Silent heart attack hi i hre chiang em?

"Heart attack" tih thumal kan hriat hian movie-a mi pakhatin a rilru a vuan a, leia a tlak hmain na takin a au chhuak thin tih kan ngaihtuah nghal a. Dik tak chuan heart attack tam zawk hi chu rilru natna nasa tak nen a lo thleng thin. Mahse, heart attack thenkhat chu thawm awm lovin, ri bengchheng ang maiin a lo thleng thin tih i hria em? Hei hi damdawi lama "silent heart attack" kan tih chu a ni. Hei hi a hlauhawm hle a, a chhan chu kan hre lo mai thei a, a hun takah enkawl kan hmu lo mai thei bawk.

A awlsam zawngin, he Silent Heart Attack hi eng nge ni?

Silent heart attack hi heart attack pangngai ang mai a ni. Damdawi lam hawi chuan hei hi ``Myocardial Infarction'' nen a inang reng a ni. A awlsam zawngin kan thinlung hi taksa ruh (muscle tissue) atanga siam pump a ni. Heng muscle tissue te hian an hnathawh theih nan oxygen leh nutrient tamna thisen supply reng reng an mamawh a ni. He thisen hi thinlung chhung ngeia thisen kalna kawng te tak te ``Coronary Arteries'' an tih hmanga pek a ni.

Thisen kalna kawng khatah cholesterol a pungkhawm a, chu chu plaque an ti a, zawi zawiin a inkhar ta a ni tih han ngaihtuah teh. Ni khat chu he plaque hi a puak a, thisen zam a lo awm a, thisen kalna kawng chu a inkhar vek a ni. Tichuan chu thisen kalna kawng atanga thisen pe thin heart muscle chuan thisen a dawng tawh lo. Chu ruh chuan oxygen a hloh chuan a thi tan ta a ni. Chu chu heart attack an tih chu a ni.

Heart attack pangngaiah chuan hei hi rilru natna nasa tak nen a thleng thin. Mahse silent heart attack-ah chuan he thinlung chhiatna hi chhinchhiahna awm lovin, a nih loh leh kan ngaihven vak loh chhinchhiahna tenau tak tak nen a thleng thin. Thil hlauhawm tak chu, a chhiatna chu a pahnih hian a inang thei a ni. Mahse symptoms a awm loh avangin enkawlna i mamawh tih i hre lo.

Symptom hrang hrang hi kan hrethiam tak tak em?

Hei hi a pawimawh ber a ni. Heart attack pangngai leh silent heart attack symptoms te hi kan hriat a ngai a ni. I thianpa chuan rang takin a rilru a na tih a sawi a nih chuan damdawi inah i hruai nghal mai ang tih han ngaihtuah teh. Mahse, "Tlemin ka luak chhuak deuh niin ka hria," a tih chuan chu chu kan ngaihven vak lo ang, a dik em? He danglamna hi han en teh.

Tu nge hlauhawm zawk?

Mi thenkhat chuan midang aiin heart attack an nei tam zawk. Hengte hi "risk factors" kan ti thin. Chung zinga ṭhenkhat chu kan thunun thei a, ṭhenkhat erawh chu kan thlak danglam thei lo.

Risk factors kan control theih

• Thisen sang (High Blood Pressure): Thisen sang a san chuan thinlungin harsatna nasa tak a nei a, thisen kalna kawngte pawh a chhiat phah thin.
• Cholesterol sang: Cholesterol "Bad" (LDL) chu thisen kalna kawngah a pungkhawm a, a tikhawlo thin.
• Diabetes: Zunthlum vei te hian thisen sugar level sang vangin thisen kalna kawng a tichhe nasa zawk. Silent heart attack hi zunthlum vei leh hmeichhiaah a tam hle.
• Meizial zuk: Meizial hi thinlung hmelma lian ber pakhat a ni. Thisen kalna kawng a tikhawlo a, thisen zam a tipung bawk.
• Thau lutuk leh exercise lak loh: Taksa rihna a san a, exercise a tlakchham chuan thisen sang atanga cholesterol leh zunthlum thlengin kawng engkim a hawng a ni.
• Stress lutuk: Stress chhunzawm zel pawh hi thinlung tan a tha lo.
• Ei leh in hrisel lo: Chaw thak, chi leh sugar tamna ei hi thinlung tan a tha lo.

Risk factor kan thlak danglam thei lo

• Kum: Kum upat rualin a hlauhawmna a sang chho zel a, a bik takin mipa tan kum 45 an tlin hnuah leh hmeichhia tan chuan menopause hnuah a hlauhawmna a sang hle.
• Chhungkaw chanchin: I chhungte hnai tak (nu, pa, unau) zinga pakhatin a naupan laiin lung natna a vei a nih chuan nang pawh i hlauhawmna a sang zawk.

Engtin nge silent heart attack i nei tawh tih i hriat theih ang?

Hei hi buaina lian ber a ni. Vawi tam tak chu, mi chuan kar tam tak, thla tam tak, a nih loh leh kum tam tak hnuah pawh silent heart attack a nei tih a hre chhuak chauh a ni. Chu pawh chu accident a ni. Thil dang vangin doctor hnenah i kal a, `ECG` (Electrocardiogram) i nei ang tih han ngaihtuah teh. Chutah chuan doctor chuan a hmain i thinlungah chhiatna engemaw zat a awm tih a hmu ta a ni.

Hei hi hriat theihna atana test hman tlangpui chu:

• ECG (Electrocardiogram): Hei hian thinlunga electrical activity a test a, heart muscle-ah chhiatna a awm em tih a enfiah thin.
• Echocardiogram (Echo): Hei hi thinlung scan ang a ni. Thinlung hnathawh dan te, thisen a pump dan te, chhiatna a awm leh awm loh a enfiah thei a ni.
• Thisen Test: Heart attack lai hian heart muscle atanga enzyme thenkhat (Cardiac Enzymes) thisenah a chhuak thin. Chungte chu test theih a ni.
• Stress Test: Treadmill-a kal laiin ECG lak a ni a, chu chu thinlungin thawhrimna a chhan dan en a ni.

Ringhlelna i neih chuan eng nge i tih ang? Enkawlnate chu engte nge ni?

Hei hi emergency a ni! Heart attack symptoms i neih chuan eng ang pawhin na lo mahse damdawi inah mahni chauha kal tum suh.

1. 1990 call nghal rawh: Ambulance hi a tha ber leh him ber a ni. Ambulance chhunga paramedics te chuan damdawi ina an hruai laiin first aid tul an tan thei a ni.

2. Damdawi in hnai ber Emergency Department (ETU) ah kal: Ambulance i nghah theih loh chuan a rang thei ang bera tu emaw puihnain ETU ah kal rawh.

Hospital-ah chuan doctor-te chuan i dinhmun chu rang takin an zirchiang ang a, enkawlna an tan ang.

• Oxygen pek chhuah.
• Thisen zam a lo awm loh nan aspirin ang chi damdawi pek.
• Natna tihziaawmna tur damdawi pek.
• Thisen kalna kawng khar hawn nan enkawlna. Chumi atana hmanraw lian pahnih a awm a, chungte chu:
• Angioplasty: Hetiang tih danah hian ke emaw kut emaw hmangin thinlung chhunga thisen kalna kawng khar chhungah tube te tak te ``catheter`` an tih chu dahin, balloon hmangin a inhawng a ni. Vawi tam tak chu a block leh loh nan mesh ang chi ``stent`` an tih chu an dah lut thin.
• Coronary Artery Bypass Graft (CABG): Thisen kalna kawng chu nasa taka a inkhar chuan taksa peng dang (ke ang chi) atanga thisen kalna kawng khat lak a ni a, a khar lai vel chu kawng thar siam a ni. Hei hi operation lian tak a ni.

Hetiang thil hi a thleng leh tawh loh nan eng nge tih tur?

Heart attack hnu hian i nunah phek thar i hawn a ngai a ni. Hlauh tur a ni lo, i thinlung humhimna chance pahnihna i neih a ni.

• I doctor-in damdawi a pek ang chiah kha ei rawh: I dam chhung zawnga ei tur damdawi engemaw zat pek i ni ang. Chung zingah chuan cholesterol tihhniamtu ``Statins``, thisen sang control tu ``Antiplatelets``, leh thisen zam venna ``Antiplatelets`` ang chi damdawi te pawh a tel. Hengte hi ni khat pawh lo thlir ve suh.
• Thinlung hrisel ei: A theih ang anga hriak, chi leh sugar tihtlem. I eitur ah hian thlai, thei, legumes leh sangha te te telh bawk ang che.
• Exercise: Ni khatah minute 30 tal kea kal thin ang che. I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
• Meizial zu kha bansan vek rawh: Cigarette pakhat mah in suh.
• I taksa rihna control: I san zawng atan taksa rihna hrisel tak vawng reng ang che.
• Stress enkawl rawh: Meditation, yoga, leh i hobby nuam tak tih ang chi thil tih hian stress i tihziaawm thei a ni.
• Cardiac Rehab Program-ah tel ve rawh: Damdawi in thenkhatah chuan heart patient-te tan bik rehabilitation programme an nei a. Chung atang chuan exercise, ei leh in leh rilru hriselna chungchang tam tak i zir thei a ni.