Lung hi transplant hnuah hnawl theih a ni em? (Heart Transplant Rejection) Hemi chungchang hi han sawi ila!

I hmu em, thinlung thar neih hi nun thar bul tan ang mai a ni. Hei hi hahdamna ropui tak a ni a, a bik takin thinlung hnathawh chak lo tak, chu chu end-stage heart failure . Mahse, a chang chuan kan taksa hian he thinlung thar hi "mi hriat loh" angin a hmu a, a dodal tan thin. Chu chu Heart Transplant Rejection kan tih chu a ni. Hei hi hlauhawm deuh mahse, he thil chungchang hi dik taka hriattir a nih chuan harsatna tam tak a tihziaawm thei a ni. Chuvangin vawiin hian he thu hi chipchiar takin sawi ila, kan sawi dawn em ni?

Heart Transplant Rejection hi eng nge ni tak tak?

A awlsam zawngin sawi ila, heart transplant chu surgical procedure a ni a, chutah chuan heart natna khirh tak chu lakchhuah a, donor thi tawh hnen atanga thinlung hrisel tak chu transplant a ni. Chuvangin, i taksa immune system chuan thinlung thar chu "i ta ni lovin, midang ta" tia a hriat chuan natna do ang maiin thinlung thar chu a bei tan ta a ni. Chu chu hnawlna chu a ni.

Hei hi implantation hnu kar hmasa berah a thleng tam ber. Mahse, a châng chuan he natna hi thla tam tak emaw, kum tam tak hnuah pawh a lo awm thei a ni.

A pawimawh ber chu heart transplant hmain doctor-te chuan immunosuppressant damdawi an ei tan tir ang che . Heng damdawi te hian i taksa immune system chu tihtawp tumin a bei a, thinlung thar a beih loh nan a titawp bawk. Mahse, a chang chuan heng damdawi te hmang pawh hian hnawl hi tihtawp vek theih a ni lo.

Hnawlna hian harsatna engemaw zat a thlen thei a ni. Entir nan:

• Heart rhythm irregularities (Arrhythmia): Hei hian thihna thut a thlen thei.
• Thinlung thar hnathawh theih lohna.
• Heart attack neih hi a ni.

Hnawlna chi hrang hrangte chu engte nge ni?

Lung thlaknaah hian hnawlna chi thum hmuh tur a awm a, chungte chu:

1. Acute cellular rejection: Hei hi i immune system-a cell chi khat T cells an tih hian heart cell tharte a beih hian a thleng thin. Hei hi transplant hnu thla thum atanga thla ruk chhungin a tam ber.

2. Chronic rejection: Hei hi hun kal zelah immune system-in graft a beih chhunzawm zel vang a ni. A tam zawkah chuan thinlunga thisen petu thisen kalna kawng lian ber ber, coronary arteries te chu a thim zauh zauh thin. Hei hian thinlungin oxygen leh nutrient a mamawh zat a tihtlem phah a ni.

3. Humoral rejection: Hei hi acute antibody rejection an ti a.A ti bawk. Hei hi transplant hnuah engtik lai pawhin a thleng thei. Heta thil thleng hi i immune system siam antibody te hian thinlung thara thisen kalna kawngte a tichhia a ni. Tichuan thinlungin thisen a hmu tawk lo.

He thinlung hnawl hi engtiang chiahin nge a hluar?

Dik tak chuan he hnawlna hi heart transplant nei tawhte zingah hian eng emaw chen chu hmuh theih thil a ni. Hei hi a chang chuan immunosuppressant damdawi an ei dik pawhin a thleng thei. Mahse, thu lawmawm tak chu medical science hmasawnna avang hian, a bik takin immunosuppression chungchanga thil thar hmuhchhuah a nih tak avangin, he hnawlna hi a tlahniam zauh zauh a ni.

Eng thilte nge thinlung hnawih theihna tipung?

Thil engemaw tak chu hnawl theihna a tipung thei a ni. Eng nge an nih i en ang u:

• Lung lam dawngtuin hriselna lama harsatna a neih ṭhenkhat: Entirnan , cholesterol sang , insulin do theihna , leh pulmonary hypertension .
• Donor leh dawngtu inkara genetic mismatch .
• He thinlung petu hian thinlung natna a nei a nih chuan.
• Taksa atanga lak chhuah a, lak chhuah a, mi thara dah luh a nih laiin thinlungah thil a thleng a nih chuan.
• Thinlung dawngtu chu a dum (hei hi zirchiannaah hmuh chhuah a ni a, mi zawng zawng tan a awm lo).
• Thinlung dawngtu chu thinlung petu aiin a naupang zawk hle a nih chuan.
• Immunosuppressive damdawi dose dik tak, a hun dik taka ei loh emaw, damdawi thar dang nena thawk tha lo emaw.

Eng thilin nge thinlungte hnawl tir?

Hei hi i taksa immune system chuan thinlung thar chu "ram dang thil" anga a hriat vang a ni. Chumi hnuah chuan T cells, a nih loh leh antibodies , chu "invader" chu bei turin a thawn chhuak ta a ni.

Hei hi heart transplant damlote hnena antirejection damdawi pek ni mahse a thleng thei a ni. Scientist-te hian hetiang thil a thlen chhan chiah hi an la hrethiam tawk lo.

Thinlung hnawlna chhinchhiahnate chu engte nge ni?

Hei hi a buaithlak ber a ni. A chang chuan heart failure hi symptom awm lovin a awm thei! Chuvang chuan doctor-te chuan an test reng che a, thil dik lo a awm em tih en turin. Mahse, mi thenkhat chuan symptoms an nei ve tho.

Khawsik i neih huna a lan chhuah theihte chu:

• Pum natna.
• Taksa natna.
• Chills a awm.
• Chau lutuk (Fatigue).
• Khawsik hniam, taksa lum lutuk ang maiin.
• Nausea emaw ei duh lohna emaw.
• Hrisel lohna neia inhriatna.

Symptom dang pawh a awm thei bawk:

• Luak chhuak emaw, muhil emaw.
• Heart palpitations , thinlung thawk chak emaw, mumal lo emaw.
• Zun chhuah dan pangngai aia tlem (Oliguria) .
• Thisen sang hniam (Hypotension) .
• Thâwk harsa (Dyspnea) .
• Vawikhatmah, beisei loh takin taksa rihna a pung.
• Ke ruh, kut emaw, ke emaw a hring chhuak.

Heng chhinchhiahnate hi i neih chuan doctor hnenah hriattir nghal tur a ni a, i appointment neih leh tur nghak ngai lovin.

Engtin nge thinlung hnawlna hi i hriat chian?

I heart transplant hnuah rejection a awm leh awm loh enfiah nan test neih fo ang che. I doctor-te chuan test an ti thei a, chungte chu:

• Thisen test hmanga DNA marker rejection nena inzawm a awm leh awm loh enfiah thin.
• Echocardiogram (thinlung ultrasound scan ang chi) a ni.
• Electrocardiogram (ECG emaw EKG emaw) test (thinlung electrical activity enfiahna).
• Nuclear cardiac stress test a ni a .
• Angiography ( X-ray hmanga thinlung thisen kalna kawng hrang hrang enna).
• Intravascular ultrasound hmanga tih a ni .
• Myocardial biopsy emaw heart biopsy: Hei hian thinlung atanga tissue te tak te tak te lakchhuah a, microscope hmanga enfiah a, hnawlna chhinchhiahna a awm leh awm loh enfiah a ni. Hei hi hnawlna nemngheh dan tha ber a ni.

Thinlung hnawlna a awm chuan engtin nge tih ang?

Enkawl dan hi thil tam takah a innghat a, entirnan:

• Hnawlna chi hrang hrang.
• Hnawlna nasatzia.
• I symptoms te chu.
• Hriselna lama harsatna dang i neih te.
• Tunah hian eng damdawi nge i ei?

Heart rejection i neih chuan doctor-te chuan hetiang hi an ti thei ang:

• Tuna i immunosuppressant damdawi chi hrang hrang i ei mekte thlak danglam emaw, thar dah belh emaw, a dose tihpun emaw.
• Plasmapheresis emaw photopheresis emaw an tih enkawlna, i thisen tihthianghlimna hmanrua a ni.
• Surgery emaw thisen kal dan tihchangtlunna tur thil dang, angioplasty emaw open-heart surgery emaw tih ang chi te.
• Corticosteroid group atanga damdawi pek, entirnan , Prednisone .
• Donor thar hnen atanga thinlung lak a, retransplant tih (hei hi a tlem hle).
• I thinlung thlawp turin machine hman. Entir nan:Extracorporeal Membrane Oxygenator (ECMO) emaw Ventricular Assist Device (VAD) emaw hmanga siam a ni.

Thinlung hnawl lo turin eng nge ka tih theih ang?

Hnawlna hlauhawmna tihziaawmna tura pui turin thil engemaw zat i tih theih a awm a:

• Doctor appointment zawng zawngah kal vek tur a ni. Hengte hi a pawimawh hle.
• I rihna, thisen sang leh taksa lum leh vawt te enfiah fo thin ang che. Thil danglam i hmuh chuan doctor hnenah hrilh rawh.
• Nunphung hrisel tak zawm rawh. Chumi awmzia chu chaw tha tak tak ei te, exercise neih fo te, leh zu i in chuan meizuk bânsan tihna a ni.
• Symptom danglam tak i neih chuan doctor hnenah hriattir nghal la, i appointment lo awm tur chu nghak lovin.
• I doctor-in damdawi a pek zawng zawng chu a pek ang chiah, a hun takah leh a dose dik takah ei vek tur a ni. Dose khat pawh lo hmang tawh suh.
• Damdawi thar (vitamin pawh nise) i ei hmain i doctor emaw pharmacist emaw hnenah i anti-rejection damdawi-ah harsatna a thlen dawn em tih zawt hmasa phawt ang che.

Ka hnawl a nih chuan eng nge ka beisei ang?

Hun kal zelah heart rejection hlauhawmna a tlahniam thin. Mahse, operation hnu kum tam takah pawh hetiang hi a la thleng thei tih hriat reng a pawimawh.

Rejection i neih chuan i doctor chuan i duhthlan turte a sawipui ang che. Mi tam zawk chuan he natna hi immunosuppressant leh enkawlna dang dose tihpun hmangin an enkawl thin. Heart transplant nei zinga 2% atanga 4% chauh hian transplant an mamawh leh dawn a ni.

Heart rejection chungchangah hian ka doctor hnenah eng zawhna nge ka zawh tur?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

Operation hmain: 1.1.

• He donor thinlung hi ka tan chuan match tha tak a ni em?
• Heart rejection hlauhawmna tihziaawm nan eng nge ka tih ang?
• Eng antirejection damdawi nge ka ei tur?
• Chu damdawi te hian eng side effect nge a neih?
• Eng chen nge ka rih zawng, thisen sang leh taksa lum leh vawt ka enfiah ang? Eng inthlak danglamna nge ka report tur che?

Hnialna a awm chuan:

• Eng ang hnawlna nge ka neih?
• Eng ang enkawlna nge min puih theih?
• Heart transplant dang ka dawng thei em?

A tawp berah chuan hei hi hre reng ang che.

Rejection hi heart transplant hnua thil thleng tlangpui a ni. Operation hnu ni engemaw zat atanga kum engemaw zat thlengin khawi hmunah pawh a awm thei. Chuvangin i medical team te nena inbiakpawhna tha tak nei reng a, an thupekte uluk taka zawm a pawimawh.I doctor nen chuan i hnawl theihna tur tihtlem dan tur leh enkawlna kawng hrang hrangte chu zalen takin sawiho rawh. Ngaihtuah buai suh, tunah chuan heng dinhmunte hi enkawl dan hmasawn tak tak a awm ta. Nangmah chauh i ni lo tih hre reng ang che.

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