I doctor-in heart valve-a harsatna i neih thu a hrilh che chuan hlauhna tlem i neih hi thil pangngai a ni. A bik takin chutiang tur chuan surgery neih a ngai tih a sawi hian. Mahse vawiin a kan sawi tur Ross Procedure hi surgical procedure hlawhtling tak a ni a, heart valve natna vei te tan nun thar a pe thei a, a bik takin thalai te tan chuan nunna thar a pe thei a ni. Chuvangin he thu hi chiang takin, awlsam takin han sawi ila.
A awlsam zawngin Ross Procedure hi eng nge ni?
Hei hi a buaithlak deuh a, mahse thiam tak tak, thinlung surgery a ni. Chu chu i taksa peng hrang hrang hmanga thinlung valve natna nei siam that a ni. A dik tak chuan step hnih a huam a:
1. I thinlung natna nei aortic valve chu lakchhuah a ni a, nangmah ngeiin i pulmonary valve hrisel tak hmangin thlak leh rawh .
2. Tichuan, donor hrisel tak atanga pulmonary valve pakhat chu pulmonary valve lakchhuahna hmunah dah a ni.
I taksa peng pakhat hmanga chhiatna lian tak siam that ang maiin ngaihtuah rawh. Hei hian artificial valve dah aiin thatna tam tak a nei a ni.
Engvangin nge he surgery hi kan mamawh?
Aortic valve hi kan thinlunga gate pawimawh tak ang mai a ni. He gate hian a inhawng a, oxygen tamna thisen thianghlim, thinlung atanga taksa peng dang zawng zawngah a luang lut thei a ni. Tin, heartbeat inkar ah thisen chu thinlungah a luang leh thei lo bawk a, he valve hi a khar avangin.
Mahse a chang chuan he valve hi natna a lo awm thei. Kawng lian pahnih a awm a, chungte chu:
- Stenosis: Hei hi valve a inhawng tha lo a, a tawi deuh a nih chuan a ni. Hei hian taksain thisen a hmuh tlem theih nan a veng a ni.
- Regurgitation: Hei hi valve a khar tha lo a, a leak a, chu chuan thisen chu thinlungah a luang lut leh thei a ni.
Heng harsatna pahnihte hian hahna leh thawk hahna ang chi symptoms a thlen thei a ni. Enkawl loh chuan heart failure leh infection na tak tak i neih theihna a tipung thei a ni. Ross Procedure hian natna nei valve chu a paih chhuak a, heart function pangngai a siam tha leh a ni.
Engvangin nge Aortic Valve ai chuan Pulmonary Valve hi kan thlan zawk ang?
Engvangin nge hetiang inthlak danglamna hi a awm tih i ngaihtuah mai thei, engvangin nge artificial valve dang i neih mai loh vang? Hei hi chhan bik engemaw zat a awm.
- Pressure Resistance: Aortic valve hi pressure nasa tak hnuaiah a awm a, chuvangin a chhunga valve thar dah chu a chhe thei lo va, a chak em em a ngai a ni. Chumi atan chuan i pulmonary valve ngei pawh hi a fit tha hle.
- Artificial valve awm hlauhawmna: Artificial valve dah luh a nih chuan thisen zam a awm theihna a awm. Chuvangin, i dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai a ni. Mahse nangmah ngeiin tissue i hman chuan chu risk chu a awm lo tluk a ni.
- Fitting: Pulmonary valve hi aortic valve nen hian a lian leh a pianzia a inang hle.
- Low-pressure zone: Pulmonary valve awmna hmunah donor valve dah a ni. Chu hmun chu pressure hniam hnuaiah a awm a ni. Chuvangin chu valve chu tlem a chak lo a nih pawhin nghawng a nei vak lovang.
He surgery atan hian tute nge tling leh tling lo?
Ross Procedure hi mi zawng zawng tan surgery a ni lo. Doctor-te chuan thil engemaw zat aṭangin damlo an thlang ṭhin.
| Surgery atana tha tlangpui te | Mihring, a tlangpuiin operation atana tling lote |
|---|---|
| Kum 60 hnuai lam mite. | Autoimmune natna lupus leh rheumatoid arthritis nei te. |
| Mihring pianpui aortic stenosis nei te. | Marfan syndrome ang chi connective tissue disorder nei te . |
| Aortic valve natna dang nei te. | Coronary artery disease vei, chu chu thinlunga thisen kalna kawng pathum aia tam a inkharkhip a ni. |
| Mite chu aortic valve infection (aortic valve endocarditis) nei te an ni. | Pulmonary valve natna nei te. |
A pawimawh ber chu i cardiologist hian he surgery hi i tan a tha em tih thutlukna hnuhnung ber a siam tur a ni.
Surgery tih dan tur step khat hnu step khatin
Hei hi surgery ruahman lawk tak a ni a, darkar engemaw zat a awh a ni.
1. Anesthesia hmanga enkawlna:A hmasa berin general anesthesia hnuaiah dah i ni ang. Chuvangin engmah i hre lo vang a, operation kha hriatrengna pawh i nei tawh lo vang.
2. Heart-lung machine: A dawtah chuan cardiopulmonary bypass machine nen i inzawm ang . 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.
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4. Valve examination: Pulmonary valve hi uluk taka enfiah a, aortic valve thlak thei tur khawpa hrisel a nih leh nih loh enfiah thin a ni.
5. Valve thlak: A dawtah chuan aortic valve chhia chu la chhuakin i pulmonary valve chu uluk takin a hmunah i dah leh thin.
6. Donor valve transplantation: A dawtah chuan donor hrisel tak hnen atanga valve lak chu pulmonary valve awmna hmun khar takah dah a ni.
7. Cardiac resuscitation: Valve pahnih hi hmun dik taka dah a nih hnuah i thinlung chu a intan leh a, zawi zawiin heart-lung machine atangin i la chhuak leh thin. Valve thar pahnih hi a thawk tha em tih enfiah a ni bawk.
8. Surgery zawh: A tawpah chuan sternum chu an inzawm leh a, wire hmangin an secure a, a incision chu sutured a ni a, bandage fai takin an khuh bawk.
He surgery hian a hlawkna leh a hlauhawm theih dan
Surgery dang ang bawkin Ross Procedure hian hlawkna leh hlauhawmna a nei vek a ni. Heng thil tih fo thin, surgeon tawnhriat ngah tak enkawlna hnuaia enkawl a nih chuan a hlauhawmna chu a tlem thei ang bera tih theih a ni.
| Hlawkna bulpui ber | Risk awm thei te |
|---|---|
| Exercise leh lirthei khalh te pawh tiamin nun chak tak i hmang thei a ni. | Valve thar bula thisen kalna kawng zau zawk (Aortic autograft dilation). |
| Hmeichhiain nau pai an duh chuan him takin an ti thei a ni. | Lung natna (Arrhythmia) . |
| Taksa pumpuiah thisen kalna (hemodynamics) tha tak a awm a. | Lung natna . |
| I dam chhung zawng thisen tihthianghlimna damdawi i ei a ngai lo. | Thisen chhuah tam lutuk (Hemorrhage) . |
| Symptoms te chu a reh nghal vat thin. Damlo chu operation hnu rei vak lovah a dam leh thin. | Kaichhawng . |
| Valve leak emaw stuck emaw a awm. |
Operation hnua dam leh hun tur leh doctor pan hun tur
Operation hnuah Cardiac ICU ah i hriatna a lo let leh ang . A tirah chuan thawk lakna tur ventilator -ah i connect mai thei. ICU-ah ni nga vel i awm ang.
In lama an haw hnua a dam kim theih nan thla engemaw zat a ngai thei. Hemi hun chhung hian chaw ei kham, chaw ei chak lohna, mut theih lohna, incision chhehvela rilru hahna leh hring dup te hi a awm fo thin.
Pawimawh: Donor hnen atanga pulmonary valve hmuh chu chatuan atan a awm lo. Kum 15-20 hnuah thlak a ngai tlangpui. Chuvangin damchhunga damdawi lam endik leh enkawl hi a pawimawh hle a ni.
Operation hnua harsatna i neih chuan i doctor hnenah hriattir nghal tur a ni . A bik takin a hnuaia symptoms te hi hre reng ang che:
- A rilru a na
- Khawsik emaw, khawsik emaw
- Luak chhuak emaw, muhil emaw
- Thisen a khuh chhuak
- Thil danglam tak, hliam emaw thisen chhuak emaw
- Ke ruh leh ke ruh (limbs) a natna (numbness) a awm
- Luak chhuak
- Thisen a awm (a sen hring) .
Take-Home Thuchah a ni
- Ross Procedure hi aortic valve natna khirh tak nei tan chuan a tha ber a, a bik takin thalai tan chuan a tha ber a ni.
- Hei hian nangmah ngeiin pulmonary valve hrisel tak la a, aortic valve natna nei thlak turin transplant a ngai a ni.
- Mahni tissue i hman avangin i dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai tawh lovang. Nun chak tak i hmang thei bawk.
- Surgery dang ang bawkin, hlauhawmna a awm a, mahse heng hlauhawmnate hi surgeon tawnhriat ngah tak enkawlna hnuaia enkawl a nih chuan tihziaawm theih a ni.
- Operation hnua symptom danglam tak tak i neih chuan doctor rawn nghal rawh.











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