Kan taksa chhunga taksa peng pawimawh tak tak, thinlung, lung leh thin ang chi te hi a awm dan inang leh mi zawng zawng tana hmun dik takah an awm a ni lawm ni? Chu chu a dan pangngai a ni. Mahse han ngaihtuah teh, a chang chuan heng taksa peng hrang hrangte hi an awmna tur hmunah an awm lo va, tlem a danglam deuhin, hmun hrang hrangah an awm thei a ni. Chu chu vawiinah hian kan sawi dawn a, eng emaw chen chu thil awm lo mahse hriat tur pawimawh tak a ni. Hei hi heterotaxy syndrome an ti a.
He heterotaxy syndrome hi eng nge ni?
A awlsam zawngin, heterotaxy syndrome hi i rilru leh i pum chhunga taksa peng hrang hrangte chu a tlangpui aia hmun hrang hranga awm a ni. Ngaihtuah teh, mihring tin kan pian hian an taksa peng hrang hrangte chu an taksa hmun bikah a awm a. Entirnan, heterotaxy vei chuan a thinlung leh a ril chu veilam ni lovin dinglamah a awm thei. Heng inthlak danglamna te hian a chang chuan hriselna lama harsatna lian tak a thlen thei a, nunna atana hlauhawm pawh a ni thei bawk.
"Heterotaxy" tih thumal hi Greek tawng atanga lo chhuak a ni. "Heteros" tih chu "danglam" tihna a ni a, "taxis" tih chu "order, arrangement" tihna a ni. Hei hian ruahmanna danglam tak a kawk a ni . Hei hi "Heterotaxia" emaw "Atrial Isomerism" emaw an ti \hin.
Heterotaxy syndrome hian eng taksa peng nge a nghawng theih?
Hetiang dinhmun hian i taksa chhunga a hnuaia taksa peng hrang hrangte dinhmun leh hnathawh dan a nghawng thei a ni:
- Thinlung
- Chuap
- Thin
- Spleen (Spleen) a ni
- Intestines a awm
Hei hi `(Situs Solitus)` leh `(Situs Inversus)` nen a danglam em?
Ni e, hengte hi dinhmun hrang hrang pathum a ni.
- (Situs Solitus): Hei hian kan chhungril taksa peng hrang hrangte dinhmun pangngai, beisei angin a kawk a ni. Hei hi a tam zawkin kan taksa peng hrang hrang kan neih dan chu a ni.
- (Situs Inversus): Hei hi chhungril lam taksa pengte chu an awmna pangngai nen a inkalhin, darthlalang atanga thlir ang maia an awm hian a ni . Entirnan, thinlung chu veilam ni lovin dinglamah a awm a. A tam zawkah chuan `(Situs Inversus)` hian hriselna lama harsatna lian tham a thlen tam lo hle.
- (Heterotaxy Syndrome): Hei hi taksa peng hrang hrang inthlak danglam mai mai a ni lo. Organ thenkhat chu a insiam tha lo thei a, a nih loh leh an hnathawhnaah harsatna lian tak a awm thei bawk. Hei hi `(Situs Solitus)` emaw `(Situs Inversus)` emaw aiin hriselna lama harsatna khirh zawk leh pawi zawk thlen thei dinhmun a ni.
He natna hi tuin nge nei thei ang?
Heterotaxy syndrome hi genetic variation a niTu pawhin pianpui thinlung natna avanga natna an nei thei a ni. A tam zawkah chuan he natna hi a awm fo thin a, chu chu chhungkaw zingah tumahin an la nei lo tihna a ni a, gene mutation thar (`(sporadic or de novo mutation)`) avanga lo awm a ni. Mahse, i chhungkuaa mi tu emaw chuan congenital heart conditions a nei tawh a nih chuan , he natna nei fa neih theihna chance chu tlem a sang thei a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Khawvel pumah nau piang thar 10,000 zinga pakhat vel chu heterotaxy syndrome vei niin an chhut. Mahse, zirchianna thenkhatah chuan he natna hi a tam zawk mai thei a, a chhan chu a chang chuan a hriat chian loh vang a ni.
Congenital heart condition 3% vel chu he heterotaxy syndrome nen hian a inzawm a ni.
Hei hi eng symptoms nge ni?
A lan chhuah dan ber chu rilru chhungril leh pum chhunga taksa peng hrang hrangte chu beisei angin a lo thang lian lo a ni. A châng chuan taksa peng ṭhenkhat chu a bo thei a, a nih loh leh embryonic stage-ah a insiam ṭha lo thei bawk. Chumi atanga lo chhuak symptoms te chu:
- Internal organs (thinlung, lung, thin, ril, intestines) hnathawh that loh.
- Thinlung dinhmun dik lo (congenital heart condition) neih.
- Malrotation hmanga intestine a awm.
- Spleen awm lohna (Asplenia) emaw, spleen segment hrang hranga inthen (Polysplenia) emaw.
Hetiang symptoms hi chhungril lam taksa peng hrang hrangte hnathawh that loh vang pawh a awm thei bawk:
- Thâwk harsa.
- Infection laka invenna a tlahniam.
- Vun dum emaw, vun dum emaw (Cyanosis).
- Pum emaw, pum emaw a na.
- Chaw ei harsa, taksa rihna tihpun, ei tur ei harsa.
- Lungphun mumal lo.
- Lung chhunga mucus emaw fluid emaw a awm khawm.
Ngaihtuah teh, naute piang thar a awm a, thawk a harsat a, a taksa chu a sen deuh a. Doctor-te’n an enfiah chuan naute thinlungah hian danglamna tlem a awm tih an hmu a, chu chu a sir lehlamah a awm a ni mai thei. Heng thilte hi `(Heterotaxy Syndrome)` chhinchhiahna a ni thei.
Eng thilin nge hei hi a thlen?
Heterotaxy syndrome thlen thei thil engemaw zat a awm.
A chhan ber chu genetic mutation a ni . Gene 60 chuang inthlak danglamna hian hei hi a nghawng thei a ni. He genetic condition hi i rochun theih dan kawng hrang hrang a awm a:
- Nu leh pa pakhat (`(Autosomal Dominant)`) atanga mutated gene copy rochun.
- Nu leh pa pahnih atanga gene pakhat mutated copy rochun (`(Autosomal Recessive)`).
- Chhungkaw history nei lo genetic mutation (`(Sporadic emaw De Novo)`) lo awm thar.
- I X chromosome-a genetic mutation neih, chu chu i sex chromosome zinga mi (`(X-linked)`) a ni. Hei hi mipaah a tam zawk a, a chhan chu X chromosome pakhat chauh an neih vang a ni.
Genetic cause bakah hian environment factors pawh a awm bawkEntirnan, naupai laiin nuin chemical emaw toxic thil (e.g. pesticides, lead-containing substances) a tawrh pawhin nausen lo piang chhuak turah hian he natna hi a thlen thei bawk.
Tunah pawh hian he natna hi genetic emaw environmental factors emaw awm lovin a awm theihna case-ah zirchianna dang neih belh zel a ni.
Engtin nge hei hi i diagnose?
Heterotaxy syndrome hi doctor-in a enfiah hnuah, chutah chuan imaging test pakhat emaw a aia tam emaw a tih hnuah a hmuchhuak a, chu chu:
- MRI scan (Magnetic Resonance Imaging) hmanga enfiah a ni.
- `CT` scan (Computed Tomography scan) hmanga tih a ni`.
- Echocardiogram (thinlung ultrasound scan) hmanga tih a ni.
Heng imaging test te zawhah hian doctor chuan heterotaxy syndrome a rinhlelh chuan i chhungril taksa peng hrang hrangte hnathawh dan enfiah turin test dang neih belh turin a ti ang. Chung zingah chuan:
- Thisen test hmangin kan taksa hriselna a enfiah thin.
- Endoscopy (camera hmanga tube hman dan) .
- Kidney hnathawh dan enfiahna test.
- Renal Ultrasound hmanga tih a ni.
Engtikah nge heterotaxy syndrome hi hmuhchhuah a nih?
He natna hi nau piang hmain prenatal ultrasound emaw echocardiography (nausen thinlung enfiahna test) hmangin hriat theih a ni. Mi tam zawk hi an pian tirh atangin hmuhchhuah an ni. Heterotaxy hi pianpui heart disease symptoms a awm chuan hriat theih a ni tlangpui. Mi thenkhat, natna lanchhuahna na tak nei lote chu naupan laiin a hnuah hmuhchhuah an ni thei. A tlem hle a, puitling hunah natna dang enfiahna neih laiin he natna hi a thleng mai maiin hmuhchhuah a ni.
Enkawlnate chu engte nge ni? `(Enkawlna)`
Heterotaxy syndrome enkawl dan hi mi zawng zawng tan a inang vek lo. I taksa chhunga eng organ nge a nghawng tih leh engtiang chiahin nge a nghawng tih ah a innghat a ni .
Enkawlna hman tlanglawn ber chu surgery a ni . Heng surgery te hi rilru leh pum chhunga taksa peng hrang hrang lo thanglian emaw, hnathawh dan emaw a danglamna siamthat nan an ti thin. He natna enkawlna atan hian mi pakhat dam chhungin operation vawi tam tak neih a ngai thei a, a châng chuan nausen lai aṭanga ṭan a ni thei bawk . Surgery hi chi hrang hrang a awm a:
- Heart surgery: Lung hnathawh thatna tur emaw, pianpui heart abnormalities siamthatna tur emaw surgery.
- Fontan Procedure : Hei hi thinlung surgery a ni bawk. Chamber pakhat (ventricle) a siam a, chu chuan lung leh taksaah thisen a pump chhuak thin.
- Ladd Procedure : Intestines-a twisting leh obstruction awmte siamthatna tur surgery a ni.
- Lung thlak (Heart transplant) a ni`(Heart Transplant)`: I thinlung chu donor heart hmanga thlak. Hei hi puitling, an dam chhunga thinlung surgery vawi tam tak nei tawhte tan chuan a tul mai thei.
Enkawlna dangte chu:
- Heart rhythm control nan pacemaker dah a ni.
- Thisen sang tihhniam nan damdawi ei.
- Antibiotics (prophylactic antibiotics) ei a, chu chuan spleen-in natna a do theih nan a pui thin.
Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?
Enkawlna aṭanga i dam leh theih hun chhung chu a inang lo va, i operation chi hrang hrangah a innghat . Surgery hnuah i taksa chu a dam theih nan chawlh hahdam a ngai a ni. Lung zai tam zawk hnuah chuan darkar 24 chhung damdawi lam enkawlna hnuaiah ni engemaw zat atanga kar tam tak chhung damdawi inah i awm ang a, operation chu a hlawhtling em tih leh a nghawng tha lo a awm em tih i en ang. Enkawlna thenkhat hnuah chuan i taksa a dam kim theih nan thla engemaw zat a ngai thei. Operation i neih hmain i doctor chuan operation hnua i taksa enkawl dan tur leh i dam lehna tura i tih theih dan tur a hrilhfiah ang che.
Hei hi ven theih a ni em?
Heterotaxy syndrome thlentu thenkhat chu genetic changes vang a nih avangin , he natna hi pumpelh kim theih a ni lo. Naupai laiin i hlauhawmna hriat theih nan i doctor nen genetic testing chungchang i sawi thei ang.
Naupai i nih chuan nausen lo thang lian zel zingah hetiang dinhmun thlen thei chemical emaw toxin emaw (e.g., pesticides, lead-containing products) nena inzawmna i neih loh chuan nausen hriselna a tichiang ang.
Hetiang natna vei mi pakhat dam rei zawng chu engzat nge ni ang?
Heterotaxy syndrome vei dam rei zawng chu a natna hmuhchhuah nasat danah a innghat a ni. Hetiang natna khirh tak tak hi enkawl a nih pawhin nausen leh naupangte tan nunna atana hlauhawm tak a ni thei. Mahse, a natna chu a na lo a nih chuan, enkawlna leh damdawi lam enkawlna mumal tak a awm chuan, hriselna lama harsatna tlemte nen nun pangngaia nun theih a ni . Lung natna mumal lo emaw, rilru emaw pum na emaw i neih chuan doctor pan nghal tur a ni.
Doctor hmuh hun engtik lai nge i mamawh?
Heng symptoms te hi i neih chuan doctor rawn rawh:
- I vun chu a sen emaw, a sen hring emaw a nih chuan.
- Ei leh in theih loh chuan.
- Hliam dam lo i neih chuan, emaw, hliam a hring, yellow pus oozing, emaw, crust nei emaw i neih chuan.
Engtikah nge emergency room-a kal a ngaih?
Chutiang a nih chuan emergency room-ah kal nghal la, a nih loh leh 1990 ah call rawh:
- Chhung natna nasa tak emaw, pum na emaw.
- Lungphun mumal lo tak a ni.
- Thâwk harsa.
Doctor hnenah eng zawhna nge i zawh tur?
Heterotaxy syndrome i vei tih hmuhchhuah a nih chuan i doctor hnenah zawhna i zawt mai thei a, chungte chu:
- Ka diagnosis hi engtiang chiahin nge a serious?
- Surgery emaw, surgery engemaw zat emaw ka mamawh em?
- Engtin nge operation atan i inbuatsaih thin?
- Operation hnuah a dam leh theih nan eng chen nge a duh?
- I enkawl dan tur i rawt te hian side effect a nei em?
`Isomerism` tih hi eng nge ni?
`Isomerism` tih thumal hi Chemistry-ah chuan chemical formula inang mahse structure inang lo compound sawina atan hman a ni. Heterotaxy syndrome hi `(Isomerism)` an ti bawk a, a chhan chu i chhungril taksa pengte chu an awmna tur dik takah an awm lo a, mahse a chang chuan an hna bulpui an thawk thei a ni. Chu chu, ngaihdan chu a pianzia emaw, a dinhmun emaw chu danglam mah se, a bulpui ber chu a inang vek a ni .
He condition atana `ICD` code hi eng nge ni?
International Classification of Diseases (ICD) hi doctor-te’n clinical setting-a damdawi lam dinhmun an thliar hrangna hmanrua a ni. Heterotaxy syndrome atana ICD-10-CM code chu Q89.3 a ni.
Nu leh pa leh nu leh pa lo awm turte tana thuchah pawimawh tak
I nau piang thar hian heterotaxy syndrome a nei tih i hriat chuan rilru natna chi hrang hrang i nei thei a ni. A harsa hle tih hi hriatthiam theih a ni. Mahse, lungngai suh. I doctor-te chuan specialist-te nen theihtawp an chhuah ang a, i naute hriselna tur leh a natna lan chhuah dante chu nunna atana hlauhawm lo turin an enkawl ang. He natna avanga harsatna leh a lan chhuah dante hi naute thanlenna leh nun pum pui a tihbuai loh nan enkawl leh enkawl chhunzawm zel a ngai a ni.
Fa i beisei a, i fain heterotaxy syndrome ang chi genetic condition a neih theih dan tur i hriatthiam duh chuan i doctor nen genetic testing emaw genetic counseling emaw chungchang sawipui a pawimawh hle He thu hian thu tlûkna dik siam tûrin a ṭanpui ang che. Hriselna lama harsatna eng pawhah doctor thurawn lak hi a tha ber tih hre reng ang che.
` Heterotaxy Syndrome, Heterotaxy Syndrome, Internal Organs, Lung natna, Pianpui chhiatna, Genetic Mutations, Naupang hriselna











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