Dilated Cardiomyopathy chungchang zawng zawng hi awlsam takin i zir vek ang u!

A châng chuan chhan awm lovin a danglam bîk takin i chau tih i inhria em? Stairs tlemte i chhoh pawhin thawk i hahdam lo em? A tam zawkah chuan hengte hi thil pangngaiah kan ngai lo. Amaherawhchu, a chang chuan kan thinlungah harsatna kan hriat loh a awm thei. Vawiin hian kan sawi dawn a, zawi zawiin thinlung tichak lo thei dinhmun kan sawi a, mahse mi tam takin an hre lo. Chu chu Dilated Cardiomyopathy a ni.

Dilated Cardiomyopathy hi eng nge ni tak tak?

A awlsam zawngin, hei hi i thinlung ruh (heart muscle) a inzawm khawm a, a tlangpui aia lian a nih chuan a ni. Rubber band a inzawm chuan a elasticity a hloh ang bawkin kan thinlung ruh chu a inzawm a, a hring a, a chak lo bawk.

Hetiang dinhmun hi thinlung pumping chamber lian ber left ventricle atanga intan a ni ber. He chamber hi taksa pum puia thisen pump chhuaktu ber a ni. Chuvangin he thau hi a chak loh chuan thinlung hian thisen a pump tha thei lo. Lung a na apiangin thisen pump ngai zat thenkhat chu thinlung chhungah a awm reng thin. Hun a kal zel a, hei hi thinlungah phurrit lian tak a lo ni ta a ni. Tin, taksa peng dangin oxygen leh nutrients an dawn theihna tura thisen mamawh zat a ti tlem bawk.

Sri Lanka-ah hian he thil chungchangah hian data chiang tak awm lo mah se, zirchianna chuan khawvel puma mi 100,000 zinga 36 velin he natna hi an nei tih hmuhchhuah a ni. Mahse thu lawmawm tak chu tunah chuan hei hi enkawlna tha tak tak a awm ta a ni. Tin, he dinhmun enkawlna atana pui turin thil tam tak i tih theih a awm bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

Mi tam tak, a bik takin he natna hi a bul tan tirh lamah chuan natna lanchhuahna engmah an nei lo. Mahse, thinlung hnathawh a chhe zauh zauh chuan symptoms i nei tan thei a ni. Heng symptoms te hi a tlangpuiin a lo lang nghal lo va, zawi zawiin a pung zawk thin.

Dilated Cardiomyopathy hi engte nge ni?

Hetiang dinhmun hi a chhan chiang tak hmuh a harsa fo thin. Mahse, ṭhenkhatah chuan thil engemaw zat hmuhchhuah a ni. Mi thenkhat chu heng zinga pakhat aia tam hian a nghawng thei a ni.

Hetiang dinhmun atang hian eng harsatna nge lo awm thei?

Dilated Cardiomyopathy a na zual chuan harsatna hrang hrang a awm thei. Chûng zînga ṭhenkhat chu a pawi hle thei a ni.

• Heart Failure: Hei hi harsatna lian ber a ni. Thinlung hian taksa mamawh phuhruk nan thisen a pump tling thei lo.
• Arrhythmia: Thinlung electrical signaling system inthlak danglamna avanga thinlung thawk mumal lo.
• Heart valve harsatna: Thinlung a lian chhoh zel avangin thinlung chhunga valve te chu a khar tha lo va, thisen chu hnunglam hawiin a leak tan thin.
• Thisen zam: Thinlung pump chakna a tlahniam avangin thinlungah thisen zam a lo awm thei a ni. He thisen zam hi a lo chhuak a, thluaka vein pakhatah a tang a nih chuan stroke a thlen thei a, a nih loh leh lung chhunga vein pakhatah a tang a nih chuan, pulmonary embolism tih hming pu dinhmun hlauhawm tak a thlen thei bawk.
• Sudden Cardiac Arrest: Thinlung arrhythmia hlauhawm tak avanga a tawp thut.

He natna hi Doctor hian engtin nge a hriat chian?

A chunga kan sawi tak symptoms i neih chuan i doctor pan hmasak ber tur a ni. I natna lan chhuah dan te, i chhungkuaa tu emaw chuan thinlung natna (family history) an nei em tih te, i damdawi lam chanchin te a zawt ang che.

Tichuan, Doctor in a enfiah ang che. I rilruah tui awm leh awm loh enfiah nan leh thinlung ri danglam (heart murmurs) a ngaihthlak theih nan stethoscope hmangin i rilru a ngaithla ang. Doctor chuan symptom i neih hmain heart murmur a hre mai thei.

Diagnosis finfiah nan test neih thin a ni

I taksa enfiah hnuah i doctor chuan natna finfiah nan test eng emaw zat neih a rawt ang a, a nasat dan a hrethiam ang a, chu mi ang chuan enkawl dan tha ber tur a ruahman ang.

Dilated Cardiomyopathy hi eng enkawlna nge ni?

He natna hi damdawi awm lo mah se, a natna lan chhuah dan thunun thei, i thinlung chak lohna tur titawp thei, dam rei zawk tura pui thei damdawi tha tak tak a awm. Enkawl i tan hma chuan a rah chhuah a tha zawk. Enkawlna hi chi thum ah then theih a ni.

1. Damdawi (damdawi chi hrang hrang) .

I doctor chuan i thinlung hnathawh that nan te, symptoms tihziaawmna tur te, leh harsatna awm lo turin damdawi engemaw zat a pe thei che a ni.

• ACE inhibitor leh ARNI: Hengte hian thisen kalna kawng a tizau a, thisen sang a tihniam a, thinlunga hnathawh tur a ti tlem bawk.
• Beta-blockers: Heart rate control a, heart hahdamna pe a, hun rei tak chhunga heart function titha.
• Diuretics: 1.1.Chungte chu "tui pill" an ti a. Taksa atanga tui tam lutuk chu zun hmangin an paih chhuak thei a, thawk hahna leh thawk hahna a tiziaawm bawk.
• Aldosterone antagonists: Hengte hi diuretic chi khat an ni bawk. Taksa chhunga sodium leh fluid control turin an pui thin.
• Anticoagulants: Heng damdawi te hi thinlunga thisen zam a awm theihna tur a awm chuan a awm loh nan pek thin a ni.

2. Nunphung inthlak danglam

Damdawi ei ringawt pawh a tawk lo. I nitin nunah inthlak danglamna tenau te hian enkawlna hlawhtlinna nasa takin a tipung thei a ni.

• Salt intake tihtlem: Chi hi taksaa tui awm lohna chhan lian tak a ni. Chaw ei tur chi (salt) ei tlem hian thinlung a ti na thei a, a ti na thei bawk.
• Zu leh ruihhlo pumpelh: Zu hian thinlung ruh direct-a a tihchhiat avangin doctor thurawn angin tihtawp vek emaw, tihtlem emaw a pawimawh hle. Cocaine ang ruihhlo hi pumpelh vek tur a ni.
• Exercise light: I tan a remchang leh doctor pawmpui light exercise (e.g. kea kal) i tih hian i thinlung hnathawh a tichak thei ang.
• Thinlung hrisel chaw: Thlai, thei, sa thau lo (ar, sangha), etc. ei tam la, oil leh sugar tamna ei tur ei loh tur.

3. Surgery leh damdawi dang tih dan tur

Natna hi a nasat em em a, damdawi chauh hmanga thunun harsa a nih chuan doctor chuan hetiang hi a rawt thei a ni.

• Biventricular Pacemaker: Thil te tak te, thinlung chhunga chamber te chu a ruala contract theitu, pumping efficiency tipungtu a ni.
• ICD (Implantable Cardioverter Defibrillator): Arrhythmia hlauhawm tak hriat theihna hmanrua a ni a, thinlungah electric shock te tak te a pe a, chu chuan thinlung a tichak lehzual a ni.
• LVAD (Left Ventricular Assist Device): Mechanical pump a ni a, heart pump puitu a ni. Hei hi heart transplant nghak mek damlote tan hun eng emaw chen hman a ni tlangpui.
• Heart Transplant: Damlo nasat ber, enkawlna dang zawng zawng a hlawhchham laia ngaihtuah hnuhnung ber.

He natna nen hian eng nge i beisei ang?

I prognosis chu natna chhan, natna nasat dan leh enkawlna i tan hma danah a innghat a ni. Enkawlna dik leh nunphung thlak danglam a nih chuan mi tam zawk chuan nun pangngaiin an nung thei a, an hna an thawk chhunzawm thei bawk.

Mahse, mi thenkhat tan chuan hun kal zelah natna lanchhuahna a zual thei a, damdawi inah enkawl an ngai mai thei.

Engtin nge i in enkawl ang?

He zin kawngah hian nangmah i in enkawl a pawimawh hle.

• Doctor thupek zawm rawh: I damdawi chu a pek ang chiah chiah, a hun takah leh a dose dik takah ei rawh. Ni khat pawh lo tlai tawh suh.
• Nitin i rit zawng teh: Zing tin a hun khatah i rit zawng teh la, i rit zawng record rawh. Ni khat emaw ni hnih emaw chhunga i taksa rihna a san nghal chuan tui i rihna a tipung tihna a ni thei. Hetiang a nih chuan doctor hnenah hrilh nghal rawh.
• Scheded clinic-a kal: Doctor-in lo kal tura a tih ni-ah clinic-ah kal ngei ngei tur a ni. I dinhmun enfiah a pawimawh hle.
• I taksa thu ngaithla rawh: I natna lan chhuah dan a zual zel nia i hriat chuan, entirnan, thawk harsatna i neih emaw, i ke a hring emaw a nih chuan ngaihthah suh la, doctor hnenah hriattir rawh.