I rilruah natna rit tak dah ang maiin i rilruah natna i nei thut mai ang tih han ngaihtuah teh. I hlauhthawn tir lo em ni? Kan rilru chu hlauhnain a tlan a, "Hei hi heart attack a ni em?" Chu hlauhna chu a takah chuan a dik a ni. Mahse, i hria em, rilru natna zawng zawng hi thinlung lam harsatna avanga lo awm a ni lo. A chang chuan he natna thlentu hi thinlung nena inzawmna nei lo thil a ni thei bawk. Vawiin hian he thuziak ah hian mi tam tak ti hlauhawm tak, mahse thinlung nena inzawm lo, damdawi lama (Noncardiac Chest Pain - NCCP) tia hriat, rilru natna hi kan sawi dawn a ni.
A awlsam zawngin, hei hi eng nge a nih tak tak?
Noncardiac Chest Pain (NCCP) hi i thinlungah harsatna awm lovin i rilru natna mai a ni. Angina ang chiah hian a awm thei a, chuvang chuan min tibuai a, min ti hlauhawm fo bawk.
Tunah chuan, "Thinlung a nih loh chuan engvangin nge i rilruah a na?" Chu chu zawhna tha tak a ni. Kan chaw kawng (esophagus) hi kan rilru chhunga kan thinlung awmna hmun hnaih takah a awm a, chu chu kan ei laiin chaw chu pum chhungah a kalna hmun a ni. Organ pahnih atanga natna signal lo chhuak chu nervous system pakhatin thluaka a phur lut thin. Chuvangin a chang chuan thluak hian a natna chu thinlung atanga lo chhuak nge chaw kawng atanga lo chhuak tih a hre thei lo. In lama harsatna awm ang maia kan bula harsatna awm ang mai a ni.
Mi tam takin "heartburn" kan tih hi a takah chuan thinlung lam harsatna a ni lo va, chaw kawng chhunga acid lo chhuak avanga inflammation a ni zawk. A hming ni mah se, thinlung nen hian inzawmna a nei lo. Hei hi NCCP entirnan a tha hle.
A pawimawh ber chu, i rilru a na a nih chuan thinlung lam harsatna a ni lo tih hi nangmah chauhin thutlukna siam suh. Lung lam harsatna a nih loh nan doctor pan a pawimawh hle.
He hrehawmna hi engtin nge a awm? Eng nge a lan chhuah dan?
Sawi tawh ang khan he natna hi heart attack laia natna tawn nen a inang hle. Chuvangin an pahnih hi thliar hran a harsa deuh thei. Heng symptoms te hi eng nge ni tih han thlir ila.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Lung natna ang chi symptoms a awm | |
| Pressure emaw, rit emaw tih hriatna | Ka rilruah mi pakhat a chho ang maiin ka hria a, a nih loh leh thil rit tak ka chungah an dah ang maiin ka hria. |
| A pinch emaw squeeze emaw a ni | Ka rilruah natna ka nei a, ka hrual a, ka thawk chhuak ang maiin ka hria. |
| Stress nasa tak emaw hlauhna emaw | Natna rual hian hlauhna nasa tak, lungkhamna leh nawrna nasa tak i nei thei bawk. |
| Chest inflammation a awm thei | Gastritis nena lo awm inflammation ang maiin a awm thei. |
| Natna thehdarh | He natna hi rilru lai tak, hnute ruh hnuai lam atanga intan hian kawr, hnungzang emaw, kut emaw thlengin a darh thei a ni. |
| Lung natna chhinchhiahna hrang hrang | |
| Thaw chhuak emaw thawk harsa emaw | Heart attack ang hian thawk hah lutuk emaw, thawk harsa lutuk emaw nen hmuh tur a awm lo. |
| Nitroglycerin atanga chhanna | Nitroglycerin, lung natna enkawlna atana hman thin damdawi, lei hnuaia dah a nih chuan thinlung natna a tiziaawm a ni. Mahse, NCCP natna atanga chhanchhuahna a pe lo. |
He natna hi a chang chuan chaw ei tam hnuah emaw, i rilru hahna i neih hunah emaw a intan thei. Second tlemte atanga darkar tlemte thleng a daih thei. Minute tlemte aia rei a na a nih chuan damdawi lam thurawn la nghal a finthlak hle.
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
Okay, tunah chuan eng thil dang nge he natna hi thlen thei tih hi han en ila, thinlung ni lo se.
1. Chaw ei kawng lama harsatna awm
Hei hi NCCP chhan ber a ni.
- GERD (Gastroesophageal Reflux Disease): A awlsam zawngin sawi ila, hei hi gastritis a nasat lutuk avanga lo awm thin a ni. Pum chhunga acid awm chu a lo chhuak a, chaw kawng (esophagus) atanga kawr chhungah a kal lut a. He acid hian chaw kawng bang a hal a, inflammation leh natna a thlen thin. Hei hi a hmaa kan sawi tawh ang khan "heartburn" kan tih kha a ni.
- Esophagitis: GERD bakah hian natna dang emaw, damdawi thenkhat emaw, allergy emaw a awm chuan chaw kawng chhunga lining a ti hring thei a ni. He swelling hian rilru natna a thlen thei bawk.
- Esophageal muscle problems: Kan esophagus hi ruh atanga siam tube a ni. Heng ruhte hian hna a thawk tha lo a nih chuan rang takin an spasm emaw, an tighten emaw thei. Hei hian rilru natna nasa tak a thlen thei a, ei harsa a ti thei bawk.
- Esophageal Hypersensitivity: Mi thenkhat chuan an esophagus-ah hian nerve sensitive tak tak an nei a. Pressure inthlak danglamna tlemte pawh, a nih loh leh acid tlemte pawh, mi pangngaiin a hriat loh pawh hi an tan chuan hrehawmna nasa tak angin an hre thei a ni.
2. Taksa leh ruh natna
A chang chuan a na hi rilru chhung lam atanga lo chhuak lo, rilru bang atanga lo chhuak a ni.
- Chhung natna hi ruh tliak, ruh hliam, emaw, ruh inzawmkhawmtu cartilage inflammation (costochondritis) ang chi natna avang pawh a ni thei bawk.
- Hei hi hriat theih dan awlsam tak chu i kut zungtang chu i natna hmunah direct-a hmet la, a natna a san chuan hetiang hi taksa ruh emaw ruh emaw nena inzawm natna a nih a rinawm.
3. Rilru lam dinhmun
Hei hi mi tam tak tan chuan thil mak tak a ni a, mahse a pawimawh hle.
- Kan chhungril lama kan hriat thil, lungkhamna, lungkhamna, leh lungngaihna te hi taksa natna, a bik takin rilru natna angin a lang thei a ni.
- Vawikhatmah hlauhna leh lungkhamna nasa tak (panic attack) i nei a, thawk harsa i ti a, i rilru a khauh a, i thinlung a na zual a, heart attack nei ang maiin i inhria tih han ngaihtuah teh. Hei hi rilru lam dinhmun ni mahse, i hrehawmna chu 100% chuan natna tak tak a ni.
4. Lung dinhmun
A tlem hle nachungin, rilru natna hi lung natna thenkhat, pleural effusion emaw pneumothorax emaw avanga lo awm thei a ni bawk.
Doctor-te hian engtin nge hei hi an hmuh?
Damdawi inah i kal a, a bik takin Emergency Department (ETU)-ah i kal a, i rilru a na hle.I kal hunah doctor-in a tih hmasak ber tur chu nunna atana hlauhawm thinlung natna i neih leh neih loh a enfiah hmasa phawt ang. Chu chu a pawimawh ber a ni.
1. Lung natna a awm lo tih nemngheh:
- Thisen test: Hengte hian heart attack laia thisena enzyme awm khawmte an enfiah thin.
- ECG (Electrocardiogram): Thinlung electrical activity chu a awm leh awm loh enfiah thin a ni.
- Exercise stress test: Exercise i tih laiin ECG lak a ni a, chu chuan i thinlungin stress a chhan dan tur a en a.
- Heart CT scan: He test hi thinlung thisen kalna kawng (Block) a awm leh awm loh hriat theih a ni.
Heng test zawng zawng i tih zawh hnu leh i rilru natna chhan chu i thinlung a ni lo tih 100% a i hriat chian hnuah chauh doctor chuan NCCP i nei tih thutlukna a siam ang.
2. A dawtah chuan a chhan zawng rawh:
- Chumi hnuah chuan gastroenterologist hnenah refer i ni thei ang .
- Chutah chuan upper endoscopy (camera hmanga tube hmanga chaw kawng leh pum enfiah), chaw kawng manometry , emaw, chaw kawng pH test ang chi test te chu a natna chhan dik tak hriat tumin an ti thin.
- A chang chuan i doctor chuan GERD damdawi thenkhat (Proton Pump Inhibitors - PPIs ang chi) a lo enchhin hmasa thin. Chu damdawi te chuan i rilru natna a tihziaawm chuan GERD hi a chhan a ni tih finfiah theih a ni.
Enkawlnate chu engte nge ni?
Enkawlna chu i natna chhan a innghat a ni.
- A chhan chu GERD a nih chuan: Damdawi proton pump inhibitor (PPIs) ang chi, pum chhunga acid siam chhuah tihtlemtu pek thin a ni. Hengte hi a hman tlanglawn ber leh a hlawk ber a ni.
- A chhan chu zunthlum chhunga taksa peng hrang hrangte harsatna a nih chuan: Chu ruhte tih hahdam emaw, an hnathawh leh theihna tur emaw damdawi emaw, enkawlna dang emaw a awm a.
- A chhan chu stress emaw, lungkhamna emaw a nih chuan: Psychological therapy leh stress management hi a pawimawh hle. Tin, a châng chuan antidepressant , tricyclic antidepressant emaw SSRI emaw , chu a tlem hle bawk. Heng damdawi te hi depression enkawlna atan chauh hman a ni lo va, hun rei tak chhunga nerve natna tihreh nan pawh hman a ni. Chuvangin i doctor-in damdawi a pek chuan, "Ka â lo, engvangin nge he damdawi hi ka pek?"
Noncardiac Chest Pain hi a tlangpuiin nunna atana hlauhawm a ni lo. Mahse, i nunphungah nghawng lian tak a nei thei a ni. Chhung natna hlauhna reng reng nen nun chu thil awlsam a ni lo. Tin, a chhan bulpui (e.g. GERD) hi enkawl loh chuan hun kal zelah harsatna dang a thlen thei bawk.
Take-Home Thuchah a ni
- Chest na zawng zawng hi heart attack a ni vek lo. Mahse, thinlung lam harsatna a nih loh nan doctor pan hmasak a pawimawh.
- Non-cardiac chest pain (NCCP) thlentu ber chu gastroesophageal reflux disease (GERD) a ni.
- Stress nasa tak, hlauhna leh lungngaihna ang chi thilte hian taksa rilru natna a thlen thei tak zet a ni.
- Enkawlna chu a natna chhan dik takah a innghat a, chuvangin dik taka hriat chian a pawimawh hle.
- I rilru natna lo awm leh thin i neih chuan ngaihthah suh. I doctor nen sawiho la, a chhan zawng la, enkawlna dik zawng rawh.
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