Doctor pakhatin i chhungte emaw, nangmah emaw hnenah "thisen kalna kawngkhar a block" emaw, "thisen kalna kawng chu balloon ang maiin a hring" emaw tiin a hrilh tawh che em? Chutiang thil kan hriat chuan hlauhna nasa tak kan nei hi thil pangngai a ni. Mi tam tak chuan hetiang thil hi operation lian tak, incision lian tak, leh dam rei tak a ngai niin an ngai. Mahse, medical science hmasawnna avang hian tunah chuan heng harsatna tam tak hi incision lian tak nei lovin, khur te tak te tak tak hmanga enkawl theih dan a awm tawh tih i hria em. Vawiin hian chu enkawlna kawng mak tak chu kan sawi dawn a, chu chu ‘endovascular surgery’ a ni.
Endovascular Surgery tih hi eng nge ni?
A awlsam zawngin sawi ila, endovascular surgery hi kan taksa chhunga vascular system tichhe thei natnate chu incision lian tak tak siam lovin enkawl dan a ni. I in chhunga tui pipe khar chu han mitthla teh. A siamthat nan chuan pipe chhungah wire te tak te i dah a, a blockage chu bang tichhia lovin i paih chhuak thin.
"Endo" tih hming hi "chhung lam" tihna a ni. "Vascular" tih awmzia chu "thisen kalna kawng nena inzawm" tihna a ni. Chuvangin heng pahnih hi an inzawm khawm chuan "Endovascular" tih hian "thisen chhunga enkawlna tih" tihna a ni. Chutah chuan surgeon-te chuan thisen kalna kawng (catheter) te tak te, flexible tak mai chu thisen kalna kawngah an dah a, chuta tang chuan thisen kalna kawnga harsatna awm chu siam\hat tumin an paltlang \hin. Hetiang tih dan hian thluak, thinlung, ke leh ke leh lungah thisen kal dan a siam tha leh thei a ni.
Traditional surgery leh he method thar hi eng nge a danglamna?
Heng kawng pahnihte hian thisen kalna kawng enkawl mah se, doctor-in thisen kalna kawng a hnaih danah hian danglamna lian tak a awm a ni. He danglamna hrethiam tur chuan a hnuaia table hi en la.
| Mihring ziarang | Open Surgery neih a ni | Endovascular Surgery tih a ni |
|---|---|---|
| Access dan tur | Surgeon chuan vun a tan a, incision lian tak a siam a, thisen kalna kawng a thleng a. | Thisen kalna kawngah hian zungbun hmangin khur te tak te an siam a, chuta tang chuan tube te tak te (catheter) an thun a. |
| Kawngpui Cutting | A lian a, stitches ka mamawh. | A te hle (pinhead ang vel). |
| Thisen chhuak | A sang deuh hlek. | A hniam hle mai. |
| Damna hun | Kar tam tak emaw, thla tam tak emaw pawh a la ngai thei. | A tlem hle a, ni engemaw zat emaw kar tlemte emaw chhungin a pangngaiin a kir leh thei. |
| Damdawi ina awm rei zawng | Ni engemaw zat emaw, kar khat aia tam emaw. | A tlangpuiin ni khat emaw ni hnih emaw a ni. Chumi ni vek chuan i haw thei maithei. |
A pawimawh ber chu i damdawi lam dinhmun, kum leh hriselna zawng zawng ngaihtuah chungin heng kawng pahnih zingah hian eng kawng nge i tana tha ber tih chu i doctor-in a rel ang.
Hetiang hmanga enkawl damdawi lam harsatna lian ber berte chu engte nge ni?
Endovascular surgery hi thinlung leh thisen kalna kawng nena inzawm natna chi hrang hrang enkawl nan hman a ni. Chung zinga ṭhenkhat chu:
- Aneurysm: Hei hi thisen kalna kawng bang chak lo tak, balloon ang maia pawn lam hawia a bul chhuak a ni. Hengte hi abdominal aortic aneurysm emaw thoracic aortic aneurysm-ah te, taksa chhunga thisen kalna kawng dangah te pawh a thleng thei a ni. Hei hi a hlauhawm hle a, a chhan chu he aneurysm hi a rupture chuan chhungril lama thisen chhuahna nasa tak a thlen thei a ni.
- Atherosclerosis: Hei hi i hre tawh mai thei. A awlsam zawngin, thisen kalna chhunga cholesterol leh thau awmkhawm, "plaque" layer siam a ni. Hei hian thisen kalna kawng a tizau a, thisen kal a tikhawlo a ni. Hei hi heart attack leh stroke ang chi natna thlentu ber a ni.
- Carotid Artery natna: 1.1.Carotid arteries hi kan kawr sir lehlama thisen kalna kawng lian pahnih, thluaka thisen phurtu an ni. Heng arteries te hi a block chuan stroke hlauhawmna a sang hle.
- Deep Vein Thrombosis (DVT): Hei hi thisen zam, taksa chhung thuk tak, a bik takin kea thisen zam a lo awm thin a ni . Heta hlauhawmna chu he thisen zam hi a lo chhuak a, lung chhunga thisen kalna kawng (Pulmonary Embolism)-ah a tang a nih chuan nunna atana hlauhawm tak a ni thei.
- Peripheral Artery Disease (PAD): Ke leh ke ruh, a bik takin ke-a thisen petu thisen kalna kawng (arteries) a zim avanga lo awm a ni. A lan chhuah dan ber chu hla vak lo kea kal laiin ke na a ni.
Surgery neih hmain eng nge thleng?
Hetiang surgery neih tura rawtna i nih chuan i doctor chuan i dinhmun leh i hriselna chanchin a sawi hmasa ang che. Chumi hnuah chuan taksa enfiahna a nei ang a, harsatna chu a hriatthiam theih nan test eng emaw zat a ti ang. Entir nan:
- Ultrasound scan: Thisen kalna kawng chhunga thisen kal dan leh a blockage awmna hmun hriat nan.
- Angiography: Thisen kalna kawng hrang hrangah hian dye bik an inject a, X-ray hmangin thisen kalna kawng map chiang tak an hmu thei a ni.
- CT scan emaw MRI scan: Thisen kalna kawng leh a chhehvel tissue te three-dimensional (3D) image chipchiar zawk la rawh.
- ECG leh Echocardiogram: Thinlung hnathawh dan enfiah thin.
Heng test atanga thu hriatte a\angin medical team chuan i tana enkawlna \ha ber tur ruahmanna an siam ang.
Hetianga enkawlna chi hrang hrang hman berte chu engte nge ni?
Endovascular treatment chi hrang hrang a awm a. I dinhmun azirin heng zinga pakhat emaw a aia tam emaw i thlang ang.
| Enkawl dan (Procedure) 1.1. | A awlsam zawngin, eng nge thleng? |
|---|---|
| Angioplasty tih a ni | Thisen kalna kawngkhar block chhungah hian balloon nei catheter dahin, balloon chu inflated a, blocked area chu a zau zawkin an tizau a ni. |
| Stent dahna tur a ni | Angioplasty hnuah artery chhungah hian metal mesh ang chi tube te tak te (stent) dah a ni a, chu chu a block leh loh nan a ni. |
| Atherectomy tih a ni | Thisen kalna kawng bang chunga plaque lo awm tawh chu hmanraw bik hmanga scraping away. |
| Stent Grafting tih a ni | Puan leh thir mesh hmanga siam tube chu thisen kalna kawng chak lo tak, aneurysm ang chi chhungah dahin an dah a, chu chu a tichak zawk a ni. |
| Thrombectomy tih a ni | Thisen kalna kawng (thrombolysis)-a thisen zam (thrombus) tang chu mechanical removal emaw drug dissolution emaw hmanga tihbo emaw. |
| Embolization tih hi a ni | Thisen chhuahna tihtawp emaw, tumor-a thisen supply tihtawp emaw nan thisen kalna kawngkhar chu tumruh taka khar a, chu chu bead ang chi thil te tak te dahin thisen kalna kawngkhar chhungah dah a ni. |
Operation hnuah eng nge thleng? Heng symptoms te hi fimkhur rawh!
He surgery thatna lian ber pakhat chu a dam thuai hi a ni. Surgery buaithlak dan azirin chu ni vek chuan in lamah i haw thei (outpatient) emaw, damdawi inah ni khat emaw ni hnih emaw i awm thei bawk. Mi tam zawk chuan thla khat vel hnuah nitin hna an thawk leh thei tlangpui. Mahse, i doctor chuan hemi chungchangah hian thurawn tha ber ber a pe ang che.
Operation zawhah doctor nen follow-up appointment zawng zawngah tel vek a pawimawh hle. Tin, a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- Pum, rilru, hnungzang, emaw, kekawrte na na tak
- Surgery neihna hmun atanga thisen chhuak
- Ke emaw kut emaw a na emaw, a hring emaw
- Luak chhuak emaw, hriatna hloh emaw
- Kut emaw ke emawa rilru natna emaw, hriatna hloh emaw
- Chak lohna nasa tak emaw, hah lutuk emaw
- Surgery neih chhunga incision te tak te atanga vun sen emaw, pus ang chi tui chhuak emaw
- Khawsik
Take-Home Thuchah a ni
- Endovascular surgery hi taksa chhunga thisen kalna kawng, incision lian tak siam ngai lovin enkawl dan hmasawn leh him tak a ni.
- Hei hian natna hlauhawm tam tak, atherosclerosis, aneurysm, leh deep vein thrombosis (DVT) te chu hlawhtling takin a enkawl thei a ni.
- Hetiang method hian traditional open surgery aiin a dam rei zawk a, natna a tlem zawk a, damdawi ina awm rei zawk a nei bawk.
- He enkawl dan hi i tan a tha em tih chu i enfiahtu doctor chauhvin a hre thei ang.
- Surgery hnua symptom danglam tak tak a awm chuan ngaihthah lova doctor thurawn lak nghal a pawimawh hle.
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