I thinlung thisen kalna kawng (heart arteries) a block em? Angioplasty chungchang hi a awlsam zawngin i zir dawn nia

I thinlung, thluak, leh ke pengte hnena thisen phurtu thisen kalna kawngte chu kawngpui angin ngaihtuah rawh. Hun a kal zel a, heng kawngpui te hi cholesterol ang chi thau tam takin a khat a, chu chuan a chhung lam atanga thisen kalna kawng a ti tawi thei a, kawngpui a tikhawlo thei a ni. Hei hi atherosclerosis kan ti a . Hetianga arteries a block hian natna khirh tak tak, rilru natna , heart attack , leh stroke te a awm thin. Chuvangin, angioplasty hi thisen kalna kawngkhar khar hawn lehna tur leh thisen kal dan tur siam thatna tur enkawlna pawimawh tak a ni .

Angioplasty hi eng nge ni tak tak?

A awlsam zawngin, angioplasty hi operation lian tham nei lovin thisen kalna kawng khar chhungah tube te tak te ( catheter ) dah a, thisen zalen taka kal theihna tur a ni. Hei hian a tlangpuiin tube tawp lama balloon te tak te, a block na hmuna inflating a huam thin. Hei hian artery wall-a plaque (fatty deposits) te chu a nawr hrang a, artery chu a hawng zau leh ta a ni.

Hei hi bypass surgery ang chi surgery lian tak tak nena khaikhin chuan minimally invasive procedure a ni. Chuvangin, a hlauhawmna a tlem a, a dam leh hun pawh a rei lo hle. Kan taksa pum hriselna atan hian kan thinlung leh thisen kalna hriselna hi a pawimawh hle. Chuvangin, heart attack leh stroke ang chi harsatna lian tham tak tak laka inven nan he enkawlna hi a tul fo thin.

Angioplasty tih dan chi hrang hrang leh tih dante chu engte nge ni?

Doctor-te chuan thisen kalna kawng enkawl dan azirin he procedure atan hian hming hrang hrang an hmang thin. A chi hnih a awm a, chungte chu:

• Coronary Artery Angioplasty: Hei hi thinlunga thisen petu thisen kalna kawng lian ber berte enkawlna a ni. Chungte chu coronary arteries kan ti a. He enkawlna hming dang chu `(Percutaneous Coronary Intervention – PCI)` tih a ni.
• Peripheral Artery Angioplasty: Hei hian thinlung atanga taksa hmun hla tak tak, kut leh ke-a thisen phurtu thisen kalna kawngte enkawl dan a kawk a ni.

He enkawlna hi tih dan hrang hrang a awm a:

• Balloon hmanga Angioplasty tih hi:Hei hi hmanraw hman tlanglawn ber a ni. Sawi tawh ang khan balloon te tak te inflating hmangin vein hi a zau zawk a ni.
• Angioplasty with Senting: Vawi tam tak chu, balloon hmanga thisen kalna chu an tihzauh hnuah, thisen kalna kawng chu a inhawng reng theih nan mesh tube te tak te ( stent an tih) chu a awm reng theih nan dah a ni. Hei hian artery a narrow leh theihna chu nasa takin a ti tlem a ni.
• Excimer Laser Angioplasty: Balloon ai chuan laser beam hmangin thisen kalna kawng chhunga thau awm chu a hmin a, a paih chhuak thin. Mahse, he method hi balloon method aiin hman a tlem zawk.

Engtikah nge angioplasty hi a tul?

A hnuaia tarlan te hi angioplasty i mamawh theihna tur dinhmun thenkhat a ni. Heng zinga pakhat tal i neih chuan i doctor chuan he enkawlna hi a rawt thei ang.

Engtin nge enkawl hmain i inbuatsaih thin?

Chumi atana inbuatsaih dan tur chu i doctor chuan chiang takin a hrilh ang che. A tlangpuiin, heng thilte hi i ngaihven a ngai ang:

• Enkawl hma darkar 8 vel ei leh in (chaw nghei) loh turin an ti ang che. Tui tlem in pawh a pawi lo.
• I damdawi ei tur eng pawh i doctor hnenah i hrilh tur a ni a, a bik takin anticoagulants . Ni engemaw zat ei tawh loh turin a ngen thei che a ni.
• X-ray hmasa lama hman thin contrast dye emaw anesthetic damdawi emaw allergy i neih tawh chuan doctor hnenah hrilh ngei ang che.
• Naupai i nih pawhin i hriattir tur a ni .
• A pawimawh ber chu enkawl ni-ah chuan lirthei i khalh thei dawn lo tih hi a ni. Chuvangin, chu ni vek chuan i haw dawn a nih chuan, mi pakhatin in lama hruai tur che tur ruahmanna i siam a ngai ang . Damdawi inah zan khat riah a ngai mai thei.

Enkawl lai hian eng nge thleng?

Thil ngaihtuah tur a awm lo. Hengte hi a tlangpuiin step hrang hrang a awm thin:

1. Hospital gown hak tur pek i ni ang a, dawhkan bik chungah mu turin siam i ni ang.

2. IV line hmangin sedative pek i ni ang a, chu chuan mut hahdam takin a siam ang che, mahse thupek zawm turin i conscious tawk ang.

3. Enkawlna chhung zawng hian machine hian i heart rate leh oxygen level ang chi thil te a enfiah thin.

4. Catheter dahna hmun (a tlangpuiin groin emaw arm emaw) chu local anesthesia hmangin numbed a ni . Chuvang chuan engmah hrehawm i nei lovang. I rilru a hah deuh mai thei.

5. Doctor chuan thisen kalna kawng pakhatah needle hmangin a lut a, chuta tang chuan tube (sheath) a thun lut a.

6. Tichuan, he tube kaltlangin wire leh catheter chu target blood vessel-ah an kal a. Hetih lai hian X-ray machine (fluoroscopy) in a rawn inher kual a, chu chuan doctor chu a sir zawng zawng atanga tube kalna kawng a hmuh theih nan a pui a ni.

7. Blockage a thlen chuan tube kaltlangin special dye (contrast dye) an inject thin. X-ray-ah chuan thisen thisen kal lai chu chiang takin a lang ang. Hetih lai hian lumna i nei thei a, second tlemte chhung zun a ngai ang tih i hre thei bawk .I lo kal thei ang. Chu chu thil pangngai a ni.

8. Blockage awmna hmun dik tak an hriat veleh wire te tak te an paltlang a, a chungah tube nei catheter an pass a.

9. Tichuan balloon chu second engemaw zat chhung chu a inflate ang . Hei hi vawi tam tak i tih a ngai mai thei.

10. X-ray dang kan la leh ang a, thisen kal dan a that zia kan en ang.

11. Vawi tam tak chu, a hmaa kan sawi tawh ang khan, chu hmunah chuan stent dah a ni . He stent hian balloon lakchhuah hnuah pawh artery chu a inhawng reng thei a ni.

Enkawlna a zawh chuan doctor chuan catheter chu a la chhuak ang a, a dahna hmun chungah bandage a dah ang a, a hmunah rei vak lo a vawn ang a, thisen chhuah chu a titawp ang. Catheter hi groin kaltlanga dah a nih chuan darkar engemaw zat khumah i mu a ngai dawn a ni.

He enkawlna hian hlauhawmna a nei em?

Damdawi lam thil dang ang bawkin angioplasty hian hlauhawmna engemaw zat a keng tel a ni. Mahse, harsatna lian tak tak erawh a awm tlem hle . A bik takin, he tih hi doctor tawnhriat ngah tak tak, he tih fo thinte nen high-volume center-a tih hi a finthlak hle.

Risk awm thei: 1.1.

• Catheter dahna hmuna thisen chhuah, natna, natna hrik awm.
• Dye emaw anesthetic emaw hman allergy.
• Thisen kalna kawng emaw kal (kidney) a chhiat.
• Thisen zam (blood clots) siam chhuah.
• Lungphun pangngai lo (arrhythmia).
• Stent dah loh chuan vein chu a block leh ang.
• A tlem hle a, heart attack emaw stroke emaw a awm thei.

Kum 65 chunglam, kal natna nei emaw, thisen kalna kawng tam takah blockage nei te chuan harsatna an neih theihna chance a sang deuh thei a ni.

Recovery hun leh doctor pan hun tur

Damdawi inah darkar engemaw zat emaw, enkawl hnuah zan khat emaw i awm a ngai ang. In lama i haw dawnin i chau deuh mai thei. Chawlh hahdam tam la , tui tam tak in rawh . I doctor chuan ni engemaw zat chhung chu hnathawh hahthlak tak tak lo turin a fuih ang che. Catheter dahna hliam chu kar khat vel chhung chu a hliam deuh a, a hmin thei bawk.

Kar khat vel hnuah hnathawhna hmunah i kir leh thei tur a ni a, lirthei i khalh thei tur a ni. Mahse, hei hi enkawlna i dawn dan azirin a danglam thei. Chu chu i doctor hnenah pawh zawt bawk ang che.

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

• Catheter dahna hmun chu thisen chhuak emaw, natna vei anga lang (red, swollen, pus-filled) a nih chuan .
• Chu ke rawng chu a danglam chuan .
• Chu lai hmunah chuan natna nasa tak emaw, lumna emaw i neih chuan.
• I rilru a na emaw, thawk harsatna emaw i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.

Angioplasty, thinlung natna, stent, thisen kalna kawng khar, rilru na, heart attack, cholesterol