Kan taksaa thisen kalna kawng pawimawh ber chu balloon ang maiin a lo hring chhuak thei tih i hre ngai em? Hei hi dinhmun hlauhawm tak a ni tak zet a ni. Mahse lungngai suh, medical science hmasawnna avang hian hei hi tunah chuan incision lian tak siam lovin awlsam takin a enkawl thei ta a ni. Vawiin hian kan sawi dawn a ni. Hetiang method hi EVAR an ti a.
A awlsam zawngin EVAR chu eng nge ni?
EVAR awmzia kimchang chu Endovascular Aneurysm Repair tih a ni. Hei hi minimal invasive surgery a ni. Aneurysm enkawlna atan hman a ni a, a nih loh leh damdawi lam hawia kan sawi angin , aneurysms , kan pum chhunga thisen kalna bulpui aorta-ah te hman a ni.
Kan taksaa thisen kalna kawng lian ber chu aorta a ni tih han ngaihtuah teh. Hei hi thinlung atanga taksa pum puia thisen sem darhna hmun a ni. A chang chuan he thisen kalna kawng bang chhunga hmun pakhat a chak loh chuan thisen pressure avang hian chu hmun chak lo chu balloon ang maiin a rawn chhuak chhuak thin. Chu chu aneurysm kan tih chu a ni.
EVAR enkawlnaah chuan vein sir lehlamah khur te tak te pahnih chauh siam a ni a, chuta tang chuan a chhung atanga thisen kalna kawng hring chu siamthat nan hmanraw bik an paltlang thin.
Engvangin nge he EVAR enkawlna hi kan mamawh?
He enkawlna hian a tum ber chu balloon ang maia thisen kalna kawng (aneurysm) a puak loh nan a ni a, a chhan chu a puak chuan nunna atana hlauhawm tak a nih vang a ni.
Thisen kalna kawng a puak chuan taksa chhungah thisen chhuak tam lutuk a awm tan a, minute tlemte chhungin nunna atana hlauhawm tak a ni thei.
EVAR enkawlnaah hian doctor-te chuan thisen kalna kawng hring (swell vessel) chhungah puan leh thir mesh hmanga siam special tube (stent graft) an dah lut thin. He tube hi dah a nih hnu hian he tube thar atang hian thisen a luang chhuak thin. Tichuan thisen pressure chuan thisen kalna kawng hring chak lo bang chu a tawk lo. Chuvangin a puak theihna tur chu a bo vek tawh mai.
He EVAR treatment hi tute tan nge a tha ber?
Aortic aneurysm i neih chuan he enkawlna hi i tan a tha mai thei. Mahse, aneurysm zawng zawng hi a rualin enkawl vek a ni lo. I doctor chuan a hnuaia thil thlengah hian EVAR hi a ngaihtuah thei ang:
- I aneurysm a lian emaw a te a mahse a lo thang chak hle a nih chuan .
- I taksain open surgery incision lian tak hmanga tih a tuar theih loh chuan.
- Aneurysm chung leh hnuai thisen kalna kawngte chu a hrisel a nih chuan .
EVAR ang chi method dang a awm em? (FEVAR leh TEVAR) te an ni.
Ni e, he enkawlna dan hi aneurysm awmna hmun azirin danglamna tlemte nen hman a ni.
FEVAR chu eng nge ni?
Kan aorta hi thinghnah ang maiin han ngaihtuah teh. He trunk atang hian kan pum chhunga taksa peng hrang hrang (kidney leh intestines ang chi)-a thisen phurtu branch (artery te tak te) te chu an inthen darh a. A châng chuan heng branch pakhat a inṭhenna hmunah hian aneurysm a lo awm ṭhin. Chutiang a nih chuan EVAR pangngai tih chu a harsa hle.
Chutiang case buaithlak tak tak tan chuan FEVAR (Fenestrated Endovascular Aneurysm Repair) tih hming pu method bik hman a ni. Heta stent graft hman hian a hnah inthenna hmuna inmil tura siam khur te te (fenestrations) a nei a. Chu khur atang chuan chu branch te tan chuan stent te te hranpa dah theih a ni. Thingkung hnah leh a hnah zawng zawng nena inmil tura siam tube ang maiin.
EVAR leh TEVAR inthlauhna
Hei hi a awlsam hle.
- EVAR hi pum (stomach)-a aneurysm awmte tan an ti thin .
- TEVAR (Thoracic Endovascular Aneurysm Repair) hi rilru chhunga thisen kalna (thorax) a thisen zam awmte tan an ti thin a ni.
TEVAR hi a tlangpuiin thinlung atanga tlem a hla, rilru atanga tla thla, thisen kalna kawng lian (grate arteries)-a aneurysm awmte tan chuan a hlawhtling hle. Mahse, thinlung hnaih tak tak aneurysm tan chuan open surgery neih a ngai fo thin.
| EVAR enkawlna thatna ber | |
|---|---|
| Hamthatna | Hrilhfiahna |
| Damdawi inah ni awm zat a tlem phah a ni. | Open surgery aiin i haw hma thei bawk. |
| Thisen chhuah tlem zawk | Cut lian tak a awm loh avangin taksa atanga thisen chhuak zat hi a tlem hle. |
| Dam laiin natna a tlem zawk | Hliam lian tham a awm loh avangin natna leh lungawi lohna hi a tlem hle. |
| Lo dam vat rawh | Thil tih dan pangngaiah i kir leh nghal thei bawk. |
| Surgery hun a tlem zawk. | Open surgery aiin hun rei lo zawkah surgery hi tihfel theih a ni. |
He enkawlna hmang hian hlauhawmna a awm em?
EVAR hi enkawlna him tak leh hlawhtling tak a ni a, mahse surgery dang ang bawkin harsatna awm theihna chance a tlem hle.
- Thisen zam: A chang chuan ke ruh thûk takah thisen zam a lo awm thei. Hei hi Deep Vein Thrombosis (DVT) kan ti a ni.
- Endoleak: Stent dah a nih hnuah pawh stent leh thisen kalna bang inkarah thisen tlem a leak a, aneurysm a zawm a ni.
- Infection: Hliamna hmuna natna hrik awm.
- Kidney tha lo a awm
- Lung natna
- Thisen chhuah tam lutuk
Heng risk te hi a tlem hle. I doctor chuan heng zawng zawng hi operation hmain a hrilhfiah vek ang che.
Engtin nge surgery hi tih a nih?
Okay, tunah chuan he surgery-a step hrang hrangte hi han en ila.
1. Pakhatnaah chuan anesthesia pek i ni ang a, chu chu mut tir emaw, mut hahdam taka dah emaw a ni ang. Chuvang chuan engmah hrehawm i nei lovang.
2. A dawtah chuan doctor chuan i pum chhunga aneurysm awm chu i groin chhunga femoral arteries hmangin a lut ang.
3. Needle te tak te pahnih hmangin heng artery pahnih ah hian catheter , tube te tak te, flexible tak chu dah a ni. Kan sawi tawh ang khan stent graft hi he catheter chhungah hian folded a ni.
4. X-ray ang chi screen bik a en lai hian doctor chuan he catheter hi thisen kalna kawng zawhin aneurysm awmna hmun thlengin a kaihruai a.
5. A hmun dik takah vawi khat a awm chuan catheter chhunga stent tube chu a zau ta a ni. Chumi hnuah thisen kalna kawng chhungah a zau a, thisen kalna tur kawng thar, chak zawk a siam a ni.
6. He stent tube hi thisen kalna bang-ah nghet takin a inbun a, thisen kalna kawng (aneurysm) chhungah thisen a lut thei lo.
7. Procedure zawh hnuah catheter chu uluk takin lakchhuah a ni. Puncture te hi a te lutuk a, stitch pawh a ngai lo. Hliam hi a dam theih nan plaster te tak te an hnawih thin.
Operation hnua dam leh hun chhung hi engtin nge a awm?
I dam kim theih nan ni engemaw zat atanga thla khat vel a ngai tlangpui.
- Damdawi inah ni hnih emaw ni thum emaw i awm a ngai dawn a ni.
- Anesthesia i pek hnuah ei leh in i tan nghal thei bawk.
- Nurse te puihnain khum atangin i tho thei a, i kal thei bawk.
- In i haw hnuah ni engemaw zat chhung chu tlemin i chau a, i na thei bawk. Painkiller pek che kha uluk takin i hmang tur a ni.
- Painkiller i ei hma chuan lirthei khalh loh tur.
- Mi tam zawk chuan thla khat chhungin hna an thawk leh thei.
- Kar 4 atanga kar 6 chhung chu thil rit tak tak i chawi loh tur a ni.
| Heng symptoms te hi i neih chuan doctor pan nghal tur a ni. | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| Ke a hring, a na | Hengte hi kea deep vein thrombosis (DVT) chhinchhiahna a ni thei. Hei hian kea vun lum a huam tel bawk. |
| Luak chhuak emaw, muhil emaw | A chhungril lama harsatna engemaw zat a awm tih chhinchhiahna a ni thei bawk. |
| Hnunglam, rilru emaw, pum na emaw | Hei hi stent emaw, aneurysm emaw a harsatna a ni thei. |
| Lung na tak tak | Heartbeat chak lo tak (Heart Palpitations). |
| Groin area-a sen emaw, na emaw a awm | Surgery hmuna natna hrik awm chhinchhiahna a ni thei. |
Take-Home Thuchah a ni
- EVAR hi traditional open surgery aiin a tha zawk hle a, minimally invasive alternative a ni.
- Hetianga enkawl hnu hian i dam thuai ang a, in lamah i haw thuai thei ang.
- I dam hnuah pawh i thinlung leh thisen kalna kawngte i enkawl tha tur a ni. Exercise tih leh i ei leh in a chi tihtlem ang chi thilte hian nakin lawka harsatna i neih loh nan a pui thei a ni.
- A pawimawh ber chu follow-up test neih hun ruatah doctor pan leh a ni. Chutiang chuan stent i dah kha a thawk tha em tih leh harsatna dang a awm leh awm loh i enfiah thei ang.
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