Tlemte i hah lai hian i rilruah a rit emaw, thawk harsatna emaw i nei fo thin em? A nih loh leh i doctor-in i thinlunga valve pakhatah harsatna i neih thu leh operation hmanga thlak a ngai tih a hrilh che em? Hetiang thil i hriat hian hlauhna leh lungkham deuh deuh hi thil pangngai a ni. Mahse, lungngai suh. Vawiin hian he surgery chungchang kan sawi dawn a, chu chu ‘Surgical Aortic Valve Replacement’ (SAVR) tih a ni. Hemi chungchang hi awlsam tak leh i hriatthiam theih tur angin i sawi ang u.
Aortic valve thlak danglam hian eng nge a awmzia tak?
Kan thinlung hi tui pump ang maiin han ngaihtuah teh. He thinlung atanga taksa pum puia thisen pump chhuaktu thisen kalna kawngpui ber chu ‘Aorta’ an ti a. Chuvangin, thinlung leh he thisen kalna bulpui inkar ‘gate’ hi Aortic valve an ti a. Thinlung a na apiangin he kawngkhar hi a inhawng a, thisen a luang chhuak a, chumi hnuah a khar leh thin.
A châng chuan kum upa lam emaw, damdawi lam thil dang vang emaw chuan he kawngkhar hian hna a thawk ṭha tawh lo.
- Kawngkhar chu a inhawng tha lo: Hei hi Aortic Stenosis an ti a. Kawngkhar a inhawng vek lo ang mai a ni a, chuvang chuan thinlung atanga thisen luang chhuak tur hmun a awm lo.
- Kawngkhar chu a khar tha lo: Hei hi Aortic Regurgitation an ti a. Kawngkhar hlui ang maiin a khar tha loh chuan thisen chhuak thenkhat chu a hnung lamah a leak leh thin.
Heng pahnihah hian thinlung hian a hma aia nasa zawkin hna a thawh a ngai a ni. Kawngkhar tangkhang hawn tum ang mai a ni. Hun a kal zel a, he hnathawh tam lutuk hian thinlung a tichhe thei a ni. Tin, rilru natna leh thawk harsa ang chi symptoms a thlen thei bawk. Enkawl loh chuan he natna hi nunna atana hlauhawm tak a ni thei.
Chuvangin, he surgery hi SAVR kan ti a, chutah chuan he valve chhia hi kan la chhuak a, a thar nen kan thlak leh thin. Hei hian i symptoms a ti tlem a, i thinlung a venghim a, dam rei zawk nun hrisel zawka nun theihna hun remchang a pe bawk.
Surgery neih hmain eng nge thleng?
Hei hi surgery lian tak a nih avangin a tan hmain uluk takin enfiah i ni ang. Heng test te hian i hriselna nena inmil ber enkawlna tur kan thlang thei dawn a ni.
Surgery hmaa routine test neih thin
A tlangpuiin hetiang hian test eng emaw zat i tih a ngai dawn a ni.
| Test Hming | Hei hi ti mai rawh... |
|---|---|
| Echocardiogram (Echo) hmanga tih a ni. | Thinlung leh a valve hnathawh dan enfiahna scan. |
| Electrocardiogram (ECG/EKG) hmanga tih a ni. | Thinlung electrical activity test. |
| Chest X-ray neih a ni | Thinlung leh lung dinhmun enfiah nan chest X-ray neih a ni. |
| Cardiac Catheter hmanga tih a ni | Tube te tak te chu thisen kalna kawng khat kaltlangin thinlung chhungah an lut a, chu chuan thinlung chhungril leh thisen kalna kawng hrang hrangah pressure a enfiah thin. |
| Thisen leh zun test a ni | Taksa hriselna zawng zawng enfiah, kal hnathawh ang chi. |
Hei bakah hian medical team ten surgery atana inbuatsaih dan tur an hrilh ang che.
- Operation hma hian eng chen nge chaw nghei (ei leh in lo) i mamawh ?
- Tuna i damdawi ei mek zawng zawng hi rei lo te chhung i chawlhsan a ngai em tih.
- Damdawi inah lo kal a hun tawh.
- Damdawi ina thil ken tur leh ken loh tur.
A pawimawh ber: Doctor hnenah i hriatthiam loh thil emaw zawhna i neih apiang zawh hreh suh. Meizial i zuk chuan operation hmaa a rang thei ang bera bânsan chuan harsatna i neih theihna chu nasa takin a tihziaawm thei a ni.
I duh ang hairstyle thar i thlang ang u.
Surgery hmaa thutlukna pawimawh ber i siam tur chu eng ang valve thar nge i dawn dawn tih hi a ni. A chi hnih a awm a.
| Valve chi hrang hrang | A sawifiahna leh a thatna/that lohna |
|---|---|
| Biological / Bioprosthetic Valve hmanga siam a ni | Chungte chu vawk, bawng, emaw (a tlem berah) mihring tissue atanga siam a ni. Advantage: I dam chhung zawngin anticoagulant i ei a ngai lo. Disadvantage: Hengte hi a awm reng lo. Kum 10-20 hnuah thlak a ngai tlangpui. |
| Mechanical Valve hmanga siam a ni | Hengte hi carbon leh steel ang chi thil chhe thei lo atanga siam a ni. Advantage: Hengte hi dam chhung daih a ni. An thlak leh ngai tawh lo. Disadvantage: Thisen zam hlauhawmna tur ven nan Warfarin ang chi thisen tithianghlimtu i dam chhung zawng i ei a ngai dawn a ni. |
I surgeon chuan i kum, hriselna leh nunphung a zirin eng valve nge i tan a tha ber tih a sawipui 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.
Surgery tih dan tur step khat hnu step khatin
He surgery hi darkar hnih atanga darkar li vel a ni tlangpui a, chutih chhung chuan mut thuk takah i awm a, engmah i hre lo.
1. Pakhatnaah chuan i rilru a buai vek ang (`Anesthesia`) .
2. A dawtah chuan heart-lung machine nen i inzawm ang . He machine hian operation neih chhung hian i thinlung leh lung hnathawh chu hun eng emaw chen a la ang. I thinlung (cardioplegia) hun eng emaw chen tihtawp nan pawh hman a ni ang. Hei hian surgeon chuan i thinlung thawk lovin him takin surgery chu a ti thei ang.
3. Surgeon chuan i rilru lai takah inches 6 vel zeta sei incision a siam a, chu chuan i hnute ruh (`Sternum`) a hawng a, thinlung a lut thei a ni. Hei hi `Sternotomy` an ti a.
4. Aortic valve hlui, chhe tawh chu la chhuakin valve thar hmangin thlak a ni a, chu chu a hmunah sewn a ni.
5. Tichuan, sternum hawn chu wire hmangin an inzawm leh leh thin. Heng wire te hi taksaah dam chhung atan dah a ni tlangpui.
6. A tawp berah chuan vun incision chu sewn closed a ni.
Operation hnua dam leh hun chhung
Surgery zawhah ni 5 vel damdawi inah i awm a ngai dawn a ni. Hemi chhung hian medical team chuan i dinhmun hi an enfiah reng ang. Zawi zawiin kea kal leh thil pangngai tihnaah an pui ang che.
A tlangpuiin a dam kim theih nan kar li atanga kar riat vel a ngai thin.Kum khat thleng a daih. Hetih hun chhung hian hahdam taka inhriat hi thil pangngai a ni. Hei hi i taksa a dam tawh vang a ni. In i haw hnuah i doctor chuan cardiac rehabilitation program-a kal turin a rawt mai thei. Hei hian thil tam tak a zir theih nan a pui ang che, chu chu exercise lak thiam leh thinlung hrisel ei leh in hman te hi a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
He surgery hian a thatna lian ber chu nunna a chhanhim thei a ni . Aortic valve natna hi enkawl loh chuan thihna thlen thei a ni. Hlawhtlinna rate a sang hle. Mi tam zawk tan chuan thihna emaw, stroke ang chi harsatna lian tak tak emaw thlen theihna a tlem hle a, 1% - 2% vel a ni.
Mahse surgery dang ang bawkin risk engemaw zat a awm.
- Thinlung thawk mumal lo (`Arrhythmia`) .
- Pacemaker nghet tak neih a ngai
- Thisen chhuak
- Infection awm thei te
- Thai
- Thihna
He risk hi mi zawng zawng tan a inang vek lo. I kum leh damdawi lam thil dang ang chi thil a zirin a danglam thei. I surgeon chuan i personal risk level chu a hrilhfiah ang che.
| I dam chhungin heng symptoms te hi a lo lang a nih chuan doctor ko nghal rawh! |
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SAVR surgery ai chuan tih theih dang a awm em?
Ni e, damlo thenkhat tan chuan, a bik takin kum upa zawk emaw, dinhmun dang avanga operation lian tham neih theihna sang zawk emaw tan chuan Transcatheter Aortic Valve Replacement (TAVR) tih hi a tha zawk mai thei. Hei hian a rilruah incision te tak te hmangin valve hlui chhungah valve thar dah a, hawn loh a huam a ni. Hei hi kalphung awlsam zawk a ni a, recovery time pawh a tlem zawk. I medical team chuan SAVR nge TAVR hi i tan a tha ber tih an rel ang.
Take-Home Thuchah a ni
- Surgical Aortic Valve Replacement (SAVR) hi aortic valve chhiat surgery hlawhtling tak leh tih tlanglawn tak a ni.
- I doctor chuan i kum leh hriselna dinhmun a zirin biological emaw mechanical valve emaw i thlan theih nan a pui ang che.
- A dam kim theih nan kar 4-8 vel a ngai a, he hun chhung hian damdawi lam thurawn zawm a pawimawh hle.
- I dam lai hian vaukhânna chhinchhiahna eng emaw i hmuh chuan, khawsik, i rilru natna, emaw, i surgery hliam a danglamna emaw i hmuh chuan i doctor hnenah hriattir nghal rawh.
- Hemi chungchanga zawhna emaw, hlauhthawnna emaw i neih chuan i doctor nen zalen takin sawi rawh.
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