Doctor-in, "Naute hian a thinlungah khur a nei" a tih hian nu leh pa tu pawhin an lungkham hi thil pangngai tak a ni. Heng thute kan hriat hian ngaihtuahna tam tak a rawn chhuah thin. Mahse i hriatthiam tak tak chuan hlauh tur a ni lo. Vawiin hian mi tam takin an hriat tawh, mahse an hriat chian loh thinlunga khur khar dan tur, ASD Closure tih chu kan sawi dawn a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih angin i sawi ang u.
Pakhatnaah chuan, he thinlung khur (ASD) hi eng nge ni?
Okay, a awlsam zawngin sawi ila, hei hi kan thinlung chunglam pindan pahnih (‘atria’ kan tih) inkar bang (‘septum’ an tih)-a pianpui khur (congenital hole) a ni. Damdawi lamah chuan he natna hi (Atrial Septal Defect) , emaw a tawi zawngin (ASD) kan ti thin.
Tunah chuan hei hi natna niin i ngai mai thei. Mak tak mai chu, kan thinlunga he khur te tak te hi neiin kan piang vek a ni. A pangngai a ni. A tlangpuiin he khur hi naute pian hnu kar engemaw zat emaw, thla engemaw zat emaw chhungin a mah chauhin a khar thin. Mahse a chang chuan naupang thenkhat chuan khur lian deuh deuh an nei a, chu chu a mah chauhin a khar lo mai thei. Chutah chuan harsatna a lo chhuak tan ta a ni.
Engvangin nge he khur hi khar a ngai?
A khur chu a te a nih chuan harsatna lian tak a thlen lo mai thei. Enkawlna a ngai lo mai thei. Mahse hei (ASD) hi a lian a nih chuan harsatna tam tak a thlen thei a ni.
Ngaihtuah teh, thinlung pindan chunglam pahnih inkarah khur lian tak a awm chuan pindan pakhata thisen chu pindan dangah a luang lut a ni. Tui dahna pahnih inkar khur ang mai a ni. Hei hian thinlung leh lungte chu a pangngai aia nasa zawkin hna a thawk a ni. Hun kal zelah hetiang hi a lo thlen chuan harsatna chi hrang hrang a thleng thei a ni.
A pawimawh ber chu khur lian tak a awm chuan a hmaa hriatchhuah leh enkawl hian nakin lawkah chhiatna lian tham a veng thei a ni.
Hemi atanga harsatna lo awm thei ber berte chu a hnuaia table hi en la.
| Complication awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Lungphung pangngai lo (Arrhythmia) . | Lungphun mumal lo. Snail pace-a hnathawk machine pakhatin a rhythm a thlak nghal ang mai a ni. (Atrial Fibrillation) leh (Atrial Flutter) te hi chutiang natna chu a ni. |
| Thinlung lian zawk | Hnathawh tam a ngaih avangin heart muscle chu a lian chho zel a ni. Hei hi hun rei tak chhung atan chuan dinhmun tha a ni lo. |
| Lung lam chak lohna | Hun rei tak chhung chu a rit belhchhah chu a phur thei lo va, taksain thisen a mamawh zat a pump thei lo va, thinlung chu a chak lo ta a ni. |
| Pulmonary Hypertension tih a ni | Lung lama thisen kal zat a pung a, chuta thisen kalna kawngte chu pressure a tisang a ni. Hei hian thawk harsatna a thlen thin. |
| Thai | A chang chuan taksaa thisen zam te tak te lo awm te hian he khur hi a paltlang thei a, thluaka thisen kalna kawng khatah a tang thei bawk. Hei hi a tlem deuh. |
Heng hlauhawmna avang hian i doctor chuan ASD Closure, he khur hi khar nan surgery tih a rawt thei a ni. He surgery hi naupang tê tête chungah tih a ni tlangpui a, nakin lawkah he chhiatna thleng thei hi a awm loh nan.
Engtin nge he surgery hi tih a nih? Thil tih dan pahnih a awm!
Thinlung khur khar dan tlangpui pahnih a awm. Pakhat chu open-heart surgery , chu chu a rilruah incision siam a ni. A dang chu minimally invasive procedure , chu chu groin kaltlangin tube te tak te dah a ni.
I cardiologist chuan eng method nge nangmah emaw i fa emaw tan a tha tih a rel ang. Hei hi thil engemaw zatah a innghat ang:
- A khur lian leh te leh thinlung chhunga a awmna hmun.
- Thinlung natna dang i neih te.
- I hriselna zawng zawng.
Tunah hian heng method pahnih hi a hranin han thlir ila.
1. Open Heart Surgery (Surgical ASD khar) tih a ni.
Hei hi hmanlai kalphung a ni. Hemiah hian anesthetized vek i ni a, chu chu i muhil thuk em avangin engmah i hre lo tihna a ni.
- Surgery neih chhung hian:I thinlung leh lung hnathawh chu hun engemaw chen thawk turin machine bik (heart-lung machine) nen inzawm tir i ni ang. Chumi hnuah chuan surgeon chuan i rilru chhungril emaw dinglam emaw ah incision te tak te a siam ang a, chu chu i thinlung thleng turin a ti ang. Tichuan, tube te tak te, camera (endoscope) nei hmangin khur awmna hmun dik tak chu zawn chhuah a ni ang.
- Khuar khar dan: Khur khar dan kawng hrang hrang a awm.
- Synthetic material hmanga siam patch hmanga khuh a ni.
- A nih loh leh i thinlung hmun dang atanga lak chhuah tissue chi khat hmangin i khuh thei bawk.
- Suture hmanga khar theih a ni .
Hei hi surgery lian tak ni mahse, tunlai technology hmang hian hlawhtling tak leh him takin tih theih a ni.
2. Transcatheter ASD khar a ni
Hei hi mi tam takin an hman dan thar leh an duh ber a ni. A chhan chu a rilruah incision lian tak a tel lo. Chuvangin damna hun hi a tawi hle a ni. Mahse, he hmanrua hi a khur chu a te a, thinlung chhung hmun dik takah a awm chauhvin tih theih a ni.
- A tih dan: Anesthetized kim i ni lovang, mahse i mut theih nan damdawi pek i ni ang. Tichuan, doctor chuan i groin (femoral vein) -a vein lian takah incision te tak te a siam a, chuta tang chuan catheter an tih tube te tak te a dah lut a.
- Thinlung lam panna hmanrua: He tube tawp lamah hian hmanraw te tak te (closure device) a awm a, chu chuan a zung chu a khar a ni. Doctor chuan he tube hi uluk takin vein kaltlangin thinlungah a kaihruai a, chutih rualin X-ray leh echocardiogram ang chi technology te a en bawk.
- Khur khar dan: Chu khur chu thinlungah a awm tawh chuan hmanrua te tak te chu umbrella ang maiin a inhawng a, khur chu a khar ta a ni. Tichuan doctor chuan catheter chu a la chhuak ta a. Chu chu a ni ta!
Surgery hnuah eng nge thleng? Engtin nge dam leh hun chu?
Dam hun chhung hi i tih dan azirin a inang lo ang.
- If you had open surgery , ni engemaw zat damdawi inah i awm a ngai ang. In i haw hnuah chuan kar tlemte chhung chu thil hahthlak tak tak i pumpelh a ngai ang.
- If you had a catheter procedure , ni khat emaw ni hnih emaw hnuah in lamah i haw thei tlangpui a, kar khat chhungin i thiltih pangngai chu i thawk leh thei bawk.
Surgery hnu thla 6 hmasa berah chuan i thisen zam loh nan damdawi i ei a ngai dawn a ni . Tin, ha lam hna i thawh chuan i doctor chuan natna kai loh nan antibiotics a rawn rawt mai thei bawk.
A pawimawh ber chu doctor-in lo kal tura a tih nitin clinic-a kal hi a ni (follow-up appointment) . Tichuan a khur chu a khar tha em tih leh thinlung hian hna a thawk tha em tih kan enfiah thei ang.
Risk a awm em? Engtikah nge Doctor i hmuh nghal tur?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Hengte hi a tlem hle a, mahse fimkhur a tha.
- Surgery-a hman tur thilte allergy nei.
- Thinlung thawk mumal lo (Arrhythmia).
- Thisen chhuak.
- Kaichhawng.
- Kidney a chhiat phah.
- Stroke emaw, transient ischemic attack emaw a awm thei.
Heng thilte hi ngaihtuah buai suh. I medical team chuan heng thilte hi a thlen loh nan theihtawp an chhuah mek a ni.
Amaherawhchu, operation hnua in lama i haw dawna a hnuaia symptoms te hi i neih chuan damdawi in pan emaw, doctor ko nghal emaw tur a ni.
| Damdawi lam thurawn lak nghal tur | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| Cutting path tihdanglamna | Cut atanga thisen, zun emaw, tui dang emaw a chhuak a nih chuan. |
| A rilru a na | Rilru na tak emaw, na tak emaw. |
| Thil dang pawh a awm | Khawsik, thawk harsa, hriatna hloh, rilru chhunga throbbing sensation mak tak tak hriat. |
Surgery hnuah nun chu eng ang nge ni ang?
Hei hi a tha ber a ni. Research atanga a lan dan chuan kum 25 hnuai lam miin he surgery hi an neih chuan an dam rei zawng chu ASD nei ngai lo mi nen a inang vek a ni. Chu chu nun hrisel tak, nun pangngai tak i hmang thei tihna a ni .
A pawimawh ber chu, a khur khar hian enkawlna tel lova (ASD) neih ai chuan dam rei zawk, hrisel zawkin i nung thei a ni.
Chuvangin, doctor-in nangmah emaw, i fa emaw hian ASD i nei tih a sawi chuan lungngai suh. Chumi chungchang chu i doctor nen sawiho rawh. I tâna ṭha ber enkawlna thlan tûrin a ṭanpui ang che.
Take-Home Thuchah a ni
- Atrial septal defect (ASD) chu thinlung chunglam chamber pahnih inkar bang chhunga khur awm a ni. Pian tirh lamah a awm fo thin.
- Chu khur chu a lian a nih chuan thinlung leh lungah extra strain a siam thei a, chu chuan hun kal zelah harsatna hrang hrang a thlen thei a ni.
- He khur hi khar nan hian enkawlna hlawhtling tak tak (ASD Closure) a awm a, chu chu open heart surgery leh catheterization te hi a ni.
- Catheter hman dan hi a awlsam hle a, dam hun rei lote a nei a, mahse mi zawng zawng tan a ni lo. I doctor chuan eng method nge i tan a tha tih a rel ang.
- Inenkawl zawhah nun hrisel, pangngai takin i nung thei a ni. A pawimawh ber chu i doctor thupek dik taka zawm hi a ni.
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