Kan thinlung hi taksa peng mak tak a ni. Pump te tak te, non-stop a hnathawk ang mai a ni. He pump hian hmun pali a nei a, chu chuan thisen chu kawng khatah chauh a thawn a, chu chu damdawi lamah chuan heart valve kan ti a ni. Heng kawngkhar pakhat pawh hi chhe ta se, a inhawng tha lo emaw, a khar tha lo emaw a nih chuan eng nge thleng ang tih han ngaihtuah teh. Taksa pum puia thisen luang chhuak chu a tibuai dawn a ni lawm ni? Vawiin hian kan sawi dawn a, surgery hi a buaithlak deuh a, mahse hlawhtling tak a ni a, chu chu thinlung chhunga valve lian ber pakhat aortic valve natna a lo awm chuan tih a ni.
A awlsam zawngin Ross Procedure hi eng nge ni?
Hei hi surgery bik tak a ni. Doctor-te chuan pulmonary autograft procedure an ti a. Hei hi hetah hian thil danglam tak a ni. He surgery hi i taksa peng pakhat hmanga tih a ni.
A awlsam zawngin, hetah hian thil thleng lian ber pahnih chu:
1. I aortic valve dysfunctional chu lakchhuah a ni a, nangmah ngeiin i pulmonary valve hrisel tak hmangin thlak leh rawh.
2. Tichuan, mi thi atanga lak chhuah lung valve (donor valve) hrisel tak chu pulmonary valve awmna hmun khar takah dah a ni.
Tunah chuan, "Engvangin nge chutiang chu tih? Pakhat phelh a, pakhat dang bun a, a chungah pakhat dang dah chu a buaithlak deuhin a ri a ni lawm ni?" Ni e, chu chu a dik a ni. Mahse, chutiang a nih chhan tha tak a awm. I han en teh ang.
Engvangin nge he surgery hi a pawimawh? Engvangin nge nangmah ngeiin pulmonary valve i hman?
Kan thinlung hian taksa pum puiah thisen thianghlim, oxygen awmna chu aortic valve an tih valve hmangin a pump chhuak thin. Hei hi main valve a ni. Tin, thinlung a thawk laiin thisen hnunglam a luang lo tur titawptu valve a ni bawk.
Mahse a châng chuan he valve hi hawn ṭhat lohvin a block thei a, chu chu stenosis kan ti a ni. A nih loh leh a khar tha thei lo va, thisen chu hnunglam hawiin a leak thei a, chu chu regurgitation kan ti a ni. Heng dinhmunte hi a awm chhunzawm zel chuan heart failure leh infection chance a sang hle.
Chuvangin hetiang dinhmun khirh takah hian valve chhia chu lakchhuah a ngai a, a thar dah a ngai a ni.
Chuti a nih chuan, engvangin nge nangmah ngeiin pulmonary valve chu artificial valve hmanga thlak?
Hei hi chhan hrang hrang a awm a:
- Withstand pressure: Aortic valve hi thisen sang hnuaiah a awm a. Chuvangin chutah chuan valve dah chu a chak hle a ngai a ni. I pulmonary valve ngei pawh hi tissue nung a nih avangin he high pressure hi a tuar tha thei a, artificial valve aiin a rei zawk hle.
- Thisen zam theihna a tlem: Artificial valve dah a nih chuan thisen zam a awm theihna a sang zawk. Chuvang chuan an dam chhungin thisen tihthianghlimna damdawi an ei a ngai a ni. Mahse anmahni tissue an hman hian chu risk chu a awm lo tluk a ni.
- Pulmonary valve awmna hmun: 1.1.Pulmonary valve hi pressure hniam hnuaiah a awm avangin mitthi atanga donor valve lo chhuak chu chutiang chuan a chhe rang lo ang. Tin, aortic valve leh pulmonary valve hi a lian leh a pianziaah a inang hle bawk.
A awlsam zawngin, surgeon-te tih chu i "original" valve chak ber chu thinlung hmun pawimawh ber, a rit phur berna hmunah dah la, a rit berna hmunah "donor" valve dah a ni.
He surgery hi tute tan nge a inhmeh ber a, tute tan nge a inhmeh lo?
He surgery hi mi zawng zawng tan a tha lo. Doctor-te chuan damlo dinhmun uluk takin an enfiah a, hemi atan hian an tling leh tling lo tih an rel thin. A hnuaia table hi ngun zawkin han thlir ila.
| He surgery atan hian tute nge tling? | He surgery atana tling lo mite |
|---|---|
| A tlangpuiin kum 60 hnuai lam naupang leh kum chanve vel tan . | Autoimmune natna lupus leh rheumatoid arthritis nei te. |
| Congenital aortic stenosis vei te tan. | Marfan syndrome ang chi connective tissue disorder nei te. |
| Aortic valve natna chi dang vei tan. | Mite chu thinlunga thisen pe chhuaktu thisen kalna kawng lian pathum emaw a aia tam emaw-a blockage nei (coronary artery disease). |
| Aortic valve endocarditis nei tan chuan. | Pulmonary valve condition nei tan chuan. |
Surgery neih chhung hian eng nge thleng?
Ross procedure hi a nalh em em a, fimkhur takin darkar engemaw zat a daih a ni. Cardiac surgeon thiam tak team-in an ti a ni. Procedure neih chhunga thil thlengte hi han thlir ila.
1. Anesthesia: A hmasa berin general anesthesia hnuaiah dah i ni ang. Chumi awmzia chu surgery zawh hma chu muthilh thuk takah i awm dawn tihna a ni a, chuvangin natna engmah i nei lovang. Surgery chungchang engmah i hrechhuak lovang.
2. Heart-lung machine nena inzawm: A dawtah doctor-te chuan machine bik cardiopulmonary bypass machine an tih nen an connect ang che. He machine hian operation laiin i thinlung leh lung hnathawh chu hun eng emaw chen a la a ni. Hei hian surgeon-te chuan i thinlung titawp lovin him takin surgery chu an ti thei a ni.
. Hetiang tih dan hi sternotomy an ti a .
4. Valve examination: A dawtah chuan pulmonary valve chu uluk takin enfiah a ni a, a hrisel tha em tih leh aortic valve thlakna atana transplantation atan a tha em tih enfiah a ni.
5. Valve thlak: Engkim a kal tha a nih chuan surgeon ten aortic valve chhia chu an la chhuak ang a, nangmah ngeiin pulmonary valve hmangin an thlak ang. Tichuan, donor thi tawh atanga pulmonary valve hrisel tak chu a hmaa pulmonary valve awmna hmun khar takah dah a ni.
6. Heart resuscitation: Valve thar pahnih hi uluk taka dah a nih hnuah surgeon ten i thinlung an start leh ang. Tichuan zawi zawiin heart-lung machine atang chuan i hnute lak chhuah i ni ang.
7. Final check and closure: Valve dah tharte chu a thawk tha em tih enfiah leh thin a ni. Engkim a hlawhtlin chuan sternum chu wire hmangin an inzawm leh a, a rilru incision chu stitched closed a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin Ross surgery hian hlawkna leh hlauhawmna a nei a. He surgery lama tawnhriat ngah tak, he operation hi tih fo thin, surgeon thiam tak hnuaia enkawl a nih chuan a hlauhawmna chu nasa takin a tlahniam thei a ni.
| Hlawkpuina | Risk a awm thei |
|---|---|
| I dam chhung zawng thisen tihthianghlimna damdawi i ei a ngai lo. | Aortic autograft dilation (valve dah thar bula aorta zau zel). |
| Engmah khapna awm lovin active life i hmang thei a, exercise leh driving ang chi thil i ti thei bawk. | Thinlung thawk mumal lo (Arrhythmia). |
| Hmeichhia nau pai tumte chuan him takin nau an pai thei a ni. | Lung natna. |
| Taksa pumpuiah thisen kal dan chu a tha hle (Excellent hemodynamics). | Thisen chhuak tam lutuk (Hemorrhage). |
| Operation i neih hnu rei vak lovah chuan natna lan chhuah dan chu a reh a, i dam chak hle tih i hre tan ta a ni . | Kaichhawng. |
| Mahni tissue a nih avangin a durability a sang hle. | Heart valve leak a awm. |
Operation hnua dam leh hun chhung hi engtin nge a awm?
Surgery hnuah Cardiac ICU-ah i harh ang. Darkar tlemte chhung chu thawk chhuahna tur ventilator-ah i connect mai thei. I thinlung hnathawh dan chu enkawl chhunzawm zel a ni ang. ICU-ah ni 5 vel i awm tlangpui ang.
In lama i haw hnuah a dam kim theih nan thla engemaw zat a ngai thei. Hemi hun chhung hian hetiang thil hi tawn fo thin a ni:
- Ek khal
- Rilru lam harsatna, depression ang chi te
- Mu thei lo
- Chaw chakna
- Surgical incision chhehvela rilru hahna leh hring
Hemi chhung hian doctor thupek dik taka zawm a, ni ruat saah clinic-a kal a pawimawh hle.
Dam chhung zawnga enkawl a ngai dawn em ni?
Awle. Ross procedure i tih zawh chuan i dam chhung zawng doctor enkawlna hnuaiah i awm a ngai dawn a ni. Transplanted valve pahnih chu a thawk tha em tih enfiah nan a hun takah scan i neih a ngai ang.
Donor pulmonary valve transplant hian dam chhung a daih lo tih hre reng ang che. A thlak leh a ngai mai thei, a tlangpuiin kum 15-20 hnuah. Mahse, lungngai suh. Chutiang hunah chuan doctor-te chuan valve chu minimally invasive technique hmangin an thlak fo thin a, incision lian tak siam ngai lovin. Chuvangin, dam leh hun chhung hi a tawi zawk hle.
Engtikah nge doctor i hmuh ang?
Operation hnua in lama i haw dawnin harsatna i neih loh hriat a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
- A rilru a na
- Khawsik emaw, khawsik emaw i neih chuan
- I luak chhuak emaw, i mit a sen vek emaw a nih chuan
- Thisen i khuh chuan
- Thil danglam tak i hliam emaw thisen chhuak emaw i neih chuan
- Luak chhuak a awm chuan
- I kut leh ke a hring a nih chuan
- Stool chu a sen hring hring a nih chuan
Take-Home Thuchah a ni
- Ross surgery hi aortic valve natna na tak nei tan chuan enkawlna hlawhtling tak a ni.
- Hetah hian nangmah ngeiin pulmonary valve hman a nih avangin a result a tha hle a, rei tak a daih thei bawk.
- He surgery thatna lian ber pakhat chu i dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai lo.
- Surgery i neih zawh chuan daltu awm lovin nun chak tak i hmang thei tawh ang.
- Hei hi surgery buaithlak tak a nih avangin he lama tawnhriat ngah tak surgeon hnen atanga enkawlna zawn a pawimawh hle.
- Surgery hnuah dam chhung medical monitoring leh testing neih a ngai a ni.
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