Doctor-in i naute piang thar hian thinlung lam harsatna a nei tih a hrilh che chuan nangmah, nu emaw pa emaw angin hlauhna leh manganna nasa tak i neih hi thil pangngai a ni. A bik takin ‘Tricuspid Atresia’ ang hming hriat loh nei condition a nih chuan zawhna tam tak rilruah a lo lang thin. "Hei hi eng nge ni? Ka naute hi a dam tha ang em? Engvangin nge hetiang thil hi a lo awm?" Chutiang thil chu i rilruah a tlan lut ngei ang. Lungngai suh. Vawiin hian he thu hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.
A awlsam zawngin, Tricuspid Atresia chu eng nge ni?
Hei hi hrethiam tur chuan thinlung hrisel hnathawh dan hi han thlir hmasa ila. Kan thinlung hian pindan lian pali a nei a. Chamber chunglam pahnih leh a hnuai lam chamber pahnih a awm. Taksain a hman tawh thisen, oxygen tlakchhamna chu thinlung dinglam (Right Atrium) chunglam chamber-ah a lut hmasa thin. Chuta tang chuan kawngkhar ang maia thawk valve a inhawng a, chu thisen chu dinglam chamber hnuai lam (Right Ventricle)-ah a kal ta a ni. He kawngkhar hi
Tricuspid Valve an ti a . Tichuan, lower chamber chu a inzawm khawm a, chu thisen chu lungah a thawn a, oxygen a hmu ta a ni. Mahse, naute piansualna nei
Tricuspid Atresia -ah chuan he Tricuspid Valve an tih hi a
lo piang dik lo . Chu chu, chu kawngkhar ai chuan, membrane thuk tak ang chi thil a awm tihna a ni.
Kawngkhar ni lovin pindan pahnih inkarah bang awm ta se han ngaihtuah teh. Tichuan room khat atanga room dangah i kal thei lo a ni lawm ni? Chu chu hetah hian thil thleng a ni.
Chuvang chuan oxygen tlachham thisen, upper right ventricle-a lut chuan lower chamber-ah kawng a nei tawh lo. He kawng hi a inkhar tlat avangin thisen pump thei tawh lower right ventricle chu a lo thang tha lo a, a te lutuk fo bawk. Chuvangin, oxygen dawng tur chuan lungah thisen thawn ngai chu thawn chhuah dan tur a awm lo. Hei hian taksa pumin oxygen a dawn zat
a tihtlem phah a ni.
Hei hi dinhmun pawi tak a ni em?
Ni e, hei hi doctor-te’n pianpui heart defect pawimawh tak anga an ngaih congenital heart defect na tak a ni ngei ang. Hetiang natna vei naute hi a pian hnu lawkah intensive care unit (ICU)-ah enkawl a ngai a, chu chu heart diseases complex tak takah enkawl a ngai a ni. Thil tam takah chuan naute an haw hmaa an nunna chhanhim nan emergency surgery neih a ngai thin. Hei hi hriatchhuah a, enkawl that loh chuan naute nunah nghawng na tak a nei thei a ni. He natna chi hrang hrang lian ber ber a awm em?
Doctor-te chuan he natna hi chipchiar zawkin an classified a. A chhan chu naute thinlungah hian he chhiatna bulpui ber bakah hian danglamna dang a awm thei a ni. Chutiang inthlak danglamna a zirin enkawlna ruahmanna ruahman dan chu a inang lo ang. A chi thum (Type I, II, III) a awm a.- Type I: Hei hi a tam ber a ni. Hetah hian thinlung atanga thisen kalna kawng lian ber ber (pulmonary artery leh aorta) te chu an awmna tur dik takah an awm a. Mahse, thinlung hnuai lam chamber inkarah khur a awm thei (ventricular septal defect) emaw, lung lama thisen phurtu valve-ah harsatna a awm thei bawk
- Type II: Hetah hian thisen kalna kawng lian pahnih chu a inthlak danglamin an awm a. Chamber hnuai lam inkarah pawh khur a awm bawk (Ventricular Septal Defect).
- Type III: Hei hi chi khat a tlem hle. Hetah hian thisen kalna kawng lian ber ber leh chamber-ah hian inthlak danglamna khirh tak tak engemaw zat a awm a.
Heng chi hrang hrangte hi ngaihtuah lutuk a ngai lo. I naute enkawltu doctor-te chuan heng zawng zawng hi an enfiah ang a, i naute tana enkawl dan tur tha ber chu an hrilhfiah ang che. Naute hian eng symptoms nge a neih?
A tam zawkah chuan he natna vei naute hian an pian tirh kar khat chhungin symptoms an nei thin. Chûng thilte chu i hre chhuak mai thei. | Symptom a ni | A awlsam zawngin sawifiah a ni |
|---|
| Vun leh hmui a sen (Cyanosis) . | A lan chhuahna ber chu vun, hmui leh nail-te rawng blue emaw purple emaw a inthlak a, chu chu taksain oxygenated thisen a dawn tlem avangin a ni. |
| Thâwk harsa (Dyspnea) . | Naute hi a thaw chak hle a, thawk a harsa hle niin a lang. |
| Nau hnute pek harsatna leh hahna | Naute chu bawnghnute tlem a in hnuah a chau a, a chanve vel a in a chawlhsan a, a in laiin a thawk a hah bawk. |
| Growth tihkhawtlai a ni | Naute hian bawnghnute a in tam a nih pawhin a thau tha lo ang. |
| Thinlung ri pangngai lo (Heart Murmur) . | Doctor chuan stethoscope hmanga thinlung a enfiah lai chuan extra heart sound a hre ta a. |
Engvangin nge ka naute chungah hetiang hian a lo awm?
He zawhna hi vawi tam tak i inzawt tawh ngei ang. Hriatthiam hmasak tur chu hei hi i sualna a ni lo . Doctor-te chuan he pianpui thinlung natna chi hrang hrang hi a chhan dik tak an la hmu lo. Nausen pum chhunga a lo seilian tirh kar 6 chhung, thinlung a lo pian lai hian a thleng thin. Mahse, he natna vei theihna tipungtu risk factor thenkhat hmuhchhuah a ni. Naupai lai hian a hnuaia thilte hian nu hi a nghawng thei a ni: Engtin nge doctor-te hian hei hi an hriat chhuah?
A tam zawkah chuan he natna hi naute pian hmain hriat theih a ni.- Naute pian hma: I naupai scan (ultrasound) lai hian i doctor chuan i naute thinlungah thil dik lo a hmu thei a. Ringhlelna a awm chuan naute thinlung chauh ngaihtuah tur special scan atan refer i ni ang a, chu chu fetal echocardiogram an ti a ni.
- Naute a pian hnuah: Naute chu a pian hnu lawkah a blue a nih chuan doctor-te chuan thinlung lam harsatna a nei tih an ring nghal mai ang. Stethoscope hmanga thinlung enfiahnaah thinlung ri danglam (heart murmur) hriat a nih chuan chu pawh chu chhinchhiahna lian tak a ni. Natna chiang taka hriat theihna tur test ber chu echocardiogram a ni . Hei pawh hi scan ang a ni. Hei hian heart valve a bo em tih te, chamber lian leh te, thisen kal dan te, khur dang a awm leh awm loh te chiang takin a hmu thei a ni.
Hei bakah hian chest X-ray te, ECG test te, pulse oximetry test te pawh thisen a oxygen level enfiah nan an ti bawk. Enkawlnate chu engte nge ni? Hei hi tihdam theih a ni em?
“Tihdam” vek theih ni lo mah se, operation hrang hrang neih chuan naute thisen kal dan chu a siam ṭha leh thei a, nun pangngaia nun a phalsak thei bawk. Enkawlna hi hmun hnih ah then theih a ni. 1. Damdawi
Naute a pian veleh zai hmasak ber thlenga naute a nghet theih nan damdawi an pe nghal a ni. Heta damdawi pek ber chu Alprostadil a ni . He damdawi hian naute pian tirh atanga an neih thin thisen kalna kawng bik (Ductus Arteriosus) chu rei lo te chhung atan a hawng a, chu chu an pian hnu ni engemaw zat hnuah a khar thin. Hei hian thisen chu lung chhunga a thlen theihna tur kawng dang a siam belh a ni. Hei hi nunna chhanhimna tehfung a ni.2. Surgery tih a ni
Tricuspid atresia hi operation vawi khat chauh hmanga enkawl theih a ni lo. Naute a lo seilian chhoh zel chuan stage engemaw zatah operation hrang hrang neih a ngai thin. Hei hi building lian tak tak, a then khata sak ang mai a ni.- Stage 1 (na dam chhung kar hmasa berah): Hei hian lung chhunga thisen kal dan mumal tak siam a huam a ni. Hei hi BTT shunt tih hmanga tih a ni . Hei hian thisen kalna bulpui leh lung lama thisen phurtu thisen kalna inkarah tube te tak te dah a huam a ni.
- Stage 2 – Glenn Procedure: He procedure hi naute thla 4-6 vel a nih laiin tih thin a ni. Hetah hian taksa chunglam atanga oxygen tlachham thisen chu lung lam hawiin direct-in a kal a, thinlung chu a paltlang a ni.
- Stage 3 – Fontan Procedure: He final procedure hi naute kum 2-4 vel a nih laiin tih thin a ni. Hetah hian taksa hnuai lam atanga oxygen tlachham thisen chu lung lam pan nghal a ni. Hetianga tih zawh hian thinlunga oxygen tamna leh oxygen nei lo thisen inzawmkhawm chu a tawp vek tawh mai.
Heng surgery te hi a hlawhtling lo emaw, hun kal zelah thinlung a chak lo emaw a nih chuan heart transplant hi a tawp ber atan ngaih a ni. Hetiang dinhmun nen hian ka naute hmalam hun chu eng ang nge ni ang?
Hei hi nu leh pa tin tan harsatna lian ber a ni. Enkawlna tel lo chuan he natna vei naute tam zawk hi an piancham hmasa ber hmain an thi thin. Mahse, a hun taka zai a nih chuan heng naupang tam zawk hi puitling thlengin an dam chhuak thin.
- Exercise: Naupang tam zawk chu thil pangngaiah an inhmang thei a. Mahse, inelna, high-intensity sports hi tihkhawtlai a ngai mai thei. Hemi chungchang hi i doctor nen sawiho rawh.
- Hriselna lama harsatna dang: Damdawi lam thil thenkhat, ha lak chhuah hma hian thinlung natna laka inven nan antibiotics i ei a ngai mai thei.
- Zirna: Naupang thenkhat chuan zirlai harsatna emaw, attention deficit hyperactivity disorder (ADHD) emaw an nei thei. Hei pawh hi hriat chian a pawimawh hle.
Take-Home Thuchah a ni
- Tricuspid atresia hi pianpui thinlung natna na tak, mahse enkawl theih a ni. I sualna a ni lo.
- He natna hi a hmaa hriatchhuah leh a hun taka, staged surgery neih hi naute nunna atan a pawimawh hle.
- Heng naupangte hi an dam chhung zawnga cardiologist nena enkawl an ngai a ni.
- Naupang tam zawk hi operation hnuah pawh nun tha, active takin an nung thei a ni. Beiseina bansan suh.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i naute doctor nen zalen takin sawipui rawh. I tanpui turin an inpeih reng a ni.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh