Atherosclerosis hi i thinlung thlenga thisen phurtu thisen kalna kawngte chu a zim zauh zauh a, thau tam takin a tikhawlo a ni. Hetiang dinhmun hi a nasat chuan rilru a na thei a, thawk harsa a ti thei bawk. A tam zawkah chuan he natna enkawlna hmasa ber chu damdawi a ni. Mahse a chang chuan damdawi chauh hian a natna hi a thunun thei lo. Chutiang hunah chuan doctor-te chuan thil tam zawk tih an rel a, chu chu enkawlna tlem a buaithlak zawk tihna a ni. Vawiin hian chutiang enkawlna bulpui pahnih kan sawi dawn a ni.
Thil tih dan hmasa ber: Angioplasty leh Stenting
Hei hi hmanraw hman tlanglawn ber a ni. A awlsam zawngin, thisen kalna kawngkhar khar chu a chhung aṭanga hawn a ni. A tih dan hi a mak khawp mai.
A hmasa berin doctor chuan X-ray test bik ``Coronary Angiogram`` tih a ti ang.Hei hian thinlung chhunga thisen kalna kawngte chu khawiah nge a block tih leh engzat nge a block tih chiang takin a hmu thei ang. Tichuan, tube (catheter) te tak te tak mai chu kut emaw ke emaw chhunga thisen kalna kawng lian tak kaltlangin thinlung chhunga thisen kalna kawngkhar (blocked artery)-ah an kal a. Hei hi nalh takin tih a ni.
A dawtah chuan he tube hmang hian tui bik (dye) an inject leh a. He liquid hi X-ray screen-ah chiang takin a lang a, chuvangin a blockage awmna hmun dik tak chu a lang thei a ni. Tunah chuan hna tak tak chu a intan ta.
Tube tip-a balloon te tak te chu blockage awmna hmunah chuan inflated a ni. Hei hian thisen kalna kawng (artery) tawi, tawi tak chu a hawng a, thisen kal chu a pangngaiin a kir leh thei a ni. Vawi tam tak chu balloon chu an inflated a, artery an hawn hnuah, a hawnna chu a khar leh tawh loh nan mesh tube te tak te an dah thin. Chu chu ``stent'' kan tih chu a ni.He stent hi spring ang mai a ni a, pipe chhunga dah a ni a, artery chu a inhawng reng thei a ni.
Hetiang method hi rilru natna (`Angina`) tihziaawmna atan leh heart attack laia thisen kalna kawng khar chu rang taka hawn nan hman a ni. Harsatna a thlen theihna a tlem a, ni khat chhungin i dam thuai thei a, i haw thei bawk.
Thil tih dan pahnihna: Coronary Bypass Surgery tih a ni
Hei hi operation lian tak a ni deuh ber. ``Bypass`` tih thumal awmzia tak chu "kawngpui kal kual" tihna a ni. Hetah pawh hian chutiang bawk chu a thleng thin. Kawngpuiah traffic jam lian tak a awm a, motor pawh a kal lo ang tih han ngaihtuah teh. Tichuan kan tih tur chu chu traffic jam chu bypass turin kawngpui thar, side road siam hi a ni. Chutiang chiah chu bypass operation-ah chuan a thleng thin.
Surgeon chuan i ke, i kut emaw, i rilru bang aṭangin thisen kalna kawng hrisel tak tak section a la a.An la a. Tichuan, chu tube piece chu hmangin thinlunga thisen kalna kawngkhar khar chu an paltlang a, thisen chu kawng thar zawh turin an siam a ni. Chu chu he tube thar hi blockage chung leh hnuai lamah an thlunzawm tihna a ni. Tichuan thisen chu he "bypass path" thar hmang hian a luang chhuak a, chu chu blocked area kal tlangin a kal lo.
Doctor-te chuan hei hi ``Coronary Artery Bypass Grafting'' emaw, a tawi zawngin ``CABG'' emaw an ti a. Kan mite pawhin an tawng hman danah ``cabbage surgery'' an ti bawk.
Bypass surgery hian rilru natna a tidam nasa hle. Zunthlum vei emaw, thisen kalna kawng khar nasa tak nei emaw dam rei theihna turin a pui thei bawk.
Mahse, hei hi surgery lian tak a ni tih hre reng ang che. Chutiang a nih avang chuan a dam leh theih nan kar tam tak, thla tam tak pawh a ngai thei. Mahse, tunlai bypass surgery, incision tenau zawk hmanga tih theih tur chu tunah hian zirchian mek a ni.
Stent a awm em? Bypass a ni em? I tan eng nge tha zawk?
Tunah chuan, "Stenting emaw bypass surgery emaw hi ka tan a tha zawk em?" Chhanna awlsam a awm lo. Chu thu tlûkna chu thil tam takah a innghat a, chu chu i dinhmun te, thisen kalna kawng khar zat te, leh a nihna te a ni. Chu thutlukna siamtu tur chuan i doctor hi a tha ber a ni. Heng duhthlan tur pahnih a thatna leh that lohna hi han khaikhin ila.
| Ngaihtuah ngai | Stenting tih a ni | Bypass surgery (CABG) hmanga tih a ni. |
|---|---|---|
| Duct tam tak a block laiin dam rei zawng | Nunna a tipung tih finfiahna chiang tak a awm lo. Symptom control nan hman a tha ber. | Tha lutuk. Artery block nasa tak nei te dam chhung a ti rei thei tih finfiah a ni. |
| Chhung natna (Angina) tihziaawmna | Natna chu a control tha hle a, mahse hun kal zelah a natna chu a lo lang leh thei a ni. | Natna a control tha hle a, stent aiin hun rei zawk a tidam thei bawk. |
| Emergency (heart attack) a awm chuan . | A ideal hle mai. Minute tlemte chhungin tih theih a nih avangin operation lian tham avanga hlauhawmna leh dam leh hun tur i pumpelh thei a ni. | Emergency-ah hman a ni tlangpui lo. Hun leh inbuatsaihna tam zawk a mamawh a ni. |
| Recovery hun chhung | Hun rei vak lo a ni. Ni khat emaw ni hnih emaw chhungin i haw thei mai thei. | Hun a mamawh a ni. A dam kim theih nan kar tlemte atanga thla engemaw zat chhung pawh a ngai thei. |
Atherectomy tih dan dangte
A tlem hle a, stent emaw bypass emaw bakah hian hmanraw dang hman a ni. Chungte chu artery chhunga thau layer (plaque) awm chu lakchhuah a ni.
- Rotational Atherectomy: Diamond-tipped instrument chu speed sang takin an rotate a, hardened fatty layer chu an pulverize thin.
- Directional Atherectomy: Rotating blade hian thau layer chu a tikehsawm a, a chi hrang hrangte chu catheter-ah a hruai lut a, taksa atangin a paih chhuak thin.
Heng hmanrua te hi a tha hle laiin, stent emaw bypass emaw angin a hlawk lo. Stent dah hmaa artery tlem tal tihfai nan chauh an hmang fo thin.
Enkawl hnuah eng nge thleng? Nun hi i tan leh ang u!
Hei hi a pawimawh ber a ni. Stent emaw bypass emaw i neih vang mai mai hian atherosclerosis process chu a titawp lo tih hre reng ang che. Chuta awm blockage lian ber chauh a paih chhuak. Hei hi artery dangah pawh a thleng thei bawk.
Chuvangin hetianga enkawl hnu hian a hma aia fimkhur lehzual a ngai a ni. I nunphung thlak danglam a, doctor-in a pek ang chiaha damdawi hman a pawimawh hle.
Damdawi neih ngei ngei tur
Vawi tam tak chu hetiang enkawlna i neih zawh hian doctor chuan nitin i ei tur damdawi engemaw zat a pe ang che.
- Statin-type damdawi: Thisen a cholesterol tha lo awm zat a tihziaawm.
- Aspirin: Thisen zam a veng.
- Damdawi Clopidogrel, Prasugrel, Ticagrelor: Hengte hi thisen zam vengtu damdawi an ni bawk. A bik takin stent dah tawh tan chuan heng damdawi te hi thla khat atanga kum khat chhung ei a ngai mai thei.
- Thisen sang damdawi: a bik takin damdawi `(Beta-blockers)` leh `(ACE inhibitors)` te.
Must-have tih dan tur
- Exercise: Ni khatah minute 30 tal exercise la, kar khatah ni nga tal exercise la. Kea kal pawh a tha.
- Ei leh in tha: Ni khatah thei leh thlai vawi 5 tal ei tur a ni. Oil, chi leh sugar te tihtlem rawh.
- Meizial zu hi pumpelh vek rawh: Hei hi a pawimawh ber a ni. Meizial i zuk chuan heng enkawlna zinga pakhat mah hian hna a thawk tha lovang.
Heng enkawlna i neih zawh hian nun thar nei ang maiin i inhria ang. Heng tih dante hian chu nun chu hrisel leh hlim takin i hmang thei ngei ang.
Take-Home Thuchah a ni
- Atherosclerosis hi hun rei tak chhunga natna a ni. Stent emaw bypass hmanga enkawlna hian blockage na tak lo awm tawh chu a ti bo chauh a, mahse natna chu a tidam kim lo.
- I doctor chuan stent emaw bypass emaw chu i tan a tha ber em tih chu a rel ang a, chu chu i hriselna dinhmun, a block zat leh a hmanhmawhthlak dan te a zirin a ni.
- Eng enkawlna pawh zawhah i nunphung tihdanglam a pawimawh a, nakin lawka harsatna i tawh loh nan i damdawi pek ang chiah kha ei a pawimawh hle.
- I ngaihtuahna emaw rinhlelhna emaw i neih chuan, i doctor nen sawiho fo rawh , nangmah chauha thutlukna siam ai chuan. Damdawi lam thurawn tel lo chuan chawlhsan ngai suh, thlak ngai suh.
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