I rilruah natna nasa tak i nei nghal vat a, chubakah chuan natna hrik i nei bawk ang tih han ngaihtuah teh . He natna hi thawk lak emaw, mut emaw hian a zual sauh sauh thin. Mahse mak tak maiin i thut a, hmalam i pan chuan a tlahniam deuh niin a lang. Mi tam tak chuan hetiang hun lai hian hei hi heart attack a nih an hlau hle. Chu hlauhna chu a dik a, mahse heng chhinchhiahnate hi heart attack nen chuan a danglam a, mahse ngaihven ngai dinhmun a ni thei ngei ang. Vawiin hian kan thinlung nena inzawm he dinhmun hi kan sawi dawn a ni. Chu chu Pericarditis a ni .
A awlsam zawngin, Pericarditis hi eng nge ni?
Kan thinlung hi taksa peng pakhat chauh a ni lo. A chhehvel chu venhimna atan bawm ang maia khuh te tak te in a hual vel a ni. Hei hi damdawi lam chuan pericardium kan tih chu a ni . He sac hnathawh ber chu thinlung thawk laia inhnawh tawnna tihziaawmna leh pawn lam atanga natna lo chhuak laka thinlung venhimna a ni.
Chuvangin, Pericarditis hi thinlung hual veltu protective sac inflammation a ni. "Inflammation" kan tih hian kan taksa hmun dangah hliam kan tuar a, chu hmun chu a sen a, a hring a, a na ang maiin han ngaihtuah teh. Hei hi thinlung hual veltu he bawm chhunga awm thin dinhmun a ni. Hei hi a tlangpuiin a intan nghal a, kar tam tak emaw thla tam tak emaw a daih thei.
He natna hi kum eng pawhah lo awm thei mahse, mipa kum 16 leh 65 inkar ah a awm tam ber a, a tha ber chu hlawhtling taka enkawl leh tihdam a ni fo thin.
Pericarditis chi hrang hrangte chu engte nge ni?
He dinhmun hi a lo awm hun chhung leh a lo awm chhan a zirin chi hrang hrangah then theih a ni. Hei hi i hriat a pawimawh.
| Lampang | Hrilhfiahna awlsam tak |
|---|---|
| Natna hun chhung a zirin | |
| Acute Pericarditis (a lo awm nghal mai) . | A intan nghal a. A natna lan chhuah dan hi kar 4-6 aia rei lo a ni tlangpui. |
| Subacute Pericarditis (hun engemaw chen a daih) . | A natna lan chhuah dan hi kar 4-6 aia rei a ni a, mahse a tlangpuiin thla 3 chhungin a bo thin. |
| Pericarditis natna rei tak awm thei | A natna lan chhuah dan hi a tir atanga thla 3 aia rei a ni. |
| Pericarditis lo awm leh thin | A tir lama enkawl leh dam leh hnuah he natna hi a lo lang leh thin. Hei hi damlo 30% vel ah a thleng thei. |
| Natna thlentu a zirin | |
| Idiopathic Pericarditis natna a ni | Hei hi chhan chiang tak a awm lo. Hei hi hmuh tam ber chi chu a ni. |
| Pericarditis natna hrik kai theihna | Virus, bacteria, fungi ang chi natna hrik avanga lo awm a ni. |
| Pericarditis natna tha lo tak a ni | Taksa hmun dangah cancer vangin a awm thei bawk. |
| Pericarditis natna hlauhawm tak a ni | A rilru a hliam hnuah, entirnan, car accident hnuah a thleng thei. |
| Uremic Pericarditis natna a ni | Kidney failure avanga lo awm dinhmun. |
Chu bakah, harsatna lian tak Constrictive Pericarditis tih a awm bawk. Hei hi thinlung chhehvela bawm chhunga membrane te chu a thim a, a hliam a, a inzawm khawm a ni. Hei hian thinlung chu zalen taka thawk theihna hmun a tikhawtlai a ni.
Pericarditis natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?
Hetiang natna lan chhuahna ber leh langsar ber chu rilru natna a ni . Mahse hei hi chu rilru natna pangngai a ni lo.
- Natna na tak, hliam na tak ang maiin a lang.
- He natna hi i khuh a, i ei a, i thawk thûk a, i mut hian a pung .
- Hma lam hawia i thut chuan natna chu a tlahniam thin .
Heng symptom hnuhnung pahnih (bending over a pung leh hmalam pan a tlahniam) te hi pericarditis leh heart attack thliar hrang nan a pawimawh hle.
He rilru natna hi a chang chuan hnungzang, kawr, a nih loh leh ke veilam thlengin a darh thei.
Chest na bakah hian symptom dang i nei thei bawk a, chungte chu:
- Mut laia thawk harsa
- Dry cough na tak a awm
- Palpitations (i thinlung a thawk chak emaw, a thawk mumal lo emaw ang maia hriat) .
- Chau
- Khawsik
- A nasat chuan ke, ke ruh leh ke a hring chhuak thin
Heng symptoms te hi i neih chuan doctor pan nghal rawh . I natna lanchhuahna a nasat nia i hriat chuan a rang thei ang bera hospital emergency room (ETU) hnai ber pan rawh. Thil sawn hlat a tha lo.
Engvangin nge Pericarditis hi a lo awm? A chhan berte chu engte nge ni?
Pericarditis hian chhan hrang hrang a nei thei. Mahse, khawthlang ramah chuan idiopathic emaw, virus infection avanga lo awm emaw anga ngaih a ni ber. Doctor-te chuan heng chhan hrang hrangte hi chi hnih lian takah an ṭhen a.
1. Hri kai theihna:
- Virus: Influenza, COVID-19, adenovirus, HIV.
- Bacteria: Tuberculosis ang chi bacteria infection.
- Fungi leh parasites: Hengte hi hmuh tur a tlem hle.
2. Hri kai loh chhan: 1.1.
- Chest surgery emaw accident emaw a nih chuan .
- Taksa hmun danga awm cancer .
- Autoimmune conditions: Lupus leh rheumatoid arthritis ang bawkin hengte hi kan taksa ngeia immune system-in kan cell-te a beih nasatzia a ni.
- Uremia, enkawl loha kal (kidney failure) avanga harsatna awm .
- Thyroid hormone tlakchhamna nasa tak (Severe hypothyroidism) .
Risk tipungtu thilte
Thil thleng thenkhat hnuah pericarditis vei theihna i nei sang zawk.
- Heart attack hnuah:Hei hi Dressler’s syndrome an ti bawk.
- Open heart surgery hnuah: Hei hi postpericardiotomy syndrome an ti a.
- Radiation therapy an dawn hnuah.
- Damdawi dang, cardiac catheterization emaw radiofrequency ablation (RFA) emaw tih hnuah .
Hei hian eng harsatna nge a thlen theih?
Pericarditis hi a hun taka enkawl a nih loh chuan harsatna hlauhawm tak tak a awm thei a ni.
A bulpui ber chu Pericardial Effusion a ni. A awlsam zawngin, thinlung chhehvela bawm chhunga tui (tui) awmkhawmna a ni. Tui tlemte hi thil lian tak a nih loh laiin, he tui hi a lo pung chak lutuk chuan natna khirh tak Cardiac Tamponade tih chu a thlen thei a ni.
Cardiac tamponade hi thinlung chhehvelah tui a lo pungkhawm a, chu chuan a pump tha thei lo. Hei hi medical emergency a ni a, nunna atana hlauhawm thei a ni.
Chuvangin pericarditis symptom i neih veleh doctor pan a pawimawh em em a ni. Enkawlna i tan hma chuan heng harsatna lian tak takte hi i veng thei a ni.
Doctor, engtin nge hei hi i diagnose?
Doctor i pan hunah i natna lan chhuah dan leh tun hnaia natna i neih leh neih loh a zawt hmasa ang. Tichuan i rilruah stethoscope dahin a enfiah ang.
Pericarditis-ah chuan thinlung a na laiin inflamed membrane te chu an inhnim khawm a, grating sound a siam a, hnah pahnih inhnim khawm ang mai a ni. Hei hi Doctor-te chuan “pericardial rub” tiin an sawi. He thawm hi i hriat chuan pericarditis i vei tih a tilang chiang hle.
Chu bâkah, a natna hriat chian leh harsatna a awm leh awm loh enfiah nân, i doctor chuan heng ang test engemaw zât a rawt thei bawk.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Chest X-ray neih a ni | Thinlung lian leh te, lungah tui a awm leh awm loh te enfiah thin ang che. |
| Electrocardiogram (ECG) hmanga tih a ni. | Thinlung electrical activity inthlak danglamna zawng rawh. Pericarditis chungchanga pattern bikte chu ECG-ah hian hmuh theih a ni. |
| Echocardiogram (Echo) hmanga tih a ni. | Thinlung hnathawh dan leh thinlung chhehvel bawm chu tui dangin a khat em tih enfiah thin ang che. |
| Lung lam MRI hmanga siam a ni | Thinlung chhehvel bawm chhungah hian inflammation, thickening emaw heart block emaw a awm leh awm loh uluk takin en thin ang che. |
| CT scan a ni | Bag chhungah hian calcium leh nut a awm leh awm loh enfiah thin ang che. |
| Cardiac Catheter hmanga tih a ni | Constrictive pericarditis ang chi conditions confirm tur chuan thinlung chhunga pressure teh tur a ni. |
| Thisen test a ni | Taksa chhunga inflammatory marker te hian natna thlentu hriat theih nan a pui thin. |
Pericarditis hi eng enkawlna nge ni?
Damdawi leh taksa tihchakna khapna hmanga enkawl a ni fo a, mahse a nasat chuan tui tlakchhamna emaw, zai emaw a ngai thei.
Damdawi ei tur
Mi tam tak chuan heng damdawi atang hian hahdamna an hmu thin.
- NSAIDs: Natna tidamtu leh natna tidam thei damdawi, ibuprofen emaw aspirin dose sang emaw ang chi te.
- Colchicine: Hei hi damdawi chi khat a ni bawk a, inflammation tihziaawmna a ni. I doctor chuan i natna lan chhuah dan chu kar hnih aia rei a awm tawh emaw, i natna a lo awm leh tawh emaw chuan a pe thei ang.
- Prednisone: Hei hi steroid chi khat a ni. Hei hi damdawi dangin i tan hna a thawh loh chuan pek theih a ni.
- Antibiotic emaw Antifungal Damdawi: I natna hi bacteria emaw fungal infection avanga lo awm a nih chuan antibiotics dik tak pek i ni ang.
Taksa tihchak khap leh chawlh hahdam
Pericarditis atanga dam leh tur chuan chawlh hahdam a pawimawh hle . Exercise i tih emaw, tlan emaw, thil dang hahthlak tak tak i tih chuan inflammation chu a tizual thei a ni. Chuvangin, i doctor chuan eng chen nge i tihkhawtlai tur tih leh eng chen nge i tihkhawtlai tur tih chiang takin a hrilh ang che. Heng thupekte hi dik taka zawm a pawimawh hle.
Fluid chhuahna tur a awm
Kan sawi tawh ang khan Cardiac Tamponade ang chi hi a lo awm a nih chuan, chu chu thinlung tuiin a khat a, thinlung a block a nih chuan chu extra fluid chu lakchhuah a ngai tihna a ni.
- Pericardiocentesis: Hei hi rilru chhunga tube sei tak, te tak te (catheter) dahin, thinlung chhehvela bawm chhunga tui awmkhawm chu paih chhuah a ni.
- Pericardial window: Tui chu needle hmanga lakchhuah theih loh chuan a rilruah incision te tak te siam a ni a, thinlung vel bawm chhungah hawnna te tak te siam a ni a, chuta tang chuan tui chu a luang chhuak thei a ni.
Inzai
Constrictive Pericarditis ang chi natna khirh tak i neih chuan Pericardiectomy tih surgery i neih a ngai mai thei a, chu chu thinlung vel a sac thickened thenkhat surgery hmanga lakchhuahna a ni.
Eng nge a dawt leh ang? Eng nge kan beisei theih ang?
Pericarditis atanga i dam chhung hian rei vak lo i chawlh a ngai dawn a ni. I dam kim tawh chuan i thil tih dan pangngai chu i thawk leh thei tawh ang. Mahse, i doctor-in, "Awle, tunah chuan a pawi lo," a tih hma loh chuan exercise hahthlak takah kir leh tawh suh.
Thu lawmawm tak chu a hun taka enkawl a nih chuan mi tam zawk chu an dam chhuak vek a ni . Mild case thenkhat chu chawlh hahdam pawhin an dam thei bawk. Mahse enkawl loh chuan a rei thei hle.
Pericarditis vei zinga 15% leh 30% inkar chuan kum tam tak chhung chu episode recurrent an nei ang. Chuvangin, i doctor-in damdawi a pek ang kha ei a pawimawh hle a, follow-up appointment pawh i zawm reng a pawimawh hle.
Take-Home Thuchah a ni
- I rilru natna zawng zawng hi heart attack a ni vek lo va, mahse i rilru natna eng pawh hi ngaih pawimawh tur a ni .
- Pericarditis natna hian mizia bik a nei a: natna khirh tak, mut laiin a pung a, hmalam pan chuan a tlahniam bawk .
- A hun taka doctor i hmuh a, enkawlna i hmuh chuan hei hi a dam vek thei fo .
- I doctor-in damdawi a pek chu a hun takah ei thin ang che. A chanve vel chu tawp suh. Chawlh turin a ti che a nih chuan a thupekte chu zawm chiang rawh.
- Natna tihdam a nih hnuah pawh medical checkup neih fo hian natna a lo awm leh tawh loh nan a pui a ni.











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