I heart valve kaltlangin thisen hnunglam a luang chhuak em? (Pulmonic Valve Regurgitation) Kan sawi dawn nia!

Kan thinlung hi taksa peng mak tak a ni a ni lawm ni? A chhungah hian kawngkhar ang chi tlemte a nei a, chu chu valve kan ti a ni. Heng valve te hi kan taksaa thisen kal tir tur hian a hnathawh dan tur dik tak atan a pawimawh hle. A chang chuan heng valve pakhat hi a khar tha lo a nih chuan thisen thenkhat chu hnunglam hawiin a leak thei a ni. Chu chu vawiinah kan sawi tur dinhmun chu a ni, pulmonary valve regurgitation . Lungngai suh, hei hi awlsam takin han sawifiah teh ang.

Pulmonic Valve Regurgitation tih hi eng nge ni?

A awlsam zawngin sawi ila, hei hi i thinlung chhunga pulmonary valve khar tha lo va, thisen tlem te chu kawng dik lo, chu chu hnunglam hawia, thinlung thawk inkara a chhuah tir thinna dinhmun hming an vuah a ni.

Ngaihtuah teh, kan thinlung hian chamber pali a nei a, heng chamber inkara thisen kal dan hi valve pali hmanga control a ni. Pulmonary valve hi i thinlung chhunga thisen kal dan tur control tu pahnihna a ni. Hei hi thisen hian right ventricle a chhuahsan na hmun a ni . Chu thisen chu pulmonary arteries kaltlangin i lungah a kal a, chutah chuan oxygen a la a, carbon dioxide a chhuah tir a ni.

Tunah chuan he natna (Pulmonic Regurgitation) hi i neih chuan ventricle dinglam atanga thisen pump chhuah zawng zawng hi lungah a kal vek lo. A then chu ventricle dinglam ah a rawn lut leh thin. Chuti a nih chuan eng nge thleng? The right ventricle has to work harder , chu thisen tam zawk chu chhuah tir turin. Hun a kal zel a, he hna thawh belh hian right ventricle chu a ti lian thei a, a tichak lo thei a, a tâwpah chuan Right-sided Heart Failure tih natna a thlen thei a ni.

Hei hi a hming dang chu Pulmonic Regurgitation, Pulmonary Valve Regurgitation, emaw Pulmonary Regurgitation te an ni.

Hetiang dinhmun hi engtiang chiahin nge a awm? Tuin nge a nei tam zawk?

Dik tak chuan he natna (Pulmonic Regurgitation) hi i ngaihtuah aiin a tam zawk hle . Mipui 30% atanga 75% inkar velin an nei thei niin an sawi. Report thenkhat chuan a tam zawk niin an sawi. Mahse, a tam zawkah chuan he thisen chhuahna hi a tlem em avangin a lan chhuah dan a lang lo . Mi tam tak chuan he thil hi an nei tih pawh an hre lo, test eng emaw zat neih laiin accident-a an hmuhchhuah hma loh chuan.

Mahse, chhan hrang hrang avangin pulmonary regurgitation moderate atanga severe thleng pawh a awm thei bawk. A chhan tam tak a awm avangin heng natna khirh tak takte hi engtiang chiahin nge a awm tih chiang taka sawi a harsa hle.

He thil hian tute nge a nghawng nasa ber?

• Thalai tan: Hetiang dinhmun hi thalai zingah a lo awm a nih chuan an naupan laia an pianpui thinlung natna siamthatna tura operation an neih vang a ni fo thin.
• Puitling kum upa zawk tan: Puitling kum 75 chunglam te hian lungah thisen sang (pulmonary hypertension) an nei tam zawk . Hetiang dinhmun hian pulmonary regurgitation a thlen thei a, a ti na zual thei bawk.

Hei hi eng symptoms nge ni?

Pulmonary regurgitation nei tam tak chuan thisen leak a tlem em avangin symptom an nei lo . Leak hi a hniam emaw, a na emaw a nih chuan symptoms a awm tam zawk. Hengte hi heart failure-a hmuh theih symptoms nen a inang fo thin. Chung zingah chuan:

• Thâwk harsa (Dyspnea) .
• Chauhna, hahna
• Luak chhuak, lightheaded tih hriatna
• Thil hriatna hloh tur
• Lungphun mumal lo emaw, rang tak emaw (Heart Palpitations) .
• Pum, ke emaw, ke ruh emaw a hring chhuak

Pulmonic Regurgitation (PR) emaw, natna dang emaw i neih chuan symptom dang i nei thei bawk. Heng symptoms te hi condition dang a zirin a danglam ang.

Eng thilin nge hetiang dinhmun hi a thlen?

Pulmonic Regurgitation awm thei hi a tam hle. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Rheumatic Heart Disease: Rheumatic fever hi bacteria infection enkawl loh avanga i heart valve tichhe thei a ni. Ram changkang zawkah a tam zawk.
• Pulmonary Hypertension: Hei hi i lung chhunga thisen kalna kawng a pressure a san chuan a ni. He pressure sang hian pulmonary artery a nghawng thei a, chu chu thinlung atanga a chhuahna hmun a ni. He pressure sang tak hian artery leh valve pahnih a tizau thei a, chu chuan valve kaltlangin thisen a chhuah tir thei a ni.
• Genetic Disorders: Pulmonic Regurgitation hi genetic disorder thenkhat nei, Marfan Syndrome te zingah a tam zawk a ni.
• Carcinoid Tumors: Hei hi cancer chi khat, a lo thang zawi zawi a, a awm lo. A tlangpuiin chaw ei (digestive system) atanga tan a ni. Hetiang cancer chi hian carcinoid tissue chu thinlungah a awmtir thei a, thisen kal dan a tikhawlo thei a ni.
• Endocarditis: Hei hi thinlung chhungril lam a inflammation a ni. Infection avanga lo awm a ni. Dialysis , permanent intravenous (IV) port nei te, leh dan loa ruihhlo inject te hi an hlauhawm zawk.
• Hliam: A tlem hle a, i rilru a hliam chuan pulmonary valve a tichhe thei.
• Congenital problems: Congenital condition hi i pianpui harsatna a ni. Entirnan, Tetralogy of Fallot tih natna neia piang, pulmonary valve nei lo piang, emaw, i pianpui pulmonary valve narrowing (Congenital Pulmonic Stenosis)
• Damdawi lam enkawlna:Pulmonary regurgitation hi operation emaw, pianpui thinlung natna enkawlna dang emaw, Tetralogy of Fallot emaw Pulmonic Stenosis emaw enkawlna atanga kum tam tak hnuah a awm thei a ni.
• Idiopathic: A chang chuan a chhan hmuh tur a awm lo.

Hei hi hri kai theih a ni em?

Ni lo, Pulmonic Regurgitation hi kai theih a ni lo . Amaherawhchu, natna hrik, thinlunga darh thei emaw, natna hrik (reumatic heart disease) thlentu emaw avanga lo awm thei a ni.

Engtin nge hei hi i hriat chian?

Pulmonic Regurgitation (PR) hi a chang chuan hriat harsa tak a ni thei. Buaina nasat dan leh i natna lan chhuah danah a innghat. A tlangpuiin taksa enfiahna leh imaging test engemaw zat inzawmkhawm a ni.

Taksa enfiahna

Doctor chuan hengte hi a ti tlangpui a:

• A lan dan: A lan chhuah dan thenkhat chu hmuh theih a ni a, chu chu pum emaw ke emaw a hring emaw a ni.
• Palpation: Doctor chuan i ke emaw, i pum emaw a hring chhuak tih a hre thei. Tin, angle-ah an tilt thei bawk che a, i pum chu an press thei bawk a, i kawr chhunga jugular veins bulging awm leh awm loh an enfiah thei bawk. Hei hi lungah thisen sang ang chi harsatna a awm chuan a thleng thei a, chu chuan jugular veins a ti bulging thei a ni.
• Ngaithla: Stethoscope hmangin i thinlung chu i ngaithla thei . Pulmonary regurgitation moderate to severe i neih chuan heart murmur i hre mai thei . Hengte hi kawng dik lo lama thisen luang chhuak avanga i thinlung thawk ruala lo awm thin ri mak tak takte an ni. Hei hi kum tin medical exam neih laiin symptoms a lan hmaa he natna hi man theihna kawng tha tak a ni.

Eng ang test nge tih thin?

He natna hi hriat chian nan test i tih a ngai mai thei chu:

• Electrocardiogram (ECG emaw EKG emaw) hmanga tih a ni.
• Chest X-ray neih a ni
• Echocardiogram - Hei hi test pawimawh ber a ni. Thinlung ultrasound scan ang mai a ni.

A nasat chuan i doctor chuan heng test te hi a order thei bawk:

• Thinlung dinglam Catheter hmanga siam
• Cardiac Magnetic Resonance Imaging (Thinlung MRI) hmanga tihchhuah a ni.

Engtin nge enkawl a nih? Tihdam theih a ni em?

Pulmonary regurgitation hi enkawl theih a ni fo thin . A chhan azirin a châng chuan a dam vek thei . Mahse, a na lo emaw, symptoms a neih loh emaw, a pahnih emaw a nih chuan enkawl a ngai lo tlangpui. A na hle a, mahse symptom nei lo mah se, enkawlna tum ber chu a natna zual zel tur tihtawp a, thinlung dinglam a chhiatna awm reng tur ven hi a ni.

Eng ang damdawi leh enkawl dan nge hman thin?

He natna (Pulmonary Regurgitation) hi natna dang avanga lo awm a nih chuan, .A hmasa ber chu natna dang enkawl emaw tihdam emaw a ni. Hei hian thisen hnunglam a luang tur chu a titawp fo ang a, a tlem berah chuan leak a tihtlem phah ang a, harsatna leh symptoms te a tiziaawm ang.

Chu chuan thisen chhuahna a titawp lo a nih chuan a dawt leh tur chu direct-a enkawl a ni. Pulmonary regurgitation enkawlna leh tihdamna pahnihah hian valve ngei pawh thlak a ngai a ni. Hei hi kawng hnih in tih theih a ni:

• Surgery: Hetiang method hmang hian surgeon chuan i thinlung chu direct-in a lut thei a, valve chu a thlak thei bawk. Valve thar hi mihring donor atanga lak theih a ni a, biosynthetic (synthetic material leh tissue nung inzawmkhawm atanga siam - a tlangpuiin vawk emaw bawng emaw atanga siam) a ni thei bawk.
• Transcatheter Pulmonary Valve Replacement (TPVR): Hetiang tih danah hian catheter an tih hmanrua hmangin thinlung chhunga valve awm chu thlak a ni. Chutiang ti tur chuan doctor chuan i kawr emaw, i kawr chunglam emawa thisen kalna kawng lian takah incision te tak te a siam a, catheter chu a dah lut thin. Chumi hnuah chuan tube ang maia sei tak chu thinlung chhungah an hruai lut a, a tip chu valve awmsa chungah dah a ni. Chumi hnuah chuan valve thar chu hawn a ni a, a hnuaiah chuan valve hlui, chhe tawh chu an tikehsawm a ni. Hetianga valve dah te hi bioprosthetic an ni tlangpui. Kum 15 vel an daih thei.

He natna hi enkawl hian i rilru tibuaitu ber symptoms te pawh enkawl a ni bawk. Heng damdawi te hian taksa atanga tui tam lutuk lakchhuah te, thisen kalna tur ti hahdam te, emaw, thinlung thawk mumal lo (arrhythmias) control emaw ven emaw hmangin hna an thawk tlangpui thin Eng emaw chhan vanga operation i tih theih loh chuan damdawi hian i symptoms a tidam thei a, mahse damdawi chauh hian i natna chu a tidam thei lo.

Pawimawh: Non-prosthetic valve i neih chuan i dam chhung zawng thisen tihthianghlimna damdawi i ei a ngai mai thei. Heng damdawi te hian valve chhehvela thisen zam lo awm chu a titawp thin. Hei hian stroke emaw pulmonary embolism ang chi harsatna awm theihna a ti tlem a ni.

Enkawlna avanga harsatna/side effects awmte chu engte nge ni?

He natna enkawlna kawngah hian TPVR hlawhtlinna hi a sang hle a ni . TPVR surgery hi 94% atanga 98% velin an hlawhtling a ni. TPVR complication pawh hi a tlem hle a, 3% atanga 6% velah a thleng thin (complication awm tam ber chu coronary artery disease emaw infection avanga endocarditis emaw a ni).

Side effect emaw complication awm thei dangte chu:

• Thinlung thawk mumal lo (Arrhythmias) .
• Surgery neihna hmun vel a natna hrik awm
• Valve pawn lam atanga thisen chhuak
• Valve thlak tawh thlak leh a ngai
• Damdawi avanga side effects emaw complications (hengte hi i damdawi ei tur atan a bik tak a ni a, chuvangin i doctor hi he thu hi hrilh tur che tha ber a ni)

Engtin nge ka in enkawl theih ang/symptoms ka enkawl theih ang?

He natna hi nunna atana hlauhawm thinlung natna dang tam tak nen a inang thei a, chuvangin nangmah ngeiin hriatchhuah leh enkawl tum suh . Hetiang harsatna i neih nia i rinhlelh chuan a rang thei ang bera Doctor pan rawh. Ani chuan he natna hi i nei em tih a hre thei a, enkawlna kawng hrang hrang a rawn rawt thei bawk.

Engtiang chiahin nge enkawl hnuah ka dam leh ang? Eng chen nge a dam leh theih ang?

Hetiang dinhmun hi a dam leh hun chhung hi enkawl danah a innghat a ni. Surgery hi enkawl dan tlangpui a ni lo va, a dam leh theih nan hun rei ber a ngai bawk. Mi (Pulmonic Regurgitation) avanga operation nei te chu an dam leh theih nan kar tam tak emaw thla tam tak emaw an hmang thei. (TPVR) recovery time is much shorter , ni engemaw zat hnuah i dam leh tan ang.

Hei hi ka veng thei ang em? Engtin nge risk hi ka tihtlem theih ang?

Pulmonic Regurgitation (PR) hi beisei loh taka lo awm a nih avangin ven theih loh a ni. A bik takin i pianpui dinhmun avanga lo awm a nih chuan. I tih theih awmchhun chu i risk tihziaawmna tur chu a thlen thei dinhmun emaw, dinhmun emaw pumpelh hi a ni.

A hlauhawmna tihtlem dan awmchhun chu hetiang thlen thei natna hrik te hi pumpelh hi a ni . Chumi awmzia chu natna hrik eng pawh, a bik takin strep throat ang chi rilru na chu a rang thei ang bera enkawl tur a ni tihna a ni. Hei hian natna hrik chu rheumatic heart disease-ah emaw, thinlungah direct-a darh a, a tichhe thei lo emaw a veng thei a ni.

Hetiang dinhmun hi eng nge a thlir ang?

Pulmonary regurgitation nei tam zawk hi chuan valve atanga thisen a chhuak tlem hle. An tan chuan thlirna a tha a , an dam rei zawng pawh chutiang natna nei lote dam rei zawng nen a inang tur a ni.

Even with a moderate level of leakage, the outlook is usually good if diagnosed and treated early , a bik takin a chhan bulpui a awm a, chu chu tihdam theih emaw, tihdanglam theih emaw a nih chuan.

Leak na tak i neih chuan a hmalam hun chu a hriat chhuah leh enkawl thuai danah a innghat nasa hle. A tlangpuiin, a hmaa hriat chhuah leh enkawl hian natna chu tihdam theihna a tipung a, a nih loh leh a tlem berah chuan a nghawng chu a tihtlem phah bawk . I doctor chuan i thlirna chu eng nge ni tih leh a tihchangtlun theih nan eng nge i tih theih tih a hrilh thei che a ni.

Hetiang dinhmun hi eng chen nge a daih ang?

Enkawl loh chuan Pulmonary Regurgitation hi dam chhung zawnga natna a ni tlangpui .

Engtikah nge hna/sikul ka kal leh theih ang?

Mi tam zawk chuan TPVR nei tur chuan ni li atanga ni nga chhung chauh damdawi inah an awm a ngai a, mi tam tak chu an hnathawhna hmunah an kal leh nghal thei bawk. TPVR aiah surgery i neih chuan kar tam tak, thla tam tak pawh a ngai thei a, i dam leh theih nan leh i hnathawh dan pangngaia i kir leh theih nan. I doctor chuan hnathawhna hmun, sikul emaw, i thiltih pangngaia i kir leh theih hun tur chu a hrilh thei ang che.

Hetiang dinhmun hi thihna thlen thei a ni em?

Pulmonic Regurgitation hi a mah chauhin thihna a thlen lo . Chu ai chuan, hun kal zelah nunna atana hlauhawm dinhmun dang a thlen thei a ni. Chuvang chuan natna hmuhchhuah leh enkawl vat a pawimawh em em a ni.

Engtin nge ka in enkawl ang?

I doctor chuan i tih tur dik tak leh i symptoms enkawl dan tur leh i in enkawl dan tur dik tak a hrilh thei che a ni. A tlangpuiin hengte hi i ti tur a ni:

• I damdawi ei dik rawh: I damdawi ei tur chu a pek ang chiah chiah ei rawh. I hriatreng hunah la mai la, a remchang vang mai maiin skip suh.
• I doctor hmu rawh: Enkawlna i nei lo a nih pawhin i doctor chuan i dinhmun enfiah turin follow-up appointment a ruahman mai thei. A rawtna anga hmuh hian harsatna emaw harsatna emaw chhinchhiahna hmasa berte chu man turin a pui thei a ni.
• I thawkrim lutuk suh: I doctor chuan i thiltih kha tihtlem turin a ti mai thei. Hei hian i thinlungah harsatna nasa lutuk i siam loh nan a pui ang che, chu chuan i natna lan chhuah dan emaw, i dinhmun emaw a tichhe thei a ni.
• I rilru put hmang ngaihven rawh: I taksa leh natna lan chhuah dan ngaihven hian harsatna chhinchhiahna hmasa berte i man thei a, chu natnain harsatna nghet tak a thlen hmain enkawlna zawng turin a pui thei che a ni.

Engtikah nge ka doctor ka biak ang emaw, ka hmuh ang?

I natna lan chhuah dan a lo lang leh emaw, beisei loh taka a danglam emaw chuan i doctor nen inbia tur a ni. Hei hi a pawimawh hle a , a danglamna chu a lo thleng nghal emaw a nih chuan a natna lan chhuah dan chuan i thiltih pangngai a tibuai tan a nih chuan .

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

A hnuaia symptoms te hi i neih chuan damdawi inah i kal tur a ni. Chungte chu thinlung chak lohna, thinlung natna emaw, thinlung natna khirh tak dang emaw chhinchhiahna a ni thei:

• Thâwk harsa (Dyspnea) .
• Luak chhuak leh emaw, hriatna hloh nghal emaw
• Lungphun mumal lo emaw, rang tak emaw (Heart Palpitations) .
• Pum emaw ke leh ke ruh a hring thar

A tawp berah chuan take-home message:

Pulmonic regurgitation hi a awm fo a, mi tam zawk tan chuan ngaihtuahawm a ni lo. Mahse, a nasat chuan i nun tibuaitu symptom a siam thei a ni. Enkawl loh chuan a tawpah chuan harsatna lian tak tak, thihna thlen thei pawh a thlen thei a ni.

Vanneihthlak takin he natna hi enkawl theih a ni fo - a châng chuan tihdam theih pawh a ni . Tin, enkawlna hman tlanglawn ber berte hlawhtlinna rate pawh a sang hle bawk. Chuvangin, he thil chungchangah hian rinhlelhna i neih chuan damdawi lam thurawn lak hi tihkhawtlai suh.

` Pulmonic Valve Regurgitation, heart valve natna, thisen backflow, right ventricle, heart failure, pulmonary hypertension, thawk harsa