Aneurysm vangin operation neih a ngai em? (Aneurysm Surgery) Hemi chungchang hi awlsam takin han sawi ila.

Doctor-in nangmah emaw, i chhungte zinga mi emaw "aneurysm" an neih thu leh chu chu operation neih a ngai tih a hrilh hian tlem a hlauthawng leh hlauthawng hi thil pangngai a ni. He thu i hriat hian i rilruah thil tam tak a lo lang thin. Chuvangin vawiin hian hemi chungchang hi i zir belh leh ang u, chu chu he aneurysm surgery hi a ni. I ṭhian i biak ang bawkin awlsam tak leh chiang takin engkim ka hrilhfiah vek ang che.

Aneurysm surgery hi eng nge ni tak tak?

A awlsam zawngin sawi ila, aneurysm surgery hi kan taksaa thisen kalna kawng ber aorta chak lohna enkawlna a ni. Tui pipe pakhat chu hmun khatah a chak lo va, balloon ang maia a bulh chhuak chu han mitthla teh. Chutiang bawkin hmun khatah aorta a chak lo va, a bulh chuan aortic aneurysm kan ti thin. Hei hi a hlauhawm hle a, a chhan chu he bulge hi engtik lai pawhin a puak (rupture) emaw a tear (dissection) thei a ni. Chutiang a nih chuan nunna atan pawh a hlauhawm hle thei a ni.

Chuvangin he operation hian a tum ber chu thisen kalna kawng hring, chak lo tak chu a puak hmain lakchhuah a, synthetic fabric tube chak tak hmanga thlak a ni. Hei hi graft kan ti a . He graft hian thisen kalna kawng thar ang maiin hna a thawk a ni. Tichuan thisen chu risk awm lovin a luang chhuak ta a ni.

Hei hi major surgery anga ngaih a ni. Damdawi in operation room-ah thoracic emaw vascular surgeon emaw-in an ti tlangpui. Aneurysm awmna hmun azirin doctor chuan a rilru emaw, pum chhungah emaw incision lian tak a siam a ngai mai thei.

• Chest area a aneurysm awm chu Thoracic Aortic Aneurysm kan ti a .
• Tlem a hniam zawk, chu chu pum chhunga awm chu Abdominal Aortic Aneurysm an ti a.

He surgery hi risk lian tham tak awm lo turin a pawimawh hle. Surgery lian zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm a, mahse a hlawkna chuan a tam zawk daih. I doctor chuan i dinhmun chu uluk takin a enfiah ang a, operation i mamawh leh mamawh loh chu a rel ang.

He surgery hi tuin nge mamawh tak tak?

Hei hi hmun hnih ah then theih a ni. Pakhat chu emergency a ni. A dang chu emergency a thlen hmaa ruahmanna siam lawkna dinhmun a ni.

1. Mite chu aneurysm ruptured emaw ruptured emaw nei tawh (emergency) .

Hei hi dinhmun hlauhawm ber leh hmanhmawhthlak ber a ni. Aneurysm a puak emaw, a chhe emaw a nih chuan operation nghal a ngai a ni. Hei chauh hi nunna chhanchhuahna kawng awmchhun a ni. A hnuaia symptoms te hi a lo lang nghal a nih chuan damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni .

2. Aneurysm puak hlauhawm tak nei te

I doctor-in thisen zam (aneurysm) i nei tih a hriat chuan, a puak lo a nih pawhin, a dinhmun enfiah turin i doctor pan fo a pawimawh. I doctor chuan a lian leh te leh a lo thang chak dan chu a en ang a, operation tih hun tha ber a hre thei ang. A hnuaia natnate hi i neih chuan operation i mamawh mai thei:

• Aneurysm hi centimetre 5 aia lian a nih chuan .
• A thang chak hle a nih chuan (entir nan, kum khatah centimetre 1 aia tam).
• I pum, hnungzang, rilru, emaw, i kekawrte ang chi hmuna natna i neih fo chuan.
• I pum chhungah pulsing sensation i hriat chuan.
• Khuh, hoarseness, thawk harsa i neih chuan.

Entirnan, Marfan syndrome ang chi genetic condition i neih chuan, aneurysm tlemte pawh hi i tan a hlauhawm thei a ni. Chuvangin, midang aiin operation hmaa tih hmasak phawt a tha mai thei.

A châng chuan hriselna lama harsatna dang avang hian hetiang open surgery lian tak neih hi a hlauhawm thei hle. Chutiang hunah chuan i doctor chuan thil buaithlak lo zawk EVAR (Endovascular Aneurysm Repair) , tih a rawt thei a, chutah chuan thisen kalna kawngah incision tenau zawk hmangin tube dah a ni.

Operation hmain engtin nge i inbuatsaih thin?

Hetiang surgery lian tak atana inbuatsaihna hi kar tlemte hmain tan a ni. I doctor chuan uluk takin a enfiah ang che a, test eng emaw zat a kalpui ang a, i taksa chu operation atana a dinhmun dik takah a awm em tih a enfiah ang. Hemi chhung hian i doctor nen hian a hnuaia mite hi i sawipui ngei tur a ni:

• I damdawi ei zawng zawng chu i doctor hnenah i hrilh tur a ni: damdawi i ei tur, damdawi lei theih loh, vitamin, herbal remedies, leh i ei tur zawng zawng. Operation hmain damdawi thenkhat ei kha bansan turin an ti mai thei che. Doctor-in a pek ang chiah chiah zawm a pawimawh hle.
• Damdawi lam harsatna dang i neih chungchang: Damdawi lam harsatna i neih chuan thisen sang emaw zunthlum emaw i neih chuan operation hmain uluk taka control tur a ni.
• I taksa hriselna chungchang: Khawsik, flu, herpes emaw, natna dang emaw i neih chuan i doctor hnenah hrilh rawh. I damloh laia zai hi thil tha a ni lo.
• Meizial i zuk chuan: Surgery hma thla khat tal chu meizuk kha i chawlhsan vek tur a ni. Hemi kawngah hian tanpuina i mamawh a nih chuan i doctor zawt la, ani chuan a pui thei ang che.

Operation ni atana inbuatsaihna tur thupek bik hrang hrang pek i ni bawk ang. Chung zinga ṭhenkhat chu:

• Surgery hma zan khan zanlai hnuah tui in lo turin an hrilh che a.
• Surgery neih zingah eng damdawi nge ka ei ang?
• Damdawi in atanga i haw hunah mi rawn hruai tur che ruahmansak tura ngenna.

Heng thupek zawng zawng hi uluk takin zawm rawh. I hriat chian loh thil a awm chuan i doctor emaw nurse emaw zawt la.

Operation chhungah hian eng nge thleng tak tak?

Hemi chungchang hi i hre duh hle a, i hlau hle mai thei. Mahse, lungngai suh. I medical team te chuan an enkawl tha ang che. Surgery tan hmain general anesthesia pek i ni ang . Tichuan i muhil vek tawh ang a, engmah i hre lo ang. Tichuan, heng step hrang hrang ang hian surgery hi tih a ni ang:

1. Incision: Surgeon chuan i rilru emaw, i pum emaw vun chu a hnah (aneurysm) awmna hmun thleng turin a ti sei a.

2. Clamping: A dawtah chuan aneurysm chung leh hnuai artery lian tak chu special devices (clamps) hmangin hun eng emaw chen khar a ni. Hetih lai hian taksa dang zawng zawnga thisen kal chhunzawm zel phal a ni a, heart-lung machine nen i inzawm thei bawk . Hei hian operation laiin i thinlung leh lung hnathawh chu hun eng emaw chen a luah khat a ni.

3. Graft Insertion: Hei hi surgery atana pawimawh ber a ni. Surgeon chuan thisen kalna kawng hring, chak lo chu a tikehsawm a, a hmaa kan sawi tawh artificial tube, graft hmangin a thlak a ni. He graft hi polyester ang chi synthetic material chak tak atanga siam a ni.

4. Incision khar dan: 1.1.Thisen kalna kawng thar a inzawm hnuah surgeon chuan i rilru emaw, i pum emawa incision chu stitches emaw staples emaw hmangin a khar ang.

A tlangpuiin he surgery zawng zawng hi darkar thum atanga darkar li vel a ni.

Operation hnuah eng nge thleng?

Surgery zawhah intensive care unit (ICU) ah hruai i ni ang . Chutah chuan ni engemaw zat chhung chu i dinhmun chu uluk takin an enfiah ang. Tichuan regular ward-ah sawn i ni ang. A vaiin ni thum atanga ni sawm vel damdawi inah i awm a ngai dawn a ni.

Damdawi ina i awm chhung hian hetiang hi i hmachhawn ang:

• Urinary catheter a ni.
• Hnar atanga tui paih chhuahna tur tube.
• Thisen zam venna damdawi (anti-coagulants).
• Compression socks hi kea thisen zam tur venna atana hman tur socks chi khat bik a ni.
• Thâwk chhuah theihna tur machine.
• Dam leh huna natna tihdamna damdawi.

Zawi zawiin i kal tan ang a, chakna i nei ang. Mahse, operation lian tak i nei tawh tih hre reng ang che. I taksa hi a dam theih nan hun i pek a ngai a ni. Doctor thusawi chu ngun takin ngaithla la, hmanhmawh suh. Chawlh hahdam tam rawh.

Surgery zawng zawng ang bawkin hei hian risk a nei em?

Awle. He surgery hi nunna chhanhim thei ni mahse, surgery zawng zawng ang bawkin, hlauhawm leh harsatna a awm thei a ni. Chung zinga ṭhenkhat chu:

• Thisen chhuah tam lutuk.
• Thisen a chhuak thin.
• Thâwk harsa.
• Intestines emaw taksa peng dang emaw chhiatna.
• Heart attack emaw stroke emaw a awm thei.
• Graft dah luh atanga natna hrik awm.
• Lung, zun kawng emaw, pum chhunga natna emaw.
• Kidney tha lo a awm.
• Nerve tihchhiat a ni.

Aneurysm ruptures hmaa surgery ruahman leh tih a nih chuan dam theihna chance a sang hle a, 95% leh 98% inkar a ni.

Mahse, aneurysm ruptures hnua emergency surgery a awm chuan dam theihna chance chu 50% leh 70% inkar ah a tlahniam thei a ni. Mahse thihna hi enkawl loh a nih chuan a chiang a nih avangin operation chauh hi a solution awmchhun leh tha ber a ni.

Recovery period leh in lama ngaihven tur thil

Hei hi mi tam tak tan chuan thil pawimawh tak a ni.

Eng chen nge tihdam a ngaih?

A tlangpuiin a dam kim theih nan kar li atanga kar ruk vel a ngai thin .Ni 10-20 vel a ni. Mahse mi thenkhat chu thla hnih atanga thla thum chhung an kal thei. Mi tin a inang lo.

Hemi hun chhunga tih loh tur thil

• Doctor-in phalna a pek che hma chuan lirthei khalh suh (a tlangpuiin kar khat atanga kar hnih chhung).
• Hliam a dam hma chuan tui tub-ah lut suh . Shower i la thei a, mahse hliam lakah fimkhur rawh.
• Hliam a dam hma loh chuan tui chawi suh .
• Thil rit (kg 4-5 aia tam) chu kar 4-6 tal chawi suh .
• Thâwk chhuak thei khawpa exercise kha ti suh .

Surgery hliam hi engtin nge kan enkawl ang?

I hliam thianghlim taka vawn reng a pawimawh hle. Doctor sawi angin nitin hliam chunga dressing chu i thlak a ngai dawn a ni. I thawhah emaw, i khuh emaw hian a na deuh mai thei. Chutih lai chuan pillow la la , hliam chungah dah la , press rawh . Chu chuan a natna a tiziaawm ang a, hliam chu a venghim ang.

Ei duhna leh chakna

I dam chhung hian ei duhna i nei tam lo mai thei. Chu chu thil pangngai a ni. I chau hle mai thei bawk. Heng zawng zawng hi recovery process-a tel vek a ni.

Heng symptoms te hi i neih chuan doctor ko nghal rawh!

In i thlen hnuah i taksaah fimkhur hle ang che. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh.

Surgery hnua nunphung tihdanglam a ngai

He surgery hi i hriselna atana investment lian tak a ni. Chu investment chu humhim chu nangmah ah a innghat.

• Thinlung hrisel ei: Chi, sugar leh oil te tihtlem. Tui tam tak in thin ang che.
• Exercise: I doctor hnenah eng exercise nge i tana tha ber tih zawt rawh.
• Meizial i zu a nih chuan tunah hian bansan rawh: Meizial in hian i thisen kalna kawng a tichhe nasa hle.
• Thisen sang, cholesterol, leh zunthlum control: Damdawi hi a hun takah ei thin ang che.

Aneurysm surgery hi nunna chhanhimna a ni a, chu chuan i thisen kalna kawng a tidam thei a ni. Mi thenkhat tan chuan emergency procedure a ni. Mi dangte tan chuan thla tam tak hmaa ruahman lawk thil a ni. Mahse, risk awm lo a ni lo. Chuvangin, i tana enkawlna tha ber tur chu i doctor nen sawiho rawh. Aneurysm chu a lian zawk a, harsatna a nih hmain checkup neih fo hi a tha ber a ni.