Thinlung chhunga khur (Atrial Septal Defect - ASD) khar nan operation chungchanga i hriat tur

I fa doctor-in an thinlungah khur a awm tih a hrilh che chuan hlauhna leh mangang taka awm hi thil pangngai a ni. "Aw ka Pathian, ka fa chungah eng thil nge thleng?" Mahse, lungngai suh. Hetiang dinhmun hi damdawi lamah a tam hle. Vawiin hian he thinlung khur hi kan sawi dawn a, chu chu damdawi lama `(Atrial Septal Defect - ASD)` kan tih leh a tihdamna atana an hman dan, chu chu `(ASD Closure)` tih a ni.

A awlsam zawngin, ASD chu eng nge ni?

Kan thinlung hian pindan lian pali a nei a. A chunglam chamber pahnih chu atria an ti a. Heng atria pahnih inkarah hian wall (septum) a awm a. Atrial Septal Defect (ASD) hi he bang chhunga khur danglam tak a ni.

Ngaihtuah teh, naute zawng zawng deuhthaw hi he kulh chhungah hian khur te tak te neiin an piang vek a. Chu chu thil pangngai a ni. He khur hi naute pian hnu kar engemaw zat emaw, thla engemaw zat emaw chhungin a mah chauhin a khar thin. Mahse a chang chuan, he khur hi a lian deuh thei a, a nih loh leh a mah chauhin a khar thei lo bawk. Chu chu ASD kan tih lai a ni.

He khur hi khar a ngai em? He enkawlna hi tute nge mamawh?

A khur chu a te hle a nih chuan harsatna a thlen lo mai thei. Enkawlna a ngai lo mai thei. Mahse a khur chu a lian a nih chuan harsatna a awm thei.

Thil thleng chu he khur avang hian thinlung chamber pakhat atanga thisen chu chamber dik lo takah a luang lut tan thin. Tichuan thinlung leh lungte hian a pangngai aia nasa zawkin hna an thawh a ngai ta a ni. Hun kal zelah hei hian harsatna hrang hrang a thlen thei a ni.

Hetiang dinhmun avanga harsatna awm thei ber berte chu:

• Heart rhythm mumal lo, `(Arrhythmia)` conditions tia hriat bawk. Entirnan, `(Atrial Fibrillation)` emaw `(Atrial Flutter)` emaw a ni thei.
• Thinlung tihzauh.
• Heart failure hlauhawmna.
• Lung chhunga thisen sang (Pulmonary Hypertension).
• Thâwk harsa.
• Stroke vei theihna a awm.

Nangmah emaw i fa emaw hian heng harsatnate hi i vei thei a nih chuan i doctor chuan a khur chu khar (ASD Closure) a rawt thei ang. Tin, thinlung natna dang avanga operation i neih chuan i doctor chuan chutih rual chuan a khur chu khar a tum mai thei bawk. He surgery hi naupang tê tête chu nakin lawka thinlung tihchhiat loh nan an ti fo ṭhin.

Engtin nge khur chu khar ang? Thil tih dan tlangpui pahnih a awm!

He khur hi khar nan hian hmanraw lian pahnih a awm a, chungte chu open-heart surgery leh non-surgical methods hmanga catheter hmanga tih a ni. I cardiologist chuan i dinhmun atan eng method nge tha ber tih a rel ang.

Transcatheter Closure chungchang tlem tal

I thinlunga khur chu a te a, thinlung natna dang i neih loh chuan he method hi thlan a ni fo. Hetiang tih danah hian damlo chu a muhil kim lo. Light sedation hman a ni. Doctor chuan groin-a incision te tak te hmanga catheter dah hmangin X-ray leh echocardiogram technique hmangin catheter chu thinlung chhungah a hruai lut a ni. Chumi hnuah chuan hole khar tu device chu a awmna tur dik takah dah a ni a, catheter chu lakchhuah a ni. Hetiang hmang hian dam lehna a rang zawk hle.

Enkawl hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Enkawlna i dawn dan azirin damdawi inah ni khat emaw a aia rei emaw i awm a ngai mai thei. Medical team chuan uluk takin an lo vil reng ang che.

• If you have had open surgery , kar tlemte chhung chu thil rit phurh ang chi thil hahthlak tak tak i tih loh tur a ni.
• If you had the catheter procedure , i tih dan pangngaiah kar khat chhungin i kir leh thei tlangpui.

Enkawl zawhah thla 6 vel thisen zam venna damdawi ei tur a niI lak a ngai dawn a ni. Tin, a bik takin ha enkawl i nih chuan i doctor chuan natna kai loh nan antibiotics ei turin a fuih ang che.

A pawimawh ber chu ni ruat saah doctor pan ngei ngei tur a ni. Enkawlna a hlawhtling em tih hriat nan test engemaw zat i tih a ngai ang, chu chu ``Echocardiogram'' leh ``Electrocardiogram - ECG'' te hi a ni.

He enkawlna hmang hian hlauhawmna a awm em?

Damdawi enkawlna dang ang bawkin, hlauhawmna tlemte a awm. Mahse, a tlangpuiin enkawlna him leh tangkai tak a ni. Risk awm thei te chu:

• Enkawlna atana hman tur thilte allergy nei.
• Thinlung thawk mumal lo (Arrhythmia).
• Thisen chhuak.
• Lung tissue emaw thisen kalna kawng emaw a chhiat (hengte hi a tlem hle).
• Incision emaw device emaw vel a infection awmin a khur khar a ni.
• Stroke emaw Transient Ischemic Attack emaw a awm thei.

I doctor chuan heng hlauhawmnate hi a sawipui ang che. Thil ngaihtuah tur a awm lo, a tam zawkah chuan heng thil hi a thleng ngai lo.

Eng dinhmunah nge doctor pan nghal a ngai?

I enkawl hnua vaukhânna chhinchhiahna i neih chuan i doctor ko nghal tur a ni a, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah i kal tur a ni.

Thutawp atan chuan ASD Closure hi damdawi pawimawh tak a ni a, chu chuan thinlung leh lung hriselna a humhim a, nangmah emaw i fa emaw chu dam rei tak, hrisel tak nei turin a pui a ni.