I thinlung hi tui pump angin ngaihtuah rawh. I taksa pum puia tui pump chhuaktu tube lian ber, lian ber leh chak ber chu aorta . Hei hi i lu atanga i ke thlenga oxygen tamna, thisen thianghlim phurtu chu a ni. Chuvangin he main tube pawimawh takah hian harsatna a awm a nih chuan siamthatna tur surgery chungchang kan sawi dawn a ni. He thu i hriat hian hlauhna tlem i neih chu thil pangngai a ni a, mahse dik taka hriattir i nih hnuah chuan chu hlauhna chu i hneh thei a ni.
He aorta-a harsatna lo awm berte chu engte nge ni?
A awlsam zawngin sawi ila, aorta tichhe thei harsatna lian tak pahnih a awm.
1. Aneurysm: Tui pipe hlui chu balloon ang maia bul chhuak han mitthla teh. Chutiang bawkin aorta bang pawh a chak lo va, a chhunga thisen kal tlang pressure avang hian balloon ang maiin a bulge chhuak thin. Hei hi ``Aneurysm'' kan tih chu a ni.
2. Dissection: Hei hi a danglam deuh. Aorta wall hian layer engemaw zat a nei a. Hemi kawngah hian thil thleng chu a chhungril ber layer-ah mittui te te a lo awm a, chu layer pahnih inkarah chuan thisen a chhuak a ni. Hei pawh hi dinhmun hlauhawm tak a ni.
He aneurysm emaw dissection emaw hi a puak nghal a nih chuan taksaah thisen tam tak a chhuak thei a, nunna atana hlauhawm tak a ni. Chuvangin doctor-te chuan chutiang dinhmun a thlen hmain operation hmangin siamthat an tum thin.
Engvângin nge hetiang dinhmun hi a lo awm?
Hei hi chhan hrang hrang a awm a, a then chu kan thunun thei a, a then chu kan thunun thei lo bawk.
| A chhan ber | A sawifiahna awlsam tak |
|---|---|
| Atherosclerosis natna a ni | A chhan ber chu thisen kalna kawng bangah cholesterol ang chi thil a pungkhawm a, thisen kalna kawng a tikhauh a, a ti tawi bawk. |
| Hypertension a ni | Hun rei tak chhunga thisen sang hian thisen kalna kawng bang a tichhe thei a ni. |
| Connective Tissue lama harsatna awm thei | Hengte hi genetic diseases an ni. Entirnan, Marfan Syndrome ang natna vei te hian taksa peng hrang hrang a chak lo a, chu chuan aorta a tichak lo thei hle. |
| Accident avanga hliam tuar | Hetiang chhiatna hi rilru natna nasa tak avang pawh a ni thei a, chu chu car accident lian tham a ni. |
Engtin nge surgery hi tih a nih? A hmanraw pawimawh ber berte chu engte nge ni?
Doctor chuan i tana surgery tih dan tur dik ber chu thil tam tak a zirin a rel ang a, chu chu i natna nasat dan leh aneurysm awmna hmun te hi a ni. Thil tih dan tlangpui pahnih a awm.
1. Open Surgery neih a ni
Hei hi hmanlai kalphung a ni. Hetah hian rilru lai takah sternotomy an ti a, a nih loh leh pum chu hawn a ni a, chu chuan aorta chhia chu direct-in a lut thei a ni. Chumi hnuah a chhia chu lakchhuah a ni a, a hmunah Dacron ang chi synthetic material hmanga siam graft dah a ni. Hei hi operation lian tak a ni a, a dam theih nan hun rei tak a ngai a ni.
2. Endovascular / Minimally Invasive Surgery tih a ni thei bawk
Hei hi tunlai technology a ni. Hetah hian incision lian tak a awm lo. Thisen kalna kawngah hian groin kaltlangin incision te tak te siam a ni a, chuta tang chuan catheter (thin tube) hmangin aorta chhiat hmunah stent graft an thawn a ni.
Stent graft tih hi eng nge ni?
Hei hi tube te tak te, thir mesh atanga siam, puan hmanga khuh ang a ni. Hei hi ``(Aneurysm)`` awmna hmun chhungah dah a nih chuan thisen chu he tube thar hmang hian a luang chhuak thin. Tichuan thisen chu aorta chak lo tak bang chu tawk lovin a luang chhuak ta a ni. Chuvangin a puak chhuak tawh lo.
Endovascular method hman thatna: 1.1.
- Damdawi inah ni awm zat pawh a tlem chho zel a.
- Hei hi open surgery risk tuar thei lo tan chuan duhthlan tur tha tak a ni.
- Incision lian tham a awm loh avangin a dam hun chhung hi a rei lo hle.
Operation hmain engtin nge i inbuatsaih ang?
Surgery hmaa inbuatsaih tha a pawimawh hle.
- I damdawi ei zawng zawng (vitamin leh herbal remedies pawh) doctor hnenah hrilh ngei ang che. Damdawi thenkhatah chuan operation hma ni engemaw zat chhung chu i ei tawh loh a ngai mai thei.
- I doctor-in a tih test zawng zawng, thisen test, EKG, leh CT scan te chu a hun takah tihsak vek rawh.
- Damdawi ina an awm chhung leh an haw hnu ni hmasa berahMi pakhat tanpui turin inbuatsaih rawh.
- Operation hma zan khan engtikah nge ei leh in i chawlhsan tur tih chiang takin zawt rawh.
Surgery hnuah eng nge thleng? Eng chen nge a dam leh theih ang?
Surgery hnuah intensive care unit (ICU)-ah dah hmasak i ni ang. I hriatna i neih leh hunah chuan thawkna tur tube i dah lut thei a, chu chuan thawk turin a pui thei che a ni. Mahni chauha thawk i thawh theih hunah a chhuak ang. Zawi zawiin i kal thei tawh chuan regular ward-ah sawn i ni ang.
Surgery chi hrang hrang a zirin dam leh hun chhung hi a inang lo thei:
- Open surgery tih a nih chuan a dam kim theih nan thla 2-3 vel a ngai thei.
- Endovascular surgery atan hian ni hnih atanga ni thum chhung damdawi ina awm a ngai a , a dam leh theih hun chhung chu kar 2-4 chhung a ni .
Surgery neih theihna tur hlauhawm leh engtikah nge doctor pan nghal tur tih te
Surgery lian dang ang bawkin risk engemaw zat a awm a, mahse hengte hi mi zawng zawngah a thleng vek lo.
- Thisen chhuah tam lutuk
- Thai
- Lung natna
- Kidney tha lo a awm
- Infection awm thei te
- Ke hnathawh hloh (a bik takin rilru hnuai lam leh pum surgery-ah) .
In lama i haw hnua heng symptoms te hi i neih chuan doctor i ko nghal tur a ni:
- Surgery hliam atanga sen, hring, emaw, pus lo chhuak emaw
- Chhan awm lova khawsik
- A rilru a na hle
- Thâwk harsa
A pawimawh ber chu, aneurysm a puak hnua Emergency Treatment Unit (ETU)-a emergency surgery tih aiin pre-planned surgery hlawhtlinna leh himna a sang zawk hle. Chuvangin doctor-in surgery a rawt chuan hlau suh la, a tul angin hma la rawh.
Take-Home Thuchah a ni
- Aortic surgery hi nunna chhanhimna tur surgery pawimawh tak a nih avangin a tul lovah hlau suh.
- Emergency thleng nghah ai chuan operation ruahman sa hlawhtlinna leh himna chu a sang zawk hle.
- Tunlai ``Endovascular`` method hi a hlawk hle. Amaherawhchu, damlo zawng zawng tan a tha lo. I doctor chuan i tana tha ber tur a thlang ang.
- Operation hnu chiaha damdawi lam thupek zawm hi a dam thuai theih nan a pawimawh hle.
- I hriselna emaw, i surgery emaw, i dam hun chhung emaw chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.











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