Hetiang ‘bridge’ hi i thinlungah i nei em? (Myocardial Bridge) A chanchin i zir chiang ang u.

Kan nunah hian a chang chuan ngaihtuah phak loh thil a thleng thin a ni lawm ni? A bik takin kan taksa hriselna chungchang sawi dawn chuan damdawi lam dinhmun thenkhat, kan hriat ngai loh pawh a awm mai thei. Mahse, anmahni fimkhur a pawimawh hle. Vawiin hian thinlung natna pakhat, tlem a mak deuh, mahse mi thenkhat a nghawng thei chungchang kan sawi dawn a ni. Hei hi (Myocardial Bridge) an ti a. He hming hi i hre lo mai thei, mahse awlsam takin, i hriatthiam theih angin kan sawi dawn a ni.

He myocardial bridge hi eng nge ni?

A awlsam zawngin i thinlung hian thisen pe thei thisen kalna kawng a nei a, chu chu coronary arteries kan ti a ni. Heng arteries te hi heart muscle chung lamah an awm tlangpui. Chu chu thinlung chunglam chungah an kal tihna a ni. Mahse, he (Myocardial Bridge) an tih dinhmunah hian thil thleng chu heart muscle chungah kal ai chuan i thinlung chhunga he coronary artery thenkhat chu muscle hnuaiah a kal a ni. Tunnel tlemte ang mai a ni a, a nih loh leh kawngpui hnuaia kal ang mai a ni. Chu chu doctor-te chuan chu thisen kalna chungah chuan heart muscle piece (Myocardial Bridge) an tih chu a ni.

Tunah chuan han ngaihtuah teh, a chang chuan thinlung a na a, chu chu thinlung ruh a inzawm khawm chuan a chunga thau bridge hian a hnuaia thisen kalna chu a press thei tihna a ni. Miin tui pipe a ke a pen chuan tui luang chu a tlahniam ang mai a ni. Chutianga i press chuan eng nge thleng ang? Chu pressure chuan thisen kal chu a tikhawlo thei a ni. Tichuan heart muscle hian a mamawh thisen oxygen tamna chu a hmu lo mai thei.

I hria em, coronary arteries hi hna pawimawh tak thawk thei channel an ni. Kan thinlung ruhte hian kan taksa peng dang zawng zawng ang bawkin oxygen a mamawh a ni. He oxygen hi chu coronary arteries te hian kan hnenah an rawn hruai a ni. Chuvangin he thisen kal dan hi tihkhawtlai a nih chuan harsatna a awm thei a ni.

A tam zawkah chuan he natna (Myocardial Bridge) hi thinlung veilam, main artery hnuai lam (Left Anterior Descending Artery) , emaw doctor-te’n an tih angin (LAD) -ah hmuh a ni. Hei hi thinlung hmalam bang leh hmun pawimawh dangte thisen pe chhuaktu vein lian tak a ni. Mahse, he natna hi thinlunga thisen thlentu artery eng pawhah a awm thei a, a tam emaw a tlem emaw pawh a ni thei.

Hetiang dinhmun (Myocardial Bridge) an tih hi a hlauhawm em? Engtiang chiahin nge a hluar?

A tam zawkah chuan myocardial bridge neih hian harsatna lian tham a thlen lo. Mi tam zawk chuan an nei tih pawh hre lo leh symptom nei lovin nun pangngai an hmang thin. Chu chu thudik chu a ni.

Mahse, a châng chuan, a hmaa kan sawi tawh ang khan, thinlung ruh chu oxygen a tlakchham chuan, i rilru natna angina , i nei thei a ni. Hei hi i thinlung a thawk chak tan tirh atanga lo awm a ni tlangpui a, chu chu exercise lai ang chi hi a ni.

He natna hi engtiang chiahin nge a awm tih zawhna chhangin zirchiangtute chuan myocardial bridge hi i ngaihtuah aiin a tam zawk a, mahse hriat chian loh a ni tih an sawi. Hei hi a chhan chu a hriatchhuahna atana hman dan azirin percentage a inang lo vang. Zirna thenkhatah chuan angiogram ang chi test hmanga he natna hi hmuhchhuah zinga 16% atanga 30% inkar chuan he natna hi mi tam takah a awm thei niin an sawi. Hei hian i ngaihtuah aiin mi tam takin an nei thei tihna a ni.

Hei hi eng symptoms nge ni?

Myocardial bridge nei tam tak chuan symptom an nei lo. Mahse, an upat deuh deuh emaw, damdawi lam thil dang (thisen sang emaw, zunthlum emaw ang chi) an neih chuan mi thenkhat chuan symptoms an nei thei a ni. A châng chuan symptoms a lan chhuah theih nân kum tam tak a ngai thei bawk.

A lan chhuah dan ber chu rilru natna ((Angina)) a ni. Hei hi hriat a ni tlangpui:

• Exercise i tih lai te, tlan lai te, stairs i chhoh lai te
• Pressure, lungkhamna, lungngaihna nasa tak i neih hian
• A châng chuan chaw lian tak ei hnuah pawh a lo thleng thei bawk.

He natna sawi dan hi mi hrang hrangah a inang lo. Ṭhenkhat chuan hrual, hrual, a nih loh leh rit rit ang maiin an inhria mai thei.

Symptom dangte pawh hi a chang chuan heart attack nen a inang thei a, chuvangin hengte pawh hi i hriat reng tur a ni:

• Thâwk lak tawi : Tlemte thawhrimna pawh nise thawk harsa ang maia inhriatna.
• Heart palpitations : Chhung chu a na emaw, a na emaw ang maiin a awm thei.
• Luak chhuak : I luak chhuak thei a, i muhil pawh a ni thei.

Pawimawh: Heart attack i nei tih hriat theihna symptom i neih chuan (i rilru natna nasa tak, i kut atanga natna radiating down, thawk hah, luak chhuak) i neih chuan emergency room-ah i kal nghal tur a ni. Tihkhawtlai suh.

Engvangin nge hetiang (Myocardial Bridge) hi a lo awm?

Hei hi zawhna chhanna awlsam tak a ni. Myocardial Bridge hi pianpui atanga lo piang a ni a . Chu chu i pianpui thil a ni tihna a ni . Embryo-a thinlung a lo thanglian chuan chu thisen kalna chu taksa ruh chhunga lut tur angin a lo piang ta a ni. A chhan bik a awm lo, a thleng mai mai a ni.

Hei hian eng harsatna nge a thlen theih?

Dik tak chuan myocardial bridge atanga harsatna lian tham lo thleng hi a tlem hle. Mahse, a chang chuan, a bik takin damdawi lam thil dang nena inzawm chuan heng thilte hi a thleng thei a ni. Hengte hi i hlau tur a ni lo va, fimkhur zawk tur a ni:

• Myocardial Ischemia: Sawi tawh ang khan thisen kalna kawng a inkhar chuan heart muscle-in oxygen a dawng tlem thei. Hei hi rilru natna ang chi thil a thlen hun a ni.
• Coronary Vasospasm: A châng chuan heng thisen kalna kawngte hi rang tak leh nasa takin a inzawm khawm thei a, chu chuan thisen kalna a tibuai thei bawk.
• Myocardial bridge bulah atherosclerosis plaque a awm khawm: Bridge bula thisen kalna kawng bangah plaque a awm a, chu chuan thisen kalna kawng chu a ti tawi zawk tih hmuhchhuah a ni. Hei hi kawngpui atanga thisen kal dan a inthlak vang pawh a ni thei.
• Acute Coronary Syndrome: Hei hi heart attack emaw angina nghet lo emaw a ni thei.
• Ventricular Arrhythmias: Heart beat mumal lo a awm thei a, chu chu heart chamber hnuai lam atanga tan a ni.
• Broken Heart Syndrome: Hei hi hun engemaw chen chhunga thinlung chak lohna a ni a, stress na tak hnua lo awm thei a ni.
• Heart Attack: A tlem hle nachungin, thisen kal dan khap tlat a nih chuan heart attack a awm thei.
• Sudden Cardiac Death: Hei hi a tlem hle a, mahse a theih tho.

Heng harsatnate hi a tlem hle tih hre reng ang che .

Engtin nge doctor-te hian he (Myocardial Bridge) hi a awm tih an hriat theih?

Doctor i hmuh hian symptoms i neih vang emaw, chhan dang avanga test neih laiin emaw accident-a hmuhchhuah a ni thei. Doctor-in myocardial bridge i neih a rinhlelh chuan a hnuaia test te hi an ti thei ang:

• Coronary angiogram: Hei hi test pawimawh ber a ni. He test-ah hian i kut emaw ke emaw chhunga vein pakhat kaltlangin tube te tak te dahin i thinlung coronary arteries-ah hruai a ni. Chumi hnuah chuan dye bik an inject a, X-ray thlalak an la a ni. Hei hian artery a narrowing chu chiang takin a hmu thei a ni.
• Intravascular Ultrasound (IVUS): Hemiah hian angiogram neih rual hian ultrasound device te tak te chu artery chhungah an lut a, chu chuan artery chhung lam bang leh bridge chu engtiang chiahin nge an hrual nghet tih an en a ni.
• Optical Coherence Tomography (OCT): IVUS ang bawkin hei hi hmanraw changkang dang a ni a, êng hmanga thisen kalna chhunga thil hmuh theih a ni.
• Coronary Computed Tomography Angiogram (CT Angiogram): Hei hi CT scan a ni. Hei hian dye hmangin thinlung chhunga thisen kalna kawng (arteries) te chu three-dimensional image a siam bawk. Hei hian myocardial bridge a awm leh awm loh leh a sei leh thuk zia hriat theih nan a pui thei a ni.

Chuti a nih chuan hei hi enkawl dan tur a awm em? Engtin nge i tih ang?

Ni e, symptom nei te tan enkawlna a awm. Mi zawng zawng hian operation an mamawh vek lo. I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang. Heng enkawlnate hi eng nge ni tih hi han thlir ila:

• Damdawi: Damdawi hi duhthlanna hmasa ber a ni fo. Chung zingah chuan (Beta-blockers) leh (Calcium Channel Blockers) te pawh an tel."Okari" tih damdawi an hmang thin. Heng damdawi te hian heart rate tlem a control a, heartbeat inkar ah artery relaxed hun a tipung a, thisen kalna kawng pressure a ti tlem bawk. Mi thenkhat tan chuan damdawi (Ivabradine) tih chu a danglamna atan an pe bawk.
• Surgery: Damdawi hmanga thunun theih loh symptom na tak nei tan emaw, bridge thuk leh sei tak a nih chuan surgery neih a tha thei ang.
• Thil tih dan pakhat chu (Surgical Myotomy) tih a ni. Chu chu thisen kalna kawng chunga muscle bridge awm chu surgery hmanga tan leh lakchhuah (unroofing) tihna a ni. Mahse hei hi kawngpui chu a tawi deuh a, a thuk lo deuh a nih chauhvin tih theih a ni.
• A dang chu Coronary Artery Bypass Surgery (CABG) tih a ni. Hei hian a block tawhna hmun chu bypass a, taksa peng dang atanga thisen kalna kawng (a tlangpuiin ke emaw, rilru chhung emaw atanga lak) hmanga thisen kalna tur kawng dang siam a huam a ni. Hei hi kawngpui sei leh thuk a nih chuan tih a ni tlangpui.
• Stent dah dan: Thil dang chu stent dah hi a ni. Stent chu thir tube te tak te, mesh ang maia lang a ni. Thisen kalna kawngkhar khar chhungah dahin a chhung atanga inflated a ni. Tichuan, muscle chu a block a nih pawhin stent hian vessel chu a hawng reng a, thisen chu awlsam zawkin a luang chhuak thei a ni. Mahse, he thila stent dah chungchangah hian ngaihdan hrang hrang a awm. A chang chuan, stent hi a chhe thei a, a block leh thei bawk a, chuvangin doctor-te chuan heng thutlukna te hi uluk takin an siam thin.

Myocardial bridge ka neih chuan eng nge ka beisei ang?

Mi tam tak ang bawkin myocardial bridge i nei a, symptoms i nei lo thei bawk. Chutiang mite chuan enkawlna bik an mamawh lo. Symptoms a awm chuan damdawi hmanga control theih a ni fo.

Damdawi hmanga symptoms a that loh chuan surgery (myotomy emaw bypass) emaw stent dah emaw ngaihtuah tur a ni. Myocardial bridge pakhat chu surgery hmanga lakchhuah a nih chuan, chutiang surgery ti fo thin surgeon tawnhriat ngah tak tak awmna damdawi in thlan chu a finthlak hle.

Hei (Myocardial Bridge) hi surgery hmanga lakchhuah loh chuan a mah chauha dam thei tur thil a ni lo. Mahse mi tam zawk chuan zai an ngai lo.

Engtin nge mite hian he natna hi an hmachhawn?

Myocardial Bridge vei tam tak chu an dam rei zawk a, hun rei tak chhung hriselna tha zawk an nei bawk.

Survival rates hi medical condition dang i neih leh neih lohah a innghat. Zirna pakhatah chuan myocardial infarction vei zinga 90% vel chu an hmuhchhuah atanga kum 10 hnuah pawh an la dam a ni. Mahse, thinlung natna dang, coronary artery disease (CAD) ang chi pawh an neih chuan damchhuahna chu a hniam deuh hlek a ni.

Engtin nge ka hriselna ka enkawl ang?

Myocardial bridge neih hian thisen kalna kawng (atherosclerosis)-a thau awm theihna a tipung deuh tih hmuhchhuah a nih avangin, i doctor chuan a thlentu risk factor dangte control turin a fuih mai thei che a ni. Hei hi symptoms i neih leh neih loh pawh a pawimawh hle.

• Meizial zuk loh: Atherosclerosis laka invenna atana pawimawh ber chu zuk leh hmuam atanga inthiarfihlim vek hi a ni. Meizial zu mi i nih chuan i zuk bânsan theihna turin i doctor hnenah ṭanpuina dil rawh.
• Risk factor dangte control: Thisen sang, zunthlum, cholesterol sang i neih chuan control tha rawh.
• Ei leh in hrisel: Oil, sugar leh chi tlem te, thei leh thlai tamna ei tur.
• Exercise neih fo: I doctor nen inbia la, eng exercise nge i tana tha ber tih hriat la, ti fo bawk ang che.
• I damdawi pek dan dik tak ei rawh: Coronary artery disease (CAD) i nei tawh a nih chuan i antiplatelet damdawi (thisen tithianghlimtu) leh cholesterol tihhniamna damdawi (cholesterol tihhniamna damdawi) te hi i doctor-in a tih ang chiah leh a hun taka ei a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

I doctor hnena follow-up appointment neih reng a pawimawh hle. I doctor hian damdawi i ei zat dik tak leh i natna lan chhuah dan tur a hriat chian theih nan a rawn tlawh fo a ngai ang. Operation emaw stent dah emaw hnuah follow-up appointment neih a pawimawh bawk.

A hmaa kan sawi tawh ang khan heart attack symptoms (chhung na tak, thawk harsa, thawk hah ang chi) i neih chuan 911 call nghal la, emergency room hnai ber pan rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Myocardial bridge i nei tih i hriat chuan i rilruah zawhna tam tak awm hi thil pangngai tak a ni. I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engzat nge follow-up turin ka lo kal ngai?
• Damdawi ka mamawh nge operation ka mamawh?
• Engvangin nge he treatment option hi min recommend? Ka tan eng hlawkna nge awm? A that lohna a awm em?
• Ka ei leh in leh nunphungah eng inthlak danglamna nge ka neih?
• Exercise ka ti thei em? Eng ang exercise nge tha?

I thinlungah thil dik lo a awm tih i hriat hian tlem a hlauhthawn leh lungkhamna i neih hi thil pangngai a ni. Mahse, mi tam zawk tan chuan myocardial bridge hi ngaihtuah tur a ni lo tih hre reng ang che. Symptoms i neih chuan i doctor nen inbia la, i tana enkawlna tha ber tur chu i hre thei ang.

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

Okay, chuti a nih chuan tunah chuan kan sawi tawh (Myocardial Bridge) kha i hrethiam zawk tawh ang. A tawi zawngin:

• Myocardial bridge hi pianpui natna a ni a, thinlunga coronary artery chu taksa peng pakhat kal tlangin a kal a ni.
• Mi tam tak tan chuan hei hian symptoms a thlen lo va, harsatna a thlen lo bawk.
• Mi thenkhat chuan rilru natna (angina) ang chi symptoms an nei thei a, a bik takin an chau lai hian.
• Damdawi hmangin symptoms te hi control theih a ni fo. A tlem berah chuan operation emaw stenting emaw a ngai mai thei.
• Nunphung thlak danglam (meizial zuk bânsan, ei leh in hrisel, exercise) hi atherosclerosis hlauhawmna tihziaawmna atan a pawimawh hle.
• I rilru natna nasa tak i neih emaw, heart attack symptoms i neih chuan doctor lam pan nghal rawh.

I thinlung enkawl a pawimawh. Heng dinhmunte hi hriat chian hian a tul chuan enkawl hmasak phawt turin a pui ang che a, nun hrisel tak i neih theih nan a pui bawk ang che.

` Myocardial bridge, thinlung natna, angina, coronary artery, thinlung surgery, stent, thinlung hriselna