I thinlung a chak lo va, a lo lian tawh em? Dilated Cardiomyopathy chungchang hi han sawi ila!

Kan thinlung hi taksa peng mak tak a ni tak zet a ni lawm ni? Kan taksa pum pui nunna pe rengtu he thinlung hi engtiang chiahin nge kan ngaihsak? A châng chuan kan hriat loh pawhin he thinlung hian harsatna leh natna chi hrang hrang a nei thei bawk. Vawiin hian kan sawi dawn a, chu chuan thinlung a tichak lo a, a ṭul lova thinlung ruh a ti lian a, chu natna chu eng emaw chen chu hming hlauhawm tak nei mah se, kan zavaia kan hriat chian a pawimawh hle. Hei hi doctor ten (Dilated Cardiomyopathy) an tih chu a ni.

Dilated Cardiomyopathy hi eng nge ni?

A awlsam zawngin, he natna (Dilated Cardiomyopathy) hi i thinlung pumping chamber bulpui, left ventricle , emaw thinlung ruh lian ber chu a inzawm khawm a, a tlangpui aia lian a nih chuan a ni. Rubber band hrual ang maiin han ngaihtuah teh, mahse hetiang hunah hian thinlung tan a tha lo. Lung ruh a chak lo va, a thim a, a lian a, thisen mumal taka pump theihna chu a tlahniam a ni. Chuti a nih chuan eng nge thleng? Thinlung a nat apiangin thinlung chhungah thisen tlem a awm thin. Chuvang chuan taksa peng dang zawng zawngin oxygen tamna thisen chu a tling tawk lo a ni. A nasat chuan hei hian thinlung hmun dang pawh a nghawng thei a ni.

Zirchiangtute chuan mipui zawng zawng zinga mi 100,000 zinga 36 velin he natna hi an vei niin an chhut. Mahse chanchin lawmawm tak chu he lung natna hi enkawl dan tur a awm tih hi a ni. Tin, chu dinhmun enkawl dan tur pawh i tih theih tur a awm bawk.

He natna lan chhuah dan engte nge ni?

Mi tam tak, a bik takin he natna hi a bul tan tirh lamah chuan natna lanchhuahna engmah an lantir lo thei a ni. Chu chu he natna hlauhawm tak chu a ni. Mahse thinlung hnathawh a chhe zauh zauh chuan symptoms i nei tam lehzual tan thin.

Dilated Cardiomyopathy natna lan chhuah dan chu:

• Chest na emaw tightness emaw
• Khuh leh congestion
• Luak chhuak emaw, lu hah emaw
• Fainting a ni
• Thil danglam tak taka chau tih hriat ( Fatigue ) .
• I rilruah palpitations emaw fluttering emaw a awm
• Thâwk hah / thawk hah
• Pum, ke, ke ruh, leh ke ruh a hring/edema
• Fluid retention avanga beisei loh taka taksa rihna sang

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak nghal a pawimawh hle.

Engvangin nge hetiang (Dilated Cardiomyopathy) hi a lo awm?

"Engvangin nge leiah hian hetiang hi ka chungah a lo thlen?" i ngaihtuah mai thei. Dik tak chuan, thil tam takah chuan mithiamte pawhin a chhan dik tak chu an hre chiang thei lo. Mahse, a chhan hriat chhuah thenkhat a awm. Anni chu:

• Lungphung pangngai lo (rhythm lama harsatna) ( Arrhythmia ) .
• Zu in hmansualna
• Cancer dona damdawi thenkhat (hengte hian thinlung tan a tichhe thei - cardiotoxic damdawi) .
• Naupai tlai lam emaw, nau neih hnu emawa harsatna awm thei
• Pianpui thinlung natna
• Coronary artery natna a ni
• Zunthlum
• Nu leh pate hnen atanga genes hmanga rochun dinhmun (hei hi familial dilated cardiomyopathy an ti a. Hei hian case 50% aia tam a huam thei)
• Lung natna
• Lung valve natna
• Thisen sang a sang
• HIV hrik kai
• Infection, thinlung ruh natna (entir nan, myocarditis ) .
• Cocaine ang chi ruihhlo hman
• Thyroid natna a ni
• Viral hepatitis natna a ni

A châng chuan mi pakhatin chhan pakhat aia tam a nei thei a. Entirnan, damdawi lam thil dang vangin Dilated Cardiomyopathy i vei thei a, chutih laiin genetically predisposed i ni thei bawk.

He natna vei theihna hlauhawm ber chu tute nge ni?

Mi thenkhat chuan midang aiin he natna hi an nei tam zawk. Anni chu:

• Kum 50 hnuai lam mite
• Mihring dum (black descent) (hei hi Sri Lanka nen hian a inzawm bik lo nain, khawvel pum huapa hmuh theih thil a ni)
• Mipa mimal tinte
• Chhungkaw zinga mi pakhatin Dilated Cardiomyopathy (genetic influence) a neih chuan .

Dilated Cardiomyopathy avanga harsatna awm thei te chu engte nge ni?

He natna hi a zual zel a nih chuan, chu chu a tawp berah chuan harsatna hrang hrang a awm thei a ni. Hengte hi a pawi khawp mai, chuvang chuan enkawlna zawng vat a pawimawh hle.

Heng harsatnate hi a hnuaia mi ang hian a ni thei:

• Lungphung pangngai lo ( Arrhythmia ) .
• A rilru a na ( Angina ) .
• Thinlung chhunga thisen zam (heng thisen zamte hian lungah a kal thei a, natna hlauhawm tak , pulmonary embolism an tih chu a thlen thei a ni ) .
• Lung natna (Cardiac arrest) a awm
• Lung natna
• Heart failure - Chumi awmzia chu thinlung chu a chak lo em em a, taksa mamawh a phuhruk thei lo tihna a ni.
• Lung valve natna
• Thai

Heng harsatnate hi eng ang taka na nge a nih tih hi han ngaihtuah teh. Chuvang chuan symptom tlemte pawh i hmuh chuan i ngaihtuah tur a ni.

He natna (Dilated Cardiomyopathy) hi Doctor ten engtin nge an hriat theih?

Doctor hmu tura i kal hian a tih hmasak ber chu i medical history lak hi a ni.I doctor chuan i medical history (a hmaa i natna emaw, damdawi i ei tawh emaw ang chi) leh i chhungkaw history (i chhungte natna ang chi) te a zawt ang. Tichuan, taksa enfiahna an nei ang . Hemi chhung hian doctor chuan i lung a ngaithla ang a, tui a awm leh awm loh a enfiah ang. Mak tak maiin, doctor chuan i thinlungah thawm danglam tak (thinlung murmur) a hre thei a, chu chu i natna lan chhuahna engmah i neih hmain a ni.

Chumi hnuah chuan test hrang hrang i neih a ngai ang a, natna nasat dan dik tak hriat chian a ngai ang a, i tana tha tur enkawlna tur ruahmanna i siam a ngai bawk ang.

Hei atan hian eng test nge tih thin?

A tlangpuiin hetiang test hi tih theih a ni:

• Angiogram: Hei hian i thinlunga thisen petu coronary arteries -ah blockage a awm em tih a enfiah thin.
• Thisen test: Hengte hian thinlung chhiatna leh harsatna dang a awm leh awm loh an enfiah thin.
• Chest X-ray: Hei hian i thinlung hi a tlangpui aia lian zawk a nih leh nih loh rough idea a pe thei.
• Echocardiogram: Hei hi test pawimawh tak a ni. Thinlung 'video' ang mai a ni. Thinlung hnathawh that dan te, taksa ruh te, valve te hnathawh dan te a entir thei a ni.
• Electrocardiogram (EKG/ECG): Hei hian thinlung electrical activity a enfiah a, chu chu heartbeat rhythm-ah harsatna a awm leh awm loh a enfiah a ni.
• Exercise stress test: Hei hian exercise i tih hian i thinlungin a chhan dan a test thin.
• Genetic testing: He test hian natna kai theihna tur genetic predisposition i neih leh neih loh a hriat theih nan a pui a ni.
• Heart MRI: Hei hian heart’s chambers lian leh te, hnathawh dan chiang takin a tarlang thei bawk.
• Endomyocardial biopsy: Hei hi tih a tam vak lo. Chu chu thinlung ruh sample tlemte lak a, enfiah a ni.

Dilated Cardiomyopathy hi engtin nge enkawl a nih?

Enkawlna chi hrang hrang i mamawh mai thei. Heng enkawlnate hian natna hi a tidam kim thei lo fo nain, a natna lan chhuah dan a thunun thei a, hrisel zawk, dam rei zawka i awm theih nan a pui thei bawk. Enkawlna an tan hma chuan a rah chhuah a tha zawk. I cardiologist emaw heart failure specialist emaw chuan a bia ang che a, i tana enkawlna tur tha ber tur a rel ang che.

Enkawl dan hi chi thum ah then theih a ni a, chungte chu damdawi, nunphung thlak danglam, leh surgery emaw damdawi lam thil dang emaw a ni.

Damdawi chi hrang hrang

Dilated Cardiomyopathy vei tan chuan i thinlung hnathawh thatna tur damdawi chi hrang hrang a awm a. Entirna thenkhat chu:

• ACE inhibitor te hi a ni
• Aldosterone dotu a ni
• Angiotensin receptor/neprilysin inhibitor (ARNI) te hi a tha ber pawl a ni.
• Antiarrhythmics (thinlung thawk mumal lo damdawi) .
• Beta-blockers te pawh a awm
• Thisen tithianghlimtu/anticoagulant - a bik takin atrial fibrillation ang chi natna nei tan
• Taksa chhunga tui tul lo awm zat tihtlem thei damdawi ( Diuretics ) .

Heng damdawi zawng zawng hi doctor-in a tih angin, a hman dan tur dik takah leh a hun takah ei vek a pawimawh hle.

Nitin nunphung inthlak danglamna

I ni tin nunphung, ei leh in leh thil dang dangah inthlâk danglamna tê tê i siam hian i damdawite chu i ti ṭha thei a, operation neih a ngaihna pawh i tikhawtlai emaw, i pumpelh vek emaw pawh a ni thei.

Heng inthlak danglamna te hi:

• I taksa venghim rawh: Zu i in zat khap tlat ang che. Dan loa ruihhlo hman loh vek tur a ni. Viral hepatitis leh HIV ang chi natna laka inveng rawh.
• Thinlung hrisel ei rawh: Sa thau lo (vawk leh sangha ang chi), thei leh thlai chi hrang hrang ei tam rawh. Diet chi tlem ei hian taksaa tui awm zat a tihziaawm thei a, chu chuan thinlungah harsatna a siam thei a ni.
• Taksa tihpun: Thinlung tana harsa lutuk lo exercise nem tak hian thinlung hnathawh a tichak thei a ni. I doctor nen eng exercise nge i tan a tha tih sawi rawh. Cardiac rehabilitation program-a tel ve pawh i ngaihtuah thei bawk . Hei hi him taka exercise tanna hmun tha tak a ni.

Surgery leh minimally invasive tih te pawh a awm bawk

Natna a zual deuh a, thinlung hnathawh a tlahniam nasa hle a nih chuan operation emaw, damdawi lam thil dang bik emaw a ngai mai thei. Dilated Cardiomyopathy enkawl dan thenkhat chu:

• Biventricular pacemaker: Hei hi thinlung chhunga chamber hrang hrangte chu rhythm mumal taka hnathawh theihna tura puitu hmanrua a ni.
• Implantable cardioverter defibrillator (ICD): I heartbeat hlauhawm taka a inthlak danglam chuan he device hian electrical shock te tak te a pe a, chu chuan i heart rate a siam tha leh thin.
• Heart failure emaw heart valve surgery emaw: Hengte hian thinlung hnathawh a tichak a.
• Left ventricular assist device (LVAD): Hei hi mechanical device a ni a, heart muscle chak lo tak takah thisen pump thei a ni.
• Heart transplant: Hei hi thil tih tur awm lo tak a ni a, enkawlna dang zawng zawng a hlawhchham tawh chuan ngaihtuah a ni.

He natna hi ven theih a ni em?

Dik tak chuan he dinhmun hi ven theih reng a ni lo. I chhungkuaa thil kal (genetics) a ni thei. A nih loh leh, cancer ang chi natna pakhat chemotherapy vang pawh a ni thei.Enkawlna avanga side effect angin a awm thei bawk.

Mahse, Dilated Cardiomyopathy vei theihna tur tihziaawmna tur thil i tih theih a awm a:

• Cocaine ang chi ruihhlo hi pumpelh vek rawh.
• Zu i in chuan a tlem berah tihtlem tur a ni.
• Diabetes emaw thisen sang ang chi natna i neih chuan control tha la.
• I thinlung hi heart attack (ei leh in tha, exercise, leh meizuk loh) laka inven nan uluk takin enkawl ang che.

Dilated Cardiomyopathy tih natna neia i nun hian eng nge i beisei theih ang?

I prognosis chu i dinhmun chhan leh a nasat danah a innghat a ni. Damdawi lam enkawlna pangngai i neih chuan hnathawhnaah i kir leh thei a, nitin i thiltih pangngai chu i thawk leh thei bawk ang. Mahse, a chang chuan i symptoms te hi hun kal zelah a na zual thei. I dinhmun a zual emaw, harsatna a lo awm emaw chuan, i tuar harsa mai thei. I natna lan chhuah dan a reh hma chuan damdawi inah i awm a ngai mai thei.

Mi tam tak tan chuan dilated cardiomyopathy hi hun kal zelah a na zual thei a, hun rei tak chhung chu heart failure a thlen thei bawk. Chumi awmzia chu thinlung chu a chak lo em em a, taksain a phut ang chu a zawm thei lo tihna a ni. Kidney failure leh heart failure na tak hi natna a kal tha dawn lo tih chhinchhiahna a ni. Chawlh lai pawhin symptom nei, emaw, taksa tihchakna engmah ti thei lote hian a rah chhuah a chhe ber fo thin.

Mahse, lungngai suh! Dilated Cardiomyopathy vei te hriselna leh dam rei zawng chu tun hnaiah nasa takin a tha chho a ni. Hei hi enkawlna tha zawk leh hriat hmasak vang a ni. Tunah chuan he natna vei zinga 80% aia tam chu kum riat chhung chu an dam tha a, lungphun thlak ngai lovin.

Engtin nge ka in enkawl ang?

He natna vei laia i tih theih pawimawh ber chu mahni inenkawl hi a ni. I doctor thupek chu uluk takin zawm rawh.

• Nitin harsatna chhinchhiahna, rang taka taksa rihna tihpun ang chi te chu fimkhur reng ang che.
• I doctor-in a rawt angin inthlak danglamna (e.g., chi tlem ei tur) chu dik takin siam rawh.
• Kum khatah vawi tam tak doctor rawn la, follow-up visit neihpui rawh.
• Damdawi pek chu dik tak leh a hun takah ei tur a ni.

Engtikah nge ka doctor ka hmuh ang?

Hun kal zelah i dinhmun a danglam thei a, chuvangin doctor nen inbiak reng a, checkup neih fo a tha ber. Hei hi i dam chhung zawnga i tih tur a ni. I natna lan chhuah dan a na zual nia i hriat chuan i doctor nen inbia nghal rawh. I symptoms te enkawl turin a pui thei che a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Natna i vei tih hmuhchhuah thar i nih chuan zawhna tam tak i neih hi thil pangngai a ni. I doctor hnenah zawhna zawt hreh suh ang che:

• Ka chhungkaw dangte tan genetic test neih hi a tha em?
• Hna hahthlak tak tak ka pumpelh tur em ni?
• Support group ka zawm theih tur a awm em, Sri Lanka-ah emaw online emaw pawh nise?
• Eng diet nge ka tan a tha?
• Eng ang exercise nge ka tih ang a, eng chen nge ka tih ang?

An thinlung hian hna a thawk tha lo tih tumahin an hre duh lo. Mahse, tunlai doctor-te hian Dilated Cardiomyopathy ang chi natnaah hian i thinlung a thawk tha thei tur khawpa enkawlna chi hrang hrang an pe thei a ni. I dinhmun siam\hatna tur thil awlsam tak tak i tih theihte pawh a awm bawk. Zawhna zawh hreh suh la, i duhthlan tur chu hrethiam rawh. He natna hi hmalam panna kawng tha ber zawng turin i doctor nen in thawk ho thei ang.

Thil pawimawh hriat reng tur (Take-Home Message) .

Tunah chuan vawiin a kan sawi tawh heart muscle natna (Dilated Cardiomyopathy) hi i hrethiam zawk ngei ka beisei. Hei hi dinhmun pawi tak ni mah se, i hriat chian a, i enkawl thiam chuan nun tha tak i hmang thei a ni.

A pawimawh ber chu a natna lan chhuah dan hriat chian a, doctor thurawn la vat a, doctor-in a pek dan leh a pek dan dik taka zawm a ni. Nangmah chauh i ni lo, he zinkawngah hian puitu leh kaihruaitu tur doctor leh health worker an awm bawk. Chuvangin chak takin awm la, he dinhmun hi hmachhawn rawh.

` Lung natna, thinlung lian, dilated cardiomyopathy, thinlung ruh chak lo, thawk hah, thinlung tha lo, thinlung enkawl