Coronary artery bypass surgery hi i hlau em? I zawng chhuak ang u!

I doctor-in nangmah emaw, i chhungte zinga mi emaw bypass i mamawh thu a hrilh hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai a ni. Hei hi surgery lian tak a nih avangin zawhna tam tak i nei mai thei. "Hei hi eng nge ni?", "Engvangin nge hei hi ka mamawh?", "Hei hi a hlauhawm em?" Chutiang thilte chu rilruah a lo lang mai thei. Chuvangin vawiin hian he bypass surgery, emaw, damdawi lama an hriat lar Coronary Artery Bypass Grafting (CABG) chungchang hi han sawi ila, mi thenkhat chuan hmangaihna takin "cabbage" an ti a, thumal awlsam takin kan sawi dawn nia.

Engvangin nge he bypass surgery hi i mamawh?

Kan thinlung hi kan taksa pum puia thisen pump chhuaktu motor angin han ngaihtuah teh. He motor hian a thawk tha tur chuan thisen a mamawh bawk a ni lawm ni? Ni e, thinlung chhung ngeia thisen pe chhuaktu thisen kalna kawng hrang hrang network hran a awm a. Chungte chu coronary arteries kan ti a.

A châng chuan heng thisen kalna kawng chhungah hian oil leh cholesterol ang chi thil a lo awm khawm a, tui pipe-a cork ang chi te chu a lo awm a, ‘plaque’ an tih deposit a lo awm thin . Tichuan heng thisen kalna kawngte hi a zim a, a chang chuan a inkhar vek bawk. Chutiang a lo thlen chuan thinlung hmun thenkhat chuan an mamawh thisen an hmu lo. Hetiang dinhmun hi ‘ischemia’ kan ti a ni.

Chuvangin, bypass surgery-in a tih chu thisenin he thisen kalna kawng khar hi a bypass theihna tur kawng thar siam a ni a, chu chu ‘bypass’ kawng a ni . Hei hian thinlung natna hmunah thisen a kal tha leh thei a ni.

Surgery neih hmain eng nge thleng?

Hei hi surgery lian tak a nih avangin vawi khatah tih theih a ni lo. Chumi hma chuan i taksa hriselna hriatthiamna tha zawk neih theih nan test eng emaw zat tih a ni ang. Surgery atan rilru leh taksa lamah pawh an buatsaih ang che.

Operation hmaa test neih thin a ni

He surgery hi i tan a tha em tih leh a him em tih finfiah nan test engemawzat tih theih a ni.

In hriattirna che

I doctor leh damdawi ina thawktute chuan an sawipui ang che a, a hnuaia mite hi an hrilhfiah ang che:

• Damdawi i ei tur: Eng damdawi nge i ei chhunzawm zel tur tih leh eng damdawi nge i ei tawh loh tur tih chu operation hmaa i ei loh tur thu an hrilh ang che.
• Surgery atana inbuatsaih dan: Thil tam tak hrilh che i ni ang, zai hmaa sahbawn bik i hman tur te, in lama tanpui tur mi an awm dawn em tih te, ei leh in tur te.
• Operation zawhah: I dam hun chhung te, i rilru put hmang te, leh eng symptoms nge i fimkhur tur tih te hriattir lawk i ni ang.

Surgery neih chhung hian eng nge thleng?

Hei hi surgery buaithlak tak a ni a, darkar engemaw zat a awh a ni. Hengte hi kan zawm tlangpui a ni.

1. Anesthesia leh life support: Pakhatnaah chuan muthilh tir vek i ni ang. Chuvang chuan engmah hrehawm i nei lovang. Tichuan, i thawk chu ventilator nen a inzawm ang . Tin, damdawi leh tui pekna tur IV line dah a ni bawk ang.

2. Heart-lung bypass machine: A tam zawkah chuan he machine hian operation laiin thinlung leh lung hnathawh chu hun eng emaw chen a la a. Hei hian doctor-te chuan thinlung chu a titawp thei a, a ti che thei lo a, surgery chu awlsam takin a ti thei a ni.

3. Bypass: Kawng thar siam tur chuan i taksa hmun dangah thisen kalna kawng hrisel section pakhat lak a ni. Hei hi i ke, i kut atang emaw, i rilru chhung atang emaw a ni tlangpui.I thei. Arteries block zat (e.g. 2, 3, 4) a zirin hetiang bypass engemaw zat tih a ngai mai thei. Double, triple, quadruple bypass kan ti a.

4. Surgery: Surgeon chuan thinlung luh theihna turin a rilru lai takah incision a siam thin. Chumi hnuah thisen kalna kawng khat lakchhuah chu thinlung atanga thisen chhuahna kawngkhar lian ber (aorta) nen an inzawm a, blockage hnuaia thisen kalna kawng dang nen an inzawm bawk. Kawngpui khar atanga kawngpui thar siam ang mai a ni.

5. Surgery zawh: Bypass an tih zawh chuan heart chu restart lehin, chest bone chu wire hmangin an inzawm leh a, incision chu sewn up a ni.

Surgery tih dan hrang hrang

Mi zawng zawng hian surgery chi khat an nei vek lo. I dinhmun azirin kawng hrang hrang hman theih a ni.

Surgery hnuah eng nge thleng?

Surgery zawhah Intensive Care Unit (ICU) ah dah i ni ang . A bik taka trained staff ten an enkawl tha ang che. I dinhmun a nghet tawh chuan regular ward-ah sawn i ni ang. Damdawi inah ni 8-12 vel i awm tlangpui ang.

In i haw hnuah mi tam tak chu cardiac rehabilitation program-ah tel turin an ti a ni . Hei hi a pawimawh hle. Hetah hian doctor, nurse, exercise zirtirtu leh nutritionist-te chuan chak leh hrisel taka i awm leh theih nan an thawk ho a ni.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

A thatna te: 1.1.

• Hun rei tak chhunga hlawhtlinna:Hei hi kum sawm tam tak chhunga hlawhtling taka tih tawh surgery a ni.
• Best Solution: Hei hi thisen kalna kawng tam tak block nei tan chuan solution tha ber a ni fo thin.
• Retreatment mamawhna tlem: Bypass surgery an tih hian enkawlna dang thenkhat (e.g., stent dah) aiin harsatna lo awm leh theihna a tlem zawk.

Risk awm thei: 1.1.

Hei hi surgery lian tak a nih avangin hlauhawmna engemaw zat a awm. Mahse heng zinga a tam zawk hi chu ven theih leh enkawl theih a ni.

• Heart rhythm irregularities (Arrhythmias): Operation hnuah a awm thei a, hun eng emaw chen atan a awm fo bawk.
• Thisen chhuah: Eng surgery pawh neih theihna tur hlauhawm.
• Infection: Tunah chuan hengte hi a tlem hle a, mahse khawsik leh khawsik ang chi symptoms te chu i hriat chian a ngai.
• Kidney-a nghawng: A awm thei.
• Buaina: Hei hi operation hnu ni engemaw zat chhung chu a awm thei a, a bik takin kum upa lam tan chuan a awm thei.

Emergency-ah eng nge tih tur?

In lama i awm laiin heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah i kal nghal tur a ni .

• A rilru a na
• Thâwk harsa
• Luak chhuak (vertigo) emaw, rilru hah emaw
• Thil hriatna hloh
• Palpitations (i thinlung a thawk chak ang maia hriat) .
• Hmai sir khat chu a tla thla a, taksa sir khat chu a chakna a hloh ta
• Thusawi harsa
• Khawsik emaw, khawsik emaw