I thinlung veilam pawh a chak lo em ni? (Left-Sided Heart Failure) - Hemi chungchang hi han sawi ila!

A chang chuan thawk harsa i ti em? A nih loh leh, i kal lai te, i bawkkhup a, hna eng emaw i thawh hian thawk i hahdam lo em ni? Zanah i mut a, i mut a, i rilru a hah avangin i ṭhut a ngai em? I ke leh ke ruh ah a hring chhuak em? Hengte hi a chang chuan thinlung veilam chak lohna chhinchhiahna a ni thei bawk. Vawiin hian he natna `(Left-Sided Heart Failure)` tih hi i hriatthiam theih tur awlsam takin sawi ila. Hlau suh, hei hi hriat chian a pawimawh hle.

Left-Sided Heart Failure tih hi eng nge ni?

A awlsam zawngin sawi ila, kan thinlung veilam hian a hna, taksa pum puia thisen pump chhuah hi a thawk tha thei lo tihna a ni. Tui pump ang maiin han ngaihtuah teh. A thawk tha lo a nih chuan tui chu tank-ah a kal lo ang. Chutiang chu a ni. Hei hi chi hnih a awm a, chungte chu:

1. Systolic heart failure: Hei hi thinlung veilam a main pumping chamber, left ventricle an tih chu a inzawm khawm a, a chak lo lutuk a, taksa pum puiah thisen pump thei a ni. Chumi awmzia chu heart-in thisen a pump zat (the ejection fraction) a tlahniam tihna a ni. Motor chakna a tlem chuan tui pump chhuahna pressure a tlahniam ang bawkin.

2. Diastolic heart failure: Hei hi thil awmdan danglam tak a ni. Left ventricle hi chak mahse, a relax tha lo va, thisen a khat turin a stretch tur angin a stretch lo. Chumi awmzia chu heart chamber chu a nghet ta tihna a ni. Balloon khauh tak, inthlak danglam thei lo chu tui khata khat tum ang a ni a, thisenin a khat pawh a harsa hle. Chutiang a nih chuan thinlungin thisen a pump zat (ejection fraction) chu a pangngai mai thei.

Tunah hian heng chi hnih inthlauhna hi i hrethiam em?

Kan thinlung veilam leh dinglam hi engtin nge hna a thawh?

Kan thinlung hi taksa peng mak tak a ni. Pump chak tak ang maiin hna a thawk a, non-stop-in hna a thawk. A sir lian pahnih a nei a, veilam leh dinglam a ni. Side tin hian hna hrang hrang an thawk a.

• Left side: He lam hi kan thawnthua mi langsar ber a ni. Thinlung veilam chuan lung atanga thisen oxygen nei, thianghlim a dawng a. Chu thisen chu taksa pum puiah, thluak atanga ke thlengin, taksa peng tin, taksa peng tinrengah leh taksa peng tinrengah a insem darh ta a ni. He oxygen hian kan taksa peng tinte chu an hna thawk tur chuan chakna leh nunna a pe a ni.

• Right side: Dinglam hian taksaa thisen hman tawh, chu chu oxygen hloh tawh leh carbon dioxide khawlkhawm tawh thisen a khawlkhawm a, chu chu lungah a thawn kir leh a, a tifai leh thin. Lung chhungah hian carbon dioxide kan thawk chhuak a, thisenah oxygen thar kan dah lut thin.

Chutiang chuan kan taksaah thisen kal dan tur dik tak vawng reng turin a lam pahnih hian an thawk ho thin.

Eng thilin nge thinlung veilam chu a chak loh chhan?

Ngaihtuah teh, kan in chhunga tui pump hi kum tam tak chhung chu enkawlna leh service engmah awm lovin kan hmang a nih chuan eng nge thleng ang? Zawi zawiin a part te chu a chhe vek ang a, a efficiency a tlahniam ang a, a tawpah chuan a thawk tawh lo thei a ni lawm ni? Chutiang chu kan thinlungah chuan a ni. Natna \henkhat leh kan nungchang \ha lote hian hun kal zelah thinlung veilam a tichhe thei a, a chak lo thei hle. A chhan lian ber ber thenkhat chu hetiang hi a ni:

• Coronary artery disease: Hei hi thinlunga thisen petu thisen kalna kawng (coronary arteries) chhunga thau awmkhawm a ni. Hei hian heart muscle-in a mamawh oxygen leh nutrients a hmuh theih loh phah a ni.
• Heart attack: Heart attack hi thinlunga thisen kalna titawp nghal mai a ni. Hei hian thinlung hmun thenkhat a thi a, thinlung pump theihna a ti tlem a ni.
• Thisen sang (`High blood pressure`) hi rei tak control loh: Pressure a sang reng chuan thinlung hian thisen pump turin nasa zawkin hna a thawk a ngai thin. Hun a kal zel a, thinlung chu a chau a, a chak lo bawk.
• Heart valve defects (`Valvular heart disease`): Thinlung chhunga valve te hi a khar emaw, a inhawng tha lo emaw a nih chuan thisen kal dan a buai a, thinlung hian phurrit a tipung tih a hria.
• Heart rhythm pangngai lo (Arrhythmia): Thin hi a rhythm dik taka a beat loh chuan a pumping efficiency a tlahniam thin.
• Damdawi lama harsatna awm lo thenkhat: Entirnan, `(Amyloidosis)` (thinlung chhunga protein pangngai lo awm) emaw `(Sarcoidosis)` (thinlung chhunga hnah te te siam) ang chi natna te hian thinlung ruh chu a ti nghet thei a, a chak lo thei bawk.

Pawimawh: Heng zinga pakhat emaw, a aia tam emaw hian thinlung veilam lamah chak lohna a thlen thei a ni.

Hei bakah hian risk tipungtu risk factor dang engemaw zat a awm bawk . Chumi awmzia chu heng thil vei te hian thinlung veilam lamah chak lohna an nei tam zawk tihna a ni:

• Cancer enkawlna chemotherapy thenkhat chuan thinlungah nghawng tha lo (cardiotoxicity) a thlen thei a ni.
• Zunthlum.
• Thau lutuk.
• Mut theih lohna (sleep apnea) a awm.
• Kan tar chhoh zel chuan kan thinlung hnathawh hi a pianphungah a tlahniam deuh thei a ni.
• Meizial zuk leh midang meikhu thawk chhuak.
• Damdawi thenkhat leh energy drinks, thinlung tana tha lo tak tak hman chhunzawm zel.
• A tlem hle a, natna dang enkawlna atana hman damdawi thenkhat (e.g., autoimmune diseases, attention-deficit/hyperactivity disorder (ADHD)) pawh a nghawng thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

A tirah chuan thinlung veilam a chak loh tan chuan symptom lian tham i hmu lo mai thei. I ngaihtuah mai thei , "Aw, khawsik mai mai a ni" emaw, "I tar huna thil thleng mai mai a ni." Mahse i thinlung hnathawh a chhe zual zel chuan:

• A persistent cough: I khuh a nih chuan i ngaihtuah tur a ni a, a bik takin zanah emaw, mut laiin emaw.
• Thâwk hahna: 1.1.
• Tlem ka kal a, stairs tlemte ka lawn a, ka inbeng kang chuan ka lu a na thin.
• Zanah ka harh chuan thawk harsa ka ti hle a, ka rilru a inkhauh ang maiin ka hria.
• Mut laia mut a har a, ṭhut lai pawhin thawk a awlsam zawkin a hria. (Hei hi a chhan chu mut laiin lungah tui tam zawk a awm khawm thin).
• Sudden weight gain: Ni rei lo te chhungin kilo khat emaw kilo hnih emaw i tipung thei. Hei hi a takah chuan a lian chho zel lo va, fluid retention a ni zawk.
• Swelling (edema): Ke ruh, ke leh a chang chuan pum chhungah a hring. Hei hi taksaa tui awm (fluid retention) vang pawh a ni.

Hun a kal zel a, thinlung hian a hna thawk turin a thawkrim zual zel a, harsatna hrang hrang a lo awm thin a , chungte chu:

• Cardiogenic shock: Hei hi emergency a ni. Thinlung hian thisen a pump tling thei lo va, chu chuan taksa peng pawimawh tak takah thisen a kal tlem phah a ni.
• Thinlung lian zawk: Thinlung hian hna a thawh nasat lutuk chuan a ruhte chu a thim a, thinlung chu a lian lehzual a ni.
• Heartbeat abnormalities (`Arrhythmia`): Thinlung rhythm a mumal lo thei.

Heng symptoms te hi i neih chuan Doctor rawn pan mai tur a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

Doctor i pan chuan zawhna tam tak an zawt hmasa thin. I natna lan chhuah dan te, eng chen nge i neih tawh, i chhungte zingah lung natna nei an awm em, eng damdawi nge i ei leh a dangte. Tichuan an enfiah che a. I thinlung an ngaithla a, i lung an enfiah a, a hring (swelling) an zawng bawk.

Chu bakah, a hnuaia test (laboratory test leh imaging study) te hi tih theih a ni a, a dinhmun dik tak finfiah nan leh a chhan hriat theih a ni bawk:

• Thisen endik (`Laboratory test`): 1.1.
• BNP (B-type natriuretic peptide) thisen test: Hei hi biomarker bik a ni. Heart chamber-a pressure a san chuan he hormone hi thisenah a chhuak ta a ni. A level te hian thinlung a chak lo em tih ngaihtuahna a pe thei a ni.
• `Metabolic panel`: Hei hian kal leh thin hnathawh dan a enfiah a, chubakah thisena chi (salt) awm zat, sodium leh potassium te a enfiah bawk. Hengte hi thinlung natnaah chuan a pawimawh hle.

• Imaging zirchianna: 1.1.
• Electrocardiogram (ECG/EKG): Hei hian thinlunga electric hnathawh dan a record a. Heart attack emaw heart rhythm problem emaw ang chi thil a hmuchhuak thei.
• Echocardiogram (ECHO): Hei hi thinlung ultrasound scan ang a ni. Thil tam tak chiang takin a hmu thei a, chu chu thinlung pindan lian leh te, a bang thuk dan te, valve hnathawh dan te, thinlungin thisen a pump dan (ejection fraction) te hi a ni.
• Coronary angiography hmanga enkawlna:Thinlung thisen petu coronary arteries-ah blockage a awm leh awm loh enfiahna tur special ``(X-ray)`` test.
• Cardiac MRI (Cardiac Magnetic Resonance Imaging): Hei hian thinlung thlalak chiang tak, chipchiar tak tak a la thei a ni. Heart muscle dinhmun leh chhiatna hmunte ang chi thilte hriatchhuahna kawngah a pui thei a ni.

Heng test atanga information i hmuhte atang hian doctor chuan eng ang natna nge i neih tih leh a enkawlna tha ber chu eng nge ni tih a rel ang.

Engtin nge enkawl a nih? Eng damdawi nge awm?

Thu lawmawm tak chu left-sided heart failure enkawlna tur chi hrang hrang a awm tih hi a ni. I tana tha tur enkawlna chu a hmaa kan sawi tawh ``Systolic heart failure'' emaw ``Diastolic heart failure'' emaw i neih leh neih lohah a innghat ang a, chubakah i natna nasat danah a innghat bawk ang.

Damdawi hi a enkawlna ber a ni fo thin. Heng damdawi te hian thinlung hnathawh a tichak a, natna lanchhuahna a tiziaawm a, dam chhung a ti rei bawk. Damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• ACE inhibitors (angiotensin-converting enzyme inhibitors), Angiotensin II receptor blockers (ARBs), Angiotensin-receptor neprilysin inhibitors (ARNIs): Heng damdawi chi hrang hrangte hian thisen kalna kawng a ti hahdam a, thisen sang a tihhniam bakah thinlung a siam that theih nan a pui a ni.
• Aldosterone antagonists: Hengte hian stress-related hormones te chu a control a, symptoms a nasat loh nan a veng bawk. Tin, tui retention (a mild diuretic) tihziaawmna hmangin swelling tihziaawmna atan an pui bawk.
• Beta blockers: Heng damdawi te hian heart rate a ti hniam a, heart-a hnathawh tur a tihziaawm a, chu chu hna thawh tur zat a ti tlem a ni.
• Digoxin: He damdawi hian mi thenkhat, a bik takin heart rhythm disorder thenkhat nei te chu an rilru a hahdam a, an heart rate a control thei bawk.
• Diuretics: Hengte hian zun hmanga taksa atanga tui tam lutuk paih chhuakin hna an thawk a, chu chuan thawk hah leh hliam ang chi symptoms te chu a tiziaawm thei a ni.
• Sodium-glucose transport protein 2 (SGLT2) inhibitors: He damdawi class thar hi zunthlum vei leh nei lo, thinlung natna nei tan chuan a tangkai hle. Taksa chhunga tui tam lutuk tihtlem nan leh thinlung venghim turin an pui bawk.

Hriat reng tur: Heng damdawi te hi i doctor-in a tih ang chiah, a hman dan tur dik tak leh a hun dik taka ei a pawimawh hle. Doctor thurawn tel lo chuan damdawi ei kha chawlhsan ngai suh la, a dose pawh thlak ngai suh.

Mi thenkhat chuan enkawlna bik (`procedures`) an neih a ngai em?

Ni e, a then phei chuan damdawi chauh hmanga natna lanchhuahna control theih loh a nih chuan, emaw, test-naah thinlung natna a zual zel tih a hriat chuan doctor chuan tih dan bik emaw, operation emaw tih a rawt thei a ni. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Cardiac resynchronization therapy (CRT): Hei hian vun hnuaiah hmanraw te tak te (pacemaker ang chi) dah a ni a, chu chuan electrical stimulation a pe a, chu chuan heart chamber veilam leh dinglam pahnih chu a rualin a ti contract thei a ni. Hei hi biventricular pacemaker an ti bawk. Hei hian thinlung pumping action chu a ti awlsam zawk a ni.
• Electrical cardioversion: Thinlung a mumal loh laia heart rhythm pangngai siam that nan a rilruah electric shock a thlen thin.
• Implantable cardioverter defibrillator (ICD): Hei hi vun hnuaia dah tur a ni bawk. Heart rhythm mumal lo hlauhawm tak tak a hmuchhuak a, electrical signal a thawn chhuak nghal a, chu chu a pangngaiah a awm leh ta a ni.
• Left ventricular assist device (LVAD): Hei hi pump a ni a, thisen pump pui turin heart chhungah surgery hmanga dah a ni. Heart failure na tak nei, heart transplant nghak mekte tan hman a ni.
• Heart transplant: Thinlung chak lo nasa tak nei damlo, enkawlna dang zawng zawng hlawhchham tawhte tan chuan, donor thi tawh hnen atanga thinlung hrisel tak thlak hi a hnuhnung ber a ni.

Hetiang dinhmun pumpelh nan eng nge kan tih theih ang? (Invenna) 1.1.

"Tihdam aiin invenna a tha zawk" tih thufing a awm. Chu chu hetah pawh hian a hman theih. Lung hrisel nunphung zawm hian veilam heart failure hlauhawmna nasa takin a ti tlem thei a ni. Hetiang natna hi i nei tawh a nih chuan, tih dan tha hian nakin lawka harsatna i neih loh nan leh i natna chu i enkawl thei a ni.

I tih theih ṭhenkhat chu hetiang hi a ni:

• I thisen sang, cholesterol level leh zunthlum i neih chuan control la. I doctor-in damdawi a pek ang kha ei rawh.
• Exercise neih fo thin ang che. Ni khatah minute 30 tal kea kal ang chi exercise awlsam tak ti rawh.
• Zan mut hahdamna hun siam rawh . Ni khatah darkar 7-8 vel mut a ngai.
• Taksa rihna hrisel tak vawng reng rawh. Thau lutuk hi thinlung tan phurrit lian tak a ni.
• Ei leh in hrisel ei rawh. Thei, thlai, legumes, leh fiber tamna ei tur tam zawk ei rawh. Chi, sugar leh oil te chu tihtlem la.
• Stress tihziaawm rawh. Yoga, meditation, thawk lak dan (`relaxation techniques`) ang chi thil ti rawh. I hobby nuam takah inhmang rawh.
• Meizial i zuk chuan chawlhsan nghal rawh. Midang meizukna hmun (`secondhand smoke`) atanga hla takah awm rawh.
• Zu in hi tihtlem emaw tihtawp vek emaw .

Thinlung veilam a chak loh chuan nun chu eng ang nge ni ang? Eng harsatna nge awm thei?

I doctor thupek dik taka i zawm a, i damdawi i hman dik a, a hun taka follow-up appointment-a i kal chuan i hriselna i vawng tha thei hle. Mi tam zawk chuan nun pangngai an hmang thei a.

Mahse, he dinhmun hi uluk taka control a nih loh chuan harsatna engemaw zat a awm thei a ni. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Heart rhythm mumal lo (`Arrhythmias`): Entirnan, ``ventricular tachycardia`` (thinlung thawk chak), ``atrial fibrillation / Afib`` (atrium-a thinlung thawk mumal lo).
• Sleep apnea (mut theih lohna (obstructive leh central sleep apnea) a ni.
• Heart valve lama harsatna (`Heart valve disease`), chu chu valve kaltlangin hnunglam hawia thisen a luang chhuak ang chi te hi a ni.
• Thin natna: Thinlung hian thisen a pump tha lo a nih chuan thin (liver) pawh a nghawng thei a ni.
• Right-sided heart failure: Thinlung veilam a chak loh chuan dinglam a nghawng thei bawk.
• Frailty leh muscle chak lohna.
• Thisen tlakchhamna (Anaemia).
• Kal natna: Lung a chak loh chuan kal a thisen kal zat a tlahniam a, chu chuan an hnathawh a tichhe thei a ni.
• Depression emaw Anxiety: Hun rei tak natna nena nun hian rilru lam nghawng a nei thei bawk.

Hetiang dinhmun nena kan nunpui lai hian eng nge kan thlak danglam ngai?

Left ventricular dysfunction neia i nun hian i dinhmun enkawl dan tur, symptoms tihtlem nan leh nun awlsam zawka siam turin nunphung tihdanglamna pawimawh tak tak i siam thei a ni.

• A hma aiin taksa chakna tlem zawk nei rawh: I doctor-in a rawt angin i tana tha tur exercise-ah tel ve rawh.
• Nitin i thisen sang enfiah thin ang che: I doctor-in a hrilh che angin record rawh.
• I heart failure damdawi chu a pek ang chiah khan ei chhunzawm zel ang che: ni khat pawh ei loh tur.
• A hun takah doctor hmu la, clinic-ah kal rawh: Hei hian doctor-in i dinhmun a enfiah theih nan leh a tul anga tihdanglamna tur a siamsak ang.
• I ei leh inah chi (salt) tihtlem: Chi (salt) hian taksaah tui a tikhawlo thei a, chu chuan a ti na a, thawk harsa a ti thei bawk.
• Zing tin i rit zawng teh: a hun lai, a inang (e.g., bathroom hman zawhah, i inchei hmain). Ni khat emaw ni hnih emaw chhunga kilo khat emaw pahnih emaw i tihpun chuan tui dahkhawlna a ni thei. Chutiang a nih chuan doctor hnenah hrilh rawh.
• Ni khatah tui (tui, tea, soup ang chi) i pek zat chauh in thin ang che: Mi thenkhat chuan an tui ei zat hi an control a ngai a ni.

A tawp berah chuan hriat reng tur (Take-Home Message) .

A awlsam zawngin sawi ila, Left-Sided Heart Failure hi thinlungin thisen a pump theihna a tlahniam a, chu chu ngaihtuahawm tak a ni. Hei hi thinlung natna nei, thisen sang, coronary artery disease, leh heart failure nei te zingah a tam ber.

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Mahse, hlauhthawn chhan tur a awm lo. He natna lan chhuah dan hi i hriat hmasak a, damdawi lam thurawn angin uluk taka enkawl a, damdawi pek dan i hman a, thinlung hrisel nunphung i zawm chuan he natna nen hian dam takin leh hahdam takin i nung thei ang.

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Chuvangin, he thuziaka kan sawi tak symptoms te hi i nei a nih chuan i tan i tih theih tha ber chu doctor thiam tak hmuh nghal a, ngaihthah lova thurawn lak hi a ni. He natna hi a hriat hma poh leh a enkawlna chu a hlawhtling ngei ang. Hriselna tha neih duhsakna kan hlan e!

` Heart failure, Left-Sided Heart Failure, Thâwk a tawi, Swelling, Lung natna, Heart attack, Thisen sang