Thinlung bang chhunga balloon ang maia bulge awm a ni em? He (Ventricular Aneurysm) chungchang hi han sawi ila!

Thinlung bang thenkhat chu a chak lo thei a, balloon ang maiin a bulh thei tih i hre ngai em? Hei hi mi thenkhat chunga thleng thei tak tak condition a ni. A bik takin heart attack hnuah a thleng thei. Chuvangin, vawiin hian he natna `(Ventricular Aneurysm)` tih hi awlsam takin kan sawi dawn a, chutiang chuan in hriatthiam theih nan.

Hei hi eng nge ni `(Ventricular Aneurysm)`? A awlsam zawngin sawi ila...

Okay, a hmasain hei hi eng nge a nih i en ang. Kan thinlung hian pindan lian pali a nei tih i hria. Chung hnuaia chamber pahnih te hi taksa leh lungah thisen pump chhuaktu an ni. Chu chamber hnuai lam chu `(Ventricles)` kan tih chu a ni. Chuvangin, heng zinga pakhat `(Ventricle)`, chu chu thinlung hnuai lam pindan pakhat, bang chhunga hmun pakhat chu a chak lo va, balloon ang maia a bulh chhuah chuan `(Ventricular Aneurysm)` kan ti mai thin. Car tire sir lam chu a chak lo va, bubble ang maiin a bulge chhuak ang maiin han ngaihtuah teh. Thinlung hian thisen a pump chuan chu hmun chak lo chu a bul chhuak chhuak thin.

Hei hi a hlauhawm thei a, a chhan chu a châng chuan a hring chu a chhe thei a ni . Hetiang a nih chuan nunna atana hlauhawm emergency a nih avangin damdawi lam pan vat a ngai a ni.

Ventricular Aneurysm chi hrang hrang a awm em?

Ni e, doctor-te chuan Ventricular Aneurysm chi hnih lian tak an hre chiang hle.

1. True Ventricular Aneurysm: Hei hi heart wall thenkhat, heart attack (Myocardial Infarction) avanga lo awm fo thin a thih a, a chak lo a nih chuan a thleng thin. Chumi hnuah chuan bang chak lo chu a bul chhuak thei a, thisenin a khat bawm a siam thei a ni. Hei hi aneurysm chi khat a ni ber.

2. False Ventricular Aneurysm emaw Pseudoaneurysm emaw: Hei hi a danglam deuh. Heta thil thleng chu thinlung bang a chhia a, chuta tang chuan thisen thenkhat a luang chhuak a, thinlung chhehvel membrane te tak te (pericardium) ah a awm khawm thin. Chumi awmzia chu thinlung bang ngei pawh hi a bulh lo va, pakhat ang maiin a lang tihna a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi engtiang chiahin nge a hluar tih i lo en ang u. Statistics atanga a lan dan chuan heart attack vei mi 100 zinga 5 atanga 7 vel chuan he natna hi an nei ang (Ventricular Aneurysm). He hlauhawmna hi heart attack hian heart muscle thickness zawng zawng a nghawng a nih chuan a sang zawk (Transmural Myocardial Infarction).

Ventricular Aneurysm hi engte nge ni?

Kan sawi tawh ang khan a chhan ber leh a tam ber chu heart attack (`Myocardial Infarction`) a ni . Heart attack-ah chuan heart muscle-a thisen kal chu a tawp a, chu chu a thi ta a ni. Tichuan, chu hmun thiah chuan scar tissue (`Scar Tissue`) a lo awm ta a ni. Hun a kal zel a, he scar tissue hi a inzawm khawm thei a, a hring thei a, a chak lo thei bawk. Chutah chuan ``Aneurysm`` a lo awm ta a ni.

Mahse a tlem hle a, he natna hi pian tirh lamah a awm thei. Chu chu congenital heart condition an ti a.Chutiang a nih avang chuan a awm chuan puitlin thlengin hriat a ni lo thei a, a hnuah harsatna a thlen thei bawk.

He chhan ber bakah hian chhan dang hmuh tur awm lo tak tak engemaw zat a awm bawk:

• Thinlung chhungril lam natna (endocarditis) a awm.
• Hun rei tak chhung natna tidamtu damdawi steroid leh nonsteroidal anti-inflammatory drugs (NSAID) hman tam lutuk.
• Rheumatic Fever natna (Rheumatic Fever) a ni.
• Natna hmuh tur awm lo `(Sarcoidosis)` ang chi te.
• Open heart surgery avanga harsatna awm angin.
• Mipat hmeichhiatna hmanga kai theih natna, syphilis ang chi te.
• Traumatic accident (rilru hliam) 1.1.
• Tuberculosis natna a ni.
• `(Chagas Disease)` (Hei hi parasite atanga kai a ni a, Sri Lanka ramah hian a awm vak lo).
• Heart muscle thickening condition bik pakhat ``Apical Hypertrophic Cardiomyopathy'' tih hi a ni.

Ventricular Aneurysm vei theihna chance sang zawk tu nge awm?

Hetiang dinhmun hi tu chungah pawh lo awm thei mahse, mi thenkhat chu an hlauhawm zawk. Chung zingah chuan:

• Hmeichhia kum 65 chunglam.
• I chhungkuaa mi tu emaw chuan thinlung natna (`Cardiovascular Disease`), coronary artery disease (`Coronary Artery Disease`), emaw, heart attack nei tawh emaw a nih chuan. Hengte hi hereditary risk factors a ni.
• Mi thinlung lian (Hypertrophic Cardiomyopathy) nei te. Hetiang dinhmunah hian thinlung ruh chu a thim lutuk a ni.

`(Ventricular Aneurysm)` natna lan chhuah dan chu engte nge ni?

Mak tak mai chu a tam zawkah chuan he ``(Ventricular Aneurysm)`` hi a tlem a nih chuan asymptomatic a ni thei. Mi thenkhat chuan hetiang hi an nei tih pawh an hre lo va, chhan dang avanga test an nih lai hian accident-a hmuhchhuah a ni.

Mahse mi thenkhat chuan heng symptoms zinga pakhat emaw a aia tam emaw hi an nei thei a ni:

• Chest na emaw tightness emaw, constriction (`Angina`) tih hriatna. Hei hi heart attack ang maiin a lang thei.
• Edema (taksa a hring), a bik takin ke leh ke ruhah.
• Chauhna nasa tak (`Fatigue`) awm reng. Hna tlemte thawh hnu pawha chau tih hriat.
• Lungphung pangngai lo, rang tak, emaw, rilru na tak (`Heart Palpitations`) emaw.
• Thâwk a tawi. Kal lai emaw, thawhrim lai emaw pawha thawk hah lutuk.
• Thai. Hei hi aneurysm chhungah thisen zam a lo awm a, a inthen a, thluaka thisen kalna kawng a block chuan a thleng thin.

He `(Ventricular Aneurysm)` avanga harsatna awm thei te chu engte nge ni?

Hei hi kan ngaihven ber a ngai a ni. `(Ventricular Aneurysm)` a awm chuan harsatna hlauhawm tak tak a thlen thei a ni.

Complication lian ber leh hlauhawm ber chu aneurysm rupture hi a ni.Chutiang a nih chuan nunna atana hlauhawm emergency a nih avangin damdawi ina dah nghal vat a ngai a, enkawl nghal a ngai bawk.

Tin, a tlem hle bawk, ​​``Cardiogenic Shock'' tih natna hi a awm thei bawk. A awlsam zawngin sawi ila, hei hi thinlungin taksaah thisen a pump tam theih loh lai a ni. Hei pawh hi medical emergency a ni.

Thil dang pakhat chu he aneurysm hian thinlung veilam ventricle a tichak lo va, taksaah thisen pump chhuah a harsat phah a ni. Hei hian heart failure a thlen thei a ni . Chumi awmzia chu thinlung chu a chak lo zauh zauh a, taksa mamawh a phuhruk thei lo tihna a ni.

Hei bakah hian Ventricular Aneurysm hian a hnuaia hlauhawmnate hi a tipung bawk:

• Thisen zam leh a rah chhuah stroke te.
• Heart muscle-a thisen kal tlem (`Myocardial Ischemia`). Hei hian rilru na a tipung thei a ni.
• Lungphun chak lo, hlauhawm tak (`Ventricular Tachycardia`) a ni. Hei hian nunna a tichhe thei bawk.

Engtin nge doctor-te hian ventricular aneurysm hi an hriat theih?

Kan sawi tawh ang khan, symptom an lantir ngai loh avangin, heart attack i neih tawh emaw, a risk factor dang i neih emaw chuan, i doctor chuan he natna hi enfiah turin test hrang hrang a ti thei ang. Heng aneurysm te hi heart attack atanga thla thum vel chhungin a lo awm tan tlangpui.

Heng aneurysm hmuhchhuahna atana imaging test hman ber berte chu:

• Chest X-ray neih a ni.
• Angiogram test neih a ni. Hei hian scan bik Coronary Computed Tomography Angiogram (CCTA) tih a huam thei bawk.
• CT scan a ni.
• Echocardiogram (`Echocardiogram`) tih a ni. Hei hi test hmasa ber a ni fo a, thinlung ultrasound scan ang chiah a ni.
• An E.C.G. test (`Electrocardiogram - ECG`) tih a ni. Hei hian thinlung electrical activity a check thin.
• MRI scan a ni. Hei hian thinlung lem chipchiar tak a siam thei bawk.

He `(Ventricular Aneurysm)` hi eng enkawlna nge ni?

Awle, tunah chuan hei hian eng nge a tih theih tih i lo en ang u.

• Aneurysm te tak te, chhinchhiahna nei lo: Hengte hi operation lian tham a ngai lo mai thei. I doctor chuan a lo vil reng ang che. A chunga kan sawi tak imaging test te hi an ti fo ang a, aneurysm hi a lian leh te a inthlak em tih emaw, harsatna a awm em tih emaw an enfiah ang.
• Nunphung thlak danglam leh rilru lam siamthat: Heart attack hnua thinlung siamthatMi tam tak chuan heart-healthy lifestyle change program an tih program-a tel hian hlawkna an nei a, chutah chuan mithiamte chuan heart-healthy lifestyle change (ei leh in leh exercise ang chi) siam turin an pui che a ni. Hei hian i thinlung hriselna a ti tha thei a, nakin lawkah thinlung natna i neih theihna a ti tlem thei bawk.
• Damdawi: Harsatna awm thei tihziaawm nan doctor chuan damdawi a pe thei a, chungte chu:
• Aspirin emaw thisen zam tur venna damdawi dang (anticoagulants).
• Thisen sang control damdawi.
• Cholesterol tihhniamna damdawi, ``Statins`` ang chi te.
• Heart failure leh heart arrhythmia damdawi pek thin.

Ventricular Aneurysm dik tak neih theihna tur surgery neih a ni

Ventricular aneurysm lian tak, dik tak, rilru na, thawk hah, thinlung chak lohna thlentu chuan operation a ngai thei. Cardiac surgeon-te chuan open-heart surgery an ti a, chu chu ventricular reconstructive surgery emaw ventricular remodeling emaw an ti a ni.

He surgery-ah hian:

• Heart muscle chak lo, bulging (aneurysm) chu lakchhuah a ni.
• Tichuan, thinlung peng hrisel tak takte chu an inzawm khawm a, a nih loh leh a chak lo zawk tichak turin synthetic patch ang chi thil an siam lut a ni.

Heart rhythm mumal lo (`Arrhythmia`) i neih a, i thunun theih loh chuan i rilru vun hnuaiah i heart rate tidanglam thei tur device te tak te dah turin operation i neih a ngai mai thei. Hengte hi `(Implantable Cardioverter Defibrillators - ICD)` leh `(Pacemakers)` kan ti a.

``False Ventricular Aneurysm'' emaw ``Pseudoaneurysm'' emaw a awm chuan operation tih a ni.

Hei hi thu khauh deuh a ni a, mahse hriat a tha. Enkawl loh chuan heng false ventricular aneurysms, a nih loh leh pseudoaneurysms nei zinga a chanve vel chu an thi ang. Chu chu an hlauhawm zia chu a ni. Chuvangin, i doctor chuan pseudoaneurysm siamthat nan open-heart surgery neih a rawt mai thei.

He `(Ventricular Aneurysm)` lo awm tur hi a veng thei ang em?

Dik tak chuan ventricular aneurysm venna tha ber chu a chhan ber, chu chu thinlung natna a ni tih ven tum hi a ni. Chu chu i thinlung hriselna enkawl tihna a ni. Chumi kawngah chuan heng thilte hian a pui ang:

• Thinlung hrisel ei tur ei rawh. Chaw chi, hriak, leh thlum tlem, thei leh thlai tamna ei tur.
• Exercise neih fo thin ang che. Ni khata minute 30 chauh kal pawh hi a tha.
• Stress control dan tha zawng rawh. Meditation, yoga, leh hobby-a inhmang ang chi thilte.
• Zu in hi tihtlem la, a theih chuan titawp vek rawh.
• I thau lutuk a nih chuan i taksa rihna tihtlem la, taksa rihna hrisel tak vawng reng rawh.
• I thinlung tichhe thei dinhmun, thisen sang, zunthlum, cholesterol sang te i neih chuan uluk takin control rawh. I doctor thupek zawm la, i damdawi ei tur chu a tih angin ei rawh.
• Meizial i zuk chuan bânsan nghâl tûrin ṭanpuina zawng rawh. Secondhand smoke lak loh a pawimawh hle bawk.

Hetiang natna vei te tan hian eng nge an hmalam hun?

A vaiin ventricular aneurysm harsatna lian tham nei lo mi 10 zinga 9 chu an hmuhchhuah atanga kum nga hnuah pawh an la dam reng a ni. Chumi awmzia chu uluk taka enkawl a nih chuan nun tha tak i hmang thei tihna a ni.

Mahse, heng aneurysm te hian enkawl theih loh khawpa natna lanchhuahna a thlen chuan, emaw, harsatna a thlen chuan nunna atana hlauhawm harsatna a thlen theihna a sang hle. Chuvangin doctor-te rawtna anga test leh enkawl a pawimawh hle.

Engtikah nge Doctor i hmuh ang?

Heng symptoms te hi i neih chuan doctor ko nghal tur a ni a, a nih loh leh damdawi in hnai ber pan tur a ni:

• A rilru a na hle. Miin i rilru a hnim ang maiin, thil engemaw takin a ti rit ang maiin.
• Thâwk harsa na tak.
• Heart attack chhinchhiahna dang (e.g., kut veilam atanga natna radiating down, jaw na, sweating, nausea)
• I thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maia i hriat thut chuan.

Chutiang dinhmunah chuan hun khawhral suh. Kum 1990 (Suvaseriya) ambulance service chu a rang thei ang bera call rawh.

Doctor hnenah eng nge i zawh tur?

I doctor chuan ``Ventricular Aneurysm'' i nei tih a hrilh che a nih chuan hetiang zawhna tlemte hi zawh a tha. Chutiang chuan, dinhmun chu i hrethiam zawk thei ang.

• Engvangin nge he `(Ventricular Aneurysm)` hi ka lo neih?
• Eng ang Ventricular Aneurysm nge ka neih? (A tak nge Dik lo?)
• Ka aneurysm hi engtiang chiahin nge a lian?
• He aneurysm puak theihna tur hian eng nge ka tih ang?
• Eng ang damdawi nge ka ei a ngai dawn?
• Chu damdawi te hian eng side effect nge a neih theih?
• Surgery ka mamawh dawn em?
• Surgery ka neih chuan eng nge a hlauhawmna?
• Eng harsatna chhinchhiahna nge ka ngaihtuah tur?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Chuvangin, kan sawi tawh ``Ventricular Aneurysm'' hi thinlung hnuai lam chamber pakhat bang chak lohna avanga bulge lo awm a ni. Hetiang dinhmun hi heart attack nei tawhte zingah hmuh tur a awm fo. Hengte hi left ventricle-ah a awm tam ber.

A pawimawh ber chu, hei hian symptoms a thlen fo lo nain, chutiang symptoms chu a lo awm tak tak a nih chuan (rilru na, thawk harsa ang chi), damdawi emaw, surgery emaw hmanga enkawl theih tur a awm a ni.Mahse, ``Ventricular Aneurysm'' a puak chuan nunna atana thil hlauhawm tak a ni thei.

Chuvangin, i rilru natna nasa tak, thawk harsa, emaw, heart attack symptom dang i neih chuan tihkhawtlai lo la, 1990 call nghal la, damdawi in pan rawh. I nunna chhanhimna kawngah nasa takin a pui dawn a ni.

I thinlung kha enkawl rawh. Nun hrisel takin nung rawh. Tichuan hetiang harsatna tam tak lakah hian i inveng thei ang.

` Ventricular Aneurysm, lung natna, thinlung natna, thinlung bang chak lo, thinlung surgery, thinlung hriselna, rilru natna