Thinlung hi kan taksa chhunga engine te tak te, non-stop-a thawk leh chawlh la ngai lo chu a ni. He thinlung hian kan mut lai te, kan hnathawh lai te, kan tlan lai te, kan zuang lai te pawhin hna a thawk chhunzawm zel a. Mahse, thinlung hi nawrna nasa lutuk hnuaia dah a nih chuan eng nge thleng ang? Thil rit tak kan chawi a, kan kut ruhte a lian chhoh lai ang bawkin, thinlung a chau lutuk chuan a bang, a bik takin taksaa thisen pumptu main chamber (left ventricle) bangte chu a thim tan a, a lo thang lian tan thin. Damdawi lamah chuan he natna hi ‘Left Ventricular Hypertrophy’ emaw LVH emaw kan ti thin. Hei hi Sri Lanka ramah hian kan zingah hian kan awm fo thin. Chuvangin, vawiinah hian he thu hi i hrethiam thei ang bera sawi mai ila.
Left Ventricular Hypertrophy (LVH) hi eng nge ni tak tak?
A awlsam zawngin sawi ila, LVH hi kan thinlung chhunga chamber lian pali zinga pakhat, left ventricle muscular wall thickening a ni. He left ventricle hian kan thinlung hnathawh pawimawh ber pakhat a thawk a ni. Chu chu kan taksaa thisen kalna kawng lian ber aorta-a lung atanga oxygen tamna thisen pump luh tihna a ni. Chuta tang chuan taksa pum puiah thisen a insem darh a, lu vun atanga kephah thlengin thisen a insem darh ta a ni.
Chuvangin, eng emaw chhan vangin he thisen pump chhuahna kawngah hian pressure emaw, obstruction emaw a tam lutuk chuan he left ventricle hian a hma aia nasa zawkin hna a thawk a ngai a ni. Tui pump a block laia thawm nasa tak siam ang mai a ni. Hun kal zelah i thawhrim lutuk chuan chu chamber chhunga taksa ruhte chu a thim zauh zauh a, a lian chho zel bawk. Hei hi LVH an ti a. A châng chuan, he chamber hi thisen volume tam zâwk enkawl tûrin a inzawm thei a, a lian thei bawk. Zirna hrang hrangah chuan a vaiin mi panga zinga pakhat velin he natna hi an nei thei tih a tarlang.
LVH chi hrang hrang a awm em?
Ni e, doctor-te chuan i left ventricle chu a bang lian leh te a zirin chi hrang hrangah an thliar hrang a. Hei hi i hriat a pawimawh.
| LVH chi hrang hrang | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| Concentric a ni | Heart chamber bangte chu a chhung lam hawiin a thim a, chu chuan hmun (chamber chhunga) thisenin a khatna chu a ti tlem ta hle a ni. |
| Eccentric tak a ni | Thinlung chamber a niA inzar pharh a, a lian chho zel bawk. Hei hian thisenin a khatna hmun (chamber chhung) chu a ti lian zawk a ni. |
| Concentric remodeling (CR) hmanga siam chhuah a ni. | A bangte chu a thuk viau nachungin, a taksa peng zawng zawng (total muscle mass) chu a pangngai a ni. |
LVH vei hian eng symptoms nge a neih?
Hemi chungchanga harsatna lian ber chu LVH hi a tir lamah chuan asymptomatic a ni thei a ni . Mi tam tak chuan chhan dang avanga medical test an neih hunah chauh an nei tih an hrechhuak thin. Mahse, a natna a zual zel a, thinlunga pressure a san chhoh zel chuan hetiang symptom hi i nei thei a ni.
| Symptom a ni | Hei hi engtin nge a ngaih? |
|---|---|
| A rilru a na | I rilru chu a tight leh constricted i ti thei a, a bik takin i chau emaw, exercise i tih lai emaw hian. |
| Luak chhuak emaw, muthilh emaw (Syncope) . | Vawilehkhatah i lu a inher a, i mit a rawn sen a, a chang chuan i hriatna i hloh a, i tlu hial thei bawk. |
| Thinlung thawk chak emaw, mumal lo emaw | Heart rate a sang nghal a, a nih loh leh rhythm awm lovin a beng ang maiin a lang. |
| Palpitations a awm | I mut lai te, i ngawi reng lai te chuan i thinlung "dug dug" tih ri chu i hre thei a, i hre thei bawk. |
| Chau lutuk | Ka tih thin thil tenawm tak tak te pawh ti hian ka chau nghal vat thin. Ka taksaah nunna nei tawh lo ang maiin ka inhria. |
| Thâwk harsa | Tlemte ka kal emaw, stairs ka lawn emaw, ka kun emaw hian thawk harsa ka ti a, ka lu a buai hle. |
Engvangin nge he LVH condition hi a lo awm? A chhante chu engte nge ni?
LVH thlentu ber leh langsar ber chu thisen sang, hypertension tia hriat bawk a ni. I thisen sang a san chuan i thisen kalna kawng chhunga pressure a sang chho zel a. Chuvangin i thinlung hian he pressure sang tak dona atan hian thisen pump turin a hma aia nasa zawkin hna a thawk a ngai a ni. Kum tam tak chhunga hetiang taka i thawh hian thinlung ruh chu a thim thin.
Mahse pressure chauh a ni lo, hei hi nghawng thei chhan dang tam tak a awm.
- Heart valve natna: Thinlung chhunga valve awmte hi kawngkhar ang mai a ni. Thisen chu kawng khatah a luang reng a, a luang let leh loh nan an veng bawk. Heng valve te hi a tawi (stenosis) emaw, a leak (regurgitation) emaw a nih chuan thisen pump turin thinlung hian nasa zawkin hna a thawk a ngai a ni.
- Diabetes: Zunthlum thunun loh hian thisen sugar level a tisang a. Hei hian hun kal zelah thinlung a tichhe thei a ni.
- Cardiomyopathy: Genetic emaw thil dang emaw avang hian heart muscle hi a thim emaw, a chak lo emaw mai thei.
- Aortic coarctation: Hei hi nau piang laia awm thin a ni. Taksa lama thisen phurtu thisen kalna kawngpui ber chu hmun khatah a zim a. Chuvângin, chu hmun zau tak chu thisen pump tûrin thinlung chuan a thawkrim zâwk a ngai a ni.
- Damdawi lam thil dang: Cardiac amyloidosis (thinlung chhunga protein awm zat), renal artery stenosis (kidney-a thisen petu thisen kalna kawng a zim), leh ventricular septal defect (VSD) (thinlung chamber inkar khur) te pawhin LVH a thlen thei bawk.
- Intense athletic training: Infiammi exercise leh training tam lutuk te hian an pianphungah thinlung a lian deuh thei. Mahse, hei hi damdawi lam thil a ni lo. An thinlung hi a thawk dan pangngaiin a thawk thin.
A pawimawh ber chu heng natna pakhat emaw a aia tam emaw nei mah la, LVH i nei dawn tihna a ni lo. Mahse a risk a sang zawk. Chuvangin heng dinhmunte hi uluk taka thunun a pawimawh hle.
Tute nge LVH vei theihna sang zawk?
Mi thenkhat chu midang aiin he natna hi vei an hlauhawm zawk.
- Obesity: Taksa rihna tam lutuk i neih chuan i taksa pum puia thisen pump turin i thinlung hian nasa zawkin hna a thawk a ngai a ni. I BMI 30 aia tam a nih chuan i risk a sang zawk.
- Chronic kidney disease: Kal a chhiat chuan taksaa tui leh chi (salt) a pung a, chu chuan thisen sang a thlen thei a ni.
- Obstructive sleep apnea: Hetiang dinhmun, mut laiin thawk a tawp fo thin hian thinlungah pressure nasa tak a siam thin.
- Nunphung dik lo: Zuk leh hmuam hman te, i ei leh inah chi tam lutuk dah te, leh taksa tihchak loh te hian a hlauhawmna a tipung bawk.
LVH hi enkawl loha dah a nih chuan eng nge thleng ang?
Hei hi kan ngaihven vek a ngai a ni. LVH hi thinlungin tanpuina a dil tih hriattirna a ni. Kan ngaihthah chuan hun kal zelah thinlung pump theihna a chak lo thei a, harsatna lian tak tak a thleng thei bawk.
- Thinlung thawk mumal lo `(Arrhythmia)`
- Lung natna
- Lung natna (Cardiac arrest) a awm
- Lung natna `(Heart failure)`
- Thai
- Dementia natna (dementia) a awm
LVH nen hian heng natna khirh tak takte hi vei theihna a sang a, chuvangin he natna hi hriatchhuah a, a rang thei ang bera enkawl tan a pawimawh hle.
Engtin nge doctor hian hei hi a hmuh theih?
Symptoms nei lo mah la, i doctor chuan routine checkup i neih hunah hei hi a ringhlel mai thei. LVH a awm leh awm loh finfiah tur leh a chhan hriat chian nan test eng emaw zat neih a ni ang.
- Echocardiogram (Echo): Hei hi test pawimawh ber a ni. Nausen scan ang mai a ni. Thinlung pindan lian leh te, a bang thuk zia te, valve hnathawh dan te, thinlungin thisen a pump dan te chiang takin a hmu thei a ni.
- Electrocardiogram (ECG emaw EKG): Hei hian thinlunga electric hnathawh dan a record a. Thinlung a lian a nih chuan ECG-ah hian inthlak danglamna hmuh tur a awm thei.
- MRI Scan: Thil engemaw takah chuan thinlung insiam dan chiang zawka zir chian nan MRI scan a ngai mai thei.
- Thisen test: Thisen test hi damdawi lam thil dang, zunthlum leh kal natna te enfiah nan tih a ni.
Hei hi eng enkawlna nge ni?
LVH enkawlna tum ber chu a natna chhan bulpui ber enkawl hi a ni. Hei hian thinlunga harsatna awm chu a tihziaawm ang a, LVH kal zelna chu a titawp emaw, a titawp emaw ang.
| Enkawl dan tur | Hei hi eng nge thleng? |
|---|---|
| Nunphung inthlak danglamna | Thisen sang hi chi tlem, ei leh in hrisel ei te, nitin exercise lak te, taksa rihna control te, meizuk loh te hian a control theih a ni. Hei hi enkawlna lungphum a ni. |
| Thisen sang damdawi | I doctor-in thisen sang damdawi a pek chu dik tak leh a hun taka ei a pawimawh. Heng damdawi te hian thinlunga pressure a tihziaawm bakah LVH a na zual loh nan a veng bawk. |
| Damdawi dang | Diabetes damdawi thenkhat (SGLT2 inhibitor ang chi) hian LVH enkawlna kawngah a pui tih hmuhchhuah a ni. |
| Lung valve surgery a ni | LVH hi heart valve tihtlem avanga lo awm a nih chuan, chu valve chu surgery hmanga thlak emaw, siamthat emaw chuan heart-a pressure awm chu a tiziaawm thei a ni. |
| A taksa rihna tihtlem dan tur (Bariatric surgery) . | Thau lutuk hi thunun theih loh a nih chuan a chang chuan hetiang surgery hian i thau tihtlem nan leh i thisen sang control nan a pui thei che a ni. |
Engtikah nge Doctor ka hmuh ang?
Heng symptoms zinga pakhat tal i neih chuan ngaihthah suh.
I rilru na tak, thawk harsa tak tak, stroke chhinchhiahna (hmai sir khata tla, kut pakhat a bengchheng, tawng harsa), emaw, thinlung na tak tak emaw, mumal lo emaw i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.**
Tin, i doctor-in LVH i vei thu a hrilh che a nih chuan i natna lan chhuah dan a danglam emaw, a pung emaw a awm chuan doctor hnenah hrilh rawh.
LVH hi tihdanglam theih a ni em?
Hei hi chanchin lawmawm chu a ni. Ni e, a then phei chuan LVH hi tihchangtlun theih a ni a, control theih a ni a, a chang chuan tihdanglam vek theih a ni bawk!Zirna hrang hrangah chuan thisen sang control tha a nih chuan heart muscle thickened chu eng emaw chen chu a lo tha leh thei tih a tarlang.
Mahse hei hi i dinhmun nasat dan te, thisen sang i neih rei dan te, leh damdawi lam thil dang thau lutuk ang chi i neih leh neih lohah a innghat a ni. Chuvangin i tih theih tha ber chu i doctor thupek dik taka zawm hi a ni. I damdawi ei a pawimawh hle a, nunphung thlak danglam a, a hun taka clinic kal hi a pawimawh hle.
Take-Home Thuchah a ni
- Left Ventricular Hypertrophy (LVH) hi thinlung pumpui pumping chamber bang thicking a ni. Hei hi a chhan ber chu thisen sang a ni.
- A tir lamah chuan symptom a awm lo mai thei a, chuvangin i thisen sang enfiah fo la, medical checkup pawh nei bawk ang che.
- LVH control dan tha ber chu natna bulpui (a bik takin thisen sang) avanga natna thlentu dik taka enkawl hi a ni.
- Nunphung hrisel (ei leh in tha, exercise, taksa rihna tihtlem) hian he natna hi nasa takin a thunun thei a ni.
- Hemi chungchanga zawhna leh ngaihtuahna i neih chuan i doctor nen zalen taka inbiakna neih hi hlau suh. Hriat hmasak leh enkawl dan dik tak chuan nun hrisel tak i hmang thei ang.
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