I thinlung chhunga artery pakhat chu a chhe nghal thei em? SCAD (Spontaneous Coronary Artery Dissection) chungchang hi i zir vek ang u!

Mi hrisel, exercise tha tak nei chuan engtin nge heart attack a neih thut theih ang tih i ngaihtuah ngai em? A nih loh leh, engtin nge hmeichhe naupang hrisel tak, nu lo ni ta chauh hian a rilru natna a neih thut theih ang? Vawiin hian thinlung natna mak deuh, mahse pawimawh tak mai kan sawi dawn a ni. Hei hi SCAD, a nih loh leh Spontaneous Coronary Artery Dissection kan tih chu a ni.

SCAD (Spontaneous Coronary Artery Dissection) tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin sawi ila, SCAD chu kan thinlunga thisen phurtu coronary arteries wall-a layer pahnih inkara rang taka inthen emaw, inthen emaw a ni. Hetiang hian han ngaihtuah teh: thisen kalna kawng chu tube te tak te ang a ni. He tube wall hi layer engemaw zat atanga siam a ni. SCAD-ah chuan heng layer pakhat hi a tear a, an inkarah thisen a chhuak thin. Chuti a nih chuan eng nge thleng? Chu thisen chu a khawlkhawm a, vein chhungah a leak lut thin. Balloon ang maiin a inflate thin. Chuvang chuan thinlunga thisen kal chu a tikhawlo a, a nih loh leh a kal zawi hle a ni.

Hei hi tui pipe chhunga tumor te tak te lo thang lian a, a block ang mai a ni. Tichuan thinlungin a mamawh oxygen leh nutrients a hmu lo.

SCAD hian Acute Coronary Syndrome (ACS) tih natna i neih theihna a tipung a ni. Hei hi coronary artery disease chi khat a ni bawk. Hei hian rilru natna, a nih loh leh angina . Heti hian heart attack a thlen thei bawk a, chu chuan nunna a tichhe thei a ni.

Heng thute hian eng nge a awmzia?

Heng thumal pathum SCAD awmzia hi a hrana kan en chuan he natna hi i hrethiam zawk ang.

• Spontaneous: Hei hian a thleng thut tihna a ni a, engmah vaukhânna awm lovin .
• Coronary Arteries: Hengte hi kan thinlunga oxygen tamna, thisen thianghlim pe chhuaktu thisen kalna kawng lian ber berte an ni. Coronary artery lian pahnih kan nei a, veilam leh dinglam a ni. Branch tenau zawkah an inthen a.
• Dissection: Damdawi lamah chuan he thumal hian tissue te chu layer-a then hran, tearing ang chi a kawk a ni.

I hrethiam em? Chumi awmzia chu, thinlung chhunga thisen kalna kawng pakhat chu chhan hriat loha chhungril atanga a lo puak darh thut hian hei hi SCAD kan ti tihna a ni.

Acute Coronary Syndrome hi eng nge ni?

Hei hi natna pakhat a ni lo. Thinlung lama thisen kal chu a tlahniam nghal mai thin, dinhmun hrang hrang engemaw zat sawina tlangpui a ni. Hei hi plaque, thisen kalna kawng chhunga thau awmkhawm ( atherosclerosis emaw "hardening of the arteries" tia hriat bawk) chu a lo chhe nghal mai hian a thleng fo thin. Hei hian nunna atana hlauhawm tak tak, heart failure, heart attack, emaw stroke .

Hetiang dinhmun hi engtiang chiahin nge SCAD tia koh a nih?

Medical expert-te chuan SCAD hi underdiagnosed condition a nih thu an sawi. Acute coronary syndrome (ACS) vei mi za zinga pali vel (4%) chuan SCAD an vei nia chhut a ni. Tin, hmeichhia kum 50 hnuai lam ACS vei pali zinga pakhat (25%) vel chu SCAD hi a ni! Chumi awmzia chu i ngaihtuah aiin hmeichhe naupang zawkah a tam zawk mai thei tihna a ni.

Engvangin nge SCAD hi a lo awm? A chhante chu engte nge ni?

Mithiamte chuan SCAD hi eng nge a thlen tih chiang takin an la hre lo. Mak tak maiin, he natna vei tam tak hi an naupang a, an fit a, an hrisel bawk. Tin, prior heart disease an nei lo bawk.

SCAD vei thenkhat chu tun hnaiah nau an pai thin . Tin , SCAD hi thlasik lai emaw menopause hnu emaw a awm tam zawk tih hmuhchhuah a ni bawk . Chuvangin hmeichhe hormone inthlak danglamna hian he thilah hian chanvo a nei thei tih rinhlelhna a awm.

SCAD hi mipaah ​​a awm lo hle a, za zela sawm aia tlem (10%)-ah a awm. Mipaah ​​chuan he mittui hi exercise nasa tak (strength training) emaw, thil rit tak chawi emaw hnuah a thleng fo thin . He taksa thawhrimna hian thisen kalna bang a tikehsawm thei a ni.

A tlem hle a, luak chhuak nasa emaw, khuh chakna emaw hian he artery wall hi a ti chhe thei a ni. A châng chuan, accident na tak a thlen lai emaw, cardiac catheterization ang chi damdawi lam thil tih lai emaw pawhin coronary artery chu a chhe thei a ni. Amaherawhchu, a chhan a awm.

Tute nge SCAD vei theihna chance sang zawk?

Damdawi lam harsatna thenkhat nei te chu coronary artery rupture an vei theihna a sang zawk. Eng nge an nih i han en teh ang:

• Connective tissue natna - entirnan Marfan syndrome .
• Thisen sang (Thisen sang hlauhawm tak).
• Fibromuscular Dysplasia (FMD) - Hei hi thisen kalna kawng (arteries) a tibuaitu a ni.
• Thyroid hnathawh a tlahniam ( Hypothyroidism ).
• Inflammatory diseases - entirnan lupus , multiple sclerosis (MS) , leh sarcoidosis te hi a ni.
• Substance hmansualna (substance hmansualna) .

SCAD natna lan chhuah dante chu engte nge ni? Engtin nge an hriat chhuah?

SCAD avanga thinlunga thisen kal a tlahniam chuan heart attack emaw, rilru natna chi khat , unstable angina tih emaw a thlen thei a ni. Hetiang angina chi hi a hlauhawm hle a, a chhan chu heart attack hlauhawmna a tipung a ni.

SCAD hi medical emergency a ni a, enkawl vat a ngai a ni. A hnuaia heart attack symptoms te hi i neih chuan 911 ah call nghal rawh (Sri Lanka ramah chuan 1990 Suwaseriya Ambulance Service call rawh):

• Luak chhuak emaw, muthilh emaw ( syncope ).
• Thaw tam lutuk ( Hyperhidrosis ) emaw, khawsik emaw.
• Lung natna emaw arrhythmia emaw .
• Kut, kekawrte emaw, hmui emaw hmuna ruh leh ruh natna .
• Nausea leh vomiting, emaw, pum na ( indigestion ) tih hriatna.
• Thâwk a tawi.
• Chest tightness, pressure emaw, natna emaw.

Heng symptoms te hi heart attack nen a inang chiah chiah a ni. Chuvangin, hetiang thil hi i tawng a nih chuan , tihkhawtlai suh.

Engtin nge SCAD hi hmuhchhuah a nih? (Diagnosis) tih a ni.

SCAD hmuhchhuah hi a harsa thei hle. I rilru natna emaw, thinlung natna lan chhuahna dang emaw i neih chuan i doctor chuan SCAD a awm leh awm loh enfiah nan hetiang test hi a ti thei ang:

• Enzyme marker test: Heart attack laiin thisenah cardiac enzyme thenkhat awm khawm chu a sang em tih a enfiah thin.
• Angiogram: Hei hian i thinlung chhunga thisen kal dan chu three-dimensional (3D) moving image-ah a hmu thei a. Hei hian Coronary Computed Tomography Angiogram (CCTA) emaw , Magnetic Resonance Angiogram (MRA) emaw a huam thei a ni.
• Intravascular Optical Coherence Tomography (IVOCT): Hei hian thisen kalna kawng chu a chhung lam atanga pawn lam atanga enfiah theih a ni.
• Intravascular Ultrasound (IVUS): Hei hian thisen kalna kawng chhungah thlalak chiang tak, chipchiar tak a siam thei a ni.

Heng test te hian doctor te chu coronary artery torn emaw heart condition dang emaw i neih leh neih loh chiang taka hriat theihna a ni.

SCAD hi engtin nge enkawl a nih?

SCAD vei tam zawk, hmun li a\anga hmun thum (75%) vel chu damdawi hmangin an dam leh \hin. Hengte hi damdawi chi hrang hrang pek thinte chu an ni:

• Thisen sang damdawi (e.g., beta blocker ) te.
• Cholesterol level sang control thei damdawi.
• Thisen zam tur venna damdawi ( antiplatelet damdawi ).

Mahse, SCAD vei zinga 14% vel chuan natna khirh tak an nei thei a ni. Chutiang mite chu damdawi inah dah a ngai mai thei a, emergency treatment an dawn a ngai mai thei. Chutiang enkawlnaah chuan:

• Cardiac catheterization , coronary angioplasty leh stent dah te pawh a awm bawkHei hian thisen kalna kawng khar chu balloon ang chi thil hmanga inflate a, a block leh loh nan mesh (stent) te tak te dah a ni.
• Coronary Artery Bypass Grafting (CABG): Hei hian thisen kalna kawngkhar (blood vessel) tan kawng thar siam a huam a ni.
• Mechanical circulatory support device dah, chu chu Left Ventricular Assist Device (LVAD) , emaw Implantable Cardioverter Defibrillator (ICD) emaw a ni.
• Heart transplant - Hei hi a tlem hle.

A tam zawkah chuan doctor-te chuan damdawi hmanga enkawl an tum a, chu chuan thisen kalna kawng chhe tawh chu a mah chauhin a dam thei a ni. Surgery hi a tul tak tak a nih chauhvin a tul anga ngaih a ni.

SCAD hi ven theih a ni em?

Vawi khat chu thisen kalna kawng (artery) i lo chhe tawh a nih chuan, chutiang thil a thlen leh loh nan taksa tihchakna hahthlak tak tak leh chakna inzirtirna engemaw zat tihtlem a ngai mai thei. I doctor chuan cardiac rehabilitation program ah pawh a refer thei bawk che . Hei hian i thinlung hriselna a tichak thei a, him taka exercise lak dan a zirtir thei bawk.

SCAD leh hormonal birth control inkarah hian direct link hmuh tur awm lo mah se, doctor tam tak chuan nonhormonal birth control options ngaihtuah hmasak an rawt a ni. Entirnan, mipa tan vasectomy emaw hmeichhia tan tubal ligation emaw tih tur a ni. I doctor hnenah eng method nge i tan a tha ber tih zawt rawh.

Lung natna i neih theihna tur tihtlem nan hengte hi i ti thei bawk:

• Cholesterol level tihhniam nan thinlung hriselna atana tha ei tur ei thin ang che.
• Salt ei tlem la, thisen sang control rawh.
• Zu in hi tihtlem rawh. Zu in chungchangah harsatna i neih chuan tanpuina la rawh.
• Thau i ei chi hrang hrangte kha hre reng la, thau hrisel lo i ei tam loh nan.
• Zunthlum i neih chuan , control tha rawh.
• Meizial i zuk chuan bânsan tûrin ṭanpuina la rawh.
• Taksa chak takin awm la, taksa rihna hrisel tak vawng reng rawh.

SCAD vei tan chuan eng nge a hmalam hun?

SCAD hi nunna atana hlauhawm tak a ni. A vei zinga 5% vel chu an thi thin. Vein a phelh chuan a hnuaia hlauhawmnate hi a thlen thei a ni:

• Chronic angina: Mi tlemte chuan rilru na reng reng emaw, pressure emaw an nei thei. Hei hian damdawi hmanlai nitroglycerin ang chi te chu a chhang tha lo mai thei .
• Natna lo lang leh zel: 1.1.Mi sawm zinga pakhat (10%) vel chuan enkawl hmasak ber atanga kum thum chhungin SCAD an vei leh ang. I doctor chuan heng mittui te hi hriat hmasak tumin test a nei fo ang.
• Lung natna: SCAD hian thinlung chhehvela bawm awm chu a ti na thei a, chu chu pericarditis an ti a ni. I doctor chuan he harsatna hi a awm leh awm loh enfiah nan cardiac MRI emaw angiogram emaw ang chi test a ti thei ang.

Chuvangin, SCAD vei hnuah damdawi lam instruction dik taka zawm a, a hun taka test neih a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Heart attack i nei nia i hriat chuan 911 (Sri Lanka-ah 1990) ah call nghal rawh.

Tin, heng symptoms te hi i neih chuan doctor pan bawk ang che:

• Chest na emaw pressure emaw ( Angina ).
• Thawmhnaw lum tak.
• Kut, hmui, emaw kekawrte na.
• Thâwk harsa.
• Chhan awm lovin chau lutuk, luak chhuak, chak lo lutuk anga inhriatna.

Ka doctor hnenah eng nge ka zawh ang?

SCAD i vei tih hmuhchhuah a nih chuan i doctor hnenah heng zawhnate hi i zawt mai thei:

• Eng thilin nge he SCAD hi ka neih chhan?
• SCAD hi ka hmu leh thei ang em?
• Ka thinlung hriselna humhim turin eng nge ka tih ang?
• Complication symptoms hi ka ngaihtuah tur em ni?

SCAD hi heart disease vei theihna tlemte, a bik takin hmeichhiate zingah heart attack ang chi symptoms a awm thin a ni. Heart attack symptom i neih chuan emergency medical services call nghal rawh. Test-naah SCAD i nei tih a chiang a nih chuan i doctor chuan enkawlna kawng hrang hrang a sawipui ang che. Enkawlna hmang pawh nise, thisen kalna kawng (artery) chu a chhe leh mai thei. Chutiang hlauhawmna chu tihziaawm nan i doctor chuan i thinlung hriselna chu uluk takin a enfiah ang.

Take-Home Thuchah a ni

Okay, chuti a nih chuan SCAD chungchang hi kan sawi nasa hle a ni lawm ni? Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• SCAD hi beisei loh takin heart attack a lo awm nghal a, a bik takin hmeichhe naupang, hrisel tak takte chu a nghawng thei a ni.
• A symptoms chu heart attack ang chiah a ni. I rilru na, thawk harsa, thawk hah i neih chuan ngaihthah suh. Damdawi lam thurawn zawng nghal rawh.
• SCAD diagnose hi a buaithlak deuh thei a, mahse test dik tak hmangin a dik tih finfiah theih a ni.
• Damdawi hmanga tihdam theih a ni fo a, mahse mi thenkhat chuan zai emaw, enkawlna dang emaw an mamawh mai thei.
• SCAD zawhah nunphung tihdanglam leh damdawi lam thurawn zawm a pawimawh hle. Hei hian a lo lang leh theihna a ti tlem thei a ni.

Nangmah emaw, i hriat miin emaw heng symptoms te hi an neih chuan hlauthawng suh la, rei lovah Doctor pan rawh. I hriat chhuah hma chuan enkawlna a hlawhtling thei ang. Hrisel takin awm rawh!

` Spontaneous Coronary Artery Dissection, SCAD, heart attack, rilru na, coronary artery, hmeichhe hriselna, emergency care