Aortic Valve Repair chungchang i zir dawn nia.

I thinlung hi pindan pali nei in angin ngaihtuah rawh. Heng pindan inkarah hian kawngkhar a awm a, chu chuan thisen a kal leh chhuak thei a ni. Chutiang thinlung chhunga ‘kawngkhar’ pawimawh tak pakhat chu Aortic Valve hi a ni. Hei hi thinlung atanga thisen kal dan tur control tu gate a ni a, chu chu taksa pum puia thisen phurtu main artery (Aorta) a ni. He gate hi thinlung thawk apiangin a inhawng a, a khar bawk. Chuvangin han ngaihtuah teh, he kawtthler chhungah hian thil engemaw a chhiat chuan eng nge thleng ang? Chutah chuan harsatna chu a intan ta a ni.

A awlsam zawngin Aortic Valve Repair hi eng nge ni?

Aortic valve repair hi heart surgery chi khat a ni a, heart gate lian ber, a chunga kan sawi tawh aortic valve-a chhiatna awm chu siamthat a, a hnathawh dan tur dik taka siam leh a ni.

I in chhung kawngkhar i khar tha thei lo a nih chuan han ngaihtuah teh. Chutiang bawkin mi thenkhat aortic valve pawh a khar tha lo va, thisen a chhuak tan (aortic regurgitation) . Hei hi medical science-ah chuan aortic regurgitation an ti a. Chutiang a lo thlen chuan thinlung atanga taksa pan tur thisen thenkhat chu thinlungah a leak leh thin. Tichuan taksa pumin thisen a mamawh zat pump turin thinlung hian nasa zawkin hna a thawk a ngai a ni. Hun kal zelah hetiang hi a lo thlen chuan thinlung hi a chhe thei a ni. Chuvangin aortic regurgitation na tak nei leh symptom nei te chuan he valve siamthat emaw thlak emaw tur hian operation an neih a ngai a ni.

A tlangpuiin doctor-te chuan he valve hi a thar vek hmangin an thlak thin. Amaherawhchu, damlo thenkhat chuan anmahni valve siam thatin an hmang thei a ni. Hei hi mi zawng zawng tan thil theih a ni lo. Surgeon-te chuan he surgery atana mi an thlan hian thil tam tak an ngaihtuah a. Doctor chuan i valve siam that emaw, a thar dah emaw chu i tan a tha ber em tih chu a rel ang a, chu chu thil tam tak, i valve pianzia leh a chhiat nasat dan te a zirin a rel ang.

Operation hmain eng nge i tih tur?

Surgery atana inbuatsaih hunah chuan a pawimawh ber chu test te hi tih hmasak a ni. Surgeon chuan i aortic valve chu siamthat theih tak tak a nih leh nih loh a hriat chian a ngai a ni. Valve parts te chu nasa taka a chhiat chuan siamthat ai chuan valve thar dah a tha zawk mai thei.

Hei hi test ber chu Transesophageal Echocardiogram (TEE) a ni. Hei hian i thinlung thlalak chiang tak tak, hnai tak atanga lak theihna turin i rilru hnuaiah camera dahna tube te tak te dah luh a huam a ni. Hei hian i doctor chuan i valve leh i thinlung hmun dangte dinhmun a enfiah thei a ni.

He TEE test bakah hian test dang engemawzat i neih a ngai dawn a ni.

I doctor chuan operation atana inbuatsaih dan tur chiang takin a hrilh ang che. Chu thupekte chu dik taka zawm a pawimawh hle . I hriatthiam loh thil a awm chuan i doctor emaw nurse emaw zawt ngei ang che. Chu thupêkte chuan hetiang hi a huam thei a ni:

• Operation hmaa ei leh in tihtawp hun.
• Damdawi i ei tlangpui zinga eng emaw zat chu rei lo te chhung i chawlhsan a ngai em tih.
• Damdawi inah surgery nei tura lo kal hun.
• Damdawi inah eng nge ken tur leh in lama dah tur.

Engtin nge surgery hi tih a nih?

Aortic valve siamthatna surgery hi open-heart surgery anga tih a ni tlangpui . Chu chu, surgery chu rilru lai takah incision lian tak pakhat hmanga tih a ni tihna a ni. Mahse, a then phei chuan operation hi incision tenau zawk (minimally invasive surgery) hmanga tih a ni.Hei hi kawng dangin a tih theih bawk. Surgery hi a rilruah incision te te engemaw zat siamin an ti thin. Surgeon chuan eng method nge i tan a tha ber tih a hrilh ang che.

Hengte hi operation tih dan tlangpui chu a ni:

1. Anesthesia: Pakhatnaah chuan muthilh kim theihna tur damdawi pek i ni ang. Chuvangin operation neih chhung hian engmah leh natna engmah i hre lovang.

2. Incision siam: A dawtah chuan surgeon chuan thinlung thleng turin a rilruah incision pakhat emaw a aia tam emaw a siam a. Open surgery-ah chuan hnute ruh ( sternum ) lai takah inches 6 vel zeta sei incision siam a ni.

3. Heart-lung machine nena inzawmna: Surgery neih chhung hian heart-lung machine-ah in connect a, chu chuan i thinlung leh lung machine hna a thawk ang. He machine hian i taksa pum puiah thisen a kal kual a, thisenah oxygen a dah tel bawk.

4. Valve siamthat: Chumi hnuah surgeon chuan i aortic valve chu a siam tha ang. Hetianga tih dan hi mi tin a inang lo ang. I valve pianzia leh a chhiatnaah a innghat ang. Entirnan, annuloplasty tih hi valve base (ring) tichaktu leh valve khar dik theihna tura tih a ni. Tin, hmanraw hrang hrang a hmang bawk a, chu chu valve-a leaflet-te pianzia thlak danglam leh tissue piece-te chu a chhunga khur emaw, a tear emaw-ah a dah a ni.

5. Harsatna dang siamthat: Hetih lai hian thinlung emaw aorta emaw-ah harsatna dang a awm a nih chuan, entirnan, aneurysm , he surgery neih chhung hian siamthat a ni bawk ang.

6. Surgery tih zawh: Siamthat tul zawng zawng tihfel a nih chuan surgeon chuan a incision te chu a khar ang a, a stitch ang. Chumi hnuah medical team chuan recovery room-ah an hruai ang che.

Surgery hnuah eng nge thleng?

Surgery zawhah ni thum atanga ni sarih vel damdawi inah i awm ang. Hemi chhung hian medical leh nursing team te chuan uluk takin an lo enkawl ang che . I dam lehna a kal tha em tih an enfiah ang. Zawi zawiin kea kal leh i kal kual theih nan an pui ang che.

In i haw hmain cardiac rehab programme chungchang an hrilh ang che. Hengte hian i dam lehna kawngah nasa takin a pui ang.

He surgery hian eng hlawkna nge a neih?

Aortic valve siamthat surgery thatna ber chu nangmah ngeiin i natural valve i vawng reng thei a ni. Hei hian valve thar neih avanga hlauhawm thenkhat chu pumpelh turin a pui thei che a ni. A bik takin, i dam chhung zawnga anticoagulant ei ngai lo turin a pui thei che a ni. I doctor chuan he surgery hlawkna hi i dinhmun a zirin a hrilh belh ang che.

Surgery neih hian eng hlauhawmna nge a neih?

Complication awm thei ber chu operation dang neih belh a ngai a ni . Hetiang thil a thlen theih chhan hi chhan hrang hrang a awm a:

• Operation hnuah pawh valve atanga thisen chhuak ( recurrent aortic regurgitation ).
• Valve-a natna hrik ( endocarditis ) a awm.
• Valve siamthat tawh thenkhat chu beisei angin hna a thawk lo.

Heng bakah hian aortic valve surgery eng pawhah hian hlauhawmna tlangpui engemaw zat a awm thei a:

• Lungphung dik lo ( arrhythmia ) .
• Anaesthetic damdawi avanga allergy nei
• Thisen chhuah tam lutuk
• Lung natna
• Lung lam chak lohna
• Thai

Mi tin risk level a inang lo. I surgeon chuan operation hmain i risk te chu a sawipui ang che. Harsatna awm thei zawng zawng leh a nghawng theih dan tur hriatthiamna tha tak i neih a pawimawh. I hriatthiam loh thil a awm em tih zawt ngei ang che. Operation hmaa hriselna lama harsatna lian tak nei (entir nan, heart failure na tak) te chuan risk a sang deuh thei.

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

Surgery atanga i dam kim theih nan kar li atanga kar riat vel a ngai dawn a ni . Minimally invasive surgery i neih chuan i dam leh hun chu a tawi zawk mai thei.

Operation hnu kar engemaw zat chhung chu chau anga inhriat hi thil pangngai a ni. Chawlh hahdam a pawimawh . Vawi khatah hna tam lutuk thawk suh. I doctor chuan i thil tih pangngai (driving emaw hnathawhna hmuna kal emaw ang chi) i tan a him hun tur a hrilh ang che. Cardiac rehabilitation program-a tel hian nun hrisel i hman thiam theih nan leh him taka active leh turin a pui thei bawk.

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

Surgery atanga i haw hnua harsatna i neih chuan doctor hriattir nghal a pawimawh hle. A bik takin a hnuaia symptoms te hi hre reng ang che:

Thil pawimawh tlemte hriat tur

Aortic valve siamthat surgery hi aortic valve thlak danglamna surgery aiin tih a tlem zawk hle . Dik tak chuan aortic valve surgery zinga 5% aia tlem chu repair surgery a ni. A chhan ber chu surgery specialized leh complex tak a nih vang a ni. Chuvangin he surgery hi damdawi in tinah emaw, surgeon zawng zawngin an ti lo.

He surgery hian aortic regurgitation (valve leaky) an tih natna a enkawl a ni. A châng chuan, valve-sparing aortic root thlak danglam ṭhinHe valve siamthat hi aortic aneurysm repair an tih surgery pakhat angin an ti bawk. Hei hian i thinlung nena inzawm aorta hmunpui ber a swelling (aneurysm) enkawl laiin nangmah ngeiin valve siamthat leh vawnhim a huam a ni.

Hei hi surgery lian tak a nih avangin hlauhna leh hlauthawng tih hi thil pangngai a ni. Mahse, he surgery hi surgeon tawnhriat ngah takin a tih chuan i thinlung hian hun rei tak chhunga hnathawh that leh chak zawka a mamawh enkawlna a dawng ang tih hre reng ang che. Surgery atana i inbuatsaih lai hian zawhna leh ngaihtuahna i neih apiang chu i medical team nen sawiho rawh. Engkim an hrilhfiah ang che.