Coronary Revascularization (thinlung lama thisen kal lehna tur enkawlna) chungchang hi han zir chiang ila.

I thinlunga thisen tling lo avanga lo awm thin hrehawmna leh rilru natna chu i tawng tawh mai thei. Heart attack pawh i hlau tawh mai thei. Hei hi a chhan ber chu thinlunga thisen petu coronary arteries block vang a ni. Vanneihthlak takin tunlai hian heng thisen kalna kawngkhar khar te hi hawng leh thei tur leh thinlungah thisen a kal tha thei tur enkawlna changkang tak tak a awm ta a ni. Vawiin hian kan sawi dawn a, thinlung tiharh thei heng enkawlnate hi kan sawi dawn a ni.

‘Coronary Revascularization’ tih hi eng nge ni?

A awlsam zawngin, hei hi i heart muscle-in a mamawh thisen a hmuh loh laiin thisen kal lehna tura hman thin treatment set a ni. He natna hi damdawi lam chuan ``Ischemia'' an ti a. Heng enkawlnate hian heart attack a thlen hnua a veng thei a, chubakah heart attack vei theihna sang tak nei te tan pawh a pui thei bawk.

A hnuaia enkawl dan pahnih kan sawi ber a ni:

• Percutaneous Coronary Intervention (PCI): Hei hi operation a ni lo. Thisen kalna kawngkhar chhungah tube te tak te dahin a chhung atanga a khar lai chu zau zawka siamin thisen kalna tur a siam tha leh thin. Mi tam tak chuan hei hi ‘stenting’ tiin an hria.
• Coronary Artery Bypass Grafting (CABG): Hei hi thinlung chhunga thisen kalna kawngkhar (Blocked artery) vel a thisen kal theihna tur ‘bypass’ thar, a nih loh leh side route siamna a ni.

Engvangin nge heng enkawlnate hi hman a nih?

Hun kal zelah kan kitchen sink drain-te chu oil leh bawlhhlawhin a khuh ang bawkin, thau ang chi waxy substance chu kan thinlung thisen kalna kawngah a lo awm tan ta a ni. He plaque hi kan ti a ni . Hei hi thisen kalna kawng chhungah plaque a lo awm khawm a, a ti tawi a, chu chu ``Atherosclerosis`` an ti a, hei hi coronary artery disease chhinchhiahna lian tak a ni.

Hun a kal zel a, heng deposit te hi thisen kalna kawngah a zim hle thei a ni. A chang chuan heng deposit zinga pakhat a rupture chuan thisen zam a lo awm thei a, chu vessel chu a block vek thei bawk. Hei hian thinlung hmun thenkhat chu thisen supply a hloh a, chu hmuna cell te chu an thi tan thin. Hei hi heart attack an ti a .

Heng enkawlna te hi thinlung natna eng pawh ``Acute Coronary Syndrome'' category hnuaia awm tan a ngai a ni. Entir nan:

• Lung natna
• Stable angina - rilru natna, chawlh hahdamna a reh a, exercise nen a zual zel
• Unstable angina - Beisei loh taka rilru natna, chawlh lai pawhin a awm

Enkawl hma hian eng nge thleng thin?

Hetiang enkawlna i neih hma hian doctor-te chuan test eng emaw zat an nei ang a, i dinhmun dik tak an zirchiang ang a, i tana tha ber tur an thlang ang. Chung zinga ṭhenkhat chu:

• ECG (Electrocardiogram): Thinlung electric hnathawh dan enfiahna.
• Echocardiogram: Thinlung scan a ni.
• Cardiac Catheterization (Angiogram): Thinlung thisen kalna kawngah dye inject a, X-ray hmanga blockage awm leh awm loh enfiah thin a ni.
• X-ray Angiography emaw CT Angiography: Computerized tomography scan hmanga thisen kalna kawng enfiah.
• Thisen test: Thisen Count kimchang, Cardiac Enzymes, etc.

Procedure hi emergency a nih loh chuan i doctor chuan procedure hma darkar engemaw zat chaw nghei turin a fuih ang che. Tin, tih tan hmain i kut ah IV line dah a ni ang a, chu chuan awlsam taka damdawi leh tui mamawh te chu i pe thei ang. PCI lai hian mut hahdamna tur damdawi pek i ni ang a, CABG surgery neih lai hian general anesthetic pek i ni bawk ang.

Enkawl lai hian eng nge thleng?

PCI leh CABG hian tum inang nei mah se, an tih dan erawh a danglam vek. Engtin nge tih hi han thlir ila.

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 hrang hrang, i hriselna zawng zawng leh emergency a nih leh nih lohah a innghat a ni. A tlangpuiin PCI atanga a dam leh theih nan ni tlemte chauh a ngai thin. Mahse, CABG surgery atanga a dam kim theih nan kar emaw thla tam tak emaw a ngai thei.

I doctor chuan cardiac rehabilitation program-ah tel turin a rawt thei che a ni . Hêng programme-ah hian doctor-te, nurse-te, exercise zirtîrtute, leh nutritionist-te chuan exercise \ha tak siam dân te, i ei leh in thunun dân te, leh i damdawi ei dân dik dân te zirtîr chein an thawk ho a ni.

Tin, hun ruat (follow-up visits)-a doctor pan leh a , test neih a pawimawh bawk. Doctor thupek dik taka zawm chuan i damna a ti chak ang.

Heng enkawlnate hian eng hlawkna nge a neih?

• Heart attack ven dan: Heart attack a awm hmaa coronary artery disease hmuhchhuah a nih chuan he enkawlna hian a veng thei a ni.
• Nunna chhanhim: Heart attack hi nunna atana hlauhawm emergency a ni. Chutiang hunah chuan heng enkawlnate hian nunna a chhanhim thei a ni.
• Heart function humhalh: A hmaa enkawl hian ischemia vanga heart cells thihna a veng thei a ni. Hei hian thinlung chhiatna nghet tak chu a ti tlem thei a ni.

Heng enkawlnate hian hlauhawmna a nei em?

Damdawi enkawlna dang ang bawkin, i hriselna dinhmun leh enkawlna i tih dan azirin hlauhawmna a awm a ni.

• PCI tan: Thisen kalna kawng chhiatna, thinlung thawk mumal lo (arrhythmias), thisen zam, stroke, thisen chhuah theihna a tlem thei.
• CABG tan: Surgery hian natna, thisen chhuah leh natna hrik kai theihna a keng tel a ni.

Hemi chungchanga zawhna emaw ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh . I dinhmun azira hlauhawm lo awm theite chu chiang takin a sawifiah ang.

Engtikah nge doctor i hmuh leh ang?

Enkawlna i neih zawh chuan a hnuaia symptoms te hi a lo lang leh a nih chuan doctor hmu nghal la , emaw Emergency Department (ETU) ah kal rawh.

• Chhuak na emaw, tightness emaw (Angina) .
• Thâwk harsa (Dyspnea) .
• Luak chhuak emaw, muhil emaw tih hriat
• Fainting a ni

Lung natna chungchang i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse heng ang enkawlna changkang tak takte hriatthiamna hmang hian chu hlauhna chu i hneh thei a, a tul anga enkawlna i hmu thei a, nun hrisel takin i hmang leh thei bawk.