Doctor-in i fate hian thinlung lam harsatna a neih avangin ‘Glenn’ procedure a neih a ngai tih a hrilh che khan hlauhna leh mangang tak tak i nei a ni ngei ang. I rilruah zawhna tam tak i nei ngei tur a ni, ‘Glenn Procedure’ chu eng nge ni, eng nge a huam, engvangin nge tih a nih tih te. Lungngai suh. Chutiang rilru put hmang chu a pangngai hle. Heng zawng zawng hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
Glenn Procedure hi eng nge ni, a awlsam zawngin?
Ngaihtuah teh, kan thinlung hi taksa pum puia thisen pump chhuaktu motor a ni. A then pali (chamber pali) a nei a. Nausen thenkhat chu heng chamber pakhat hi a lo thanglian kim lo emaw, a te lutuk emaw a piang an ni. Hetiang a nih chuan thinlung hian thisen a pump tha thei lo.
A awlsam zawngin sawi ila, Glenn procedure hi ‘bypass’ procedure a ni a, hetiang hian thinlung chak lo chu a pui thin.
Hetah hian surgeon-te chuan naute taksa chunglam atanga oxygen tlachham, thianghlim lo thisen phurtu main blood vessel (superior vena cava) chu thinlungah thawn ai chuan pulmonary artery-ah direct-in an thlunzawm a ni.
Hei hi kawngpui thar, hman awlsam zawk, kawngpui lian tak paltlang thei siam ang a ni. Hei hian oxygen dawng ngai thisen chuan thinlunga harsatna awm chu a paltlang thei a, lungah a kal nghal thei a ni.
Hei hi naute surgery vawi hnihna a ni tlangpui. Kum tlemte hnuah operation dang an nei leh a, chu chuan natna chu a chinfelna tur a awm reng thei a ni.
He surgery hi eng naupang nge an tih?
Glenn-a surgery hi naupang pianpui thinlung lama harsatna nei te tan an ti ber a ni. Naupang tê tê tê tê tê, emaw, thisen pumptu thinlung pindan lian pahnih (ventricles) zinga pakhatin hna a thawh ṭhat lohte tân a mamawh bîk a ni. Hetiang dinhmun hi ‘single ventricle defect’ an ti a.
A hnuaia tarlan te hi Glenn surgery ngai thinlung natna lian ber ber thenkhat an ni.
| Lung natna hming (Medical Condition) . | A sawifiahna awlsam tak |
|---|---|
| Hypoplastic Left Heart Syndrome a awm a, a rilru a hah hle | Thinlung veilam (left ventricle, valve) te hi a thang tha lo hle. |
| Tricuspid Atresia a awm thin | Thinlung dinglamah chamber inkara awm tricuspid valve hi a siam tha lo hle. |
| Pulmonary Atresia a awm thin | Lung chhunga thisen phurtu pulmonary valve chu a block a ni. |
| Double Inlet Veilam emaw dinglam emaw Ventricle | Heart (atria) chunglam chamber pahnih hi lower chamber pakhat (ventricle) nen an inzawm a ni. |
Glenn surgery hi engtikah nge tih a nih tlangpui?
Doctor te chuan naute thla 3 leh thla 6 inkar a nih chuan he surgery hi tih an rawt tlangpui . Surgery vawi hnihna angin tih a ni fo a, naute chu a pian hnua thisen kal dan (Blalock-Taussig (BT) shunt ang chi) tihchangtlunna tura operation hmasa ber a neih hnuah tih a ni.
Operation hma leh operation neih chhung hian eng nge thleng?
Surgery neih hmain
Surgery neih hmain i doctor chuan i naute thinlung dinhmun a hriat chian theih nan test eng emaw zat a ti ang.
- Cardiac Catheterization: He test hi thinlung chhunga pressure leh oxygen level tehna atan leh thinlung insiam dan en nan tih a ni.
- Heart MRI: Hei hian thinlung hi three-dimensional image chipchiar tak tak hmuh theihna a siam a ni.
- I naute damdawi ei zawng zawng (vitamin leh supplement te pawh tel) doctor hnenah hriattir a pawimawh hle .
Surgery neih lai hian
C-section hi darkar li vel a ni tlangpui , mahse he hun hi naute dinhmun a zirin a danglam thei.
Surgery an neih chhung hian naute chu anesthesia pek a ni a, chuvangin naute hian engmah a hre lo. Naute chu a muhil thuk hle a. Naupang thenkhat chu machine bik hmangin an inzawm a, chu chuan operation an neih laiin thinlung leh lung hnathawh chu hun eng emaw chen a la a ni. Hei hi cardiopulmonary bypass machine an ti a . Tichuan, a hmaa kan sawi tawh ang khan surgeon chuan thisen kalna kawng inzawm lehna leh a tul chuan thinlung siamthatna dangte a ti thin.
Surgery avanga hlawkna leh hlauhawm awm thei te
Surgery dang ang bawkin Glenn procedure hian hlawkna leh hlauhawmna a nei vek a ni. Nu leh pate tan chuan hengte hi kan hriat chian a pawimawh hle.
| A thatna te | Risk/complication awm thei te |
|---|---|
| Heart chamber (ventricle) hnathawk awmchhun a rit tlahniam. | Thisenah oxygen level a tlahniam. |
| Hnathawh tam lutuk avanga thinlung a lian lo tur venna. | Thisen sang a sang. |
| Fontan surgery lo awm tur chu a awlsam zawk dawn a ni. | Pleural effusions a awm thin. |
| Fontan surgery hnua naupang nunna chhanhim theihna chance a sang chho. | Chaw ei harsatna avanga tube hmanga chaw pek a ngai. |
| Naupang Fontan operation mamawh lo emaw nei thei lo emaw tan chuan alternative nih. | Surgery dang neih leh a ngai ta. |
A pawimawh ber chu Glenn operation hnua naupang damchhuahna rate a sang hle a ni. 99% vel a ni . Hei hi operation hlawhtling tak a ni.
Surgery hnuah eng nge thleng?
Surgery zawhah naute hi intensive care unit (ICU)-ah dah a ni ang. Naute taksaa tube leh monitor inbun i hmuh chuan hlauthawng i nei mai thei. Mahse chu chu thil pangngai a ni. Medical team chuan naute hi uluk takin an vil dawn a ni.
Naute hi intensive care unit-ah ni thum vel a awm ang a, chumi hnuah regular ward-ah sawn a ni ang. Naute chu a dam kim theih nan leh a haw theih nan kar engemaw zat a la ngai thei.
Naupang tam tak chuan Glenn procedure an tih hnu kum engemaw zat hnuah, an kal tan hunah, a hnuaia step, Fontan procedure , chu chuan thinlung circulatory system-a solution awm reng tur a pe a, an tih a ngai dawn a ni.
I haw hnuah engtikah nge Doctor i hmuh a ngaih?
I haw hnuah naute enkawl that a pawimawh hle. A hnuaia symptoms te hi i hriat chuan , i doctor ko nghal rawh.
- Naute hian khawsik a neih chuan.
- Surgery hliam atanga thisen emaw tui dang emaw a luang chhuak a nih chuan.
- Bawnghnute in harsatna i neih chuan.
- I taksa rihna tihpun chungchangah harsatna i neih chuan.
I fa chu cardiologist clinic-ah kal a ngai dawn a, damdawi a ei rei a ngai dawn a ni. Chu chu he zinkawngah hian a tel ve a ni.
Take-Home Thuchah a ni
- Glenn Procedure hi ruahmanna siam, second-stage surgery a ni a, naute complex congenital heart disease nei te chu an ti thin a ni.
- Chumi awmzia chu oxygen tlachham thisen chu lungah direct-in a thawn a, thinlung chu a bypass a, thinlunga hnathawh tur a tihtlem phah a ni.
- He surgery hlawhtlinna hi a sang hle (99% vel) a ni. Chuvangin hlau suh.
- Surgery zawhah naupang hian hun rei tak chhung damdawi lam enkawlna leh damdawi a mamawh dawn a, chuvangin doctor thupek zawm a pawimawh hle.
- Zawhna emaw hlauhthawnna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I tanpui turin an awm reng a ni.
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