I thinlung hian thisen a hmu tling em? Coronary Flow Reserve (CFR) chungchang hi han sawi ila

Exercise kan neih te, kan tlan te, a nih loh leh stairs kan chhoh hian kan thinlungah eng thil nge thleng tih i ngaihtuah ngai em? Chutih lai chuan thinlung hian a tlangpui aia tam oxygen a mamawh a ni. He oxygen mamawhna sang tak hi phuhruk nan hian thinlung ngeia thisen pe chhuaktu coronary arteries kal tlanga thisen kal zat pawh tihpun a ngai a ni. Chuvangin, i thinlungin a mamawhna a san huna thisen a tihpun theihna chu Coronary Flow Reserve (CFR) tih mai a ni. Hei hi i thinlung ‘reserve power’ ang a ni.

Coronary Flow Reserve (CFR) hi eng nge ni?

A awlsam zawngin sawi ila, Coronary Flow Reserve (CFR) hi peak exertion laiin i thinlung coronary arteries kal tlanga thisen kal tam theih zat tehna a ni. Hei hian i doctor hnenah i thinlung hriselna chungchangah thu hlu tak a pe thei a, a bik takin i thinlunga thisen petu thisen kalna kawng (coronary arteries) te dinhmun a pe thei a ni.

Hetiang hian han ngaihtuah teh. Chair-a i thut lai hian i thinlung hian thisen engemaw zat a mamawh a ni. Mahse bus hnunga i tlan nghal chuan i thinlung hnathawh chu nasa takin a pung a ni. Chumi hnuah chuan i thinlung hian oxygen pangngai aiin a let thum atanga a let li velin a mamawh zawk a ni. Thinlung hrisel thisen kalna kawngte hian he mamawhna sang tak hi a tuar thei a, thisen kal dan a tipung nghal vek a ni. CFR test hian i thinlungin hetiang thil a tih theihna hi a teh a ni.

He test hian coronary artery disease i neih leh neih loh emaw, nakin lawkah heart attack ang chi natna i vei theihna tur emaw hriat hmasak nan a pui a ni.

Engtin nge CFR value hi chhut a nih?

Hei hi chhut dan hi a awlsam hle. I doctor chuan i thinlunga thisen kal dan chu kawng hnih in a teh thin.

1. At-rest blood flow: Hei hian chawlh hahdam laia thinlunga thisen kal zat a tehna a ni a, engmah thawhrimna tel lovin.

2. Thisen kal tam ber (maximum blood flow): Thinlung hi theihtawp chhuaha thisen pump tura nawr luih a ni (chumi atan chuan damdawi pek a ni), chutih laia thisen luang zat sang ber chu teh a ni.

Tichuan, he thisen kal tam ber hi chawlh hahdamna thisen kal dan nen a insem a ni.

CFR = (Thisen kal tam ber) / (Chawlh hahdam taka thisen kal dan) .

Entirnan, i thisen kal tam ber chu i chawlh hahdamna aiin a let thum a nih chuan i CFR value chu 3 a ni ang.

CFR value average chu engzat nge ni?

Mi hrisel tak CFR chu 2.0 leh 2.5 inkar a ni tur a ni. Chumi awmzia chu thinlung hian a chawlh laiin thisen a pump theih zat aiin a let hnih tal a pump thei tur a ni tihna a ni. Mi hrisel ber ah chuan he value hi 3, 4, a aia sang pawh a ni thei.

• CFR value chu 2.0 aia tlem a nih chuan:Chumi awmzia chu thinlung chhunga thisen kalna kawng hrang hrangah harsatna eng emaw a awm thei tihna a ni. Thisen kalna kawng a zim (block) a ni mai thei. Hetiang mite hi nakin lawkah lung natna vei theihna chance a sang zawk a ni.
• CFR value 2.0 aia tam a nih chuan: Thinlung chhunga thisen kalna kawngte hnathawh dan a tha hle tih a tilang.

CFR test hi engtin nge kan tih ang?

He test hi tih dan tlangpui pahnih a awm a, pakhat chu invasive method a ni a, chu chu taksaah device dah a ni a, a dang chu external method a ni a, chu chu non-invasive-a tih a ni.

Test hmain engtin nge i inbuatsaih ang?

I doctor chuan hei hi a hrilhfiah ang che. A tlangpuiin heng thilte hi i fimkhur tur a ni.

• Damdawi chungchang: Damdawi i ei zawng zawng (prescription leh over-the-counter-te pawh) i doctor hnenah hrilh rawh. Damdawi thenkhat hian thisen zam a tichhe thei a, test hma ni khatah ei tawh lo turin an ti mai thei bawk.
• Allergy: Damdawi emaw contrast dye emaw allergy i neih chuan min hrilh ngei ang che.
• Chaw nghei: Cardiac catheterization emaw PET scan emaw i neih chuan test hma darkar 6-8 chhung ei leh in loh tur a ni.
• MRI atan: I taksaah hian thir thil (jewelry, darthlalang) engmah i bun thei lo. I taksa chhungah pacemaker ang chi hmanrua i neih chuan MRI atan a him em tih doctor zawt hmasa phawt ang che.

Test neih chhung hian eng nge beisei tur?

Test dan i neih chu eng pawh ni se, i kut ah IV tube (cannula) dah a ni ang. Test step te chu hetiang hian a lang ang.

1. Resting state measurement: Pakhatnaah chuan i thinlunga thisen kal dan chu i rilru hahdam lai leh chawlh laia teh a ni.

2. Damdawi pek: A dawtah chuan i thinlung chhunga thisen kalna kawng tizautu leh thisen kal tam thei tur damdawi (vasodilator) IV hmangin pek a ni. Damdawi hman tlanglawn ber chu Adenosine a ni . Hei hi pek a nih chuan minute 2-3 chhungin thinlungah thisen kal chu a let 4-5 in a pung a ni.

3. Peak measurement: Damdawi pek hnua thisen kal dan a sang ber a thlen chuan thisen kal dan teh nawn leh a ni.

4. Inthlauhna: A tawp berah chuan heng metric pahnih hi i CFR value chhut nan tehkhin a ni.

Cardiac catheterization i neih chuan i mut theih nan sedative pek i ni thei bawk. Hei hian i rilru a hah lo zawk ang. Scan neih hian thlalak chiang tak tak hmuh theih nan ding reng a pawimawh hle.

Test zawhah eng nge thleng?

Test zawhah chuan pangngai takin i nung thei a, mahse thil thenkhatah chuan fimkhur a ngai a ni.

• Cardiac catheterization i neih tawh chuan thisen chhuah loh nan catheter dahna hmuna kut emaw ke emaw chu darkar khat vel ding chungin i dah a ngai ang.
• Doctor chuan tui tam zawk in turin a fuih ang che, hei hian contrast dye chu i taksa atanga a chhuah thuai theih nan a pui ang che.
• Sedative pek i nih chuan chu ni chuan i khalh thei lo. In lama mi pakhatin a zui che a pawimawh hle.

He test hian risk emaw side effect emaw a nei em?

CFR test hi a tlangpuiin test him tak a ni a, mahse medical test dang ang bawkin risk tlemte chauh a awm.

• Catheter nena inzawm hlauhawmna:Cardiac catheterization lai hian thisen zam, thisen kalna kawng chhia, thisen chhuah hi a tlem hle.
• Adenosine hian a nghawng tha lo: Mi thenkhat chuan he damdawi hi an pek hnuah second engemaw zat chhung chu a hnuaia mite hi an tawng thei a ni:
• Thinlung rhythm pangngai lo
• Hypotension tih tlem a ni
• Thâwk harsa
• A rilru a hah lutuk

Heng symptoms te hi damdawi a reh meuh chuan (minute khat chhungin) a bo vek thin . Thil ngaihtuah tur a awm lo.

Results hian eng nge a awmzia a, engtikah nge kan hriat ang?

I CFR hi i thinlung hian stress a neih laiin thisen engzat nge a pump theih tih hriattirna number a ni.

Doctor-in test result a thlirlet a, report a pek theih nan ni engemaw zat a la ngai thei. A châng chuan result chu borderline a nih chuan specialist dangte pawh zawh theih a ni.

I result-in thinlung natna a thlen theihna a tilang a nih chuan, chu hlauhawmna tihtlem nan i doctor chuan enkawlna ruahmanna a pe ang che.