Thinlungah natna hrik a luh chuan engtin nge ni ang? Endocarditis hriatthiam awlsam tak - Nirogi Lanka

I thinlung hi taksa peng mak tak a ni tak zet a ni lawm ni? Mahse, a châng chuan i taksa hmun danga hrik tê tê pawh i thisen kal tlangin i thinlung a tichhe nasa thei a ni. Hei hi nunna atana hlauhawm tak, endocarditis tia hriat a ni. A chhinchhiahnate hriat hmasak leh damdawi lam pan nghal hi i himna atan a pawimawh tak zet a ni.

Endocarditis hi eng nge ni tak tak?

A awlsam zawngin, endocarditis hi i heart chamber leh heart valve chhunga inner lining-a infection leh inflammation a ni a, damdawi lam chuan endocardium tia hriat a ni. A chhan ber chu natna hrik, bacteria .

I kâ, vun, a nih loh leh i thawkna kawng aṭanga hrik i thisenah a lut ang tih han mitthla teh. Heng microbes te hi i thisen nen an kal a, i thinlung thlengin an thleng thin. Thinlung hrisel chuan chutiang natna chu a do tlangpui laiin, i thinlung valve-te chu a chhiat tawh emaw, a chak lo emaw a nih chuan, heng natna hrikte hi chutiang hmun hlauhawmah chuan an inzawm thei a, zung an kai thei a, an pung ṭan thei a ni.

Hêng hrikte hi an lo ṭhan chhoh zêl chuan thisen cell leh fiber-te nên an inzawm khawm a, thing leh mau tih hming pu tê tê an siam a ni. Heng thing leh mau te hian i thinlung valve te nasa takin a tichhe thei a ni. Valve te khar tha lo turin an veng thei a, thisen a chhuah tir thei a, i thinlung hnathawh pawh a tichhe vek thei bawk.

A chi hnih a awm a

Endocarditis hi a tlangpuiin chi hnih ah then a ni a:

1. Infective Endocarditis: Hei hi a tam ber a ni. A hming ang ngeiin natna hrik emaw, fungi emaw ang chi thinlunga lut avanga lo awm a ni. Doctor-te chuan hei hi Bacterial Endocarditis (BE) tiin an sawi fo thin.

2. Non-infective Endocarditis: Hei hi a tlem zawk hle. Thinlung chungah thing leh mau a la awm laiin, natna hrik avanga lo awm a ni lo. Hengte hi sterile vegetations kan ti a ni . Hetiang dinhmun hi thisen zam theihna tipungtu damdawi lam thil, lupus emaw antiphospholipid syndrome emaw ang chite nen a awm tlangpui.

A lan chhuah dan chu engte nge ni a, engtin nge i hriat theih ang?

Hetiang dinhmun chhinchhiahna hi a buaithlak thei hle a; an lo lang nghal thei a, kar engemaw zat chhungin an lo thang zauh zauh thei bawk.

Infective Endocarditis hi kawng hnih in a lang thei a:

• Acute: Hei hi a thleng nghal mai thin. With symptoms like high fever and rapid heart rate , ni engemaw zat chhungin nunna atana hlauhawm tak a ni thei.
• Subacute: Hei hi kar emaw thla engemaw zat emaw chhungin zawi zawiin a lo thang lian thin. A tlangpuiin symptoms na lo tak tak, general fatigue emaw low-grade fever emaw atanga tan a ni.

Non-infective endocarditis -ah chuan thinlung natna ngei pawh hi a lan chhuahna chiang tak a awm lo tlangpui a; chu ai chuan, a hnuaia damdawi lam dinhmun (lupus ang chi) chhinchhiahnate chu i tawng thei a ni.

Tute nge risk sang zawk?

Endocarditis hi a tam vak lo a, mahse mimal thenkhat chu an hlauhawm zawk a ni:

• Artificial heart valve , pacemaker, emaw defibrillator nei te : Heng hmanrua te hi bacteria in attachment a hlauhawm hle.
• Tun hmaa endocarditis vei tawhte: Vawikhat i vei tawh chuan i lo vei leh theihna a sang zawk.
• Lung lam natna thenkhat nei te: A bik takin thinlung valve natna emaw hypertrophic cardiomyopathy nei te .
• IV drug hmangtute: Contaminated needle hian thisenah direct-in hrik a luhtir thei.
• Kawng faina \ha lote: Ha natna leh ha hring hian kaa natna hrik chu awlsam takin thisenah a lut thei a ni.
• Mimal taksa chak lohna nei: Zunthlum ang chi natna nei emaw, immunosuppressive damdawi ei thin emaw.
• Mite chu a hmaa heart valve surgery nei tawhte.

Enkawl loh chuan eng harsatna nge a awm?

Enkawlna tihkhawtlai avanga harsatna awm thei te chu:

• Heart valve a chhiat nasat avangin leakage (Leaky heart valve) a awm thin.
• Lung lam chak lohna (heart failure) a lo awm tan.
• Thinlung chhehvela hliam (abscesses) siam.
• Thinlung ri mumal lo (Arrhythmia).
• Stroke, thing leh mau chi hrang hrang a inthen a, thluaka thisen kalna kawng a block avanga lo awm a ni.
• Sepsis, nunna atana hlauhawm systemic infection a ni.
• A nasat chuan vanduaithlak takin thihna a thlen thei.

Engtin nge doctor-te hian hei hi an hriat chian?

Symptoms nen i rawn present a, risk factors i hriat chuan i doctor chuan rang taka diagnosis chu a dah pawimawh ber ang. A hnuaia test te hi tih thin a ni tlangpui:

• Thisen test dan: 1.1.
• Blood culture: Hei hian i thisen chhunga bacteria chi dik tak a hriat theih.
• Thisen chhiar kim: Infection chhinchhiahna enfiah nan.
• C-reactive protein (CRP) test: I taksaa inflammation level tehna atan.

• Imaging test hrang hrang:
• Echocardiogram: I thinlung ultrasound hmanga tih a ni. I thinlung hnathawh dan, valve chhiatna eng pawh, leh thing leh mau awm dan chiang takin a hmu thei a ni.
• Transesophageal echocardiogram: Specialized scan a ni a, probe te tak te chu esophagus hnuai lam pan a, a hnai zawk atanga thinlung chu high-resolution view a hmuh theih nan a ni.
• Cardiac MRI: Hei hi thil thenkhatah chuan chiang zawka hriat theih nan a ngai mai thei.

Enkawlna kawng hrang hrangte chu engte nge ni?

Endocarditis hi natna khirh tak a ni a, damdawi ina dah vat a ngai a ni. Enkawlna bulpui ber chu thisen zam (IV) antibiotics pek hi a ni.

He enkawlna hi kar engemaw zat chhung a awm tlangpui a, a chang chuan kar 6 atanga kar 8 chhung a awm thin. Bacteria bikte chu an hriat chian hnuah i doctor chuan antibiotic therapy chu i mamawh angin a siamsak ang. I enkawlna chhung zawng hian i medical team chuan i symptoms te chu uluk takin an enfiah ang a, follow-up blood test an nei ang a, chu chuan natna chu a thianghlim vek tawh ang.

Hetiang dinhmun hi ven theih a ni em?

Case zawng zawng hi ven theih a nih loh laiin, i risk tihhniam nan hmalakna lian tham i nei thei a, a bik takin high-risk group-a i awm chuan.

• Oral hygiene tha tak vawng reng rawh: Nitin ha silfai la, floss hmang bawk ang che. Ha enfiah fo hi thisenah bacteria lut lo tura venna tha ber a ni.
• Mi hlauhawm tak takte tana thurawn bik: Prosthetic heart valve i neih chuan, endocarditis history i neih chuan, emaw, pianpui heart condition thenkhat i neih chuan, i doctor chuan ha enkawlna bik (eg, ha lakchhuah emaw, ha zai emaw) hmain prophylactic antibiotics a pe thei ang. Hei hian bacteria te hian i thinlung thleng theihna hun an neih hmain a tichhia a ni.
• I medical team te hriattir zel ang che: I primary physician leh i dentist te pawhin i thinlung dinhmun leh endocarditis i vei theihna tur an hriat chian em em tih enfiah fo ang che.

Endocarditis, thinlung natna, Nirogi Lanka, thinlung valve natna, thinlung hriselna