Nausen piang, an thinlunga khur neia an pian thu i hre ngai em? A tam zawkah chuan enkawl vat a nih chuan hei hi harsatna a ni lo. Mahse, a chang chuan heng natnate hi enkawl loh chuan hun kal zelah harsatna lian tak takah a chang thei a ni. Chu chu Eisenmenger Syndrome kan tih chu a ni. Hei hi thupui buaithlak deuh ni mahse, vawiinah hian awlsam takin kan sawi dawn a, in hriatthiam theih tur angin.
A awlsam zawngin, Eisenmenger syndrome chu eng nge ni?
Hei hi hrethiam tur chuan thinlung hnathawh dan hi i hre hmasa phawt ang u. Kan thinlung hi pindan pali nei in ang maiin han ngaihtuah teh. Chamber chunglam pahnih leh a hnuai lam chamber pahnih a awm. Thinlung dinglamah hian thisen "bawlhhlawh" a awm a, chu chu taksa pum puiah a kal kual tawh a, oxygen a tlem hle . He thisen hi oxygen pek theih nan lung- ah thawn chhuakin "thianghlim" a ngai a ni. Thinlung veilam ah hian thisen "thianghlim" a awm a, chu chu lung atanga luang chhuak tawh, oxygen khata khat a ni. He thisen hi taksa pum puiah pump chhuah a ni. A tlangpuiin heng lehlam pahnih inkarah hian thisen a inhmeh lo.
Tunah chuan, thinlung pindan inkar (entir nan) bang chhunga khur neia piang i nih angin han mitthla teh. Thinlung veilam a pressure chu dinglam aiin a sang zawk. Chuvangin, a tir lamah chuan oxygen tamna thisen thenkhat chu chu khur atang chuan dinglam lamah a kal a, oxygen tlakchhamna thisen nen a inhmeh ta a ni. Hei hi left-to-right shunt kan ti a ni. Hei hian lung chhunga thisen kal zat chu a tul lovah a tipung a ni.
Kum tam tak chhûng , thisen tam zâwk chu lungah pump luh a nih chuan, lung chhûnga thisen kalna kawng nalh tak takte chu a chhe a, a thim a, pressure a pung zêl a ni. Hei hi pulmonary arterial hypertension kan tih chu a ni .
A tâwpah chuan lung chhûnga pressure a lo pung êm êm a, thinlung dinglamah pressure chu veilam aiin a sang zâwk ta a ni. Chuti a nih chuan eng nge thleng? Thisen kal dan chu a inher chhuak vek a ni. Chumi awmzia chu tunah chuan thisen "bawlhhlawh", oxygen tlakchhamna chu lungah a kal lo va, tihfai a ni tawh lo va, chu khur atang chuan veilam lamah a kal nghal a, taksa pum puiah a pump chhuak ta tihna a ni. Hei hi dinglam atanga veilam shunt kan ti a ni .
Hetianga oxygen tlachham thisen taksaa pump luh avanga symptoms leh complications awmkhawm hi Eisenmenger Syndrome kan tih hi a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
A natna lan chhuah dan ber chu taksaa oxygen tam tawk lo (hypoxemia) avanga lo awm te hi a ni. Heng symptoms te hi tleirawl emaw puitling emaw ah a lang tlangpui a, mahse a chang chuan naupan lai atang pawhin a intan thei bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Vun rawng sen (Cyanosis) . | Thisen a oxygen tlem avangin hmui, hmui, hmui, kut leh ke te chu blue coloration a ni. Hei hi vun dum zawk nei tan chuan hriat harsa tak a ni thei. |
| Thâwk harsa | Thâwk hahna, a bik takin kea kal emaw, eng thil pawh tih lai emaw. |
| A rilru a na | Thinlung pressure avanga rilru na emaw, tightness emaw hriatna. |
| Luak chhuak leh lu hah | Thluak thlenga oxygen a thlen tlem avanga lo awm thei dinhmun. |
| Chauhna nasa tak (Fatigue) . | Taksa cell-te hian chakna siam chhuak thei tur oxygen an neih tlem avangin chau tih hriat reng hi. |
Engvangin nge hetiang hi a lo awm? Thinlung chhiatna hnuaia awmte chu engte nge ni?
Kan sawi tawh ang khan he natna hi pianpui heart defect enkawl loh avanga lo awm a ni. Entirna thenkhat chu hetiang hi a ni:
- Atrial septal defect ( ASD ): Thinlung chunglam chamber pahnih (atria) inkar bang chhunga khur awm.
- Ventricular septal defect ( VSD ) atanga lo chhuak a ni.Thinlung hnuai lam chamber (chamber) pahnih inkar bang chhunga khur awm.
- Patent ductus arteriosus (PDA): Aorta leh pulmonary artery inzawmna dik lo, nau neih hnua khar tur.
- Atrioventricular septal defect: Thinlung lai takah khur lian tak a awm a, chubakah thinlung valve- ah harsatna a awm bawk .
- Single-ventricle defect: Lung hnuai lam chamber pahnih zinga pakhat chauh hian hna a thawk tha hle.
Hetiang dinhmun avanga harsatna lo awm thei dangte chu:
Eisenmenger syndrome hian thinlung leh lung chauh a nghawng lo. Taksaa oxygen level hniam hian harsatna dang tam tak a thlen thei a ni.
- Secondary erythrocytosis: Taksa hian oxygen thlak nan a mamawh aia tam thisen sen a siam chhuak a , chu chuan thisen a ti thim thei a, thisen zam a tipung thei bawk.
- Thisen chhuak pangngai lo: Thisen khuh, hnar thisen, thlasik rit tak, leh hmui thisen chhuak ang chi thil.
- Heartbeat irregularities (Arrhythmias): Thinlung thawk mumal lo.
- Thisen zam: Heng thisen zamte hi thluaka a kal chuan stroke ang chi natna khirh tak tak a awm thei a ni.
- Thluak ah hian abscesses a awm.
- Kut zungtang clubbed tak tak te.
- Kidney hnathawh that lohna.
- Lung lam chak lohna.
- Lung natna (infective endocarditis) a awm thei.
- Iron tlakchhamna avanga thisen tlakchhamna.
Naupai laiin risk sang tak a ni
Hei hi thil pawimawh tak a ni. Eisenmenger syndrome vei hmeichhia tan naupai hi a hlauhawm hle a, nunna pawh a hlauhawm hle . Naupai lai hian thinlung leh thisen kalna system hian stress a tuar thei lo va, chu chuan nu emaw naute emaw, a pahnih pawhin thihna a thlen thei a ni.
Hetiang natna hi i nei a, fa neih theih kum i nih chuan, i doctor nen nau neih dan tur dik ber chungchang sawipui ngei ang che . I doctor chuan fa neih dan tur dang, adoption ang chi te pawh a hrilhfiah bawk ang.
Doctor-te hian engtin nge hei hi an hmuh?
I doctor chuan i symptoms leh medical history a zirin hei hi a ringhlel mai thei. A finfiah nan test eng emaw zat an nei dawn a ni.
- Thisen test dan: 1.1.Red blood cell count leh harsatna dang hriat duh tan.
- Echocardiogram (Echo): Thinlung hnathawh dan, a insiam dan leh a khur awmna hmun enna scan a ni.
- Electrocardiogram (ECG/EKG): Thinlung electric hnathawh leh rhythm enfiah nan.
- Heart Catheterization: Test pawimawh tak a ni a, chu chu thinlung leh lung chhungah tube te tak te dahin chutah chuan pressure dik tak teh a ni.
- Pulse oximetry: Kut zungtang-a hmanraw te tak te hmanga thisen chhunga oxygen awm zat tehna.
- Exercise stress test: Exercise neih laiin thinlung leh oxygen level a inthlak dan enfiah.
Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?
Hetah hian hriatthiam tur pawimawh tak chu Eisenmenger syndrome a lo awm tawh chuan a thlentu thinlung chhiatna (hole) hmasa ber chu surgery hmanga khar theih a ni lo Chutianga tih a nih chuan lungin pressure sang tak, lung chhunga pressure sang tak lo awm tawh chu a tuar thei dawn lo va, harsatna na tak tak leh thihna thlengin a thleng thei a ni.
Chuvangin, enkawlna tum ber chu natna lan chhuah dan control te, nunphung tihchangtlun te, harsatna lo thleng tur venna te a ni.
- Pulmonary hypertension (PAH) therapies: Hengte hi enkawlna bulpui ber a ni. Heng damdawi te hian lung chhunga thisen kalna pressure a tihziaawm a, thawk hah ang chi symptoms te chu a ti reh a ni.
- Antibiotics: Damdawi lam thil thenkhat, ha lak chhuah hmaa antibiotics pek thin a ni a, chu chu thinlunga natna darh zel tur venna atan a ni.
- Damdawi lam enkawlna hnuaia exercise: Hei hian i thawk leh chakna a tichak thei a ni. Doctor rawn hmasa lovin mahni chauha exercise lak ngai suh.
- Iron pill emaw injection emaw: Iron tlakchhamna a awm chuan enkawl nan.
- Supplemental oxygen: Hei hi thisen a oxygen level tihsan nan damlo thlan bik thenkhat tan a tha hle.
- Thisen tithianghlimtu: Hei hi fimkhur tak leh damdawi lam thurawn chauha hman tur a ni.
- Heart emaw heart and lung transplant: End-stage damlo, damdawi hmanga an dinhmun control theih loh tan chuan duhthlan tur a ni.
Engtin nge ka in enkawl ang?
Hetiang dinhmun nena nunpui lai hian i lam atanga i tih tur tlemte a awm.
- Meizial zuk loh vek tur a ni. Hei hian dinhmun a tichhe zual ang.
- Tui tam tak in la, chu chuan dehydration a veng ang.
- Ei leh in tha tak ei rawh.
- Hri kai laka inven nan a hun takah vaccine tul tak tak lak thin ang che.
- Chutiang natna rei tak nena nunpui avanga lungkhamna hmachhawnCounselling dawng rawh .
I dam chhungin cardiologist leh pulmonologist enkawlna hnuaiah i awm dawn a, chuvangin an thupek dik taka zawm a pawimawh hle.
Take-Home Thuchah a ni
- Eisenmenger syndrome hi natna khirh tak, tihdanglam theih loh a ni a, pianpui heart defect (thinlung chhunga khur ang chi) chu rei tak enkawl loha awm a nih chuan a ni.
- Lung chhunga pressure sang tak avang hian oxygen tlakchhamna thisen chu lungah kal lovin taksaah direct-in a pump lut thin.
- A lan chhuah dan ber chu thawk harsa leh hmui leh kut zungtang sen (cyanosis) a ni.
- Hetiang dinhmun hi a lo awm tawh chuan, a bul tanna thinlung chhiatna chu operation hmangin siamthat theih a ni lo . Enkawlna chu symptoms leh complications enkawl danah chauh a ni.
- Hetiang natna vei hmeichhiate tan chuan naupai hi nunna atana hlauhawm a nih avangin naupai venna tur dik tak chungchangah doctor nen inbiakna neihpui ngei ang che.
- Specialist medical supervision hnuaia awm reng a, dam chhung zawnga enkawlna mumal neih a pawimawh hle.











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