Heart Attack tih hi eng nge ni? He dinhmun hlauhawm tak hi chiang takin i zir ang u.

A chang chuan i rilruah natna tlem emaw, tightness emaw i nei thin em? Mi tam tak chuan, "Hei hi gastritis a ni ngei ang," tiin kan ngaihtuah thin. Mahse rilru natna zawng zawng hi gastritis a ni vek lo. Chu chu heart attack na zawk, nunna atana hlauhawm zawk, a nih loh leh heart attack kan tih ang chi bul tanna a ni thei bawk. A hun taka hriat chhuah a nih chuan nunna a chhanhim thei a ni. Chuvangin vawiin hian he thu hi chiang tak leh awlsam takin i sawi dawn nia.

A awlsam zawngin, heart attack chu eng nge ni?

Heart attack, damdawi lama ``Myocardial Infarction'' tia hriat hi a hlauhawm hle a, heart muscle-in thisen mamawh zat a dawn loh chuan a thleng thin. Kan in lama tui rawn thlentu pipe chu bawlhhlawhin a khuh ang tih han ngaihtuah teh. Tichuan tui chu tap atangin a chhuak lo a ni lawm ni? Chutiang chu a ni a, thinlunga thisen phurtu thisen kalna kawng (arteries) pakhat emaw a aia tam emaw a inkhar chuan thinlung hmun khatah thisen a luang lo.

Thisen kal dan a bo chuan thisen tlakchhamna thinlung ruh chu a thi tan ta a ni. Thisen kal dan a lo let leh vat loh chuan hei hian thinlung a tichhe reng thei a, thihna hial a thlen thei bawk.

Heart attack a lo awm hian eng nge thleng tak tak?

Heart attack i neih hian i thinlung hmun khata thisen kal chu a tawp vek emaw, nasa takin a tlahniam emaw a ni. Hei hian thinlung ruh a tichhe emaw, a thi emaw a ni. Thinlung peng pakhat thisen tel lova a thih chuan thisen a pump thei tawh lo. Hei hian thinlung pum pui pumping action a tibuai thei a ni. Hei hian taksa pum puia thisen kal chu a ti tlem thei a, a titawp thei bawk. Hei hi enkawl vat loh chuan thihna thlen thei a ni.

Hei hi eng symptoms nge ni thei ang?

Heart attack chhinchhiahna tam tak a awm thei. Ṭhenkhat chu a tam hle a, a ṭhen chu tlem a tlem hle. Mahse heng symptoms te hi hriat chian a pawimawh hle.

Mi tam zawkin an tawn thin symptom lian ber berte chu:

Hmeichhia leh mipa symptoms inang lo a awm em?

Ni e, hei hi thil pawimawh tak a ni. Hmeichhiain heart attack an neih huna an natna lan chhuah dan hi mipa te nen a danglam thei hle.

• Hmeichhia hian mipa aiin rilru natna nasa tak an nei tlem zawk. Chu ai chuan, thawk hah, hah lutuk, mut theih lohna, rilru hahna, leh luak chhuak ang chi chhinchhiahna an nei thei a ni . An hnungzang, kekawrte, kawr, kutphah emaw, pumpuiah emaw na an nei thei bawk.
• Mipa hian a tlangpuiin kan hriat vek "classic" rilru natna hi an tawk nasa zawk.

Chuvangin hmeichhiate tan a bik takin heng natna lan chhuah dan hrang hrangte hi kan hriat chian a pawimawh hle.

Heart attack hi engte nge ni?

Heart attack tam zawk hi chu heart-a thisen petu thisen kalna kawngkhar a block vang a ni. Hei hi a chhan ber chu cholesterol deposit (Plaque) a ni. Kitchen sink-a oil i theh chuan oil chu pipe chhungah a tlakbuak ang bawkin, cholesterol leh thil dangte chu kan thisen kalna kawngah a tang a, layer a siam a ni. Hei hi `(Atherosclerosis) kan ti a.` Heng cholesterol deposit te hi a pung a, thisen kalna kawng a zim chuan chu dinhmun chu `(Coronary Artery Disease)` kan ti thin.

A châng chuan, heng cholesterol dahna chunglam hi a chhe ṭhin. A rupture na hmunah hian thisen zam a lo awm thei a, a lodge thei bawk. He clot hian thisen kalna kawng a block vek chuan heart muscle-a thisen kal chu a titawp thei a, heart attack a thlen thei a ni.

He a chhan ber bakah hian heart attack hi chhan dang vang pawh a awm thei a, a tlem hle (heart attack zawng zawng zinga 5% vel).

• Coronary artery a lo chhuak thin.
• Damdawi lama harsatna awm lo, thisen kalna kawng a zim dan pangngai lo.
• Accident avanga thinlung thisen kalna kawng a chhiat.
• Embolism chu taksa hmun danga thisen zam ang chi thil a kal a, thinlung chhunga thisen kalna kawng khata a tlakbuak hi a ni.
• Ei leh in lama harsatna hian hun rei tak chhung thinlung a tichhe thei a ni.

Tu nge hlauhawm ber?

Heart attack neih theihna tur risk factor engemaw zat a awm a. Ṭhenkhat chu kan thlak danglam thei lo va, ṭhenkhat erawh chu kan thunun thei a ni.

Engtin nge doctor-te chuan heart attack i nei tih an hriat?

Heart attack hi damdawi in emergency room (ETU) ah hmuhchhuah a ni tlangpui. I symptoms nen ETU-a i kal chuan doctor-in a enfiah ang che. I pulse rate, thisen sang an enfiah ang a, i thinlung leh i lung an ngaithla ang a, i natna lan chhuah dan eng emaw zat an zawt ang.

Tichuan, he dinhmun hi finfiah turin test eng emaw zat an nei leh thin.

• Thisen Test: Hei hi heart attack hriat theihna atana rintlak ber a ni. Heart muscle a chhiat chuan chu cell atang chuan chemical ``Cardiac Troponin`` tih chu thisenah a chhuak thin. Hei hi thisen test hmanga teh a ni.
• ECG (Electrocardiogram): Hei hi ETU-a i kal huna i test hmasak ber tur a ni. I thinlung electrical signals te chu a en a, i thinlungah chhiatna a awm em tih emaw, heartbeat mumal lo a awm em tih emaw a hre thei a ni.
• Echocardiogram: Hei hi ultrasound scan ang a ni. I thinlung chhung lam leh pawn lam thlalak a la a, a pump that dan leh valve te a thawk tha em tih te a en thin.
• Coronary Angiogram: He test hian dye bik leh X-ray hmangin thinlung chhunga thisen kalna kawngte thlalak a la thin. Hei hian thisen kalna kawng eng emaw zat a block em tih hriat theih nan a pui thei a ni.

Engtin nge enkawl a nih?

Heart attack enkawlna tum ber chu a rang thei ang bera heart muscle chhe tawhah thisen kal lehna tur a ni. Hei hi kawng hrang hrang hmanga tih theih a ni a, damdawi atanga operation thlengin.

Enkawl nghal vat tur a ni

• Oxygen: Oxygen hi hnar tube emaw mouth mask hmanga thawk harsatna nei te hnenah pek thin a ni.
• Damdawi chi hrang hrang: 1.1.
• Anticoagulants: Thisen tithianghlimtu aspirin ang chi.
• Nitroglycerin: Hei hian rilru natna a tiziaawm a, thisen kalna kawng a tizau a, thisen kal a awlsam phah a ni.
• Painkillers: Damdawi morphine ang chi hi rilru natna tihziaawmna atan pek thin a ni.
• Thrombolytics: Hengte hi heart attack atanga darkar 12 hmasa berah pek thin a ni.
• Beta-blockers: Hengte hian heart rate a control a, thinlung chu chawlh hahdamna a pe a, a dam leh theih nan a pui bawk.
• Statins: Hengte hian cholesterol a control a, thisen kalna kawnga cholesterol awm chu a ti nghet a, heart attack dang a veng bawk.

Enkawlna bikte

• Percutaneous Coronary Intervention (PCI) / Angioplasty: Hei hi enkawl dan tlangpui a ni. A awlsam zawngin, ke emaw, kut emaw hmangin thinlung chhunga thisen kalna kawng khatah tube te tak te (catheter) dahin, balloon ang chi hmanrua chu a inkhar chhuak a, chu chuan a khar lai chu a hawng a ni. Chumi hnuah chuan stent , mesh ang chi hmanrua chu dah a ni a, chu chu vessel chu a khar leh tawh loh nan a ni.Hei hi engtiang chiahin nge tih thuai a nih chuan damlo nunah nghawng lian tak a nei a ni.
• Coronary Artery Bypass Surgery (CABG): Hei hi bypass surgery an ti tlangpui a ni. He surgery hi thinlung chhunga thisen kalna kawng hrang hrang hmun tam takah nasa taka inkharkhip a nih chuan tih a ni. Hei hian taksa peng dang (a tlangpuiin rilru, kut emaw, ke emaw) atanga thisen kalna kawng khat lak a, a khar lai hmuna thisen kal theihna tur kawng thar siam a huam a ni.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Enkawlna hnua i rilru hahdam hun chhung chu heart attack nasat dan te, enkawl tan tirh te, leh damdawi lam harsatna dang i neih danah a innghat a ni.

Damdawi ina awm zat chu hetiang hi a ni:

• Damdawi chauh hmanga enkawl a nih chuan: Ni 6 vel.
• PCI/Stent treatment tih a nih chuan: Ni 4 vel.
• Bypass surgery (CABG) i neih chuan: Hei hi surgery lian tak a ni a, dam lehna tur chuan hun a duh a ni. Ni 8 atanga ni 12 chhung i awm a ngai mai thei.

Damdawi in atanga a dam kim theih nan leh hnathawhna leh thil tih dan pangngaia kir leh theih nan kar hnih atanga thla thum chhung khawi hmunah pawh a ngai thei. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.

Heart attack atanga damchhuak tur leh a lo thlen leh tawh loh nan eng nge i tih ang?

Heart attack laka inven nan thil tam tak kan tih theih a ni. I nei tawh a nih chuan a dang veng turin heng thilte hi tih a pawimawh hle.

• Damdawi lam thurawn dik tak la rawh: Kum khatah vawi khat tal i chhungkaw doctor (PCP) hnenah check-up nei rawh. Thisen sang, sugar level, leh cholesterol level ang chi thil te enfiah thin ang che.
• Meizial zu kha bansan vek rawh: Cigarette, cigar, leh e-cigarette (vaping) te hi tihtawp vek tur a ni.
• Exercise neih fo: Ni khatah minute 30 tal moderate-intensity exercise nei la, kar khatah ni 5 tal exercise la. Brisk walk pawh a tha.
• Ei leh in hrisel tak hmang rawh: Oil, chi, sugar tamna ei tur, fast food, leh packaged foods te chu a theih ang anga tihtlem thin ang che. I eitur ah hian thlai, thei, thing leh mau, leh sa thau lo leh sangha tam zawk dah tel bawk ang che.
• I taksa rihna hrisel tak vawng reng rawh: I san zawng a zirin taksa rihna hrisel tak vawn reng a pawimawh hle.
• Natna dang thunun: Zunthlum, thisen sang, cholesterol i neih chuan i doctor-in damdawi a pek ang chiah leh a hun takah ei tur a ni.
• Stress tihtlem: Yoga leh meditation ang chi thil hmangin i rilru ti hahdam rawh.

Engvangin nge damdawi inah mahni chauha kal ai chuan 1990 i tih?

Heart attack symptoms i neih chuan 1990 call a, ambulance lak hi nunna chhanhimna tur a ni thei a, lirthei zawng a, damdawi ina mahni in khalh ai chuan. Hei hi chhan hrang hrang a awm a:

1. Ambulance-ah enkawl tan theih a ni: Ambulance-a trained medical staff-te chuan damdawi in panna kawngah i mamawh tur basic test (ECG ang chi) leh treatment (oxygen, aspirin) te an tan thei a ni. Hei hian hun hlu tak a humhim a ni.

2. Damdawi inah enkawlna i dawng nghal ang: Ambulance hmanga i thlen hunah emergency patient i nih thu hriattir lawk i ni ang a, chuvangin ETU-ah enkawl leh enkawl nghal i ni ang.

3. Kawng lakah i hriatna i hloh chuan: Heart attack vangin i thinlung chu a thawk mumal lo emaw, a tawp emaw a, chu chuan hriatna a hloh phah thei a ni. Hei hi lirthei i khalh chuan accident na tak a ni thei. Ambulance-a hetiang thil a thlen chuan an enkawl nghal thei che a, an chhanchhuak thei che a ni.

"Second i chhanchhuah apiang hi i thinlunga sa chi khat a ni" tih hi hre reng ang che. Chu chu nunah chance tha zawk i hmu tihna a ni.