Tûn hma angin i thawkrim thei lo niin i inhria em? Hmun hla vak lo i kal emaw, stairs i chhoh emaw hian i lu a buai em? Hei hi a chhan pawh a ni mai thei, i thinlung thawhrimna, chu chu thisen a pump chakna a tlahniam vang a ni mai thei. Damdawi lamah chuan vawiinah hian thinlung thawhrimna tehna tehfung pawimawh tak kan sawi dawn a ni. Chu chu Cardiac Output a ni . He hming i hriat hian hlau suh, awlsam takin i hrethiam ang u.
A awlsam zawngin, Cardiac Output chu eng nge ni?
A awlsam hle mai. Cardiac Output chu minute khat chhunga i thinlungin i taksaa thisen a pump luh zawng zawng a ni. Hei hi litre-a teh a ni. I thinlung hi tui motor angin ngaihtuah rawh. Cardiac Output chu he motor hian minute khata tui litre engzat nge a pump chhuah tih a ni.
Doctor-te chuan hei hi equation awlsam tak hmangin an chhut a:
`Cardiac Output = Stroke Volume x Lung chak zawng`
Tunah chuan heng thumal thar pahnih hi eng nge a awmzia tih i ngaihtuah tawh ngei ang. Chu pawh chu han sawifiah teh ang.
- Stroke Volume: Hei hi i thinlungin vawi khat a vuak hian i taksa chhunga thisen a pump luh zat a ni . Kan water motor entirnan hian motor hian vawi khat hna a thawh chuan tui a nawr chhuah zat ang kha a ni.
- Heart Rate: Hemi hi i hre tawh ngei ang. Hei hi minute khata i thinlung a nat zat a ni. A tlangpuiin mi hrisel chuan minute khatah 60 leh 100 inkar vel a ni.
Exercise i tih hian i taksain oxygen a mamawh tam zawk. He oxygen hi thisen hian taksa pum puiah a phur a. Chuvangin chutih lai chuan taksa chuan heart rate leh thisen pump zat chu vawi khatah a tipung vek a, cardiac output tihpun tumin hna a thawk a ni. Mechanism mak tak a ni a ni lawm ni?
Cardiac output tlahniam hian eng symptoms nge a neih?
Taksain thisen a dawn tlem chuan, chu chu cardiac output a tlahniam chuan symptom hrang hrang a lo lang thei a ni. Hengte hi hahna pangngai angin ngaihthah suh.
A bik takin i hah lutuk a, i hna thawh tawh ang kha i thawk thei lo a nih chuan i in enkawl a pawimawh hle.
A hnuaia tarlan te hi cardiac output tlahniam chhinchhiahna lian ber ber thenkhat an ni.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Chau lutuk tih hriatna | Taksa ruhte hian thisen atanga oxygen leh nutrient an mamawh an dawn loh chuan hah lutuk hi a awm thin. |
| Exercise tih harsat | Tûn hma anga tlan leh kal theih loh. I thawhrim laiin thawk harsa. |
| Kut leh ke a hring chhuak | Thinlung hian thisen a pump tha thei lo a nih chuan taksaa tui awmte chu a kal tha thei lo va, ke leh ke ruh chhungah a awm khawm thei a ni. |
| Thâwk a tawi | Hetiang dinhmun hi a bik takin kea kal emaw, khur emaw hian a awm thei. Lung pawh a nghawng thei bawk. |
| Nausea, luak chhuak, leh pum na | Heng symptoms te hi digestive system-a thisen kal tlem vang pawh a ni thei. |
Heng symptoms te hi i neih chuan a tha ber chu doctor pan nghal vat la, thurawn la rawh.
Doctor-te hian engtin nge cardiac output hi an teh?
Hei hi teh theih dan kawng hrang hrang a awm. Ṭhenkhat chu a awlsam hle a, ṭhenkhat erawh chu damdawi ina test bik neih a ngai thung.
- Transthoracic Echocardiography (Echo test): Hei hi naute scan ang a ni. A hrehawm lo. Thinlung hnathawh dan te, a lian leh te, leh valve dinhmun te a enfiah thei a ni. Hei hian doctor hnenah stroke volume hriatna tha tak a pe thei a ni.
- Heart MRI: Hei hi scan method dang a ni a, heart detailed image lakna a ni.
- Right Heart Catheterization: Hei hi cardiac output tehna dik ber a ni. Damdawi inah chuan specialist chuan kut emaw ke emaw a vein hmangin thinlungah tube te tak te (catheter) a dah lut a, thinlung chhunga pressure leh thisena oxygen level a teh thin. Hei hian cardiac output dik takin a chhut theih phah a ni.
- Thiltih dan dang: Chu bakah, taksaah electrode dahin, hmanraw bik hmanga thawk dan tehna hmangin ngaihtuahna rough tak a awm thei bawk.
I doctor chuan i dinhmun nena inmil ber test chu a rawn rawt ang che.
Cardiac output tlahniam chhante chu engte nge ni?
Hei hi a nghawng thei chhan hrang hrang a awm. Ṭhenkhat chu kan thunun thei a, ṭhenkhat erawh chu damdawi hmanga enkawl a ngai thung.
| Thlentu | A awlsam zawngin, eng nge thleng? |
|---|---|
| Thisen sang lutuk | Thlipui nasa tak karah i kal ang tih han mitthla teh. Chutiang bawkin, i thisen kalna kawnga pressure a san chuan i thinlung hian thisen pump turin nasa zawkin hna a thawk a ngai a ni. Hun a kal zel a, i thinlung chu a chak lo thei hle. |
| Kum upa zawk | Kan tar chhoh zel chuan thinlung bangte chu a thim zual a, a inthlak danglam thei lo bawk. Chuvang chuan a hma angin thisenin a khat rang thei lo. Hei hian thisen a pump chhuah zat pawh a ti tlem bawk. |
| Heart attack avanga chhiatna thleng | Heart attack avanga heart muscle a chhiat chuan a pump theihna chu a tawp thlengin a tlahniam thei a ni. |
| Heart Rhythms pangngai lo tak tak | Entirnan, Atrial Fibrillation ang dinhmunah chuan thinlung chunglam chamber te chu a inzawm tha lo hle. Chuvang chuan a hnuai lam chamber-ah thisen a khat tawk lo va, pump chhuah zat pawh a tlem phah a ni. |
| Aortic Stenosis (thinlung valve tihtlem) . | Thinlung atanga taksa thlenga thisen phurtu main blood vessel (aorta) inzawmkhawmtu valve a zim chuan a mamawh angin thisen a pump chhuak thei lo. |
| Lung natna emaw, natna dang emaw | Heart muscle infection (myocarditis) emaw heart chhehvela membrane thickening (constrictive pericarditis) ang chi hian heart pumping ability a tichhe thei bawk. |
Engtin nge cardiac output tihpun theih ang?
Thu lawmawm tak chu he natna hi a tam zawkah chuan nunphung tihdanglam awlsam tlemte siam a, doctor-in enkawlna a pek angin a thunun theih a ni. Thinlung chak tak leh thisen kalna kawng hrisel hi chutiang tur chuan a pawimawh ber a ni.
Thinlung hrisel hi nun hrisel neihna kawngkhar a ni tih hre reng ang che. Inthawina tlemte pawh hi a phu hle.
I tih theih ṭhenkhat chu hetiang hi a ni:
- Exercise neih fo: Ni khata minute 30 vel kal ang chi thil awlsam tak pawh hi i thinlung tan a tha hle thei a ni. Mahse, exercise program eng pawh i tan hmain i doctor nen inbiakna neih a pawimawh a, i tana tha tur chu i hriat hmasak phawt a pawimawh.
- Cholesterol control: Cholesterol tha lo (LDL) tihhniamtu leh cholesterol tha (HDL) tipung thei ei tur ei thin ang che.
- Zunthlum control: Zunthlum i vei a nih chuan i doctor-in a pek ang chiah damdawi ei la, i thisen sugar level kha control la.
- Ei leh in hrisel: Chaw thau, chawhmeh, chi leh thlum tamna ei tur a theih ang anga ei tlem tur a ni. I ei tur ah thei, thlai, green leh sangha te te telh bawk ang che.
- Rihna hrisel tak vawng reng rawh: Taksa rihna a san chuan thinlunga phurrit pawh a sang chho zel bawk.
- Meizial zu leh zuk leh hmuam hman hi bansan vek rawh: hengte hi thinlung leh thisen kalna kawng hmêlma lian berte an ni.
- I thisen sang thunun: I doctor-in damdawi a pek chuan a hun takah ei thin ang che.
I thinlung a thawh that dan hriat hian i doctor chuan a natna dik tak a hriat theih nan leh i damdawi pek chu a thawk tha em tih a hriat theih nan a pui thei a ni. Chuvangin zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah inhawng tak leh rinawm takin sawi rawh. I hriselna chungchang i hriat chian poh leh result tha ber i hmuh theihna chance a sang zawk.
Take-Home Thuchah a ni
- Cardiac output chu minute khata i thinlungin thisen a pump zat a ni. Hei hi thinlung thawhrimna tehfung pawimawh tak a ni.
- Chauhna, thawk hah, leh ke ruh hring te hi cardiac output tlahniam chhinchhiahna a ni thei.
- Hetiang dinhmun hi nunphung hrisel tihdanglam (exercise, ei leh in tha) leh doctor thurawn zawm hian tha takin a thunun thei a ni.
- Lung lam thila harsatna i neih chuan i doctor nen pawh sawipui ngei ang che.
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