Heart Disease & Pregnancy: Nu naupai i nih angin hei hi i hre chiang em?

Naute beisei hi i nunah hun hlimawm ber pakhat a ni. Mahse chutih rual chuan i taksa hian inthlak danglamna tam tak a paltlang mek a ni. Heng inthlak danglamna te nen hian a chang chuan hlauhna tlem i nei thei a, a bik takin thinlung lama harsatna a awm chuan. Mi tam tak chuan he thil chungchang hi an hriat tam loh avangin a tul lovah an hlau thin. Chuvangin, vawiin hian naupai laiin thinlung natna chungchanga hriat tur zawng zawng, awlsam leh chiang takin kan sawi dawn a ni.

Naupai laiin cardiac disease chu eng nge ni?

A awlsam zawngin, naupai laiin i thinlung tichhe thei harsatna eng pawh hi he category-ah hian a tel a ni. Hei hi kawng lian pahnihin a thleng thei.

1. Pre-existing heart conditions: Hei hian naupai hmaa i lo neih tawh thin kha a kawk a ni. Hengte hian a hmain symptom emaw harsatna lian tham emaw a thlen lo mai thei. Mahse, naupai laiin i taksa a inthlak danglamna nen chuan heng dinhmunte hian a nghawng danglam thei che a, harsatna a thlen thei bawk.

2. Naupai laia thinlung natna lo awm thar: Hengte hi naupai hmaa i neih ngai loh, he hun chhunga lo awm thin te an ni. Chûng zînga ṭhenkhat chu pawi lo tak an nih laiin, ṭhenkhat chu hlauhawm tak an ni thei.

Mahse, a chang chuan he dinhmun hian harsatna lian tak a thlen thei a ni. Dik tak chuan United States ang ramah chuan rilru lam natna hi nu thihna thlentu ber a ni.

• Naupai vanga thi 3 zinga 1 chu lung natna vang a ni.
• Lung natna hian naupai 100 zinga 4 vel a nghawng a ni.
• Thisen sang, thau lutuk (taksa rihna tihpun), leh kum 40 aia upa nih te hian he hlauhawmna hi a tipung zual sauh a ni.

Heng thilte hi zir hlau suh. Hengte hi i hriattirna tur thil a ni. Naupai emaw, nau pai tum emaw i nih chuan hei hi hriat chian a pawimawh hle. Chumi hma chuan naupai laiin i thinlung leh thisen kalna kawng hrang hrangah eng nge thleng tih i hrethiam ang u.

Naupai lai hian i thinlung leh thisen kalna kawngteah eng nge thleng?

Hemi hun chhung hian i taksa hian inthlak danglamna mak tak tak a paltlang mek a ni. Heng inthlak danglamna hian i taksaah pressure a siam belh a, i thinlung hian a hma aia nasa zawkin hna a thawk a ngai a ni. Heng inthlak danglamna te hi thil pangngai a ni. Nausen pum chhunga seilian hian oxygen leh nutrients dik tak a hmuh theih nan an ni.

• Thisen volume sang: I taksa thisen volume hi naupai kar hmasa atang khan a pung tan thin. Naupai tawp lamah chuan i thisen volume chu 40% - 45% velin a pung tawh a ni. Hei hi i naute nen hian i thisen supply pawh tihpun a ngai vang a ni tih hre reng ang che.
• Heart rate sang zawk: 1.1.Hemi hun chhung hian minute khatah i heart rate 10-20 vel a sang hi thil pangngai a ni. Hei hi a pung zauh zauh a, third trimester chhungin a sang ber a thleng thin.
• Cardiac Output: Hei hi minute khata i thinlungin thisen a pump zat a ni. Hei hi kar 28 leh 34 inkarah 30% atanga 50% in a pung thei a, twins i pai a nih chuan 60% thlengin a pung thei a ni.

Hêng inthlâk danglamnate hian hetiang thil hi a thlen thei che a ni:

• Tuar theih loh khawpa chau tih hriat (Fatigue).
• Lung a na hle tih a hriat.
• Thâwk harsa, thawk hah ang maia inhriatna (Dyspnea).
• Palpitations (i thinlung a thawk chak ang maia hriat).

Hetah hian a buaithlak deuh thin. Heng symptoms te hi naupai lai hian a awm fo thin. Mahse, heng chhinchhiahna ang chiah hi thinlung natna chhinchhiahna a ni thei bawk . Chuvangin, thinlung natna vaukhânna chhinchhiahna nei mah la, "Aw, hei hi naupai nena inzawm thil mai a ni," tiin i ngaihtuah mai thei. Chuvang chuan naupai laia thinlung natna hi a hlauhawm em em a ni. Symptom pakhat chu a pangngai em tih emaw, ngaihtuah tur thil a ni em tih hriat a harsa thei hle.

Lung natna i neih tawh chuan naupai laiin harsatna i tawk nasa zawk a ni. He risk hi i natna chi hrang hrang leh a nasat danah a innghat a ni.

Lung natna i neih tawh chuan engtin nge ni ang?

Lung lam natna thenkhat hi naupai laiin harsatna a thlen theihna a sang hle. A hnuaia tarlan te hi i neih chuan naupai hmain i doctor nen a hlauhawm dan sawiho a pawimawh.

Pianpui Lung natna

Hengte hi i pian tirh atanga i thinlunga harsatna i neihte a ni. Chûng zînga ṭhenkhat chu tê tê a ni thei a, ṭhenkhat erawh chu a pawi hle thei thung. Naupang natna khirh tak nei te hi an naupan laiin enkawl an ni tlangpui. Mahse a chang chuan operation hnuah pawh thinlung hian hna a la danglam thei tho.

Chuvangin congenital heart condition i neih chuan naupai hmain doctor nen inbia ngei ang che. Cardiologist hnenah a refer ang che. I naupai theihna tur an zirchiang ang a, a tul angin thurawn an pe ang che.

Hmeichhe naupai, pianpui thinlung natna vei te zingah harsatna awm tam ber chu:

• Lungphung pangngai lo (Arrhythmia) .
• Lung lam chak lohna
• Fetal malformation emaw nau piang hma emaw

Risk hniam tak tak dinhmun: 1.1.

• Pulmonary valve stenosis na lo tak a awm.
• "Thinlung chhunga khur" - (Atrial Septal Defects - ASDs) leh (Ventricular Septal Defects - VSDs) te hlawhtling taka enkawl a ni.
• Hlawhtling taka enkawl a ni (Patent Ductus Arteriosus - PDA).

Risk sang tak nei dinhmun:

• Aortic valve stenosis a awm a, a bicuspid aortic valve a awm bawk.
• Aorta (aorta) a inzawm khawm (coarctation).
• Fallot tetralogy (enkawl) a ni.
• Arteries lian tak takte chu transposition (enkawl) a ni.

He list-a tel lo congenital heart disease dang tam tak a awm bawk. Hetah hian i dinhmun tarlan a ni lo a nih pawhin naupai i ngaihtuah a nih chuan i doctor nen inbiakna neih a pawimawh hle.

Lung lam natna (Cardiomyopathy) a awm

Cardiomyopathy hi naupai laiin harsatna lian tak tak leh thihna thlentu lian ber a ni. Risk chu i neih chi leh a nasat danah a innghat. Hetiang dinhmun hi i neih chuan naupai hmain a hlauhawmna chungchang sawi hmasa phawt ang che.

Lung Valve Natna

I dam chhungin heart valve natna chi hrang hrang a awm thei a. Valve natna tenau thenkhat chuan naupai hi a nghawng lo a, natna khirh tak tak thenkhat chuan a hlauhawmna a tipung thung. Valve natna history i neih chuan naupai hi a him em tih doctor zawt la.

Naupai lai hian eng thinlung natna thar nge lo awm thei?

Tun hmaa lung natna nei lo mah la, naupai lai hian thinlung emaw thisen kalna kawng emaw lama harsatna thar i nei thei a ni. Eng nge an nih i han thlir teh ang.

Lung natna lan chhuah dan hi engtin nge kan hriat theih ang?

Kan sawi tawh ang khan heart disease symptom thenkhat hi naupai symptom pangngai nen a inang hle a, chuvangin a pahnih hi thliar hran a pawimawh hle.

I natna lan chhuah dan zawng zawng chu doctor hnenah hrilh rawh. Heng thilte hi lehkhabuah i ziak thei a nih chuan a ropui hle ang.

• I hriat chhuah symptom chu.
• Ni leh hun.
• A nasat dan (1-10 scale-ah).
• Chutih laia i thil tih (e.g., exercise lak, homework tih, chawlh hahdam).

Naupai laiin lung natna hi engtin nge kan enkawl ang?

Naupai laia thinlung natna hi damdawi lam enkawlna dik leh mahni invenna hmanga enkawl theih a ni. I tih theih ṭhenkhat chu hetiang hi a ni:

• Medical appointment neih loh tur: Obtetrician leh cardiologist te pawhin an enkawl che a ngai ang. Appointment engmah lo nei tawh suh. I thinlung hnathawh dan enfiah nan test (echocardiogram) neih fo a ngai dawn a ni.
• I taksa rihna tam lutuk pumpelh rawh: Naupai laiin him taka i taksa rihna engzat nge i tihpun theih tih doctor zawt rawh.
• Stress pumpelh rawh: I tibuai thei thilte chu a theih ang anga inthiarfihlim rawh. I rilru tihmuang theih dan tur zawng rawh. I doctor-in a phal chuan nau neih hmaa yoga tih ang chi thilte hi a \angkai thei hle.
• Thinlung hrisel ei rawh: Eng ei tur nge ei tur leh ei loh tur tih doctor rawn la. A tlangpuiin chi, sugar, saturated fat leh trans fat te tihtlem thin ang che.
• Hrisel taka exercise la: I doctor hnenah exercise chi hrang hrang, i tana tha tur leh eng chen nge i tih tur tih zawt la. I thinlung tibuaitu thil tih hi i pumpelh tur a ni.

Naupai laiin damdawi ei tur

I damdawi pek ang chi ei hi i management plan-a thil pawimawh tak a ni. Naupai lai hian thinlung damdawi thenkhat chu a him lo a, chuvangin i doctor chuan i damdawi ei tur chu a thlak danglam thei a ni.

Naupai laia damdawi chi hrang hrang him lo tak tak:

• (ACE inhibitor) te hi a tha hle.
• (Angiotensin receptor blocker - ARBs) te hi a tha hle.
• (Aldosterone dotu a ni) .
• Thisen tithianghlimtu thenkhat, Warfarin ang chi te

Naute i neih hnua i hriselna ngaihtuah la, nakin lawka i hriselna tur pawh ngaihtuah bawk ang che.

Naute pian hnu thla ruk thleng pawh harsatna thenkhat a awm thei. Chuvangin nau neih hnuah pawh medical supervision hi a pawimawh hle. Hetih hun chhung hian i buai hle emaw, i chau hle emaw a nih pawhin, Doctor i hmuh tur ni te chu lo thlir ve suh.

Naupai laiin thinlung natna emaw a kaihhnawih preeclampsia emaw gestational diabetes emaw neih hian nakin lawkah rilru lam natna i vei theihna a tipung a ni.

• Gestational diabetes hian nakin lawka lung natna vei theihna chu 68% in a tipung a ni.
• Gestational hypertension hian nakin lawkah lung natna vei theihna chu 67% in a tipung a ni.
• Preeclampsia hian nakin lawkah lung natna avanga thihna hi 75% in a tipung a ni.

Heng number te hian hlauthawng suh. Vaukhânna chhinchhiahna angin ngaihtuah rawh. He hriatna hmang hian nakin lawkah lung natna laka invenna tur hma la rawh. Chutiang dinhmun chu i lo tawng tawh a nih chuan i naute i neih hnuah i doctor nen inbia la, thinlung natna enfiah rawh. Nunphung thlak danglam a, a tul chuan cardiologist hmuh chhunzawm zel chuan hun rei tak chhung chu hrisel takin i awm thei ang.

Lung natna i nei a, naupai i tum a nih chuan tunah hian i doctor nen inbia ang che. Naupai laiin a hlauhawmna leh i dinhmun enkawl dan tur zir rawh. Lung natna nei lo mah ila, beisei loh taka thinlung lama harsatna awmte hriat chian a pawimawh. I doctor nena inbiakna te, i risk factors tihtlem te, leh naupai him leh hrisel tak neih te hian thinlung natna venna kawngah i pui thei ang.