I thinlung a hrisel em? (Endocarditis) chungchang hi han sawi ila!

Thinlung hian natna a kai thei tih i hre ngai em? A châng chuan hei hi a pawi hle thei bawk. Vawiin hian thinlung chhungril lam tichhe thei dinhmun kan sawi dawn a ni. Hei hi (Endocarditis) kan ti a. Hei hi thil pawi tak a nih theih avangin hei hi hriat a pawimawh hle.

Chuti a nih chuan hei hi eng nge ni (Endocarditis)?

A awlsam zawngin, Endocarditis hi i thinlung chhungril lam, chambers leh a bik takin thinlung valve hrang hranga line siamtu membrane te tak te – endocardium kan ti a, a inflammation emaw swelling emaw a ni. In bang ang bawkin thinlung pawh hian a chhungah lining te tak te a nei bawk. Chu chu endocardium chu a ni.

Hetiang inflammation nen hian thinlung chhungril lining-ah hian thinghnah ang chi te te te chu a lo piang tan thin. Hengte hi vegetations kan ti a. Heng vegetations te hi a kal zel chuan a chhehvela thinlung tissue te chu zawi zawiin a chhe tan ta a ni. Insect-in thing hnah a ei ang mai a ni. Hei hian i heart valve te chu nasa takin a tichhia thei a ni. Enkawl loh chuan (Endocarditis) hi thihna thlen thei a ni. Chuvangin hei hi hriat chian a pawimawh hle.

(Endocarditis) chi hrang hrangte chu engte nge ni?

Tunah chuan han en teh, (Endocarditis) hi chi hnih lian tak a awm.

1. Endocarditis natna hrik kai thei

2. Hri kai lo Endocarditis

1. Infective Endocarditis hi eng nge ni?

Hei hi endocarditis chi khat zingah chuan a tam ber a ni. Heta thil thleng hi chu natna hrik – a tam zawkah chuan bacteria – te chu i thinlung tissue chhia ah an innghat a, natna hrik a thlen thin. Doctor-te chuan hei hi bacterial endocarditis emaw BE emaw an ti \hin.

He (Infective Endocarditis)-ah hian a hmaa kan sawi tawh (vegetations) te hi a hnuaia thil awmte hian an siam a ni.

• Thil nung (bacteria emaw a chang chuan fungi emaw ang chi) hrik kai thei .
• (Fibrin) (Hei hi thisen zam tura puitu protein a ni)
• Platelets (thisen chhunga cell te te) .

Ngaihtuah teh, hliam chunga bandage dah ang bawkin heng hrik, (Fibrin) leh (Platelets) te hi an inzawm khawm a, thinlung chhunga chu (vegetations) te chu an siam ta a ni.

2. Non-infective Endocarditis chu eng nge ni?

Hetiang chi hi a tlem hle. Hetah pawh hian chu (vegetations) chu thinlung chhungril layer-ah a lo awm a, mahse a chhan chu natna hrik a ni lo. Chuvangin hengte hi (sterile vegetations) an ti a, chu chu hrik awm lo (vegetations) tihna a ni.

Non-infective endocarditis hi i thisen zam awlsam tak (hypercoagulable state'') nena inzawm a ni. Entir nan:

• (Antiphospholipid syndrome) tih a ni
• (Lupus) (Mi thenkhat chuan hei hi (Systemic Lupus Erythematosus) an ti bawk)

Doctor-te chuan he natna (Non-infective Endocarditis) hming dang engemaw zat an hmang a:

• (Libman-Sacks endocarditis) tih a ni
• (Non-bacterial thrombotic endocarditis) emaw (NBTE) emaw a ni thei
• (Marantic endocarditis) tih a ni

(Endocarditis) natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat theih ang?

Tunah chuan he (Endocarditis) natnaah hian eng symptoms nge a awm theih tih i lo en ang u. Heng symptoms te hi i fimkhur hle tur a ni.

Infective Endocarditis natna lan chhuah dan:

Hengte hi a lan chhuah tam berte chu an ni:

• A rilru a na
• Thinlung ri pangngai lo (doctor-in stethoscope'' hmanga a ngaihthlak huna a hriat thinlung murmur'') .
• Lung chakna sang (Tachycardia) .
• Chau
• Khawsik (38.4°C emaw 100°F aia sang emaw a ni thei) .
• Chills leh zan lama thawk hah
• Chaw ei chakna hloh leh taksa rihna tlahniam
• Muscle leh ruh natna
• Thâwk harsa ((Dyspnea)) .
• Skin rash, chu chu rash ang maia rash tihna a ni.
• I pum emaw i ke emaw a hring chhuak
• Zun chhunga thisen ((Hematuria)) .

A pawimawh ber chu heng symptoms te hi i neih chuan damdawi in emergency room-ah i kal nghal tur a ni. Infective Endocarditis hi nunna atana hlauhawm tak a ni.

(Infective Endocarditis) natna hian kawng hnih a nghawng thei a:

• Acute: Hei hi a intan nghal a. Ni rei lote chhungin nunna atana hlauhawm tak a ni thei a, a natna lan chhuah dan chu khawsik sang leh thinlung na chak tak ang chi a ni.
• Subacute: Hei hi zawi zawiin a kal zel a ni. Kar emaw thla emaw chhungin natna lan chhuah dan a lang zauh zauh thei.

Non-infective Endocarditis natna lan chhuah dan:

Hetiang endocarditis chi khat nena inzawm hian symptom bik a awm lo tlangpui. Mahse, chu chu a thlentu damdawi lam dinhmun (lupus ang chi) hnuaia awm symptoms i nei thei a ni. Non-infective endocarditis vei tam zawk chuan an vei tih an hre lo va, chhan dang avanga imaging test (echocardiogram ang chi) tih a nih chuan a thleng mai thei tih hmuhchhuah a ni. A châng chuan, autopsy-ah pawh he dinhmun hi hmuh a ni ṭhin.

Endocarditis hi engte nge ni?

A tam zawkah chuan endocarditis thlentu ber chu bacteria infection a ni . Heng bacteria te hi i taksa hmun dang atanga i thisenah an lut a – entirnan, i hmui, vun, thawkna kawng – thisen kaltlangin i thinlung thlengin an kal a ni.

Ngaihtuah teh, kan hmuiah hliam kan neih chuan, kan ha hnung lamah hrik a awm a nih chuan, ha kan la chhuak a nih chuan, a chang chuan chu natna hrik chu thisenah a lut thei a ni.

Heart tissue hrisel hi a tlangpuiin natna hrik lakah a do thei a ni. Chu chu a kai awlsam lo tihna a ni. Amaherawhchu, thinlungah chhiatna emaw, chak lohna emaw a awm chuan (Endocarditis) vei theihna chance a sang hle. Chu bacteria te chu an lo kal a, tissue chhia chu an innghat a, chutah chuan an lo thang lian tan ta a ni. Sawi tawh angin (vegetations) an tih chu an siam a, enzyme chi hrang hrang an siam bawk. Hetiang a nih avang hian thinlung chhehvel tissue te chu a chhe tan ta a ni. A dik tak chuan heart valve te hi a chhe ber a ni.

Eng thil nge (Endocarditis) vei theihna tipung?

A tlangpuiin (Endocarditis) hi natna tlanglawn tak a ni lo. Mahse, he natna vei theihna tipungtu thil engemaw zat a awm. Eng nge an nih i en ang u:

• I thinlungah hian artificial heart valve, pacemaker emaw defibrillator emaw i dah a nih chuan heng hmanruaah hian bacteria te tan a awlsam hle.
• Diabetes i neih chuan. Zunthlum hian taksain natna a do theihna a ti tlem thei a ni.
• Lung natna thenkhat, a bik takin heart valve natna leh hypertrophic cardiomyopathy (heart muscle thickening pangngai lo) te.
• Damdawi thisen kal tlanga hman (IV substance hman). Hei hian zungbun thianghlim lo hmangin thisenah direct-in natna hrik a luhtir thei a ni.
• Ha hriselna tha lo leh ha natna. Ka chhunga bacteria awmte chu thisenah lutin thinlung lamah a kal thei a ni.
• Tun hmaa (Bacterial Endocarditis) i lo vei tawh a nih chuan.
• Heart valve surgery i neih tawh chuan.
• Immune system a chak lo a nih chuan HIV/AIDS ang chi natna te, cancer enkawlna emaw, damdawi thenkhat emaw hian immune system a tichak lo thei a ni.

(Endocarditis) avanga harsatna awm thei te chu engte nge ni?

Endocarditis hi thil awlsam tak a ni lo. A hmaa hriatchhuah leh enkawl loh chuan harsatna lian tham tak a thlen thei a ni. Hetah hian thil thleng thei chu a awm:

• Heart rhythm a dik lo (Arrhythmia) .
• Heart valve vel ah hian abscesses a awm thin
• Heart block ( thinlung electric signal tihtawp) .
• Lung lam natna (heart failure) .
• Heart valve leak a awm
• Sepsis (infection na tak, taksa pum puia darh) .
• Stroke (thlai chi hrang hrang a inthen a, thluaka thisen kalna kawng a block chuan) .
• Thihna pawh a thleng thei.

Chuvang chuan symptoms i neih chuan doctor advice la nghal tur kan ti a, a chhan chu heng complication te hi a lo awm a nih chuan thil awmdan hi a pawi hle thei a ni.

Doctor-te hian engtin nge Endocarditis hi an hriat theih?

(Endocarditis) symptoms i neih a, risk factors i neih chuan i doctor chuan a rang thei ang bera natna hriatchhuah a tum ang, a chhan chu enkawl tan vat a pawimawh em em a ni.

Hetiang test hi Endocarditis hmuhchhuah nan an ti thin:

Thisen test dan: 1.1.

• Bacterial culture test: Hengte hian i thisenah hian eng chi nge bacteria awm tih chiang takin a hriat theih. Hei hi enkawlna thlan nan a pawimawh hle.
• Complete blood count (CBC): Hei hi thisen chhunga cell awm zat enfiah nan leh natna hrik awm dan tur ngaihtuahna siam nan hman theih a ni.
• C-reactive protein test (CRP): Hei hian taksaah inflammation a awm leh awm loh a hriat theih.

Imaging test hrang hrang:

Heng test te hian thinlung vegetations leh thinlung a chhiat leh chhiat te a enfiah thei a ni. I doctor chuan heng test zinga pakhat emaw a aia tam emaw hi a rawt thei ang:

• Echocardiogram: Hei hi thinlung ultrasound scan ang a ni. Thinlung hnathawh dan te, valve dinhmun te, thing leh mau awm leh awm loh te a enfiah thei a ni.
• Transesophageal echocardiogram (TEE): Hei hian camera hmanga thuam tube te tak te chu kawchhung hnuai lam atanga kal tir a, chu chuan esophagus kaltlangin thinlung chu chiang zawkin a hmu thei a ni. Echocardiogram pangngai aiin thlalak chiang zawk a siam thei.
• Heart MRI: Hei hian thinlung thlalak chipchiar tak a pe thei bawk.

(Endocarditis) enkawl dan tur engte nge ni?

Endocarditis hi nunna tikhawlo thei natna a ni. I heart valve chhiatna tihtawp nan leh harsatna lian zawk lo thleng tur ven nan enkawl vat a ngai a ni.

Antibiotics damdawi: 1.1.

Kar engemaw zat chhung chu thisenah antibiotics (IV antibiotics) i ei a ngai mai thei – a tlangpuiin kar ruk vel . Hei hian hri kai chu a tidam kim vek ang. I thisena bacteria chi dik tak hriat a nih hnuah i doctor chuan antibiotics chu a inmil angin a thlak thei ang.

I enkawlna chhung zawng hian i doctor chuan i natna lan chhuah dan chu a enfiah fo ang a, enkawlna chu a thawk tha em tih a enfiah ang. Bacteria culture test pawh an ti leh dawn a ni.

Inzai:

Endocarditis hian i thinlung valve pakhat emaw, i thinlung hmun dang emaw a tihchhiat chuan operation pawh i mamawh thei bawk. Entirnan, valve chhia siamthat emaw, valve thar dah emaw a ngai mai thei.

He natna hi ven theih a ni em?

Endocarditis hi a veng thei ngai lo. Mahse, he natna vei theihna chance sang tak i neih chuan (a hmaa kan sawi tawh risk factors kha i hre reng em?), emaw, endocarditis i vei tawh a nih chuan, i doctor chuan ha enkawlna thenkhat hmain prophylactic antibiotics ei hmasak phawt a rawt thei ang. Chutiang ha enkawl dan entirnan:

• I hmui enkawlna tur
• I ha periapical area nena inzawm enkawlna
• Oral mucosa nena inzawm enkawlna

I doctor (general practitioner leh dentist) te hnenah thinlung natna i nei tih hriattir a pawimawh hle a, chu chuan (Endocarditis) vei theihna a tisang hle. Tin, i purse-ah ID card ang chi thil pakhat dah la, chutah chuan antibiotic guidelines tul tak tak te pawh dah tel bawk ang che. (American Heart Association) chuan chutiang card chu an pe thin (Sri Lanka-ah chuan he thil hi i doctor hnenah i zawt thei ang).

(Endocarditis) ka neih chuan eng nge ka beisei ang?

Infection tihfai nan kar hnih atanga kar riat chhung antibiotics ei i beisei thei. Mi tam zawk chu endocarditis atanga enkawl tha tak, rang taka enkawl an nih chuan an dam leh thin. Mahse, harsatna lian tham emaw thihna emaw a thlen theihna chu hetiang thil hi a innghat a ni:

• i kum zat
• Artificial heart valve i neih leh neih loh
• Eng chen nge hri kai a awm tawh
• Eng ang organism (bacteria chi) nge i natna thlen?
• I heart valve hi engzat nge tihchhiat a nih?

I doctor chuan i dinhmun a zirin eng nge i beisei tur tih hriatna tha zawk a pe thei che a ni.

Enkawlna tha tak an neih chuan mi tam zawk chu (Endocarditis) natna vei te hi an dam leh thin. (Endocarditis) symptoms hriat chian la, i vei nia i hriat chuan emergency room-ah kal nghal rawh. Tin, ha leh hmui thianghlim taka vawn hian (Endocarditis) vei theihna a ti tlem thei bawk. Hei hian nitin ha silfai leh check-up neihna tur dentist hmuh fo te a huam a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Okay, chuvang chuan (Endocarditis) chungchang hi kan sawi nasa hle. A tawi zawngin, heng thute hi ngaihtuah reng a tha:

• Endocarditis hi thinlung chhungril lam, a bik takin valve-a inflammation a ni. Hei hi a chhan ber chu bacteria infection a ni.
• Khawsik, khawsik, hahna, thawk hah, emaw rilru na ang chi symptoms i neih chuan , ngaihthah suh. A bik takin heng symptoms te hi heart disease, prosthetic heart valve emaw, diabetes ang chi risk factor emaw i neih chuan fimkhur hle ang che.
• Symptom a lo lang a nih chuan, .Hun khawhral suh la, damdawi lam thurawn zawng nghal rawh. Inenkawl vat chuan nunna a chhanhim thei a, harsatna lian tham a veng thei bawk.
• I hmui hriselna enkawl hi a pawimawh hle. Nitin ha silfai \ha la, ha enkawltu pan fo bawk ang che. Hei hian (Endocarditis) a veng thei dawn a ni.
• Endocarditis vei theihna sang tak i neih chuan ha enkawl hmain prophylactic antibiotics i ei tur em tih doctor nen sawiho rawh.

He thu hi i zirtirna tur a ni a, i hlauhthawn nan a ni lo tih hre reng ang che. Nun hrisel nei tur chuan awareness hi a pawimawh hle. Thil ngaihtuah tur i neih chuan doctor biak pawh hlau ngai suh.