Aortic Dissection tih natna hlauhawm tak hi i hre tawh em? Chipchiar takin sawi ila!

Kan taksa chhunga thisen kalna bulpui, thinlung atanga taksa pum puia thisen phurtu pipe lian ber hi eng ang chhiatna nge thleng thei tih i ngaihtuah ngai em? Aortic dissection hi natna hlauhawm tak a ni a, rang takin nunna atana hlauhawm tak a ni thei. Hei hi hlauhawm deuh mahse, hei hi hriat chian a pawimawh hle. A chhan chu hriat hmasak a nih chuan enkawl theih a ni.

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

A awlsam zawngin, aortic dissection chu i aorta , i thinlung atanga i taksa pum puia oxygenated thisen phurtu thisen kalna bulpui wall-a tear (a tear) a ni. I in chhunga tui pipe lian ber atan aorta hi ngaihtuah rawh. I rilruah a tlan a, i pum chhungah a tlan a, i ke thlengin a tlan thla bawk.

Hei hi thil awm lo tak a ni. Hetiang hian a thleng thin: Aorta bang hi layer pathum atanga siam a ni. Eng emaw chhan vangin he bang chhungril ber hi a chak lo va, a chhungah hian mittui tla te te a awm thin. Tichuan, high-pressure thisen chu mittuiah chuan a tlan lut a, a chhung lam leh a lai layer chu a inthen ta a ni. Bang pahnih a inthen ang mai a ni. Hei hi dissection an ti a .

Hetianga kawng dik lova thisen a kal tan chuan taksa peng danga thisen kal dan pangngai chu a dang thei a, a tlahniam thei bawk. A then phei chuan aorta pumpui a puak thei bawk.

Hei hi natna khirh tak, nunna atana hlauhawm tak a ni. Hriatchhuah a, enkawl vat loh chuan thihna a thleng thei a ni. Chuvangin heng symptoms te hi i tawn chuan hlauthawng lo la, emergency room-ah kal nghal rawh.

Hetiang dinhmun hi kum tin mi maktaduai khatah 5 leh 30 inkar ah a awm thin niin an sawi.

Aortic dissection chi hrang hrangte chu engte nge ni?

Aortic dissection hi chi hnih a awm a, chungte chu:

1. Stanford Type A Aortic Dissection: Hei hi i aorta bul tan tirh atanga tan a ni a, chu chu i thinlung hnaih ber a ni. Nunna atana hlauhawm tak a ni thei . A tlangpuiin emergency open-chest surgery a ngai thin. Hei hian aorta hrual bul tanna siamthat emaw, lakchhuah a, prosthetic part hmanga thlak emaw a huam a ni. A tam zawkah chuan dissection hi aorta hnuai lam thlengin a chhunzawm zel a ni. Type A hi type B aiin a tam zawk.

2. Stanford Type B Aortic Dissection hmanga tihdam theih a ni.Aorta hnuai lam, thinlung atanga hla deuh, aortic arch hnu lawkah, aorta hnuai lam atanga tan a ni. Type A ang bawkin a tlangpuiin descending aorta atanga abdominal aorta thlengin a inzar pharh thei. Mahse, aorta hmun hmasa ber a huam lo. Operation a ngai nghal mai thei a, a ngai lo thei bawk. Hei hi dissection awmna hmun leh i taksa peng dangte thisen kal tur a titawp em tih ah a innghat.

Doctor-te chuan classification system dang an hmang a, chu chu DeBakey classification system an ti a ni. Chi thum a nei a. A chi hmasa ber (Type 1) chu ascending aorta atanga tan niin, descending aorta thlengin a inzar pharh a ni. Type pahnihna (Type 2) hi ascending aorta atanga tan niin ascending aorta-ah chauh a innghat (an pahnih hian Stanford type A nen an inang vek). Type pathumna (Type 3) chu descending aorta atanga tan niin hnuai lam hawiin a inzar pharh a (hei hi type B nen a inang).

Aortic dissection hian eng symptoms nge a neih? Engtin nge i hriat chian?

Aortic dissection a nihna ber chu a lo awm nghal mai thin a ni . Engtik lai pawhin a thleng thei. Thawhrimna laiin a thleng fo a, thisen sang a sang nghal bawk. Mahse, i mut lai emaw, ding mai mai emaw pawhin a thleng thei bawk. A hmaa vaukhânna chhinchhiahna lo thleng a awm lo.

Hengte hi i natna lan chhuah dan tlangpui chu a ni:

• A rilru emaw, a hnungzang emaw a na nghal, na tak, na tak. A chhung lam atanga hrual ang maiin, chemte hmanga vuak ang maiin, vun hrual ang maiin a awm thei.
• Pum natna nasa tak.
• Thâwk harsa (dyspnea).
• Fainting emaw luak chhuak emaw.
• Thisen sang hniam.
• Thinlung ri pangngai lo (diastolic heart murmur emaw muffled heart sound emaw).
• Pulse chak tak, chak lo tak a ni.
• Thaw hah lutuk.
• Confusion (a ngaihtuahna seng thei lo).
• Mit hmuhna hloh.
• Stroke symptoms-ah hian taksa peng khata chak lohna leh tawng harsat te a tel.

Hetiang aortic dissection symptoms i neih chuan, a bik takin i rilru natna nasa tak emaw, stroke chhinchhiahna i neih chuan 911 call nghal la, emergency room hnai ber pan rawh. Hei hi thil awlsam takah ngai suh, second tin hi a pawimawh.

Aortic dissection awm chhan hi engte nge ni?

Aortic dissection hi aorta bang chhunga cell te chu zawi zawiin an chak loh chuan a thleng thin. Hetiang chak lohna hi kum tam tak chhung a lo awm tawh mai thei a, aortic wall-a chak lohna ber pawhin a tuar thei tawh lo. Chutah chuan mittui a lo awm a, aortic dissection a awm ta a ni.

Doctor-te chuan aortic dissection tam zawk hi aortic wall-a chak lohna bulpui (inherited pawh a ni mai thei) vang niin an ngai. A dang erawh chuan thisen sang chhunzawm zel avanga pressure chuan aortic wall a tichak lo thei a, chu chuan a tear leh dissection a thlen thei bawk.

Aortic dissection hi aortic wall pressure nasa berna hmunah a thleng tlangpui. Entirnan, i ascending aorta. Upper aorta-a dissection hi aorta hnuai lam aiin a let hnih velin a tam zawk.

Hemi atan hian tute nge hlauhawm ber? Risk factors te chu engte nge ni?

Aortic dissection i neih theihna tipungtu thil engemaw zat a awm. Hengte hi i tan a hman theih em tih en rawh:

• Thisen sang chhunzawm zel (hypertension): Hei hi risk factor pawimawh ber leh tlanglawn ber a ni . Thisen sang hian aorta tissue layer te chu direct in a tichhia a ni. Hei hian elastic fibers a bo a, a bang structure a tikehsawm a, a bang chu a thim bawk.
• Atherosclerosis (thisen kalna kawnga thau awm) emaw cholesterol sang emaw.
• Zuk leh hmuam thil (cigarette, beedis, etc.) hman.
• Aortic aneurysm (i aorta wall-a bulge emaw bulge pangngai lo).
• Aortic valve natna a ni.
• Congenital heart conditions, bicuspid aortic valve (valve pakhat, a tlangpuiin pathum ni lovin leaflet pahnih nei) emaw Turner syndrome .
• Connective tissue disorder, Marfan syndrome leh Ehlers-Danlos syndrome te hi nu leh pa atanga fate rochun theih harsatna a ni.
• Hereditary thoracic aortic condition dang, i aorta a nghawng ber.
• I chhungkuaa mi pakhatin aortic dissection (family history) a neih tawh chuan.
• Aortitis (aorta natna/a hring chhuak).
• A rilruah hliam na tak a awm. Entirnan, lirthei chak tak accident, feet 20 aia sang atanga tla.
• Mipa nih (hmeichhia aiin mipa an hlauhawm zawk).
• Kum 40 leh 70 inkar a nih avangin.I tar chhoh zel chuan aortic wall flexibility a tlahniam thin.
• Naupai laiin thisen sang neih, a bik takin nau neih laiin.
• Hun rei tak chhunga thisen sang thlen thei thiltih, cocaine emaw amphetamines ang chi ruihhlo hman te.

Heng dinhmunte hi powerlifting lama inhmang leh aneurysm emaw dissection emaw nei duh tan chuan a lo awm nghal vat thei a ni.

Heng high-risk factors (aneurysm emaw connective tissue disorder emaw ang chi) i neih chuan i enkawlna atan aortic center tha ber zawng rawh. Heng centre-ah te hian enkawlna thar ber ber an nei a ni. Tin, doctor hrang hrang (cardiologist, radiologist, geneticist) te nen thawhhona tha ber an pe bawk. Zirna hrang hrangah chuan aortic natna enkawlna lama tui tak center-te chuan heng complex case-te tan hian result tha ber an nei tih hmuhchhuah a ni.

Aortic dissection avanga harsatna awm thei te chu engte nge ni?

Aortic dissection hian harsatna lian tak tak a thlen thei a, chungte chu:

• Thai.
• Aortic valve a chhiatna.
• Lung natna.
• Lung lam chak lohna.
• Kidney ang chi chhungril lam thil tihchhiat.
• Cardiac tamponade: Lung ruh leh thinlung chhehvela bawm (pericardium) inkara tui awmkhawmna.
• Thihna.

Doctor-te hian engtin nge aortic dissection hi an hriat theih? Diagnostic methods te chu engte nge ni?

Doctor chuan i symptoms a zirin aortic dissection a ringhlel thei. Mahse, aortic dissection emaw, hriselna lama harsatna dang, a lan chhuah dan inang, heart attack emaw stroke emaw i neih leh neih loh an hriat a ngai dawn a ni. Aortic dissection hmang hian i kut leh kea pulse awm chu hriat a harsa mai thei. Doctor pawhin kut pakhata thisen sang chu a dang aiin a sang zawk tih a hmu thei bawk.

Doctor-te chuan aortic dissection hi rang taka an hriat a ngai a, a chhan chu emergency surgery i mamawh mai thei a ni. I medical team-in aortic dissection an hmuhchhuah hnuah, specialized transport team chuan heng dinhmun khirh tak takte enkawltu center-ah an sawn thei che a ni.

Diagnostic test te hi engte nge ni?

Doctor chuan hetiang test hi a order thei a ni:

• Chest X-ray: Hei hi test rang tak a ni a, radiation tlemte hmangin i thinlung, lung, thisen kalna kawng (aorta ang chi), leh i rilru chhunga ruh awmte thlalak lak a ni.
• CT scan: He test hian emergency-ah aorta chu rang thei ang bera hmuh theihna turin a pui a ni. Doctor hnenah aneurysm emaw dissection emaw a awm leh awm loh a hriat theih nan a pui thei a ni. He test-naah hian i vein-ah special fluid (IV contrast) inject i nei thei bawk.
• Transthoracic echocardiogram (TTE): Hei hian ultrasound technology hmangin i thinlung valve, heart chamber leh i aorta (aortic root) bul tanna thlalak che thei tak tak a siam chhuak thin.
• Transesophageal echocardiogram (TEE) hmanga tihchhuah a ni a: 1.1.Hei hian transthoracic echocardiogram pangngai aiin heart valve leh chamber-te thlalak chiang zawk, chipchiar zawk a siam thei a ni. Tin, i rilru chhunga thisen kalna kawng (thoracic aorta) pawh a hmuhnawm zawk bawk. He test-ah hian doctor chuan i hmui kaltlangin ultrasound device chu i chaw kawng chhungah a dah lut a. Esophagus hi i thinlung hnung lamah leh descending aorta hmaah a awm nghal a ni.
• MRI scan: Hei hian magnet lian tak leh radio wave hmangin i taksa chhunga taksa peng leh thil awmte, i aorta te pawh chipchiar taka thlalak a siam thin. Heart valve, chamber leh aorta kal tlanga thisen kal dan thlalak che thei tak tak a entir thei a ni. Mahse, he test hi CT scan pangngai aiin a rei zawk a, chuvangin emergency-ah chuan hman a tlem hle.

Engtin nge aortic dissection hi enkawl a nih?

Aortic dissection enkawlna chu mittui tlakna hmun leh dissection awmnaah a innghat a ni.

• Type A aortic dissection (aorta hmun hmasa ber, thinlung hnaih ber a awm chuan) atan chuan operation nghal a ngai ang.
• Type B aortic dissection-ah chuan dissection hian taksa peng pawimawh leh taksa peng hrang hrang, i kal, i rilru, i ke emaw, i ruhro emaw-a thisen kal chu a titawp a nih chuan emergency surgery i mamawh ang. I CT scan-ah hian high-risk features a awm a nih chuan operation i mamawh thuai ang.
• A na lo zawkah chuan aortic dissection enkawlna chu i heart rate tihhniam emaw, i thisen sang tihhniam emaw damdawi hmanga tan theih a ni. Harsatna a awm chuan a hnuah operation pawh tih theih a ni.

Surgery leh Endovascular Treatment te a ni

Surgery tih theih turte chu:

• Graft thlak: Surgeon chuan i aorta chhia chu a la chhuak a, artificial tissue atanga siam tube (graft) hmangin a thlak leh thin. Dissection an tih nasat dan azirin i aortic valve, aortic root, emaw i aortic arch leh i lu leh kut thlenga thisen phurtu veins te pawh siamthat a ngai thei bawk. Hei hi open-heart surgery a ni a, emergency type A aortic dissection enkawlna tha ber a ni.
• Endovascular stent-graft siamthat dan tur: 1.1.Hetiang tih danah hian doctor chuan i aorta chu a chhung atangin a siam tha thin. Stent graft an hmang thin. Hei hi metal wire hmanga siam synthetic tube a ni a, a chungah hian support (scaffold ang chi) a inbun a ni. Stent hian aorta chak lo zawk chu a tichak a ni. He endovascular repair hi type B dissection buaithlak tak (vital organs-a thisen kal chu a block a, a nih loh leh CT scan-a high-risk features a awm) tan chuan a tha ber. Doctor chuan i groin-a i femoral artery-ah incision te tak te a siam a, wire leh catheter hmangin a ti thin.
• Hybrid approach: Hetiang procedure-ah hian doctor chuan open surgery leh endovascular stent-graft technique pahnih hmangin aorta a siam \ha \hin. He technique hi siamthatna tur aortic arch thlenga zau a ngaih hunah hman thin a ni a, chu chuan thluak leh kut ah thisen a pe thin. Hei hi type A dissection atana emergency procedure angin tih theih a ni. Stage hnih-a siamṭhatnaah pawh tih theih a ni a, i kawr chhunga thisen kalna kawng aṭanga bypass hmangin type B dissection atana endovascular repair neihna tura inbuatsaihnaah a ṭanpui thei bawk.

Damdawi chi hrang hrang

Doctor chuan i heart rate leh thisen sang tihhniam nan damdawi, beta-blocker ang chi a pe thei a ni. Type B aortic dissection thenkhatah chuan a tir lamah chuan damdawi chauh hmangin dissection enkawl theih a ni. Mittui tlak nasat dan leh dissection lian leh te a zirin thla emaw kum tam tak hnuah operation tih theih a ni.

Aortic dissection hi ven theih a ni em?

I thlak danglam theih loh thil tam tak a awm a, chu chuan aortic dissection i neih theihna a tipung a ni. Entirnan, congenital heart condition thenkhat, connective tissue disorders, emaw, chhungkaw history-a aortic dissection nei tawh nena inzawm genetic factors te.

Mahse, i hlauhawmna thenkhat chu i tihtlem thei a ni:

• I thisen sang control rawh.
• Zuk leh hmuam thil siam hi pumpelh vek rawh.
• I tan taksa rihna hrisel tak vawng reng rawh.
• Lirthei-a chuang dawnin seat belt vuah fo la, accident a thlen hunah rilru hliam tuar lo turin.
• Medical checkup neih fo la, i hriselnaah inthlak danglamna i hmuh chuan doctor pan rawh.
• First-degree relative (nu leh pa, fa, emaw unaupa) chuan aortic dissection a neih chuan i doctor hnenah aortic natna i vei theihna tur tehfung siam turin hrilh rawh. Chumi hnuah i doctor chuan a enkawl thei che a, aortic event a thlen hmain a tul anga enkawlna a pe thei che a ni.

Aortic aneurysm i vei tih hmuhchhuah a nih chuan aortic natna lama thiamna nei doctor (cardiologist emaw cardiac surgeon emaw) pan tur a ni. I risk an zirchiang thei a, a tul chuan i aorta siamthatna tur surgery an neih leh neih loh an enfiah thei bawk.

Aortic dissection i neih chuan eng nge beisei tur?

Aortic dissection hi nunna atana hlauhawm tak a ni. Sudden aortic dissection (type A) nei te hi thihpui an tam zawk. Type A aortic dissection nei zinga 40% vel chu an thi nghal a, hei hi aorta a chhe vek a, thisen a chhuah vang a ni.

Emergency atanga damchhuakte chu an aorta enkawl loh hmunah chronic dissection neiin an awm tlangpui. Hei hian hun dangah enkawl a ngai mai thei.

Tunlai enkawlna lama hmasawnna avang hian chronic phase-a prognosis pawh a tha chho zel a ni. Mahse, aortic dissection hnua dam rei zawng hi mipui zawng zawng nena khaikhin chuan a rei lo hle. Mahse, aortic team trained-in a rang lama enkawl leh enkawl a nih chuan aortic dissection hnuah kum tam tak chhung chu nun pangngaia nun theih a ni.

Engtin nge ka in enkawl ang?

Doctor chuan i thisen sang leh heart rate enkawl nan thisen sang damdawi, beta-blockers ang chi a pe tlangpui ang. Hengte hi i dam chhung zawngin i la a ngai dawn a ni . Thisen sang damdawi pakhat aia tam i mamawh mai thei.

Aortic dissection hnuah pawh zuk leh hmuam ei loh a pawimawh hle bawk.

Aerobic activity hrang hrang, kea kal, cycle khalh, leh tui chawi te hi a tha hle. Mahse, thil tih ṭhenkhat, thil rit phurh (i taksa rih zawng chanve aia tam) ang chi chu tih loh tur a ni. I thisen sang a tisang thei a, aorta-ah pressure sang zawk a siam thei bawk.

Engtikah nge ka doctor ka hmuh ang?

Aortic dissection atanga i damchhuah hnuah – operation i neih loh pawhin – doctor pan fo (a tlangpuiin thla 3 atanga thla 12 danah) CT emaw MRI scan emaw neih a ngai dawn a ni. Hei hian doctor-te chu inthlak danglamna eng pawh chu a hmain an man thei a, chutiang chuan an che thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Eng ang aortic dissection nge ka neih?
• Surgery ka mamawh dawn em?
• Aortic dissection nei tawhte tanpuitu group-ah min refer thei ang em?

Aneurysm, rupture leh dissection te hi eng nge an danglamna?

Heng thute hi a buaithlak deuh thei a, chuvangin chiang takin han sawi ila:

• Aortic aneurysm: Hei hi i aorta wall-a hmun chak lo takah balloon ang maia balloon ang maia bulge a ni. A nih loh leh aorta section pum pui chu a bulging a ni. Aortic aneurysm hian aortic rupture emaw aortic dissection emaw a thlen thei.
• Aortic rupture: Hei hi aorta bang a hrual vek, a nih loh leh khur a ni a, chu khur kaltlangin a chhehvelah thisen a luang lut a ni.
• Aortic dissection tih hi a awm lo.Hei hi aorta chhungril ber a tear a ni. Thisen a luang chhuak thei a, aortic wall chhung lam leh a lai layer chu a inthen lehzual a ni. Hei hi i aorta zawh zawngin a sir lehlamah hla thui tak a inzar pharh thei tlangpui a, aorta atanga thisen kalna kawng hrang hrangah pawh a darh thei bawk.

Aortic dissection hi thil hlauhawm tak, buaithlak tak a ni. Chuta dam khawchhuah chu rilru natna (mixed bag of emotions) a ni thei. I rilru put hmang chu a dik a, i tawn mek hrethiam midang an awm bawk. Mahni aw ni la, thil chiang lo eng pawh zawt rawh. I damdawi ei chhunzawm zel la, i doctor thupek zawng zawng zawm la, i doctor appointment zawng zawngah tel vek rawh.

Hetiang natna chi hrang hrang enkawlna lama tawnhriat ngah tak leh specialist hrang hrangte puihna nei aortic center of excellence pan hi a pawimawh hle. Chutiang center atanga result hmuh chu damlo tlemte enkawltu aiin a tha zawk hle.

In lama hruai tur thuchah pawimawh ber

Chuvangin, Aortic Dissection hi thil thleng nghal, hlauhawm tak, nunna atana hlauhawm tak a ni tih hi tunah chuan i hrethiam tawh mai thei. I rilru na tak, na tak, hnungzang na, emaw, stroke symptoms i neih chuan ngaihthah suh. Damdawi lam pan nghal rawh.

• Hun hi nunna a ni: Natna hriat hmasak leh enkawl hian nunna a chhanhim thei a ni.
• Risk factors hre reng ang che: Thisen sang, meizuk, leh chhungkaw chanchin ang chi thilte hre reng ang che. Anni chu thunun tum ang che.
• Enkawlna dik leh zawm dan: Doctor-in damdawi a pek ang chiah kha hmang ang che. A hun takah medical check-up nei turin kal rawh.
• Mithiamte tanpuina: A theih chuan heng natna chi hrang hrang enkawltu specialist center-ah enkawlna zawng rawh.

He thu hi i tan a tangkai ngei kan beisei. Hrisel takin awm rawh!

` Aortic dissection, aorta, aorta, rilru na, lung natna, thisen sang, zai, emergency care