I doctor-in i fa naupangte chu thinlung zai a ngai tih a hrilh che hian hlauhna leh lungkhamna nasa tak i neih hi thil pangngai a ni. A bik takin ‘Glenn Procedure’ chungchang sawi dawn chuan a hming i hriat hnuah pawh eng ang nge a nih dawn tih i ngaihtuah lo mai thei. Mahse, lungngai suh. He surgery chungchang te, a tih chhan te, a hnua thil thleng te hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin Glenn Procedure chu eng nge ni?
Ngaihtuah teh, vein lian tak a awm a, chu chuan kan taksa chunglam (lu, kawr, kut) atanga thisen oxygen tlachham, ‘bawlhhlawh’ chu khawlkhawmin thinlungah a rawn hruai lut a ni. Hei hi ‘Superior Vena Cava’ kan ti a ni. A tlangpuiin thinlung hrisel takah chuan he thisen hi thinlung chamber-ah a kal a, lungah a pump lut a, chutah chuan oxygen lakkhawmin ‘thianghlim’ a ni.
Mahse nausen pianpui thinlung natna nei thenkhat chuan an thinlung insiam danah harsatna an neih avangin he zinkawng hi an zawh tha thei lo. Thinlung sir khat chu a lo thang tha lo mai thei a, a nih loh leh valve pakhatah harsatna a awm thei bawk.
Glenn procedure hian he thinlung buaina hmun hi a bypass a, chunglam atanga thisen ‘bawlhhlawh’ lo chhuak chu pulmonary arteries nen direct in a thlunzawm a ni. Phên dangin sawi ila, kawng tawi (bypass) a siam a, chu chuan thisen chu thinlung inkharkhip paltlang lovin lungah direct-in a hruai a ni. Hei hian oxygen tlachham thisen chu engmah tibuai lovin lungah a kal thei a ni.
Eng thinlung natna chi hrang hrangah nge he surgery hi tih a ngai?
Glenn procedure hi thinlung natna hlauhawm tak tak leh buaithlak tak tak engemaw zat enkawlna a ni. Doctor-te chuan a hnuaia natna nei naute tan hetiang tih dan hi an rawt tlangpui:
| Lung natna (Medical Condition) 1.1. | A awlsam zawngin... |
|---|---|
| Hypoplastic Left Heart Syndrome a awm a, a rilru a hah hle | Thinlung veilam (thisen pump na hmunpui ber) hi pian tirh lamah a thang tha lo hle. |
| Tricuspid Atresia a awm thin | Thinlung dinglamah tricuspid valve hi a lo insiam tha lo hle. |
| Pulmonary Atresia a awm thin | Pulmonary valve, thinlung atanga lung thlenga thisen phurtu chu a inhawng tha lo. |
| Double Inlet Veilam emaw dinglam emaw Ventricle | Thinlung chunglam pindan pahnih atang hian thisen chu a hnuai lam (ventricle) pakhatah a luang lut a. |
| Atrioventricular Canal-a chhiatna inthlau lo | Thinlung chamber inkar bang leh valve-a chhiatna khirh tak tak awm. |
Engtikah nge surgery hi tih a nih ang a, a hmain eng nge thleng ang?
Glenn surgery hi naute thla 3 leh thla 6 inkar a nih chuan tih thin a ni . A tam zawkah chuan hei hi surgery vawi hnihna a ni. Hetiang thinlung natna nei naute tan chuan an pian tirh lamah operation hmasa ber (Blalock-Taussig (BT) shunt ang chi) tih a ni a, chu chuan thisen kal dan tur a ti \ha deuh a ni. Tichuan, naute chu a lo upa deuh tawh chuan Glenn surgery chu a dawt leh tur atan an ti leh thin.
Surgery neih hmain
Operation hun tur an rel hmain doctor-te chuan naute thinlung hi chiang takin an hriat a ngai a ni. Chutiang ti tur chuan test an ti a, chungte chu:
- Cardiac Catheterization: Test-ah hian ke emaw kut emaw chhunga vein pakhat kal tlanga tube te tak te chu thinlung lam pan a, thinlung chhunga pressure tehna leh a structure ngun taka en a ni.
- Heart MRI: Hei hian heart chipchiar taka three-dimensional (3D) image lakchhuahna hmangin operation ruahman nan a pui a ni.
- I naute damdawi ei zawng zawng (vitamin leh supplement te pawh tel) doctor hnenah i hrilh tur a ni .
Surgery neih chhung leh operation zawhah eng nge thleng?
Surgery neih lai hian
Glenn operation hi darkar 4 vel a ni tlangpui . Amaherawhchu, naute dinhmun a zirin hun a inang lo thei. Hemi chhung zawng hian naute chu general anesthesia hnuaiah a awm a. Chumi awmzia chu engmah a hre lo, a muhil vek tihna a ni.
Naupang thenkhat chuan operation an neih laiin an thinlung leh lung hnathawh chu hun eng emaw chen a luah theih nan cardiopulmonary bypass machine an mamawh mai thei. Surgeon chuan a hmaa surgery neih tawhte la awmte chu hmangin superior vena cava chu lung-a thisen phurtu vein nen a thlunzawm ang.
Surgery an neih hnuah
Operation hnua i naute hmuh chu a hlauhawm thei hle. A heart rate leh oxygen level tarlanna tube leh monitor hrang hrangah hook up a ni ang. Mahse heng zawng zawng hi naute dinhmun ngun taka enfiah nan a ni. Naute hi Intensive Care Unit (ICU)-ah ni 3 vel dah a ni ang a, uluk taka enkawl a ni ang. Chumi hnuah chuan regular ward-ah sawn a ni ang a, ni engemaw zat hnuah a haw leh thei tawh ang.
A pawimawh ber chu Glenn procedure hi a tam zawkah chuan solution kimchang tak siamna atana step hnihna chauh a ni. Naute chu tlem a lo upa tawh a, a kal tan chuan (a tlangpuiin kum 2-4 inkar) chuan operation dang ‘Fontan procedure’ an tih chu a ngai fo thin. I doctor chuan hei hi a hrilhfiah ang che.
Glenn procedure hian eng hlawkna leh harsatna awm thei te chu engte nge ni?
Surgery dang ang bawkin Glenn procedure hian a hlawkna bakah hlauhawmna engemaw zat a nei bawk. Hengte hi fimkhur a pawimawh hle.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| Thinlung hnathawhna hmun awmchhun (ventricle)-a phurrit a tihtlem phah a ni. | Thisenah oxygen level a tlahniam. |
| Hnathawh tam lutuk avanga thinlung a lian loh nan a veng. | Thisen sang a sang. |
| A hnu lama Fontan surgery neih pawh a awlsam phah hle. | Pleural effusions a awm thin. |
| Naupang damchhuah theihna a tipung. | Bawnghnute in harsat avangin tube hmanga chaw pek a ngai. |
| Fontan surgery hian duh lo emaw nei thei lo emaw tan chuan kawng dang a pe a ni. | Surgery neih leh a ngai. |
He surgery hlawhtlinna hi a sang hle a, 99% vel a ni . Chuvangin lungngai suh. Doctor-te hian heng hlauhawmnate hi an hre chiang hle a, enkawl dan tur pawh an zirtir tha hle.
In i thlen hnuah pawh hei hi lo thlir reng ang che!
Damdawi in atanga i haw hnuah i naute dinhmun hi i fimkhur hle tur a ni. A hnuaia symptoms te hi i hmuh chuan doctor i ko nghal tur a ni .
- Khawsik.
- Surgery hliam emaw tui dang emaw atanga thisen chhuak.
- Bawnghnute in harsat emaw, bawnghnute in duh loh emaw.
- Naute hi a thau tha lo hle a ni.
- Thâwk harsa emaw, naute hmui/kut zungtang a rawn sen emaw.
Damdawi in atanga i chhuah hmain cardiologist nena i inhmuh leh tur hun tur an pe ang che. Chutiang date-ah chuan i naute chu rawn hruai ngei ang che.
Take-Home Thuchah a ni
- Glenn procedure hi naute pianpui lung natna khirh tak nei tan nunna chhanhimna a ni. Thisen kal dan a titha a ni.
- Hei hi naute thla 3-6 inkar a nih chuan tih a ni tlangpui. Vawi tam tak chu, hei hi surgery hrang hranga step hnihna a ni.
- Surgery hlawhtlinna rate hi a sang hle (99% vel) a ni. Mahse, surgery zawng zawng ang bawkin, hlauhawmna engemaw zat a awm tih hrethiam rawh.
- Surgery zawhah naute chu doctor enkawlna hnuaia awm chhunzawm zel tur a ni. Doctor thupek dik takin zawm rawh.
- Hemi chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan i doctor nen sawiho hreh suh. I rilruah eng nge awm tih hriat a pawimawh hle.











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