Naupai lai nge nau neih hnua thinlung lama harsatna awm? Peripartum Cardiomyopathy (PPCM) chungchang hi i zir dawn teh ang!

Naupai hi thil lawmawm tak a ni. Mahse, a châng chuan beisei loh hrisêlna lama harsatna a awm thei a ni. Vawiin hian naupai tawp lam emaw, nau neih hnu thla engemaw zat chhunga lo awm thei, thinlung natna hmuh tur awm lo tak kan sawi dawn a ni. Hetiang dinhmun hi Peripartum Cardiomyopathy an ti a.

Peripartum Cardiomyopathy (PPCM) hi eng nge ni?

A awlsam zawngin sawi ila, Peripartum Cardiomyopathy (PPCM) hi natna hlauhawm tak a ni a, i thinlung ruh a tichak lo hle. Hei hian i thinlung hian i taksa peng dang zawng zawnga thisen pump theihna a hloh phah a ni. Hei hi a châng chuan nunna atana hlauhawm tak a ni thei . Hetiang dinhmun hian hmeichhiate hi naupai thla hnuhnung ber emaw, nau an pai hnu thla nga thleng emaw a nghawng fo thin. Chuvangin mi thenkhat chuan ``postpartum cardiomyopathy'' an ti a ni. Kum eng pawhah a awm thei a, mahse hmeichhia kum 30 chunglam ah a tam ber.

Peripartum Cardiomyopathy hian i thinlung chhunga chamber pakhat, left ventricle . He left ventricle hian i taksa pum puiah oxygen tamna thisen pump chhuahna hna pawimawh tak a nei a ni. Chuvangin a chakloh chuan a hna a thawk tha lo.

I doctor-in ‘left ventricular ejection fraction’ emaw ‘left ventricular ejection fraction (LVEF)’ emaw tih thumal a hman i hre tawh mai thei. Hei hi ‘echocardiogram’ hmanga teh a ni tlangpui. He LVEF hi i left ventricle hian i thinlung atanga thisen a pump chhuah theih dan tehna a ni. Percentage anga tarlan a nih avangin percentage a san chuan a tha zawk. Mi hrisel LVEF hi 50% leh 70% inkar a ni tlangpui. Mahse, Peripartum Cardiomyopathy vei tan chuan 45% hnuaiah a tlahniam thei . LVEF a hniam poh leh a dinhmun a na zawk.

He natna hi hriat hmasak a pawimawh hle . Chumi hnuah chauh chuan enkawlna dik tak hmuh leh dam thuai theihna chance a pung ang.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Peripartum Cardiomyopathy hi a awm fo lo. Mahse engtiang chiahin nge a tlem tih erawh sawi a har khawp mai. Hemi chungchanga statistics-ah hian United States chauh ni lovin khawvel hmun hrang hrangah pawh danglamna nasa tak a awm a ni. United States-ah chuan naupai 1,000 atanga 4,000 zinga pakhat velin he natna hi a thleng niin an sawi. Zirna thenkhatah chuan United States khawthlang lam bialah chuan hmun dang aiin a tam zawk deuh niin a lang.

Peripartum Cardiomyopathy natna lan chhuah dan chu engte nge ni?

Peripartum Cardiomyopathy symptoms hi a chang chuan hmuh loh awlsam tak a ni thei. Heng symptom tam tak hi naupai laia i tawn tlangpui nen a inang a ni. Mahse he natna hi a nasat em avangin heng symptoms te hi ngaihven bik a pawimawh hle :

• Thâwk harsa (dyspnea) – a bik takin mut tum, mut tum, taksa tihchakna eng pawh i tih lai hian.
• Chau.
• Ke leh ke ruh a hring (edema) .
• Lung na tak tak tih hriatna .
• Dry cough a awm .
• Neck veins a lo hring chhuak .
• Luak chhuak (`Lightheadedness`) tih hriatna .
• Thisen sang hniam (hypotension) , emaw, i ding nghal vat a, thisen sang tlahniam.
• A rilru a na .

Peripartum Cardiomyopathy hi naupai thla hnuhnung ber emaw a hnu lamah emaw a intan tlangpui. Mahse a chang chuan a hmain a intan thei. Tin, naupai hian thinlungah harsatna a siam belh a, a hmaa hriat loh thinlung natna a tizual thei bawk. Chuvangin, naupai chhung zawng hian symptoms ngaihven a pawimawh , kar tawp lamah chauh ni lovin.

Peripartum Cardiomyopathy hi engte nge ni?

Researcher te chuan Peripartum Cardiomyopathy hi a chhan chiang tak an la hmu lo. Mahse, naupai laia hormone inthlak danglamna leh thil dang, preeclampsia ang chi te hi a chhan a ni thei niin an ngai. Thil engemaw zat inzawmkhawmin he natna hi a thlen thei a ni.

Peripartum Cardiomyopathy hi thlahtute atanga lo chhuak a ni thei a, mahse zirchianna chuan he inzawmna hi a la nemnghet lo. Peripartum cardiomyopathy vei hmeichhia 15% leh 20% inkar hian genetic mutations an nei a, hei hian cardiomyopathy a thlen thei niin an chhut. Heng mutations zinga pakhat i neih chuan naupai leh nau neih avanga stress hian cardiomyopathy symptoms a thlen thei a ni. Nang leh i cardiologist tan chuan chhungkaw history-a thinlung natna awm tawh zawng zawng, a bik takin cardiomyopathy emaw heart failure emaw in hriat a pawimawh hle .

Peripartum Cardiomyopathy vei theihna tur risk factors te chu engte nge ni?

Peripartum cardiomyopathy natna tichhe thei risk factor hrang hrang a awm a. Risk factor i neih tam poh leh peripartum cardiomyopathy vei theihna a sang zawk. Heng risk factors te hi add up in factor pakhat chauh aiin risk lian zawk a awm thei a ni.

Naupai hmaa risk factor awm thei te

• Thisen sang (hypertension) .
• Zunthlum .
• Thau lutuk .
• Selenium leh zinc tlakchhamna .
• Substance hmansualna (SUD) .

Naupai nena inzawm risk factors te

• A vawi khat nan naupai a ni .
• Twins emaw triplet emaw neih .
• Tun hmain Peripartum Cardiomyopathy a vei tih hmuhchhuah a ni tawh bawk .
• Naupai theihna tura `IVF` (in vitro fertilization) ang chi technique hman.

Naupai laiin harsatna awm thei

• Preeclampsia leh eclampsia te a awm thin .
• Thisen tlakchhamna (Anaemia) .
• Thyroid natna a ni .
• Asthma emaw autoimmune disease emaw a zual zel .
• Preterm contraction i neih chuan nau neih tikhawtlai turin damdawi rei tak hman .

Hmeichhe dum tan thil chiang tak tak (research atanga chhut) .

He section hi American hmeichhe dum chungchanga zirchianna bik neih atanga lak a ni. Chumi ang chuan:

• An zingah hian Peripartum Cardiomyopathy hmuhchhuah hi a tam zawk .
• Hetiang dinhmun hian thinlung a tichhe nasa zawk a, thinlung pump theihna a tlahniam bawk.
• Complication na zawk a awm theihna chance a sang zawk .
• He natna hi kum naupang zawk (kum 27 vel, midangte chu kum 31 vel atanga hmuhchhuah a ni tlangpui) .
• Nau neih hnua natna hmuhchhuah tlai vangin buaina hi a na zual hle mai thei.
• Hetiang natna avanga thihna hlauhawmna hi a sang hle .

He thu hi United States-a zirchianna an neih atanga lak a ni a, population hrang hrangah risk factors a inang lo thei tih hre reng ang che. I mimal risk chungchang hi doctor nen inbiakna neih a tha ber.

Peripartum Cardiomyopathy avanga harsatna awm thei te chu engte nge ni?

I left ventricle a chak loh leh a chau chuan thisen a pump tha thei lo a, a bik takin a chunga innghat taksa peng hrang hrang, lung leh thin ang chi te chu a pump thei lo. Hetianga slow down hian taksa pum a nghawng a ni. Heart failure a thlen thei a , thisen zam leh thrombosis hlauhawmna a tipung thei bawk .

Nunna atana hlauhawm harsatnate chu:

• Lungphung pangngai lo (arrhythmias) .
• Cardiogenic shock a awm a .
• Lung natna nasa tak .
• Thisen zam avanga harsatna awm .
• Thluak a chhiat phah .

Peripartum Cardiomyopathy hi engtin nge an hriat theih?

I doctor chuan heng natna pathumte hi i neih vek chuan Peripartum Cardiomyopathy i nei tih a rel ang :

• I naupai tawp lam emaw, naute i neih atanga thla nga chhung emaw pawhin heart failure i nei tawh tur a ni.
• Doctor chuan i thinlung natna chhan dang a hmu thei lo tur a ni. (Chu chu i symptoms thlentu ni thei thil dang zawng zawng chu paih vek tur a ni tihna a ni.)
• I left ventricular ejection fraction (`LVEF`) chu 45% aia tlem a ni tur a ni.

He diagnosis atan hian doctor chuan i hriselna chanchin leh chhungkaw hriselna chanchin a sawipui ang che.

I doctor chuan i natna chu i hriat chhuah hunah Class I, II, III, emaw IV-ah a dah thei ang. A tam poh leh a dinhmun a nasat zawk . Peripartum cardiomyopathy hmuhchhuah hmasak hian thihna a tiziaawm thei a, a rang thei ang bera enkawl tan theih a ni bawk. A natna a zual hnua hriat chhuah a nih chuan harsatna lian tham, thinlung lama harsatna awm chhunzawm zel ang chi a thlen theihna a sang zawk.

Diagnostic test te hi engte nge ni?

Peripartum cardiomyopathy hriat theihna tur test bik a awm lo. Chu ai chuan i doctor chuan i thu hriatte nen test dang a hmang ang. A taksaah tui tam lutuk a awm leh awm loh enfiah turin taksa enfiahna a nei ang. Chumi hnuah chuan test te chu hetiang hi a ni:

• Thisen test neih a ni .
• Electrocardiogram (ECG/EKG) hmanga tih a ni .
• Chest X-ray hmanga enfiah a ni .
• Echocardiogram (`Echocardiogram - echo`) tih a ni . Hei hian i `LVEF` value chu a check thei a ni. Hei hi diagnosis-ah a pawimawh hle.
• Lung lam MRI (magnetic resonance imaging) hmanga enfiah a ni .
• Lung lam catheter hmanga siam a ni .
• Myocardial biopsy (hei hi tih a tlem hle) .

Heng test te hian naupai hmaa thinlung lama harsatna i neih leh neih loh a hriat theih bawk. Mi thenkhat chuan kum tam tak chhung lung natna nei tawh mahse naupai laia an lan tan hma chuan symptom an hmu lo. I test result hian i doctor chu diagnosis dik tak a siam thei ang.

Peripartum Cardiomyopathy hi eng enkawlna nge ni?

Peripartum Cardiomyopathy enkawlna hian heart failure symptoms control a, i thinlung a dam theih nan a pui a ni. He dinhmun hi a mah chauhin a tha lo ang . Naupai laiin he natna hi hmuhchhuah a nih chuan i doctor chuan i damdawi ei apiang chu i naute tan a him em tih a enfiah ang. I enkawl dan tur leh a side effect awm thei te chu an sawipui ang che. Naupai hlauhawm tak leh thinlung natnain i naupai a nghawng theih dan tur thurawn pe thei tur specialist team nen pawh in thawk dun ang.

Heart failure chi dang atana hman thin damdawi ang chiah hi pek i ni fo ang. Entir nan:

• Angiotensin tidanglam thei enzyme (ACE) titawp thei .
• Angiotensin II receptor blocker (ARBs) te hi a awm a .
• Angiotensin receptor/neprilysin inhibitor (ARNIs) te hi a tha hle a, a rilru a hah lutuk a, a rilru a buai em em bawk a .
• Beta-blockers te chu .
• Diuretics (tui chi hrang hrang) .
• Hydralazine/nitrates hmanga siam a ni.
• Mineralocorticoid receptor antagonists (MRAs) te hi a awm a , hei hi a chhuahna tur hmun leh a hmanna tur a ni.
• Sodium-glucose cotransporter-2 (SGLT2) tihkhawtlai a ni .
• Anticoagulants (thisen tithianghlimtu) .

I thinlung hnathawh that dan azirin enkawlna dang i mamawh thei bawk. Chung zingah chuan:

• Thil pakhat, bun theih emaw, dah theih emaw, cardiac device (cardiac defibrillator) ang chi .
• A rilru a buai em em a, a rilru a hah em em bawk a. Left ventricular assist device (LVAD) .
• Lung thlak danglam . Hei hi natna a zual hle a, LVEF a hniam em em a, enkawlna dawng lote tan tih a ni tlangpui.

Enkawlna avanga harsatna leh side effects te

Enkawlna avanga side effects hi a enkawl dan leh chutih laia naupai leh naupai loh a zirin a inang lo. Naupai laiin beta-blockers ei hian i naute chu a pian laiin a rihna a tlahniam thei a, hypoglycemia (thisen sugar hniam), bradycardia (heart rate slow), emaw heart block a nei thei bawk.

Damdawi thenkhat – ACE inhibitor, ARB, ARNI, MRA leh SGLT2 inhibitor te hi naupai laiin hman a him lo . Mahse, a tlangpuiin nau hnute pek laiin ei a him a, a tlem chauhvin nu hnute tuiah a kal lut thin. Damdawi pakhat zel ei hun tur, a hlauhawmna leh a side effect chungchang doctor nen inbiakna neih a pawimawh hle .

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

Peripartum cardiomyopathy vei zinga 50% aia tam chu thinlung hnathawh dan pangngaiah an dam leh thin – a tam zawkah chuan thla ruk aia rei lo enkawl an ni. Ṭhenkhat chu ni engemaw zat emaw, kar tlemte chhungin an dam leh ṭhin. Mi dangte tan chuan an dam leh theih nan kum tam tak a ngai thei a ni.

Mahse, i thinlung hnathawh dan pangngaia a lo awm leh hnuah pawh kum khat tal damdawi i ei a ngai dawn a ni .

Peripartum cardiomyopathy vei theihna hi engtin nge kan tihziaawm theih ang?

Peripartum cardiomyopathy laka invenna tha ber chu i thinlung hriselna atana theihtawp chhuah hi a ni. Risk factor zawng zawng i pumpelh theih loh laiin, midangte chu hetiang hian i thunun thei a ni:

• Thinlung hrisel ei tur ei .
• Taksa exercise neih fo thin .
• Zuk leh hmuam thil leh zu in loh tur .
• I doctor nen thawk ho la , thau lutuk emaw thau lutuk emaw ang chi dinhmun enkawl rawh .
• I thisen sang enfiah fo la , a tul chuan enkawlna zawng rawh .

Naupai hmaa heart failure i neih chuan naupai leh i tum a nih chuan i risk factors chungchang doctor nen sawiho rawh.

Peripartum Cardiomyopathy i neih chuan eng nge i beisei theih ang?

Peripartum Cardiomyopathy i neih chuan i doctor leh specialist team te nen thawhhona tha tak neiin i hriselna enfiah a ngai dawn a ni. I la naupai a nih chuan i healthcare team pawhin i naute dinhmun an enfiah ang.

I delivery tur pawh an ruahman ang. I heart failure a stable a nih chuan i doctor chuan vaginal delivery neih a duh ngei ang. Mahse, nau neih awlsam zawk nan epidural emaw, episiotomy emaw, forceps hman emaw i mamawh mai thei.

Peripartum Cardiomyopathy i neih chuan cesarean delivery (C-section) emaw preterm birth emaw i neih a rinawm zawk . I duhthlan tur leh hlauhawmna tur doctor nen inbiakna neih a pawimawh.

I naute i neih hnuah i enkawl leh enkawl dan tur enkawl turin i doctor nen thawhhona tha tak i neih chhunzawm a ngai dawn a ni. I rilru put hmang leh i dam chak dan chu thil tam takah a innghat ang a, mahse a pawimawh ber chu i left ventricular ejection fraction (LVEF) a ni . I LVEF hi i hmuhchhuah lai hian 30% aia tlem a nih chuan harsatna lian tham i neih theihna a sang zawk a ni.

Peripartum Cardiomyopathy hi a awm reng em?

Mi thenkhat tan chuan peripartum cardiomyopathy hi natna awm reng a ni. Midang tan chuan enkawlna hian natna lan chhuah dan a thunun thei a, thinlung hnathawh chu a pangngai emaw, a then emaw a awm leh thei bawk.

I LVEF hi 50% atanga 55% tal a nih chuan i doctor chuan peripartum cardiomyopathy atanga dam kim tawhah a ngai ang che. Zirna tam zawk chuan he number hi an hmuhchhuah atanga thla ruk hnuah an en thin. Recovery rate hi region hrang hrangah leh hnam hrang hrangah a inang lo hle. United States-ah chuan thla ruk hnua dam leh zat hi 44% leh 63% inkar a ni a, ram thenkhatah chuan 21% atanga 36% vel a tlahniam thung.

Zirchianna pakhatah chuan peripartum cardiomyopathy vei hmeichhe dum 5 zinga 4 chu an dam kim lo a, mi 10 zinga 1 chu an dam chhuak lo tih hmuhchhuah a ni. (Hei pawh hi US zirchianna a ni tih hre reng ang che).

I thinlung hnathawh dan pangngaia a lo kir leh hnuah pawh i hriselna i enfiah a ngai dawn a, i doctor nen pawh thawhhona tha tak i neih a ngai dawn a ni. Hei hi a chhan chu peripartum cardiomyopathy atanga dam chhuak hmeichhia 5 zinga 1 chuan a tawpah chuan heart failure an nei leh dawn a ni. Tin, i LVEF chu hriselna lama a lo kir leh hnuah pawh hun rei tak chhunga nghawng i nei thei a, chu chu exercise i tih theihna tlahniam ang chi hi a ni.

Peripartum Cardiomyopathy natna hi engzat nge dam rei?

Peripartum cardiomyopathy vei dam rei zawng hi i dinhmun, i enkawlna a thawh that dan leh i hriselna zawng zawng nena inzawm thil dang tam takah a innghat a ni. I left ventricular ejection fraction (LVEF) a hniam poh leh thihna a sang zawk. Tin, an thinlung hnathawhna tura damdawi hmanrua mamawhtute tan pawh thlirna a tha lo hle bawk.

Zirchiangtute chuan khawvel pumah thihna hi 2.5% leh 32% inkar vel niin an chhut. Hetiang zat zingah hian United States chu a hniam ber a, thihpui zat chu 6% leh 10% inkar a ni.

Engtin nge ka in enkawl ang?

I in enkawl dan tur pawimawh ber chu doctor pan fo hi a ni . I doctor ruahmanna chu zawm la, harsatna emaw, inthlak danglamna emaw i hmuh apiang chu i doctor nen sawiho rawh.

Nitin i tih theih tur inthlak danglamna awlsam tak tak thenkhat chu hetiang hi a ni:

• Chi i ei zat tihtlem rawh . Chi tel lova chaw thlum dan dang zawng rawh.
• Fluid retention enfiah turin i in riah fo thin . Ni hnih emaw ni thum emaw chhunga pound 3-4 (kg 1.3 - 1.8 vel) i rih chuan doctor nen inbia ang che.
• Meizial zuk bânsan . I doctor hnenah tanpui thei tur resources te zawt rawh.
• Zu in tihtlem, a nih loh leh tihtawp vek .

I hnute i pe a nih chuan i doctor nen a hlauhawmna chungchang sawipui la, chu chu i hnute hnute hmanga i naute hnena damdawi pek chhuah te hi a ni. A tlangpuiin, nau hnute pek hlawkna – i naute nena inzawmna siam ang chi – hian a hlauhawmna a phak lo hle. Naupai hnua counselor nen thawk hovin, nang leh i naute tana tha ber tur chu i ngaihtuah thei ang.

Peripartum Cardiomyopathy leh Rilru hriselna

Peripartum Cardiomyopathy hi nun tidanglam thei a ni. I nau piang thar i enkawl lai hian vawi khatah rilru natna tam tak i nei thei a ni. Heng zawng zawng hi vawi khata hmachhawn chu a buaithlak thei hle.

Peripartum cardiomyopathy avanga stress hian mood disorder i neih theihna a tipung thei a ni. Peripartum cardiomyopathy vei zinga 50% aia tam chuan an thinlung dinhmun chungchangah generalized anxiety emaw anxiety emaw an nei thin.

United States-ah chuan hmeichhe 10 zinga pakhat velin nau an pai hnuah postpartum depression an nei a, hmeichhe 3 zinga pakhat velin Peripartum Cardiomyopathy an vei tih hmuhchhuah a nih hnuah depression an nei bawk.

I lungngaih, i lungkham a, i rilru a buai a nih chuan nangmah chauh i ni lo. Counselor emaw therapist emaw i thawhpui loh chuan i doctor hnenah referral dil rawh.

Engtikah nge Doctor ka hmuh ang?

Peripartum Cardiomyopathy symptom i neih chuan doctor ko nghal rawh.. Enkawl lai hian appointment mumal tak i nei ang. I thinlung a thawk tha leh tawh (LVEF pangngai nen) chuan kum khatah vawi khat emaw a aia tam emaw doctor pan a ngai ang a, i thinlung enfiah a ngai ang. Chutih hunah chuan condition chu a lo let leh em tih i hmu thei ang. A awm chuan regular checkup-in a man hma thei.

Engtikah nge emergency room-ah i kal ang?

I rilru na, thinlung chak tak, muhil, emaw, natna lan chhuah thar i neih chuan 911 (or i awmna hmuna emergency number) call nghal la, emergency room (ER) ah kal nghal rawh .

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Damdawi hmangin ka enkawl thei ang em, a nih loh leh damdawi hmanrua ka mamawh em?
• Cesarean section (C-section) ka neih a ngai dawn em ni?
• Follow-up appointment atan engzat nge ka lo kal a ngai ang?

Peripartum Cardiomyopathy ka neih chuan nau ka pai leh thei ang em?

Hmeichhe tam tak chuan peripartum cardiomyopathy vawi khat aia tam an nei thin. Naupai vawi khata i neih chuan i vei leh theihna a sang zawk. Hmeichhia 3 zinga 1 velin a hnua naupaiah an nei ang.

Naupai leh hi a him em tih i doctor nen in inbia thei ang. Risk lutuk a nih chuan birth control ngaihtuah i duh mai thei. Estrogen tel lo birth control method i duh ang, a chhan chu estrogen therapy hian thisen zam leh thrombosis a tipung a ni.

I naupai leh a nih chuan heart failure chhinchhiahna hmasa ber i hmuh theih nan uluk taka enkawl leh checkup reng reng i mamawh ang.

Naute neih tura i inbuatsaih lai hian thinlung natna i neih i beisei lo. Nausen piang thar enkawl laiin thinlung natna thar enkawl chu thil harsa tak a ni thei. I healthcare team chuan i kalna apiangah an thlawp ang che, i thinlung tichak turin an theihtawp an chhuah ang. Naupai i nih a, peripartum cardiomyopathy vei theihna tur risk factor i neih chuan i doctor nen inbia ang che. Nang leh i naute tan harsatna lian tham thlen theihna tur tihtlem nan, leh i mamawh enkawlna i hmuh theih nan natna hi hriat hmasak a pawimawh

He thawnthu atang hian eng thil nge kan in lama kan hruai haw tur pawimawh ber?

Peripartum Cardiomyopathy hi naupai tlai emaw, nau neih hnu thla engemaw zat chhunga lo awm thei, thinlung tichak lo thei a ni. A lan chhuah dan chu naupai pangngai nen a inang a, chuvangin thawk hah, hahna danglam tak, leh ke hring ang chi thilte chu fimkhur hle ang che A hmaa hmuhchhuah leh enkawl hian dam theihna a tipung thei a ni. Thil ngaihtuah tur i neih chuan doctor pan ngei ngei tur a ni.Tin, i rilru hriselna enkawl a pawimawh hle bawk. Nangmah chauh i ni lo tih hre reng la, tanpui thei mi tam tak an awm bawk.

` Peripartum Cardiomyopathy, Naupai laia Lung natna, Lung chak lohna, LVEF, Naupai laia harsatna awm thei, Lung natna lan chhuah dan, Naupai hnua hriselna