Thisen tling lo avanga thinlung chak lo thei natna Ischemic Cardiomyopathy chungchang hi han zir mai ila.

I tih thin angin a chang chuan stairs lawn thei lo emaw, hla tak tak kal thei lo ang maiin i inhria em? Hna tenau i tih lai pawhin thawk harsa i ti em? A nih loh leh i ke a hring chhuak a, i pheikhawk pawh i bun thei lo em ni? Mi tam tak chuan hengte hi hahna pangngai anga an ngaih laiin, a châng chuan hei hi a chhan lian zawk a awm thei bawk. Vawiin hian hetiang dinhmun kan sawi dawn a, chu chu ‘Ischemic Cardiomyopathy’ tih natna a ni a, chu natna chu thinlunga thisen kal tlem avangin thinlung ruh a chak lo a ni.

A awlsam zawngin Ischemic Cardiomyopathy hi eng nge ni?

Kan taksa hi khawpui lian tak niin han ngaihtuah teh. Tichuan thinlung chu chu khawpui tui supply tu pumping station lian ber a ni. He pumping station (thinlung) hian hna a thawh chhunzawm theih nan power source hran a mamawh bawk a, chu chu thisen supply a ni. Heng thisen kalna kawng, thinlunga thisen pe chhuaktu hi coronary arteries kan ti a.

Tunah chuan han ngaihtuah teh, heng coronary arteries te hi a inkhar tan a nih chuan eng nge thleng ang? Tui pipe-te chu bawlhhlawhin a khar a, tui luang chhuak a tlahniam ang bawkin, cholesterol leh thau ang chi thilte chu heng thisen kalna kawng chhungah hian a awm a, thisen kalna chu a tawi ta hle a ni. Hei hi Coronary Artery Disease kan tih chu a ni .

He thisen kal dan hi a tlahniam chuan heart muscle hian a mamawh oxygen leh nutrients a hmu lo. Thingkung chu tui a tlakchham laiin a thi zauh zauh ang bawkin, thinlung ruh pawh a chak lo tan a, a chhe tan bawk. Hun a kal zel a, he thinlung chak lo tak hian taksa mamawh thisen a pump thei lo. Thinlung pumping chamber lian ber left ventricle chu a chak lo va, a lian ta hle a ni. Hei hi `Ischemic Cardiomyopathy` kan tih dinhmun kimchang tak chu a ni.

A awlsam zawngin, he natna hi thinlung supply tu thisen kalna kawngkhar a block avangin thinlung ruh a chak lo va, chu chuan thinlungin pump theihna a tihtlem phah a ni Hei hi khawvela heart failure thlentu lian ber a ni.

He natna lan chhuah dan engte nge ni? Engtin nge kan hriat chian?

A tam zawkah chuan heng symptoms te hi vawi khatah a lang vek lo. Zawi zawiin an lo thang lian a. Mi thenkhat chuan he natna hi an nei thei a, symptom engmah nei lovin an nei thei bawk. Mahse, a lan chhuah dan tlangpui tlemte a awm.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu coronary artery disease a ni.. Chumi awmzia chu thinlunga thisen phurtu thisen kalna kawngte chu a inkhar tihna a ni. Tin, a hmaa heart attack nei tawh pawh hi a chhan lian tak a ni. Heart attack chu thinlung hmun khata thisen kalna chu a block vek a, chu hmuna tissue awmte chu a thih chuan a ni.

Chuvangin, coronary artery disease lo awm theihna tura puitu risk factors te hian `Ischemic Cardiomyopathy` lo awm chhan pawh a pui bawk.

Risk factors: 1.1.

• Thisen sang: Thisen sang a san chuan thisen kalna kawng a chhia a, a chhunga cholesterol awm theihna chance a sang hle.
• Diabetes: Zunthlum hian thisen kalna kawng bang a tichhe bawk.
• Cholesterol sang: Thisen a cholesterol tha lo (LDL) a pun chuan thisen kalna kawngah a deposit a, thisen kal dan a tikhawlo thin.
• Zuk leh hmuam hman (zuk leh hmuam): Meizial hi thisen kalna kawng tichhetu lian ber a ni.
• Chhungkaw chanchin: I chhungkuaa (nu, pa, unau) tu pawhin kum naupan lai atanga lung natna nei an nih chuan nang pawh hi i hlauhawmna a sang zawk.
• Thau lutuk leh thau lutuk: I thau chhoh chuan i thinlung hian hna a thawk nasa zawk thin. Tin, zunthlum, thisen sang, leh cholesterol ang chi natna i vei theihna a tipung bawk.
• Exercise neih loh: Sedentary lifestyle pawh hi a chhan lian tak a ni.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Doctor i pan hunah i natna lan chhuah dan leh i chhungkaw medical history te ngun takin a ngaithla hmasa ang. Tichuan i taksa chu a enfiah ang. Hei bakah hian a natna hmuhchhuah a nih leh nih loh finfiah nan test eng emaw zat a ti dawn bawk.

• Thisen Test: Cholesterol level, sugar level, leh kal hnathawh ang chi thil te enfiah thin ang che.
• Electrocardiogram (ECG): He test hian thinlung electrical activity a record a, a hmain heart attack a awm tawh em tih emaw, heart rhythm-ah thil danglam a awm em tih hriat theih nan a pui thei a ni.
• Chest X-ray: Lung lian leh lung chhunga tui awm leh awm loh enfiah thin ang che.
• Echocardiogram (Echo): Hei hi thinlung scan ang a ni. Sound wave hmangin thinlung chamber, valve leh heart muscle pump dan (Ejection Fraction) te chiang takin a hmu thei a ni. Hei hi he natna hi hriat chian nan test pawimawh tak a ni.
• Exercise Stress Test: Treadmill-a i kal laiin ECG lak a ni a, exercise i tih laiin i thinlung hian thisen a dawng tlem em tih enfiah a ni.
• Cardiac Catheterization / Angiogram: Hei hi i thinlung thisen kalna kawng a block em tih chiang taka hriat theihna tur a ni. I kut emaw ke emaw vein hmangin tube te tak te chu dahin, i thinlung coronary arteries-ah pass a, special dye inject a, X-ray lak a ni. Hei hian thisen kalna kawngte chu engtiang chiahin nge a block tih a tilang chiang hle.

Hei hi eng enkawlna nge ni?

Enkawlna atana thil tum lian pathum a awm a, chungte chu:

1. A chhan (i.e. coronary artery disease) enkawl.

2. Lung hnathawh thatna.

3. Symptoms tihtlem leh nunphung tihchangtlun.

Chumi atan chuan enkawlna kawng engemaw zat hman a ni.

1. Damdawi (damdawi chi hrang hrang) .

Hemi atana damdawi pek hian thinlunga phurrit a tiziaawm a, thinlung hnathawh a titha a, harsatna dang a veng bawk.

Pawimawh:I doctor-in damdawi a pek ang chiah chiah, a hun takah leh a dose dik takah ei a pawimawh hle. I damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh.

2. Nunphung inthlak danglam

Heng thil tih hi damdawi ei ang bawkin a pawimawh a ni.

• Salt control: Ni khata chi i ei zat tihtlem. Chi hi i chaw ei chhunga chi i dahna chauh a ni lo. Chaw siam, sauce, ketchup, biscuit, leh chhang ang chi thilah te pawh chi thup a awm bawk.
• Exercise: I doctor thurawn angin i theihna level-ah exercise la. Ni khata minute 30 chauh kal pawh hi a tha.
• Meizial in loh tur: Meizial i zuk chuan titawp vek tur a ni.
• Ei leh in hrisel: Thlai, thei, legumes leh whole grains te ei tam rawh. Ei tur oil, sugar leh flour tamna te tihtlem.
• Weight control: I san zawng atan i taksa rihna hrisel tak vawng reng ang che.

3. Surgery leh enkawlna dang

Damdawi leh nunphung tihdanglam ringawt hmanga i natna chu a thunun theih loh chuan doctor chuan enkawlna dang a refer thei che a ni.

• Angioplasty leh Stents: Angiogram an tih lai hian thisen kalna kawngkhar khap chu balloon ang chi hmanrua hmangin an tipuak a, a chhungah hian mesh ang chi thil te tak te, stent an tih chu a inkhar leh tawh loh nan dah a ni.
• Coronary Artery Bypass Surgery: Thisen kalna kawng chu hmun hrang hrangah a inkhar a nih chuan, taksa peng dang (ke emaw, rilru emaw) atanga thisen kalna lakchhuah hmangin kawng thar siam a ni. Hei hi ‘bypass’ surgery an ti a.
• Implantable Devices: Heart rate a mumal lo hle emaw, heart pumping theihna a chak lo hle emaw a nih chuan electronic device te tak te, `ICD (Implantable Cardioverter Defibrillator)` emaw `CRT (Cardiac Resynchronization Therapy)` emaw te chu rilru vun hnuaiah dah theih a ni. Chûngte chuan thinlung rhythm chu a thunun a ni.
• Heart Transplant: Heart transplant hrisel hi natna khirh ber, enkawlna dang la dawng lote tan chuan a tawp ber atan ngaih a ni.

He natna hi ven theih a ni em?

Ni e, a dik tak zet. `Ischemic Cardiomyopathy` laka inven dan tha ber chu a thlentu coronary artery disease lo awm tur ven hi a ni. Chu chu a hmaa kan sawi tawh risk factors te control tihna a ni.

• Ei leh in hrisel ei rawh.
• Exercise neih fo thin ang che.
• Meizial zuk loh vek tur a ni.
• I taksa rih zawng control rawh.
• Diabetes, thisen sang, cholesterol ang chi natna i neih chuan doctor thupek angin control tha rawh.
• Stress control rawh.

Engtikah nge damdawi in (ETU) pan nghal tur?

He natna hi i vei emaw, thinlung natna vei theihna i nei emaw a nih chuan a hnuaia symptoms te hi i hmuh chuan Emergency Department (ETU) ah kal nghal tur a ni.

• I rilru natna nasa tak i neih emaw, i rilru a tight tih hriat emaw i neih chuan.
• Thâwk harsatna nasa tak i neih chuan.
• Mutthilh emaw, luak chhuak emaw i neih chuan.

Hengte hi heart attack chhinchhiahna a nih theih avangin hun khawhral lova enkawlna zawn hian nunna pawh a chhanhim thei a ni.