I heart valve a leak tlem em? Mitral Valve Regurgitation chungchang i zir dawn teh ang!

A châng chuan thawk harsa i ti thut em? A nih loh leh i rilruah thil mak tak, rit tak i hre em? Hna tenau i thawh hnuah pawh a chang chuan i chau thin em? Chutiang thil thlen chhan pakhat chu i thinlunga kawngkhar tê tak tê, chu chu valve-a buaina a ni thei. Vawiin hian Mitral Valve Regurgitation chungchang kan sawi dawn a, chutiang dinhmun chu a ni. Lungngai suh, hei hi awlsam takin i hrethiam ang u.

Thinlung chhunga mitral valve hi eng nge ni? A thawk tha lo a nih chuan eng nge thleng thin?

A awlsam zawngin, mitral valve hi i thinlung veilam sir upper chamber (left atrium) leh lower chamber (left ventricle) inkar kawngkhar a ni. I in chhunga kawngkhar ang maiin ngaihtuah rawh. He kawngkhar hi a inhawng leh khar tha a ngai a, chu chuan a chunglam chamber atanga a hnuai lam ah thisen a luang chhuak thei a ni. Tichuan, he kawngkhar hi uluk taka khar a ngai a, chu chuan lower chamber atanga i taksa peng dang zawng zawngah thisen a thawn thei a ni. Chutiang a nih loh chuan thisen chu upper chamber-ah a leak leh tan ang.

Mahse a chang chuan he kawngkhar hi a khar tha lo. Kan in chhunga kawngkhar te pawh a chang chuan a khar tha lo a, hmun tlem a hnutchhiah ang bawkin. Hei hi kawngkhar ngei, chu chu valve tissue-a harsatna awm vang a ni thei. A nih loh leh kawngka chhehvel bang, chu chu thinlung veilam pindan-a harsatna awm vang pawh a ni thei. Mahse, he kawngkhar hi a khar tha loh chuan thisen thenkhat chu hnunglam hawiin, chu chu upper chamber chhungah a leak lut thin. Hei hi mitral valve regurgitation emaw ``Mitral Regurgitation - MR'' emaw kan tih chu a ni.

Tui tap ang maiin han ngaihtuah teh. Tap khar tha a nih loh chuan tui a leak chhuak ang, a dik em? Chutiang chu he mi nen hian a ni.

He leak hi a tlem a, chu chu kawngka chhunga hmun a tlem hle tihna a nih chuan harsatna lian tak a ni lo mai thei. I thinlungin a tuar thei a, chuvangin danglamna i hre lo mai thei. Mahse, he leak hi a lian a, chu chu kawngkhar a inhawng zau tihna a nih chuan i thinlung hian a ti na hle tih a hria. A chhan chu thinlung hian hmalam pan tura thisen a mamawh zat pump turin a hma aia nasa zawkin hna a thawh a ngai a ni. Hun a kal zel a, hei hi thinlungin a tuar thei tawh lo va, natna lan chhuah dan leh harsatna dang i nei thei bawk.

Hetiang dinhmun hi hetiang hian an ti bawk:

• Mitral valve tling lo (`(Mitral valve tling lo)`) .
• Mitral valve thiam lohna a awm
• Mitral valve leak (`(Mitral valve leak)`) a awm a, a chhuak leh ta a.

Dik tak chuan mitral valve prolapse hi United States ang ramah chuan heart valve natna chi khat a ni ber. Kum upa lam, a bik takin kum 65 chunglamteah a tam hle.

Mitral valve leak chi hrang hrang a awm em?

Ni e, chi hnih a awm ber a:

1. Mitral regurgitation hmasa ber (`(Mitral regurgitation hmasa ber)`) .: Hetiang a nih chuan buaina chu valve ngeiah a awm a ni. Valve hmun khat emaw a aia tam emaw structural damage avanga lo awm a ni a, chu chuan a khar tha thei lo. Entirnan, valve leaflet te chu a flexible lutuk a, a seal tha lo thei a, a thick a, a inkhar tha lo thei bawk.

2. Secondary mitral regurgitation : Hei hi heart condition dang vang a ni a, chu chuan heart chamber (left atrium or ventricle) valve support tu a nghawng a ni. Entirnan, heart muscle disease (cardiomyopathy) hian thinlung a ti lian thei a, a chak lo thei bawk. Heng inthlak danglamna te hian valve chu a kal kual thei a, a khar tha lo thei bawk.

Eng ang leak pawh ni se, a nasat nghal thei (`(Acute)`), a nih loh leh hun kal zelah a lo thang zauh zauh thei (`(Chronic)`).

Mitral valve-ah leak a awm chuan eng symptom nge a awm theih?

Leak a tlem chuan symptoms i nei lo mai thei. Mahse leak a lian a, thinlung hnathawh a nghawng tan chuan a lan chhuah dan tlangpui chu thawk hah (dyspnea) a ni. I lung chhungah boruak i lut tling thei lo ang maiin i inhria thei a, a nih loh leh ding mai mai emaw, mut mai mai emaw, mut tum emaw, hna awlsam tak tak i tih lai emaw pawhin thawk harsa i ti thei bawk.

Symptom dang pawh a awm thei bawk:

• Atypical rilru natna.
• Khuh.
• Ke emaw ke emaw a hring (`(Edema)`).
• Chau lutuk tih hriat (`(Fatigue)`).
• Faint ang maiin a lang a, mahse a takah chuan a thleng lo (`(Presyncope)`).
• I heart rate a danglam ang maia inhriatna, i rilru a na (`(Heart palpitations)`) ang maia inhriatna.

Heng symptoms te hi zawi zawiin a lo lang thei a, a lo intan nghal thei bawk.

Hei hi emergency a ni! Heng symptoms te hi i neih chuan damdawi in pan nghal rawh!

I thinlung hian hna a thawk nasa lutuk a nih chuan acute heart failure symptoms i nei thei a ni. Hengte hi a lo thleng nghal thei a, chuvangin heng symptoms te hi fimkhur rawh:

• Thâwk chhuak ringawt.
• I thawk hah ang maia inhriatna.
• Mut laia thawk harsa.
• A rilruah a tight tih hriatna.
• In lama pulse oximeter hmanga thisena oxygen level a hniam tih a hriat chuan.

Acute heart failure hi medical emergency a ni a, heart hian hna a thawk tawh lo thut a, nunna atana hlauhawm tak a ni thei. Chuvangin inenkawlna zawng vat a pawimawh hle.

Engvangin nge he mitral valve hi a khar dik loh? A chhan engte nge ni?

Kan sawi tawh ang khan he harsatna hi mitral valve a khar tha loh vang a ni. He valve hian flap (leaflet) pahnih a nei a. An inhawng a, an khar a, chu chuan upper chamber atanga lower chamber thlenga thisen a luang chhuak thei a ni.

Heng leaflet te emaw, valve hmun dang emaw a chhiat chuan, emaw, natna chi hrang hrangin valve a khar tha lo a nih chuan, valve khar apiangin thisen tlem te te chu hnunglam hawiin a leak thin.

Hei hi a chhan hi MR i neih chi hrang hrang (primary emaw secondary emaw) a zirin a inang lo.

Primary mitral valve regurgitation hi a chhan chu:

• Mitral valve prolapse (MVP) : Hei hi ram changkang zawkah chuan a thlen tam ber a ni.
• Rheumatic heart disease : Hei hi khawvel pumah a thlentu lian ber a ni.
• Connective tissue natna (`(Connective tissue natna)`).
• Thinlung chhiatna pianpui ``(Cleft mitral valve)`` an tih.
• Thinlung chhungril lam natna (endocarditis) a awm.
• Radiation therapy (`(Radiation heart disease)`) avanga thinlung natna.
• Accident avanga hliam tuar.

Secondary mitral valve regurgitation hi a chhan chu:

• Ischemic cardiomyopathy (hei hi a tam ber) hi thinlung supply tu thisen kalna kawng a block vang a ni.
• Atrial fibrillation, thinlung thawk mumal lo.
• Dilated cardiomyopathy (thinlung ruh natna, chhan hriat loha thinlung lian tham) .
• Lung ruh (`(Hypertrophic obstructive cardiomyopathy)`) avanga lo awm natna.

He natna hi a nasat chuan eng harsatna nge thleng thei?

Enkawl loh chuan mitral valve prolapse hi nunna atana hlauhawm tak a ni thei. Harsatna lo awm thei thenkhat chu hetiang hi a ni:

• I thinlung chu a thawk mumal lo (`(Atrial fibrillation)`) a tan a, chu chuan a chang chuan stroke a thlen thei bawk.
• I thinlung hian taksaah thisen a pump tling thei lo (`(Heart failure)`).
• Thinlung atanga lung thlenga thisen phurtu thisen kalna kawng (arteries)-a pressure a sang (`(Pulmonary hypertension)`).
• Thinlung chu a thawk tawp nghal mai thei (`(Sudden cardiac arrest)`).

Engtin nge doctor hian he natna hi dik taka a hriat theih ang?

Doctor-in a tih hmasak ber chu uluk taka a enfiah che hi a ni. Sawtah:

• I symptoms leh natna dang i neih te an zawt thin.
• I vital signs te, i thisen sang leh pulse rate te an enfiah ang.
• Taksa chu a hring (edema) a awm leh awm loh an enfiah thin.
• Stethoscope hmangin i thinlung leh lungte chu a ngaithla ang. Lung ri danglam tak (``heart murmur'') i hriat chuan valve natna chhinchhiahna a ni thei.

Tichuan doctor chuan thu belhchian dawl zawk hriat tumin test eng emaw zat a ti ang.

He natna hi hriat chian nan eng test nge tih thin?

Doctor-te chuan i mitral valve-a leak awm leh awm loh enfiah nan transthoracic echocardiogram (TTE) tih test an ti fo thin. Hei hi natna nei lo, noninvasive scan a ni. I valve-a leak awm leh awm loh leh i thinlung structure emaw function emaw chungchanga harsatna dang a awm leh awm loh a enfiah thei bawk. I doctor hian i valve hi ngun zawka a en duh chuan transesophageal echocardiogram (TEE) tih test pawh an ti thei bawk.

I doctor chuan i natna nasat leh nasat loh hriat nan test dang a ti thei a, enkawl dan tur ruahmanna a siam thei bawk. Chung zingah chuan:

• A `(CT scan)` thinlung (`(Cardiac CT scan - computed tomography scan)`).
• Exercise neih laiin `(Echocardiogram)` tih a ni (`(Exercise stress echocardiogram)`).
• Lung lam MRI (magnetic resonance imaging) hmanga test a ni.
• Cardiac catheterization, cardiac cath emaw coronary angiogram emaw tia hriat bawk.

Mitral valve leakage hi eng enkawlna nge ni?

"One-size-fits-all" tih hi a awm lo. Doctor-te chuan i mamawh angin enkawlna an siamsak ang. A hnuaia mite hi an ngaihtuah ang:

• Mitral regurgitation i neih chi hrang hrang (primary emaw secondary emaw).
• I dinhmun nasat dan. Stage A, B, C, D tia sawi theih a ni a, D hi a na ber stage a ni.
• Surgery avanga harsatna awm thei.

I doctor chuan i enkawl dan tur a hrilhfiah ang che, a thatna leh that lohna te pawh a hrilhfiah ang che. I hriatthiam loh thil a awm chuan zawhna zawt ngei ang che. Chutiang chuan, thu tlûkna dik tak i siam thei a ni.

Mitral regurgitation hi khawthlang ramah chuan heart valve surgery chhan tam ber pahnihna a ni (a hmasa ber chu aortic valve stenosis a ni).

Enkawlna kawng hrang hrang a awm a:

Mitral valve siamthat (`(Mitral valve siamthat)`)

Hei atan hian duhthlan tur hrang hrang:

• Open-heart surgery tih a ni.
• Heart surgery hi incision te te (`(Minimally invasive heart surgery)`) hmanga tih a ni.
• Mitral transcatheter edge-to-edge repair (TEER): Hetiang tihnaah hian doctor chuan tube sei tak, te tak te (catheter) hmangin i valve leaflet-ah clip te tak te a dah thin. He clip hian leaflet te chu a khar tha thei hle.

Mitral valve thlak danglam (`(Mitral valve thlak)`)

Hei atan hian duhthlan tur hrang hrang:

• Open-heart surgery (`(Open-heart surgery)`) pek i ni ang a, mitral valve thar dah a ni ang. He valve hi thir (`(mechanical)`) emaw ran tissue (`(bioprosthetic)`) atanga siam a ni thei bawk.
• Transcatheter mitral valve thlak (TMVR) hi a tlem berah chuan a invasive lo hle.

Lung natna enkawl dan

Hei hian a huam thei ang:

• Damdawi diuretics ang chi te .
• Left ventricular assist device (LVAD) dah luh a ni.
• Palliative care hmanga enkawl a ni.

Atrial fibrillation natna enkawl dan

Hei hian a huam thei ang:

• Damdawi chi hrang hrang.
• Thil tih dan tur.
• Inzai.

He natna hi ka vei chuan ka hriselna chu eng ang nge ni ang?

Thil tam takin i hriselna a nghawng dan tur a nghawng a ni. Entir nan:

• i kum zat.
• Symptoms i nei em, engtiang chiahin nge a nasat?
• Leak nasat dan.
• I valve chu siamthat theih a ni em?
• I thinlung a tihchhiat nasat zia.

Chûng zawng zawng chuan i dinhmun a nghawng avângin, i dinhmun chu mi dangte nên a danglam thei a ni. I dinhmun hi engtin nge a kal zel dawn tih chiang taka hre thei tur chuan i doctor hi a tha ber a ni. Nangmah te, i damdawi lam chanchin te, leh i tanpui thei tur enkawlna kawng hrang hrangte chu a hre chiang hle.

He mitral valve leak hi engtiang chiahin nge a pung?

Mi thenkhat tan chuan hei hi zawi zawiin a kal zel a. Mi dangte tan chuan hma a sawn chak zawk mai thei. I doctor chuan i dinhmun a hrilh ang che, doctor hnena check-up i neih fo tur leh i dinhmun hian i dam rei zawng a nghawng theih dan te a hrilh ang che.

He natna laka inven dan tur a awm em?

Hei hi i veng thei reng reng lo mai thei. Amaherawhchu, thinlung natna chi hrang hrang i vei theihna tur a tihziaawm theih nan i doctor nen thawhhona tha tak i nei thei a ni. I doctor chuan i medical history leh risk factors te chu a enfiah ang a, i tana tha tur thurawn a pe ang che. A tlangpuiin a hnuaia mite hi i ti thei ang:

• Zuk leh hmuam thil (cigarette, beedis ang chi) hman kha bansan vek rawh .
• Exercise neih fo thin ang che.
• Lung hrisel chaw ei rawh.
• I tan taksa rihna hrisel tak vawng reng rawh.
• Kum khatah vawi khat tal doctor pan la, checkup la, harsatna a awm chuan hriatchhuah vat rawh.
• Khawsik ruala i rilru natna i neih fo chuan, a nih loh leh tun hmaa rheumatic fever i neih tawh chuan doctor pan rawh.

Engtin nge ka in enkawl ang?

Thisen sang control leh thei leh thlai ei tam hi a tha reng a ni.

Heart valve surgery hnua cardiac rehabilitation program (`(Cardiac rehab)`)-a tel hian exercise i tan leh thei a ni.

Prosthetic valve thar i neih chuan a hnuah damdawi i ei a ngai dawn a ni. Thisen zam a awm loh nan i dam chhung zawng anticoagulants (thisen tithianghlimtu) i ei a ngai dawn a ni. Ha enkawlna leh upper respiratory test thenkhat neih hmain endocarditis (thinlung lining infection) venna atan antibiotics i ei a ngai bawk ang.

Engtikah nge Doctor ka hmuh ang? Eng zawhna nge ka zawh ang?

I doctor chuan check-up neihna tur doctor i hmuh fo a ngaih thu a hrilh ang che. I natna a nasat poh leh doctor pan a ngai dawn a, imaging test (scan ang chi) pawh neih a ngai dawn bawk. I appointment zawng zawng zawm vek a pawimawh.Chumi hnuah chuan doctor chuan i dinhmun chu a enfiah thei ang a, a hun takah enkawl turin a rawt thei ang.

I dinhmun hriat belh duhna i doctor zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka mitral valve leak hi engtiang chiahin nge a nasat?
• Eng treatment option nge ka tan i recommend?
• Enkawlnate thatna leh that lohna engte nge ni?
• Eng nunphung tihdanglamna nge ka neih?
• Engzat nge doctor hmuh emaw, imaging test neih emaw ka mamawh?
• Ka hmalam hun hriselna chu eng ang nge ni ang?

Ngaihtuah tur thil

Lung natna i nei tih i hriat hian i rilru a buai tih hi thil pangngai tak a ni. Mahse i dinhmun i hriat belh a, enkawlna i hmuh chuan hma i sawn leh thuai dawn a ni.

Mitral valve prolapse hian mi zawng zawng a nghawng dan a inang lo va, chuvangin i doctor chuan i enkawlna chu i mamawh angin a siamsak ang. I zawhna leh ngaihtuahna te chu doctor hnenah sawi hreh suh. I thinlung hnathawh dan hrethiam zawk turin a pui ang che. Tin, hrisel taka awm theihna tur leh nunphung tha ber ber nunpui thei tur enkawlna leh nunphung tihdanglam dan tur a rawt bawk ang.

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