Surgical Aortic Valve Replacement - Hemi chungchang hi awlsam takin han sawi ila

I doctor-in i aortic valve a hnathawh that loh avangin thlak turin operation i neih a ngai tih a hrilh che chuan i hlauthawng leh hlauthawng deuh mai thei. Chu chu thil pangngai tak a ni. Mahse hei hi mi tam takin surgery an neih leh hlawhtling tak tak a ni. Chuvangin vawiin hian he surgery, Surgical Aortic Valve Replacement (SAVR) chungchang hi i rinhlelhna zawng zawng tifai thei tur awlsam takin i sawi dawn nia.

Aortic valve thlak danglamna (SAVR) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, SAVR chu i thinlung chhunga aortic valve a chhiat em avangin a thawk tha tawh lo va, a hmunah valve thar surgery hmanga dah a nih chuan a ni.

Aortic valve hi i taksa chhunga thisen kalna bulpui (aorta kan tih) chu i thinlung nena inzawmna ‘kawngkhar’ a ni ang tih han ngaihtuah teh. I thinlung a na apiangin he kawngkhar hi a inhawng a, i taksaah thisen a pump lut thin. Tichuan, kawngkhar chu a khar ta a.

A châng chuan kum upat vang emaw, thil dang vang emaw hian he kawngkhar hi harsatna a lo chhuak thei a ni.

• Kawngkhar hawn dik loh: Kawngkhar hinge rusty ang maiin he valve hi a inhawng kim lo mai thei. Damdawi lam hawi chuan hei hi aortic stenosis an ti a. Tichuan, thinlung chu na hle mah se, taksaah thisen a pump chhuak tawk lo.
• Kawngkhar hi a khar tha lo: Thing kawngkhar hlui, a khar tha lo ang bawkin, he valve hi a khar vek thei lo. Hei hi aortic regurgitation an ti a . Hei hian taksaa thisen pump luh thenkhat chu thinlungah a luang lut leh thin.

Valve a chhiat chuan i taksa mamawh thisen pump turin i thinlung hian a hma aia nasa zawkin hna a thawk a ngai a ni. Tui pump-in pipe khar atanga tui pump chhuah tumin a beih ang mai a ni. He extra effort hian hun kal zelah i thinlung a tichhe thei a ni. Tin, rilru na leh thawk harsa ang chi symptoms i nei thei bawk. Enkawl loh chuan he natna hi hun kal zelah nunna atana hlauhawm tak a ni thei.

SAVR hi open surgery a ni. Chumi awmzia chu surgeon chuan i thinlungah lut turin i rilruah incision a siam tihna a ni. Hei hi surgery lian tak a nih avangin hlauhawmna engemaw zat a awm. Mahse, i doctor chuan i dinhmun a zirin he surgery hlawkna leh hlauhawmna chiang takin a hrilhfiah ang che.

Surgery neih hmain eng nge thleng?

Surgery hmain test eng emaw zat i neih a ngai dawn a ni. Hei hian i healthcare team te chu i thinlung dinhmun uluk taka an zirchian theih nan leh eng surgery nge i tan a tha ber tih an rel theih nan a pui ang. Entirnan, SAVR surgery emaw, TAVR tih hming pu incision tenau zawk emaw chu i tan a tha ber em tih an rel ang.

Test i ngaihtuah duh ṭhenkhat chu hetiang hi a ni:

• Cardiac Catheter hmanga tih a ni
• Chest X-ray neih a ni
• CT Scan hmanga tih a ni
• Echocardiogram (Echocardiogram - Echo) tih hi a awm lo.
• ECG (Electrocardiogram - EKG) hmanga tih a ni.
• Thisen leh zun test a ni

Heng zawng zawng hi operation atan i inpeih kim em tih leh i taksain a tuar theih nan tih a ni. Chumi hnuah chuan operation ni atana inbuatsaihna tur thupek chiang tak pek i ni ang.

• Surgery hma eng chen nge ei leh in ka chawlhsan tur?
• Tuna i damdawi ei mek zingah hian hun eng emaw chen i chawlhsan a ngai em?
• Damdawi inah lo kal a hun tawh.
• Damdawi ina i lo kal huna i ken tur leh in lama i hnutchhiah tur.

Heng thupek chungchangah hian thil chiang lo a awm chuan i doctor emaw nurse emaw zawt hreh suh. Meizial zu mi i nih chuan, operation hmaa a rang thei ang bera bânsan chuan harsatna i neih theihna chu nasa takin a tihtlem thei a ni.

Transplant valve thlan dan: Eng nge duhthlan tur awm?

SAVR surgery atana inbuatsaih huna thutlukna pawimawh ber pakhat chu eng ang valve nge i dah dawn tih hi a ni. Valve hi chi hnih a awm a. I hriatthiam theih nan an thatna leh that lohna i lo thlir ang u.

I surgeon chuan duhthlan tur pahnih hi a sawipui ang che a, i kum, hriselna leh nunphung a zirin i tana tha ber valve chu a rawn rawt ang che. A tlangpuiin kum 50 hnuai lam tan mechanical valve hman a tha a, kum 65 chunglam tan biological valve hman a tha bawk a, a inkar a awm tan chuan i duh leh mamawh a zirin pakhat tal i thlang thei bawk.

Surgery neih chhung hian eng nge thleng?

SAVR surgery hi darkar hnih atanga darkar li vel a ni tlangpui. Hetih hun chhung hian engmah i hre lovang. Surgery-a step hrang hrangte chu hetiang hi a ni mai:

1. Anesthesia: A hmasa berin i care team-in anesthesia an pe ang che. Hei hian muthilh thuk takah a dah ang che. Surgery neih chhung hian natna engmah i hre lo vang a, thil thleng engmah i hre reng lo vang.

2. Heart-lung machine nena inzawm: A dawtah chuan heart-lung machine nena inzawm i ni ang. Chumi awmzia chu operation laiin i thisen chu i thinlung leh lungah a kal lo va, chu ai chuan he machine hmang hian a kal a, chutah chuan a tifai a, i taksaah a kir leh thin tihna a ni. Hei hi i thinlung leh lungte chawlh tlem pek ang mai a ni. He machine hian hun eng emaw chen chu i thinlung a titawp bawk. Hei hian surgeon chuan thinlung thawk lo chu him takin a ti thei a ni.

3. Incision: Surgeon chuan i rilru lai takah, i hnute ruh dung lamah inches 6 vel zeta sei vertical incision (sternotomy) a siam thin.

4. Valve thlak: A dawtah chuan aortic valve hlui, chhe tawh chu lakchhuah a ni a, valve thar hmanga thlak a ni a, a hmunah sewn a ni.

5. Chest closure: A dawtah chuan sternum hmun hrang hrang pahnih chu wire hmangin an inzawm leh a. Heng wire te hi dam chhung atan a hmunah an dah tlangpui. A tawpah chuan vun incision chu stitched closed a ni.

Minimally invasive duhthlan tur a awm

A then phei chuan doctor-te chuan he surgery hi incision tenau zawk hmangin an ti thin. I doctor chuan hei hi i tan a tha em tih a hrilh belh ang che.

Surgery hnuah eng nge thleng? Engtin nge dam leh hun chu?

Surgery zawhah ni nga vel damdawi inah i awm a ngai dawn a ni. Hemi chhung hian medical team chuan i hriselna an enfiah ang. Nitin tlem tal kea kal thiam leh i thiltih pangngaia i awm leh theih nan an pui ang che.

In lama i haw hnuah a dam kim theih nan kar li atanga kar riat vel a ngai thei. Hetih hun chhung hian chau tih hi thil pangngai tak a ni. I taksa hian chawlh a mamawh a ni. Chuvangin i thiltih hluiah chuan hmanhmawh kir leh tawh suh. I doctor thupek ang chiah kha zawm rawh.

I dam kim hnuah (kar 6-8 hnuah) i doctor chuan cardiac rehab neih a rawt thei ang. Hei hi supervised program a ni a, zawi zawiin leh him takin exercise i tih leh theih nan a pui che a ni. Tin, nunphung tihdanglam dan tur kaihhruaina pek i ni bawk ang a, chu chu thinlung hriselna atana tha ei leh in zawm leh meizuk bânsan ang chi hi a ni.

He surgery hian eng hlawkna te, hlauhawmna te, leh hlawhtlinna te chu engte nge ni?

Valve tha lo thlak danglam hian nunna a chhanhim thei a ni. He natna hi enkawl loh chuan thihna thlen thei a ni.

Mi tam zawk tan chuan thihna emaw, stroke emaw ang chi harsatna lian tham tak tak thlen theihna a tlem hle. Chu chu 1% atanga 2% thlenga hniam a ni. He risk hi i kum leh hriselna zawng zawng a zirin a danglam thei. I doctor chuan i personal risk level chu a hrilhfiah ang che.

Surgery dang ang bawkin harsatna engemaw zat a awm thei bawk.

• Thinlung thawk mumal lo (Arrhythmia) .
• Pacemaker nghet tak dah a ngai
• Thisen chhuak
• Infection awm thei te
• Thai
• Thihna

Heng risk te hi mi zawng zawng tan a inang vek lo. I kum leh damdawi lam dinhmun dang a zirin an danglam thin. I doctor chuan heng hlauhawmnate hi a tih tlem theih nan theihtawp a chhuah ang.

Engtikah nge doctor nen in inbia ang?

In lama i dam lai hian risk symptom i neih chuan doctor hriattir nghal a pawimawh hle. A bik takin a hnuaia symptoms te hi hre reng ang che:

Heart valve thlak a ngai tih i hriat chuan hlauhna i neih hi thil pangngai a ni. Mahse, hei hi i thinlung puitu procedure a ni tih hre reng ang che, i in chhunga thil chhe tawh siamthat ang chi a ni. He surgery hnu hian i thinlung hian hna a thawk awlsam zawk ang a, i rilru a hahdam ang. Hemi chungchanga zawhna i neih chuan i doctor nen inbiakna neih hreh suh la, i rilru chu thlamuang takin dah la.