A chang chuan i rilruah natna tlem, nausea i nei thin em ? A nih loh leh stairs i chhoh hian thawk harsa i ti em? Hengte hi kan thinlunga thisen kalna kawng (arteries) te chu tlem a inkhar tih chhinchhiahna te te a ni thei. Mi tam tak chuan "heart attack" hi hlau mah se, tunlai damdawi lama hmasawnna avang hian chutiang blockage te chu operation lian tham nei lovin tihbo theih dan a awm. Chuvang chuan tunlai hian hetiang enkawl dan pawimawh tak, tunlai tak kan sawi a ni.
PCI chu eng nge ni? A awlsam zawngin...
PCI hi Percutaneous Coronary Intervention tihna a ni a, damdawi lama hmanraw awlsam tak a ni a, heart-a thisen petu coronary arteries-a blockage awmte tihbo nan hman a ni. "Angioplasty" tih hi i hre tawh mai thei. Chu chu a hming hlui zawk a ni.
Kan in chhunga tui pipe pakhat chu bawlhhlawhin a khuh a, tui chu a luang zawi hle a nih chuan han ngaihtuah teh, a dik em? Chutiang chuan thau leh cholesterol ang chi thil te chu kan thinlung thisen zam ah a awm a, thisen kal dan a tikhawlo thin. PCI treatment-ah chuan balloon ang chi thil te tak te tak mai chu vein blocked chhungah dahin, inflated a, vein chu hawn leh a ni.
Vawi tam tak chu mesh tube te tak te, stent tia koh chu vein-ah hian a inkhar leh loh nan a nghetin dah a ni. Tunlaia stent hman tam tak hi special type a ni a, zawi zawiin damdawi a chhuak a, chu chuan vein a block leh theihna tur a ti tlem a ni. Chûngte chu drug-eluting stent an ti a.
He enkawlna hi tuin nge mamawh tak tak?
I thinlung thisen kalna kawngah thau leh hriak thuk tak a lo awm chuan damdawi lam chuan atherosclerosis kan ti a ni. He thau layer hi plaque kan ti a . Hetiang dinhmun hian i thinlunga thisen kalna chu a tikhawtlai a ni. Hei hi symptoms i neih theihna hun a ni:
- Chhuak na emaw, tightness (angina) .
- Thâwk harsa
A pawimawh ber chu PCI hi heart attack nei tawh tan nunna chhanhimna atan hmanhmawh taka tih a ni bawk a, a chhan chu thisen kalna kawng khar chu rang takin a hawng thei a, thinlung chhiatna a ti tlem thei a ni.
PCI enkawlna hi engtin nge an tih thin? Step khat hnu step khatin i en ang u
He enkawlna hi interventional cardiologist-in a ti thin. Hemi hun chhung hian i mut theih nan leh i rilru hahdam nan damdawi pek i ni ang. Chuvangin hrehawmna engmah i nei lovang, mahse i hre reng ang. Hetiang kalphung hi engtin nge a thawh tih i sawifiah ang u.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Access neih theihna | Doctor chuan i kutphah emaw, i kekawr chunglam emaw ah khur te tak te tak te a siam a, chuta tang chuan tube te tak te (sheath) chu thisen kalna kawngah a dah lut thin. |
| 2. Catheter thawn chhuah | Chu tube hmang chuan tube fim zawk, catheter an tih chu thinlunga thisen kalna kawngkhar khar (blocked artery)-ah a kal a ni. |
| 3. Blockage hmuhchhuah | Dye chi khat bik (contrast dye) an inject a, X-ray technology hmangin vein chhunga thlalak nung tak tak an en thin. Movie ang maiin. Tichuan block awmna hmun dik tak chu i hmu thei ang. |
| 4. Vein hawn | Catheter tip-a balloon te tak te chu inflating hmangin, trapped fatty layer chu vein wall-ah an press a, thisen kalna tur kawng a hawng a ni. |
| 5. Stent dah dan tur | Vein a zim leh tawh loh nan a tul chuan chu hmunah chuan stent dah a ni. |
| 6. Finishment tihfel | Catheter chu lakchhuah a ni a, insertion site chu compression bandage emaw stitches te te hmangin khar a ni. |
Hetiang zawng zawng hi a tlangpuiin minute 30 atanga darkar hnih inkar a ni thei a, chu chu i thisen kalna kawng (veins) a inkharkhip nasat dan azirin a ni.
Hetiang enkawlna hi mi zawng zawngin kan nei thei ang em?
No. Nang leh i doctor hian i tan eng enkawlna nge tha ber tih in rel dun a ngai dawn a ni. PCI emaw, damdawi chauh emaw, surgery lian tham (Coronary Artery Bypass Graft - CABG) i mamawh leh mamawh loh chu thil engemaw zatah a innghat ang. Entirnan, thisen kalna kawng (arteries) a block zat te, i thinlung hnathawh that dan te, leh damdawi lam harsatna dang i neih leh neih loh te.
Hlawkna, hlauhawmna leh dam leh hun chhung
Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna tenau tak a nei a ni.
A thatna ber chu:
- Thinlung lama thisen kal dan siam that lehna.
- Simptoms, rilru na leh thawk hah ang chi te chu a bo vek.
- Bypass surgery aiin a buaithlak lo zawk a, dam leh hun pawh a tawi zawk.
Risk awm thei: 1.1.
- Catheter dahna hmuna thisen chhuah emaw, natna hrik emaw a awm.
- Stent chhungah hian thisen zam (blood thinners) a lo awm a (chumi ven nan thisen tihthianghlimna (blood thinners) pek thin a ni).
- Vein ang chiah kha a block leh ta (mahse he risk hi 5% aia tlem a ni a, chu chu drug-eluting stent vang a ni).
- A tlem hle a, stroke a awm thin.
PCI hnu kar khat chhungin hna pangngai i thawk leh thei tlangpui. Mahse, hun engemaw chen chu heavy lifting ang chi thil tih hi i chawlhsan a ngai mai thei. A pawimawh ber chu i doctor-in thisen tihthianghlimna damdawi (e.g., clopidogrel, ticagrelor) a pek te chu damdawi ei chhung zawng zawng, ni khat pawh tlai lovin ei tur a ni.
Heng symptoms te hi fimkhur rawh! Doctor hmu nghal rawh!
PCI enkawl hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal la , damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
- Thisen chhuak, pus ang chi tui, emaw catheter dahna hmun atanga lo hring chhuak.
- Chest pain (angina) a lo awm leh thin.
- Khawsik emaw, khawsik emaw.
- Catheter dahna kut emaw ke emaw-a rilru hah emaw, a lum lutuk emaw.
- Luak chhuak emaw, muthilh emaw (syncope) .
- Thâwk harsa na tak.
Take-Home Thuchah a ni
- PCI hi tunlai, him leh tangkai tak a ni a, thinlung chhunga thisen kalna kawng khar hawn nan hman thin a ni.
- Hei hi heart attack rang tak a awm chuan nunna chhanchhuahna kawngah a pui hle a ni.
- Enkawl hnuah dam thuai ni mah se, doctor-in a pek damdawi, a bik takin thisen tithianghlimtu damdawi te chu a hun chhung zawng ei a pawimawh hle.
- Arteries re-blockage loh nan chuan nunphung tha tak tak, meizuk bânsan, ei leh in hrisel ei, leh exercise neih a pawimawh hle.
- I thinlung hriselna chungchanga zawhna i neih chuan i cardiologist nen zalen takin inbiakna nei la, thutlukna dik siam rawh.
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