I aorta a lo hring tawh em? He surgery (Ascending Aortic Aneurysm Repair) chungchang hi i zir chiang ang u

I rilru chhungril, thinlung atanga intan, i taksa pum puia thisen phurtu thisen kalna kawngpui ber kha han ngaihtuah teh. Hei hi aorta kan ti a. A dik tak chuan thinlung atanga lo chhuak hmasa ber chu ascending aorta an ti a. Hei hi kan taksa tui pipe bulpui ang a ni. A châng chuan, he thisen kalna kawngkhar pakhat hi a chak lo va, balloon ang maiin a lo hring chhuak ṭan ṭhin. Damdawi lamah chuan he natna hi aneurysm kan ti a. Hei hi thil pawi tak a ni thei a, a chhan chu he bulge hi a lian lutuk chuan a puak thei a ni. Chuvangin vawiin hian ascending aortic aneurysm-a bulge awm chu surgery hmanga siamthat dan tur kan sawi dawn a ni.

He surgery hi tute nge mamawh?

A awlsam zawngin, he surgery hi thil awmdan lian pahnih ah a ngai a ni.

1. Emergency angin: I aorta-a he aneurysm hi a puak (rupture) emaw, a bang (dissections) atanga a phelh emaw chuan emergency, nunna chhanhim thei surgery a ni. Hei hi dinhmun hlauhawm tak a ni.

2. Planned surgery angin: I doctor-in aneurysm i nei tih a hriat hnuah a puak theihna tur a zirchiang ang a, a hlauhawmna a san chuan a puak hmain operation neih a rawt ang. Doctor chuan a tlangpuiin kum khatah vawi khat emaw vawi hnih emaw tih thin scan (`CT` emaw `Heart MRI`) hmangin aneurysm lian leh te, a lo thang chak zia a enfiah ang.

Surgery neih hun tha ber chu eng nge ni?

Engtikah nge operation tih tur tih thutlukna chu thil engemaw zatah a innghat a, chung zingah chuan symptoms i neih leh neih loh, aneurysm lian leh te, leh a lo thang chak dan te pawh a tel.

Emergency surgery ngai symptoms te

Heng symptoms te hi i neih chuan i aneurysm chu a chhe dawn tihna a ni thei. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.

Elective surgery neih tawhte

Symptom i nei lo a nih pawhin i doctor chuan a hnuaia thil thlengah hian operation neih a rawt thei ang:

Operation hmaa inbuatsaihna chu engtin nge a awm?

Surgery tan hma kar engemaw zat hnuah i inpeih tawh ang.

• Medical test: Thisen test hmanga kal hnathawh enfiah te, CT emaw MRI scan hmanga aorta pumpui enfiah te, coronary angiography hmanga thinlung chhunga thisen kalna kawng dang enfiah te.
• Doctor nena inbiakna: Damdawi i ei zawng zawng (vitamin leh hnam damdawi te pawh tel) i doctor hnenah i hrilh tur a ni a, chubakah damdawi dang i neih zawng zawng, thisen sang leh zunthlum te pawh i hrilh tur a ni.
• Meizial zuk: Zai hma thla khat tal meizuk khap vek a pawimawh hle.

Doctor chuan thupek a pe ang che, chu chu operation ni-a zanlai hnuah tui in loh tur leh zing lama damdawi pek ang chauh ei tur a ni.

Engtin nge surgery hi tih a nih?

Hei hi open heart surgery a ni. Fully anesthetized (muthilh tir) i nih laiin tih a ni.

1. Incision: Surgeon chuan i rilru lai takah vertical incision a siam a.

2. Thisen kal dan: Heart-lung machine-ah i inzawm ang. Hei hian i taksain surgery neih chhunga a mamawh thisen leh oxygen a pe ang.

3. Siamthat: Aorta a chak lo, a hring tawh chu lakchhuah a, a aiah tube (graft) siam, synthetic material hmanga siam a ni. Hei hian thisen kalna kawng thar angin hna a thawk a ni.

4. Closure: Tube thar chu sutured a nih hnuah a hmuna dah a nih hnuah chest incision chu stitches emaw staples emaw hmangin khar a ni.

He surgery hi darkar thum atanga darkar li vel a ni tlangpui a, mahse siamthat ngai a zirin hun hi a danglam thei.

Surgery hnuah eng nge thleng?

Surgery zawhah intensive care unit (ICU)-ah ni engemaw zat dah i ni ang a, uluk taka enkawl i ni ang. Tichuan regular ward-ah sawn i ni ang. Damdawi ina awm chhung zawng hi ni 4 leh ni 10 inkar a ni thei.

I dam chhung hian a hnuaia mi hi i beisei thei ang:

• Painkiller pek a ni.
• Zun chhuahna tur catheter dah.
• Thâwk thawh ṭanpui nan machine hman (darkar hmasa berah).
• Kea thisen zam a awm loh nan special socks (compression socks) vuah.

Eng nge a hlauhawmna leh a hlawkna?

A thatna ber chu rupture a veng a, chu chuan thihna a thlen thei a ni. Surgery ruahman sa hlawhtlinna rate hi a sang hle (95%-98% vel). Hei hian nunna chhanhimna chance tha ber a ni tihna a ni.

Surgery lian dang ang bawkin, hlauhawmna a awm. Thisen chhuah tam lutuk, natna hrik kai, heart attack, stroke, kal (kidney failure) te ang chi harsatna a awm thei. Mahse, medical team chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah thin.

A dam leh theih nan eng chen nge hun a duh?

A tlangpuiin a dam kim theih nan kar 4 leh kar 6 inkar a ngai thin. Mi thenkhat tan chuan thla engemaw zat a daih thei. Hemi chhung hian khapna thenkhat i zawm a ngai dawn a ni.

• Driving pumpelh: I doctor-in phalna a pek che hma chuan (a tlangpuiin kar 1-2 tal).
• Thil rit chawi loh tur: Kg 5 aia rit (kar 4-6 chhung) chawi loh tur.
• Inbual: Hliam a dam hma chu inbual loh tur. Shower i la thei bawk.
• Exercise: Exercise hah lutuk hi pumpelh rawh.

To reduce pain when coughing or sneezing , hliam chungah pillow dah la, compress rawh. Tin, ei duh lohna leh hah lutuk hi kar hmasa lamah chuan thil pangngai a ni. Ngaihtuah buai suh.

Doctor hmuh hun tur

I dam chhungin a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal rawh.