A châng chuan hla vak lo i kal lai pawhin thawk hah, thawk hah, emaw, i rilru a na emaw i ti em? Heng thilte hi hahna pangngai ang maiin lang mah se, hemi hnung lamah hian kan thinlungah harsatna tenau tak a awm thei a ni. Vawiin hian hetiang dinhmun hi kan sawi dawn a, chu chu 'Mitral Valve Stenosis' emaw damdawi lama ``Mitral Valve Stenosis'' tia hriat a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.
Mitral Valve Stenosis hi eng nge ni?
A awlsam zawngin, hei hi kan thinlung chhunga mitral valve tihtlem emaw, block emaw a ni. I in chhunga pindan pahnih inkarah kawngkhar a awm ang tih han ngaihtuah teh. Chu kawngkhar chu hawn kim theih a ni lo va, a inhawng tlem chauh a nih chuan, inher kual chu a harsa dawn lo em ni? Hetah pawh hi chutiang chu a ni.
Mitral valve hi kan thinlung veilam chamber chunglam (left atrium) atanga lower chamber (left ventricle) thlenga thisen kalna gate a ni. Lung atanga oxygenated thisen chu he upper chamber ah hian a lut hmasa ber thin. Chuta tang chuan lower chamber-ah a kal a, chutah chuan oxygenated thisen chu taksa pum puiah a pump chhuak a ni.
Chuvangin, he mitral valve hi a zim chuan upper chamber atanga lower chamber-a thisen luang chu a harsa ta hle a ni. Kawngkhar inhawng tha lo ang mai a ni. Hei hian thinlung chu a thawkrim zual sauh a ni. Hun a kal zel a, hei hian thinlung hnathawh danah harsatna chi hrang hrang a thlen thei a ni.
Sri Lanka ramah hian engtiang chiahin nge hetiang dinhmun hi a hluar?
Dik tak chuan hei hi ram changkang nena khaikhin chuan natna tlanglawn tak a ni lo. A chhan chu tunah hian he natna thlentu ber, bacteria infection tan antibiotics tha tak tak kan nei ta a ni. Mahse tun hma chuan he dinhmun hi a awm fo thin.
Hetiang dinhmun hi mipa aiin hmeichhiaah a tam zawk deuh. Ram changkang zawkah chuan kum 50 leh 60 inkar mite zingah a tam ber a, mahse ram changkang zawka naupang zawkte zingah pawh hmuh tur a awm. A châng chuan, naute tê tê pawh he natna hi neiin an piang thei bawk.
Hei hi eng symptoms nge ni?
A tam zawkah chuan he natna hian a nasat deuh hma chuan symptom lian tham a lantir lo. Mahse, symptoms a lo lang tak tak chuan hetiang thil hi i hmu thei a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thâwk harsa (dyspnea) . | Hei hi a lan chhuah dan tlangpui a ni. Exercise i tih lai emaw, hna i thawh lai chauh ni lovin, khumah i mut lai pawhin thawk harsa i nei thei. |
| Chau | Hei hi hahna mai a ni lo. Ni khat chhunga hna thawh theih lohna tur khawpa hahna nasa tak a ni. I taksain nunna nei lo ang maiin i inhria. |
| Chest infection (bronchitis) awm fo thin . | Heart failure hian lung a nghawng thei a, rilru natna a thlen fo bawk. |
| Palpitations a awm | Thinlung chunglam chamber-ah pressure a tam lutuk avangin thinlung chu a thawk mumal lo thei hle. Hei hi atrial fibrillation an ti a . Tichuan i thinlung chu a na hle a, mak tak maiin i hre ta a ni. |
| Thai | Thinlung hian thisen a pump tha tawk loh avangin thisen zam (blood clot) a lo piang thei a, thluak lamah a kal a, a lodged thei bawk. Hei hi dinhmun hlauhawm tak a ni. |
| Thisen a khuh chhuak | Thinlung atanga pressure lo chhuak hian lung chhunga vein te a nghawng thei a, a chang chuan i khuh hian mucus nen thisen tlem a chhuak thei bawk. |
| Aw thlak danglam (Hoarseness) . | Kan aw thununtu nerve pakhat chu thinlung bulah a kal a. Thinlung chunglam chamber a lo lian a, he nerve hi a compress chuan aw chu a ri chhuak thei a ni. |
| Ke ruh, ke emaw, pum emaw a hring chhuak | Thinlung hian thisen a pump tha thei lo a nih chuan taksaah tui a pung a, ke leh pum ang chi hmunte chu a lo hring tan thin. |
Naupang tê tête zînga hetiang dinhmun a lo awm hian symptoms hmuh theih
Hetiang natna neia piang naupang tête hian natna lan chhuahna an nei thei a, chungte chu:
- Nau hnute pek harsatna emaw, hnute pek laiin thawk hah emaw.
- Khuh leh khawsik.
- Kum nena inmil taka thanlenna lantir loh.
- Thluak lam natna vei fo thin.
- Hun engemaw chen tlan leh inkhelh hnu pawha chau vat leh thawk harsa.
Pawimawh tak chu mi thenkhat chuan he natna hi nei mahse symptom an nei lo mai thei. Hmeichhe tam takin a vei tih hmuhchhuah a ni a, a bik takin naupai lai hian a vei tih hmuhchhuah a ni. Hei hi a chhan chu naupai laiin naute hnena thisen pump turin thinlung hian nasa zawka hna a thawh a ngai a ni.
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
Hei hi chhan lian tak tak engemaw zat a awm.
- Infection avanga chhiatna: Hei hi a chhan ber leh a tam ber chu rheumatic fever a ni . Naupan laia hripui (strep throat) natna hrik (strep throat) a awm chu uluk taka enkawl a nih loh chuan taksa hriselna (immune system) hian heart valve a tichhia a, a chhang let thei a ni. He chhiatna hi a lan chhuah hmain kum 20 atanga kum 30 vel a la ngai thei. Chuvangin mi tam tak chuan kum chanve an tlin hma chuan symptom an nei lo.
- Kum upat ruala inthlak danglamna: Kan tar chhoh zel chuan valve-ah calcium a awm khawm thei a, chu chuan a ti thim a, a ti tawi thei bawk. Mahse, he narrowing hi a na lo fo va, enkawl a ngai lo thei bawk.
- Congenital: Naupang thenkhat chu he valve hi tihtlem a ni thei. Hetiang dinhmun hi kum 2 an tlin hmain hmuhchhuah a ni tlangpui.
He natna avanga harsatna dang lo awm thei te
Mitral valve stenosis hi a hun taka enkawl a nih loh chuan hriselna lama harsatna dang a awm thei a, chungte chu:
- Pulmonary Hypertension tih a ni
- Pulmonary Edema a awm thin
- Lung lam chak lohna
- Thisen zam leh stroke
- Thinlung thawk mumal lo `(Atrial Fibrillation)`
- Lung kawng natna (Infective Endocarditis) .
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Doctor hmu tura i kal chuan i rilru chu a enfiah laiin Stethoscope hmangin a ngaithla ang che. Tichuan, thinlung atanga thawm danglam tak lo chhuak i hriat chuan ‘Heart Murmur’ kan ti a, i ringhlel mai thei. Tichuan, natna hriat chian nan hetiang test nei turin a refer ang che.
| Fiahna | Hemi atang hian eng nge i zir? |
|---|---|
| Echocardiogram hmanga tih a ni | Hei hi he natna hriat theihna atana test hman ber a ni. Ultrasound wave hmangin thinlung video lak a ni a, chu chuan valve a zim zia leh thinlung hnathawh dan chiang takin a entir a ni. |
| ECG test (Electrocardiogram) hmanga enfiah a ni. | Hei hian thinlung electrical activity a teh a ni. Heartbeat mumal lo, atrial fibrillation ang chi te a enfiah thei. |
| Chest X-ray hmanga enfiah a ni | Hei hian he natna avang hian thinlung pianzia emaw, a lian zawng emaw a inthlak em tih hriat theih nan a pui thei a ni. |
| Cardiac Catheter hmanga tih a ni | A nasat deuh deuhah chuan tube te tak te chu kut emaw ke emaw chhunga vein kal tlangin thinlung chhungah an lut a, chu chuan heart chamber chhunga pressure tehna a siam a ni. |
Hei hi eng enkawlna nge ni?
Hei hi enkawl dan tur a awm. Mahse heng enkawlnate hian a natna lan chhuah dan a thunun chauh a, a natna a zual zel tur chu a titawp mai a ni. Symptoms a lan hnuah a rang thei ang bera enkawl tan a pawimawh hle.
Damdawi chi hrang hrang
Doctor chuan i symptoms control nan damdawi chi hrang hrang a pe ang che.
- Thisen sang control.
- Tui retention tihtlem leh swelling control.
- I thinlung thawk dan control rawh.
- Thisen zam venna hmangin stroke hlauhawmna tihziaawm rawh.
Catheter hmanga enkawl a ni
Hengte hi surgery aiin procedure awlsam zawk a ni. Kut emaw ke emaw chhunga vein pakhat kaltlangin tube te tak te chu thinlung lam pan chuan an ti thin.
- Balloon Valvuloplasty hmanga tih a ni.Balloon pakhat chu blocked valve bulah dahin inflated a ni a, chu chuan valve chu a tizau hle.
- Transcatheter valve thlak (TMVR): A then phei chuan hetiang hian valve hlui chu a tharin a thlak thei bawk.
Surgery hmanga valve siamthat emaw thlak emaw
A natna a nasat chuan operation neih a ngai mai thei. Hetah hian surgeon chuan:
- Valve siamthat: Valve inzawm khawm valve te chu i then a, hna thawk leh turin i siam thei bawk.
- Valve thlak kim: Valve chhia chu lakchhuah a, artificial valve emaw, rannung tissue atanga siam valve emaw hmanga thlak theih a ni. I doctor chuan eng method nge i tan a tha ber tih a hrilhfiah ang che.
Mitral valve stenosis hi a veng thei ang em?
Ni e, a theih hle mai. Rheumatic fever hi a chhan ber a nih avangin bacteria infection (a bik takin ril infection) te hi rang tak leh uluk taka enkawl a tha ber. Doctor-in antibiotics a pek chuan a natna a reh pawhin a hun bituk chhung zawng i ei tur a ni.
Kum upat deuh deuha thil thlengte hi titawp vek thei lo mah ila, nunphung hrisel (ei leh in tha, exercise, taksa rihna hrisel) hmangin kan tikhawtlai thei a ni.
Engtikah nge ETU (Emergency Treatment Unit) ah ka kal ang?
Inenkawlna i dawng a nih chuan, chutiang hunah chuan damdawi in hnai ber Emergency Treatment Unit (ETU)-ah i kal nghal tur a ni.
Damdawi ei tan hnuah...
- Damdawi avanga side effect danglam tak tak i neih chuan (chu chu eng nge ni tih hriat tumin i doctor zawt hmasa rawh).
- I hriatna i hloh nghal a nih chuan.
- Thisen tithianghlimtu i ei a nih chuan i tlu a nih chuan chhungril thisen chhuah theihna a sang zawk mai thei.
- Thâwk harsatna a lo pun thut chuan.
Surgery emaw enkawlna dang emaw hnuah...
- Surgery hliam chu a sen, a hring emaw, a lum emaw a nih chuan (hengte hi natna kai chhinchhiahna a ni).
- I rilru a buai a, i rilru a na emaw, i thinlung a na rang emaw a nih chuan.
- Thisen tihthianghlimna damdawi i ei a, i tlu emaw, thunun theih loh thisen chhuak i neih chuan, hnar thisen, luak chhuak thisen, emaw, ek chhunga thisen chhuak te hi i tawk a nih chuan.
Take-Home Thuchah a ni
- Mitral valve stenosis hi i thinlung chhunga valve pawimawh tak pakhat a block a ni.
- Thâwk harsa leh hah awlsam taka inhriatna hi a lan chhuahna ber pahnih a ni.
- Hei hi a chhan ber chu naupan laia hrawk natna hi a enkawl that loh vang a ni. Chuvang chuan kawr na i neih chuan Doctor pan la, damdawi dik tak la rawh.
- He natna hi a hmaa hriatchhuah leh a hun taka enkawl chuan harsatna lian tham a veng thei a ni.
- Heng symptoms te hi i neih chuan Doctor hmuh hlau suh la, thurawn la rawh. I mamawh kaihhruaina a pe ang che.
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