Tlemte i chau lai hian thawk hah, ke leh ke ruh a hring thin tih i hre fo thin em? A nih loh leh zanah thawk harsa takin i harh thin? Hengte hi i thinlungin a thawk chak lo deuh tih chhinchhiahna tenau tak a ni thei. Damdawi lamah chuan he natna hi ‘Congestive Heart Failure’ kan ti thin. He hming i hriat hian hlau suh. Hei hian i thinlungin hna a thawk tawh lo tihna a ni lo. Mahse, a efficiency a tlahniam deuh tihna a ni. Engkim hi chiang tak leh awlsam takin sawi ila.
A awlsam zawngin, heart failure chu eng nge ni?
Kan taksa hi khawpui ang maiin han ngaihtuah teh, thinlung hi chu khawpui tui pe chhuaktu tui pumpna hmunpui ber a ni. He pumping station hian tui (chu chu kan taksa mamawh thisen) chu in tin leh khawpui chhung hmun tinah a pump chhuak thin. Tunah chuan han ngaihtuah teh, he pumping station power hi tlem a tlahniam a nih chuan eng nge thleng ang? Tui pump zat chu a tlem ta hle. Chuvang chuan hmun \henkhatah tui a thleng lo va, hmun \henkhatah (pipe-te) tuiin a hnawih \hin.
Congestive Heart Failure pawh hi chutiang bawk chu a ni. I thinlung hian taksa mamawh phuhruk turin thisen a pump tling thei lo. Chumi awmzia chu thinlung hian hna a thawk tawp lo, mahse a efficiency a tlahniam tihna a ni. He thisen pump theihna hi a tlahniam chuan taksa hmun hrang hrangah thisen a inzawm khawm tan thin. Tui pipe-a a tlakbuak ang mai a ni. Thisen awmna hmun tam ber chu lung, ke, leh ke .
Heart failure hi chi hrang hrang a awm a, chungte chu:
- Left-sided heart failure: Hei hi a tam ber a ni.
- Right-sided heart failure: Hei hi veilam a chak lohna vang a ni fo.
- High-output heart failure: Hei hi thil awm lo deuh a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
Heart failure symptoms hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan symptoms na tak tak an nei thei thung. A châng chuan symptoms a lo thleng thei a, a bo thei bawk. Mahse, symptoms i neih loh chuan i natna chu i dam vek tihna a ni lo.
Heng mizia te hi fimkhur rawh.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thâwk a tawi | Chauhna, a bîk takin kea kal lai te, stairs chhoh lai te, eng thil pawh tih lai te. |
| Zanah thawk hah harh | Hetiang dinhmun hi khumah mut laiin lungah tui a awm khawm vang a ni thei. Pillow pahnih pathum hmanga mut a ngaihna pawh a langsar hle. |
| Ke, ke ruh leh pum a hring | He swelling hi taksa hnuai lam a tui awmkhawm vang a ni. Kut zungtang hmanga hmet chuan dimple ang maia a hriat chuan chu chu chhinchhiahna pawimawh tak a ni. |
| Sudden thau lutuk | Ni rei lo te chhungin taksa rihna a pung thei a, thau vang ni lovin taksaa tui awm reng vang a ni. |
| Chauh fo thin | I taksa peng hrang hrangte hian oxygenated thisen an dawn tlem avangin i chau reng mai thei. |
| Palpitations a awm | Thinlung a chak loh avangin a compensate turin beat tam zawk a tum thin. |
| Dry cough a ni | Khuh, mucus siam lo, a bik takin rei tak i thut laia khuh. |
| Chaw ei chak lohna emaw, rilru hahna emaw | Heng symptoms te hi digestive system-a thisen kal tlem vang a ni thei. |
A pawimawh ber chu, heng mizia te hi i neih chuan i nei ngei angDoctor hmu la, thurawn la rawh. A hriat hma poh leh enkawl a awlsam zawk.
Engvangin nge hetiang hi a lo awm? Heart failure hi engte nge ni?
Thinlung hi taksa ruh (muscle) a ni. He taksa ruh tichhe thei emaw, a chungah harsatna nasa tak thlen thei thil eng pawh hian hun kal zelah thinlung a tichak lo thei a ni.
A chhan lian ber ber thenkhat chu hetiang hi a ni:
- Heart attack leh coronary artery disease: Heart a thisen petu thisen kalna kawng a block avangin heart muscle a chhiat thin.
- Thisen sang (Hypertension): Thisen sang laka thisen pump turin hun kal zelah thinlung hian nasa zawkin hna a thawk a ngai a ni.
- Zunthlum: Zunthlum hian thisen kalna kawng leh thinlung ruh a tichhe thei a ni.
- Cardiomyopathy: Genetic cause avanga heart muscle chak lo, virus infection, etc.
- Heart valve harsatna: Heart valve a khar loh emaw, a inhawng tha lo emaw chuan thisen chu hnunglam hawiin a luang tan thin.
- Kal natna: Kal a thawk tha lo a nih chuan taksaah tui leh chi a awm khawm a, thisen sang a tisang a, thinlungah harsatna a siam a ni.
- Congenital heart disease: Thinlung chhiatna thenkhat, pian tirh atanga awm thin.
- Nunphung hrisel lo: 1.1.
- Zuk leh hmuam leh ruihhlo hman.
- Zu in tam lutuk.
- Thau lutuk.
- Chi leh thau tamna ei tur.
Heart failure stage hrang hrangte i hriatchian ang u.
Doctor-te chuan he natna hi stage li (A, B, C, leh D)-ah an ṭhen a. Hei hian natna a nasat zia leh a enkawl dan hriat a awlsam phah a ni. A pawimawh ber chu enkawlna tum ber chu heng stage hrang hrangte hi a kal zel dan tihtawp emaw, tihkhawtlai emaw hi a ni.
| Dawhsan | Hei hian eng nge a awmzia? |
|---|---|
| Phase A ah hian a awm | Heng mite hian heart failure an la nei lo a, mahse nakin lawkah an vei theihna chance a sang hle (e.g. thisen sang, zunthlum, chhungkaw history of the disease). |
| Phase B-ah hian a awm | Thinlung structural change emaw chak lohna emaw engemaw zat chu a intan tawh a, mahse symptoms erawh a la lang lo . |
| Stage C ah hian a awm a | Heart failure tih finfiah a ni tawh a, symptoms a awm emaw, tun hma pawhin a awm tawh emaw (thâwk harsa, ke hring ang chi). |
| Phase D ah hian a awm | Hei hi natna tawp ber a ni . Standard treatment hmanga symptoms control a harsa hle. A bik taka enkawl a ngai a ni. |
Enkawlna kawng hrang hrangte chu engte nge ni?
Thu lawmawm tak chu tunlai hian he natna enkawlna atana pui thei tur enkawlna tam tak a awm a ni. A dam kim theih loh laiin, a natna lan chhuah dan chu thunun theih a ni a, mi pakhatin nun nuam leh hlim takin a nung thei a ni. Enkawl dan tur chu damlo dinhmun leh a chhan a zirin a ni.
Nunphung inthlak danglamna (hei hi mi zawng zawng tan a pawimawh!)
- Salt control: I ei leh in-a chi (salt) tihtlem hi a pawimawh hle. Salt hian taksaa tui awm zat a tipung a, thinlunga harsatna a tipung a ni.
- Fluid control: Mi thenkhat chu an doctor chuan ni khata tui an in zat tihtlem turin a fuih mai thei.
- Rihna hrisel tak vawn reng: Rihna tihtlem hian thinlunga harsatna awm chu a tiziaawm thei a ni.
- Exercise: Doctor-in a thurawn angin, kea kal ang chi exercise nem tak tih hian thinlung ruh a tichak a ni.
- Meizial zu leh zu bânsan rawh: Hengte hi thinlung tichhe thei thilte a ni.
Damdawi chi hrang hrang
I doctor chuan i dinhmun a zirin damdawi pakhat emaw a aia tam emaw a pe ang che. Heng damdawi te hian:
- Thinlung chunga phurrit tihziaawmna.
- Lungphun control dan.
- Taksaa tui tam lutuk awmkhawm chu zun hmanga paih chhuah (hei hi `Diuretics` emaw `tui pills` emaw kan ti).
- Thisen sang control dan tur.
Pawimawh: Doctor-in a pek damdawi ei kha bansan ngai suh la, nangmah chauhin a ei tur pawh thlak ngai suh. Hei hi a chhan chu heng damdawi te hi i thinlung venhimna atana siam a nih vang a ni.
Specialized treatment leh surgery te pawh a awm bawk
A nasat deuh thenkhatah chuan damdawi bakah hian enkawlna dang a ngai thei bawk.
- Implantable Cardiac Defibrillator (ICD): Vun hnuaia dah, heart rhythm dik lo hlauhawm tak tihtawp nan hmanraw te tak te.
- Biventricular Pacemaker: Thinlung chamber te chu chiang taka inzawmkhawm tura puitu hmanrua a ni.
- Surgery: Thinlung chhunga artery block (bypass surgery) emaw valve (valve surgery) emaw siamthat nan operation neih a ngai thei.
- Heart Transplant: Natna tawp ber thlenga awmte tana ngaihtuah hnuhnung ber.
Engtin nge i tih ang? Engtin nge i in enkawl ang?
Hetiang dinhmun nena nunpui hian i taksa i enkawl tha a ngai a ni.
1. Nitin in rihna teh: A rualin in rit la, thawmhnaw inang chiah ha la. Ni khat emaw ni hnih emaw chhunga kilo 2 i tihpun thut chuan tui i rihna a tipung tihna a ni. Doctor hnenah hrilh nghal rawh.
2. Symptoms ngaihven rawh: Thâwk harsa zual, hrual, hah lutuk i neih chuan ngaihven rawh.
3. Damdawi hi a hun takah ei: Damdawi dose khat pawh ei loh ngai suh.
4. Doctor thupek zawm rawh: Doctor thupek dik takin zawm rawh. Clinic-ah a hun takah kal thin ang che.
Engtikah nge damdawi lam thurawn i lak nghal ang?
| Heng symptoms te hi a thar emaw, a na zual emaw a nih chuan doctor nen inbia ang che: | |
|---|---|
| |
| Heng natna lanchhuahna te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh: | |
|
Hei hi hun rei tak chhunga awm tur a ni. Chuvângin, a châng chuan lungngai leh lungkhamna i nei thei a ni. Chu chu thil pangngai a ni. Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh. A tul chuan rilru lam hriselna lama mithiam hnenah tanpuina zawng rawh. I rilru put hmang zawng zawng chu i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Congestive Heart Failure tih hian thinlungin hna a thawk tawh lo tihna a ni lo. A efficiency a tlahniam tihna a ni.
- Thâwk harsa, ke hring, leh hah fo ang chi symptoms te chu fimkhur rawh. Hengte hi ngaihthah suh.
- Hetiang dinhmun hi nunphung tihdanglam (chi ei tlem, exercise) leh doctor-in damdawi a pekte ei hian tha takin a control thei a ni.
- Nitin i rihna leh i symptoms inthlak danglamna te chu chhinchhiah reng thin ang che. Thil danglam i hmuh chuan doctor hnenah hrilh nghal rawh.
- Nangmah chauh i ni lo. He zinkawngah hian doctor, chhungte, leh thiante an awm a, an pui thei che a ni. An thlawpna dil hlau suh.
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