I naute piang thar i en hian a hmui leh a kut zungtang chu a sen deuh tih i hmu fo thin em? Nge bawnghnute a in hnuah pawh harsatna a nei em? Hengte hi a chang chuan pianpui thinlung natna chhinchhiahna a ni thei bawk. Nu leh pa tu pawhin hetiang thil an hmuh hian hlauhthawn hi thil pangngai tak a ni. Vawiin hian hetiang thinlung natna hmuh tur awm lo, mahse pawimawh tak mai hi kan sawi dawn a ni. Chu chu Truncus Arteriosus a ni.
A awlsam zawngin, he Truncus Arteriosus hi eng nge ni?
Okay, hei hi awlsam takin i hrethiam ang u. Nausen hrisel chuan a thinlung a\angin thisen kalna (arteries) lian pahnih a lo chhuak a.
1. Pulmonary Artery: Hei hian thisen oxygen tlachham, thianghlim lo, thinlung atanga lungah a phur lut thin. Lung-ah chuan he thisen hi oxygen dah belhin a tithianghlim a ni.
2. Aorta: Hei hian oxygen tamna thisen, lung chhunga tihthianghlim, thinlung atanga taksa pum puiah a sem darh thin.
Mahse Truncus Arteriosus vei nauteah chuan heng thisen kalna kawng pahnih ai chuan thisen kalna kawng lian tak pakhat chauh a awm a ni . Ngaihtuah teh, kawngpui pahnih awmna tur kawng pakhat chauh a awm.
Thil thleng chu oxygen tamna thisen leh oxygen tlakchhamna thisen a inzawm khawm a ni. He thisen inzawmkhawm hi naute taksa pum puiah a kal kual a. Hei hian naute thinlung leh lungah harsatna tuar theih loh a siam a ni. Tin, taksa peng dangte pawhin an mamawh oxygen an hmuh loh nan a veng bawk. Doctor te chuan hei hi congenital heart defect pawimawh takah an ngai a . Chuvangin enkawl vat a ngai a ni.
Ka naute hian he natna hi a nei tih ka rinhlelhna symptoms te chu engte nge ni?
Heng symptoms te hi pian hnu ni engemaw zat chhungin a lang tan tlangpui. I naute hian heng symptoms te hi a nei em tih enfiah rawh.
| Symptom a ni | A chungchang sawifiahna awlsam tak |
|---|---|
| Vun dum emaw, vun dum emaw (Cyanosis) . | A bik takin naute hmui leh kut zungtang vel ah hian blue emaw grey emaw rawng a lo lang thin a, a chhan chu taksain oxygen a hmuh tlem vang a ni. |
| Mutthilh lutuk | Naute chu a muhil reng a ni. A kaihthawh chu a harsa niin a lang. Nunna nei lo ang maiin a lang. |
| Thâwk harsa | Naute chu a thaw chak hle niin a lang thei. I rilru chhungah lut ang maiin a awm thei bawk. |
| Bawnghnute in harsat | Bawnghnute tlem a in hnuah pawh naute chu a chau hle. A thawmhnaw a thawk a, a in laiin a muhil a, rei vak lo hnuah a in tawh lo. |
| Rihna tihpun loh | Naute hian a kum a zirin a thau tur angin a thau lo a, a chhan chu bawnghnute a in tha thei lo va, taksain chakna a hmang nasa lutuk a ni. |
| Thinlung thawk chak tak leh pulse chak lo | Naute thinlung chu a rilruah i kut i nghah chuan a thawk chak ang maiin a hria a, mahse a pulse chu a chak lo thei a ni. |
A pawimawh ber chu, heng symptoms pakhat emaw pahnih emaw i hmuh hian hlauthawng suh la, doctor pan nghal rawh. Natna hi a hriat hma poh leh enkawl a awlsam zawk thin.
Engvangin nge naute chungah hetiang hi a thlen?
Scientist-te hian he thil hi a chhan dik tak an la hre lo. A tam zawkah chuan nausen pum chhunga a seilian lai hian thinlung a lo thanglian tha tawk lo vang a ni. A tlangpuiin he embryo chhunga awm ‘truncus’ an tih channel pakhat hi a hnuah hmun hnih ah a inthen a, artery pahnih a siam tur a ni. Mahse naute thenkhatah chuan chu inthenna chu a thleng ngai lo.
Hei hi genetic condition thenkhat nen a inzawm a ni. Entirnan DiGeorge syndrome tih hi a ni . Tin, naupai laiin nu nghawngtu thil engemaw vangin he hlauhawmna hi a tipung thei bawk.
- A nu hian zunthlum a nei a.
- Viral infection rubella ang chi te pawh a awm thei.
- Zu emaw ruihhlo dang emaw hman.
- Lead ang chi chemical tha lo tak tak nena inzawmna.
Hetiang dinhmun nena lo awm thei thinlung lama harsatna dang
Truncus Arteriosus vei naute tam tak pawhin thil dang an nei bawk. Chu chu thinlung hnuai lam (atrium) pahnih inkar bang chhunga khur awm a ni. Doctor-te chuan hei hi Ventricular Septal Defect (VSD) tiin an sawi a. He khur hian thisen thianghlim leh bawlhhlawh a ti pawlh tam zawk bawk.
Doctor-te hian engtin nge hei hi an hmuh?
Vawi tam tak chu nausen a pian hnu ni engemaw zat hnua a chunga kan sawi ang chi hi a lan chhuah hian doctor-te chuan an ringhlel thin. Tichuan, natna finfiah nan a pawimawh ber chu echocardiogram (echo) test tih a ni. Hei hi thinlung ultrasound scan ang a ni. Hei hian thinlung pianzia te, thisen kalna kawngte leh thisen kal dan te chiang takin a hmu thei a ni.
A châng chuan, natna lan chhuahna a lan hmain, damdawi ina naute zawng zawngte chunga pulse oximetry test (thisen chhunga oxygen level tehna, kut zungtang-a clip te tak te dah hmanga tehna)-ah oxygen level hniam a awm chuan hei hi rinhlelh theih a ni.
A tlem hle a, naute pian hmaa ultrasound scan-naah he natna hi hriat theih a ni.
Hei hi eng enkawlna nge ni?
Hei hi hlauhawm tak angin a lang thei a, mahse thudik tak chu hetiang natna nei naute hian an pian tirh kar tlemte chhungin thinlung operation an mamawh a ni. Hei chauh hi a enkawlna a ni. He surgery hian a theih ang anga thinlung insiam dan siamthat hna a thawk a ni.
Doctor-te’n an tih tlangpui Rastelli repair an tih procedure-ah chuan surgeon chuan a hnuaia mi hi a ti ber a ni:
- Thinlung khur (VSD) chu patch ang chi thil hmanga khar a ni.
- Thisen kalna kawng lian (truncus) awmchhun chu aorta thar angin siam a ni.
- Artificial conduit leh valve hmangin pulmonary artery thar siam a ni a, chu chuan thisen chu lungah a phur a ni.
Nakin lawkah surgery neih a ngai dawn em?
Awle. Hei hi hriat a pawimawh hle. Surgery hmasa berah artificial conduit dah chu naute nen hian a thang lian lo. Chuvangin, naute a lo puitlin chuan nakin lawkah conduit thlak nan surgery pakhat emaw a aia tam emaw a ngai dawn a ni. I doctor chuan hei hi a hun hunah a hrilhfiah ang che.
Ka naute hi operation hnuah engtin nge ka enkawl ang?
Surgery zawhah i fa hian a dam chhung zawng cardiologist clinic a tlawh a ngai dawn a ni.
- Naupan lai hian pediatric cardiologist hnuaiah enkawlna i dawng tur a ni .
- Kum 18 i tlin chuan puitling congenital cardiologist hnenah refer i ni ang.
Heng clinic-te hi kal ngei ngei tur a ni a, a chhan chu naupang thinlung hnathawh dan enfiah rengtu, test tul tak tak titu leh surgery neih leh hun tur reltu an nih vang a ni.
Naute chu he natna nen hian a nung thei ang em? Nun pangngaiin an nung thei ang em?
Hei hi nu leh pa zawng zawng rilrua zawhna lian ber a ni.
Ni e, a dik tak zet. Mahse a hun taka surgery tih a nih phawt chuan. Tunah chuan operation hnua damchhuahna rate a sang hle (80% - 97% inkar) a ni. Mahse thil dang, naute thinlung buaithlak danah pawh a innghat bawk.
‘Nun pangngai’ chu mi tin tan a danglam vek. Naupang thenkhat chu naupang dang ang bawkin an tlan thei ang a, an khel thei bawk ang. Mi dangte chuan exercise an tih hian tlemin an hah deuh mai thei. Mahse damdawi lam enkawlna mumal tak an neih chuan mi tam zawk chu sikul an kal thei a, lehkha an zir thei a, hna an thawk thei a, chhungkaw nun an nei thei bawk.
He zinkawng hi a harsa hle a, mahse nangmah chauh i ni lo. I doctor te, nurse te leh i chhungte chu i tan chakna petu ropui tak an ni ang.
Online-a i chhiar statistics emaw result emaw hian i fa hmalam hun tur a hril lo. Tuna kan hriatte khaikhawmna mai an ni. I fa kaihruai turin i doctor team te chu ring rawh.
Take-Home Thuchah a ni
- Truncus Arteriosus hi pianpui heart condition na tak a ni a, heart-ah hian main artery pahnih ni lovin artery pakhat chauh a awm a ni.
- Naute vun rawng sen (cyanosis), thawk harsa, leh nau hnute pek harsa tih ang chi natna lan chhuah dan hi a pian hnu ni hmasa berah a lang thei.
- Heng symptoms te hi i hmuh chuan doctor pan nghal a pawimawh hle.
- Naute nunna chhanhim nan a pian hnu kar hmasa berah thinlung surgery neih a pawimawh hle.
- Naupang a lo puitlin chuan operation eng emaw zat neih belh a ngai dawn a ni.
- I dam chhung zawngin cardiologist enkawlna hnuaia awm hi a pawimawh hle.
- Enkawlna leh enkawl dan mumal tak an neih chuan heng naupangte hian dam rei tak, damna tha tak an nei thei bawk.
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