Doctor-in i fate hian a thinlungah khur a nei tih a hrilh che khan i hlau hle ngei ang, a dik em? A nihna takah chuan a awm fo hle. Mahse a pawimawh ber chu hei hi Sri Lanka rama naupangte zingah congenital heart disease hmuh tam ber a ni. A tam zawkah chuan hengte hi a hlauhawm lo. Chuvangin hlau suh. He VSD (Ventricular Septal Defect) an tih hi i hriatthiam theih tur awlsam takin i sawi dawn nia.
A awlsam zawngin, he VSD hi eng nge ni?
Kan thinlung hi in te tak te, pindan pali nei ang mai a ni. Chamber chunglam pahnih leh a hnuai lam chamber pahnih a awm. A hnuai lama chamber lian leh chak tak pahnih chu ventricles kan tih chu a ni. Heng ventricle pahnih inkarah hian bang thuk tak a awm a. He wall hi septum an ti a . He wall hian a hnathawh chu thinlung sir khata thisen oxygen tam zawk, thianghlim tak chu a sir lehlama thisen oxygen nei tlem zawk, thianghlim lo nen a inzawm loh nan a ni.
Ventricular Septal Defect (VSD) hi, a awlsam zawngin, bang (septum) chhunga khur awm a ni. He khur hi nausen pum chhunga a lo thanglian lai hian he bang hi a lo insiam kim loh chuan a lo awm thin. He khur hian oxygen tamna thisen chu oxygen tlakchhamna thisen nen a inhmeh tir thei a ni. Hei hian thinlungin hna a thawk tha thei lo a, chu chu thinlungin a thawhrim a ngai tihna a ni.
A tam zawkah chuan heng khur te hi a te hle a, symptom engmah a awm lo. Mahse a chang chuan, heng khur te hi a lian thei hle. Chutiang a nih chuan naupang chuan harsatna engemaw zat a nei thei a, enkawl a ngai thei bawk.
VSD chi hrang hrang a awm em?
Ni e, heng khur te hi thinlung bang chhunga an awmna hmun a zirin chi paliah then a ni. Hengte hi thuk taka hriat a ngai lova, mahse hriatthiamna tlangpui neih a tha.
| VSD type a ni | A sawifiahna awlsam tak |
|---|---|
| Membranous VSD a ni | Hei hi a tam ber chi a ni. He hole hi heart wall chunglam ah a awm a. |
| Muscular VSD a ni | Hetiang khur hi bang hnuai lam, taksa peng tam zawkah a awm thin. A châng chuan khur pakhat aia tam a awm thei bawk. |
| Inlet VSD a ni | He hole hi heart valves hnaih takah a awm a. |
| Outlet VSD a ni | He khur hi thinlung atanga thisen chhuahna kawngkhar lian ber ber hnaih takah a awm a. |
Hei hi eng symptoms nge ni?
A tam zawkah chuan VSD hole hi a te lutuk (millimeter 3 aia tlem, toothpick ang vel) a nih chuan symptoms a awm lovang. Mahse, a khur chu a lian lo (3-5 millimeters) emaw, a lian (6-10 millimeters, pea ang vel) emaw a nih chuan symptoms a awm thei.
| Kum hrang hrang | A lan chhuah dan tlangpui |
|---|---|
| Nausen piang thar |
|
| Naupang kum upa zawk leh puitling tan |
|
Eng thilin nge VSD a thlen?
Hei hi a chhan dik tak chu hriat a la ni lo va, mahse a châng chuan VSD hi genetic condition dang, Down syndrome -te nen a inzawm thei a ni.
Nuin naupai laiin damdawi thenkhat (e.g., antiepileptic drugs) emaw zu in emaw hian a hlauhawmna a tipung thei niin rinhlelh a ni bawk. Mahse, heng chhante hi finfiah turin zirchianna a la tlem hle.
Hei hian eng harsatna nge a thlen theih?
VSD hole a lian a nih chuan thinlungin a thawhrim a ngai a, chu chuan hun kal zelah thinlung leh lung a tichhe thei a ni. Hei hian thinlung dinglam atanga lung lam panna thisen a tipung a, chu chuan lungah thisen sang a thlen thin. Hei hi Pulmonary Hypertension an ti a .
A pawimawh ber chu naupang kum 2 a tlin hmaa VSD lian tak enkawl loh chuan lung a chhiatna chu siamthat theih loh leh a awm reng thei a ni. Hei hi Eisenmenger syndrome an ti a . Chuvangin, a hmaa inenkawl hi a pawimawh hle.
Harsatna dangte chu:
- Lung lam chak lohna
- Aortic regurgitation (heart valve atanga thisen chhuak) .
- Thinlung ventricles lian tham tak a awm
- Lung natna (Endocarditis) .
- Lungphun pangngai lo
- Thai
Engtin nge hei hi i hmuh theih, Doctor?
Vawi tam tak chu doctor-in naupang a enfiah a, stethoscope hmanga a rilru a ngaihthlak hian "heart murmur" tih chu extra sound a ri thin. He aw ngaihthlak hian VSD rinhlelhna a thlen thei.
Chu rinhlelhna chu nemnghet turin doctor chuan test engemaw zat a rawt a, chungte chu:
- Echocardiogram (Echo): Hei hi test pawimawh ber a ni. Nausen pum chhunga scan ang mai a ni. Thinlung video a la a, a khur awmna hmun, a lian leh te, thisen kal dan te a tarlang a ni.
- Electrocardiogram (ECG/EKG): Thinlung electric hnathawh dan a test thin.
- Chest X-ray: A rilru a buai em em a, a rilru a hah em em bawk a.
- Cardiac MRI emaw CT scan emaw: Hengte hi a ngai tlem hle.
- Cardiac Catheterization: Thinlung chhunga tube te tak te dah luhna test a ni. Hei pawh hi a tul reng reng lo.
VSD enkawlna tur engte nge ni?
Hei hi enkawl a nih leh nih loh, a enkawl dan tur chu a khur lian leh te leh naupang natna lan chhuah danah a innghat a ni.
Fimkhur taka nghah
A tam zawkah chuan, chu chu VSD hole tam zawk hi a te hle tihna a ni. Hengte hi naupang kum 6 vel a nih meuh chuan anmahni chauhin an inkhar thin . Chutiang hunah chuan Doctor chuan engmah enkawlna engmah a ti lo va, clinic-ah naupang thanlen dan leh a natna lan chhuah dan te a enfiah fo thin.
Damdawi chi hrang hrang
I fain a khur a dam laiin symptoms a neih chuan, emaw, operation atana a inbuatsaih chuan doctor chuan damdawi engemaw zat a pe thei che a ni.
- Diuretics: Hengte hian taksa leh lung chhunga tui tam tak awm zat tihtlem nan a pui a ni.
- Lung natna damdawi: Thinlung hnathawh dan thunun theitu an ni.
Surgery leh tih dan dangte
A khur chu a lian a, naute tan harsatna a thlen chuan khar a ngai dawn a ni. Chutianga tih theih dan tlangpui pahnih a awm.
1. Open-heart surgery: Hetiang tih danah hian surgeon chuan a khur chu stitches emaw artificial "patch" emaw hmangin a khar thin. Hun a kal zel a, naupang thinlung tissue chu patch vel ah a lo thang lian a, heart wall-ah a tel ve ta a ni.
2. Transcatheter procedure: Hei hian rilruah incision a huam lo. Chu ai chuan kea thisen kalna kawng lian tak kal tlangin tube (catheter) te tak te chu thinlungah an kal a, chuta tang chuan khur khar nan hmanrua an kalpui a ni. Hei hi surgery aiin procedure awlsam zawk a ni.
Engtikah nge Doctor i hmuh nghal tur?
I fain VSD a neih chuan a hnuaia symptoms te hi fimkhur reng ang che.
I fain thawk harsatna nasa tak a neih chuan, emaw, vun, hmui emaw, kut zungtang emaw a sen/pale (cyanosis) a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh.
Tin, a hnuaia symptoms te hi i hmuh chuan i doctor nen inbia ang che:
- Naupang rihna chu beisei angin a pung lo a nih chuan.
- Bawnghnute in laiin i thawkrim emaw, i thawhrim lutuk emaw chuan.
- Thluak lam natna (chest mucus) i neih fo chuan.
Nakinah eng nge kan beisei ang?
Hei hi chanchin tha ber a ni. VSD vei naupang tam zawk hi chu dam rei zawng pangngai leh hrisel tak an ni. A bik takin khur chu a te emaw, enkawl leh tihdam vek tawh emaw a nih chuan hmalam hun tur hlauh tur a awm lo.
Mahse, VSD lian tak chu enkawl vat a nih loh a, lung a tihchhiat (Eisenmenger syndrome) a nih chuan dam rei zawng hi a tawi thei a ni. Chuvangin a hun taka damdawi lam thurawn lak hi a pawimawh hle a ni.
Take-Home Thuchah a ni
- VSD hi naupang pianpui heart condition awm tam ber a ni. Chuvangin lungngai suh, nangmah chauh i ni lo.
- VSD hole tam zawk hi chu a te hle. Naupang a lo puitlin chuan anmahni chauhin an khar a, enkawlna engmah an nei lo.
- A khur a lian a, symptom a awm chuan a enkawlna tha tak tak a awm a ni.
- A pawimawh ber chu i fate natna lan chhuah dan ngaihven a, a hun takah Doctor hmuh a, a thupek zawm hi a ni.
- Hemi chungchangah hian zawhna, hlauhna, rinhlelhna i neih chuan naupang enkawltu doctor nen zalen takin sawiho rawh.











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