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.

` Endocarditis, thinlung natna, thinlung valve, bacteria, khawsik, thawk harsa, ha hriselna