I rilruah natna nasa tak i nei nghal em? Acute Aortic Syndrome a ni thei ang em? Kan sawi dawn nia!

I rilru natna nasa tak i neih thut chuan engtin nge i tih ang tih i ngaihtuah ngai em? A châng chuan gas a ni thei a, a nih loh leh heart attack a ni thei bawk. Mahse, vawiinah hian emergency chi khat, chutiang bawka hlauhawm, mahse a danglam deuh deuh kan sawi dawn a ni. Hei hi Acute Aortic Syndrome an ti a. A hming hi a buaithlak deuhin a lang thei a, mahse awlsam takin i hrethiam ang u.

Acute Aortic Syndrome hi eng nge ni tak tak?

A awlsam zawngin, hei hi kan taksaa thisen kalna kawng lian ber, aorta -a awm emergency problem engemaw zat hming hman tlanglawn tak a ni. Tui pump ang maiin han ngaihtuah teh. He pump hian main pipe hmangin taksa pum puiah thisen a sem darh a. Chu main pipe chu aorta kan tih chu a ni. A rilruah a kal a, pum chhungah a kal bawk. Chuvangin, ``Acute Aortic Syndrome`` hi harsatna lian tak a ni a, he aorta rilru lam, ``Thoracic Aorta`` emaw ``Abdominal Aorta`` emaw ah hian a thleng thin.

A pawimawh ber chu heng dinhmunte hi a hmanhmawhthlak hle a, nunna atana hlauhawm thei a ni . Thil tam takah chuan zai a ngai thin. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

He natna chi hrang hrang hi engte nge ni?

`(Acute Aortic Syndrome)` hi chi thum a awm a. Eng nge an nih i en ang u.

1. Acute Aortic Dissection: Hei hi a pawi ber leh a tam ber a ni. Heta thil thleng chu aorta bang chhungah hian mittui te tak te a lo awm a, chu chuan bang layer inkar ah thisen a luang lut thei a ni. Tui pipe layer hnih nei angin ngaihtuah la, layer pakhat a chhe chuan layer dang pahnih kaltlangin tui a leak thei a ni. Hei hian aorta a tichak lo thei a, a puak thei hial a ni.

2. Intramural Hematoma: Hei hi aorta bang chhunga thisen kalna kawng te tak te a puak a, thisen thenkhat artery wall chhungah a awm khawm a ni. Kan taksaa thisen zam kan neih chuan a tang tlat ang bawkin. Hei hi a chang chuan Aortic Dissection ah a lo chang thei bawk.

3. Penetrating Atherosclerotic Ulcer: Hei hi aorta bang chhunga natna lo awm a ni. Hetiang dinhmun hi thisen kalna kawng (atherosclerosis)-a thau awm (atherosclerosis) te tan a tam hle. He natna hi a thuk thei a, artery wall a tichak lo thei bawk.

An pathum hian an inzawm tlat a, pakhat atanga pakhatah an inthlak thei a ni. Chuvangin, heng zinga eng pawh hi enkawlna zawng vat a pawimawh hle.

Heng symptoms te hi i nei em? A lo en ve teh...

`(Acute Aortic Syndrome)` chhinchhiahna ber leh tlanglawn ber chu rilru natna rang tak, tuar theih loh, na tak a ni . Mi tam tak chuan hliam tuar, mittui tlak nana angin an sawi. He natna hi hnungzang hnuai lam thlengin, pum chhungah emaw, kawr leh hmui lam thlengin a radiate thei a ni.

Chu bakah chuan symptom dang engemaw zat a awm thei bawk:

• Pum natna: A bik takin aorta pum chhung lam a nghawng chuan.
• Back pain: Chhung natna nen a lo thleng thei.
• Fainting emaw, hriatna hloh emaw: Thluak lama thisen kal tlem vang a ni.
• Ke emaw ke emaw a pulse hloh emaw chak lo lutuk emaw: Hei hi kea thisen kal dan a block vang a ni.
• Thâwk harsa
• Chaklohna
• Thawmhnaw hak

Hêng chhinchhiahna pakhat emaw, a aia tam emaw chu vawi khata i neih chuan damdawi inah i kal nghâl tûr a ni tih hre reng ang che, tihkhawtlai lohvin . Hei hi emergency a ni!

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hetiang dinhmun hlauhawm tak thlentu ber chu thisen sang control theih loh (Hypertension) a ni. Kum tam tak pressure a san chuan kan thisen kalna bangte chu a chhe vek a, a chak lo bawk. Hei hian heng chi hrang hrang rupture leh rupture te hi a tipung a ni.

A chhan dangte chu:

• Aortic aneurysm: Hei hi aorta chhunga balloon ang maia bulge awm a ni. He bulge hi a chak lo va, awlsam takin a chhe thei a, a puak thei bawk.
• Aortic Valve Defects: Thinlung chhunga aortic valve-a pianpui chhiatna thenkhat pawh hian he hlauhawmna hi a tipung thei bawk.
• Thisen kalna kawnga thau awm (Atherosclerosis): Hei hian thisen kalna kawng a ti zim a, a ti thim a, a tichak lo bawk.

He thil hi tuin nge nei tam ber? (Risk factor hrang hrang) 1.1.

Mi thenkhat chuan he `(Acute Aortic Syndrome)` hi midang aiin an vei tam zawk. Tute nge an nih i en ang u:

• Mite chu ``Aortic Aneurysm'' natna nei tawhte.
• Mite chu aortic coarctation (aorta lian tak tihtlem) an tih natna nei te.
• Bicuspid Aortic Valve Disease (thinlung valve chhiatna) vei te.
• Genetic condition thenkhat nei te: Entirnan, `(Marfan syndrome)`, `(Turner syndrome)` emaw `(Ehlers-Danlos syndrome)` ang chi te hian taksa inzawmkhawmna (connective tissue) a tichak lo hle. Aorta hi hetiang tissue atanga siam a nih avangin a chak lo thei bawk.
• Thisen sang nei te: Hei hi a hlauhawm ber a ni.

Heng bakah hian risk factor dang engemaw zat a awm a:

• Kum: Kum 60 chunglam tan chuan he hlauhawmna hi a sang zawk.
• Ruihhlo hman: Hei hi a bik takin cocaine ang chi ruihhlo hmangtute zingah a thleng thei.
• High-intensity weightlifting: Mi rit phur tam tak leh resistance exercise ti thinte hian a chang chuan risk an nei sang thei hle.
• Naupai: A tlem hle a, he natna hi nu naupai zingah pawh risk factor dang nei loah a awm tawh bawk.
• Mipa leh hmeichhe thliarna:Mipa hian he natna hi an vei tam zawk.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

A hmaa kan sawi tawh ang khan damdawi ina i kal chuan doctor-te chuan rang takin test tlemte an kalpui ang a, hei hi ``Acute Aortic Syndrome'' a ni em tih an enfiah ang.

Test chi hrang hrang

• CT scan: Hei hi he natna hriat theihna kawng tha ber leh dik ber a ni (gold standard) . Kan taksa chhungril lam 3D-a thlalak lak ang mai a ni. Hei hian aorta pianzia te, a hnathawh dan te, thisen kal dan te, a chhe lai emaw, thisen zam a awm leh awm loh te chiang takin a hmu thei a ni.
• Chest X-ray: Hei hian thinlung leh a chhehvela taksa peng hrang hrangte pianzia chu a rough idea a pe thei a ni. A chang chuan aorta a lian a nih chuan hmuh theih a ni bawk.
• Coronary Angiogram: Hei hian thinlunga thisen petu coronary arteries dinhmun a enfiah thin.
• E.C.G.-in a sawi. (Electrocardiogram - EKG): Hei hian thinlung electrical activity a test thin. Hei hian heart attack leh heart attack thliar hrang turin a pui a ni.
• Transthoracic Echocardiogram: Hei hi thinlung ultrasound scan ang a ni. Thinlung pindan, valve leh thisen kalna kawngte dinhmun a en thei a ni.

Heng test te hmang hian Doctor ten rang takin natna hi an finfiah thei a ni.

Hei hi eng enkawlna nge ni? Chhandam kan ni thei ang em?

Enkawl dan chu aorta chhiatna hmun a zirin a ni.

• Ascending aorta, aorta-a thinlung lam panna hmuna harsatna awm chuan emergency surgery a ngai a ni . Surgeon te chuan aorta chhia chu an la chhuak a , chu chu synthetic graft hmangin an thlak leh thin . A nasat deuhah chuan aortic valve pawh thlak a ngai thei bawk.

• Aorta hnuai lam pan a, thisen kalna kawng dang, a hnuai lam aorta nena inzawm laiah harsatna a awm chuan hei hi a chang chuan damdawi hmanga enkawl theih a ni. Thisen sang control thei damdawi, beta-blocker emaw vasodilators emaw pek thin a ni. Heng damdawi te hian heart rate a ti hniam a, thisen kalna a tizau a, aorta-a pressure a tihhniam bawk. Mahse, a châng chuan he part-a harsatna a awm chuan operation emaw, stent dah emaw a ngai thei.

A pawimawh ber chu enkawl tan hun i nghah rei poh leh thil awmdan chu a hlauhawm zual thei a ni. Chuvangin damdawi ina thlen leh enkawl tan thuai hi nunna chhanhim nan a pawimawh hle.

Hetiang dinhmun hlauhawm tak pumpelh nan eng nge kan tih theih? ( Engtin nge a hlauhawmna chu kan tihziaawm theih ang ?)

Chutiang dinhmun rapthlak tak paltlang tur chuan kan nunphung kan enkawl a ngai a ni.

• Rihna hrisel tak vawn reng:I san zawng, kum leh mipa leh hmeichhia azirin taksa rihna hrisel tak vawng reng rawh.
• Thisen sang control dan: Hei hi a pawimawh ber a ni . Thisen sang i neih chuan i doctor-in a pek damdawi chu a hun takah ei thin ang che. I thisen sang kha enfiah fo thin ang che.
• Damdawi lam dinhmun dang enkawl dan: Zunthlum emaw cholesterol emaw ang chi harsatna i neih chuan doctor thupek angin uluk takin enkawl rawh.
• Meizial zuk bansan vek rawh: Meizial zuk hian thisen kalna kawng a tichhe nasa hle.

Heng step awlsam tak takte hi zawm hian ``Acute Aortic Syndrome'' ang chi natna hlauhawm tak tak i neih theihna chu nasa takin i tihtlem thei a ni.

Hetiang hi a lo thlen chuan eng nge thleng ang? Eng chen nge a dam leh theih ang? (Natna thlirletna)

Acute Aortic Syndrome hi nunna atana hlauhawm emergency a ni. Emergency surgery a ngai fo thin. I dam lehna chu enkawlna i dawn thuai danah a innghat a ni.

Condition pahnih `(Intramural Hematoma)` leh `(Penetrating Atherosclerotic Ulcer)` ah hian dam theihna chance chu `(Acute Aortic Dissection)` aiin a sang zawk a ni.

Enkawlna i zawh hnuah pawh damdawi lam enkawlna hnuaiah i awm chhunzawm zel a ngai dawn a ni. Aorta-a thisen chhuak emaw, aneurysm thar lo awm leh awm loh emaw enfiah turin checkup neih fo a ngai ang. Tin, i dam chhung zawnga thisen sang control tha taka vawn reng a pawimawh hle bawk.

Heng thilte hi i doctor hnenah zawh theihnghilh suh.

Acute Aortic Syndrome i vei tih i hriat a nih chuan, emaw, i vei nia rinhlelh i nih chuan, i doctor hnenah heng zawhnate hi i zawt thei ang:

• Ka natna lan chhuah chhan ber chu eng nge ni?
• Ka thinlung natna (underlying heart condition) ka nei a. `(Acute Aortic Syndrome)` ka vei theihna tur risk chu eng nge ni?
• `(Acute Aortic Syndrome)` symptoms ka hriat chian tur chu engte nge ni?
• Hei hi enkawl dan tur engte nge ni? Eng ber nge ka tan a tha ber?
• Enkawl zawhah eng follow-up treatment nge ka neih ang?

A tawi zawngin (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan thil pawimawh tak tak thenkhat chu i hre reng thei ang.

Acute Aortic Syndrome hi aorta-a lo awm nghal, nunna atana hlauhawm tak a ni.

A lan chhuah dan ber chu rilru na tak, na tak a ni . He natna hi hnungzang leh pum thlengin a radiate thei bawk.

Thisen sang hi a chhan ber a ni.

If you experience these symptoms , damdawi inah kal nghal rawh. Enkawlna rang tak chuan i nunna a chhanhim thei a ni.

Hetiang hlauhawmna hi nunphung hrisel taka nun leh thisen sang control-na hmanga tihziaawm theih a ni.

Hemi chungchanga zawhna dang i neih chuan i chhungkaw doctor nen inbiakna neih hreh suh. Hrisel takin awm rawh!

`Acute Aortic Syndrome, Aorta, Hnung na, Thisen sang, Lung natna, Emergency Surgery te a awm bawk