Hriselna chu thinlungah a lut a nih chuan engtin nge ni ang? Endocarditis chungchang hi a awlsam zawngin i zir dawn nia

I thinlung hi taksa peng mak tak a ni a ni lawm ni? Mahse a chang chuan kan taksa hmun dang atanga hrik te tak te pawhin thisen kal tlangin thinlung ngei pawh a tichhe thei a ni. Chu chu tunlaia kan sawi tak natna khirh tak pakhat, nunna atana hlauhawm tak tak pakhat, endocarditis an tih chu a ni. Hei hi uluk taka hriat a, enkawl vat a pawimawh hle.

Endocarditis chu eng nge ni mai?

A awlsam zawngin, endocarditis hi i thinlung chhungril (damdawi lama endocardium kan tih) leh thinlung valve-a infection leh inflammation a ni. A tlangpuiin natna hrik, bacteria .

Ngaihtuah teh, i kâ, i vun, a nih loh leh i thawkna kawng khawi emaw aṭanga hrik lo chhuak chu i thisenah a lut a. Tichuan, he hrik hi thisen nen a kal a, i thinlungah a kal ta a ni. Thinlung hrisel chuan natna a kai awlsam lo. Mahse i thinlung valve-ah chhiatna emaw chak lohna emaw a awm chuan chu natna hrik chu a kal a, chu hmun chak lohna hmunah chuan a innghat a, chutah chuan zung a kai a, a pung tan ta a ni.

Chutah chuan heng natna hrik te hi an lo thang lian zel a, thisen zam leh fibrous tissue ang chi te te te an siam thin. Hengte hi `vegetations` kan ti a. Heng `vegetations` te hian heart valve te chu nasa takin a tichhia thei a ni. Hei hian valve te chu a khar tha lo thei a, thisen a chhuah tir thei a, thinlung hnathawh a titawp vek thei bawk.

Hei hi chi hnih lian tak a ni.

Endocarditis hi chi hnih ah then theih a ni.

1. Infective Endocarditis: Hei hi a tam ber a ni. A hming ang ngeiin natna hrik, bacteria emaw fungi emaw, thinlunga a luh avanga lo awm a ni. Doctor ten `(Bacterial Endocarditis - BE)` an ti \hin.

2. Non-infective Endocarditis: Hei hi a tlem hle. Hetah hian thinlunga `vegetations` awmte hi hrik avanga lo awm a ni lo. Chungte chu `( sterile vegetations)` kan ti a. Hetiang dinhmun hi thisen zam awlsamna thlentu natna nen a awm tlangpui. Entirnan, `( lupus )` natna leh `( Antiphospholipid syndrome)` ang chi natna nen hmuh theih a ni.

Endocarditis natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

He natna lan chhuah dan hi a buaithlak deuh a, a lo lang nghal thei a, a nih loh leh kar tam tak chhungin zawi zawiin a lo lang thei bawk.

Infective endocarditis hi chi hnih a awm thei a:

• Acute: Hei hi a intan nghal a. Ni tlemte chhungin nunna atana hlauhawm tak a ni thei a, a natna lan chhuah dan chu khawsik sang leh thinlung na chak tak ang chi te a ni .
• Subacute: Hei hi zawi zawiin a lo thang lian a, kar emaw thla emaw chhungin a lo thang lian thin.Simptoms, chak lo anga inhriatna leh khawsik tlem te te hi a lang hmasa ber a ni.

Non-infective endocarditis hian a tlangpuiin symptom a nei lo. Natna hnuaia awm (lupus ang chi) chhinchhiahna a lo lang chhuak thin.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Endocarditis hi natna tlanglawn tak a ni lo a, mahse mi thenkhat chuan an vei theihna chance a sang zawk.

• Mihring artificial heart valve , pacemaker, emaw defibrillator nei : Heng hmanrua te hi natna hrik in a tihbawlhhlawh tam zawk.
• Endocarditis vei tawhte: Vawi khat i lo vei tawh chuan a lo awm leh theihna a awm.
• Lung lam natna thenkhat nei te: a bik takin thinlung valve natna leh hypertrophic cardiomyopathy te.
• IV ruihhlo hmangtute: Injection needle bawlhhlawh hmangin thisenah hrik a lut nghal thei.
• Kawng leh ha faina tha lo nei te: Ka chhunga bacteria awmte chu ha ro leh ha natna avangin awlsam takin thisenah a lut thei a ni.
• Mite taksa chak lohna nei: Zunthlum ang chi natna nei emaw, taksa chakna titawp thei damdawi ei thinte.
• Tun hmaa heart valve surgery nei tawhte.

Enkawl loh chuan eng harsatna nge a awm?

Enkawlna tihkhawtlai a nih chuan eng nge thleng thei:

• Heart valve te a chhe vek a, thisen a leak (Leaky heart valve) .
• Lung lam chak lohna
• Thinlung vel a hnim hring (abscesses) a awm
• Thinlung thawk mumal lo (Arrhythmia) .
• Chutiang thinghnah te te chu a chhe thei a, thluaka thisen kalna kawng a tikhawlo thei a, chu chuan stroke a thlen thei a ni.
• He natna hi taksa pum puiah a darh a, natna hlauhawm tak, sepsis an tih chu a thlen a ni.
• A tâwpah chuan thihna pawh a thleng thei a ni.

Doctor-te hian engtin nge hei hi an hmuh?

Symptoms leh risk factors i neih chuan i doctor chuan a rang thei ang bera diagnosis a siam ang. Hei hian test eng emaw zat a huam ber dawn a ni.

• Thisen test dan: 1.1.
• Thisen culture test: 1.1.Hei hi thisenah hian eng chi bacteria nge awm tih chiang takin i hre thei a ni.
• Thisen chhiar kim: Infection a awm leh awm loh enfiah.
• C-reactive protein test: Taksa a hring leh hring a awm leh awm loh a enfiah thin.

• Thinlung atanga imaging test te: 1.1.
• Echocardiogram: Hei hi thinlung scan a ni. Thinlung hnathawh dan te, valve tihchhiat dan te, `vegetations` a awm leh awm loh te chiang takin a hmu thei a ni.
• Transesophageal echocardiogram: Hei hi echo chi khat a ni bawk. Mahse, tube te tak te chu kawr chhungah dahin thinlung hnaih zawkah scan a ni. Hei hian thlalak chiang zawk a siam thei a ni.
• Heart MRI scan: A then phei chuan he test hi a tul ve thei bawk.

Enkawlnate chu engte nge ni?

Endocarditis hi damdawi ina dah leh enkawl ngai a ni. Enkawlna ber chu thisenah antibiotics (IV antibiotics) a ni.

He enkawlna hi kar engemaw zat chhung chhunzawm zel a ni ang a, a chang chuan kar 6 emaw kar 8 emaw chhung pawh chhunzawm zel a ni ang. I thisena bacteria chi hrang hrang hriat chian a nih chuan i doctor chuan a tan antibiotic dik tak a thlang ang. I enkawl chhung hian i symptoms te chu enfiah reng a ni ang a, i thisen test nawn lehin infection chu a bo tawh em tih hriat chian a ni ang.

Hetiang dinhmun hi ven theih a ni em?

A pum puia ven theih ni lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm. A bik takin heng thilte hi high-risk category-a i awm chuan i fimkhur tur a ni.

• Kawng leh ha faina tha tak vawng reng rawh: Nitin ha uluk takin silfai thin ang che. I ha inkar ah silfai rawh. I hmui hriselna enfiah turin i dentist tlawh fo ang che. Hei hi a pawimawh ber a ni.
• Mi hlauhawm tak takte tana thurawn bik: Prosthetic valve i neih a, tun hmaa endocarditis i neih tawh emaw, thinlung natna dang hlauhawm tak i neih chuan, i doctor chuan ha enkawlna thenkhat (e.g., ha lakchhuah, ha zai) hmain prophylactic antibiotics ei hmasak phawt a rawt thei ang. Hei hi ha enkawl laia thisen chhunga lut thei bacteria te chu thinlung an thlen hmaa tihhlum nan a ni.
• I doctor-te hnenah hriattir rawh:I thinlung dinhmun leh endocarditis vei theihna tur chu i chhungkaw doctor leh dentist hnenah hriattir fo ang che.