Stairs sang tak atanga i kal lai emaw, rei vak lo emaw i kal hian thawk harsa i ti fo em? I chau hlein i hria em? Tlai lamah i ke leh ke ruh a hring em? Hengte hi thil dang mai mai angin hnawl suh. Chûngte chu i thinlungin thil engemaw hrilh che a tum tih chhinchhiahna a ni thei. Vawiin hian mi tam takin an hriat loh thupui pawimawh tak kan sawi dawn a ni. Chu chu heart failure, a nih loh leh damdawi lam atanga kan sawi angin heart failure leh a damdawi pek dan te a ni.
A hmasain Heart Failure tih hi eng nge ni tih i hrethiam ang u.
Mi tam tak chuan Heart Failure tih thumal an hriat hian an hlauthawng thin. An ngaihtuah a, "Aw my, ka thinlung hian hna a thawk tawh lo em ni?" Mahse chutiang chu a ni lo. A awlsam zawngin, Heart Failure hi i heart muscle-in taksaah thisen a pump tha thei lo tihna a ni. Tui pump chu a chak lo deuh a, tank chhungah tui a pump lut thei lo ang mai a ni.
Hei hi hmasawnna lam hawi dinhmun a ni. Thinlung hian thisen a pump ṭhat loh avangin taksa hmun hrang hrangah, a bîk takin lung , ke, leh keah tui a pung khâwm ṭan a ni. Hei vang hian thawk hahna , hahna, leh ke ruh natna lan chhuah dan ka sawi a ni. Hetiang dinhmun hi enkawl a nih loh chuan harsatna lian tak tak, liver leh kidney ang chi taksa peng hrang hrang tihchhiat te, cardiac arrest nghal mai te a awm thei a ni.
A pawimawh ber chu heart failure hi damdawi hmanga tihdam kim theih a ni lo tih hi a ni. Mahse, lungngai suh! Damdawi dik leh nunphung thlak danglam chuan i dinhmun chu i control tha thei a, a na zual loh nan i veng thei a, nunphung tha tak i vawng reng thei bawk.
I doctor chuan i natna lan chhuah dan te, zunthlum , thisen sang , emaw kal natna ang chi natna dang i neih leh neih loh leh i dinhmun a hmasawn dan a zirin eng damdawi nge i tan a tha ber tih a rel ang. Chuvangin mi pakhat tana damdawi an pek chu mi dang tan a ni lovang.
Heart Failure damdawi hman berte chu engte nge ni?
Heart failure enkawlnaah hian damdawi pakhat chauh ni lovin, damdawi inzawmkhawm hman a ni tlangpui. A chhan chu damdawi tin hian taksaah hna hrang hrang an thawk a, thinlung a tanpui thin vang a ni. Cricket team member tinte chu thil pakhatah an thiam a, an pahnih hian match-ah hnehna an chang ang bawkin.
Ruihhlo class hman tam ber leh an hnathawh dan a hnuaia table-ah hian han en ila.
| Damdawi Class | A awlsam zawngin, hei hi eng nge thleng? | Entirna tlanglawn tak tak |
|---|---|---|
| ACE Inhibitors (Angiotensin tidanglam thei Enzyme Inhibitors) te hi a tha hle. | Chungte chuan thisen kalna kawng zau zawk leh thisen sang tihhniamna hmangin hna an thawk a ni. Hei hian thisen pump turin thinlunga hna thawh tur a tihtlem phah a ni. Tui luang awlsam zawk nan pipe khar zauh ang maiin han ngaihtuah teh. | Captopril, Enalapril, Lisinopril, Ramipril te chu a rawn chhuak leh ta a ni |
| ARBs (Angiotensin-2 Receptor Blockers) te hi a tha hle a ni. | ACE inhibitor ang bawkin hengte hian thisen kalna kawng zau zawkin thinlung a pui bawk. Doctor-te chuan mi thenkhatin ACE inhibitor avanga khuh ang chi side effect an neih chuan hetiang chi hi an rawt thin. | Losartan, Valsartan, Candesartan te an ni |
| Beta Blockers te pawh a awm | Chungte chuan heart rate a ti hniam a, heart pressure a tihziaawm bawk. Hei hian thinlung chu "chawlhna" a pe a, hun kal zelah a pump tha zawk thei bawk. Tin, thinlunga stress thlentu hormone te pawh an control bawk. | A rilru a hah lutuk chuan a rilru a buai em em a, a rilru a hah lutuk chuan a rilru a buai em em bawk a |
| Diuretics (Tui Pills) 1.1. | Hengte hi "tui pill" kan ti tlangpui. Taksa atanga tui tam lutuk chu zun hmanga paih chhuah nan an pui thin. Hei hian ke ruh hring leh thawk harsatna nasa takin a tiziaawm a, chu chu lung chhunga tui awm vang a ni. | Furosemide (Lasix®), Spironolactone, Hydrochlorothiazide te a awm bawk |
| ARNIs (ARB + Neprilysin Inhibitor) te hi a tha hle a ni. | Hei hi damdawi class thar, advanced tak a ni. Taksain thinlung venghimtu natural hormone tam zawk a vawng reng thei a, chutih rualin thisen kalna kawng a tizau bawk. A bik takin heart pumping ability hniam (ejection fraction) nei tan a tangkai hle. | A rilru a buai em em a, a rilru a hah em em bawk a. |
| SGLT2 Inhibitors te hi a awm bawk | Hengte hi a tir chuan zunthlum enkawlna atana siam ni mah se, a hnuah chuan lung lam natna nei damlote damdawi ina dah theihna a tihziaawm tih hmuhchhuah a ni. Kidney atanga sugar leh sodium paih chhuah nan an pui thin. | Dapagliflozin (Farxiga®), Empagliflozin (Jardiance®) te hi a tha ber pawl a ni. |
| Digoxin a ni | He damdawi hian heart rate a ti hniam a, heart muscle contraction a tichak bawk. Damdawi dang hmang chung pawha symptom nei te leh heart rhythm pangngai lo (atrial fibrillation) nei te tan pek thin a ni. | Digoxin (Lanoxin®) a awm bawk. |
He damdawi hman hian side effect a nei em?
Ni e, damdawi dang ang bawkin mi thenkhat chuan heng damdawi te hian side effect an nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Side effect i tawn tur chu damdawi chi hrang hrang i pek danah a innghat ang.
Side effects langsar zual thenkhat chu:
- Luak chhuak, a bik takin ṭhutna aṭanga tho chhuah hian.
- Chau tih hriatna.
- Thisen sang hniam.
- Mi thenkhat (a bik takin ACE inhibitor ei thinte) chuan khuh hring (dry cough) an nei thei.
- Diuretics avanga zun chhuah fo thin.
- Thisenah potassium level hniam emaw sang emaw a awm.
- Muscle a ti na hle.
Symptom danglam tak tak thar i neih chuan doctor zawt hmasa lovin i damdawi ei kha bansan ngai suh. Hei hi a hlauhawm hle thei a ni. I harsatna tawh chu i doctor hnenah hrilh rawh. A dose a thlak thei a, i tana tha zawk damdawi dang a pe thei bawk.
Damdawi nen hian i lam atanga i tih tur engte nge awm?
Damdawi ei hi indona chanve chauh a ni. A chanve dang chu i kutah a awm. I nunphung siamrem hian damdawi aiin rah tha zawk a chhuah thei a ni.
Heng thilte hi nitin uluk takin enkawl ang che.
- Nitin, zing lamah i rihna chu a hun khatah enfiah thin ang che. Ni khat emaw ni hnih emaw chhunga kilo 2 i tihpun thut chuan tui tlakchhamna chhinchhiahna a ni thei. Hetiang a nih chuan doctor nen inbia nghal ang che.
- In lamah i thisen sang i teh thei a nih chuan a ropui hle ang. Blood pressure monitor tha tak neih dan tur doctor zawt rawh.
- I chaw eiah chi (sodium) awm zat hi fimkhur hle ang che. Chi tam lutuk hian taksaah tui a tikhawlo a, thinlunga phurrit a tipung bawk. Pickles, dried fruits, sauce, canned foods, leh sausage ang chi thil te chu a theih ang angin hlat rawh.
- Ni khatah i doctor-in tui a rawt zat chauh in thin ang che. A châng chuan tui i in zat tihtlem a ngai mai thei.
Nunphung a inthlak danglam thin
- Meizial i zu a nih chuan vawiin hian titawp rawh. Meizial zuk hi thinlung hmelma lian ber pakhat a ni.
- Zu in hi tihtlem emaw, tihtawp vek emaw.
- I doctor thurawn angin nitin i duh angin exercise tlemte ti thin ang che. Kea kal pawh a tha tawk.
- I rilru hriselna pawh ngaihtuah teh. Hetiang natna rei tak nena kan nun lai hian lungngaihna leh lungkhamna hi thil pangngai tak a ni. Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. A tul chuan counseling zawng rawh.
Damdawi hi engtin nge kan enkawl ang?
A châng chuan damdawi tam tak ei a ngaih hunah hna harsa tak angin a lang thei. Mahse heng thilte hi i tih dik chuan danglamna lian tak i nei ang.
- I damdawi ei zawh hma ni engemaw zat hnuah refill la. Ni hnuhnung ber thleng nghak suh.
- Damdawi i ei zawng zawng list siam la, i kutah dah rawh.A chungah chuan engkim ziak vek la, damdawi hming, a dose (e.g. 50mg), ni khatah vawi engzat nge i ei tih leh chaw ei hma leh ei zawhah i ei leh ei loh te pawh ziak vek rawh. Doctor hmu tura i kal hunah he list hi keng la.
- Doctor rawn hmasa lovin i damdawi ei kha bansan suh. I rilru a hahdam a nih pawhin i damdawi ei kha bansan suh. Damdawi hian hna a thawk tha em avangin i rilru a hahdam zawk. I ei tawh loh chuan i dinhmun chu a chhe lehzual thei a ni.
- Naupai i tum emaw, naupai mek emaw i nih chuan doctor hnenah hrilh nghal rawh, naupai lai hian heart failure damdawi thenkhat hi a tha lo a ni.
Heart Failure tih hian i thinlung chu "a hlawhchham" tihna a ni lo. I thinlung hian a tih tur ti turin tanpuina tlem a mamawh tihna chauh a ni. Chu ṭanpuina chu heng damdawi leh i nunphung inthlâk danglamna a\ang hian a lo chhuak a ni. Chuvangin chak takin awm la, i doctor thupek dik takin zawm rawh. Tichuan he dinhmun nen hian nun rei tak, hlim tak leh hrisel takin i nung thei ang.
Take-Home Thuchah a ni
- Heart Failure hi thinlung natna a ni lo va, thinlung thisen pump dan chak lohna a ni.
- Damdawi hian he natna hi a tidam kim thei lo nain, natna zual zel chu thunun theih a ni a, nun tha tak a hmang thei a ni.
- I rilru a hahdam a nih pawhin, damdawi lam thurawn tel lo chuan i damdawi ei kha bansan ngai suh. A hlauhawm thei hle.
- Damdawi ei rual hian chi tlem ei te, meizuk loh te, doctor-in a rawt anga exercise lak te pawh a pawimawh hle.
- I damdawi ei avanga side effect i neih emaw, i symptoms a danglam emaw chuan i doctor nen inbiakna neih hreh suh.











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