Congenital Heart Disease chungchanga hriat tur pawimawh te

I fate hian bawnghnute a in hnuah a chau hle tih a hria em? A hmui, a lei leh a vun chu a sen vek tih i hmu em? A châng chuan naupang tê tête chu tlan leh inkhelh laiin naupang dangte aiin an muhil rang zawk ṭhin. Heng thilte hi thil pangngai angin lang mah se, a chang chuan pianpui thinlung natna avanga lo awm thei a ni. Ngaihtuah buai suh, hei hi vawiina kan sawi chu a ni. Hei hi mi tam takin an neih a ni a, enkawl theih a ni.

A awlsam zawngin, congenital heart disease chu eng nge ni?

Hei hi a tawi zawngin `CHD` kan ti a. Chumi awmzia awlsam ber chu naupang a lo pian hian an thinlung insiam dan, chu chu thinlung siam danah hian danglamna emaw, chhiatna emaw eng emaw a awm tihna a ni. Chumi avang chuan thinlungah thisen a luang tha lo.

Kan in chhungah hian thinlung leh thisen kalna kawngte hian tui khawl ang maiin hna an thawk ang tih han ngaihtuah teh. Pipe leh valve-ah harsatna a awm chuan tui a luang ang, a dik em? Chutiang chu a ni. Heng tlin lohnate hi chi hrang hrang a awm thei.

• Hole in the heart: Thinlung pindan hrang hrang inthenna, bang chhunga pianpui khur.
• Thisen kalna kawng chungchanga buaina: Thisen kalna kawng dik lova inzawm, a zim lutuk emaw, thisen kalna kawng dik lova a luang emaw.
• Heart valve chungchanga harsatna: Thisen kal dan control tu valve te hi a inhawng tha lo va, a khar tha lo bawk.

CHD natna thenkhat chu a awlsam hle. Symptom pawh an lantir lo. Mahse ṭhenkhat chu a buaithlak deuh a, nun a nghawng thei a, nausen laia enkawl a ngai a ni. A chang chuan he natna hi pian tirh atangin hmuhchhuah a ni. Mahse mi thenkhat tan chuan naupan lai emaw, tleirawl lai emaw, puitling lai emawa hriat chhuah a ni.

Lung natna chi hrang hrangte chu engte nge ni?

Congenital heart diseases hi chi hnih ah then theih a ni a, pakhat chu thisena oxygen level a zirin a ni.

1. Cyanotic Congenital Heart Disease: Hei hi thinlunga chhiatna awm vangin thisen a oxygen awm zat a tlahniam thin. Hei hian vun, hmui leh nail te chu a rawn sen tir thin. Hei hi `Cyanosis` kan tih chu a ni.

2. Acyanotic Congenital Heart Disease: Hetiang chi ah hian thisenah oxygen level a normal a. Chu chu blue coloration a awm lo tihna a ni. Mahse thisen chu thinlungah a kal dan pangngai lo takin a luang chhuak a ni.

Heng chi hnih hi chipchiar deuhin han thlir ila.

Hetiang natna lan chhuah dan hi engte nge ni?

Mi tin hian natna lan chhuah dan a inang lo thei a, chu chu thinlung natna chi hrang hrang, a nasat dan leh mi kum a zirin a inang lo thei a ni.

Nausen leh naupang tê têa natna lan chhuah dan:

• Cyanosis: hmui, lei, vun leh nail rawng dum emaw, sen emaw a inthlak danglam thin.
• Thâwk harsa: thawk rang, thawk hah.
• Bawnghnute in laia hah: Bawnghnute tlem a in hnuah pawh naute chu a chau hle a, a thawk a hah a, rei lo te hnuah hnute a in tawh lo.
• Mutthilh reng: Naupang chu a mutthilh dan danglam tak a ni.
• Rihna chak lo: Naupang chu a thau dan pangngaiin a pung lo.

Naupang kum upa zawk leh puitlingah natna lan chhuah dan:

• Exercise neih laiin chau vat: Hun engemaw chen i tlan hnuah emaw, stairs i chhoh hnuah emaw i chau hle tih i hria.
• Chest pain: Chest pain, a bik takin activity-a inhmang lai hian a na.
• Fainting: Thil hriatna hloh nghal.
• Swelling: Ke, ke ruh, leh pum ang chi hmunah a hring.
• Heart Murmur: Doctor-in stethoscope hmanga a enfiah hian thinlung atanga hriat ‘swooshing’ ri danglam tak a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Dik tak chuan, hei hi a chhan chiang tak zawn chu a harsa fo thin. Naute chu thinlung a lo thanglian zel angin nausen pum chhunga a lo pian chhuah kar hmasa berah random event a awm vang a nih a rinawm ber. Mahse, a hlauhawmna tipungtu thil engemaw zat hmuhchhuah a ni.

• Genetic causes: Chhungkaw zinga mi pakhatin CHD emaw, chromosomal abnormalities Down Syndrome ang chi emaw a neih chuan a hlauhawmna a sang zawk.
• Naupai laia nu hriselna dinhmun: 1.1.
• Nuin naupai laiin a zunthlum a thunun theih loh chuan.
• Nu hian virus infection rubella ang chi a neih chuan .
• Meizial zuk, zu in , a nih loh leh naupai laiin secondhand smoke nena inhmuhna.
• Damdawi thenkhat (e.g., thisen sang, cholesterol sang, leh hmai vun damdawi thenkhat) damdawi lam thurawn tel lova hman.

Engtin nge he natna hi hriat chhuah a nih? Eng test nge tih thin?

CHD hi hriat theih dan kawng hrang hrang a awm. A châng chuan naute pian hmain hriat theih a ni a, a châng chuan a pian hnu lawkah hriat theih a ni a, a châng chuan a hnu lamah a hriat theih bawk.

1. Naupai lai: `Anomaly Scan` tih dan pangngaia thinlung lam thil dik lo hmuhchhuah a nih chuan `Fetal Echocardiogram` tih theih a ni. Hei hian naute thinlung chipchiar takin a la thei a ni.

2. Pian hnuah:

• Damdawi lam endikna: Doctor-in naupang a enfiah chuan thinlung ri dik lo (`Heart Murmur`) leh rawng dum a awm leh awm loh a enfiah ang.
• Pulse Oximetry Screening: Hei hi test awlsam tak, hrehawm lo tak a ni. Naupang kut zungtang emaw ke ruh emaw-ah sensor te tak te dahin thisena oxygen level a teh thin. Oxygen level a hniam chuan CHD chhinchhiahna a ni thei.

3. Test hmanga finfiah tur:

• Echocardiogram (Echo): Hei hi test pawimawh ber a ni. Ultrasound scan ang mai a ni. Sound wave hmangin thinlung video image a siam a ni. Chu chuan thinlung pindan, valve leh thisen kal dan te chiang takin a hmu thei a ni.
• Electrocardiogram (ECG) hmanga tih a ni a: 1.1.Thinlung electrical activity chhinchhiahna test. Hei hian heartbeat-a thil dik lo awm leh awm loh a enfiah thin.
• Chest X-ray: Chest X-ray hmang hian thinlung lian leh te, a pianzia hriat theih a ni.
• Cardiac Catheterization: Hei hi test buaithlak deuh a ni. Tube (catheter) te tak te tak mai chu i ke emaw, i kut emaw a vein kaltlangin i thinlungah a kal a, chutah chuan i thinlung chhunga pressure chu tehin sample lak a ni. A châng chuan, he kalphung ang chiah hi thil ṭha lo tê tê siam ṭhat nân pawh hman theih a ni.

Engtin nge enkawl a nih?

Enkawlna chu damlo kum, thinlung natna chi leh nasat danah a innghat a ni. CHD vei zawng zawng hi enkawl a ngai vek lo. Thil chhiatna tenau thenkhat (e.g., khur te) chu hun kal zelah anmahniin an khar ang.

Enkawl dan tlangpui engemaw zat a awm a:

• Damdawi: Damdawi hi thinlung hnathawh pui nan te, heart rate control nan te, thisen sang control nan te, taksa atanga tui tam lutuk paih nan te pek thin a ni.
• Catheter Procedures: Operation tel lo chuan tube te tak te, `Cardiac Catheterization`-a ang chi chu thisen kalna kawngah kaltlangin thinlung chhunga khur te khar theih a ni a, valve zim te chu a zau thei a, thisen kalna kawng pawh a zau thei bawk.
• Open-Heart Surgery: Thil chhiatna (complex defect) a awm chuan siamthat nan operation neih a ngai a ni. Tunlai technology hmang hian he surgery hi a hlawhtling hle a ni.
• Heart Transplant: Hei hi a hnuhnung ber a ni a, thinlung a chhiat em em a, enkawlna dang hmanga tihdam theih lohna hmunah chauh ngaihtuah a ni.

CHD natna vei huna ngaihtuah tur thil

Medical science lama hmasawnna avang hian tunlai hian CHD vei zinga 90% aia tam chu puitling thlengin an dam chhuak a ni. Mi tam zawk chuan nun pangngai, hlim leh active takin an nung thei a ni. Amaherawhchu, dam chhung zawnga enkawl ngai thil engemaw zat a awm.

• Damdawi lam enfiah fo: Enkawlna i neih hnuah pawh i dam chhungin cardiologist hnenah hun bi neia hmuh a pawimawh hle.
• Nun hrisel: Ei leh in inthlau tak, doctor-in exercise level a rawt, leh taksa rihna hrisel neih hi a pawimawh hle.
• Ha hriselna: Ha natna atanga bacteria lo lutte hi thisenah lutin thinlung (endocarditis) a nghawng thei a ni. Chuvangin i ha leh hmui hriselna hi a bik takin enkawl rawh.
• Doctor dangte hriattirna:Natna dang i neih chuan doctor i hmuh chuan CHD i vei tih te, damdawi i ei lai te, operation i neih tawh zawng zawng te hrilh ngei ang che.
• Naupai: CHD vei hmeichhiain nau pai a tum a nih chuan cardiologist leh gynecologist te nen sawiho hmasak a pawimawh hle.

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

CHD vei mi pakhatin a hnuaia symptoms pakhat emaw a aia tam emaw a neih chuan damdawi in Emergency Treatment Unit (ETU)-ah hruai nghal tur a ni.

• A rilru a na hle
• Thâwk harsa na tak
• Luak chhuak nasa emaw, muthilh emaw (lightheadedness) .
• Vun emaw hmui emawa rawng dum danglam tak