He inflammation hmuh tur awm lo hian i thinlung a nghawng em? Cardiac Sarcoidosis chungchang hi i zir dawn nia!

A châng chuan i chau mai mai em? Nge i rilru na deuh emaw, thawk harsa deuh emaw i nei em? Chûngte chu thil pangngaiah i ngai mai thei. Mahse, hengte hi thinlung tichhe thei thil awm lo tak tak an ni. Cardiac Sarcoidosis hi chutiang natna pakhat a ni a, a buaithlak deuh a, mahse uluk taka hriattir i nih chuan enkawl theih a ni. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Cardiac Sarcoidosis hi eng nge ni?

A awlsam zawngin sawi ila, Sarcoidosis hi kan taksaah hian inflammatory disease awm lo tak a ni. Hemiah hian taksa peng hrang hrangah, a bik takin lung, lymph node, vun leh mit ang hmunah te hian inflammatory cell te te te an pungkhawm a, lumps (granulomas) an siam thin. Heng lumps te hian chu taksa peng hrang hrangte hnathawh dan pangngai chu a tibuai thei a ni.

Tunah chuan he sarcoidosis natna hian thinlung a nghawng a nih chuan chu chu cardiac sarcoidosis kan tih chu a ni. Hei hi sarcoidosis vei zingah pawh thil awm lo tak a ni. Mahse, chutianga thinlung a nghawng chuan thinlung ruh leh thinlung chhunga electrical signal kalna kawngpuiah hliam a lo awm thei a ni. Hliam hnua vunah hliam ang maiin ngaihtuah rawh. Heng hliamte hian heart rhythm pangngai lo leh heartbeat lama harsatna a thlen thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Cardiac sarcoidosis hi a takah chuan natna tlanglawn tak a ni lo. Khawvel pumah doctor-te chuan taksa hmun dangah sarcoidosis vei zinga 2% atanga 5% chauhvin thinlungah he natna hi an nei tih an hmuchhuak tlangpui. Mahse, zirchianna thenkhatah chuan United States ang ramah chuan sarcoidosis vei zinga 20% atanga 30% velin thinlungah he natna hi an nei tak tak thei a, mahse an hriatchhuah loh theih thu an sawi.

Hetiang dinhmun hi Japan ang ramah a tam zawk a, sarcoidosis vei zinga a chanve aia tam pawhin an thinlungah he natna hi an nei ve bawk. Mahse, taksa peng dang nghawng thei sarcoidosis nen khaikhin chuan cardiac sarcoidosis hi a tlem hle.

Thil pawimawh dang hriat tur chu cardiac sarcoidosis vei hmun thuma ṭhena hmun khat vel chuan taksa hmun dangah sarcoidosis symptoms an nei lo tih hi a ni. Chumi awmzia chu i thinlung hi natnain a nghawng hmasa ber organ a ni thei tihna a ni.

He natna lan chhuah dan engte nge ni?

Cardiac Sarcoidosis natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse, a lan chhuah dan tlangpui thenkhat chu:

• Chest pain: Hrem emaw, hrual emaw ang maiin a lang thei.
• Thâwk lak tawi: 1.1.Tlemte chauh emaw, chawlh hahdam mai emaw pawh ni se, thawk harsa i ti mai thei.
• Fainting or dizziness: I hriatna hloh nghal mai thei a, i tlu thei bawk.
• Chauhna: Eng thil pawh ti ila, chau nia inhriatna.
• Khuh: Khuh hring (persistent dry cough) a awm thei.
• I ke a hring: Ankle area ang chi hmunte chu a hring thei.
• Heartbeat pangngai lo / Heart palpitations: Heart rate hi a sang nghal thei a, a tlahniam nghal thei a, a beat pawh a tlachham ang maiin a lang thei bawk.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Damdawi lam thurawn lak a tha ber.

Engvangin nge Cardiac Sarcoidosis hi a lo awm?

Dik tak chuan doctor-te chuan he natna hi a thlen chhan chiang tak an la hmu lo. Mahse, zirchiangtute chuan mi thenkhat genetic makeup leh environment factors hian hmun a chang thei niin an ngai. Chu chu, mi thenkhat taksa chuan boruak chhunga thil engemaw (entir nan, bacteria, virus emaw, leivut emaw) he inflammatory condition thlentu hian a reacted thei tihna a ni. Mahse, hei hi research stage-ah a la awm a ni.

He natna hi engtin nge an hriat chhuah?

Cardiac sarcoidosis i vei nia i rinhlelh chuan i doctor chuan physical exam a ti hmasa ang. Tichuan i medical history an zawt ang . Hei hian i natna hmasa leh i chhungkuaa tu emaw pawhin hetiang dinhmun hi an nei tawh em tih ang chi thil a kawk a ni.

Hei bakah hian heartbeat mumal lo a awm leh awm loh endik turin test hrang hrang tih a ni bawk ang. Doctor chuan i taksa hmun dangah sarcoidosis chhinchhiahna a awm leh awm loh a enfiah ang a, i thinlungah pawh chutiang bawka chhinchhiahna a awm leh awm loh a enfiah bawk ang.

Diagnostic test te hi engte nge ni?

He natna hi dik taka hriat theih nan test hrang hrang a awm a:

• Electrocardiogram (EKG/ECG): Hei hian i thinlung electrical activity chu pattern angin a record a. I thinlung rhythm-a thil danglam awm apiang a hmuchhuak thei.
• Echocardiogram: Hei hi thinlung scan ang a ni. Sound wave hmangin thinlung pianzia leh lian leh te, thinlung chamber leh valve te hnathawh dan leh thil dang tam tak a en thin. A chang chuan transthoracic echo tih a ni bawk.
• Holter monitor: Hei hi hmanraw te tak te a ni a, darkar 24 atanga darkar 48 chhung i ha thin. Nitin hnathawh i tih laiin i thinlung thiltih dan record chhunzawm zel turin a pui thin.
• Positron Emission Tomography (PET scan) hmanga chhut chhuah a ni.Hei hi scan bik a ni. Thinlung chhunga inflammation leh scarring awmna hmun hriatchhuahna atan a tangkai hle.
• Heart MRI (Cardiac Magnetic Resonance Imaging): Hei hian magnetic field leh radio wave hmangin thinlung thlalak chipchiar tak a siam chhuak thin. Hei hian thinlung ruh chhiatna leh hliam chiang taka hmuh theihna turin a pui thei bawk.

Sarcoidosis hi taksa hmun dangah biopsy (tissue sample te tak te lak a, microscope hmanga enfiah) hmanga hriat theih a ni tlangpui. Mahse, hei hi thinlungah chuan a awm lo hle a, a chhan chu thinlunga harsatna awmna hmun dik tak atanga sample lak a harsat avangin.

Heng imaging test te hian doctor te chu cardiac sarcoidosis stages te hriat theihna turin a pui bawk. A nasat loh atanga na tak thlengin a awm thei. A hmasa ber, a kal zelna leh a thawh lai thlengin a kal zel thei a, chu chuan myocardial impairment leh fibrosis a thlen thei a ni.

Enkawlnate chu engte nge ni?

Thu lawmawm tak chu cardiac sarcoidosis enkawlna tur a awm tih hi a ni. I doctor chuan i dinhmun atana enkawlna tha ber a thlang ang. Damdawi hman tlanglawn tak tak thenkhat chu hetiang hi a ni:

• Corticosteroid damdawi: Hengte hian taksaa inflammation tihziaawmna hmangin hna an thawk a ni. He group-ah hian Prednisolone hi damdawi an pek tlangpui a ni.
• Immunosuppressant dang: A châng chuan corticosteroids chauh hi a tawk lo a nih chuan, a nih loh leh a side effect a na lutuk a nih chuan taksa immune system a overactive loh nan damdawi dang pek theih a ni.
• Anti-arrhythmic drugs: Lungphun a mumal lo a nih chuan a control theihna tur damdawi bik a awm a.
• Pacemaker: Thinlung a thawk chak lutuk chuan he hmanrua te tak te hi thinlungah hian dah a ni a, chu chu a rate pangngaia vawng reng turin a ni.
• Implantable Cardioverter Defibrillator (ICD): He hmanrua hi nunna atana hlauhawm arrhythmias hlauhawm tak a awm hunah dah a ni. Chutiang hunah chuan thinlungah electric shock te tak te a pe a, chu chuan rhythm pangngai a siam leh thin.
• Catheter ablation: Hei hi thinlung thawk mumal lo enkawlna a ni bawk. Thinlung chhunga electrical signal mumal lo thlentu hmunte chu catheter hmangin an hmuchhuak a, an tichhia a ni.

Very rarely, natna chu a nasat em avangin heart failure a thlen chuan , heart transplant a ngai mai thei.

Damdawi leh enkawlna hman tam berte chu engte nge ni?

Doctor-te chuan corticosteroid prednisone an tih (brand hmingah Sterapred® emaw Rayos® emaw) dose sang tak hmangin an tan fo thin. Hei hi thla engemaw zat chhung lak a ni. Chumi hnuah chuan dose chu tihhniam zauh zauh a ni. Natna hi a hmaa hriatchhuah leh enkawl a nih chuan heng damdawi te hian nasa takin a natna lanchhuahna a thunun thei a ni.

Enkawlna hian side effect a nei em?

Corticosteroid damdawi Prednisone ang chi hi rei tak hman a nih chuan side effect engemaw zat a nei thei. Chuvang chuan i doctor chuan a enkawl reng ang che. Side effects awm tam ber chu:

• Osteoporosis: Ruh chak lo.
• Infection: Taksa invenna a tlahniam chuan natna vei theihna a sang thei hle.
• Thisen sang a sang.
• Thisen sugar a sang.
• Mood a inthlak danglam thin.
• Mu thei lo.

Catheter ablation enkawlna hi a tir lamah hlawhtling mah se, mi thenkhat, a bik takin ventricular tachycardia (thinlung chak tak, thinlung hnuai lam chamber atanga intan) nei te chuan 86% thlengin a lo lang leh thei a ni.

Heart transplant hnua cardiac sarcoidosis lo awm leh theihna hi 10% aia tlem a ni.

Cardiac Sarcoidosis hi natna khirh tak a ni em?

Hei hi i dinhmun a zirin a danglam ang. Natna hi hriat hmasak a, enkawl tan hma a nih chuan result tha ber a awm thin. Enkawlna tihkhawtlai a nih chuan natna chu a na zual thei a ni.

Pulmonary hypertension ( lung-a thisen phurtu arteries-a pressure sang) emaw ventricular aneurysm (thinlung hnuai lam chamber pakhata balloon ang maia bulge wall chak lohna) ang chi condition i neih chuan prognosis chu a tha tawk lo mai thei.

He natna hi eng chen nge i dam theih ang?

Enkawl tan hma a nih chuan mi tam tak an khawsa tha hle.

Zirna hrang hrangah chuan cardiac sarcoidosis vei zinga 83% leh 93% inkar chu kum 10 hnuah pawh an la dam tih hmuhchhuah a ni.

Heart transplant hnua dam rei zawng hi kum khat leh kum nga chhungin 80% aia tam a ni.

Hêng statistics-te hian dinhmun tlangpui târ lang mah se, i mi mal dinhmun chu a inang lo thei tih hre reng ang che. Chuvangin i dinhmun chiang taka hrethiam turin i doctor nen inbia ang che.

Cardiac Sarcoidosis hian thihna a thlen thei em?

Ni e, cardiac sarcoidosis hi mi thenkhat tan chuan thihna thlen thei a ni. Thihna hlauhawmna a sang hle a, a bik takin i thinlung veilam ventricle-in thisen a pump tha lo a nih chuan.

Sudden cardiac death hi ventricular arrhythmias (thinlung hnuai lam chamber-a heartbeat mumal lo) vang a ni fo thin. I hlauhawm a nih chuan i doctor chuan ICD device dah turin a rawt thei che a ni.

Engtin nge ka in enkawl ang?

He natna hi hun rei lote chhungin a na zual thei a, chuvangin doctor-in damdawi a pek ang chiah chiah ei a pawimawh. Prednisone ang damdawi kum khat thleng i ei a ngai mai thei. Damdawi avanga side effect i neih chuan doctor hnenah hrilh rawh. Mahse damdawi lam thurawn tel lo chuan damdawi ei kha bansan suh.

Engtikah nge Doctor ka hmuh ang?

Steroid (e.g., prednisone) i ei tan atanga thla khat emaw thla ruk vel hnuah imaging test i neih leh a ngai dawn a ni. Hei hian i doctor chu damdawi chu engtiang chiahin nge a thawh that tih leh hmalam pan zel tur chuan eng ang dose nge a nih tur tih a hriat theih nan a pui thin.

Steroids tihtawp emaw, a dose tihtlem emaw hnuah pawh kum thum tal i doctor hnenah follow-up checkup i neih chhunzawm zel tur a ni. Hei hi cardiac sarcoidosis a lo awm leh thei vang a ni. Mi 40% velin hetiang hian natna hi an nei leh dawn a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

If you suddenly experience any of these symptoms , damdawi in hnai ber emergency room-ah kal nghal la emaw 1990 ah call rawh:

• Thâwk harsa leh thawk harsa
• Sustained palpitations a awm thin
• Luak chhuak leh/ emaw, rilru hah

Chûngte chu heart rhythm disorder hlauhawm tak chhinchhiahna a ni thei.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh theihnghilh suh:

• Damdawi chauh hmangin he natna hi ka control thei ang em?
• Ka thlirna chu eng nge ni, a bik takin tuna ka dinhmun ngaihtuah hian?
• Ka left ventricle hian engtiang chiahin nge hna a thawh?
• Damdawi hi eng chen nge ka ei a ngaih?
• Eng nunphung tihdanglamna nge ka tih theih ang?

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

Cardiac Sarcoidosis hi thumal hlauhawm deuh a ni a, mahse fimkhur a pawimawh hle.

He natna hi hriat hmasak a, enkawl tan a nih chuan result tha ber a awm thei a ni.

Chuvangin, heng symptoms te hi i neih chuan ngaihthah suh la, doctor thurawn la rawh. I doctor-in damdawi a pek chu dik takin, a hun takah ei rawh. I doctor nen side effects chungchang sawipui rawh. A hun takah medical checkup turin kal rawh. Heng thilte hi dik taka i tih chuan he dinhmun hi i nunpui thei ang. Nangmah chauh i ni lo va, doctor-te pawhin tanpui turin an awm reng a ni.

` Lung natna, sarcoidosis, thinlung natna, thawk hah, rilru na, thinlung thawk mumal lo, corticosteroids