Hna tlemte i thawh hnuah pawh thawk harsa i ti fo thin em? A nih loh leh i ke a hring a, i chau tih i hria em? Heng thil hnung lamah hian tunlaia kan sawi mek dinhmun `Diastolic Dysfunction` tih hi a ni mai thei. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
Diastolic Dysfunction hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Okay, a hmasain kan thinlung hnathawh dan hi han thlir ila. Kan thinlung hi pump ang a ni tih i hria em? He pump hian part lian pahnih a nei a. Pakhat chu thinlung chung bera awm chamber pahnih a ni a, chu chu `Atria` kan ti a ni. A dang chu thinlung hnuai lama chamber pahnih a ni a, chu chu `Ventricles` kan ti a ni.
Tunah chuan thinlung a na a, chu chu `Heartbeat` a awm chuan thil pawimawh pahnih a thleng a:
1. Diastole: Hei hi heartbeat atanga a hmasa ber a ni. Heta thil thleng chu thinlung hnuai lam (ventricles) te chu a relax deuh a, balloon inflate tura a inbuatsaih ang maiin. Tichuan, upper chambers (the atria) atanga thisen chuan heng chambers te hi a luah khat ta a ni. A awlsam zawngin sawi ila, hei hi thinlung thisenin a khat hun a ni.
2. Systole: Ventricles-te thisen a khat hnuah an inzawm chak hle a, a nih loh leh an inzawm khawm thin. Chumi hnuah thisen chu thinlung aṭangin pump chhuakin, lungah, aorta, taksa pum puia thisen phurtu thisen kalna bulpuiah a pump chhuak a ni.
Tunah chuan ``Diastole`` tih hi i hrethiam tawh em? Diastolic Dysfunction chu ``Diastole``, thisenin a khat theih nan thinlung hnuai lam (cell) te a hahdam hun tur chu a thleng dik loh vang a ni. A dik tak chuan i thinlung hnuai lam chu a khauh deuh a, a relax tha lo. Chuti a nih chuan eng nge thleng? Chu chamber te chu thisenin a khat tha thei lo. Chutiang a nih chuan thinlung chhungah pressure a lo awm tan ta a ni.
Ngaihtuah teh, sponge hian tui a hip theih nan chuan a hnim thei lo, a hlim deuh a ngai a ni. Chutiang bawkin thinlung pindan te chu thisenin a khat theih nan chuan an rilru a hahdam tha hle a ngai a ni.
Hetiang dinhmun a nasat chuan ``Diastolic Heart Failure`` tih natna a thlen thei a, chu chu thinlung hian hna a thawk tawh lo tihna a ni. Tichuan, tui ang chi tui te chu lung, pum leh ke ang hmunah te a awm khawm thei a ni.
Diastolic Dysfunction leh Diastolic Heart Failure hi eng nge an danglamna?
Heng pahnih hi a inang lo hle a, mahse an inzawm tlat a ni. ``Diastolic Dysfunction`` chu thinlung hnuai lam chamber-a harsatna a lo relax tan hian a ni. Hei hi a nasat deuh deuh a, chu chu thinlung veilam chamber hnuai lam a lo nghet tihna a ni a, chubakah heart failure symptom dang a rawn keng tel bawk a, chu chu ``Diastolic Heart Failure`` kan ti thin.Hei hi heart failure chi khat a ni a, veilam a nghawng a ni.
``Diastolic Heart Failure`` vei chuan a natna lan chhuahna a nei thei a, chungte chu:
- Chauhna: Chutah chuan awm mai mai pawh nise chau tih hriat.
- Ke ruh a hring: A bik takin ke ruh a hring.
- Nausea leh ei duh lohna: Chaw ei i duh lo va, i rilru a na thei bawk.
- Thâwk harsa (Dyspnea): Hna awlsam tak tih lai pawhin thawk harsa, a chang chuan mut lai pawhin thawk harsa.
- Weight gain: Tui retention hian rang takin taksa rihna a tipung thei.
He natna hi tuin nge vei tam zawk? Risk factors te chu engte nge ni?
Dik tak chuan tu pawhin ``Diastolic Dysfunction`` an nei thei. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni. Tute nge an nih i en ang u?
- Kum 70 chunglam: Kum i upat deuh deuh chuan he natna hi i vei theihna a sang chho zel.
- Taksa chak lo mi: Exercise neih loh leh thut reng hian hei hi a nghawng thei a ni.
- Meizial zu emaw, zuk leh hmuam hmang emaw.
Tin, hriselna lama harsatna i neih chuan a hlauhawmna a sang zawk a, chungte chu:
- I body mass index (BMI) 30 aia sang a nih chuan (chu chu i thau tihna a ni).
- Lung ruh natna (`Cardiomyopathy`) i neih chuan .
- Diabetes i neih chuan .
- Thisen sang (High Blood Pressure / Hypertension) i neih chuan .
- Coronary artery natna i neih chuan .
- Sleep apnea i neih chuan .
Engtin nge Diastolic Dysfunction hian taksa a nghawng?
Ngaihtuah teh, thinlung hnuai lam pindan chu thisenin a khat tawk lo a, a chunglam pindan te hian thisen pump turin an thawkrim zawk a ngai a ni. Hei hian thinlung chhungril pressure a tipung a ni. Hetiang nawrna avang hian eng nge thleng?
- Lung chhunga thisen kalna kawng hrang hranga pressure a sang a, tui a khawlkhawm thei a ni. Hei hi thawk harsatna a lo awm lai a ni.
- Pum leh kea thisen kalna kawng hrang hranga pressure a sang a, chutah pawh chuan tui a awm khawm thei bawk. Hei hian ei duh lohna leh ke a hring ang chi thil a thlen thei a ni.
Hun kal zelah he natna, ``Diastolic Dysfunction`` tia koh hi ``Diastolic Heart Failure`` ah a lo chang thei a ni. Pulmonary hypertension thlentu lian tak a ni bawk . A chang chuan thinlung thawk mumal lo ``Atrial Fibrillation`` an tih nen pawh a inzawm thei bawk.
``Diastolic Heart Failure`` vei tam zawkin an neih thin chu HFpEF (``Heart Failure with Preserved Ejection Fraction``) a ni.A awlsam zawngin, thinlungin thisen a pump chhuah zat (`Ejection Fraction` kan ti) chu a pangngai a, mahse thinlung chak lohna chhinchhiahna a la lantir reng a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Diastolic dysfunction hi kum upa lam zingah a awm fo thin. Damdawi lama mithiam thenkhat sawi dan chuan kum 70 chunglam zinga a chanve vel chuan diastolic dysfunction engemaw chen an nei thei a ni. Mahse, naupang leh kum 70 hnuai lam zingah chuan a awm lo.
Diastolic Dysfunction natna lan chhuah dan chu engte nge ni?
Mi tam tak chuan ``Diastolic Dysfunction`` level na lo tak an nei a. Stairs chhoh ang chi, thawhrimna tlemte nen chuan thawk a harsa deuh mai thei. Mahse, a natna a zual zel chuan thawk a harsa zual a, ``Diastolic Heart Failure`` symptoms a lo lang thei bawk.
Diastolic Dysfunction hi engte nge ni?
Hei hi chhan lian tak tak engemaw zat a awm. A hmaa kan sawi tawh risk factors te pawh hi he thil nen hian a inzawm tlat a ni.
- Coronary Artery Disease: Thinlung thisen petu thisen kalna kawng (arteries) a block.
- Zunthlum.
- Thisen sang (`Thisen sang / Hypertension`).
- Tun hmaa heart attack i lo neih tawh chuan.
- Mut theih lohna (sleep apnea) a awm.
Engtin nge he natna hi kan hriat theih ang? (Diagnosis) tih a ni.
I doctor chuan he natna hi i nei nia a rinhlelh chuan echocardiogram ( "echo test" tia hriat bawk) turin an refer mai thei che a ni.
Echo test hi ultrasound scan ang a ni. I thinlungin thisen a pump that dan te, i thinlung valve te hnathawh that dan te, i heart chamber bang a thuk zia te, an relax tha zia te a en thin. Hei hi diastolic dysfunction i neih leh neih loh hriat nan a pawimawh hle.
Diastolic Dysfunction hi a nasat dan azirin grade a ni em? (Grade hrang hrang) .
Ni e, doctor-te chuan he natna hi a nasat dan azirin an thliar hrang thin. "Grades" tih a ni.
- Grade I: Hei hi thinlung hahdam theihna chak lohna tlem a ni. Hei hi kum 60 chunglam ah hmuh tur a awm tlangpui.
- Grade II: Thinlung veilam a pressure a sang deuh a.
- Grade III: Thinlung veilam sir pressure hi nasa takin a sang a.
- Grade IV: Hei hi heart failure na tak a ni. Thinlung veilam a pressure a sang hle.
Diastolic Dysfunction hi eng enkawlna nge ni?
A tha ber chu, he natna hi enkawlna tur a awm. Enkawlna awm thei engemaw zat a awm a:
1. Nunphung thlak danglam: Hei hi a pawimawh hle.
- Meizial i zu a nih chuan bansan rawh.
- Chaw ei tur chi (sodium) tihtlem.
- Exercise neih fo (a bik takin aerobic exercise, kea kal leh cycle khalh ang chi).
- I doctor chuan cardiac rehabilitation program -ah pawh a refer thei che a, chu chuan i thinlung hriselna a ti ṭha thei a ni.
2. Damdawi chi hrang hrang: 1.1 .
- Diuretics (or "water pills"): Hengte hian taksaa tui tul lo tak tak awmkhawm zat tihtlem nan a pui thin.
- Natna dang, thisen sang emaw, zunthlum emaw i neih chuan, chu chu control turin damdawi hrang hrang pek i ni thei .
3. Left Ventricular Assist Devices (LVADs): Hengte hi hmanraw tenau tak tak, surgery hmanga thinlunga dah, thisen pump pui tura puitu an ni. Diastolic Heart Failure natna khirh tak takah an hmang tlangpui a, a bik takin thinlungin thisen a pump theihna (Systolic Function) pawh nasa taka a tihtlem chuan an hmang tlangpui.
4. Heart Transplant: Hei hi natna khirh tak takah chauh ngaihtuah a ni a, chutih lai chuan enkawlna dangin hna a thawk lo. Mi tam zawk chuan nunphung thlak danglam leh damdawi hmangin he natna hi an enkawl thei a ni.
Diastolic Dysfunction hi ven theih a ni em?
Ni e, a tam thei ang berin a theih! Thinlung hriselna atana \ha tih dan zawm hian he hlauhawmna hi a tihziaawm thei a ni. Chu tih dân chu engte nge ni?
- I san zawng, kum leh mipa leh hmeichhia azirin taksa rihna hrisel tak vawng reng rawh.
- Zuk leh hmuam ei loh tur. Caffeine (tea, coffee) ei tam loh tur.
- Thei, thlai, legumes, whole grains, thau hrisel (e.g. olive oil, avocado), leh lean protein (nga, vawk) te tamna ei leh in inthlau tak ei rawh.
- Kar khatah minute 150 tal aerobic exercise (a chak taka kal, tlan, tui chawi ang chi) ti thin ang che.
- Damdawi lam harsatna dang (zunthlum, thisen sang ang chi) i neih chuan i doctor thupek zawm la, i damdawi pek ang chiah kha ei rawh.
- Saturated fats, chi leh refined sugar ei kha tihtlem rawh.
- Stress (meditation, yoga, mi rintlak nena inbiakna, etc. hmanga) enkawl rawh .
- Zanah darkar 7-8 tal mut tha rawh.
Diastolic dysfunction i neih chuan eng nge thleng? Eng nge i beisei theih ang?
Enkawl loh chuan ``Diastolic Dysfunction`` natna hi a zual zauh zauh thei a, thinlung a tichhe thei bawk. Engpawhnise,Mi tam tak chuan he natna hi uluk takin an enkawl thei a, nunphung thlak danglam leh damdawi hmanga nun pangngai an hmang thei bawk.
A pawimawh ber chu he natna hi i neih chuan regular medical checkup-ah i kal a, i doctor thupek dik takin i zawm thin. Tichuan, i doctor chuan i dinhmun a enfiah thei a, a tul chuan enkawlna dang a belhchhah thei bawk.
I doctor hnenah eng zawhna nge i zawh tur?
Diastolic dysfunction i neih emaw, i rinhlelh emaw chuan i doctor hnenah heng zawhnate hi i zawt thei ang:
- Heng symptoms ka neih chhan ber chu eng nge ni?
- ``Diastolic Dysfunction`` chhinchhiahna hmasa berte chu engte nge ni?
- He natna hi dik taka hriat theih nan eng test nge ka tih ang?
- ``Diastolic Dysfunction`` enkawl dan tur chu engte nge ni?
- He natna hi a zual zel theihna tur tihziaawmna turin ka nunphungah eng inthlak danglamna nge ka siam ang?
Diastolic Dysfunction awm chhan ber chu eng nge ni?
Thisen sang control loh hi diastolic dysfunction leh diastolic heart failure thlentu ber leh lian ber a ni.
Diastolic Dysfunction hi eng chen nge i dam theih ang?
Chanchin tha a awm! ``Diastolic Dysfunction`` vei, coronary artery disease nei lote chu kum inang mi hrisel angin an dam rei thei a ni. Mahse, thinlung natna dang (coronary artery disease, systolic heart failure ang chi) nen ``Diastolic Dysfunction`` i neih chuan thil awmdan chu a danglam deuh mai thei. Chuvang chuan inenkawlna mumal tak neih a, doctor thurawn zawm a pawimawh em em a ni.
Take-Home Thuchah a ni
Diastolic dysfunction chu thinlung hnuai lam chamber te a relax tha lo a, thisen a khat a ni. Hei hian thinlung chhunga pressure a tipung a, a tawpah chuan heart failure a thlen thei a ni.
Mahse, lungngai suh! Hei hi nunphung tha tak thlak danglam te, a tul chuan damdawi ei te, leh damdawi lam enkawlna mumal tak hmanga enkawl tha thei dinhmun a ni. I thinlung enkawl la, nun hrisel takin nung rawh. Thil ngaihtuah tur i neih chuan doctor nen inbiakna neih hreh suh.
` Diastolic dysfunction, lung natna, thinlung tha lo, thawk hah, thisen sang, zunthlum, thinlung tha lo











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh