I doctor chuan i taksa pum puia i thinlung atanga oxygenated thisen phurtu thisen kalna kawngpui ber chu a chak lo va, a bul lamah balloon ang maia bulge a lo awm tih a sawi tawh em? A nih loh leh he thil atan hian operation i mamawh mai thei tih an rawt pawh a ni mai thei? He thu i hriat hian lungkhamna i neih hi thil awmdan pangngai tak a ni a, mahse hei hi i nunna chhanhim tura ruahman thil pawimawh tak a ni tih hre reng ang che. Vawiin hian Nirogi Lanka-ah Aortic Root Replacement chu eng nge a nih chiang takin kan sawi dawn a, a tih dan tur leh he procedure chungchanga hriat tur dang zawng zawng kan sawi dawn a ni.
A awlsam zawngin Aortic Root Replacement tih hi eng nge ni?
Aorta hi i taksaa thisen kalna kawng lian ber leh pawimawh ber a ni a, i thinlung nen a inzawm tlat a ni. Aorta i thinlunga a inzawmna section hmasa ber chu "Aortic Root" tia hriat a ni. Tum khat chu he section bang hi a chak lo va, balloon ang maiin a rawn chhuak tan thin. Hei hi "Aneurysm" kan tih chu a ni.
Aneurysm neih theihna hlauhawm ber chu engtik lai pawhin a tear (dissect) emaw a puak (rupture) thei a ni. Chutiang a nih chuan chhungril lama thisen chhuak nasa tak a thlen thei a, chu chu nunna atana hlauhawm emergency a ni.
Aortic Root Replacement neih lai hian i surgeon chuan aorta section chak lo leh bulging chu a la chhuak a, synthetic graft hmangin a thlak leh thin. Hetiang tih dan hian heng harsatna hlauhawm tak takte hi tha takin a veng a, i nunna humhim turin a pui bawk.
He surgery chi hrang hrangte hi engte nge ni?
He surgery hi tih dan tlangpui pahnih a awm. I damdawi lam dinhmun bik a zirin i surgeon chuan i dam lehna tur kawng dik ber a ruat ang.
| Surgery chi hrang hrang | Hrilhfiahna |
|---|---|
| Aortic Root thlak (ARR) / Bentall tih dan tur | Hetiang tih danah hian i aorta zung chhia chu aortic valve nen synthetic graft leh valve thar hmangin thlak a ni. Hei hi i aortic valve a leak emaw, calcified nasa tak emaw a nih chuan gold standard a ni. Mechanical valve hman a nih chuan thisen zam a awm loh nan dam chhung zawnga anticoagulant damdawi i ei a ngai dawn a ni. |
| Valve-Sparing Root thlak danglamna (VSRR) . | A hming ang bawkin he procedure hian artery chak lo lam chauh a thlak a, chutih rualin nangmah ngeiin aortic valve hrisel tak chu a humhim bawk. Hei hi damlo naupang zawk emaw, connective tissue disorder (Marfan syndrome ang chi) nei, valve hrisel nei tan a tha hle. A hlawkna lian ber chu a tlangpuiin dam chhung thisen tithianghlimtu i mamawh lo. Technique lian pahnih a awm a, chungte chu Yacoub procedure leh David procedure te an ni. |
VSRR subtype hrang hrangte
VSRR hi technique lian ber pahnih zinga pakhat hmanga tih a ni a, chungte chu Yacoub leh David procedure te an ni.
- Yacoub procedure: Hei hian aortic root chu original valve nena inmil turin remodeling a ni. Damlo kum upa zawk emaw, aneurysm hi genetic condition avanga lo awm lo tan pawh a tha hle.
- David procedure: Hei hian synthetic graft chhungah valve chu dah leh a ni. Technical lamah chuan complex zawk mahse, Marfan syndrome ang chi genetic condition nei damlo naupang zawkte tan chuan hman a ni nasa hle a, a tha hle bawk.
He Surgery hi Tuin Nge Mamawh A, Engtikah nge?
I aorta zung a lian chuan rupture emaw dissection emaw a awm thei a, chu chuan surgery neih a pawimawh hle. Kum upat avanga incheina avanga lo awm thei a nih laiin, Marfan syndrome emaw Loeys-Dietz syndrome emaw ang chi genetic condition te hian heng aneurysm hlauhawm tak takte hi dam chhungin a hma deuh hlek thei a ni.
Surgery chungchanga thutlukna siamna chu aneurysm lian tham leh i risk profile bik a zirin a ni:
- Genetic risk hnuaia awm i neih loh chuan, a diameter 5.5 cm a thlen chuan operation neih a tha tlangpui.
- Marfan syndrome i neih chuan threshold hi a tlangpuiin 5.0 cm .
- Marfan syndrome i neih chuan chhungkaw history-a aortic dissection, naupai tumna, emaw, a lo thang chak (kum khatah 3mm aia tam) i neih chuan 4.5 cm- a operation neih a tha thei ang.
- Bicuspid aortic valve leh risk factor dang, thisen sang control loh ang chi i neih chuan, intervention hi 5.0 cm -ah ngaihtuah a ni fo thin.
A pawimawh ber chu heng thutlukna siamte hi mimal taka siam a ni. I Nirogi Lanka surgeon chuan i kum, hriselna zawng zawng leh i damdawi lam chanchin a zirin i tih hun tur tha ber chu a ruat ang.
I Surgery atana Inbuatsaih Dan
Hei hi kalphung lian tak a nih avângin, uluk taka inbuatsaih chu a pawimawh hle. I medical team chuan evaluation kimchang tak an nei ang:
- Thisen test: I kal leh i systemic function zawng zawng tehna atan.
- CT emaw Cardiac MRI: I aorta zawng zawng map chipchiar tak hmuh theih nan.
- Coronary angiography: I thinlung supply tu arteries te chu a hrisel em tih enfiah nan.
- Duplex ultrasound: I kawr chhunga i carotid arteries hriselna enfiah nan.
I doctor nen hian hetiang chungchangah hian chiang takin inbiakna i nei tur a ni:
- Damdawi zawng zawng: Hei hian vitamin, herbal supplement, leh over-the-counter drugs te a huam a, a then chu operation hmain tihtawp a ngai mai thei.
- Hriselna lama harsatna awm tawh: Operation hmain thisen sang ang chi dinhmun hi uluk taka enkawl a ngai a ni.
- Meizial zuk: Operation hma thla khat tal i bansan tur a ni . Khawngaihin i Nirogi Lanka team te hnenah i chhuahsan theihna tura puihna i mamawh em tih zawt rawh.
Procedure neih chhung leh a zawh hnuah
Surgery neih chhung hian general anesthesia hnuaiah dah i ni ang. Cardiopulmonary bypass machine -ah i inzawm ang a, chu chuan i thinlung leh lung hnathawh chu hun engemaw chen a la a, chu chuan surgeon chuan thinlung nghet leh muang takah hna a thawk thei ang.
Surgeon chuan i rilruah incision a siam ang a, aortic section chak lo chu a la chhuak ang a, synthetic graft hmangin a thlak ang. Chumi hnuah chuan coronary arteries te chu incision khar hmain graft-ah hian an inzawm leh a ni. A tlangpuiin darkar 4 atanga darkar 6 vel a ni .
Surgery hnuah general recovery ward-a i insawn hmain Intensive Care Unit (ICU)-ah hun i hmang ang. Damdawi ina awm zawng zawng hi kar khat vel a ni tlangpui a, chutih chhung chuan uluk taka enkawl i ni ang a, natna enkawlna leh damdawi tul tak tak pek i ni ang.
Recovery Time chu eng nge ni?
Hetiang major procedure hnua dam lehna famkim hi kar 6 atanga kar 12 chhung a ni tlangpui , a then phei chuan thla engemaw zat a ngai bawk. Chutiang operation buaithlak tak hnua i taksa chu a dam tha theih nan hun leh dawhtheihna nasa tak a mamawh a ni.
- Kar 6 hmasa berah: Motor khalh te, thil rit chawi te, thil hahthlak tak tak tih loh tur.
- Desk hna atan: Kar 6-8 vel hnuah hna i thawk leh thei ang.
- Taksa lama harsatna nei hna tan: I healthcare team-in thurawn an pek angin rei zawk i nghah a ngai ang.
I doctor thupek dik taka zawm a, cardiac rehabilitation program- a tel hian i dam chak zawk leh awlsam zawk nan nasa takin a pui ang che.
Damdawi lam pan nghal vat hun tur
In lama i haw hnuah a hnuaia symptoms te hi i hmuh chuan doctor rawn nghal tur a ni.
| Symptoms en tur | |
|---|---|
| Surgical Incision chungchanga ngaihtuahna: 1.1. | |
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| Thil dang ngaihtuah tur: | |
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Emergency hriatchhuah dan
Aneurysm enkawl loh i neih chuan a hnuaia symptoms te hian a rupturing emaw tearing emaw a ni tih a tilang thei. Chutiang thil a nih chuan, emergency department hnai ber pan emaw, 911 (a nih loh leh i awmna hmuna emergency services) call emaw hmangin emergency care zawng nghal rawh.
- A rilru emaw, a hnungzang emaw-ah natna rang tak, tuar theih loh (a tam zawkah chuan tearing or ripping sensation anga sawi a ni).
- Profuse sweating leh vun lum, clammy tak.
- Thâwk harsa.
- Luak chhuak emaw, muhil emaw.
- Lungphun chak tak emaw, mumal lo emaw.
Takeaways pawimawh tak tak (Nirogi Lanka) .
- Aortic Root Replacement hi nunna chhanhimna tur surgical procedure a ni a, aorta initial section chak lo zawka tih thin a ni.
- He surgery hi chi hnih bulpui ber a awm a, pakhat chu aortic valve thlaktu (ARR) leh pakhat chu a humhimtu (VSRR) te an ni. I surgeon chuan i tan a tha ber tur a ruat ang.
- Full recovery hian thla engemaw zat a daih laiin, he procedure hlawhtlinna leh damchhuahna hi a sang hle (98%-99%) vel a ni.
- Preoperative leh postoperative medical guidance khauh taka zawm hi a tha zawnga dam leh theihna turin a pawimawh hle.
- Zawhna emaw hlauhthawnna emaw i neih chuan doctor nen sawiho hreh suh. Hetiang tih dan hi damdawi lam thiamte tan chuan tih dan pangngai a nih laiin, i tan chuan thil tawn pawimawh tak a ni a, ngaihtuahna neih hi thil pangngai tak a ni.
Aortic Root Replacement, Aorta, Lung zai, Aneurysm, Bentall procedure, Marfan syndrome, Aortic valve, Lung natna, Lung zai te
