Kan taksa thisen kalna bulpui chhunga balloon ang maia bulge awm Aortic Aneurysm chungchang hi i zir mai ang u!

Aw, a chang chuan chhinchhiahna pawh kan lantir lo, mahse taksa chhungah harsatna lian tak tak a lo chhuak thei a ni lawm ni? Chu chu ngawi renga lo awm thin condition chi khat chu a ni a, mahse i hriat chian chuan control theih a ni. Aortic Aneurysm hi hriat a hlauhawm deuh a, mahse awlsam takin han sawi ila. Tichuan hriatthiamna tha zawk i nei thei ang.

He 'Aorta' hi eng nge a nih i en hmasa ang u?

Ngaihtuah teh, kan taksaa thisen kalna kawng lian ber chu ‘Aorta’ . Kan tuikhuah atanga kan in chhung hmun tinah tui phurtu main pipe ang mai a ni. He aorta hi kan thinlung atanga thisen thianghlim, oxygen awmna taksa pum puia phurtu a ni. Upward-curving cane ang maia siam a ni. Thinlung atanga a chhoh lai chu ‘Ascending Aorta’ an ti a, pum chhunga a chhuk chu ‘Descending Aorta’ an ti bawk.

Chuti a nih chuan, he ‘Aortic Aneurysm’ hi eng nge ni?

A awlsam zawngin sawi ila, he ‘Aortic Aneurysm’ hi kan thisen kalna kawng lian ber aorta an tih bangah chak lohna a awm a, chuta thisen pump pressure chuan chu hmun chu balloon ang maia a bulh tir a ni. Tui pipe hlui puak ang mai a ni. Chu balloon ang maia bulge chu aneurysm kan tih chu a ni. Hei hi thisen kalna kawng eng pawhah a thleng thei a, mahse aorta-a a awm chuan aortic aneurysm kan ti thin.

Hetiang chi aneurysm hi a awm em?

Ni e, aortic aneurysm hi chi hnih a awm a. Heng chi hnih hi an awmna hmun azirin an inthen a:

1. Abdominal Aortic Aneurysm (AAA): Hei hi a tam ber a ni. Kan aorta hnuai lam ah a lo thang lian a, chu chu pum lam panna hmun a ni. Tiang chunga hnuai lam hawia inzar pharh angin ngaihtuah rawh.

2. Thoracic Aortic Aneurysm (TAA): Hei hi aorta chunglam, chu chu chest area-a chunglam hawia ‘U’ ang deuha awm a ni. A châng chuan Marfan syndrome ang chi connective tissue natna vei teah chuan he TAA hi ascending aorta-ah a awm thei a, chu chu aorta-a thinlung hnaih berna hmun a ni.

Abdominal aortic aneurysm (AAA) hi a tlangpuiin thoracic aortic aneurysm (TAA) aiin a tam zawk . Hei hi kan rilru chhunga aorta bang hi kan pum chhunga aorta wall aiin a thuk deuh a, a chak zawk vang pawh a ni thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hmeichhia aiin mipa hian abdominal aortic aneurysm (AAA) an vei theihna hi a let 4 atanga a let 6 in an tam zawk a ni. Kum 55 leh 64 inkar mipa 1% velin a vei a, mahse kum upat deuh deuh hian a vei theihna a sang chho zel a ni. Kum 10 danah 4% velin a pung thei niin an sawi.

Hemi atan hian tute nge hlauhawm ber? (Risk Factor hrang hrang) 1.1.

I chhungkaw genetics leh i nunphung hian he aortic aneurysm lo awm tur hian hmun a chang vek thei a ni. Hetiang dinhmun hi a tam ber chu:

• Meizial zu thinte zingah .
• Kum 65 chunglam zingah.
• Mipa zingah chuan .
• I chhungkuaa mi pakhatin aortic aneurysm a lo neih tawh chuan .
• Hypertension, chu chu thisen sang nei tan a ni .

Ngaihtuah teh, heng zinga pakhat tal hi i tan a hman theih chuan he thil hi tlem tal ngaihtuah hi a tha dawn lo em ni?

Eng thilin nge hei hi a thlen?

Aortic aneurysm awm chhan dik tak hriat a harsa fo thin. Mahse, thil engemaw zat a pui nia ngaih a awm a:

• Atherosclerosis: Hei hi thisen kalna kawng chhunga thau awmkhawm, a ti tawi a ni. Tui pipe chhunga rust lo awm ang mai a ni.
• Thisen kalna kawng (arteries) a inflammation.
• Genetic conditions: Connective tissue a nghawng bik natna, Marfan syndrome leh Ehlers-Danlos syndrome te .
• Aorta hliam: Accident engemaw atanga lo awm ang mai.
• Infection thenkhat: Entirnan, mipat hmeichhiatna atanga kai theih natna syphilis ang chi atanga lo chhuak a ni thei.

Hei hi eng symptoms nge ni?

Hetah hian a pawimawh ber. Mi tam tak chuan aortic aneurysm an nei tih pawh an hre lo. A chhan chu a rupture hma loh chuan symptoms a nei lo mai thei.

Mahse, aneurysm a puak chuan natna khirh tak a ni a, emergency medical treatment a ngai a ni. Nangmah emaw, i bula awm tu emaw hian aneurysm a puak tih hriat theihna symptom a neih chuan damdawi inah i kal nghal tur a ni.

Aneurysm ruptured symptoms hi a lo lang nghal thei a:

• Luak chhuak emaw, lu hah emaw.
• Lung chak tak.
• Sudden nasa taka rilru na, pum na, emaw hnungzang na.

Aortic aneurysm a rupture hmaa hmuh a nih chuan a dam theihna chance tha ber a ni. Aneurysm a lo lian zel chuan heng ang symptoms hi i hmu thei ang:

• Thâwk harsa emaw, thawk harsa emaw.
• Tlemte ei hnuah pawh a khat tih hriat.
• Aneurysm awmna hmuna natna hriat (hei hi kawr, hnungzang, rilru, emaw pum chhungah emaw a ni thei).
• Chaw ei laiin natna emaw harsatna emaw hriat.
• Kut, kawr emaw, hmai emaw a hring chhuak.

Hei hian eng harsatna nge a thlen theih?

Aortic aneurysm a rupture chuan chhungril thisen a chhuak thei a ni. Aneurysm awmna hmun azirin he rupture hi a na hle thei a, nunna atana hlauhawm pawh a ni thei. Mahse, enkawl vat a nih chuan mi tam zawk chu aneurysm ruptured atang hian an dam leh thei a ni.

Aortic aneurysm lian chuan thisen kalna kawng (aortic dissection) pawh a tikehsawm thei bawk . He mittui tla hian thisen kalna kawng (artery walls) kaltlangin thisen a luang chhuak thei a ni. Hei hian thisen kalna kawng a ti tawi a, thinlung atanga taksa peng dang panna thisen kal chu a tihtlem emaw, a tikhawlo vek emaw a ni. Artery chhunga pressure pawh a sang thei a, chu chuan aneurysm a ti chhe thei bawk.

Engtin nge hei hi i diagnose?

Aneurysm tam tak chu chhinchhiahna awm lovin a lo awm thin avangin, doctor-te chuan damdawi lam enfiahna pangngai emaw, thil dang scan emaw an neih lai chauhvin an hmuchhuak thin.

Aortic aneurysm vei theihna chance sang tak i neih chuan, emaw, aneurysm symptoms i neih chuan, i doctor chuan imaging tests , i taksa chhung lam enfiahna test a ti thei ang. Chungte entirnan:

• CT scan a ni.
• CT emaw MRI emaw hmanga angiography hmanga enfiah a ni.
• Ultrasound hmanga scan a ni.

Aneurysm rupture loh chu engtin nge i enkawl?

Unruptured aortic aneurysm, chu chu la puak lo i neih chuan i doctor chuan uluk takin a lo en reng ang che. I doctor pawhin aneurysm vei theihna tur risk factor i neih chuan screening neih fo a rawt thei bawk.

Enkawlna tum ber chu thisen kalna kawng (aneurysm) a lian lo va, thisen kalna kawng a tikehsawm emaw, a puak emaw a nih loh nan a ni. For small, unruptured aneurysms , i doctor chuan thisen kal dan tihchangtlunna tur, thisen sang tihhniamna tur, a nih loh leh cholesterol control theihna tur damdawi a pe thei a ni. Heng zawng zawng hian aneurysm thanna a ti slow thei a, thisen kalna kawng wall-a pressure a tihziaawm thei bawk.

Aortic aneurysm surgery chi hrang hrang eng nge awm?

Aneurysm lian tak tak rupture emaw puak thei emaw chu operation a ngai thei . I doctor chuan heng surgery technique zinga pakhat hi a hmang thei ang:

1. Open aneurysm repair: Hetiang tih danah hian doctor chuan aneurysm chu a cut chhuak a, a chak lo lai chu a la chhuak a, a aiah tubing (graft) bik hmangin thisen kalna chu a siam tha leh thin. He open surgery hi aneurysm a puak chuan a ngai mai thei.

2. Endovascular Aneurysm siamthat (EVAR): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi minimal invasive surgical procedure a ni. Chu chu incision lian tak siam lovin tih a ni tihna a ni. Hetiang tihnaah hian doctor chuan thin tube (catheter) hmangin graft chu aneurysm chhungah a hruai lut a, thisen kalna chu a tichak emaw, a siam tha emaw a ni. Hetiang tih dan hi thoracic endovascular aneurysm repair (TEVAR) emaw fenestrated endovascular aneurysm repair (FEVAR) emaw an ti bawk.

Operation hnuah eng nge i beisei theih ang?

Aneurysm surgery atanga a dam leh theih nan thla khat emaw a aia rei emaw a ngai thei. I doctor chuan aneurysm-a inthlak danglamna, thanlenna, harsatna awm leh awm loh a enfiah chhunzawm zel ang che. Mi tam zawk chuan operation hnuah result tha tak an nei thin.

Mahse, surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Operation hnua harsatna awm thei thenkhat chu:

• Graft chhehvela thisen chhuak. Hei hi endoleak an ti bawk .
• Pipe chu a awmna a\angin an sawn a.
• Thisen a chhuak thin.
• Kaichhawng.

He aortic aneurysm hi a lo awm loh nan kan veng thei ang em?

Ni e, eng emaw chen chu. Thisen sang, cholesterol sang emaw, zuk leh hmuam hman emaw hian thisen sang (aneurysm) i neih theihna a tipung a ni. Nun hrisel tak i hman chuan i hlauhawmna chu i tihtlem thei a ni . Chumi awmzia chu:

• Thinlung hrisel ei leh in.
• Exercise neih fo thin.
• Rihna hrisel tak vawn reng.
• Meizial zu leh zuk leh hmuam hman khap tlat.

En teh, heng thilte hi aneurysm tan chauh ni lovin, kan taksa pum hriselna atan pawh a tha a ni lawm ni?

Aortic aneurysm nei tan chuan eng prognosis nge a awm?

Uluk taka enkawl leh enkawl a nih chuan i doctor chuan aortic aneurysm enkawl danah a pui thei che a ni. A tha ber chu i medical team te hian aortic aneurysm chu a rupture hmain zawng chhuakin enkawl se, a theih chuan.

Aortic aneurysm a rupture chuan doctor pan nghal tur a ni. Enkawl vat loh chuan aortic aneurysm ruptured chu thihna thlen thei a ni. Open surgery leh endovascular surgery pahnih hian aortic aneurysm ruptured chu hlawhtling takin a enkawl thei a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor pan nghal rawh:

• Thil hriatna hloh (syncope, fainting emaw passing out emaw).
• Thisen sang hniam.
• Lung chak tak.
• Rilru, pum emaw, hnungzang emaw na tak, na tak.

Ka doctor hnenah eng nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Aortic aneurysm vei theihna hlauhawm ka ni em?
• Engtin nge aortic aneurysm ka neih leh neih loh ka hriat theih ang?
• Aortic aneurysm a lo puak emaw, a puak emaw loh nan eng nge ka tih theih ang?
• Aortic aneurysm ka vei theihna tur tihtlem nan eng nunphung tihdanglam nge ka tih ang?

A tawp berah chuan take-home message:

I thinlung hriselna tihchangtlunna tura hmalakna hian aortic aneurysm lo awm leh lo nasat loh nan a pui thei a ni. Nunphung i tihdanglam theih dan tur chu i doctor nen sawiho rawh. Aortic aneurysm vei theihna hlauhawm i nih chuan screening neih fo thin ang che. Aneurysm hriat hmasak leh enkawl hian a rupture emaw, harsatna dang emaw a thlen theihna nasa takin a ti tlem thei a ni. Awareness hi defense tha ber a ni tih hre reng ang che!

` Aortic Aneurysm, Aortic aneurysm, Thisen kalna kawng zau, Lung natna, AAA, TAA, Aota