Aortic Root Replacement surgery neih i hlau em? A awlsam zawngin sawi ila! (Aortic Root thlak danglam) .

Doctor chuan i thinlung atanga i taksa pum puia thisen phurtu thisen kalna kawng bulpui chu a chak lo va, a bul lamah bulge a nei tih a hrilh che em? A nih loh leh operation i mamawh thu a hrilh che em? Chutiang thil i hriat chuan hlauhna tlem a awm chu thil pangngai a ni. Mahse hei hi i nunna chhanhim thei tur surgery pawimawh tak a ni. Vawiin hian he Aortic Root Replacement surgery hi eng nge a nih, engtin nge a tih tih leh a chungchanga hriat tur zawng zawng kan sawi dawn a ni.

A awlsam zawngin Aortic Root Replacement hi eng nge ni?

Kan taksaa thisen kalna kawng lian ber leh pawimawh ber aorta chu kan thinlung nen a inzawm tlat a ni. He aorta hi thinlung nena a inzawmna hmun hmasa ber chu aortic root an ti a. A châng chuan he hmun bang hi a chak lo va, balloon ang maiin a bulh ṭan ṭhin. Hei hi aneurysm an ti a.

Chuvangin, `Aortic Root Replacement` surgery-ah hian aorta zung chak lo leh hring tawh chu lakchhuah a, artificial channel (graft) hmanga thlak a ni. Hei hian ka sawi tawh dinhmun hlauhawm tak takte chu a veng thei a, i nunna a chhanhim thei bawk.

He surgery chi hrang hrangte hi engte nge ni?

He surgery hi tih dan tlangpui pahnih a awm a. I doctor chuan i dinhmun a zirin i tana tha ber tur a thlang ang.

VSRR surgery-a subpart hrang hrangte

VSRR surgery hi kawng hnih ah then leh a ni a, chungte chu Yacoub leh David te an ni.

• Yacoub procedure: Hei hian aortic valve remodeling a huam a ni. Hei hi kum upa lam, non-genetic cause avanga aneurysm nei tan a tha zawk.
• David procedure: Hei hi aortic valve dah leh a ni. Hei hi Yacoub procedure aiin a buaithlak deuh a, mahse hman a ni zawk. A bik takin thalai thlahtu natna chi hrang hrang `Marfan syndrome` nei tan a tha hle.

He surgery hi tute nge mamawh a, engtikah nge?

Aortic root hring hring nei, a chhe thei emaw, a chhe thei emaw a awm chuan he operation hi a ngai mai thei. A châng chuan kum upat ruala thil thleng danglamna avang hian he dinhmun hi a lo awm ṭhin. Tin, genetic diseases Marfan syndrome leh Loeys-Dietz syndrome te hian kum naupang takah he aneurysm hlauhawm tak hi a thlen thei bawk.

Aneurysm lian tham leh risk factor dangte a zirin surgery neih a tha tlangpui.

• Genetic disease dang emaw risk factor dang emaw a awm loh chuan aneurysm diameter chu centimetre 5.5 aia tam a ni .
• Marfan syndrome i neih chuan a diameter chu centimeter 5.0 aia tam a ni .
• Marfan syndrome, chhungkaw history-a hetiang aneurysm chi khat nei tawh, naupai tum i nih chuan, kum khatah millimeter 3 aia chak a nih chuan, centimetre 4.5- a sei pawh ni se, operation neih a tha thei ang.
• Bicuspid aortic valve (cusps pahnih chauh) leh risk factor dang, thisen sang ang chi i neih chuan, diameter 5.0 centimetre -a operation neih a tha thei ang

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak a nih avangin uluk taka inbuatsaih a ngai a ni. I doctor chuan uluk takin a enfiah ang che a, test tul engemaw zat a order ang che.

• Thisen test: Kal hnathawh dan enfiah thin.
• Thinlung CT emaw MRI scan: Aorta hmun zawng zawng enfiah vek tur a ni.
• Coronary angiography: Thinlung thisen petu coronary arteries dinhmun en rawh.
• Duplex ultrasound: Kawr chhunga thisen kalna (carotid arteries) hriselna enfiah thin.

Tin, i doctor nen pawh heng thilte hi i sawipui ngei tur a ni:

• Damdawi i ei zawng zawng chungchang: Hei hian vitamin leh herbal products thlengin a huam a ni. Damdawi thenkhatah chuan operation hmain i ei tawh loh a ngai mai thei.
• Natna dang i neihte chungchang: Thisen sang ang chi thilte hi operation hmain uluk taka control a ngai a ni.
• Meizial i zuk chuan: Surgery hma thla khat tal chu meizuk kha i chawlhsan vek tur a ni. Hemi chungchangah hian doctor hnenah tanpuina dil rawh.

Surgery neih chhung leh operation zawhah eng nge thleng?

Surgery neih chhung hian anesthesia hnuaiah dahin i muhil vek ang. Tichuan heart-lung machine (cardiopulmonary bypass) nen i inzawm ang . He machine hian operation chhungin i thinlung leh lung hnathawh a thawk ang.

Surgeon chuan i rilru lai takah incision a siam a, i thinlungah a lut a, thisen kalna kawng chak lo tak chu a la chhuak a, chu chu artificial channel (graft) thar hmangin a thlak a ni. Chumi hnuah chuan i thinlunga thisen petu coronary arteries te chu channel thar nen an inzawm a, incision chu sewn shut an ni. He surgery hi darkar 4 leh darkar 6 inkar a ni tlangpui .

Surgery zawhah intensive care unit (ICU)-ah ni engemaw zat i awm a ngai dawn a ni. Tichuan regular ward-ah sawn i ni ang. Damdawi ina awm chhung zawng hian kar khat vel a awh thei. Hemi hun chhung hian natna tidamtu, thisen tithianghlimtu, leh enkawlna tul dangte pek i ni ang.

A dam leh theih nan eng chen nge hun a duh?

He surgery atanga a dam kim theih nan kar 6 atanga kar 12 vel , a nih loh leh thla hnih atanga thla thum vel pawh a ngai thei. Hei hi surgery lian tak a nih avangin i taksa hi a dam theih nan hun i pek a ngai a ni.

• Kar 6 chhung: Thil rit phur emaw, chawi emaw suh.
• Office hna thawk tur chuan: Kar 6-8 vel hnuah i lo kir leh thei tawh ang.
• Taksa lama harsatna nei hna thawk tur chuan: I nghah rei a ngai a ni.

I doctor thupek dik taka zawm leh cardiac rehab program- a tel hian dam thuai theihna turin nasa takin a pui ang.

Doctor hmuh nghal hun tur

In lama i haw hnuah a hnuaia symptoms te hi i neih chuan , i doctor ko nghal rawh.

Engtin nge emergency kan hriat theih ang?

Aneurysm enkawl loh i neih chuan a hnuaia symptoms te hi rupture emaw rupture emaw chhinchhiahna a ni thei. Chutiang a nih chuan , damdawi in hnai ber Emergency Department (ETU)-ah kal nghal la, 1990 ambulance service pawh biak rawh.

• Rilru emaw, hnungzang chunglam emaw, tuar theih loh khawpa natna (taksa chhungril atanga thil lo chhuak ang maia hriat).
• Sweating leh clammy tih hriatna.
• Thâwk harsa.
• Luak chhuak emaw, muhil emaw.
• Thinlung thawk chak tak.