I naute chu lung natna avanga BTT Shunt surgery neih tir tura rawtna a awm tawh em? (BTT Shunt) Hemi chungchang hi awlsam takin han sawi ila.

I naute piang thar hian pianpui thinlung natna a nei tih doctor-in a hrilh chu nu leh pa tan a harsatzia ka hrethiam. Hetiang hunah hian ‘BTT shunt’ tih i hriat hian eng nge a nih, engvangin nge a tih, naute a ti na em tih leh a hlauhawmna a awm em tih zawhna tam tak i nei ngei ang. Lungngai suh. Vawiin hian chiang tak leh awlsam takin kan sawi dawn a ni.

A awlsam zawngin, he BTT Shunt hi eng nge ni?

BTT shunt, a nih loh leh Blalock-Taussig-Thomas shunt hi naute taksaa oxygen tling lote tanpui nan special surgery tih a ni. Hetiang dinhmun hi pianpui thinlung natna avanga lo awm a ni .

Ngaihtuah teh, kan taksa hian kan lung chhunga boruak kan thaw chhuah atang hian oxygen a dawng thin. He oxygen hi thisenah telh a ngai a, taksa pum puiah a phurh chhuah a ngai a ni. Mahse, naute thinlung natna vei thenkhatah chuan thinlung atanga lung thlenga thisen phurtu thisen kalna kawngpui ber , pulmonary artery , chuan thisen a hmu tlem hle. Tichuan taksain oxygen a hmu tling lo.

Chuvangin, BTT shunt hian kawng thar a siam a, chu chu thisen kalna bulpui atanga thisen kalna atanga taksa atanga lung thlenga thisen phurtu artificial tube te tak te (shunt emaw graft emaw) dahin kawng thar a siam a ni. Bypass road te tak te, kawngpui busy tak bypass ang mai a ni. Hei hian lungah thisen kal a tipung a, taksain oxygen a hmu tha zawk.

A pawimawh ber chu hei hi a tlangpuiin hun eng emaw chen atana chinfelna a ni. Naute chu a lo upa deuh a, a chak deuh tawh chuan, a bul tanna thinlung lama harsatna awm tawh chu siam\hat vek turin operation lian tak neih a ni. Chu surgery chhung chuan BTT shunt chu lakchhuah a ni. Mahse, a tlem hle a, naute thenkhat chuan hun rei tak chhunga solution atan he shunt hi an neih a ngai mai thei.

Lung natna chi hrang hrangah hian BTT Shunt surgery neih ngai?

He surgery hi congenital heart disease engemawzat tan a tangkai hle a, chu chuan lung a thisen kal a tihtlem phah a ni.

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Surgery neih hmain eng nge thleng?

Surgery neih hmain i naute medical team chuan a tul zawng zawng an la khawm vek ang. I naute chu uluk takin an enfiah ang a, i naupai lai atanga a hriselna chanchin an enfiah ang. Non-invasive test thenkhat pawh an ti thei bawk.

I naute chu operation hmaa inbual dan tur leh engtikah nge ei leh in leh hnute pek tawh loh tur tih hriattirna i dawng bawk ang.

Surgery neih chhung hian eng nge thleng?

He operation hi darkar engemaw zat a awh a, a nalh hle bawk. Surgeon hian a hnuaia mite hi a ti ber a ni:

• Naute rilru lai takah ruh chuThinlung hi sternum atanga tan chuan a lut thei a ni .
• Thinlung hnaih zawk tur chuan a bula awm thymus gland chu a chhuak vek a ni.
• Sawi tawh ang khan synthetic graft hi taksaa thisen petu main artery (the subclavian artery) leh lungs-a thisen petu thisen kalna kawng (pulmonary artery) inkarah a inzawm a ni.
• He connection hi uluk takin a thawk tha em tih te, thisen zam a awm em tih te, thisen chhuak a awm em tih te uluk taka enfiah thin a ni.
• Engkim a OK chuan naute rilru chu a inkhar leh ang.

Surgery hnuah eng nge thleng?

Operation zawhah i naute chu intensive care unit (ICU) -ah dah a ni ang .

Hei hian hlauthawng suh. Surgery zawhah i naute i hmuh hian tlem chuan i rilru a hahdam lo mai thei. Naute hian tube leh wire tam tak a nei ang. Mahse, chu hmanrua zawng zawng chu naute chu a dam thuai theih nan a awm tih hre reng ang che. Chuvangin chak takin awm rawh.

Naute chu thisen zam a veng loh nan thisen tithianghlimtu, heparin ang chi pek a ni. Aspirin an hmang tan bawk . Naute hian a dam chhungin he aspirin hi a ei a ngai dawn a ni. A tlem hle a, naute ṭhenkhat chuan hun eng emaw chen atana nunna ṭanpuitu machine, ECMO ang chi ṭanpuina an mamawh thei a ni.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

A thatna ber chu:

He surgery hian a hlawkna lian ber chu naute taksa cell-a oxygen lut a tipung a ni. Hei hian naute thenkhat vun, hmui leh kut zungtang-a oxygen tlakchham vanga blue coloration (cyanosis) hmuh tur chu a ti tlem a ni. Hei hi naute tan chuan surgery lian tak a neih leh tur thlenga hrisel leh chak taka awm theihna tur bridge tha tak a ni.

Risk leh complication: 1.1.

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che. Harsatna awm thei thenkhat chu:

• Shunt kaltlangin a tul aia tam thisen chu lungah a kal (pulmonary overcirculation).
• Thisen a chhuak thin.
• Surgery neihna hmun bula nerve (a bik takin naute aw thuk zawng tichhe thei nerve) chhiatna.
• Lungphung dik lo (Arrhythmia) a awm.
• Lung natna (Cardiac arrest) a awm.

Heng risk te hi a tlem hle a, medical team te chuan hetiang thil hi ven nan theihtawp an chhuah mek a ni.

Eng chen nge dam leh nan leh engtikah nge doctor ka hmuh ang?

Naute chu damdawi inah kar hnih vel a awm tlangpui. Kar hmasa ber emaw vel chu intensive care unit (ICU)-ah hman a ni ang. In i haw hnuah pawh i naute chu regular checkup turin i hruai a ngai dawn a ni. Tlawh hmasak ber chu in lama haw atanga kar khat emaw kar hnih emaw chhungin a ni tlangpui.

In lama haw hnuah a hnuaia symptoms te hi i hriat chuan doctor i ko nghal tur a ni.

Nu leh pa kan nih angin i naute chu a tha ber pek i duh tih kan hria. Hetih lai hian i tih theih tha ber chu medical team te zawhna i neih zawng zawng zawh hi a ni. I naute dinhmun, surgery leh hmalam hun chungchang chiang takin sawi rawh. Damdawi in leh chutiang surgery lama tawnhriat ngah tak doctor thlan chuan rilru thlamuanna nasa tak a thlen bawk ang.