Aorta Surgery chungchang hi i hlau em? A awlsam zawngin sawi ila!

I taksaa thisen kalna kawng lian ber leh pawimawh ber chungchang hi han sawi ila. "Aorta" kan ti a. Tui dahna atanga kan in chhunga kitchen leh bathroom thlenga tui phurtu main pipe ang maiin han ngaihtuah teh. He aorta hmang hian thisen thianghlim, oxygen tamna chu taksa pum puiah a darh chhuak a ni. Mahse a chang chuan he main vessel hian harsatna a nei thei. A bangte chu a chak lo va, balloon ang maiin a hring thei a, a nih loh leh a chhe nghal thei bawk. Chu chu doctor-te'n "aorta" surgery chungchang an sawi lai a ni. A hming hi a hlauhawm deuhin a ri a, mahse awlsam takin i hrethiam ang u.

Aorta Surgery hi eng nge ni?

A awlsam zawngin sawi ila, aorta bypass surgery hi i taksaa he thisen kalna kawng lian tak a chhiatna emaw, chhiatna emaw siamthatna tur a ni. Thinlung nen a inzawm a, chuta tang chuan rilru kaltlangin pum thlengin a kal a, chuta tang chuan kea thisen petu thisen kalna kawng hrang hrangah a branch chhuak ta a ni.

He aorta bang hi eng emaw chhan vanga a chak loh chuan thisen pressure chuan zawi zawiin a tizau a, balloon ang maiin a rawn chhuak tan thin . Damdawi lamah chuan hei hi aneurysm kan ti a. Hun dangah chuan artery wall chhunga lining chu a chhe thei a, layer pahnih inkarah thisen a chhuak thei bawk . Hei hi dissection kan ti a . Chutianga aorta a hring emaw, a hring emaw chu a puak darh (rupture) nghal thei a ni. Chutiang thil a lo thlen chuan nunna atana dinhmun hlauhawm tak a ni. Chuvangin he surgery hian a tum ber chu hetiang accident a thlen hmaa he harsatna hi siamthat a ni.

Eng dinhmunah nge hetiang surgery hi a tul?

I doctor chuan he surgery chi hi a rawt ang che, chu chu aneurysm chu a lian deuh a nih chuan, a nih loh leh a tlangpui aia a lo thang chak zawk a nih chuan. He size hi operation neih loh avanga harsatna awm thei te uluk taka tehna atanga hriat theih a ni. He thutlukna hi a bik takin aorta chu thinlung hnaih taka bulging a nih chuan heart valve dinhmun hian a nghawng bawk.

Hetiang hian aorta hi a bulge emaw a rupture emaw theih chhan hrang hrang a awm a:

• Artery walls thicking leh hardening: Hei hi `Atherosclerosis` kan ti a.
• Thisen sang: Chu chu `Hypertension` tihna a ni.
• Connective tissue natna: Entirnan, `Marfan Syndrome` ang chi natna.
• Accident avanga hliam tuar.

Aneurysm hi a awmna hmun a zirin chi hrang hrangah then a ni.

Aortic surgery hi engtiang chiahin nge a pawi?

Dik tak chuan hei hi operation pawi tak a ni . A chhan chu aorta hi taksa pum pui thisen pekna ber a nih vang a ni. A hnathawh chu tlemte pawh a tawp chuan taksa pum pui a thawk tha lo ang.

Mahse hetah hian hriatthiam tur pawimawh tak a awm. Elective surgery, ruahman lawk leh buatsaih lawk a nih chuan emergency surgery aiin a sang zawk hle a, hei hi aneurysm a puak dawn lai a ni. A puak hmaa operation nei thinte chuan an nunna chhanhim theihna chance a sang zawk hle.

Engtin nge surgery hi an tih thin? Eng hmanrua nge ni?

I dinhmun a zirin doctor hian he surgery hi tih dan tlangpui engemaw zat a nei a.

1. Open Surgery: Hemiah hian kan zai hi a laiah cut siamin (sternotomy), rilru chu ruh pahnih inkarah hawn (thoracotomy), a nih loh leh pumpui tan a ni. Hei hi hmanlai kalphung a ni.

2. Minimally Invasive emaw Endovascular emaw hmanga enkawl dan:Hei hi technique thar a ni. Incision lian tak a awm lo. Chu ai chuan, groin-a thisen kalna kawng hmangin khur te tak te siam a ni a, chuta tang chuan stent graft an tih hmanrua chu catheter hmangin artery problem awmna hmunah an dah lut a ni.

Tui pipe hlui siam that ang maiin a chhunga thar dahin han ngaihtuah teh. He stent hi metal mesh hmanga siam tube leh puan bik a ni. Aneurysm chhunga dah a nih chuan he tube thar hmang hian thisen a luang chhuak thin. Tichuan thisen pressure chuan wall chak lo tak, bulging tawh chu a tawk lo. Chuvangin a puak chhuak tawh lo.

Endovascular method hian eng nge a thatna?

• Damdawi ina hun hman hi a rei lo hle.
• Hei hi open surgery risk tuar thei lo tan chuan duhthlan tur tha zawk a ni.
• Incision lian tham a awm loh avangin a dam hun chhung hi a rei lo hle.

Operation hmain engtin nge i inbuatsaih thin?

Surgery hmaa tih tur tlemte a awm.

• Damdawi i ei zawng zawng (Doctor-in a pek loh pawh) doctor hnenah hrilh rawh. Damdawi thenkhatah chuan operation hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei.
• I doctor-in a tih tur test leh thisen test zawng zawng, EKG leh CT scan te chu a hun takah tihsak vek rawh.
• Damdawi in kal leh haw tura puitu tur mi ruahman rawh. In i thlen hunah operation hnu ni hmasa berah tanpuitu tur i neih a tha bawk.
• I doctor hnenah operation hma zan khan engtik lai nge ei leh in i chawlhsan tur tih chiang takin zawt rawh.

Surgery neih chhung leh operation zawhah eng nge thleng?

I aorta chungchanga harsatna leh surgery chi hrang hrang a zirin surgery chi hrang hrang a awm ang. A tlangpuiin, surgeon chuan artery chhia, bulging part chu a la chhuak ang a, chu chu Dacron ang chi synthetic material hmanga siam graft hmangin a thlak ang.

Thil harsa tak tak thenkhatah chuan, a bik takin aneurysm chu rilru atanga pum thlenga darh a nih chuan, special techniques, two-stage "elephant trunk" procedure pawh hman a ni.

Operation zawhah intensive care unit (ICU)-ah dah hmasak i ni ang . I hriatna i neih leh chuan i rilruah thawkna kawng (breathing tube) i nei thei a ni. Mahni chauha thawk i thawh theih hunah a chhuak ang. Zawi zawiin i kal tan thei tawh ang. Tichuan regular ward-ah sawn i ni ang. Doctor chuan haw huna i inpeih hunah a hrilh ang che.

A dam leh theih nan eng chen nge hun a duh? Eng nge a hlauhawmna?

Surgery neih dan azirin dam leh hun chhung hi a inang lo.

• Open surgery hnuah: A tlangpuiin damdawi inah kar khat vel i awm a ngai ang. A dam kim theih nan thla hnih atanga thla thum vel a ngai thei.
• Endovascular hnuah: Damdawi inah ni khat emaw ni hnih emaw chauh awm a ngai. Hun rei lote, kar hnih atanga kar thum vel chu a dam kim theih nan a tawk.

Surgery lian dang ang bawkin, hlauhawmna a awm. Thisen chhuah, stroke, heart attack, kidney failure, infection, thisen zam ang chi harsatna a awm thei. Mahse, heng hlauhawmnate hi damdawi lam team thiam tak enkawlna hnuaia ruahmanna fel tak siama surgery tih a nih chuan tihziaawm theih a ni.

Operation hnua a hnuaia symptoms te hi i neih chuan i doctor hnenah i hriattir nghal tur a ni .

Operation hnuah doctor nen follow-up visit i nei fo ang. Chumi hnuah CT emaw MRI scan emaw hmangin graft dinhmun leh aorta-a harsatna dang awm leh awm loh an enfiah ang.