Doctor-in i fain lung lam harsatna a nei tih a hrilh che chuan i hlauthawng hle a, i lungngai hle bawk a ni lawm ni? A pangngai hle mai. Mahse a tam zawkah chuan heng dinhmun thenkhat hi kan ngaihtuah angin a hlauhawm lo. Vawiin hian pianpui avanga lo awm, thinlung thisen kalna kawng hrang hranga hmuh theih dinhmun bik kan sawi dawn a ni. Hei hi damdawi lam chuan Anomalous Coronary Artery an ti a . Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
A awlsam zawngin, Anomalous Coronary Artery tih hi eng nge ni?
Hei hi hriatthiam a awlsam hle. Kan thinlung hi taksa ruh (muscle tissue) atanga siam pump ang a ni. He heart muscle hian hna a thawh theih nan thisen thianghlim, oxygen nei a mamawh a ni. Chu thisen supply tu thisen kalna kawngte chu coronary arteries an ti a . Anomalous Coronary Artery chu nausen pum chhunga a lo thanglian mek laia heng coronary artery pakhat emaw a aia tam emaw a siam that loh chuan a ni.
Heta thil thleng hi han mitthla teh, in chhunga tui pipe-in hmun dik lo atanga tan a, hmun dik lo nena inzawm ang maiin. Heng thisen kalna kawngte hi an awmna tur hmunah an intan lo emaw, an awmna tur hmunah an awm lo emaw a ni.
He harsatna hian a nghawng ber thei artery chi hrang hrangte chu:
- Dinglam coronary artery a ni
- Veilam main coronary artery a ni
- A veilam circumflex artery a ni
- Left anterior atanga chhuak artery
He artery hi hmun dik lo taka a awm chuan thil thleng ber chu oxygen tamna thisen heart muscle-a kal dan pangngai a tibuai a ni. Hei hian heart muscle-in thisen a dawng tlem phah thei a ni.
Hetiang dinhmun hian mipui 1% vel a nghawng thei a ni. Mahse, heng case tam zawk hi chu a hlauhawm lo tih hre reng ang che. Mahse, a chang chuan heart muscle-a thisen kal tlem avangin harsatna a thlen thei a ni.
Hei hi chi hrang hrang a awm em?
Ni e, he natna hi chi hrang hrang lian tak tak a awm. A awlsam zawngin han thlir ila, buaithlak tir lovin.
- Main left artery tel lo chuan artery dang pahnih chu hmun dangah direct-in an intan a. Hei hi he natna chi khat a ni ber.
- Artery pakhat chu a awmna tur hmun ni lovin taksa sir lehlamah a intan a. A tlangpuiin veilam artery chu veilam atanga tan a ni a, dinglam artery chu dinglam atanga tan a ni. Mahse hetiang a nih chuan a switch tawh mai thei.
- Oxygenated thisen thinlung (the aorta) thlenga phurtu main artery atanga tan ai chuan lung (pulmonary artery) thlenga thisen phurtu artery atanga tan a ni. Hei hi dinhmun hlauhawm tak a ni thei.
- A tlem berah chuan thisen chu lung lama phurtu tube-ah extra artery a intan thin.
A châng chuan, a awmna pangngaia awm artery hian thisen pangngai lo takin a tih theih loh hna chu a luah khat thei a ni. Hei vang hian mi thenkhat chuan puitling an nih hma chuan symptom engmah an nei lo.
Hetiang natna lan chhuah dan hi engte nge ni?
A lan chhuah dan chu a danglamna chi hrang hrang a zirin a danglam thei. A châng chuan, a lan chhuah dân chu naupang tê têah a lang lo va, puitlingah a lang. Hei hi table pakhatah chiang takin i hmu ang u.
| Thil danglam chi hrang hrang | A lan chhuah dan tlangpui |
|---|---|
| Hmun dik lo atanga intan artery (AAOCA) . | Naupang tam tak chuan symptom an nei lo. A châng chuan a lan chhuah hmasak ber chu exercise neih laiin sudden cardiac arrest (SCA) a ni. Hetiang hlauhawmna hi kum 10 leh 30 inkar thalai zingah a sang hle.
|
| Pulmonary artery (ARCAPA) atanga lo chhuak right aorta . | Nau piang emaw, kum 40-60 inkar emaw ah natna lanchhuahna a lang thei. |
| Left aorta chu pulmonary artery (ALCAPA) atanga lo chhuak a ni. | Hei hi dinhmun pawi tak a ni. Nausen lai, kum khatna chhungin a lan chhuah dan a lang tlangpui. |
Hei hi eng nge a chhan?
Hei hi a chhan dik tak erawh hriat a la ni lo. Hei hi pianpui harsatna a ni. Hei hian a awmzia chu naupai hnu thla hmasa berah thinlunga coronary arteries a lo awm hian defect engemaw zat a awm tihna a ni.
A pawimawh ber chu research-in hei hi thlahtu natna a ni tih a finfiah loh hi a ni. Chuvangin hei hi i sualah ngai suh.
Engtin nge doctor hian he natna hi a hriat chian tak tak?
Mi thenkhat chuan symptom an nei lo va, routine medical exam neih laiin engkim a hrisel hmel hle a, a chhan chu hriat a harsa deuh thei. Mahse, i doctor-in he natna hi a rinhlelh chuan hetiang test tlemte hi a rawt ang.
- CT Angiogram (Computed Tomography Angiogram): Hei hian thinlung thisen kalna kawng pathum (3D)-a thlalak a la thei a, thisen kalna kawng (arteries) awmna hmun dik tak a hmu thei a ni.
- Chest X-ray neih a ni
- Transthoracic Echocardiogram: Thinlung hnathawh leh insiam dan enfiahna scan a ni.
- ECG test (Electrocardiogram): Thinlung electric hnathawh dan enfiahna test a ni.
- Lung lam MRI scan a ni
- Cardiac Catheterization: Tube te tak te chu thisen kaltlangin thinlung chhungah an lut a, chu chuan thisen kalna kawng (arteries) pressure leh position a enfiah thin.
- Stress Test: Exercise neih laiin thinlung hnathawh dan enfiah.
Hei hi eng enkawlna nge ni?
Enkawlna chu thil dik lo chi hrang hrang, a nasat dan leh a lan chhuahna a awm leh awm lohah a innghat a ni.
Mi tam tak, a bik takin naupang, hrisel tak tak, natna lanchhuahna nei lo tan chuan doctor-te chuan nakin lawka harsatna lo thleng tur ven nan operation neih an rawt a ni. A bik takin natna khirh tak nei, left atrial appendage (LAPA) te tan chuan operation neih a ngai hle.
Mahse, chi thenkhat, entirnan atrium dinglamah thil danglam tenau te, symptoms a awm loh chuan operation a ngai lo mai thei.
Surgery hi duhthlan tur a nih loh chuan i doctor chuan i fa chu exercise tihtlem turin a hrilh thei a, thinlunga hnathawh tur tihtlem nan damdawi, beta-blockers ang chi pawh a pe thei bawk.
Surgery chi hrang hrang hman a ni a, chungte chu:
- Artery chu a awmna tur dik takah hruai kir leh a, inzawm leh.
- Coronary tihchhuah a ni.
- Pulmonary artery atanga inthlak danglamna.
- Coronary artery bypass hmanga siam a ni.
Surgery hnuah leh a hnu lamah eng nge thleng ang?
Surgery zawhah naupang chu damdawi inah ni engemaw zat a awm a ngai dawn a ni. Thla thum vel damdawi aspirin ang chi ei tura tih an ni thei bawk. Thla thum hnuah infiamna lama tel leh phalsak an ni tlangpui.
Hei hi pianpui natna a nih avangin dam chhung zawngin damdawi lam checkup neih fo a pawimawh hle a, operation pawh tih pawh nise.
Hetiang natna vei mi pakhat tan chuan a tlangpuiin hmalam hun a tha hle. A bik takin ALCAPA ang chi natna khirh tak tan chuan, enkawl loh chuan thihna thlen theihna chance 90% a nei a, a hmaa hmuhchhuah a nih chuan a dam vek thei a, uluk taka enkawl a nih chuan a dam vek thei a ni Surgery hian symptoms a ti reh thei a, rang taka thihna a veng thei bawk.
Engtik hunah nge doctor ka hmuh ang?
Heng mizia te hi i fimkhur hle a ngai a ni.
I naute hian heng symptoms te hi a neih chuan:
- Chhan awm lovin i tap reng a nih chuan.
- Vun chu a sen hmel a nih chuan.
- I thawk chak lutuk nia i hriat chuan.
Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
Puitling a nih chuan:
I rilru a na a, thawk harsatna i neih chuan , damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh. Hei hi heart attack chhinchhiahna a ni thei a, chuvangin tihkhawtlai suh.
I fain thinlung lam harsatna a nei tih i hriat hian rilruah rilru natna tam tak a lo lang thin. Mahse a tha ber chu he Anomalous Coronary Artery condition hi a tlangpuiin a hlauhawm lo. I fa dinhmun chungchang chu i fa doctor nen zalen takin sawipui rawh. I mamawh thurawn a pe ang che. A pawimawh ber chu i fa chu i doctor-in a tih angin regular checkup turin tirh hi a ni.
Take-Home Thuchah a ni
- Anomalous Coronary Artery hi pianpui natna a ni. Nu leh pa dik lohna avanga lo awm a ni lo.
- Hetiang natna vei tam tak hian symptom nei lovin nun pangngaiin an hmang thin.
- A bik takin exercise i tih hian rilru natna emaw, thawk hah emaw ang chi symptoms te hi ngaihthah ngai suh. Doctor pan nghal rawh.
- Nausen a tap fo emaw, a hnute a pek laiin thawk a harsat emaw chuan fimkhur hle ang che.
- Diagnosis dik leh enkawl (a tam zawkah chuan surgery) hi a hlawhtling hle. Chuvangin hlauh a ngai lo.
- I doctor thupek chu uluk takin zawm la, a bik takin exercise khap dan leh checkup neih fo chungchangah.











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