I taksa pum pui chu khawpui lian leh buai tak angin han mitthla teh. Tichuan chu khawpui chhunga tuikhuah ber chu thinlung hi a ni. He tank atang hian khawpui chhunga in leh kawngpui tinah tui phurh chhuahna tur main pipe lian tak, chak tak a awm ngei tur a ni, a dik em? Chutiang chu kan taksa chhunga thisen kalna bulpui ber, thinlung atanga taksa pum puia thisen thianghlim, oxygen nei phurtu chu a awm a ni. Hei hi aorta kan ti a. Vawiin hian he pipe ropui tak atanga a hmasa ber leh pawimawh ber, thinlung ngei nena inzawm aorta chungchang kan sawi dawn a ni. Chu chu ascending aorta chu a ni.
A awlsam zawngin, ascending aorta chu eng nge ni?
A awlsam zawngin sawi ila, ascending aorta hi kan taksa chhunga thisen kalna kawng lian ber aorta peng hmasa ber a ni. Thinlung hian pump ang maia hna a thawh a, thisen a pump chuan thisen chu he ascending aorta-ah hian a lut hmasa ber a ni. Tui dahna atanga main pipe atanga chhuak hmasa ber ang mai a ni. He part hi thinlung atanga tan a ni a, chunglam pan a ni. "Aorta" tih thumal hi "ka chho" tihna a ni. Chuvangin a awmna hmun hi he hming atang hian i hre thei ang.
Hemi hmun atang hian aortic arch chu a lo piang a, chu chu a hnuai lam pan chuan aorta hnuai lam angin a kal ta a ni. Chu chu, ascending aorta hi taksa pum puia thisen pe chhuaktu he main vascular system bul tanna a ni tihna a ni.
Hei hian kan taksa tan eng hlawkna nge a neih?
Ascending aorta chanvo hi a pawimawh hle. Ngaihtuah teh, kan thinlung hian pindan lian pali a nei a. Chung zingah chuan left ventricle hi thisen thianghlim, oxygen awmna taksa pum puia pump chhuaktu a ni.
Chuvangin, he left ventricle atanga thisen pump chhuah hi ascending aorta ah a lut hmasa thin. Chuta tang chuan taksa peng tin, cell tin, thluak atanga ke ruh thlengin, dam khawchhuahna atana an mamawh oxygen leh nutrients te chu an dawng vek a ni.
Tin, thil danglam bik a awm bawk. Taksa pumpui thisen pump chhuak thin thinlung pawh hian a hnathawh theih nan thisen a mamawh a ni lawm ni? Heart muscle-a thisen pe chhuaktu thisen kalna kawng lian pahnih, coronary arteries te pawh hi he ascending aorta atang hian an intan bawk. Chuvangin, hei atang hian ascending aorta hi thinlung bakah taksa pum pui nunna pe theitu pawimawh tak a ni tih a chiang hle.
A tawi zawngin, ascending aorta hi kan taksaa thisen pe chhuaktu main pipeline bul tanna a ni. Hemi kawngah hian chhiatna tlemte pawh a awm chuan system pumpui a nghawng thei a ni.
Hei hi khawiah nge a awm? Eng ang nge a nih?
Ascending aorta hi kan rilru chhungah a awm a, thinlung veilam sir veilam ventricle chungah a awm nghal a ni. A dik tak chuan kan rilru lai takah ruh flat, sternum hnung lamah a awm a ni.
A lan danah chuan aorta pumpui hi rod ang deuhin a awm a. He tiang zung, chu chu thinlung atanga intan a, a chung lam panna hmun chu ascending aorta a ni. Tichuan, rod chhungah hian handle ang maia bend a awm a, chu chu aortic arch kan ti a. Tichuan, rod sei tak ang maia hnuai lam pan chu aorta hnuai lam a ni.
Puitling hrisel tak ascending aorta hi a tlangpuiin centimetre 5-8 (inches 2-3 vel) a sei a ni a, a zau zawng chu centimetre 3-4 a ni. Zawi zawiin a tlahniam zel a.
Ascending aorta hmun thenkhat leh a wall layer hrang hrang
He thisen kalna kawng pawimawh tak hi section tenau zawk engemaw zatah a inthen a. Tin, thisen kalna kawng dang ang bawkin he kawng pawh hian layer engemaw zat atanga siam bang a nei bawk. Hei hi chipchiar deuhin han thlir ila.
| Part / Layer tih a ni | Hrilhfiahna |
|---|---|
| Ascending aorta hmunpui ber pahnih | |
| Aortic Root atanga lo chhuak a ni | Hei hi thinlung chhungril ber nena inzawm hmasa ber a ni. Hemi hmunah hian thinlung veilam ventricle atanga thisen kalna kawngkhar anga thawk aortic valve hi a awm a ni. Heart muscle-a thisen pe chhuaktu coronary artery pahnih pawh hetah hian a intan bawk. |
| Tubular Ascending Aorta atanga lo chhuak a ni | Hei hi tube ang chi, thisen kalna lian zung atanga thisen kalna lian arch thlenga kal a ni. He hmun atang hian branch dang branch off an awm lo. |
| Arterial wall-a layer pathum awmte | |
| Tunica Intima chuan a rawn ti a | Hei hi thisen nena inzawm, bang chhunga layer smooth tak chu a ni. |
| Media lam a ni | Hei hi middle layer a ni. Elastic fibers a pai a ni. He layer hian thinlung a thawh hian thisen kalna kawngte chu a tizau a, a tizau bawk. He layer hi kan tar chhoh zel chuan a chak lo thei hle. |
| Adventitia a ni | Hei hi pawn lam venhimna layer a ni. Thisen kalna kawng te te a awm a. |
Ascending aorta tibuaitu natnate chu engte nge ni?
He thisen kalna kawng pawimawh tak hi nghawng thei thil engemaw zat a awm. Chûng zînga ṭhenkhat chu a hlauhawm hle thei a ni. Chuvangin anmahni fimkhur a pawimawh.
| Damlohna | A awlsam zawngin sawifiah a ni |
|---|---|
| Aortic Aneurysm a awm thin | Hei hi a awm dan tlangpui leh hlauhawm ber a ni. Heta thil thleng chu aorta bang chhunga hmun chak lo tak pakhat chu balloon ang maiin a rawn chhuak chhuak thin. Hei hi thisen sang, meizuk, leh genetic factors ang chi thil vang a ni thei. He bulge hi a hlauhawm hle a, a chhan chu wall layer hrang hrang a tikehsawm thei (Aortic Dissection) emaw a puak vek thei (Rupture) . Chutiang a nih chuan taksa chhungah thisen nasa tak a chhuak thei a, nunna atana hlauhawm pawh a ni thei. |
| Aortic Valve Stenosis a awm thin | Aortic valve hi kawngkhar ang a ni. He kawngkhar hi a inhawng tha lo a, a zim a nih chuan thinlung hian thisen pump chhuah nan a hma aia nasa zawkin hna a thawh a ngai thin. Kawngkhar zim tak atanga chair lian tak fit tum ang mai a ni. Hun a kal zel a, hei hian thinlung ruh a ti lian thei a ni. |
| Aortic Valve atanga chhuak (regurgitation) a awm | Heta thil thleng chu aortic valve hi a khar kim lo. Kawngkhar khar fel ai chuan a inhawng deuh ang mai a ni. Tichuan thisen pump chhuah thenkhat chu thinlung veilam ventricle-ah a leak leh ta a ni. Hei hian thinlungin thisen a pump tur aia tam a pump a ngai a, hun kal zelah thinlung a chak lo thei hle. |
| Bicuspid Aortic Valve (BAV) hmanga siam chhuah a ni. | A tlangpuiin aortic valve hian flap pathum a nei thin. Mahse, mi thenkhat chu flap pahnih chauh neia piang an ni. Hetiang dinhmun hian hun kal zelah valve chu a ti tawi thei a, thisen chu hnunglam hawiin a kal thei bawk. Hetiang natna vei te pawh hi aneurysm vei theihna a sang hle bawk. |
| Connective Tissue natna te | Genetic condition Marfan Syndrome leh Loeys- Dietz Syndrome te hian taksa connective tissue a tichak lo hle. Aorta bang hi heng tissue te atanga siam a nih avangin heng natna vei te hi aorta lama harsatna nei thei an ni. |
| Inflammatory Disorder awm thei te | Natna chi hrang hrang, giant cell arteritis ang chi te hian thisen kalna lian tak wall-ah inflammation a siam a, a tichak lo thei hle. |
Chuti a nih chuan engtin nge he thisen kalna kawng ropui tak hi kan hrisel theih ang?
Kan thinlung leh thisen kalna kawng hrisel tura kan tih ang chiah hi ascending aorta hriselna atan pawh a pawimawh hle. Hemi atan hian thil danglam bik tih a ngai lo. A bulpui ber chu nun hrisel neih hi a ni.
- Ei leh in hrisel: Chi, cholesterol leh saturated fat tlem, thlai, thei leh thlai chi tamna ei tur.
- Exercise neih fo: Ni khatah minute 30 tal, kar khatah ni 5 tal kea kal, tlan, cycle khalh ang chi exercise la.
- Meizial zuk loh tur: Meizial hi i thisen kalna kawng tichhe thei lian ber a ni. Vawiin hian meizuk kha bansan rawh.
- Zu in tlem: Zu in hian thisen sang a thlen thei a, chuvangin control rawh.
- Thisen sang leh cholesterol control: Thisen sang emaw, cholesterol level sang emaw i neih chuan doctor-in a pek dan leh damdawi a pekte chu uluk takin zawm tur a ni.
Engtikah nge doctor i hmuh ang?
Doctor-in ascending aorta condition emaw, heart condition dang emaw a neih thu a lo hriat tawh chuan, symptom thar i neih emaw, i symptom awmsa a zual emaw chuan doctor hnenah hriattir nghal rawh.
Tin, a hnuaia symptoms te hi ruptured aneurysm chhinchhiahna a nih theih avangin heng zinga pakhat tal a awm chuan damdawi in Emergency Department (ETU)-ah tihkhawtlai lohvin kal nghal tur a ni.
| Rikrum! - ETU ah kal nghal rawh! | |
|---|---|
| Symptom a ni | Hrilhfiahna |
| Na tak, rang taka rilru emaw, upper back na emaw | Natna tuar theih loh, chemte kah emaw, a hrual emaw ang maia hriat. |
| Thâwk harsa | Thâwk hah lutuk. |
| Luak chhuak emaw, hriatna hloh emaw | Sudden extreme dizziness emaw, hriatna hloh leh tlu emaw. |
| Lung na tak tak | I thinlung chu a na hle tih hriatna. |
I chhungkuaa mi tu emaw chuan thinlung natna emaw, aortic natna emaw a neih chuan, emaw, kum 65 chunglam i nih chuan, ascending aorta-a harsatna i neih theihna tur tihtlem dan tur chu i doctor nen sawiho rawh. Heng hlauhawm tam tak hi screening dik tak leh nunphung hrisel tak hmanga control theih a ni.
Take-Home Thuchah a ni
- Ascending aorta hi kan thinlung atanga intan thisen kalna bulpui leh lian ber a hmasa ber leh pawimawh ber a ni.
- He part hian thinlungah thisen a pe a, chubakah taksa pum puiah thisen a pe bawk.
- Aortic aneurysm ang chi natna hi a hlauhawm hle thei a, a rupture chuan nunna atana hlauhawm tak a ni thei bawk.
- I aorta hi thil hrisel tak tak, ei leh in hrisel, exercise, leh meizuk loh te hmangin i humhim thei a ni.
- I rilru natna nasa tak, hnungzang na, thawk harsa, hriatna hloh ang chi symptoms i neih chuan emergency-ah ngai la, damdawi in Emergency Department (ETU)-ah kal nghal rawh.
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