Nangmah emaw, i chhungte zinga tu emaw chuan open-heart surgery lian tak neih tura ruahman in ni em? Doctor-te'n "heart-lung machine" nen i inzawm dawn tih an sawi i hre tawh ngei ang. He hming i hriat hian tlem a hlauhthawn leh hriat duhna i neih hi thil pangngai tak a ni. He machine hi eng nge ni tak tak? Eng nge a tih? Hlauh tur thil a ni em? A awlsam leh chiang takin sawi ila.
Cardiopulmonary Bypass tih hi eng nge ni?
A awlsam zawngin, hei hi i thinlung leh lung aiah hun engemaw chen thawk thei machine a ni. Surgery neih lai hian i taksa thisen chu i thinlung leh lungah kal lovin he machine hmang hian a divert a ni. Chuvangin "bypass" an ti a ni.
Ngaihtuah teh, he machine hian operation laiin i thinlung leh i lungin hna lian ber pahnih a thawk a ni:
1. Thisenah oxygen dah (hei hi lungin a ti tlangpui).
2. Taksa pumpuiah oxygen tamna thisen pump (hei hi thinlungin a ti tlangpui).
He machine nena inzawm a nih chuan doctor te chuan damdawi bik ``Cardioplegia'' tih chu pein hun eng emaw chen atan i thinlung an titawp thei a ni. Tichuan, surgeon chuan him tak leh awlsam takin thinlung thawk lo leh thisen chhuak lo chu a zai thei a ni. Hetih lai hian i taksa peng dang zawng zawng hian he machine hmang hian an mamawh thisen oxygen tamna chu an dawng vek a ni. Doctor-te chuan he dinhmun hi "pump-ah" an ti bawk.
Hei leh CABG surgery hi thil inang a ni em?
Ni e, heng pahnih hi thil chi hrang hrang pahnih a ni. Mahse heng pahnih hi a thleng dun fo thin. Mi thenkhat chuan heng thumal pahnih hi an pahnih hian "bypass" tih thumal an neih avangin an buaipui thin.
- CABG (Coronary Artery Bypass Grafting): Hei hi operation tak tak a ni. Heart-a thisen petu coronary arteries te chu thau awmnain a block chuan kawng thar (bypass) a siam a, chu chuan blockage chu bypass in thisen a luang chhuak thei a ni.
- Cardiopulmonary Bypass: Hei hi CABG surgery (or heart surgery dang) neih laiin surgeon tanpui nan hman thin a ni. Thinlung leh lung chhehvela thisen kal dan tur dang (diverting) a huam a ni.
Chu chu CABG chu surgery a ni tihna a ni. Cardiopulmonary bypass chu chu surgery him taka tih theihna tura hman thin support system a ni.
He machine hian engtin nge hna a thawh?
Hei hi hrethiam tur chuan kan taksaa thisen kal dan pangngai hi i hrechhuak hmasa phawt ang u. Taksa chhunga oxygen tlachham thisen chu thinlung dinglam lamah vein lian pahnih (vena cava) hmangin a lut a. Chuta tang chuan chu thisen chu lungah a pump lut ta a ni. Lung-ah chuan thisen chu oxygen a awm a, chu thisen oxygen tamna chu thinlung veilam lamah a kir leh ta a ni. A tawp berah chuan chu thisen thianghlim chu taksa pum puiah pump chhuaktu chu thinlung veilam a ni.
Cardiopulmonary bypass machine hian he chakra hi taksa atangin hun engemaw chen a paih chhuak thin.
1. Thinlung chhunga a luh hma hian oxygen tlachham thisen thenkhat chu tube (cannulas) hmangin machine chhungah lak luh a ni.
2. Machine chhunga ``Oxygenator'' an tih hian thisenah oxygen a belhchhah a .
3. Machine chhunga pump hian oxygenated thisen chu thinlung hnua taksaa thisen sem darhtu main artery (Aorta) nen a thlunzawm leh thin.
Hei hi taksain a surgery zawh hma loh chuan oxygen a dawn dan a ni.
| Machine chhunga thil pawimawh ber berte | Hna a thawh thin chu |
|---|---|
| Cannula te pawh a awm | Taksa thisen kalna kawngte nena inzawm tube. Chungte chuan thisen chu machine-ah an phur a, taksaah an hruai kir leh thin. |
| Tuikhuah a awm | Taksa atanga oxygen tlakchham thisen lakhawmna tank. |
| Oxygenator a ni | Hei hi kan lung hna a ni: thisenah oxygen an dah belh a, carbon dioxide an paih chhuak bawk. |
| Pump a ni | Hei hi kan thinlung hna a ni. Oxygenated thisen chu taksaah a pump let leh thin. |
Surgery neih chhung hian eng step nge tih tur?
Medical team hian ruahmanna fel tak siamin he procedure hi an kalpui thin. Hemi atan hian surgeon, anesthesiologist, leh perfusionist, he machine hmang tura a bik taka zirtir specialist te telna team te hian an thawhhlawk hle.
- Machine buatsaih dan: A hmasa berin machine tube chhunga boruak chu paih vek a ni a, tui bik (priming solution) hmanga khat a ni. A chhan chu boruak bubble (`(Air Embolism)`) taksa chhunga lut chu a hlauhawm hle a ni.
- Thisen zam lo tura damdawi pek che: Machine nena i inzawm hmain thisen zam venna damdawi chak tak Heparin an tih chu pek i ni ang.
- Machine nena inzawmna: Tunah chuan doctor-te chuan machine-ah an connect ang che. Hetih lai hian i thinlung leh lungte hian hna a la thawk reng a ni.
- Heart and lung arrest: Engkim a thawk tha em tih enfiah hnuah ``Cardioplegia'' tih damdawi pek hmangin thinlung chu tihtawp a ni. Tunah chuan heart-lung machine hian hna zawng zawng chu a la ta vek a ni.
- Surgery leh monitoring: Surgeon-in surgery a tih lai hian perfusionist telin team chuan machine leh i taksa dinhmun (temperature leh blood pressure ang chi) chu uluk takin an enfiah chhunzawm zel a.
- Weaning: Surgery hlawhtling taka zawh hnuah i thinlung chu zawi zawiin a intan leh a, i lung chu thawk a phalsak a, machine atanga lakchhuah i ni.
Hetiang hmanraw hman hian eng hlauhawmna nge a neih?
Surgery lian dang ang bawkin, he tihnaah hian hlauhawmna a awm a ni. Heng hlauhawmnate hi machine nena i connect hun chhung leh operation hmaa i hriselna dinhmun a zirin a danglam thei.
Mahse, i medical team te hi heng hlauhawm zawng zawng enkawl danah hian training sang tak leh tawnhriat ngah tak an ni tih hre reng ang che. Harsatna lo awm thei thenkhat chu:
- Thisen a chhuak thin
- Thisen chhuak nasa tak a chhuak
- Stroke emaw thluak chhiatna emaw
- Kidney emaw lung emaw a chhiat
- Taksaah inflammation leh infection a awm
I doctor nen heng hlauhawmnate chungchang leh i operation hmaa i pumpelh theih dan tur te chu zalen takin sawiho rawh.
Emergency-ah eng nge i tih thin?
Operation hnua damdawi in i chhuahsan hunah i doctor chuan i lo kir leh tur ni leh i zawm tur thupekte a hrilhfiah ang che. Heng thupekte hi dik taka zawm a pawimawh hle.
A pawimawh ber: Stroke symptoms i neih chuan second khat pawh tihkhawtlai suh. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
Stroke vei emergency symptoms te chu:
- Taksa sir khatah rilru hah emaw, chak lohna emaw
- Thusawi harsa, tawngkam slurring
- Buaina thut
- Kal harsa, balance hloh
- Hmu harsa
Take-Home Thuchah a ni
- Cardiopulmonary bypass hi standard technique a ni a, heart surgery lian tham takah pawh nasa takin leh him takin hman a ni. Hlau suh.
- He machine hian surgeon chuan awlsam tak leh him takin thinlung thawk lo, thisen nei lo chu a ti thei a ni.
- Hei hi hun eng emaw chen chauh a ni. Surgery zawhah i thinlung leh lungte chu a pangngaiin a thawk leh ang.
- Surgery zawng zawng ang bawkin, hlauhawmna a awm a, mahse i medical team te chu enkawl turin training sang tak an nei a ni.
- Zawhna emaw, ngaihtuahna emaw i neih chuan operation hmain i doctor nen sawiho rawh. Hei hian i rilru a hahdam zawk ang.
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