I thinlung hi tui pump angin ngaihtuah rawh. He pump chhungah hian kawng khata thisen kalna tur kawngkhar te tak te a awm a. Hengte hi "valve" kan ti thin. A châng chuan heng kawngkhar pakhat hi a khar ṭha lo thei a, a inhawng deuh thei bawk. Tichuan, hmalam pan tur thisen thenkhat chu a leak leh ta a ni. Chutiang bawkin kan thinlung dinglama pindan chunglam leh hnuai lam inkar kawngkhar, ‘Tricuspid Valve’ chu a khar tha lo va, thisen a chhuak leh a, chu chu Tricuspid Valve Regurgitation kan tih chu a ni.
A awlsam zawngin, engtin nge hetiang hi a thlen theih?
Hetiang dinhmun hi hrethiam zawk tur chuan kan thinlunga tricuspid valve hnathawh dan hi han thlir ila.
Tricuspid valve hian kan thinlung dinglam a upper chamber (Right Atrium) atanga lower chamber (Right Ventricle) a thisen kal dan a control a ni. He valve hian flap pathum a nei a. Thinlung a inzawm (systole) chuan heng flap te hi a khar nghet hle a, chu chuan upper chamber chhungah thisen a luang leh thei lo. Thinlung a hahdam leh (diastole) chuan heng flap te hi a inhawng a, chu chuan lower chamber ah thisen a luang lut thei a ni.
Mahse, tricuspid valve leak nei mi pakhatah chuan thinlung a inzawm chuan heng flap te hi a khar vek lo. Hmun tlemte a la awm. Chuvangin, lung lama kal tur thisen thenkhat chu upper chamber-ah a leak leh thin.
A pawimawh ber chu mi tam zawk hian leak te tak te (Trace/Trivial Regurgitation) an nei thei a ni. Hei hi thil pangngai a ni a, chhiatna a thlen lo va, a lan chhuah dan pawh a awm lo. Mahse, he leak hi a hniam emaw, a na emaw a nih chuan thinlung hian a thawkrim zawk a ngai a ni.
Hetiang dinhmun hi eng chi hrang hrang nge ni ber?
Tricuspid valve regurgitation hi chi thum ah then theih a ni.
| Lampang | Awmzia |
|---|---|
| Primary (Primary/Organic) tih a ni. | Chutiang a nih chuan buaina chu valve ngeiah a awm a ni. Valve ngei pawh hi pianpui chhiatna (e.g., Ebstein’s anomaly), natna hrik emaw, thil dang emaw avanga chhia a ni thei. |
| Secondary/Hnathawh tur a ni | Hetah hian valve chu a tha hle a, mahse heart condition dang vangin valve chu a thawk tha lo hle. Hei hi a tam ber chi a ni. |
| Awmhrang | Hei hi secondary type nen a inang hle. Mahse, hetah hian a chhan ber chu atrial fibrillation an tih natna a ni a, chu chuan thinlung chunglam chamber a ti lian a ni. A châng chuan hei hi pacemaker dah luh vang pawh a ni thei. |
Hetiang natna lan chhuah dan hi engte nge ni?
Sawi tawh ang khan mild regurgitation i neih chuan symptoms i nei lo mai thei. Mahse, a natna chu a hniam emaw, a na emaw a nih chuan symptom engemaw zat i nei thei.
Symptoms i neih theih te
- Exercise i tih lai te, kea kal lai te, hna thawh lai te thawk hah lutuk .
- Ni engemaw zat chhung chu hah lutuk emaw, chak lo emaw anga inhriatna .
- Pum, ke ruh emaw, ke emaw a hring (edema) . Hei hi thinlungin thisen a pump tha thei lo va, taksaah tui a khawlkhawm thin a ni.
Doctorin a hriatthiam theih tur symptoms
- Heart murmur tih hi stethoscope hmanga i thinlung i ngaihthlak hian thawm danglam tak hriat theih a ni.
- I kawr emaw, i thin (liver area)-a i pulse a beat dan a inthlak danglam tih hriat.
Engvangin nge hetiang hi a lo awm? A chhan berte chu engte nge ni?
A tam zawkah chuan he natna thlentu ber chu thinlung dinglamah structural changes a awm a ni. A awlsam zawngin, pressure sang chhunzawm zel emaw, thisen tam lutuk emaw chu thinlung dinglamah a luang lut a nih chuan, chu lam chamber (atrium leh ventricle) te chu a lian tan ta a ni.
Kawngkhar hawnna a lian deuh a nih chuan kawngkhar chu a khar tha thei lo tih han ngaihtuah teh. Chutiang bawkin thinlung chamber te chu a lian chhoh zel chuan valve leaflets hmuna vawngtu annulus pawh a inzawm khawm a, a lian chho zel bawk. Tichuan leaflet pathumte chu an inkhar tha thei lo. Hei hi secondary regurgitation kan tih chu a ni.
Thinlung dinglam a lian chhan: 1.1.
- Atrial Fibrillation a awm thei
- Cardiomyopathy - thinlung ruh chak lohna
- Coronary Artery natna a ni
- Thinlung veilam hnathawh chak lohna (Left Ventricle Failure) .
- Pulmonary Hypertension tih a ni
- Thinlung mitral emaw aortic valve-a harsatna nasa tak awm
A tlem hle a, he leak hi valve stem ngei pawh a chhiat vang pawh a ni thei. Hei hi kan tih chu a niPrimary leak a ni.
Valve stem chhiat chhan awm thei te:
- Rilru natna (Rheumatic Heart Disease) a ni
- Lung natna (Infective Endocarditis) .
- Pianpui chhiatna (e.g. Ebstein’s Anomaly) .
- Pacemaker ang chi implanting device-a harsatna awm thei
- Radiation therapy hmangin a rilru a buai hle
- Accident lian tak avanga rilru hliam na tak
- Damdawi thenkhat
Hei hian eng harsatna nge a thlen theih?
He natna hi enkawl loha dah a nih a, a nasat chuan taksa peng dang a nghawng thei a ni.
- Kidney Failure a awm
- Liver Failure a awm
- Right-sided Heart Failure a awm a, a rilru a buai em em bawk
Engtin nge doctor hian he natna hi a hriat chian tak tak?
I doctor chuan a enfiah hmasa ang che. Stethoscope hmangin i thinlung chu a ngaithla ang a, i kawr leh i pum chhunga i pulse a check ang.
Tichuan, natna finfiah nan test ber chu echocardiography test a ni. Hei hi thinlung scan ang mai a ni. Hei hian thil tam tak dik takin a hril thei a, chu chu valve leakage degree te, valve pianziaah inthlak danglamna a awm leh awm loh te, heart chamber te hi a lian em tih te hi a ni.
Tin, a chhan hriat nan a hnuaia test te hi tih theih a ni bawk.
- Thisen Test neih a ni
- Chest X-ray neih a ni
- ECG test a ni
- Cardiac MRI hmanga enkawl a ni
Hei hi eng enkawlna nge ni?
Enkawlna chu i dinhmun nasat dan leh a chhan a zirin a ni. I doctor chuan i tana tha ber tur treatment plan a pe ang che.
1. Damdawi hmanga natna lan chhuah dan control: Entirnan, taksaa tui awm zat tihtlem nan diuretics pek theih a ni.
2. A chhan bulpui enkawl dan: Leak awm chhan chu thisen sang a nih chuan enkawl tur, etc. A chhan chu heart attack a nih chuan enkawl tur a ni.
3. Surgical repair emaw replacement of the valve: A natna a nasat chuan surgery a ngai thei a, valve siamthat emaw artificial valve thar hmanga thlak emaw a ngai thei bawk.
4. Transcatheter Therapies: Hengte hi tunlai hmanrua a ni a, zai ngai lovin valve siamthat a ni a, ke emaw kut emaw atanga tube dah hmanga thinlung chhunga lut a ni.
A hlauhawmna tihziaawmna turin eng nge kan tih theih ang?
Hetiang dinhmun hi ven theih reng ni lo mah se, thinlung hriselna tha neih hian nasa takin a tihziaawm thei a ni.
- Lung hrisel ei leh inZui. (Entirnan: Mediterranean Diet) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
- Kar khatah minute 150 tal exercise tlemte nei rawh.
- Zuk leh hmuam thil hman kha bansan vek rawh.
- Zu hman kha tihtawp emaw tihtlem emaw .
- Kum khatah vawi khat tal doctor hmu la , medical checkup neihpui rawh .
Engtikah nge Doctor i hmuh ang?
Doctor thupek dik tak zawm la, a hun takah clinic-ah kal rawh. Tin, a hnuaia mite hi hre reng ang che:
| Huntha | Eng nge tih tur |
|---|---|
| I doctor chu ko rawh: | |
| Symptom thar a lo lang emaw, symptom awmsa a zual emaw chuan. | Entirnan, thawk harsatna i neih chuan emaw i ke a hring a tipung a ni. |
| I symptoms hian nitin hnathawh a tibuai a nih chuan. | Tlemte i kal hnu pawha i chau tih i hriat chuan, emaw, stairs lawn harsa i neih chuan. |
| Emergency Treatment Unit (ETU) ah kal nghal rawh: | |
| Heart attack emaw stroke emaw symptom i neih chuan. | Chu chu, rilru na tak tak, thawk harsatna nasa tak, leh taksa sir khata hriatna hloh te hi a ni. |
| Thisen tihthianghlimna damdawi ei laiin tlu i neih chuan (a bik takin i lu i vuak chuan). | Hetiang damdawi ei hian chhungril lama thisen chhuah theihna a sang hle. |
| Lung zai hnuah, surgery hliamah natna kai chhinchhiahna a awm chuan. | Chu chu hliam chu a hring thei a, a sen thei a, a khawih chuan a lum thei tihna a ni. |
Thutawp atan chuan tricuspid valve regurgitation hi mi thenkhat tan chuan thil tenawm tak a ni thei a, thenkhat tan chuan nunna atana hlauhawm tak a ni thei bawk. A pawimawh ber chu damdawi lam thurawn mumal tak lak hi a ni. I doctor chuan i thinlung hriselna chu uluk takin a enkawl ang. Chuvangin, harsatna a awm chuan a nasat hmain hriatchhuah leh enkawl theih a ni.
Take-Home Thuchah a ni
- Tricuspid valve regurgitation chu thinlung chhunga kawngkhar pakhat a khar tha lo a, thisen hnunglam hawia a luang chhuak thei a ni.
- Mi tam zawkin an neih thin leak te tak te (trace/mild) hi a hlauhawm lo tlangpui. Enkawl a ngai lova, Doctor enkawlna hnuaia awm a pawimawh.
- Thâwk harsa leh i ke hring ang chi symptom i neih chuan a hniam lam emaw, na tak emaw a ni thei. Chuvangin Doctor pan nghal rawh.
- Hei hi thinlung natna dang vang a ni fo thin a, chuvangin chu chhan chu enkawl a pawimawh hle.
- Tunlai damdawi lam hmasawnna avang hian he natna hi damdawi, surgery leh hmanraw dang hmangin uluk taka thunun theih a ni. Chuvangin hlau suh, damdawi lam thurawn dik tak zawm mai rawh.











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