Hetiang ang inthlak danglamna tenau tak hi i thinlungah i nei em? (Atrial Septal Aneurysm) chungchang hi han sawi ila!

Kan taksa chhungril lama inthlak danglamna tenau te nen kan khawsa fo thin a, kan hriat loh pawhin kan khawsa thin a ni lawm ni? A châng chuan heng thilte hi doctor-in thil dang `scan` ang chi thil a tih hian a lo hmuchhuak ṭhin. Chu chu a dik a ni, he `Atrial Septal Aneurysm` hi pianpui thinlung natna te tak te a ni a, a tam zawkah chuan symptom lian tham a lang lo. Chuvangin vawiin hian he thu hi chipchiar deuhin sawi ila, kan sawi dawn em ni?

`Atrial Septal Aneurysm` tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, hei hi i thinlunga pianpui thil danglam tak a ni . Kan thinlung pindan chunglam pahnih, atria (atria an tih bawk) inthenna wall hian extra tissue chi khat a nei a. A dik tak chuan chu bang ṭhenkhat chu a chak lo va, a bulge chhuak ta a ni. A châng chuan doctor-te chuan hei hi echocardiogram, thinlung scan-naah an hmu thei ṭhin. Doctor-te chuan hei hi interatrial septal aneurysm an ti bawk.

Mi tam zawk chuan atrial septal aneurysm an nei a, mahse thinlung chhunga thisen kal dan a tibuai lo va, enkawlna bik a ngai lo. Mi engzat nge he natna hi vei tih hi statistics dik tak awm lo mah se, a tlem hle niin an sawi .

Hei hi chi hrang hrang a awm em?

Ni e, `Atrial Septal Aneurysm` chi hrang hrang panga a awm. Chûngte chu thinlung khawi lam nge extra tissue, a nih loh leh protrusion chu a chhuak tam zâwk tih a zirin an thliar hrang a ni. Ngaihtuah teh, thinlung dinglam emaw, veilam emaw, a sir lehlamah emaw.

• Type 1R: Chutiang a nih chuan a protrusion chu i atrium dinglam lam hawiin a awm a.
• Type 2L: Hetah hian protrusion chu left atrium lam hawiin a awm a.
• Type 3RL: Protrusion hi atrium dinglam lamah a tam zawk a, mahse atrium veilam lamah pawh a tlem hle bawk.
• Type 4LR: Hetiang a nih chuan protrusion hi left atrium lamah a tam zawk a, right atrium lamah pawh tlem a awm bawk.
• Type 5: Hetah hian protrusion hi dinglam leh veilam atrium-ah pawh a inang vek tawh.

He classification hi doctor tan a pawimawh laiin, i ngaihtuah tur a ni lo. A pawimawh ber chu a nghawng dan che hi a ni.

`Atrial Septal Aneurysm` natna lan chhuah dan chu engte nge ni?

Thu lawmawm tak chu atrial septal aneurysm nei tam zawk hian symptom an nei lo . I doctor chuan chhan dang avanga echocardiogram i tih laiin a hmu mai thei.

Mahse, he natna hi a chang chuan thinlung natna dang, thinlung thawk mumal lo (arrhythmias), thisen zam, emaw patent foramen ovales (PFOs) te nen a inzawm thei bawk. Chutiang a nih chuan symptoms i nei thei a, chungte chu:

• Chhuak na emaw, nuam lo emaw.
• I thinlung thawk chakna emaw, a rhythm emaw a inthlak danglam tih hriat, `palpitations` tia hriat.
• Luak chhuak thei.

Engvangin nge he `Atrial Septal Aneurysm` hi a lo awm? Eng nge a chhan?

Researcher te chuan interatrial septal aneurysm thlentu hi eng nge ni tih chiang takin an la hre lo . Doctor leh zirchiangtu thenkhat chuan genetics vang emaw, kan taksaa connective tissue chak lohna vang emaw a ni thei niin an ngai. Mahse, hei hi zirchian a la ni reng a ni.

Hei hian harsatna dang a thlen thei em?

Atrial septal aneurysm pakhat chauh i neih chuan harsatna lian tak a ni lo. Mahse, a chang chuan he natna hian hriselna lama harsatna dang i neih theihna a tipung thei a ni . Chung zingah chuan:

• Congenital heart issue dangte pawh a awm.
• Stroke hi thisen zam chu thluaka a kalna a ni.
• Lung rhythm mumal lo (arrhythmias) a awm.
• Thisen a chhuak thin.
• `Patent foramen ovale (PFO)` an tih (hei pawh hi thinlung atria inkar a khur te tak te a ni bawk).
• `Atrial septal defect (ASD)` an tih (hei pawh hi atria inkar bang chhunga khur a ni bawk).

Pawimawh: Heng harsatnate hi mi zawng zawngah a thleng vek lo a, mahse he hlauhawmna avang hian doctor-te chuan an ngaihtuah ber a ni.

Engtin nge `Atrial Septal Aneurysm` i neih leh neih loh i hriat theih ang?

A tlangpuiin doctor chuan `echocardiogram` a ti thei a, hei hi a dik em tih a en thei. Ka sawi tawh ang khan, chu extra tissue chu thinlung atria inkar wall atanga millimeter 10 aia tam a rawn chhuak a nih chuan (doctor thenkhat chuan 15 millimeters an ti) doctor te chuan `Atrial Septal Aneurysm` tiin an hmuchhuak ang.

A châng chuan, i doctor-in he thil hi a ṭhat lehzual a duh chuan, transesophageal echocardiogram (TEE) tih hming pu scan bik neih a rawt thei bawk. Hei hian i thinlung atria inkar bang chu a taka hmuh theih nan i esophagus (food pipe) hnuaiah camera ang chi thil te tak te i pass a ngai a ni. Hei hian echocardiogram pangngai (transthoracic echocardiogram - TTE - hei hi rilru kaltlangin tih a ni) hmanga hmuh loh theih tur atrial septal aneurysm hriatchhuahna kawngah a pui thei a ni.

A tam zawkah chuan miten interatrial septal aneurysm an nei tih pawh an hre lo. A tlangpuiin chhan dang vangin thinlung imaging test neih laiin accident-in hmuhchhuah a ni. Heng test hrang hrangte hi:

• Thinlung `CT scan` (`Cardiac computed tomography (CT)`) tih a ni.
• Thinlung MRI scan (Heart MRI) a ni.
• Angiogram test a ni.

Doctor-in atrial septal aneurysm i nei tih a hriat chuan a kaihhnawih thinlung natna dang pawh an enfiah mai thei, a chhan chu ka sawi tawh ang khan he natna vei thenkhat hian thinlung natna dang an nei ve thei bawk.

Hei hi eng enkawlna nge ni?

Atrial septal aneurysm i nei a, mahse thinlung lam natna dang emaw, thisen zam leh stroke thlen theihna tur risk factors emaw i neih loh chuan enkawlna engmah i mamawh lo mai thei Hei hi mi tam zawk tan chuan a dik a ni.

Amaherawhchu, mi thenkhat tan chuan Doctor ten damdawi an pe mai thei. Interatrial septal aneurysm enkawlnaah hian thisen tithianghlimtu (anticoagulants emaw antiplatelets ang chi) te pawh a tel thei. Heng damdawi te hi thisen zam venna atana pek a ni a, he natna vei thenkhat hi thisen zam vei theihna chance tlem an neih avangin.

Mi thenkhat tan chuan, a bik takin patent foramen ovale (PFO) leh aneurysm nei tan chuan, minimally invasive procedure, patent foramen ovale (PFO) closure tih hian stroke hlauhawmna a tihziaawm thei a ni. Hetianga tih zawh hian thla engemaw zat chhung, a nih loh leh i dam chhung zawng pawh (a bik takin stroke i neih tawh chuan) thisen tithianghlim thei damdawi antiplatelets an tih te i ei a ngai mai thei.

A tlem hle, chu chu a tlem berah chuan he `Atrial Septal Aneurysm` hi operation hmanga lakchhuah a ngai thin.

`Atrial Septal Aneurysm` hi engtiang chiahin nge a pawi?

Atrial septal aneurysm neih chauh hi ngaihtuahawm a ni lo . Amah chauhin harsatna lian tak a thlen tam lo hle. Mahse, stroke vei theihna tur dang (thisen sang, zunthlum, meizuk, emaw PFO neih ang chi) i neih chuan atrial septal aneurysm pawh i ngaihtuah tur a ni. Hei hian stroke vei theihna a tipung lehzual thei a ni.

Hetiang dinhmun nen hian kan nunna atan kan hlau tur em ni?

A tlangpuiin `Atrial Septal Aneurysm` vei te dam rei zawng hi mi hrisel dangte dam rei zawng nen a inang vek a ni . Hei hian i dam chhung a ti tawi dawn tihna a ni lo tihna a ni. Mi zawng zawng dinhmun a inang vek lo. I mimal dinhmun chu natna dang emaw, hriselna dinhmun i neih dan azirin a danglam thei. Chuvang chuan hemi chungchang hi Doctor nen inbiak a tha ber.

Mahni in enkawl turin eng nge i tih theih ang?

I doctor-in stroke laka invenna tur damdawi (thisen tithianghlimtu ang chi) a pe a nih chuan, a pek ang chiah, a dose-a, leh hun bituk chhunga ei a pawimawh hle I damdawi ei kha titawp ngai suh la, i doctor nen inbiakna nei lovin a dose pawh thlak ngai suh.

Procedure tenau emaw, surgery lian tak emaw i neih chuan i doctor chuan a hun hunah follow-up appointment atan a hruai ang che . Heng appointment te hi zawm ngei ngei tur a ni. Imaging test emaw scan emaw pawh neih a ngai mai thei bawk.

Engtikah nge emergency-ah damdawi in pan a ngai?

Hei hi a pawimawh hle. Nangmah emaw i bula awm tu emaw hian stroke symptoms a neih chuan tihkhawtlai lohvin damdawi inah i kal nghal tur a ni . Enkawlna lak hmasak hian stroke avanga chhiatna nasa tak a veng thei a ni. Heng chhinchhiahnate hi hre reng ang che:

• Thusawi a harsa ta a, thu a inzawm khawm ta a ni.
• Taksa sir khat (kut, ke, hmai sir) chu rang takin a rilru a buai, a tingling emaw, a chak lo emaw a ni.
• Vawikhatmah luak chhuak nasa tak a rawn chhuak ta a.
• Mit hmuh chu a fiah nghal a, a nih loh leh mit pakhat emaw, mit pahnih emaw-ah mit a bo ta a ni.
• Vawikhatmah kan hriatna pakhat emaw a aia tam emaw chuan hna a thawk tawh lo (e.g., hriatna, rim hriat).
• Vawikhatmah i buai hle a, i awmna hmun i theihnghilh ang maiin i inhria.
• Lu na na tak, rang tak a ni.

I doctor hnenah eng zawhna nge i zawh tur?

`Atrial Septal Aneurysm` i nei tih i hriat chuan i rilruah zawhna tam tak i neih hi thil pangngai a ni. Heng thilte hi i doctor zawh hreh suh:

• "Doctor, he `Atrial Septal Aneurysm` hi enkawlna ka mamawh em?"
• "Engtiang chiahin nge doctor hmuh leh ka mamawh ang (`follow-up appointments`)?"
• "He `Atrial Septal Aneurysm` nena inzawm thinlung natna dang ka nei em?"
• "Tuna ka dinhmun hi ngaihtuah chuan doctor hian ka hmalam hun hriselna chungchangah engtin nge a ngaih?"

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

Doctor-in `Atrial Septal Aneurysm` i nei tih a hrilh che chuan mak i ti deuh mai thei a, a bik takin symptom i la nei ngai lo a nih chuan. Mahse, a tam zâwk chuan hei hi ngaihtuah tûr a ni lo . Mi tam zawk chuan he natna hi harsatna nei lovin nun pangngai an hmang thin.

Mahse, i doctor-in he aneurysm avang hian stroke neih hlauhawmna i nei tih a sawi chuan uluk takin sawipui la, i invenna atana i tih tur chu chiang takin ruahmanna siam rawh. I hlauhthawnna tihziaawmna turin i chhungte, hnathawhna hmuna i thiante leh midangte nen stroke vaukhânna chhinchhiahnate sawipui a pawimawh bawk . Heng chhinchhiahnate hi hriat chian hi nangmah emaw, nakin lawkah i hriatte tan emaw tanpuitu lian tak a ni thei. Doctor thurawn zawm fo ang che. Tichuan hrisel takin i awm thei tawh ang!

` atrial septal aneurysm, thinlung natna, thinlung, echocardiogram, echocardiogram, stroke, PFO, thinlung hriselna