Heart valve hi a tlakbuak em? ‘Commissurotomy’ surgery (Surgical Mitral Commissurotomy) chungchang hi han sawi ila.

Tlemte i chau lai emaw, stairs i chhoh lai emaw hian thawk hah emaw, i rilruah rit lutuk emaw i nei thin em? I doctor-in i thinlunga valve awm chungchanga harsatna a neih thu a hrilh che pawh a ni mai thei. Heart valve a inhawng tha lo a, a block chuan ‘stenosis’ kan ti thin. Vawiin hian chutiang natna enkawlna atana tih tur special surgery chungchang kan sawi dawn a ni. Hei hi thupui pawimawh tak a nih avangin awlsam takin engkim hi i hrethiam ang u.

A awlsam zawngin sawi ila, he ‘commissurotomy’ hi eng nge ni?

Okay, hei hi awlsam takin i hrethiam hmasa phawt ang u. I thinlung hian pindan lian pali a nei a. Room pali angin han ngaihtuah teh. Chamber khat atanga chamber danga thisen a luang chhuak tur chuan an inkar kawngkhar te chu uluk taka hawn leh khar a ngai a ni. Chu kawngkhar chu heart valve kan tih chu a ni .

Commissurotomy hi i thinlung chhunga mitral valve awmte hmanga tih a ni. Thinlung chamber pahnih, veilam atrium leh veilam ventricle inkarah a awm a. Hei hi chamber pahnih inkar kawngkhar chu a ni. He kawngkhar hian flap pahnih a nei a.

Damdawi lam dinhmun thenkhat avang hian, a bik takin ‘Mitral Valve Stenosis’ an tih natna avang hian heng kawngkhar pahnih hi a inhawng tha lo hle. Kawngkhar khar ang mai a ni. Chuti a nih chuan eng nge thleng? Chamber chunglam atanga chamber hnuai lam panna thisen kal chu a tlahniam 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 a thlen thei a ni .

He surgery hi tuin nge mamawh tak tak?

He surgery hi mi zawng zawng tan a ni lo. I doctor-in he surgery hi a rawt theih chhan lian tak tak a awm a:

• Damdawi dang (damdawi ang chi) i pek tawhte chuan hlawhtlinna a chhuah loh chuan.
• ‘Balloon Valvuloplasty’ tih procedure atan i tling lo a nih chuan, chu chu balloon hmanga valve tihzauh a ngai a ni.
• Lung surgery dang i neih chuan he surgery hi a rualin i nei thei bawk.

Mahse a pawimawh ber chu he surgery hlawhtlinna hi i mitral valve stenosis awm chhan ah a innghat a ni. A chhan ber pahnih hi han thlir ila.

Valve covers a stick hian eng nge a awmzia?

Hei hi hriatthiam a awl hle mai. Darthlalang hmaah i hmui khar chungin nui chungin han mitthla teh. I hmui chunglam leh hnuai lam kil kilte chu en rawh. Chutah chuan mitral valve flap pahnih inzawmna (commissures) te chu a ni. Tunah chuan mi pakhatin i hmui kil hrang hrang chu kut zungtang pahnih hmangin a chelh ang tih han mitthla teh. I hmui i hawng tha thei em? Ni lo, i ti thei lo em ni? Chu chu mitral valve a block hian a thleng thin. ‘Commissurotomy’ chu surgical procedure a ni a, chu corner pahnih chu a chhuah zalen a ni.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak a nih avangin inbuatsaihna chu kar tam tak hmain tan a ni. I medical team (cardiologist, cardiac surgeon) te chuan uluk takin an enfiah ang che.

• Taksa enfiahna kimchang
• Thisen test a ni
• I symptoms leh medical history chungchang thui tak sawi

Tin, i mitral valve leh i thinlung chhunga thisen kalna kawng dang, blockage a awm em tih pawh test i ni ang a, chungte chu:

• Echocardiography - Hei hi thinlung scan a ni.
• CT scan hmanga tih a ni
• Coronary Angiography hmanga enfiah a ni

Engtin nge surgery hi tih a nih?

Hei hi open-heart surgery a ni. Operating room chhunga thil thleng hrang hrangte chu hetiang hi a ni:

1. I mut theih nan anesthesia pek i ni ang.

2. Chest bone (sternum) lai takah incision siam a ni.

3. Cardiopulmonary bypass machine nen i inzawm ang . Hei hi i taksain a mamawh thisen leh oxygen a pek theih nan a ni a, chu chu i thinlung chu operation laiin a ding reng a ni.

4. Surgeon chuan thinlung veilam atrium a hawng a, mitral valve a enfiah thin.

5. Valve commissures-ah hian incision te te siamin a chhuah zalen thin.

6. Tichuan heart-lung machine atangin i la chhuak ang a, i thinlung chu a intan leh ang.

7. A tawp berah chuan transesophageal echocardiogram hmangin valve chu a thawk tha em tih finfiah a ni.

Surgery hnuah eng nge thleng?

Surgery zawhah chuan 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.

Damdawi in chhuahsan hmain i doctor chuan a hnuaia mite hi a hrilh ang che:

• Cardiac Rehab: Hei hian chakna neih lehna tur leh operation hnua nun pangngaia hman thiamna kawngah a pui hle.
• Incision enkawl dan: Hei hi natna laka inven nan leh hliam dam thuai nan a pawimawh hle.
• Engtikah nge lirthei khalh leh hnathawh i tan leh theih ang tih chungchang .

Results, risks, leh engtikah nge doctor hmuh tur tih te

Open mitral commissurotomy hian hlawhtlinna rate a sang hle. Thisen kal dan a titha a, natna lanchhuahna pawh nasa takin a tihziaawm bawk. Mahse, a chinfelna nghet tak a ni lo. Hetiang procedure nei tam tak hian nakin lawkah engtik lai pawhin valve thlak surgery an mamawh mai thei.

Surgery apiang ang bawkin risk engemaw zat a awm.

• Mitral atanga chhuak (Regurgitation) a awm
• Thisen chhuak nasa tak a chhuak
• Infection awm thei te
• Thinlung thawk mumal lo (Arrhythmia) .
• Thai

Mahse, damdawi in lian takah chuan surgeon tawnhriat ngah tak tak awmnaah chuan heng hlauhawmnate hi a tlem phah hle. Damdawi lam harsatna , zunthlum, kal natna, thau lutuk i neih chuan a hlauhawmna chu a sang deuh mai thei. Hemi chungchang hi i doctor nen sawiho rawh.

Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:

• Khawsik
• Incision bulah hian a sen, a hring emaw, a hring emaw a awm
• Chest na emaw pressure emaw a awm leh thin

Heart attack nghal (ril na na tak, thawk harsa) emaw, stroke (thusawi mumal lo, hmai sir khata tla) emaw i neih chuan 1990 call nghal la, damdawi in Emergency Treatment Unit (ETU) ah kal rawh.