Pum chhunga thisen kalna bulpui (bulge) a awm em? EVAR (Endovascular Aneurysm Repair) enkawlna chungchang hi a awlsam zawngin i zir ang u

Kan taksaa thisen kalna kawng lian ber chu aorta a ni a, chu chu English-in ``Aorta'' kan ti a. Kan taksa chhunga tui pipe lian ber angin ngaihtuah teh. Hei hi a ni, thinlung atanga thisen chu taksa pumpuiah a sem darh thin. A châng chuan he thisen kalna kawng bang hi a chak lo va, balloon ang maiin a rawn chhuak ṭan ṭhin. Hei hi damdawi lama ``Aneurysm'' kan tih chu a ni. A hlauhawm ber chu he bulge hi a pung a, a puak nghal mai theihna chance a awm. Chuvangin vawiin hian taksaah incision lian tak siam lovin leh thawhrimna tlemte chauh hmanga he dinhmun hlauhawm tak hi pumpelh thei tur, tunlai enkawlna hmanraw kan sawi dawn a ni.

A awlsam zawngin EVAR chu eng nge ni?

EVAR awmzia kimchang chu `(Endovascular Aneurysm Repair)` tih a ni. Sinhala tawngah chuan thisen kalna kawng chhunga siam thatna a ni. Hei hi surgery lian tak a ni lo . Chumi awmzia chu, pum chu tan a, operation lian tak tih ai chuan, he enkawlna hi khur te tak te chauh hmanga tih a ni tihna a ni.

Tui pipe hlui chu a lo hring tawh a, a puak dawn ta niin han mitthla teh. Pipe chu tan a, lak chhuah ai chuan hetah hian thil thleng hi a chhungah pipe thim zawk, chak zawk dahin siamthat ang chi a ni. Doctor-te chuan thisen kalna kawng hring zingah hian a bik taka siam tube (Stent Graft) an dah lut a. Hei hi puan leh thir mesh hmanga siam lining bik ang a ni. Hei hi dah luh a nih chuan thisen chu tube thar kaltlangin a luang chhuak thin. Tichuan, a bang chak lo leh hring tawhah chuan pressure engmah pek a ni lo. Chuvangin a puak theihna tur chu a bo vek a ni.

Engvangin nge EVAR enkawlna kan mamawh?

Hei hi a tum ber leh awmchhun chu Abdominal Aortic Aneurysm a rupture loh nan a ni . A chhan chu chutiang a nih chuan nunna atana hlauhawm tak leh thihna thlen thei dinhmun a ni.

Thisen kalna kawng bang a chak loh chuan thinlung thawk apianga thisen lo lut pressure chuan chu chak lohna hmun chu a ti hring chhuak thin. Tire chhunga bubble ang mai a ni. Hun tiam nei lovin a zau thei lo. Hun engemaw chen chu a puak darh ta a ni. Chutiang a nih chuan thisen tam tak taksaah a luang lut thei a, minute reilote chhungin thihna a thleng thei bawk.

Chuvangin EVAR enkawlnain a tih chu chu ``(Stent Graft)`` chu a dah lut a, thisen kal dan a tidanglam a, a bang hring chunga pressure a tihziaawm bawk. Chu chuan rupture hlauhawmna chu a titawp vek tawh mai.

He EVAR enkawlna hi tute tan nge a tha?

He enkawlna hi abdominal aneurysm nei zawng zawng tan tih nghal vek a ni lo. I doctor chuan he enkawlna hi i tan a tha em tih ngaihtuah turin thil engemaw zat a en ang.

• I aneurysm a lian tawk a nih chuan , emawScan-ah hun rei lote chhunga a lo thang chak hle tih a hriat chuan.
• Damdawi dang (lung natna emaw, lung natna emaw ang chi) avanga gastric bypass ang chi operation lian tham i tuar thei lo a nih chuan .
• Bulge chung leh hnuai thisen kalna kawngte chu a hrisel a, a chak a nih chuan (tube thar dahna tur hmun tha tak a awm a ngai a ni).

Hetiang thil hi a ngaihtuah hnuah chauh doctor chuan EVAR enkawlna hi i tan a tha ber tih a rel ta a ni.

FEVAR an tih dan bik chu eng nge ni?

Kan pum chhunga iliac artery lian tak hi thing hnah ang mai a ni. Thisen kalna kawng te tak teah a inzar pharh a, chu chuan thisen chu kan pum chhunga taksa peng hrang hrang (kidney leh intestines ang chi) ah a phur a ni. A châng chuan chu branch-te branch awmna bulah chuan aneurysm a lo awm ṭhin. Chutiang a nih chuan EVAR pangngaia hman thin straight tube chu dah theih a ni lo va, a chhan chu chutianga tih chuan chu branch-a thisen kal chu a titawp dawn a ni.

Chutiang case buaithlak tak tak tan chuan FEVAR (Fenestrated Endovascular Aneurysm Repair) tih hming pu method bik hman a ni. Heta `(Stent Graft)` kan hmanah hian a zungte nena inmil turin window ang chi khur te te siam a ni. Main tube an dah hnuah chuan chu window atang chuan `(Stent)` te tak te hran chu branch ang maia thisen kalna kawngah an dah lut a, chu chu thisen kal dan tur a ni. Hei hi a buaithlak deuh nachungin, hetiang hmun harsaah `(Aneurysm)` tihdam theih hi surgery lian tham tak neih ngai lovin a thatna ropui tak a ni.

EVAR leh TEVAR hi eng nge an danglamna?

Hengte hi enkawlna inang vek an ni. A danglamna chu enkawlna hmun a ni.

• EVAR: Pum (abdominal) aneurysm tan tih a ni.
• TEVAR (Thoracic Endovascular Aneurysm Repair): hi rilru (thorax)-a thisen kalna (aneurysm) awm tan tih thin a ni.

EVAR hmanga enkawlna hian eng nge a thatna?

Surgery lian tak tak nena khaikhin chuan EVAR enkawlna hian thatna chiang tak tak a nei a. Invasive lo zawk procedure a ni.

EVAR enkawlna hian hlauhawmna a nei em?

EVAR hi enkawlna hlawhtling leh him tak ni mahse, damdawi lam thil dang ang bawkin, hlauhawmna tenau tak tak a awm thei. Mahse, hengte hi a tlem hle.

Engtin nge EVAR surgery hi an tih thin? Step khat hnu step khatin

Okay, tunah chuan he enkawlna hi engtin nge an tih tak tak tih hi han en ila. Hemi chungchang hi chiang taka i hriat chian hnuah chuan hlauhthawnna tul lo tak a awm tawh lovang.

1. Anesthesia: Pakhatnaah chuan natna leh lungawi lohna i neih loh nan anesthesia pek i ni ang. I mutthilh vek mai thei a, a then chauh pawh i rilru a buai thei bawk.

2. Access: Doctor chuan i groin area (Femoral Arteries)-a thisen kalna kawng bulpui ber berte chu a hmang ang. Vunah hian incision tlemte chauh siam a ni ang.

3. Catheter dah dan: A dawtah chuan stent graft awmna tube (catheter) te tak te, flexible tak tak chu a zung kaltlangin thisen kalna kawngah dah a ni.

4. Kaihhruaina: He catheter hi thisen kalna kawngah, pum chhunga aneurysm awmna hmun thlenga kaihhruai a ngai a ni. Hei hi chiang taka hmuh theih nan doctor chuan X-ray (Real-time imaging) ang chi imaging technology bik a hmang a. Chumi awmzia chu taksa chhunga catheter che vel chu live-a enin an ti tihna a ni.

5. Stent Graft dahna: A hmun dik takah a awm tawh chuan doctor chuan catheter chhungah stent graft chu a tizau ang. Chumi hnuah chuan thisen kalna kawng chhungah a zau ang a, bangteah nghet takin a inbun ang a, thisen kalna tur kawng thar, chak zawk a siam ang.

6. Finishing: `(Stent Graft)` chu a hmun dik taka dah a nih hnuah uluk takin catheter chu lakchhuah a ni. Groin chhunga zungbun chu a te lutuk a , a hrual pawh a ngai lo . Plaster ang chi te tak te pawh a hnawih thei bawk.

Operation hnuah a dam leh theih nan eng chen nge a duh?

Dam hun chhung hi mi tin a inang lo thei a, mahse hei hi a thleng tlangpui a ni.

• Damdawi inah ni engemaw zat i awm a ngai dawn a ni.
• Anesthesia hnuah rei lo teah ei leh in i nei thei tawh ang.
• Nurse te puihnain khum atanga tho vat a, kal tan turin an hrilh a.
• In i haw hnu ni hmasa berah chuan i chau deuh ang a, natna damdawi i ei a ngai dawn a ni. Chu chu thil pangngai a ni.
• Painkiller i ei hma chuan lirthei khalh suh .
• Mi tam zawk chuan thla khat vel chhungin an hnaah an kir leh thei thin .
• Kar 4-6 chhung chu rit phurh loh tur a ni .

Heng symptoms te hi i neih chuan doctor pan nghal rawh!

In i haw hnuah i taksa ngaihsak a pawimawh. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

• Ke, a bik takin ke hnuai lam (hengte hi DVT chhinchhiahna a ni thei) vun hring, natna, emaw vun lum emaw a awm thei.
• I luak chhuak emaw i muhil emaw a nih chuan .
• I pum, i rilru, a nih loh leh i hnungzang natna nasa tak i neih chuan .
• Palpitations chu i thinlung a na hle tih i hriat hian a ni.
• Groin area ah redness emaw ke na dang danglam tak i neih chuan .

EVAR enkawlna hi traditional open surgery aiin a tha zawk hle a, a hrehawm lo zawk bawk. I dam thuai thei a, i haw thei bawk. Amaherawhchu, enkawlna a hlawhtling tih erawh i theihnghilh thei lo. Doctor sawi angin a hun ruat saah lo haw a, scan dang neih leh a pawimawh hle. Chutiang chuan `(Stent Graft)` dah kha a thawk tha em tih leh `(Endoleak)` ang chi harsatna a awm em tih i enfiah thei ang.