I thinlung hian thisen a hmu tling lo em ni? Heart muscle tichak lotu Ischemic Cardiomyopathy chungchang hi i zir dawn nia!

Kan thinlung hi machine mak tak mai, tihtawp loha hnathawk ang mai a ni a ni lawm ni? Mahse, he thinlung hian thisen, chu chu oxygen leh ei leh in mamawh a hmuh loh chuan eng nge thleng ang? Tichuan heart muscle chu zawi zawiin a chak lo a, a lo thang lian tan ta a ni. Chu chu dinhmun pawi tak a ni a, mahse kan sawi tur leh kan hriat reng tur chu `(Ischemic Cardiomyopathy)` tih a ni. Vawiin hian he thu hi chipchiar zawkin han sawi ila, a tha em?

`(Ischemic Cardiomyopathy)` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin `(Ischemic Cardiomyopathy)` tih awmzia chu i thinlunga heart muscle-in thisen a dawng tlem a, chu chuan a chak lo a, thisen a pump tha thei lo tihna a ni. Hei hi Doctor-te chuan `(ischemia)` an ti bawk a, chu chu thisen pek tlem tihna a ni.

Ngaihtuah teh, tui motor chu tui tel lovin a tlan a ngai a nih chuan eng nge thleng ang? Chutiang chu a ni. Thinlung lama thisen phurtu vein, chu chu coronary arteries , a inkharkhip chuan, emaw, heart attack a lo awm chuan chutiang chuan thinlunga thisen kal chu a tlahniam a ni.

Hei hian thinlung veilam a pumping chamber lian ber left ventricle , chu a tichak lo va, zawi zawiin a ti lian a ni. Chumi hnuah chuan thinlung hian taksa pum puiah thisen a pump tha thei lo. Hei hi thinlung natna chi khat Dilated Cardiomyopathy an tih a ni a, khawvela systolic heart failure thlentu ber a ni. Hetiang dinhmun hi damlo zaa 60-ah a awm thin.

Nang pawhin heng symptoms te hi i nei ve em?

`(Ischemic Cardiomyopathy)` vei chuan hetiang symptom hi a nei thei. Mahse hre reng ang che, mi thenkhat chuan he natna hi engmah chhinchhiahna nei lovin an nei thei a ni.

• Thâwk lak harsa i ti em? Tlem i kal emaw, stairs tlemte i chhoh emaw hian i lu a buai em?
• I ke leh ke ruh a hring (edema) em? Tui khat ang maiin.
• Hna tlemte i thawh hnuah pawh i chau vat em? Nitin hna pawh i thawh zawh theih loh khawpin i chau em?
• I rilru na, i tight emaw, pressure emaw i nei em? Hei hi `(Angina)` an ti a. Mahse hei hi mi zawng zawng nghawng thei symptom a ni lo.
• I taksa chu tuiin a khat ang maiin a rit leh rit tih i hria em? Hei hi i lungah tui a awm khawm hian a thleng thei a ni.
• I thinlung chu a nalh dan pangngai lo ang maiin i hria em, i rilruah thil a rawn thawk chhuak ang maiin i hria em, a nih loh leh a na lutuk em ni? Hei hi ``arrhythmia`` emaw thinlung rhythm mumal lo emaw kan ti thin.
• I lu a buai em , i mit a sen vek em, a nih loh leh i rilru a buai em?
• A châng chuan i muhil thei bawk .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan ngei ngei tur leh thurawn lak hi a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi heart muscle-a thisen kal tihtlem leh tichhe thei dinhmun eng pawh avanga lo awm thei a ni. A chhan ber chu:

• Coronary Artery natna: 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi a chhan ber leh a chhan ber a ni . Hetiang dinhmun hi thinlunga thisen petu thisen kalna kawng chhunga thau awmkhawm vang a ni.
• Heart Attack: Heart attack a lo awm chuan thinlung hmun khata thisen kalna chu a titawp vek a, chu chuan chu hmuna tissue chu a thi ta a ni.
• Coronary Vasculitis: Thinlung thisen kalna kawng (arteries)-a awm, natna hrik (inflammatory condition) a ni.
• Coronary Artery Dissection: Thinlung chhunga thisen kalna kawng (artery) bang a tikehsawm.
• Coronary Microvascular Disease: Thinlung thisen kalna kawng te tak teah harsatna a awm.
• Fibromuscular Dysplasia: Thisen kalna kawng bang a lo thang dan pangngai lo.
• `(Prinzmetal Angina)`: Coronary arteries a zim nghal vat avanga rilru natna.

Hetiang hi tuin nge nei tam zawk? (Risk factor hrang hrang) 1.1.

Mi thenkhat chuan he natna (Ischemic Cardiomyopathy) hi an nei tam zawk. Chu chu risk factor engemaw zat a awm tihna a ni. Hengte hi i tan a hman theih em tih en rawh:

• Chhungkaw zingah thinlung natna vei tawh: I nu leh pa emaw, i unaute emaw chuan thinlung natna an neih chuan nang pawh i hlauhawm zawk a ni.
• Thisen sang: Thisen sang hi a hlauhawmna lian tak a ni.
• Zuk leh hmuam hman: Cigarette leh bidis ang chi thil hman.
• Diabetes Mellitus: Zunthlum vei te pawh hi an hlauhawmna a sang hle.
• Cholesterol sang: Thisenah cholesterol tha lo awm zat a sang .
• Body Mass Index (BMI) kum 30 aia tam: A awlsam zawngin sawi ila, thau lutuk hi i san zawng nena inmil aia tam a ni.
• Tun hmaa heart attack nei tawh.
• Taksa tihchak loh: Hei hian exercise tha lo tihna a ni.

Heng risk factor pakhat emaw a aia tam emaw i neih chuan control a pawimawh hle.

Hei hian eng harsatna dang nge a thlen theih?

Ischemic Cardiomyopathy hi uluk taka enkawl a nih loh chuan hriselna lama harsatna lian tham dang a thlen thei a ni. Chung zingah chuan:

• Lungphun (Heart Rhythm) pangngai lo
• Congestive Heart Failure (thinlung hian thisen a pump tha thei lo va, taksaah tui a pungkhawm thin) .
• Pulmonary Edema a awm thin
• Mitral Valve atanga chhuak (regurgitation) a awm
• Thisen zam (hengte hi thluaka a kal chuan stroke ang chi natna a thlen thei) .
• Cardiac Arrest a ni
• Sudden Cardiac Thihna a awm

Heng harsatnate hi hlauhawm tak angin lang mah se, natna hi a hmaa hriat chhuah a nih a, uluk taka enkawl a nih chuan a tam zawkah chuan pumpelh theih a ni.

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Doctor i pan hunah he natna hi i nei em tih hriat tumin hetiang thil hi a ti ang:

• I damdawi lam chanchin zawt rawh: natna hmasa leh damdawi i ei tawh ang chi thil.
• I sawi symptoms te hi ngun takin ka ngaithla a.
• I chhungkuaa natna awmte zawt rawh: a bik takin thinlung natna.
• Taksa endikna neih a ni ang: thinlung ngaihthlak te, lung enfiah te, leh hliam zawng te.
• Test bik engemaw zat tihsak turin an ti ang che.

Heng test te hi engte nge ni?

He natna hi dik taka hriat theih nan leh thinlung a chhiat nasat zia hriat theih nan a hnuaia test te hi tih theih a ni:

• Thisen Test: Thinlung a chhiat huna thisena enzyme thenkhat awm khawm, cholesterol level, leh sugar level te ang chi thil te enfiah thin ang che.
• Electrocardiogram (EKG): Thinlung electric hnathawh dan chhinchhiahna test a ni. Hei hian heart attack emaw heartbeat mumal lo emaw ang chi thilte hriatchhuahna kawngah a pui thei a ni.
• Chest X-ray: Lung lian leh lung chhunga tui awm ang chi thil te enfiah nan.
• Transthoracic Echocardiogram (TTE): Hei hi thinlung ultrasound scan ang a ni. Heart chambers chungchang te, valve te hnathawh dan te, thinlungin thisen a pump chhuah zat (ejection fraction) chungchang te hriat tur pawimawh tak a pe thei a ni.
• Exercise Stress Test: Treadmill-a i kal lai emaw, bike i khalh lai emaw hian i ECG leh thisen sang chu enfiah a ni. Hei hian i thinlungin a thawhrim theih dan leh thisen kal danah harsatna a awm leh awm loh a teh a ni.
• Cardiac Catheterization / Angiogram: Hei hi groin emaw arm emaw kaltlangin tube te tak te dahin, thinlunga coronary arteries-ah dye inject a, X-ray lak a ni. Hei hian doctor chuan arteries chhunga blockage awmna hmun dik tak a hmu thei a ni.
• CT Scan emaw MRI Scan: Hengte hian thinlung insiam dan leh hnathawh dan chipchiar zawka hriat theih nan a pui thin.
• Nuclear Medicine Imaging: Thinlung chhunga thisen chhuahna leh chhiatna hmun hriat theihna turin a pui.
• Myocardial Biopsy: A tlem berah chuan thinlung tissue te tak te la in microscope hmangin enfiah theih a ni. Hei hian cardiomyopathy awm chhan hriat theihna kawngah a pui thei a ni.

Chuti a nih chuan, hei hi eng enkawlna nge ni?

He natna (Ischemic Cardiomyopathy) enkawl hian doctor-te hian thil tum lian tak pathum an nei a:

1. Coronary artery natna enkawl dan.

2. Lung hnathawh thatna.

3. Heart attack symptoms tihziaawmna.

Hei hi enkawl dan tlangpui engemaw zat a awm a:

1. Damdawi chi hrang hrang

I doctor chuan heng damdawi zinga pakhat emaw a aia tam emaw a pe thei ang:

• Beta-blockers: Heart rate a ti hniam a, thisen sang a control a, heart-a hnathawh tur a ti tlem bawk.
• ACE inhibitor emaw ARBs: Thisen kalna kawng a tizau a, thisen sang a tihniam a, thinlung tan thisen pump a awlsam phah bawk.
• `(ARNI)`: Hei hi damdawi chi thar a ni bawk a, thinlung hnathawh thatna tur a ni.
• Diuretics (water pills): Taksa atanga tui tam lutuk chu zun hmangin a paih chhuak thei a, a hring leh thawk hahna a tiziaawm a ni.
• `(Aldosterone Antagonists)`: Hei hi diuretic chi khat a ni bawk a, chu chuan thinlung a venghim a ni.
• Antiarrhythmics: Heart rhythm mumal lo a awm chuan control.
• Anticoagulants: Thisen zam a veng.
• Statins: Thisen cholesterol level a tihniam.

Heng damdawi te hian heart function a tichak a, symptoms a control a, complication a veng a, coronary artery disease a zual zel tur a titawp a, nakin lawka heart attack neih theihna a ti tlem bawk. I doctor chuan i tana damdawi chi leh a zat tur a ruat ang. A sawi angin a hun taka damdawi ei hi a pawimawh hle.

2. Nunphung inthlak danglamna

Damdawi bakah hian nitin nunphung tihdanglamna thenkhat hian he natna hi thunun kawngah nasa takin a pui thei a ni:

• I ei tur atana chi i dah zat kha tihtlem rawh: Ni khatah chi milligram 2,000 leh 3,000 inkar ei tum ang che (chu chu teaspoon khat aia tlem a ni).
• Exercise: I doctor nen inbia la, eng exercise nge i tana tha ber tih leh eng chen nge i tih tur tih zawt rawh.
• Zuk leh hmuam atanga inthiarfihlim vek rawh: I zuk chuan bansan rawh.
• Ei leh in tha tak ei rawh: Thlai, thei, legumes, sangha leh fiber tamna ei tur tam zawk ei rawh. Oil, sugar leh flour te tihtlem rawh. Chutiang damlo tan chuan Mediterranean Diet hi a tha hle niin an sawi.

3. Implantable Devices te chu a awm thei

Mi thenkhat chuan an thinlung a thawh that theih nan vun hnuaiah hian hmanraw bik dah a ngai a ni.

• Cardiac Resynchronization Therapy (CRT): Biventricular pacing an ti bawk a, hei hian thinlung chhungril (chamber) te chu tha zawka thawk ho turin a pui thin.
• Implantable Cardioverter Defibrillators (ICD): He device hian heart rhythm dik lo hlauhawm tak tak a hmuchhuak thei a, electrical shock te tak te a pe thei a, heart rhythm pangngai a siam tha leh thei bawk. Hei hian cardiac death rang tak venna kawngah a pui hle.

A chang chuan heng device pahnih inzawmkhawmtu `(CRT-D)` tih device install theih a ni.

4. Interventional kalphung leh Surgery te

Damdawi leh nunphung tihdanglam ringawt pawh a tawk lo a nih chuan doctor-te chuan tih dan tur emaw, operation emaw tih tur a rawt thei a, chu chu:

• Angioplasty leh stent dah: Coronary artery blocked chu balloon ang chi thil hmangin an inflated a, a block leh loh nan mesh (stent) te tak te an dah bawk.
• Coronary Artery Bypass Surgery (CABG): Thisen kalna kawng thar siam a ni a, chu chu thisen kalna kawng khar chu bypass a, taksa peng dang atanga lak chhuah thisen kalna kawng khat hmangin thisen kalna kawng thar siam a ni.
• Surgical Remodeling or Reconstruction of the Left Ventricle: Hetiang tih hian left ventricle chak lo leh lian tawhte pianzia leh a lian zawng chu a then a siam tha a ni.
• Left Ventricular Volume tihhniamna Surgery neih a ni .
• Left Ventricular Assist Devices (LVAD): Thinlung thisen pump puitu machine te tak te a ni. Hei hi thinlung thlak nghaktute tan hun eng emaw chen atan hman a ni a, a then phei chuan a nghetin hman a ni bawk.
• Heart Transplant: A tawp berah chuan enkawlna dang a hlawhtlin loh chuan donor thi tawh atanga thinlung hrisel tak chu thlak a ni.
• Lung natna dang tan pawh surgical option a awm bawk.

Enkawlna hian side effect a thlen thei em?

Damdawi dang ang bawkin heng enkawlnate hian nghawng \ha lo engemaw zat a nei thei a ni. Mahse, mi zawng zawngin kan dawng vek lo va, a nasat dan pawh mi tin a inang lo thei.

• Damdawi atanga: luak chhuak , pum na, hahna, khuh vawt, lu na, thisen sang, sam tlakchham, thisen chhuak (thisen tithianghlimtu vang), etc.
• Implanted device atanga: thisen chhuah, natna hrik kai, device chhia, pulmonary embolism, cardiac tamponade.
• Procedure leh surgery atanga: rilru na, thisen chhuah, natna hrik, heart attack, thisen zam, heart rhythm mumal lo, stroke, heart transplant rejection.

Hemi chungchangah hian lungngai suh. I doctor chuan eng enkawlna pawh i tan hmain heng zawng zawng hi a sawipui ang che. Side effect eng emaw i neih chuan enkawlna pawh a awm bawk.

Eng chen nge a dam theih ang?

Damdawi pakhat atan chuan a thawh chhuah kim theih nan kar engemaw zat a ngai thei. Enkawlna dang atan chuan a dam hun chhung hi ni khat atanga kar tlemte emaw, thla engemaw zat emaw pawh a ni thei. Enkawlna chi leh i hriselna zawng zawngah a innghat.

He natna hi kan pumpelh thei lo em ni? (Invenna) 1.1.

Ni e, a theih hle mai! `(Ischemic Cardiomyopathy)` awm chhan ber chu coronary artery disease a ni a, chuvangin i ven chuan he natna hi i pumpelh thei bawk.

Engtin nge a risk tihziaawm theih ang?

Coronary artery disease leh a avanga lo awm thei dinhmun (Cardiomyopathy) laka inven nan hengte hi ti rawh:

• Zuk leh hmuam thil lakah hian inthiarfihlim vek rawh.
• Kar khatah ni 5 tal exercise la, ni khatah minute 30 tal exercise la.
• I taksa mamawh mut chu hmu rawh.
• I san zawng atan taksa rihna hrisel tak vawng reng rawh.
• Nitin nunah rilru hahna chu thunun rawh.
• Diabetes, cholesterol sang, thisen sang ang chi condition i neih chuan control tha rawh. I doctor-in damdawi a pek ang kha ei rawh.
• Ei leh in hrisel ei rawh. Thlai, thei leh thlai chi hrang hrang ei tam rawh.
• Zu i in chuan khap tlat ang che.

`(Ischemic Cardiomyopathy)` vei tan chuan hmalam hun eng nge ni?

I dinhmun azirin i thinlung chhiatna chu a tlem emaw, a na emaw a ni thei. Damdawi ei hian i thinlung hnathawh a titha thei a, symptoms a ti tlem thei bawk. Mahse an tling lo a nih chuan i doctor chuan procedure dang emaw device dang emaw a rawn rawt thei ang.

He natna hi a dam kim thei ang em?

Thinlung lama thisen kal chu rei lo te chauh a tihtlem chuan a chhiatna chu a let leh thei a ni. Mahse, heart muscle-in thisen leh oxygen a tlakchhamna rei tak, heart attack lai ang chi a nih chuan a chhiatna chu a let leh thei lo mai thei.

Outlook a ni

I hmalam hun hriselna chu thil engemaw zatah a innghat a ni:

• I left ventricle hian vawi khatah thisen engzat nge a pump theih (ejection fraction).
• I coronary artery natna nasat dan.
• Hetih lai hian heart attack i nei tawh em?

Mahse, enkawlna hian i dinhmun nasa takin a titha thei tih hre reng ang che, chuvangin beiseina bansan suh.

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

Hriselna tihchangtlun nan nangmah ngeiin i tih theih tam tak a awm a:

• I taksa rihna hrisel tak neih tum ang che.
• Zu in hi tihtlem rawh.
• Zan tin mut tha rawh.
• Exercise neih fo (Doctor thurawn angin).
• Thinlung hrisel ei tur ei rawh. Saturated fat leh chi tlemna ei tur.
• Zuk leh hmuam thil lakah hian inthiarfihlim vek rawh.
• I stress kha control rawh.

Engtikah nge Doctor ka hmuh ang?

Hetiang dinhmun hi i neih chuan kum khatah vawi tam tak doctor i pan tur a ni a, i dinhmun enfiah tur a ni. Heng tlawh chhung hian i doctor chuan:

• I damdawi ei hi a thawk tha em?
• Device install i neih chuan a thawk tha em?
• Engtin nge procedure emaw surgery emaw i tih hnuah i dam leh theih ang?

Heng doctor appointment neih chhung hian a hnuaia mi hi i tawn chuan doctor hnenah hrilh nghal rawh:

• I symptoms a na zual a nih chuan.
• Tun hmaa i neih ngai loh symptom thar i neih chuan.
• I device a thawk tha lo nia i hriat chuan.
• I damdawi ei avanga side effect i neih chuan.

Engtikah nge damdawi in pan nghal tur? (ETU) a ni.

Heng symptoms te hi i neih chuan emergency room-ah i kal nghal tur a ni :

• Thâwk harsa i neih thut chuan.
• I rilru natna nasa tak i neih chuan.
• I hriatna hloh a, i tlu a nih chuan.

Doctor hnenah eng zawhna nge i zawh tur?

`(Ischemic Cardiomyopathy)` i vei tih i hriat veleh hlauthawng leh lungkham deuh hi thil pangngai a ni. Mahse doctor nen inbiakna neih a pawimawh hle a, i dinhmun chiang taka hriatthiam a pawimawh hle. Hetiang zawhna hi i zawt thei ang:

• Ka thinlung hi engzat nge tihchhiat a nih?
• Eng enkawl dan nge ka tan a tha ber?
• Min pui thei tur support group an awm em?
• Engtin nge ei leh in lamah ka fimkhur ang?
• Eng exercise nge ka tih theih leh tih theih loh?

I hriatthiam loh zawng zawng doctor hnenah zawh hreh suh. Ani chuan a pui ang che.

A tawp berah chuan thil hriat reng tur...

Ischemic Cardiomyopathy hi natna khirh tak a ni a, mahse control theih a ni. A hmaa hriatchhuah leh enkawl dan dik hi a pawimawh ber a ni. I nunphung tihdanglamna awlsam tak chuan danglamna nasa tak a thlen thei a ni. Doctor thupek zawm la, a hun takah i damdawi ei la, check-up turin kal rawh. Nangmah chauh i ni lo va, i tanpui tur doctor leh i hmangaih tak takte an awm bawk. Chuvangin he dinhmun hi huaisen takin hmachhawn rawh.

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