He rilru natna hi heart attack chhinchhiahna a ni em? (Angina nghet lo) .

I rilruah tightness emaw squeezing pain emaw i nei nghal em? He natna hi huana hnathawh lai aiin i thut mai mai emaw, TV en mai mai emaw hian i hre zawk mai thei. He natna hi a hma aia nasa zawkin a lang em, beisei loh hunah a lo thleng niin a lang em? Tichuan ngaihthah mai mai suh. Hei hi i thinlung a\anga vaukhânna pawi tak a ni thei. Hei hi vawiina kan sawi tum chu a ni.

He angina nghet lo hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Unstable Angina hi i thinlung ruhte’n oxygen tamna thisen an dawn dik loh avanga rilru natna a ni. I thinlung hi motor hnathawk reng angin ngaihtuah rawh. He motor hian fuel supply reng reng a mamawh a, chu chu oxygen tamna thisen a ni. He thisen hi coronary arteries kaltlangin thinlungah a thleng thin.

Hun a kal zel a, kan ei leh in atanga cholesterol leh thau ang chi te hi heng thisen kalna kawng chhungah hian a lo awm tan thin. Hei hi `(Plaque)` kan ti a. He ``plaque`` layer hian thisen kalna kawng a ti tawi zauh zauh thin. Chu hmun zim takah chuan thisen zam a lo awm nghal a, a tlakbuak chuan thinlunga thisen kal chu a tam zawk chu a tawp ta a ni. Chutah chuan rilru natna nasa tak Unstable Angina an tih chu a lo awm ta a ni.

Unstable angina symptoms te chu engte nge ni?

Heng symptoms te hi hriat a pawimawh hle a, rilru natna pangngai nen a danglam avangin.

He natna hi minute 15 emaw a aia rei emaw a awm tlangpui. Enkawl loh chuan he natna hi a lo awm leh thei a ni.

He natna thlentu leh hlauhawmna ber berte chu engte nge ni?

Hei hi a chhan ber chu coronary artery disease a ni. Kan sawi tawh ang khan hei hi thinlung thisen kalna kawnga cholesterol leh thau tam lutuk vang a ni a, chu chuan thisen kal a tikhawlo a, a nih loh leh atherosclerosis a tikhawlo a ni.

Hei hi tute nge risk sang zawka awm?

• Kum upa lam tan
• Chhungkaw zingah (nu, pa, unau) tu pawhin thinlung natna an nei a nih chuan
• Meizial zu thinte tan chuan
• Zunthlum vei tan
• Thisen sang nei tan
• Thisen cholesterol level sang nei tan

Mahse, hlauhawm lo tak pawhin angina nghet lo a nei thei tih hre reng ang che. Chuvangin, mi zawng zawngin a natna lan chhuah dan kan hriat chian a pawimawh hle.

Hei hian eng harsatna lian tak nge a thlen theih?

Unstable angina hi enkawl vat a nih loh chuan harsatna lian tham a thlen thei a ni.

• Heart Attack: Hei hi harsatna lian ber a ni. Heart muscle-a thisen supply chu a titawp vek a, chu chuan heart muscle chu a thi ta a ni.
• Heart Failure: Heart attack vanga thinlung a chhiat a, taksaah thisen a pump tling thei lo.
• Thai:Thluak a thisen pe chhuaktu thisen kalna kawngkhar khar emaw, a chhe emaw.
• Lungphung pangngai lo (Arrhythmia): Lungphun mumal lo.
• Sudden cardiac arrest: Thinlung hian hna a thawk tawh lo nghal. (Hei hi a tlem khawp mai).

Engtin nge doctor hian hei hi a hriat chian?

Heng symptoms neia damdawi ina i kal hunah doctor chuan i symptoms chungchang chipchiar takin a zawt ang che. Tichuan i thisen sang a check ang a, i taksa a enfiah ang. Hei bakah hian heng test te hi a order ang.

• ECG (Electrocardiogram): Thinlung electric hnathawh dan enfiahna test a ni. Hei hian thinlung a chhiat em tih emaw, thisen kal a tlahniam em tih emaw ngaihtuahna engemaw zat a pe thei a ni.
• Cardiac Blood Tests: Thinlung a chhiat chuan thisenah enzyme chi hrang hrang a awm khawm thin. Chungte level chu an check thin.
• Echocardiogram: Hei hi thinlung scan a ni. Thinlung hnathawh dan leh thisen a pump dan ang chi thil a check thei a ni.
• Coronary Angiogram: Hei hi test dik ber a ni. Tube te tak te chu i kut emaw ke emaw vein hmangin i dah a, i thinlung thisen kalna kawngah an lut a, tui bik an inject a, X-ray image an la bawk. Hei hian i thinlung thisen kalna kawng (arteries)-ah khawiah nge a awm tih leh engzat nge blockage awm tih chiang takin a tarlang thei a ni.

Engtin nge enkawl a nih?

Unstable Angina hi in lama enkawl theih a ni lo. Damdawi ina awm leh enkawl a ngai tak zet a ni. A chhan chu engtik lai pawhin heart attack hlauhawmna a sang hle.

A tum ber chu thinlunga thisen kal lehna, natna thunun, leh thinlung natna laka invenna a ni.

Damdawi pek dan

Doctor chuan damdawi chi hrang hrang a pe thei che a, chungte chu:

• Nitroglycerin: Chhung natna a tiziaawm a, thisen kalna kawng a tizau a, thisen kal a ti awlsam bawk.
• Thisen tithianghlimtu: Aspirin leh Clopidogrel ang damdawi te hian thisen zam thar siam a titawp thin.
• Beta-blockers: Heart rate a ti hniam a, heart workload a ti tlem bawk.
• Cholesterol tihhniamna damdawi: Thisen cholesterol level control.
• Thisen sang damdawi: Thisen sang control.

A tul chuan kalphung tur

Damdawi chauhvin a natna hi a thunun theih loh chuan, emaw, thisen kalna kawngkhar a inkharkhip nasa hle a nih chuan, doctor chuan heng enkawlna chi hrang hrangte hi a hmang thei a ni.

• Angioplasty with Stent Implantation: A blocked artery chu balloon ang chi hmangin inflated a ni a, artery chhungah mesh ang device (Stent) dah a ni a, chu chu a block leh loh nan a ni.
• Heart Bypass Surgery neih dan tur: 1.1.Artery blocked bypass a, taksa peng dang atanga lak chhuah artery chi khat hmanga thinlunga thisen kalna tur kawng thar siamna surgery.

I nunna chhanhim nan heng thilte hi ti rawh

Engtikah nge damdawi ina Emergency Treatment Unit (ETU) pan nghal tur

• I rilru natna chu minute 15 aia rei a nih chuan .
• Doctor-in nitroglycerin damdawi a pek hnuah pawh a natna a reh loh chuan.
• Hun engemaw chen a natna chu a reh a, a lo let leh emaw a hma aia nasa zawk emaw a nih chuan .

Risk tihtlem nan thil i tih theihte

Enkawl zawhah hetiang dinhmun hi a thleng leh tawh lo ang tih chu nangmah thu a ni.

• I doctor-in damdawi a pek chu dik takin, a hun takah ei rawh. Doctor zawt lovin i damdawi ei kha bansan ngai suh.
• Meizial i zu a nih chuan vawiin hian chawlhsan rawh.
• Ei leh in hrisel tak hmang rawh. Thlai leh thei ei tam zawk rawh. Oil, chi leh sugar te tihtlem rawh.
• Exercise neih fo thin ang che. Ni khata minute 30 vel kal mai pawh hi a tawk.
• I rihna control rawh.
• Zunthlum, thisen sang, cholesterol i neih chuan control tha rawh.
• Stress tihziaawm rawh.

He zinkawng hi nangmah chauhin i paltlang a ngai lo. Hemi chungchang hi i doctor nen inbia ang che. Hemi chungchang hi i chhungte pawh hrilh bawk ang che. Emergency-a an tih tur an hriat a pawimawh hle.