Thinlung chhunga blockage hawn nana hman thin PCI (Percutaneous Coronary Intervention) chungchang hi han zir chiang ila.

Doctor-in nangmah emaw, i thianpa emaw hnenah ‘heart block’ an nei tih a hrilh ngai em? Nangmah ngei pawhin stairs i chhoh emaw, tlem i thawhrim emaw hian i rilru a na a, thawk harsa i ti mai thei em? Vawiin hian doctor-te’n ‘Angioplasty’ emaw ‘PCI’ emaw an tih enkawlna chungchang kan sawi dawn a ni. He hming i hriat hian hlau suh, hei hi i ngaihtuah angin surgery lian leh invasive tak a ni lo. Engkim hi awlsam takin sawi ila.

PCI chu eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, Percutaneous Coronary Intervention (PCI) hi thisen thinlunga thisen phurtu (hengte hi coronary arteries kan ti)-a blockage awm chu paih chhuakin thisen kal chhunzawm leh theihna a ni. Tui pipe chhunga blockage nei, luang tha lo ang maiin ngaihtuah rawh. PCI hi blockage lakchhuah a, pipe tihfai leh ang a ni.

Mi tam tak chuan he enkawlna hi angioplasty tiin an hria a . I lo hre tawh mai thei. Chu chu i kut emaw ke emaw chhunga vein pakhat kaltlangin i thinlunga thisen kalna kawng tawi takah tube te tak te (catheter) thread a, chu chu tube tawp lamah balloon te tak te inflate a, a zimna hmun zau zawka siam a ni.

Stent thar tam takah hian damdawi a awm a, chu chuan artery a block leh theihna tur a ti tlem a ni. Hengte hi ‘drug-eluting stents’ kan ti thin. Hei hian result tha zawk a chhuah phah a ni.

He enkawlna hi tute nge mamawh?

Hun a kal zel a, oil leh cholesterol ang chi thil te chu kan thisen kalna kawngah a lo pungkhawm a, layer thuk tak a siam a ni. Tui pipe hlui chhunga rust lo awm ang mai a ni. Damdawi lamah chuan he layer hi ‘plaque’ kan ti thin. ' Heng plaque-te hi thisen kalna kawng (arteries)-a an lo awm khawm a, a bangte a ti tawi a, a ti sei a, chu chu atherosclerosis an ti a ni.

Hei hian thisen kalna kawng a ti zim a, thinlungin thisen mamawh zat a dawng lo. Hei hi a ni:

• Tlemte i thawhrim chuan, stairs i chhoh emaw, i kal chak emaw chuan i rilruah natna emaw, i tight emaw i nei a ni . Hei hi angina an ti a .
• Thâwk a harsa chho zel a, ka â ang maiin ka hria.

Heng symptoms nei tan chuan PCI treatment hi block tihbo nan leh thisen kal dan tur siam that nan an hmang thin.

Tin, heart attack rang tak a awm bawkPCI hi heart attack nei tan chuan nunna chhanhimna damdawi lian tak a ni. Heart attack chu thisen kalna kawng a inkhar vek a, thinlung hmun khata thisen kal chu a titawp a ni. Tichuan, blockage chu a rang thei ang bera hawn a ngai a, thisen pump lut thei a ni a, chu chu PCI hian rang takin a ti thei a, thinlung chhiatna nasa takin a ti tlem thei bawk.

PCI enkawlna tih loh tur a awm em?

I cardiologist chuan hei hi i mamawh em tih te, damdawi chauh hmanga i enkawl theih leh theih loh te, coronary artery bypass graft (CABG) tih surgery lian tak i mamawh leh mamawh loh te a rel ang. Hei hi mi tin tan a inang lo.

Chu thu tlûkna a siam hunah chuan doctor chuan heng thilte hi chiang takin a ngaihtuah a:

• I thisen kalna kawng engzat nge a block tih te, a block nasat dan te, khawiah nge a awm tih te.
• Lung natna tih loh chu natna dang, zunthlum emaw kal natna emaw i nei em?
• Engtin nge i heart muscle pumping action, i kum ang chi thil te.

Chuvangin, doctor chuan eng enkawlna nge i tana tha ber tih a hrilhfiah ang che.

Enkawl hmain eng nge i tih tur?

Sudden heart attack a nih loh chuan i doctor chuan he thil atana inbuatsaih dan tur thurawn engemaw zat a pe ang che.

• Ei leh in: Enkawl hma darkar 6-8 chhungin ei leh in bansan turin an ti tlangpui ang che.
• Damdawi: A pawimawh ber chu thisen tithianghlimtu damdawi emaw, damdawi dang emaw i ei a nih chuan doctor hnenah i hrilh tur a ni. I enkawl hma ni engemaw zat chhung chu ei tawh loh turin an ngen thei che a ni. Chutiang a nih loh chuan enkawl chhung hian thisen chhuah tamna i tawk thei a ni. Hei hi i doctor-in a hrilh ang chiah khan i ti tur a ni. Nangmah chauhin i damdawi ei kha titawp ngai suh, thlak ngai suh.

Enkawl lai hian eng nge thleng?

He thu i hriat hian hlau suh, i ngaihtuah angin thil lian tak a ni lo. Hei hi Doctor, lung lam natna enkawlna lama training bik nei (Interventional Cardiologist)-in a ti thin. I rilru hahdam leh thlamuang taka awm tir turin light anesthetic pek i ni ang. Chuvangin hrehawm i nei lovang, mahse i harh ang. Doctor thusawi chu i hre mai ang.

A enkawlna kawng awlsam tak takte chu hetiang hi a ni:

A kalphung zawng zawng hi minute 30 atanga darkar hnih vel a ni thei a, chu chu i thisen kalna kawng (veins) a blockage awm dan azirin a ni.

Enkawl hnuah eng nge thleng?

PCI zawhah darkar engemaw zat chu recovery area-ah dahin i heart rate leh blood pressure enfiah turin i awm ang. Catheter dahna hmunah hian hliam emaw, natna emaw a awm thei. Hei hi thil pangngai a ni a, ni engemaw zat hnuah a reh mai ang. A tam zawkah chuan chu zan vek emaw, a tuk zingah emaw i haw thei ang.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Enkawlna dang ang bawkin he damdawi hian hlawkna leh hlauhawmna tlemte a nei a ni.

A thatna ber

• Dam thuai: Hei hi surgery lian tak a nih loh avangin bypass surgery aiin rang zawkin i dam leh thei a, nun pangngaiah i kir leh thei bawk.
• Symptom relief: Thil hrang hrang, rilru natna (angina) leh thawhrimna avanga thawk hah (dyspnea) te hi nasa takin a tlahniam a ni.
• Nunna chhanhim: Hei hian heart attack laiin heart chhiatna a tihtlem avangin nunna a chhanhim thei a ni.

Risk awm thei te

PCI hi procedure him tak ni mahse , harsatna tlemte awm thei a awm.

• Tube dahna hmuna thisen chhuah emaw, natna hrik emaw a awm.
• Stent chhunga thisen zam lo awm (hei hi ven nan damdawi pek thin a ni).
• Treated vein chu hun kal zelah a block leh ta a ni.
• Kidney chhiatna (a bik takin kal natna nei tawhte tan).
• A tlem hle a, stroke a awm thin.

Eng chen nge ka dam leh theih nan leh eng thil nge ka ngaihtuah tur?

Kar khat chhungin i thiltih pangngaiah i kir leh thei tlangpui. Mahse, hna rit tak tak chawi emaw, taksa chakna emaw ngai hna i neih chuan hna i thawh leh theih nan hun rei tak a la ngai thei. Hemi chungchang hi i doctor nen sawiho rawh.

Hei hi a pawimawh ber chu:

Enkawl zawhah i doctor chuan anticoagulants (Clopidogrel, Prasugrel, Ticagrelor ang chi) a pe ang che. Heng damdawi te hi a pek ang chiah chiah, ni khat pawh tlai lova ei a pawimawh. Heng damdawi te hian stent chhungah thisen zam a siam loh nan a veng a ni. Chuvang chuan i Doctor thupek dik takin zawm tur a ni.

Engtik hunah nge doctor ka hmuh leh ang?

Enkawlna hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.