Heart attack hnua tlawhtu: Dressler’s Syndrome chungchang hi i zir dawn em ni?

Heart attack i neih hnu leh a dam leh theih loh hnuah pawh heart problem i hriat leh hunah beidawng lutuk, hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni lawm ni? Mahse thu lawmawm tak chu doctor-te chuan he natna Dressler’s syndrome an tih hi an hre chiang hle a, a enkawlna tha tak tak a awm bawk. Chuvangin, tlem han sawi ila, kan sawi dawn em ni?

Dressler’s Syndrome hi eng nge ni?

A awlsam zawngin sawi ila, Dressler’s syndrome hi heart attack hnua lo awm thei a ni. Post-myocardial infarction syndrome an ti bawk. A nihna takah chuan pericarditis chi khat a ni. Pericarditis hi i thinlung chhehvela venhimna bawm, pericardium a inflammation a ni. He inflammation hi hliam kan neih huna lo awm thin swelling nen a inang a ni.

Heart attack i neih chuan heart muscle a chhiat phah thin. Chu chhiatna chhanna atan chuan ni atanga kar tam tak chhunga ‘latent period’ hnuah i taksa immune system chu a thawk tan ta a ni. He immune system response hi pericardium inflammation thlentu a ni.

Pericarditis chi dang ang bawkin Dressler’s syndrome hian rilru natna a thlen thei bawk. Hei hi inflamed pericardium (heart sac) hian thinlung a rawn hnawih hian a thleng thin. A châng chuan pericardium layer pahnih inkarah hian extra fluid a lo awm thei bawk. Hei hi pericardial effusion an ti a. Hei hian thinlungah pressure a siam a ni. Mahse lungngai suh, a tam zawkah chuan damdawi hian he inflammation hi a tiziaawm thei a, complication a veng thei bawk.

Tun hma chuan heart attack vei za zinga pathum atanga pali velin Dressler’s syndrome an nei thin. Mahse tunah chuan heart attack enkawlna lama hmasawnna avang hian he natna hi heart attack vei mi za zinga pakhat aia tlem lovah a awm a ni.

Dressler’s Syndrome natna lan chhuah dan chu engte nge ni?

Heart attack chhinchhiahna hi heart attack atanga kar hnih atanga kar li hnuah a lang tlangpui. A lan chhuahna ber chu a rilruah natna na tak, hliam na tak a ni . He natna hi thawk la, i ei a, i khuh emaw, i mut emaw hian a zual thei. Mahse, ṭhut a, hmalam pan chuan a hahdam thei.

Chest na bakah hian symptoms te pawh i nei thei bawk:

• Thâwk harsa , a bik takin i khur emaw, i mu emaw hian.
• Low-grade fever i nei mai thei .
• I chau leh chau hle mai thei .
• Taksa chu nunna nei lo leh eng thil pawh ngaihven lo niin a inhria thei (malaise).
• Lung na lutuk leh thisen sang hniam hi emergency condition cardiac tamponade an tih chhinchhiahna a ni thei.

Engvangin nge Dressler’s Syndrome hi a lo awm?

Mithiamte chuan Dressler’s syndrome thlentu dik tak hi an la hre chiang lo hle. Mahse, heart attack avanga i taksa immune system-in a chhanletna a nih an ring. Heart tissue chhiat hian immune system reaction cascade a siam a, a tawpah chuan pericardium, heart vel a sac inflammation a thlen thin.

I doctor chuan hei hi ‘post-cardiac injury syndrome’ (PCIS) a ti thei bawk. ‘PCIS’ tih hi a tlangpuiin, taksa hriselna (immune system)-in thinlung a tihchhiat a chhanlet dan chi hrang hrang sawina a ni. ‘PCIS’ chi dang hi lung zai hnuah emaw, accident-a thinlung hliam hnuah emaw a awm thei.

Hetiang dinhmun hian harsatna a thlen thei em?

A tlem hle nachungin, Dressler’s syndrome nena inzawm harsatna hi a chang chuan nunna atana hlauhawm thei a ni , chuvang chuan a rang thei ang bera diagnosis leh treatment neih a pawimawh em em a ni.

Dressler’s syndrome-a harsatna awm lo tak takte chu:

• Cardiac tamponade: Hei hi thinlung chhehvela bawm, pericardium-a tui a lo punkhawm a, chu chuan thinlungin thisen a pump tha thei lo. Hei hi enkawl vat loh chuan thihna thlen thei a ni. I thinlung chu tuiin a hnim hrual ang tih han mitthla teh.
• Constrictive pericarditis: Hetiang dinhmunah hian pericardium chu a thim emaw, a khauh emaw a, chu chuan thinlung chu zalen taka thawk a harsat phah a ni. Hei hian harsatna lian tak tak, heart failure ang chi a thlen thei a ni.

Doctor-te hian engtin nge hei hi an hriat?

I doctor chuan Dressler’s syndrome i vei nia a rinhlelh chuan taksa enfiahna a nei ang a, i symptoms chungchang a sawipui ang che. Test neih a ngai thei bawk a, chungte chu:

• Thisen test: Hengte hian taksaah inflammation a awm leh awm loh a enfiah thin. Entirnan, C-reactive protein level sang tak an enfiah thin.
• Electrocardiogram (ECG/EKG): ECG chu thinlunga electric hnathawh dan tarlanna graph a ni. Lung natna hriatchhuahna kawngah a pui thei a ni.
• Chest X-ray: X-ray thlalak atang hian thinlung hi a lian a nih chuan a lang thei. Chutiang a nih chuan fluid buildup chhinchhiahna a ni thei.
• Echocardiogram `(Echocardiogram - Echo)` tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a.Echo test hian thinlung chhehvelah tui a awm khawm em tih chiang takin a hmu thei a ni. He tui hian thinlung ruh a tichhia em tih pawh a enfiah thei bawk.
• Cardiac MRI: Hei hian thinlung thlalak chipchiar zawk a la thei. Hei hi inflammation diagnose atan a pawimawh hle. Hei hi test dangin information a pek tlem chuan tih theih a ni.

Diagnosis a siam dawnin doctor chuan symptoms te pawh a ngaihven ang a, chungte chu:

• Stethoscope (pericardial friction rub) hmanga thinlung ngaihthlak laiin scratching sound hriat theih .
• Pleural rub hi thawk chhuah leh chhuah huna lung atanga lo chhuak, scraping sound na tak a ni .
• Thisen test result-ah inflammation a lang a, chu chu C-reactive protein sang emaw, white blood cell level sang emaw a ni.
• ECG-a pericardium-a inflammation emaw, pericardium-a tui awmkhawm emaw (pericardial effusion) chhinchhiahna.

A hnuaia tehfung pahnih tal i neih chuan i doctor chuan Dressler’s syndrome i nei tih a rel thei ang:

• Chhan dang hriat lohvin khawsik i nei a ni.
• Pericarditis ang chi rilru natna i nei a.
• Doctor chuan i rilruah ``pericardial rub'' leh/ emaw ``pleural rub'' tih a hre thin.
• I thinlung pericardium-ah extra fluid a awm khawm (pericardial effusion).
• I lung vel ah extra fluid i nei a (pleural effusion), i C-reactive protein level pawh a sang hle bawk.

Dressler’s Syndrome hi engtin nge enkawl a nih?

A tam zawkah chuan damdawi ei hi pericardium inflammation tihziaawmna tur leh Dressler’s syndrome symptoms tihziaawmna atan a tawk . Heng damdawi te hi kar tam tak, a nih loh leh thla tam tak chhung pawh i ei a ngai mai thei, i natna lan chhuah dan a bo vek hma loh chuan. I doctor chuan damdawi aspirin leh colchicine te a pe thei ang .

Mahse i dinhmun chu a rei tawh a, chu chu a awm reng tihna a nih chuan, pericardial disease lama thiamna nei doctor i pan a ngai ang a, enkawlna kawng hmasawn zawk i sawiho a ngai ang.

Engtikah nge Doctor ka hmuh ang?

I doctor appointment te chu vawng reng rawh . Heng follow-up checkup te hi a pawimawh hle a, a chhan chu i doctor-in i enkawlna a thawh that dan a hriat theih avangin. Tin, natna lan chhuahna thar i neih emaw, i natna a zual emaw chuan i doctor i ko nghal tur a ni .

Hetiang dinhmun hi eng nge ka beisei theih ang?

Dressler's syndrome hi enkawl vat chuan a veng thei a ni.Dam leh theihna chance a tha hle. Chuvang chuan Doctor-in a sawi ang chiaha damdawi hman a pawimawh em em a, a thupek zawm a pawimawh hle.

Mahse, Dressler’s syndrome hi enkawl hnuah a lo lang leh thei a ni. Chuvang chuan doctor pan fo a pawimawh a, i dam hnuah pawh checkup neih reng a pawimawh. I doctor chuan i thinlung chu uluk takin a lo enkawl ang. Enkawlna dang i mamawh chuan a hriattir ang che.

Heart attack atanga i dam chhoh lai hian heart problem dang hriat duh zawng a ni lo. Hetianga Dressler’s syndrome hmuhchhuah hian buaina, hlauhna leh lungngaihna a thlen thei che a ni. Mahse thu lawmawm tak chu doctor te hian he natna hi enkawl dan an hre chiang hle .

I damdawi ei dik leh doctor nena inzawmna nei reng chuan i thinlung i humhim thei a, i dam thei bawk. I enkawl dan tur chu i hrethiam ngei ang. I hriatthiam loh thil a awm chuan zawhna zawh hreh suh.

Take-Home Thuchah a ni

• Dressler’s syndrome hi thinlung chhehvela sac (pericardium) inflammation a ni a, heart attack hnuah a awm ngai lo.
• Hei hi a chhan chu taksa hriselna (immune system) hian heart attack avanga chhiatna thlengte a chhanlet vang a ni.
• A lan chhuahna ber chu rilru natna nasa tak a ni a, mahse thawk hah, khawsik leh hahna te pawh a awm thei bawk.
• Doctor-te chuan test eng emaw zat an neih avangin hei hi an nemnghet a ni.
• Hei hi damdawi hmanga tihchangtlun theih a ni fo.
• He natna hi hriat hmasak a, enkawlna zawn a pawimawh hle.
• Doctor thupek dik tak zawm la, i damdawi ei kha dik takin ei la, i checkup te pawh lo hmu lo la. Lo dam vat rawh!

` Dressler syndrome, lung natna, lungphun hnua natna, pericarditis, pericarditis, rilru na, thinlung hriselna