I naute thinlung hian thawm bik a siam em? PDA (Patent Ductus Arteriosus) chungchang hi han sawi ila

Nausen piang thar nei nu emaw pa emaw chuan an nauteah inthlak danglamna tlemte an hmu a nih pawhin hlauhna nasa tak an nei thei a ni. Chuti a nih chuan doctor chuan naute chu a enfiah a, "Thinlung mur mur te tak te a awm" a tih chuan engtiang chiahin nge i lungkham ang? Mahse, hlau suh. Vawiin hian nausen piang tharte hmuh fo thin leh awlsam taka enkawl theih thin thinlung natna kan sawi dawn a ni. Hei hi Patent Ductus Arteriosus an ti a, doctor-te zingah a tawi zawnga an tih angin PDA an ti a ni.

A awlsam zawngin, he PDA hi eng nge ni?

Hei hi hrethiam tur chuan naute nu pum chhunga a awm lai kha han kir leh ila. Ngaihtuah teh, naute chu a pum chhunga a awm laiin a thawk lo. Naute hian a mamawh oxygen chu nu umbilical cord hmangin a hmu a ni. Chuvang chuan naute lung chu chutih lai chuan hna a thawk lo. Chuvangin, thinlung atanga taksa thlenga thisen phurtu main artery (aorta) leh lung lam panna thisen phurtu artery (pulmonary artery) inkarah hian kawng te tak te, ‘bypass’ connection ang mai a awm a ni. Hei hi damdawi lamah `(ductus arteriosus)` kan tih chu a ni. A hnathawh chu lung, hna thawk lote bypass a, taksa peng dang zawng zawng hnena thisen thawn chhuah hi a ni.

Naute a pian hnu leh a thaw hmasa ber a lak hnuah chuan lungte chuan hna a thawk tan ta a ni. Tichuan chu ‘bypass’ kawng chu a ngai tawh lo. Chuvangin a tlangpuiin naute pian hnu ni engemaw zat chhungin he thisen kalna hi a lo tlem a, a mah chauhin a khar ang.

Mahse naute thenkhatah chuan he thisen kalna ``ductus arteriosus'' an tih hi a khar tha lo hle. Khur te tak te a hnutchhiah thin. Chuvangin Patent Ductus Arteriosus (PDA) kan ti a ni.

He PDA dinhmun hian naute hi engtin nge a nghawng?

Tunah chuan, chu bypass chu khar a nih loh chuan eng nge thleng? Taksa a thisen phurtu main artery, aorta-a thisen sang hi a sang hle. Lung lama thisen phurtu artery, pulmonary artery-a pressure a hniam hle. Chuvangin, he khur atang hian thisen ṭul lo tak chu pressure sang tak awmna hmun aṭangin pressure hniamna hmunah, chu chu lungah a luang chhuak a ni.

Hei hian harsatna lian tak pahnih a siam a:

1. Thinlung leh lung tan hna tam zawk: He thisen tam zawk pump chhuak tur hian naute thinlung leh lungte hian nasa zawkin hna an thawk a ngai a ni.

2. Lung chhiatna: Hetiang dinhmun hi enkawl loha a kal zel chuan lung chhunga thisen sang a sang thei a, chu chuan pulmonary hypertension an tih natna a thlen thei a ni. Hei hian lung chhunga thisen kalna kawngte pawh a tichhe thei bawk.

He PDA hi tute nge vei theihna chance sang zawk?

Hetiang dinhmun hi naute eng pawhah awm thei mah se, naute thenkhat chu an hlauhawm zawk.

• Nausen piang hmasa: 1.1.Hei hi risk group ber a ni. Naute a pian kar tlem poh leh PDA a neih theihna a sang zawk. Kar 28 hmaa piang naute 80% vel chuan he natna hi an hmu thei a ni.
• Nausen hmeichhia: He natna hi naute mipa aiin naute hmeichhiaah a tam zawk.
• Genetic causes: PDA hi genetic syndrome thenkhat nen a awm thei.
• Naupai laiin nu-ah Rubella infection: Nuin naupai laiin German measles a vei a nih chuan naute hian PDA a vei theihna a sang hle.

PDA natna lan chhuah dan chu engte nge ni?

PDA lian leh te a zirin symptoms a inang lo. PDA te tak te hian symptom a nei lo mai thei . Doctor-in stethoscope hmanga a hriat theih tur thinlung murmur chauh a awm thei. Mahse, PDA hniam lam atanga lian tak i neih chuan heng symptoms te hi i hmu mai thei.

Engtin nge hei hi i hmuh theih, Doctor?

I naute zingah heng symptoms te hi i hmuh chuan doctor hnenah hrilh nghal rawh. A tlangpuiin i naute i enfiah hian doctor chuan thinlungah ``machinery murmur`` a hre thei. Hei hi PDA rinhlelh a nih lai a ni.

Tichuan, hei hi nemnghet turin Pediatric Cardiologist -ah refer i ni ang. A hnuaia test te hi a ti thei ang:

• Echocardiogram (Echo): Hei hi test pawimawh ber leh dik ber a ni . Thinlung scan ang mai a ni. PDA hi a awm em tih te, a lian zia te, a chhunga thisen a luang tam zia te ang chi zawng zawng chiang takin a hmu thei a ni. Hei hi fiahna hrehawm tak a ni lo.
• Chest X-ray: Chest X-ray hmangin thinlung hi a lian em tih emaw, lung chhunga thisen a luang lut tam lutuk em tih emaw a enfiah thei a ni.
• Electrocardiogram (ECG): Thinlung electrical activity en hian thinlung hi a buai lutuk em tih hriat theih a ni.

PDA enkawlna tur engte nge ni?

Enkawl dan tur chu naute kum, a rih zawng, hriselna dinhmun leh PDA lian leh te a zirin a innghat a ni. PDA zawng zawng hi a ruala enkawl vek an ni lo.

1. Fimkhur taka nghah

PDA te tak te a ni a, naute tan harsatna a thlen loh chuan doctor chuan rei vak lo nghah a rel mai thei. A chhan chu thenkhat chu anmahni chauhin an khar thin. Mahse he hun chhung hian doctor clinic tlawh chhunzawm zel a pawimawh hle.

2. Damdawi hmanga enkawl

A bik takin nausen piang hmasa tan , damdawi thenkhat (e.g., Ibuprofen, Indomethacin) hi injection hmangin he PDA hi khar tumna atan pek thin a ni. Heng damdawi te hian thisen kalna kawng (blood vessel) a tikhawlo a, a khar thei a ni. Hei hi naute pian hnu kar hmasa berah chauh a hlawhtling thin.

3. Cardiac Catheter hmanga tih theih a ni

Hei hi surgery a ni lo. Naute chu anesthetized kim vek a ni a, tube (catheter) te tak te tak mai chu groin-a thisen kalna kaltlangin dahin thinlung lam pan a ni. Tichuan, tube chhungah hian device te tak te (or coil) an kalpui a, PDA hole chu an khar ta a ni. Hei hi naute thau lutuk, thla engemaw zat mi tan chuan tih a ni fo. Hetiang tih dan thatna chu naute chu bandage a ngai lo va, chuvangin naute chu a dam thuai thei a, a haw thei bawk.

4. Surgery tih a ni

Thil engemaw takah chuan, a bik takin naute catheterization atana tha lo emaw, PDA a lian lutuk emaw tan chuan operation neih a ngai mai thei. Chutiang a nih chuan surgeon chuan a rilru sir lam, a hnungzang hnuaiah incision te tak te a siam a, PDA chu stitches emaw metal clip te tak te hmangin a khar a ni.

Enkawl hnuah eng nge thleng?

Enkawlna leh PDA khar a nih hnuah naute thisen kal dan chu a pangngaiin a awm leh thin. A symptoms te chu zawi zawiin a bo vek thin.

Enkawl zawhah doctor chuan lung natna (endocarditis) laka inven nan thla 6 vel antibiotics ei turin a hrilh ang che. Tin, a hun taka clinic-a kal a, naute hmuhtir a pawimawh hle bawk.

Damdawi lam thurawn lak nghal tur

I naute hian PDA a nei tih i hriat chuan natna lan chhuah thar (e.g., bawnghnute ei tlem, thawk harsa) a awm chuan doctor ko nghal rawh.

I naute hian thawk a harsat thut emaw, a hmui a rawn sen emaw a nih chuan, a hnai ber damdawi inah Emergency Department (ETU)-ah tlai lovin hruai rawh.