I naupang tê hian an thinlungah hian hetiang harsatna tlemte hi a nei em? (Patent Ductus Arteriosus - PDA) A chanchin hi i zir chiang ang u!

I fate chu a pian hnuah thawk harsa ang maiin i inhriat ngai em? A nih loh leh, nau hnute pek laiin an thawk hah leh an thawk hah tih i hmu ngai em? A châng chuan hengte hi naupang tête thinlunga harsatna tê tê avânga lo awm thei a ni. Chutiang dinhmun pakhat, vawiin a kan sawi tur chu `Patent Ductus Arteriosus` emaw `(PDA)` emaw tih a ni. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

`Patent Ductus Arteriosus (PDA)` tih hi eng nge ni?

A awlsam zawngin sawi ila, `PDA` hi nausen piang tharte thinlung natna a ni. Nausen pian hnua khar tur thisen kalna `ductus arteriosus` an tih chu a khar dik loh chuan a thleng thin. Tui pipe-a khur te tak te hnutchhiah ang maiin han ngaihtuah teh.

`Ductus Arteriosus` hi eng nge thleng?

Hei hi hrethiam tur chuan naute nu pum chhunga a awm lai hi tlem kan kir leh a ngai a ni. Naute chu a pum chhunga a awm lai chuan a lungte hian hna a thawk tlem hle. Hei hi a chhan chu naute hian a mamawh oxygen chu nu hnen atangin umbilical cord kaltlangin a dawng a ni. Chuvangin, he hun chhung hian naute thinlung atanga lung lam pan tur thisen tam zawk chuan lung chu a bypass thin. Chumi atana puitu thisen kalna kawng bik chu `ductus arteriosus` an ti a. Hei hi a dik tak chuan thinlung thisen kalna kawng lian ber (`aorta`) leh lung lam panna thisen kalna kawng lian ber (`pulmonary artery`) inkar kawngpui te tak te ang mai a ni. Naute a lo piang a, a thaw a chhuah tan chuan he `ductus arteriosus` hi a ngai tawh lo va, chuvangin ni engemaw zat chhungin a mah chauhin a khar tlangpui.

`PDA` vei naute chungah eng nge thleng?

Tunah chuan naute `PDA` neia thil thleng chu `ductus arteriosus` chu a khar kim lo va, khur te tak te a awm ta a ni. Chuvang chuan thinlung thisen kalna (`aorta`) atanga thisen tam zawk chu lung (`pulmonary arteries`) panna thisen kalna kawngah a luang chhuak thin. He khur lian leh te a zirin naute thinlung leh lungte hian thisen pump turin nasa zawka hna an thawh a ngai a ni. A dik tak chuan hna tam zawk an thawh a ngai a ni.

He `PDA` dinhmun hian tute nge a nghawng ber?

He `PDA` dinhmun hi nausen piang hma, thla khat hmaa piang tihna a ni. Mipa aiin hmeichhiaah a tam zawk tih hmuhchhuah a ni bawk.

`PDA` hi engtiang chiahin nge a awm?

Dik tak chuan PDA hi nau piang tharte thinlung natna hmuh tur tam ber pakhat a ni. A bik takin nausen piang hmaah a tam hle. Naute pian kar a zirin a hlauhawmna a inang lo.

Hetiang hian han ngaihtuah teh:

• Naute kar 30 leh kar 37 inkar 10% vel an piang.
• Naute 80% vel chu kar 25 leh 28 inkar a piang an ni.
• Naupai kar 24 hmaa piang zinga 90% vel chuan he natna hi an nei thei a, hei hi `PDA' tia hriat a ni.

Heng statistics te hian hlauthawng suh. Hei hian risk a tarlang chauh a ni. Hei hi mi zawng zawng tan chuan thil pawi tak a ni dawn lo.

PDA hian engtin nge i naute a nghawng?

PDA medium emaw large emaw i neih chuan i naute chu a thawk dan pangngai aia rang leh chak zawkin a thawk thei a ni. Hei hi taksain thisen tam zawk chu lung chhunga kal chu tuar chhuah a tum vang a ni. Hetiang dinhmun hi rei tak enkawl loh a nih chuan lungah thisen sang (Pulmonary Hypertension) a thlen thei a, thisen kalna kawng a tichhe thei bawk. Hei vang hian hei hi hriat chian a pawimawh hle.

`PDA` awm chhante chu engte nge ni?

Zirchiangtute chuan he `PDA` an tih hi engvangin nge a lo awm tih chiang takin an la sawi thei lo. Mahse, thil engemaw zat hmuhchhuah a ni.

• Genetic influences: Genetic condition thenkhat emaw, chhungkaw history-a thinlung natna nei emaw pawhin nghawng a nei thei bawk.
• Naupai laiin Rubella: Nuin naupai laiin rubella a vei a nih chuan naute hian PDA a vei theihna a sang hle.
• Neonatal Respiratory Distress Syndrome: He thawk lama harsatna hi naute pian hmaa surfactant dawng tlem teah a awm thei. Chutiang naute chuan PDA an nei tam zawk bawk.

PDA natna lan chhuah dan chu engte nge ni?

PDA natna lan chhuah dan hi PDA lian leh te a zirin a inang lo. PDA te tak te hian symptom a nei lo thei a, heart murmur tih loh chu, chu chu doctor chuan stethoscope hmangin a hre thei.

Mahse, PDA lian deuh chuan symptoms a lantir thei a, chungte chu:

• Thâwk rang tak.
• Thâwk harsa (dyspnea).
• Nu hnute pek lai emaw, chaw pek lai emawa thawk hah.
• Chau vat vat, hahna.
• Ei leh in lama harsatna, bawnghnute ei tlem.
• Rihna tihpun emaw, thang chak lo emaw.
• Pulse rang tak emaw thinlung na tak tak emaw.

I naute hian heng symptoms te hi a neih chuan a rang thei ang bera naupang doctor pan a tha ber.

Doctor-te hian engtin nge PDA hi an hriat chhuah?

I naute chu routine checkup-a i hruai dawn emaw, natna avanga i hruai dawn emaw chuan doctor-in i naute a enfiah laiin a chunga kan sawi tak heart murmur (`PDA heart murmur`) hi a hre thei a ni. Doctor in hei hi a rinhlelh chuan pediatric cardiologist hnenah a refer ang che.

`PDA` hriat theihna turin eng test nge tih thin?

Naupang cardiologist chuan PDA a vei tih finfiah nan test eng emaw zat a ti thei a:

• Chest X-ray neih a ni.
• Thinlung ultrasound (echocardiogram) hmanga tih a ni. Hei hian thinlung hnathawh dan leh ductus arteriosus lian leh te ang chi thil a check thei a ni.
• Electrocardiogram (EKG) hmanga tih a ni. Hei hian thinlung electrical activity a test thin.

Puitling hian PDA an nei thei em?

Ni e, a chang chuan PDA hi puitlingah pawh hmuhchhuah a ni. PDA te tak te chu naupan laia enkawl loha dah a nih chuan a lian zawk hma chuan hriat a ni lo mai thei. Puitlingah chuan a lan chhuah dan chu:

• Thinlung mur a ni.
• Lung na tak tak.
• Pulmonary hypertension a awm bawk.

Chutiang thil chu a thleng thei a ni.

PDA hi engtin nge enkawl a nih?

Doctor chuan i naute kum, a rih zawng leh hriselna ang chi thilte a zirin enkawl dan tur a ruat ang.

• Fimkhur taka nghah: A châng chuan doctor chuan naute chu ngun takin a en thei a, PDA chu a mah chauhin a khar dawn em tih enfiah leh test a nei thei bawk. PDA te tak te hian enkawl a ngai lo mai thei.
• Damdawi hmanga enkawl dan: PDA khar theih nan nonsteroidal anti-inflammatory drugs (NSAIDs) pek theih a ni a, a bik takin naute piang hma tan chuan pek theih a ni. Chungte chuan duct chu a ti tlem a, a khar theih nan a pui thin. Mahse, heng damdawi te hi naupang kum upa zawk emaw, puitling emaw hnenah pek a ni tlangpui lo.
• Enkawlna dang: 1.1.
• Cardiac Catheterization: Hei hi groin kaltlangin tube (catheter) te tak te, flexible tak dahin thisen kalna kawng hmangin thinlungah thread a ni. Tichuan, hmanrua te tak te (plug emaw coil emaw) chu tube kaltlangin PDA-ah an kal a, an seal off a ni. Hei hian thisen kal tam lutuk chu a titawp a ni. Hetiang tih dan hi nausen piang hmasa tan tih a ni tlangpui lo a, mahse naute upa zawk leh naupang tan pawh tih theih a ni.
• PDA surgery (Patent Ductus Arteriosus surgery): Hetah hian surgeon-te chuan an rilru sir lamah incision te tak te an siam a, PDA chu suture emaw metal clip te tak te hmangin an khar thin.

Heng enkawlnate hi tui pipe-a khur siam that angin ngaihtuah rawh. Plug te tak te hmangin i plug emaw, a khur chu i cut chhuak a, a thar i siam emaw pawh nise.

Engtiang chiahin nge enkawl hnuah thisen kal dan pangngaiah a lo kir leh thuai ang?

PDA khar a nih hnuah, cardiac catheterization emaw, surgery emaw hmang pawh ni se, thisen kal dan chu a normal leh nghal mai mai a, chu chu heart defect dang a awm loh chuan a ni.

PDA hian harsatna dang a thlen thei em?

PDA khar a nih hnuah thisen kal dan pangngai a nih avangin harsatna lian tham a tlem zawk. Mahse, naute cardiac catheterization hmanga an PDA khar tawhte chuan heart infection (endocarditis) ven nan thla ruk vel antibiotics an ei a ngai dawn a ni. I doctor chuan hei hi chipchiar takin a hrilhfiah ang che. Puitling pawhin PDA khar a nih hnuah pawh hetiang bawk hian antibiotics an ei a ngai a, cardiologist hnenah checkup neih reng a ngai bawk.

Ka naute hian PDA a neih loh nan ka veng thei ang em?

PDA lo thang zel tur venna tur hian engmah tih theih a awm lo tak zet a ni. Naute than dan nen a inzawm fo thin.

Ka naute PDA vei theihna tipung thei dinhmun a awm em?

Ni e, a hmaa kan sawi tawh ang khan naupai laiin German measles (`Rubella`) i vei chuan naute hian `PDA` a vei theihna a sang zawk. Chuvang chuan naupai i nih a, German measles vei nen in inkawp tawh a nih chuan Doctor hnena hrilh vat a pawimawh hle.

Ka naute hian PDA a neih chuan eng nge ka beisei ang?

Thu lawmawm tak chu enkawl an nih hnuah PDA vei naute tam zawk chu hrisel, active takin an nung zel a ni. Chuvangin ngaihtuahawm tur a awm lo.

PDA hi a dam kim thei ang em?

Awle. PDA hi amahin a khar loh chuan a tul chuan doctor ten an siam tha thei a ni. Mahse, naute leh naupang PDA medium emaw large emaw nei te chu enkawl vat loh chuan puitling an nih chuan heart complication an vei theihna a sang hle. Chuvangin, i naute hian damdawi lam enkawlna kalpui zel a mamawh leh mamawh loh chungchangah doctor nen inbiakna neih a pawimawh hle.

PDA hmang hian engtin nge ka naute ka enkawl ang?

A pawimawh ber chu i doctor-in a pek che zawng zawng zawm vek hi a ni. Ni ruat saah i naute chu checkup turin hruai rawh. I naute hian natna lan chhuah dan thar a neih a, chu chu thawk harsa, hnute ei tlem, a nih loh leh a hma aia chau zawka a lan chuan i doctor hnenah hriattir nghal rawh.

Engtikah nge doctor ka biak ang?

I naute hian symptom thar a neih chuan doctor ko nghal rawh. A bik takin i naute hian thawk a harsat a nih chuan hei hi emergency a nih avangin damdawi inah hruai nghal rawh.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

`Patent Ductus Arteriosus` emaw `(PDA)` emaw hi pianpui thinlung natna ni mah se, ngaihtuahawm tur a awm lo. A enkawl dan tha tak tak a awm.

A pawimawh ber chu a hun takah natna hriatchhuah a, a tul anga enkawlna pek hi a ni.

I doctor nen inbia la, i naute tan eng enkawlna nge tha ber tih chu rel rawh. Inenkawlna mumal tak a awm chuan i fate chu naupang dang ang bawkin nun hlim leh hrisel takin a nung thei a ni. I naute i enkawl dan hi a chakna ber a ni!

` Patent Ductus Arteriosus, PDA, Nausen Lung natna, Nausen piang hma, Lung mur, Thluak lama harsatna, Naupang hriselna