A rilru chhunga aorta awm chu a en em? TEVAR enkawlna (Thoracic Endovascular Aortic Repair) chungchang i zir dawn teh ang

I taksaa thisen kalna kawng lian ber leh pawimawh ber chanchin i hre tawh em? Aorta kan ti a . I taksa pum puia thisen phurtu tui pipe lian ber angin ngaihtuah rawh. Mahse a chang chuan, he aorta bang hi a chak lo va, balloon ang maiin a rawn chhuak tan thin. Damdawi lamah chuan hei hi aneurysm kan ti a. Tui pipe hlui bulge chhuak ang mai a ni. He balloon hi a puak chuan i nunna atan a hlauhawm hle thei a ni. Mahse, lungngai suh, medical science hmasawnna avang hian tunah chuan hetiang dinhmun enkawlna tha tak tak a awm ta. Vawiin hian enkawlna bik, operation lian tham nei lova tih tur kan sawi dawn a ni.

TEVAR hi eng nge ni tak tak?

A awlsam zawngin sawi ila, TEVAR (Thoracic Endovascular Aortic Repair) hi tunlai, minimally invasive treatment a ni a, thoracic aorta chhiatna, a bik takin aneurysm te siamthatna atana hman thin a ni.

Tun hma chuan he natna hi operation lian tak, open surgery hmanga enkawl a ni a, chu chu a rilru hawn a ni. A buaithlak hle a, dam nan hun rei tak a duh a, risk sang tak a nei bawk. Mahse tunah chuan damlo tlingte tan chuan doctor-te chuan he TEVAR procedure hi an thlang nasa hle. Damna hun rei lo zawk a nei a, harsatna lian tham a thlen theihna a tlem zawk a, damlo tan pawh a nuam zawk hle. I doctor chuan he enkawlna hi i tan a tha em tih chu i thisen kalna kawng (blood vessel anatomy) ang chi thilte a zirin a rel ang.

TEVAR treatment hi eng condition atan nge hman a nih?

Surgeon-te chuan he TEVAR method hi aorta chhiatna chi hrang hrang atan an hmang ber a ni.

He surgery hma hian engtin nge ka inbuatsaih ang?

I doctor chuan hei hi chipchiar takin a hrilhfiah ang che . A tlangpuiin thil hrang hrang atan i inbuatsaih tur a ni:

• Damdawi hman dan: Thisen sang emaw cholesterol emaw damdawi i ei a nih chuan a thupek ang chiah hian i hmang tur a ni.
• Meizial zuk loh tur: Meizial i zuk chuan zai hmain i chawlhsan vek a ngai dawn a ni.
• Damdawi dang: Tuna i ei mek damdawi dang (e.g., thisen tithianghlimtu) te chu i doctor hnenah hrilh rawh. Hun eng emaw chen atan tihtawp emaw, tihdanglam emaw a ngai mai thei, a tul chuan a thurawn angin.
• Pre-surgery test: Surgery hma hian test eng emaw zat tih a ngai dawn a ni.

Operation hmaa test neih thin a ni

Test pawimawh ber pakhat chu CT angiogram a ni . Hei hian i aorta leh a kaihhnawih thisen kalna kawng dangte lian leh te, a awmna hmun leh a hriselna chu chiang tak, dimension thum-a hmuh theih a ni. TEVAR surgery hlawhtling tur chuan i thisen kalna kawngah hmun remchang a awm a ngai a, chu chuan enkawlna atana hman thin tube (catheter) chu aorta chhungah a hmasawn theih nan a ni.

Doctor-te chuan he tube hi femoral artery kaltlangin an dah tlangpui a, chu chu ke groin kaltlangin a kal a ni. Mahse chu thisen kalna chu cholesterol deposit (plaque)-in a tihtlem emaw, a block emaw chuan kawng dang an zawn a ngai a ni. Heng zawng zawng ruahman nan hian CT scan hi a pawimawh hle.

Heng test te hian i aorta hmun chhia tan stent graft size leh chi dik tak thlan nan a pui bawk.

TEVAR surgery tih dan tur

He enkawlna hi an tih hian surgical team te hian hengte hi an zawm thin:

1. Anesthesia: I natna i hriat loh nan leh operation chhung zawnga i hlim theih nan general anesthesia emaw local anesthesia emaw sedation nen pek i ni ang.

2. Ruhro tana venhimna: 1.1.Thil engemaw takah chuan (mi zawng zawng ni lo), operation laiin ruhro atanga thisen kal tlem avanga chhiatna awm lo turin ruh atanga cerebrospinal fluid tlemte la chhuak thei tube te tak te (lumbar drain) hman theih a ni.

3. Small incision: Ke ruh (groin area), femoral artery bulah vunah hian incision te tak te tak tak siam a ni.

4. Tube dah luh: He incision hmang hian thisen kalna kawng (guide wire) te tak te (guide wire) chu aorta chhe lai a paltlang thlengin thisen kalna kawng zawh a ni. Tichuan, he wire chungah hian tube te tak te , catheter an tih, a chhungah stent graft dah a ni. Heng zawng zawng hi X-ray ang chi technique bik ( fluoroscopy ) kaihhruaina hnuaia tih a ni.

5. Stent dahna: Catheter chu a chhiatna hmun dik takah a hruai a, a chhunga stent graft chu a chhuah tir a ni. Spring ang maiin a inhawng a, aorta bang-ah nghet takin a innghat a ni.

6. Hnathawh: Tunah chuan he stent graft hian aorta tan lining thar angin hna a thawk ta a ni. Aneurysm a nih chuan he lining thar hmang hian thisen a luang chhuak thin. Hei hian thisen atanga bang chak lo tak atanga pressure chu a la chhuak thin. Hei hian a lian leh puak thei lo.

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

TEVAR enkawlna hian eng hlawkna nge a neih?

Hengte vang hian doctor ten open surgery aiin TEVAR method an duh zawk a ni.

• Recovery hun leh damdawi ina awm hi a rei lo hle.
• Hnute lakchhuahna tur incision lian tak a awm loh avangin natna a tlem zawk.
• Surgery lai hian thisen a chhuak tlem zawk.
• Open surgery ang bawkin hlawhtlinna a nei bawk.
• Complication na tak tak emaw thihna emaw thlen theihna a tlem hle (TEVAR hmanga damchhuah zat chu 98% vel a ni a, open surgery hmanga damchhuah zat chu 88%-94% vel a ni).
• Organ dang thisen supply tlahniam (end-organ ischemia) avanga chhiatna thleng hi a tlem hle.

He enkawlna hmang hian hlauhawmna a awm em?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse a tlem hle.

• Endoleak: Stent graft vel ah thisen a la luang lut a, aneurysm chhungah a la luang lut zel.
• Infection: Surgery hmuna natna hrik awm.
• Graft movement: Stent dah chu a awmna hmun atang hian a che deuh a.
• Paraplegia: A tlem hle a, ke ruh (spinal cord)-a thisen kal tlem vangin kea hnathawh a hloh thin.
• Heart attack emaw stroke emaw a awm thei.

Heng hlauhawmnate leh tihziaawmna tura i tih theih dan turte hi i doctor nen sawiho rawh.

Dam lehna leh enkawl zui zel

Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung i awm ang. Chumi hnuah chuan regular ward-ah sawn i ni ang a, ni khat emaw kar khat chhungin i haw thei tawh ang. In lama i haw hunah heng thilte hi lo buaipui rawh:

• Kar 1-2 chhung chu lirthei khalh loh tur.
• Groin incision a dam hma chuan tui tub-ah lut suh (shower pawh a pawi lo).
• Kar 1-2 chhung chu kg 5 aia tam chawi loh tur a ni.

Heart attack (e.g., rilru natna nasa tak) emaw stroke (e.g., hmai sir khata tla, tawng harsa) i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.