Pulmonary Hypertension hi i hria em? Kan sawi dawn nia!

Natna chu lung chhunga pressure a sang tih i hre tawh em? Hei hi thisen sang kan sawi thin nen chuan a danglam deuh hlek a ni. Doctor-te chuan hei hi `Pulmonary Hypertension` (PH) , a nih loh leh lung chhunga thisen sang an ti a. A awlsam zawngin, hei hi i thinlung atanga i lung (hengte hi `pulmonary arteries` kan ti) thlenga oxygen tlakchhamna thisen phurtu veins chhunga thisen sang, a nih loh leh pressure, a tul lo taka a san lai a ni. Hei hi natna khirh deuh a ni a, a chhan chu kan thinlung leh lungah nghawng lian tak a nei a ni.

Engvangin nge Pulmonary Hypertension (PH) hi a hlauhawm em em? Kan taksaah eng thil nge thleng?

Lung lama thisen phurtu vein chhunga pressure a san chuan eng nge thleng tih hi han ngaihtuah teh. Tui pipe a inkhar chuan tui luang harsa a tih ang bawkin heng vein te hi a zim a, a chang chuan a thim bawk. Tichuan, lungin thisen chu lung chhunga pump turin nasa zawkin a thawk a ngai a ni. A bik takin thinlung dinglam (`right ventricle`) hian he strain hi a hre ber. Hun a kal zel a, thinlung chu a thawhrim chhunzawm zel avangin a chak lo tan thin. Hetiang dinhmun hian taksaah harsatna hrang hrang a thlen thei bawk. Entir nan:

• Thisen a hemoglobin tlahniam (` Anemia` ).
• Thinlung thawk mumal lo (`Arrhythmias`).
• Thisen a chhuak a .
• Thinlung chhehvela tui awmkhawm (` Pericardial effusion `).

Hmeichhe naupaiin he natna hi a neih chuan nu leh naute tan pawh a hlauhawm thei hle. He natna hi enkawl loh chuan heart failure (`right-sided heart failure`) a thlen thei a, nunna atana hlauhawm pawh a ni thei. Chuvangin, natna hi a hmaa hriatchhuah a, enkawl tan a pawimawh hle .

Pulmonary Hypertension (PH) chi hrang hrangte chu engte nge ni?

World Health Organization (WHO) chuan he `Pulmonary Hypertension` (PH) natna hi a thlen chhan a zirin chi pangaah a then a. Eng nge an nih i en ang u. 1. Category 1: PH hi `Pulmonary Arterial Hypertension (PAH) avanga lo awm a ni. Chutah chuan lung (`pulmonary arteries`)-a thisen phurtu thisen kalna kawngte chu a zim a, a thim emaw, a nghet lo emaw a ni. Hei hian chhan hrang hrang a nei thei. Damdawi lam thil thenkhat, damdawi thenkhat phei chuan hei hi a nghawng thei a ni. 2. Category 2: Thinlung veilam a harsatna avanga PH lo awm. Kan thinlung veilam hi taksa pum puia thisen pump chhuaktu a ni. Chuvangin, thinlung veilam lamah harsatna a awm chuan dinglam leh lung chhunga thisen phurtu system a nghawng a ni. Thisen a kal tha lo va, a block a, pulmonary veins-a pressure a sang chho zel bawk. 3. Category 3: PH chu lung natna emaw, oxygen tlakchhamna (`hypoxia`) avanga lo awm.Lung natna \henkhat chuan lung chhunga thisen kalna kawngte chu a tizau a. Hei hian thisen kal dan a tikhawlo a, pressure a tisang bawk. 4. Category 4: Lung chhunga inkharkhip avanga PH lo awm. Lung chhunga thisen zam emaw, chuta hliam emaw chuan thisen kal dan a tikhawlo thin. Hei hian thinlung dinglam lamah harsatna a siam tam zawk a, lung chhunga thisen sang a tisang a ni. 5. Category 5: Natna dang avanga PH awm. He PH natna hi natna dang, thisen natna thenkhat leh metabolic disorder te nen a awm thei bawk. Amaherawhchu, heng natnate hian PH hi engtin nge a thlen tih chiang taka hriat a la ni lo.

He natna `Pulmonary Hypertension` (PH) hian tute nge a tuar ber?

Pulmonary Hypertension (PH) hian puitling kum eng pawh a nghawng thei a ni. Lung emaw lung natna nei te hian an vei theihna a sang zawk. Tin, natna dang nei te tan pawh a tam zawk thei bawk. Entir nan:

• Mitral valve natna khirh tak nei zinga 100% vel an ni.
• Aortic valve natna (heart valve natna dang) nei zinga 65% vel.
• Mi 30% vel chu `Scleroderma` (vun leh connective tissue tihkhauh natna) vei an ni.
• Sickle cell natna vei zinga 20% - 40% vel.
• Mi 200 zinga pakhat velin HIV an vei a ni .

Puitlingte a nghawng tlangpui. Mahse, a tlem hle a, naute piang tharte pawhin he natna hi an nei thei (`Persistent Pulmonary Hypertension of the Newborn - PPHN`). Chutiang a nih chuan naute chu intensive care unit-ah enkawl a ngai dawn a ni. Khawvel pumah kum 65 chunglam puitling 10 zinga pakhat velin he PH natna hi an nei nia chhut a ni. Chumi awmzia chu kan ngaihtuah aiin a tam zawk mai thei tihna a ni.

Pulmonary Hypertension (PH) natna lan chhuahna hmasa berte chu engte nge ni?

Vawi tam tak chu a lan chhuah hmasak ber chu thawk hah, a nih loh leh thawk hah . Nitin thil tih dan pangngai, stairs chhoh lai te, ei tur phurh lai te, exercise i tih lai te hian he thawk hahna hi i tawng thei a ni. A tir lamah chuan symptoms i nei lo mai thei. Symptoms a lan tak tak chuan a na lo hle thei. Mahse, hun kal zelah heng symptoms te hi a na zual thei a, i thil tih dan pangngai tih a harsat phah thei bawk.

Natna a zual zel angin eng symptoms nge lo lang thin?

pH level a san chuan i ding reng lai pawhin thawk harsa i nei thei. Hei hi symptoms te nen a inzawm thei a, chungte chu:

• Blue hmui emaw vun emaw.
• Chest na emaw tightness emaw.
• Luak chhuak emaw, muhil emaw tih hriat.
• Chau tih hriat reng reng (`Chauhna `).
• Chaw chu a thlum lo.
• Pum dinglam chunglam a na.
• I thinlung chu a na hle ang tih hriatna.
• Ke ruh, ke emaw, pum emaw a hring (`Edema`).

Heng symptoms te hian exercise leh nitin hna thawh a ti harsa hle.

Pulmonary Hypertension (PH) stage hrang hrang a awm em?

Ni e, World Health Organization (WHO) chuan PH natna hi a bulpui ber pali a hmuchhuak a. Chungte chu "functional class" an ti a. Chungte chu i natna lan chhuah dan leh i nitin hnathawh i tih theih zat a zirin a innghat a ni. Natna a zual zel chuan a lan chhuah dan a langsar zual a, nitin nun a tibuai thin.

• Class 1: Symptoms a awm lo.
• Class 2: Chawlh laiin symptoms a awm lo va, mahse thil tih dan pangngai, inchhung hna thawh emaw, stairs-a chhoh emaw laia natna emaw, natna emaw engemaw zat a awm.
• Class 3: I thut mai mai lai pawhin i la dam tha mai thei. Mahse tunah chuan hna pangngai thawh a harsa hle. I chau lutuk a, i stress lutuk bawk.
• Class 4: Ding reng reng pawhin symptoms a awm. Thil pangngai eng pawh tih i tum hian symptoms a na zual thin.

Pulmonary Hypertension (PH) hi engte nge ni?

PH hi a chhan hrang hrang a awm a. PH i neih chi hrang hrangah a innghat. Natna chi hrang hrang, hriselna dinhmun hnuaia awm, leh boruak (toxins, damdawi thenkhat) thlengin a thlen thei a ni.

Category 1: `Pulmonary Arterial Hypertension (PAH)` awm chhan

• Pianpui thinlung natna .
• Rihna tihtlem damdawi thenkhat (e.g., damdawi "fen-phen," kum tam tak hman hnuah pawh PAH thlen thei).
• Genetic mutations a awm thin .
• `Glycogen dahkhawmna natna`.
• HIV hrik kai.
• Liver natna .
• Lupus natna.
• Portal hypertension (liver panna vein-a pressure sang).
• Pulmonary vein natna hmuh tur awm lo, `Pulmonary capillary hemangiomatosis` leh `Pulmonary veno-occlusive disease` te hi a ni.
• Schistosomiasis (parasite atanga lo chhuak natna).
• Scleroderma natna a ni.
• `Methamphetamine` ang chi damdawi hman .

Mi thenkhat chuan PAH hi chhan chiang tak awm lovin an vei thei a ni. Hei hi `idiopathic` an ti a.

Category 2: Thinlung veilam lama harsatna avanga PH awm chhan

Lung natna hi PH thlentu tam tak a ni. Thinlung veilam leh dinglam hi an thawk dun avangin veilam sir lama harsatna awm chuan dinglam pawh a nghawng dawn a ni.

• Aortic valve natna a ni: Hei hi thinlung pumpui pumping chamber (`left ventricle`) leh aorta (taksa thisen kalna kawng lian ber) inkar valve-a harsatna a ni.
• Left-sided heart failure : He thinlung veilam hian thisen a pump tha thei lo.
• Left ventricular hypertrophy (left ventricle bang thickening) : Hei hian thinlung tan thisen pump tha tak a ti harsa thin.
• Mitral valve natna : Thisen veilam atrium atanga thinlung veilam ventricle thlenga kal theihna valve-a harsatna awm.

Category 3: Lung natna emaw oxygen tlakchhamna (`hypoxia`) avanga PH awm chhan .

• Chronic obstructive pulmonary disease (COPD) : Hei hian natna chi hrang hrang chronic bronchitis leh emphysema te a huam a ni. Chungte chuan thawk harsa a ti hle.
• Interstitial lung disease : Lung tissue-ah hian hliam (fibrosis) a awm thin.
• Obstructive sleep apnea : Hei hian mut laiin thawkna kawng a tikhawlo fo thin a, taksain oxygen a dawn zat a ti tlem thin.

Category 4: Lung chhunga inkharkhip avanga PH awm chhan

Hei hi `Chronic Thromboembolic Pulmonary Hypertension (CTEPH) .` tih natna avanga lo awm a ni ber a, hei hi thisen zam a lo awm a, lung thisen zam a scar tissue a lo awm a ni. A châng chuan, he natna hi `pulmonary embolism` (thisen chhuak, lung chhunga tang) avanga hliam (scarring) vang a ni thei.

Category 5: Natna dang avanga PH awm chhan

PH hi natna dang engemaw zat avanga lo awm thei a ni a, scientist-te chuan engtin nge a awm tih hi an la hre chiang lo hle.

• Gaucher natna (metabolic natna) a ni.
• Kal natna.
• Langerhans cell histiocytosis (natna pakhat, puitling lungah hliam leh tumor awm thei).
• Sarcoidosis (inflammatory condition, lung leh lymph node a nghawng tam ber).
• Thyroid natna a ni.
• Tumors : Tumors, cancer emaw benign emaw pawh nise, lung chhunga thisen kalna kawng (veins)-ah pressure a siam thei.

Pulmonary Hypertension (PH) hi engtin nge an hriat theih?

I doctor chuan a enfiah ang che a, a tul chuan PH i neih leh neih loh hriat nan test eng emaw zat a ti ang che. A hmasa berin i doctor chuan taksa a enfiah ang . Sawtah,

• I health history leh symptoms te an zawt thin.
• Jugular venous distention enfiah rawh (hei hi dinglam heart failure chhinchhiahna a ni thei).
• Liver lian leh te enfiah nan chuan pum dinglam chunglam chu hre rawh.
• Thinlung leh lungte chu stethoscope hmangin an ngaithla a.
• Pum, ke ruh leh ke te chu a hring (edema) a awm leh awm loh enfiah thin ang che.
• Thisen sang tehna a ni.
• Pulse oximeter hmangin thisena oxygen level a teh thin.

PH symptoms hi natna dang nen a inang avangin hriat a harsa thei hle. Chuvangin, taksa enfiah hnuah i doctor chuan test dang a ti leh thei a ni. Lung specialist (pulmonologist) emaw heart specialist (cardiologist) emaw hnenah pawh refer theih i ni bawk.

PH hriat theihna atan eng test nge hman thin?

• Right heart catheterization: Pulmonary artery catheterization an ti bawk a, hei hian pulmonary veins-a pressure leh minute khata heart-in thisen a pump theih zat a teh a ni. Hei hi PH confirm nana test ber a ni.
• Doppler echocardiogram: Hei hi sound wave hmanga scan a ni. Thinlung ventricle dinglam hnathawh dan leh valve chhunga thisen kal dan a entir thei a ni. Hei hian doctor chuan systolic pulmonary artery pressure a chhut thei a ni.
• Thisen test: Hengte hian taksa peng hrang hrang hnathawh dan, hormone level leh infection te a enfiah thin. Chung zingah chuan ``Complete metabolic panel`` leh ``complete blood count.`` tih ang chi test te pawh a tel
• Chest CT scan: Thisen zam leh lung lama harsatna dang awm leh awm loh a enfiah thin.
• Chest X-ray: Hei hi thinlung dinglam emaw, pulmonary veins emaw chu a tlangpui aia lian a nih leh nih loh hriat nan hman theih a ni.
• Sleep test (`Polysomnogram - PSG`): Zan khat chhunga `sleep apnea` i neih leh neih loh enfiahna a ni.
• Pulmonary ventilation/perfusion (VQ) scan: Lung chhunga thisen zam awm leh awm loh enfiah thin.

I doctor chuan minute ruk chhung kal test a ti thei bawk . Hei hian exercise i tuar theih zat leh exercise i tih laiin i thisenah oxygen engzat nge awm tih a teh ang. Hei hian i PH hi a na lo nge a na tih hriat theihna a pe thei che a ni.

Pulmonary Hypertension (PH) enkawlna tur engte nge ni?

PH enkawl dan hi PH i neih chi leh i hriselna dinhmun dangte a innghat a ni. I medical team chuan i tana tha ber tur treatment plan an siam ang. Tunah hian PH chi hnih chauh direct-a enkawl theih a awm a, chungte chu:

• ``Pulmonary Artery Hypertension (PAH) tih a ni a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle.
• ``Chronic Thromboembolic Pulmonary Hypertension (CTEPH) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

PH chi dangte chu a thlentu damdawi lam dinhmun (underlying medical conditions) control-na hmanga enkawl a ni. `Pulmonary Arterial Hypertension (PAH) natna enkawl dan:

• Calcium channel blockers: Heng damdawi te hian pulmonary veins leh taksa pumpuiah thisen sang tihziaawmna turin a pui a ni.
• Diuretics ("tui pills"): Taksa atanga tui tam lutuk paih chhuah nan a pui thin.
• Oxygen therapy: Thisenah oxygen a awm tawk loh chuan hei hi a tul mai thei.
• Pulmonary vasodilators te chu: 1.1.Heng damdawi te hian pulmonary veins a ti relax a, a hawng tha zawk bawk. Hei hian thisen kal dan a ti tha a, thinlunga hnathawh tur a ti tlem bawk.

`CTEPH` enkawl dan: 1.1.

• Anticoagulants (thisen zawrh tur venna damdawi).
• Balloon atrial septostomy (BAS): Hei hi naute thinlung lama harsatna lian tak nei tan tih a ni tlangpui a, mahse PH vei puitlingte chu lung transplant an hmuh theih hma loh chuan stabilize nan an hmang bawk.
• Balloon pulmonary angioplasty (BPA): Hei hi catheter hmanga pulmonary arteries tihzauh nan hman a ni. Surgery lian tham nei thei lote tan tih a ni.
• Damdawi: Damdawi `Soluble guanylate cyclase stimulator (SGCS)` tih hian natna kal zel dan tur a thunun thei a ni.
• Pulmonary endarterectomy (PEA): Hei hi surgery a ni. Lung atanga thisen zam a paih chhuak thin. Tunah hian hei hi PH tihdam kim theihna awmchhun a ni. Mahse, CTEPH vei te tan chauh tih theih a ni.

Lung emaw lung natna avanga PH lo awm hi a hnuaia natna awmte control-na hmanga enkawl a ni a, chuvangin enkawl dan tur ruahmanna pawh mi hrang hrangah a inang lo thei hle.

I doctor nen inbiakna neih a ngai a, i tan eng enkawlna nge tha ber tih i rel a ngai tih hre reng ang che.

PH na tak nei thenkhat chu a hnuhnung ber atan lung transplant an neih a ngai mai thei.

Pulmonary Hypertension (PH) damdawi hi engtin nge kan enkawl ang?

PH leh natna dang tan damdawi tam tak i ei mai thei. Heng zawng zawng hi hriat reng a, dik taka tih chu a harsa thei hle. Tips tlemte chu hetiang hi a ni:

• Damdawi i ei zawng zawng hming leh a hnathawh dan te hre vek ang che. List siam la, i hnenah dah reng rawh.
• Nitin i damdawi chu a rualin ei thin ang che. Dose i miss a nih chuan a siam that nan dose hnih ei suh. I doctor call la, i tih tur zawt rawh.
• Doctor rawn hmasa lovin over-the-counter damdawi engmah ei suh. Khawsik, khuh leh khawsik damdawi thenkhat bakah natna tidamtu damdawi te hian thinlung natna vei te tan harsatna a thlen thei a ni.
• Thisen sang nei tan a tha lo tia ziak damdawi engmah ei loh tur.
• Damdawi engmah ei kha titawp suh la, doctor nen inbia lovin a dose pawh thlak suh.
• Herbal supplement leh herbal tea hman loh tur. I damdawi ei thenkhat nen an inzawm thei.

Pulmonary Hypertension (PH) vei tan chuan eng nge a hmalam hun?

Hei hi mi tin a inang lo. A innghat a ni:

• A chhan chu PH.
• Engtiang chiahin nge natna chu a hriat chhuah thuai.
• Symptoms nasat dan.
• Natna dang inzawmkhawm.

PH chi tam tak hi a dam kim thei lo. Doctor-te chuan natna lan chhuah dan tihziaawmna tur, nunphung tihchangtlun nan leh natna kal zel dan tur thunun nan damdawi an pe thin. Mahse, CTEPH vei thenkhat chu operation hmangin an dam thei a ni. Enkawl loh chuan Pulmonary Hypertension (PH) hian dinglam heart failure a thlen thei a, a tawpah chuan thihna a thlen thei a ni. Chuvangin inenkawlna dik tak i hmuh hian dam rei zawk nan leh nunphung tha tak i neih theih nan a pui thei che a ni.

Pulmonary Hypertension (PH) vei theihna tipungtu thilte chu engte nge ni?

• Asbestos laka invenna.
• Chhungkaw history-a thisen zam nei.
• Chhungkaw member Pulmonary Hypertension (PH) vei neih.
• Tuipui atanga hmun sang taka awm.
• Meizial zu leh zuk leh hmuam hman.
• Damdawi thenkhat, taksa rihna tihtlem nana hman thin (e.g. "fen-phen" - `dexfenfluramine` leh `phentermine`).
• Cancer leh depression damdawi thenkhat.
• Ruihhlo hman dan.

Tin, heng natna vei te hi an hlauhawm zawk bawk:

• Lung chhunga thisen zam (veins) ah thisen a chhuak thin.
• Connective tissue natna a ni.
• `Down syndrome` tih a ni.
• Gaucher natna a ni.
• Lung natna.
• `HIV` tih a ni.
• Liver natna.
• Lung natna te.

Pulmonary Hypertension (PH) hi ven theih a ni em?

PH hi a veng thei reng reng lo. Risk factor thenkhat chu kan thunun theih loh a ni. Risk factors i neih chuan i doctor chuan i thinlung leh lung hnathawh dan enfiah nan test thenkhat tih a rawt thei ang. Damdawi lam thil dang venna emaw control emaw tura theihtawp chhuahin PH i vei theihna chu i tihtlem thei a ni.

• Exercise plan siam rawh. I doctor hnenah eng exercise nge i tan a him tih zawt rawh.
• Thinlung hrisel ei leh in zawm rawh. Chaw chi, hriak, sugar leh artificial foods tamna ei tur ei loh tur.
• Meizial zu leh zuk leh hmuam hman kha bansan rawh. Hengte hi thinlung leh lung natna thlentu lian ber a ni.
• Thisen sang leh natna dang damdawi i doctor-in a tih ang chiah chiah ei thin ang che.

Eng ang follow-up care nge ka dawn ang?

I dinhmun enkawl dan tur leh enkawl dan tur i doctor nen sawiho rawh. I doctor chuan test leh check-up neihna tur i luh hun tur a hrilh ang che. Symptom thar i neih chuan emaw, i symptoms a danglam chuan doctor hnenah hrilh nghal rawh. Tin, i doctor nen pawh hetiang hian sawi rawh:

• Chhungkaw ruahmanna siam dan leh naupai hi a him em tih te. PH vei tan chuan naupai hi a hlauhawm hle.
• Emergency kit siam rawh. PH vei te hian thil leh information thenkhat chu engtik lai pawhin an hnaih reng a ngai a ni.
• Insawizawi.I tan eng nge him tih te, exercise hi i nitin nunah engtin nge i telh theih ang tih te, eng exercise nge i pumpelh tur tih te zawt rawh.
• Seasonal vaccine (flu, pneumonia ang chi) pek thin a ni.
• Support group emaw counseling emaw a awm thei. PH nena nun i insiamrem hian rilru natna chi hrang hrang i nei thei.
• Khualzinna tur ruahmanna siam. Vanlawng hmanga zin i nih chuan fimkhur bik i mamawh mai thei. Hmun sang lam pan hunah pawh fimkhur tur a ni.

Eng dietary change nge ka tih ang?

I doctor chuan rawtna chiang tak tak a pe ang che. Thil pawimawh tak pakhat chu chi (sodium) ei tlem hi a ni. Chumi awmzia chu:

• Table-a chi dah leh "seasoning salt" hman kha bansan rawh.
• Sa leh sangha zuk, chi, leh canned te ei loh tur.
• "Low sodium" (low salt) tih ziak ei tur thlang rawh.
• Fast food leh take-out food te khap tlat ang che.

Ei leh in lama inthlak danglamna dangte:

• Fiber tamna ei tur (whole grains, bran, thei, thlai chi) ei tam zawk rawh.
• Potassium tamna ei tur (raisins, banana, orange) ei thin ang che.
• Magnesium tamna ei tur (peanuts, tofu, broccoli) ei thin ang che.
• Refined sugar, saturated fat, leh cholesterol awmna ei tur ei tlem rawh.

Engtikah nge Doctor ka hmuh ang?

Heng zawhnate hi i neih chuan i doctor nen inbia ang che:

• Lungphun chak tak (minute khatah 120 aia tam).
• Thluak lam natna i neih emaw, khuh na zual emaw i neih chuan.
• I luak chhuak emaw, i muhil emaw fo chuan.
• Taksa tihchakna avanga rilru natna emaw, nuam lo emaw.
• Chauh lutuk emaw hna pangngai thawh theih lohna emaw.
• Nausea emaw ei duh lohna emaw.
• Restlessness emaw, buaina emaw.
• Thâwk harsa i tih tam chuan, a bik takin zing i thawh hunah.
• Ke ruh, ke emaw, pum chhungah emaw a hring chhuak tam chuan.
• Thil tih dan pangngaia thawk harsatna i neih emaw, ding reng mai emaw pawh nise.
• Taksa rihna (ni khatah kilo 1 vel, a nih loh leh kar khatah kilo 2.5 vel).

Engtikah nge emergency room (ER) ah ka kal ang?

Hetiang thil hi a lo thleng a nih chuan emergency room-ah kal nghal la, a nih loh leh 1990 ah call rawh:

• Heart rate a chak lutuk (minute khatah 120-150 beats) a, a slow loh chuan.
• I hriatna hloh a, i muhil a nih chuan.
• Hickman catheter hmanga prostacyclins ang chi damdawi intravenous i ei a nih chuan infection, catheter movement, damdawi leak, thisen chhuah, IV pump failure te ang chi a awm thei.
• I ding reng lai pawhin thawk hahna a tlahniam lo a nih chuan.
• I rilru natna nasa tak i neih thut chuan.
• Lu na tak i neih thut chuan.
• I taksa peng hrang hrangah chak lohna emaw, rilru hahna emaw i neih thut chuan.

A tawp berah chuan thuchah pawimawh ber

Pulmonary Hypertension (PH) vei nia hriat chu thil buaithlak tak a ni thei. Eng nge a nih, i taksa chhunga thil thlengte, hmalam pan zelin engtin nge i nunpui ang tih hriatthiam nan hun a ngai a ni. I mamawh puihna dawng turin i doctor nen inbia ang che. I nunphung thlak danglamnaah hian i chhungte leh i thiante tel tir rawh. I dinhmun chu hrilh rawh. Tin, he thil pangngai thar i insiamrem rual hian tanpuina dil hreh ngai suh la, mi dangte rinchhan bawk ang che. Nangmah chauh i ni lo. He natna hi damdawi lam thurawn dik tak leh rilru tha tak puin i enkawl tha thei a ni. Pulmonary Hypertension, PH, Pulmonary Hypertension, Lung natna, Lung Disease, Thâwk harsa, Thâwk lam natna