Aneurysm Surgery chungchang hi a awlsam zawngin sawi ila.

‘Aneurysm’ tih thumal hi i hre ngai em? I doctor-in a sawi tawh pawh a ni thei a, i chhungte zinga mi tu emaw chuan he natna hi a nei ve mai thei bawk. Hlauhawm deuhin a ri thei a, mahse hriat reng a pawimawh. Vawiin hian aneurysm atana hmanlai open surgery chungchang kan sawi dawn a, chu chu ‘traditional open surgery’ tihna a ni.

Aneurysm surgery tih hi eng nge ni?

A awlsam zawngin sawi ila, aneurysm surgery hi kan taksaa thisen kalna bulpui aorta-a aneurysm awm enkawlna a ni. Aorta hi kan taksa chhunga tui pipe lian ber ang a ni. A bang pakhat a chak lo va, balloon ang maia a bulh chuan ``Aortic Aneurysm`` kan ti thin. Hei hi a hlauhawm hle a, a chhan chu bulge chu a puak (rupture) emaw a tear (dissection) emaw a ni thei. Chutiang a nih chuan nunna atana hlauhawm pawh a ni thei.

Chuvangin he operation-ah hian surgeon chuan aorta hmun chhia leh hring chu a la chhuak a, chu chu artificial tissue atanga siam tube ang maia siamin a thlak a ni. Hei hi graft kan ti a. He graft hian thisen kalna kawng thar angin hna a thawk a, thisen chu him tak leh tihbuai lohvin a kal thei a ni.

Hei hi operation lian tak a ni. Surgeon chuan i rilru emaw, i pum emaw-ah incision lian tak a siam a ngai a, chu chuan aneurysm chu a lut thei ang. I rilruah a awm chuan `(thoracic aortic aneurysm)` kan ti a, i pum chhunga a hnuai deuh deuh a nih chuan `(abdominal aortic aneurysm)` kan ti bawk.

He surgery hi tuin nge mamawh tak tak?

He surgery hi hmunpui pahnih ah a ngai a ni. Pakhat chu emergency angin a ni a, pakhat chu risk a awm hmaa ruahman leh tihfel a ni.

1. Emergency angin (aneurysm a puak emaw a chhe emaw a nih chuan) .

Hei hi dinhmun hlauhawm ber a ni. Aneurysm a rupture chuan nunna emaw thihna emaw a ni. A hnuaia symptoms te hi i neih nghal chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni .

2. Risk a lo awm hma (planned surgery angin) .

I doctor chuan aneurysm i nei tih a hriat chuan a enfiah reng ang. A hnuaia thil awmte hi a awm chuan aneurysm puak theihna a sang zawk. Chutiang hunah chuan i doctor chuan operation tih a rel thei a ni.

• I pum, i hnungzang, i rilru, i kekawrte, i kekawr chhung lam emaw a na i hriat chuan.
• Pum natna ang maia a awm chuan.
• Khuh, hoarseness, thawk harsa i neih chuan.
• Aneurysm hi centimetre 5 aia lian a nih chuan .
• Aneurysm hi a lo thang chak hle a nih chuan (kum khatah centimetre 1 aia tam).

I doctor chuan thu tlûkna ṭha ber siam tûrin thil tam tak a ngaihtuah ang a, chung zingah chuan i hrisêlna pum pui, thisen kalna (aneurysm) lian leh te, leh a awmna hmun te pawh a tel a ni. Entirnan, Marfan syndrome ang chi natna i neih chuan aneurysm te tak te pawh hi a hlauhawm thei hle. Chuvangin, zai a ngai thuai mai thei.

Surgery neih hmain eng nge thleng?

Surgery ruahman a nih chuan inbuatsaihna chu kar tam tak hmain tan a ni.

• Medical test: Doctor chuan a enfiah ang che a, test eng emaw zat a ti ang a, i taksa chu operation atan a inpeih tawh em tih a enfiah ang.
• Damdawi chungchang sawi: Damdawi i ei zawng zawng (over-the-counter, herbal, vitamins) i doctor hnenah i hrilh tur a ni. Damdawi thenkhatah chuan operation hmain i ei tawh loh a ngai mai thei.
• Natna dang control: Thisen sang ang chi natna i neih chuan zai hmain uluk taka control a ngai a ni.
• Meizial zuk bân: Operation hma thla khat tal meizuk bânsan vek a pawimawh hle.
• Natna: Natna eng emaw, khawsik emaw, khawsik emaw i neih chuan doctor hnenah hrilh la.

Doctor chuan thupek bik engemaw zat a pe ang che, chu chu operation hma zan zanlai hnuah tui in loh tur a ni.

Surgery neih chhung hian eng nge thleng?

Surgery neih chhung hian engmah i hre lovang. General anesthesia hnuaiah mut tir i ni ang. Surgery hi darkar 3-4 vel a ni tlangpui. Hetah hian step lian ber berte chu kan rawn tarlang e.

1. Incision: Surgeon chuan aneurysm thleng tur chuan a rilruah emaw, pum chhungah emaw incision rei tak a siam thin.

2. Clamping: Thilpek bikte hian aneurysm chung leh hnuai thisen kalna kawngte chu hun eng emaw chen an khar thin. Hetih lai hian heart-lung machine hmangin taksa peng dangah thisen pump theih a ni.

3. Graft insertion: A hring, a chhe tawh chu lakchhuah a, artificial tube hmanga thlak a ni a, chu chu ``graft'' an ti a, chu chu suture leh fixed a ni.

4. Closure: A tawp berah chuan incision chu stitches emaw staples emaw hmangin an khar thin.

Surgery hnuah eng nge thleng?

Surgery zawhah intensive care unit (ICU)-ah sawn i ni ang. Chutah chuan ni engemaw zat chu damdawi lam enkawlna hnuaiah i awm a ngai dawn a ni. Damdawi ina awm zawng zawng hi ni 3 leh ni 10 inkar a ni thei. Damdawi inah chuan:

• Urinary catheter dah a ni.
• Hnar hmangin tube an dah lut a.
• Thisen zam lo turin anti-coagulants pek thin a ni.
• Kea thisen zam a awm loh nan socks bik bun an rawt mai thei.
• Painkiller an pe thin.

Zawi zawiin i kal tan tur a ni a, i chakna i nei leh tur a ni. Mahse, hei hi surgery lian tak a ni tih hre reng ang che. Chuvangin i taksa hi a dam theih nan hun i pek a ngai a ni. Mi pakhatin a rawn hruai haw theih nan ruahmanna siam rawh. Doctor-in phalna a pek che hma chuan i khalh thei lovang.

Recovery hun leh thil hriat tur

A tlangpuiin a dam kim theih nan kar 4-6 vel a ngai a, mahse thenkhat tan chuan thla 2-3 vel a ngai thei.

Recovery neih chhunga zawm tur khapna

• I doctor-in a tih hma loh chuan lirthei khalh suh .
• Incision a dam hma chuan tui tub-ah inbual suh . Shower i la thei bawk.
• 4.5 kg (10 lbs) aia rit chu chawi suh .
• Thâwk chhuak thei khawpa exercise kha ti suh .

Incision hliam enkawl

I khuh emaw, i thawk hah emaw chuan incision chungah pillow dah la, press down rawh. Hei hian a na a tiziaawm ang a, hliam a venghim bawk ang. I doctor-in a sawi angin hliam chu fai takin vawng reng ang che.

Engtikah nge i doctor hmuh nghal tur

I dam chhung hian i taksa kha uluk takin ngaihven rawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.