I thinlung kawngkhar atangin thisen a lo let leh em? Aortic Regurgitation chungchang hi han sawi ila!

Kan thinlung chhungah hian kawngkhar te tak te, kawng khata thisen luang chhuak thei tur kawngkhar te tak te a awm tih i ngaihtuah ngai em? Ni e, chu chu a dik a ni. Mahse, a chang chuan heng gate-ah hian leak tlemte a awm thei. Chu chu vawiin a kan sawi tur condition chu a ni a, chu chu `(Aortic Regurgitation) tih a ni. A awlsam zawngin, thinlung thisen kalna bulpui chhunga thisen pump luttu gate chu a khar tha lo va, thisen thenkhat chu thinlungah a leak leh thin. Ngaihtuah buai suh, hemi chungchang hi chipchiar takin kan sawi dawn a ni.

`(Aortic Regurgitation)` tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

I thinlungah hian kawngkhar lian tak a awm tih han ngaihtuah teh, chu chu `(Aortic Valve)` kan ti a. Hei hi i thinlung leh taksa chhunga thisen kalna kawng lian ber `(Aorta)` inkar chiah a awm a ni. I thinlung a na apiangin thisen thianghlim, oxygen tamna chu he `(Aorta)` kaltlangin taksa pum puiah a kal thin.

Chuvangin, thinlung pumpui pumping chamber, veilam ventricle a inzawm chuan he aortic valve hi a inhawng a, thisen a chhuah tir thin. Tichuan, left ventricle a relax chuan he valve hi nghet takin a khar tur a ni. Chutah chuan thisen chu thinlungah rawn lut leh lovin hmalam pan nghalin a luang lut nghal a ni.

Mahse, Aortic Regurgitation nei miah chuan Aortic Valve hi a khar tha lo. Chumi awmzia chu left ventricle a relax apiangin thisen thenkhat chu chu chamber chhungah chuan a leak leh thin tihna a ni. Hei hi ngaihtuahawm tak a nih laiin, vanneihthlak takin doctor-te chuan enkawl dan tur an nei a ni.

Aortic Regurgitation hi heart valve natna chi hrang hrang zingah chuan a langsar ber pawl a ni. A nasat dan chu a nasat loh atanga a nasat loh thlengin a awm thei . A chang chuan Doctor ten Aortic Insufficiency an ti bawk.

`(Aortic Regurgitation)` chi hrang hrangte chu engte nge ni?

Doctor-te chuan Aortic Regurgitation hi chi hnih ah an then a:

1. Acute type: Hei hi rang tak, rang taka natna a ni.

2. Chronic type: Hei hi hun kal zelah a lo thang zauh zauh thin. He chronic type hi United States ang ramah hian hmuh tur a tam ber a ni.

Chu bakah, doctor-te chuan he natna hi an classified belh thei a, chu chu harsatna awm dan azirin a ni. Natna chu a nasat dan azirin stage A, B, C, leh D-ah an ṭhen bawk . Stage D hi a na ber a ni.

`(Aortic Regurgitation)` natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi i nei em tih enfiah rawh:

• A rilru a na emaw a tight emaw hriat .
• Ka khuh a.
• Chau tih hriat reng reng.
• Heart palpitations hi thinlung a thawk dan pangngai lo, flutter ang maia thawk a ni.
• A chang chuan hriatna i hloh (syncope) thei bawk.
• Exercise neih laiin thawk hah (dyspnea) i nei thei. Nakinah chuan mut lai emaw, mut tum lai emaw chuan thawk hah i nei thei.
• Ke ruh leh ke a hring (edema).

Mahse, hre reng ang che, .Mild, chronic aortic regurgitation i neih chuan hun rei tak chhung chu symptoms i nei lo mai thei. A natna a zual zel chuan symptoms a lang zauh zauh chauh ang.

`(Aortic Regurgitation)` awm chhante chu engte nge ni?

Hetiang dinhmun hi chhan hrang hrang a awm thei. Eng nge an nih hi han thlir ila:

• Kum upat ruala Valve chak lo: Hei hi America leh Europe chhim lam ram hrang hranga a chhan tam ber a ni.
• Rheumatic Heart Disease: Hei hi ram thang mek tam takah chuan a thlentu ber a ni. Rheumatic fever avanga lo awm a ni a, chu chu enkawl loha rilru natna avanga lo awm a ni.
• Thisen sang a sang.
• Endocarditis: Hei hi thisen chhunga natna hrik lut vang a ni tlangpui.
• Trauma to the chest: Entirnan, car accident ang chi thil.
• A rilru a buai em em a.
• Aortic Dissection tih a ni.
• Aortic Valve-a pianpui thil dik lo thenkhat: Entirnan, Bicuspid Aortic Valve an tih natna. Chumi awmzia chu valve, a tlangpuiin cusp pathum nei tur chuan cusp pahnih chauh a nei tihna a ni.

Hetiang dinhmun hi tute nge hlauhawm ber?

I aortic valve leh hriselna dinhmun dangte inthlak danglamna thenkhat chuan he leaky valve natna hi i vei theihna a tipung thei a ni. I hlauhawmna chu i:

• `(Bicuspid Aortic Valve)` emaw congenital valve defect dang emaw i neih chuan: `(Bicuspid Aortic Valve)` vei te hian kum 20 leh 40 inkar atang hian he valve hi an leak tan thei tlangpui.
• Aortic valve leaflets-a calcification: Hetiang harsatna nei te hi kum 60 aia upa an ni tlangpui a, valve lama harsatna pakhat aia tam an nei thei bawk.
• Thin lam panna aorta tichhe thei dinhmun (Aortopathy) neih.
• Tun hmaa rheumatic fever i neih tawh emaw, rheumatic heart disease i neih nia hriat emaw i nih chuan.
• Tun hmaa aortic valve thlak i lo neih tawh chuan: A châng chuan bioprosthetic valve hi hun kal zelah zawi zawiin a thawk lo thei a ni.

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

Ngaihtuah teh, `(Aortic Valve)` a leak chuan thisen extra chu thinlung `(Left Ventricle)` ah a luang lut leh thin. Tichuan, pumping chamber chu thisenin a khat ta a ni. Chuvang chuan `(Left Ventricle)` hian he thisen tam zawk hi hmachhawn turin nasa zawkin hna a thawk a ngai a, thisen mamawh zat chu `(Aorta)` chhungah a pump lut a ngai a ni.

Hun a kal zel a, hei hian veilam ventricle muscle walls te chu a ti thim a, a ti lian thei a ni. Hei hi Left Ventricular Hypertrophy an ti a. Hei hian thinlung hnathawh thatna a ti tlem a ni.

Hei hian harsatna dang a thlen thei a, chu chu heart failure leh arrhythmia te hi a ni.

Acute aortic regurgitation hian natna khirh tak tak, pulmonary edema leh cardiac output tlahniam te a thlen thei a ni.

He natna hi engtin nge an hriat chhuah?

Doctor ten Aortic Valve Regurgitation hi taksa enfiahna leh test hrang hrang hmangin an enfiah thin.

Taksa enfiahna neih chhung hian i doctor chuan:

• I medical history chungchang sawi rawh.
• Vital signs te chu enfiah thin a ni a, chu chu i thisen sang te hi a ni.
• I doctor chuan i thinlung chu stethoscope hmangin a ngaithla ang a, aortic regurgitation murmur an tih aw danglam tak a awm leh awm loh a enfiah ang. He aw hi thisen veilam ventricle-a a luang leh vang a ni.

Thisen sang tehnaah chuan a chunglam leh a hnuai lam value inkarah gap lian tak (40 mmHg aia tam) a awm chuan chu pawh chu aortic valve a leak mai thei tih chhinchhiahna a ni bawk.

`(Aortic Regurgitation)` tih hriat nan eng test nge tih thin?

He natna hriat theihna atana test hman ber leh "gold standard" tia ngaih chu ``Echocardiogram'' emaw ``Echo'' test hi a ni. Hei hian thinlung thlalakna atan high-frequency sound wave ``Ultrasound'' a hmang a ni. Doctor chuan i valve hnathawh dan enfiah nan hmanraw hrang hrang, ``Doppler Ultrasound'' ang chi te a hmang thei a. ``Doppler Ultrasound'' hian thinlung chhunga thisen kal chak dan leh a kalna tur a entir a.

He natna hi hriat chian nan emaw, enkawl dan tur ruahmanna siam nan emaw test dang a ngai thei chu:

• Chest X-ray neih a ni
• Electrocardiogram (ECG/EKG) hmanga tih a ni.
• Lung lam MRI test a ni
• Coronary Angiogram hmanga enfiah a ni
• Lung CT scan a ni
• Exercise Stress Test neih dan tur

Aortic Regurgitation hi engtin nge enkawl a nih?

Aortic regurgitation hi damdawi emaw surgery emaw hmangin enkawl theih a ni . Acute condition i neih chuan enkawlna i mamawh nghal ang.

I dinhmun a nasat dan azirin i aortic valve siamthat emaw, thlak vek emaw tur chuan operation i mamawh mai thei. I doctor chuan a enfiah ang che a, operation a ngai em tih a rel ang. Surgery thatna leh hlauhawmna te pawh an hrilhfiah ang che. Zuk leh hmuam hman leh damdawi lam thil dang thunun theih loh ang chi thilte hian operation neih theihna a tipung thei a, dam lehna kawngah pawh a buaithlak thei bawk.

A pawimawh ber chu i doctor nen surgery hi i tan a tha em tih leh a hlauhawmna tur sawiho hi a ni.

Valve surgery hi i tan duhthlan tur a nih loh chuan i doctor chuan i heart failure enkawlna tur leh i nunphung tihchangtlunna tur damdawi a pe thei ang. Damdawi dangte hian thisen zam leh stroke i neih theihna a ti tlem thei a ni. Mahse, damdawi hian symptoms a control theih laiin, aortic regurgitation na tak chu a titawp thei lo va, a tidam thei lo tih hre reng ang che.

Enkawlna avanga harsatna emaw, a side effect emaw chu engte nge ni?

Mite chu aortic valve siamthat emaw thlak emaw tawhte chuan nakin lawkah operation dang an neih leh a ngai mai thei. Risk pawh a awm a, chungte chu:

• Thai
• Lung natna (Heart Attack) a awm
• Thisen chhuak
• Kaichhawng
• Thinlung thawk mumal lo `(Arrhythmia)`

Aortic valve thlak hnuah thisen zam tur ven nan thisen tithianghlimtu damdawi (anticoagulants) i ei a ngai dawn a ni. Chungte chu thla engemaw zat (vawk, bawng, mihring tissue atanga siam bioprosthetic valve atan) emaw dam chhung atan (mechanical valve atan) emaw ei theih a ni. A then phei chuan valve thlak chu a che thei a, a leak thei bawk.

Valve thar i neih chuan i doctor chuan ha enkawltu i hmuh hmain antibiotics ei hmasa phawt turin a fuih thei che a ni. Hei hian thinlung chhunga natna (endocarditis) lo awm tur venna kawngah a pui thei a ni.

Aortic Regurgitation hi a veng thei ang em?

Heart valve natna hi a veng thei reng reng lo. Mahse, i risk tihziaawm nan hengte hi i ti thei ang:

• Zuk leh hmuam hman loh tur.
• Ruihhlo hman loh tur.
• Doctor-in a rawt angin taksa tihchakna nei rawh.
• I damlo emaw, infection i neih chuan doctor pan nghal tur a ni.
• I damdawi zawng zawng chu uluk takin ei la, thisen sang tan pawh ei tur a ni.
• I aorta a dilated a nih chuan heavy lifting kha limit rawh.

`(Aortic Regurgitation)` vei chuan eng ang hmalam hun nge a beisei theih ang?

Kum tam tak chhung chu chronic aortic regurgitation i nei thei a, symptom engmah i nei lo. Mahse, hun kal zelah a na zual thei. Thâwk harsa i neih ṭan emaw, i rilru na emaw i neih ṭan chuan i hre mai thei.

I thlirna chu thil tam takah a innghat a, chung zinga ṭhenkhat chu:

• Symptoms i neih tan tirh lai kha.
• Eng chen nge natna hi a lo kal zel.
• Heart failure i nei em tih pawh.
• Enkawlna i dawn hun chhung kha.
• I hriselna zawng zawng.

Research atanga a lan dan chuan heart failure a lo awm hmaa valve replacement surgery nei thinte hian hun rei tak chhung thlirna tha tak an nei a, an dinhmun hi na tak pawh nise. Lung lam natna nei tan chuan a hmalam hun chu a tlem deuh mai thei.

Mild to moderate aortic regurgitation nei te chu enkawl hnuah an ti tha hle. Kum 10 chhunga an dam rei zat chu 80% leh 95% inkar a ni.

A pawimawh ber chu i doctor nen i hmalam hun tur chungchang sawipui hi a ni. I doctor chuan nangmah leh i medical history chu a hre chiang ber a, chuvangin chu information chu hmangin i beisei tur chu a ngaihtuah thei che a ni.

Engtin nge ka in enkawl ang?

I doctor-in mahni in enkawl dan tur a pekte zawm la, damdawi leh nunphung thlak danglam te pawh zawm rawh. A tlangpuiin, i damdawi zawng zawng chu a pek angin leh nitin a ruala ei vek a pawimawh . I doctor chuan nunphung tihdanglamna ṭhenkhat a rawt thei bawk a, chungte chu:

• Thinlung hrisel ei: Entirnan, Mediterranean Diet. I doctor chuan chi i ei zat tihtlem turin a hrilh thei bawk che a ni.
• Taksa tihchak reng rawh: I doctor hnenah exercise engzat nge i tih theih tih leh eng exercise chi nge him tih zawt rawh.
• Meizial zu emaw, zuk leh hmuam dang hman emaw pumpelh: Zuk leh hmuam bânsan tûrin ṭanpuina dîl rawh.
• Ruihhlo hman loh tur: A bik takin thisen chhunga damdawi (IV drugs) hman loh tur, endocarditis vei theihna a tipung a ni.
• Endocarditis laka inven nan i ha leh hate uluk taka enkawl: Hei hian thla ruk danah ha enkawltu pan te a huam a ni.

Engtikah nge ka doctor ka hmuh ang?

Aortic Regurgitation i neih chuan i doctor-in i dinhmun a enfiah theih nan i appointment neih reng a pawimawh. I doctor chuan engzat nge i lo kal tur tih a hrilh ang che.

I valve leh thinlung hnathawh dan enfiah tur chuan ``Echocardiogram'' hi a hun takah (thla ruk danah atanga kum nga danah) i neih a ngai ang. ``Aortic Regurgitation'' na zual zel tur chhinchhiahna eng pawh hriat theih nan damdawi lam pan fo hi a pawimawh hle. Chutiang chuan a hun taka enkawl i hmu thei a, i thinlung a chhiatna awm reng tur i veng thei bawk.

Heart valve surgery i neih tawh chuan i doctor follow-up schedule uluk takin zawm tur a ni. I doctor chuan i thinlung a thawk tha em tih leh heart failure emaw harsatna dang emaw i neih loh nan uluk takin a enkawl ang che.

Symptom thar i neih chuan, symptom awmsa a zual a nih chuan, emaw, i dinhmun chungchanga zawhna i neih chuan engtik lai pawhin doctor ko rawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

Heart attack emaw stroke emaw symptom i neih chuan 911 emaw i awmna hmuna emergency number emaw ah call nghal rawh. Hengte hi nunna atana hlauhawm emergency a nih avangin damdawi lam pan vat a ngai a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Heart valve natna neia nun hi a buaithlak thei hle. I dinhmun chungchangah zawhna tam tak i nei thei a, mahse khawi atanga tan tur nge tih erawh i hre lo mai thei. I doctor zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka `(Aortic Regurgitation)` dinhmun hi engtiang chiahin nge a nasat?
• Heart valve lama harsatna dang ka nei em?
• Enkawlna ka mamawh em? A nih chuan engtikah nge?
• Enkawlna hian eng nge a huam?
• Follow-up appointment atan engzat nge ka lo kal ngai?
• Ka thinlung hriselna thlawp turin eng nunphung tihdanglam nge ka tih ang?

`(Aortic Regurgitation)` tih hming pu natna tenau tak hi a na zual fo em?

Left ventricular dysfunction nei zinga 25% aia tam chuan kum khat chhungin symptoms an nei thin. Mahse, aortic regurgitation na lo leh na lo tak nei te zirchiannaah chuan mi tam zawk chuan an dinhmun a chhe zual lo. He zirchianna hian kum nga vel zet an zui a ni. Chuvangin, mi zawng zawng hi an na zual vek lo a, mahse checkup neih fo a pawimawh.

Aortic Regurgitation hi Nunna atana hlauhawm em?

He natna hi a nasat a, a lo awm nghal a nih chuan nunna atana hlauhawm tak a ni thei. Lung chak lohna, myocardial ischemia, thihna thut thlengin a thlen thei. Regurgitation na tak, rang tak nena inzawm symptom i neih chuan operation nghal a ngai a ni.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Aortic valve leaky i nei tih hriat hi a hlauhawm thei a, hmalam hun eng nge thleng dawn tih i ngaihtuah mai thei. Mahse, thu lawmawm tak chu medical science lama hmasawnna a awm avangin aortic regurgitation vei tam tak chu tanpui theih a ni.

A pawimawh ber chu hlau leh lungkham lo la, i doctor nen i enkawlna tur chungchang sawipui la, eng ber nge i tan a tha ber tih sawiho hi a ni. A hun taka enkawl leh doctor thurawn zawm chuan nun hrisel tak i hmang thei a ni. I thinlung kha enkawl rawh!

` aortic regurgitation, heart valve natna, thinlung natna, thawk hah, rilru na, echocardiogram, thinlung surgery