I thinlung valve te hi engtin nge an awm? Heart Valve Disease chungchang hi han sawi ila!

A châng chuan i chau tih i inhria em? A nih loh leh zawi zawia kal lai pawhin thawk harsa i ti em? I rilruah hian throbbing emaw na emaw mak tak mai i nei mai thei em? Chûngte chu i thinlunga kawngkhar te tak te ang maia thawk valve-te harsatna chhinchhiahna a ni thei. Vawiin hian he heart valve natna chungchang hi kan sawi dawn a ni . Ngaihtuah buai suh, hei hi fimkhur a pawimawh hle.

Heart Valve Disease hi eng nge ni?

A awlsam zawngin, heart valve natna hi i thinlung chhunga valve pakhat emaw a aia tam emaw a thawk tha lo tihna a ni. Heng valve te hi kawngkhar ang mai an ni. Kawng khatah chauh thisen kal turin an pui thin. Kan thinlung a na chuan heng valve chhunga flap ang chi (`leaflets` tia koh) nalh tak takte chu a inhawng a, thisen chu hmalam pan turin a kal tir thin. Tichuan, heart beat chanve hnihnaah chuan heng lehkhabu te hi an khar a, hnunglam hawia thisen luang chhuak tur chu an titawp ta a ni.

Heng valve te hian hna an thawk tha lo a nih chuan eng nge thleng ang tih han ngaihtuah teh? Thisen kal dan a tichhe thei a, thinlung hian nasa zawkin hna a thawh a ngai a ni. Enkawl loh chuan he natna hi a na hle thei a, nunna pawh a tichhe thei bawk. Mahse, thu lawmawm a awm. A tam zawkah chuan i doctor chuan heng valve te hi minimally invasive procedure hmangin a siam tha thei a, a thlak thei bawk. Tichuan i dinhmun pangngaiah i kir leh thei tawh ang.

I thinlung chhunga valve pali awmte chu engte nge ni?

Kan thinlungah hian valve lian pali a awm a. Anni chu:

• Mitral valve: Hei hi left atrium leh left ventricle inkarah a awm a.
• Tricuspid valve: Hei hi atrium dinglam leh ventricle dinglam inkarah a awm a.
• Aortic valve: Hei hi veilam ventricle leh aorta inkarah a awm a.
• Pulmonary valve: Hei hi ventricle dinglam leh pulmonary artery inkarah a awm a.

Heng valve zawng zawng hi a thawk tha vek a pawimawh hle a, chutiang chuan kan taksa pum puiah thisen a kal tha thei ang.

Heart valve natna chi hrang hrangte hi engte nge ni?

Heart valve natna chi hrang hrang a awm a. A chang chuan valve pakhat aia tam a nghawng thei bawk.

Stenosis a awm thin

Hei hi valve-a leaflet-te chu a thuk leh a nghet a, valve inhawnna kawngkhar chu a ti tawi a ni. Tui pipe khar, tui luang harsa ang maiin ngaihtuah rawh. Narrowing tlemte hian nghawng a nei vak lo mai thei. Amaherawhchu, Valve chu a zim hle a (chuvang chuan `stenotic` an ti a) chuan thinlung hnathawh a tichhe a, thisen pump nan a thawhrim a ngai a ni. Hei hian taksa pum puia thisen a thlen chu a ti tlem thei a ni.

Regurgitation emaw valve leakage emaw a awm thei

Hei hi `insufficiency` an ti bawk a, mi thenkhat chuan ``leaky valve'' an ti bawk.Hetah hian thil thleng chu valve leaflet te hi a khar tha lo a ni. Tichuan thisen chu a luang lut leh a, kawngkhar a khar tha loh chuan a khar lam atang chuan a rawn lut leh ang. Hei hian chu thisen tam zawk hmang chuan thinlung chu a pump chak zawk a ngai ta a ni. Tin, taksa peng danga thisen kal zat pawh a ti tlem thei bawk.

Prolapse a awm

Hei hi mitral valve-ah chuan a dik hle. Hei hi valve leaflets te chu a flexible lutuk a, thinlung a na laiin left atrium ah a leak lut thin a ni. A tam zawkah chuan hei hi a hlauhawm lo a, mahse mi thenkhatah chuan regurgitation a thlen thei.

Atresia a ni

Valvular atresia hi pian tirh atanga heart valve siam loh emaw, inhawng lo emaw a ni. Doctor-te chuan kum naupang takah, nausen piang thar lai hian an hmuchhuak tlangpui.

Heart valve natna hi engtiang chiahin nge a awm?

United States-ah chuan mipui 2.5% vel, puitling tam tak tihna a ni a, heng heart valve natna te hi an nei a ni. Hemi avang hian kum tin mi 27,000 vel an thi thin niin an sawi. Mitral valve prolapse hi a tam ber pakhat a ni. Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm nasa hle.

Heart valve natna lan chhuahna hmasa berte chu engte nge ni?

Heart valve natna vei tam tak chuan a tir lamah symptom an nei lo. Mahse hun kal zelah a natna a zual zel a, thinlungin a thawhrim a ngaih avangin symptoms a lo lang tan thin.

Heng mizia te hi i nei em tih en rawh:

• Chauhna: Hei hi i hriat hmasak ber tur a ni mai thei.
• Thâwk hah lutuk: A bik takin taksa tihchakna eng pawh, kea kal emaw, stairs-a chhoh emaw i tih hian.
• Palpitations: A rilru a na a, thinlung chu a ding nghal a, a na ang maiin a awm.
• Swelling (Edema): Ke ruh, ke emaw, pum emaw a hring.
• Chak lohna emaw, luak chhuak emaw.
• Sudden thau lutuk.
• Chhung na: A bik takin i chau lai hian.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a tha ber.

Heart valve natna hi engte nge ni?

Heart valve natna thlentu chhan hrang hrang a awm a. A chhan ber thenkhat chu hetiang hi a ni:

• Rheumatic fever: Strep throat enkawl loh vanga natna.
• Heart attack avanga thinlung chhiatna .
• Thisen sang ( a san lutuk chuan).
• Congenital issues: Entirnan, pulmonary emaw aortic valve emaw a lo thang tha lo.
• Hun kal zelah valve tissue chu calcium deposit (calcification) vangin a chak lo emaw, a thawk thei lo emaw a ni.
• Thoracic aortic aneurysm: Hei hi aorta zau zawkna a ni. Chumi hnuah chuan aortic valve leaflets te chu a inzawm khawm thei a, a leak thei bawk.
• Lung lam chak lohna.
• Lung natna, entirnan infective endocarditis.
• Autoimmune natna chi hrang hrang lupus ang chi te .
• Genetic condition hrang hrang Marfan syndrome ang chi te .

Risk factors te chu engte nge ni?

Tin, heart valve natna vei theihna tipungtu risk factor thenkhat pawh a awm bawk. Chungte chu:

• Zuk leh hmuam thil hman (meizial zuk).
• Chaw tha lo ei.
• Taksa tihchak loh.
• Damdawi lam harsatna nei, zunthlum emaw thisen sang emaw nei.
• Cancer natna avanga radiation hmanga enkawlna dawng tawh.
• Pacemaker emaw defibrillator (ICD) emaw dah a nih chuan.
• Mipa nih (hmeichhia aiin mipa hi an hlauhawmna a sang zawk).
• Kum upa lam.

Enkawl loh chuan eng harsatna nge awm thei?

Valve natna hi enkawl tha a nih loh chuan hun kal zelah heng ang harsatna hi a lo awm thei a ni:

• Lung lam chak lohna.
• Thinlung thawk mumal lo (Arrhythmia).
• Thisen a chhuak thin.
• Pulmonary arteries-a thisen sang (Pulmonary hypertension).
• Thai.
• Heart attack (Cardiac arrest) avanga thihna thut.

Chuvangin symptom i neih chuan doctor pan nghal a, a tul anga enkawl tan a pawimawh hle.

Engtin nge heart valve natna hi hriat chhuah a nih?

Doctor i pan chuan taksa enfiahnaah heart valve natna chhinchhiahna an hmu fo thin. Entir nan:

• Lung chhungah tui a awm em tih an enfiah thin.
• Thinlung a lian em tih enfiah rawh.
• Heart murmur hi stethoscope hmanga hriat theih thawm danglam tak a ni. Valve tawi emaw, leak emaw hmanga thisen luang chhuak a ni thei.
• Ankles chu a hring vek niin a lang.

Hei bakah hian heart valve natna i neih leh neih loh hriat theihna tur medical test hrang hrang a awm bawk. Hun kal zelah heng test te hi i tih nawn leh hian i doctor chuan i dinhmun a inthlak dan a hmu thei a, enkawlna chungchangah thutlukna a siam thei bawk. Valve natna hi hun kal zelah a na zual thei a, doctor-te chuan a chang chuan stage an pe thin. A atanga tan a ni a, D atanga tawp a ni a, D hi a na ber stage a ni.

Eng test nge tih a nih?

Heart valve natna hriat theihna atana test hman ber thenkhat chu hetiang hi a ni:

• Echocardiogram (Echocardiogram - thinlung lam ultrasound hmanga enfiah) a ni.Hei hian kutkawr (`wand`) chu rilru chung lamah dah a, sound wave hmanga thinlung che thei thlalak lak a huam a ni. Naute ultrasound scan ang chiah a ni.
• Transesophageal echocardiogram (TEE): Hei hi thinlung ultrasound test a ni bawk. Mahse, hei hian camera ang chi thil te tak te (`probe with a transducer`) i esophagus hnuaiah dahin i thinlung hnaih zawk atanga enfiah a ngai a ni.
• Exercise stress echocardiogram: He test-ah hian treadmill-a kal emaw, bike emaw khalh turin an ti che a, chutah chuan i valve leh heart te chu a thawk tha em tih enfiah a ni.
• Chest X-ray: Hei hi chest X-ray test rang tak a ni.
• Cardiac catheterization (angiogram): Hei hian thinlunga coronary arteries, heart chamber leh valve-te X-ray-a thlalak lak a ni.
• Electrocardiogram (EKG emaw ECG): Electrode strip te te chu vunah an inbun a, thinlung electrical activity record a ni.
• Magnetic resonance imaging (MRI): Radio wave leh magnet inkawp hian thinlung thlalak chiang tak tak a siam chhuak thin.

Heart valve natna hi engtin nge enkawl a nih?

Heart valve natna enkawl dan hi natna thlentu leh thil dang engemaw zatah a innghat a ni. Thil tih tur lian ber berte chu:

• I valve chu a chhiat belh zel loh nan venhimna.
• Damdawi pek chhuah.
• A tul chuan surgery emaw, non-invasive procedure dang emaw tih tur a ni.
• I cardiologist hnenah thurawn dil fo ang che.

Heart valve chhiat hi tihfel vek theih ni lo mah se, a buaina chu enkawl theih a ni. Damdawi hmanga enkawl emaw, surgery hmanga enkawl emaw, valve thar emaw hmanga enkawl a nih leh nih loh chu thil engemaw zat aṭangin thutlukna siam a ni. Chungte chu:

• Valve natna chi hrang hrang.
• Thil chhiat nasat dan.
• i kum zat.
• I natna dangte leh i hriselna chanchin.

Naupai i nih a, heart valve natna i neih chuan chawlh hahdam belh a ngai mai thei a, i naute tana him damdawi thenkhat i ei a ngai mai thei bawk. Naupai hmaa i valve natna i hriat chuan naupai tum hmain doctor nen inbia la, a tul chuan test la, cardiologist hnenah i hmu ang. Chutiang chuan naupai hma leh naupai laiin enkawlna dik tak i hmu thei ang. Valve harsatna lian tak i neih chuan i doctor chuan i naupai hmain i valve siamthat emaw thlak emaw a rawt thei ang.

Damdawi chi hrang hrang

Damdawi hian heart valve natna a tidam kim thei lo. Mahse, damdawi leh nunphung hrisel chuan natna lan chhuah dan a thunun thei a, stroke emaw, cardiac arrest emaw a awm theihna a ti tlem thei bawk. Damdawi thenkhat chu valve surgery hnuah tihtawp theih a ni a, mahse damdawi thenkhat chu dam chhung atan ei a ngai a ni.

I doctor chuan hetiang thil atan hian damdawi a pe thei ang:

• Heart rhythm mumal lo (arrhythmias) emaw thisen zam emaw ven nan.
• I thisen sang emaw cholesterol level emaw tihhniam rawh.
• Heart failure emaw coronary artery disease emaw enkawl.

Surgery hmanga siamthat emaw thlak emaw

Heart valve natna hi valve flap hawn emaw khar emaw avanga harsatna a ni a, i valve siamthat emaw thlak emaw tur chuan operation i mamawh mai thei. Nausen thenkhat, pianpui valve lama harsatna nei te chuan an naupan lai atanga zai an ngai thin.

A tlangpuiin surgeon leh cardiologist te hian operation ni hmain enkawlna tha ber an hre vek. Mahse, a châng chuan, surgeon chuan operation neih laiin thutlukna a siam ṭhin a, chu chu valve a hmuh tak tak hnuah a ni.

Vawi tam tak chu doctor-te chuan thinlung natna enkawl kim vek nan surgery dang (entir nan, bypass surgery emaw atrial fibrillation surgery emaw) nen valve surgery an ti thin.

Heart valve siamthat hian i surgeon chuan i valve chhia chu a siam tha thei a, a tam zawkah chuan artificial parts hmang lovin a siam tha thei a ni. Entirnan, a then phei chuan i mitral valve a zim chuan i doctor chuan catheter-a balloon hmangin valve chu a tizau thei ( valvuloplasty ). A nih loh leh, valve chu a khar ṭhat theih nân valve vêla ring chu siamṭhat emaw, tihchak emaw nân annuloplasty an tih thil an ti thei bawk.

Valve siamthat thatna: 1.1.

• Hri kai theihna a tlem hle.
• Nunna atana thisen tithianghlimtu damdawi ei a ngai tlem hle.
• Heart muscle chakna leh hnathawh hi a humhim a ni.

Valve siam that theih a nih loh chuan surgeon ten an thlak a ngai dawn a ni. I heart valve thlak danglam tih awmzia chu i valve hlui kha la chhuakin valve hlui aiah a thar i siam tihna a ni. Valve thar hi mechanical emaw biological (mihring, bawng, vawk tissue atanga siam) emaw pawh a ni thei. Siamthat theih a nih loh chuan heng valve tharte hian hna an thawk thei a ni. Mahse, i valve neih chi hrang hrang a zirin thisen zam venna tur damdawi ei emaw, kum 10 atanga kum 15 danah valve thar dah emaw a ngai mai thei.

Valve harsatna chi hrang hrang leh i damdawi lam dinhmun dangte a zirin i ti thei bawkValve siamthat emaw thlak danglam emaw pawh a tlem berah invasive tih theih a ni bawk.

Enkawlna avanga harsatna awm thei

Kum upa lam leh hriselna lama harsatna nei te chu valve thlak danglamna surgery avanga harsatna an tawh theihna a sang zawk.

Heng harsatnate hi thihna thlen thei lo mahse, thihna thlentu an ni tlangpui lo. Anni chu:

• Infection awm thei te.
• Atrial fibrillation emaw heart rhythm danglam tak emaw a awm thei.
• Thisen chhuak.
• Thisen a chhuak.
• Kidney tha lo a awm.
• Stroke emaw Transient ischemic attack (TIA) emaw a awm thei.

Heart valve surgery atanga dam leh theih nan eng chen nge a ngaih?

Heart valve surgery hnuah ni nga atanga ni sarih vel damdawi inah i awm a ngai dawn a ni. Chumi hnuah chuan a dam kim theih nan kar li atanga kar riat vel a ngai thei a ni. I doctor chuan cardiac rehab , uluk taka enkawl program-ah a refer thei che a, chu chuan i dam leh theih nan a pui thei che a ni.

Engtin nge heart valve natna hlauhawmna tihziaawm theih ang?

Risk factor thenkhat, tar ang chi hi tihdanglam theih a nih loh laiin, heart valve natna i vei theihna tur tihziaawmna tur thil i tih theih a awm. Chung zingah chuan:

• Infection te chu enkawl vat tur a ni.
• Taksa chak taka awm.
• Thinlung hrisel chaw ei.
• I tan taksa rihna hrisel tak vawn reng.
• Thisen sang leh/ emaw cholesterol sang i neih chuan i damdawi pek kha ei chhunzawm zel ang che.
• Zuk leh hmuam thil hman loh.
• Infiamna atana ruihhlo hman loh, a bik takin thisen kalna damdawi (IV damdawi), heart valve infection hlauhawmna tipungtu.

Engtin nge i valve chu a chhe lehzual loh nan i ven theih ang?

Heart valve natna i neih chuan i doctor hnenah infective endocarditis tih infection i vei theihna a san thu zawt rawh. He natna hian i thinlung valve a tichhe thei a, a tichhia thei bawk a, thihna a thlen thei bawk. He risk hi i valve siamthat emaw thlak emaw tura operation i neih tawh pawhin a awm thei. Infective endocarditis venna atana i tih theih thenkhat chu hetiang hi a ni:

• I doctor leh dentist te hnenah valve natna i nei tih hrilh rawh.
• Infection chhinchhiahna i neih chuan doctor ko rawh.
• I ha leh i hmui te uluk takin enkawl rawh.
• Ha enkawlna eng emaw, surgery lian emaw tenau emaw, invasive test emaw neih hmain antibiotics i ei a ngai em tih i cardiologist zawt rawh.

Heart valve natna neia i nun lai hian eng nge i beisei theih ang?

Heart valve natna i neih chuan i dam chhung zawng i hnenah a awm reng ang. Mahse natna i tawn dan chu eng valve nge a nghawng tih leh harsatna nasat danah a innghat a ni.

Mi thenkhat chuan valve natna nei mahse symptom an nei ngai lo. Mi dangte chuan symptom tam tak an nei thei a, an valve siamthat emaw thlak emaw a ngai thei bawk. I doctor-in i valve a siam ṭha emaw, a thlak emaw pawh ni se, damdawi i ei chhunzawm zel a ngai mai thei a, kum 10 aṭanga kum 15 hnuah valve thar i dah leh mai thei bawk.

A pawimawh ber chu hun kal zelah i valve natna kal zel dan enfiah turin doctor pan fo hi a ni.

Engtin nge ka in enkawl ang?

I doctor-in damdawi a pek zawng zawng ei chhunzawm zel ang che. Tin, follow-up appointment zawng zawngah kal rawh. Tin, nunphung hrisel neih hi a pawimawh hle bawk.

Engtikah nge Doctor ka hmuh ang?

I heart valve te a thawk tha em tih hriat nan i cardiologist i hmuh fo a ngai dawn a ni. Heng appointment te hi eng chen nge i neih tur tih i doctor zawt rawh. Test, echocardiogram ang chi pawh tih leh a ngai mai thei bawk.

I symptoms a zual emaw, a lo lang fo emaw chuan doctor pan hmasa phawt ang che. Infective endocarditis i neih chuan doctor hnenah pawh i hrilh tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heart valve surgery hnua heng symptoms te hi i neih chuan 911 emaw i awmna hmuna emergency number emaw ah i call tur a ni:

• Syncope - hriatna hloh.
• Khawsik emaw, khawsik emaw.
• Pum natna emaw, ril\am emaw.
• A rilru a na.
• Heart rate hi minute khatah beat 150 aia tam a ni.
• Kut emaw ke emaw vaukhânna awm lovin lu na nasa tak, chak lohna emaw, rilru hahna emaw.
• Thâwk harsa, chawlh hahdam pawhin a reh lo.
• Thisen (a sen hring) khuh chhuak.
• Thin dum dum emaw, thisen sen hring hring emaw, bawlhhlawh awmna.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Nunphung inthlak danglamna hian min pui dawn em?
• Eng taksa lam thiltih nge ka tan a him?
• Operation hnuah eng chen nge taksa chakna ka neih theih ang?

A tawp berah chuan hre reng ang che

I hahna leh thawk hah lutuk hi tar chakna pangngai mai ni lovin, i thinlung valve-a harsatna a ni thei tih hriat chu a thlamuanna a ni thei bawk. Heart valve harsatna chungchanga thu lawmawm tak chu damdawi leh/ emaw operation hmanga enkawl theih a ni. I doctor chuan i tana duhthlan tur tha ber berte a sawipui ang che. I doctor-in eng enkawlna pawh a rawt pawh ni se, taksa tihchakna, thinlung ṭha tak ei leh zuk leh hmuam ei loh hmangin i in ṭanpui thei a ni. I damdawi pek zawng zawng kha ei vek la, i appointment zawng zawng pawh zawm vek rawh. Nangmah chauh i ni lo va, he zinkawng zawh tura pui theitu doctor leh i hmangaih tak tak an awm bawk.

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