I taksa chhunga engine awm chu i thinlung a ni. Non-stop a hnathawh avangin min nung reng a ni. Mahse, han ngaihtuah teh, he engine, thinlung ruh hi a chak lo tan a, a lo thang lian tan a, a lo thim tan a nih chuan eng nge thleng ang? Chu chu cardiomyopathy kan tih mai chu a ni. Hei hi hriat chian a pawimawh hle.
Cardiomyopathy hi eng nge ni tak tak?
A awlsam zawngin sawi ila, cardiomyopathy hi i thinlung ruh (myocardium) tichhe thei natna a ni. Hei hi i thinlunga ruh (muscle) a chak loh hun a ni. Rubber band a elastic lutuk a, a inzawm tawh loh ang bawkin i thinlunga ruh chu a inzawm tha thei tawh lo va, thisen a pump thei tawh lo.
Hei hian thinlung ruh a ti thim thei a , a ti lian thei a , a ti nghet thei bawk . A chang chuan thinlungah pawh scar tissue a lo awm thei bawk. A chhan chu eng pawh ni se, a tawpah chuan thinlung hian taksa peng dang zawng zawngah thisen a pump tling thei tawh lo. Hun a kal zel a, he natna hi a nasat phah thei a, thinlung chak lohna pawh a thlen thei a ni . Mahse, lungngai suh, hei hi enkawl dan tha tak tak a awm.
Cardiomyopathy chi hrang hrangte chu engte nge ni?
He natna hi chi hrang hrang lian tak tak a awm a. Mi tin hian thinlung hi a danglam deuh hlek a ni. A chi hrang hrang hi han thlir ila.
| Natna chi hrang hrang | A awlsam zawngin, eng nge thleng? |
|---|---|
| Dilated Cardiomyopathy a awm bawk | Thinlung thisen pump chhuahna hmunpui ber (left ventricle) chu a lian a, a bang te chu a hring a, a chak lo bawk. |
| Hypertrophic Cardiomyopathy natna a ni | Lung ruh chu a pangngai lo takin a thim a, chu chuan thinlung tan thisen a khat a harsa hle. |
| Restrictive Cardiomyopathy natna a ni | Heart muscle chu a nghet lo va, a elasticity a hloh ta a ni. Hei hian heart chamber-te chu thisenin a khat a harsa hle. |
| Arrhythmogenic Cardiomyopathy a awm a, a rilru a hah hle | Heart muscle hi thau leh scar tissue in a thlak a. Hei hian thinlung electrical signal a nghawng thei a, heartbeat rhythm a tibuai thei bawk. |
| A chi dang | Tin, zu in tam lutuk, chemotherapy, naupai, leh stress level sang (broken heart syndrome) te ang chi hrang hrang a awm bawk. |
He natna lan chhuah dan engte nge ni?
Mi thenkhat chuan a tir lamah chuan symptom an nei lo a, mahse natna a zual zel chuan symptoms a lo lang tan thin. Heng symptoms te hi i nei em tih en rawh.
- Thâwk hahna: Thâwk harsa, a bîk takin hna êng tak thawh lai te, kea kal lai te, stairs lawn lai te.
- Ke, ke ruh leh ke a hring (Edema): Taksa chhunga tui awmkhawm avanga ke a hring.
- Chauhna: Engmah ti lo pawh ni se, chau leh muthilh reng anga inhriatna.
- Arrhythmia: Thinlung chu a na nghal zual sauh sauh tih hriatna, a bengchheng lutuk ang maia hriatna, a nih loh leh a thawk lai a skip ang maia hriatna.
- Dizziness or Fainting: Faint emaw, hriatna hloh emaw, ding chhuak nghal ang maia inhriatna.
- Chest pain: A bik takin exercise i tih laiin i rilruah pressure a awm tih hriatna a awm.
A pawimawh ber chu, heng symptoms pakhat emaw a aia tam emaw i neih chuan cardiomyopathy a ni tih ngaihtuah suh. Mahse, ngaihthah pawh a tha lo. A tha ber chu a rang thei ang bera doctor pan a, thurawn lak hi a ni.
Eng thilin nge hetiang hi a thlen a, eng thil nge a hlauhawmna?
He natna thlentu pakhat chiah hi hriat chian a harsa hle. A châng chuan, a chhan chu hmuh chhuah a ni lo thei bawk. Mahse, a chhan lian ber leh a hlauhawmna engemaw zat a awm.
A chhan ber
- Genetic factors: I nu, i pa emaw, i chhungte hnai tak emaw chuan he natna hi a vei tawh a nih chuan nang pawhin i vei theihna chance engemaw chen i nei a ni.
- Coronary artery disease: Thinlung a thisen petu thisen kalna kawng (arteries) a inkharkhip chuan thinlung ruh (heart muscle) a tichhe thei a ni.
- Thisen sang: Hun rei tak chhunga thunun theih loh thisen sang hian thinlungah harsatna a siam belh thei a, thinlung ruh a ti thim thei bawk.
- Thinlung nghawng thei natna: Viral emaw bacteria emaw infection thenkhat chuan thinlung ruh a ti na thei a.
- Damdawi lam thil dang: Hei hi damdawi lam natna, zunthlum, thyroid natna, amyloidosis, leh sarcoidosis te vang pawh a ni thei.
Risk tipungtu thilte
- Zu in tam lutuk: Hun rei tak chhunga zu in tam lutuk hian thinlung ruh (heart muscle) a tichhe nghal vek a ni.
- Ruihhlo hman: Cocaine ang chi ruihhlo hman.
- Cancer enkawl dan: Cancer dona damdawi thenkhat (Chemotherapy) leh radiation therapy te hian thinlung a nghawng thei a ni.
- Obesity: Taksa rih zawng control a pawimawh hle.
- Naupai: A tlem hle a, he natna hi naupai hun tawp lam emaw, nau neih hnuah emaw a awm thei.
Engtin nge doctor hian he natna hi a hriat chian tak tak?
Doctor i pan hunah i medical history leh i chhungte chanchin a zawt hmasa ang che. Tichuan a enfiah ang che. He natna hi a rinhlelh chuan cardiologist hnenah a refer ang che a, test dang tih belh turin a ti ang che.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| ECG (Electrocardiogram) hmanga tih a ni. | Thinlung electrical activity chu record a ni. Heartbeat rhythm-a thil dik lo awmte chu hriat theih a ni. |
| Echocardiogram hmanga tih a ni | Hei hi thinlung scan a ni. Thinlung lian leh te, a bang thuk zia leh thisen a pump dan te chu chiang takin a lang thei a ni. |
| Chest X-ray neih a ni | Thinlung a lian em tih emaw, lungah tui a awm khawm em tih emaw i enfiah thei ang. |
| Exercise stress test neih a ni | ECG hi treadmill-a i kal laiin lak a ni a, i rilru hah laia i thinlung hnathawh dan en a ni. |
| Cardiac MRI emaw CT scan emaw hmanga tih theih a ni | Chûngte chuan thinlung insiam dân leh hnathawh dân chungchânga thu thuk zâwk, chipchiar zâwk hmuh theih nân a ṭanpui a ni. |
| Cardiac catheter hmanga tih a ni | Tube te tak te chu kut emaw ke emaw vein hmangin an thun a, thinlunga pressure an teh a, a tul chuan heart muscle te tak te te chu enfiah (biopsy) turin an la thin. |
Hei hi eng enkawlna nge ni?
Cardiomyopathy hi a dam kim thei lo. Mahse, enkawlna hian symptoms control nan a pui thei a, natna zual zel tur chu a titawp thei a, a tikhawtlai thei bawk a, nun tha zawk i nei thei bawk. I doctor chuan i dinhmun a zirin i enkawl dan tur a rel ang.
1. Nunphung thlak danglam
Hei hi a pawimawh ber leh tih hmasak ber a ni.
- Chi leh thau tlem ei leh in: Chi tihtlem hian tui awm zat leh thisen sang control nan a pui thei a ni.
- Zu leh zu in pumpelh: Heng pahnih hi thinlung tan a tha lo hle.
- Exercise dik: I doctor hnenah eng exercise nge i tana tha ber tih zawt rawh.
- Stress tihziaawmna: Yoga leh meditation ang chi thilte hian a pui thei a ni.
- Rihna hrisel tak vawn reng.
2. Damdawi chi hrang hrang
I natna lan chhuah dan leh thinlung hnathawh dan azirin damdawi chi hrang hrang pek theih a ni.
- Thisen sang tihhniamna damdawi.
- Heart rate control thei damdawi.
- Diuretics hi taksa atanga tui tam lutuk paih chhuaktu damdawi a ni.
- Anticoagulants a awm bawk.
- Cholesterol tihhniamna damdawi.
3. Surgery leh hmanrua te
Natna hi a nasat em em a, damdawi chauh hmanga thunun harsa a nih chuan heng damdawi chi hrang hrangte hi i hmang thei a ni.
- Pacemaker: Thil te tak te, rilru vun hnuaia dah, thinlung a na lutuk a nih chuan a rhythm tihreh nan.
- ICD (Cardioverter-Defibrillator dah theih) tih hi a awm a:Nunna atana hlauhawm thinlung thawk mumal lo hriat theihna hmanrua, thinlunga electric shock pe chhuakin, chu chu siam\hat theih a ni.
- Septal myectomy: Lung ruh thim tawh thenkhat surgery hmanga lakchhuah.
- Heart transplant: Enkawlna dang zawng zawng a hlawhchham chuan a tawp ber anga ngaih a ni.
Engtikah nge emergency medical advice i lak ang?
Cardiomyopathy i neih chuan doctor pan fo a, a thupek zawm a pawimawh. Mahse, a hnuaia symptoms te hi i tawn thut chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.
- I rilru natna nasa tak i neih chuan.
- Thâwk harsa i neih thut chuan.
- I hriatna i hloh thut (fainting) a nih chuan.
- Thinlung chu a thawk rang hle emaw, a thawk mumal lo emaw a nih chuan.
Take-Home Thuchah a ni
- Cardiomyopathy hi natna khirh tak a ni a, heart muscle a tichak lo hle. Mahse, lungngai suh, tha taka enkawl theih a ni.
- Thâwk harsa, ke hring, leh hah reng ang chi symptoms te chu ngaihthah suh. Doctor hmu nghal rawh.
- I chhungte zingah he natna hi nei tawh emaw, rilru lam thil thleng nghal emaw an awm a nih chuan i doctor hnenah hriattir tur a ni.
- Doctor-in a hun taka a pek damdawi ei leh nunphung tihdanglam (ei leh in, exercise) hi i hmalam hun hriselna atan a pawimawh hle.
- Enkawlna leh enkawl dan mumal tak a awm chuan he natna vei tam tak hian nun pangngai, hahdam takin an khawsa thei a ni.
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