I thinlung a chak lo em ni? Systolic Heart Failure chungchang hi i zir dawn nia.

A chang chuan thawk harsa i ti em? Hna tlemte i thawh hnuah pawh i chau tih i hria em? Nge i ke a hring em? Chûngte chu i thinlung a chak lo deuh tih chhinchhiahna a ni thei. Vawiin hian he thinlung natna, ‘Systolic Heart Failure’ chungchang hi kan sawi dawn a ni. Hei hi a pawi deuh hlek nachungin, a hmaa hriat a nih a, uluk taka enkawl a nih chuan control theih a ni.

Systolic Heart Failure hi eng nge ni?

A awlsam zawngin i thinlung hian pindan lian pali a nei a. Veilam a lower chamber, left ventricle an tih hian taksa pum puiah oxygenated thisen a pump chhuak a. Tui pump ang maiin a thawk a ni. Tunah chuan he systolic heart failure an tih dinhmunah hian left ventricle chu a chak lo ta a ni. Chu chu thisen a pump tha thei lo tihna a ni a, tha takin a pump thei lo tihna a ni.

Chuti a nih chuan eng nge thleng? Tui motor hi a chak tawk lo a nih chuan tui chu a luang tha lo ang tih han ngaihtuah teh. Chutiang bawkin thinlungin thisen a pump tha lo chuan lungah tui a awm khawm thei a ni. Chu chu thawk harsa leh hahna ang chi thil a lo awm hun a ni. Taksa peng dang, a bîk takin ke, ke ruh, leh pum chu a hring thei bawk . Hei hi taksaa tui awmte hi a circulate tha lo vang a ni.

Chuti a nih chuan he Ejection Fraction hi eng nge ni?

Tunah chuan Ejection Fraction (EF) tih hi eng nge a nih kan sawi dawn nia. Hei hi Sinhala tawngin ‘Ejection Fraction’ an ti a. Hei hi damdawi lam thumal tlemte ni mah se, hriatthiam a awlsam hle. A awlsam zawngin, hei hi i left ventricle-in vawi khat a vuak hian taksa chhunga thisen a pump luh zat percentage a ni.

Thinlung hrisel, hnathawk tha chuan EF value 55% leh 70% inkar a nei tur a ni . Chumi awmzia chu thinlung veilam ventricle-a thisen lut zatve aia tam chu beat khatah pump chhuah a ni tihna a ni. Mahse, he EF value hi 40% hnuai lam a nih chuan systolic heart failure chhinchhiahna a ni thei. Chumi awmzia chu thinlung pump theihna a tlahniam tihna a ni. Chuvangin he natna hi ‘Heart Failure with Reduced Ejection Fraction’ (HFrEF) tiin an sawi fo thin.

He natna hi tuin nge vei tam zawk?

Systolic heart failure hian tu pawh a nghawng thei a, mahse kum upat deuh deuh hian a hlauhawmna a sang chho zel a ni. Tin, thinlung natna dang nei, a hmaa heart attack emaw thisen sang emaw nei te tan pawh a tam zawk.

Eng thilin nge systolic heart failure (HFrEF) a thlen?

Systolic heart failure hi natna dangin thinlung veilam ventricle a tihchhiat hian a thleng fo thin. Hetiang hian han ngaihtuah teh: thinlung ruh hi rubber band ang a ni. A stretch a, a contract bawk. Mahse a chhiat chuan chu hna chu a thawk tha thei lo.

Hei hi a nghawng thei chhan lian ber ber thenkhat chu hetiang hi a ni:

• Coronary Artery Disease: Hei hi a chhan tam ber a ni. Heart-a thisen pe chhuaktu arteries (coronary arteries) te chu thau awmin a tawi emaw, a block emaw a, chu chuan heart muscle-in a mamawh oxygen leh nutrients a dawng thei lo. Hei hian taksa ruh a tichak lo hle.
• Thisen sang (Hypertension): Thisen sang rei tak a awm chuan thisen pump tur chuan thinlung hian nasa zawkin hna a thawh a ngai thin. Artery blocked chhunga tui pump luh ang mai a ni. Hun a kal zel a, hei hian thinlung ruh a ti lian thei a, a tawpah chuan a tichak lo thei bawk.
• Previous Myocardial Infarction: Heart attack chu thinlung hmun khata thisen kal chu a tawp a, chu chuan taksa ruh (muscle cells) a thih phah a ni. Chumi hnuah chuan hmun thi chu a hliam a, chu chuan thinlung pump theihna a ti tlem a ni.
• Diabetes Mellitus: Zunthlum hian thisen kalna kawng a tichhe thei bawk a, heart muscle direct-in a nghawng thei bawk.
• Abnormal Heart Rhythm: Heartbeat a mumal loh chuan thinlung hian thisen a pump tha thei lo.
• Heart Valve Disease: Heart chhunga valve te hian hna an thawk tha lo a nih chuan thisen chu hnunglam emaw hmalam emaw a luang thei a, hei hian thinlungah harsatna dang a siam thei a ni.
• Myocarditis: Thinlung ruh natna (inflammation) a awm. Hei hi virus infection ang chi thil vang a ni thei.

Hetiang chhiatna hian thinlung ruh a ti na thei a, a tizau thei a, ventricles a ti nghet thei bawk. Heng zawng zawng hian left ventricle a tichak lo va, EF a ti tlem bawk. Thu lawmawm tak chu a tam zawkah chuan a chhan bulpui chu uluk taka enkawl a nih chuan thinlung hnathawh dan hi eng emaw chen a tha thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Awle, engtin nge he harsatna hi i nei thei tih i hriat theih ang? Heng symptoms fimkhur tur thenkhat chu hetiang hi a ni:

• Thâwk lak tawi (Dyspnea): Thâwk harsa i nei thei a, a bîk takin exercise i tih lai te, stairs i chhoh lai te, khumah i mut lai pawhin i thawk harsa thei a ni. Zanah pillow pahnih pathum hmanga mut a ngai a nih chuan chu pawh chu chhinchhiahna a ni.
• Chauh leh chak lohna: Tun hmaa hna awlsam tak tak i thawh hnuah pawh i chau hle a nih chuan.
• Ke, ke ruh leh kea hring: He hliam hi tui a awm loh vang a ni thei. A chang chuan pum pawh a hring thei bawk.
• Thinlung thawk chak emaw, mumal lo emaw: I thinlung thawk danah inthlak danglamna i hriat chuan.
• Persistent cough or wheezing: Khuh, a bik takin khuh var (white mucus) nena inzawm thin.
• Exercise thiamna tlahniam.
• Nausea emaw ei duh lohna emaw.
• Chest pain: Hei hi coronary artery disease ang chi thil vang a ni thei.
• Luak chhuak thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah lo la, Doctor rawn pan rawh. I hriat hma poh leh enkawl a awlsam zawk.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Doctor i pan chuan systolic heart failure i neih leh neih loh hriat nan test eng emaw zat a kalpui ang. A pawimawh ber chu a chhan bulpui ber chu eng nge ni tih hriatchhuah a, chutiang chuan i enkawl tha thei ang.

He testing process hian a tlangpuiin a hnuaia mite hi a huam tel thin:

1. Taksa enfiahna:

• Doctor chuan i symptoms (eng chen nge an awm tawh, engtin nge an awm tih) a zawt ang che.
• Tun hmaa i natna te, i chhungkuaa tu emaw chuan thinlung natna an nei em tih te an zawt thin.
• Thinlung leh lungte ngaihthlak nan stethoscope hman a ni (lung chhunga aw pangngai lo leh tui awm leh awm loh enfiah nan).
• I thisen sang chu teh a ni.
• I rit zawng (i rihna a sang nghal em tih en nan, fluid retention vangin).

2. Thisen test (Thisen hnathawh): .

• Heng thisen test te hian he thinlunga chak lohna hian taksa peng dang (kidney leh liver ang chi) a nghawng em tih a enfiah thei a ni.
• A tlangpuiin `Albumin` (protein chi khat), `Creatinine` (kal hnathawh tehna), leh sodium leh potassium (electrolytes) te ang chi te hi teh thin a ni.
• Thisen test bik BNP (B-type Natriuretic Peptide) tih a awm a. Thinlung a stress chuan thisenah he BNP level hi a sang chho zel a ni. Hei hian heart failure hriatchhuahna kawngah a pui hle.

3. Thinlung thil (imaging test) te: 1.1.

• Heng test te hian thil tam tak a enfiah thei a, chu chu thinlung pianzia leh a lian leh te, cell bang te hi engtiang chiahin nge a thuk tih te, valve te hian hna a thawk tha em tih te, a hmaa heart attack avanga chhiatna a awm leh awm loh te a enfiah thei a ni.
• Chest X-ray: Thinlung a lian em tih emaw, lungah tui a awm khawm em tih hriat nan.
• `Echocardiogram (Echo)`: Hei hi test pawimawh ber a ni. Thinlung ultrasound scan ang mai a ni. EF value dik takin a teh thei a ni. Thinlung chamber leh valve hnathawh dan chiang takin a hmu thei a ni.
• Electrocardiogram (EKG/ECG): Thinlung electric hnathawh dan chhinchhiahna test a ni. Heartbeat rhythm leh speed te, a hmaa heart attack chhinchhiahna te ang chi thil a hmu thei a ni.
• A chang chuan specialized test dang `Cardiac MRI`, `Cardiac CT scan`, `Cardiac Catheterization` (Angiogram), `Exercise Stress Test` emaw `Nuclear Exercise Stress Test`, `Multigated Acquisition Scan` (MUGA)` te pawh tih theih a ni bawk.

Hei hi engtin nge enkawl a nih?

Okay, tunah chuan he systolic heart failure natna hi engtin nge kan enkawl ang tih hi han en ila. Enkawlna atana thil tum lian tak tak engemaw zat a awm a:

• Symptoms tihziaawmna (thâwk hah, swelling ang chi).
• Thinlung chak lo lehzual lo tura tihtawp emaw, thunun emaw.
• Nunphung tihchangtlun.
• Nun rei theihna tura puitu.

Enkawl dan hi chi hrang hrangah then theih a ni a:

1. Nunphung thlak danglam

Hengte hi a pawimawh hle. Damdawi ei mai mai a tawk lo, heng thilte hi i lam pawhin i tih a ngai a ni.

• Salt intake tihtlem: Chi (sodium) hian taksaah tui tam lutuk a vawng reng thin. Hei hian swelling a tipung a, thinlungah strain nasa zawk a siam bawk. Doctor-in a tih angin chi ei tlem rawh. A tlangpuiin ni khatah sodium milligram 1500-2000 aia tam ei a tha lo.
• Fluids tihtlem: Mi thenkhat chu ni khata tui an in zat tihtlem turin an hrilh bawk. Hei hi i doctor nen in sawiho tur leh thutlukna siam tur a ni.
• I taksa rihna hrisel tak vawng reng rawh: I thau lutuk a nih chuan i taksa rihna tihtlem tum ang che. Nitin in rit zawng teh a tha. I taksa rihna i tihpun thut (ni khatah kilo khat emaw kilo hnih emaw) a nih chuan fluid retention chhinchhiahna a ni thei. Chutiang a nih chuan i doctor hnenah hrilh rawh .
• Meizial zuk loh tur: Meizial zuk hian thinlung leh thisen kalna kawng a tichhe nasa hle.
• Zu khap emaw titawp emaw: Zu in hian thinlung ruh a tichak lo thei bawk.
• Exercise neih fo: I doctor nen eng exercise nge i tana tha tur tih sawipui rawh. Tlemte atanga tan la, zawi zawiin i thiltih tipung rawh. Kea kal hi exercise tha tak a ni. Cardiac rehabilitation program-ah i tel thei a nih chuan a ropui hle ang.
• Stress tihziaawm la, chawlh hahdam la, mut tam rawh.
• Chaw hrisel ei rawh: thlai, thei, fibrous food, leh thau tlem ei tur.

2. Damdawi (damdawi chi hrang hrang) .

Systolic heart failure enkawlna atan hian damdawi tha tak tak a awm nual a. Heng damdawi te hian i EF, symptoms, leh heart function zawng zawng a ti tha thei a ni. I doctor chuan heng damdawi pakhat emaw a aia tam emaw chu a pe dun thei a ni.

• Beta-blockers: Hengte hian thinlung hnathawh a tichak a, heart rate a ti hniam a, heart-in hna a thawh tur a tihtlem phah a ni. Thisen sang control-na atan an pui thei a, heart attack hlauhawmna a tihziaawm thei a, heartbeat mumal lo control-ah an pui thei bawk.
• Angiotensin-Converting Enzyme (ACE) inhibitors: Hengte hian thisen sang a control a, thisen kalna kawng a tizau a, taksaa stress hormone awmte a tikhawlo a, hun kal zelah thinlung hnathawh a ti tha hle.
• Angiotensin-II Receptor Blockers (ARBs): Hengte hi ACE inhibitor atanga khuh ang chi side effect nei te tan pek thin a ni. ACE inhibitor te ang bawkin hna an thawk bawk.
• Angiotensin Receptor-Neprilysin Inhibitors (ARNIs): Hei hi damdawi chi thar, tangkai tak a ni. Chungte chuan stress hormone a tiziaawm bawk a, thisen kalna kawng a hawng a, thinlung hnathawh a titha bawk.
• Aldosterone Antagonists (Mineralocorticoid Receptor Antagonists - MRAs): Hengte hian stress hormone a tihziaawm bakah kal (kidney) hian taksa atanga tui leh chi tam lutuk a paih chhuak thei a ni. Heng damdawi i ei hian i potassium level i fimkhur a ngai a ni.
• Diuretics (tui pills): Hengte hian kal atanga tui leh chi tam lutuk paih chhuakin symptoms (a bik takin thawk hahna leh thawk hahna) te chu a tiziaawm nghal vat thin. Fluid a tlem chuan thinlung tan thisen pump a awlsam zawk.
• SGLT-2 inhibitors: Hengte hi a tir chuan zunthlum damdawi chi khat a ni. Mahse a hnuah chuan zunthlum vei lo thinlung lam natna vei tan pawh an tha hle tih hmuhchhuah a ni. Zun-ah hian sugar nen tui tam lutuk an paih chhuak thin.

A pawimawh ber chu i doctor-in damdawi a pek dik tak, a hun leh a pek zat zat ei tur a ni. Damdawi ei kha bansan ngai suh la, nangmah chauhin a dose pawh thlak ngai suh.

3. Thil hmanrua leh surgery

Damlo thenkhat chuan damdawi leh nunphung thlak danglam ringawt hmangin an dinhmun an thunun thei lo mai thei. Hetiang thil hi an mamawh mai thei:

• ICD (Implantable Cardioverter-Defibrillator): Thil te tak te, thinlung thawk dan mumal lo (arrhythmia) hlauhawm tak hriat theihna leh thinlunga electric shock te tak te pe chhuakin thinlungah rhythm pangngai a siam tha leh thin. Hei hi rilru vun hnuaiah dah a ni.
• CRT (Cardiac Resynchronization Therapy) / Biventricular Pacemaker: He hmanrua hian thinlung veilam leh dinglam chamber inkara inthlauhna siamthat nan a pui thin. Hei hian thinlung pump theihna a titha bawk.
• Coronary Artery Bypass Grafting (CABG) emaw Angioplasty with stenting: Coronary artery te chu a block a nih chuan enkawl tur a ni.
• Heart valve siamthat emaw thlak emaw surgery tih a ni.
• Heart transplant emaw LVAD (Left Ventricular Assist Device): Hengte hi damlo na tak takte tan chuan enkawl dan ngaihtuah tam ber a ni.

Engtin nge he natna hlauhawmna hi tihziaawm theih ang?

"Tihdam aiin invenna a tha zawk," an ti. Chuvangin, systolic heart failure vei tur venna emaw tihziaawmna tur thil i tih theih a awm. Hriselna tha neih hi a pawimawh ber a ni.

• Ei leh in inthlau tak, ei tur tha (chi tlem, hriak tlem, thlai leh thei tam zawk) ei rawh .
• Exercise neih fo thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Meizial zuk loh vek tur a ni.
• Zu in hi tihtlem rawh.
• Damdawi lam harsatna i neih chuan thisen sang, zunthlum, cholesterol emaw i neih chuan control tha rawh. Doctor thupek chu uluk takin zawm rawh.
• Stress tihziaawm la, mut tam rawh.

Hetiang dinhmun hi i nunpui lai hian eng beisei nge i neih theih?

Systolic heart failure hi natna rei tak, hun rei tak chhunga awm, na tak a ni. Dam vek theih a ni lo mai thei. Amaherawhchu inenkawlna mumal tak leh nunphung tihdanglam a nih chuan natna lanchhuahna te chu thunun theih a ni a, nun tha tak a awm thei a ni.

A rah chhuah chu thil engemaw zatah a innghat a ni:

• Lung natna hi a nasat zia.
• I hriselna zawng zawng leh natna dang (kidney disease, diabetes ang chi) i neih leh neih loh.
• Enkawlna i dawn dan.
• Hei hi eng nge a chhan ber?

Chuvang chuan hlauhna leh lungngaihna nei lo, doctor thupek dik tak zawm a, nunphung siamrem a pawimawh hle. I medical team nen thawk ho rawh.

Engtikah nge damdawi lam pan nghal tur?

Heng symptoms te hi i neih chuan doctor tanpuina i dil nghal tur a ni a, chu chu a rang thei ang bera tihna a ni :

• Rilru na tak leh na tak.
• Thâwk harsa leh na tak.
• Fainting emaw chak lohna nasa tak emaw.
• Thinlung na, luak chhuak emaw, thawk hah lutuk emaw, thinlung thawk chak emaw, mumal lo emaw a awm.
• Ke ruh hring emaw, taksa rihna sang emaw.

Doctor hnenah eng zawhna nge i zawh theih ang?

Doctor i hmuh hian i dinhmun hriatthiamna tha zawk neih theih nan hetiang zawhna hi i zawt thei ang:

• Ka systolic heart failure chhan dik tak chu eng nge ni?
• Ka ejection fraction (EF) value chu engzat nge ni? Eng nge a awmzia?
• Hetiang dinhmun hian ka taksa peng dang (kidney, liver ang chi) te hi a nghawng em?
• Eng enkawlna nge ka tan a dik? A thatna leh that lohna chu engte nge ni?
• Ka nunphungah inthlâk danglamna pawimawh ber berte chu engte nge ni?
• Eng ang ei leh in nge ka ei ang a, eng nge ka pumpelh ang?
• Eng exercise nge ka tih theih ang? Eng chen nge ka tih ang?
• Eng nge ka tih loh ang?
• He damdawi hian eng side effect nge a neih theih? An lo thleng a nih chuan engtin nge ka tih ang?
• Engzat nge check-up turin ka lo kal ang? Engtikah nge ka EF score hi check leh a nih ang?
• Emergency-ah eng nge ka tih ang?

Kan hriat reng tur pawimawh ber berte

Systolic heart failure hi natna khirh tak, hun rei tak chhunga awm, thinlung veilam ventricle-in thisen a pump tha thei lo a ni. Heng symptoms te hi i neih chuan Doctor rawn pan mai tur a ni. A hriat hma poh leh enkawl a awlsam a, a rah pawh a tha zawk.

A chhan bulpui ber enkawl a, i doctor-in damdawi a pekte ei a, nunphung \ha tak i neih chuan i natna lan chhuah dan control-na leh nun hrisel, active leh hun rei tak nei turin i pui thei a ni. Hlau suh, chak takin awm rawh! Nangmah chauh i ni lo, i doctor te, chhungte leh i thiante te chu tanpui turin an awm vek a ni.

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