I doctor-in heart stress test ti tura a tih che hian treadmill-a tlan i ngaihtuah mai thei, a dik em? Mahse, han ngaihtuah teh, i khup chhia, i ke tliak, a nih loh leh chhan dang eng emaw avanga tlan harsa i neih chuan engtin nge ni ang? Chu chu doctor ten i thinlung hnathawh dan enfiah nan hmanraw dang an hman lai a ni. Vawiin hian chu method bik chu kan sawi dawn a ni.
Chuti a nih chuan he pharmacological nuclear stress test hi eng nge ni?
A awlsam zawngin sawi ila, hei hi i thinlunga thisen petu thisen kalna kawng hrang hranga thisen kal dan enfiahna special test a ni bawk. Mahse hetah hian treadmill-a tlan tir che ai chuan i thisenah damdawi bik inject a ni a, chu chuan i thinlung chu exercise i tih ang maiin a ti thei a ni . Chuvangin "pharmacological" an ti a ni.
"Nuclear" tih thumal hi he test hian thinlung chhunga thisen kalna kawng chiang taka lantir nan radioactive substance te tak te, hlauhawm lo tak radiotracer an tih a hmang a ni. Hei hi camera bik hmanga dye lak chhuah ang a ni. Hei hi i taksaah i inject chuan special camera (gamma camera) hmangin i thinlung chhunga thisen luang chhuak chu thlalak a la thei a ni.
Ngaihtuah buai suh, radioactive material hman zat hi a tlem hle. Darkar tlemte chhungin i taksa a chhuahsan ang. Hun rei tak chhung harsatna a thlen lovang.
Engvangin nge doctor chuan he test hi ti turin a tih ang che?
Doctor chuan a hnuaia natna te hi i neih an rinhlelh emaw, eng level nge an nih tih chiang taka hriat nan emaw he test hi a rawt tlangpui.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Coronary Artery natna a ni | Thinlung a thisen petu thisen kalna kawng (coronary arteries) te chu thau awmin a zim em tih enfiah la, chu chuan thinlungin thisen mamawh zat a dawng thei lo. |
| Angina chuan | I chau laia i natna lanchhuahna, rilru na leh thawmhnaw te chu i thinlung chhunga thisen kalna kawngkhar a inkhar vang a ni lo tih finfiah rawh. |
| Heart Attack a neih hnuah | Heart attack vang hian heart muscle a chhiat em tih leh engzat nge a tihchhiat tih zawng rawh. |
| Lung lam natna (Cardiomyopathy) a awm | Heart muscle hi a chak lo nge a lian em tih enfiah thin ang che. |
| Enkawlna dangte nghawng | I thinlung hi cancer natna atana chemotherapy emaw radiation therapy emaw ang chi thilin a tichhia em tih enfiah rawh. |
Engtin nge he test hi i tih tak tak?
He test hian a bulpui pahnih a nei a. A hmun pahnihah hian i thinlung lem set hnih lak a ni.
1. Resting Images: I hmuh hmasak ber chu chawlh hahdam laia i thinlungah thisen a luang chhuah dan a ni a, engmah thawhrimna tel lovin.
2. Stress Images: A dawtah chuan damdawi pek hmangin thinlung chu stress hnuaiah dah a ni a, chutih lai chuan thisen kal dan chu enfiah a ni.
Heng thlalak pahnih hi a khaikhin chuan doctor chuan thinlung chhung khawi hmunah pawh thisen kal danah harsatna a awm em tih chiang takin a hre thei a ni.
Test hnathawh dan step khat hnu step khatin
- Step 1: Damdawi inah chuan nurse chuan i kut vein pakhatah cannula te tak te (IV catheter) a dah ang.
- Step hnihna: Chu cannula hmang chuan a hmaa kan sawi tawh radioactive substance (`Radiotracer`) chu taksaah a inject a.
- Step 3: Material chu i thinlung thlenga kal turin minute 30 vel a la ngai ang. Tichuan camera bik hnuaiah i mu ang a, minute 20 vel zet i ngawih hnuah chuan thlalak set hmasa ber chu lak a ni ang. Hemi chhung hian i rilruah stickers te te (electrode) dah a ni ang a, electrocardiogram (EKG) hmangin i heart rate chu enfiah a ni ang.
- Step Lina: Tichuan a \hen hnihna chu a intan ang. I cannula kaltlangin damdawi bik i inject a, chu chuan i thinlung chhunga thisen kalna kawng a tizau a, i thinlung a ti chak bawk. Hei hi exercise i tih huna thil thleng nen a inang hle.
- Step pangana: Damdawi i pek atanga minute 30 vel hnuah camera hnuaiah i mu leh ang a, second set of image chu minute 20 vel lak leh a ni ang.
Hemi chhung zawng hian medical staff te chuan i thisen sang, heart rate, leh EKG te chu an enfiah chhunzawm zel ang a, chuvangin i him vek a ni.
Test hmain engtin nge i inbuatsaih ang?
He test atanga result dik tak hmuh tur chuan doctor thupek dik taka zawm a pawimawh hle .
| Inbuatsaih dan tur | Sawifiah leh pawimawhna |
|---|---|
| Caffeine ei kha bansan rawh. | Test hma darkar 24 chhung chu caffeine awmna engmah, tea, coffee (decaffeinated pawh tel), chocolate, cola drink emaw, natna tidamtu thenkhat emaw in suh. Caffeine hian thinlunga pek ‘stress’ damdawi hnathawh a tibuai thei a ni. |
| I doctor nen damdawi chungchang sawipui rawh. | Damdawi i ei zawng zawng (a bik takin thinlung natna, zunthlum, leh asthma) te chu i doctor hnenah hrilh rawh. Damdawi thenkhatah chuan test hma ni khatah i ei tawh loh a ngai mai thei. Doctor thurawn tel lo chuan damdawi engmah ei kha bansan ngai suh. |
| Ei leh in tur | Test hma darkar engemaw zat chaw nghei turin an ti ang che. Tui engemaw zat in phalsak i ni ang. Chumi chungchangah pawh doctor chuan thupek chiang tak a pe ang che. |
| Meizial zuk loh tur. | Test ni hian meizuk loh tur. Nicotine hian thinlung hnathawh a tichhe thei a ni. |
He test hian eng chen nge a daih?
Test pumpui hi darkar thum atanga darkar li vel a ni tlangpui . A châng chuan doctor thutlukna a zirin he test-na hmun hnih hi ni hnih chhungin tih theih a ni.
Hei hian side effect emaw risk emaw a nei em?
He test hi a tlangpuiin a him hle a, mahse mi thenkhat chuan thinlung ‘stress’ nana damdawi an hman avangin harsatna tenau an nei thei a ni.
- Lu na
- Luak chhuak thei
- Chest na emaw tightness emaw
- Thâwk harsa (Dyspnea) .
- Luhai
- Hmai a sen a, taksa a lum bawk
A pawimawh ber chu heng zawng zawng hi damdawi lam enkawlna hnuaia i awm laiin a thleng vek a ni. Chuvangin thil dik lo a awm chuan staff te chuan enkawl nghal turin an inpeih reng a ni. A chang chuan i heart rate a rang (Tachycardia) chuan a normalize theih nan damdawi pek theih a ni. Chuvangin hlauhna tur a awm lo.
Test zawh hnuah...
Test zawhah i heart rate leh thisen sang chu minute engemaw zat a normal leh hma loh chuan enfiah a ni ang. Chumi hnuah chuan i haw thei tawh ang. Mahse thil pawimawh pahnih hriat reng tur a awm:
1. Tui in tam: Nilengin tui tam tak in thin ang che. Hei hian i zun hmangin i taksa atangin ``(Radiotracer)'' chu a paih chhuak nghal vat ang.
2. Naupang tê tê lakah inthiarfihlim rawh: Test zawhah ni khat chhung chu naupang tê tê leh naute kuah emaw, kuah emaw loh tur a ni. Hei hi radiation tlemte chauh avanga nghawng an neih theih avangin himna tur a ni.
Test result hian eng nge a sawi?
Test atanga thlalak set hnih (resting leh stressed) te chu specialist doctor-in a khaikhin a.
- A Normal Result: Hei hian i thinlung hmun zawng zawngah thisen a kal tha tawk tihna a ni a, chawlh lai leh thawhrim lai pawhin. Hei hian blockage lian tham a awm lo tihna a ni.
- Abnormal Result: Hei hian thinlung hmun thenkhatah thisen a dawng tlem tihna a ni thei a, a bik takin exercise neih laiin thisen a dawng tlem tihna a ni thei. Hei hian thinlunga thisen petu thisen kalna kawng a zim emaw, a khar emaw a kawk thei a ni.
I doctor chuan heng result te hi a hrilhfiah ang che a, a hnua i tih tur chungchang a sawipui ang che. Damdawi ei tan a, i damdawi hman mek thlak danglam emaw, test dang, angiogram ang chi emaw neih an rawt thei bawk.
Take-Home Thuchah a ni
- Pharmacological Nuclear Stress Test hi Exercise neih harsat tan chuan thinlunga thisen kal dan enfiah nan a pawimawh em em a, a him em em bawk.
- Test hma ni khatah caffeine (tea, coffee) ei tawh loh a pawimawh hle a, damdawi chungchanga doctor thupek dik taka zawm a pawimawh hle.
- Test neih chhung hian medical staff ten uluk taka an enkawl dawn avangin hlauh tur a awm lo.
- Test zawhah nilengin tui tam tak in la, naupang te te pawh chelh loh tur a ni.
- He test hi i doctor hnenah i thinlung hriselna chungchangah thu hlu tak tak pe thei tur leh hrisel taka awm theihna tura puitu tur step mai a ni. Chuvangin tul lovah hlau suh.
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