I rilru a na a, thawk harsa i ti em? Hei hi pericarditis a ni thei!

I rilru lai takah natna khirh tak, hliam na tak, thawk harsa tak tak i nei tawh em? Hei hi khawsik emaw flu emaw atanga i dam leh hnuah pawh a thleng thei. Mi tam tak chuan hei hi thinlung natna a ni tih an hlau hle. Dik tak chuan thinlung hualtu sac inflammation a ni thei. Vawiin hian he natna hi chipchiar takin kan sawi dawn a, chu chu ``pericaditis'' tih a ni.

Pericarditis hi eng nge a nih i hria em?

A awlsam zawngin sawi ila, `Pericarditis` chu kan thinlung hual veltu bawm te tak te, layer hnih nei, tuiin a khat `pericardium` inflammation emaw swelling emaw a ni. Kan vunah a cut a, chu chuan a hmun chu a sen a, a hring chhuak thin nen a inang hle. He `pericardium` hnathawh ber chu thinlung venhimna leh a beng laia a tul anga lubrication pek hi a ni. Hetiang inflammation avang hian a chang chuan pericardium layer hrang hrang inkarah hian extra fluid a awm khawm thei bawk. Hei hi `pericardial effusion` an ti a.

Pericarditis hi a lo thleng thut tlangpui. Mahse, a chang chuan kar tam tak atanga thla tam tak chhung a daih thei. A tlangpuiin thla thum chhungin a reh a, mahse mi thenkhatah chuan kum tam tak chhung a daih thei.

Pericarditis hi chi hrang hrang a awm a, a dik em?

Ni e, `Pericarditis` chi hrang hrang a awm. A chi hrang hrangte chu eng nge ni tih i lo en ang u:

• Acute Pericarditis: Hei hi a tam ber a ni. He inflammation hi a lo awm nghal a, a symptoms a lo lang tan ta a ni.
• Chronic Pericarditis: Hei hi inflammation, a tir lama acute episode atanga thla thum emaw a aia rei emaw a awm reng tih hming a ni.
• Constrictive Pericarditis: Hei hi natna khirh zawk a ni. Heta thil thleng chu pericardium layer inflamed tawhte chu a thim zauh zauh a, scar tissue a lo piang a, a inzawm khawm ta a ni. Thinlung chu a inkharkhip ang mai a ni. Hei hian thinlung hnathawh dan pangngai chu nasa takin a tibuai a ni. Hetiang dinhmun hi `Acute Pericarditis` hun rei tak hnuah a lo awm fo thin.
• Infectious Pericarditis: He natna hi virus, bacteria, fungal, parasitic infection avanga lo awm thei a ni.
• Idiopathic Pericarditis: A châng chuan hei hi a chhan hriat a ni lo . Chuvang chuan hetiang hian an ko thin.
• Traumatic Pericarditis: Hetiang natna hi a rilru a hliam hnuah a awm thei a, entirnan car accident hnuah a awm thei.
• Uremic Pericarditis: Hei hi kal (kidney) a thawk tha lo tan chuan a awm thei.
• Pericarditis natna tha lo tak:Hetiang dinhmun hi taksa hmun dangah cancer a lo awm vang pawh a ni thei.

Myocarditis leh Pericarditis hi eng nge an danglamna?

An pahnih hian thinlung inflammatory condition an ni a, mahse hmun hnih ah an awm. Myocarditis hi thinlung ruh a inflammation a ni. Pericarditis hi thinlung chhehvela sac a inflammation a ni a, chu chu pericardium an ti a. An pahnih hian virus avanga lo awm an ni fo. An pahnih hian rilru natna a thlen thei. Mahse, pericarditis-ah chuan hmalam pan chuan rilru natna chu a reh tur a ni. Myocarditis i neih chuan i chau zawk ang a, i chak lo zawk bawk ang.

Tute nge Pericarditis vei tam ber?

Tu pawhin pericarditis an vei thei. Mahse, mipa kum 16 leh 65 inkar ah a tam ber a , statistics atanga a lan dan chuan kum khatah mi 100,000 zinga 28 vel ah he natna hi a awm thin.

Pericarditis a lo awm hian taksaah eng nge thleng?

Pericarditis i neih chuan i thinlung chhehvel membrane chu a sen a, a hring bawk. I kut emaw i ke emaw cut vel vun a hring ang mai a ni. He pericardium hi a pawimawh hle. Thinlung a tithianghlim a, natna hrik leh cancer lakah a veng a, rilru chhunga a hmuna awm reng turin a pui bawk. Thisen volume a san chuan thinlung a lian lutuk loh nan a titawp bawk. Hei hian thinlung chu hna thawk tha zawk turin a pui thin.

Pericarditis natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Pericarditis chhinchhiahna ber chu rilru natna a ni. He natna hian mizia bik engemaw zat a nei bawk a:

• Sharp, stabbing pain (hei hi thinlungin pericardium hring dup a a hnawih avanga lo awm a ni).
• He natna hi i khuh emaw, i ei emaw, thawk i lak emaw, i mut emaw hian a zual thei.
• Mahse, i ṭhut a, hmalam i pan chuan a natna chu a reh tih i hre tur a ni. Hei hi symptom pawimawh tak a ni.

A châng chuan thawk awlsam zâwk tûrin hmalam pan emaw, i rilru i vawn emaw a ngai tih i hre mai thei.

A lan chhuah dan dang pawh a awm:

• I hnungzang, i kawng emaw, i ke veilam emaw a na.
• I tawlh lai hian thawk a harsa khawp mai.
• A khuh hnim hring.
• Palpitations hi thinlung thawk chak emaw, a thawk mumal lo emaw tih hriatna a ni.
• Lungkham leh chau lutuk.
• Khawsik.
• A nasat chuan ke, ke ruh leh ke a hring.

I ke, ke leh ke ruh a hring a, thil tenawm tak tak i tih lai pawhin thawk harsatna i neih chuan Constrictive Pericarditis tih hming pu natna khirh tak chhinchhiahna a ni thei. Hei hi pericardium a thick a, thinlung a zau tha thei lo a nih chuan a ni. Hei hian thinlungin thisen a pump tha thei lo. Hei hian lung, pum leh ke te chu thisenin a khat thei a, a ti hring thei a, Congestive Heart Failure symptoms nen a inang. Heart rhythm pangngai lo pawh a awm thei bawk.

`Acute Pericarditis` symptom i neih chuan doctor pan nghal rawh. I natna lan chhuah dan chu emergency nia i hriat chuan damdawi in hnai ber ah enkawlna zawng rawh.

Engvangin nge Pericarditis hi a lo awm? A chhante chu engte nge ni?

Mak tak maiin, mi 100 zinga 90 velin he ``pericarditis'' hi a chhan chiang tak hmuh tur a awm lo.Hei hi ``idiopathic pericarditis'' an ti a ni.

Mahse, pericarditis a thlen theihna chhan dang tam tak a awm a:

• Viral infection (a tam zawkah chuan gastrointestinal virus) avanga harsatna awm angin.
• Bacteria infection, entirnan, TB natna.
• A fungal infection a ni.
• Parasite atanga natna kai.
• `Autoimmune Diseases` thenkhat avang te, entirnan `Lupus`, `Rheumatoid Arthritis`, `Scleroderma` te vang a ni.
• A rilru a hliam, car accident hnua ang mai.
• `Kidney Failure` vang a ni.
• `Lymphoma` ang chi cancer vang a ni.
• Genetic natna `Familial Mediterranean Fever (FMF)` ang chi vang a ni.
• Immune system titawptu damdawi thenkhat avang hian (hei hi a tlem hle).

Tin, heng thilte hnuah hian Pericarditis vei theihna a sang zawk bawk:

• `Heart Attack` a neih hnuah.
• Open heart surgery (Open Heart Surgery / Postpericardiotomy Syndrome) neih hnuah.
• Radiation therapy hnuah.
• Enkawlna thenkhat `Cardiac Catheterization` emaw `Radiofrequency Ablation (RFA)` emaw tih hnuah.

Heng hunah hian pericarditis hi operation emaw, a dinhmun emaw avanga taksain a chhan danah harsatna a awm thei a ni. A chang chuan pericarditis symptoms hi bypass surgery hnuah kar engemaw zat a la ngai thei. Hemi chungchang hi i surgeon nen sawiho rawh.

Doctor, engtin nge pericarditis hi i hriat theih ang?

I rilru leh i shoulder blades hnung lama natna nasa tak, a bik takin hmalam i ben lai te, leh thawk chhuah laia i rilru natna te hi pericarditis i vei theihna tur finfiahna lian ber pahnih a ni. Hei hian heart attack a nih loh leh nih loh a hriat theih nan a pui thei che a ni. I doctor chuan i natna lan chhuah dan te, tun hnaia i damlo emaw, natna hmasa i neih leh neih loh te, operation i neih tawh dan te, leh pericarditis vei theihna tipung thei hriselna lama harsatna dang i neih dan te a zawt ang che.

Chumi hnuah chuan doctor chuan i thinlung chu a ngaithla ang. Pericardium layer hring hringte chu an inhnim khawm chuan hnah pahnih inhnim hrual ang maiin thawm i hre ang a, a nih loh leh savun hring pahnih inhnim khawm ang maiin i hre ang Hei hi ``pericardial rub'' an ti a, he aw hi hmalam pan a, thawk i vawn a, chutah zawi zawiin i thawk chhuah hian hriat a tha ber. Inflammation nasat dan azirin lung chhungah ``crackles'' engemaw zat i hre thei bawk. Chumi awmzia chu lung chhehvel space-ah tui a awm tihna a ni a, a nih loh leh pericardium-ah extra fluid a awm tihna a ni.

Hemi atan hian eng test nge tih a nih?

Doctor-te chuan test hrang hrang an nei ang a, pericarditis a awm leh awm loh an enfiah ang a, chubakah pericardial effusion emaw constrictive pericarditis ang chi harsatna awm thei te an enfiah bawk ang. A hnuaia mi pakhat emaw, a aia tam emaw i tih a ngai mai thei:

• Chest X-ray: Thinlung lian leh te enfiah la, lung chhungah tui a awm leh awm loh en rawh.
• Electrocardiogram (ECG emaw EKG): Lungphun inthlak danglamna a awm leh awm loh a enfiah thin. Pericarditis vei zinga a chanve vel chuan an ECG-ah hian danglamna langsar tak tak an nei ang. Mi thenkhat chuan inthlak danglamna an nei lo mai thei.
• Echocardiogram (Echo): Thinlung hnathawh that dan leh thinlung chhehvelah tui a awm leh awm loh enfiah nan (pericardial effusion). Echo hian constrictive pericarditis chhinchhiahna a lantir thei a, chu chu thinlung chhehvela bawm thick leh tight tak a ni.
• Cardiac MRI: Pericardium-a tui tam zawk, inflammation, thickening, emaw heart murmurs awm leh awm loh enfiah nan . Thinlung chhungah hian thil bik `Gadolinium` an inject a.
• CT Scan: Pericardium-ah hian calcium deposit, fluid, inflammation, tumor emaw natna dang emaw a awm leh awm loh enfiah nan. Hei hian `Iodine` awmna dye a hmang a. Inflammation chungchang hi zir belh rawh. `Constrictive Pericarditis` avanga zai a ngai a nih chuan he test hi a pawimawh hle.
• Cardiac Catheterization: Thinlung chhunga pressure a enfiah thin. Hei hian Constrictive Pericarditis i neih leh neih loh a nemnghet thei.
• Thisen Test: Heart attack i nei lo tih chian nan, i thinlung hnathawh that dan hriat nan, pericardium-a tui awmte enfiah nan, leh pericarditis awm chhan zawn chhuahnaah tanpui nan. Pericarditis i neih chuan i ESR (Erythrocyte Sedimentation Rate) leh ultra-sensitive C-reactive protein (CRP) level hi a tlangpui aia sang a ni tlangpui. Test dang pawh autoimmune natna lupus leh rheumatoid arthritis te enfiah nan tih theih a ni bawk.

Pericarditis hi eng enkawlna nge ni?

A tam zawkah chuan pericarditis vei tan chuan damdawi chauh hi a tawk a, a chhan rinhlelh dan azirin. Mahse, i pericardium-ah tui a awm khawm a nih chuan lakchhuah a ngai mai thei. Constrictive pericarditis i neih chuan operation neih a ngai mai thei.

Pericarditis damdawi hman dan tur

Acute pericarditis hi natna leh inflammation damdawi, ibuprofen emaw high-dose aspirin emaw hmanga enkawl a ni. Pericarditis awm chhan a zirin antibiotics emaw antifungal damdawi emaw i mamawh mai thei.

Kar hnih aia rei i natna lanchhuahna na tak i neih chuan, emaw, i dam hnua a lo let leh a nih chuan, i doctor chuan Colchicine (Colcrys® emaw Gloperba®) tih hming pu anti-inflammatory damdawi a pe thei bawk. Colchicine hian inflammation control nan a pui thei a, pericarditis hi kar tam tak emaw thla tam tak emaw chhung a lo kir leh tawh loh nan a veng thei bawk. Kidney natna i neih chuan i doctor pawhin Prednisone an tih steroid a pe thei bawk a, chu chuan ibuprofen leh colchicine ei a ti harsa thei a ni.

`Ibuprofen` dose sang tak i ei a ngai a nih chuan, i doctor chuan chaw ei leh in lama harsatna tihziaawmna tur damdawi dang a pe bawk ang. `NSAIDs (Nonsteroidal Anti-inflammatory Drugs)` dose sang tak i ei a nih chuan, kal leh thin hnathawh dan inthlak danglam leh awm loh enfiah nan `Follow-up` test neih fo a ngai ang.

`Chronic` emaw `Recurrent` Pericarditis i vei chuan kum engemaw zat `NSAIDs` emaw `Colchicine` emaw ei a ngai mai thei a, a dangin i hrisel a nih pawhin. `Diuretics` ("tui pills") hian `Constrictive Pericarditis` avanga tui tam lo awm chu paih chhuah nan a pui tlangpui. Heart rhythm problem i neih chuan i doctor chuan chu chu enkawl dan tur a sawipui ang che.

I doctor chuan i natna hi steroid emaw damdawi dang emaw hmanga enkawl dan tur a sawipui thei bawk che a, chu chu `Azathioprine (Azasan® emaw Imuran®)`, `IV Human Immunoglobulins`, emaw `Anakinra` emaw `Rilonacept` emaw te hi a ni.

I pericarditis hi natna hrik avanga lo awm a nih chuan i doctor chuan chu natna enkawlna tur damdawi bik a pe ang che. Cancer vang a nih chuan a enkawl dan tha ber chu cancer enkawl hi a ni.

Pericarditis vei enkawlna leh tih dan tur

Pericardium layer inkara tui a lo awm chuan `Pericardial Effusion` tih natna a siam a ni.He tui hi a lo pung chak lutuk chuan `Cardiac Tamponade` a thlen thei a, hei hi natna khirh tak a ni a, chu chuan thinlungah pressure a siam a, a hnathawh a tibuai bawk. `Cardiac Tamponade` hi nunna atana hlauhawm medical emergency a ni a, enkawl vat a ngai a ni.

Hetianga thinlung layer hrang hrang inkara tui a lo awm nghal mai hian thinlung chu a thawk tha thei lo va, thisen sang a ti tlahniam thei bawk. Hei hi nunna atana hlauhawm a nih avangin doctor chuan a tui chu a paih nghal tur a ni.

I pericardial effusion-ah tui i awm a, chu chuan i thinlungah pressure a siam a nih chuan pericardiocentesis tih procedure i neih a ngai mai thei. Hei hian doctor chuan tube sei tak, te tak te, catheter an tih hmangin tui tam lutuk chu a paih chhuak a ni. He tube leh needle hi echocardiogram emaw CT scan emaw hmangin pericardial sac chhungah an hruai lut thin.

Chu tui chu needle hmanga lakchhuah theih a nih loh chuan doctor chuan surgical procedure tenau tak ``pericardial window'' an tih chu a ti ang.Hei hian a rilruah incision te tak te siam a, pericardium-ah khur siamin a tui chu a chhuah tir a ni.

Constrictive pericarditis i neih chuan i heart sac thenkhat chu lakchhuah a ngai mai thei. He surgery hi pericardiectomy an ti a. Heart sac-a scar tissue nei tan tih a ni. Pericarditis avanga active inflammation leh rilru natna nei tan chuan tih a ni tlangpui lo.

Operation hi pericarditis natna lo lang leh tawhte tan chuan enkawlna atan hman a ni lo tlangpui a, a inflammation hian operation hnua dam leh a harsat phah thei a ni. Mahse, enkawlna dangin a hlawhtlin loh chuan i doctor chuan hei hi a sawipui thei che a ni.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Kar khat chhungin enkawlna i dawng tur a ni a, mahse kar hnih vel damdawi i ei a ngai dawn a ni. Surgery atanga dam leh hian hun a duh rei zawk. Pericarditis atanga a dam kim theih nan kar tam tak emaw thla tam tak emaw a ngai thei. Chumi hun chhung chuan chawlh hahdam tam a pawimawh hle.

Pericarditis lo lang lehna hi tihziaawm theih a ni em?

`Acute Pericarditis` episode pakhat chu i veng thei lo nain, a lo awm leh theihna tur chu enkawl vat a, enkawlna dik tak zawm a nih chuan i ti tlem thei a ni. Tin, exercise lak leh hun tur chungchanga i doctor thupek pawh zawm bawk ang che. Active `Pericarditis` laia exercise chak tak neih hian natna a tizual thei a ni.

Pericarditis natna vei hian eng nge i hriat reng tur?

Pericarditis atanga i dam hnuah chuan lungkhamna awm lovin i hnathawh dan pangngaiah i kir leh thei tur a ni. Mahse, doctor-in okay a pek che hma chuan exercise hahthlak tak chu chhunzawm leh tawh suh. Hemi chungchang hi i doctor chuan a hrilh belh ang che.

Pericarditis hi eng chen nge a awm?

• Acute Pericarditis hi kar li atanga kar ruk inkar a ni.
• `Incessant Pericarditis` (continuous) hi chu aia rei a daih a, mahse thla thum aia rei lo a ni.
• Chronic Pericarditis hi thla thum chuang zet a awm tawh a ni.
• Pericarditis vei zinga 15% leh 30% inkar chuan kum tam tak chhung chu episode lo lang leh thin an nei thei a ni.

Enkawl a nih chuan `Acute Pericarditis` vei te hi an dam theihna chance a sang hle. Mi tam zawk chu an dam chhuak vek. Mild case i neih chuan chawlh hahdamna nen a reh thei. Mahse, enkawl loh chuan mi thenkhat chuan `Chronic Pericarditis` an nei thei a ni.

A pawimawh ber chu Doctor-in a sawi ang chiaha damdawi ei tur leh a hun ruat saah doctor hmuh tur a ni.

Engtikah nge doctor i hmuh ang?

`Constrictive Pericarditis` natna lanchhuahna i neih chuan Doctor pan nghal rawh. Heng symptoms te hi:

• Thâwk harsa.
• Ke leh ke a hring chhuak.
• Taksa chhunga tui awm reng.
• Palpitations a awm.
• Pum natna nasa tak a awm.

Chest na hi pericarditis chhinchhiahna tlangpui ni mahse, heart attack chhinchhiahna a ni thei bawk. Chuvangin, i rilru a na a nih chuan heart attack a ni thei a, chuvangin emergency room-ah kal nghal rawh.

A tawp berah chuan thil pawimawh thenkhat

Tunah chuan he natna `Pericarditis` tih hi i hrethiam zawk ngei ka beisei. Hrereng,I rilru natna, a bik takin hmalam pan lai leh thawk chhuah lai te, khawsik leh hahna ang chi symptoms te nen chuan pericarditis a ni thei. Hetiang a nih chuan hlauthawng lova damdawi lam thurawn lak a tha ber.

Enkawlna i hmuh hma chuan i dam kim thei fo. Enkawlna dik taka i zawm chuan natna lo awm leh tawh lo turin a pui thei bawk. Chuvangin i doctor-in damdawi a pek ang chiah kha hman a pawimawh hle a, follow-up visit neih fo a pawimawh hle. Pericarditis symptoms te hi hre reng la, chutiang chuan a lo awm leh a nih chuan enkawlna i hmu thuai thei ang. Hrisel taka dam leh turin duhsakna ka hlan a che!

` Pericarditis, pericarditis, rilru na, thawk hah, lung natna, thinlung natna, Colchicine