Kan taksa pum puia thisen phurtu thisen kalna kawng lian ber, lian ber chu aorta, aorta a ni. Kan in chhunga tui rawn thlentu main water pipe ang maiin han ngaihtuah teh. He pipe bang pakhat hi hmun khatah a chak lo va, tui pressure hnuaia a bulh tan chuan eng nge thleng ang? Chu chu Thoracic Aortic Aneurysm tih chu a ni. Hetianga thil thleng chu kan rilru chhunga aorta section pakhat bang chu thisen pressure hnuaiah balloon ang maiin a chak lo va, a bulge ta a ni. Vawiin hian he natna hi kan sawi dawn a, chu chu engmah chhinchhiahna nei lo, taksa chhungah a awm fo thin.
Thoracic Aortic Aneurysm hi eng nge ni tak tak?
A awlsam zawngin, hei hi kan rilru (thorax) kal tlanga thisen lian tak aorta-a swelling emaw bulge (aneurysm) a ni. He aorta hi tube ang a ni. Mahse, aneurysm a lo awm chuan chu tube pianzia chu a danglam a, hmun khat chu balloon ang maiin a bulge chhuak ta a ni. A tlangpuiin, doctor-te chuan he natna hi aneurysm an ti thin , chu chu artery hmun chu a zau zawng pangngai aia 50% tal a zau a nih chuan.
Hetiang aneurysm hi kan aorta khawi hmunah pawh a lo awm thei. Mahse a tam ber chu pum chhungah a awm. Abdominal Aortic Aneurysm kan ti a. Mahse aneurysm pali zinga pakhat vel chu rilruah a thleng thin. Thoracic Aortic Aneurysm kan ti a.
Hetiang ang aneurysm te tak te i neih chuan enkawl vak a ngai lo mai thei. Thisen sang ang chi thil control nan damdawi i ei lai hian i doctor chuan a lian chho zel em tih en turin a scan fo ang che. Mahse, aneurysm chu a lian a nih chuan, a nih loh leh a lo thang chak hle a nih chuan, harsatna lian tak tak, nunna atana hlauhawm tak tak a lo awm hmain operation neih a ngai mai thei.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Statistics-a a lan dan chuan he natna hian mi 100,000 zingah mi 6 leh 10 inkar a nghawng a ni. Mahse, a tak tak erawh chu a tam zawk mai thei. Hei hi a chhan chu mi tam takin symptoms an lantir lo va , he natna hi an nei tih pawh hre lovin an khawsa a ni. Damlo hmuhchhuah zinga 20% vel chuan chhungte pawhin an nei ve tho a, chu chu thlahtute atanga lo chhuak a ni thei tihna a ni.
Hei hi eng symptoms nge ni?
Hetiang dinhmun hlauhawm ber chu a tam zawkah chuan symptoms a awm lo. Mahse, a châng chuan aneurysm chu a lian a, a chhehvêla taksa peng hrang hrangte a press chuan symptom ṭhenkhat a lang thei a ni.
| Symptom a ni | Chhan |
|---|---|
| Kawngkhar, kawr, rilru, emaw hnungzang chunglam emaw a na. | Aneurysm atanga pressure a awm avangin. |
| Chaw ei harsa emaw, ei laiin na emaw. | Aneurysm hi chaw kawng (esophagus) a bulge vang a ni. |
| Aw ri bengchheng tak. | Aw control tu nerve te compression vang a ni. |
| Khuh emaw thawk harsa emaw. | Aneurysm hi trachea compression avanga lo awm a ni. |
Aneurysm a rupture (rupture) emaw dissection (dissection) emaw a awm chuan emergency symptoms a awm thin.
Hei hi natna stage hlauhawm ber a ni. Aneurysm wall chu a chak lo thei a, rang takin a puak (rupture) emaw, wall layer pahnih a ti chhe thei bawk (dissection). Hei hi thil thleng thut tak, nunna atana hlauhawm tak a ni. Heng symptoms te hi a tlangpuiin a lang nghal a, a na hle bawk.
Nangmah emaw midang emaw hian heng symptoms te hi i tawng a nih chuan minute khat pawh tikhawtlai suh. Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh. Second tin hi nunna chhanhim nan a chhiar vek a ni.
| Emergency medical attention mamawhna symptoms te | |
|---|---|
| Natna nasa tak a nei | A rilru emaw, a hnungzang emawa natna, tuar theih loh, hliam tuar, hliam tuar. |
| Luak chhuak thei | Luak chhuak, mit hmuh fiah lo, emaw, muhil emaw. |
| Thâwk harsa | Thâwk harsa tih hriat nghal mai. |
| Lung na tak tak | I thinlung chu a na hle ang tih hriatna. |
| Thaw hah lutuk | Chhan awm lova thawk hah lutuk. |
| Thil dang pawh a awm | Buaina, tawng harsa, mit hmuhna hloh, taksa sir khata bengchheng emaw chak lohna emaw. |
Engvangin nge hetiang thil hi a lo thlen?
Kan thisen kalna kawngte hi a tlangpuiin a nghet a, a inthlak danglam thei bawk. Thinlung thawk apianga thisen lo lut pressure hnuaiah an inzawm khawm thei tur a ni a, an inzawm khawm thei tur a ni. Mahse heng bang te hi a chak lo a nih chuan pressure an tuar thei lo va, an bulge tan ta a ni.
Hei hi a chhan ber chu Atherosclerosis an tih natna a ni . A awlsam zawngin sawi ila, cholesterol ang chi thau tak takte chu thisen kalna kawng chhungah (hei hi plaque kan ti a) a awm a, zawi zawiin thisen kalna kawng bangte chu a ti thim a, a tichak lo bawk. Tui pipe hlui chhungah rust a lo awm ang bawkin. Hei hian thisen kalna kawng (vessels) bang a tichak lo va, aneurysm lo awm theihna a tipung bawk.
A hlauhawmna tipungtu thilte chu engte nge ni?
Atherosclerosis bakah hian aorta bang tichak lo thei thil eng pawh hian aneurysm a thlen theihna a tipung a ni.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Thisen sang a sang | Vein wall-ah pressure tam zawk a siam fo thin. |
| Meizial leh zuk leh hmuam hman | Artery walls direct-in a tichhia a, atherosclerosis siamna a ti chak bawk. |
| Chhungkaw chanchin | I chhungte hnai ber tu emaw chuan aneurysm a vei a nih chuan nang pawh i hlauhawm zawk bawk. |
| Kum upa lam | A tlangpuiin kum 65 chunglam te hi an hlauhawm zawk. |
| Genetic condition thenkhat | Marfan syndrome, Loeys-Dietz syndrome, Vascular Ehlers-Danlos syndrome, leh Turner syndrome te hian taksa inzawmkhawmna (connective tissue) a tihchak loh avangin a hlauhawmna a tipung a ni. |
| Damdawi lam thil dang | Aortitis (aorta inflammation), bicuspid aortic valve natna (heart valve natna), leh coronary artery disease (CAD) te ang chi te hi a ni. |
Doctor-te hian engtin nge hei hi an hmuh?
A tam zawkah chuan hei hi accident-a hmuhchhuah a ni. "Incidental diagnosis" kan ti a ni. Chu chu, chhan dang avanga chest X-ray tih a nih chuan doctor chuan rilru chhungril lam (mediastinum) chu a tlangpui aia zau zawk a ni tih a hmu thei a ni. Chutih lai chuan aneurysm a awm nia rinhlelh a ni.
Chutiang rinhlelhna a lo awm chuan doctor chuan a finfiah nan hetiang test hi a ti ang:
- Computed tomography (CT) angiogram: Hei hian aorta-a three-dimensional image chiang tak tak a siam thei a ni.
- Echocardiogram (echo): Ultrasound scan hmanga thinlung hnathawh dan leh aorta peng hmasa ber enfiahna a ni.
- Magnetic resonance angiogram (MRA): CT scan ang chi, mahse radiation hman loh test a ni.
- Abdominal ultrasound: Thoracic aneurysm nei te pawhin abdominal aneurysm an nei thei a, chuvangin chu pawh chu enfiah rawh.
Eng enkawlna nge awm?
Thoracic aortic aneurysm enkawlna dik tak chu operation a ni. Mahse, engtikah nge tih leh eng ang operation nge tih tih chu aneurysm lian tham tak, a awmna hmun, a lo thang chak dan leh i hriselna zawng zawngah a innghat a ni.
Engtikah nge operation tih a ngai?
Aneurysm a tlem chuan doctor chuan operation nei lovin nghah a tum mai thei. Hei hi "watchful waiting" kan ti a ni. Chumi awmzia chu thla 6 atanga thla 12 danah an scan ang a, a lian chho zel em tih an en ang a, i thisen sang control nan damdawi an pe ang che.
Mahse,
- Aneurysm hi inches 2 (centimetre 5.5 vel) emaw a aia lian emaw a nih chuan .
- Aneurysm hi kum khatah cm 0.5 aia chak a lo thang lian a nih chuan .
- Aneurysm hian symptoms a thlen a nih chuan .
Surgery neih a tha tlangpui a, a chhan chu aneurysm a lian poh leh a puak theihna a sang zawk a ni.
Surgery chi hrang hrang lian ber ber
Tunah hian surgery chi hrang hrang hman a ni.
1. Traditional open surgery: A rilru lai takah incision siam a ni a, aorta chak lo tak, aneurysm awmna chu lakchhuah a ni a, a hmunah graft dah a ni.
2. Thoracic endovascular aortic repair (TEVAR): Hei hi a tlem berah invasive tih a ni. Groin-ah hian incision te tak te siam a ni a, chu incision kaltlangin stent graft chu catheter hmangin aneurysm-ah dahin a chhung atanga secure a ni.
3. Aortic root replacement: He surgery hi aneurysm chu aorta root-a awm a nih chuan tih a ni a, chu chu heart nen a inzawm a ni. Heart valve thlak a ngai thei bawk.
I doctor chuan eng enkawlna kawng nge i tan a tha ber tih a rel ang.
Hei hi a thleng lo thei lo em ni?
Aneurysm lo awm tur hi 100% in ven theih a ni lo. Mahse, a chhan ber, atherosclerosis control hian nasa takin a tihziaawm thei a ni.
- I doctor-in a pek damdawi ei hmangin i thisen sang leh cholesterol level control rawh .
- Thinlung hrisel ei dan, Mediterranean Diet ang chi chu hmang rawh .
- Meizial zu leh zuk leh hmuam thil zawng zawng kha bansan vek rawh.
- Insawizawi. Kar khatah minute 150 tal taksa tihchakna, kea kal ang chi, a tlem berah inhmang rawh. Mahse exercise program thar i tan hmain i doctor nen inbia ang che.
- Kum tin medical checkup neih thin ang che.
Hetiang dinhmun hi i neih chuan engtin nge i in enkawl ang?
I doctor-in thoracic aortic aneurysm i nei tih a hrilh che chuan hlau suh. I nunpui lai hian i in enkawl dan tur thurawn a pe ang che.
- Weight lifting leh high-intensity interval training (HIIT) ang chi thilte chu pumpelh rawh. Chungte chuan aorta-ah a tul lovah pressure a siam thei a ni. I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
- Zuk leh hmuam hman loh vek tur a ni.
- Chaw eiah chi (salt) tihtlem.
- Doctor-in a pek damdawi dik tak leh a hun takah ei tur a ni.
- Lung chakna tisang thei damdawi (cocaine, amphetamines) leh thlai chi thenkhat ei loh tur.
- I doctor nen inbiak reng tur a ni. I damdawi ei avanga symptom thar i neih emaw, side effect i neih emaw chuan hriattir nghal rawh.
Take-Home Thuchah a ni
- Thoracic Aortic Aneurysm hi rilru chhunga thisen kalna bulpui chhunga balloon ang maia bulge a ni.
- A tam zawkah chuan symptoms a nei lo va, chuvangin risk factors (high blood pressure, smoking, family history) i neih chuan fimkhur hle ang che.
- Vawikhat, rilru emaw, hnungzang emaw na tak, thawk harsa emaw, muhil emaw hi emergency lian tak a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Aneurysm hi a te a nih chuan damdawi leh enkawl reng reng hmangin enkawl theih a ni. A lian a nih chuan surgery hmanga enkawl theih a ni.
- Damdawi lam enkawlna dik leh nunphung thlak danglam chuan hetiang dinhmun hi i nei chung pawhin nun rei tak, hrisel takin i nung thei a ni. Doctor thurawn zawm fo ang che.
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