Kan taksa peng pawimawh ber chu thinlung hi a ni tih kan hre vek. Car engine ang maiin thinlung a reh chuan engkim a tawp vek. Chuvangin, he thinlung hian hna a thawh chhunzawm zel theih nan thisen supply tha tak a mamawh bawk a, chu chu oxygen leh nutrients a dawng chhunzawm zel a ngai tihna a ni. He hna pawimawh tak thawktu thisen kalna kawngte zingah hian thisen kalna kawng bik, pawimawh tak pakhat a awm a. A chang chuan hei hi block a nih chuan heart attack lo awm chu a nasat em avangin "Widowmaker" an ti bawk. Vawiin hian chu thisen kalna kawng pawimawh ber, Left Anterior Descending Artery (LAD) chungchang kan sawi dawn a ni.
A awlsam zawngin, he LAD hi eng nge ni?
Kan thinlung hi in ang maiin han ngaihtuah teh. He in chhunga tui rawn thlentu pipe lian pahnih a awm a. Kan thinlunga thisen pe chhuaktu coronary artery lian ber berte an ni. Heng artery lian pahnih veilam sir (Left Main Coronary Artery) hi branch lian pahnih ah a inthen a. Chu branch pahnih zinga pakhat, a lian ber leh pawimawh ber chu Left Anterior Descending (LAD) Artery .
He hming awmzia hi han then ila:
- Left: Hei hi vei lamah a awm tihna a ni.
- Anterior: Chumi awmzia chu thinlung hmalam thisen a supply tihna a ni.
- Descending: Hei hian he thisen kalna kawng hi thinlung chunglam atanga a hnuai lam thlengin a kal tihna a ni.
A awlsam zawngin, LAD hi thisen kalna kawng ber a ni a, thinlung veilam, a hmaah a tlan thla a ni . Thinlung pumping chamber lian ber, left ventricle chu oxygen tamna thisen a pe chhuak a ni. Tin, thinlung chhunga chamber hrang hrangte inthenna muscular wall septum pawh a supply bawk.
He LAD artery hi a block vek chuan thinlung hmun zau tak chu thisen supply atanga tihtawp nghal a ni. Chuta chhuak heart attack chu a na hle thei a ni. Chuvangin doctor-te chuan he natna hi "Widowmaker Heart Attack" an ti a ni.
LAD hnathawh ber leh a awmna hmun
LAD artery hi kan taksa circulatory system-a tel a ni. Hei hi kan thinlunga thisen pe chhuaktu coronary artery lian ber a ni. Ngaihtuah teh, heart muscle-a thisen kal zawng zawng zinga 50% vel chu he thisen kalna kawng pakhat chauh hian a pe chhuak a ni . Hei hi a pawimawh zia chu i ngaihtuah thei a ni lawm ni?
Epicardium chhungah a awm a, chu chu thinlung pawn lam venhimna a ni. Thinlung chung lam atanga a hnuai lam thlengin a kal a, thinlung bang dungah groove ang maia awm a ni.
LAD atang hian eng branch nge branch off?
He main artery hi branch tenau zawkah a inthen a, chu chuan thisen chu thinlung hmun hrang hrangah a phur a ni.
| Branch Hming | Thisen pekna hmun |
|---|---|
| Diagonal branch hrang hrang a awm | Thisen hian thinlung pump ber, left ventricle hmalam leh hnuai lam a pe chhuak thin. |
| Septal branch hrang hrangah a awm | Thinlung chamber hrang hrangte inthenna muscular wall (septum) hmalam hmun thuma ṭhena hmun hnih-ah thisen a pe a ni. |
Eng dinhmun nge LAD hi a nghawng?
LAD thisen kalna kawng tibuaitu harsatna lian ber leh tlanglawn ber chu atherosclerosis a ni . A awlsam zawngin, tui pipe hlui chhunga rust lo awm ang mai a ni. Kan eitur a awm, cholesterol ang chi thau tak tak te hi thisen kalna kawng bang ah a lo awm khawm a, hun kal zelah a thim thin. Hei hi ‘plaque’ kan ti a. He plaque hi a lo pun zel chuan thisen kalna chu a zim zual sauh sauh a ni.
Hun a kal zel a, he plaque hi a chhe thei a, thisen zam a siam a , chu chuan thisen kalna kawng chu a titawp vek thei a ni . Hetiang blockage hi LAD-ah a awm chuan thinlung hmun zau takah oxygen a tlachham a, thinlung ruh chu a thi tan thin. Chu chu heart attack kan tih chu a ni. LAD-a blockage avanga heart attack hi a na hle thei a ni.
A pawimawh ber chu, "Hmeithai siamtu" tih hming pu mah se, hei hi mipa tan chauh a ni lo. He thinlung natna khirh tak hian hmeichhia leh mipa a nghawng inang tlang thei a ni.
Tin, mi thenkhat chu LAD artery tawi tak emaw, tawi tak emaw neia piang an ni bawk. Hetiang dinhmun hi hypoplastic left anterior descending artery an ti a. Hei hi thil awm lo tak ni mahse, hetiang hi a tipung thei a ni:
- Thinlung thawk mumal lo (Arrhythmia) .
- Lung natna
- Lung ruh (Myocardial ischemia)-a thisen pek tlem (Myocardial ischemia) .
- Cardiac thihna rapthlak tak
LAD-a blockage awm hian eng symptoms nge a neih?
LAD artery narrowing emaw blockage emaw hian rilru natna (angina) a thlen thei. Mahse, kan inkharkhip vek a, chu chu heart attack a nih chuan a natna lan chhuah dan kan hriat vek a pawimawh hle.
Nangmah emaw, i hriat miin emaw a hnuaia symptoms pakhat emaw, a aia tam emaw i neih chuan medical emergency-ah ngai rawh. 1990 Ambulance Service-ah tlai lovin call emaw damdawi in Emergency Department (ETU)-ah kal nghal tur a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chhuak na emaw, nuam lo emaw (Angina) . | Natna tight, constricting, rit ang maia hriatna chu a rilru lai takah dah a ni. |
| Kut veilam, kekawrte, kawr emaw, hmui emaw thlenga natna radiate | Heng hmunah te hian rilru natna hi a darh thei a ni. |
| Vawikhatmah thawk hah lutuk | Chhan awm lova thawk hah, taksa a vawt ang maiin. |
| Thâwk harsa | Thâwk hah, thawk harsa tih hriat. |
| Luak chhuak emaw, muhil emaw tih hriat | Hetiang dinhmun hi thisen sang tlahniam vang a ni thei. |
| Lung chakna sang (palpitations) . | I thinlung chu a na hle tih hriatna. |
| Nausea leh luak chhuak | He symptom hi hmeichhia leh zunthlum vei zingah a langsar zual hle. |
| Chauh lutuk leh chak lohna | Chhan awm lova chau lutuk. |
Engtin nge doctor ten LAD hriselna an enfiah thin?
I natna lan chhuah dan azirin i doctor chuan i coronary arteries dinhmun a enfiah duh mai thei. Hemi atan hian testing method hrang hrang a awm a.
| Fiahna | A awlsam zawngin... |
|---|---|
| Cardiac Catheter hmanga enkawl (Angiogram) hmanga tih a ni. | Tube te tak te chu a kut emaw ke emaw a thisen kalna kawng a paltlang a, dye bik an inject a, X-ray an la a, thisen kalna kawng chu a block em tih an en a. |
| Coronary CT Angiogram (CCTA) hmanga enfiah a ni. | CT scan bik hmangin thinlung thisen kalna kawng hrang hrangte chu three-dimensional (3D)-in a la a. |
| Intravascular Ultrasound (IVUS) hmanga thisen kalna kawng (VUSS) hmanga tih a ni. | Scanning device te tak te chu thisen kalna kawngah an pass a, thisen kalna bang chhung chu an enfiah thin. |
| Fractional Flow Reserve (FFR) hmanga thil tih theih a ni. | Thisen kalna kawng chhunga pressure tehna chu a block avangin thisen kal dan tur a tikhawlo tih hriat a ni. |
LAD blockages enkawlna tur engte nge ni?
LAD artery-a blockage na tak a awm chuan doctor-te chuan hawn leh turin an enkawl ang. A hmanraw hman tlanglawn ber chu angioplasty leh stent dah a ni.
Hemi a thil thleng chu, angiogram ang bawkin, thisen kalna kawngkhar kaltlangin tube te tak te chu a block na hmunah a kal a ni. Tube tawp lama balloon te tak te inflating hmangin, a blocked plaque chu vessel wall-ah a press a, thisen kal chu a zau leh ta a ni. Hei hi ``Angioplasty`` an ti a.
Tichuan, a zau tawh chu a zim leh tawh loh nan, chu hmunah chuan mesh ang maia siam thir tube (stent) te tak te chu dah a ni. He ``stent`` hian thisen kalna kawng chu a hawng reng a ni. He enkawlna hi heart attack a awm chuan engtiang chiahin nge tih a nih dan azirin heart chhiatna hi a tlahniam thei a ni.
Engtin nge ka thinlung hi ka vawn that theih ang?
"Tihdam aiin invenna a tha zawk," an ti. Chuvangin, hetiang dinhmun khirh tak a lo thlen hma hian kan thinlung leh thisen kalna kawngte venhimna tur thil tam tak kan tih theih vek a ni.
- Thinlung hrisel ei tur hmang rawh: Cholesterol leh thau thau (fried foods, fast foods, leh sa thau tak tak) ei tlem rawh. I eitur ah thei, thlai, legumes, sangha te, leh nut te telh bawk ang che.
- Exercise neih fo: Exercise chi hrang hrang, kea kal, tlan emaw, cycle khalh emaw, ni khatah minute 30 tal, kar khatah ni 5 chhung ti thin ang che. Hei hian i rihna, cholesterol leh thisen sang control-na kawngah a pui ang.
- I taksa rihna hrisel tak vawng reng rawh: I san zawng atana taksa rihna hrisel tak vawn reng hi i thinlung tan a \angkai hle.
- Meizial zu bânsan vek rawh: Meizial i zuk chuan vawiin hian bânsan tûrin ṭanpuina la rawh. I thinlung tan i tih theih tha ber a ni.
- Zu in tlem: Zu in hi bansan vek a tha.
- Zunthlum leh thisen sang control: Zunthlum emaw, thisen sang emaw i neih chuan i damdawi ei tur chu i doctor-in a tih ang chiah chiah ei tur a ni. Salt i ei tam lutuk kha tihtlem rawh.
- Stress tihziaawm: Yoga leh meditation ang chi thil hmangin rilru hriselna vawng reng rawh.
Heng nunphung inthlak danglamna te hian i LAD artery chauh ni lovin i taksa pum pui a hrisel theih nan a pui ang. I thinlung hriselna chungchangah harsatna i neih chuan i chhungkaw doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Kan thinlunga thisen petu thisen kalna kawng lian ber leh pawimawh ber chu Left Anterior Descending (LAD) artery a ni.
- He blockage hian heart attack ("Widowmaker") a thlen thei a, chu chu na tak leh nunna atana hlauhawm tak a ni thei.
- Thinrimna, thawk harsa, thawk hah lutuk ang chi symptoms te hi ngaihthah ngai suh. Damdawi lam emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Ei leh in hrisel ei te, exercise neih fo te, zu in loh te, zunthlum/ thisen sang control te hmangin i thinlung i humhim thei a ni.
- I thinlung hriselna emaw, risk factors emaw chungchangah ngaihtuahna i neih chuan i doctor nen inbiakna neih hreh ngai suh.











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