Zanah pawh chawlh laiin i rilru a na em? Prinzmetal Angina pawh a ni thei!

Nilengin i thawkrim a, i hna zawng zawng i zo vek a, zanah i mu mai mai ang tih han ngaihtuah teh... A nih loh leh, chawlhniah, TV i en laiin, i rilru lai takah natna nasa tak i nei nghal a, mi pakhatin a rawn hnim che ang maiin. Thil mak tak chu, i chau lo tak zet a, i tlan kual lo a, engmah pressure hnuaiah i awm lo. He natna hi i rilru hahdam leh i rilru hahdam lai hian a lo thleng thin. Mi tam tak chuan hetiang hun lai hian hei hi gastritis emaw acid reflux emaw niin an ngai. Mahse hei hi thil danglam tak a ni a, fimkhur deuh a ngai a, thinlung natna nena inzawm thil awm lo tak a ni thei. Chu chu vawiinah kan sawi dawn a ni.

Prinzmetal Angina hi eng nge ni tak tak?

A awlsam zawngin Prinzmetal Angina hi rilru natna chi khat (angina condition) a awm lo . Hei hi a specialty chu he natna hi chawlh laiin a awm thin a, a bik takin zanlai leh zing inkar ah a awm thin. Variant angina, angina inversa, leh vasospastic angina an ti bawk.

Tunah chuan, "Angina hi eng nge ni?" Angina hi rilru natna a ni a, kan thinlung ruhte hian oxygenated thisen an dawn tlem chuan a awm thin. Tui pump-in tui a tlakchham chuan thawm a siam ang bawkin, thinlung hian thisen a dawn tlem hunah signal a pe thin. Hei hi thinlunga thisen petu coronary arteries-a cholesterol awm vang a ni tlangpui a, chu chuan thinlung a ti tawi a ni.

Mahse Prinzmetal Angina-ah chuan thil danglam deuh deuh a thleng a. Hetah hian thisen kalna kawng (arteries) te chu a tawi emaw, a block emaw pawh a ni thei. Hei hi a chhan ber chu thinlung chhunga coronary arteries te chu rang tak leh chhan awm lovin an inzawm (spasm) emaw, an spasm emaw a ni. Miin tui pipe a hrual nghal ang maiin han mitthla teh. Tichuan thisen supply chu rei lo te chhung atan a tawp vek a ni. Chutah chuan chu rilru natna nasa tak chu a lo thleng ta a ni. Hun engemaw chen hnuah he spasm hi a mah chauha a bo chuan a natna pawh a tlahniam ve bawk.

Normal angina leh Prinzmetal angina hi eng nge an danglamna?

Heng pahnih hi rilru natna ni mahse, an pahnih inkarah hian danglamna chiang tak a awm. Hriatthiam awlsam zawk nan he table hi han thlir ila.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Prinzmetal Angina hi a awm lo hle. American Heart Association chhinchhiah dan chuan angina vei 100 zinga pahnih chauhvin he natna hi an nei a ni.

Hmeichhia leh mipa a nghawng thei a ni. A bik takin thisen kalna kawngkhar tikhawlo thei natna dang nei te tan a tam hle. Entir nan:

• Migraine lu na: Lu chhunga thisen kalna kawng (constriction) avanga lu na.
• Raynaud’s phenomenon: Kut zungtang leh ke ruh chhunga thisen kalna kawngte a inkharkhip a, khawsik a nih chuan a sen leh a sen vek thin.

Heng pahnih hi i neih hian i taksa chhunga thisen kalna kawngte chu a tlangpui aiin a sensitive zawk a, a constrict awlsam zawk tihna a ni. Chuvangin i thinlunga thisen kalna kawngte pawh chutiang bawk chuan an awm a rinawm.

Cholesterol sang emaw, thisen sang emaw neiah pawh a lo awm thei bawk. Mahse mak tak mai chu mi hrisel, thalai, risk factors nei lo pawhin Prinzmetal Angina .

Hei hi thlahtu natna a ni em tih erawh hriat chian a la ni lo. Mahse, zirchianna thenkhatah chuan genetic link a awm thei niin an sawi. Entirnan, he natna hi mipa hring aiin Japanese mite zingah a tam zawk.

Prinzmetal Angina natna lan chhuah dan chu engte nge ni?

Prinzmetal Angina i neih chuan a hnuaia symptoms te hi i nei thei ang:

• Chest pain na tak: Hnung lai takah hrual, hrual, pressure ang chi natna. He natna hi kut veilam, kekawrte, kawr emaw, lu emaw thlengin a darh thei a ni.
• Pain pattern: He natna hi a awm reng lo. Minute 5-15 vel a intense a, chutah chuan a mah chauhin a reh leh thin. Mahse, a rualin, chutiang bawk chuan ni engemaw zat emaw, kar engemaw zat emaw chhung chu a lo lang leh thei a ni. Hei hian heng natna episode te hi pattern engemaw zat angin a thleng tihna a ni.
• A lan chhuah dan dang: Chhuak na hi thawk hah, rilru hahna, leh/ emaw, muhil emaw a awm thei .
• Damdawi hmanga tihdamna: He natna atana an pek tlangpui nitrate-type damdawi (tablet lei hnuaia dah) ei hian natna hi a reh nghal vat tlangpui.

Engvangin nge Prinzmetal Angina hi a lo awm? A chhan berte chu engte nge ni?

Kan sawi tawh ang khan Prinzmetal Angina thlentu ber chu thinlunga coronary arteries te a tawi (spasm) nghal vang a ni. Mahse zawhna awm thei chu, "Engvangin nge heng thisen kalna kawngte hi duh lohvin an zim?" Hei hi nghawng thei trigger lian engemawzat hmuhchhuah a ni tawh bawk.

• Zuk leh hmuam hman: Meizial hi he natna thlentu ber leh pawi ber a ni. Zuk leh hmuam-a nicotine leh chemical dangte hian thisen kalna kawng a tikhawlo nasa hle.
• Ruihhlo hman: Ruihhlo hman, cocaine leh marijuana te hian thisen kalna kawng nasa takin a tikhawlo thei a ni.
• Damdawi thenkhat: Damdawi thenkhat hian thisen kalna kawng a tikhawlo thei a. Entirnan, migraine damdawi thenkhat (e.g. sumatriptan) emaw ephedrine emaw, chu chu khawsik leh hnar decongestant damdawi thenkhatah a awm.
• Stress na tak: Emotional stress hian taksa hormone function a tidanglam thei a, thisen kalna kawng a tikhawlo thei bawk.
• Khua a vawt: Khaw lum lutuk hmuna inhriat hian mi thenkhatah pawh hetiang dinhmun hi a thlen thei bawk.
• Exercise: Mak tak maiin mi thenkhat chuan an chawlh lai chauh ni lovin, exercise an tih lai pawhin hetiang dinhmun hi an nei thei a ni. Mahse, hei hi a tlem hle.

Engtin nge hei hi hriat chhuah a nih?

Prinzmetal Angina hi hriat chian a harsa deuh a, a chhan chu, natna i neih loh laiin ECG emaw angiogram emaw i neih chuan engkim hi a pangngai angin a lang fo thin a, a chhan chu chutih lai chuan thisen kalna kawng (arteries) a block loh vang a ni.

Chuvangin i doctor chuan i symptoms te chu uluk takin a ngaithla ang. Thil chi hrang hrang, natna a lo thlen hun te, natna awm dan te, i thil tih dan te, etc. Tichuan, test engemaw zat an nei thei a, chu chuan diagnosis chu an nemnghet thei a ni.

• Ambulatory Electrocardiogram: Hei hi EKG machine te tak te ang mai a ni a, darkar 24 emaw 48 emaw chhung i taksaah a innghat a ni. Nitin hna i thawh laiin i thinlung thiltih dan a record chhunzawm zel a ni. Hei hian zan lama i rilru natna i neih hian i thinlung EKG a danglam em tih i hriat theih nan a pui thei che a ni.
• Coronary Angiography: Hei hian i coronary arteries-ah dye bik inject a, chu arteries dinhmun chu X-ray hmanga enfiah a ni. Hei hian cholesterol deposit avanga thisen kalna kawng (arteries) a tawi em tih dik takin a hriat theih a ni.
• Provocation Test: A châng chuan, a natna hriat chian a nih hnuah, doctor-te chuan damdawi inah chuan artificial-in thisen kalna kawng (artery) chu a zim tir a ngai ṭhin a, chu chu ngun taka enfiah a ni. Chumi atan chuan damdawi acetylcholine emaw ergonovine emaw te chu a tlem berah pek thin a ni. Artery a zim chuan EKG inthlak danglamna leh i symptoms te hmangin natna dik tak hriat theih a ni.

Enkawl dan leh enkawl dan

Hetiang dinhmun hi hriat chian a nih hnuah chuan hlauhthawn a ngai tawh lo. Damdawi leh nunphung thlak danglam hmangin a control tha hle.

Damdawi hmanga enkawl

• Calcium Channel Blockers: Hei hi Prinzmetal Angina damdawi chi khat hman ber a ni. Heng damdawi te hian thisen kalna kawng bangte a ti hahdam a, a inkharkhip loh nan hna a thawk a ni. Hetiang damdawi chi hrang hrang hi Diltiazem, Amlodipine, Verapamil te entir nan hman a ni.
• Nitrates: Hengte hi hun rei tak daih damdawi nitin pek thin a ni. Short-acting sublingual tablet angin ei theih a ni bawk a, chu chu lei hnuaiah dah a ni a, chu chu rilru na tak a awm chuan a reh nghal vat thei a ni. Chûngte chuan thisen kalna kawngte rang taka tizau leh thisen kal dân siam ṭhat lehin hna an thawk a ni.

Nunphung a inthlak danglam thin

Damdawi ei bakah hian i nunphung pawh thlak danglam a pawimawh hle a, a bik takin kan sawi tawh trigger te kha pumpelh vek a pawimawh hle.

• Meizial zu kha bansan nghal rawh: Meizial zu mi i nih chuan tunah hian meizuk kha i bansan vek tur a ni. Hei hi i tih theih tha ber a ni.
• Ruihhlo hman loh tur: Cocaine leh marijuana ang chi ruihhlo hman loh vek tur a ni.
• Trigger damdawi ei loh tur: I doctor nen damdawi dang i ei tur chungchang sawipui rawh. Decongestant thenkhat, taksa rihna tihtlem nan leh energy drink-ah te pawh thisen kalna kawng tikhawtlai thei thil a awm thei.

Hetiang dinhmun nena kan nun lai hian eng ang beiseina nge kan neih theih ang?

Enkawl that a nih chuan Prinzmetal Angina vei tan chuan prognosis a tha hle. Nun pangngaiin i nung thei a ni. Mahse, hun rei tak chhung enkawlna leh cardiologist hnuaiah clinical follow -up i dawng tur a ni.

Mahse, Prinzmetal Angina hi heartbeat mumal lo (arrhythmia) nen a inzawm a nih chuan, emaw, cholesterol deposit avanga coronary arteries te permanent narrowing (coronary artery disease) a awm chuan thil awmdan chu a buaithlak deuh thei a ni.

Prinzmetal Angina hi nunna atana hlauhawm a ni lo. Symptom a ni. Mahse i thinlunga thisen kal danah harsatna a awm tihna a ni. Enkawl loh chuan he thisen kalna kawng (arteries) a zim hian heart attack (myocardial infarction) emaw arrhythmias na tak emaw a thlen thei a ni. Chuvangin he dinhmun hi ngaihthah suh.

Engtikah nge damdawi lam thurawn i lak ang?

Hei hi a pawimawh ber a ni.

Doctor chuan a tul anga test a ti ang a, a natna chhan dik tak chu a zawng chhuak ang.

I rilru na tak, nasa tak, thawk harsa, thawk hah lutuk emaw, muhil emaw i neih chuan emergency a ni thei. Chutiang hunah chuan damdawi in pakhata Emergency Treatment Unit (ETU) pan nghal tur a ni.

Prinzmetal Angina i vei tih hmuhchhuah a nih chuan i doctor thupek leh damdawi pek dan ang chiah hian zawm tur a ni. Nunphung tihdanglamna tul tak tak siam rawh. Hei hi enkawl theih dinhmun a ni tih hre reng ang che. A mamawh chu i inpekna leh i doctor nena inbiak rengna chauh a ni.