I rilru na leh hnungzang na i nei tawh em? I hnungzang natna chu i rilruah a lo thleng ang maiin i hria mai thei. Natna i neih chuan a sir lehlamah lo chhuak ang maia i hriat chuan a hlauhawm deuh thin, a dik em? He natna hi khawi atanga intan nge tih leh eng thil nge a thlen tih hriat a harsa hle. Chuvangin vawiinah hian i rilru leh hnungzang atanga he natna lo chhuak hi han sawi ila.
Engvangin nge ka rilru leh ka hnungzang hi a rualin a na?
Hei hi scientific lama sawifiahna awlsam tak a awm a. Ngaihtuah teh, kan rilru leh hnungzang chhunga nerve te hi an inhnaih hle a. Chuvangin hmun khatah, entirnan, rilruah natna kan neih hian thluak a thlen chuan natna signal te chu a inhmeh lo deuh a, natna thlenna hmunah chauh ni lovin, a kaihhnawih hmun dangah pawh natna kan nei thei a ni. Chumi awmzia chu hnungzang lamah rilru natna a awm thei tihna a ni a, hnungzang natna chu rilruah a awm thei tihna a ni. Doctor te chuan hei hi Referred Pain an ti a .
Hei vang hian doctor i pan dawnin a natna chu eng nge ni tih chiang taka hrethiam turin zawhna tlemte a zawt ang che.
- Natna chu veilam nge dinglam?
- Natna hi hmun khatah a intan a, hmun dangah a darh zel em?
- Hei hi a la kal zel em? A lo kal leh chhuak niin a lang em?
- I thawk, i khuh emaw, i taksa i chet emaw hian a natna a zual em?
- Engtin nge a natna chu a awm? Thil pakhatin a rawn nawr che ang mai a ni em? A hrual em, chemte kah natna ang mai? A nih loh leh dull ache a ni em?
- Hetiang natna hi symptom dang a awm em? (e.g., thawk hah, luak chhuak, thawk harsa) .
Heng zawhnate i chhanna hian doctor tan a chhan dik tak zawn chhuahna kawngah nasa takin a pui ang.
He natna thlentu berte chu engte nge ni?
He natna hi chhan tam tak a awm thei. Ṭhenkhat chu a awm fo va, ṭhenkhat erawh chu a serious zawk a, ngaihven nghal a ngai thung . Doctor-te chuan kan rilru chhunga taksa peng pawimawh ber pahnih: thinlung leh lung .
1. Thinlung kaihhnawih harsatna
Thinlung natna hi rilru kaltlangin hnungzang thlengin a darh thei a ni.
- Angina chuan
Angina hi thinlung natna nena inzawm natna chi khat a ni ber. I heart muscle-in thisen a kal tlem chuan a thleng thin. Damdawi lamah chuan hei hi (Myocardial Ischemia) an ti a. Hei hi natna chi khat a ni.
Pawimawh: Angina natna hi heart attack chhinchhiahna a ni thei . Hengte hi heart attack laia a lan chhuah dan ang chiah kha a ni. Chuvangin, heng symptoms te hi i tawn chuan doctor thurawn zawng nghal rawh.
| Angina natna: a nihna leh a lan chhuah dan | |
|---|---|
| Engtin nge hrehawm a tih |
|
| Natna darh zauna hmunte | I rilru a\angin i hnungzang, i pum, i kawng, i hmui, i kekawrte, leh i kutphah thlengin i kal thei a ni . |
| Symptom dang a awm bawk |
|
- Pericarditis natna (Pericarditis) a ni
Hei hi thinlung chhehvela venhimna (pericardium) infection emaw, a hring emaw avanga natna a ni. A tlangpuiin a intan nghal a, kar engemaw zat a daih thei.
| Pericarditis Natna awm dan | |
|---|---|
| Engtin nge hrehawm a tih |
|
| Symptom dang a awm bawk | Khawsik, khawsik, mut laia thawk harsa, ke ruh hring. |
2. Lung kaihhnawih harsatna
Lung hi kan rilru hnung lamah, ruhro hma lamah a awm a. Chuvangin lung natna hi rilru leh hnungzang ah te pawh hriat theih a ni.
- Chest Infection awm thei te
Pneumonia emaw bronchitis ang chi natna hian lung chhunga lining a ti na thei a ni. He natna hi i khuh emaw, i thawk emaw hian a na zual thei. If you have a cough , infection i neih a rinawm zawk.
- Pulmonary Embolism (PE) a awm thei lo.
- Thâwk harsatna nasa tak rang tak emaw zawi zawiin a pung zel emaw .
- Thâwk chhuah laiin rilru na tak, hliam na tak .
- A chhan hriat lohvin hnungzang, kekawrte, kawr emaw, hmui emaw hmuna na.
- Muscle strains: A rilru emaw, a hnungzang emawa taksa ruh (muscle) chu nasa taka inhnukdawkna.
- Rib fractures: Accident atanga lo awm emaw, khuh na tak atanga lo awm thei a ni.
- Arthritis: Arthritis hi ruhro leh ruh inzawmna hmuna awm a ni.
- Nerve compression: Nerve chu ruhro (spine vertebrae) inkara herniated disc awmin a compress a.
- Fibromyalgia: Natna rei tak, taksa pum puia taksa peng hrang hranga awm thin.
- A na lutuk a , a chhan i hriat loh chuan.
- Accident hnua natna lo awm a nih chuan .
- Natna chu pressure, squeezing, emaw, rit rit takin i rilru a press down ang maia i hriat chuan .
- Natna ruala thawk harsatna a awm chuan.
- Natna chu rilru hahna emaw thawk hah lutuk emaw nen a awm chuan .
- Khawsik leh khuh ruala thisen chhuak a awm chuan .
- Chhung leh hnungzang natna hian chhan hrang hrang a nei thei a, taksa ruh (muscle strain) awlsam tak atanga thinlung natna khirh tak thlengin a awm thei.
- Hei hi a chhan nia ngaiin enkawl turin kal suh. A natna thlentu dik tak zawn chhuah a pawimawh hle.
- I rilru natna, thawk harsa, thawk hah lutuk ang chi symptom i neih chuan emergency a ni thei a, chu chu heart attack emaw Pulmonary Embolism (PE) emaw a ni thei. Chuvangin ETU ah kal nghal rawh.
- I rilru emaw, hnungzang emaw natna chi hrang hrang chungchangah rinhlelhna emaw, ngaihtuahna emaw i neih chuan i chhungkaw doctor hnenah thurawn dil ngei ang che.
Hei hi natna khirh tak a ni a, emergency medical treatment a ngai a ni. Pulmonary Embolism (PE) hi lung chhunga thisen kalna kawng khata thisen zam (blood clot) a lo awm thin a ni. Hei hian nunna a tichhe thei a ni.
PE condition pakhata mizia: 1.1.
Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal tur a ni.
3. Taksa leh ruh lama harsatna nei
Chhung natna zawng zawng hi thinlung atanga lo chhuak vek a ni lo. A châng chuan kan taksa ruh, kan ruh, a nih loh leh kan ruhteah harsatna a awm thei bawk. Chûngte chu nunna atana hlauhawm lo ni mah se, enkawl a ngai a ni.
4. Gallbladder leh upper digestive system lama harsatna nei
Gallbladder hi kan ei leh in lama taksa peng pakhat a ni a, kan pum dinglam sir chunglam a awm a ni. He hmuna natna, a bik takin gallstone atanga natna hi ruh dinglam, kekawr leh hnungzang thlengin a radiate thei a ni. A natna hi a na tlangpui a, natna hrik a awm thei bawk. Pancreatitis ang chi natna hian hetiang natna hi a thlen thei bawk. Hengte hi natna khirh tak tak, damdawi lam pan ngai a ni bawk.
Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?
I rilru leh hnungzang na nen a hnuaia symptom pakhat emaw a aia tam emaw i neih chuan thil dang ngaihtuah lovin damdawi in hnai ber Emergency Department (ETU) pan nghal rawh.
Take-Home Thuchah a ni
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Chest and Back Pain tih hi eng nge ni? Hei hi gastritis a ni em?
Hei hi gastritis (GERD) a ni lo va, in lama awm reng tur thil a ni lo! Radiating pain chu rilru lai tak atanga hnungzang thleng (a hnungzang lai tak/kebeh inkar thleng) hi taksaa taksa peng pawimawh leh thihna thlen thei zinga mi thinlung emaw lung emaw chu tun dinhmunah a ro/puak (nunna atana hlauhawm emergency) siren/warning lian ber leh pawimawh ber a ni!
💬 Tuar theih loh rilru leh hnungzang natna thlentu thihna thlentu lian ber berte chu engte nge ni?
A chhan ber 4 a awm! 1) ‘Heart Attack (Myocardial Infarction)’ - Heart muscle a thih chuan sakeibakneiin a rap ang maiin a rilru a na a, a hnunglam thlengin a kal thin. 2) ‘Aortic Dissection’ - Lung atanga thisen phurtu main tube a mittui tlak chuan, vun hrual ang maiin rilru/ hnungzang ah tuar theih loh (Tearing pain) natna a thlen thin (minute tlemte chhungin thihna a thleng thin). 3) Lung chhunga thisen zam (Pulmonary Embolism). 4) Pancreas inflammation/injury (Acute Pancreatitis) avanga pum na hi hnungzang thlengin a darh thin.
💬 I rilru leh hnungzang natna i neih hian ‘gas’ damdawi ei lova damdawi in emergency department-a tlan nghal ngai ‘nunna atana hlauhawm’ symptoms te chu engte nge ni?
Ni e, gas hian hei hi a thlen thei (mahse, gas a nih leh nih loh chu Pathian chauhin a hria!). Hlauhawm ber chu! Natna rual hian 1) Thawhlelhna / Luak chhuak, 2) Thâwk hah, 3) I kut veilam a natna leh i hmui/kut thlenga natna radiate i neih chuan vawiin hian, tunah ngei hian, tihkhawtlai lohvin ambulance i ko a ngai a, damdawi in emergency department (ER - for an ECG)-ah i kal a ngai a ni!.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. (Darkar khat i tlai chuan i thi thei).
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