Heart attack chi hrang hrang na ber ber i zir dawn teh ang? (STEMI Lung natna) .

"Heart attack" tih thumal hi kan hre fo tawh a ni lawm ni? Kan chhungte zinga pakhat emaw, kan thianpa emaw pawhin a nei tawh pawh a ni mai thei. Mahse, heart attack chi hrang hrang a awm tih i hria em? Vawiin hian type pakhat, tlem a serious zawk leh enkawl vat ngai kan sawi dawn a ni. Hei hi Doctor ten STEMI an ti a. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

Engvangin nge STEMI an tih? Eng nge a awmzia?

A awlsam zawngin, heart attack chu thinlunga thisen pe chhuaktu thisen kalna kawng (artery) chu a inkhar nghal a, chu chuan heart muscle-a thisen kal chu a titawp a ni. Damdawi lam hawi chuan hei hi ``Myocardial Infarction'' an ti a.

Tunah chuan STEMI tih hming hi engtin nge a lo awm tih kan en ang. Damdawi inah ECG lak i hmu tawh ngei ang. Chu chu thinlung electrical activity enfiahna test a ni. Hetah hian heartbeat chu line graph angin kan entir a. Wavy line ang mai a ni a, tlang emaw, slope emaw ang mai a ni.

He ECG-ah hian a bik takin a awm a, chu chu ``ST-segment'' an ti a. Mi hrisel takah chuan he hmun hi a tlangpuiin a flat thin. Mahse, heart-a thisen pe chhuaktu thisen kalna kawng lian tak chu a block vek a, chu chu heart attack na tak a awm chuan he ST segment hi a lo sang chho ta a ni. Tlâng tê tê ang maiin.

He ECG inthlak danglamna hi doctor tan chuan chhinchhiahna pawimawh tak a ni a, a chhan chu thinlung hmun zau tak hian thisen a dawng tlem hle tihna a ni a, chu thinlung hmun thenkhat chu a thi mek tihna a ni. Chumi awmzia chu enkawlna chu tan nghal a ngai tihna a ni a, minute khat pawh tikhawtlai lovin .

Engtin nge STEMI hi a lo awm? Taksa chhungah eng thil nge thleng?

A tam zawkah chuan hei hi plaque, thinlung thisen kalna (coronary arteries) chhunga thau leh cholesterol awmkhawm vang a ni. Tui pipe chhunga rust lo awm ang maiin han ngaihtuah teh.

Heng plaque te hi zawi zawiin an lian chho zel a. Ni khat chu heng plaque zinga pakhat hi a puak nghal thei a ni. Tichuan kan taksa chuan chutah chuan hliam a awm niin a ngai a. Chuvangin chu hliam chu tidam turin thisen zam a siam a ni. Mahse he thisen zam hi a lian nghal a, chu vein chu a block vek a ni.

Chutah chuan buaina tak tak chu a intan ta a ni.

1. Artery a inkhar kim vek chuan a atanga thisen dawng thin heart muscle cell te chu oxygen an tlachham thin. Hetiang dinhmun hi `(ischemia)` kan ti a.

2. Oxygen tel lo chuan heng sa chi hrang hrangte hi zawi zawiin an thi tan thin.

3. Hetianga thinlung hmun zau tak a fail chuan thinlung hian taksaah thisen a pump tling thei lo. Hei hian natna hlauhawm tak ``cardiogenic shock`` an tih chu a thlen thei a ni.

4. Tin, heart muscle chhia chuan thinlung electrical activity a tibuai thei a, chu chuan heart beating (cardiac arrest) a titawp nghal thei bawk.

STEMI hi a tlangpuiin heart attack na zawk a ni. Chuvang chuan symptoms a intan veleh damdawi in pan vat a pawimawh. Rang taka thisen kalna kawngkhar kha i hawng thei a, thisen kal dan tur i siam that theih chuan thinlung chhiatna chu nasa takin i tihtlem thei a ni.

STEMI leh NSTEMI hi eng nge an danglamna?

NSTEMI chungchang pawh i hre tawh mai thei. An pahnih inkarah hian danglamna pawimawh tak tak a awm.

Hetiang hi tu nge vei thei ber?

Heart attack neih theihna tur risk factors hi chi hnih ah then theih a ni a, chungte chu kan thunun theih leh kan thunun theih loh te an ni.

Eng symptoms nge hriat theih?

Heart attack chhinchhiahna hi mi zawng zawng tan a inang vek lo a, mahse a lan chhuah dan tlangpui chu:

• Chest na emaw discomfort: Hei hi a symptom ber a ni. A rilru chhungril takah chuan tight, heavy, constricting sensation ang maiin a awm thei. He natna hi minute tlemte aia rei a daih thei.
• Hmun dangah natna darh: Chhung natna hi kut veilam, kut pahnih, kekawrte, kawr, hmui, hnungzang emaw, pum chunglam emaw thlengin a darh thei.
• Thâwk harsa: Thâwk harsa i ti thei a, rilru natna nei emaw nei lo emaw pawh a ni thei.
• Thawmhnaw: I vawt nghal mai thei a, i thawk hah tan mai thei.
• Nausea leh vomiting: Pum natna ang maiin a awm thei a, gastritis ang maiin a awm thei.
• Luak chhuak leh muhil: Luak chhuak leh ding thei lo anga inhriatna.
• Hlauhna nasa tak hriat: Chhan awm lovin hlauhna nasa tak, thih hlauhna pawh i nei thei.

Hmeichhia te tana mizia bik

Hmeichhia te hian a chang chuan rilru natna pangngai ang kha an hre lo thei. Chu ai chuan heng ang symptoms hi an nei thei zawk a ni.

• Chauhna danglam tak: Ni engemaw zat chhung chau lutuk tih hriat.
• Mu thei lo.
• Thâwk harsa.
• Hnunglam, kekawrte leh kekawrte na.
• Nausea leh luak chhuak.

Damdawi inah hian eng ang enkawlna nge tih thin?

STEMI-ah chuan nunna chhanhimna kawngah hian hun hi a pawimawh ber a, chuvangin enkawlna hi a rang hle.

1. Diagnosis nghal: ETU-a i rawn hruai veleh STEMI a nih leh nih loh finfiah nan ECG lak a ni.

2. Thisen zam tithianghlimtu damdawi: Damdawi in thenkhatah chuan thisen zam tang chu a hmin theih nan injection (thrombolysis) an pe thin.

3. Angioplasty leh stent dah (PCI): Hei hi STEMI enkawlna tha ber leh tunlai ber a ni. Hetah hian tube te tak te tak mai chu kut emaw ke emaw chhunga vein kaltlangin thinlung chhungah dahin thisen kalna kawngkhar (blocked artery)-ah dah a ni. Tichuan, tube tawp lama balloon te tak te chu an inflated a, chu chuan artery block chu a hawng a, chu hmunah chuan mesh ang chi ``stent`` an tih chu a block leh loh nan an dah a ni. Hei hi ``(Percutaneous Coronary Intervention - PCI)`` an ti a.

4. Bypass surgery (CABG Surgery): Thisen kalna kawng tam tak a block emaw, PCI a theih loh chuan thisen kalna kawng thar siam nan surgery neih a ni. Hei hi kawngpui khar paltlang tura ‘flyover’ thar siam ang a ni.

5. Damdawi dang: 1.1 .Heng enkawlna bakah hian damdawi engemaw zat, thisen tithianghlimtu (aspirin ang chi), cholesterol tihhniamna damdawi (statins), leh heart rate controlling drugs (beta-blockers) te chu i dam chhung zawng i ei a ngai dawn a ni.

Emergency a awm chuan engtin nge ka tih ang? 1990 hi ka call em? Nge car-in ka kal zawk?

Hei hi zawhna pawimawh tak a ni. Nangmah emaw, i hnaih ber tu emaw chuan heart attack symptoms a nei nia i rinhlelh chuan damdawi inah chuan lirthei khalh ngai suh. Mi dang khalh turin ngen ngai suh.

A tha ber chu ambulance service biak nghal mai hi a ni a, kum 1990 ang khan.

engvangin nge chu chu?

• Ambulance-a officer-te hi heng emergency chi hrang hrangah hian a bik takin training pek an ni. Damdawi ina hruai i nih lai hian enkawlna bulpui (oxygen ang chi) an pe tan thei a ni.
• Damdawi in ETU an hriattir lawk thei a, damlo chungchang chipchiar takin an pe thei bawk. Tichuan, i thlen hunah chuan doctor leh nurse te chu enkawl turin an inpeih tawh ang che. Chu chuan hun hlu tak a humhim a ni.
• Emergency, cardiac arrest ang chi a lo awm chuan ambulance hian a enkawl nan hmanraw mamawh (defibrillator ang chi) a nei a ni. In lama lirtheiah chuan chutiang chu i ti thei lo.