump danah hian danglamna a awm em tih an hmu thei ang.

He test hian thil pawimawh engemaw zat a zawn a awm a:

• I heart muscle-ah hian chhiatna nghet tak a awm em tih enfiah rawh.
• Thinlung hian thisen leh oxygen a dawng tlem em tih enfiah rawh .
• Coronary Artery Disease (CAD) , chu chu thinlunga thisen phurtu thisen kalna kawngte a zim emaw, a khar emaw a ni.

Engtikah nge he test hi tih tur?

He test hi mi zawng zawng tan a ni lo. Doctor chuan stress test neih reng harsa titu tan a rawt mai thei. Entirna thenkhat chu hetiang hi a ni:

• Treadmill-a exercise i tih theih loh chuan , kea kal emaw, tlan emaw (entir nan, ruh natna nei emaw, thawk lama harsatna nei emaw).
• Exercise i tih lai pawha i heart rate duh ang level i thlen theih loh chuan .
• Damdawi thenkhat, beta-blockers ang chi i ei a nih chuan .
• I thinlungah pacemaker dah i nih chuan.
• Thinlung chhunga electrical signal kal danah harsatna i neih chuan left bundle branch block an ti a .

Engtin nge he test hian hna a thawh?

Hei hi thil buaithlak deuh angin lang mah se, a takah chuan kalphung mumal tak a ni.

A hmasa berin, i chawlh laiin radioactive material tlemte (radioactive marker) emaw, tui bik (contrast) emaw chu vein-ah i inject a. Tichuan, camera bik (scanner) hmangin i thinlung thlalak a la a. Hei hian chawlh hahdam hun pangngaia i thinlung chhunga thisen kal dan a entir thei a ni.

A dawtah chuan damdawi "Adenosine" tih chu i thisenah minute engemaw zat chhung dah a ni. He damdawi hi i taksaah i inject chuan i thinlunga thisen kalna (coronary arteries) te chu a zau a, exercise nasa tak i tih ang maiin a zau a ni. Hei hian i thinlunga thisen a kal chakna a tipung a ni.

Chutih lai chuan radioactive material chu taksaah an inject leh a, scanner chuan thinlung thlalak a la ta a ni. Tunah chuan doctor-te chuan thlalak hmasa berte hi heng thlalak pahnihna nen hian an khaikhin thei tawh ang.

Heng thlalak lakna atana hman tur scanner hi a chang chuan MRI (Magnetic Resonance Imaging) scanner emaw, CT (Computed Tomography) scanner bik emaw pawh a ni thei.

Test hmain engtin nge ka inbuatsaih ang?

Hei hi a pawimawh hle a ni. Test result dik tak a nih theih nan heng thupekte hi dik takin i zawm tur a ni.

Test ni hian eng nge ka zawm tur?

Test ni-ah pawh i inbuatsaihna a pawimawh hle.

Test neih laiin eng nge thleng? Ka hlau tur em ni?

Hlauhna tur a awm lo. Medical staff ten uluk takin an enkawl ang che. Thil lo thleng tur thenkhat chu hetiang hi a ni:

• I kut chhunga vein pakhatah IV line pahnih an dah ang. Pakhat chu damdawi pe tur che a ni a, pakhat zawk chu radioactive material pe tur che a ni.
• Electrode , sticker te tak te te chu i rilruah dah a ni. Hengte hi EKG (Electrocardiogram) machine hmanga i thinlung hnathawh dan enfiah chhunzawm zel nan hman a ni.
• I kut ah thisen sang cuff dahin i thisen sang chu teh chhunzawm zel a ni.
• Scanner chhungah hruai lut i ni ang a , minute 45 vel muhil turin an ti ang che .
• Thlalak lak lai hian second engemaw zat thawk kha vawn turin an hrilh che a ni.
• Adenosine pek i nih hmain a side effect awm thei te hriattir i ni ang.

A tih zawng zawng hi darkar hnih vel a ni thei a, mahse scan chhung ngei pawh hi minute 45 vel a ni.

Hei hian side effect a nei em?

Adenosine damdawi hi taksaah hian rei vak lo a awm a. Chuvangin side effects a awm a nih pawhin damdawi tihtawp a nih hnu second tlemte chhungin a bo vek a ni. He test hmangtu zinga 80% vel chuan side effect tenau te an nei thin.

Side effects awm tlangpui:

• Hmai sen, a sen hring
• Chest na emaw tightness emaw
• Thâwk a tawi

Side effects awm lo tak tak:

• Heart block a ni
• Wheezing (Bronchospasm) - a bik takin asthmatic te tan chuan

Test result hian eng nge a sawi?

I test aṭanga thlalakte thlirlettu doctor chuan i thinlung risk a zirin chi thum-ah a then ang che: low-risk, intermediate-risk, emaw high-risk .

A result hian heart attack i neih theihna tur risk engzat nge i neih tih a hrilh ber a, tuna i symptoms (chhung natna ang chi) te hi heart-a thisen kal tlem vang a ni em tih a hrilh bawk.

• Results a normal a nih chuan: Hei hian i thinlung hmun zawng zawngah thisen a kal tling tihna a ni a, chawlh lai leh stress i neih lai pawhin. Risk hniam group-a i awm avangin damdawi engemaw zat (beta-blockers ang chi) hmang la, nunphung pawh thlak danglam turin an fuih mai thei bawk.
• Results a dik lo a nih chuan: Hei hian thinlung hmun thenkhatah thisen a dawng tlem tihna a ni a, a bik takin stress hnuaiah. Chumi awmzia chu chu lai hmuna thisen kalna kawngte chu a inkhar thei tihna a ni.

Ni engemaw zat chhungin result a awm tlangpui. I doctor chuan a rawn call ang che a, result leh a hnua i tih tur chu a sawipui ang che.

Results a dik lo a nih chuan eng nge i tih leh ang?

Lungngai suh. He test hian harsatna chu a finfiah theih nan leh a enkawl theih nan a pui ang che. I doctor chuan hetiang hi a rawn rawt mai thei:

• Coronary angiography: Hei hian thinlung thisen kalna kawngah camera dahin, a blockage awmna hmun leh a nasat dan dik tak hriat a ni.
• Stent dahna: Thisen kalna kawngkhar khar chhungah mesh ang chi thil te tak te dahin a hawn leh thin.
• Coronary Artery Bypass Graft (CABG): A blockage nasat chuan thisen kalna kawng thar dahin bypass a ni.

Lexiscan® leh Adenosine stress test hi eng nge a danglamna?

Lexiscan® (regadenoson) hi damdawi a ni a, adenosine ang bawkin thisen kalna kawng hawn hmangin hna a thawk bawk. Dik tak chuan tunah chuan he damdawi hi he test atana hman tam ber a ni ta. Adenosine inject nan minute 5 vel a ngai laiin Lexiscan® hi second 10 chhungin pek theih a ni. Tin, zirchianna thenkhatah chuan Lexiscan® hian adenosine aiin side effect a nei tlem zawk tih hmuhchhuah a ni bawk. Mahse, i doctor chuan eng damdawi nge i tan a tha ber tih a rel ang.