Kan thinlung hi taksa peng mak tak a ni. Kan pian ni atanga kan thih ni thlengin second khat lek pawh non-stop-in hna a thawk thin. Smart pump ang maiin taksa pum puiah thisen a pump chhuak thin. A hnathawh dan tur dik taka pui thei tur part tenau tam tak a awm. Thinlung chhungah hian kawng khat chauha thisen a luang a, hnunglam a luang lo tih i ngaihtuah ngai em? Chu chu thinlung chhunga "valve" te hian an pui thin. Vawiin hian chutiang valve bik pakhat, pulmonary valve chungchang kan sawi dawn a ni.
A awlsam zawngin, pulmonary valve chu eng nge ni?
I thinlung hian pindan pali a nei ang tih han ngaihtuah teh. A chung lamah pahnih leh a hnuai lamah pahnih. He pulmonary valve hi thinlung dinglam sir a lower chamber (ventricle dinglam) leh lung chhunga thisen phurtu thisen kalna kawngpui (pulmonary artery) inkar kawng khata kal ang a ni
A hnathawh ber chu kan taksaa hmanral tawh leh oxygen tlem tawh thisen "bawlhhlawh" chu thinlung atanga lung atanga tihthianghlimna atana lung a kal dan control hi a ni. Thisen a kal pelh hnu chuan he kawngkhar hi a khar a, chu chu thinlunga a luang leh tawh loh nan a ni.
He pulmonary valve hi thinlung sir lehlama aortic valve te nen hian an vaiin "semilunar valves" an ti a. Hei hi a chhan chu heng valve-a leaflet/flap te hi thla chanve ang maia siam a nih vang a ni. A châng chuan doctor-te pawhin hei hi "pulmonic valve" an ti bawk a, chu chu thil pakhat a ni.
He valve hian engtin nge hna a thawh? A mak khawp mai!
He kawngkhar te tak te hnathawh dan hi a mak khawp mai. Lungphun nena inmil taka zai, hawn leh khar ang mai a ni.
- Systolic phase: Ventricle dinglam a inzawm chuan a chhunga thisen chu a chhuak thin. Chutih lai chuan pulmonary valve chu a inhawng . Tichuan, oxygen tlachham thisen chu pulmonary artery-ah a lut a, chu chu lungah a kal a.
- Diastolic phase: Lung chu a inzawm zawh hnua a hahdam chuan , a nih loh leh a hahdam chuan pulmonary valve chu a khar nghet hle . A khar loh chuan lung-a thisen thawn chu thinlungah a luang lut leh thei a ni. He valve hian chutiang thil chu a veng thei a ni. He valve hi khar a nih chuan ventricle dinglam chu thisenin a khat a, a round dang pump turin.
A awlsam zawngin, kawngpuiah traffic cop ang mai a ni. Thisen chu kawng khatah chauh a kal tir a, a luang leh tur chu a titawp vek a ni.
Hman dan bik: Ross Procedure
He valve hnathawh dan pangngai bakah hian thil mak dang atan pawh hman a ni bawk: thinlunga aortic valve pawimawh zawk a natna a lo awm chuan he pulmonary valve hi dah a ni zawk.
Hei hi Ross procedure an ti a. Tlem a buaithlak zawk procedure a ni. Hetiang tih danah hian surgeon chuan i aortic valve natna nei chu a la chhuak a, i pulmonary valve hrisel tak hmangin a thlak leh thin. Tichuan, donor pulmonary valve chu pulmonary valve awmna hmunah an dah lut leh a. Mahni tissue a nih avangin a fit tha a, rei tak a daih bawk.
He valve tibuaitu natnate chu engte nge ni?
A tam zawkah chuan, pulmonary valve-a harsatna awmte hi pianpui thinlung natna (congenital heart conditions) nen a inzawm a ni . Chumi awmzia chu naute hian a pian tirh atangin heng harsatnate hi a nei thei tihna a ni. A tlem hle a, he valve-a harsatna hi nakin lawkah damdawi lam thil dang (entir nan, pulmonary hypertension) vangin a lo awm thei a ni.
A hnuaia table atang hian heng damdawi lam dinhmun pawimawh tak takte hi i hrethiam mai ang.
| Dinhmun | A awlsam zawngin, hei hi a thleng thin... |
|---|---|
| Pulmonary atresia a awm thin | Hei hi pianpui (congenital condition) a ni. Heta thil thleng chu pulmonary valve a lo thang tha lo tih hi a ni. Kawngkhar awm tur hmunah kulh siam ang mai a ni. Thisen hi lungah a thleng thei lo. Hei hian naute chu a pian tirh atangin a rawn sen (cyanosis) thei a ni. |
| Fallot-a tetralogy a ni | Hei hi congenital heart disease complex tak a ni bawk. Hetah hian thinlung chhiatna pali a awm dun a. Chutiang chhiatna pakhat chu pulmonary valve leh aorta te a narrowing hi a ni. Hei hi natna khirh tak a nih avangin naute hian a siamthat theih nan operation a mamawh dawn a ni. |
| Pulmonary valve a stenosis a awm thin | Heta thil thleng chu valve hawnna chu a tawi ta a ni. Tichuan thisen pump chhuah nan thinlung hian nasa takin hna a thawk a ngai a ni. A tam zawkah chuan hei hi pian tirh laia awm reng pawh a ni. Mi thenkhat chuan valve zau zawka siam turin treatment an nei a, thenkhat erawh chuan valve thlak tir an ngai thung. |
| Pulmonary valve awm lo | Hei hi thil awm lo tak, pianpui atanga lo chhuak a ni. Hetiang dinhmunah hian valve-a leaflets te chu a bo emaw, a lo thang tha lo emaw pawh a ni thei. Hei hian valve chu a ti tawi a, a khar tha lo va, thisen chu hnunglam hawiin a leak (regurgitation) a ni. |
| Pulmonary valve atanga chhuak (regurgitation) a awm | Heta thil thleng hi chu valve a khar tha lo a ni. Chuvangin thinlung a hahdam chuan lung-a thisen pump chhuah thenkhat chu ventricle dinglamah a luang leh thin. Hei hi mi tam zawkah chuan a na lo hle. Mahse a nasat chuan ventricle dinglam chu a lianin a chak lo thei a, taksa chu tuiin a khat a, a hring (edema) thei bawk. |
Pulmonary valve tel lovin nun theih a ni em?
He zawhna chhanna dik tak chu "ni lo" tih hi a ni. Kan taksain oxygen a hmuh theihna tura lung a panna kawngah hian pulmonary valve hi a pawimawh hle a ni. Valve tha taka thawk lo chuan kan nung thei lo.
Mahse hetah hian kan hriatthiam tur pawimawh ber chu tunlai damdawi hmanraw changkang tak takte hmang hian heng natnate hi hlawhtling taka enkawl theih a ni . Enkawl loh chuan nausen leh puitling pulmonary valve natna khirh tak nei te chu an dam rei thei hle. Chuvangin, nangmah emaw, i fa emaw hian he natna hi i nei a nih chuan, i doctor nen zalen taka inbiak a pawimawh hle a, a enkawl dan tur leh i nun hmalam hun tur chungchang hi i sawipui a pawimawh hle.
Engtin nge he valve hi kan hrisel theih ang?
Congenital heart disease hi kan veng thei lo. Mahse, nakin lawkah harsatna laka kan invenna tur leh a pum puia kan thinlung hrisel taka awm theihna turin thil tam tak kan tih theih a awm. Chungte chu i nunah telh tum ang che.
- Meizial zuk loh vek: Zuk leh hmuam chi hrang hrang, cigarette leh vape chauh ni lovin, thinlung tan a tha lo hle. I bânsan harsatna i neih chuan i doctor hnenah ṭanpuina dil rawh.
- Zu in hi bansan emaw, nasa taka tihtlem emaw: Zu hi thinlung hriselna atan a tha lo.
- Thinlung hrisel ei tur: Hriak, chi, leh sugar tamna ei tur tihtlem. I ei tur ah hian thlai, thei, legumes leh whole grains tam zawk dah tel bawk ang che.
- Exercise neih fo: I doctor-in a rawt angin, kar khatah minute 150 tal exercise chakna tlemte, kea kal ang chi chu ti rawh.
- Thisen sang leh cholesterol ang chi natna te control:Hetiang natna chi hrang hrang i neih chuan i doctor-in a pek ang chiah hian damdawi hi hmang ang che.
- Kum tin medical checkup la rawh: Natna i nei lo a nih pawhin kum khatah vawi khat tal doctor pan la, i hriselna endik rawh.
- A bik takin nu naupai tan: Naupai i nih chuan clinic \ha tak takah kal la, a \ul anga thurawn leh enkawlna dawng rawh. Hei hian congenital heart disease ang chi natna lo awm theihna a ti tlem thei a ni.
Thinlung insiam dan leh a peng hrang hrangte hnathawh dan zir hi a chang chuan a buaithlak deuhin a lang thei. A bik takin nangmah emaw, i fa emaw hian thinlung natna i nei tih i hriat chuan. Vawi khata thu tam tak lakluh chu a harsa thei hle. Mahse, i doctor chu a puih che a, i zawhnate chhang turin a awm reng tih hre reng ang che. I rilrua thil awm reng reng chu eng ang pawhin tlem mahse zawh hlau ngai suh.
Take-Home Thuchah a ni
- Pulmonary valve hi thil pawimawh tak, kawng khata kal thei a ni a, oxygen tlakchhamna thisen chu lungah a kal thei a, chu chu tihthianghlimna atan a kal thei a ni.
- He valve nena inzawm natna tam tak hi pianpui a ni thei. Nausen piang thara a rawng sen (blue colour) ang chi natna lan chhuah danah fimkhur hle ang che.
- Lung natna lanchhuahna i neih emaw, rinhlelh emaw i neih chuan Doctor pan nghal tur a ni.
- Tunlai surgery leh enkawlna hmanraw changkang tak tak avang hian mi tam takin heng natnate hi hlawhtling takin an enkawl thei a, nun hrisel tak an hmang thei a ni.
- Lung hrisel nunphung (ei leh in tha, exercise, leh meizuk loh) hian hun rei tak chhung atan thinlung hriselna a humhim thei a ni.
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