I pum chhungah thisen kalna kawng lian tak i nei em? (Abdominal Aortic Aneurysm) - Hei hi i hrechiang ang u!

I pum chhunga thisen kalna kawng lian tak chu balloon ang maia a lo chhuak tih i hre tawh em? Hei hi hlauhawm tak angin a lang thei a, mahse i hriat chian chuan thil tam tak i thunun thei a ni. Vawiin hian chutiang dinhmun kan sawi dawn a, chu chu damdawi lam chuan `(Abdominal Aortic Aneurysm)` emaw `(AAA)` emaw an ti a ni. A awlsam zawngin, pum chhunga bang lian tak (Aorta) section pakhat chu a chak lo va, a hring chhuak thin.

He Abdominal Aortic Aneurysm hi eng nge ni?

Okay, he `(Abdominal Aortic Aneurysm)` hi eng nge a nih mai mai hi han en hmasa ila. I taksaa thisen kalna kawng lian ber chu aorta, a nih loh leh `(Aorta)` a ni. Tui dahna atanga in chhung zawnga tui phurtu main pipe angin han ngaihtuah teh. Kan thinlungin thisen a pump chhuah chu he `(Aorta)` hmang hian taksa pum puiah a darh chhuak thin. He `(Aorta)` a\anga a \hen, pum chhunga kal chu `(Abdominal Aorta)` an ti a.

Tunah chuan `(Abdominal Aortic Aneurysm)` ah chuan abdominal aorta wall-a hmun chak lo tak chu a rawn chhuak chhuak a, balloon puak ang maiin a rawn chhuak ta a ni. A tlangpuiin kan `(Aorta)` bang hi a nghet hle a, a inthlak danglam thei bawk. Thinlung atanga thisen lo chhuak pressure tuar thei tura duan a ni.

Mahse, kan tar chhoh zel chuan zuk leh hmuam hman (cigarette zuk ang chi), leh damdawi lam dinhmun thenkhat avang hian he `(Aorta)` bang hi a chak lo thei a ni. A chak loh chuan thisen pressure a tuar thei lo va, chu chak lohna hmun atang chuan `(Aorta)` chu a lo bulh tan ta a ni. He bulge hi hun kal zelah a lian zauh zauh thin.

Doctor-te chuan AAA i nei tih an rel a , aorta section pakhat chu a tlangpui aia 50% tal a lian a nih chuan. Mi tam zawk tan chuan hei hian bulge centimetre 3 vel a zau tihna a ni.

A pawimawh ber chu he swelling (`Aneurysm`) hi a lian chhoh zel chuan a puak (`Rupture`) theihna a sang chho zel a ni. Chutiang a nih chuan taksa chhungah thisen chhuah tam lutuk a thlen thei a, nunna atana hlauhawm tak a ni thei bawk. He risk hi hmeichhiaah centimetre 5.0 aia lian leh mipaah ​​centimetre 5.5 aia lian ``Aneurysm`` tan a sang hle.

Vawi tam tak chu AAA hian a puak dawn hma loh chuan symptom a nei lo. Chuvangin AAA vei theihna tur risk factor i neih leh neih loh hriat a, chu chu enkawl turin doctor nen thawhhona tha tak neih a pawimawh hle.

Rikrum!

I pum emaw, i hnungzang hnuai lam emaw-ah natna nasa tak i neih thut chuan AAA puak chhuak tur chhinchhiahna a ni thei. Thâwk harsa, luak chhuak, leh luak chhuak i nei thei bawk. If this happens , 911 call emaw, damdawi in hnai ber pan nghal emaw tur a ni.

Hei hi engtiang chiahin nge `(Abdominal Aortic Aneurysm)` hi a awm?

Hei hi a takah chuan i ngaihtuah angin thil awm lo tak a ni lo.

• United States-ah hian kum 50 leh 84 inkar puitling 1.4% vel chuan he natna hi an nei a ni. Chu chu mi maktaduai 1.1 vel a ni.
• Kum 65 chunglam mipa 1% leh 2% inkar a nghawng a , kum sawm an tlin chuan AAA vei theihna hi a let hnih in a pung chho zel a ni.
• Hmeichhia aiin mipa hian a let liin hetiang hi an nei tam zawk.
• Kum 70 chunglam hmeichhia 1% vel, meizuk tawhte zingah a awm thin.

Research atanga a lan dan chuan:

• Heng `(Aneurysm)` (swelling) te hi `(Aorta)` hmun apiangah awm thei mahse, abdominal region-ah an awm tlangpui. `(Aortic Aneurysm)` zawng zawng zinga 75% chu `(Abdominal Aortic Aneurysm)` an ni.
• `(AAA)` hi mipa hring, mipa hring, leh Asian mite zingah a tam zawk.
• Hei hi mipaah ​​a thleng tlangpui. Mahse, hmeichhiaah a thleng a nih chuan a puak theihna a sang zawk a, a tlem hle a ni. Chhungkaw member dangte chungah pawh a thleng thei.

Abdominal Aortic Aneurysm natna lan chhuah dan chu engte nge ni?

Mi tam zawk chuan ``AAA'' a puak dawn hma chuan symptom engmah an nei lo. Mahse, a puak dawn chuan a hnuaia mite hi i tawng thei a ni:

• A hnungzang hnuai lam emaw, pum chhung emawa natna thuk tak, chhunzawm zel.
• Ke, groin, emaw pelvic area-a na.
• Pulsation, pum chhunga heartbeat ang maia hriat theih. (Hei hi mi cher thenkhatin an hre mai thei, mahse thil thar a nih chuan i ngaihtuah tur a ni).

AAA ruptured chu medical emergency a ni! Symptoms hi a intan nghal thei:

• Pum, hnungzang hnuai lam, ke ruh natna nasa tak.
• Thâwk harsa.
• Heart rate a sang chho zel.
• Thisen sang hniam.
• Luak chhuak emaw, hriatna hloh emaw.
• Nausea emaw, luak chhuak emaw.
• A vun chu a hnim a, a thawmhnaw a chhuak bawk.

Heng symptoms te hi i tawn chuan second khat pawh tikhawtlai suh, damdawi in pan nghal mai rawh!

Abdominal Aortic Aneurysm hi engte nge ni?

A awlsam zawngin sawi ila, AAA hi aorta wall chak lohna vang a ni. He chak lohna hi environment leh genetic factors inzawmkhawm vang a ni. Eng thil nge thleng dik tak chu hriat chian a la ni lo.

Entirnan, zuk leh hmuam hian aorta bang siamtu protein te chu a tichhe thei a, chu chuan aorta chu a tichak lo hle. Tin, thisen kalna kawnga thau awm (atherosclerosis) avangin aorta hi a chak lo thei bawk. Hun kal zelah heng thau te hi a lo pun zel chuan artery wall layer hrang hrangah inflammation leh cell thihna a awm thei a ni. Aorta structural components te a chhiat chuan aorta chu a chak lo va, awlsam takin a bulge danglam thei hle.

``Abdominal Aortic Aneurysm'' vei theihna hlauhawm ber chu tute nge ni?

Heng risk factors te hian `(AAA) hmasawnna kawngah nghawng lian tak a nei a:

• Zuk leh hmuam hman tawhna history nei:Zirchiangtute chuan i dam chhungin cigarette 100 tal zuk hi risk factor a ni an ti. Zuk leh hmuam i hman zat a zirin a hlauhawmna a inang lo (i hman tam poh leh a hlauhawmna a sang zawk).
• Kum pung: Kum upa lam (mipa tan kum 50 hnuah, hmeichhia tan kum 65 hnuah) AAA vei theihna a sang chho zel.
• Pian tirh laia Sex: Mipa hian `(AAA)` an nei tam zawk.
• Chhungkaw history (AAA) neih: Hei pawh hi a pawimawh hle. I first-degree chhungte (nu leh pa, fate, unau) zinga pakhatin (AAA) a neih chuan nang pawhin 10% atanga 20% velin i vei theihna chance i nei bawk. He inzawmna hi unau mipa zingah a sang hle.

Risk factor dangte chu:

• Thisen sang a sang.
• Atherosclerotic cardiovascular disease (ASCVD) chi khat nei. Hei hian coronary artery disease (CAD) leh peripheral artery disease (PAD) te a huam a ni.
• Vascular connective-tissue natna inherited neih.

`(AAA)` avanga harsatna awm thei te chu engte nge ni?

Complication awm tam ber chu aneurysm rupture a ni. Hei hian khawvel pumah kum tin mi 150,000 leh 200,000 inkar a thihpui thin. AAA ruptured hian nunna atana hlauhawm internal bleeding a thlen thei. Aneurysm a lian deuh deuh chuan a hlauhawmna a sang chho zel.

`(Abdominal Aortic Aneurysm)` hi engtin nge kan hriat theih ang?

AAA hian symptoms a thlen loh avangin doctor-te chuan hriselna lama harsatna dang test an neih laiin unruptured AAAs hi an hmuchhuak fo thin. I doctor chuan test result emaw, chhan dang emaw avanga AAA i neih a rinhlelh chuan a hnuaia test te hi an ti thei ang:

• Abdominal duplex ultrasound: Hei hi test tam ber, natna nei lo leh awlsam ber a ni.
• CT Angiogram (Computed tomography angiogram - CTA): Hei hian chipchiar zawka en theihna a siam a ni.

Abdominal Aortic Aneurysm awm leh awm loh screening neih a ni

Doctor-te chuan AAA vei theihna hlauhawma awmte chu ultrasound neih tir turin an rawt a ni. Hei hi test awlsam tak, hrehawm lo tak a ni. AAA a awm leh awm loh a enfiah thei bawk. A awm chuan i doctor chuan a hun takah (a tlangpuiin thla 6 atanga thla 12 danah) ultrasound dang a order ang a, chu chu a enfiah ang. A lian lutuk emaw, a rupture theihna tur dang a awm chuan operation neih a tha thei bawk.

Abdominal Aortic Aneurysm hi engtin nge enkawl a nih?

Enkawlna chu aneurysm lian leh teah a innghat a, hei hi rupture hlauhawmna tichiangtu ber a nih avangin. Aneurysm tenau te hi enkawl vat a ngai lo mai thei.Chu ai chuan doctor chuan ultrasound emaw CT scan emaw hmangin aneurysm chu a enfiah ang. Hei hi surveillance an ti a . Aneurysm lian tak takte chu operation a ngai thei.

`(AAA)` Enkawlna (`Surveillance`) tih a ni.

A tlangpuiin AAA chu a diameter chu mipaah ​​5.5 cm aia tlem leh hmeichhiaah 5.0 cm aia tlem a nih chuan enfiah a tha. Tin, aneurysm hian symptom engmah a nei tur a ni lo.

Aneurysm lian leh te a zirin ultrasound emaw CT scan emaw chu a hun takah neih a ngai mai thei . Aneurysm lian tak takte chu test tam zawk a ngai mai thei. Enkawlna stage i hnaih tawh chuan ultrasound ai chuan CT scan i mamawh mai thei. I doctor nen test tur i follow up tur a ni. I doctor pawhin hetiang hian a hrilh ang che:

• Eng nunphung tihdanglamna nge i neih? Hei hian zuk leh hmuam bansan vek te, thinlung hriselna atana tha ei leh in te, exercise lak te a huam a ni.
• Thisen sang emaw cholesterol sang emaw ang chi dinhmun control nan eng damdawi nge i ei ngai?

Nunphung thlak danglam leh damdawi ei hian aneurysm a ti tlem dawn lo (tunah hian chutiang ti thei damdawi a awm lo). Mahse, heng hmalaknate hian aneurysm a lian chhoh zelna rate a ti hniam thei a, rilru lam harsatna dang a thlen theihna a ti tlem thei bawk. Researcher te chuan damdawi leh enkawlna dang, AAA te te te lo thang chak lo emaw, titawp thei emaw an la zawng mek a ni.

`(AAA)` tan surgery neih a ni

I AAA hian heng thil thlengah hian operation a mamawh mai thei:

• Aneurysm hi mipaah ​​5.5 cm aia lian niin hmeichhiaah 5.0 cm aia lian anga ngaih a ni. (Specialized center thenkhat chuan i hriselna zawng zawng, risk profile leh thil dang a zirin, size tenau zawk tan operation tih an rawt thei a ni.)
• Aneurysm lian leh te chu eng pawh ni se, symptoms a thlen chuan.
• Aneurysm a puak chuan i nunna chhanhim nan operation nghal a ngai a ni.

Surgery hi aorta chak lo zawk chu la chhuakin artificial tube (graft) hmanga thlak emaw, aorta chhungah lining thar (graft) dah emaw hmangin aneurysm puak theihna tur tihtlem nan an ti thin. Chumi atan chuan surgical method pahnih a awm a:

• Traditional open aneurysm repair surgery: Hetah hian pum chu hawn a ni a, aorta chhia chu thlak a ni.
• Endovascular aneurysm repair (EVAR): Hei hi ke chunglam ah incision te tak te siam a, aorta chhungah stent graft dahin aneurysm khuh a ni. Hei hian incision lian tak a ngai lo.

Surgeon leh damlote pawhin elective surgery atan EVAR procedure hi an duh tlangpui a, a chhan chu a dam leh awlsam zawk a, hun rei lote chhunga damchhuah theihna chance a nei tha zawk bawk. Aorta structure a tha a nih chuan EVAR hian hun rei tak chhung siamthatna a pe thei a ni. Mahse, a siamthat dan enfiah nan kum tin ultrasound emaw CT scan emaw i neih a ngai dawn a ni. Open surgery hi thil engemaw (i kum emaw, aorta awm dan emaw) avang hian a him zawk thei. Procedure tin hian a thatna leh that lohna a nei vek a. I doctor chuan he thu hi a sawipui ang che u a, in pahnih hian thutlukna tha ber in siam thei ang.

Aneurysm ruptured chuan nunna chhanhimna hun remchang a neih theih nan operation nghal a ngai a ni.

Hetiang dinhmun hi ka neih chuan eng nge ka beisei theih ang?

I thlirna chu thil tam takah a innghat a, chung zingah chuan aneurysm lian tham tak te, enkawlna i dawn hun chhung te, leh i hriselna zawng zawng te pawh a tel a ni. I doctor hi eng nge i beisei tur tih zawttu tha ber a ni. Nangmah leh i hriselna chanchin a hre chiang ber.

Abdominal Aortic Aneurysm hi a veng thei ang em?

Tunah hian AAA siam lohna tur kawng finfiah a la awm lo. Mahse, nu leh pa, unau, fa AAA nei tawh i neih chuan i doctor nen inbia ang che. Aneurysm chhinchhiahna awm leh awm loh enfiah nan ultrasound neih a rawt thei bawk.

Chhungkaw history nei emaw nei lo emaw pawh nise, risk factor dangte tihziaawmna tur leh i cardiovascular health pum pui vawng reng turin hma i la thei a ni. Heng thilte hi i doctor nen sawiho rawh:

• Engtin nge meizuk emaw, zuk leh hmuam dang emaw i bansan?
• Engtin nge i duh ang exercise plan i siam?
• Lung hrisel ei leh in hi engtin nge kan zawm ang?
• Engtin nge i thisen sang, cholesterol leh thisen sugar level i control theih?
• Engtin nge zu in hi tihkhawtlai theih ang?

Engtin nge ka in enkawl ang?

`(AAA)` i neih chuan doctor-in a pek dan zawm a pawimawh hle. I mamawh ang zelin thurawn a pe ang che. A tlangpuiin, tips thenkhat chu hetiang hi a ni:

• I medical appointment leh follow-up test zawng zawngah tel vek rawh.
• I hriselna thlawptu nunphung thlak danglam rawh. Tlemte atanga tan la, i thlen theih tur thiltum siam rawh.
• I damdawi ei tur chu i doctor-in a tih ang chiah khan ei rawh.
• Ha emaw, damdawi lam emaw tih tur thenkhat i tih hmain i doctor hnenah antibiotics i mamawh em tih zawt rawh. Mi thenkhat chuan aneurysm repair surgery hnua infection laka inven nan an mamawh thin.

Engtikah nge ka doctor ka hmuh ang?

Heng zinga pakhat tal i neih chuan doctor ko rawh:

• Symptom thar emaw, danglam zel emaw.
• Damdawi atanga side effects awm thei.
• I dinhmun emaw, i enkawlna tur ruahmanna emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan.

I doctor chuan appointment nei tura i lo kal fo tur chu a hrilh ang che. Heng thilte hi checkup reng reng i neih a ngai ang:

• `(AAA)` chu a lian zawk dawn em ni, a nih loh leh a puak theihna tur a awm em?
• EVAR hnuah hian harsatna a awm em, endoleak (graft chhehvela thisen chhuak) ang chi, a nih loh leh re-rupture chhinchhiahna a awm em?

I appointment zawng zawngah kal la, chutiang chuan i doctor chuan i dinhmun a enfiah thei ang a, hrisel taka awm theih nan a pui thei ang che.

Engtikah nge emergency room-ah ka kal ang?

AAA burst symptoms i neih chuan, i pum emaw, i hnungzang hnuai lam emawa natna nasa tak, rang tak i neih chuan 911 call nghal la, hospital emergency room hnai ber pan rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah zawhna hetiang hi i zawt thei ang:

• `(AAA)` neih theihna hlauhawmah ka awm em?
• `(AAA)` screening test neih a ngai em?
• Ka risk tihziaawmna turin eng nunphung tihdanglam nge ka tih ang?

I doctor-in `(AAA)` i nei tih a hriat chuan, a chipchiar zawka hriat theih nan heng zawhnate hi an zawt thei ang che:

• Aneurysm hi engtiang chiahin nge a lian?
• Surveillance emaw surgery emaw tih i rawt em?
• Eng surgical procedure nge ka tan a tha ber?
• Surgery hian eng nge a thatna leh a that lohna?
• Eng chen nge a dam leh theih ang?
• Surgery hnuah eng follow-up test nge ka neih a ngai ang?
• Ka chhungkuaah hian `(AAA)` test neih a ngai em?

Abdominal Aortic Aneurysm i nei tih hriat chu a buaithlak thei a, a hlauhawm bawk. Mahse thu lawmawm tak chu i doctor chuan i nei tih a hria a ni. I nei tih hriat hi i hriselna atana hmalakna hmasa ber a ni. I doctor chuan i dinhmun a enfiah ang a, a tul hunah enkawl dan tur a rawt ang. Tin, i nitin nunah i tih theih turte pawh a hrilh ang che, chu chuan aneurysm chu a lian lo emaw, a puak lo emaw a ni.

Thuhmahruai angin hre reng ang che (Take-Home Message) .

Okay, chuvangin vawiin a kan sawi tawh Abdominal Aortic Aneurysm emaw AAA chungchanga thil pawimawh ber berte kha han thlir leh ila.

• Aortic aneurysm (AAA) chu pum chhunga thisen kalna bulpui (aorta) chak lohna leh hring chhuak a ni.
• Vawi tam tak chu a tir lamah chuan symptoms a awm lo.
• Mipa kum upa zawk, zu in thinte hi an hlauhawm zawk. Chhungkuaa mi tu emawin a neih chuan a hlauhawmna a awm.
• Hlauhawm ber chu hei hi a puak thei (`Rupture`) . Chutiang a nih chuan nunna atana hlauhawm tak a ni thei.
• I pum emaw , i hnungzang emaw-ah natna nasa tak , natna dang i neih rualin, emergency a ni. Damdawi inah kal nghal rawh.
• Risk factor nei tan chuan doctor thurawn angin screening test neih a pawimawh hle.
• Enkawlna atanSurveillance emaw surgery emaw pawh tih theih a ni. Aneurysm lian leh te leh thil dang dangah a innghat.
• Meizial zuk bânsan leh nun hrisel taka nun hi a pawimawh hle.

Hei hi hlauh ai chuan hriattirna leh a tul anga hma lak a tha zawk tih hre reng ang che. I doctor nen zalen takin inbiakna nei la, i duh ber enkawlna leh nunphung thlang rawh.

Abdominal Aortic Aneurysm, AAA, Aorta Swelling, Thisen kalna kawng puak, Pum na, Lung natna, Meizial zuk