Rei vak lo i kal hian i ke, a bik takin i kephah leh i hnuteah natna nasa tak emaw, tightness emaw i nei em? A natna chu rei vak lo hnuah a reh a, mahse i kal leh tan chuan a lo let leh thin em? A nih loh leh chhan hriat lohvin i keah hliam i nei a, a dam theih nan hun rei tak a ngai em? Heng symptoms te hi i neih chuan i doctor hian surgery chungchang a sawipui che a ni mai thei. A hming i hriat khan i hlauthawng deuh a ni mai thei. Vawiin hian chu chu kan sawi dawn a, surgery pakhat Aortobifemoral Bypass tih a ni. Lungngai suh, hei hi awlsam takin han sawifiah teh ang.
A awlsam zawngin Aortobifemoral Bypass hi eng nge ni?
Khawpui pakhata kawngpui lian pakhat chu lirthei tlan vangin a inkhar vek ang tih han ngaihtuah teh. Lirthei kal tlang theihna tur kawng a awm lo. Chuti a nih chuan engtin nge i tih? Chu hmun khar chu kan pumpelh a, a lehlamah kal turin ‘bypass’ kawngpui thar kan siam a ni lawm ni? Chu chu he surgery hian a ti a ni.
Aortobifemoral bypass hi kan taksa chhunga thisen kalna kawng hrang hranga zai a ni. Chutah chuan surgeon-te chuan kan pum chhunga thisen kalna kawng lian ber berte hmun khar emaw, a zim emaw chu paltlang turin kawng thar, bypass , an siam a. Hei hian kan keah thisen a kal leh thin.
He surgery-ah hian doctor-te chuan thisen kalna kawng siam, graft . Hei hi polyester ang chi thil hmanga siam a ni tlangpui. Engtin nge a hming a put tih hi i hrethiam ang u:
- "Aorto" tih hian kan taksaa thisen kalna kawng lian ber, aorta . Thinlung atanga intan a, chumi hnuah rilru kal tlangin pum chhungah a lut leh thin.
- "Femoral" tih hian kan groin atanga tan a, kan kekawr bul atanga kan khup hnung lam thlenga kal thin femoral arteries a kawk a ni.
- "Bi" tih awmzia chu 'pahnih' tihna a ni. Chumi awmzia chu he graft hian i ke pahnih a femoral artery pahnih a connect tihna a ni.
He graft hi upside-down "Y" ang mai a ni. A chung lam tawp pakhat chu pum chhunga aorta hnuai lam nen a inzawm a ni. Y ke pahnih hi ke chhunga femoral arteries te nen an inzawm tlat a ni. Chutiang chuan thisen hian blockage chu a bypass thei a, keah awlsam zawkin a luang thei a ni.
Engvangin nge hetiang surgery hi kan mamawh?
He surgery hi Aortoiliac occlusive disease an tih natna enkawlna atana tih a ni ber . A hming hi a buaithlak deuhin a lang thei a, mahse a thawnthu hi a awlsam hle. Thil thleng chu hun kal zelah kan pum leh pelvis-a thisen kalna kawng bulpuiah cholesterol leh thau dang (plaque) te chu a lo pung zel a ni. Hetianga thisen kalna kawng a nghawng berte chu:
- Abdominal aorta: Hei hi kan pum chhung atanga aorta hnuai lam a ni.
- Iliac thisen kalna kawng: 1.1.Chungte chu groin bulah a intan a, chutah chuan aorta chu pahnih ah a inthen a ni. Hengte hi groin area-a kal a, femoral arteries-a lo changte an ni.
Heng thisen kalna kawng chhungah hian plaque a lo awm a, a zim hian kan taksa hnuai lam, ke, ke leh pelvis chhunga taksa peng dangte hian oxygenated thisen mamawh zat an dawng lo. Hetiang dinhmun hi a nasat chuan harsatna hrang hrang a thleng thei a ni.
A pawimawh ber chu he surgery hian natna hi a tidam kim thei lo tih hi a ni. Mahse, a natna lan chhuah dan control nan a pui a, harsatna lian tham a veng thei bawk.
| Complication awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Kea kal laiin ke na (Intermittent claudication) . | Kea kal laiin taksa ruhte’n thisen mamawh an dawn loh avanga natna nasa tak emaw, tightness emaw a awm. Chawlh hahdamna nen a reh thin. |
| Chawlh lai pawhin natna nasa tak a awm | Thisen kal dan a tha lo em em a, engmah tih loh lai pawhin ke a na a, a bik takin zan lamah. |
| Gangrene natna a ni | Tissue-a thisen supply chu a bo vek a, chu chuan an thih phah a ni. Hei hian ke peng thenkhat chu a dum tir thin. |
| Amputation tih a ni | Gangrene hi control theih a nih loh chuan nunna chhanhim nan ke thenkhat chu operation hmanga lakchhuah a ngai mai thei. |
Hei hi surgery na tak a ni em? Thil dang duhthlan tur a awm em?
Ni e, aortobifemoral bypass hi open surgery, pum chhunga incision lian tak hmanga tih a ni. Chuvangin, major, a nih loh leh major, surgery anga ngaih a ni.
Mahse tunlai hian technology hmasawnna avang hian hei hi enkawlna dang a awm ta a ni. A bulpui ber pakhat chu aortoiliac stenting with bifurcation reconstruction (AISBR) tih a ni. Hei hi endovascular surgery category ah a tel a ni .
A awlsam zawngin, hei hian thisen kalna kawngkhar chhungah cannula chu groin-a khur te tak te hmangin dahin, a block na hmunah kal a, chuta tang chuan mesh ang chi tube (stent) te tak te dahin thisen kalna chu a zau leh thei a ni. Hetiang method hian surgical complication a nei tlem zawk a, damdawi ina awm rei zawk a ni.
I doctor chuan eng option nge i tan a tha ber tih a rel ang. A tlangpuiin, damdawi lam thil dang avanga operation lian tham tih theihna sang tak nei tan stent hman hi a tha hle. Mahse, a chang chuan a blockage nasat dan azirin open surgery neih a ngai thei bawk. Chuvangin i doctor nen i duhthlan tur leh a thatna leh tha lo chungchang sawipui rawh.
Engtin nge operation hmain kan inbuatsaih thin?
Hetiang surgery lian tak neih tur hian inbuatsaihna nasa tak a ngai a ni. I medical team chuan a tul angin thupek an pe ang che. A tlangpuiin heng thilte hi i enkawl tha tur a ni.
- Meizial zuk bân: Meizial zu mi i nih chuan zai hma kar 3-4 tal chu i chawlhsan vek tur a ni. Meizial zuk bânsan hi surgery hlawhtlinna atan a pawimawh hle a, chubakah a hnua i thinlung leh thisen kalna kawng hriselna atan pawh a pawimawh hle.
- Damdawi i ei tur eng pawh doctor hnenah hrilh rawh: Zunthlum emaw thisen sang emaw ang chi damdawi i ei a nih chuan i doctor hnenah i sawi tur a ni. Damdawi thenkhat chu tihtawp emaw, operation hmain a dose thlak emaw a ngai mai thei.
- Operation hmaa chaw nghei: Operation hma zan zanlai hnua ei leh in loh tur thupek i ni ang. Heng thupekte hi dik takin zawm rawh.
- Test tul tak tak neih: Operation hmain i taksa hriselna finfiah nan test eng emaw zat i neih a ngai ang.
- Ankle-brachial index (ABI): Kea thisen sang tehna test a ni.
- Vascular ultrasound (Doppler scan): Thisen kalna kawng chhunga thisen kal dan leh a block eng emaw zat ngun taka en nana scan a ni.
- ECG leh Echo ang chi test te hian thinlung leh coronary arteries hriselna a enfiah thin.
Operation neih chhung hian eng nge thleng tak tak?
Surgery neih chhung hian engmah i hre lovang, general anesthesia hnuaiah i awm dawn avangin. Surgical team chuan hengte hi an zawm ang:
1. Anesthesia: Mut thuk takah dah i ni.
2. Incision siam dan: A hmasa berin aorta thleng turin pum sei zawng zawngah incision lian tak (laparotomy) siam a ni. Tichuan, femoral arteries thleng turin groin chung lamah incision vawi hnih dang siam belh leh a ni.
3. Graft dah luh dan:Surgeon chuan "Y" ang chi artificial blood vessel chu a la a, a chunglam tawp chu aorta-a blockage chungah a sew a. Y hnuai lam ke pahnih chu femoral arteries-a blockage hnuaiah sewn a ni.
4. Closing the incisions: Bypass thar an siam zawh hnuah pum leh groin-a incision siamte chu stitches emaw staples emaw hmangin an khar thin.
He surgery pumpui hi darkar 2 leh darkar 6 inkar a ni tlangpui .
Damdawi inah operation hnuah eng nge thleng?
Surgery zawhah ni 4 leh ni 7 inkar damdawi inah i awm a ngai dawn a ni. Hemi chhung hian medical team ten an enkawl tha hle ang che.
- Intensive care unit (ICU) emaw specialized ward-ah emaw dah i ni ang a, harsatna i neih leh neih loh, a bik takin hri kai i neih leh neih loh ngun taka enkawl i ni ang .
- I kea thisen kal dan a tha em tih ka enfiah fo thin.
- Zawi zawiin kea kal turin an pui ang che. A hmasa berin hla vak lo, chutah ni tin a hlat zawng tihpun.
- Natna thunun nan natna tidamtu damdawi pek thin a ni.
He surgery hi eng hlawhtlinna leh hlauhawmna nge ni?
He surgery hi a hlawhtling hle. Statistics atanga a lan dan chuan surgery 80% atanga 95% inkar hian kum 5 chhung chu thisen kal dan hlawhtling takin a vawng reng thin. Kum 10 a nih chuan hlawhtlinna rate chu 74% leh 86% inkar a ni.
Surgery lian dang ang bawkin, risk leh complication awm thei a awm. I hlauthawng hmain, medical team chuan hengte hi a thlen theihna tur tihtlem nan theihtawp an chhuah dawn tih hre reng ang che.
Harsatna awm thei: 1.1.
- Lung natna
- Thai
- Thisen chhuah tam lutuk
- Thisen a chhuak thin
- Surgery hmanga hliam natna
- Graft natna hrik kai
- Kidney tha lo a awm
- Lung failure a awm
Operation hmain i doctor nen heng hlauhawmnate hi zalen takin sawi la, zawhna i neih apiang zawt rawh.
In lama haw hnua dam leh fimkhur dan tur
A dam kim theih nan thla 2 atanga thla 3 vel a ngai thei a, mahse kar 4 atanga kar 6 chhungin zawi zawiin hna pangngai i thawk leh thei tur a ni.
Kar hmasa lamah chuan incision te hi a na thei hle. Hei atan hian i doctor-in a pek painkillers te hmang la.
- Damdawi pek ang chiah chiah ei rawh: Doctor-in damdawi a pek zawng zawng chu a hun takah leh a dose dik takah ei vek tur a ni.
- Hliam fai taka vawng: Damdawi silfai leh hnawih chungchangah doctor thupek uluk takin zawm rawh.
- Insawizawi:A tir lama exercise tha ber chu kea kal hi a ni. Zawi zawiin nitin i kalna hlat zawng chu tipung zel ang che. Mahse, i doctor-in a rawt aia nasa zawkin kal suh.
- Thil rit phurh loh tur: Thla engemaw zat chu rit phurh vek loh tur.
Engtikah nge lirthei khalh i tan leh theih ang, hnathawhna hmuna kal leh exercise hahthlak tak tak i tih theih ang tih doctor zawt rawh.
Engtik hunah nge doctor ka biak ang?
In lama i haw hnua a hnuaia symptoms te hi i neih chuan i doctor ko la, damdawi inah kal nghal rawh .
| Symptom a ni | Eng nge ngaihven tur |
|---|---|
| Khawsik | Taksaah natna hrik a awm tih chhinchhiahna a ni thei. |
| Cut nena inzawm harsatna | Hliam vel a sen, a hring, na lutuk, lumna hriatna, emaw hliam atanga tui chhuak ang chi tui chhuak. |
| Ke a inthlak thin | Ke hring, na, rilru hah, khawsik, vun rawng, a sen hring. |
| Luak chhuak leh luak chhuak | Nausea emaw luak chhuak reng reng. |
Emergency-ah eng nge tih tur? (Rikrum)
A hnuaia tarlan te hi heart attack emaw stroke emaw i neih chuan 1990 ambulance service chu tihkhawtlai lovin call emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah emaw kal rawh.
Lung natna lan chhuah dan
- A rilru a na, a tight emaw, a nuam lo emaw a awm.
- Thâwk harsa.
- Nausea, pum natna.
- Lung na tak tak.
- Chauhna nasa tak a awm.
- Luak chhuak, hriatna hloh.
- Thaw hah lutuk.
Stroke natna lan chhuah dan
- Taksa sir khat (hmai, kut emaw, ke emaw) a hring emaw chak lohna emaw a awm.
- Thusawi harsa emaw, thumal slurring emaw.
- Mit hmuhna hloh thut, mit hmuhna pakhat emaw pahnih emaw.
- Lu na na tak a lo awm nghal.
- Kal harsa, balance hloh.
Surgery lian tak hmachhawn chu rilru lamah a buaithlak thei hle. Chu chu thil pangngai a ni. I hlauhthawn leh ngaihtuahna te chu i chhungte nen sawipui la, i doctor leh medical team te nen pawh sawipui rawh. I mamawh thu hriat zawng zawng i hmuh a, rilru inbuatsaihna tha tak nena i luh chuan damna kawngah nasa takin a pui ang.
Take-Home Thuchah a ni
- Aortobifemoral Bypass hi kea thisen petu main vein-a blockage awmte bypass-a thisen kal dan tur siam\hatna atana surgery lian tak a ni.
- He surgery hian kea kal laiin natna a tiziaawm a, gangrene ang chi harsatna lian tham a veng bawk.
- Surgery hmaa meizuk bânsan a, doctor thupek zawm a pawimawh hle.
- Hei hi surgery lian tak ni mahse, a hlawhtlinna rate chu a sang hle.
- Recovery period chhung hian hliam enkawl that a pawimawh a, damdawi pek dan ang taka ei a, damdawi lam thurawn zawm a pawimawh hle.
- Emergency symptoms, rilru na, thawk harsa, taksa sir khata hriatna hloh emaw i neih chuan damdawi in pan nghal tur a ni.
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