Neck blood vessel blockage leh stroke hlauhawmna: TCAR enkawlna (Transcarotid Artery Revascularization) chungchang zir rawh

Doctor pakhatin, "I kawr chhunga thisen kalna kawng lian tak a inkhar a, hei hian stroke i neih theihna a tipung a ni," a tih i hre tawh ngei ang. Hetiang thil an hriat hian tu pawhin tlem a hlauhthawn hi thil pangngai tak a ni. Mahse lungngai suh, a chhan chu medical science a lo thang chho tawh a, tunah chuan hetiang dinhmun enkawl dan tur tha tak tak a awm tawh a ni. Vawiin hian TCAR kan sawi dawn a, hei hi tunlai leh him tak, stroke hlauhawmna tihziaawmna atana hman thin a ni.

TCAR chu eng nge ni? A awlsam zawngin i hrethiam ang u.

TCAR (Transcarotid Artery Revascularization) hi damdawi bik a ni a, i kawr chhunga thisen kalna kawng bulpui, Carotid Artery an tih, a inkharkhip siamthatna tur a ni. Hetah pawh hian chutiang thil chu a thleng ang tih han ngaihtuah teh, i in chhunga tui luang chhuak (drain) khar ang maiin. Heng thisen kalna kawng chhungah hian thau leh cholesterol ang chi thil te chu a pungkhawm a, layer a siam a. Hei hi ‘Plaque’ kan ti a ni.

He plaque layer hian thisen kalna kawng chu a ti zim zauh zauh a. A hlauhawm ber chu he plaque peng pakhat hi a inthen a, thluaka thisen kalna kawng a block a nih chuan emaw, he blockage hian thisen kal a titawp vek a nih chuan stroke a awm thei a ni.

Chuvangin he hlauhawmna hi ven nan doctor te chuan heng blockage te hi an enkawl a, an paih chhuak thin. Chumi atana hmanraw pawimawh pathum a awm a, chungte chu:

1. Carotid Endarterectomy (CEA): Hei hi hnam dan anga open surgery tih a ni. Doctor chuan a kawngah incision a siam a, thisen kalna kawng a hawng a, kut hmangin plaque chu a scrape chhuak ta a ni.

2. Carotid Angioplasty and Stenting (CAS): Hei hi thisen kalna kawng, a tlangpuiin groin emaw arm emaw kaltlangin tube te tak te chu kawr chhunga blocked area-ah kaltir a, balloon ang chi thil hmangin blockage chu tihzauh a ni. Tichuan, mesh ang chi, stent an tih chu a vessel chu a zim leh tawh loh nan an dah lut leh a.

3. TCAR treatment: Hei hi CAS method nen hian a inang deuh a, mahse tunlai zawk leh him zawk a ni. Hetah hian stent hi groin kaltlangin ni lovin, a kawngah incision te tak te hmangin an dah a ni. Hemi thil bikte hi a hnuah kan sawi leh ang.

TCAR enkawlna hi tute tan nge a tha bik?

TCAR hi traditional open surgery (CEA) avanga harsatna tawk thei dinhmun sang tak nei damlote tan hman tan a ni. Hetiang hlauhawmna tipung thei thilte chu:

• Kum upa lam deuh.
• Lung natna emaw, lung natna emaw awm.
• Tun hmaa kawr surgery emaw radiation therapy emaw atanga kawr scar tissue neih.
• Blockage chu operation harsa hmunah a awm a nih chuan, chu chu jawbone hnuaiah a ni.

Mahse tunah chuan he method hi risk level pangngai nei damlote tan pawh hlawhtling takin hman a ni ta.

Operation hmain engtin nge i inbuatsaih thin?

TCAR enkawl i tum a nih chuan i doctor chuan test eng emaw zat a order hmasa ang.

• Thisen test a ni
• Ultrasound hmanga kawr chhunga carotid arteries awmte chu enfiah a ni
• Kawng leh thluaka thisen kalna kawng hrang hrang enfiahna special CT scan (CT Angiogram) a ni

Chu bâkah, operation tûra inbuatsaihna tûr damdawi engemaw zât i ei ṭan thei bawk. Chung zingah chuan cholesterol tihhniamna damdawi statin leh thisen tihthianghlimna damdawi aspirin ang chi te pawh a tel thei.

A pawimawh ber chu doctor-in operation hma zan zanlai hnuah engmah ei leh in lo turin a fuih ang che. Chu thupekte chu dik taka zawm a pawimawh hle.

TCAR surgery hi engtin nge an tih thin?

Hei hi mak tak mai, technology lama hmasawn tak procedure a ni. Operating room-a thil thleng chu a awlsam zawngin hetiang hi a ni:

1. Anesthesia: Hei hi muthilh kim vek (General Anesthesia) emaw, i kawr vel chauh numbing (Local Anesthesia) hmanga tih a ni.

2. Thisen filtration system: A dawtah chuan i groin (femoral vein) chhunga vein pakhatah tube te tak te dah luh a ni. Chumi hnuah chuan thisen thianghlim chu i taksaah a rawn kir leh thin.

3. Neck incision: Incision khat vel zeta sei chu a kawr chhungah, kawr ruh chunglam chiah, a blockage sir lamah incision te tak te, inch khat vel a sei chu siam a ni.

4. Thisen kal dan tihdanglam: Tunah chuan a pawimawh ber chu a thleng ta. Chu incision te tak te hmang chuan carotid artery-ah tube dang dah a ni a, chu tube chu filter bik hmangin groin chhunga tube nen an inzawm a ni. Tichuan, carotid artery-a thisen kal chu thluak lam atang chuan rei lo te chhungin a inthlak a, kawng dangah a inthlak ta a ni!

5. Hriselna: Hei hian a tih lai hian plaque fragment eng emaw zat chu a chhe vek a nih pawhin thluak lamah a kal dawn lo tihna a ni. Chu ai chuan thisen chu filter a ni a, a chhe zawng zawng chu a man vek a, thisen thianghlim chauh chu groin chhunga vein kaltlangin taksaah a kir leh thin. Hei hi stroke hlauhawmna venna atana himna ber a ni.

6. Stent dah dan: Tunah chuan doctor chuan wire te tak te hmangin blockage chu a paltlang a, balloon hmangin a dilate a, metal mesh ang chi stent a dah bawk . Hei hian thisen kalna kawng chu a inhawng reng tih a tichiang a ni.

7. Finishing: Tichuan tube zawng zawng chu lakchhuah vek a ni a, artery leh neck-a incision te te chu sewn closed a ni. Procedure zawng zawng hi darkar khat leh a chanve vel a ni.

Dam leh hun rei tak enkawlna

TCAR surgery hnuah ni khat vel damdawi inah i awm ang. Hemi chhung hian medical staff te chuan i dinhmun hi an lo enfiah reng dawn a ni. Hei hi minimally invasive surgery a nih avangin hliamte a dam theih nan hun rei tak a ngai lo.

In i haw hnuah kar khat vel chu thil rit phurh loh tur a ni. Hnathawh tur i neih leh theih hun tur chu i doctor nen sawiho rawh. Tin, i kawr hliam hi a dam tha em tih leh natna kai chhinchhiahna a awm leh awm loh enfiah fo a pawimawh bawk.

Engtikah nge doctor koh tur

Hliam chu natna hrik a kai tih hriattirna heng chhinchhiahna te hi i neih chuan doctor ko nghal rawh:

• Khawsik
• Khua a vawt a, a khur bawk
• Hliam vel a sen
• Hliam atanga tui ang maia chhuak

Stent dah a nih hnuah i thisen kalna kawng a inkhar leh tawh loh nan mawhphurhna lian tak i nei a ni. Chutiang ti tur chuan a hnuaia mite hi i tih a ngai a ni:

• Meizial zuk kha bansan vek rawh.
• Exercise neih fo thin ang che.
• Saturated fats tlemna ei leh in hrisel ei rawh.
• Cholesterol leh thisen zam control nan doctor-in a pek damdawi chu a hun takah ei thin ang che.