Mitral Valve Prolapse chungchang hi han zir ila.

A châng chuan i rilru a na ang maiin i inhria em, hla vak lo i kal lai pawhin thawk harsa i ti em, a nih loh leh nilengin i chau mai mai em? Mi tam takin hengte hi thil pangngaiah ngai mah se, a chang chuan he thil hnung lama thinlungah hian harsatna tenau tak a awm thei a ni. Mitral Valve Prolapse hi mi tam tak zingah hmuh tur a awm a, mahse a hlauhawm lo fo thin. Vawiin hian he thu hi han sawi mai ila.

A awlsam zawngin, Mitral Valve Prolapse (MVP) hi eng nge ni?

I thinlung hi pindan pali nei in angin ngaihtuah rawh. Heng pindan inkarah hian kawngkhar a awm a, chu chuan thisen a kal leh chhuak thei a ni. Heng kawngkharte hi damdawi lama "valve" kan tih te hi an ni. Kawng khat chauh hawn kawngkhar ang an ni.

Mitral Valve hi i thinlung veilam sir a upper chamber (left atrium) leh lower chamber (left ventricle) inkar kawngkhar a ni. He valve hi i thinlung a na apiangin a inhawng a, a khar a, oxygen tamna thisen kalna tur kawng dik takah a control a ni.

Mitral Valve Prolapse (MVP) hi he valve leaflet pahnih hi a khar tha lo va, chu ai chuan hnunglam hawiin, left atrium lam hawiin a inbeng a ni. Kawngkhar khar tha lo leh hnunglam hawia ben deuh ang mai a ni. Hei hian a chang chuan valve chu a khar vek thei lo.

Mahse, lungngai suh. Hei hi thil awm dan tlanglawn tak a ni a, khawvel mihring 2% atanga 3% inkar velin a nghawng a ni. Mi tam tak chuan symptoms an neih loh avangin an nei tih pawh an hre lo. Chu chu a chhan chu valve chu a ben deuh a, mahse a la thawk tha hle.

MVP vei mi pakhatin eng symptom nge a neih theih ang?

Mi tam zawkin symptoms nei lo mah se, mi thenkhat chuan heng thilte hi an tawng thei a ni. Heng symptoms te hi mi zawng zawng tan a inang vek lo.

Engvangin nge hetiang thil hi a lo thlen?

MVP awm chhan ber chu valve tissue chak lo vang a ni. Damdawi lam hawi chuan hei hi ``myxomatous degeneration'' an ti a. A awlsam zawngin, valve tissue chu a chak lo va, a inzawm khawm a, rubber band hlui ang mai a ni. A chhan dik tak chu hmuh chhuah a ni ngai lo.

• Heredity: A chang chuan chhungkuaa a tlan chuan naupangte pawh a nghawng thei bawk. Hei hian genetic influence a awm tihna a ni.
• Damdawi lam thil dang: Connective tissue disorder thenkhat nei te chu MVP vei theihna a sang hle. Entirnan, Marfan syndrome leh Ehlers-Danlos syndrome ang chi dinhmun te.
• Risk factor dangte: Rheumatic heart disease, scoliosis, leh Graves’ disease ang chi natna nei te pawh hi an hlauhawmna a sang deuh hlek bawk.

Hei hian harsatna dang a thlen thei em?

Mi tam zawkin harsatna engmah tawk lo mah se, mi thenkhat, a bik takin natna khirh zawk nei te chuan harsatna engemaw zat an tawk thei a ni.

A harsatna ber chu Mitral Regurgitation an tih hi a ni . Hei hi valve a khar tha lo va, thisen chu kawng dik lo lamah a leak a, left ventricle atanga left atrium ah a leak leh thin. He leak hi a pun chuan thinlung hian nasa zawkin hna a thawk a ngai a ni.

Mitral Regurgitation a nasat chuan a hnuaia harsatna te hi a awm thei a ni:

• Lung lam chak lohna
• Valve chhunga natna hrik (`Infective endocarditis`) .
• Lungphun mumal lo, entirnan `(Atrial fibrillation)`
• Thai
• A tlem berah chuan heart rhythm irregularities na tak (`Ventricular arrhythmias`) hian cardiac death rang tak a thlen thei.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i symptoms te leh i chhungkuaa tu emaw chuan heart disease an nei em tih te a zawt ang che. Tichuan i rilru chu stethoscope hmangin a ngaithla ang.

MVP vei thinlung ngaihthlak hian doctor chuan aw danglam tak a hre thei. ‘click’ ri a ni a, a dawtah chuan ‘whoosh’ ri (a murmur) . Hei vang hian mi thenkhat chuan he natna hi ‘click-murmur syndrome’ an ti thin.

He aw hi i hriat chuan i doctor chuan i natna hriat chian nan leh a nasat dan hriat nan test eng emaw zat neih belh leh turin a rawt ang.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu MVP vei tam zawk hian enkawlna engmah an mamawh lo . I doctor chuan regular check-up turin rawn lut turin a hrilh ang che. Chutiang tlawhnaah chuan echocardiogram an ti ang a, valve dinhmun a danglam em tih an enfiah ang.

• Symptoms hriat theihna tur damdawi: Luak chhuak leh rilru na ang chi symptoms i neih chuan i doctor chuan a control theih nan beta-blockers ang chi damdawi a pe thei che a ni.
• Thisen zam venna damdawi: Atrial fibrillation ang chi natna i neih emaw, a hmaa stroke i lo neih tawh emaw chuan thisen zam venna tur damdawi anticoagulants an tih chu pek i ni ang.
• Surgery: Regurgitation a nasat a, thinlung a nghawng chuan operation neih a ngai mai thei.
• Mitral valve repair: A theih phawt chuan doctor ten mahni valve siam that an tum ang. Hei hi duhthlan tur tha ber a ni.
• Mitral valve thlak: Valve a chhiat lutuk a, siamthat theih loh a nih chuan valve thar (mechanical emaw biological emaw) hmanga thlak a ni.

Tunlai thiamna changkang tak tak hmang hian heng surgery te hi incision te tak te (minimally invasive surgery) hmangin rilru hawn kim lovin tih theih a ni.

Engtin nge kei pawh operation ka mamawh dawn em tih ka hriat theih ang?

MVP nei zawng zawng hian operation an mamawh vek lo. Mi 10 zinga pakhat vel chu zai a ngai dawn a ni. Surgery i mamawh mai thei a, chu chu:

• Hun kal zelah i symptoms a na zual a nih chuan .
• Valve atanga thisen (regurgitation) a leak nasa lutuk chuan .
• Scan-ah chuan thinlung a lian tih a lan chuan (`left ventricular leh/or left atrial dilation`).
• Heartbeat mumal lo (arrhythmia) i neih chuan.
• Thinlung hian taksaah thisen a pump tling thei lo a nih chuan (ejection fraction a tlahniam).

Engtikah nge damdawi lam thurawn hmanhmawh taka ka lak ang?

Doctor thurawn angin check-up neih fo thin ang che. Mahse, a hnuaia chhinchhiahnate hi a lo lang nghal a nih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh .

• Vawikhatmah, rilru na tak.
• Thil hriatna hloh, luak chhuak nasa lutuk emaw, chak lohna nasa tak emaw.
• Thâwk lak harsat thut, nasa tak.
• Thisen zam lohna damdawi i ei a, tlu ang chi accident i neih chuan doctor pan nghal la, pawn lam atanga hliam hmuh tur awm lo mahse, chhungril thisen chhuah theihna a awm avangin.