I heart valve a block em? (Aortic Stenosis) chungchang hi han sawi ila!

A châng chuan i rilru na, thawk hah, emaw, luak chhuak emaw i nei em? A nih loh leh, rang takin i rilru a hah emaw, i lu a na emaw? Hengte hi i thinlunga valve pawimawh tak pakhat, aortic valve a tawi vang a ni thei. Doctor-te chuan he natna hi Aortic Stenosis an ti a. Chutiang a lo thlen chuan thinlung tan chuan taksa peng dang zawng zawnga thisen pump chhuah a harsa thin. Taksa hian oxygen a hmu tlem hle. Hei hi i nghah theih tur thil a ni lo, thinlung a tichhe thei a, hriselna lama harsatna lian tak a thlen thei a, a chang chuan nunna atana hlauhawm pawh a ni thei.

Chuti a nih chuan hei hi eng nge ni `(Aortic Stenosis)`?

A awlsam zawngin kan thinlung hi in te tak te ang a ni a, pindan pali a nei a. Heng pindan inkarah hian thinlung atanga thisen a luang chhuak a, kawngkhar ang chi hmun a awm a. Hengte hi heart valve kan ti a. Heng valve pali zinga pakhat hi Aortic Valve an ti a. Hei hi thinlung atanga taksa peng dang zawng zawnga thisen kalna kawngkhar hnuhnung ber a ni. Kawngkhar vengtu ang maiin he kawngkhar hian thisen chu kawng khatah chauh a kal tir a, thinlung chhunga a luang leh tur chu a titawp a ni. He Aortic Valve hian flap te tak te (leaflet) pathum a nei a. Heng flap te hi a inhawng tha lo a, a block emaw a tawi emaw a nih chuan Aortic Stenosis an tih condition a awm thin.

Tui pipe a laiah a tlakbuak a, tui chhuah harsa tak ang maiin han ngaihtuah teh. He luhna kawngkhar chungchanga harsatna i hriat hian hlauhna tlem i neih hi thil pangngai a ni. But there are now many advanced methods to treat this condition , chuvangin ngaihtuah buai a ngai tawh lo.

Hetiang dinhmun (Aortic Stenosis) hi engtiang chiahin nge a awm?

He natna `(Aortic Stenosis)` an tih hi a takah chuan kum 65 chunglam zingah a awm fo thin a, mahse lungchhiatthlak takin mi tam tak chuan he natna hi an nei tih an hre lo a, a natna lan chhuah dan a nasat hma loh chuan. A châng chuan natna dang test an neih laiin hmuhchhuah a ni. Natna thenkhat chuan kum chanve vel, kum 40-50 vel ah he natna hi a thlen thei a ni. A tlem hle a, he `(Aortic Valve Stenosis)` hi naupang tê têah pawh ``Congenital condition`` angin a thleng thei bawk.

Hei hi eng symptoms nge ni?

Aortic Stenosis vei zawng zawng hian symptoms an nei nghal vek dawn lo. Mi thenkhat chuan kum tam tak chhung chu engmah an hre lo mai thei. Mahse, a natna a nasat zawk chuan heng ang symptoms hi a lo lang thei a ni:

• Chau lutuk anga inhria: I hna pangngai pawh i thawk thei lo khawpa chau i ni thei.
• Palpitations: I thinlung thawk ri i hre mai thei a, a thawk chak hle tih i hre mai thei a, i rilru a na hle bawk. Hei hi ``Palpitations'' kan ti a.
• Ke leh ke ruh a hring: Ke hnuai lam leh ke ruh vel a hring thei.
• Chest pain: Hei hi `(Angina)` an tih chu a ni. A rilruah a hrual, a tikhauh emaw, a rit emaw ang maiin a awm thei. A châng chuan he natna hi kawr, hmui, kut veilam, a nih loh leh pum sir thlengin a darh thei bawk.
• Thâwk harsa: Thâwk harsa i nei thei a, a bîk takin i chau deuh lai emaw, i chawlh lai chauh pawhin i thawk harsa thei a ni.
• Luak chhuak, muhil: I luak chhuak thei a, i mit a sen thei a, i muhil pawh a ni thei.

Heng symptoms te hi i neih vang mai mai hian Aortic Stenosis i nei tihna a ni lo tih hre reng ang che. Mahse, i neih chhunzawm zel chuan doctor i pan ngei tur a ni . I primary care provider chuan cardiologist hnenah a refer thei che a ni.

He natna hi engtiang chiahin nge a nasat theih ang?

Hei hi mi zawng zawng tan a danglam vek. Mi thenkhat tan chuan he `(Aortic Valve Stenosis)` hi a na zual zauh zauh a, kum tam tak chhung chu a na zual zel. Midang tan chuan a na zual thuai thei a, thla engemaw zat chhung pawhin a na zual thei bawk. A pawimawh ber chu, inenkawlna i tihkhawtlai chuan i thinlung chhiatna chu i siam tha thei lo mai thei. `(Aortic Stenosis)` na tak i neih chuan cardiac thih thut theihna a awm. Chuvang chuan i doctor chuan symptom i neih chuan enkawlna tikhawtlai lo turin a hrilh ang che.

Engvangin nge he `(Aortic Stenosis)` hi a lo awm? A chhante chu engte nge ni?

Puitlingte hian Aortic Stenosis an vei chhan lian ber pathum a awm a, chungte chu:

1. Kum upat vanga degeneration: Hei hi a chhan tam ber a ni. Hun kal zelah tui pipe-a limescale ang bawkin i thinlung aortic valve-ah calcium a awm thei a ni. Hei hian valve chu a thick a, a block a, a inhawng leh khar tha thei lo. Hei hi kum 65 hnuah a thleng fo thin.

2. Infection avanga chhiatna: Bacteria infection thenkhat enkawl that loh chuan thisenah a lut a, heart valve-ah a kal thei a ni. Chumi hnuah chuan kan taksa hriselna (immune system) hian heng valve te hi a tichhia thei a ni. Entirnan, throat infection (Strep throat) emaw Scarlet fever emaw enkawl that loh chuan natna Rheumatic fever an tih chu a lo awm thei a, heart valve a tichhe thei a ni. He chhiatna hi a lan chhuah theih nân kum tam tak, a châng chuan kum sâwm tam tak a ngai thei a ni. Hei hian kum 50 chunglamte a nghawng tam ber.

3. Natna dang thlahthlam emaw, natna rei tak emaw: Natna hmuh tur awm lo, `(Paget’s disease of the bone)` (ruh nena inzawm natna), kal tha lo (`Kidney failure`) leh `(Familial hypercholesterolemia)` (cholesterol sang natna, inherited) te pawh hian `(Aortic Valve Stenosis) a thlen thei bawk. Tin, he hlauhawmna hi autoimmune natna `(Lupus)` leh `(Rheumatoid arthritis)` nei te tan a sang zawk bawk.

Hei hi risk factor dang a awm em?

Ni e, `(Aortic Valve Stenosis):` vei theihna tipungtu thil dang engemaw zat a awm bawk

• Mipa nih hi.
• Kum 65 chunglam a nih vang a ni.
• Thisen a cholesterol level a sang (Hyperlipidemia).
• Thisen sang nei.
• Zuk leh hmuam thil (cigarette, beedis ang chi) hman.

He `(Aortic Stenosis)` avanga harsatna awm thei te chu engte nge ni?

`(Aortic Stenosis)` i neih chuan chu kawngkhar zau tak chu thisen chhuah tir turin thinlung hian nasa takin hna a thawk a ngai a ni. Kawngkhar nghet tak chu nawr hawn tum ang mai a ni. Chutianga thinlungin a thawhrim lutuk chuan hun kal zelah a chak lo thei a ni. Hei vang hian a ni:

• Lung natna
• Heart failure ( thinlungin taksaah thisen a pump tling thei lo) .
• Cardiac thihna rapthlak tak
• Pulmonary hypertension a awm bawk
• Thisen chhuah tam lutuk
• Thinlung chhungril lam natna (`Infective endocarditis`) .

Harsatna na tak tak a awm thei.

Doctor-te hian engtin nge hei hi an hriat?

Aortic Stenosis i vei nia i rinhlelh chuan cardiologist-in a enfiah ang che. He natna hi i natna lan chhuah dan (a awm chuan) leh a hnuaia test pakhat emaw a aia tam emaw atanga hriat theih a ni tlangpui:

• Taksa endikna: Doctor chuan i ke leh ke ruh a hring em tih a enfiah ang a, chutah chuan i thinlung chu stethoscope hmangin a ngaithla ang. Aortic stenosis i neih chuan heart murmur hi a langsar ber a ni.
• ECG test (`Electrocardiogram - ECG or EKG`): Hei hian thinlung electrical activity a teh thin.
• Chest X-ray, Angiography, emaw Cardiac CT scan: Heng zawng zawng hian X-ray emaw, hmanraw dang emaw hmangin taksa chhung lam, a bik takin thinlung leh lungte chu an en a.
• Echocardiogram: Hei hi aortic stenosis hriat theihna atana hman ber a ni. Ultrasound wave hmangin heart valve hnathawh dan te, a block em tih te, thisen kal dan te chiang takin a hmu thei a ni.
• Exercise stress testing: Treadmill-a i tlan lai emaw, bike i khalh laiin i thinlung hnathawh dan leh i ECG a inthlak dan ang chi thilte a teh thin.
• Cardiac catheterization: Hetiang tih danah hian doctor chuan i kut emaw ke emaw vein pakhatah tube te tak te, te tak te (catheter) a dah a, i thinlungah a thread a, i valve-a pressure a teh a, a tight zia a en a ni.
• Heart MRI (Magnetic Resonance Imaging): Magnetic field chak tak hmangin thinlung thlalak chipchiar tak tak lak theih a ni.

Heng test neih zawh hian i doctor chuan i natna lan chhuah dan leh i aortic valve a zim dan a zirin a classified ang. Stage pali a awm tlangpui a, chungte chu A, B, C, leh D te an ni a, D hi a na ber a ni.

`(Aortic Stenosis)` hi eng enkawlna nge ni?

`(Aortic Stenosis)` i nei a, mahse symptom i nei lo a, chu chu i dinhmun chu chutiang khawpa na lo tihna a nih chuan i doctor chuan regular check-up nei turin a hrilh ang che a, `(Echocardiogram)` test nei turin a hrilh ang che. Mahse symptoms i neih chuan enkawlna i mamawh dawn a ni. Enkawlna kawng hrang hrang a awm a, chungte chu:

• Damdawi: He natna hi a na lutuk lo a nih chuan doctor-te chuan a natna lan chhuah dan thunun nan damdawi an pe thei a ni. Chûng zîngah chuan thisen tithianghlimtu, diuretics, leh heart rhythm disorder, thisen sang, leh heart failure damdawi te pawh a tel thei. Mahse, damdawi hian a natna lan chhuah dan chauh a thunun tih hre reng ang che; valve a chhe zual zel tur chu an titawp thei lo.
• Valve siamthat: Hei hi operation emaw, balloon valvuloplasty tih hmanga tih theih a ni.
• Surgical repair (`Aortic valve surgery`): Surgeon chuan i rilruah incision a siam a, heart valve-ah direct-in a kal a, a blockage chu a ti reh a, a siam tha leh thin.
• Balloon valvuloplasty: Hetiang tih danah hian thinlung chhunga tube te tak te (catheter) dahna balloon chu valve tawi tak chhungah chuan inflated a ni a, chu chuan valve chu a tizau a ni. Hei hian hun eng emaw chen atan symptoms a ti reh thei a ni. Valve thlak surgery nei thei lo tan emaw, operation hmaa hun eng emaw chen chawlhna atan emaw tih a ni fo.
• Valve thlak dan: Valve hi a chhe lutuk a, siam that theih loh a nih chuan thlak a ngai dawn a ni. Hei hi hmanraw hrang hrang a awm a:
• Aortic valve thlak dan surgery: Valve chhia chu lakchhuah a ni a, valve thar hmanga thlak a ni. He valve thar hi mihring donor (a tlangpuiin donor thi tawh), bioprosthetic valve (a tlangpuiin bawng emaw vawk emaw), emaw, thir atanga siam mechanical valve emaw a ni thei.
• Ross procedure: Hei hi surgery bik a ni. Hetah hian nangmah ngeiin pulmonary valve lak a ni a, aortic valve awmna hmunah dah a ni. Tichuan, donor atanga valve pakhat chu pulmonary valve awmna hmunah dah a ni.
• Transcatheter Aortic Valve Replacement (TAVR emaw TAVI): Hei hi a thar ber leh hmasawn ber a ni. Surgery lian tak a ni a, chu chu a rilru hawng lovin valve thlak theih a ni tihna a ni. Tube te tak te (catheter) chu ke emaw kut emaw a vein lian tak hmangin an dah a, chuta tang chuan folded valve chu thinlungah an kal a, chutah chuan blocked aortic valve chhungah an dah a ni. Hei hi kum upa lam, operation lian tak tak tuar thei lote tan tih a ni fo.

Heng enkawlnate hnuah hian eng chen nge a dam leh theih?

Hei hi enkawlna hman dan azirin a danglam thei.

• Operation i neih chuan:A dam leh theih nan hun engemaw chen a ngai. Damdawi inah ni engemaw zat i awm a ngai tlangpui. In i haw hnuah pawh kar engemaw zat, thla khat emaw thla hnih emaw pawh a la ngai thei a, chu chu i dam kim theih nan leh i thil tih pangngai i thawh leh theih nan a ni.
• Balloon valvuloplasty emaw TAVR ang chi procedure i neih tawh chuan: Heng procedure te hian dam leh hun rei vak lo a mamawh a ni. A châng chuan a ni vek emaw, a tuk emaw-ah emaw i haw thei bawk. Ni rei lote chhungin i nun pangngaiah i kir leh thei a ni.

He `(Aortic Stenosis)` lo awm tur ven dan tur a awm em?

Aortic Stenosis hi chhan eng emaw avangin ven theih a ni. A bik takin bacteria infection hi rang tak leh dik taka enkawl a pawimawh hle. Entirnan, strep throat infection i neih chuan i doctor-in a sawi ang chiah hian antibiotics i ei tur a ni. A natna a reh tawh vang mai maia ei tawh loh chu thil tha a ni lo. Chutianga tih chuan rheumatic fever lo awm tur leh heart valve tihchhiat loh nan a veng thei a ni.

Mahse, ``Aortic Valve Stenosis'' hi ven a harsa fo thin a, chu chu tar vang emaw, thlahtute atanga lo chhuak emaw, natna khirh tak tak thenkhat avanga lo awm thei a ni. Mahse, thinlung hrisel nunphung (ei leh in tha, exercise, leh meizuk loh) zawm hian natna zual zel chu a thunun thei a ni.

`(Aortic Stenosis)` ka neih chuan eng nge ka beisei ang?

I Aortic Stenosis natna hmalam hun, chu chu i awm dan tur chu a tam zawkah chuan enkawlna i dawn thuai dan leh dik taka i dawn danah a innghat ang.

• Enkawl loh chuan: Aortic Stenosis, a bik takin a nasat chuan nunna atana hlauhawm tak a ni thei. Mi tam zawk hi enkawl loh chuan kum engemaw zat aia rei an dam lo.
• Enkawlna tihkhawtlai: Enkawlna tihkhawtlai a nih chuan a result a inang lo. Thinlung chhiatna nghet tak a thlen leh tawh lohah a innghat a ni. Damage a tam poh leh a dinhmun a chhe zual ang. Eng emaw chen chu i dam leh ang a, mahse a dam kim theih beisei erawh a harsa hle.
• Enkawl vat emaw, rang taka enkawl emaw a nih chuan: Enkawl vat leh dik taka enkawl a nih chuan `(Aortic Stenosis)` thlirna a tha hle. I dam chhung zawngin doctor enkawlna hnuaiah regular check-up i neih a ngai dawn a, chutiang a nih loh chuan i thil tih pangngai zawng zawng deuhthaw chu i chhunzawm leh thei a, nun tha takin i hmang thei bawk.

Engtin nge ka in enkawl ang?

• I aortic stenosis a na lo a, symptom i neih loh chuan i tih tur chu echocardiograms neih fo a, doctor pan mai a ni.
• Aortic Valve Stenosis hniam lam i neih chuan i natna lan chhuah dan enfiah a ngai mai thei a, echocardiogram neih fo a ngai mai thei a, i thiltih tihkhawtlai (i doctor-in a tih angin), leh damdawi thenkhat i ei a ngai mai thei.
• Aortic valve stenosis na tak i neih chuan valve siamthat emaw thlak emaw hnuah pawh doctor pan chhunzawm a ngai dawn a ni. Damdawi thenkhat chu i dam chhung zawng ei a ngai mai thei.
• Level zawng zawngah i doctor chuan chi leh thau tlemna ei tur ei turin a hrilh ang che a, exercise pawh nei reng turin a hrilh bawk ang che. Mahse i doctor hnenah eng level exercise nge i tan a tha tih i zawt tur a ni.

Engtikah nge ka doctor ka hmuh ang?

Enkawlna zawng lo tura thutlukna i siam emaw, enkawlna i la dawng lo emaw pawh nise, a hnuaia thil awmte hi i doctor nen inbia nghal tur a ni:

• `(Aortic Stenosis)` symptom thar a lo lang emaw, symptom awmsa chu a zual nghal vat emaw.
• I symptoms te hian i nitin nun a tibuai tan a nih chuan.

Engtikah nge emergency room (ER) ah ka kal ang?

Damdawi thar i ei tan hnuah a hnuaia thil thlengte hi emergency room-ah kal rawh:

• Damdawi pakhat avanga beisei loh, side effect na tak i neih chuan (i doctor chuan eng side effect nge damdawi lam pan vat ngai tih a hrilh ang che).
• Eng thil vang pawha i muhil emaw, i mut a hloh emaw chuan a pawi lo.
• Thisen tithianghlimtu damdawi i ei a, i tlu a nih chuan chhungril thisen chhuah theihna a sang zawk - a bik takin tlu emaw hliam dang i neih hnuah.

Operation hnuah emaw, catheter hmanga tih a nih hnuah emaw, a hnuaia thil awmte hi emergency room-ah kal rawh:

• I incision chu a sen emaw, a hring emaw, khawih pawhin a lum emaw a nih chuan hengte hi infection chhinchhiahna a ni a, enkawl vat a ngai a ni.
• Aortic Stenosis symptom na tak tak, thawk harsa, rilru na, thinlung na rang, emaw muhil emaw i neih chuan.
• Thisen tithianghlimtu i ei a, i tlu a nih chuan a chunga kan sawi tawh ang bawk khan a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawt hreh suh:

• Doctor, ka symptoms te hi a na zual ang tih i ring em?
• Valve pakhat ka thlak a ngai dawn em ni?
• Eng ang valve nge ka tan thlak tha ber?
• Engtikah nge ka tan chuan operation neih hun tha ber?
• Hemi atana enkawlna thar ber berte chu engte nge ni?

Take-Home Thuchah a ni

Okay, chuti a nih chuan tunah chuan kan sawi tawh `(Aortic Stenosis)` tih condition kha i hrethiam tawh zawk. Ni e, i thinlunga peng pakhat, chu chu kawngkhar pawimawh tak, hnathawh that lohna neih hi a hlauhawm tak zet a ni. Amaherawhchu, a pawimawh ber chu hlauthawng lova, tihkhawtlai lova damdawi lam thurawn lak hi a ni.

Heng symptoms te hi i neih chuan emaw, i chhungkuaa mi tu emaw chuan thinlung natna an nei a nih chuan doctor pan ngei ngei tur a ni a, i thinlung hi enfiah tir ngei ngei tur a ni.

`(Aortic Stenosis)` hi natna khirh tak ni mahse, tunlai hian damdawi lam hian hma a sawn nasa hle. Surgery leh `(TAVR)` ang chi catheter hmanga enkawlna thar kan sawi tawhte nen chuan enkawl theihna hi a tha zawk ngai lo. Chuvangin hlau suh. Natna hi i hriat hmasak a, enkawl dan dik i hmuh chuan nun hrisel, hlim takin i nung leh thei ang. I thinlung kha enkawl rawh, a tha em?

` Aortic Stenosis, Lung Valve, Lung Natna, Chhung Na, Thâwk Harsatna, Lung Surgery, TAVR