I taksaa thisen kalna kawng lian ber, aorta tih hi i hre tawh em? Kan taksa chhunga tui pipe system lian ber angin han ngaihtuah teh. Thinlung a\anga thisen thianghlim, oxygen awmna la chhuakin taksa peng dang zawng zawngah a sem darh \hin a ni. Tube lian tak, curved ang maia siam a ni. He natna hlauhawm tak Aortic Aneurysm an tih hi he aorta-ah hian a awm thin. Chuvangin vawiin hian awlsam takin sawi ila.
A awlsam zawngin, aortic aneurysm chu eng nge ni?
I huana tui pipe awm chu han ngaihtuah teh. Hun a kal zel a, a chunga hmun pakhat chu a chak lo va, tui pressure hnuaiah balloon ang maiin a rawn chhuak chhuak ta a ni. Kan aorta-ah pawh hetiang bawk hian a thleng thin. Eng emaw chhan vanga aorta wall-a hmun pakhat a chak loh chuan thinlung atanga thisen lo chhuak pressure chuan chu hmun chak lo chu balloon ang maiin a rawn chhuak chhuak thin. He bulge hi Aortic Aneurysm kan tih chu a ni.
Hei hi a hlauhawm chhan i hria em? He balloon ang maia hring hi zawi zawiin a lian chho zel a, a puak darh (rupture) nghal thei bawk. Chutiang a nih chuan taksa chu thisen a chhuak nasa tan ta a ni. Nunna atana hlauhawm tak, emergency dinhmun a ni.
Aortic aneurysm hi chi hnih a awm a, chungte chu:
Aorta chhunga khawiah nge he bulge hi a awm tih a zirin chi hnih ah kan then a. Hei hi hriatthiam a awl hle mai.
| Aneurysm chi hrang hrang | Hei hi khawiah nge a awm? |
|---|---|
| Abdominal Aortic Aneurysm (AAA) a awm a, a rilru a buai em em a, a rilru a hah em em bawk. | Hei hi a tam ber chi a ni. Aorta hnuai lam a awm a, chu chu pum (abdomen) kal tlanga kalna hmun a ni. |
| A rilru a buai em em a. | Hetiang chi hi aorta chhunga rilru chhunga kal laiah a awm thin. A bik takin, thinlung atanga tan ‘U’ letter lem anga ben thin part-ah chuan. Mihring thlahtu natna thenkhat, Marfan syndrome ang chi nei te hian he aneurysm chi hi an nei thei a ni. |
Heng chi hnih zingah hian pum chhunga AAA hi a tam ber a ni. Hei hi a chhan chu pum chhunga thisen kalna bang chu rilru chhunga thisen kalna bang aiin a thim deuh vang a ni thei.
Hetiang dinhmun hi a awm fo em? Tu nge hlauhawm ber?
Aortic aneurysms hi ngawi renga awm a ni fo thin. Hmeichhia aiin mipa hian AAA hi a let 4-6 in an nei tam zawk a, a bik takin pum chhungah hian AAA an nei tam zawk. Kum upat rualin a hlauhawmna a sang chho zel.
Tin, a hnuaia thilte hi i neih chuan aortic aneurysm vei theihna i nei sang zawk bawk:
- Meizial zuk: Hei hi risk factor ber leh control theih ber a ni.
- Kum 65 chunglam: I tar deuh deuh chuan i thisen kalna kawng (artery walls) chakna a tlahniam thei a.
- Mipa i nih chuan: Hetiang dinhmun hi mipa zingah a tam zawk.
- Chhungkaw chanchin: Chhungkaw member hnai tak (nu, pa, unaupa) in he natna hi a lo vei tawh a nih chuan nang pawh i hlauhawm zawk a ni.
- Thisen sang (Hypertension): Thisen sang hian thisen kalna kawng bang a tichhia a, a tichak lo thei bawk.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Hei hi a chhan chiang tak hmuh a harsa fo a, mahse dinhmun thenkhatin a thlen thei tih hmuhchhuah a ni.
- Atherosclerosis: Cholesterol leh thau chu thisen kalna bang chhungah a pungkhawm a, chu chuan thisen kalna kawng a ti tawi a, a tikhauh a ni. Hei hian artery walls a tichak lo hle.
- Inflammation in the arteries: Natna thenkhat chuan thisen kalna bang a ti na a, a chak lo thei bawk.
- Hereditary diseases: Genetic diseases, connective tissue tichhe thei, Marfan syndrome leh Ehlers-Danlos syndrome te hian congenital weakness of the artery walls a thlen thei a ni.
- Aortic injury: Aorta chhiatna, accident na tak atanga lo chhuak ang chi.
- Infection thenkhat: Bacteria infection thenkhat, syphilis te pawhin hetiang hi a thlen tam lo hle.
Hei hi eng symptoms nge ni? Engtin nge kan hriat?
Hei hi he natna hlauhawm ber a ni. Mi tam tak chuan symptoms an nei lo. Aneurysm a puak hma loh chuan an nei tih pawh an hre lo. Chuvangin "silent killer" an ti a ni.
Mahse, mi thenkhat chuan aneurysm a lo lian zauh zauh a, symptoms an nei thei. Tin, a rupture chuan a symptoms chu a rang hle a, a na hle bawk. Heng pahnih hi a hranin han thlir ila.
| Aortic Aneurysm natna lan chhuah dan | |
|---|---|
| Aneurysm a lo lian zauh zauh a, a lo awm thei symptoms | |
| |
| Aneurysm ruptured rang tak symptoms - Hei hi emergency a ni! | |
|
Pawimawh tak: Nangmah emaw i hriat emaw chuan thisen zam (ruptured aneurysm) chhinchhiahna eng emaw tal i neih chuan medical emergency a ni. Tikhawtlai suh la, damdawi in Emergency Department (ETU) ah kal nghal rawh .
Hei hian eng harsatna nge a thlen theih?
Complication na ber leh hlauhawm ber chu aneurysm rupture a ni a, taksaah thisen a chhuak thei a, thihna a thlen thei bawk.
Chu bâkah, dinhmun hlauhawm dang a lo awm thei bawk. Aortic dissection an ti a . Heta thil thleng chu artery wall chhungril layer-ah hian mittui tla te tak te a awm a, chuta tang chuan thisen lo lut chu high pressure hnuaia wall layer hrang hrang inkarah a leak thin. Hei hian thisen kalna kawng chhunga thisen kal chu a tikhawlo thei a, a tawpah chuan thisen kalna kawng chu a puak darh vek thei a ni. Hei hi emergency medical treatment mamawhna a ni bawk.
Engtin nge doctor hian hei hi a hmuh theih?
Vawi tam tak chu he natna hi natna dang test-naah hian a thleng maiin hmuhchhuah a ni. Entirnan, pum natna avanga ultrasound scan an tih laiin abdominal aneurysm chu accident-in hmuhchhuah a ni thei.
Risk factors emaw a chunga kan sawi tak symptoms emaw i neih chuan i doctor chuan he natna hi enfiah turin special test thenkhat a ti ang.
- CT scan a ni
- CT emaw MRI angiography - Hei hian thisen kalna kawng (arteries) chhunga thisen kal dan chiang takin a hmu thei.
- Ultrasound (ultrasound hmanga scan) hmanga tih a ni.
A puak hmaa hriatchhuah a nih chuan... engtin nge a enkawl ang?
Aneurysm a rupture hmaa hmuh a nih chuan enkawl dan kawng hrang hrang a awm. Enkawlna chu aneurysm lian leh te, a awmna hmun leh a lo thang chak danah a innghat a ni.
- Aneurysm te tak te tan (watchful waiting): Aneurysm hi a te a, a lo thang chak lo a nih chuan i doctor chuan operation tel lovin enfiah a tum mai thei. A size a inthlak leh danglam loh en turin regular interval-ah scan i nei ang.
- Damdawi: I doctor chuan artery wall-a pressure tihziaawmna tur leh aneurysm lo lian zel dan control turin damdawi thenkhat a pe thei ang.
- Thisen sang control damdawi.
- Thisen cholesterol level tihhniam thei damdawi.
Engtikah nge operation i mamawh?
Aneurysm hi a lian leh te, a lo thang chak lutuk emaw, doctor-in a puak dawn nia a hriat emaw chuan operation neih a tha thei ang. Surgery hi chi hnih a awm a.
| Surgery chi hrang hrang | I thil tih chu a awlsam hle. |
|---|---|
| Open Aneurysm siamthatna tur | Hei hi traditional surgical procedure a ni. Hetiang tihnaah hian surgeon chuan pum emaw, rilru emaw a hawng a, thisen kalna kawng bulpui (bulging part) chu a la chhuak a, chu chu artificial tube (graft) hmangin a thlak a ni. He surgery hi emergency case-a ruptured aneurysm-ah pawh tih a ni fo bawk. |
| A rilru a buai em em a, a rilru a hah em em bawk a. (Endovascular Aneurysm Repair - EVAR) . | Hei hi technique thar a ni. Incision lian tak siam ai chuan catheter (tube te tak te) chu groin-a khur te tak te hmangin an dah a, chuta tang chuan flexible artificial tube chu aneurysm-ah an kalpui a, chutah chuan an inzawm khawm a, artery wall chu an tichak a ni. Hetiang tih dan hi (TEVAR) emaw (FEVAR) emaw an ti bawk. |
Hetiang thil hi kan veng thei ang em?
Risk factor thenkhat (kum leh genetics ang chi) kan thlak danglam thei lo nain, kan nunphung thlak danglamin he natna hlauhawm tak kan neih theihna tur hi nasa takin kan tihtlem thei a ni.
- Meizial zuk bânsan vek rawh: Meizial zu mi i nih chuan vawiina bânsan hi i thu tlûkna ṭha ber a ni.
- Thinlung hrisel ei rawh: hriak, chi, leh sugar ei tlem la, thlai, thei leh greens ei tam rawh.
- Exercise neih fo: Ni khatah minute 30 tal kea kal ang chi exercise awlsam tak ti thin ang che.
- I taksa rihna hrisel tak vawng reng rawh.
- Thisen sang emaw cholesterol emaw i neih chuan doctor thurawn zawm tur a ni.
Take-Home Thuchah a ni
- Aortic aneurysm chu kan taksa thisen kalna bulpui bang a chak lo a, balloon ang maia a bulh hian a ni.
- A tam zawkah chuan a puak hma loh chuan symptom a lang lo. Chuvang chuan a hlauhawm em em a ni.
- Meizial zuk, thisen sang, kum 65 chunglam, chhungkaw history te hi a hlauhawmna ber a ni.
- I rilru, pum emaw hnungzang emaw na tak, luak chhuak emaw, natna dang emaw i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Nunphung hrisel chuan he natna vei theihna a ti tlem thei a ni.
- Risk group-a awm i nih chuan doctor nena inbia a, a tul anga test neih a pawimawh hle.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh