Thoracic aortic natna avanga TEVAR surgery neih a ni em? (Thoracic Endovascular Aortic Repair) A awlsam zawngin han hrethiam ila

Kan taksaa thisen kalna kawng lian ber hi i ngaihtuah ngai em? Kan in chhunga tui rawn thlentu tui pipe lian ber ang bawkin, kan taksa peng leh cell zawng zawnga thisen phurtu thisen kalna kawngpui ber chu aorta, a nih loh leh kan tih angin aorta Hei hi vessel chak tak a ni. Mahse a chang chuan car tyre hlui sir a chak lo a, bubble ang maia a bulh ang bawkin he aorta wall pawh hi a chak lo thei a, hmun khatah a bulge thei bawk. A nih loh leh a chhung lam layer pawh a chhe thei bawk. Hengte hi dinhmun hlauhawm tak a ni. Mahse, lungngai suh, medical science hmasawnna avang hian tunah chuan hei hi enkawlna tha tak tak a awm ta. Chu chu vawiina kan sawi tum chu a ni.

He TEVAR surgery hi eng nge ni?

A awlsam zawngin sawi ila, TEVAR (Thoracic Endovascular Aortic Repair) hi minimally invasive surgical procedure a ni a, thoracic aorta chhiatna siamthat nan hman thin a ni.

Tun hmaa he natna chi hrang hrang enkawl dan hi han ngaihtuah teh. Doctor-te chuan he chhiatna hi siamṭhat nan hian rilru chu an hawng vek a ngai a, operation lian tak tak an nei a ngai bawk. A buaithlak hle a, a dam theih nan hun rei tak a ngai a, a risky hle bawk.

Mahse TEVAR method-ah chuan hetiang khawpa lian incision hi siam a ni lo. Chu ai chuan groin-ah hian incision te tak te tak an siam a, chuta tang chuan tube te tak te (catheter) an dah a, chu tube atang chuan aorta chak lo zawk siamthat nan hmanraw bik an kalpui a ni. Hei hi in bang chhunga pipe kal chu a chhiat a, pipe te zawk chu bang tichhia lova pipe chhungah dah luh dan nen a inang hle. Hei hian dam hun rei lo tak a thlen a, natna a ti tlem a, risk a ti tlem bawk.

Eng dinhmunah nge TEVAR surgery hi a tul?

Doctor-te chuan he surgery hi aorta-a natna khirh tak tak engemaw zat enkawlna atan an hmang ber a ni. Eng nge an nih i han thlir teh ang.

Operation hmain engtin nge i inbuatsaih thin?

Hetiang surgery hi tih i tum a nih chuan i doctor chuan chutiang atana i inbuatsaih dan tur chu chiang takin a hrilhfiah ang che. Thil tih tur i ti tlangpui mai thei:

• Thisen sang leh cholesterol control: Hengte hi control tha turin damdawi pek i ni thei.
• Meizial in loh tur: Meizial zu mi i nih chuan i chawlhsan vek a ngai a ni.
• Damdawi thlak danglam: Tuna i damdawi ei mek thenkhat chu operation hmain hun engemaw chen tihtawp emaw thlak emaw turin an ti thei che a ni.
• Test bik: Doctor chuan surgery ruahman nan test eng emaw zat a tih a ngai dawn a ni.

Operation hmaa test neih thin a ni

Heng test zinga pawimawh ber chu CT Angiogram a ni . Hei hi CT scan bik a ni. I aorta leh operation atana hman thisen kalna kawng dangte lian tham leh awm dan chiang takin a hmu thei a ni.

Ngaihtuah teh, surgical tube hi groin chhunga thisen kalna kaltlangin dah a ni. Chu thisen kalna chu a zim lutuk a nih chuan, a nih loh leh cholesterol deposit-in a block a nih chuan, chu tube chu a kal tlang thei lo. He scan hian chutiang thil chu a hmain a hriat theih nan a pui a ni.

Tin, he scan atanga tehna te hi i aorta a chhiatna hmuna stent graft size dik tak thlan nan a pawimawh hle bawk.

Stent graft tih hi eng nge ni?

Hei hi he surgery-a hero hi a ni. Stent graft chu puan ang chi thila siam tube a ni. A chhungah hian metal mesh a nei a. A fold up a, chutah chuan aorta kaltlangin a kal ta a ni. A hmun dik a thlen chuan spring ang maiin a inhawng a, aorta bang-ah a inzawm tlat a ni.

Thil thleng chu he tube thar hmang hian thisen a luang chhuak a ni. Aorta bang chak lo leh hring hian thisen atanga pressure a nei lo. Chuvangin a bulging tawh lo. Aorta chhungah lining thar dah ang mai a ni.

Engtin nge surgery hi tih a nih?

Hemi chungchang hi i hre duh hle ngei ang. Surgery-a hmalakna awlsam tak takte hi han thlir ila.

1. Sedation: A hmasa berin general anesthesia hnuaiah dah i ni ang a, a nih loh leh surgery tihna hmun chauh a numbed ang a, chawlh hahdamna tur damdawi an pe ang che.

2. Small incision: A dawtah chuan vunah, a tlangpuiin groin area-ah incision te tak te siam a ni a, chuta awm thisen kalna kawng (femoral artery) chu luh theih a ni.

3. Guide wire: He thisen kalna kawngah hian wire te tak te (guide wire) chu kal tlangin, aorta chhia lai chu a paltlang a, chutah chuan tihtawp a ni.

4. Catheter leh stent: Tichuan, wire dungah chuan tube (catheter) an pass a. He tube chhungah hian folded stent graft hi a awm a. Heng zawng zawng hi X-ray machine bik (fluoroscopy) kaihhruaina hnuaiah tih a ni.

5. Stent dah dan: Tube chu a awmna tur dik takah a awm tawh chuan doctor chuan uluk takin stent graft chu a dah lut ang. Chumi hnuah chuan automatic in a zau ang a, aorta wall-ah a inzawm ang.

6. Finishing: Chumi hnuah chuan tube leh wire chu la chhuakin, groin-a incision te tak te siam chu stitches hmangin an khar thin.

A tlangpuiin he thil tih zawng zawng hi darkar hnih vel a ni.

TEVAR surgery hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi lam thil dang ang bawkin hlawkna leh hlauhawmna a awm a, mahse TEVAR surgery hlawkna chuan a hlauhawmna aiin a hlawkpui zawk daih.

I doctor chuan heng hlauhawmnate hi uluk takin a hrilhfiah ang che a, a tih tlem theih nan theihtawp a chhuah ang.

Operation hnua dam leh hun chhung hi engtin nge ni?

Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung enfiah turin dah i ni ang a, chumi hnuah general ward-ah sawn i ni ang. Engkim a kal tha a nih chuan ni reilote hnuah i haw thei tawh ang. In lama i haw hnua i hriat reng tur thenkhat chu hetiang hi a ni:

• Driving: Kar khat atanga kar hnih chhung chu lirthei khalh loh tur.
• Inbual: Groin hliam a dam hma chu tui tub-ah inbual loh tur. Shower lak pawh a tha.
• Weight lifting: Kar khat atanga kar hnih chhung chu pound 10 (kg 4.5 vel) aia tam chawi loh tur a ni.

Nun chhung zawnga enkawl zui zel a pawimawh!

Hei hi a pawimawh ber a ni . TEVAR surgery hnuah i dam chhung zawng doctor pan a, checkup neih a pawimawh hle. Atlangpuiin,

• Surgery atanga thla khat hnuah
• Tichuan thla ruk hnuah (check-up hmasa berah harsatna a awm chuan) .
• Kum khat hnuah
• Tichuan kum tin vawi khat

Scan i neih a ngai dawn a ni. Hei hi stent hmun dik takah a awm em tih te, harsatna a awm em tih te, thisen chhuak a awm leh awm loh enfiah nan tih a ni. Hei hi skip suh. Hei hi i himna atan a pawimawh hle.

Engtik hunah nge doctor ka biak ang?

I enkawl dan emaw, i dam hun tur emaw chungchangah zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hlau suh. Tin, heart attack emaw stroke emaw symptoms rang tak i neih chuan (e.g., rilru na tak, thawk hah, tawng harsa, taksa sir khata chak lohna) i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh.

TEVAR hi medical science lama hmasawnna ropui tak a ni. Tûn hmaa nunna atana hlauhawm tak, tûn laiah, hlauhawmna tlem zâwk leh hlauhawmna tlem zâwkte enkawlnaah a ṭanpui a ni. Nangmah emaw, i hriat mi emaw hian he natna hi i nei a nih chuan doctor biak a, i tana enkawlna tha ber tur ngaihtuah chu hlau suh.