Aortobifemoral Bypass Surgery: ‘Y’ ang chi bypass, kea thisen kal theihna tur a ni

Rei vak lo i kal hian i keah natna nasa tak emaw, tingling sensation emaw i nei bawk em? I ding a, rei vak lo i chawlh hnuah a reh a, chutah chuan i kal tan leh chuan a natna chu a lo lang leh thin em? Hei hi mi tam takin harsatna an neih a ni. Hei hi a chhan ber chu i keah oxygen tamna thisen phurtu thisen kalna bulpui a block vang a ni thei. Vawiin hian hetiang dinhmunah hian surgery pawimawh tak, lian tak tih tur kan sawi dawn a ni.

Aortobifemoral Bypass hi eng nge ni?

A awlsam zawngin, hei hi surgeon-te’n i pum (belly) an tih surgery a ni. Kawngpui khar a nih chuan kawngpui thar siam a ni a, chu chu ‘bypass’ road an ti a, he surgery hian i taksa chhunga thisen kalna kawng (arteries) khar emaw, a zim emaw paltlang theihna tur kawng thar a siam a ni. Hei hian i keah thisen a kal tha leh thei a ni.

Hetiang tihnaah hian surgeon chuan i pum chhungah thisen kalna kawng siam, graft an tih chu a dah lut a, chu chu thisen kalna kawngkhar block tawh nen a thlunzawm a ni. He thisen kalna siam (artificial blood vessel) hi polyester ang chi thil hmanga siam a ni tlangpui. "Aortobifemoral" tih thumal ngei pawh hian hei hi a tilang chiang hle.

• "Aorto" hi kan taksaa thisen kalna kawng lian ber a ni a, chu chu aorta . Thinlung atanga intan a, rilru atanga pum thlengin a kal a ni.
• "Femoral" tih hian i kawr chhunga thisen kalna kawng (arteries) te a kawk a ni . Chungte chu groin area atanga tan niin khup hnunglam thlengin an tlan thla thin.
• "Bi" tih awmzia chu "pahnih" tihna a ni. Chumi awmzia chu he artificial blood vessel hian i ke pahnih a femoral artery pahnih nen a inzawm tihna a ni.

He graft, ``(Graft),'' hi a sir lam hawia "Y" ang maiin han mitthla teh. A chung lam pakhat chauh chu pum chhunga aorta nen a inzawm a, "Y" branch pahnih chu ke chhunga femoral arteries te nen an inzawm bawk.

He surgery hi eng ang dinhmun nge tih a nih?

He surgery hi aortoiliac occlusive disease an tih natna enkawlna atana tih a ni ber . Hei hi hun kal zelah i pum leh i pelvis-a thisen kalna kawng lian ber ber chhungril bang-ah thau leh thil dang (plaque ang chi) a lo awm khawm hian a ni. Hei hi `(Plaque)` kan ti a. He build-up hi a hnuaia mi ang hian a thleng thin:

• Abdominal aorta: Hei hi aorta chhungril lam atanga chhuk tur a ni.
• Iliac arteries: Hei hi aorta atanga navel (umbilicus)-a branch off a, ke lam pan thin arteries te an ni.

Hetiang tui tam lutuk hian thisen kalna kawng a zim emaw, a khar vek emaw chuan i taksa hnuai lam, a bik takin i ke, ke leh pelvic organ te chu an mamawh thisen oxygen tamna chu an hloh ta a ni. Hei hian harsatna lian tak a thlen thei a ni.

Hei hi surgery na tak a ni em? Thil dang duhthlan tur a awm em?

Ni e, hei hi major surgery anga ngaih a ni a, a chhan chu pum chhungah incision lian tak a ngai a ni.

Mahse, minimally-invasive alternative a awm a, chu chu aortoiliac stenting with bifurcation reconstruction (AISBR) tih a ni. Hei hian a blocked artery chhungah stent an tih mesh tube te tak te dah a, inflate a, artery hawn leh a ngai a ni. Zirna thenkhatah chuan he method hian harsatna a nei tlem zawk a, damdawi ina awm rei pawh a rei zawk tih hmuhchhuah a ni.

I doctor chuan open surgery emaw stenting emaw hi i tan a tha em tih a rel ang. Stent hi operation lian tuar thei lote tan chauh dah ni mah se, technology lama hmasawnna a awm avangin tunah chuan open surgery ai chuan hman a ni fo tawh. Mahse, a chang chuan stent hi i tan a tha lo a nih chuan emaw, a hmaa stent i hman tawh kha a chhiat chuan open surgery neih a ngai mai thei.

Operation hmain engtin nge i inbuatsaih thin?

I medical team chuan operation atana inbuatsaih dan tur an hrilh ang che. Hengte hi a tlangpuiin i ngaihtuah tur a ni.

• Meizial zuk bânsan vek rawh: Operation hma kar 3-4 tal meizuk bânsan chuan result ṭha ber i hmu thei a ni. I thinlung leh thisen kalna kawng hriselna atan operation hnuah pawh meizuk chhunzawm zel a pawimawh.
• Damdawi chungchang i doctor nen sawiho rawh: Tuna i damdawi ei mek zawng zawng chu i doctor hnenah i hrilh tur a ni. Damdawi thenkhat ei tawh loh tur emaw, operation hmaa a dose thlak tur emaw a ti thei che a ni.
• Chaw nghei: Operation hma ni khatah zanlai atanga ei leh in loh tur thurawn i dawng ang.
• Medical test: Operation hmain test eng emaw zat neih tir i ni ang.
• Ankle-brachial index a ni
• Vascular ultrasound (a thisen kalna kawng ultrasound hmanga enfiah) .
• Thinlung leh coronary arteries hriselna enfiahna scan.

Surgery neih chhung hian eng nge thleng?

Surgery hi darkar 2 leh darkar 6 inkar a ni thei. Hetiang tih lai hian a hnuaia step te hi a thleng thin.

1. I mut theih nan general anesthesia pek i ni ang.

2. I pum sei zawng zawngah incision lian tak (laparotomy) siam la, chutiang chuan surgeon chuan aorta a thleng thei ang.

3. Femoral arteries thleng turin groin pahnih ah incision pahnih siam a ni.

4. A hmaa kan sawi tawh ang khan "Y" ang chi artificial blood vessel `(Graft)` chu dahin, a chung lam chu aorta blocked area nen chunglam atangin inzawmkhawm a ni a, a hnuai lam pahnih chu a hnuai lam atang chuan femoral arteries pahnih blocked area te nen an inzawm a, an sew khawm a ni.

5. A tawp berah chuan pum leh kawr chhunga incision te chu stitches emaw staples emaw hmangin an khar thin.

Surgery hnuah leh in lama i haw hunah eng nge thleng?

Damdawi inah ni 4 leh ni 7 inkar i awm a ngai dawn a ni. Hemi chhung hian medical team ten uluk takin an enkawl ang che. Tin, a dam kim theih nan thla 2 atanga thla 3 vel a ngai thei bawk. Mahse, kar 4 atanga kar 6 vel hnuah chuan zawi zawiin i thil tih dan pangngai chu i thawk leh thei tawh ang.

In i thlen hunah heng thilte hi uluk takin enkawl ang che.

• Doctor-in a pek painkiller leh damdawi dang zawng zawng chu a hun takah ei vek tur a ni.
• Incisions te chu fai takin vawng la , doctor thupek angin enkawl bawk ang che.
• Doctor-in a tih angin exercise la. Zawi zawiin i kalna hlat zawng tihpun hian damna kawngah a pui a ni. Mahse, ti lutuk suh.
• I doctor hnenah lirthei khalh te, hnathawhna hmuna kal te, leh rit phurh te ang chi thil tih leh hun tha ber zawt rawh.

Doctor pan nghal tur leh Emergency Treatment Unit (ETU)-a kal hun tur .

Recovery lai hian harsatna a awm a nih chuan fimkhur a pawimawh hle.

Heart attack emaw stroke emaw chhinchhiahna a lo lang a nih chuan emergency ambulance service ko nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah emaw kal nghal tur a ni.

Lung natna lan chhuah dan: 1.1.

• Chhuak na emaw, nuam lo emaw
• Thâwk harsa
• Nausea, pum natna
• Lung na tak tak
• Luak chhuak (vertigo) emaw, rilru hah emaw

Stroke natna lan chhuah dan:

• Taksa sir khatah rilru hah emaw, chak lohna emaw
• Thusawi harsa (Aphasia) emaw, tawng thei lo emaw
• Hmai sir khatah muscle control hloh
• Mit emaw, hriatna emaw hloh nghal emaw, fiah lo emaw