I thinlung ruh chu "a muhil" em, "a tlakbuak" em? (Hibernating Myocardium leh Stunned Myocardium) A chungchang hi i zir dawn nia!

Thinlung hmun thenkhat "muthilh" tih i hre tawh em? A nih loh leh rang takin "stuck"? Chûngte chu thu mak tak angin a ri thei a, mahse a takah chuan hengte hi kan thinlung tichhe thei damdawi lam thil pahnih a ni. Ngaihtuah buai suh, awlsam leh hriatthiam awlsam takin kan sawi dawn a ni. Eng nge an nih, engvangin nge an lo awm tih, engtin nge kan hriat theih ang, tihdam theih an nih leh nih loh kan en ang.

Heart muscle "hibernating" tih hi eng nge ni? (Myocardium hibernating) a awm thin.

A awlsam zawngin, i thinlung ruh (`(Myocardium)` kan ti) thenkhat chu thisen kal theih lohna a nih chuan zawi zawiin a hnathawh a tihtlem a, a tawpah chuan a tawp ta a ni. A chau vanga mut ang mai a ni. Hei hi `(Hibernating Myocardium)` emaw "sleeping heart muscle" emaw kan tih chu a ni. Hei hi thla tam tak chhung, kum tam tak chhung pawh a thleng thei.

Ngaihtuah teh, i huana thing ṭhenkhat tui a tlakchham chuan an inkhuh a, a hring ang maiin an lang a ni lawm ni? Chutiang chu he mi nen hian a ni. Heart muscle hian hnathawh nan (i.e. a contract theih nan) fatty acids a mamawh ber a ni. Mahse thisen a tlem chuan he ruh hian a cell te nung reng turin glucose (i.e. sugar chi khat) a hmang tan thin. Mahse, tun dinhmunah chuan thinlungah thisen pump turin chakna a nei tlem hle. Chuvangin, he "sleeping" muscle hian thinlung pumping process a pui lo.

Heart muscle "a tlu" emaw, "coma-a a kal" emaw hian eng nge a awmzia? (Myocardium a ti mak) .

Hetiang dinhmun hi a hmaa kan sawi tawh ang khan dormant state nen hian a danglam deuh hlek a ni. A thleng thuai thei hle a, minute tlemte chhungin emaw darkar tlemte chhungin a thleng thei bawk. Heart muscle-a thisen kal chu a tlahniam nghal emaw, a tawp emaw a nih chuan, chu ruh chu a thawk tawh lo va, "stuck" emaw "paralyzed" emaw ang maiin. Hei hi `(Stunned Myocardium)` an ti a.

Thil mak tak chu, a chang chuan doctor-te'n thisen a luang leh theih nan a blockage (entir nan, stent dahin, thisen kalna kawng khar chu balloon hmanga tihzauh emaw, thisen zam tihthianghlim emaw) an enkawl pawhin heng "stuck" muscle segment te hi a normal leh nghal lo. Chu ruhte chu a inzawm ṭhat leh theih nân ni tam tak, a nih loh leh kar tam tak pawh a la ngai thei a ni.

Engtin nge heng dinhmunte hi heart attack nen a danglam?

Hei hi zawhna pawimawh tak a ni. Heart attack hi coronary artery disease na ber a ni. Hei hi thinlunga thisen petu thisen kalna kawng pakhat emaw a aia tam emaw chu thau tak, plaque an tih hian a lo dang vek a, chu chuan thinlung ruh cell te chu a thih phah a ni. Heart muscle cell thi tawhte chu scar tissue-in a thlak a ni. He scar tissue hian heart pump tha takin a pui thei lo. Hei hian heart failure a thlen thei a ni.

Mahse, condition pahnih ``Hibernating Myocardium'' leh ``Stunned Myocardium'' te hi hun eng emaw chen atan a ni. Heta thil thleng hi chu heart muscle hian hna a thawk tha lo a, mahse a cell te chu an la nung reng a ni.Thisen leh oxygen supply a lo awm leh chuan heng "sleeping" emaw "stuck" muscle part te hian hna an thawk leh thei a ni. Chu chu a pawimawh ber a ni!

`Hibernating Myocardium` awm chhan hi engte nge ni?

Hetiang dinhmun hi coronary artery disease na tak nei te zingah hmuh tur a awm ber. He natnaah hian thinlunga thisen phurtu thisen kalna kawng chhungah thau (hei hi ``plaque'' kan ti) a lo awm a, chu chuan a tikhawlo a ni. Artery a zim lutuk chuan heart muscle hian oxygen leh nutrients a hmu tlem a, chu chuan a nung reng thei a, heart chu thisen pump turin a pui bawk. Chuvangin, taksa ruh chu a cellular function bulpui vawng reng turin chakna humhalh turin "a muhil" thin.

`Stunned Myocardium` awm chhan hi engte nge ni?

Myocardial stunning, heart muscle "stuck" tia hriat bawk hi coronary artery disease enkawlnaah pawh a awm thei bawk. Enkawlna hian thisen kal dan a siam tha leh a, mahse thinlung ruh thenkhat chu a dam nghal lo. Chu bâkah, he dinhmun hi chhan dang engemaw zât avângin a lo awm thei bawk:

• Seizures (thluaka electric hnathawh dan pangngai lo).
• Stress Cardiomyopathy hi rilru hahna vanga thinlung tibuaitu a ni.
• Stroke ang chi natna a ni.
• Thluak chhunga thisen chhuak (Subarachnoid Hemorrhage).

Heng pahnih hi eng symptoms nge ni?

A chhan chu he dinhmun pahnihah hian thinlung ruh thenkhat emaw, a tam zawk emaw chauh a nghawng avangin, a natna lan chhuah dan chu thinlung chak lohna lama hmuh ang chi nen a inang fo thin. Chung zingah chuan:

• Thâwk harsa
• A rilru a na
• Ke a hring chhuak

Heng symptoms te hi i neih chuan doctor pan a, check out a tha ber.

`Hibernating Myocardium` hi engtin nge kan hriat theih ang?

He natna hi dik taka hriat theih nan hian test engemaw zat a buaithlak a ngai a ni. Heng test te hian heart muscle hmun thenkhat "muthilh" emaw "khuh" emaw mahse tihnun theih te , leh hmun thi leh hliam tuar leh tihnun theih loh te chu a thliar hrang thei a ni.

Hemi atana doctor-te’n test an hman ber ṭhenkhat chu:

• `Dobutamine Stress Echocardiogram`: Hei hian i thinlung chu exercise la ang maia tiharhtu damdawi (`(Dobutamine)` an tih) pek che a ni. Chumi hnuah chuan cardiologist chuan i thinlung chu a chawlh laiin a hnathawh dan leh damdawi dose tihpun a nih chuan a hnathawh dan a en ang. Damdawi pek a nih veleh heart muscle hnathawh theihna a pung chuan `(Stunned Myocardium)` emaw `(Hibernating Myocardium)` tih natna i nei tihna a ni. Damdawi dose tihpun hnuah pawh muscle a contract lo a nih chuan muscle chu a thi tawh a, a hliam a awm tihna a ni.
• Lung lam MRI: 1.1.Hei hian magnet chak tak leh radio wave hmangin i thinlung ruh thlalak chiang tak tak, chipchiar tak tak a siam a ni. Heng thlalak-a heart muscle awm dan leh a thuk dan en hian doctor-te chuan eng tissue nge hliam (thi) awm, eng nge pangngai, leh eng nge "dormant" emaw "stuck" emaw tih chiang takin an hre thei a ni.
• Cardiac Positron Emission Tomography (PET) scan: Hei hian radioactive material him tak leh camera bik a hmang a. I thinlung ruh peng engte nge hna pangngaia thawk tih leh eng hmun nge scarred emaw dead tissue nei tih a tarlang bawk.

Heng test te hi a buaithlak deuhin lang mahse, i dinhmun dik tak hriatthiam a, i tana tha ber tur enkawlna thlan nan a pawimawh hle.

`Hibernating Myocardium` (rilru ruh muhil) hi tihdam theih a ni em? Enkawlnate chu engte nge ni?

Ni e, hei hi chanchin tha ber a ni! He natna hi enkawlna hmanga tihdam theih a ni. Thil tih tur ber chu thinlung ruh thisen kal tlem tawhna hmuna thisen kal tha tak siam leh hi a ni. Hei hi enkawlna chi hnih a awm a, chungte chu:

• Angioplasty: Hei hian thisen kalna kawngkhar (catheter) sei tak, sei tak hmanga thisen kalna kawngkhar khar chhunga luh a, tube tawp lama balloon te tak te inflate-a plaque paih chhuah leh thisen kalna kawng zau zawka tihzauh a ni. A châng chuan, a khar leh tawh loh nan mesh ang chi hmanrua (stent) chu vessel chhungah dah theih a ni.
• Coronary Artery Bypass Surgery (CABG): Hei hi surgical procedure a ni a, i taksa peng dang (i ke emaw i rilru emaw ang chi) atanga thisen kalna kawng hrisel tak lak a, chuta thisen kalna tur kawng thar siam a, i thinlunga thisen kalna kawng khar chu bypass a ni. Kawngpui a inkhar laia bypass siam ang mai a ni.

Heng enkawlnate hnuah hian i dam lehna tura pui turin ``Cardiac Rehabilitation'' program-ah pawh hruai i ni thei bawk. Hei hi medically supervised exercise program a ni a, i chakna leh fitness tihpun nan a pui che a, thinlung hriselna atana tha tih dan tur a siam bawk.

`Stunned Myocardium` enkawl dan tur chu engte nge ni?

Heart muscle blocked enkawlna hi a tam zawk chu coronary heart disease leh heart failure enkawlna standard nen a inang tlangpui. Damdawi hman tlanglawn tak tak thenkhat chu:

• Aspirin a ni
• Beta-blockers te pawh a awm
• Statins (cholesterol tihhniamna damdawi) .
• `ACE inhibitors` emaw `Angiotensin II receptor blockers` ( thisen sang controltu leh thinlung venghimtu damdawi) emaw

Doctor chuan i dinhmun a enfiah ang a, i tana damdawi tha ber a pe ang che.

Heng dinhmunte lakah hian engtin nge i inven theih ang?

Heng natna hlauhawmna tihtlem dan tha ber chu i thinlung enkawl that hi a ni. Chumi awmzia chu:

• Ei leh in hrisel zawm:Oil, sugar, leh chi tlem, leh thlai leh thei tamna ei tur.
• Exercise neih fo: Ni khata minute 30 vel kal ang chi thil awlsam tak pawh hi a tha.
• Meizial in loh tur: Meizial hi thinlung tan a tha lo hle.
• Zu in tam lutuk tihtlem.
• Rihna hrisel tak vawn reng.
• Stress control dan tur.
• Diabetes, thisen sang, cholesterol sang ang chi natna i neih chuan control tha rawh.
• I doctor-in a lo pek tawh chuan nitin thisen zam lo tura damdawi statin emaw aspirin emaw ei thin ang che.

American College of Cardiology emaw European Society of Cardiology ang pawl atanga risk calculator hmangin i mimal risk leh enkawlna mamawh te pawh i hre thei bawk. Amaherawhchu, lung natna i nei tawh a nih chuan i doctor nen i risk chungchang sawipui a tha ber. In these situations , guideline-directed medical therapy hian heart attack, heart failure, leh thihna thlengin nasa takin a tihziaawm tih hmuhchhuah a ni.

Prognosis chu eng nge ni?

Hetiang natna vei (hei hi ``prognosis`` kan ti) te hmalam hun hriselna hi thil engemaw zatah a innghat a ni. Entir nan:

• Engzat nge thinlung pump theihna a tlahniam.
• Doctor-in damdawi a pek dik tak i hmang em tih.
• `(Angioplasty)`/`(Stent)` emaw `(CABG)` surgery atan i tha em tih.

Coronary artery disease vei te hian nakin lawkah lung lam harsatna an neih theihna tur an dam chhungin an nei thei a ni. I coronary arteries a block leh chuan i heart muscle chu "hibernate" leh thei a ni.

Pawimawh: Hibernating Myocardium hi coronary artery disease vei te zingah coronary artery a block nasat avangin heart muscle tissue-a thisen kal hun rei tak a tihkhawtlai hian a awm thin. Stunned Myocardium hi thisen kal dan a tlahniam nghal a nih chuan a awm thin. Thisen kal dan a lo awm leh chuan hun rei lote chhungin i thinlung ruh chu a inzawm leh thei tur a ni. Heng pahnih hi enkawl theih a ni. Heng dinhmunte hi a lo awm leh tawh loh nan i thinlung enkawl that a pawimawh hle.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thilte chu khaikhawm ila:

• Hibernating Myocardium leh Stunned Myocardium te hi heart muscle-a thisen kal tlem avanga lo awm a ni.
• Heng pahnihah hian heart muscle hi a thi lo a, mahse a thawk tha lo hle. Hei hi heart attack nen a danglam a ni.
• Heng natna pahnih hi tihdam theih a ni fo! Thisen kal dan siam that leh a tul chuan damdawi lam pan a pawimawh.
• Thâwk harsa, i rilru natna, i ke a hring ang chi symptom i neih chuan hun khawhral lovin doctor rawn la.
• Heng natna hlauhawmna hi nunphung hrisel zawm leh damdawi lam dinhmun awmsa (zunthlum leh thisen sang ang chi) enkawl hian tihziaawm theih a ni.
• Lung natna i neih chuan doctor thupek dik taka zawm a, test neih reng a pawimawh hle.

I thinlung hi i thil neih hlu ber a ni. Chuvangin enkawl tha rawh. He thu hi i tan a tangkai ngei ka beisei!

` Lung natna, hibernating myocardium, stun myocardium, thinlung natna, coronary artery natna, angioplasty, bypass surgery tih te