I thinlung chu a chau deuh em? Congestive Heart Failure chungchang hi a awlsam zawngin i zir dawn teh ang!

A chang chuan hla vak lo i kal emaw, stairs i lawn emaw pawhin thawk harsa i ti thin em? A nih loh leh i ke emaw, i ke ruh emaw a hring ang maiin i hria em? Chûngte chu i thinlungin thil a hrilh che a ni thei. Vawiin hian Congestive Heart Failure , a nih loh leh mi thenkhatin an sawi angin congestive heart failure chungchang kan sawi dawn a ni. Lungngai suh, hei hi uluk taka i hriatthiam a, uluk taka i enkawl chuan i tha thei ang.

Congestive Heart Failure hi eng nge ni tak tak?

A awlsam zawngin, Congestive Heart Failure chu i thinlungin a mamawh angin thisen a pump thei lo a ni. I thinlung hi distribution center lian tak angin ngaihtuah rawh. Package lut apiang (i.e. thisen) chu hmun dik takah (i.e. organs) a hun taka thlen a ngai a ni. Mahse, he center hi tlem a chak lo a, a hun taka package zawng zawng a rawn thawn vek theih loh chuan eng nge thleng? Package te chu a pile up vek a ni lawm ni? Hetah pawh hi chutiang chu a ni. Thinlung hian thisen a pump tha thei lo a nih chuan thisen chu a back up a, taksa hmun hrang hrangah a khawlkhawm a, a bik takin lung, ke, ke ruh, leh pum chhungah a awm khawm a ni Hei hi (Congestive) kan tih chu a ni a, chu chu "collection" a awm tihna a ni.

Congestive Heart Failure chi hrang hrang lian ber ber a awm em?

Ni e, chi hrang hrang a awm a:

• Left-sided heart failure: Hei hi a tam ber a ni. Hei hi thinlung veilam (left ventricle) in taksa pum puia thisen a pump theih loh lai a ni. Hei hian lungah thisen a pungkhawm thei a, thawk harsatna a thlen thei a ni.
• Right-sided heart failure: Hei hi a tam ber chu left-sided heart failure vang a ni. Thinlung dinglam hian lung atanga thisen a pump tha thei lo a nih chuan venous system-ah thisen a awm khawm a, ke, ke ruh leh pum ang chi hmunah a hring chhuak thin.
• High-output heart failure: Hei hi a awm ve lo. Hetiang dinhmunah hian thinlung hian thisen a pump tha hle a, mahse taksain a mamawhna a san avangin (entir nan, thisen tlakchhamna nasa tak, hyperthyroidism) chu thinlung hian chu mamawh chu a phuhruk thei lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel puma mi maktaduai tam takin he natna hi an tuar a ni. Kum 65 chunglam zingah a tam hle a , chu kum lama damdawi ina dah chhan ber a ni. Chuvangin he dinhmun hi kan hriat chian a pawimawh hle.

Congestive Heart Failure natna lan chhuahna chu engte nge ni?

Heng symptoms te hi mi hrang hrangah a inang lo thei a, chubakah natna nasat dan azirin a danglam thei bawk. Mahse, a lan chhuah dan tlangpui thenkhat hmuh theih a awm a:

• Thâwk lak tawi: Hna tlêm tak i tih lai te, tlem i kal lai te, stairs tlemte i chhoh lai te pawhin i muhil dawn ang maia inhriatna. A nasat chuan ding reng chung pawhin thawk a harsa thei hle.
• Zanah thawk harsa taka thawh:Mut laiin i harh nghal a, thawk i hah a nih chuan chu pawh chu hei hi a lan chhuahna a ni.
• Chhung na emaw, nuam lo emaw: Mi thenkhat chuan an rilruah a tight emaw, a rit emaw an hre thei.
• Heart palpitations: Thinlung hi a na hle a, a na hle a, a na hle bawk a, a na hle bawk.
• Active laiin chau lutuk tih hriat: Tun hmaa hna awlsam tak tak tih theih loh khawpa chau lutuk.
• Ke, ke ruh leh pum a hring: Kekawrte leh ke ruhte chu pheikhawk bun emaw, ring hlih emaw a harsat phah thei khawp mai.
• Sudden weight gain: Ni rei lo te chhunga kilo tlemte i tihpun chuan tui tlakchham vang a ni thei.
• Zanah zun chhuah a ngai fo thin.
• A chhan awm lova lo awm, khuh hring, hacking: He khuh hi a na zual thei a, a bik takin i khuh lai hian.
• Pum chhunga a khat emaw, a tight emaw tih hriat.
• Chaw ei chakna hloh emaw, natna (nausea) emaw.

A châng chuan heng chhinchhiahnate hi a fiah lo hle thei a, a awm lo pawh a ni thei tih hre reng ang che. Mahse chu chu heart failure i nei lo tihna erawh a ni lo. Symptoms a lo thleng thei a, a bo thei bawk. Hun kal zelah a natna a zual zel hi thil awmze nei tak a ni. Chuvangin heng chhinchhiahna pakhat emaw pahnih emaw i neih chuan Doctor pan hi a finthlak hle ang.

Congestive Heart Failure hi engte nge ni?

Thinlung chak lohna chhan tam tak a awm thei. A chhan lian ber thenkhat chu:

• Coronary artery disease leh/ emaw heart attack: Heart-a thisen petu artery-te a block avangin heart muscle a chhiat.
• Cardiomyopathy: Hei hi genetic cause vang emaw, virus infection vang emaw, thil dang vang emaw a ni thei a, chu chuan heart muscle a tichak lo emaw, a thim emaw a ni thei.
• Congenital heart disease: Lung natna neia piang a nih.
• Zunthlum: Hun rei tak chhung zunthlum vei hian thinlung a nghawng thei a.
• Hypertension: Thisen sang thunun loh chuan thinlungin hna a thawk nasa zawk thin.
• Heartbeat irregularities (Arrhythmia): Heartbeat mumal lo hian thinlung hnathawh thatna a ti tlem a ni.
• Kal natna: Kal (kidney) hnathawh that loh chuan taksaa tui leh chi (salt) a pung a, chu chuan thinlungah pressure a siam a ni.
• Body mass index (BMI) 30 aia tam (thau lutuk).
• Zuk leh hmuam leh dan loa ruihhlo hman.
• Zu in tam lutuk.
• Damdawi thenkhat: Entîr nân, cancer enkawl nâna hman ṭhin chemotherapy damdawi ṭhenkhat chu thinlung tân a chhiat phah thei a ni.

Hriat tur dang pakhat chu veilam atanga thinlung tha lo hi a chhan ber a ni. Veilam a thawk tha lo chuan thisen chu lung chhungah hnunglam hawiin a luang a, dinglam pawh a nghawng bawk.

Hemi atan hian tute nge hlauhawm ber?

Mi thenkhat chuan he natna hi an nei tam zawk. Heng risk factors te hi:

• Kum 65 chunglam a ni.
• Zuk leh hmuam thil, ruihhlo, cocaine emaw, zu emaw hman.
• Taksa tihchak loh nunphung (sedentary lifestyle).
• Chaw chi leh thau tamna ei fo.
• Thisen sang nei.
• Coronary artery natna nei.
• Tun hmaa heart attack nei tawh.
• Chhungkaw history-a Congestive Heart Failure nei tawh.

Congestive Heart Failure avanga harsatna awm thei te chu engte nge ni?

He natna hi enkawl that loh emaw, control loh emaw a nih chuan harsatna dang a awm thei bawk.

• Lungphun mumal lo.
• Sudden cardiac arrest hian thihna pawh a thlen thei.
• Heart valve lama harsatna nei.
• Lung chhunga tui awmkhawm (Pulmonary edema).
• Pulmonary hypertension a awm bawk.
• Kidney chhiatna emaw kidney failure emaw.
• Liver a chhiat phah.
• Ei leh in lama harsatna (malnutrition) a awm.

Engtin nge Congestive Heart Failure i nei tih i hriat theih ang?

Heng symptoms te hi i neih chuan Doctor i hmuh hunah zawhna a zawt hmasa ang che.

• Eng symptom nge i neih leh eng chen nge i neih tawh tih ang chi thil.
• Damdawi lam harsatna dang i neih (zunthlum, thisen sang ang chi).
• I chhungkuaah hian thinlung natna emaw, thih thut emaw an nei tawh em?
• Zuk leh hmuam thil emaw, zu emaw, ruihhlo emaw i hmang em?
• Tun hmaa cancer natna avanga chemotherapy emaw radiation emaw i lo dawng tawh emaw pawh nise.
• Eng damdawi nge i hman?

Tichuan doctor chuan taksa lamah a enfiah ang che. I thinlung thu an ngaithla ang a, i lung an enfiah ang a, i ke a hring em tih an enfiah bawk ang.

Congestive Heart Failure hi eng stage pali nge ni?

He natna hi hun kal zelah a zual zel a nih avangin stage pali a awm a. Heng stage te hi A, B, C, leh D an ti a, chu chu low-risk level atanga high-risk level thlenga zinkawng tihna a ni.

Stage A (Stage A - Lung lam natna hmaa awm) .

Chumi awmzia chu heart failure vei theihna chance sang tak i nei tihna a ni. Hei hi i chhungkuaa tu emaw chuan he natna hi a lo vei tawh vang pawh a ni thei. A nih loh leh, heng zinga pakhat emaw, a aia tam emaw i neih vang pawh a ni thei:

• Thisen sang (Hypertension).
• Zunthlum.
• Coronary artery natna a ni.
• Metabolic natna (Metabolic syndrome) a ni.
• Zu hman dan lama harsatna nei tawhna history.
• Rheumatic fever nei a ni.
• Chhungkaw history-a cardiomyopathy nei tawh.
• Thinlung tichhe thei damdawi (e.g., cancer dona damdawi thenkhat) hman tawh.

Stage B (Stage B - Lung lam natna hmaa awm) .

Hetiang dinhmunah hian i left ventricle (taksa pum puia thisen pump chhuaktu main chamber) chu a thawk tha lo a, a nih loh leh a structure-ah inthlak danglamna engemaw zat a awm (e.g. thickening). Mahse heart failure symptoms i la nei lo.

Stage C ah hian a awm a

Hetiang dinhmuna dingte hi official-in Congestive Heart Failure an vei tih hmuhchhuah a ni tawh bawk. Tunah pawh hian symptoms an nei thei a, a hma pawhin symptoms nei tawh mahse tunah chuan an nei tawh lo mai thei bawk.

Stage D leh Ejection Fraction tihhniam (EF) te hi a ni.

Heng mite hian natna sang tak (Advanced) (Heart Failure) an nei a. Enkawlna hmang pawhin a natna lan chhuah dan chu thunun a harsa hle. Vawi khata thinlung atanga thisen chhuak zat, chu chu `(Ejection fraction - EF)` a ni a, a tlem hle a, `(HFrEF - heart failure with reduced ejection fraction)` a nei thei bawk. Hei hi (Heart Failure) stage hnuhnung ber a ni.

Diagnostic test te hi engte nge ni?

Doctor-te chuan congestive heart failure i neih leh neih loh, eng stage-ah nge a awm tih leh eng thil chiah nge a thlen tih hriat tumin test eng emaw zat an ti thin:

• Thisen test: Hengte hian thinlung tichhe thei thil dang (e.g. thisen tlakchhamna, kal natna, thyroid harsatna) leh thinlung a chhiat leh chhiat leh chhiat loh (enzyme level thenkhat enfiahna hmangin) a hriat theih a ni.
• Cardiac catheterization: Hei hi thinlunga coronary arteries-a blockage awm leh awm loh enfiah nan an ti thin.
• Chest X-ray: Hei hi thinlung lian leh lung chhunga tui awm leh awm loh enfiah nan hman theih a ni.
• Echocardiogram (Echo): Hei hi thinlung ultrasound scan ang a ni. Thil tam tak chiang takin a hmu thei a, chu chu thinlung chamber, valve, heart muscle hnathawh dan, leh thisen a pump that dan (``Ejection fraction - EF'') te hi a ni.
• MRI (Magnetic Resonance Imaging) hmanga tihchhuah a ni.
• Thinlung hi CT (Computed Tomography) hmanga enfiah a ni.
• Electrocardiogram (EKG emaw ECG): Hei hian thinlung electrical activity leh heartbeat rhythm ang chi thil hmuh theihna a siam a ni.
• MUGA scan (Multigated Acquisition Scan): Hei hi heart chamber-in thisen a pump tha em em tih hriat nan pawh hman theih a ni.
• Stress test: ECG hi treadmill-a i kal lai emaw, bicycle-a i khalh laiin emaw lak a ni a, exercise laknaah i thinlungin a chhan dan tur a en a ni.
• Genetic testing: A chang chuan, a bik takin chhungkaw history a awm chuan heng test te hi genetic cause zawng turin an ti thin.

Congestive Heart Failure hi engtin nge enkawl a nih?

Enkawlna chu i thinlung natna chi hrang hrang, a chhan leh i dinhmun a zirin a innghat a , damdawi leh nunphung thlak danglam hi enkawlna ruahmanna tinrengah a tel ve vek a ni. I doctor chuan i tana enkawlna tha ber tur a sawipui ang che.

A pawimawh ber chu, (Heart Failure) hi a dam kim loh natna a ni lo. A na zual zel chuan thinlungin thisen a pump chhuah zat chu taksa peng hrang hrangah a tlahniam a, a dawt leh lamah i kal leh ta a ni. Heng stage atang hian i kir leh thei lo. Chuvangin, enkawlna tum ber chu a dawta kalna tur khap tlat, tihkhawtlai, natna lan chhuah dan thunun leh nunphung tihchangtlun hi a ni.

Stage khat atanga stage danga enkawl dan a inthlak dan hi han en ila:

Stage A enkawl dan: 1.1.

Heng mite hian heart failure an la nei lo a, mahse a hlauhawmna a sang hle. Chuvang chuan risk tihtlem nan thil an ti thin.

• Exercise neih fo, nitin kea kal ang chi.
• Zuk leh hmuam atanga inthiarfihlim vek.
• Thisen sang enkawlna (damdawi, chi tlem ei leh in, active lifestyle).
• Cholesterol level sang enkawlna.
• Zu leh ruihhlo laka inthiarfihlim.
• Hriselna dang, coronary artery disease, zunthlum, emaw thisen sang emaw i neih chuan Angiotensin-converting enzyme inhibitor (ACE-I) emaw Angiotensin II receptor blocker (ARB) emaw pek i ni thei.

Stage B enkawl dan: 1.1.

Heng mite hian thinlung lam harsatna an nei a, mahse symptom an nei lo.

• Phase A-a tarlan enkawlna zawng zawng.
• I `(Ejection fraction - EF)` chu 40% aia tlem a nih chuan `(ACE-I)` emaw `(ARB)` emaw chu damdawi dik tak a ni.
• Heart attack i lo vei tawh a, i EF 40% aia tlem a nih chuan (i ei loh chuan damdawi beta-blocker an tih hi i ei tur a ni.
• Heart attack i lo neih tawh emaw, i EF 35% aia tlem emaw a nih chuan Aldosterone antagonist tih damdawi i mamawh mai thei.
• A châng chuan, coronary artery disease, heart failure, valve disease (valve siamthat emaw thlak emaw), emaw congenital heart disease ang chi dinhmunte tan surgery emaw, intervention dang emaw a ngai thei bawk.

Stage C (HFrEF - thisen pump theihna tlahniam tan) enkawlna:

Heng mite hian (Heart Failure) an nei a, symptoms an nei/nei bawk.

• Stage A leh B-a tarlan enkawlnate.
• `(Beta-blocker)` leh `(Aldosterone antagonist)` damdawi te a ni.
• Damdawi chi khat `(Sodium-glucose transport 2 inhibitors - SGLT2i)` tih hming pu.
• Damdawi inzawmkhawm ``(Hydralazine/nitrate)`` tih chu enkawlna dangin a lan chhuah dan a thunun loh chuan hman a ni a, a bik takin African American hnam chhuakte tan chuan hman a ni.
• Minute khatah heart rate beat 70 aia tam a nih a, symptoms a awm reng chuan heart rate tihhniamna damdawi.
• Symptoms (a bik takin hliam leh thawk harsa) a awm reng chuan diuretic (tui pill kan tih) pek thin a ni.
• Chaw ei tur a chi (sodium) awm zat tihtlem.
• Nitin in rit rawh. Ni khat emaw ni hnih emaw chhunga kilogram 2 (pound 4) aia tam i tihpun emaw i hloh emaw chuan doctor hnenah hriattir nghal tur a ni.
• Ni khata tui i in zat pawh tihtlem a ngai mai thei bawk.
• Mi thenkhat chuan pacemaker device bik an dah a ngai a, chu chu ``Cardiac resynchronization therapy - CRT``, emaw ``biventricular pacemaker`` tih a ni.
• Mi nunna atana hlauhawm heart rhythm irregularities nei thei tura hlauhawmte chu implantable cardiac defibrillator (ICD) an tih device an dah a ni.
• Enkawlna nen a symptoms a lo tha chho a nih pawhin, stage D-a a kal zel tur tihkhawtlai nan enkawl chhunzawm zel a pawimawh hle.

Stage D enkawl dan: 1.1.

Heng mite hian natna khirh tak (Heart Failure) an nei a.

• Stage A, B, leh C-a tarlan enkawlna zawng zawngte hi a ni a, chu bakah chuan enkawlna hmasawn zawk ngaihtuah mek a ni:
• Lung thlak (Heart transplant) a ni.
• Thinlung puitu mechanical hmanrua (Ventricular assist devices - VADs) .
• Lung surgery bik `(Heart surgery)` tih a ni.
• Intravenous intravenous inotropic drugs (thinlung natna chakna tipungtu damdawi) pek chhunzawm zel.
• Palliative care emaw hospice enkawlna emaw a ni thei.

Stage C leh D (HFpEF - thinlung atanga thisen pump chhuah harsatna nei lo tan):

Hetiang a nih chuan thinlungin a inzawm theihna (ejection fraction) chu thil pangngai ni mah se, thinlung thisen a khat (diastolic function) avanga lungphu a chak lohnaah harsatna a awm a ni.

• Stage A leh B-a tarlan enkawlnate.
• Damdawi lam thil dang, thinlung chak lohna thlen thei emaw, tizual thei emaw (e.g., atrial fibrillation, thisen sang, zunthlum, thau lutuk, coronary artery disease, lung natna rei tak, cholesterol sang, kal natna) enkawl.
• Diuretics (tui pills) hmanga natna lanchhuahna tihziaawmna emaw tihziaawmna emaw.

I damdawi lam dinhmun dang (zunthlum, kal natna, thisen tlakchhamna, thisen sang, thyroid natna, asthma, lung natna rei tak) enkawl hi he natna (Heart Failure ) control nan hian a pawimawh hle tih theihnghilh suh

Enkawlna hian side effect emaw complication emaw a nei em?

Enkawlna thenkhat chuan side effect tenau te a nei thei bawk.

• Thisen sang hniam (Hypotension).
• Kidney hnathawhna (Kidney failure) a nghawng dan.
• Damdawi ina awm fo, a bik takin thisen kalna damdawi (central IV) hmanga enkawl hian natna kai theihna a tipung a ni.

Hemi chungchang hi i doctor nen inbia la, hriattir rawh.

Engtin nge (Congestive Heart Failure) hlauhawmna tihziaawm theih ang?

Kum leh chhungkaw chanchin ang chi thil hi thlak danglam thei lo mah ila, kan nunphung thlak danglamin he natna (Heart Failure) kan neih theihna tur hi kan ti tlem thei a ni.

• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Thinlung hrisel ei (chi, sugar, oil tlem, thlai leh thei tam zawk) ei .
• Exercise neih fo thin.
• Stress tha taka enkawl.
• Zuk leh hmuam hman tihtawp vek.
• Zu in loh emaw, in tlem lutuk emaw.
• Dan loa ruihhlo hman loh.
• I hlauhawmna tipung thei damdawi dang (thisen sang, zunthlum, cholesterol sang ang chi) i neih chuan uluk taka enkawl la, control la.

Congestive Heart Failure vei hian eng ang hmalam hun nge a beisei theih ang?

Enkawlna dik tak, nunphung thlak danglam te, leh i doctor rawtna zawm te chuan mi tam tak chuan Congestive Heart Failure nei mahse nun hlim takin an hmang thei a ni. I hmalam hun chu heng thilteah hian a innghat a ni:

• I thinlung ruh hnathawh that danah a innghat.
• I natna lan chhuah dan leh a nasat dan azirin.
• Treatment plan i chhan danah a innghat.
• I treatment plan (damdawi, ei leh in, exercise) i zawm that danah a innghat.

Zirna thenkhatah chuan heart failure nei te chu a nei lo te aiin kum 10 thleng an dam tlem zawk thei niin an sawi. Mahse hei hi mi tinah a inang lo hle. Chuvangin i doctor hnenah i dinhmun chungchangah inhawng leh rinawm taka sawi a tha ber. Heart failure hi natna rei tak, dam chhung zawnga awm thin a ni. Nun chhung zawnga enkawl leh enkawl a ngai a ni.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

Heart Failure nena kan khawsak hian mahni in enkawl a pawimawh hle.

• I damdawi chu i doctor-in a tih ang chiah chiah, a hun takah ei rawh. Ni khat pawh lo tlai tawh suh.
• A theih ang anga active takin awm rawh. I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
• Salt tlem eitur zawm tur a ni. Packaged, canned, leh fast food-ah te hian chi a tam hle.
• Nitin i rihna enfiah thin ang che. I taksa rihna a sang nghal tih i hriat chuan (e.g., ni khat emaw ni hnih emaw chhungin kilo 1-2) i doctor hnenah hrilh rawh .
• Symptom thar a lo lang a nih chuan, a nih loh leh symptom awmsa a zual chuan doctor hnenah hriattir nghal rawh.
• Follow-up appointment ruat saah doctor hnenah kal ngei ngei tur a ni.
• Hei hi natna hlauhawm tak a nih avangin, i damdawi lam enkawlna (e.g., dam rei thei tur enkawlna/damdawi ina awm i duh leh duh loh) chungchangah i duhzawng i doctor leh chhungte hriattir hi a tha hle. Hei hi ``advance directive'' emaw ``living will'' emaw fill up hmanga tih theih a ni. Nakin lawkah heng thutluknate hi i siam thei lo a nih chuan rilru fim tak i la neih laiin hei hi buatsaih chu a finthlak hle.

Eng thil nge i ei leh in theih loh (Congestive Heart Failure)?

Heart failure nei tam tak chuan nitin chi an ei tlem a ngai a ni . Mi thenkhat chuan an tui (tui, tea, soup ang chi) an ei tlem a ngai thei bawk. Hemi chungchangah hian i doctor emaw nutritionist emaw chuan thurawn a pe ang che.

Engtikah nge Doctor ka hmuh ang?

Symptom thar i neih emaw, i heart failure symptom awmsa a zual emaw chuan doctor hnenah hrilh a pawimawh hle. A bik takin a hnuaia mi hi i neih chuan:

• Chawlh lai pawhin thawk harsa i tih chuan.
• Ke, ke ruh, emaw pum chhungah emaw a hring a pun chuan.
• I thau chhoh thut chuan (ni khat emaw ni hnih emaw chhungin kg 1-2 aia tam).
• Chau leh muhil i tih reng chuan.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

I thinlung natna a zual thut a nih chuan (e.g., thawk hah lutuk, rilru natna nasa tak) chuan emergency treatment i mamawh a ni. Doctor te chuan hei hi acute decompensated heart failure an ti a . Chutiang a nih chuan i dinhmun siam\hatna tur damdawi leh oxygen pek i ni thei bawk. Hun khawhral lova damdawi in pan vat chu nunna chhanhimna a ni thei.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin i rilrua thil awm zawng zawng zawt hreh suh.

• "Eng stage nge (Congestive Heart Failure) ka neih?"
• "Hetiang dinhmunah hian eng nge ka tan enkawlna tha ber?"
• "Exercise him tak tak ka tih theihte chu engte nge ni? Eng chen nge ka tih ang?"
• "Ka ei leh in lamah eng inthlak danglamna nge ka siam ang?"
• "(Congestive Heart Failure) vei tan support group a awm em?"
• "Ka symptoms a na zual a nih chuan engtin nge ka tih ang?"

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Congestive Heart Failure hi hlauh tur a ni lo a, mahse thil awlsam tak a ni lo bawk. Hetiang dinhmun hi i neih chuan i thinlung hriselna tihchangtlun nan thil tam tak i tih theih a awm.

• I damdawi chu dik tak leh a hun takah ei rawh.
• Chaw chi tlem, thinlung tana tha tak tak ei thin ang che.
• A theih ang anga active takin awm rawh.
• Nitin i rihna enfiah la, thil danglam nghal mai tur chu fimkhur rawh.
• Date ruat saah doctor pan ngei ngei tur a ni.
• I natna lan chhuah dan record la, a na zual chuan doctor hnenah hrilh rawh.

I damdawi ei chungchangah emaw, nunphung thlak danglam emaw, i enkawlna ruahmannaa thil dang emaw chungchangah zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin inbiakna nei rawh. Hetiang dinhmun hi i enkawl theih nan leh nun tha ber i hman theih nan an awm a ni. Nangmah chauh i ni lo tih hre reng ang che!

`Heart attack, heart attack, heart disease, rilru natna, thawk harsa, congestive heart failure, heart function chak lo, ke ruh hring