CKM Syndrome hi eng nge ni? I thinlung, i kal leh i sugar level te hi i fimkhur ang u!

Engvangin nge zunthlum, thisen sang, leh cholesterol te hi a lo awm chhunzawm zel a, pakhat a dam chuan a dang a lo chhuak tih i ngaihtuah fo thin em? Dik tak chuan heng natna thenkhat hi an inzawm tlat a ni. Vawiin hian hetiang inzawmna nei, kan taksa peng lian engemaw zat nghawng thei, tun hnaia doctor-te’n an hmuhchhuah tawh dinhmun kan sawi dawn a ni. Hei hi CKM Syndrome an ti a. Lungngai suh, hei hi awlsam takin i hrethiam ang u.

CKM Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, CKM syndrome hi kan taksa peng lian engemaw zat, thinlung, kal, thluak leh thin (liver) te a nghawng thei tih hmuhchhuah thar a ni. Hei hi a buaithlak deuhin a lang thei a, mahse pakhat zel kan sawiho hian i hrethiam ang. Hetiang dinhmun hi damdawi lam dinhmun lian pali leh an inzawmna atanga lo awm a ni.

Letter pathum CKM hi a awmzia chu:

• C - Cardiovascular: Hei hian thinlung leh thisen kalna kawng nena inzawm thil a kawk a ni .
• K - Kidney: Hei hi kal a ni .
• M - Metabolic: Hei hi metabolic process tihna a ni. A awlsam zawngin sawi ila, metabolism chu kan ei leh in atanga chakna kan siam chhuah dan a ni.

Chuvangin, CKM syndrome thlentu damdawi lam thil pawimawh pali chu:

1. Cardiovascular disease: Hei hian thinlung leh thisen kalna kawng natna a kawk a ni.

2. Kal natna: Kal hnathawh that lohna.

3. Type 2 diabetes: Sugar hi natna a ni tih kan hre vek.

4. Thau lutuk: Taksa chhunga thau tul lo taka khawlkhawm, a awlsam zawnga sawi chuan a lian lutuk.

A pawimawh ber chu heng natna palite hi a inzawm tlat a ni. Pakhat i neih chuan a dang i vei chak zawk a, a nih loh leh natna awmsa chu a na zual thei bawk. Ṭhiante kut inthlak ang maiin ngaihtuah la, a chang chuan he ṭhian nihna hi kan taksa tan a tha lo.

Vawi tam tak chu mi pakhatin a rualin heng natna zinga pakhat aia tam a vei thei a ni. Hei hi thil mak a ni lo. A chhan chu heng zawng zawng hi kan thisen nen a inzawm tlat a ni. Ei leh in kan ei hian, chuta tang chuan ei leh in leh chakna chu thisen kaltlangin kan taksa pum puia cell-ah a kal a. He thisen hi thinlung leh thisen kalna kawngte hian taksa pum puiah an phur a. Thisen chhunga bawlhhlawh awmte chu kal (kidney) hian a filter thin. Chuvangin, kan hriselna atan hian heng system zawng zawng hian hna a thawk tha vek hi a pawimawh hle.

Heng natna pakhat aia tam neih hian CKM syndrome vei tan natna dang vei theihna a tipung a ni.

He CKM syndrome hi engtiang chiahin nge a awm?

Hei hi natna hmuhchhuah thar a nih avangin natna hlui zawkte angin data tam tak a la awm lo. Mahse, United States-a puitling pathum zinga pakhat (3 zinga 1) vel chuan CKM syndrome vei theihna tur risk factor pathum tal an nei a ni.Hei hi kan ngaihtuah aiin a tam zawk mai thei tih hmuhchhuah a ni. Sri Lanka-ah hian hetiang dinhmun hi a pung zel a, hei hi kan hriat chian a pawimawh hle.

Hei hi eng symptoms nge ni?

CKM syndrome chhinchhiahna hi a hmaa kan sawi tawh natna pali (thinlung natna, kal natna, zunthlum, leh thau lutuk) avanga lo awm tawh nen a inang vek a ni. Chung zinga ṭhenkhat chu:

• Chest na emaw tightness emaw a awm.
• Thâwk harsa , thawhrimna tlem pawh ni se, thawk hah ang maiin a lang.
• Thil hriatna hloh nghal (`Syncope`).
• Ke, ke ruh, kut emaw, ke emaw a hring chhuak.
• Kal laiin ke a na .
• Constantly feeling extremely tired , engmah ti thei lo.
• Chaw ei chakna hloh emaw, a chang chuan ei duhna a pung emaw.
• A tlangpui aia zun tam a ngai.
• Vun a vawt.
• Hriselna leh mutthilh theih lohna.
• Gout ang chi dinhmun te .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

Engvangin nge he CKM syndrome hi a lo awm? A chhante chu engte nge ni?

CKM syndrome awm chhan ber chu taksaa thau tissue (adipose tissue) awmkhawm vang emaw, he thau tissue hnathawh dan dik lo vang emaw a ni. Kan taksain thau a khawlkhawm tam lutuk hian chu thau layer atang chuan thil thenkhat a chhuak thin tih han ngaihtuah teh. Heng thilte hian kan thinlung, kal leh thisen kalna tissue-ah inflammation , chu chu hliam ang chi a thlen a ni.

He inflammation hian:

• Kan taksaa sugar control tu hormone insulin hian hna a thawk tha tawh lo.
• Plaque ang chi thilte chu thisen kalna kawngah a lo awm khawm thei a, thisen kal dan a tikhawlo thei a ni.
• Kidney chhiatna hlauhawmna a sang hle.

A awlsam zawngin, he than lutuk leh taksa chhunga inflammation lo awm hi CKM syndrome tichhuaktu a ni.

CKM syndrome vei theihna tur risk factors te chu engte nge ni?

Mi thenkhat chu hetiang dinhmun hi an vei tam zawk an awm. A nghawng thei risk factor thenkhat chu hetiang hi a ni:

• Obesity: Thau lutuk tihna a ni.
• A bik takin kawr vel a thau tam lutuk (belly kan ti).
• Cholesterol level sang tak a ni .
• Thisen sang (thisen sang tihsan ).
• Kidney natna nei tawh .
• Zunthlum vei te .
• Metabolic syndrome neih (hei pawh hi a kaihhnawih symptoms khawlkhawm a ni a, CKM ang chi).

Heng thilte hi i neih chuan CKM syndrome hriat chian a pawimawh.

Hetiang dinhmun avanga harsatna awm thei te chu engte nge ni?

CKM syndrome hi uluk taka enkawl a nih loh chuan harsatna lian tak tak a awm thei a ni. Chung zingah chuan:

• Heart failure: Thinlung hian thisen a pump tha thei lo.
• Heartbeat irregularities (Arrhythmias): Thinlung thawk mumal lo.
• Lung natna .
• Thluak natna stroke ang chi te .

Hengte hi hlauhawm tak angin a lang thei a, mahse hre reng ang che, he natna hi a hmaa hmuhchhuah a nih a, uluk taka enkawl a nih chuan heng natna khirh tak takte hi ven theih a ni.

Engtin nge CKM syndrome hi hmuhchhuah a nih? (Diagnosis) tih a ni.

Doctor-te chuan CKM syndrome an hriat theih nan test eng emaw zat an hmang a. Chung zingah chuan:

• I thisen sang enfiah rawh.
• Lipid panel test (hei hi cholesterol leh triglycerides ang chi thil check tu a ni).
• Thisen sugar level enfiah.
• Kidney hnathawh dan enfiah (thisen urea leh serum creatinine ang chi test).
• Coronary artery calcium (hei hi test bik a ni).
• I body mass index (BMI) tehna (hei hian i san zawng atan i taksa rihna hrisel takah i awm leh awm loh a enfiah thin).

Naupangte chu an naupan lai atanga heng natna te hi screening neih hian CKM syndrome laka invenna atana hma lak hmasak a pui thin.

Heng test result te hi CKM syndrome i neih leh neih loh hriat theihna tur a ni. Chumi hnuah chuan a natna chu a nasat dan azirin stage hrang hrangah then a ni. Stage 0 atanga 4. Stage 4 hi thinlung natna vei theihna sang ber stage a ni.

CKM syndrome natna stage hrang hrang

He dinhmun hi stage hrang hrangah then a ni. A hnuaia mite hi an ni.

• Stage 0: Risk factors i nei lo. Hrisel!
• Stage 1: I taksaah thau tam lutuk i dahkhawm a, a bik takin i pum chhungah thau tam lutuk i dahkhawm a. Hei hian i thau lutuk tihna a ni.
• Stage 2: Type 2 diabetes, triglycerides sang, thisen sang, kal natna i nei a.
• Stage 3: Lung natna hmasa ber (mahse a lan chhuah loh) emaw, thinlung natna vei theihna i nei sang hle.
• Stage 4: Lung natna (symptomatic heart disease) i nei a, taksa thau tam lutuk i nei a, metabolic disease vei theihna tur risk factors i nei bawk. Kidney failure i nei thei a, i nei lo thei bawk.

A tha ber chu, .I nunphung i thlak danglam a, nunphung hrisel i neih chuan i dinhmun a\angin i kal pelh thei a, chu chu i \ha thei tihna a ni.

CKM syndrome hi engtin nge enkawl a nih? (Tihdamna)

CKM syndrome enkawl dan hi i medical condition hnuaia awm dan azirin a inang lo. Doctor-te chuan i duh angin enkawlna ruahmanna an siam ang. CKM syndrome hian taksa peng hrang hrang a nghawng avangin, specialist tam tak input hmanga enkawlna ruahmanna chu a hlawk ber.

• A tir lamah: I nunphung tihdanglamna tlemte chauh i mamawh mai thei, chu chu nitin exercise lak leh ei leh in inthlau tak ei te hi a ni.
• Middle stage: I thisen sang, cholesterol leh thisen sugar level control nan damdawi i ei a ngai mai thei. Mi thau lutuk te pawh ei duhna tihtawp nan damdawi pek an ni thei bawk. Hun a kal zel a, i doctor chuan heng damdawi te hi a dose hi a thlak danglam thei a ni.
• Stage na zawkah (Advanced stages): Enkawlna i mamawh mai thei:
• Thisen kalna kawngkhar block tawhte chu a inhawng reng theih nan stent dah a ni.
• Lung lam nena inzawm enkawlna bik, cardioversion emaw ablation emaw ang chi .
• Open heart surgery emaw heart surgery emaw chu incision tenau hmanga tih a ni.
• Kidney dialysis tih a ni .
• A taksa rihna tihtlem dan tur (Bariatric surgery) .

Enkawlna hian harsatna emaw, side effect emaw a nei em?

• Nunphung thlak danglam: Hengte hian side effect engmah a thlen lo va, chuvangin hengte hi a tha ber leh him ber a ni.
• Damdawi: Damdawi tam tak hian side effect a nei thei. Heng side effects te hi i neih chuan doctor nen inbia ang che.
• Surgery leh dialysis: Heng tih dan hian natna kai leh thisen zam a thlen theihna a keng tel a ni. I doctor hnenah i enkawlna tur leh harsatna awm thei te zawt rawh.

Heng enkawlna atanga dam leh tur hian eng chen nge a mamawh?

Surgery emaw, enkawlna bik dang emaw i neih chuan, i dam leh theih nan kar khat emaw, kar engemaw zat emaw a la ngai thei. Surgery neih danah te, damdawi lam harsatna dang i neih danah te, leh thil dang tlemteah a innghat a ni.

CKM syndrome ka neih chuan eng nge ka beisei ang?

CKM syndrome i neih chuan a kaihhnawih natna bik (specific conditions) symptoms i nei thei a ni. Mahse, condition pakhat aia tam neih hian i healthcare a ti buai zual thei a ni. Hei hian doctor tam tak hmuh leh damdawi tam tak ei tihna a ni.

Damdawi lam zirchiangtute chuan nakin lawkah CKM syndrome vei zawng zawngin hmun khatah enkawlna an dawng thei ang tih an beisei a, chu chu ruahmanna inang chiah a ni. Organ system tinte chu a hrana enkawl ai chuan .I taksa pum pui hi ngaihtuah chungin i enkawl thei a ni. Doctor tam tak i hmuh chuan a chang chuan thurawn inthlau tak tak i dawng thei bawk. Chutiang a nih chuan sawi chhuah hlau suh la, kaihhruaina chiang tak dil rawh.

CKM syndrome vei tan chuan eng nge a hmalam hun?

CKM syndrome vei i hmalam hun chu nang leh i medical team te hian heng natna te hi in enkawl dun danah a innghat ang. I doctor-in a rawt enkawlna zawm hian i CKM syndrome kalphung thlak danglam theihna thiltihtheihna i nei a ni. Chuvangin beiseina bansan suh.

CKM syndrome hi ven theih a ni em? (Invenna) 1.1.

Ni e, mi thenkhat chuan nun hrisel zawmin CKM syndrome hi an veng thei vek a ni. Mi dangte tan chuan nunphung hrisel chuan natna zual zel tur chu a tikhawtlai thei a ni. I chhungkuaa mi pakhatin he natna (family history) hi a neih chuan doctor chuan CKM syndrome vei theihna tur risk factors te chu a hriat theih nan a pui thei che a ni. Tichuan, chutiang hlauhawmna tihtlem leh hrisel taka awm theihna tur ruahmanna i siam thei ang.

Engtin nge ka risk hi ka tihtlem theih ang?

CKM syndrome vei theihna tur thil tam tak a awm a. Entir nan:

• Hrisel taka ei: Thei, thlai, greens, fiber tamna ei tur (whole grains, brown rice ang chi), leh sangha thau lo ei tam rawh. Sugary, oil foods, leh fast foods te chu a theih ang anga tihtlem thin ang che.
• Mut tam: Ni khatah darkar 7-8 tal mut thin ang che.
• Zuk leh hmuam ei loh: Cigarette leh bidis ang chi thil hman kha bansan vek rawh.
• I thisen sang, thisen sugar level leh cholesterol level control: Hengte hi doctor hnenah enfiah fo la, a tul angin damdawi ei rawh.
• Taksa tihchak dan pangngaiah tel ve rawh: Ni khatah minute 30 tal exercise la, kea kal, tlan, a nih loh leh cycle khalh ang chi.
• I tana taksa rihna hrisel tak vawn reng: I san zawng nena inmil rihna vawng reng tum ang che.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

CKM syndrome i nei a nih chuan a pawimawh ber chu mahni inenkawl hi a ni. Chûng thilte chuan a ṭanpui thei a ni:

• Ei leh in tha tak ei rawh: A hmaa kan sawi tawh ang khan ei leh in tha tak tak nei rawh.
• Taksa tihchakna: Doctor-in a tih angin exercise la.
• Zunthlum i vei a nih chuan i thisen sugar level enfiah fo thin ang che.
• Home monitor i neih chuan i thisen sang enfiah fo thin ang che.
• I damdawi lam dinhmun atana i doctor-in a pek tur damdawi chu dik tak leh a hun takah ei thin ang che.

Engtikah nge Doctor ka hmuh ang?

CKM syndrome enkawl nan, .A hun taka doctor pan a pawimawh. Hei hian i doctor chuan i risk factors leh symptoms te chu a enfiah thei ang. Tin, i damdawi lam dinhmun i enkawl em tih leh i damdawi i ei tha em tih an enfiah thei bawk ang. Harsatna thar a lo awm a nih chuan a nasat hmain man a, enkawl theih a ni.

Engtik laiin nge Emergency Department (ETU) ah ka kal ang ?

CKM syndrome avanga nunna atana hlauhawm harsatna i neih chuan 911 emaw i awmna hmuna emergency number emaw ah call nghal rawh. Chung zingah chuan:

• Lung natna lan chhuah dan: (ril na na tak, thawk harsa, luak, thawk hah).
• Paralysis symptoms: (hmai, kut emaw ke emaw a hnathawh a hloh nghal, tawng harsa, mit a fiah lo).
• Hyperosmolar Hyperglycemic State (HHS): (Hei hi zunthlum vei te tan chuan natna khirh tak a ni a, thisen sugar level a sang hle a, tui tlakchhamna leh hriatna hloh a thlen thin).

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor nen in inhmuh hunah hetiang zawhna hi i zawt thei ang:

• "CKM syndrome laka invenna tur emaw, ka stage neih dan thlak danglam emaw tur hian eng nge ka tih theih pawimawh ber?"
• "CKM syndrome vei theihna tur damdawi ka ei tur em ni?"
• "Ka hriselna atana ka thil tum ka thlen theihna tur hian eng chen nge test ka neih ang?"
• "Ka chhungte hian heng ka dinhmun hi test an mamawh em?"

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

CKM syndrome hi natna khirh tak a ni a, taksa peng hrang hrang a nghawng a ni. Mahse, a kaihhnawih natna hrang hrangte enkawlna tur hian enkawlna tam tak a awm a. I tih theih tha ber chu i tana enkawlna awmte chu a tha thei ang bera hmang la, i hriselna chu a tha thei ang bera vawng reng tum hi a ni.

Doctor-te chuan mi ṭhenkhat chuan chaw ṭha tak tak hmuh an harsat hle tih an hria a, damdawi lei nan sum an seng nasa hle a, exercise lak pawh an harsat hle tih an hria a. Chumi kawngah chuan tanpuina i mamawh a nih chuan i doctor zawt hreh suh. Ani chuan ṭanpui thei program-ah a refer thei che a ni. Nang pawhin nun hrisel tak nei turin dikna zawng zawng i nei a ni.

` CKM syndrome, thinlung natna, kal natna, zunthlum, thau lutuk, metabolic syndrome, hriselna