Coronary angiogram tih hi i hlau em? A chipchiar zawkin i zawng chhuak ang u!

A châng chuan i rilru a na, thawk hah, a nih loh leh i kal laiin i rit tih i nei em? Doctor i hmuh chuan i thinlung (coronary arteries kan tih) thisen petu thisen kalna kawng (arteries)-ah blockage a awm leh awm loh enfiah turin special test i neih a ngai tih a hrilh mai thei che a ni. Chutiang huna test pawimawh ber pakhat chu ‘coronary angiogram’ hi a ni. Mi thenkhat chuan he hming an hriat hian an hlauthawng deuh a, an hlauthawng deuh bawk. "Aw, hei hi operation lian tak a ni em?", "A na lutuk dawn em ni?" "Risk a awm em?" Zawhna tam tak rilruah a lo lang thin. Chuvangin, he thuziak ah hian he angiogram test hi eng nge a nih chiang takin kan sawi dawn a, engtin nge a tih tih te, a inbuatsaih dan tur te, leh a chungchanga i hriat tur zawng zawng te kan sawi dawn a ni.

Coronary angiogram hi eng nge ni tak tak?

A awlsam zawngin sawi ila, coronary angiogram hi X-ray test bik a ni a, chu chuan i thinlunga thisen kalna kawng lian ber ber, i thinlung ruh (heart muscle)-a thisen kalna kawng lian ber berte atanga thisen a kal that dan enfiahna a ni. Khawpui kawngpuiah lirthei tlan dan enfiahin, a khar emaw, a inkhar emaw, a tawi emaw a awm leh awm loh enfiah ang bawkin, i thinlung thisen kalna kawng khar emaw, a tawi emaw a awm leh awm loh a enfiah thin.

He test neih chhung hian thisen kalna kawngah hian dye bik, a nih loh leh pigment bik an inject a, X-ray image hrang hrang an la thin. He dye hian thisen kalna kawng chhung lam chu X-ray-ah chiang takin a hmu thei a ni. Pindan thim takah flashlight eng chhuak a, kawngpui hmuh ang mai a ni. Hei hian doctor chuan i thisen kalna kawng ( atherosclerosis )-ah cholesterol a pungkhawm a, chu chuan thisen kalna a ti tawi emaw, a tikhawlo emaw a nih leh nih loh a en thei a ni. Hetiang blockage hi a hnu lama heart attack thlentu ber a ni.

Eng dinhmunah nge doctor chuan he test hi tihsak che a tih ang?

A hnuaia chhan pakhat emaw a aia tam emaw i neih chuan i doctor chuan he test hi a rawt mai thei. Eng nge an nih i han thlir teh ang.

Doctor chuan he test nei tura an tih chhan hi a hrilhfiah ang che. Chumi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan zawt nghal rawh.

Test hmain engtin nge i inbuatsaih ang?

Hei hi surgery angin lian lo mah se, inbuatsaihna tlem a ngai a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che. Hengte hi tih tura tih i nih tlangpui chu a ni:

• Ei leh in: Test hma darkar 8 vel tui tih loh chu ei leh in lo turin an ti ang che.
• Damdawi: Damdawi eng emaw zat, anticoagulant, zunthlum damdawi, diuretics, emaw sildenafil emaw i ei a nih chuan i doctor chuan i ei tawh loh emaw, test hma ni engemaw zat chhunga a dose siam danglam emaw a ngai tih a zawt ang che. Damdawi i ei zawng zawng hi doctor hnenah hriattir a pawimawh.
• Allergy: Contrast dye emaw anesthetic damdawi chi khat allergy i neih tawh chuan i doctor hnenah hrilh ngei ang che.
• Naupai: Naupai emaw, naupai tum emaw i nih chuan doctor hnenah pawh i hrilh tur a ni.
• Transportation: Test zawh ni vek hian lirthei khalh phal a ni lovang. Chuvang chuan chumi ni chuan i haw dawn a nih chuan mi pakhatin a khalh tur che tur ruahmanna siam a pawimawh.

Angiogram tih lai hian eng nge thleng?

Hei hi mi zawng zawngin zawhna lian ber a ni. "A chhungah eng thil nge thleng?" Ngaihtuah teh, hei hi thil ruahman fel tak leh uluk taka tih a ni. Step khat hnu step khatin eng nge thleng tih i lo en ang u.

1. Inbuatsaihna: A hmasa berin hospital gown pek i ni ang a, exam room-a khum bikah mu turin an ti ang che.

2. Sedation: Tichuan i kut vein pakhatah IV tube (cannula) dah a ni a, chuta tang chuan sedative pek a ni. Hei hian i rilru a hahdam ang a, i hlauhthawnna leh i lungkhamna chu a la bo ang. Mahse i hriatna i hloh lovang, Doctor-te thusawi ngaithla thei khawpa hriatna i nei ang a, an hrilh che chuan tlemin i khuh ang a, i thaw pawh i vawng tlat ang.

3. Heart monitoring: I rilruah ECG stickers dahin i heart rate chu test chhung zawngin enfiah a ni.

4. Numbness: A dawtah chuan doctor chuan i groin emaw wrist-a thisen kalna kawng khatah tube te tak te dah a thlang ang. Local anesthetic hmangin a hmun chu numbed a ni ang. Chuvang chuan engmah hrehawm i nei lovang. Mahse, doctor hnathawh lai hian tingling sensation tlem i nei thei.

5. Catheter dah: Anesthesia hnuah thisen kalna kawng thlan hmangin tube te tak te, flexible tak, catheter an tih chu dah a ni.

6. Lung lam panna kawng: Chumi hnuah chuan cardiologist chuan X-ray screen a en a, uluk takin he catheter hi i thisen kalna kaltlangin i thinlung chhunga coronary arteries thlengin a kaihruai thin.

7. X-ray leh dye: Catheter chu a hmunah a awm tawh chuan catheter kaltlangin vein chhungah dye bik an inject thin. Dye i inject hian second engemaw zat chhung chu a lum deuh emaw, a kang deuh emaw a ni thei. Hei hi thil pangngai a ni a, alarm tur a ni lo. Dye chu vein kal tlanga a kal chuan X-ray machine ( fluoroscopy an tih) chu i chhehvelah a rawn inher ang a, thlalak a la ang.

8. Blockages hriatchhuah: Dye hian X-ray-ah thisen kalna kawng chhungril chu chiang taka a hmuh theih avangin doctor chuan cholesterol leh thau ang chi thil avanga thisen kalna kawng a tikhawlo emaw, a zim emaw, thisen kal a tikhawlo em tih chiang takin a hmu thei a ni.

A tlangpuiin he thil tih zawng zawng hi minute 30 leh 50 inkar a ni thei.

Test neih chhung hian enkawlna ka dawng thei ang em?

Awle. A châng chuan doctor-in blockage a hmuh chuan a enkawl nghal thei a ni. Balloon chu blockage-ah thawn a, inflated a, artery zau zawk ( angioplasty ) a ni. Tichuan, chu hmunah chuan mesh ang chi hmanrua te tak te ( stent ) dah a ni a, chu chu thisen kalna kawng chu a zim leh tawh loh nan a ni. Mahse hei hi tih a ni ngai lo. A châng chuan, doctor chuan a hnua enkawlna dang tih leh chu a ṭha zâwk tih a rel mai thei.

Test zawhah eng nge thleng?

Test zawh hunah doctor chuan catheter chu a la chhuak ang. Tichuan thisen chhuah tihtawp nan catheter dahna hmunah pressure leh bandage an vuah ang. Mi tam zawk chu test atanga darkar tlemte chhungin an haw thei a, ni khatah pawh an haw thei. Mahse, test hi a buaithlak emaw, chhun lama tih a nih chuan chumi zan chuan damdawi inah i awm a ngai mai thei.

In i haw hnuah pawh i chau deuh mai thei. Catheter dahna hmun chu a na deuh thei a, kar khat vel chu a hliam thei bawk. I doctor chuan ni hnih atanga ni thum chhung chu chawlh hahdam tur leh hnathawh hahthlak tak tak lo turin a fuih ang che.

Hemi kawngah hian hlauhawmna a awm thei ang em?

Damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm. Mahse, harsatna lian tak tak hi a tlem hle tih hre reng ang che. A bik takin he test hi doctor tawnhriat ngah tak tak, he test hi ti fo thin damdawi ina tih a nih chuan.

Tute nge risk tlem a sang zawk thei?

• Kum 65 chunglam tan
• Zunthlum vei tan
• Kal natna nei tan

Heng hlauhawmna chungchangah hian zawhna i neih chuan test hmain i doctor nen inbia la, hriattirna tha tak nei rawh.

Engtin nge test result ka hriat theih ang?

A tam zawkah chuan i doctor chuan test zawh veleh result a hrilh nghal mai ang che.

• Normal Result: Hei hian i coronary arteries-ah blockage a awm lo tihna a ni a, thisen kal pawh a tha tihna a ni. Chutiang a nih chuan i natna lan chhuah chhan chu thil dang a ni thei.
• Abnormal Result: Hei hian vein pakhat emaw a aia tam emaw ah blockage emaw narrowing emaw a awm tihna a ni. Doctor chuan eng vein nge a block tih chiang takin a hrilhfiah ang che, khawiah nge a awm tih leh engtiang chiahin nge a block nasat tih a hrilhfiah ang che. Percentage anga tarlan theih a ni (entir nan, 70% blocked).

Results a dik lo a nih chuan eng nge i tih leh ang?

Blockage a awm chuan i doctor chuan i tih dan tur tha ber a hrilhfiah ang che. Hei hian a huam thei ang:

• Angioplasty leh stent dah a ni
• Damdawi hman tan
• Nunphung thlak danglam, ei leh in thlak danglam leh exercise tih ang chi te
• Bypass surgery (Coronary Artery Bypass Surgery - CABG) hmanga tih a ni.

Engtik hunah nge Doctor hmuh leh i duh?

In i haw hnuah catheter dahna hmun kha ngaihven rawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

• Chu hmun atanga thisen chhuak tam lutuk a awm chuan
• A hring a pun chuan
• Infection chhinchhiahna i hmuh chuan, vun rawng danglam emaw, vun rawng emaw i hmuh chuan
• I kut emaw ke emawa thisen kal harsa i tih chuan

Angiogram neih a ngai tih an hrilh hian hlauhna i neih hi thil pangngai a ni. Mahse, he test atanga thu hriatte hian i doctor-in i thinlung dinhmun dik tak a hriat theih nan leh i tana tha tur enkawlna tur ruahmanna siam turin a pui ang tih hre reng ang che. Chuvangin he thil chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh. I tanpui turin an awm reng a ni.