I thinlung atanga i taksa kil tin, i kut zungtang thlenga thisen a kal dan hi i ding a, i ngaihtuah ngai em? Khawpui chhunga kawngpui network ang mai a ni. Hmun thenkhatah chuan lirthei tlan mumal takin a kal a, hmun dangah chuan a buai a, hmun dangah chuan kawngpui a zim hle bawk. Kan taksa chhunga thisen kal dan pawh a inang vek. Damdawi lamah chuan he thisen kal dan te, a nghawngtu chakna te leh a kal dan te hi ‘hemodynamics’ kan ti thin. Ngaihtuah buai suh, a hming hi a buaithlak deuhin a lang thei a, mahse a thawnthu erawh a awlsam hle. I sawi dawn nia.
Hemodynamics hi eng nge ni tak tak?
A awlsam zawngin, hemodynamics chu i thisen kalna kawng leh thisen kalna kawng leh chu thisen kalna tichhe thei thiltihtheihna hrang hrangte zir chianna a ni.
A tlangpuiin mi hrisel thisen kalna kawng hrang hrangah thisen a luang chhuak a, mumal tak, felfai takin a luang chhuak thin. Hei hi laminar flow kan ti a ni . Pipe hmanga tui luang ang bawkin thisen kalna kawng lai takah thisen a kal chak ber a, a chhan chu a bangte nena inhnaih lo a awm vang a ni.
Mahse, i thinlung hnuai lam (hengte hi ventricles kan ti a) chhungah leh thisen kalna kawng hrang hrang, emaw, thisen kalna kawng a zim nghal maina hmunah te chuan he zinkawng hi a buai deuh deuh a ni. Hei hi turbulent flow kan ti a ni . Chutiang zinkawng buai takah chuan thisen chu hmalam pan turin chakna tam zawk a ngai a ni.
I aorta atanga thisen kalna kawng te tak te te hian i taksa chhunga cell leh tissue tin ah oxygen leh nutrients a pe chhuak thin. I taksa peng hrang hrang atanga oxygen a lak hnuah thisen chu thisen kaltlangin i thinlungah a kir leh thin. Chumi hnuah chuan thinlung chuan thisen chu i lungah a pump lut a, chutah chuan oxygen a la leh a, chu cycle chu a intan leh ta a ni.
He thisen kalna kawngah hian daltu a awm tih han ngaihtuah teh.
- A châng chuan arteries bang-ah cholesterol deposit (plaque) a lo awm a, "speed bumps" a siam ṭhin. Chûngte chuan thisen kalna kawng chu a ti zim a ni. A chang chuan heng deposit te hi a rupture thei a, artery chu a block vek thei bawk.
- Tin, thisen zam (blood clot) a lo awm thei a, thisen kalna kawng chu a block thei bawk.
- A nih loh leh i thinlung a chak lo va , i taksaah thisen a pump tling thei lo pawh a ni thei.
Heng harsatna zawng zawng hian kan circulatory system hian a hna a thawk tha thei lo a, chu chu taksa chhunga cell tinte mamawh oxygen leh nutrients a pe thei lo tihna a ni.
Engvangin nge hemodynamics chungchang hriat a pawimawh em em?
Hemodynamics hriatthiam hi a pawimawh hle a, a chhan chu chuta tang chuan i thinlung natna emaw thisen kalna kawng dinhmun emaw hriatthiamna tha zawk i nei thei a ni.
Entîr nân, thisen sang i nei niin han ngaihtuah teh. Hemodynamics chungchang i zir hian pressure a san chuan thinlung hian thisen pump turin a thawkrim zawk a ngai tih i hrethiam a ni. Tichuan, doctor chuan thisen kalna kawng zau zawk (relaxed) leh thisen kalna tur hmun tam zawk siam thei damdawi a pe ang che. Tichuan, thinlunga phurrit chu a tlahniam a, pressure chu a thunun ta a ni.
I doctor chuan natna pakhat hriatchhuah leh hmalam hun sawi lawk nan hemodynamics data a hmang thin. Entirnan, heart valve a leak em tih an enfiah thei a, chu chuan thisen a luang tha thei lo. Operation emaw damdawi ei hnuah pawh i thisen kal dan a tha em tih an enfiah thei bawk.
Hemodynamics hi thisen sang chauh a ni lo. Pressure hi he thil kalphung pum puia thil pakhat chauh a ni. Thil dang tam takin kan thisen kal dan a nghawng a.
Eng thilin nge thisen kal dan a nghawng?
Kan taksa chhunga thisen kal ti awlsamtu emaw, tikhawlotu emaw thil chi hrang hrang a awm a. Kan taksa hian heng thilte hi a thlak danglam reng a, cell-te mamawh ang chiah pek a tum a ni. A chhan berte han thlir ila.
| Thlentu | Engtin nge a nghawng |
|---|---|
| Thisen kalna kawng lian tham (diameter) te | Thisen kalna kawng lian leh zau takah thisen a kal a awlsam hle. Mahse, cholesterol deposit avanga tihtlem artery atanga thisen a kal chuan a harsa hle. |
| Friction a awm | Thisen a luang chuan thisen kalna kawng bangah a hnawih thin. He friction hian thisen chu bang bulah a kal zawi zawk a ni. Thisen chu vein lai takah a che chak zawk a. |
| Thisen kalna kawng (blood vessel constriction) leh dilation | Kan thisen kalna kawngte hi a tul angin a zau thei a, a zim thei bawk. Hei hi taksain thisen kal dan leh thisen sang a thunun dan a ni. |
| Pressure a inthlak danglam thin | Thinlung hian thisen a pump chakna leh thisen kalna kawngte’n a do theihna (resistance) hi a danglamna a awm a ni. Pressure a san chhoh zel chuan thinlung hian he dodalna hi a dodal nasa zawk a ngai a ni. |
| Cardiac Output a ni | Hei hi heart-in beat khata thisen a pump chhuah zat a ni. Exercise i tih hian i thinlung hian thisen a pump tam zawk a, a chhan chu i cell te hian oxygen an mamawh tam zawk a ni. |
| Lungphung (Heart Rate) a ni | Exercise neih lai hian oxygen mamawhna sang tak phuhruk nan heart rate a sang chho thin. |
| Heart cells hnathawh dan | Lung hnuai lam (ventricles) te hian hna a thawk tha lo a nih chuan taksaah thisen a pump tling thei lo. Hei hi thinlung natnaah pawh hmuh theih a ni. |
Hemodynamic Instability tih hi eng nge ni?
Hei hi dinhmun pawi tak a ni. Hemodynamic instability chu taksain thisen a pek theih loh vang a ni. Hei hi emergency medical treatment mamawhna a ni. Hei hi state of shock kan ti tlangpui . A chhan a zirin chi hrang hrangah then a ni.
- Cardiogenic - thinlung lam harsatna vang a ni
- Hypovolemic - taksaa tui emaw thisen volume tlahniam vang a ni
- Obstructive - taksa lama thisen kal dan tikhawtlai vang a ni
- Distributive - thisen kalna kawng a zau lutuk vang
- Neurogenic - nervous system tihchhiat vang a ni
Engtin nge hemodynamics hi an teh thin?
I doctor chuan i hemodynamic status tehna atan test chi hrang hrang a hmang thei a, chung zinga ṭhenkhat chu i hre tawh mai thei.
| Fiahna | Eng nge i tih mai mai? |
|---|---|
| Thisen sang tehna a ni | Test hi standard blood pressure measuring device (BP cuff) hmanga tih a ni. |
| ECG hmanga tih a ni | Heart electrical activity hi heartbeat pattern pangngai lo a awm leh awm loh enfiah thin a ni. |
| Echocardiogram hmanga tih a ni | Sound wave hmangin thinlung thlalak an la a, thinlung chamber leh valve te chu a thawk tha em tih an enfiah thin. |
| Cardiac catheter hmanga tih a ni | Tube te tak te (catheter) chu thisen kalna kawng khat kaltlangin thinlung chhungah an lut a, chu chuan thinlung chhunga pressure tehna leh valve hnathawh dan enfiah a ni. |
| Tilt table test a ni | Faint fo thinte tan chuan taksa dinhmun a inthlak chuan thisen sang leh heart rate a inthlak dan test an nei thin. |
Hemodynamics tichhe thei damdawi lam dinhmun tlanglawn tak tak
Lung natna emaw, thisen kalna kawng natna emaw, thisen kal dan tichhe thei eng pawh hian hemodynamics a nghawng a ni.
- Atherosclerosis: Cholesterol awm zat avanga thisen kalna kawng a zim.
- Hypertension: Thisen sang a sang .
- Hypotension: Thisen sang hniam .
- Heart valve chungchang: Valve khar leh inhawng tha lo.
- Heart failure: Thinlung hian taksaah thisen a pump tling thei lo.
- Peripheral artery disease: Kut leh kea thisen petu thisen kalna kawng (arteries) a tawi.
- Vein thuk takah thrombosis a awm thin:Taksa vein thuk takah thisen zam a awm.
- Heart attack: Thinlung thisen petu thisen kalna kawng (artery) a block.
Hemodynamic problems natna lan chhuah dan tlangpui
I thisen kal danah harsatna a awm chuan i taksain chu mi chungchangah signal hrang hrang a pe ang che. Heng symptoms te hi i neih chuan ngaihthah suh. A rang thei ang bera doctor pan a , thurawn lak a pawimawh hle.
- Thâwk harsa
- Luak chhuak fo thin
- Luak chhuak thei
- Chauh lutuk
- Vun dum (pale skin) a ni
- Vun a vawt
- Rilru tibuai
- Lungphun pangngai lo
I doctor hian hemodynamics chungchang a sawi hian i thisen kal dan a sawina a ni. I thinlungah emaw, thisen kalna kawngah emaw harsatna a awm chuan i thisen a luang tha lo mai thei. I doctor chuan a enfiah thei che a, i harsatna nena inmil tur enkawlna (damdawi emaw, surgery emaw) a rawt thei che a ni. Heng harsatnate enkawl hi a pawimawh hle a, a chhan chu i taksaa cell tin hian an mamawh oxygen an dawn theih nan a pui a ni.
Take-Home Thuchah a ni
- Hemodynamics hi thil harsa a ni lo, i taksaa thisen kal dan sawina mai a ni.
- Thil tam tak, thisen kalna kawng lian leh te, thisen sang, leh heart rate te hian he thisen kal dan hi a nghawng a ni.
- Luak chhuak, thawk hah, leh muhil fo thin ang chi natna lanchhuahna te hi thisen kal dan lama harsatna a awm tih chhinchhiahna a ni thei.
- Hetiang symptoms hi ngaihthah ngai suh. I doctor nen inbia fo ang che.
- Hetiang kalphung hriatthiamna hian i doctor-in a pek damdawi emaw nunphung tihdanglamna emaw a pawimawh chhan i hrethiam ang.

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