I lung chu tuiin a khat em? He thinlung natna (Cardiogenic Pulmonary Edema) hi i zir dawn teh ang!

A chang chuan thawk hah deuhin i inhria em? Nge i mut dawna thawk harsa i tih vangin mut atanga i harh thin em? I ke pawh a hring a ni mai thei. Hetiang symptoms i neih chuan ngaihthah mai mai a tha lo. A chhan chu, hei hi thinlung a inrawlh a, lung chu tuiin a khat a, chu chuan nunna a tichhe thei a ni . Vawiin hian he natna `(Cardiogenic Pulmonary Edema)` tih hi kan sawi dawn a ni.

He lungphun nena inzawm lungphun hi eng nge an tih? (Thinlung (Cardiogenic Pulmonary Edema)) tih a ni.

A awlsam zawngin, `(Cardiogenic Pulmonary Edema)` chu i lung chhunga tui awm khawm a ngai lo . Hei hi a hlauhawm hle thei a ni. A chhan ber chu thinlung veilam a pressure a sang a, thisen a khawlkhawm thin vang a ni. A tam zawkah chuan heart failure vangin hetiang hi a thleng thin. Hetianga lung hi tuiin a khat chuan thawk harsa bakah taksa peng dangte pawh oxygen tling lo a awm avangin a chhe thei bawk . Ngaihtuah teh, kan lung hi sponge ang mai a ni. Tui a hip chuan a thawk tha thei lo. Chutiang chu a ni.

Cardiac edema leh pulmonary edema hi eng nge an danglamna?

Heng hming pahnihte hian i lung chhunga tui awm zat a kawk a, chu chuan thawk a ti harsa hle. Mahse, `(Cardiogenic Pulmonary Edema)` hi `(Pulmonary Edema)` chi khat a ni a, chu chu thinlung lam harsatna avanga lo awm a ni . Chu chu category lian zawk `(Pulmonary Edema)`-ah a tel tihna a ni. Kawng lehlamah chuan `(Non-cardiogenic Pulmonary Edema)` hi lungphu a tihchhiat vang a ni. Entirnan, natna hrik kai nasat emaw, gas tha lo (toxic gas) inhnim emaw ang chi thil vang a ni thei.

Chuti a nih chuan cardiac edema leh renal edema te hi eng nge ni?

Heng pahnih hian a takah chuan kan taksa peng hrang hranga tui awmkhawmna a kawk a ni. `(Cardiac Edema)` ah chuan tui tam lutuk chu lung chhungah a awm thin. Mahse `(Renal Edema)` ah chuan tui tam lutuk chu kal (kidney) ah a awm thin. A châng chuan, heng pahnih hi heart failure vangin a awm thei bawk. Kidney-ah harsatna a awm chuan kal hian thisen atanga tui a filter tha thei lo va, zun angin a paih chhuak thei lo. Tichuan, taksaah tui a pung khawm a.

Lung natna avanga cardiac edema vei theihna chance sang zawk chu tute nge ni?

Hetiang dinhmun hian thinlung natna nei te a nghawng fo thin , a bik takin thinlung hnathawh chak lo (Heart Failure) nei te. Ngaihtuah teh, kan ramah pawh lung natna hi a hluar hle. Chuvangin, nang pawhin thinlung kaihhnawih harsatna i neih chuan hei hi enkawl a pawimawh hle.

Hei hi eng symptoms nge ni? Engtin nge kan hriat chian?

Heng mizia pakhat emaw, a aia tam emaw i neih leh neih loh en rawh:

• Exercise emaw, mut emaw hian thawk harsa i ti em? Mi thenkhat chuan khumah an mut laiin thawk an harsat avangin pillow pahnih pathum chawi sangin an mut a ngai thin.
• Zanah thawk hahdam takin i harh nghal em? Hei hi mi tam takin an tawn thin a ni.
• I ke leh ke ruh a hring em? I pheikhawk bun harsa khawpin.
• Chau leh chau takin i inhria fo em? Engmah ti thei tur khawpa chakna i neih loh ang maiin?
• Ni khatah kilogram khat aia tam (pound hnih vel) i tipung nghal em? Hei hi tui tlakchham vang pawh a ni thei.

Hetiang symptoms i neih chuan hun khawhral lovin damdawi lam thurawn lak a tha ber .

Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?

`(Cardiogenic Pulmonary Edema)` awm chhan ber chu `(Congestive Heart Failure )` a ni. Chu bakah, a chhan dang engemaw zat a awm bawk:

• Arrhythmia : Thinlung hi rhythm mumal takin a thawk lo.
• Cardiomyopathy : Lung ruh chak lo emaw, a thim emaw.
• Thinlung veilam sir lama valve awmte harsatna : Entirnan, valve te a tawi, emaw, regurgitation emaw.
• Heart Attack: Thinlung thisen petu thisen kalna kawng (artery) a block nghal.

A awlsam zawngin, thinlung pumping efficiency a tlahniam chuan, zawi zawiin lungah thisen a lo awm tan a, pressure a siam a ni. Chutah chuan lung chu tuiin a khat ta a ni.

Engtin nge doctor hian hei hi a hriat chian?

Doctor hmu tura i kal hian a tih hmasak ber chu:

• Taksa enfiahna hi ngun taka enfiahna a ni. Stethoscope hmangin i rilru an ngaithla ang a, i ke a hring em tih an enfiah ang .
• I medical history chungchang zawh . Tun hmaa natna i neih tawh te, i chhungte zingah thinlung natna nei emaw, etc. te ang chi te.
• Testing hi test bik engemaw zat tih a ni .

Hei atan hian eng test nge tih thin?

Doctor-in a enfiah hnuah i dinhmun dik tak finfiah nan a hnuaia test te hi an ti thei ang:

• ECG (Electrocardiogram) : Hei hian thinlung electrical activity, chu chu heart beat rhythm a enfiah thei a ni.
• Chest X-ray : Chest X-ray lak hian lung chhunga tui awm leh awm loh emaw, thinlung lian zawk emaw enfiah a ni.
• Echocardiogram : Hei hi thinlung `Ultrasound Scan` ang a ni. Thinlung chungchang thil tam tak a check thei a, chu chu a lian leh te, a pianzia te, a valve hnathawh dan te, a pump dan te a ni.
• Thisen Test : Thisen peng thenkhat, entirnan, thinlung a chhiat huna enzyme chhuak te, kal hnathawh te enfiah thin a ni.
• Pulmonary Arterial Catheter : Hei hi mi zawng zawng tan test a ni lo. A buaithlak deuh a ni. Test a ni a, chu chu kawr emaw, kawchhung emaw kaltlangin tube te tak te dahin lung lam panna thisen kalna kawng hrang hranga pressure tehna a ni.

Awle, hei hi eng enkawlna nge ni?

Enkawl dan tur chu natna chhan leh a nasat danah a innghat a ni. Enkawl dan tlangpui engemaw zat a awm a:

Surgery leh enkawlna bik:

Thil engemaw takah chuan hetiang enkawlna hi a ngai mai thei:

• PCI (Percutaneous Coronary Intervention) : Thinlung thisen kalna kawng a block a nih chuan balloon hmanga inflate-in hawn a ni a, `Stent` (mesh ang chi hmanrua te tak te) dah pawh a ni thei.
• Ventricular Assist Device (VAD) : Thil te tak te, taksa chhung emaw pawnah emaw dah a ni a, chu chuan thinlung thisen pump turin a pui a ni.
• Heart Valve Replacement : Heart valve-a harsatna lian tham a awm chuan valve thlak surgery a ni.
• Coronary Artery Bypass Graft (CABG) : "Bypass surgery" tih hi kan hre vek. Thisen kalna kawngkhar block tawhte bypass turin thinlunga thisen kalna kawng thar siam a ni.
• Intra-aortic Balloon Pump (IABP) : Balloon hi thisen kalna kawngkhar chhunga hun eng emaw chen dah luh a ni a, chu chuan thisen chu thinlungah a pump thei a ni.
• Extracorporeal Membrane Oxygenation (ECMO) : Hei hi natna khirh tak takah hman thin a ni. Taksa pawn lama machine hmanga thisenah oxygen dah belh a, taksaa thawn kir leh a ni.
• Heart Transplant : Enkawlna dang zawng zawng a hlawhchham chuan a tawp ber.

Damdawi chi hrang hrang: 1.1.

I doctor chuan damdawi a pe thei che a, chungte chu:

• Vasodilators : Hengte hian thisen kalna kawng zau takin hna an thawk a, chu chuan thinlungin thisen a pump awlsam phah a ni.
• Diuretics : Hengte hi "tui pill" kan ti tlangpui. Taksa atanga tui tam lutuk chu zun hmanga paih chhuakin hna an thawk a ni.

A pawimawh ber chu heart failure i neih chuan i doctor chuan i salt intake tihtlem turin a hrilh ang che . Hei hian i chaw ei chhunga chi i dah mai mai a kawk lo va, canned food, packaged soup, leh sauce ang chi thila chi thup te pawh a kawk a ni. Chuvangin chu lam pawh i fimkhur a ngai a ni.

Nunphung thlak danglam leh in lama i tih theih turte:

Heng thilte hian a pui bawk ang che:

• Kar khatah ni engemaw zat tal exercise la. Light walk pawh a tha. Mahse, i doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
• Thut laiin i ke hring chu tlem a sangin dah la .
• I ke a hring a nih chuan doctor thurawn angin ``Compression Stockings'' tih hming pu socks bik i ha thei bawk.
• I lungah tui i awm chuan mut laiin khum lu chu sang deuhin dah la .

He hlauhawmna tihziaawmna turin eng nge kan tih theih ang?

Cardiogenic Pulmonary Edema (CPED) hi thinlung lama harsatna i neih tawh chuan a lo awm fo thin. Chuvangin, he hlauhawmna tihtlem dan tha ber chu i thinlung hrisel leh chak taka awmtir hi a ni .

Chumi kawngah chuan heng thilte hian a pui ang:

• Saturated fats leh trans fats tlemna ei tur ei thin ang che . I ei tur ah thlai, thei leh legumes tam zawk telh la.
• A theih phawt chuan exercise la . Ni khata minute 30 vel kal pawh hi thil ropui tak a ni.
• Zuk leh hmuam thil (cigarette, beedis, etc.) hman loh vek tur a ni.
• Zu in hi tihtlem rawh. A theih chuan chawlhsan vek a tha.

Hetiang thil a lo thlen chuan eng nge thleng ang? Tihdam theih a ni em?

Dik tak chuan `(Pulmonary Edema)` hi nunna atana hlauhawm tak a ni . Mahse, i dam lehna rate chu a chhan a innghat a ni. Entirnan, `(Cardiac Edema)` vei zinga 50% vel chu damdawi in atanga an chhuah hnuah kum khat chhung an dam thei a ni.

Heart failure hi a awm fo thin. Natna khirh tak a ni a, rei tak a daih tihna a ni. Mahse, enkawl ṭhat chuan he natna hi a thunun ṭha thei a ni .

"Aw, he natna hi ka vei" tia pawi tih ai chuan a pawimawh ber chu doctor thupek zawm a, i nunphung siamrem hi a ni.

Engtin nge ka in enkawl ang?

Nitin hun khata in rit zawng hian i dinhmun a chhe zual em tih hriat theih nan a pui thei che a ni. Zingah, chaw ei hma leh bathroom hman zawhah i rit hmasa ber tur a ni. Ni khatah i rihna kilogram khat aia tam (pound hnih vel) a pung a nih chuan tui i vawng tlat a nih a rinawm. Chutiang a nih chuan doctor hnenah hrilh nghal rawh.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan ngei ang:

• If you have difficulty breathing , i chau deuh lai emaw, i mut lai emaw pawh nise.
• Mut atanga i harh chuan thawk hahdam takin i harh a nih chuan .
• I ke a hring a nih chuan .

Heng symptoms te hi ngaihthah suh. Enkawl i tan hma chuan a tha zawk.

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

Thâwk harsa i tih emaw, i rilru natna nasa tak i neih emaw chuan nghak suh. 911 (or 1990 Sudhana Ambulance Service in Sri Lanka) call nghal la , mi pakhat nen damdawi inah kal rawh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Doctor hmu tura i kal hunah heng zawhnate hi zawh theihnghilh suh. Chutiang chuan nang pawhin i dinhmun chu i hrethiam thei ang.

• "Doctor, engvangin nge he `(Cardiac Edema)` natna hi ka neih?"
• "Hei hi a chhan enkawlin tihdam theih a ni em?"
• "Ka nun danah eng inthlak danglamna nge ka neih?"

I doctor chuan i dinhmun a hriat hmasak a, enkawlna a tan chuan a rah chhuah a tha zawk. Chuvang chuan chhungkaw doctor hnenah checkup neih fo a pawimawh. Chutiang chuan thinlung lama harsatna eng pawh chu a zual hmain i man thei ang. Damdawi ei tur a hun taka ei a pawimawh bawk.

A tawp berah chuan ka sawi tur chu... (Take-Home Message)

Chuvangin, `(Cardiogenic Pulmonary Edema)` hi lung lam harsatna avanga lungphu tui a khat thinna a ni a, ngaihtuahawm tak a ni. Thâwk harsa, ke hring, emaw, thawk chhuah duhna harh chhuah ang chi symptoms i neih chuan ngaihven rawh.

He natna laka invenna leh thunun theihna kawng tha ber chu a hmaa hriatchhuah te, enkawl dan dik te, leh nunphung hrisel te hi a ni. I thinlung kha enkawl la, i nunna thisen a nih avangin!

` Cardiogenic Pulmonary Edema, lung tuiin a khat, lungphu chawl, thawk harsa, thinlung natna, edema, lung chak lo