Infective Endocarditis Surgery chungchang zawng zawng

Ni engemaw zat chhung chu khawsik i nei tawh a, i chau hle a, nunna nei lovin i inhria ang tih han ngaihtuah teh... Hei hi viral fever a ni mai thei tih kan ngaihtuah tlangpui. Mahse, a châng chuan, chutiang chhinchhiahna hnuaiah chuan thawnthu pawi zâwk thup a awm thei a ni. Chu chu natna khirh tak, thinlung ngei pawh tibuaitu tihna a ni. Vawiin hian ‘Infective Endocarditis’ tih ang chi natna khirh tak leh nunna atana hlauhawm tak leh zai a ngaih hun tur kan sawi dawn a ni. He thupui hi thupui buaithlak deuh mahse, awlsam takin ka hrilhfiah ang che u, chutiang chuan in hriatthiam theih nan.

A awlsam zawngin, Infective Endocarditis chu eng nge ni?

He hming hi a hlauhawm deuhin a ri a ni lawm ni? Mahse, a awlsam zawngin i vawng ang u. Kan thisen hi kan thisen kaltlangin kan taksa pum puiah a fang kual a. A chang chuan bacteria emaw fungi ang chi natna hrik te hi he thisen kalphungah hian a lut thei bawk. A tlangpuiin kan taksa immune system hian a do a, a tichhia a ni.

Mahse a chang chuan heng hrik te hi thisen kal tlanga kal te hian heart valve te an thleng a, chutah chuan an innghat a, zung an kai a, natna lian tak a thlen thin. Chu chu ``Infective Endocarditis'' kan tih chu a ni.

Kan thinlunga valve awmte hi kawngkhar angin ngaihtuah rawh. Thisen chu kawng khat chauha a kal theih nan hawn leh khar fel a ngai a ni. Heart valve hrisel hi a smooth hle a, chuvangin natna hrik te hian awlsam takin an nghet thei lo. Mahse mi pakhat thinlung valve chu a pian tirh atanga a chak lo emaw, natna dangin a tihchhiat emaw a nih chuan a chunglam chu a hring vek a ni. Bang hlui ang maiin. Chutiang hmun hrual (rough spots) chuan thisenah natna hrik a man tam zawk.

Ha enkawl dan pangngai, ha lak chhuah te, ha enkawl dan te, endoscopy te hi kan taksaah hian natna hrik a lut thei a ni. Hei hi mi hrisel tan chuan harsatna lian tak a ni lo mai thei a, mahse heart valve lama harsatna nei tan chuan a hlauhawm thei hle.

He dinhmun hian engtin nge i hriselna a nghawng?

Vawikhat chu natna hrik chu heart valve-ah a lut a, chutah chuan a awm mai mai lo. He hrik te hi an inthen darh a, an pung a, colony lian tak tak an siam a ni. Damdawi lamah chuan heng hrik pawl hrang hrangte hi thing leh mau kan ti a ni.

Heng `(vegetations)` te hian hna hlauhawm tak an thawk mek a ni.

1. Valve tihchhiat: Heng bacteria te hian chemical an tichhuak a, chu chu ei tur digement atana hman thin enzyme te nen a inang. Chungte chu a chak em em a ni. Zawi zawiin an inthiarfihlim a, heart valve tissue nalh tak chu an ei zo vek a ni. Tichuan valve chu a khar tha lo a, chu chu a leak tan tihna a ni. Hei hi valvular regurgitation kan ti a.

2. Heart Failure: Valve a leak chuan thinlungin taksaah thisen pump turin a hma aia nasa zawkin hna a thawh a ngai thin. Bucket leak atanga tui pump ang mai a ni. Hun kal zelah he extra load hnuaia i hnathawh hian thinlung chu a chak lo thei a, a tawpah chuan heart failure a nei thei a ni.

3. A rilru a hah lutuk chuan a rilru a buai em em a.Thisen zam chu a inthen a, a block: A chang chuan, vegetations an tih natna hrik te te chu a inthen a, thisen nen taksa pum puiah a kal kual thin. He a chhe lai hi embolis kan ti a. Hei hi lui atanga hnim hring hring chhuak a, tuiah a leng ang mai a ni. He thisen zam hi a inthen a, thluaka thisen kalna kawng khatah a tang a nih chuan stroke a thlen thei a ni. Lung chhunga vein pakhata a tlakbuak chuan natna hlauhawm tak, pulmonary embolism an tih chu a thlen thei a ni. Tin, pum chhunga taksa peng pakhat emaw, kut emaw ke emaw panna thisen kalna kawng chu a inkhar thei a, chu chuan chu hmun chu thisen a tlachham thei (ischemia).

Engtin nge enkawl a nih? Surgery neih a ngai em?

Enkawlna chu natna hrik chi hrang hrang leh a natna a nasat danah a innghat a ni.

• Antibiotics: Natna hi a hmaa hriatchhuah a nih chuan, kar engemaw zat chhung thisenah antibiotics chak tak chauh pek a nih chuan a natna chu a dam vek theihna tur a awm.
• Surgery: Mahse, i heart valve-ah thing leh mau i awm a nih chuan, valve a chhiat nasa hle a nih chuan, a hmaa prosthetic valve dah tawh i neih chuan antibiotics chauh hi a tawk lo mai thei. Chutiang hunah chuan zai a ngai mai thei.

Engtiang chiahin nge surgery tih a ngaih?

Surgery hun tur hi i dinhmun a nasat danah a innghat a ni. Damlo thenkhat chu an natna hmuhchhuah atanga ni engemaw zat chhungin operation an neih a ngai mai thei. Hei hi emergency surgery a ni. Engtikah nge emergency surgery a ngai tih hriat nan a hnuaia table hi han en ila.

Surgery tihkhawtlai hun a awm em?

Ni e, a châng chuan doctor-te chuan surgery chu tlem tal tihkhawtlai an tum ṭhin. Chumi chhan lian tak pahnih a awm.

1. Thluak kaihhnawih harsatna: He natna hrik chi khat a inthen a, thluaka thisen kalna kawng a tikhawlo (ischemic stroke) emaw, thluaka thisen chhuak (intracranial hemorrhage) emaw a awm chuan heart surgery lian tham tih nghal mai a hlauhawm hle. Hei hi a chhan chu zai laia thisen tihthianghlimna damdawi pek hian thluaka thisen a tipung thei a ni. Chuvangin, thluak a lo nghet tawh hnuah chauh surgery tih a ni.

2. A dinhmun chu chutiang chuan a na lo: Infection a na lo a, complication awm theihna a tlem chuan doctor chuan antibiotics full course a pe hmasa ang che. Tichuan, infection chu a bo vek tawh ang a, taksa thianghlim tak nen surgery-ah i lut thei tawh ang. Surgery ruahman nan hun tha tak a pe bawk ang che.

Engtin nge doctor-te hian operation ka mamawh leh mamawh loh an rel ang?

Hei hi doctor pakhat chauhin thutlukna a siam a ni lo. Cardiologist leh cardiac surgeon te chu an inkhawm a, international guidelines hmangin he thutlukna hi an siam thin. Chumi atan chuan test eng emaw zat an ti thin.

• Thisen test: Eng bacteria emaw fungus nge natna thlentu dik tak hriat nan.
• Echocardiogram hmanga tihchhuah a ni.Hei hi thinlung scan a ni. Heart valve te a en a, thing leh mau a awm leh awm loh te, a lian zia te, valve te chu engzat nge tihchhiat a nih tih te chiang takin a hre thei a ni. A rilru chunga tih thin chu transthoracic echocardiogram (TTE) an ti a. A châng chuan, a en ṭhat theih nân, kâ hmangin transesophageal echocardiogram (TEE) an ti ṭhin.
• CT scan: He test hian natna hrik hian taksa peng dangah harsatna a thlen em tih hriat nan a pui a ni.

Surgery neih chhung hian eng nge thleng?

Surgery tih chi chu i heart valve chhiatna awm danah a innghat a ni. Surgeon chuan a hnuaia mi pakhat emaw, a aia tam emaw a ti thei ang:

• Debridement: A hmasa ber chu uluk taka tihfai leh tihfai vek tur a ni.
• Valve siamthat: A chhiatna a na lutuk lo a nih chuan valve awmsa siamthat tum a ni ang.
• Valve siam thar lehna: A chang chuan, valve thenkhat chu lakchhuah a ni a, thinlung chhehvel membrane thenkhat (pericardium) lak a, a hmunah dahin valve siam thar leh a ni.
• Valve thlak: Valve chhiatna nasa lutuk , siamthat theih loh a nih chuan valve chu paih vek a ni a, a hmunah artificial valve dah a ni.

Surgery hnuah eng nge thleng? Risk a awm em?

Surgery lian dang ang bawkin he surgery hian hlauhawmna engemaw zat a nei a ni. Thisen chhuah, thinlung thawk mumal lo (arrhythmia), thisen zam, paralysis, leh valve dah thara infection leh te ang chi hlauhawmna a awm. Mahse doctor-in operation i mamawh tih a rel a nih chuan operation neih loh aiin surgery neih hlawkna chu a nasa zawk tihna a ni.

Surgery zawhah intensive care unit (ICU)-ah ni engemaw zat i awm a ngai dawn a ni. Tichuan regular ward-ah sawn i ni ang. I taksaa hrik awm zawng zawng chu a bo vek theih nan antibiotics hi thisen kaltlangin emaw, pill angin emaw kar engemaw zat i ei a ngai dawn a ni. In lama i haw hnuah pawh chawlh hahdamna tam tak i neih a ngai bawk ang. Chau leh natna hriat hi thil pangngai a ni. A dam kim theih nan thla engemaw zat a ngai thei.

Surgery zawhah engtik laiin nge doctor ka hmuh ang?

In i haw hnuah i taksa hi i enkawl belh tur a ni. Harsatna awm thei chu a rang thei ang bera hriat a pawimawh. A hnuaia symptoms te hi i neih chuan i doctor hnenah i biak nghal tur a ni .