Heart valve surgery (Surgical Mitral Commissurotomy) chungchang hi a awlsam zawngin i zir ang u.

I thinlung hi tui pump, non-stop-a thawk angin ngaihtuah rawh. He pump chhungah hian kawngkhar ang chi hmun te tak te pali a awm a, chu chuan thisen chu kawng khat chauh a kal theih nan a pui a ni. Damdawi lam hawi chuan hengte hi heart valve kan ti a. Heng kawngkharte hi a inhawng leh inkhar tha lo a nih chuan buaina lian tak a ni lawm ni? Chutiang bawkin vawiinah hian kan thinlunga valve pawimawh ber zinga mi mitral valve a inhawng tha lo a, a zim deuh a, a special surgery kan sawi dawn a ni.

Commissurotomy tih hi eng nge ni?

A awlsam zawngin, commissuroy hi i thinlung chhunga valve pakhat kaltlangin thisen a kal theihna tura surgical procedure a ni. Mitral valve ah tih a ni tlangpui . Mitral valve hi upper left chamber (left atrium) leh lower left chamber (left ventricle) inkarah a awm a.

He kawngkhar hi a inhawng tha lo va, a tang a, a zim hle niin han ngaihtuah teh. Hetiang dinhmun hi mitral valve stenosis kan ti a. Thil thleng chu, a chunglam chamber atanga a hnuai lam panna kawng chu a inkharkhip a ni. Hei hian thisen chu a back up a, thinlung leh lungah harsatna nasa tak a siam a ni. Hun a kal zel a, hei hian heart failure ang chi natna khirh tak tak pawh a thlen thei a ni.

He commissurotomy surgery hi mitral valve stenosis hmasa ber enkawlna atan hman a ni. Mahse dik tak chuan tunlai hian tih a tlem hle. A chhan chu open-heart surgery anga tih a nih tlangpui avangin . Risk engemaw zat a nei bawk. Chuvangin, a theih phawt chuan doctor-te chuan hmanraw awlsam zawk, hlauhawm lo zawka hman an tum thin. Tuna enkawlna awm zinga pakhat chu balloon valvuloplasty a ni . Chutah chuan tube te tak te dahin balloon ang chi thil pakhat chu valve tawi tak chhungah chuan inflated a ni a, a zau ta a ni.

Amaherawhchu, mi thenkhat tan chuan an thinlung dinhmun avang leh thil dang vangin balloon method hi tih theih a ni lo. Chutiang hunah chuan commisurotomy surgery hi a tha ber.

He surgery hi tuin nge mamawh tak tak?

Mitral stenosis i neih a, a hnuaia mi hi a hman theih chuan i doctor chuan he surgery hi a rawt thei ang:

• Damdawi dang hmanga tihdam i nih loh chuan.
• Balloon valvuloplasty i tih theih loh chuan.

Tin, thinlung surgery dang i neih tawh chuan he surgery hi a rualin tih theih a ni bawk.

Mahse thil pakhat hriat reng a pawimawh. Mitral valve stenosis nei zawng zawng hian he surgery hi an nei thei lo. I valve stenosis awm chhan ah a innghat.

A chhan lian ber pahnih a awm a, chungte chu:

1. Rheumatic Heart Disease avanga chhiatna thleng:Naupan laia rilru natna hnua lo awm, Rheumatic fever hian kum tam tak hnuah heart valve a tichhe thei a ni.

2. Degenerative Mitral Stenosis: Hun kal zelah Valve chu a chak lo zauh zauh a, a zim a, calcium deposit-in a khuh ta a ni.

Commissurotomy surgery hi rheumatic heart disease nei tan chuan a tangkai hle a ni . Hetiang dinhmunah hian leaflet pahnih inzawmna valve kil hnih, commissures tia koh chu a thim a, a chang chuan a inzawm khawm thin.

Commissurotomy surgery-ah chuan valve kil hnih ah incision te te siamin a chhuak thin. Tichuan valve chu a inhawng tha leh tan leh ta a ni. Mahse, kum upat avanga valve chhe tawhteah chuan commissures hi a chhe lo tlangpui. Chu ai chuan valve hmun dang siam that a ngai zawk. Chuvangin he surgery hi an tan a tha lo hle a ni. Valve siamthat chi dang emaw, valve thlak kim (mitral valve thlak) emaw an neih a ngai dawn a ni.

Surgery neih hmain eng nge thleng?

Inbuatsaihna chu i operation ni hma kar tam tak, a châng chuan thla tam tak hmain a inṭan ṭhin. I medical team (i chhungkaw doctor, cardiologist, leh cardiac surgeon) te chu an rawn inkhawm ang a, medical examination uluk tak an pe ang che.

Surgery chungchanga zawhna, hlauhna, rinhlelhna i neih chuan i doctor nen sawiho rawh. Nangmah ah engmah dah suh. Engkim hriat a, rilru hahdam taka surgery chhunga luh a pawimawh hle.

I doctor chuan operation atana inbuatsaihna tur thupek a pe ang che, operation hmaa ei leh in i chawlhsan hun tur leh i damdawi ei tur tihdanglamna eng pawh a pe ang che.

Engtin nge surgery hi an tih thin?

Operation room-ah chuan medical team chuan hengte hi an zawm a:

1. Pakhatnaah chuan anesthesia pek i ni ang a, zai zawh hma chu mut tir i ni ang. Natna engmah i hre lovang.

2. A dawtah chuan surgeon chuan i rilru lai takah, i hnute ruh (sternum) hnuai lamah incision a siam a. Hei hi median sternotomy an ti a .

3. Cardiopulmonary bypass machine nen i inzawm ang . He machine hian operation laiin i thinlung leh lung hnathawh chu hun eng emaw chen a la a ni. Hei hian doctor chuan i la awm laiin operation chu a ti thei a, i thinlung a na lo.

4. Thinlung veilam atrium hawn a, mitral valve enfiah a ni.

5. Tichuan, valve kil hnih (commissures) inzawmkhawm leh thim tawhah chuan incision nalh tak tak siamin, an inthen a, an chhuah tir thin.

6. Hna thawh zawh hnuah heart-lung machine a\angin i inzawm lo ang a, i thinlung leh lung chu hna a thawk tan leh ang.

7. A tawp berah chuan transesophageal echocardiogram tih a niValve hian hna a thawk tha em tih leh engkim a thawk tha em tih hriat nan special scan an nei thin.

A châng chuan, heart surgery dang, heart valve dang (aortic valve emaw tricuspid valve emaw) siam ṭhat ang chite pawh he surgery neih rual hian tih theih a ni. Hei hi a tul a nih chuan medical team te chuan hei hi an hrilhfiah lawk ang che.

Surgery hnuah eng nge thleng?

Operation hnuah kar khat vel damdawi inah i awm a ngai dawn a ni. Ni khat emaw ni hnih emaw chhung chu intensive care unit (ICU) -ah dah i ni ang a, uluk takin an enkawl ang che. Hei hi operation hnua harsatna lo awm thei zawng zawng a rang thei ang bera hriat theihna tura puitu atan a ni.

Damdawi in atanga i haw hmain i doctor chuan:

• Cardiac Rehab: Hei hi heart surgery atanga dam leh tan chuan a hlawkthlak hle. I chakna i neih leh theih nan leh thil pangngai tih tan nan a pui che a ni.
• Incision enkawl dan: Infection laka invenna tur leh hliam dam thuai nan incision fai taka vawn reng a pawimawh hle.
• Khapna: Motor khalh emaw hna rit tak thawh emaw ang chi thil i tih leh theih nan eng chen nge i nghah tur tih thurawn.

I haw hmain mi rawn hruai tur che tur ruahmanna siam theihnghilh suh.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

A thatna te

He surgery hian mitral valve tihtlem avanga thawk hah leh hahna ang chi symptoms te chu a ti reh thei a ni. Nakin lawka harsatna lian tham lo thleng thei lakah pawh a humhim thei bawk. Hei hi an dinhmun a na lo va, valve thlak kim vek thei lo leh enkawlna dang hmanga hlawhtling lo tan chuan enkawlna tha tak a ni.

Risk emaw Complication emaw a awm thei

Surgery dang ang bawkin risk a awm bawk. A harsatna awm tam ber chu mitral valve regurgitation a ni .

Heng hlauhawmna tam tak hi damdawi in lian takah facility leh heart surgery lama surgeon tawnhriat ngah tak takte enkawlna dawng a nih chuan tihziaawm theih a ni.

Surgery neih zawh hnua hmalam hun eng nge ni ang?

Open commissurotomy hian hlawhtlinna rate a sang hle. He surgery hian valve narrowing chu a siam tha tlangpui a, thisen kal dan a siam tha leh thin.

I doctor chuan i hmalam hun hriselna chungchang a hrilh thei ber che a ni. Mi zawng zawng hi kan dam dan a inang lo. Hei hi thil tam takin a nghawng a, chung zingah chuan i kum, i hriselna zawng zawng, leh operation hmaa i valve a chhiat nasat dan te pawh a tel.

Engtikah nge Doctor i hmuh a ngaih?

Operation hnua in lama i dam chhoh laiin natna hrik kai chhinchhiahna i neih chuan doctor ko nghal tur a ni.

• Chest na, tightness, emaw, a nuam lo emaw.
• Khawsik.
• Incision site atanga redness emaw pus ang chi tui chhuak.

A hnuaia natna khirh tak tak te hi i neih chuan i awmna hmuna emergency number ah call nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh:

• Heart attack chhinchhiahna (thla na tak, thawk harsa, luak, thawk hah).
• Paralysis symptoms (thusawi harsa, hmai sir khata tla, kut emaw ke emawa hriatna hloh).