A chang chuan i rilruah a tight deuh emaw, a na emaw i nei thin em? A nih loh leh tlem i hah lai hian thawk harsa i ti em? Heng thilte hi kan thinlunga thisen kalna kawng (coronary arteries) te chu zawi zawiin a inkhar tih chhinchhiahna a ni thei. Kan in chhunga tui pipe chhunga bawlhhlawh awm khawm a, zawi zawiin a inkhar ang mai a ni. Hei hi enkawl a nih loh chuan heart attack hial a thlen thei a ni. Mahse lungngai suh, tunlai damdawi hian hei hi enkawlna tha tak tak a nei a. Vawiin hian chutiang thinlung tiharh thei tur enkawlna kawng kan sawi dawn a ni.
He Coronary Revascularization hi eng nge ni?
Hei hi thumal sei tak, mak tak angin a ri thei a, mahse a awmzia erawh a awlsam hle. "Coronary" tih hian thinlung nena inzawm thisen kalna kawngte a kawk a ni. "Revascularization" tih awmzia chu "thisen kal dan tur siam thar lehna" tihna a ni. Chuvangin, a awlsam zawngin sawi ila, Coronary Revascularization hi heart muscle-in a mamawh thisen a hmuh loh laiin heart-a thisen kalna tur a siam thatna damdawi a ni ( damdawi lamah chuan ischemia kan tih condition) Thisen kalna kawng khar chu hawn leh emaw, a khar chhehvel kawng thar siam emaw hmangin emaw.
Heng enkawlnate hian heart attack hnua i thinlung chhiatna chu a ti tlem thei a, heart attack i neih theihna chance sang tak i neih chuan a veng thei bawk.
Hemi hnuaia enkawl dan pahnih kan sawi ber a ni:
1. Percutaneous Coronary Intervention (PCI): Hei hi mi tam takin "stent dah" an tih chu a ni. Hei hian thisen kalna kawng chhungah lutin, a khar chu paih a, thisen kalna tur kawng siam a, operation ngai lovin a huam a ni.
2. Coronary Artery Bypass Grafting (CABG): Hei hi "Bypass Surgery" tia hriat a ni bawk. Hei hian taksa peng dang atanga thisen kalna kawng khat hmanga thisen kalna kawngkhar (blood vessel) vel chu kawng thar (bypass) siam a huam a ni.
| Enkawl dan tur | A awlsam zawngin... |
|---|---|
| PCI (stent dah dan) 1.1. | Pipe khar chhunga wire dah a, inflate a, kawngpui siamthat ang mai a ni. Cut lian tak a awm lo. |
| CABG (Bypass Surgery hmanga tih a ni) . | Kawngpui buai tak paltlang tura bypass thar siam ang bawkin, thisen kalna kawng khar tawh paltlang turin thisen kalna kawng thar dah a ni. Hei hi surgery a ni. |
He enkawlna hi tute nge mamawh?
Thinlung lama thisen kal tlem zawk apiangin heng enkawlnate hi an hlawkpui thei a ni. Hei hi a chhan ber chu coronary artery disease a ni . Kum upat deuh deuh hian he natna hi a vei theihna a sang chho zel a ni. Chuvang chuan kum 65 chunglam te hi heng enkawlna mamawh ber an ni tlangpui.
Ngaihtuah teh, oil leh cholesterol ( plaque kan ti) atanga siam thil thuk tak chu kan thisen kalna kawngah zawi zawiin a lo awm khawm a. Hetiang kalphung hi atherosclerosis an ti a . Kitchen sink pipe-a oil a tlakbuak a, a khar ang mai a ni. Hun a kal zel a, he deposit hian thisen kalna kawng a ti tawi a ni. Ni khat chu he deposit hi a puak chuan chu hmunah chuan thisen zam a lo awm thei a, thisen kalna kawng chu a titawp vek thei a ni. Chu chu thinlung peng pakhatin thisen a dawng tawh lo va, heart attack a thlen thin.
Chuvangin, hetiang blockage nei tan chuan he treatment hi heart cells an thih hmaa thisen kal dan tur rang taka siam that nan hman a ni.
Heng enkawlna hmang hian eng dinhmun nge enkawl?
Heng enkawlnate hi acute coronary syndrome category hnuaia awm condition-te tan hman a ni ber. Chu chu:
- Heart attack: Thisen kalna kawng khar nghal vanga heart muscle a chhiat.
- Stable Angina: Thawhrimna laiin rilru natna a awm a, chu chu stairs chhoh lai ang chi a ni a, chawlh hahdam laiin a reh thei bawk.
- Unstable Angina: Thil hlauhawm tak, rilru natna, chawlh hahdam lai pawhin a zual zel.
Enkawl hma hian eng nge thleng thin?
Heng enkawlna zinga pakhat i tih i tum hnuah, doctor-te chuan i dinhmun dik taka tehna tur leh enkawlna tha ber tur ruahmanna siam turin test engemaw zat an ti ang.
| Fiahna | Eng nge i tih mai mai? |
|---|---|
| Electrocardiogram (ECG emaw EKG emaw) hmanga tih a ni. | Thinlung electrical activity te chu enfiah thin a ni. |
| Echocardiogram hmanga tih a ni | Scan ang mai a ni a, thinlung hnathawh leh lian leh te a enfiah thin. |
| Cardiac catheterization / Angiogram hmanga tih a ni | Thisen kalna kawng hrang hrangah tui bik an inject a, khawiah nge an block tih leh engzat nge an block tih hriat nan X-ray an la a ni. |
| CT scan hmanga angiography hmanga enfiah a ni | CT scan hmangin thisen kalna kawng (blood vessels) a block tih a enfiah thin. |
| Thisen test a ni | Enzyme leh cholesterol level ang chi thil te chu thinlung a chhiat em tih enfiah thin a ni. |
Emergency a nih loh chuan i tih hmain darkar 8 vel chaw nghei a ngai dawn a ni. Procedure tan hmain i kut vein pakhatah IV line (saline pe thei tube) dah a ni ang. Hetah hian damdawi leh tui mamawh te chu i taksaah pek a ni ang. PCI atan chuan sedation pek i ni ang. CABG bypass surgery atan chuan general anesthesia hnuaiah dah i ni ang.
Enkawl lai hian eng nge thleng?
PCI leh CABG procedure pahnih tum chu inang mah se, an tih dan erawh a danglam hle.
PCI (stent dah dan) tih dan tur
Hetah hian doctor chuan thisen kalna kawng lian takah tube (catheter) te tak te, flexible tak tak a dah lut a, chu chu i kutphah emaw, i ke ruh emaw hmangin a dah a ni. Chumi hnuah chuan tube chu X-ray kaihhruaina hnuaiah i thinlunga thisen kalna kawngkhar block-ah a hruai lut leh thin.
A dawtah chuan tube tawp lama balloon te tak te chu a block na hmunah an inflated a. Hei hian thisen kalna kawng zim chu chhung lam a\angin a tizau \hin. Hei hi balloon angioplasty an ti a .
Ngaihtuah teh, hetah hian thil thleng hi pipe khar chhunga balloon dah a, inflate a, pipe chhunga bawlhhlawh awm chu a sir lehlamah nawr a, kawngpui siam ang mai a ni.
Tichuan, thisen kalna kawng zau tak chu a zim leh tawh loh nan, mesh ang maia siam thir frame te tak te chu a hmunah an dah a. Hei hi stent kan tih chu a ni . Stent thenkhatah chuan damdawi a awm a, chu chuan thisen kalna kawng a zim leh tawh lo. Chûngte chu drug-eluting stent an ti a. Hna an thawh zawh chuan tube chu lakchhuah a ni a, a dahna hmunah chuan stitch te tak te dah a ni a, enkawl zawh a ni.
CABG (Bypass Surgery) tih dan tur
Hei hi surgical procedure a ni. Surgeon chuan i taksa hmun dangah (a tlangpuiin i ke, i kut atang emaw, i rilru chhung atang emaw) thisen kalna kawng hrisel tak chu a la hmasa thin.
Chumi hnuah chuan thinlung chu kawng hnihin a thleng a:
- Open surgery: A rilru chhungril atanga inches engemaw zat hnuai lam incision siam a ni a, chu chuan hnute ruh (sternum) chu hawn a, thinlungah a lut thei a ni.
- Minimally-invasive surgery: Hei hian rilruah incision te tak te pakhat emaw a aia tam emaw siam a, camera leh instrument bik hmanga ruh hmanga thinlung thlen a ni. A chang chuan hei hi robotic surgery hmanga tih a ni.
Surgery neih lai hian thinlung chu hun eng emaw chen tihtawp a ni thei a, heart -lung bypass machine-ah connect a, hna thawk tur a ni. Mahse, surgery thenkhat chu thinlung a la nat laiin (off-pump bypass) an ti thin.
Chumi hnuah surgeon chuan a hmaa thisen kalna chu a hmang a, a chung leh a hnuai lama thisen kalna kawngkhar khar chu a thlunzawm a, kawng thar a siam a ni. Kawngpui buai tak paltlang turin bypass thar siam ang mai a ni. Hei hian blockage chu a bypass a, thisen chu kawng thar zawhin heart muscle-ah a kal thei a ni. Bypass an tih zawh chuan a rilru chu an khar a, stitches an hnawih a, surgery an ti zo ta a ni.
Enkawl hnuah eng nge thleng?
Procedure zawhah i dam leh theih nan hun engemaw chen i mamawh ang. He hun hi i tih dan chi (PCI emaw CABG) leh i hriselna zawng zawngah a innghat a ni. A tlangpuiin PCI i tih hnuah ni engemaw zat chhungin i normal leh tawh ang. Mahse, CABG surgery hnuah kar engemaw zat emaw, thla engemaw zat emaw pawh a la ngai thei.
I dam leh lai hian i doctor chuan cardiac rehabilitation program-ah a refer thei che a ni . Heng programme-ah hian doctor te, nurse te, exercise instructor te, leh nutritionist te hian tanpui turin an thawk ho thin a ni.
- Eng exercise nge i tan a inhmeh?
- Eng ei tur nge i ei tur?
- Damdawi hi engtin nge dik taka ei ang?
- Engtin nge nun hrisel tak kan neih leh theih ang?
A sawi zawng zawng chu ka hriattir ang che u.
Tin, doctor-in follow-up appointment a pekte pawh tel a pawimawh hle bawk. Damdawi a hun taka ei te, ei leh in thunun te, doctor thupek zawm te hi i dam chakna tur leh he natna lo awm leh tur venna atan a pawimawh hle.
Heng enkawlnate hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi enkawlna dang ang bawkin heng hmanrua te hian hlawkna leh hlauhawmna a nei vek a ni.
Eng nge a thatna?
- Nunna chhanhim theihna: Heng enkawlnate hi heart attack ang chi case-ah chuan nunna chhanhim thei a ni.
- Heart attack laka invenna: Thisen kalna kawngkhar (Blocked vessel) i hriat hmasak chuan heart attack a lo awm hmaa enkawl hmasain i veng thei ang.
- Lung hnathawh venhim: Rang taka enkawl a nih chuan thinlung ruh chhiatna chu a pumpelh vek thei a, a tlem thei bawk.
A hlauhawmna leh harsatna awm thei te chu engte nge ni?
A hlauhawmna chu enkawlna, i kum leh damdawi dang i neih (zunthlum leh thisen sang ang chi)-ah a innghat a ni.
| Enkawl dan tur | Risk awm tlangpui |
|---|---|
| PCI (stent dah dan) 1.1. | Thinlung emaw thisen kalna kawng emaw chhiatna, thinlung thawk mumal lo (arrhythmias) , thisen zam, stroke, emaw thisen chhuak. |
| CABG (Bypass Surgery hmanga tih a ni) . | Surgery-a risk awm thei. Entirnan, natna, thisen chhuah tam lutuk, hliam natna. |
Mahse, heng thilte hi hlau suh. I doctor chuan engkim uluk takin a hrilhfiah ang che a, i hlauhawmna tih tlem nan theihtawp a chhuah ang. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor zawt nghal rawh.
Eng chen nge a dam leh theih ang? Engtikah nge doctor ka hmuh leh a ngai ang?
PCI hnu ni engemaw zat chhungin nun pangngaiah i kir leh thei a, mahse CABG surgery atanga i dam kim theih nan thla engemaw zat a ngai thei. I doctor chuan eng chen nge i chawlh a ngai tih chiang takin a hrilh ang che, i tih theih leh tih theih lohte chu a hrilh ang che.
Enkawl zawhah a hnuaia symptoms te hi a lo lang a nih chuan doctor pan nghal tur a ni .
- A rilru natna (Angina) .
- Thâwk harsa (Dyspnea) .
- Luak chhuak emaw, lu hahdam emaw
- Thil hriatna hloh
Lung lam harsatna i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse, he enkawlna Coronary Revascularization an tih hian thinlung lam harsatna nasa takin a tidam thei a, a zual zel loh nan a veng thei bawk. A pawimawh ber chu he inenkawlna hi uluk taka hriatthiam a, hlau lova damdawi lam tanpuina tul tak tak dawng a, nun hrisel, hlim taka awm leh tum leh hi a ni.
Take-Home Thuchah a ni
- Coronary revascularization tih hian thinlung chhunga thisen kalna kawngkhar block-a thisen kalna tur siam\hatna tur enkawlna a kawk a ni.
- PCI (stent dah) leh CABG (bypass surgery) te hi hmanraw lian ber pahnih a ni.
- Heng enkawlnate hian heart attack a veng thei a, nunna a chhanhim thei bawk.
- Enkawl zawhah damdawi lam thupek dik taka zawm te, damdawi ei te, ei leh in thunun te, exercise lak te hi a pawimawh hle.
- I dinhmun tana damdawi tha ber leh a thatna leh that lohna te chu i doctor nen zalen takin sawiho rawh.
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