I doctor-in pacemaker chungchang a hrilh che khan, emaw, heart scan report i en khan "Right Atrial Appendage" tih hming a sawi em? I hriat khan hlauthawng deuh emaw, buai deuh emaw i nei em? "Aw ka Pathian, he natna thar hi eng nge ni?" Chutianga inhriat chu thil pangngai tak a ni. A chhan chu kan zingah tumahin kan hriat tam loh hming a nih vang a ni. Mahse, hlauhthawn chhan tur a awm lo. A awlsam khawp mai. Hemi chungchang hi vawiinah hian sawi ila, thian pahnih inbia ang maiin, phurrit engmah awm lovin.
A awlsam zawngin sawi ila, he Right Atrial Appendage (RAA) hi eng nge ni?
Kan thinlung hi in te tak te, pindan pali nei ang mai hi han ngaihtuah teh. He in chhawng chunglam pindan pahnih hi atria an ti a , a hnuai ber pindan pahnih chu ventricles an ti bawk. He chhawng chunglam dinglamah, chu chu , atrium dinglam a awm, chu chu dinglam atrium atanga rawn chhuak tlem , pouch ang chi te tak te a ni a, chu chu Right Atrial Appendage (RAA) kan ti a ni. Hei hi thinlung chhungril ber a ni a, thil siam thar a ni lo.
"Chuti a nih chuan engvangin nge doctor ten he thu hi an sawi?" i ngaihtuah mai thei. A chhan ber chu mi thenkhatin pacemaker an dah a ngaih hunah chuan RAA chhungah wire te tak te lead an tih chu dah a awlsam zawk a, a him zawk bawk. Hei hi a chhan chu RAA hi thinlunga electrical signal thawntu main center, SA node (sinoatrial node) nen a inhnaih hle a ni. Chuvangin pacemaker wire chu chutah chuan dah a nih chuan thinlung hnathawh chu a thunun thei hle a ni.
Okay, chuti a nih chuan he part tenau tak hian eng service nge a pek?
He bawm te tak te RAA an tih hian kan taksaah hna pawimawh tak a thawk bawk. Kan taksaa thisen volume a lo pun thut chuan thinlunga thisen lo lut pawh a pung bawk. Tichuan he RAA bang hi a inzawm tan ta a ni.
Balloon tuiin a khat ang maiin han ngaihtuah teh. Tui a pun zel chuan balloon chu a zau zel ang bawkin RAA pawh hi thisen a pun chuan a inzawm tlem hle bawk.
Chutianga bangte chu a inzawm khawm chuan RAA hian protein chi khat bik a tichhuak a, chu chu Natriuretic Peptides an ti a ni. Heng protein te hian kan taksa chu, "Okay, tunah chuan kan taksaah tui kan nei tam lutuk a, tlem kan tihtlem a ngai a ni," tiin signal a pe a ni. Chumi hnuah chuan heng protein te hian kan thisen kalna kawngte chu tlem a tizau a, chubakah kal (kidney) te chu zun hmanga chi leh tui tam lutuk chhuah tir turin signal an pe bawk. Hetiang kalphung hian taksa thisen volume sang leh thisen sang chu a pangngaiah a hruai kir leh thin. A awlsam zawngin, hei hi kan taksaa natural pressure regulator ang mai a ni.
He RAA hi eng ang nge a nih a, eng ang nge a nih?
Hei hi hmun tenau tak a ni. Square centimetre 3 vel a ni a, chu chu kan kutpui nail aiin a let hnih velin a lian zawk. Mahse mak tak mai chu, mi zawng zawng RAA hi a inang vek lo. Kan hmel leh kutziak ang bawkin mi tin a inang lo thei. Doctor-te’n an hriat chhuah chi hrang hrang (main shape) tlemte a awm.
- Parrot beak shape: Hei hi hmuh tam ber a ni.
- Sakawr lu lem: Mi thenkhat RAA hi hetiang hian an siam a.
- Anvil ang chi: Trapezoid ang chi.
- Sailboat: Kawng pathum ang chi a ni.
- Undefined shape: A châng chuan hei hi eng shape pawha tel lo tûra dah theih a ni.
Hetiang pianzia hi eng pawh ni se, a tlangpuiin nghawng a nei vak lo. Mahse, doctor-te chuan heart surgery thenkhatah he shape hi an ngaihtuah nasa hle.
RAA nghawng thei dinhmun leh symptoms te
RAA hi a tlangpuiin harsatna lian tham a ni lo. Mahse, a châng chuan damdawi lam thil ṭhenkhatin a nghawng thei a ni. Tin, heng dinhmunah hian kan symptoms kan tawn te hi thinlung lam harsatna dang a kan tawn te nen hian a inang hle bawk.
| Damdawi lam dinhmun awm thei | A sawifiahna awlsam tak |
|---|---|
| Atrial Fibrillation (Afib) a awm thei lo. | Hei hi thinlung (atria) chunglam (atria) pindan (upper chambers) te chu rang taka an thawk tan a, an inher chhuak ang maiin a ni. Hei hian thisen kal dan mumal lo a thlen thei a, RAA-ah thisen zam a lo awm thei bawk. Mahse, hetah hian thisen zam (blood clots) hi left atrial appendage nena khaikhin chuan a awm tlem zawk. |
| Accident avanga hliam tuar | Car accident lian tak ang chi thilah chuan a rilruah na taka vuakna chuan RAA a tichhe thei a ni. |
| Aneurysm a ni | Hemiah hian thil thleng chu RAA wall chu a chak lo va, balloon ang maiin a bulge chhuak ta a ni. Hei pawh hi thil thleng tlem tak a ni. |
Chutiang dinhmunah chuan symptoms hriat theih te
| Symptom a ni | I rilru put hmang chu engtin nge ni ang |
|---|---|
| A rilru a na | A natna chu rilru natna tightening, constricting pain ang maiin a lang. |
| Chau | Engmah ti lo pawhin hah lutuk tihna. |
| Thâwk harsa (Dyspnea) . | I thawk hah ang maiin a awm a, thawk harsa i ti hle. |
| Luak chhuak thei | Luak chhuak leh mit sen hring tih hriatna. |
A pawimawh ber chu, heng symptoms te hi i neih chuan, "Hei hi RAA-a harsatna a ni ngei ang" tih mai mai suh. A tha ber chu Doctor pan nghal a , a chhan dik tak hriat chhuah hi a ni.
Engtin nge doctor hian RAA hi a test thin?
I doctor-in i natna lan chhuah dan a hriat hnua RAA a rinhlelh chuan a dinhmun enfiahna tur special test engemaw zat a awm a.
| Test neihna tur hming | A awlsam zawngin, hei hi engtin nge i tih? |
|---|---|
| Transesophageal Echocardiogram (TEE) hmanga tih hi a tha hle. | Hei pawh hi echo scan a ni. Mahse hei hi rilruah tih a ni lo. Camera ang chi hmanraw te tak te chu ka chhungah dahin, kawchhung hnuai lamah an pass a, thinlung hnaih takin thlalak an la thin. Hetiang method hian RAA ang chi part te te chu chiang takin a hmu thei a ni. |
| Cardiac CT (Computed Tomography) hmanga tih a ni. | Hei hi X-ray hmanga scan bik a ni. Thinlung lem pathum (3D) a siam thei a ni. Hei hian RAA pianzia leh a lian zawng hmuhna kawngah a pui hle a, chutah chuan thisen zam a awm leh awm loh hriatna kawngah pawh a pui hle. |
| Transthoracic Echocardiogram (TTE) hmanga rilru put hmang (TTE) tih a ni. | Hei hi echo scan tia kan hriat tlangpui chu a ni. Chu chu rilru chung lamah hmanrua dahin tih a ni. Thinlung hnathawh dan zawng zawng ngaihtuahna tha tak a pe thei a ni. |
RAA kaihhnawih harsatnate enkawl dan tur engte nge ni?
Thu lawmawm tak chu RAA-ah harsatna awm mah se, enkawl theih a ni. I doctor chuan i dinhmun a zirin enkawlna dik ber a ruat ang.
- Anticoagulants: RAA chhungah thisen zam a lo awm tawh a nih chuan heng damdawi te hi chu thisen zam chu a tithianghlim a, thisen zam thar a lo awm loh nan pek thin a ni.
- Ablation Treatment: Atrial Fibrillation (Afib) thlentu chu RAA nena inzawm tissue a nih chuan, a bik takin chu tissue chu a tichhia thei a, heart rhythm pangngai a siam tha leh thei bawk.
- Surgery: Accident avanga RAA a chhiat chuan a chhe lai siamthat nan surgery neih a ngai mai thei.
Engtin nge ka thinlung leh RAA hi ka hrisel theih ang?
Hei hi a pawimawh ber a ni. RAA tan hian thil danglam bik a awm lo. Kan thinlung pumpui kan enkawl that hian kan thinlung peng tinreng, RAA telin, a hrisel reng a ni. Chuti a nih chuan eng nge kan tih ang?
- Kar khatah minute 150 tal exercise la: I duhzawng thil ti la, chu chu chak taka kal, tlan, a nih loh leh tui chawi ang chi hi a ni.
- Thinlung hrisel ei tur: I eitur ah thei, thlai, legumes, whole grains, leh sangha te telh la. Oil, chi, leh sugar tamna ei tur chu a theih ang anga tihtlem tur a ni.
- Meizial zu hi pumpelh vek rawh: Meizial hian thinlung a tihchhiatna hi a nasa hle.
- Stress enkawl rawh: Meditation, yoga, a nih loh leh i hobby nuam tak tih ang chi thil tih hmangin i rilru ti hahdam rawh.
- Natna dang thunun: Zunthlum emaw, thisen sang emaw ang chi natna i neih chuan doctor thupek zawm la, uluk takin control rawh.
Heng thil awlsam tak takte hi i nunah i belhchhah chuan i thinlungin lawmthu a sawi ang che.
Take-Home Thuchah a ni
- Right Atrial Appendage (RAA) hi i thinlung chhunga thil pangngai, hrisel tak a ni. Natna thar a ni lo.
- Hei hi thil bik, pacemaker dah lai ang chiah hian sawiho a ni fo thin.
- RAA chungchanga harsatna hi a tlem hle a, mahse a enkawlna tha tak tak a awm.
- I RAA venhimna tha ber chu i thinlung zawng zawng hrisel taka awmtir hi a ni. Chu chu ei leh in \ha, exercise lak, leh nungchang \ha lo pumpelh tihna a ni.
- I thinlung chungchangah zawhna, rinhlelhna, hlauhna i neih chuan, chu chu ngaihtuah mai mai suh la, i doctor nen zalen takin inbiakna nei rawh . Engkim a hrilhfiah ang che.
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