Ascending Aortic Aneurysm siamthat leh Surgery chungchang zir rawh

I thinlung atanga i taksa pum puia thisen phurtu thisen kalna kawngpui ber, aorta chu in lama kan tuikhuah atanga lo chhuak pipe lian ber ang a ni. A chang chuan he pipe hi a chak lo va, balloon hlui ang maiin a bulge chhuak tan thin. Damdawi lamah chuan hei hi aneurysm kan ti a. A bik takin thinlung hnaih ber, ascending aorta chu hetiang hian a bulge chhuak a nih chuan a serious deuh thei. Vawiin hian he natna atana surgery tih dan tur kan sawi dawn a ni.

Engtin nge he surgery hi tih a nih?

A awlsam zawngin, he dinhmun hi traditional open surgery hmangin siamthat a ni. I cardiac surgeon chuan i aorta chak lo leh hring tawh chu a la chhuak a, chu chu synthetic material hmanga siam tube, graft an tih hmangin a thlak a ni. He graft hian i aorta tan lining thar angin hna a thawk a ni. Chutah chuan thisen chu engmah daltu awm lovin a luang chhuak ta a ni. He surgery hi damdawi in operation room-ah tih a ni.

He surgery hi tute nge mamawh?

I ascending aorta-a aneurysm a rupture emaw dissect emaw a nih chuan emergency a ni. Hei hi Type A dissection kan ti a. Hei hi emergency surgery a ni a, i nunna chhanhim nan tih nghal a ngai a ni.

Tin, aneurysm i neih chuan a puak emaw, a chhe thei emaw a nih chuan he surgery hi i tih a ngai mai thei bawk. I doctor chuan kum khatah vawi khat emaw vawi hnih emaw imaging test (CT scan, MRI scan ang chi) a ti ang a, a dinhmun a enfiah ang. A chang chuan aneurysm hi a te lutuk emaw, a lo thang zauh zauh emaw a nih chuan hun engemaw chen chu operation a ngai lo mai thei. Mahse, a lian emaw, a lo thang chak hle tih a lan chuan , a puak emaw, a chhe emaw hmain operation hmanga siamthat a ngai mai thei.

Surgery neih hun tha ber chu eng nge ni?

He surgery neih hun tha ber tur hi thil engemaw zatin a hril a ni. Chung zinga pawimawh ber chu symptoms i neih leh neih loh hi a ni. Chu bâkah, thisen zam lian leh te, a lo ṭhan chak dân, i taksa lian leh te, leh damdawi lam thil dang i neih theih ang chi thilte pawhin hmun a chang bawk.

Emergency surgery ngai symptoms te

I rilru natna i neih chuan aneurysm a puak dawn tih chhinchhiahna a ni thei. Chutiang hunah chuan emergency surgery neih a ngai a ni.

Heng symptoms zinga pakhat tal i neih chuan tihkhawtlai suh. Kum 1990 ambulance service call nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU)-ah emaw kal nghal rawh.

Aneurysm lian tham tak a ni

Aneurysm lian tham tak hi surgery ruahmanna siamna atana thil pawimawh tak a ni. A hnuaia size hrang hrang a thlen chuan operation neih a ngai mai thei:

• A vaiin: centimetre 5.5 a ni
• Marfan syndrome ang chi natna nei tan: centimetre 4.5
• Loeys-Dietz syndrome ang chi natna nei tan chuan: 4.0 centimetres

Aneurysm a lo lian chak dan

Aneurysm hi centimetre 5.5 aia te pawh ni se, a thang chak hle a nih chuan zai a ngai thuai dawn a ni.

• A vaiin: Kum khatah cm 1 emaw thla 6 chhungin cm 0.5 emaw a ni.
• Thil engemaw (e.g. bicuspid aortic valve) nei tan: Kum khatah cm 0.5 a sei chuan.

I tana thil danglam bikte

I doctor chuan i taksa lian leh te leh damdawi lam thil dangte pawh a ngaihtuah ang. Entirnan, mi te zawka aneurysm te tak te hi a hlauhawm thei a, a te pawh nise. Tin, thinlung surgery dang i neih chuan i doctor chuan chu surgery neih rual chuan aneurysm chu siamthat leh turin a rawt thei bawk. Hei hian nakin lawka operation neih loh nan a pui thei a ni.

Hei atan hian hmanraw dang (endovascular) hman theih a ni lo em ni?

Thoracic endovascular aortic repair (TEVAR) hi a hnuai lam thoracic aorta-a aneurysm awmte siamthatna atana hman thin a ni. Mahse, he procedure hi ascending aorta, thinlung atanga intan artery-ah chuan hman a ni tlem hle. Hei hi a chhan chu heng hmun pahnih insiam dan leh thisen sang hi a inang lo hle a ni.

Mahse, emergency dinhmunah chuan TEVAR hmangin damlo chak lo lutuk, traditional surgery nei lo nunna chhanhim a ni. Tunah hian zirchiangtute chuan ascending aorta nena inmil tur device thar an siam mek a ni. Chuvangin he method hi nakin lawkah chuan a lo awm tawh zawk mai thei. Mahse tunah chuan enkawlna tha ber leh standard ber chu open surgery a ni.

Surgery neih hmain eng nge thleng?

Surgery neih hma kar tlemteah doctor i pan a ngai dawn a ni. I hriselna endik a ni ang a, test tul thenkhat pawh tih a ni ang.

Test tih tlangpui: 1.1.

• Thisen test: Kal hnathawh dan enfiah thin.
• CT emaw Heart MRI: Aorta hmun zawng zawng a enfiah vek. Aortic valve-ah harsatna a awm chuan he surgery neih chhung hian siamthat theih a ni bawk.
• Coronary angiography: Thinlung thisen petu thisen kalna kawng (arteries)-a thau (atherosclerosis) awm leh awm loh enfiah nan.
• Duplex ultrasound: Kawnga thisen kalna kawng (carotid arteries) awm dan a enfiah thin. Hengte nena harsatna awm hian operation neih laiin stroke a thlen theihna a tipung thei a ni.

Doctor nena sawiho tur thilte:

• Damdawi i ei: Damdawi, vitamin leh herbal remedies i ei zawng zawngte chu i doctor hnenah i hrilh tur a ni. Damdawi thenkhatah chuan operation hmain i ei tawh loh a ngai mai thei.
• Natna dang: Thisen sang ang chi natna i neih chuan zai hmain uluk taka control a ngai a ni.
• I rilru put hmang: Natna eng emaw, khawsik, flu, emaw herpes emaw i neih chuan i doctor hnenah hrilh rawh.
• Meizial zuk: Zai hma thla khat tal meizuk hi tihtawp vek tur a ni.

I doctor chuan i operation ni-ah thupek chiang tak a pe ang che. Chu thupekte dik taka zawm chu i surgery hlawhtlinna atan a pawimawh hle.

Surgery neih chhung hian eng nge thleng?

Surgery neih chhung hian general anesthesia hnuaiah dah i ni ang. Chuvangin engmah i hre lovang. Surgeon chuan i rilru lai takah median sternotomy a siam ang a, i aorta chak lo tak chu a la chhuak ang a, chu chu graft hmangin a thlak ang. Surgery neih chhung hian engtik lai pawhin cardiopulmonary bypass machine nen i inzawm ang. He surgery hi darkar 3-4 vel a ni tlangpui.

Surgery hnuah eng nge thleng?

Surgery zawhah intensive care unit (ICU)-ah dah i ni ang. Chutah chuan ni engemaw zat chu enkawl i ni ang. Chumi hnuah chuan general ward-ah sawn i ni ang. Damdawi ina awm zawng zawng hi ni 4 atanga ni 10 thleng a ni thei.

Damdawi ina a awm lai hian, .

• Urinary catheter i dah dawn a ni.
• Thisen zawrh loh nan damdawi (anticoagulants) pek thin a ni.
• Kea thisen zam a awm loh nan special compression socks an bun thin.
• I thawk chhuahna tur machine-ah i connect mai thei.
• Natna tihziaawmna turin painkiller pek a ni ang.

Zawi zawiin i kal tan a ngai a, i chakna i neih leh a ngai bawk. Mahse engkim hi zawi zawiin tih tur a ni a, doctor thupek angin. In lam panna kawngah car i khalh thei lo a nih avangin zuitu tur i neih a pawimawh hle.

He surgery hian a hlawkna, a hlauhawmna leh a dam leh hun tur te

Dam leh huna zawm tur thil

• Driving pumpelh: Doctor-in phalna a pek che hma chuan lirthei khalh suh.
• Thil rit chawi loh tur: Kar 4-6 chhung chu pound 10 (kg 4.5) aia tam chawi loh tur a ni.
• Exercise: Thâwk harsa ti thei exercise hahthlak tak takte chu pumpelh rawh. I doctor hnenah eng exercise nge i tan a tha tih zawt rawh.
• Incision Care: Incision chu a fai reng tur a ni. Nitin a sen, a hring, a hring emaw a awm leh awm loh enfiah thin ang che. Khuh emaw, thawk hah emaw hian i rilruah pillow i vawn chuan natna a tiziaawm ang.

Surgery zawhah ka nunphung thlak danglam a ngai em?

Awle. Nakin lawka lung natna vei theihna tur tihziaawmna turin nunphung tihdanglamna engemaw zat siam a pawimawh hle.

• Lung hrisel ei tur: a bik takin chi (sodium) tihtlem.
• Exercise: I doctor hnenah i tana tha tur exercise chungchang zawt la.
• Meizial i zu a nih chuan bansan nghal rawh: Meizial hian i thisen kalna kawng a tichhe nasa hle.
• Thisen sang, cholesterol leh zunthlum te control.

Engtikah nge Doctor ka hmuh ang?

I dam chhung hian i taksa hi ngaihven rawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

Hetiang surgery neih hma hian zawhna tam tak neih hi thil pangngai tak a ni. An vai hian i doctor nen inhawng takin sawi rawh. Doctor-in he surgery hi a rawt hian, operation neih loh aiin a hlauhawmna a sang zawk tih an sawi a ni. Operation ruahman atanga dam lehte chu nun pangngaiah an awm zui zel a ni. Chuvangin medical team dik leh enkawlna dik tak nen chuan i dam thuai thei a, i nun pangngaiah i kir leh thei bawk.