I fa te hian an thinlungah khur a nei em? Ventricular Septal Defect (VSD) chungchang hi hlau lovin i zir ang u!

I fa te a pian lai khan doctor chuan a thinlung a check lai khan, "Hmm, thinlung murmur tlem a awm" tih ang chi hi a sawi em? A nih loh leh i naute chu a hnute a pek lai emaw, a tlan kual lai emaw khan thawk harsatna emaw, thawk hah emaw angin i inhria em? A châng chuan, chûng thilte chhan chu thinlunga khur tê tê a ni thei bawk. Damdawi lamah chuan hei hi `(Ventricular Septal Defect)` emaw `VSD` emaw kan ti thin. Chuvangin vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni. Hlauhawm a ngai lo, a chhan chu a pawimawh ber chu he thil hi hriat chian a ni.

VSD chu eng nge ni? Eng thil chiah nge thleng?

A awlsam zawngin sawi ila, VSD chu kan thinlung chhunga main chamber pahnih (ventricles an tih) inkar bang (septum an tih) a khur a ni. In te tak te, pindan pali nei ang maiin han ngaihtuah teh. Heng pindan inkarah hian thisen in pawlh loh nan bang a awm a. "Thisen tha" oxygen tam zawk chu a sir khatah a luang a, "thisen tha lo" oxygen tlem zawk chu a sir lehlamah a luang bawk.

Tunah chuan, hei hi `VSD` a nih chuan, chu chu chu chamber hnuai lam pahnih inkarah chuan bang chhungah khur a awm a nih chuan eng nge thleng ang? Oxygen tam zawk thisen chu chu khur kaltlangin oxygen tlem zawk thisenah a leak lut thin. Tichuan thinlung leh lungte hian tlemin hna an thawh a ngai a ni. He natna hi pianpui thinlung natna zingah chuan a tam ber pawl a ni . A chang chuan he `VSD` hi thinlung natna dang nen a awm dun thei bawk.

VSD zawng zawng hi a hlauhawm vek lo tih hre reng ang che. A tam zawkah chuan khur te te chu engmah chhinchhiahna awm lovin anmahniin an khar thin.

VSD chi hrang hrang a awm em?

Ni e, VSD hi chi li a awm a, chu chu a awmna hmun leh a khur awm dan azirin a ni. Eng nge an nih i en ang u:

• Membranous VSD: Hei hi a tam ber chi a ni. He hole hi thinlung hnuai lam chamber pahnih inkar bang chunglam ah a awm a.
• Muscular VSD: Hetiang chi ah hian hole hi wall hnuai lam, muscular part ah a awm thin. A châng chuan, he VSD chi hrang hrangah hian hole pakhat aia tam a awm thei bawk.
• Inlet VSD: He hole hi thinlung ventricle dinglamah tricuspid valve hnuai chiahah a awm a, veilam ventricle-a mitral valve hnuaiah a awm bawk. A bik takin thisen ventricles chhunga a luhna hmun hnaih takah.
• Outlet VSD: Hetiang a nih chuan, chu khur chu pulmonary valve bulah a awm a, chu chuan thisen chu dinglam ventricle atanga lung a pan a, aortic valve, veilam ventricle atanga taksaah thisen a phur bawk. Chumi awmzia chu thisen hian ventricles a chhuahsan hian he VSD hi a paltlang a ngai tihna a ni.

Doctor-in i naute hian VSD a nei tih a sawi chuan eng chi nge a nih tih pawh an sawifiah ang.

VSD natna lan chhuahna chu engte nge ni? Naupang leh puitling tan an danglam em?

VSD symptoms hi a hole lian leh teah a innghat. Hole te tak te (millimeter 3 aia tlem, toothpick ang vel) chuan symptom a nei lo thei. Mahse, a khur chu a lian deuh (medium-sized, 3-5 millimeters, emaw a lian, 6-10 millimeters, pea ang vel) a nih chuan symptoms a awm thei.

Nausen piang tharte natna lan chhuah dan

Nausen piang tharin VSD lian tak a neih chuan heart failure ang chi symptoms a nei thei a ni . Chung zingah chuan:

• Thâwk harsa: Thâwk rang, thawk harsa tih ang chi thil.
• Nausen hnute pek laia thawk hah emaw, chau tih emaw: Naute hian hnute tlem a in hnuah pawh a chau tih a hriat theih.
• Rihna tihpun loh: Naute chu an kum nena inmil lo taka a rihna a pung lo a nih chuan.
• Thâwk lama natna hrik kai fo: Khawsik leh khuh tam tak i neih chuan.

Naupang kum upa zawk leh puitlingah natna lan chhuah dan

Naupang kum upa zawk emaw, puitling emaw chuan VSD a neih chuan, taksa tihchak laiin an chau emaw, thawk a harsa emaw a ni thei . Inkhelh lai te, tlan lai te, a nih loh leh zuang laiin awlsam taka an chau a nih chuan i ngaihtuah tur a ni.

A khur lian leh te pawh hian a nghawng em?

Ni e, a dik tak zet. A hmaa kan sawi tawh ang khan a khur chu a te a nih chuan harsatna a awm lo mai thei. Mahse, chu khur chu a lian chhoh zel chuan thinlung pindan pahnih inkarah thisen a chhuak ta a ni. Chutah chuan symptoms a lo lang ta a ni.

Engvangin nge he VSD hi a lo awm? A chhante chu engte nge ni?

VSD awm chhan dik tak hi hriat a la ni lo . Naute chu nausen pum chhunga a lo seilian laiin thinlung a lo thanglian tha lo a nih chuan a thleng tam ber. Chu chu thinlung pindan inkar bang chu a khar kim lo tihna a ni.

Mahse, a chang chuan VSD hi pianpui natna dang nen a awm dun thei bawk. Entirnan, naupang Down syndrome ang chi genetic condition nei te hian VSD an vei tam zawk.

A tlem hle a, puitlingah chuan heart attack a awm chuan heart’s cells inkar wall a tichhia a, VSD thar a siam thei bawk. Hei hi a tlem hle.

Tute nge VSD vei theihna chance sang zawk?

Thil thenkhat chuan VSD vei theihna a tisang deuh tih hmuhchhuah a ni:

• Nausen piang hmasa: Naute piang hun hmaa piang.
• Genetic conditions thenkhat: A hmaa kan sawi tawh ang khan ``Down syndrome'' ang chi conditions.
• Naupai laia damdawi ei \henkhat: Damdawi valproic acid leh phenytoin, seizure enkawlna atana hman \hin.
• Naupai laia zu in: Hei pawh hi a hlauhawm nia rinhlelh a ni a, mahse zirchian belh a ngai a ni.

Hengte hi risk factor chauh a ni a, heng thilte hi a awm vang mai maiin VSD a lo awm ang tih theih a ni lo.

VSD avanga harsatna awm thei te chu engte nge ni? Chûngte chu a hlauhawm em?

VSD hmanga thisen a leak chuan i naute thinlung tan hnathawh that a harsa thin. A khur chu a lian a nih chuan thinlungin a thawhrim a ngai a ni. Thinlung hian hetiang taka hna a thawh rei hian thinlung leh lungah harsatna chi hrang hrang a lo thleng thei a ni. Hengte hi a chang chuan thil pawi tak a ni thei bawk .

Thinlung chamber pahniha pressure a danglam avangin lungah thisen tam zawk a luang lut thei a ni. Hei hian natna khirh tak tak a thlen thei a , chu chu pulmonary hypertension ang chi a ni . Kum 2 chhunga VSD medium emaw large emaw enkawl loh chuan Eisenmenger syndrome an tih natna a thlen thei a ni . Hei hian lung chhunga thisen kalna kawngte chu a tichhe vek thei a ni.

Harsatna dangte chu:

• Lung lam chak lohna
• Aortic atanga chhuak (regurgitation) a awm
• Ventricles lian zawk
• Thinlung chhungril lam natna (Endocarditis) .
• Thinlung rhythm pangngai lo
• Thai

Hei vang hian VSD i nei tih i hriat veleh doctor thurawn lak a pawimawh hle.

Doctor-te hian engtin nge VSD hi an hriat theih?

Doctor chuan i naute natna lan chhuah dan te, taksa enfiahna te, leh test bik thenkhat te a zirin VSD a nei tih a hmuchhuak ang. Hole a te lutuk chuan VSD a awm tih hriat theih a ni lo mai thei a, a chhan chu symptom a awm loh vang a ni.

VSD hi taksa enfiahnaah hmuhchhuah a ni fo thin . Doctor-in naute thinlung chu stethoscope hmanga a ngaihthlak hian VSD a awm chuan thinlung murmur a ri a. He aw hian a khur lian leh te chu a rough idea a pe thei a ni.

VSD avanga thinlung insiam dan, thinlung thawk dan leh thisen kal dan inthlak danglam thei test engemaw zat a awm a:

• Echocardiogram: Hei hi test pawimawh ber a ni. Thinlung ultrasound scan ang mai a ni. A khur lian leh te, a awmna hmun leh thisen chhuah zat te a tarlang thei a ni.
• Electrocardiogram (EKG): Thinlung electric hnathawh dan enfiahna test a ni.
• Chest X-ray: Hei hi thinlung a lian em tih emaw, lungah thisen a tam lutuk em tih hriat nan hman theih a ni.
• Cardiac CT scan hmanga tihchhuah a ni
• Lung lam MRI `(Thin lam MRI)`
• Cardiac catheterization: Hei hian thisen kalna kawng atanga tube te tak te chu thinlunga luhtir a, pressure tehna leh sample lak a ni.

VSD nei naupang chu engtin nge i enkawl?

VSD tam zawk hi a te hle a, harsatna a thlen lo. Chutiang hunah chuan doctor chuan a natna lan chhuah dan a enfiah ang a, a khur chu a mah chauhin a khar em tih a en ang. In most cases , heng khur te te hi kum 6 an tlin chuan anmahni chauhin an khar thin.. A then phei chuan hun rei zawk a daih thei bawk. Mahse kum 20 hnuah chuan `VSD` pakhat chu a mah chauha khar a nih a rinawm loh.

VSD lian lo emaw, lian emaw i neih chuan, i doctor chuan a zung kha khar nân operation emaw, tih dân dang emaw a rawt mai thei . Chutih lai chuan i symptoms control nan damdawi pek i ni mai thei.

A pawimawh ber chu VSD lian tak hi kum 2 a tlin hmaa siam that a nih chuan naute thinlung leh lung a chhiat loh nan a veng thei a ni. Chutiang a nih loh chuan chhiatna chu a awm reng thei a, hun kal zelah a na zual thei bawk.

Damdawi chi hrang hrang

Operation hmaa symptoms control nan emaw, a khur chu a mah chauhin a khar nia ngaih a nih chuan i doctor chuan damdawi a pe thei ang:

• Diuretics: Hengte hian naute thinlung chhehvela tui tam lo awm chu a tihtlem avangin hna a thawk a ni.
• Heart failure damdawi: Hengte hian naute lungphu chakna leh chakna a thunun a.

Surgery emaw tih dan dang emaw tih theih a ni

`VSD` siamthat dan tlangpui pahnih a awm a:

• Surgery: Lung surgeon chuan a khur chu a khar a. Chu khur chu sewn khar a ni thei a, a nih loh leh synthetic material emaw naute tissue atanga siam patch emaw pawh a hnawih thei bawk.
• Transcatheter hmanga tih dan: Hei hian operation a ngai lo. Tube te tak te (catheter) chu ke emaw, kut emaw chhunga thisen kalna kawng lian tak kal tlangin thinlung lam pan a ni a, chuta tang chuan hmanraw bik dahin a khur chu khar a ni.

Heng kawng pahnihah hian hun kal zelah naute thinlung tissue chu patch emaw device emaw vel ah a lo thang lian a, heart wall chhung ngeiah a tel ve ta a ni.

VSD siamthat hnua recovery hun chhung hi hman danah a innghat. Transcatheter hmang hian a dam theih nan ni engemaw zat atanga kar tlemte chhung a ngai thei. Surgery hian kar engemaw zat emaw, thla engemaw zat emaw a daih thei. A tam zawkah chuan heng enkawlna hnuah hian VSD symptoms hi a reh mai ang.

Engtik hunah nge doctor ka hmuh ang?

Nangmah emaw i naute emaw hian VSD i neih chuan VSD natna lan chhuah dan tlangpui te, chubakah thil danglam nghal emaw, a lan chhuah dan danglam emaw a awm chuan hre reng ang che. A tlangpuiin, nangmah emaw, i naute emaw hian thawk harsa i tih chuan, emaw, vun, hmui emaw, kut zungtang emaw a sen/pale (hei hi cyanosis an ti) a nih chuan damdawi in pan nghal tur a ni.

Heng symptoms te hi i hmuh chuan i naute doctor nen inbia ang che:

• Beisei aia hniam zawkin taksa rihna a pung.
• Nu hnute pek laiin thawk hah emaw, rilru hah emaw.
• Hahdam lo reng reng, thawk harsa.
• Thluak lam natna vei fo thin.

Puitling anga VSD i neih chuan i doctor nen heng thilte hi sawipui rawh:

• Taksa tihchak laiin i chau awlsam emaw, thawk i hah lutuk emaw a nih chuan.
• I hring reng a nih chuan, emaw, i kut zungtang emaw, i hmui emaw a rawn sen tih i hriat chuan.

Tin, VSD i neih chuan surgery dang emaw ha enkawlna dang emaw i neih hmain doctor i hrilh hmasa phawt tur a ni.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

I naute doctor hnenah heng zawhnate hi i zawt thei ang:

• Ka naute Ventricular Septal Defect hi engzat nge a lian?
• Eng ang enkawlna nge i rawt?
• Ka naute hi a rihna a tihpun thuai theih nan calorie extra ka mamawh em?
• Ka naute hi engzat nge follow-up appointment nei tura lo kal a ngai?

Heng zawhnate bakah hian i ngaihtuah theih zawng zawng zawt hreh suh.

VSD nena khawsak hian eng nge i beisei theih ang? Nu leh pate chuan an fa tête ṭanpui nân eng nge an tih theih?

VSD lian lo emaw, lian emaw a nih chuan, a zung siam that hi harsatna awm lo turin a tawk tlangpui. A tlem hle a, siamthatna chhehvelah thisen chhuak thar a awm chuan operation nawn leh a ngai mai thei.

VSD nei puitling tam zawk chuan an nei tih pawh an hre lo, a chhan chu a te tawk a, harsatna a thlen lo. Mahse VSD hi a lian a nih chuan (a bik takin siam that loh chuan) i nunphung a nghawng thei a ni. Puitlingin VSD a neih chuan siamthat a nih loh chuan a dam chhung a daih thei.

VSD nei tam zawk hi chuan dam chhung pangngaiin an hmang a, chutiang nei lo mi ang bawkin. Hei hi VSD a te a, a inkharkhip a nih chuan a dik hle.

Mahse, VSD medium emaw lian emaw (enkawl emaw enkawl loh emaw) nei te chuan an dam rei zawk thei a, a bik takin VSD hi siamthat hmasak a nih loh chuan. Eisenmenger syndrome ang chi natna a lo awm chuan dam rei zawng a tlahniam thei a ni.

Nu leh pa anga i tih theih thilte:

• I naute hian VSD symptoms a neih chuan doctor chuan chawlh hahdam tur leh taksa tihchakna nasa tak pumpelh turin a fuih mai thei . A bik takin Eisenmenger syndrome a neih chuan thinlung tibuaitu lutuk tur thil a ti tur a ni lo.
• I damdawi ei tur chu i doctor-in a tih ang chiah khan ei rawh. Doctor thurawn tel lo chuan i damdawi ei kha thlak danglam suh, titawp suh.
• I naute hian Ventricular Septal Defect a nei tih i hriat chuan lungkhamna leh hlauhna i neih hi thil pangngai a ni. Hetiang hian i rilru a awm a nih chuan i naute doctor nen inbiakna neih a tha. Chutiang chuan, dinhmun leh beisei tur chu i hrethiam zawk thei ang. I doctor chuan he natna enkawl dan tur te, harsatna awm thei tur ven dan tur te, leh i naute nunah nghawng a neih tlem dan tur te hriatthiamna kawngah a pui thei bawk che a ni.

Take-Home Thuchah: 1.1.

Okay, chuvang chuan `VSD` chungchang hi kan sawi nasa hle. Hei pawh hi hre reng ang che:

• `VSD` chu thinlung pindan hnuai lam pahnih inkar bang chhunga khur a ni.
• VSD tenau tak tak te chu anmahniin an khar thin a, symptom engmah an nei lo.
• VSD lian tak tak hian natna lanchhuahna a thlen thei a, a bik takin nausen naupangte tan, nau hnute pek laiin hah leh thawk harsa tih ang chi te hi a awm thei a ni.
• VSD i vei nia i rinhlelh chuan doctor pan a, echocardiogram ang chi test neih a pawimawh.
• VSD lian tak tak enkawlna atan hian surgical emaw transcatheter emaw hmanga tih theih a awm. Chungte chuan rah tha tak tak a chhuah thei a ni.
• A pawimawh ber chu natna hi hriat hmasak a, a tul anga enkawl a ni. Hei hian harsatna lian tham tak tak venna kawngah kawng thui tak a zawh thei a ni.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` VSD, thinlunga khur, ventricular septal defect, naupang thinlung natna, pianpui thinlung natna, thinlung natna lan chhuah dan, VSD enkawlna