I fa hian a rilru a na emaw, a hnar a luang emaw a nei fo em? A nih loh leh i naupan lai khan khawsik nen i rilru a na thin tih i hre reng em? A tam zawkah chuan hengte hi natna tlanglawn takah kan ngai lo, a dik em? Mahse, uluk taka enkawl loh chuan hetiang ang rilru natna awlsam tak hian natna khirh tak a thlen thei a, chu chuan nakin lawkah i thinlung a tichhe thei tih i hria em? Chu chu Rheumatic heart disease, a nih loh leh `(Rheumatic Heart Disease)` kan tih chu a ni. Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.
Rheumatic Heart Disease hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Rheumatic heart disease hi ‘Rheumatic Fever’ tia koh a ni a, chu chuan heart valve te chu a tichhe vek a ni. Tunah chuan, "Chuti a nih chuan rheumatic fever chu eng nge ni?"
Kan taksa hian bacteria infection a nei ang tih han ngaihtuah teh. A bik takin natna chi hrang hrang, strep throat emaw scarlet fever emaw, Group A Streptococcal (GAS) an tih bacteria atanga lo chhuak a ni. Heng bacteria te hi taksaa an luh chuan kan taksa invenna system, immune system chuan a do tan ta a ni. Mahse a chang chuan he insual hi a kal sual thin. Kan defense system hi bacteria leh kan cell hrisel tak takte nen a inhmeh lo hle.
Hetih lai hian immune system hian bacteria te a beih bakah hian kan taksa peng hrang hrang, a bik takin thinlung, ruhkawr, vun leh thluak te chu a rawn bei tan ta a ni. Hei hian taksa pum puiah inflammation a siam a. Hei hi rheumatic fever kan tih chu a ni .
He inflammation hian thinlung chhunga valve nalh tak takte chu a tichhe thei a ni. Heart valve te hi kawngkhar ang a ni. Thisen chu kawng khatah chauh a kal theih nan an inhawng a, an khar tha hle. Rheumatic fever hian heng valve te hi a ti hliam thei a, a ti tawi (stenosis) emaw, a khar tha lo emaw a, thisen chu hnunglam hawiin a leak thei (regurgitation). Hei hi heart valve te a chhiat reng lai a ni a, chu chu Rheumatic Heart Disease kan ti a ni.
A pawimawh ber chu he chhiatna hi vawi khatah a thleng vek lo. Thlarau natna a lo luh hnu leh rheumatic fever a lo kal leh a bo hnuah chauh, kum tam tak hnuah, kum 10 emaw kum 20 emaw hnuah pawh a ni mai thei, thinlung natna a lo lang tan thin.
He natna lan chhuah dan engte nge ni?
Sawi tawh ang khan mi tam takin symptoms an nei zawi zawi hle. Rheumatic fever a lo chhuah hnu rei vak lo hnuah chauh an lang chhuak thin. Heng symptoms te hi puitling naupang takah a lang tlangpui.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Thâwk harsa | Exercise kan tih lai te, chawlh lai te, mut lai te hian thawk a harsa thin. Hei hi thinlungin thisen a pump tha thei lo a nih chuan lung a nghawng vang a ni. |
| A rilru a na | I thinlungin a thawhrim zawk a ngaih avangin i rilruah tightness emaw, na emaw i nei thei. |
| Palpitations a awm | Thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maiin a hria. A rilru chhungah thil pakhat a rawn inher chhuak ang maiin a lang. A châng chuan, heartbeat condition mumal lo tak tak, atrial fibrillation ang chi a awm thei bawk. |
| Taksa a hring chhuak | Pum, ke, ke ruh leh kut a hring thei. Hei hi thinlung pumping function a chak loh chuan taksaah tui a awm khawm vang a ni. |
| Chauh fo thin | Taksa peng thenkhatin oxygenated thisen an dawn tlem avangin i chau reng a, engmah i ti thei lo. |
| Thinlung ri pangngai lo (Heart Murmur) . | Doctor-in stethoscope hmanga a enfiah hian, valve chhia aṭanga thisen luang chhuak avanga thawm danglam tak a hre thei a ni. |
| Thisen a khuh chhuak | Hei hi symptom na tak a ni. Thinlung pressure a san a, lung a nghawng hian a thleng thei. |
He natna hi kai theih a ni em? Tute nge risk sang zawk?
No. Rheumatic heart disease hi mi pakhat atanga mi dangah direct-in a darh lo. Mahse, a thlentu streptococcal throat infection chu a ni. He bacteria hi i thawk hah emaw, i khuh emaw hian boruak kaltlangin a darh thei a ni.
Chuti a nih chuan, tute nge he natna vei theihna chance sang zawk?
- Thlarau natna vei fo thin leh antibiotics ei tha lo tan: a bik takin naupan laia.
- Healthcare facility tlemte awmna hmuna chengte tan: Doctor hmu lo leh damdawi dawng lote chu an hlauhawm zawk.
- Mipui tamna hmun, thianghlim lohna hmuna chengte tan: Chutiang hmunah chuan hri kai a darh nasa zawk.
America ang ram changkang, strep throat hnu lawka antibiotics pek nghal thinah chuan tunah chuan rheumatic fever leh rheumatic heart disease te hi a tlem hle tawh a ni. Amaherawhchu, keini ram ang ram, a bik takin thingtlang leh mipui tamna hmunah chuan he dinhmun hi hriselna lama harsatna lian tak a la ni reng a ni.
Rheumatic heart disease hian hun rei tak chhunga nghawng a neihte chu engte nge ni?
Hun a kal zel a, heart valve-te chhiatna a pung thei a, harsatna hrang hrang a thlen thei a ni.
- Heart Failure: Thinlung hian taksaah thisen a pump tam thei lo tihna a ni.
- Heartbeat mumal lo (Arrhythmia): `Atrial Fibrillation` ang chi natna avanga heartbeat mumal lo.
- Infective Endocarditis: Hei hi thil hlauhawm tak a ni a, thisen atanga hrik te chu valve chhia tawhah lutin infection a thlen thin.
- Pulmonary Hypertension: Thinlung atanga lung thlenga thisen phurtu thisen kalna kawng hrang hranga pressure sang.
- Stroke leh thisen zam: Lungphun mumal lo hian thinlung chhungah thisen zam a siam thei a, chu chuan thluak lamah a kal a, stroke a thlen thei a ni.
A bik takin hmeichhe naupai, ruh natna nei tan chuan a hlauhawm hle. Naupai lai hian taksa thisen a tipung a, chu chuan thinlungin hna a thawk nasa zawk thin. Valve chhia nei heart chuan he extra load hi a phur harsa thei hle. Hei hian nu leh naute tan pawh hriselna lama harsatna lian tak a thlen thei a ni.
He natna hi Doctor hian engtin nge a hriat chian?
I natna lan chhuah dan i doctor i hrilh hunah uluk takin a enfiah ang che. A bik takin, i thinlung chu stethoscope hmangin an ngaithla ang a, aw danglam (murmurs) a awm leh awm loh an enfiah ang. Chu bâkah, naupan laia ril na emaw, khawsik emaw i nei tawh em tih an zawt bawk ang che.
Natna finfiah nan hian test eng emaw zat tih theih a ni:
- Thisen test: Taksa a inflammation emaw, immune system hnathawh dan a inthlak emaw enfiah thin.
- Chest X-ray: Lung a lian em tih leh heart attack chhinchhiahna a awm em tih enfiah thin ang che.
- Echocardiogram: Hei hi test pawimawh ber a ni. Thinlung ultrasound scan ang mai a ni. Heart valve te hi engtiang chiahin nge a chhiat, a zim, a leak tih chiang takin a hmu thei.
- Electrocardiogram (ECG): Thinlung electrical activity record a, heartbeat mumal lo a awm leh awm loh a enfiah thin.
Enkawlna kawng hrang hrangte chu engte nge ni?
Mi tam tak chuan he natna hi a dam kim thei ang em tih an ngaihtuah thin. Thudik tak chu, Rheumatic heart disease avanga heart valve tihchhiatna hi tihdanglam theih a ni lo. Hei hian a awm reng tihna a ni . Amaherawhchu, enkawl \ha a nih chuan a natna lan chhuah dan i thunun thei a, natna a zual zel loh nan i veng thei a, nun pangngaiin i nung thei bawk.
Enkawl dan hi hmunpui engemaw zatah then theih a ni.
| Enkawl dan tur | Engnge i tih? |
|---|---|
| Damdawi ei tur | Damdawi hi heart failure control nan te, heartbeat mumal lo control nan te, taksa atanga tui tam lutuk paih nan te pek thin a ni. Thisen zam theihna a awm chuan thisen tithianghlimtu (anticoagulants) pek theih a ni. |
| Minimally Invasive tih dan tur a ni | Thinlung mitral valve chu a zim a nih chuan operation tel lovin valve zau zawka tihzauh theih dan a awm a, chu chu ke atanga tube te tak te, balloon ang chi dah a ni. Hei hi Valvuloplasty an ti a . |
| Lung Valve Surgery neih a ni | Natna a nasat chuan valve chhia chu siam that emaw, lak chhuah vek emaw a ngai thei a, artificial valve emaw tissue valve emaw dah a ngai thei bawk. |
A pawimawh ber: He natna hi engtin nge kan ven theih ang?
Ni e, hei hi he thuziak pawimawh ber a ni. Rheumatic heart disease hi ven theih vek a ni. Chutiang a nih loh nan thil awlsam tak pakhat i tih theih a awm.
Streptococcal throat infection hmasa berah antibiotic treatment dik tak neih.
Nangmah emaw i fa emaw hian a hnuaia symptoms te hi i neih chuan khawngaihin in lama awm mai mai lovin thil awlsam takah ngai suh. Doctor pan nghal rawh.
- Khawsik sang tak a nei
- Hrawk thip
- Tonsillitis natna a ni
- Joint natna
- Muscle na a na
- Skin lumps emaw lesions emaw a awm thei
- Kawng leh lu emaw thunun loha tihnghing (Chorea) .
Doctor-in a test a, bacteria infection a nih leh nih loh a finfiah chuan ni engemaw zat chhung chu antibiotics a pe ang. Damdawi hi a hun bituk chhunga ei tur dik tak ei a pawimawh hle. A natna a reh vang mai maia enkawlna chanve vel chu chawlhsan suh. Chutianga tih chuan bacteria chu a that vek dawn lo va, rheumatic fever vei theihna a tipung bawk ang.
Rheumatic heart disease i neih tawh chuan i rilru natna a thlen nawn fo hian i thinlung a tichhe thei a ni. Chuvangin, i doctor chuan thla tin penicillin injection hi rei tak, i dam chhung zawng pawh ni thei, infection laka inven nan a rawt mai thei.
Take-Home Thuchah a ni
- Rheumatic heart disease hi naupan lai atanga lo awm, enkawl loh bacterial throat infection avanga lo awm a ni.
- He natna hian heart valve te chu a tichhia reng a ni. He chhiatna hi tihdanglam theih a ni lo.
- Thâwk harsa, rilru na, hah, leh ke hring te ang chi natna lan chhuah dan hi natna a lo chhuah atanga kum tam tak hnuah a lang chhuak thin.
- Kawng na leh khawsik hi ngaihthah suh, a bik takin naupangte tan. Doctor pan nghal la, a tul chuan antibiotics hun bituk chhung zawng ei thin ang che.
- Rheumatic heart disease i neih chuan i doctor thupek leh enkawl dan dik tak zawm la. Medical checkup neih fo turin kal rawh.
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