I thawhrim lai te, stairs i chhoh lai te, a nih loh leh i kal chak deuh emaw hian i rilruah a tight emaw, a na emaw i nei em? Nge thawk harsa i ti em? Hemi chungchang hi i doctor i hrilh khan "Exercise Stress Test" ti turin a hrilh che em? Chu hming i hriat chuan tlemin i hlauthawng a, i hlauthawng deuh a ni mai thei. "Stress" tih thumal kan hriat hian thil harsa tak kan ngaihtuah thin. Mahse hei hi a takah chuan hlauh tur a ni lo. Hei hi test hman tlanglawn tak a ni a, i thinlung hriselna chungchangah thu hlu tak tak min pe a, tih fo thin a ni. Chuvangin vawiin hian he thu hi chiang tak leh awlsam takin sawi ila.
A awlsam zawngin Exercise Stress Test tih hi eng nge ni?
I car engine kha han ngaihtuah teh. A park mai mai chuan a thawk tha hle niin a lang mai thei. Mahse tlang i chhoh lai emaw, i tlan chak lai emaw chauhvin engine-a thil dik lo a awm leh awm loh i hre chiang tak zet a ni. Chutiang chu kan thinlungah a ni.
Kan ṭhut a, kan chawl mai mai lai hian thinlung hian phurrit a nei vak lo. Mahse exercise kan tih te, kan tlan te, kan zuang emaw hian kan taksa peng dangte hian oxygen leh thisen kan mamawh tam zawk thin. Tichuan thinlung hian a hma aia rang leh chak zawka hna a thawh a ngai a ni.
Exercise stress test-ah hian i thinlung chu controlled, safe environment-ah "exercise" emaw "stress" emaw tlemte pek a, chutah chuan a chhan dan enfiah a ni. Hei hian i doctor chu thil pawimawh tak tak a zir theih nan a pui thei a ni.
- I thinlung hian engtiang chiahin nge thisen a pump chhuah? - Exercise i tih hian i thinlung pump theihna a tlahniam emaw a pung emaw tih i hmu thei.
- Heart muscle te hian thisen an hmu tling em? - Thinlung (coronary arteries)-a thisen petu thisen kalna kawng (arteries) te chu a zim emaw, a inkhar emaw a nih chuan exercise neih laiin thinlung hian thisen a hmu tlem thei. He test hian hei hi a hmuchhuak thei a ni.
- I symptoms te hi thinlung nena inzawm a ni em? - Exercise neih laiin i rilru na, thawk hah, luak chhuak a awm em tih i enfiah thei ang. Chutiang a nih chuan thinlung lam harsatna a ni thei.
- Thinlung electrical activity hi engtin nge a awm? - Exercise i tih hian heartbeat a mumal lo em tih i enfiah thei ang.
A awlsam zawngin, hei hi i thinlung tan "fitness test" ang mai a ni.
He test hi tuin nge tel duh?
Doctor-in he test hi i tan a rawt theih chhan hrang hrang a awm. Eng nge an nih i han thlir teh ang.
| Chhan | Hrilhfiahna |
|---|---|
| Lung lam natna lanchhuahna nei | Exercise i tih laiin i rilru a na emaw, i tightness ( angina tia koh bawk) i neih chuan, thawk harsa i tih chuan, heartbeat chak emaw, mumal lo emaw ( arrhythmia ), emaw, luak chhuak emaw i neih chuan, he test hian chutiang symptoms awm chhan chu a zawng chhuak thei a ni. |
| Lung natna vei theihna hlauhawma awm | Zunthlum, thisen sang, cholesterol sang, zuk leh hmuam i nei a nih chuan, i chhungkuaa mi tu emaw chuan kum naupang tak atanga lung natna nei tawh a nih chuan lung natna vei theihna i nei bawk. Hei hian harsatna a lan chhuah hmain a hriat theih nan a pui thei a ni. |
| Enkawlna hlawhtlinna tehna atan | Lung natna (damdawi, stent dah, bypass surgery ang chi) enkawlna i dawng tawh a nih chuan, he test hi enkawl a nih dan leh i thinlung hnathawh a ṭhat leh ṭhat loh hriat nan tih a ni. |
| Exercise program i tan hmain | A bik takin thinlung natna nei mi pakhatin a vawi khatna atan exercise a tan tan a nih chuan, he test atanga information kan hmuhte hi eng exercise nge an tana tha tur tih leh eng chen nge an tih theih tih hriat nan a pawimawh hle. |
| Operation hmaa thinlung fitness enfiah nan | He test hi i thinlung hi operation lian tak i neih hmaa non-cardiac surgery-a stress tuar thei tur khawpa chak a nih leh nih loh tehna atan pawh hman a ni. |
Stress test hi chi hrang hrang a awm a.
Mi zawng zawng hi test inang vek an ni lo. I test chi hrang hrang chu i dinhmun, i natna lan chhuah dan leh i doctor-in a hriat tur thu a zirin a inang lo thei.
1. Exercise Stress Test neih dan tur
Hei hi a tlangpui leh a bulpui ber a ni. Heta thil thleng chu i rilru leh i kut ah sticker te te (electrode) i bun a, chu chu `EKG` (Electrocardiogram) machine nen an inzawm a ni. Tichuan treadmill-a kal emaw, stationary bicycle khalh emaw turin an ti che a ni. Treadmill speed leh incline (tlâng lawn ang chi) chu zawi zawiin a tisang a. Hemi chhung hian `EKG` machine hian i thinlung electrical activity chu a record chhunzawm zel a. Tin, i thisen sang pawh a hun hunah a teh bawk.
2. Exercise tih hi Stress Echocardiogram tih a ni
Hei hi a hma aia test chipchiar deuh deuh a ni. I exercise i tih hma leh i tih zawhah i thinlung `Echocardiogram` (ultrasound scan of the heart) tih a ni.
A awlsam zawngin ‘echo’ hian thinlung ruh inzawm dan te, valve hnathawh dan te, thisen kal dan te chu mit hmuhin a hmu thei a ni. Exercise neih laiin thinlung hmun khat thisen a tlakchham chuan chu hmuna taksa ruh inzawmkhawm chu a chak lo ta hle a ni. Hei hi he scan hmang hian chiang takin a hriat theih a ni.
He test hi EKG pangngai result chiang lo a awm chuan a tangkai hle.
3. Nuclear Stress Test neih a ni ang
A hming hi a hlauhawm deuhin a lang thei a, mahse a him hle a, radioactive substance dose tlem tak a hmang a ni. He thil hi i vein-ah inject a ni. Tichuan, i chawlh laiin i thinlung chhunga thisen luang chhuak chu camera bik (SPECT emaw PET scan) hmangin a thlalak a la a.
A dawtah chuan treadmill-ah exercise i ti leh thin. Exercise i tih zawh hnuah camera chuan thlalak a la leh thin. Tunah chuan doctor chuan chawlh lai thlalak te chu exercise zawh hnua thlalak te nen a khaikhin thei tawh ang. Thisen kalna kawng a inkhar a nih chuan, chu thisen kalna thisen kalna hmuna thisen pek chu exercise laiin a tlahniam a ni. Hei hi thlalak atang hian chiang takin kan hmu thei a ni. Hei hian heart arteries-a blockage nasat dan dik takin a teh thei a ni.
Test hmain engtin nge i inbuatsaih ang?
Results dik tak hmu tur chuan test hmaa inbuatsaihna tha tak neih a pawimawh hle.
- Ei leh In: Test hma darkar engemaw zat chhung chu engmah ei leh in loh tur a ni. Tui tlem in pawh a pawi lo. A bik takin `Nuclear Stress Test` i neih chuan test zawh hma chu chaw nghei turin an ti mai thei.
- Caffeine ei loh tur:Test hma darkar 24 chhung chu caffeine awmna engmah, coffee, tea, chocolate emaw energy drink thenkhat emaw ei loh tur a ni. Caffeine hian i heart rate a tidanglam thei a, result pawh a nghawng thei bawk.
- Meizial in loh tur: Test ni hian zu in loh tur.
- I doctor hnenah damdawi chungchang zawt rawh: I doctor chuan i ei thin damdawi thenkhat (entir nan, heart damdawi beta-blockers ang chi, asthma tan inhaler thenkhat) chu test ni-ah ei tawh loh turin a ti thei che a ni. Nangmah chauhin damdawi ei kha bansan ngai suh. I doctor nen inbia fo la, a thupek dik takin zawm rawh.
- Zunthlum vei tan: Zunthlum damdawi i ei a nih chuan chaw nghei hi harsatna a ni thei. Chuvangin, chumi ni a i damdawi leh ei tur ei dan tur thurawn la turin test hmain i zunthlum doctor nen inbia ang che. Glucose monitor i neih chuan keng la.
- Thawmhnaw: Thawmhnaw eng, nuam tak leh kekawr hak nuam tak (canvas pheikhawk emaw sports shoe ang chi) ha la.
- Thianghlim takin awm rawh: Test i neih dawnin tlem a hlauhthawn hi thil pangngai a ni. Mahse i hlauthawng lutuk a nih chuan i heart rate leh blood pressure ang chi thil te hian a tidanglam thei a, result pawh a nghawng thei a ni. Chuvângin, a theih ang anga insûm taka awm tum ang che.
Test neih chhung hian eng nge thleng?
Lab-a i kal chuan nurse emaw technician emaw chuan i chawlh lai thisen sang leh heart rate chu a teh hmasa ang a, a record ang. Tichuan i rilru leh i kut ah electrode an dah ang a, chu chu EKG nen a inzawm ang.
A dawtah chuan treadmill-a chuang turin an ti ang che. A bul tanna chu a zawi zawi hle a, lei zau takah kal ang maiin a intan thin. Minute tlemte danah officer incharge chuan treadmill speed leh incline chu a ti sang zauh zauh ang. A vawi khatnaah chuan, "Engtin nge i awm?" "Harsatna i nei em?" I rilru hahna, rilru na, luak chhuak i neih chuan i hrilh nghal tur a ni.
I kum leh fitness level atanga teh tur target heart rate i thlen chuan minute engemaw zat chu chu level chu i vawng reng ang a, chutah chuan test chu i titawp ang. Exercise portion hi minute 10-15 vel a ni tlangpui. Mahse, chu hun hmaa symptoms na tak tak i neih emaw, tih theih tawh loh i tih emaw chuan test hi tihtawp hmasak a ni ang.
Engtin nge exercise la thei lo tan test hi i tih ang?
Mi pakhat chu ruh hliam emaw, thil dang emaw avanga treadmill-a kal thei lo angin han ngaihtuah teh. Chutiang mite pawhin he test hi an ti thei a ni. Chutih lai chuan khumah mu turin an siam che a, vein pakhatah damdawi an inject a ni. He damdawi hian i thinlung a ti rang zawk a, exercise i tih lai ang bawkin. Hei hmang hian thinlung chu a mamawh "force" (stress) chu artificial takin pek a ni.
Test zawh hnuah minute 15 vel an enfiah ang che, i heart rate leh blood pressure a normal leh hma loh chuan. Engkim a pangngai tawh chuan i haw thei tawh ang.
Test result hian eng nge a sawi?
Test report i dawn veleh i doctor chuan a zirchiang ang a, a hrilhfiah ang che. A result hi hmunpui pahnih ah then theih a ni.
Results a normal a nih chuan...
Chumi awmzia chu i thinlung hian exercise lakah a chhang tha hle tihna a ni a, i thinlung hian a mamawh thisen a hmu a, i symptoms te hi thinlung lama harsatna lian tak avanga lo awm a ni lo tihna a ni.
- I natna lan chhuah chhan hriat tumin test hi tih a nih chuan: I rilru natna hi thil dang vang a ni thei a, chu chu stress emaw gastritis emaw a ni thei. I doctor chuan a hriat theih nan test dang a ti ang.
- Exercise emaw surgery emaw hmaa tih a nih chuan: Hei hian i thinlung a chak tawk a, exercise program tan emaw, operation emaw i nei thei tihna a ni.
Results a dik lo a nih chuan...
Results pangngai lo chuan exercise laiin i thinlungah harsatna a awm tihna a ni a, chu chu thinlung natna chhinchhiahna a ni thei.
- EKG-a inthlak danglamna: Thinlung lama thisen kal tlem (ischemia) chuan EKG-ah hian inthlak danglamna engemaw zat a lang.
- Chest pain: Exercise i tih laiin i rilru natna i neih chuan heart artery block tihna a ni thei.
- Blood pressure abnormalities: Exercise neih laiin thisen sang a sang lo emaw, a tlahniam tha lo emaw pawh hian harsatna a thlen thei bawk.
A pawimawh ber chu, result pangngai lo avanga hlauthawng suh. Heart attack i nei dawn tihna a ni lo. I thinlungah harsatna a awm tihna mai a ni a, chu chu kan ngaihven a, a tul anga hma kan lak a ngai a ni.
Results pangngai lo a awm chuan doctor chuan a hnua tih tur a rel ang.
- Hrilhfiahna tenau te chu: nunphung tihdanglam (meizial zuk bânsan, ei leh in thunun, exercise) leh cholesterol leh thisen sang control nana damdawi hman te a ni.
- Hrilhfiahna lian tak takte chu:Test dang pawh tih a ni thei a, chu chuan harsatna chu finfiah lehzual a, blockage awmna hmun dik tak hriat theih a ni. Entirnan, `CT Coronary Angiography` (CT scan) emaw, `Cardiac Catheterization` (angiogram test) emaw ang chi thil atan refer i ni thei.
Take-Home Thuchah a ni
- Exercise stress test hi hlauh tur a ni lo. I thinlung hriselna enfiahna atana test him leh hman tlanglawn tak a ni.
- Hei hi exercise i tih huna i rilru natna leh thawk hahna thlentu a ni em tih hriatna kawngah a pui hle.
- Doctor thupek (chaw nghei, damdawi thenkhat chawlhsan) te chu test hma chiaha zawm a pawimawh a, result dik tak hmuh theih nan.
- Test neih laiin harsatna i neih chuan a enkawltu officer-te hnenah hriattir nghal rawh.
- Results chu a pangngai emaw, a pangngai lo emaw pawh nise, hlauthawng suh la, i doctor nen inbia la, a hnuaia hmalakna turte chu chiang takin hre rawh.
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