A châng chuan thil mak tak mai, i rilru a tight ang chi, a lo thleng a, a kal bo pawh i hre thei bawk, a dik em? I ngaihven vak lo mai thei. Mahse hei hi thinlunga thisen kalna kawng a zim vang a ni thei a, hei hi damdawi lam chuan `Coronary Artery Spasm` kan tih hi a ni. Vawiin hian he thu hi chipchiar zawkin sawi ila, a chhan chu hei hi ngaihthah tur a ni lo.
He coronary artery spasm hi eng nge ni? (`Coronary Artery Spasm`) tih a ni.
Okay, a hmasa berin heng coronary arteries te hi eng nge an nih kan en ang. I thinlung hi organ mak tak a ni a, nilengin non-stop a thawk a, i mut lai pawhin a thawk thei. Chuvangin heart muscle a thawk tha tur oxygen leh nutrients supply tu thisen kalna kawng te hi coronary arteries kan tih hi an ni Hei hi in chhunga tui rawn thlentu plumbing system ang a ni.
Tunah chuan `(Coronary Artery Spasm)` chu thinlunga thisen phurtu coronary arteries tihkhauh nghal mai, kan kea sa chi khat a inher ang maia tihkhauh nghal mai a ni. Hei hi tightening hi ` Contraction` kan ti a ni. Hei hi a rei lo tlangpui a, minute tlemte chhung pawhin i hre lo mai thei. Mahse, he dinhmun hian heart attack leh heart disease complication dang a thlen theihna a tipung thei a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.
Coronary artery disease leh angina hi eng nge an danglamna?
‘Angina’ tih thumal hi i hre tawh ngei ang, a dik em? A awlsam zawngin, rilru natna tihna a ni. Coronary arteries a spasm a awm chuan rilru natna a awm thei. Hei hi vasospastic angina kan ti a .
A tlangpuiin angina thlentu ber chu cholesterol (`Plaque`) ang chi thilin thisen kalna kawng a block vang a ni. Mahse he `(Vasospastic Angina)` specialty chu he natna hi chawlh hahdam lai pawhin a awm thei tih hi a ni . Angina chi dang hi kan chau lai hian a lo awm tlangpui a, chu chu exercise kan tih lai te hi a ni. Hei hi a danglamna ber a ni.
Tute nge ``Coronary Artery Spasm'' vei tam zawk?
Tunah chuan tute nge he natna hi vei tam ber tih kan en ang. Lung natna vei theihna tur risk factor i neih chuan he `(Coronary Artery Spasm)` hi i vei thei bawk. Hei hi a nghawngtu berte chu:
- Thisen sang (Hypertension).
- Thisenah cholesterol sang (`Hyperlipidemia`) a awm .
- Zuk leh hmuam hman, chu chu cigarette leh beedis hman tihna a ni a, mi tam tak nghawng thei buaina a ni.
- Dan loa ruihhlo hman thenkhat .
Mahse mak tak mai chu he ``Coronary Artery Spasm`` hi thisen sang leh cholesterol sang nei loteah pawh a awm thin. A bik takin heng mite zinga a tam zawk hi zu in fo thin an ni tih hi a langsar hle. Chuvangin, zuk leh hmuam hian he thilah hian nghawng lian tak a nei niin a ngai thei.
Eng thilin nge he blockage hi a thlen?
Okay, chuti a nih chuan eng thil chiah nge ``Coronary Artery Spasm'' thlentu? Lung lam natna thenkhatin a thlen thei:
- Arteries-ah thau a awm a, a ti tawi (`Atherosclerosis`). Hei hi tui pipe hlui chhunga rust lo awm ang mai a ni a, pipe chhunga khur chu a tikhawlo a ni.
- Thisen sang sang .
- Cholesterol sang tak a ni .
Heng a chhan bulpui te nen hian thil thenkhat chuan he blockage hi a tichhuak thei a ni. Chu chu, rang taka lo awm tir an ni tihna a ni. Miin sakeibaknei muhil a tiharh ang maiin han ngaihtuah teh. Heng triggers te hi:
- Zuk leh hmuam hman (cigarette, beedis). Hei hi hmelma number one a ni.
- Khua lum nasa tak hnuaia awm. Tui lum takah vawi khata inbual vek emaw, boruak lum tak takah luh emaw ang chi thil hi han ngaihtuah teh.
- Stress nasa tak a awm . Hei hi mi tam tak nghawngtu a ni a, kan nitin nunah harsatna kan tawhte nen. Hnathawhna hmuna harsatna, chhungkaw harsatna, heng zawng zawng hian min nghawng thei a ni.
- Stimulant chi hrang hrang hman , entirnan, dan loa ruihhlo `(Amphetamines)` emaw `(Cocaine)` emaw hman.
`(Coronary Artery Spasm)` natna lan chhuah dan chu engte nge ni?
A tam zawkah chuan he `(Coronary Artery Spasm)` hi engmah chhinchhiahna awm lovin a awm thei . Chu chu a hlauhawm deuh chu a ni. Mahse, symptoms a lo lang a nih chuan, i tawn theih tur thil thenkhat chu hetiang hi a ni:
- Chest tight emaw pressure emaw a awm. Miin i rilru a rawn hnim ang maiin a lang thei a, i rilruah rit a awm ang maiin a lang thei bawk.
- A rilru a na. He natna hi a bik takin:
- Chawlh hahdam laiin a thleng thei . Zanlai hnuah emaw zingkar hma emaw a hmuh tam ber .
- He natna hi rilru veilam lamah a awm tam ber.
- A châng chuan he `(Coronary Artery Spasm)` hian zanah a tiharh thei che a ni .
- Heng blockage te hi kum khatah vawi engemaw zat a awm lo thei a, ni khatah vawi engemaw zat a awm fo thei bawk. Mi tin a inang lo.
He blockage hi eng chen nge a awm theih ang? Eng ang nge a nih?
``Coronary Artery Spasm'' hun chhung hi mi hrang hrangah a inang lo thei. Minute nga atanga minute 30 thleng khawi hmunah pawh a daih thei . Mi thenkhat tan chuan a tawi zawk thei a, thenkhat tan chuan a rei deuh thei bawk.
Engtin nge a awm tih erawh chu, ka sawi tawh ang khan, a chang chuan engmah i hre lo mai thei. A nih loh leh hetiang thil hi i hre mai thei bawk:
- A rilru a na hle.
- I natna chu i rilru atanga i kawr, i kut (a bik takin i kut veilam), emaw i hmui thlengin a rawn chhuak ang maiin a lang thei a, chu chu heart attack ang mai a ni.
Engtin nge ``Coronary Artery Spasm'' hi dik taka i hriat theih ang?
He natna hi dik taka hriat theih nan i doctor chuan i thinlung hriselna enfiah turin test eng emaw zat a ti ang. Hei hi rinhlelhna hmanga sawi lawk theih thil a ni lo. A bulpui berte chu:
- Echocardiogram (`Echocardiogram` - `Echo test`): Hei hian sound wave hmangin i thinlung thlalak a la thin. Nu naupai tan scan an tih nen a inang hle. Thinlung chamber leh valve te hnathawh dan a en thei a ni.
- Electrocardiogram (EKG emaw ECG): Hei hian i thinlung electrical activity a teh a ni. I thinlung a thawk dan leh thinlunga thisen kal tlem a awm leh awm loh hriat theihna a pe thei che a ni.
- Coronary Angiography : Hei hi diagnostic test chiang ber a ni fo thin. He test-ah hian kut emaw ke emaw chhunga vein hmangin thinlung thisen kalna kawngah dye bik an inject a, X-ray image an la a ni. Hei hian arteries-ah hian narrowing emaw spasm emaw a awm em tih chiang takin a tarlang thei a ni.
Chu bakah, i doctor chuan in lama bun tur hmanrua te tak te (`Ambulatory Monitor` emaw `Holter Monitor`) a pe thei bawk. Hei hian nitin hna i thawh laiin darkar 24, 48, a aia rei pawh i thinlung electrical activity chu a record a ni. Hei hi a pawimawh zual hle a, a chhan chu `(Coronary Artery Spasm)` hi zanah emaw, chawlh lai emaw a lo awm fo thin a, chuvangin chutiang hun chhunga i thinlung hnathawh dan record a pawimawh hle.
He `(Coronary Artery Spasm)` hi engtin nge enkawl a nih?
Enkawlna kawngah hian tum lian tak pahnih a awm a. Pakhat chu heng spasm te hi a awm loh nan a ni a , pakhat chu rilru natna tihziaawmna tur a ni .
I spasm i neih thut chuan chutih lai chuan damdawi nitroglycerin (e.g. Nitrostat®) an pe thin. Thisen kalna kawng a tizau a, thisen kal dan a ti tha a, rang takin rilru natna a tiziaawm bawk. A tlangpuiin tablet te tak te, lei hnuaia dah a nih avangin taksaah a lut nghal vat thin.
Hun rei tak chhunga heng blockage te hi ven nan i doctor chuan damdawi dang i hman fo tur a pe thei che a ni:
- Calcium channel blocker : Entirnan, damdawi Amlodipine (Norvasc®), Diltiazem (Cardizem®), emaw Nifedipine (Procardia®) ang chi te. Chûngte chuan i thisen kalna kawngte chu a ti hahdam a, an zimna a ti tlem a ni.
- Statins : Entirnan, damdawi Atorvastatin (Lipitor®) emaw Simvastatin (Zocor®) ang chi te. Hengte hi cholesterol tihhniamna damdawi ni mahse, thisen kalna kawng chhungril hnathawh a tichak a, he spasm hi a veng thei tih hmuhchhuah a ni bawk.
A châng chuan, he `(Coronary Artery Spasm)` hian thinlung pindan hnuai lamah lungphun mumal lo, hlauhawm tak (`Ventricular Arrhythmia`) a thlen thei a ni. Hei hi dinhmun pawi tak a ni a, nunna atana hlauhawm thei a nih avangin. Chutiang `(Ventricular Arrhythmia)` i neih chuan i doctor chuan harsatna lian tham i neih loh nan implantable cardioverter defibrillator (`ICD`) a rawt thei ang. `(ICD)` hian thinlung thawk mumal lo a hmuchhuak a, electrical signal hmangin i thinlung thawk dan pangngaia a awm theih nan a pui thin.
Engtin nge coronary artery spasm hlauhawmna hi ka tihziaawm theih ang?
Cholesterol sang leh thisen sang ang chi risk factors i neih chuan chutiang dinhmunte chu uluk taka enkawl chuan he `(Spasm)` hi i vei theihna tur a ti tlem thei a ni. Hetiang `(Coronary Artery Spasm)` thlen thei thil (`Triggers`) hi pumpelh a pawimawh hle bawk.
Entirnan, khawsik nasa tak laka inhriat nghal loh te, meizuk khap vek (hei hi i tih tur a ni ngei ang), leh stress lutuk (meditation leh yoga ang chi) te hi i tihbuai dan tur i zawng thei a ni.
Chu chu nunphung hrisel tak tak tihdanglamna engemaw zat siam tihna a ni. Hei hian ei leh in hrisel (oil, chi, leh sugar tlem, leh thei leh thlai tam) ei leh exercise neih fo te a huam a ni .
`(Coronary Artery Spasm)` ka neih chuan eng nge ka beisei ang?
Coronary Artery Spasm hi natna khirh tak a ni a . Chumi awmzia chu tihdam kim a harsa a, mahse enkawl theih a ni. A enkawl theih nan hun rei tak enkawlna leh damdawi lam enkawlna i mamawh ang. Mahse, lungngai suh.
Enkawlna dik tak an neih chuan mi tam zawk chuan an natna lan chhuah dan chu an thunun thei a, heng natna vei tamna hi an ti tlem thei a, nun tha leh pangngai takin an nung thei bawk. A pawimawh ber chu i doctor thupek dik taka zawm a, a hun taka i damdawi ei a, nunphung tihdanglam chhunzawm zel hi a ni.
Engtikah nge emergency room (ER) ah ka kal ang?
Hei hi thil pawimawh tak a ni a, nunna leh thihna thil a ni thei . Coronary artery spasm hi rei tak a awm chuan heart attack-ah a chang thei a ni. Chuvangin, heart attack symptoms i neih chuan minute khat pawh tikhawtlai lo la, 1990 (Suvaseriya) call nghal emaw, damdawi in hnai ber emergency room-ah emaw kal nghal rawh.
Heart attack chhinchhiahna engte nge ni? Chhung natna nen hian heng chhinchhiahna pakhat emaw a aia tam emaw hi zawng rawh:
- Luak chhuak emaw lu hah emaw .
- Thil hriatna hloh (`Syncope`).
- I thinlung a na hle tih hriatna, i rilru a na (`Palpitations`).
- Nausea emaw, luak chhuak emaw, chaw ei loh (`Nausea` emaw `Dyspepsia`) ang maia hriatna.
- Thâwk harsa, thawk hah ang maia inhriatna (Dyspnea).
- Cold sweats a ni.
- Chau lutuk, hah lutuk tih hriatna.
Heng symptoms pakhat emaw a aia tam emaw hi i rilru natna nen i neih chuan gastritis nia inngaiin in lamah awm mai mai suh. Damdawi lam pan nghal rawh. Hun hi nunna chhanhimna atana pawimawh ber a ni.
He thawnthu atang hian eng thuchah nge in lama kan hruai duh?
Coronary Artery Spasm hi thinlunga thisen petu thisen kalna kawngte chu a rang lama, a tawi emaw, a hring emaw a ni. Chûngte chu hrehawm nei lovin an lo kal thei a, an kal leh thei bawk. Amaherawhchu heart attack hlauhawmna an tipung thei a ni. A bik takin zanlai emaw zingkar emaw velah an awm thei a, a kaitho thei bawk.
A tha ber chu, hei hi enkawl dan tur a awm . Chest na i tihziaawm thei a, heng blockage te hi i veng thei bawk. He thuziaka kan sawi ang chi symptoms i neih chuan doctor pan a, thurawn lak a pawimawh hle. He hlauhawmna hi meizuk loh vek a, nun hrisel tak hmang hian i tihziaawm thei bawk. I thinlung kha enkawl rawh! I thil neih hlu ber a ni.
` Lung natna, coronary artery, rilru natna, angina, heart attack, Coronary Artery Spasm, thinlung hriselna











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