He i thinlung peng tlemte hi i hria em? – Dinglam Atrial Appendage a awm

Kan thinlung hi taksa peng mak tak a ni tih kan hre vek. Mahse he thinlung peng tenau thenkhat hi i hre tam lo mai thei. Chuvangin, vawiinah hian mi tam takin an sawi loh, mahse hmun pawimawh tak chang thin thinlung hmun tlemte kan sawi dawn a ni. Chu chu right atrial appendage , emaw, English-ah chuan `(Right Atrial Appendage)` emaw, a tawi zawngin `(RAA)` emaw a ni. He hming hi i hriat hmasak ber a ni mai thei. Mahse, lungngai suh, he thu hi awlsam takin sawi ila.

Right Atrial Appendage hi eng nge ni?

A awlsam zawngin sawi ila, ``Right Atrial Appendage'' emaw ``RAA'' emaw hi i thinlung chhunga pouch ang chi, i thinlung chunglam chamber atanga tlem lo chhuak, right atrium an tih chu a ni. He thu hi i hre tawh mai thei, a bik takin doctor-in i dinglam atrium-ah ``pacemaker lead'', pacemaker nena inzawm wire te tak te dah turin a hrilh che a nih chuan.

He `(RAA)` hi kan kawr chhunga pocket te tak te angin han ngaihtuah teh. Main shirt pawnah hmun tlem a awm. He `(RAA)`-ah hian doctor-te'n pacemaker wire dah an duh chhan bik a awm. Pakhat chu he `(RAA)` hi thlen a awlsam hle. Thil dang chu he `(RAA)` hi `(SA node)`, a nih loh leh `(sinoatrial node)` hnaih takah a awm a, chu chuan kan thinlung ti na thei electric signal a thawn a ni. Chuvangin pacemaker hman tangkai nan a pawimawh hle.

He thinlung hmun hriat loh hian a chang chuan harsatna a thlen thei che a ni. Mahse thu lawmawm tak chu, he `(RAA)` tan hian enkawlna a awm a, thinlung peng dang tan pawh a awm ang bawkin.

He RAA hi eng nge thleng? (RAA Hnathawh) .

Tunah chuan he `(RAA)` te tak te hian eng nge a tih tak tak tih i en ang u. A hnathawh ber pakhat chu kan thisen volume a san chuan, chu chu taksa chhunga thisen awm zat a tul aia tam a pun chuan he `(RAA)` bang hi a inzawm tan thin a ni. Tichuan, he `(RAA)` hian protein chi khat bik `natriuretic peptides` tih chu a chhuah chhuak ta a ni.

Heng chemical ``natriuretic peptides'' an tih te hian thil pawimawh tak tak an ti a:

• I thisen kalna kawngte chu a zau deuh a.
• I taksa atanga chi leh tui tam lutuk chu zun hmangin a paih chhuak thei a ni.

Hetiang kalphung hian i thisen volume leh thisen sang tihhniam nan a pui a ni. I in chhunga tui dahna a khat laiin tui tam lutuk chhuahtirtu pipe te tak te angin ngaihtuah rawh.

RAA hi khawiah nge a awm? (RAA Hmun) .

I ``Right Atrial Appendage`` chu i thinlung dinglam atrium chung berah a awm a. A dik tak chuan i ``superior vena cava``, thisen kalna kawng lian tak bulah a awm a ni. He ``(RAA)`` hi canal ang chi, right atrium leh right ventricle inkar atanga chunglam hawia inzar pharh a ni.

RAA-a thil awmte chu engte nge ni? Engtin nge a lan ? (RAA Anatomy leh A lan dan)

He `(RAA)` chhungril lam i en chuan thisen luh leh chhuah theihna tur hawnna nei bag ang mai a ni. `(RAA)` chhung lam chu a hrual deuh a. A chhan chu taksa peng hrang hrang `terminal crest` leh `musculi pectinati` tih te a awm vang a ni. Chungte chu a chung lamah chuan ridge te tak te ang mai an ni.

A lian zawngah chuan zirchiangtute chuan he `(RAA)` zau zawng hi square centimetre 3 vel (chu chu square inch chanve vel a ni) an ti. `(RAA)` hawnna hi centimetre 2 vel a zau (inch khat aia tlem lo) a ni.

Mak tak mai chu he `(RAA)` hian płatka (lobe) pakhat emaw, płatki engemaw zat emaw a nei thei a, a chang chuan paruk pawh a nei thei bawk. Chu chu mi zawng zawng `(RAA)` hi a inang vek lo tihna a ni.

RAA-ah hian eng lem nge hmuh theih? (RAA Shapes) a ni.

Zirchiangtute chuan `(RAA)` chi hrang hrang an hmuchhuak a. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Square shape (parrot beak shape): Hei hi a awm dan tlangpui a ni. Parrot hmui ang mai a ni.
• Quadrilateral shape: Sakawr lu pianzia nen a inang.
• Trapezoid shape: Anvil pianzia nen a inang.
• Triangular shape: Sailboat-a sail ang mai.
• Undefined shape: A then chu chiang taka sawifiah a harsa hle.

Heng main shape bakah hian zirchiangtute chuan heng sub-type te hi an hmuchhuak bawk. He kan thinlung peng te tak te hi hetiang taka chi hrang hrang a awm thei hi thil mak a ni lo em ni?

RAA nghawngtu dinhmun leh natna tlanglawn tak takte chu engte nge ni?

Thinlung hmun dang ang bawkin damdawi lam thil engemaw zat a awm a, chu chuan RAA hi a nghawng thei a ni. Chung zinga ṭhenkhat chu:

• Atrial Fibrillation (Afib): Hei hi thinlung thawk mumal lo a ni. Hetiang dinhmun hian RAA-ah thisen zam a siam thei a ni. Mahse, hei hi veilam atrial appendage nena khaikhin chuan dinglam lamah a awm lo zawk.
• Car accident avanga hliam: Accident na takah chuan RAA hi a rilruah a tlak avangin a chhe thei a ni.
• Aneurysm: Hei hi thisen kalna kawng (artery) a zau lutuk a, balloon ang maia a bulh theihna a ni. RAA hian he aneurysm chi hi a nei thei bawk.

Pawimawh: Heng natnate hi a hmaa hriatchhuah leh uluk taka enkawl hi a pawimawh hle.

RAA natna lan chhuah dan chu engte nge ni?

Right atrial appendage (RAA) tichhe thei dinhmunte hian natna lan chhuahna a thlen thei a, chungte chu:

• A rilru a na
• Chau
• Thâwk hahna emaw `dyspnea` emaw
• Luak chhuak thei

Heng symptoms te hi i neih vang mai mai chuan i RAA ah harsatna i nei tihna a ni lo. Lung lam natna dang leh hriselna lama harsatna tlangpui avanga lo awm thei an ni bawk. Chuvang chuan heng symptoms te hi i neih chuan doctor thurawn lak a tha ber.

RAA hriselna dinhmun hi engtin nge kan enfiah ang? (RAA Hriselna atana Test hman tlanglawn tak)

Doctor-te’n i right atrial appendage (RAA) hriselna enfiahna atana an hman test engemaw zat a awm a:

• Transesophageal Echocardiogram (TEE): Hei hi echocardiogram chi khat bik a ni. He test-ah hian camera hmanga thuam tube te tak te (transducer probe) chu i kawchhung kaltlangin i chaw kawng (esophagus) chhungah dahin i thinlung thlalak chiang tak a la thei a ni. Hei hian RAA thlirna tha tak a siam thei a ni.
• Cardiac CT (Cardiac Computed Tomography) scan: Hei hian X-ray leh computer technology hmangin thinlung cross-sectional image siam a ni.
• Transthoracic Echocardiogram (TTE): Hei hi echocardiogram chi hrang hrang zingah chuan a tam ber a ni. Hetah hian i thinlung thlalak lak nan i rilruah transducer dah a ni.

Doctor chuan i dinhmun a zirin heng test te hi engtin nge i tih ang tih a rel ang.

Hei hi eng enkawlna nge ni? (Enkawlna pangngai) .

Right atrial appendage (RAA)-a harsatna a awm chuan enkawl dan tur engemaw zat a awm a:

• Anticoagulants: I RAA hi thisen zam a awm duh chuan thisen zam lo turin heng damdawi te hi pek i ni ang.
• Ablation treatment: Heartbeat mumal lo, atrial fibrillation ang chi hi RAA atanga tan a nih chuan ablation tih treatment tih hmangin tissue pangngai lo chu tihchhiat theih a ni.
• Surgery: Accident-a RAA tissue te a chhiat chuan a chhe lai siamthat emaw, lakchhuah emaw nan surgery neih a ngai mai thei.

Eng enkawlna nge i tâna ṭha tih hriat chu thil tam takah a innghat a, chutah chuan i damdawi lam dinhmun, i kum, leh i hrisêlna zawng zawng pawh a tel a ni.

Engtin nge ka right atrial appendage (RAA) hi a hrisel theih ang? (I RAA enkawl dan tur)

I `(Right Atrial Appendage)` atan hian a bik takin i tih theih tur a awm lo tak zet a ni. I thinlung zawng zawng hrisel taka awm theihna tura i tih ang chiah hi i `(RAA)` tan pawh a tha hle. I thinlung hrisel taka awm reng tur chuan hengte hi enkawl la:

• Kar khatah minute 150 tal taksa tihchak la: kea kal, tlan, tui chawi ang chi exercise ti rawh.
• Thinlung hrisel ei rawh: Thlai, thei, legumes, whole grains, sa thau lo, leh sangha ei tam rawh. Oil, chi leh sugar te tihtlem rawh.
• Zuk leh hmuam hman loh tur: Meizial zuk hian thinlung a tichhe nasa hle.
• I stress kha control rawh:Yoga, meditation, etc. ang chi thil ti la, chawlh hahdam rawh.
• Damdawi lam thil, thisen sang leh zunthlum te control: I doctor-in a tih angin damdawi ei thin ang che.

Heng step awlsam tak takte hi zawm hian i cardiovascular system zawng zawng chu i hrisel thei ang.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Mi tam tak chuan ``Right Atrial Appendage'' emaw ``RAA'' emaw tih hi an la hre ngai lo. ``Afib'' nei te hian Left Atrial Appendage hi an hre tawh mai thei, mahse dinglam a mi hi chu sawi tam a ni lo.

He thuziak hi pacemaker dah tur i nih avangin i chhiar a nih chuan thil pakhat i hriat tur chu doctor-te chuan pacemaker lead dahna tur hmun tha ber atan RAA an thlang a ni. Hei hi a chhan kan sawi tawh a.

Chuvangin, he `(RAA)` chungchanga zawhna dang i neih chuan i doctor nen inbiakna neih hreh suh. I zawhna zawng zawngte chhanna chiang tak a pe thei che a ni. Kan taksa peng te te hian chanvo hlu tak a nei tih hre reng ang che, chuvangin kan hriat chian a pawimawh hle.

` Lung, Right Atrial Appendage, RAA, Lung natna, Pacemaker, Atrial Fibrillation, Lung hriselna, Right Atrial Appendage