He thinlung peng tlemte hi i hre tawh em? (Left Atrial Appendage) Kan sawi dun dawn nia!

Kan taksa peng zawng zawng hi kan hre lo a ni lawm ni? Thinlung pawh chutiang chu a ni. ‘Left Atrial Appendage’ tih hi i hre tawh em? I doctor-in a hrilh che hma chuan i hre lo mai thei. A bik takin Atrial Fibrillation (Afib) ang chi thinlung thawk mumal lo tan chuan he thinlung hmun tenau tak hi hriat hi a pawimawh hle thei a ni.

Left Atrial Appendage (LAA) tih hi eng nge ni?

A awlsam zawngin, hei hi i thinlung chunglam veilam atrium atanga chhuak, sac ang maia taksa peng te tak te a ni. Doctor-in a khar duh hunah sawiho a ni fo.

Tunah chuan, "Engvangin nge an khar ang?" A chhan chu thinlung natna Atrial Fibrillation (Afib) tia koh nei te zingah stroke thlentu thisen zam tam zawk hi LAA-ah a lo awm thin a ni. Mahse lungngai suh, i thinlung hi he hmun tenau tak tel lo hian a la thawk pangngai thei tho.

Chuti a nih chuan LAA hi eng nge thleng tak tak?

A hnathawh ber chu thinlunga thisen awm zat enkawl tura puih hi a ni. Ngaihtuah teh, thinlung chhunga thisen lut zat a pun a, LAA bang a inzawm chuan thisenah natriuretic peptides an tih protein a chhuah tir thin.

Heng peptide te hian kan taksaah thil mak tak tak an ti a:

• Kan kal (kidney) te chu zun hmanga chi leh tui tam zawk chhuah tir turin signal an pe thin.
• Kan thisen kalna kawngte pawh a tizau deuh bawk.

Hetiang kalphung hian kan thisen sang a tihhniam theih nan a pui thin.

Tunah chuan LAA hi surgery hmanga lakchhuah a nih chuan heng peptide te hi engtin nge an awm tih i ngaihtuah mai thei. Mak tak mai chu operation an tih atanga thla thum vel hnuah taksa chu a insiamrem a, peptide level pawh a normal leh ta a ni.

LAA hi eng ang chiah nge a pianzia leh a lan dan?

A tlangpuiin inches 2 vel a sei a, credit card ang vel a ni. Thisen teaspoon hnih vel (milliliter 9 vel) a keng thei a ni.

Mahse mi zawng zawng LAA hi a inang vek lo. A pianzia chi hrang hrang a awm. Hetiang pianzia a zirin stroke hlauhawmna pawh a inang lo thei. A lem (main shape) te chu eng nge ni tih i lo en ang u.

Eng dinhmun nge LAA hi nghawng?

LAA nghawngtu thil pawimawh engemaw zat a awm a:

• Accident: Car accident ang chi thil hian LAA a tichhe thei a, a tikehsawm thei bawk.
• Mitral valve stenosis: Thinlung chhunga mitral valve a tawi chuan LAA kaltlangin thisen kal a tikhawtlai a ni. Hei hian thisen zam a tipung thei a ni.
• Atrial fibrillation (Afib): Hei hi kan ngaihven bik tur a ni. Afib nen chuan thinlung atria te chu a contract tha lo va, chu ai chuan a quiver zawk thin. Hei hian LAA-ah thisen a khawlkhawm thei a, thisen zam a awm theihna a tipung thei bawk.

LAA hriselna hi engtin nge kan enfiah ang?

I doctor hian LAA dinhmun a enfiah duh a nih chuan chutiang tur chuan special test engemaw zat a awm a.

• Transesophageal echo (TEE): Hei hi tube te tak te, rilru hnuai lama dah hmanga thinlung thlalak chiang tak tak lakna a ni. Hei hi LAA enna atana hman tlanglawn tak a ni.
• MRI (Magnetic Resonance Imaging) leh Cardiac CT (Computed Tomography) hmanga thinlung scan te chu:Hengte hian thinlung leh LAA chipchiar takin 3D image a pe thei a ni.

LAA enkawl dan tur chu engte nge ni?

LAA enkawl dan hi damlo dinhmun a zirin a ni.

• Hliam a awm chuan operation hmangin siamthat a ni .
• Valve lama harsatna, `mitral valve stenosis` ang chi a awm chuan enkawl a ni .
• Afib avanga stroke hlauhawmna a awm chuan LAA chu khar, lakchhuah emaw, block emaw a ni a, chu chuan thisen zam a siam loh nan a titawp thin. Hei hi tunah chuan enkawlna hlawhtling tak a ni ta. Chu chuan chutah chuan stroke hlauhawmna a tihziaawm thei a ni.

Engtin nge ka thinlung hi ka enkawl tha ang?

I LAA chauh ni lovin i thinlung zawng zawng hrisel taka vawn reng a pawimawh. Chutiang ti tur chuan heng thil awlsam tak takte hi i nunah hian belh leh rawh.

• Kar khatah minute 150 tal exercise la. Brisk walk pawh a tawk.
• Thinlung hrisel ei tur ei rawh . I eitur ah thei, thlai, greens, leh sa thau lo leh sangha te pawh telh bawk ang che.
• Zuk leh hmuam atanga inthiarfihlim vek rawh .
• Nitin nunah stress control dan tur zawng rawh. Ngaihtuah te, music ngaihthlak te, a nih loh leh ṭhian nena inbiakna te ang chi thil pawh hian a ṭanpui thei a ni.
• Thisen sang emaw zunthlum emaw ang chi natna i neih chuan i doctor thupek zawm la, uluk takin control rawh.

Mi tam takin hre ngai lo mah se, LAA hian kan taksaah chanvo tlem a nei a ni. Mahse, stroke hlauhawma a siam che chuan a tel lova nun hi a him ber. Lung zai tur ngaihtuah hian hlauhna tlem a awm hi thil pangngai a ni. Mahse Afib vei tan chuan LAA block a, dam chhung thisen tithianghlim thei damdawi atanga inthiarfihlim a, stroke hlauhawm lo taka nun hi nun dan tha tak a ni. I tana tha ber tur chu i doctor nen inbiakna neih a tha ber.