Aortic Dissection - Hetiang dinhmun hlauhawm tak hi i hria em?

I thinlung hi i taksa pum pui pumping center ber a ni. Chuvangin thinlung atanga chhuak thisen kalna kawng lian ber, lian ber, oxygen tamna, i taksa pum puia thisen thianghlim phurtu chu aorta an ti a. I in chhunga tui pe thei tui pipe lian ber angin ngaihtuah rawh. Aortic Dissection tih hi he thisen kalna bulpui bang chhung lam atanga a inthen hian a ni. Hei hi emergency hlauhawm tak, nunna atana hlauhawm tak a ni a, a thleng thut fo thin a, hriattirna engmah a awm lo.

Aortic Dissection tih hi eng nge ni? A awlsam zawngin i hrethiam ang u

Kan aorta hi thisen kalna kawng, layer thum atanga siam a ni. Bang layer thum ang mai a ni. Eng emaw chhan vanga he bang chhungril ber ah hian tear a awm a nih chuan pressure sang tak hnuaia thisen luang chu tear chhungah a lut a, wall layer pahnih inkarah a leak tan thin. Chutianga thisen a khat chuan layer pahnih chu an inthen ta a ni. Chu chu dissection kan tih chu a ni.

Kawngpui pahnih a puak ang maiin han ngaihtuah teh. Chutiang a lo thlen chuan taksa peng hrang hranga thisen kal dan pangngai chu a tibuai a ni. Tin, a chang chuan, he artery lian tak hi a puak (rupture) vek thei bawk.

Aortic dissection chi hrang hrangte chu engte nge ni?

Doctor-te chuan he natna hi chi hnihah an ṭhen a, chu chu Stanford classification an ti a, chu chu mittui tlakna hmun aṭanga thlir a ni.

Hei hi eng symptoms nge ni? Engtin nge kan hriat theih ang?

Aortic dissection ziarang ber chu a lo awm nghal mai thin a ni . Warning sign a awm lo. Engtik lai pawhin a thleng thei a, chu chu i mut lai te, chawlh lai te, hna rit tak tak i thawh lai te pawh a ni thei.

Hengte hi a tlangpuiin a lan chhuah dan chu a ni:

• Sudden, tuar theih loh, na tak tak, rilru emaw, upper back emaw a na. Mi tam tak chuan "ripping" emaw "stabbed" emaw angin an sawi. Hei hi a symptom ber leh langsar ber a ni.
• Pum natna nasa tak.
• Thâwk harsa (Dyspnea).
• Luak chhuak emaw, vertigo emaw.
• Thisen sang tlahniam nghal (blood pressure hniam).
• Pulse chak lo, rang tak a ni.
• Thaw hah lutuk.
• Rilru tibuai.
• Mit hmuhna hloh.
• Stroke natna lan chhuah dan. Entirnan, taksa peng khata chak lohna emaw, tawng harsa emaw.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Aortic dissection awm chhan ber chu hun kal zelah aorta wall a chak lo zauh zauh thin a ni. He chak lohna hi kum tam tak chhung chu a rukin a thleng a, a tawpah chuan a chak lohna hmunah chuan mittui a tla thin.

Hei hi a thlen theihna tur risk factor ber leh tlanglawn ber chu thisen sang control loh (Hypertension) a ni. Thisen sang hian thisen kalna kawng bang a tichhia a, a tichak lo va, a chak lo zawk bawk.

Risk factor dangte chu:

• Atherosclerosis emaw cholesterol sang emaw a awm thei.
• Zuk leh hmuam thil hman (meizial zuk).
• Aortic aneurysm a awm thin.
• Thinlung aortic valve natna te.
• Congenital heart defects, entirnan bicuspid aortic valve (a tlangpuiin valve pahnih ni lovin pahnih).
• Connective tissue natna, Marfan syndrome leh Ehlers-Danlos syndrome te . Hengte hi rochun theih condition te an ni.
• Chhungkaw zinga mi pakhatin a hmaa aortic dissection a lo neih tawh chuan.
• A rilru a hliam na tak (e.g., car accident na tak).
• Kum 40 leh 70 inkar a nih.
• Naupai laiin thisen sang a sang.
• Cocaine ang chi ruihhlo hman.

Engtin nge doctor hian hei hi a hriat chian?

Damdawi in i kal hian i natna lan chhuah dan a zirin doctor chuan he natna hi a ringhlel thei a ni. Mahse, heng symptoms te hi heart attack emaw stroke emaw nen a inang avangin test eng emaw zat tih vat a ngai a, chu chu chiang taka finfiah a ngai a ni.

• CT scan (Computed Tomography): Hei hi emergency-a aorta chiang taka hmuh theihna kawng tha ber leh rang ber a ni.
• Echocardiogram: Hei hi ultrasound test a ni. Transesophageal echocardiogram (TEE) hian transthoracic echocardiogram aiin aorta hi a chiang zawkin a lang thei a ni.
• Chest X-ray: Aorta hi dilated a nih leh nih loh rough idea a pe thei.
• MRI (Magnetic Resonance Imaging): Hei hian thlalak chiang tak tak pawh a siam thei a, mahse CT scan aiin a rei zawk avangin emergency-ah hman a ni lo.

Engtin nge enkawl a nih?

Enkawl dan hi mittui tlakna hmun (Type A emaw Type B) leh damlo dinhmun a zirin a innghat a ni.

Surgery leh enkawlna dangte

1. Graft Replacement: Hei hi open-heart surgery a ni. He surgery-ah hian surgeon chuan aorta chhia chu a la chhuak a, chu chu synthetic graft hmangin a thlak leh thin. He surgery hi Type A dissection atana emergency treatment atan tih a ni.

2. Endovascular Stent-Graft Repair: Hei hi groin-a thisen kalna kawng (groin)-ah incision te tak te siam a, wire leh catheter hmanga metal mesh tube (stent graft) chu aorta chak lo zawkah thread a ni. Hei hian a chhung atangin kulh chak lo chu a tichak a ni. Hetiang method hi Type B dissection buaithlak tak tak atan hman a ni fo thin.

3. Hybrid Approach: Thil buaithlak thenkhatah chuan open surgery leh stent-graft method pahnih hi hman dun a ngai mai thei.

Damdawi (damdawi) .

Damdawi hi operation hma te, operation hnu te, Type B case-a operation ngai lovah te hman a ni ber.

• Heart rate leh thisen sang tihhniam nan damdawi beta-blocker ang chi hi pek theih a ni. Hei hian aorta-a pressure a tihziaawm bakah mittui chu a darh lehzual loh nan a veng bawk.
• I thisen sang control nan i dam chhung damdawi i ei a ngai a ni.

Hei hi ven theih a ni em?

Risk factor thenkhat (e.g. hereditary diseases) kan thlak thei lo. Amaherawhchu, kan thunun theih tur thil engemaw zat a awm.

• I thisen sang kha uluk takin control la.Thisen sang i neih chuan i doctor-in damdawi a pek ang chiah kha ei la, chi (salt) i ei tlem phawt ang.
• Meizial i zuk chuan chawlhsan nghal rawh.
• Taksa rihna hrisel tak vawng reng rawh.
• I chhungte (nu leh pa, unau) tu pawhin hetiang natna hi an nei tawh a nih chuan i doctor nen sawiho la, a tul anga test neih tir rawh.
• Seat belt vuah hian car accident-ah rilru hliam a veng thei a ni.