Chest Pain Gastritis a ni em? Myocardial Ischemia chungchang hi i zirchiang ang u

A châng chuan i chau deuh lai te, stairs i chhoh lai te, a nih loh leh i lungkham deuh laiin i rilruah rit, tight, a nih loh leh na i nei em? Mi tam tak chuan hei hi kan theihnghilh a, thil pangngai a ni tih kan ngaihtuah a, gastritis pawh a ni mai thei. Mahse, rilru natna zawng zawng hi chutiang awlsam taka enkawl tur a ni lo. Hei hi i thinlungin a pek che signal pawimawh tak a ni mai thei. Chu chu tunlaia kan sawi tum chu a ni a, thinlungin thisen a la tawk lo tih hi a ni.

A awlsam zawngin, Myocardial Ischemia chu eng nge ni?

A hming hi a buaithlak deuhin a lang a, mahse thudik erawh a awlsam hle. Myocardial Ischemia chu i heart muscle-in a hnathawh that theih nan thisen a mamawh zat a hmuh loh chuan a ni. Thisen hi taksa pum puia oxygen leh nutrient dangte phurtu a ni tih kan hria. Chuvangin thinlunga thisen kal zat a tlahniam chuan oxygen a hmu tlem hle.

Tui motor hian a kal theih nan tui a mamawh ang bawkin kan thinlung pawh hian thisen supply reng reng a mamawh a ni. He thisen supply hi hun engemaw chen a tawp emaw, nasa taka a tlahniam emaw chuan thinlung ruh chhunga cell te chu a chhe tan thin. Hetiang dinhmun hi a na zual chuan heart attack (Myocardial Infarction emaw Heart Attack) ah a lo chang thei a ni.

He natna hi tute nge vei theihna chance sang zawk?

Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk. Heng risk factors te hi i nei em tih hi han en teh.

Hei hi eng symptoms nge ni?

Hetiang natna lan chhuahna ber leh langsar ber chu rilru natna angina an tih hi a ni . Hei hi heartburn emaw indigestion emaw angin a lang thei a, mahse a danglam deuh hlek a ni.

Angina natna hi eng ang nge ni?

• A rilruah rit rit tak a awm ang maia hriat
• A rilruah a tight tih hriatna
• A rilru a na hle
• A rilru chhunga kang ang maiin.
• A châng chuan rilru hahna ang maiin a lang

Angina hi chi hnih a awm a.

Angina hi chi hnih ah then theih a ni. An pahnih inthlauhna hriat a pawimawh hle.

1. Stable Angina: Hei hi i rilru hah (e.g., exercise lak, chak taka kal) laiin a thleng tlangpui. I chawlh hahdam emaw, i doctor-in damdawi a pek (e.g., i lei hnuaia dah tur tablet) i ei hian a natna chu a reh vek .

2. Unstable Angina: Hei hi a hlauhawm ber a ni. He natna hi chawlh hahdam emaw, zan mut lai emaw pawhin a awm thei. Tin, damdawi ei hnuah pawh a reh lo. Hei hi heart attack chhinchhiahna a ni thei a, chuvangin doctor thurawn i la nghal tur a ni .

Angina tih loh symptom dang a awm

Chest na bakah hian a hnuaia symptoms te hi a awm thei bawk:

• Kut veilam, kekawrte, kawr, hmui, hnungzang, emaw pum lam area-a natna emaw, nuam lo emaw radiate .
• Thâwk hahna .
• Khua a vawt leh thawk hah .
• Pum, chaw ei kham loh emaw, kawchhunga hnim hring emaw tih hriatna.
• Nausea emaw luak chhuak emaw .
• Dizziness , lightheadedness, chak lohna nasa tak, emaw lungkhamna nei.
• Thinlung thawk chak emaw, mumal lo emaw.

Heng symptoms pakhat emaw a aia tam emaw minute 5 aia rei i neih chuan emergency a ni. 1990 Ambulance Service ah call nghal rawh.

Engvangin nge thinlungah thisen a kal tlem? A chhante chu engte nge ni?

Hei hi a chhan ber leh a tam ber chu Coronary Artery Disease a ni . A awlsam zawngin sawi ila, hei hi thinlung (coronary arteries)-a thisen petu thisen kalna kawng (arteries)-a cholesterol leh thau (hei hi `(Plaque)` kan ti a) a pungkhawm a, chu chuan thisen kalna kawngte chu a ti tawi a ni. Hun kal zelah tui pipe-ah rust a lo awm a, a tikhawlo ang mai a ni. Artery a zim chuan thinlungin thisen a mamawh zat chu a luang chhuak thei lo.

A chhan dangte chu:

• Blood Clot: Thisen zam (tary layer) (plaque) a lo awm tawh chu a rupture chuan chu hmunah chuan thisen zam a lo awm thei a, artery chu a block vek thei a ni.
• Coronary Artery Spasm: A chang chuan thinlung chhunga thisen kalna kawngte chu a inzawm khawm nghal a, rei lo te chhung atan thisen kal a titawp thin.
• Cocaine ang chi ruihhlo hman.
• Coronary Artery Dissection: Hei hi thisen kalna kawng bang a hrual nasat em em a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i natna lan chhuah dan a zawt ang che a, taksa enfiahna a nei ang che a, test tlemte pawh a rawt thei bawk.

• ECG (Electrocardiogram): Thinlung electric hnathawh dan a test thin.
• Echocardiogram: Thinlung scan a ni. Thinlung hnathawh leh insiam dan a en thei a ni.
• Exercise Stress Test: ECG hi treadmill-a i kal laiin lak a ni a, exercise i tih laiin i thinlunga inthlak danglamna te chu enfiah thin a ni.
• Coronary Angiogram: Thinlung thisen kalna kawng hrang hrangah tui bik an inject a, X-ray hmangin thisen kalna kawng chu engtiang chiahin nge a block tih hriat a ni.
• Thisen test: Lung ruh a chhiat leh chhiat loh enfiah nan leh cholesterol level ang chi thil te enfiah nan.

Treatment atan eng nge i tih?

Enkawlna chu i natna nasat dan leh a chhan a zirin a ni. A tum ber chu heart muscle-a thisen kal lehna tur leh nakin lawka heart attack laka invenna a ni.

Damdawi chi hrang hrang: 1.1.

• Nitroglycerin a awm a, chu chu:Angina natna atanga chhanchhuahna rang thei damdawi.
• Beta-blockers leh calcium channel blockers: Lung hnathawh leh thisen sang control-na, thinlunga hnathawh tur tihtlem.
• Anticoagulants (e.g. Aspirin, Clopidogrel): Thisen kalna kawng chhunga thisen zam lo awm tur a titawp thin.
• Cholesterol tihhniamna damdawi.

Enkawl dan leh zai dan: 1.1.

• Angioplasty leh Stent Placement: Thisen kalna kawngkhar khap chu balloon ang chi hmanga inflated a ni a, a block leh loh nan mesh ang chi device (stent) dah a ni.
• Coronary Artery Bypass Graft: Taksa peng dang atanga lak chhuah artery chi khat hmanga thisen kalna kawngkhar kha bypass a, thisen kalna kawng thar siam a ni.

A hlauhawmna tihziaawmna turin eng nge kan tih theih ang?

I nunphungah inthlak danglamna tenau te siam hian he hlauhawmna hi nasa takin a tihziaawm thei a ni.

• Zunthlum, thisen sang, cholesterol i neih chuan doctor thupek angin control tha rawh.
• Ni khatah minute 30-60 vel exercise la, kar khatah ni 5 tal exercise la. (Kal chak tak pawh hi a tha tawk.)
• Oil, chi leh sugar tamna ei tur tihtlem la, thlai, thei, legumes leh whole grains te ei tam rawh.
• Meizial i zu a nih chuan titawp vek rawh.
• Stress tihziaawm rawh.
• Taksa rihna hrisel tak vawng reng rawh.