I doctor-in, "I thinlungah khur te tak te i nei" a tih hian hlauhna leh lungkham deuh deuh i neih hi thil pangngai a ni. Mahse, he thil hi ngaihtuah buai a ngai tak tak lo. A chhan chu tunlaia kan sawi mek PFO an tih hian khawvela mi pali zinga pakhat chauh a nghawng a, a tam zawkah chuan a hlauhawm lo. Chuvangin i hrechiang lehzual ang u.
A awlsam zawngin, he PFO hi eng nge ni?
PFO hming kimchang chu Patent Foramen Ovale a ni. A awlsam zawngin, hei hi kan thinlung pindan chunglam pahnih (atria kan tih) inkar khur te tak te, kan pian hnua khar loha awm reng a ni.
Tunah chuan, "Aw, ka thinlungah khur a awm em?" Mahse thudik tak chu: Kan pum chhunga kan awm lai hian kan thluaka he khur hi kan nei vek a ni. ‘Foramen Ovale’ kan ti a ni. Hei hi a pawimawh a ni.
He pum chhunga khur hi eng atan nge ni?
Ngaihtuah teh, naute hian a nu pum chhunga a awm lai hian a lung a thawk chhuak lo. Naute hian a mamawh oxygen tamna thisen chu nu hnen atangin umbilical cord kaltlangin a hmu thin. Chuvangin he oxygen tamna thisen hian thinlung a thlen chuan lungah a kal lo va, chu ai chuan thinlung dinglam chamber chunglam atang chuan veilam chamber chunglam ah a kal nghal zawk a , chu chu ‘Foramen Ovale’ an ti a ni. Chutah chuan thisen chu naute thluak leh taksa dang zawng zawngah a kal a.
Naute a lo piang a, a thawk hmasa ber a nih chuan lungte chuan hna a thawk tan ta a ni. Tichuan chu shortcut chu a ngai tawh lo. Chuvangin he khur hi a inkhar tlangpui a, naute kum 3 a tlin hmain a khar fo thin.
‘Patent’ tih thumal hi ‘open’ tihna a ni. Chuvangin ‘Patent Foramen Ovale’ (PFO) tih hian khur chu khar lovin a inhawng tihna a ni.
PFO hian engtin nge ka taksa a nghawng?
Mi tam tak (mi 4 zinga 1 vel) hian he PFO hi an nei a, mahse symptom leh harsatna a thlen lo. An nei tih pawh hre lovin nun pangngai an hmang thin.
Mahse, a tlem hle a, hei hi mi thenkhat tan chuan harsatna a ni thei. Engtin nge tih i hria em?
A chang chuan kan taksa vein thuk takah thisen zam te te a lo awm thei a, a bik takin kan keah hian thisen zam te te a lo awm thei bawk. Hei hi deep vein thrombosis (DVT) kan ti a ni. A tlangpuiin thisen zam a lo chhuak a, thinlungah a kal chuan thinlung atanga lungah a thawn chhuak thin. Kan lungte hian filter angin hna a thawk a , heng thisen zamte hi a man a, a tithianghlim ta a ni.
Mahse PFO khur nei mi pakhatah chuan he thisen zam hi thinlung dinglam atanga veilam thlengin, chu khur atang chuan a ‘zuang’ thei a ni. Chutiang a nih chuan thisen zam chuan lung chhunga filter chu bypass in thluak, kal emaw taksa hmun dangah emaw a kal nghal thei a ni.
Thluak lam pan a, thisen kalna kawng te tak tea a tlakbuak chuan ischemic stroke a thlen thei a ni.Hei hi PFO nena inzawm risk ber a ni.
Tute nge PFO vei tih hriat chhuah tam ber?
Tu pawhin PFO an nei thei a, mahse chhan dang vangin test laiin accident-in hmuhchhuah a ni tlangpui. Heng pawla mite hi a bik takin PFO an vei tih hmuhchhuah a rinawm hle:
- Cryptogenic stroke vei: Kum 60 hnuai lam mi pakhatah stroke a awm a, a chhan chiang tak hmuh theih a nih loh chuan doctor-te chuan PFO an enfiah ang a, he natna vei mi pahnih zinga pakhat velin PFO an nei thei a ni.
- Divers: Diver-te an chhoh chak lutuk chuan pressure inthlak danglamna hian thisenah boruak bubble a siam thei a ni. Heng bubble te hi PFO kaltlangin thluak chhungah an kal thei a, harsatna a thlen thei a ni.
- Tlang lawn: PFO neih hian hmun sang taka thil awm ṭhenkhatah a pui thei niin an ngai.
PFO natna lan chhuah dan chu engte nge ni?
Sawi tawh ang khan mi tam zawk hian symptom an nei lo.
Mahse a tlem hle a, a zung chu a lian deuh emaw, thinlung natna dang nena inzawm emaw a nih chuan symptom thenkhat a lang thei.
- Thisenah oxygen level a tlahniam.
- Lu na, migraine ang chi.
- Thut emaw, ding emawa thawk harsa (platypnea-orthodeoxia syndrome).
- Taksa peng emaw, kal ang chi taksa peng hrang hranga thisen kal tlahniam chhinchhiahna.
Mahse, hre reng ang che, PFO hi mi pakhatin stroke , transient ischemic attack (TIA) , emaw heart attack a neih hnuah, a chhan hriat tum laiin hmuhchhuah a ni fo thin.
Engtin nge doctor-te hian PFO an hmuhchhuah?
PFO a awm leh awm loh hriat chian nan test engemaw zat a awm.
1. Stethoscope hmanga ngaihthlak: A chang chuan doctor-in i thinlung a ngaihthlak hian PFO kal tlanga thisen a luang chhuah rualin thawm danglam tak (murmur) an hre thei. Mahse hei hi a tam vak lo.
2. Echocardiogram: Hei hi PFO hriat dan ber leh tha ber a ni. Thinlung scan ang mai a ni. A chi hnih a awm a.
- Transthoracic echocardiogram (TTE): Hei hi i rilru chung lamah gel hnawih a, i thinlung thlalak lakna tur probe ang chi hmanrua dah a ni.
- Transesophageal echocardiogram (TEE) hmanga tihchhuah a ni a: 1.1.Hei hian thinlung thlalak chiang zawk a siam thei a ni. Tube te tak tea inzawm probe te tak te chu ka chhungah dahin, chaw kawng hnuai lamah dahin, thinlung hnung lamah chiah dah a ni. Hetiang tih hma hian light anesthetic pek i ni ang a, chuvangin i hrehawm lo ang.
3. Bubble Test: Hei hi echo nen a rualin tih theih a ni. Hei hian saline solution tlemte chu a bubble chhuah thlengin i vawrh chhuak a, chu chu i vein-ah i inject a ngai a ni. PFO i neih chuan saline bubble chu echo scan-ah chiang takin a lang ang a, chu chu hole kaltlangin thinlung sir lehlamah a kal a ni.
PFO hian enkawlna a mamawh em?
Hei hi a pawimawh ber a ni. Mi tam zawk chuan enkawlna engmah an mamawh lo. PFO nei mahse, hlauhawmna a thlen loh chuan doctor chuan ngaihtuah pawh ngaihtuah lo turin a hrilh ang.
Mahse, a hmaa stroke i lo neih tawh a, a chhan chu PFO a ni tih i ngaihtuah a nih chuan, emaw, thisen zam i neih theihna chance sang tak i neih chuan i doctor chuan enkawl a rawt thei ang.
Enkawl dan hi hmunpui engemaw zatah then theih a ni.
| Enkawl dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Damdawi chi hrang hrang | Hei hian thisen tithianghlim thei damdawi (anticoagulants) pek a huam a ni. Entirnan aspirin , clopidogrel emaw warfarin emaw te hi a ni . Chungte chuan thisen zam awm theihna a ti tlem a ni. |
| Endovascular Surgery tih a ni | Hei hi khur khar dan tlangpui a ni. Surgery lian tham a ngai lo. Ke emaw kut emaw chhunga vein lian tak hmangin tube te tak te (catheter) dahin thinlung thlengin a kaihruai a ni. Tichuan, tube chhungah hian device te tak te an kalpui a, PFO hole chu a sir lehlamah an khar a ni. Hei hi umbrella pahnih hmanga khur khar ang a ni. |
| Lung Surgery neih a ni | Hetiang tih dan hi a chunga kan sawite hi a theih loh hunah emaw, thinlung surgery dang neih lai pawhin hman theih a ni. Open-heart surgery emaw, incision surgery tenau emaw pawh a ni thei. Mahse, PFO khar mai mai tur chuan hetiang surgery lian tak hi tih a ngai hi a tlem hle. |
I doctor chuan i dinhmun a enfiah ang a, eng enkawlna kawng nge i tan a tha ber tih a rel ang.
Enkawlnaah hian harsatna a awm em?
Damdawi enkawlna dang ang bawkin, heng enkawlnate hian hlauhawmna tlemte tak tak a nei a ni. Mahse, an tlem hle. Thisen chhuah, thinlung rhythm pangngai lo (atrial fibrillation), leh natna hrik a awm thei. Mahse, enkawlna hlawkna nena khaikhin chuan heng hlauhawmnate hi a tlem hle.
PFO ka neih chuan ka hmalam hun chu eng ang nge ni ang?
Hei hi a chhanna chu a awlsam hle a, a thlamuanthlak hle bawk: a tha hle!
Mi tam tak chuan PFO an nei tih pawh hre lovin nun pangngai, hrisel takin an khawsa thin. Enkawl a ngai a nih pawhin, a bik takin a khur khar tura surgery an neih hnuah a result chu a hlawhtling hle. Mi tam tak chuan damna famkim an siam a, harsatna nei lovin nitin nun an hmang a, nun famkim an hmang thin.
Nausen piang thar chu PFO an nei tih an hrilh a nih chuan lungngai suh. A tam zawkah chuan an upat deuh deuh chuan a mah chauhin a khar ang.
Take-Home Thuchah a ni
- PFO (Patent Foramen Ovale) hi thinlung pindan chunglam pahnih inkara khur te tak te, pian hnua khar loh a ni. Hei hi a awm dan tlangpui a ni.
- Kan pum chhunga kan awm lai hian he khur hi kan nei vek a ni. Naute thisen kalna atan a pawimawh hle.
- Mi tam zawk chuan PFO vang hian symptom emaw hriselna lama harsatna emaw an nei lo.
- A hlauhawm ber chu taksaa thisen zam lo awm chu he khur atang hian thluak lamah a kal thei a, stroke a thlen thei a ni. Mahse hei hi a tlem hle.
- Mi tam zawk chuan enkawlna engmah an mamawh lo. Stroke vei theihna sang tak nei tan chauh enkawl a ngai a ni.
- PFO i vei tih hmuhchhuah a nih chuan hlauthawng suh la, i doctor nen zalen takin inbiakna nei rawh. I mamawh thu leh kaihhruaina zawng zawng a pe ang che.
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