I thawhrimna emaw, stairs i chhoh emaw, hla vak lo i kal emaw hian i rilru a na emaw, i tight emaw i nei em? I doctor-in damdawi a pek chu i ei tawh mai thei a, mahse he natna hi a bo vek lo. Lung zai i hlau a nih chuan, emaw, i doctor-te’n i hriselna dinhmun ngaihtuahin zai a harsa an tih chuan, he thuziak hi i tan a pawimawh hle ang. Vawiin hian enkawlna bik, surgery ni lo, thinlung tan hahdamna nasa tak thlentu kan sawi dawn a ni.
Chuti a nih chuan, EECP chu eng nge ni?
A awlsam zawngin, EECP (Enhanced External Counterpulsation) hi chronic stable angina , hun rei tak atanga lo awm tawh natna enkawlna a ni. Damdawi him tak a ni a, US Food and Drug Administration (FDA) ang agency-te pawhin an pawmpui tawh bawk.
A tlangpuiin thinlunga thisen kalna kawngte a inkharkhip chuan thinlungin a mamawh thisen oxygen tamna a hmu lo. Hei hi coronary heart disease kan ti a ni . Hei hi angina thlentu a ni a, chu chu rilru natna a ni. He natna hi i chau emaw, i rilru hah emaw a lo awm a, chawlh hahdam deuh hnuah a reh chuan chu chu chronic stable angina an ti a ni.
EECP enkawlna hi damdawi pangngai ei lo leh bypass surgery emaw angioplasty ang chi operation nei thei lo tan chuan a pawimawh hle a ni
EECP enkawlna hian engtin nge hna a thawh?
Hei hi hmanraw mak tak a ni. Ngaihtuah teh, i thinlung hian a thawkrim deuh a, a chau bawk. EECP hmanga enkawlna hian pawn lam atanga thinlung a pui thin.
Treatment neih chhung hian i ke leh i hnuteah special cuffs dah a ni. Hengte hi blood pressure cuffs nen a inang hle. I thinlung rhythm (EKG hmanga enkawl) ang chuan cuffs chu boruakin a khat a, i thinlung a chawlh laiin a tikhauh thin. Hei hian i kea thisen awm chu i thinlung lam hawiin a nawr let leh thin. Hei hian oxygenated thisen i thinlung thleng chu a tipung a ni.
Tichuan, thinlung chu a inzawm (pump) leh tan meuh chuan cuff chhunga boruak chu a chhuak nghal a ni. Chumi hnuah chuan thinlung chuan awlsam zawkin thisen a pump thei ta a ni.
Chutianga a kal zel chuan natural bypass thar a lo awm tan a, chu chuan thisenin thinlunga thisen kalna kawngkhar khar chu a bypass thei ta a ni. Hei hi he enkawlna thatna lian ber a ni.
He enkawlna hi tute tan nge a inhmeh?
EECP enkawl hi mi zawng zawng tan a tha lo. I tan a tha em tih i doctor chuan a rel ang. A hnuaia dinhmun nei tan chuan duhthlan tur tha tak a ni thei:
| Eligible theihna tur | Hrilhfiahna |
|---|---|
| Hun rei tak chhung rilru na | Angina hi exercise emaw stress emaw laia lo awm leh reh thin a ni. |
| Damdawi atanga hahdamna awm lo | Damdawi pek tawh ei chung pawha symptoms control theih loh a nih chuan. |
| Surgery atana tling lo | Hriselna lama harsatna dang avanga bypass emaw angioplasty ang chi surgery tih theih lohte tan. |
| Operation hnuah symptoms a rawn lang leh thin | Bypass, angioplasty, stent dah hnua symptoms a lo lang leh a nih chuan. |
Tu tan nge EECP hi recommend loh?
EECP enkawlna hi damdawi lam harsatna nei tan chuan a tha lo hle. Entirnan, naupai tan chuan a tha lo. Tin, a hnuaia natnate hi i neih chuan i doctor chuan enkawlna dang a ngaihtuah thei bawk:
- Heart valve natna na tak
- Thisen sang thunun loh (uncontrolled hypertension) .
- Thisen zam a awm theihna
- Thinlung thawk chak leh mumal lo, e.g. Atrial Fibrillation (Afib) a awm thei lo.
- Peripheral vascular natna na tak a ni
- Pulmonary hypertension a awm bawk
A pawimawh ber chu i cardiologist nen inbiakna neih hi a ni a, he thil chungchangah hian nangmah chauha thutlukna siam tur a ni lo.
Enkawl hma leh enkawl lai hian eng nge thleng?
Hei hi surgical procedure a nih loh avangin hlauh tur a awm lo. Enkawlna hi ni khatah darkar khat vel a ni tlangpui.
Enkawl hmain
Enkawlna i tan hmain doctor chuan a enfiah ang che a, a ni thei bawkExercise stress test pawh tih theih a ni. Enkawlna tan hma lawk hian nurse emaw technician emaw chuan:
1. I hak tur pants bik pek i ni ang.
2. I rilruah EKG strap 3 a inbun ang.
3. Chu special cuffs chu ke leh hnungzang vel ah an bun a.
4. Oxygen level enfiah nan kut zungtang chungah sensor te tak te (finger sensor) dah a ni.
Enkawl lai hian
I tih tur chu khum nuam takah i mu mai mai a ni. Lehkhabu i chhiar thei a, music i ngaithla thei a, mut pawh i muhil thei bawk. EKG angin cuff chu a tight ang a, a loosen bawk ang. Hei hi a tir lamah chuan mak deuhin i hria mai thei a, mahse minute tlemte hnuah chuan i thiam tawh ang. Natna engmah i hre lovang.
A tlangpuiin he enkawlna hi kar 7 chhung, kar khatah ni 5, ni khatah darkar 1, a vaiin darkar 35 chhung tih thin a ni.
EECP enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Enkawlna dang ang bawkin he damdawi hian hlawkna leh nghawng tenau te a nei thei bawk.
| A thatna te | Risk/Side Effect awm thei te |
|---|---|
| Chest na leh symptoms tihziaawmna. | Muscle natna tenau emaw, hahna emaw. |
| Taksa tana chakna leh chakna tam zawk neih. | Cuff vangin vun a sen deuh emaw, a hring deuh emaw. |
| Exercise thiam leh natna nei lo active thei. | Vun natna (numbness) ang chi condition. |
| Angina damdawi ei tlem thei. | A tlem hle a, thawk harsatna a awm thei a, damdawi ina dah a ngai thei bawk. |
Rikrum!He enkawlna hi natna khirh tak tan a tha lo va, rilru na tak, na tak (unstable angina) tan a tha zawk. Natna nasa tak, na tak i neih chuan heart attack chhinchhiahna a ni thei. Mi pakhat call nghal la, hospital emergency department (ETU) hnai ber pan rawh .
Mi tam tak chuan enkawlna a tawp hnuah kum engemawzat chu an dam tha hle a, mahse mi thenkhat, a bik takin darkar 35 chhunga a mamawh hun hmang zo lote chuan enkawl nawn leh an ngai mai thei.
Take-Home Thuchah a ni
- EECP hi non-surgical treatment a ni a, chronic chest pain (angina) a awm thei.
- Hei hian thinlung pawn lam atanga pressure pek hmangin hna a thawk a, thinlunga thisen kalna a tipung a ni. Hei hian thinlung hnathawh a titha a ni.
- Hei hi damdawi hmanga thunun theih loh leh zai theih loh tan chuan duhthlan tur tha tak a ni.
- Enkawlna chu a hrehawm lo. Khum chungah nuam takin i mu mai tur a ni.
- He enkawlna hi i tan a tha em tih chu i doctor chauhin a rel thei a, chuvangin a chungchang hi sawipui rawh.
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