I rilruah i tight, i rit, a nih loh leh i rilru a na fo em? He natna hi a bik takin i chau deuh lai te, stairs i chhoh lai te, a nih loh leh lungkhamna i neih lai te hian a pung em? Mahse, chutah chuan ECG i nei a, angiogram pawh i nei mai thei, mahse doctor chuan thinlung thisen kalna kawng lian tak tak (coronary arteries)-ah hian blockage a awm lo tih a sawi a, an tha famkim a ni. I ngaihtuah mai thei, "Anih chuan engvangin nge leiah hian he rilru natna hi ka neih?" Hei hi a takah chuan mi tam takin harsatna an neih a ni. Nangmah chauh i ni lo. Vawiin hian test lian tak tak hmanga awlsam taka hriat theih loh, mahse a awm tak tak, rilru natna chi khat kan sawi dawn a ni. Hei hi microvascular angina kan ti a.
Microvascular Angina chu eng nge ni?
A awlsam zawngin hei hi angina a ni bawk a, chu chu thisen oxygen tling lo thinlunga a thlen avanga rilru natna a ni. Mahse hetah hian a danglamna chu a awm. Typical angina-ah chuan buaina chu a bulpui ber, thisen kalna kawng lian tak takah a awm a, chu chuan thinlungah thisen a pe a ni. Fatty deposit-in a block thei bawk.
Mahse microvascular angina-ah chuan chutiang thisen kalna kawng lian takah chuan buaina chu a awm lo. Chu thisen kalna kawng lian tak tak (coronary microvasculature) atanga branch chhuak thisen kalna kawng te tak te, te tak te takah chuan a awm a ni. Ngaihtuah teh, kan in chhunga tui rawn thlentu pipe lian tak kan nei a. Chu chu a tha khawp mai. Mahse in chhunga tap leh shower te te panna pipe te te chu a inkhar a, a rust a nih chuan tui a chhuak lovang. Hetah pawh hi chutiang chu a ni. He heart muscle-a oxygen phurtu vessel system te tak te hian hna a thawk tha lo a nih chuan rilru natna i nei thin.
Hei vang hian angiogram ang chi test-a i thisen kalna kawng lian tak takte i en chuan a pangngai angin a lang. Mahse a hrehawmna chu a awm tak zet a ni. Tun hma chuan doctor-te chuan he natna hi ‘Cardiac Syndrome X’ an ti thin.
Hetiang natna lan chhuah dan hi engte nge ni?
Heng symptoms te hi angina pangngai nen a inang hle. A natna hi minute 15 emaw a aia rei emaw a awm thei.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chhuak na emaw, nuam lo emaw | A rilru a buai emaw, a pressure emaw, a rit emaw tih hriatna. Hei hi thawhrimna emaw, stress emaw nen a pung tlangpui. |
| Thâwk harsa | Tlemte thawhrimna pawh nise thawk harsa, stroke nei ang maia inhriatna. |
| Chauhna danglam tak | Chau lutuk leh chhan awm lova chakna tlakchhamna. |
| Thil dang pawh a awm | Mi thenkhat chuan thawk hah, luak chhuak leh luak chhuak, pum na te pawh an nei thei bawk. |
Engvangin nge hetiang hi a lo awm? A chhan leh a hlauhawmna te chu engte nge ni?
Hei hi chhan hrang hrang a awm a. Doctor-te chuan chi hnihah an ṭhen a, chungte chu primary leh secondary an ni.
- A chhan ber: Hetah hian buaina chu thisen kalna kawng te tak te ngeiah a ni. An tighten (spasm) nghal emaw, taksain thisen tam zawk a mamawh hunah an dilate (open) tha lo emaw pawh a ni thei. Hei hi ``Coronary microvascular disease'' an ti a.
- Secondary causes: Hei hi thisen kalna kawng te tak te chungchanga buaina chu damdawi lam thil dang avanga side effect anga a lo awm hian a ni. Entirnan, cardiomyopathy, heart muscle tichak lo emaw, autoimmune diseases, taksa cell ngeia beitu ang chi natna avanga lo awm thei a ni.
Tin, mi thenkhat chuan he natna hi an vei theihna chance a sang zawk bawk.
| Risk Factor a ni | Tu nge hlauhawm zawk? |
|---|---|
| Hmeichhia nih hi | Hmeichhia menopause paltlang tawhte chu a bik takin an hlauhawm zawk. |
| Zunthlum | A chhan chu zunthlum hian thisen kalna kawng a tichhe thei a ni. |
| Thisen sang (Hypertension) 1.1. | Thisen sang hian thisen kalna kawng nalh tak tak a tichhe thei a ni. |
| Cholesterol sang `(Hyperlipidemia)` | Thisen kalna kawngte hnathawh a nghawng thei a ni. |
| Zuk leh hmuam thil chi hrang hrang hman | Meizial zuk hian thisen kalna kawng a zim a, a tichhe nasa hle. |
Hei hi engtin nge enkawl a nih?
Hetiang dinhmun hi enkawl dan tlangpui pahnih a awm. Nunphung thlak danglam leh damdawi hman dan. An pahnih hian an pawimawh ve ve.
Nunphung tihdanglam tur a ni
- Meizial i zuk chuan bansan vek rawh. Hei hi i hmalakna pawimawh ber a ni.
- Thinlung hrisel ei tur ei rawh. Oil leh sa sen tihtlem la, thlai, thei leh fiber tamna ei tur tam zawk ei rawh.
- Exercise neih fo thin ang che. Ni khata minute 30 vel kal ang chi thil awlsam tak pawh hi a hlawkpui hle thei a ni. Mahse, i doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
- I taksa rihna hrisel tak vawng reng rawh.
- Mut tha la, stress tihziaawm rawh. Meditation leh yoga ang chi thilte hian a pui thei a ni.
- Natna dang zunthlum, thisen sang, cholesterol i neih chuan control tha la.
Doctor in damdawi a pek chu
I doctor chuan heng thisen kalna kawngte hnathawh that nan leh natna tihziaawm nan damdawi chi hrang hrang a pe thei ang.
- Calcium channel blocker a ni
- Beta-blockers te pawh a awm
- Nitrates - entirnan, nitroglycerin
- Statins - cholesterol tihhniam nan
- ACE inhibitor te hi a ni
A pawimawh ber: Heng damdawi te hi i dinhmun uluk taka a enfiah hnua i doctor-in a pek thin a ni. Eng chhan pawh ni se, midang thurawn emaw, i duh angin emaw heng damdawi te hi hmang suh.
Engtikah nge doctor hmuh tur? leh diagnosis te a ni
A chhanna awlsam tak chu, i rilru natna chi hrang hrang i neih chuan doctor pan ngei ngei tur a ni. Gastritis chauh a ni thei a, mahse thinlung lam harsatna a nih leh nih loh chu doctor kutah a awm.
Hetiang dinhmun hi hriat harsa tak a nih theih avangin doctor hnenah i symptoms chungchang chiang taka sawi a pawimawh. Test-naah i thisen kalna kawng lian tak takah harsatna a awm lo tih a hriat pawhin, "Ka stress lai hian ka rilru a na reng a ni," tih hi hlau suh.
Doctor chuan he natna hi a rinhlelh chuan specialized test eng emaw zat a ti leh thei bawk.
- Stress Test: Exercise i tih hian thinlunga thisen kal a tlahniam em tih hriat nan (Myocardial Ischemia).
- Coronary Flow Reserve (CFR) Test: Thinlung hian a oxygen mamawh phuhruk nan a thisen supply a tipung thei em tih tehna atan.
- Specialized scans: Nuclear scan, MRI, emaw specialized cardiac catheterization testing hmangin heng thisen kalna kawng te te hi a thawk tha lo tih hriat theih a ni.
Enkawl loh chuan thinlunga thisen a tlakchham reng hian thinlung ruh chu a tichhe vek thei a ni. Chuvangin he rilru natna hi symptom mai maiah ngaihthah suh. I thinlung atanga signal pawimawh tak a ni.
Take-Home Thuchah a ni
- Microvascular angina hi rilru natna chi khat a ni a, chu chu thinlunga thisen kalna kawng lian tak takte hnathawh dan pangngaia awm a, mahse thisen kalna kawng te tak te hnathawh dan lama harsatna awm vang a ni.
- Chhung na, thawk hah, leh hah lutuk te hi a lan chhuah dan ber a ni.
- I test result pangngai ni mahse i rilru natna i neih chhunzawm chuan ngaihthah suh. Chumi chungchang chu i doctor nen sawi leh rawh.
- Hei hi hmeichhia, zunthlum vei, thisen sang, leh cholesterol sang nei te zingah a tam zawk.
- Diagnosis leh treatment dik tak (nunphung thlak danglam leh damdawi hman) chuan he natna hi uluk taka enkawl theih a ni a, nunphung tha tak a awm thei bawk.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Taksa Natna chu eng nge ni?
Gym-a workout zawh hnua taksa natna lo awm mai mai a ni lo! ‘Body Aches’ hi symptom na tak a ni a, i taksa ruh, ruh, leh ruh (Muscle/Joint pain) te chu vawi khatah a tikehsawm vek a, a tikehsawm vek ang maiin a awm a, chu chuan tuar theih loh (Dull, widespread ache) a siam a, khum atanga tho chhuah theih lohna a siam bawk. Hei hi i taksa chhunga indona lian tak a awm tih hriattirna hmasa ber a ni fo thin!
💬 Khum atanga tho chhuak thei lo khawpa taksa na/na na chhan ber chu engte nge ni?
Hei hi chhan lian tak tak 3 a awm a, chungte chu: 1) ‘Viral infection na tak’ - Dengue (Dengue - bone marrow failure), COVID-19, emaw common flu, taksa chhunga immune system in a do (Inflammatory response/Cytokines) hian taksa pum a inflamed ta a ni. 2) ‘Fibromyalgia’ - Pain amplified neurological disease, dam chhung zawnga natna awm lovin ruh leh ruh natna tuar theih loh khawpa natna thlentu. 3) Lupus (Lupus / Autoimmune diseases), leh Statins (Statins) pills cholesterol atana ei thin te, chu chuan taksa ruh a tichhe bawk.
💬 Khawsik i neih laiin zanah Panadol (Paracetamol) ei lova, damdawi in pan nghal tur 'fatal/emergency situations' te chu engte nge ni?
A tam zawkah chuan hei hi virus fever-ah ni 3-4 chhungin a reh ang. Mahse, a hlauhawm ber chu! Taksa natna rual hian 1) ‘high fever with shaking and stiff neck (Stiff neck / Meningitis - brain fever)’ a lo awm a nih chuan, 2) thawk harsa / rilru na, 3) chhan awm lovin taksa rihna tlahniam, zan lama thawk hah (cancer / tuberculosis), 4) zun chu coffee rawng dum a lo ni (Dark urine / muscle weakness), i mamawh a ni damdawi inah dah nghal tur a ni!
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