Engtiang chiahin nge i thinlung leh lung hi a fit? CPET test hmangin i hre chhuak ang u! (Thinlung lam Exercise Test) 1.1.

Tlemte i tlan lai pawhin, a nih loh leh stairs i chhoh lai pawhin thawk harsa i ti ṭhin em? A nih loh leh rin loh takin i chau tih i hria em? I doctor chuan ‘stress test’ chungchang a hrilh che a ni mai thei. Exercise neih laiin i thinlung hnathawh dan a enfiah thin. Mahse vawiin hian test bik kan sawi dawn a, chu chuan i thinlung leh i lung pahnih hnathawh dan chu thuk zawkin a enfiah ang. Hei hi CPET, a nih loh leh Cardiopulmonary Exercise Test an ti a.

A awlsam zawngin CPET chu eng nge ni?

CPET hi exercise i tih laiin i thinlung (cardio) leh lung (pulmonary) hnathawh dan tehna a ni. ‘Metabolic exercise stress test’ an ti bawk. A awlsam khawp mai. Treadmill-a kal emaw, stationary bike emaw khalh turin an ti ang che. Hemi chhung hian i hmui hmang chauha thawk thei tur facemask emaw mouthpiece bik i vuah ang.

Hei hian exercise i tih laiin i thinlung, lung leh thisen kalna kawngte chu i taksa peng hrang hranga oxygen thlen theihna tura an thawhhona ṭhat dan a teh a ni. Cardiac stress test pangngaiah chuan i thinlung chauh a en thin. Mahse CPET test hi a hlu zawk a ni , a chhan chu i thinlung leh lung pahnih chungchang a rualin information a pe thei a ni .

Engvangin nge doctor chuan he test hi a rawt ang?

I doctor hian he test hi a rawt theih chhan hrang hrang a awm. Entîr nân, a hnuaia harsatnate zînga pakhat i nei thei a ni:

• Exercise i tih hian thawk a harsat chhan emaw, i chau hle tih emaw zawng chhuak rawh: Mi thenkhat chuan an chau deuh hian an chau hle tih an hmu a. He test hian a chhan chu thinlung lam harsatna emaw, lung lama harsatna emaw, thil dang emaw a nih leh nih loh hriat theih nan a pui thei a ni.
• I thinlung leh lung hian exercise engzat nge a tih theih tih en rawh: Hei hi exercise i tan hmain eng level nge exercise hi a him tih hriat a pawimawh a, a bik takin thinlung natna nei tan chuan.
• Lung emaw lung natna hriatchhuah emaw enfiah emaw: He test hi thinlung natna, pianpui thinlung natna, pulmonary hypertension, emaw COPD ang chi natna nasat dan hriat nan hman a ni.
• I enkawlna tur ruahmanna siam rawh: He data hi i damdawi ei te hian a thawk tha em tih leh enkawlna hnua i dinhmun siamthatna a awm leh awm loh hriat nan a tangkai hle.
• Nakin lawka hriselna dinhmun ngaihtuah rawh (Prognosis): Natna hmalam hun tur ngaihtuahna engemaw zat i nei thei a, chu chu a dinhmun a tha lehzual dawn nge a chhe dawn tihna a ni.
• I tana tha tur exercise plan him tak siam rawh: Mi zawng zawng hi exercise chi khat atan an tling vek lo. Hei hian i taksa tana exercise tha ber tur leh eng chen nge exercise tih tur tih ruahmanna siam turin a pui ang che.
• Surgery lian tak neih hmain a hlauhawmna tehfung siam rawh: Entirnan, lung resection emaw lung transplant emaw i tih hmain i taksain operation chu a tuar thei em tih enfiah a pawimawh hle.
• Taksa tiharhtu hna him taka i thawh theih nan fimkhur rawh: Hna thenkhat (e.g. kangmei ven hna thawktu, sipai) ah chuan taksa chakna sang tak neih a ngai a. He test hi an tan i tling em tih hriat nan pawh hman a ni.

Engtin nge he test hi i tih thin?

CPET test hi room bik ‘Stress Lab’ an tihah tih a ni. Hospital-ah hian hemi atan hian unit bik an nei tlangpui. He test hi trained lab technician-in ti ni mahse, engkim hi doctor enkawlna hnuaiah a thleng vek a ni.

Stationary bike i khalh a ngai dawn a, treadmill-ah pawh i kal a ngai dawn a ni. I theih chhung chu exercise i tih a ngai dawn a ni . Minute emaw minute hnih emaw chhungin technician chuan bike resistance, a nih loh leh treadmill speed leh incline chu a ti sang zauh zauh ang. Tichuan, exercise lak harsa i ti tan ang. Test chu i ti thei tawh lo ang tih i hriat hunah a tawp ang .

Hemi chhung zawng hian a chunga kan sawi tak mask hmang hian i thawk chhuak thin. He device hian i thawk chhuah boruak a oxygen awm zat leh i thawk chhuah boruak a carbon dioxide awm zat a teh a ni. Tin, vawi khatah i lungin boruak a lakluh theih zat a teh bawk. Heng data zawng zawng hi computer-ah record vek a ni.

Test hmain engtin nge i inbuatsaih thin?

I doctor chuan he test atana inbuatsaih dan tur chiang takin a hrilh ang che. Chu thupekte chu dik taka zawm a pawimawh hle. A hnuaia tarlan te hi a tlangpuiin zawm tur thenkhat an ni. Hengte hi chiang taka hriat reng a awlsam zawk nan dawhkan pakhat i en ang u.

Test neih chhung hian eng nge thleng?

Test hi stage hrang hrangah tih a ni. Test pumpui hi minute 75 vel a ni thei. Mahse a takah chuan minute 20 vel exercise i ti dawn a ni.

A hnuaia step te hi en rawh.

1. Inbuatsaihna: A hmasa berin technician chuan i rilruah stickers thenkhat a dah ang. Chungte chu EKG electrode an ti a. Hengte hian i heart rate a monitor ang. Tichuan, i kut ah thisen sang cuff dah a ni ang a, i kut zungtang ah pulse oximeter dah a ni ang. A châng chuan, i kutphah a thisen gas tehna atan tube (catheter) te tak te tak te chu i kutphah chhunga artery pakhatah dah theih a ni.

2. Chawlh hahdam: A dawtah chuan minute hnih atanga minute thum chhung engmah ti lo turin an ti ang che. Hemi chhung hian i heart rate pangngai, thisen sang leh oxygen level te chu baseline value angin a record ang.

3. Warm-up neih dan tur:Tichuan treadmill-ah emaw, bike-ah minute hnih atanga minute thum chhung chu zawi zawiin, zawi zawiin i kal emaw a ni. Hei hian exercise tlem lutuk i thinlung leh lungin a chhan dan a test a ni.

4. Incremental Exercise: Hei hi test-na atana pawimawh ber a ni. A tlangpuiin minute 8 leh 12 inkar a ni. Technician chuan zawi zawiin i rihna a tihpun avangin exercise i chhunzawm zel a. Zawi zawiin i tan a harsa zual ang. Hei hi i theih ang anga i in nawr a ngaih hun a ni.

5. Cool-down: I tih theih tawh loh chuan test main part kha titawp rawh. Tichuan minute thum atanga minute nga vel, zawi zawiin leh rit engmah awm lovin i exercise leh thin. Hei hian taksa chu zawi zawiin a lo harh chhuak thei a ni.

Hemi chhung zawng hian technician chuan i dinhmun chu uluk takin a enkawl ang. I rilru put hmang zawt turin kut signal hmangin i ti thei bawk. Entîr nân, 1 aṭanga 10 scale-ah chuan i chau zia teh tûrin an ti thei che a ni.

Test i neih hunah engtin nge i awm ang?

Results dik leh hlawk tak i hmuh theih nân, i chau tak tak hma loh chuan exercise i neih a ngai a ni . Chuvang chuan i heart rate, thisen sang, leh thawk chakna a san hi thil pangngai a ni. I thawmhnaw a chhuak thei a, i ke pawh a chau hle thei bawk. Mask hmanga thawk i chhuah avangin i hmui a vawt pawh thil pangngai a ni.

Heng symptoms te hi a bik takin ngaihven rawh:

• A rilru, a kut emaw, a hmuiah emaw natna, tightness emaw, a nuam lo emaw.
• Thâwk lak a har hle mai.
• Luak chhuak emaw, muhil emaw tih hriatna.

Chûngte chu emergency chhinchhiahna a ni thei a, chu chu heart attack ang chi a ni. Lab staff te chuan i EKG chu an lo en reng ang a, danglamna hlauhawm tak tak an hmuh chuan test chu an titawp nghal mai ang.

He test hmang hian risk a awm em?

CPET hi hmun him tak, controlled takah tih a ni. Chuvangin hlauh tur a awm lo. Mahse, exercise nasa tak a neih chuan i taksain engtin nge a chhan ang tih erawh 100% in a chiang lo. Risk a awm tlem hle a, chu chu hriatna hloh emaw heart attack emaw a ni. Emergency a awm pawhin lab staff te chu a hmunah enkawl turin training an pe a ni.

Lab-a ke i pen hmain i doctor chuan he test hi i tan a him em tih a enfiah ang. Entirnan, a hnuaia dinhmunte hi i neih chuan i doctor chuan he test hi i tan a him lo tih a rel thei ang:

• Acute infection, khawsik, khawsik, emaw COVID-19 emaw ang chi.
• Thinlung natna (acute heart inflammation) a awm.
• Kea thisen zam (Deep Vein Thrombosis - DVT) a awm.
• Hypertrophic cardiomyopathy a awm a, a rilru a hah hle.
• Kidney Failure a awm.
• Heart valve stenosis tlem emaw, na tak emaw a awm.
• Naupai tlai emaw, naupai harsatna nei emaw.
• Tun hnaia (ni 30 chhunga) heart attack i neih tawh chuan.
• Thisen sang thunun loh (Severe Hypertension) emaw, lungah thisen sang (Pulmonary Hypertension) emaw a ni thei.
• Lungphun thunun theih loh (Uncontrolled Arrhythmias) a awm.

Test zawhah eng nge thleng?

I cool-down phase a zawh chuan technician chuan i vitals te chu a check leh ang a, i taksaa hmanrua i dah tawh zawng zawng chu a la chhuak ang. Chumi hnuah chuan i thu thei a, tui i in thei a, rei vak lo i chawl thei bawk. Vawikhat chu i dam tha tih an hriat chian hnuah chuan an haw tir ang che.

He test order tu doctor hian result chungchang sawipui turin hun hran a siam ang che .

Report i dawnah hian eng nge awm?

CPET test hian tehna sang tam tak a khawlkhawm a ni. Chungte chu panel 9 awmna plot angin report a ni a, chu chu graph set complex tak a ni. Hengte hi technical tak tak leh mi pangngai tan chuan hriatthiam harsa tak a ni.

Mahse, lungngai suh. I doctor chuan heng chart zawng zawng hi a zirchiang ang a, a awmzia chu thumal awlsam takin a hrilhfiah ang che. Tin, a hnua i tih tur te, test tam zawk neih a ngai em tih te, eng enkawlna pawh tan tur nge tih te a hrilh bawk ang che.

CPET scan hian i thinlung leh lung hnathawh dan tam tak a hrilh thei che a ni. Device hrang hrang zawng zawng ha vek a, exercise tih a ngai hi a buaithlak deuh thei. Mahse, hmanrua tin hian i tâna enkawlna ṭha ber ruahman tûra ṭanpui thei tûr thu pawimawh tak tak a pe tih hre reng ang che.

Test hmaa zawhna i neih emaw, inbuatsaih dan tur hriat belh duh i neih chuan doctor zawt hreh suh.