Kan taksaa thisen kalna bulpui ber chu khawpui pakhata tui pe chhuaktu tuikhuah bulpui ang a ni tih i hria em? He thisen kalna kawng hi thinlung atanga taksa pum puia thisen thianghlim, oxygen tamna phurtu a ni. Chuvângin, he lawng lian ber hi hmun khatah a chak lo va, balloon ang maia a lo chhuah ṭan chuan eng ang hlauhawm nge thleng thei ang tih han ngaihtuah teh. Vawiin hian hetiang natna khirh tak, mahse a tam zawkah chuan ngawi renga awm thin chungchang hi kan sawi dawn a ni. Damdawi lam hawi chuan hei hi ‘Ascending Aortic Aneurysm’ kan ti a.
A awlsam zawngin, he Ascending Aortic Aneurysm hi eng nge ni?
Hei hi hming buaithlak tak angin a lang thei a, mahse hriatthiam a awlsam hle.
He hming hi i ṭhen phawt ang u.
- Aorta: Hei hi a hmaa ka sawi tawh kha a ni a, kan taksaa thisen kalna kawng lian ber leh pawimawh ber a ni. Kan thinlung a\anga \an a ni.
- Ascending Aorta: Hei hi thinlung hnaih ber aorta ascending part a ni.
- Aneurysm: Hei hi a chanchin dik tak chu a ni. Hei hi thisen kalna kawng bang a hmun chak lo tak a bulge chhuah lai a ni. Car-a tire atanga "bubble" rawn chhuak ang mai a ni.
A awlsam zawngin sawi ila, Ascending Aortic Aneurysm hi kan thinlung atanga intan aorta peng hmasa ber bang chu a chak lo va, balloon ang maiin a bulge a ni. Hetiang dinhmun hi a chang chuan Ascending Thoracic Aortic Aneurysm (ATAA) an ti a, a chhan chu rilru chhunga a awm vang a ni.
A hlauhawm ber chu he hmun hring hi engtik lai pawhin a chhe thei emaw, a chhe thei emaw a ni. Chutiang a nih chuan taksa chhungah thisen chhuak nasa tak a thlen thei a, chu chu a na hle thei a, nunna pawh a tichhe thei a ni.
He natna hi tu nge vei thei ber?
Hetiang dinhmun hi tu chungah pawh awm thei mahse, mi thenkhat chu an hlauhawm zawk. Tute nge an nih i han thlir teh ang. Chûng thudikte chu i tân a inmil em tih ngaihtuah rawh.
| Risk factor a ni | A sawifiahna awlsam tak |
|---|---|
| Kum leh mipa leh hmeichhia | Mipa kum 60 chunglam leh hmeichhia kum 70 chunglam an hlauhawm zawk. Hei hi a chhan chu kan thisen kalna bangte hi hun kal zelah a nghet lo va, a insiam thei lo. |
| Chhungkaw chanchin | I chhungkuaa mi tu emaw, a bik takin i chhungte hnai tak (nu, pa, unau) te hian hetiang hian aneurysm an nei a nih chuan i hlauhawm zawk a ni. Hei hian genetic influence a nei thei a ni. |
| Lung lam natna thenkhat | Hetiang hlauhawmna hi nau piangsual Bicuspid Aortic Valve (heart valve, a tlangpuiin cusps pathum nei mahse cusps pahnih chauh nei) nei tan chuan a sang hle. |
| Connective Tissue lama harsatna awm thei | Taksa tissue chakna tichhe thei genetic condition nei, Marfan Syndrome -te chu thisen kalna kawng bang a chak lo thei a ni. |
| Thisen sang lutuk | Hei hi a pawimawh hle. Thisen sang tih awmzia chu thisen kalna kawng chhungah thisen sang tak hnuaiah a kal reng tihna a ni. He pressure hian thisen kalna kawng bang a tichhe thei a, hun kal zelah a tichak lo thei bawk. |
| Meizial zuk | Meizial zuk hi thisen kalna kawng tichhetu lian ber pakhat a ni. Cigarette-a chemical awmte hian thisen kalna kawng bang chu direct-in a tichhia a, a tichak lo va, a bulh awlsam phah hle. |
Thoracic aortic aneurysm zawng zawng zinga 60% vel chu ascending aorta-ah a awm thin. Statistics-a a lan dan chuan he natna hian kum tin mi 100,000 zinga 10 vel a nghawng a ni.
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
Thisen kalna kawng bang tichak lo emaw, tichhe thei thil eng pawh hian hetiang hi a thlen thei a ni. Kan tar chhoh zel leh thinlung natna kan neih chuan kan thisen kalna kawngte hian an elasticity an hloh thin. Tichuan, an chhunga thisen luang chhuak pressure chu an tuar thei lo va, a chak lohna hmunah chuan an bulge tan ta a ni.
Hetiang dinhmun nghawngtu chhan lian tak tak engemaw zat a awm a:
- Atherosclerosis: Hei hi "thisen chhunga thau awm" kan ti mai mai a ni. Chutiang chuan thisen kalna kawng bangah cholesterol ang chi thil a lo awm khawm thei a, a khauh thei a, a tichak lo thei bawk.
- Aortitis: Hei hi aorta inflammation a ni. Infection thenkhat emaw, immune system lama harsatna vang emaw a ni thei.
- Bicuspid aortic valve natna: Sawi tawh ang khan hei hi heart valve-a pianpui chhiatna a ni. Hetiang natna vei te hi aortic dissection vei theihna chance a sang zawk hle.
- Genetic Disorder awm thei te: 1.1.
- Marfan Syndrome: Taksa inzawmkhawmna (connective tissue) tichak lo thei natna a ni.
- Loeys–Dietz Syndrome: Genetic natna dang, aorta lian zawk thlen thei.
- Turner Syndrome: Hmeichhia chauh khawih thei, rilru lam natna (cardiovascular system) lama harsatna thlen thei, genetic condition a ni.
- Traumatic Injuries: Accident na tak emaw, rilru a vuak emaw chuan aorta bang a tichhia thei a, a tikehsawm thei bawk.
Hei hi eng symptoms nge ni? Engtin nge i hriat chian?
Hei hi he natna lam hawi ngawih leh hlauhawm tak chu a ni. Mi tam takin symptoms an nei lo. Aneurysm chu a lo lian zauh zauh thlengin hriat lohvin i awm thei.
Mahse, aneurysm a lian chhoh zel emaw, a bul hnaia taksa peng hrang hrang a press emaw chuan symptom thenkhat a awm thei. Heng symptoms zinga pakhat tal i neih chuan doctor nen inbiakna neih nghal a pawimawh.
- Chest na emaw upper back area-a na emaw: Hei hi natna thuk tak, squeezing pain a ni thei.
- Coughing or Wheezing: Heng symptoms te hi aneurysm hian thawkna kawng a compress a nih chuan a awm thei.
- Chaw ei harsa: Hei hi eitur kawng (esophagus)-a aneurysm press vang a ni thei.
- Hoarseness: Vocal cords control tu nerve compression vangin aw a danglam thei.
- Thâwk a tawi.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Vawi tam tak chu he natna hi natna dang test-naah hian a thleng maiin hmuhchhuah a ni. Entirnan, doctor chuan chhan dang vangin chest X-ray a lak laiin aorta lian tak a hmu thei a.
Chu chu Doctor-in a rinhlelh chuan test hrang hrang nei turin a refer ang che a, chu chu finfiah nan leh aneurysm lian leh te dik tak leh a awmna hmun dik tak a hriat theih nan.
| Fiahna | Hei hian eng nge a tih? |
|---|---|
| Chest X-ray neih a ni | Hei hian aorta a lian em tih chu a rough idea a pe thei a, mahse aneurysm te tak te hriat chian a harsa hle. |
| Transthoracic Echocardiogram (TTE) hmanga rilru put hmang (TTE) tih a ni. | Hei hi heart scan ang a ni. Sound wave hmangin thinlung chhunga thisen kal dan leh heart valve hnathawh dan a en thin. Aorta bul tanna pawh a en thei bawk. |
| Chest CT Scan neih a ni | Hei hian rilru lam thlalak chu three-dimensional (3D) a siam thei a ni. Aneurysm te tak te emaw, thisen kalna kawng (dissection) tihchhiat (dissection) emaw pawh chiang takin a lantir thei. A châng chuan he scan hi kut chhunga vein pakhatah contrast an tih tui bik inject-in an ti ṭhin. |
| MR Angiography (MRA) hmanga enfiah a ni. | Hei hi MRI scan a ni. Aorta leh thinlung hnathawh dan chipchiar tak tak hriat theihna turin a pui thin. |
Engtin nge enkawl a nih?
Enkawlna chu aneurysm lian tham tak, a lo thang chak dan leh a chhan ang chi thil hrang hrangah a innghat a ni.
Aneurysm te tak te (5.5 cm aia tlem) tan chuan .
Aneurysm hi centimetre 5.5 aia te a nih a, special risk factor dang (Marfan Syndrome ang chi) i neih loh chuan a tlangpuiin operation atan refer nghal i ni lo. Chu ai chuan i doctor chuan a hnuaia mite hi a rawt thei ang:
- Damdawi: Damdawi pek a ni a, a bik takin thisen sang control nan. Thisen sang a tihhniam chuan thisen kalna bang a pressure pawh a tlahniam bawk.
- Monitoring reng reng:Thla 6 danah velin scan an nei thin a, aneurysm hi a lian chho zel em tih an enfiah thin. A lo thang chak lo a nih chuan kum engemaw zat danah i check thei ang.
- Nunphung inthlak danglamna:
- Meizial i zuk chuan chawlhsan nghal a pawimawh hle .
- Ei leh in hrisel ei.
- Thisen kalna kawngte chungah pressure nasa lutuk lo exercise light-ah tel ve rawh. Hemi chungchang hi i doctor nen inbia la, thurawn i la tur a ni.
Aneurysm lian tak tak (5.5 cm aia tam) tan chuan .
Aneurysm hi centimetre 5.5 aia lian a nih chuan operation neih a tha tlangpui a, chutiang a lian hnuah chuan a rupture theihna a sang zawk hle.
Mahse, Marfan Syndrome, Bicuspid Aortic Valve, chhungkaw history-a aneurysm nei tawhte tan chuan doctor-te chuan aneurysm hi a te zawk pawh ni se, operation neih an rawt thei a ni. Hei hi a chhan chu an rupture hlauhawmna a sang zawk a, aneurysm te tak te pawh nise.
Surgery-ah hian rilru hawn a, aorta chak lo tak, bulging chu tan chhuah a ni. Tichuan , a hmunah graft dah a ni. Hei hi synthetic material chak tak atanga siam a ni. He surgery neih chhung hian thinlung leh lung hnathawh chu hun eng emaw chen chu ``cardiopulmonary bypass machine`` an tih machine-ah sawn a ni.`` A chang chuan heart valve chhiatna a awm chuan chu surgery pawh chu a rualin tih a ni bawk.
Enkawl hnuah engtin nge a dinhmun? (Prognosis) tih a ni.
Hei hi mi tam tak tan chuan harsatna a ni.
Zirchianna atanga a lan dan chuan elective surgery nei zinga 79%, a nih loh leh mi 100 zinga 79 chu enkawl an nih hnuah kum 10 tal hriselna tha takin an khawsa thin.
Mahse, aneurysm a rupture emaw, a puak emaw chuan thil awmdan chu a pawi hle. Darkar 48 chhunga emergency surgery tih a nih loh chuan chutiang damlo zinga a chanve vel chu an dam thei dawn lo. Hei hian he natna hi hriat hmasak a pawimawh zia a tilang a, a natna lanchhuahna awm lo pawh ni se, enkawlna \ha zawng a pawimawh hle.
Hetiang dinhmun laka inven nan eng nge kan tih theih ang?
Genetic cause thenkhat chu kan thunun thei lo nain, a hlauhawmna tihtlem nan thil tam tak kan tih theih a awm.
- Nunphung hrisel: Ei leh in inthlau tak ei leh exercise neih fo.
- Risk factors control: I taksa rihna, thisen sang leh cholesterol level te chu control la. Heng damdawi i doctor-in a pek ang chiah hian ei rawh.
- Thil tih \ha lote paih bo rawh: Meizial i zuk chuan bansan nghal rawh. Zu in tam lutuk hi pumpelh tur a ni.
Heng symptoms te hi i neih chuan rei lo te pawh tikhawtlai suh!
Chungte chu aneurysm a rupturing emaw, a puak emaw chhinchhiahna a ni thei. Hengte hi medical emergency a ni. Heng symptoms zinga pakhat tal i neih chuan , damdawi in Emergency Department (ETU) ah kal nghal rawh.
| Damdawi lam tanpuina zawng nghal rawh! | |
|---|---|
| 🚨 tih a ni | A rilru emaw, a hnungzang emaw a na nghal, tuar theih loh, mittui tlakna. |
| 🚨 tih a ni | Thâwk harsa na tak. |
| 🚨 tih a ni | Thisen a khuh chhuak. |
| 🚨 tih a ni | Hriat lohna, luak chhuak, emaw, stroke chhinchhiahna (e.g., hmai sir khata tlu, thusawi harsa). |
I doctor zawh tur zawhna pawimawh
Hetiang dinhmun hi i nei tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse, i dinhmun hi chiang taka hriat a pawimawh. Doctor i tlawh hunah heng zawhnate hi zawh loh theihnghilh suh.
- Ka aneurysm hi engtiang chiahin nge a lian?
- He thil puak theihna tur hian eng nge ka tih theih ang?
- Aneurysm hi a lian chho zel em? Chutiang a nih chuan engtiang chiahin nge a lo thang chak?
- Hei hi a puak theihna chance chu engzat nge ni?
- Surgery ka mamawh dawn em?
- Surgery ka neih chuan eng nge a hlauhawmna?
Take-Home Thuchah a ni
- Ascending Aortic Aneurysm hi thinlung thisen kalna kawng bulpui bang chak lo leh bulging a ni. Hei hi natna khirh tak, ngawi renga lo awm thin a ni.
- A tam zawkah chuan symptoms a awm lo va, chuvangin risk factors (thisen sang, meizuk, chhungkaw history) nei te tan chuan medical checkup neih fo a pawimawh hle.
- Hei hi a hlauhawm ber chu a puak thei a, nunna chan a thlen thei a ni.
- Aneurysm tenauah chuan damdawi leh damdawi lam enkawl reng a ngai a, a lian zawk erawh chu operation hmanga enkawl a ni thung.
- Symptoms i neih chuan rang, na tak, rilru na tak emaw, thawk harsa emaw ang chi i neih chuan emergency-ah ngai la, damdawi in pan nghal rawh.
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