I kawr chhunga thisen kalna kawng chu a inkhar em? Stroke hmain i hre vek ang: Carotid Endarterectomy surgery chungchang zawng zawng

Kan kawr kil lehlamah kan thluaka thisen phurtu thisen kalna kawng lian pahnih a awm a. Chûng thisen kalna kawngte chu plaque, a nih loh leh plaque-in a khuh a nih chuan eng nge thleng ang tih han ngaihtuah teh. Tui pipe chhunga rust lo awm ang mai a ni. Tichuan thluaka thisen kal zat chu a tlahniam ang. Hei hian stroke hlauhawm tak neih theihna kawng a hawnsak a ni. Chuvangin, vawiin hian he blockage chi hrang hrang tihbo nan hian special surgery tih kan sawi dawn a ni.

A awlsam zawngin Carotid Endarterectomy tih hi eng nge ni?

Hei hi hming sei leh mak tak a ni a, a awmzia erawh a awlsam hle. Hei hi surgery a ni. He surgery hian i kawr chhunga carotid artery chhunga thau leh cholesterol plaque awmte chu surgery hmanga paih chhuah a ni. Kan kawr veilam leh dinglamah carotid artery pahnih kan nei a. Heng pahnih hian kan thluak, kan kawr leh kan hmaiah thisen an pe chhuak thin. He surgery hi veilam emaw dinglam emaw ah tih theih a ni a, a sir block a zirin a ni.

Doctor-te chuan heng thau awmte hi an paih chhuak a, chu chuan thluaka thisen a kal leh thei a ni. Hei hi a chhan chu heng thau awmte hian thisen kal a tikhawlo thei a, a chang chuan a titawp vek thei bawk. I thluak hian thisen a la tawk lo a nih chuan stroke i neih a rinawm zawk.

He surgery hi tute tan nge tih a rawt?

I doctor chuan a enfiah ang che a, i medical history a enfiah ang che a, test result pawh a enfiah ang a, he surgery hi a tul leh tul loh a hriat theih nan. He surgery hi a tlangpuiin a hnuaia thil awm danah hian tih a tha thei. Hei hi chiang zawka i hriatthiam theih nan table- ah i en ang u.

Operation hmain engtin nge i inbuatsaih thin?

He surgery neih hma hian thil engemaw zat tih tur leh inbuatsaih tur a awm.

• Test bik: I doctor chuan i carotid arteries leh thluak chiang takin a hriat theih nan special scan, cerebral angiogram, CT angiography, emaw MR angiography te a ti thei ang.
• I damdawi ei zawng zawng (vitamin, herbal remedies, leh supplement te pawh tel) te chu i doctor hnenah hrilh rawh . Damdawi thenkhat chu operation hmain rei lo te chhung tihtawp a ngai mai thei. Mahse, aspirin ang damdawi hi surgery chhung zawnga ei tur atana an pek fo thin.
• Meizial zuk bân: Meizial zu mi i nih chuan operation hmain i bânsan ngei ang . Meizial zuk hian thisen zam a tipung a, damna a tikhawtlai bawk.
• Medical team atanga thupek: Medical team chuan operation hma ni khatah eng nge ei leh in tur tih chiang takin an pe ang che, damdawi ina lo kal hun tur, etc. Chu zawng zawng chu dik takin zawm vek rawh.

Engtin nge surgery hi tih a nih?

He surgery hi damdawi in operation room-ah tih a ni a, a tlangpuiin darkar khat emaw darkar hnih emaw vel a ni.

Surgery tan hmain anesthesia pek i ni ang. Hei hi kawng hnih a awm a. Pakhat chu general anesthesia a ni a, chu chuan muthilh tir vek che a ni.. A dang chu local anesthesia , i harh laiin i kawr chhunga operation tihna hmun chauh a ti na a ni. Local anesthesia pek i nih chuan i rilru hahdamna tur damdawi pek i ni bawk ang.

Surgeon chuan operation chu hetiang hian a ti thin:

1. A hmasain thisen kalna kawng khar awmna hmun dik tak an zawng a, a kawngah inches 4 vel zeta sei incision te tak te an siam a.

2. A dawtah chuan operation an neih chhungin thluaka thisen kal zel a ngai em tih an enfiah ang. A tul chuan tube te tak te (shunt) chu rei lo te chhung dah a ni ang a, chu chuan thisen a block lai chu a paltlang thei ang a, thluak lamah a luang lut ang.

3. Tichuan, thisen kalna kawngkhar (blood vessel) chu incision siamin a chhunga thau (plaque) awm chu uluk takin lakchhuah a ni.

4. Thau layer an lakchhuah hnuah thisen kalna kawng chu an sewn leh thin. Vawi tam tak chu thisen kalna kawng chu a inkhar leh tawh loh nan thil bik atanga siam patch dah a ni.

5. A tawp berah chuan temporary tube an dah kha la chhuakin thisen kal dan pangngaiah a awm leh ta a ni.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

He surgery hian a thatna lian ber chu nakin lawkah stroke neih theihna a ti tlem hle a ni. Surgeon tawnhriat ngah takin a tih chuan a hlauhawmna a tlem hle.

Mahse, surgery dang ang bawkin harsatna engemaw zat a awm theihna chance tlemte chauh a awm.

He hlauhawmna hi mi hrang hrangah a inang lo thei. Thil engemaw zatin a nghawng a:

• Thisen kalna kawng a block nasat zia.
• Stroke i nei tawh em?
• Natna dang, zunthlum, thinlung natna, kal natna emaw i neih pawhin.
• I kum (i upat deuh deuh chuan risk a sang deuh).

Operation hnuah eng nge thleng a, a dam leh theih nan eng chen nge a ngaih?

Operation hnuah ni khat vel damdawi inah i awm a ngai dawn a ni. Hei hi i dinhmun enfiah nan a ni. Operation hnu darkar tlemte chhungin a pangngaiin i ei leh in thei tawh ang. I kawr chhungah tube (drain) te tak te dahin i incision atanga tui lakchhuahna tur i nei thei bawk. Hei hi ni khat chhungin tihbo a ni tlangpui.

Kar hnih vel chhung chu kawng na engemaw zat a awm thei. Chumi atan chuan painkiller pangngai i hmang thei bawk.

Recovery process hi a rang tlangpui. Mi tam zawk chu operation an neih zawh ni khatah an haw thin. In lama kan haw hnuah:

• Inbual: Inbual hi a pawi lo. Mahse, surgical glue chu incision chungah hnawih suh la, tui direct-in a rawn tawk lo bawk.
• Incision enkawl dan: Incision chu nitin enfiah thin ang che. Lotion engmah hnawih suh. Incision-a rub thei thawmhnaw hak loh tur.
• Hnathawh lama kir leh: Kar khat emaw kar hnih emaw hnuah hna pangngai i thawk leh thei ang.
• Driving: Incision a dam tha tawh a, i kawr i han herh chuan natna a awm tawh loh chuan i khalh leh thei bawk.

I doctor chuan heng thilte hi tih a rawt mai thei:

• Ei leh in hrisel zawm .
• Doctor-in a phal chuan exercise la.
• Meizial zuk bânsan vek.
• Stress tihziaawmna.
• Cholesterol tihhniamna damdawi a pek angin ei.

Doctor ka hmu leh tur em ni? Eng symptom nge ka fimkhur tur?

Ni e, a dik tak zet. Operation atanga thla khatah doctor i pan tur a ni. Tichuan thla ruk danah kum hnih chhung, chumi hnuah kum khatah vawi khat. Hei hi thisen kalna kawng operation an neih kha a block leh tawh em tih te, a lehlamah thisen kalna kawng a harsatna a awm leh awm loh enfiah nan ultrasound scan hmangin an ti thin.

Tin, a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

He surgery leh stent dah hi eng nge a danglamna?

Hei hi mi tam tak tan chuan harsatna a ni.

• Carotid Endarterectomy: Hei hian thisen kalna kawng chu tan a, a chhunga thau awm chu paih chhuah a ni.
• Stenting: Hei hian thisen kalna kawngkhar chhungah balloon te tak te dahin a khar lai chu a zau zawk (hei hi angioplasty an ti a), chutah chuan a zau zawkna hmunah chuan metal tube (stent) dahin a inkhar leh tawh loh nan dah a ni.

Heng hmanraw pahnih hian thluaka thisen kal dan tur siam that leh turin hna a thawk a ni. I doctor chuan eng method nge i tan a tha ber tih a rel ang.

Tu pawhin thluaka thisen kal chungchanga harsatna an hriat chuan hlauhthawn hi thil pangngai tak a ni. Mahse, he carotid endarterectomy surgery hi thluaka thisen kal dan tha zawk leh stroke ang chi dinhmun hlauhawm tak atanga chhanchhuahna tha tak a ni. Zawhna emaw rinhlelhna emaw i neih chuan i doctor nen inbia la, engkim chiang takin sawi rawh.