I thinlunga thisen petu thisen kalna kawngte chu a block em? Coronary Artery Disease chungchang zir rawh

Kan thinlung hi taksa peng mak tak a ni a, darkar 24 chhung hna a thawk a, chawlh hahdamna engmah a nei lo. Machine pakhat, non-stop-a kal ang mai a ni. Chuvângin, he thinlung thawkrim tak leh a taksa ruhte hian hna a thawh ṭhat theih nân, thisen thianghlim, oxygen tamna supply reng reng an mamawh a ni. Mahse, han ngaihtuah teh, he thinlunga thisen phurtu kawng nalh tak takte chu a inkhar ṭan chuan eng nge thleng ang? Chu chu Coronary Artery Disease ( CAD ) kan tih chu a ni.

A awlsam zawngin sawi ila, coronary artery disease (CAD) hi eng nge ni?

A awlsam zawngin, hei hi kan thinlunga oxygenated thisen pe chhuaktu coronary arteries , a zim emaw, a inkhar emaw hun a ni. Hun a kal zel a, cholesterol ang chi thilte chu heng thisen kalna kawng bangah hian a lo awm khawm a, ‘plaque’ kan tih layer a siam a ni.

Hei hi tui pipe hlui chhunga rust lo awm ang mai a ni. He plaque hian thisen kalna kawng chhunga hmun a ti tlem a, chu chuan thinlunga thisen kal theih zat a tikhawtlai a ni.

Vawi tam tak chu he natna hi taksa chhungah hian kum tam tak chhung chu engmah chhinchhiahna awm lovin a lo awm thei a ni. Chuvangin mi thenkhat chuan "silent killer" an ti thin. A châng chuan heng deposit pakhat hi a puak darh nghal thei a, thisen zam a siam a, chu chuan thisen kalna kawng chu a tikhawlo vek thei a ni. Chutih lai chuan emergency kan tih chu heart attack kan nei ta a ni .

He natna hi chi hnih a awm a.

He natna hi hmunpui pahnihin kan sawi a ni.

1. Stable Ischemic Heart Disease: Hei hi hun kal zelah zawi zawiin a lo awm thin chi a ni. Kum tam tak chhung chu i coronary arteries te chu a zim zauh zauh thin. I natna lan chhuahna ṭhenkhat ( rilru na ang chi) i nei thei a, a bîk takin i rilru hah lai hian. Mahse nitin hna i thawk thei tlangpui.

2. Acute Coronary Syndrome natna vei te hi:Hei hi thil hlauhawm tak a ni a, a lo awm nghal a, damdawi lam pan vat a ngai a ni. Thil thleng chu artery chhunga plaque pakhat chu a chhe nghal a, a chungah thisen zam a siam a, thisen kal chu a titawp vek a ni. Hei hi heart attack thlentu a ni. Hei hi medical emergency a ni a .

He natna lan chhuah dan engte nge ni?

Mi tam tak chuan symptoms an nei rei lo. Hei hi a chhan chu heng deposit te hi an lo pung zel theih nan kum tam tak, kum sawm tam tak pawh a ngai a ni. Mahse, thisen kalna kawng (arteries) a zim tan chuan symptoms fiah lo tak tak i nei tan thei a ni. Hengte hi i thinlungin a mamawh oxygen a hmuh theih nan a hma aia nasa zawk a thawk tih chhinchhiahna a ni.

A lan chhuah dan ber chu:

• Stable Angina: Hei hi a lan chhuah dan tlangpui a ni. A rilru a buai em em a, a rit a, a na emaw, a nuam lo emaw a ni. Exercise i tih emaw, i kal chak emaw, i thinrim emaw hian a thleng tlangpui. A natna hi rei vak lo chawlh hnuah a reh tlangpui.
• Dyspnea: Mi thenkhat chuan thawk harsa an nei a , thawk harsa an ti fo thin a, hna awlsam tak tak, stairs chhoh ang chi an tih lai pawhin thawk harsa an ti thin.

Engvangin nge he natna hi kan vei? Risk factors te chu engte nge ni?

Coronary artery natna thlentu ber chu atherosclerosis a ni . Chu chu kan sawi tawh ang khan artery wall-ah cholesterol leh thil dangte a pungkhawm a, plaque a siam tihna a ni. Hetiang dinhmun hian thinlung thisen kalna kawng (arteries) a nghawng chuan CAD kan ti thin.

He natna lo awm dan tur tichhe thei risk factor tam tak a awm a. Ṭhenkhat chu kan thunun thei lo va, a tam zawk erawh chu nunphung thlak danglam leh damdawi hmangin kan thunun thei a ni. Hengte hi eng nge ni tih i lo en ang u.

He natna hi engtin nge doctor hian a hriat theih ang?

I doctor chuan i natna lan chhuah dan te, i nunphung te, leh i chhungkaw damdawi lam dinhmun eng pawh a zawt hmasa ang che. Chumi hnuah chuan taksa enfiahna a nei ang a, i thisen sang a enfiah ang. He thu a\ang hian he natna hi i nei nia a rinhlelh chuan, a natna hriat chian nan test dang neih belh a rawt thei ang.

Chung zinga ṭhenkhat chu:

• Thisen Test: Cholesterol leh sugar level ang chi thil te enfiah thin ang che.
• ECG (Electrocardiogram): Thinlung electric hnathawh dan enfiah thin ang che.
• Exercise Stress Test (Treadmill Test): Treadmill-a i kal laiin i thinlung hi ECG hmangin an enfiah thin.
• Echocardiogram: Thinlung scan a ni.
• CT Coronary Angiogram: CT scan bik a ni a, thinlung thisen kalna kawng hrang hrang pathum atanga lak a ni.
• Coronary Angiogram (Cardiac Catheterization): Hetah hian kut emaw ke emaw chhunga vein pakhat kal tlangin tube te tak te chu thinlungah an lut a, dye an inject a, X-ray hmangin artery chu engtiang chiahin nge a block tih hriat a ni.

Enkawlna kawng hrang hrangte chu engte nge ni?

Coronary artery disease enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu symptoms control leh quality of life tihchangtlun hi a ni. A dang chu harsatna lian tham, heart attack ang chi te tihziaawmna tur a ni.

Enkawl dan hi chi thum ah then theih a ni a, chungte chu:

1. Nunphung thlak danglam

Hei hi a pawimawh ber leh a bulpui ber a ni.

• Meizial zuk bânsan vek.
• Thinlung hrisel ei tur: Chi, hriak, leh thlum ei tlem la, thlai, thei, thlai leh fiber tamna ei tur tam zawk ei bawk ang che.
• Exercise neih fo: Ni khatah minute 30 tal, kar khatah ni 5 tal exercise, kea kal chak tak ang chi hi inhmang rawh.
• Taksa rih zawng control.
• Stress tihziaawmna.

2. Damdawi (damdawi) .

I doctor chuan risk factors control nan leh symptoms tihtlem nan damdawi chi hrang hrang a pe ang.

• Cholesterol tihhniamna damdawi (Statins).
• Thisen sang control damdawi.
• Thisen zam tur venna damdawi (Aspirin ang chi).
• Chest pain control thei damdawi (Angina).

3. Surgery leh tih dan dang

Mi thenkhat, a bik takin tube block nasa tak nei tan chuan damdawi ei ringawt hi a tawk lo. Chutiang hunah chuan hetiang enkawlna hi hman a ngai a ni.

• Angioplasty leh stenting (Percutaneous Coronary Intervention - PCI): Hei hian balloon hmanga tube te tak te chu thisen kalna kawng khar chhungah luhtir a, chu chu thisen kalna kawng hawn leh turin inflate a, chutah chuan thisen kalna kawng chu a zim leh tawh loh nan stent an tih mesh tube te tak te dah luh a ni.
• Bypass surgery (Coronary Artery Bypass Grafting - CABG) hmanga tih a ni a, a hlawhtlinna chu a hlawhtlinna a ni.Hei hi thisen kalna kawng (blocked artery) vel kawng thar siam ang mai a ni. Taksa peng dang (a tlangpuiin ke emaw rilru emaw) atanga lak chhuah thisen kalna hrisel tak chu a block na hmun leh hnungzang nen a inzawm a, thisen kalna tur kawng thar a siam a ni.

Engtikah nge doctor ka hmuh vat ang/ETU-ah ka kal ang?

Heart attack symptoms i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal la, ambulance pawh ko rawh. Hetah hian hun hi a pawimawh ber a ni.

Heart attack chhinchhiahna lian ber berte chu:

• A rilru chhungril lam natna nasa tak, hrual, hrual hrual.
• He natna hi kut veilam, kawr, hmui, hnungzang emaw, kekawrte thlengin a darh thin.
• Thâwk harsa.
• Thaw chhuak nasa, luak chhuak, luak chhuak.

Coronary artery disease i neih chuan doctor nen inbiak reng a pawimawh. Symptom thar i neih chuan, i damdawi ei avanga side effect i neih chuan, emaw, i dinhmun chungchanga zawhna i neih chuan doctor ko nghal rawh.