Puitlingah hian congenital heart problem a awm thei em? (Adult Congenital Heart Disease - ACHD) Hemi chungchang hi han sawi ila!

Puitling huna lo awm thei, pianpui thinlung natna (congenital heart disease) chungchang hi i hre tawh em? ‘Aw, chu chu naupan laia kan hriat chhuah theih thil a ni,’ tiin i ngaihtuah mai thei. Mahse chutiang chu a ni reng reng lo. Lung lam harsatna thenkhat chu kan pianpui a, mahse kan upat deuh deuh chauhvin a lan chhuah dan a lang a, a nih loh leh kan lo nei tawh a, mahse puitlingah chuan a danglamin min nghawng tan thin. Chu chu vawiinah kan sawi dawn a ni.

Puitling atanga lo piang chhuak thinlung natna (ACHD) chu eng nge ni?

A awlsam zawngin, puitling atanga lo chhuak congenital heart disease (or doctor-te sawi angin ACHD) hi i thinlung structure tichhe thei, i pianpui thil pakhat a ni. "Congenital" tih thumal hian nausen pum chhunga nausen anga i la lo thanglian lai leh nau piang lai a awm laia chhiatna hi a lo awm tihna a ni. Heng dinhmunte hian i thinlung chhunga thisen kal dan a nghawng a ni. Hengte hi "congenital heart defects" kan ti bawk.

Heng thinlung natna thenkhat hi a na lo thei hle a, a then erawh chu a na hle thei bawk. Lung natna chi hrang hrang leh a nasat dan azirin mi thenkhat chuan puitling an nih hma chuan symptom engmah an nei lo mai thei. Mi dangte chuan symptoms an nei ngai lo mai thei. Tin.

Mahse thu lawmawm a awm . Diagnosis leh treatment lama hmasawnna a awm avangin ACHD vei damchhuahna rate chu nasa takin a pung a ni. Naupangte atanga ACHD vei hmuhchhuah zinga 90% aia tam chu puitling thlengin an dam chhuak thin . Naupang emaw, puitling emawa ACHD i vei tih hmuhchhuah i nih pawhin, i dinhmun enfiah turin dam chhung zawng damdawi lam enkawlna i mamawh dawn tih hriat reng a pawimawh.

ACHD hian thinlung hmun engte nge a nghawng theih?

Tunah chuan he natna, `ACHD` hian thinlung hmun engte nge a nghawng theih tih hi han en ila. I thinlung hi machine te tak te, mahse pawimawh tak angin ngaihtuah rawh. Hemi kawngah hian thinlung peng lian tak tak engemaw zat a awm a:

• Thisen kalna kawng: Hengte hi tube ang chi, i thinlung atanga i taksa thlenga thisen phurtu leh i thinlung lam pan lehtu an ni. Arteries hian i thinlung atanga oxygen tamna thisen chu i taksa tissue-ah a phur a. Vein hian thisen deoxygenated chu i thinlungah a phur kir leh thin.
• Heart chambers: Heng chamber te hian i thinlung thawk leh thisen kal dan a control a. Upper chamber pahnih (right leh left atria) leh lower chamber pahnih (right leh left ventricles) a awm bawk. Heng chamber te hi tissue wall (the septum) hmanga inthen a ni.
• Heart valve: I thinlung hian valve pali a nei a. Chûngte chu kawng khata thisen kal tûra ṭanpuitu kawngkhâr ang an ni. Heng valve te hiAnni chu `aortic valve`, `mitral valve`, `pulmonary valve`, leh `tricuspid valve` te an ni.

Chuvangin, `ACHD` ah hian heng hmun hrang hrangah hian error a awm thei a ni.

ACHD chi hrang hrangte chu engte nge ni?

Tunah chuan `ACHD` chi hrang hrang kan en ang. Hengte hi damdawi lam deuhin a ri mai thei a, mahse in hriatthiam theih nan awlsam takin ka sawifiah ang.

Thisen kalna kawng a chhiat

A châng chuan hmun ṭhenkhatah chuan i thisen kalna kawng a zim lutuk thei. Hei hian thisen pump turin i thinlung hian nasa zawk a thawh a ngai tihna a ni. A nih loh leh, thisen kalna kawngte chu a inmil lo thei a, chu chuan oxygen tlachham thisen taksaah a luang lut thei a, oxygen tamna thisen chu lungah a luang lut thei bawk. Thisen kalna kawng dik lo awm tam ber chu:

• Aortic coarctation (aorta a tawi lutuk) .
• Patent ductus arteriosus (PDA) (nau piang hnua thisen kalna kawng khar tur chu a inhawng reng) .
• Pulmonary artery a stenosis a awm thin
• `Transposition of the great arteries` (thinlung atanga chhuak thisen kalna kawng lian pahnih transposition) .
• `Anomalous pulmonary venous return` (rilru vein hmun dik lo taka inzawm) .

Heart valve a chhiat avangin

I thinlung valve te chu a tawi lutuk thei a, a khar tha lo thei a, a khar vek thei a, a chhe thei bawk. Heng dinhmunte hian i thinlung tan i taksa vel thisen pump chhuah a harsat phah a ni. Heart valve chhiatna awm tam ber chu:

• `Bicuspid aortic valve disease` (a tlangpuiin aortic valve-ah hian leaflet pahnih chauh a awm a, a tlangpuiin pathum a awm lo)
• `Ebstein’s anomaly` (tricuspid valve-a chhiatna nasa tak) .
• Mitral valve tlakchhiatna (MVP) 1.1.

Septal chhiatna a awm

Chungte chu thinlung chhunga pindan chunglam pahnih (atria) emaw, a hnuai lam chamber pahnih (mitra) inkar tissue wall (the `septum`)-a khur a ni. Hei hian lung atanga oxygen tamna thisen chu taksa atanga oxygen tlakchhamna thisen nen a inhmeh tir thei a ni. Chumi awmzia chu thinlung atanga thisen chhuak hian a pangngai aia oxygen a nei tlem zawk thei tihna a ni. `Septal defect` awm tam ber chu:

• Atrial septal defect (ASD) (atria inkar bang chhunga khur awm) .
• Patent foramen ovale (PFO) (nau piang hnua khar tur atria inkar khur te tak te) .
• Ventricular septal defect (VSD) (ventricle inkar bang chhunga khur awm) .

Tute nge ACHD nei thei?

He `ACHD` natna hi mipa leh hmeichhia, kum leh chi hrang hrangah a awm thei a ni. Mahse, dinhmun thenkhat, entirnan `Atrial septal defect (ASD)` , `Mitral valve prolapse (MVP)` , leh `Patent ductus arteriosus (PDA)` te hi hmeichhiaah a tam zawk. Tin, `Aortic coarctation` , `Tetralogy of Fallot` tih te pawh a awm bawk(Hei pawh hi heart defects complex pali inzawmkhawm a ni) leh `Transposition of the great arteries` ang chi condition te hi mipaah ​​a tam zawk.

Thil dang chu, genetic syndrome thenkhat nei, entirnan , Down syndrome emaw Turner syndrome emaw nei te hian heng pianpui thinlung natna thenkhat hi an nei tam zawk a ni.

United States-ah ringawt pawh hian puitling maktaduai 1.4 velin ACHD an vei nia sawi a ni. Kum tin ACHD vei hi 5% velin an pung niin an sawi. Sri Lanka-ah hian hetiang natna vei hi an tam hle a, mahse an natna hi an hriat chian loh vang a ni thei a, a nih loh leh naupan laia enkawl an nih avangin puitlingah pawh specialist follow-up an neih loh avangin hriat loh vang a ni thei bawk.

ACHD hi engte nge ni?

Researcher te chuan ACHD awm chhan dik tak hi an la hre lo. ACHD natna thenkhat chu chhungkaw hrang hrangah a kal thei (chu chu rochun theih a ni tihna a ni). ACHD hi genetic disease emaw, Down syndrome leh Turner syndrome ang chi natna emaw nena inzawm anga hmuh a ni fo.

Tin, naupai laiin nuin thil engemaw a tawk a nih chuan naute chu ACHD vei theihna a sang thei hle bawk. Entir nan:

• Naupai thla thum chhunga nuin rubella emaw influenza (flu) emaw a vei chuan.
• Nu hian `Type 1 diabetes` emaw `Type 2 diabetes` emaw a neih chuan .
• Damdawi thenkhat i ei chuan thil chi hrang hrang, acne, bipolar disorder, emaw seizures te.
• Naupai kar 30 chhung emaw, naupai hnu kar 30 hnuah emaw ibuprofen ang chi natna tidamtu i ei chuan.

Pawimawh: Hei hian heng thilte hi a thlen chuan naute hian thinlung natna a nei ngei ang tihna a ni lo. Hengte hi a hlauhawmna tipungtu thilte chauh a ni. Naupai lai hian damdawi lam thurawn zawm a pawimawh hle.

ACHD natna lan chhuah dan chu engte nge ni?

ACHD symptoms hi mi hrang hrangah a inang lo thei. I kum, thinlung natna i neih zat, i thinlung natna nasat dan, leh ACHD i neih chi hrang hrangah a innghat a ni.

ACHD vei thenkhat chuan symptom an nei lo . Mahse, symptom i neih chuan, chungte chu:

• Nail, hmui leh vun rawng blue a inthlak (cyanosis). Hei hi thisen a oxygen awm zat tlem vang a ni.
• Luak chhuak thei.
• Chauhna, a bik takin hna tlemte pawh thawh hnua chau vanga inhriatna.
• Thinlung ri pangngai lo (a `thinlung murmur`) hriat. Hei hi doctor-in `stethoscope` hmanga a ngaihthlak huna a hriat theih thil a ni.
• Thinlung thawk chak emaw, mumal lo emaw (heart palpitations). I thinlung thawk dan chu a danglam tawh niin i hria mai thei.
• Thinlung thawk mumal lo (arrhythmia).
• Thâwk harsa (dyspnea).
• Ke ruh, ke, kut zungtang (edema) a lo hring (edema).

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor nena inbiakna neih a pawimawh hle.

Engtin nge ACHD hi hmuhchhuah a nih?

Heng symptoms nei doctor i hmuh hian i symptoms te, i chhungkuaa tu emaw chuan heart disease an nei tawh em tih te, i medical history te a zawt hmasa ang che. Tichuan, taksa enfiahna an nei ang a, stethoscope hmangin i thinlung an ngaithla ang.

Chu bakah, doctor chuan ACHD condition finfiah nan test eng emaw zat a ti thei bawk:

• Cardiac catheterization: Hei hi a then chuan enkawlna atan an hmang thin. Hetiang tih danah hian i groin chhunga thisen kalna kawng khat kaltlangin i thinlungah tube te tak te (catheter) a lut a.
• `Chest X-ray` (chhung X-ray hmanga enfiah).
• Echocardiogram (echo): Hei hi thinlung ultrasound scan ang a ni. Thinlung pianzia leh hnathawh dan a en thei a ni.
• Electrocardiogram (EKG/ECG): Hei hian thinlunga electric hnathawh dan a teh a.
• Exercise stress test: Hei hian exercise i tih hian i thinlungin a chhan dan a test thin.
• `Heart MRI` (Heart MRI scan) leh `Heart CT scan` (Heart CT scan) te a ni. Chûngte chuan thinlung lem chipchiar tak tak an hmu thei a ni.
• Pulse oximetry: Hei hian thisen a oxygen awm zat a teh a. Kut zungtang emaw beng emaw-ah clip ang chi thil dahin a teh a ni.
• Transesophageal echocardiogram (TEE): Hei hi echo test nen a inang a, mahse ultrasound probe chu kawchhungah an pass a, thinlung hnaih takin an enfiah thin.

Heng test te hian doctor chuan i dinhmun chiang takin a hre thei a ni.

ACHD hi engtin nge enkawl a nih?

Congenital heart defect tenau thenkhat chu enkawlna engmah a ngai lo mai thei . Mahse, i dinhmun a zual loh nan cardiologist hnenah heart checkup reng reng i la nei tur a ni.

ACHD enkawlna hi a natna chi leh a nasat danah a innghat a ni. Chutiang chuan a hnuaia enkawlna kawng hrang hrangte hi hman theih a ni:

• Damdawi: I thinlung hnathawh thatna tur damdawi thenkhat a awm. Entir nan:
• ACE inhibitor leh calcium channel blocker (hengte hian thisen sang control nan a pui bawk).
• Anticoagulants (thisen a tikhawlo thei lo damdawi).
• Beta-blockers (thinlung chakna control) a ni.
• Tui pills (diuretics) (taksa chhunga tui tul lo taka awm zat tihtlem).
• Implantable heart devices: I doctor chuan i heart rate control nan pacemaker emaw, implantable cardioverter defibrillator (ICD) hmangin heartbeat mumal lo (arrhythmia) siamthat emaw a dah thei bawk.
• Cardiac catheterization: Ka sawi tawh ang khan hei hi diagnostic leh therapeutic procedure atan pawh hman theih a ni. Atrial septal defects (ASD) ang chi defect siamthat nan hman a ni. Catheter chhunga balloon te tak te pass hmanga thisen kalna kawng (angioplasty) emaw, valve (valvotomy) emaw tihzauh nan pawh hman theih a ni.
• Surgery: Surgeon chuan i heart valve pakhat emaw a aia tam emaw a siam tha thei a, a thlak thei bawk (heart valve surgery). Hei hi open-heart surgery emaw, minimally invasive heart surgery emaw pawh a ni thei. Heart surgery pawh hi congenital heart defects complex zawk siamthat nan an ti bawk.
• Heart transplant: Pianpui heart disease na tak, nunna atana hlauhawm tak nei te chuan heart transplant kimchang an mamawh mai thei a, mahse hei hi a tawp ber a ni.

ACHD natna avanga harsatna awm thei te chu engte nge ni?

ACHD avanga harsatna awm thei thenkhat chu:

• Thinlung thawk mumal lo (`Arrhythmia`).
• Thinlung chhungril lam natna (endocarditis) a awm.
• Lung chak lohna (or congestive heart failure) a awm.
• Pulmonary hypertension a awm bawk.
• Thai.

I pianpui heart defect hi a hmaa hriatchhuah leh enkawl a nih loh chuan heng harsatnate hi i vei theihna a sang zawk.

ACHD vei tan chuan eng nge a hmalam hun?

ACHD i neih chuan i thlirna chu i pianpui thinlung natna chi hrang hrang, a nasat dan leh i enkawlnaah a innghat a ni. Enkawlna tha nei tam zawk hi chu nun pangngai, active takin an hmang thin. Chuvangin ngaihtuahawm tur a awm lo, mahse doctor thupek zawm fimkhur a pawimawh.

ACHD i neih chuan engtin nge i in enkawl ang?

ACHD i neih chuan i in enkawl nan heng thilte hi i ti thei ang:

• Nun hrisel takin nung rawh. Chaw ei \ha la, in \ha la, exercise la (doctor-in a tih angin), meizuk loh vek bawk ang che.
• I doctor leh dentist zawng zawng hnenah ACHD i vei tih hrilh rawh. Hei hi a pawimawh hle a, a chhan chu an enkawl hunah hei hi an hriat chian a ngai a ni.
• I dinhmun enfiah theih nan ACHD lama specialist cardiologist hmu fo ang che .
• Damdawi leh ha enkawl hmain i cardiologist-in a rawt chuan antibiotics ei hmasa phawt ang che.Hei hi endocarditis ang chi natna laka invenna atana tih a ni.
• I ha enkawl tha la, ha enkawltu pawh hmu fo ang che. Hei hi a pawimawh a, a chhan chu ha natna hian i thinlung a nghawng thei a ni.
• Naupai i tum a nih chuan i doctor nen sawi hmasa phawt ang che. ACHD i neih hian naupai hi uluk takin enkawl tur a ni.

Engtikah nge Doctor i hmuh nghal tur?

Heng symptoms te hi i neih chuan 911 call emaw, damdawi in hnai ber pan nghal emaw rawh. Hengte hi thinlung chak lohna chhinchhiahna a ni thei:

• Thâwk harsa thut emaw, nasa zual emaw.
• Pum emaw ke hnuai lam emaw a hring chhuak nghal.
• Chhan awm lovin hahna nasa tak, danglam tak.

Tin, ACHD nena inzawm symptom thar i neih chuan emaw, symptom awm tawh i ngaihtuah a nih chuan doctor pan nghal rawh.

Vawiin a kan sawi tawh atang hian i hriat reng tur pawimawh ber chu...

Adult Congenital Heart Disease (ACHD) tih hian i thinlung structure-a chhiatna awm, i pian tirh laia awmte a kawk a ni. Chûngte chuan i thinlunga thisen kal dân a nghawng thei a ni. Chauhna, thinlung ri dik lo, thawk hah ang chi symptoms i nei thei a, symptoms i nei lo tak tak thei bawk.

Doctor-te chuan he natna hi damdawi hmangin, heart implant hmangin, leh surgery hmangin an enkawl thei a ni. ACHD na lo tak i neih chuan enkawlna i mamawh lo mai thei. Mahse, eng ang pawhin na mahse, cardiologist hnenah checkup neih fo a pawimawh. ACHD vei tam tak chu hrisel, famkim, active takin an hmang tih hre reng ang che. Chuvangin hlauthawng suh la, i doctor thupek chu uluk takin zawm la, i thinlung kha enkawl tha rawh!

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