Coronary Artery Spasm hi i hrechiang ang u!

I rilruah chhan hriat lohvin, a bîk takin zanlai emaw, zing hma emaw-ah emaw, natna rang tak, hrual, emaw, hrual hrual emaw i nei tawh em? Hun engemaw chen hnuah a mah chauhin a bo ta a ni. Mi thenkhatin hei hi thil pangngai anga an ngaih laiin, a takah chuan hei hi hriselna lama kan sawi vak loh, mahse kan hriat chian a ngai tak zet a ni. Vawiin hian he natna hi kan sawi dawn a, chu chu thinlung chhunga thisen kalna kawngte chu a inzawm khawm nghal a, a nih loh leh damdawi lam atanga thlir chuan Coronary Artery Spasm .

A awlsam zawngin, Coronary Artery Spasm chu eng nge ni?

Hei hi hrethiam tur chuan entirnan tlem han la ila. Rubber pipe tui phur thei chu han mitthla teh. Tui chu engmah daltu awm lovin a luang chhuak a. Mahse, mi pakhatin pipe chu a hrual nghet nghal a nih chuan eng nge thleng ang? Tui luang chu a tawp emaw, a tlahniam emaw nasa hle a ni lawm ni? Chu chu kan thinlungah a thleng thin.

Kan thinlung hi thau thawk reng a ni. He heart muscle mamawh oxygen leh nutrients hi coronary arteries , heart surface-a awm te hian a pe chhuak thin a ni. Coronary artery spasm chu heng thisen kalna kawngte bangte hi a inzawm nghal emaw, a inkharkhip emaw a ni. Tui pipe hrual ang mai a ni.

He spasm hian hun eng emaw chen chu thinlunga thisen kal chu a tikhawlo emaw, a tikhawlo emaw a ni. A tam zawkah chuan he spasm hi a rei lo. Mi thenkhat phei chuan an hre lo. Mahse, he natna hi a lo awm fo chuan heart attack ang chi natna khirh tak tak neih theihna a tipung thei a ni .

Hei hi angina natna nen a inang em? Eng nge a danglamna?

Hei hi mi tam takin an zawh thin a ni. Angina hi thinlungin thisen a dawn tlem chuan rilru natna a ni. Hei hi a chhan ber leh langsar ber chu thinlung thisen kalna kawnga cholesterol (plaque) a pungkhawm vang a ni a, chu chuan thisen kalna kawng a tikhawlo thin. Hei hi atherosclerosis kan ti a . A tlangpuiin he angina natna hi exercise lai te, i chau lai te, stairs i chhoh lai te hian a awm thin. I hahchawlh chuan a tlahniam thin.

Mahse, coronary artery spasm avanga angina natna hi a danglam deuh hlek a ni. Vasospastic Angina kan ti a . Hemi chungchanga thil danglam tak chu he natna hi chawlh hahdam laiin a thleng fo thin a, engmah thawhrimna tel lovin a awm fo thin.He natna hi a bik takin zanah emaw, zing lamah emaw a awm thei. Hei hi a danglamna ber a ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

Lung natna thlentu tlangpui risk factor ang chiah hian hei hi a nghawng bawk. Chu chu:

• Thisen sang (Hypertension): Thisen sang tih awmzia chu thisen kalna kawng (arteries) a chhiat reng tihna a ni.
• Thisen cholesterol level sang (Hyperlipidemia): Hengte hian thisen kalna kawng (veins)-ah a deposit a, an flexibility a ti tlem bawk.
• Meizial zu emaw, zuk leh hmuam dang hman emaw: Hei hi a hlauhawm ber leh pawi ber a ni . Tobacco-a chemical nicotine an tih hian thisen kalna kawng a tikhawlo a ni.
• Dan loa ruihhlo hman: a bik takin cocaine ang chi stimulant drugs.

He spasm thlentu hi engte nge ni?

Underlying risk factors bakah hian thil thenkhat chuan he blockage hi a lo intan nghal thei bawk. Hengte hi ‘triggers’ kan ti thin.

• Zuk leh hmuam hman: Hei hi cigarette zuk hnuah pawh a thleng thei.
• Khaw lum lutuk avanga inhnim: Tui lum lutuk hmanga inbual nghal emaw, AC lum lutuk room chhunga luh emaw ang chi thil.
• Extreme Stress: Thinrimna, lungngaihna, emaw nawrna nasa tak nei nghal mai.
• Stimulants: Ruihhlo, amphetamines emaw cocaine emaw ang chi.

Hei hi eng symptoms nge ni? Engtin nge a awm?

Mi thenkhat chuan he natna hi chhinchhiahna nei lovin an nei thei bawk. Mahse symptoms a awm tak tak chuan hetiang hi i tawng thei a ni:

• Chest tightness or tightness: I rilru chu belt hmanga hrual ang maiin a awm.
• Natna: A tam zawkah chuan a na hi rilru veilam atanga lo chhuak a ni.
• Natna darh dan: He natna hi rilruah a intan a, kawr, hmui, kekawrte, kutphah thlengin a darh thei.
• Chawlh laia natna: He natna hi a bik takin zanlai hnuah emaw, zing hma takah emaw a awm thei a, mut atanga a kaitho thei bawk.

He spasm hi minute 5 vel atanga minute 30 vel thleng a ni thei. Mi thenkhat tan chuan kum khatah vawi khat emaw vawi hnih emaw a thleng thin a, thenkhat tan chuan ni khatah vawi eng emaw zat a thleng thei bawk.

Engtin nge doctor hian hei hi a hriat chian?

Heng symptoms te hi i neih chuan i doctor pan ngei ngei tur a ni . A enfiah ang che a, a tul chuan heng test thenkhat atan hian a refer ang che.

• Electrocardiogram (EKG): Hei hian thinlung electrical activity, a nih loh leh heartbeat rhythm a record a. Spasm laiin EKG lak a nih chuan inthlak danglamna chiang tak hmuh tur a awm.
• Echocardiogram (Echo test): Hei hi thinlung ultrasound scan ang a ni. Thinlung chamber, valve leh heart muscle te hnathawh dan a en thei a ni.
• Ambulatory Monitor: I doctor chuan ni khat emaw ni hnih emaw chhunga bun tur hmanrua te tak te a pe thei che a ni. Hei hi Holter Monitor an ti bawk. I thil tih pangngai i tih laiin nitin i heart rate a record thin. Hei hi zan lama spasm lo awm hriat nan a pawimawh hle.
• Coronary Angiography hmanga enkawlna:Hei hi he natna hi finfiah nan test tha ber a ni. He test-ah hian i kut emaw ke emaw chhunga vein pakhat kaltlangin i thinlung coronary arteries-ah tube te tak te tak te dah a ni. Tichuan, a chhungah hian dye bik an inject a, X-ray video hmangin thisen kal dan an en a. Cholesterol-in thisen kalna kawng a block loh chuan he test neih chhung hian damdawi bik, spasm thlentu pawh pek theih a ni a, chu chu thisen kalna kawngte chu a block em tih hriat theih a ni.

Enkawlnate chu engte nge ni? Hei hi tihdam theih a ni em?

Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu natna tihziaawmna tur a ni a, pakhat zawk chu spasm lo awm leh tur venna tur a ni.

Emergency natna enkawlna

Nitroglycerin (Nitrostat®) hi natna a lo awm veleh a tihziaawmna atana hman thin a ni. Lei hnuaia dah tur tablet te tak te angin emaw, spray angin emaw a rawn thleng a ni. Thisen kalna kawng a tizau nghal vat a, congestion a ti reh a, thisen kal dan a siam tha leh bawk.

Hun rei tak chhung enkawlna

I doctor chuan nitin i ei tur damdawi a pe ang che, chu chu spasm lo awm leh tur venna atan a ni.

• Calcium Channel Blockers: Damdawi Amlodipine leh Diltiazem te hi he pawla tel an ni. Chûngte chuan thisen kalna kawng bang a ruhte chu a ti hahdam a, hna an thawk a ni. Hei hian veins constriction a ti tlem a ni.
• Statins: Damdawi Atorvastatin leh Simvastatin ang chi te. Hengte hi cholesterol tihhniamna atana hman ber ni mah se, thisen kalna kawngte hnathawh that leh spasm venna atana puitu an ni tih hmuhchhuah a ni bawk.

Thil na tak tak thenkhatah chuan he spasm hian thinlung chu hlauhawm takin a ti na thei lo. Hei hi Ventricular Arrhythmia kan ti a . Hlauhawm nei tan chuan doctor chuan ICD (Implantable Cardioverter Defibrillator) tih hming pu hmanrua te tak te chu an rilru vun hnuaiah dah turin a rawt mai thei. Hei hian thinlung a thawk mumal loh lai a hre thei a, electrical signal te tak te a thawn a, a rhythm chu a siam tha leh thin.

Engtikah nge emergency-ah damdawi in i kal ang?

Hei hi a pawimawh hle. Spasm hi a rei lutuk chuan heart attack-ah a lo chang thei a ni. Chuvangin, a hnuaia symptoms pakhat emaw, a aia tam emaw, rilru natna ruala i neih chuan tihkhawtlai suh. Ambulance ko nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah emaw kal rawh.