Thinlung thisen pump thei lo dinhmun hlauhawm tak: Cardiogenic Shock chungchang zawng zawng

Thâwk lak harsa, khawsik leh luak chhuak nghal mai i ni em? Chauhna mai maiah i ngai mai thei. Mahse, dinhmun hlauhawm tak chhinchhiahna a ni thei bawk. Thinlung hian taksaah thisen a pump tling thei lo dinhmun a ni. Damdawi lamah chuan hei hi Cardiogenic Shock kan ti a. Hei hi damdawi hmanhmawh taka enkawl ngai a ni a, nunna atana hlauhawm pawh a ni thei. Chuvangin vawiinah hian thumal awlsam takin i sawi dawn nia.

A awlsam zawngin, Cardiogenic Shock hi eng nge ni?

I in tuikhuah chhunga tui pumptu motor chuan hna a thawk tawh lo nghal a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tank chhungah tui a awm lo vang a, inbualna tur leh in tur tui a awm lo vang. Kan taksa chhunga thinlung hi he tui motor ang hi a ni. Thinlung hnathawh ber chu taksa chhunga cell leh organ tinah oxygen leh nutrients tamna thisen pump chhuah hi a ni.

Cardiogenic Shock chu thinlung, ‘pump’-in hna a thawk tha tawh lo va, taksaah thisen a pump tling thei lo a ni. Chutiang a lo thlen chuan kan taksa peng lian ber ber, thluak, kal leh thin te hian an mamawh oxygen an hmu lo. Thingkungte hi tui tel lova, oxygen tel lova an thih ang bawkin heng taksa peng hrang hrangte hian an tuar tan thin. Hei hi medical emergency a ni a . Enkawl loh chuan thihna a thleng thei.

Hetiang dinhmun hi stage hrang hrang a awm em?

Ni e, he dinhmun hi vawi khatah a sang ber a thleng lo. Zawi zawiin a na zual deuh chang a awm bawk. Doctor ten a nasat dan azirin stage hrang hrangah an then a. Hei hi kan hriatthiam chuan kan natna hi a nasat dan tur ngaihtuahna tha tak kan nei thei a ni.

Engtin nge kan hriat theih ang? Cardiogenic Shock natna lan chhuah dan

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Hemi chungchangah hian i fimkhur hle tur a ni a, a bik takin thinlung natna i neih chuan i fimkhur hle tur a ni.

• Buaina emaw, hriatna hloh emaw: Thluaka thisen kal a tlem chuan hriatna a tichhe thei a, a buai thei a, a muhil thei bawk.
• Fainting: I hriatna i hloh nghal mai thei a, i tlu thei bawk.
• Thâwk harsa: Lung chhungah tui a awm khawm thei a, thawk harsatna ang maiin a awm thei.
• Zun chhuah tlem: Kal-a thisen kal a tlahniam chuan taksain zun a siam chhuah zat a tlahniam nasa hle.
• Kut leh ke vawt: Taksain taksa peng pawimawh tak takte hnena thisen thawn a tum chuan kut leh ke ang chi hmun hla tak takah thisen kal a tlahniam a. Chumi avang chuan an vawt a, an thawmhnaw a chhuak thin.
• Vun rawng a inthlak: Vun chu a rawn sen a, a sen a ni mai thei.
• Chauhna leh hah lutuk: Taksa chu a chau lutuk a, engmah tih theih a ni lo.
• Pum leh ke a hring: Taksaah tui a pungkhawm a, thinlungin hna a thawh that loh avangin a hring chhuak thin.
• Anorexia: Ei duhna zawng zawng hloh.

Hei hi eng nge a chhan ber?

Cardiogenic shock thlentu ber leh tam ber chu heart attack na tak a ni . Heart attack a lo awm chuan heart muscle-a thisen petu thisen kalna kawng chu a block ta a ni. Hei hian taksa ruh a tichhia a, rang takin thinlung pump theihna a ti tlem a ni.

Mahse thinlung natna chauh a ni lo, hei hi a nghawng thei chhan dang tam tak a awm. A awlsam zawngin, thinlung hnathawh tibuaitu eng thil pawh hian hetiang hi a thlen thei a ni.

• Myocarditis: Viral infection ang chi thil avanga heart muscle a inflamed chuan heart hi a contract tha thei lo.
• Heart valve infection (Endocarditis): Heart valve te hi bacteria in a kai chuan a chhiat a, thisen kal pawh a tichhe thin.
• Heartbeat abnormalities (Arrhythmia): Lung hi a na lutuk emaw, a na lutuk emaw chuan thisen a pump tha thei lo.
• Cardiac Tamponade: Thinlung chhehvel sac ang chi hmun chu tui emaw thisen emaw a khat chuan pressure hian thinlung chu a inzawm khawm thei lo va, thisen a pump thei lo.
• Pulmonary Embolism: Thisen zam, ke zung ang maia a inthlak a, lung chhunga thisen kalna kawng lian takah a awm chuan thinlungah pressure nasa tak a siam a ni.
• Heart valve lama harsatna: Heart valve a chhe nghal a, a nih loh leh prosthetic valve a thawk tha lo.
• A rilruah vuakna nasa tak: Accident avanga rilru a vuak hian thinlung a tichhe thei a ni.

Doctor-te hian engtin nge hei hi an hmuh?

Damdawi in i kal chuan doctor chuan zawhna a zawh che leh taksa enfiahna atang hian hei hi a hre hmasa ang.

Taksa enfiah laia thil hmuh tur: 1.1.

• Palpating laiin pulses chak lo tak tak hriat.
• Vun chu khawih pawhin a lum leh clammy ang maia hriat theih.
• Thisen sang hniam tak nei .
• Stethoscope hmanga rilru lam ngaihthlak laiin thinlung ri (murmur) danglam tak hriat.

Tichuan, test eng emaw zat neih a ni a, a natna hmuhchhuah leh a chhan zawn chhuah a ni.

Eng test nge tih thin?

• ECG (Electrocardiogram): Hei hian thinlunga electric hnathawh dan a teh a. Heart attack emaw, heartbeat-a thil danglam emaw a awm leh awm loh a hre nghal thei.
• Echocardiogram (Echo): Hei hi thinlung scan ang a ni. Thinlung hian thisen a pump tha em em tih te, valve-ah harsatna a awm em tih te, heart muscle-ah chhiatna a awm em tih te chiang takin a hmu thei a ni.
• Chest X-ray hmanga lak chhuah:Chest X-ray hmangin lung chhunga tui awm leh awm loh leh thinlung lian tham a awm leh awm loh a enfiah ang.
• Thisen test: Thisen oxygen level, kidney leh liver function, leh cardiac enzyme level te enfiahin thinlungah chhiatna a awm em tih enfiah thin a ni.
• Cardiac Catheterization: Hei hi test buaithlak deuh a ni. I kut emaw ke emawa thisen kalna kawng hmangin tube te tak te chu dahin i thinlung chhungah hruaiin coronary arteries-a blockage awm leh awm loh enfiah a ni. I thinlung chhunga pressure pawh a teh a, a pump that dan a hriat theih bawk.

Engtin nge enkawl a nih?

Hei hi emergency a nih avangin damdawi in Emergency Treatment Unit (ETU) emaw Intensive Care Unit (ICU) emaw-ah enkawl tan a ni. Tum lian pahnih a awm a, chungte chu:

1. Lung hnathawhna puitu.

2. Taksa peng chhiatna tih tlem.

Emergency hmanga enkawl a ni

• Oxygen pek: Taksa mamawh oxygen pe la, ventilator nena inzawm a ngai mai thei.
• Damdawi chi hrang hrang: 1.1.
• Thisen sang tisangtu damdawi (Vasopressors).
• Thinlung pump theihna tipungtu damdawi (Inotropes).
• Diuretics hi taksa atanga tui tam lutuk paih chhuaktu damdawi a ni.
• Heart support devices: Damdawi chauh hmanga control theih a nih loh chuan hun eng emaw chen atan heart support turin device hman a ni. Entirnan, Intra-aortic balloon pump (IABP) an tih hi a ni.

A chhan ang zela enkawl

Damlo dinhmun chu emergency treatment hmanga eng emaw chen a nghet tawh chuan, cardiogenic shock thlentu harsatna bulpui chu enkawl a ni.

• Heart attack vang a nih chuan: Angioplasty tih nghal a ni. Chumi awmzia chu thisen kalna kawng khar chu balloon hmanga hawn a, a inkhar leh tawh loh nan stent dah a ni tihna a ni.
• Valve harsatna a awm chuan: Valve siamthat emaw, valve thar dah emaw nan operation tih a ni.
• Thisen zam chu lungah a awm a nih chuan: Chu thisen zam chu tihthianghlim nan damdawi pek a ni ang.
• Thinlung vel ah tui a awm chuan: Tui chu needle hmangin lakchhuah a ni.

Thil na tak tak thenkhatah chuan thinlung hian hna a thawk thei lo tak tak a nih chuan ECMO (extracorporeal membrane oxygenation) an tih machine an hmang thin. Hei hi taksa pawna thisenah oxygen dah belh a, taksaa thawn kir lehna hmanga tih a ni. Chumi awmzia chu thinlung leh lung hnathawh chu he machine hmang hian hun eng emaw chen a thawk tihna a ni. Lung a lo dam leh loh chuan hun rei tak chhunga hman theih tur LVAD (left ventricular assist device) tih emaw, thinlung thlak thleng pawha kal a ngai mai thei

Recovery leh hmalam panna kawng

Cardiogenic shock hi natna khirh tak a ni. Damchhuah theihna chance chu enkawlna an dawn thuai danah a innghat a ni. Shock-a hun hman rei poh leh taksa peng hrang hrangte chhiatna a tlem zawk.

• Damdawi ina awm: A tlangpuiin, damdawi inah kar khat emaw a aia rei emaw i awm a ngai dawn a ni.
• Dam hun: In lama haw hnua a dam kim theih nan kar engemaw zat atanga thla engemaw zat a ngai thei. Cardiac rehabilitation programme-a tel hian dam lehna kawngah nasa takin a pui thei a ni.
• Nakin hun: Hetiang thil tawn hnu hian taksa leh rilru lama nghawng engemaw zat a awm thei. Chuvangin, doctor-in damdawi a pekte chu a hun taka ei a, ni ruat saah clinic-a kal a, nunphung tihdanglam ngai (meizial zuk bânsan, ei leh in hrisel, exercise lak) tih a pawimawh hle.