Nu leh pa zawng zawng hian nausen piang thar chu a sen deuh deuh a, thawk harsa deuh deuh an hmuh hian an hlauthawng thin. A chang chuan hei hi a chhan chu pianpui thinlung lama harsatna vang a ni. Doctor ten i naute thinlunga harsatna an neih thu leh ‘Arterial Switch’ surgery an tih a ngai tih an hrilh che chuan phurrit leh hlauhna nasa tak nei hi thil pangngai tak a ni. Mahse, hlau suh. Vawiin hian he thu hi i rilru a zawhna tam tak awmte i hriatthiam theih nan leh chhanna i hmuh theih nan awlsam takin kan sawi dawn a ni.
He Arterial Switch surgery hi eng nge ni?
A awlsam zawngin, arterial switch hi nau piang tharte chunga open-heart surgery tih hi thil awm lo tak, mahse a pawimawh hle a ni. Naute thinlunga thisen kalna kawng lian pahnih, aorta leh pulmonary artery te chu an awmna pangngaia dah leh a ni.
Kan taksa hi pipe system angin han ngaihtuah teh. Pipe dik lo chu hmun dik lovah a inzawm chuan thil a kal sual thei a ni. Surgeon chuan naute aorta chu thinlung veilam ventricle-ah a thlunzawm leh a, pulmonary artery chu dinglam ventricle-ah a thlunzawm leh bawk. He surgery hi naute pian atanga kar hnih hmasa berah tih a ni tlangpui.
He surgery hian eng ang dinhmun nge a enkawl?
He surgery hian pianpui heart condition d-transposition of the great arteries (D-TGA) , tih chu a enkawl a, chutah chuan thinlung atanga thisen kalna kawng lian pahnih chu pian tirh lamah hmun dik lovah an inzawm khawm a ni.
D-TGA-ah chuan oxygen tlachham, thisen thianghlim lo chu lungah tihthianghlim tura kal ai chuan taksa pum puiah a kal kual a. Chutiang bawkin lung atanga oxygen tamna thisen lo chhuak chu taksaah kal lovin lungah a kal leh thin. Hei hian naute hian a mamawh oxygen a hmuh theih loh phah a ni.
Arterial Switch surgery hian he harsatna hi a siam tha a ni. Hei hian naute thisen a kal tha thei a, oxygen level chu a pangngaiah a kir leh a, thinlung hnathawh a titha bawk. He surgery hian i naute chu puitling hrisel takah a seilian theihna hun tha tak a pe a ni.
Surgery hmain eng nge i tih thin?
Doctor-te chuan zai hmaa naute dinhmun tihngheh nan leh taksain oxygen a tam thei ang ber a pek theih nan thil chi hrang hrang an ti thin.
- Septostomy: Hei hi hun eng emaw chen atana tih tur a ni. Thinlung chamber inkarah hian khur te tak te siam a ni a, chu chuan oxygen nei thisen thenkhat chu oxygen tlem zawk thisen nen a inhmeh thei a ni.
- Ventilator: Naute thaw awlsam zawk nan machine nena inzawm a ni.
- Damdawi: Damdawi `Prostaglandin' ang chi hi thisen kalna kawng inhawng reng tur leh taksaa oxygen kal tam zawk nan pek thin a ni.
Tin, operation atana inbuatsaihna atan hian natna nei lo test eng emaw zat tih a ni a, chungte chu echocardiogram (thinlung scan), rilru X-ray, leh EKG (electrocardiogram) te hmangin naute thinlung lian leh te, a hnathawh dan enfiah a ni.
Surgery neih chhung hian eng nge thleng?
Hei hi surgery buaithlak tak a ni a, darkar tam tak a daih a ni. He thila thil thleng hi i hrethiam mai ang u.
| Thiltih dan tur Step | A awlsam zawngin... |
|---|---|
| Sternotomy (sternum hawn) 1.1. | Surgeon chuan naute rilru chu a laiah a hawng a, a thinlung a thleng a. |
| Cardiopulmonary Bypass hmanga tih theih a ni | Surgery neih chhung hian lung leh lung chu machine bik (heart-lung machine) hmangin an zai thin. He machine hian thisen chu a tifai a, taksaah a pump lut leh thin. |
| Arterial salvage leh transfer a ni | Aorta leh pulmonary artery inzawm dik lo chu thinlung atanga lakchhuah a ni. |
| Coronary Artery chu a inzawm leh ta a ni | Hei hi surgery-a thil nalh ber leh pawimawh ber a ni. Thinlung ngeia thisen pe chhuaktu coronary artery te te chu uluk takin aorta hmun dik lo atang hian lakchhuah a ni a, aorta inzawm thar nen hmun dik takah an inzawm leh a ni. |
| Arterial inzawm lehna | Aorta chu veilam ventricle nen an inzawm a, pulmonary artery chu dinglam ventricle nen an awmna tur dik takah an inzawm bawk. |
| Chest khar a ni | Engkim dik taka tih zawh a nih chuan surgeon chuan naute rilru chu a khar leh thin. |
Surgery hnuah eng nge thleng?
Surgery zawhah i naute chu intensive care unit (ICU)-ah ni engemaw zat dah a ni ang. I naute hmu tura i kal hunah chuan tube, wire leh machine tam tak a inzawm tih i hmu ang. Hei hi a hlauhawm thei a, mahse lungngai suh. Heng hmanrua zawng zawng hi i naute enkawltu tur leh a dam thuai theih nan a awm tih hre reng ang che.
He surgery hian eng hlawknate, hlawhtlinna rate leh hlauhawmnate chu engte nge ni?
Advantage leh hlawhtlinna
Hei hi nunna chhanhim thei surgery a ni. Naute chu a mamawh oxygen a pe a, chu chuan hrisel takin a thang lian thei a ni.
- Surgery tel lo chuan D-TGA vei naute 50% chu thla khatna chhungin an thi thin.
- Mahse operation hnua hlawhtlinna rate hi a sang hle. Thihna hlauhawmna hi 2% aia tlem a ni.
- Hetianga zai tawh zinga 96% vel chu kum 25 hnuah pawh an la dam niin an sawi. Naupang tam zawk chuan taksa tihchakna khapna awm lovin nun pangngai an hmang thei a ni.
Harsatna awm thei (Risks) .
A tlem berah chuan kum tam tak hnuah harsatna thenkhat a awm thei.
- Coronary arteries emaw, right ventricle atanga outflow tract emaw a block.
- Thisen kalna kawng inzawm leh zau emaw, tihtlem emaw.
- Heart valve leak a awm.
Heng harsatnate hi a lo awm chuan a hnua siamthat nan operation dang neih belh a ngai mai thei. Tin, nau piang laia oxygen level hniam vangin naupang thenkhat chuan a hnuah thil hriatrengna, ngaihvenna, emaw, lungkhamna tlem te pawh an nei thei bawk. Hei hi hriat lawk a pawimawh. Tichuan, i fateah inthlâk danglamna i hmuh chuan a ṭûl angin ṭanpuina i pe thuai thei a ni.
Eng chen nge dam leh tur leh damdawi lam thurawn pek a ngaih?
Naute chu kar hnih vel damdawi inah a awm a ngai tlangpui . In lama i haw hnuah pawh damna chu a chhunzawm zel a ni. Doctor chuan hliam enkawl dan tur leh eng damdawi nge pek tur tih te a hrilh ang che.
Doctor hmuh leh i duh em?
Ni e, a dik tak zet. In lamah haw la, kar khat emaw kar hnih emaw hnuah surgeon i hmu tur a ni. Naupang cardiologist pawh i hmu tur a ni.
A pawimawh ber chu i fa chu a dam chhungin kum khatah vawi khat tal medical checkup neih tir hi a ni. Chutiang chuan harsatna eng emaw a lo awm a nih chuan a zual hmain hriatchhuah theih a ni.
Doctor ko vat a ngaih hunah
In i haw hnuah, i naute surgery hliam chu a sen, a hring, a nih loh leh tui a luang chhuak a nih chuan, emaw, khawsik a neih chuan , i medical team chu ko nghal rawh.
Take-Home Thuchah a ni
- Arterial Switch surgery hi D-TGA vei naute tan nunna chhanhimna atana hmanraw pawimawh tak leh hlawhtling tak a ni.
- Hei hi surgery lian tak ni mah se, naupang tam zawk chuan a hnuah nun pangngai, hrisel takin an nung thei a ni.
- Operation hnua ICU-a hmanrua leh tube i hmuh te kha hlau suh. I naute a dam thuai theih nan a awm vek.
- I fa hian a dam chhungin medical checkup a mamawh dawn a ni. Anmahni hi zawm ngei ngei tur a ni.
- Nu leh pa i nih angin zawhna, ngaihtuahna, rinhlelhna i neih apiang chu i doctor nen sawiho chu i dikna a ni. I tanpui turin an inpeih reng a ni.
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