Kan taksa chhunga thisen kalna kawng kal tlanga thisen zam (blood clots) te hi i hre tawh em? Dik tak chuan kan taksa a hliam laia thisen chhuah tihtawp nan thisen zam (blood clots) hi a pawimawh hle. Mahse a chang chuan chhan awm lovin thisen kalna kawng chhungah thisen zam a lo awm a nih chuan a hlauhawm deuh thei a ni. A chhan chu heng thisen zam hian thisen kal dan a tikhawlo thei a, harsatna lian tak a thlen thei a ni. Chutiang hunah chuan chu thisen zamte chu lakchhuahna tur special surgery chu Embolectomy an ti a. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.
A awlsam zawngin, Embolectomy chu eng nge ni?
Embolectomy chu thisen kalna kawng (blood vessel)-a thisen zam (blood vessel) a tang chu surgery hmanga lakchhuahna a ni. Hei hi thrombectomy an ti \hin. Heng hming pahnih hi a danglamna tlem a awm a. Chu chu i hrethiam bawk ang u.
I kea thisen kalna kawng lian takah thisen zam a lo awm tih han mitthla teh. He thisen zam hi a hmunah a awm reng chuan thrombus kan ti a ni. Tunah chuan he thisen zam tlemte hi a inthen a, thisen nen hian a kal a, i lungah a kal a, chutah chuan thisen kalna kawng te tak teah a tang ta mai ang tih han mitthla teh. Chutiang bawkin hmun khata thisen zam lo awm a, hmun danga kal a, a tlakbuak chu embolis an ti a.
Chuvangin, a awlsam zawngin sawi ila, Thrombectomy chu a siamna hmuna thisen zam (`thrombus`) lakchhuahna a ni. Embolectomy chu thisen zam (`embolus`) a zin chhuak a, hmun dangah a tang a, chu chu paih chhuah a ni. Amaherawhchu, tunlai hian heng thumal pahnih hi inthlengin an hmang fo thin.
He operation hi surgeon emaw doctor emaw, minimally invasive technique lama training nei emaw chuan a ti thin. Thisen zam awmna hmun a zirin hei hi emergency operation tak a ni thei . Clot hian taksa peng pawimawh tak pakhata thisen kalna a tikhawlo a nih chuan nunna atana hlauhawm tak a ni thei.
He surgery hi tute nge mamawh? Eng dinhmunah nge?
Deep Vein Thrombosis hi ke ruh thuk takah thisen zam a lo awm a. He thisen zam hi a inthen a, lungah a kal chuan natna khirh tak, Pulmonary Embolism tih a thlen thei a ni. Hetiang dinhmun hi damdawi hmanga control theih a nih loh chuan doctor chuan Embolectomy tih a rel thei a ni.
A tlangpuiin mi thenkhat chu mi thenkhat aiin thisen zam (blood clots) an nei tam zawk. Hei hi thil engemaw zat vang a ni thei.
- Lung natna nei te tan
- Thau lutuk nei tan
- Naupai lai hian
- Cancer vei te tan chuan
- Thisen zam tichhe thei genetic disease thenkhat nei tan
Engvangin nge doctor chuan he surgery hi a rawt ang?
Thisen zam nei tam zawk hi thisen tihthianghlimna damdawi pek hmasak an ni a, mahse a hnuaia thil thlengah hian operation neih a ngai mai thei:
- Eng thil vang pawha anticoagulant emaw thrombolytics emaw pek theih loh i nih chuan.
- Chu damdawite chu pe mah se, thisen zam chu a bo lo va, a dinhmun a chhe zual a nih chuan.
- Paradoxical embolism , thisen zam chu thinlunga khur te tak te atanga kal a, thluak ang chi taksa peng pawimawh takah a kal theihna a ni.
A tlangpuiin hetiang thutlukna hi doctor team inkhawmin damlo dinhmun uluk takin an enfiah thin.
Surgery tih dan step by step in i zir ang u.
He surgery hi kawng lian pahnih hmanga tih theih a ni. Doctor chuan thisen zam lian leh te, a awmna hmun a zirin a tha ber a thlang ang.
Surgery neih hmain eng nge thleng?
Surgery atana an buatsaih lai hian medical team chuan test leh hmanrua tul tak tak an buatsaih ang.
- Open surgery (Surgical Embolectomy) tih a nih chuan surgery neih chhunga thinlung hnathawh dan enfiah turin transesophageal echocardiogram an tih scan atan inbuatsaihna siam a ni ang.
- Catheter embolectomy hian ultrasound machine hmangin thisen zam awmna hmun dik tak chu a hmuchhuak a, X-ray technique angiogram an tih hmangin catheter chu a kaihruai bawk.
Eng ang operation pawh ni se, natna engmah i hriat loh nan anesthesia pek i ni ang.
Surgery neih chhunga thil thleng
A hnuaia table hian heng hmanraw pahnih inthlauhna leh an tih dan chiang taka kan hriat theih nan min pui ang.
| Tihdan | Engtin nge tih a nih |
|---|---|
| Catheter hmanga Embolectomy hmanga tihchhuah a ni | Hemi kawngah hian cut lian tak a awm lo.
|
| Open Surgery (Surgical Embolectomy) hmanga tih a ni. | Hemiah hian rilru chu hawn a ni a, zai a ni.
|
Damlo thenkhat chuan nakin lawka thisen zam chu lungah a kal loh nan vena cava filter an tih hmanraw te tak te an dah bawk.
Surgery hnuah eng nge thleng?
Surgery zawh hnuah open surgery i neih chuan a chhung leh pawna incision te chu a sewn up ang a, heart-lung machine atang chuan i la chhuak ang. Catheter i neih chuan a incision te tak te chu a tikhauh ang a, bandage a ni ang.
Operation hnuah chuan:
- I thisen tihthianghlim nan anticoagulant i ei chhunzawm zel a ngai dawn a ni.
- Thinlung hnathawh dan enfiah nan scan dang (Transthoracic echocardiogram) i neih a ngai dawn a ni.
- Intensive care unit (ICU)-ah ni engemaw zat i awm a ngai mai thei.
A thatna leh that lohna (risk) te pawh han sawi ila
Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.
He surgery hi mi zawng zawng tan a ni lo a, mahse thisen tihthianghlimna damdawi ei thei lo, a chhanna nei lo, leh natna lan chhuahna na tak tak nei te tan chuan dam thuai theihna tur kawng tha ber a ni mai thei.
Mahse, he surgery avanga hlauhawm awm thei hi kan hriat chian a pawimawh hle.
| Embolectomy Surgery avanga hlauhawmna | |
|---|---|
| Catheter Method hmanga hlauhawmna (Minimally Invasive) 1.1. | |
| Thisen chhuak | Thisen kalna kawng a chhiat avangin thisen a chhuak thei. |
| Thinlung chhiatna | Lung hliam emaw, thinlung thawk mumal lo (arrhythmia) emaw a awm thei. |
| Thisen zam a la awm | Thisen zam chu paih vek theih a ni lo mai thei. |
| Open surgery neih a hlauhawmna | |
| Thisen chhuak nasa tak a chhuak | Operation lai emaw, operation hnu emawa thisen chhuah tam lutuk. |
| Lung natna | Heartbeat chak tak (supraventricular tachycardia - SVT) leh heart failure a awm thei bawk. |
| Risk dang pawh a awm thei | Kidney failure, infection, leh a tlem hle a, thihna pawh a thleng thei. |
Recovery leh engtikah nge doctor hmuh leh tur
Operation hnuah ni engemaw zat damdawi inah i awm a ngai dawn a ni. I thawk leh thinlung hnathawh dan pangngai a lo awm leh hunah in lama haw phalsak i ni ang. Open surgery hnuah aiin catheter procedure hnuah a dam chak zawk tlangpui.
Tun hma chuan he surgery nei mi tam tak an thi thin. Mahse, damdawi lam thiamna a lo ṭhan chhoh zêl chuan chu dinhmun chu nasa takin a danglam ta a ni . Tunah chuan he surgery avanga thihna hlauhawmna hi 5% leh 16% inkar ah a tlahniam ta a ni. Survey pakhatah chuan he surgery nei zinga 73% chu kum nga hnuah pawh an la dam a, an dam tha hle tih hmuhchhuah a ni.
Heng chhinchhiahnate hi ngaihven rawh!
In lama i haw hnua heng symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni .
- Thâwk harsa
- Incision-a natna kai chhinchhiahna (swelling, redness, pus drainage) .
- A rilru a na
- Lung na tak tak
- Thisen chhuah dan pangngai lo
An hmel a inang a, mahse an danglam! (Enkawlna dang) .
Embolectomy ang chi thumal dang tlemte pawh a awm bawk. An inthlauhna hi han thlir ila.
Embolectomy leh Endarterectomy te tih a ni
Embolectomy tih hi thisen zam tihbo a ni. Endarterectomy chu thisen kalna kawng chhunga thau awm (plaque) awmte surgery hmanga paih chhuah a ni. Hei hi thisen kalna kawng a inkhar loh nan tih a ni.
Embolectomy leh Thrombolytic hmanga enkawlna a ni
Embolectomy hi taksa tihchakna a ni a, thisen zam chu surgery hmanga lakchhuah a ni. Thrombolytic therapy- ah hian taksa chhunga thisen zam awm chu a hmin theih nan vein-ah damdawi inject a ni. He damdawi hian a chang chuan hmun dang, thluak lamah thisen a chhuah tir thei bawk.
I hmuh angin thisen zam enkawl dan chi hrang hrang a awm a. I doctor chuan eng enkawlna nge i tan a tha ber leh i tan a him ber tih a rel ang. Nangmah emaw, i hriat mi emaw hian hetiang surgery hi neih tura ruahman a nih chuan, hemi chungchanga zawhna i neih apiang chu i doctor hnenah zawh hreh suh.
Take-Home Thuchah a ni
- Embolectomy chu thisen zam hlauhawm tak, thisen kalna kawngkhar chhunga tang, surgery hmanga lakchhuahna a ni.
- Hei hi kawng lian pahnih hmanga tih a ni a, catheter (tube te tak te) hmanga tih a ni a, open chest surgery hmanga tih a ni.
- He surgery hi thisen tihthianghlimna damdawi ei lo emaw, ei thei lo emaw tan chuan nunna chhanhim thei a ni.
- Surgery zawng zawng ang bawkin he surgery hian risk a nei a, mahse tunlai medical technology vangin hlawhtlinna rate a sang hle.
- Operation hnua thawk harsa emaw, rilru na emaw ang chi symptom i neih chuan doctor hnenah hriattir nghal tur a ni.
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