Lung natna ang maiin a lang thei a, mahse a ni lo mai thei: Spontaneous Coronary Artery Dissection (SCAD) .

Mi hrisel tlangpui, natna leh hrehawmna bik nei lo, nitin hna thawk chhuak i ni ang tih han ngaihtuah teh. Exercise i ti a, i ei tha a, i in bawk. Mahse, rang takin, beisei loh takin i rilruah natna nasa tak, tightness i nei ta a. I thawk hah tan a, thawk harsa i ti a, i kut hnuai lam pan thei natna i nei bawk. I rilrua lo lang hmasa ber chu eng nge ni? "Aw, heart attack ka nei em?" Chu chu hlauhna chu a ni lo maw? Mahse heng symptoms te hi kan hriat angin heart attack pangngai symptoms nen hian a inang vek lo. Vawiin hian medical emergency, a hmel inang, mahse a danglam deuh deuh, a bik takin hmeichhe naupang, hrisel tak takte zingah kan sawi dawn a ni. Hei hi `Spontaneous Coronary Artery Dissection` emaw, a tawi zawngin `(SCAD)` emaw kan ti a.

A awlsam zawngin SCAD chu eng nge ni?

A hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan thil awmdan hriatthiam a awlsam khawp mai. Kan thinlung hi motor hnathawk reng angin ngaihtuah rawh. He motor hian a hnathawh theih nan thisen supply reng reng a mamawh a, chu chu oxygen leh nutrients tihna a ni. He thisen hi pipe system te tak te ang maia thisen kalna kawngte hian thinlung ruh lamah a phur a ni. Hengte hi coronary arteries kan tih te hi an ni.

Tunah chuan he coronary artery hi tube ang ni mahse, a bang hi layer pathum atanga siam a ni a, chu chu glue in a inzawm khawm a ni. Layer cake ang maiin. SCAD chungchangah chuan thil thleng chu, chhan hriat lohvin, he artery wall chhunga layer pakhatah hian mittui te tak te a lo awm nghal a ni.

Tui pipe chhung lam chu tlem a hrual chuan eng nge thleng tih han ngaihtuah teh. Tui pressure hian tear atang hian tui a luang chhuak a, pipe bang pahnih inkarah a tang ta a ni. Chutiang bawkin artery-ah tear a awm chuan high pressure hnuaia thisen luang chu heng membrane pahnih inkarah hian a leak a, a inzawm khawm thin. Chutianga thisen a tang chuan chutih lai chuan artery wall-ah a bulge lut a, thisen kal chu a tikhawlo a ni. Hei hi ``hematoma`` an ti a. Hetianga thisen kalna a zim emaw, a block vek emaw chuan thinlung ruh thlenga thisen a thlen zat chu a tlahniam a ni. Chutah chuan a hmaa kan sawi tawh ang khan heart attack symptoms chu a lo lang ta a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

SCAD symptoms hi heart attack pangngai nen a inang hle a, chuvangin a pahnih hi inzawmkhawm a awlsam hle. Mahse heng symptoms te hi i neih chuan medical emergency anga enkawl a pawimawh .

SCAD vei theihna tur hian tute nge hlauhawm ber?

Hei hi SCAD chungchanga thil mak ber a ni. Heart attack hi kum upa lam, zunthlum, thisen sang, leh cholesterol ang chi risk factor nei te zingah a awm tlangpui. Mahse SCAD hi chutiang chu a ni lo.

• Hmeichhiaah a tam ber: SCAD vei 10 zinga 9 chu hmeichhia an ni.
• Kum naupang takah: Hetiang dinhmun hi a awm fo thin a, a bik takin hmeichhe hrisel kum 40-50 inkar, thinlung natna hlauhawm dang nei lote zingah a awm fo thin.
• Naupai kaihhnawih: Hmeichhe thenkhat chuan naupai lai emaw, nau an pai hnuah emaw he natna hi an nei thei. Hormone inthlak danglam leh nau neih laia stress vang nia ngaih a ni.
• Taksa emaw rilru lama harsatna nasa tak: Thil rit phurh nghal vat te, exercise nasa tak neih te, emaw, rilru lama harsatna nasa tak emaw, lungngaihna emaw hi SCAD natna thlentu a ni thei.
• Damdawi lam thil dang: Fibromuscular Dysplasia (FMD) (thisen kawng bang tichak lo thei natna), connective tissue natna Marfan syndrome ang chi, leh lupus vei te pawh an hlauhawm hle.

Engtin nge doctor hian hei hi a hriat chian?

Emergency room-a i kal hian doctor-te tih hmasak ber chu heart attack i nei em tih an enfiah hmasa thin. Heart attack i neih leh neih loh hriat nan test engemaw zat an nei thin. SCAD dik taka hriat theih nan test bik neih a ngai a ni.

Engtin nge enkawl a nih? A dam leh theih nan eng chen nge hun a duh?

SCAD enkawlna hi heart attack pangngai enkawlna aiin a danglam deuh hlek a ni. Mak tak maiin, SCAD vei tam zawk hi chu damdawi hmanga hun kal zelah anmahniin an reh a, operation emaw, procedure lian tham emaw pawh tih ngai lovin. Taksa hian a mah chauhin thisen kalna kawng chhe tawh chu a tidam thei a ni.

Enkawl dan tur

• Damdawi hmanga enkawlna: Thisen zam venna damdawi aspirin, heart rate leh thisen sang control leh thisen kalna kawng ti hahdamna tur beta-blocker te, rilru natna control na damdawi te hi a pawimawh ber a ni.
• Damdawi ina dah: Damlo chu damdawi in intensive care unit emaw ward-ah ni eng emaw zat dah a ni a, a thinlung hnathawh dan uluk taka enfiah a ni.
• Angioplasty leh Senting: Hei hi tih a tlem hle. Artery chu a block vek a, damlo nunna a hlauhawm phawt chuan balloon hmangin artery chu inflate a ni a, mesh ang chi device (stent) dahin a inhawng reng a ni.
• Bypass Surgery: Hei hi SCAD tan chuan tih a tlem hle.

Dam leh hun chhung hi mi hrang hrangah a inang lo. A tlangpuiin damdawi inah ni 3-5 vel i awm a ngai dawn a ni. Artery chhe tawh chu a dam kim theih nan kar engemaw zat emaw, thla tam tak emaw pawh a ngai thei. Amaherawhchu, he hun chhung hian doctor thupek uluk taka zawm a pawimawh hle.

A dam leh hnuah

I dam hnuah pawh cardiologist enkawlna hnuaiah clinic-ah i kal chhunzawm zel a ngai dawn a ni.

• Cardiac Rehab: Hei hi a pawimawh hle. He program hian damdawi lam enkawlna hnuaiah him taka exercise i tih theih nan a pui a, thinlung hriselna atana tha ei tur i ei a, stress i enkawl bawk.
• Nunphung thlak danglam: I doctor chuan thil rit phurh leh i taksaah harsatna nasa tak thlen thei thil tih loh turin a fuih thei che a ni.

SCAD a lo awm hian hlauhna leh lungkhamna a awm a, "Hetiang thil hi a thleng leh dawn em ni?" Hemi chungchang hi i doctor nen inhawng takin sawi rawh. A tul chuan psychological counseling zawng rawh.