Tu pawhin heart surgery tih thumal an hriat hian tlem an hlau thei a ni lawm ni? A bik takin, thinlung hmun pakhat, valve ang maia thlak danglam ngai surgery a nih chuan. Mahse, hlau suh. Hei hi mi sang tam takin hlawhtling taka an tih tawh surgery a ni. Vawiin hian he Aortic Valve Surgery an tih hi, a tih tak tak dan leh i tana a pawimawh chhan te kan sawi dawn nia.
A awlsam zawngin, he Aortic Valve hi eng nge ni?
I thinlung chu in te tak te, mahse thiltithei tak, pindan pali nei angin han mitthla teh. He in atanga thisen thianghlim, oxygen awmna taksa pum puia pump chhuaktu kawngkhar lian ber chu Aortic Valve . A dik zawka sawi chuan he ‘gate’ hi thinlung pumpui pumping chamber (Left Ventricle) leh taksa pum puia thisen phurtu thisen kalna bulpui (Aorta) inkarah a awm a ni. Chuvangin tunah chuan he gate hian taksa pum pui tan a hnathawh that a pawimawh zia chu i hrethiam tawh mai thei.
Engvangin nge he valve hi operation a mamawh?
Hun a kal zel a, a chang chuan pian tirh atang pawhin he valve hi a thawk tha lo thei bawk. Harsatna lian ber pahnih a awm thei.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Aortic Valve Stenosis (valve tihtlem) 1.1. | Hetiang a nih chuan thil thleng chu valve flap te chu a thim a, a inhawng tha lo a ni. Hei hian thinlung chu pressure nasa tak a siam a, chu chuan a tang ang maiin a ti a, thisen chu a nawr chhuak a ngai a ni. |
| Aortic Valve Regurgitation (valve atanga tui chhuak) . | Heta thil thleng chu valve flap te hi a khar tha lo a ni. Chuvang chuan thisen pump chhuah thenkhat chu thinlungah a leak leh thin. |
Heng harsatna pahnih hian thinlungah extra strain a siam a ni. Hun a kal zel a, he natna hi a na zual thei a , thinlung a chak lo emaw, thinlung a titawp nghal thei emaw a ni . Chuvangin he valve hi surgery hmanga siamthat a pawimawh hle.
Eng ang surgery nge awm?
Surgery hi chi hnih a awm a.
- Aortic Valve Repair: A theih phawt chuan doctor-te chuan nangmah ngeiin i natural valve-a chhiatna awm chu siamthat leh vawnhim an tum thin. Hei hian mahni tissue tam thei ang ber humhalh a huam a ni.
- Surgical Aortic Valve Replacement (SAVR): A chang chuan a valve a chhiat em avangin siamthat theih a ni lo a nih chuan a chhuak vek a, artificial valve thar dah a ni.
Valve thar hi eng ang nge ni?
Valve thlak i tum a nih chuan i doctor chuan duhthlan tur engemaw zat a sawipui ang che. Ṭhenkhat chu ran tissue (e.g., vawk, bawng) atanga siam a ni a, thenkhat erawh chu mihring tissue atanga siam a ni thung. Chu bâkah, mechanical valve , tih chi khat a awm a, chu chu a pum pui chu thir chhe thei lo aṭanga siam a ni. Type tin hian thatna leh that lohna an nei vek a. Entirnan, mechanical valve i neih chuan i dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai dawn a ni. Hemi chungchang hi i doctor nen sawiho a, i tana tha ber tur thlang thiam a pawimawh.
TAVR/TAVI chungchang pawh i zir ve ang u: Tunlai technology changkang tak tak awm tawh nen hian tube chu groin emaw arm emaw a thisen kalna kawng kaltlangin thinlung lam pan a, rilru hawn kim lovin valve thlak danglam dan a awm. Hei hi Transcatheter Aortic Valve thlak danglamna (TAVR/TAVI) an ti a. Mahse hei hi mi zawng zawng tan tih theih a ni lo. I doctor chuan i dinhmun atan eng method nge tha ber tih a rel ang.
Operation hmain engtin nge i inbuatsaih thin?
Surgery hmain i doctor chuan a enfiah ang che a, test tul eng emaw zat a order ang.
- Lung lam scan (Echocardiogram - Echo) tih a ni.
- Chest X-ray hmanga enfiah a ni
- EKG test (Electrocardiogram) hmanga enfiah a ni.
- CT scan a ni
- Cardiac Catheterization (thisen kal tlanga camera kaltirna test) .
- Thisen leh zun test a ni
Heng zawng zawng hnuah hian doctor chuan operation hma ni khatah i tih tur a hrilh ang che. Entirnan, zai hma zan zanlai pelh hnua ei leh in loh te , damdawi ei khap a ngai em tih te, damdawi ina i lo kal hun tur te. Heng thupekte hi dik taka zawm a pawimawh hle.
Surgery tih dan leh approach te
Operation chhung hian fully anesthetized i nih avangin natna engmah i nei lovang. Surgeon chuan thinlung thleng tur hian kawng lian pahnih a hmang thei a.
| Surgery tih dan tur | Hrilhfiahna |
|---|---|
| Traditional Open-Heart Surgery hmanga tih thin a ni | Hetah hian rilru lai takah inch 6-8 vela sei incision siamin sternum hawn a, heart access a ni. |
| Minimally Invasive Heart Surgery hmanga tih a ni | Hei hi inch 2-4 vela sei incision te tak te pakhat emaw a aia tam emaw hmanga tih a ni a, rilru chu hawn vek lovin. Hei hian thisen a chhuah tlem a, damdawi ina awm rei zawk a, a dam thuai bawk. |
Operation neih chhung hian i thinlung leh lung hnathawh hun eng emaw chen thawk thei turin machine bik (Heart-Lung Machine) nen inzawm tir i ni ang. Chumi hnuah chuan surgeon chuan i thinlung chu a titawp ang a, uluk takin valve chu a siam that emaw, a thlak emaw ang. Hna thawh zawh chuan thinlung chu a thawk tan leh ang a, machine nen a inzawm lo ang a, a incision te chu khar a ni ang. Operation pumpui hi darkar hnih vel a ni tlangpui.
Surgery hnuah... dam leh hun chhung
Surgery zawhah intensive care unit (ICU)-ah dah hmasak i ni ang a, chumi hnuah regular ward-ah sawn i ni ang. A tlangpuiin ni 5 atanga ni 7 chhung damdawi inah i awm a ngai dawn a ni. In i haw hnuah kar engemaw zat chau lutuk hi thil pangngai a ni. Chuvangin i taksa thu ngaithla la, chawlh hahdamna tam tak nei rawh.
I doctor chuan cardiac rehabilitation program a rawt thei ang . Hei hian specialist enkawlna hnuaia exercise hmanga chakna tihpun zauh zauh a huam a ni. I doctor chuan engtikah nge i tih leh theih ang, rit phurh leh lirthei khalh te chu a hrilh ang che. A tlangpuiin a dam kim theih nan kar 4 atanga kar 8 vel a ngai thin.
Mi ṭhenkhat chuan thinlung zai hnuah lungngaihna, lungngaihna, a nih loh leh beiseina nei lo an nei thei a. Hei hi thil pangngai a ni a, enkawl theih a ni. Hetiang hi i tawn chuan i doctor nen inbia ang che.
Damdawi lam pan vat ngai symptoms
In lama i haw hnuah a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- Chest na emaw tightness emaw
- Khawsik emaw, khawsik emaw
- Surgical incision atang hian pus, swelling, redness a awm thin.
- Lung na tak tak
- Ke a hring (Edema) .
- Kar khat chhungin kg 1.5 (pound 3) aia tam a rihna a pung
Take-Home Thuchah a ni
- Aortic valve surgery hi thil pawi tak ni mahse, i nunna chhanhim thei leh hlawhtling taka rah chhuah thei enkawlna a ni.
- Thil tih dan hrang hrang a awm a, chu chu valve siamthat, thlak, open surgery, minimally invasive surgery te hi a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
- Surgery hnua chau anga inhriat hi thil pangngai a ni. I taksa chu dam turin hun pe rawh. I doctor thupek ang chiah kha zawm rawh.
- Surgery emaw, dam leh hun emaw chungchanga hlauhthawnna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawi rawh.
- I chhungte leh i thiante thlawpna chu he zinkawngah hian chakna nasa tak a ni dawn a, chuvangin hei pawh hi hriattir rawh.
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