Coronary artery bypass graft surgery neih hi i hlau em? A awlsam zawngin sawi ila.

A chang chuan rilru na emaw, tightness emaw i nei thin em? I thawhrim hian thawk harsa i ti em? I doctor chuan bypass surgery chungchang a sawipui che a ni mai thei. "Bypass" tih thumal i hriat hian hlauthawng deuh emaw, hlauthawng deuh emaw i neih hi thil pangngai a ni. Mahse, lungngai suh. Vawiin hian heart bypass surgery, a nih loh leh damdawi lama Coronary Artery Bypass Grafting (CABG) an tih chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin, bypass surgery (CABG) tih hi eng nge ni?

Ni tin hnathawhna hmuna i kalna kawngah lirthei a tam hle emaw, kawngpui a khar emaw niin han mitthla teh. Chuti a nih chuan engtin nge i tih? Kawng dang i zawh a, chu chu side road emaw kawngpui dang emaw i zawh a ni lawm ni? Chu chu he surgery-ah hian a thleng thin.

Kan thinlunga thisen pe chhuaktu thisen kalna (arteries) bulpui ber kan nei a. Chungte chu coronary arteries kan ti a. Hun a kal zel a, kan ei tur atanga cholesterol ang chi thil te hi heng thisen kalna kawng chhungah hian a lo awm khawm a, pipe chhunga rust lo awm ang chi te, kawngpui chu a ti tawi a ni. He build-up material hi `(Plaque)` emaw `(Atheroma)` emaw kan ti thin. Hetianga thisen kalna kawng (arteries) a zim chuan heart muscle hian a mamawh thisen a hmu lo. Chutah chuan rilru natna `(Angina)` a lo thleng thin. He blockage hi a tam lutuk a, thisen zam a lo awm a, a kawng tawi chu a block vek chuan `(Heart Attack)` a awm thei a ni.

Chuvangin, bypass surgery chu thinlunga thisen kal theihna tur kawng thar, vein thar siam a ni a, chu thisen kalna kawng khar, zim tawh chu bypass a ni. Chu traffic jam chu bypass turin kawngpui thar siam ang mai a ni. He kawng thar siam tur hian nangmah ngeiin i taksa atang hian thisen kalna kawng khat lakchhuah a ni. A tam zawkah chuan ke, kut emaw, rilru chhung emaw atanga lak chhuah vein chu hei atan hian hman a ni.

A châng chuan, thisen kalna kawng pakhat chauh a block lo. Vessel pahnih, pathum, pali pawh a block thei bawk. Chutiang a lo thlen chuan anmahni pakhat zel tan kawng thar siam a ngai a ni. Chu chu ``double (2),`` ``triple (3),`` emaw ``quadruple (4) bypass`` surgery emaw kan ti a.

Operation hmain engtin nge i inbuatsaih thin?

Hei hi surgery lian tak a nih avangin, i tih hmain i taksa hriselna enfiah nan test eng emaw zat i nei ang. Heng test te hnuah chauh hian surgery chu i buaipui thei ang a, i mamawh tak tak em tih pawh i rel thei ang.

Heng test bakah hian i doctor chuan tuna i damdawi ei tur eng pawh a zawt ang. Damdawi thenkhat (a bik takin thisen tithianghlimtu) chu operation hma ni engemaw zatah tihtawp a ngai dawn a ni. Operation hma darkar tlemteah ei leh in (fasting) i chawlhsan a ngai thei bawk.

Engtin nge surgery hi an tih thin?

Hei hi a hlauhawm deuhin a lang thei a, mahse heng thilte hi anesthetized vek i nih laiin tih a ni a, chu chu engmah i hriat lohna hmuna muthilh thuk takah i awm tihna a ni.

1. Anesthesia: A hmasa berin anesthetized i ni ang a, mut thuk takah dah i ni ang. Surgery a zawh hma chuan engmah i hre lovang.

2. Heart bypass: Vawi tam tak chu operation neih laiin thinlung leh lung hnathawh chu hun eng emaw chen atan machine bik ``Heart-Lung Bypass Machine'' an tih ah an sawn thin. Hei hi taksain oxygen leh thisen a supply chhunzawm zel theih nan tih a ni. A then phei chuan he surgery hi thinlung a la thawk reng laiin an ti thin. Hei hi ``Off-pump CABG'' an ti a.

3. Operation atana incision: Surgeon chuan a rilru lai takah incision a siam a, a hnuai lam chu sternum zawhin a siam a.

4. Chhung hawn: Chumi hnuah chuan hnute ruh chu uluk takin a laiah kan tan a, chumi hnuah hmun hnih ah then a, thinlung thleng tur a ni. Ngaihtuah buai suh, hei hi operation hnuah a inzawm leh ang a, a dam leh ang.

5. Bypass siam dan: A dawtah chuan a hmaa kan sawi tawh ang khan i ke, i kut emaw, i rilru atanga thisen kalna kawng hrisel tak pakhat lak a ni a, a tawp khat chu thinlung thisen kalna bulpui, aorta-ah a inzawm a, a tawp dang chu blockage hnuaiah dah a ni. Hei hi kawng thar siam dan a ni.

6. Surgery tawp: Bypass an tih zawh chuan heart chu restart lehin machine atanga disconnect a ni. Chumi hnuah chuan sternum chu wire bik hmangin an inzawm leh a, rilru incision chu stitches hmangin an khar leh a ni.

The entire procedure can usually take anywhere from three to six hours , bypass i mamawh zat leh i hriselna dinhmun a zirin.

Surgery tih dan hrang hrang a awm em?

Ni e, technology hmasawnna avang hian tunah chuan he surgery hi tih theih dan kawng engemaw zat a awm ta.

• Off-pump CABG: Hei hian heart-lung machine a hmang lo. Surgeon chuan thinlung a la na reng laiin surgery chu a ti thin.
• Minimally Invasive CABG: Hetah hian rilru lai takah incision lian tak siam a ni lo. Chu ai chuan ruh inkarah hian incision te te engemaw zat siam a ni a, chuta tang chuan surgery chu tih a ni.
• Robot-assisted CABG: Hetiang method ah hian surgeon chuan robot hmangin surgery a ti thin. Incision te pawh a te hle bawk.

I surgeon leh medical team te chuan eng method nge i tan a tha ber tih an rel ang.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery lian dang ang bawkin a hlawkna bakah a hlauhawmna a awm a, chu chu hriat chian a pawimawh hle.

Operation hnuah eng nge thleng? Recovery hun chhung hian...

Operation hnuah damdawi in intensive care unit (ICU) -ah dah hmasak i ni ang . Chutah chuan i thinlung hnathawh atanga i thisen sang thlengin uluk takin an enfiah vek ang. I dinhmun a nghet tawh chuan, a tlangpuiin ni khat emaw ni hnih emaw chhungin regular ward-ah sawn i ni ang.

A tlangpuiin damdawi inah ni nga atanga ni sarih vel i awm a ngai ang , chu mi hnuah chuan i haw thei ang.

In lama kan haw hnuah...

A tlangpuiin a dam kim theih nan kar ruk vel a ngai thin. Hemi hun chhung hian tlem tal fimkhur a ngai a ni.

• Thil rit chawi loh tur: Hnung ruh a dam theih nan hun a duh avangin thil rit chawi emaw nawr emaw loh tur a ni.
• Driving: Doctor-te chuan kar 4-6 chhung lirthei khalh loh turin an fuih tlangpui.
• Chawlh hahdam: Chawlh hahdam tam rawh. Mahse nilengin khumah awm suh. Kal kual tan la, hna tenau te pawh thawk tan rawh.
• Hliam enkawl: I rilru leh i thisen kalna hmuna hliam te chu a fai tur a ni. Damdawi in chuan an enkawl dan tur thupek a pe ang che.

Operation hnuah i nun thlak danglam i duh em?

A ni ngei ang!Hei hi a pawimawh ber a ni. Bypass surgery hi i thisen kalna kawng (arteries blocked) siamthatna mai a ni. Mahse blockage thlentu underlying condition, cholesterol buildup chu i taksaah a la awm reng a ni. Buaina hi thisen kalna kawng thar emaw, thisen kalna dang emaw-ah a lo thleng leh thei a ni.

Chuvangin, zai zawhah nun hrisel neih a pawimawh hle.

• Diet control: Ei tur oil, chi, leh sugar tamna te tihtlem. Thlai, thei, green leh fiber tamna ei tur tam zawk ei thin ang che.
• Exercise: I doctor-in a rawt angin exercise hi zawi zawiin tan rawh. Nitin kea kal hi a tha khawp mai.
• Meizial zuk bansan rawh: Meizial zu mi i nih chuan vawiin hian bansan rawh. Meizial zuk hian thinlung a tichhe nasa hle.
• Damdawi ei dik: I doctor-in a pek damdawi (cholesterol tihhniamtu, thisen sang control-tu, thisen zam a vengtu) chu a hun takah ei la, ni khat pawh tlai lo.
• Cardiac Rehab: Damdawi in chhuahsan hnuah hetiang programme-ah hian tel ve a tha. Damdawi lam enkawlna hnuaiah exercise i tih dan leh i ei leh in control dan tur kaihhruaina pek i ni ang.

Damdawi lam thurawn lak nghal tur

In lama i haw hnuah a hnuaia symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh .

• A rilru a na hle
• Thâwk harsa
• Luak chhuak emaw, muhil emaw
• Thil hriatna hloh
• I thinlung chu a na hle ang tih hriatna
• Khawsik emaw, khawsik emaw
• Thusawi harsa, hmai sir khata tlak, taksa sir khata hriatna hloh (hengte hi stroke chhinchhiahna a ni thei) .