I kal chak emaw, stairs i chhoh emaw pawhin thawk harsa i ti zual em? I rilruah boruak a khat a, thawk la thei tawh lo ang maiin i inhria em? Hei hi mi tam takin COPD (Chronic Obstructive Pulmonary Disease) natna khirh tak emphysema -a an tawn ṭhin a ni. Mahse lungngai suh, tunlai enkawlna hrang hrang a awm a, chu chuan he natna hi a enkawl thei che a ni. Vawiin hian chutiang enkawlna bik pakhat chungchang kan sawi dawn a ni.
BLVR chu eng nge ni? A awlsam zawngin i hrethiam ang u.
BLVR, Bronchoscopic Lung Volume Reduction tihna a ni a, a awlsam zawngin i lung chhunga boruak awm chu a chhuak thei a ni.
I lung chu balloon pahnih angin ngaihtuah rawh. Emphysema-ah chuan i lung hmun thenkhatah boruak a lut thei a, mahse a chhuak kim thei lo. Chumi hnuah chuan a chhia chu a inflated ta a, chu chuan i lung hmun hrisel tak takte hnathawh theihna tur hmun a ti tlem ta a ni. Hei hian thawk a harsat phah a, i chau a, thawk a tlachham tih i inhria.
Chuvangin he BLVR enkawlnaah hian doctor-te chuan bronchoscope , camera dahna tube te tak te, i rilru hnuaiah leh i lung chhungah an dah lut thin. Tichuan, lung hmun lian lo tak takah chuan one-way valve te tak te inzawmkhawm an dah a.
Heng valve te hian i thawk chhuah dawnin boruak tang chu a chhuak thei a, mahse i thawk chhuah leh chuan a chhe tawhna hmuna boruak lut tur chu a titawp thin.
Hun a kal zel a, hei hian i lung chhunga boruak a tang tlem a, i lung a ti tlem a, hna a thawk tha zawk tan thin. Hei hian i thawk hah leh hah lutuk chu nasa takin a tihziaawm ang.
A pawimawh ber chu BLVR hi emphysema damdawi emaw, dam rei thei tur emaw a ni lo. A tum ber chu symptoms control leh i nunphung tihchangtlun hi a ni.
He enkawlna hi tute tan nge a inhmeh tak zet?
BLVR enkawl hi mi zawng zawng tan a ni lo. Hemi atan hian qualification bik engemaw zat a awm. I doctor chuan uluk takin heng qualifications te hi i tlin leh tlin loh a enfiah ang che.
| Ngaihtuah ngai | Hrilhfiahna |
|---|---|
| Kum | A tlangpuiin kum 75 hnuai lam i ni tur a ni. |
| Symptoms nasat dan | Damdawi \ha leh pulmonary rehabilitation pek ni mah se, thawk hahna nasa tak leh hahna chu a la awm reng a ni. |
| Lung dinhmun | Lung hi overinflated leh air trapped tur a ni. Tin, boruak hi lung chhunga kawng dik lo kaltlangin a kal tur a ni lo (collateral ventilation a awm tur a ni lo). |
| Meizial zuk | Tunah hian meizuk loh tur a ni a, thla 4 tal meizuk loh tur a ni. |
| Rehabilitation programme hrang hrang neih a ni | Enkawl hma leh enkawl hnua pulmonary rehabilitation programme ruahman saah a tel thei tur a ni. |
Enkawl hma hian eng test nge tih thin?
He enkawlna atana candidate tha tak i nih leh nih loh hriat nan i doctor chuan taksa enfiahna kimchang a nei ang a, test eng emaw zat a ti ang. Chung zinga ṭhenkhat chu:
- Thisen test a ni
- Chest X-ray neih a ni
- Resolution sang tak CT scan hmanga tihchhuah a ni
- Pulmonary function test neih a ni
- Arterial thisen gas test a ni
- Echocardiogram test, thinlung hnathawh dan enfiahna a ni
- Minute ruk chhunga kal test - Hei hian i thinlung leh lung hnathawh dan a teh thin.
Engtin nge enkawl turin i inbuatsaih thin?
I doctor chuan i enkawlna atana inbuatsaih dan tur a hrilh ang che. Harsatna awm thei lo turin heng thupekte hi zawm dik a pawimawh hle .
- Damdawi (fasting) hma darkar 8 chhung chu engmah ei leh in loh tur a ni.
- Damdawi thenkhat ei kha i chawlhsan emaw, a hun tur i thlak emaw a ngai mai thei. Hemi chungchang hi i doctor nen sawiho rawh.
- Inenkawlna i neih hnu ni engemaw zat chu damdawi inah i awm dawn avângin, mi pakhatin in lama hruai tûr che chu ruahman lawk rawh.
Enkawl dan leh a thatna leh that lohna te
Hei hi operation lian tak a ni lo. Incision siam a ni lo. Anesthetized (muthilh tir) i ni. Doctor chuan i rilruah bronchoscope chu a dah a, lung chhia chhungah chuan valve 4 vel a dah a, chutah chuan bronchoscope chu a la chhuak ta a ni. Procedure zawng zawng hi minute 30 atanga 60 chauh a ni.
| A thatna te | Risk a awm thei |
|---|---|
| Taksaah hian cut a awm lo. | Anesthesia avanga thil thleng thei. |
| Recovery hun rei lo zawk. | Pneumothorax tih hi a ni . |
| A tul chuan valve lakchhuah emaw thlak emaw theihna. | Pneumonia ang chi natna hrik . |
| Traditional surgery aiin harsatna a tlem zawk. | COPD a lo chhuak nasa hle. |
| Nunphung quality pawh nasa takin a lo tha chho ta a ni. | Harsatna lian tak tak, thisen chhuah, stroke , leh myocardial infarction (a tam zawkah chuan a awm lo). |
Enkawl hnuah eng nge thleng?
Inenkawl zawhah ni 3 tal damdawi inah i awm a ngai dawn a ni. Medical team chuan uluk takin an lo vil reng ang che. In i haw hnuah kar 4-6 chhungin pulmonary rehabilitation program tan tir turin an ti ang che. Hei hian i hriselna enkawlna kawngah a pui hle ang.
Engtikah nge Doctor ka hmuh ang?
I enkawl hma emaw, enkawl zawh hnu emawa zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nena inbiakna neih chu tihkhawtlai suh. Tin, a hnuaia symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Chhan awm lova khawsik.
- A rilru a na hle.
- Thâwk harsa na tak.
- Vun, hmui emaw, kut zungtang emaw rawng dum (Cyanosis) .
Emphysema hi damdawi a awm lo a, mahse BLVR ang enkawlna hian thawk hahdam leh hahdam deuh deuhin a pui thei che a ni. Hei hi i tana enkawlna dik tak a nih leh nih loh ngaihtuah turin i doctor nen inbia ang che.
Take-Home Thuchah a ni
- BLVR hi emphysema na tak tan chuan tunlai, non-invasive treatment a ni.
- Hei hian natna hi tidam lo mah se, thawk a awlsam phah avangin nunphung a tichangtlung hle.
- He enkawlna hi mi zawng zawng tan a tha lo va, thiamna bik neih a ngai a ni.
- Damdawi zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a, mahse, traditional surgery aiin a hniam zawk.
- He damdawi hi i tan a tha em tih leh a thatna leh that lohna te chu i thawkna lama mithiam nen sawiho rawh.
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