Heart Failure Surgery: Hemi chungchang hi chiang takin i hria ang u!

I thinlung hi kan taksaah pump mak tak a ni. He pump hian thisen mamawh chu taksa chhunga tissue leh organ zawng zawngah a thawn chhuak thin. Mahse a chang chuan, he thinlung hi a chak lo thei a ni. Tichuan thinlungin taksa mamawh zat thisen a pump thei lo. Damdawi lam hawi chuan he natna hi Heart Failure (Heart Failure) emaw (Congestive Heart Failure - CHF) emaw kan ti a. He thu i hriat hian hlau suh, hei hian thinlung hnathawh a chawlhsan tihna a ni lo va, thinlung hnathawh a chak lo tihna a ni.

A tam zawkah chuan he natna hi nunphung thlak danglam leh damdawi hmanga control theih a ni. Mahse mi thenkhat tan chuan heng enkawlna ringawt hi a tawk lo. Chu chu doctor ten surgery an ngaihtuah lai a ni. Surgery hian i thinlung hnathawh a titha thei a, symptoms a ti tlem thei a, dam rei zawkah a pui thei bawk.

Engtikah nge operation tih a ngai?

Tunah chuan, ‘Mi zawng zawngin surgery an nei vek em?’ tiin i ngaihtuah mai thei. Ni lo, chutiang chu a ni lo. I doctor chuan chhan lian tak tak engemaw zat avangin operation neih a rawt ang.

• Heart failure thlentu underlying condition enkawl rawh: A chang chuan heart disease emaw valve problem emaw ang chi thil vangin thinlung a chak lo thei. Surgery hian chu a chhan bulpui chu a tidam thei a ni.
• Lung hnathawh \ha: Surgery hian thinlungin thisen pump a ti awlsam thei a ni.
• Nunna chhanhim nan: Natna hi a lo zual lutuk a, nunphung thlak danglam leh damdawi hmanga thunun theih loh chuan nunna chhanhim nan operation neih a ngai mai thei.

Heart failure tan hian eng ang surgery nge tih thin?

Hei atan hian surgery chi hrang hrang a awm a. Ṭhenkhat chu minimally invasive surgery an ni. Mi dangte chuan open-heart surgery leh heart transplant thlengin an kal a ni. Heng chi hrang hrangte hi a hranin kan sawi dawn a ni.

Catheter hmanga tihbo a ni

Hei hi heart rhythm pangngai lo enkawlna atana hman thin a ni a, arrhythmia an ti a ni. He arrhythmia hi thinlung hmun thenkhat atanga electrical signal dik lo lo chhuak vang a ni. Hetiang tih danah hian doctor chuan i groin emaw i kut emaw a thisen kalna kawng hmangin thinlung chhungah tube (catheter) te tak te tak te a dah lut thin. Tichuan, tube kaltlangin lumna emaw, khaw lum lutuk emaw hmangin signal dik lo thawntu tissue chu a chhe vek a ni.

Heart Rate Control thei Devices implanted te

Arrhythmia na tak i neih chuan i doctor chuan i vun hnuaiah hmanraw te tak te dah a tum mai thei. Heng device-a wire connected te hi i thinlungah dah a ni. I heartbeat an enfiah a, i heart rate siam that leh nan a tul hunah electrical signal an thawn thin.

• A rilru a buai em em a, a rilru a hah em em bawk a.Hei hian thinlung thawk dan pangngai lo, nunna atana hlauhawm thei chu a hmuchhuak a, thinlungah electric shock tlemte a pe a, chu chu a pangngaiah a awm leh ta a ni. Thinlung lama 'reset' tlem ang mai a ni.
• Permanent Pacemaker: Hei hian thinlungah electrical pulse te te a thawn chhunzawm zel avangin thinlung chu a thawk nghet thei a ni.

Coronary artery bypass hmanga enkawl (Bypass Surgery) tih a ni.

Coronary arteries, thinlunga thisen pe chhuaktu chu thau leh cholesterol-in a tikhawlo thin. He plaque hian thisen kalna kawng a tikhawlo thei a ni. Hei hian thinlungin thisen leh oxygen a mamawh zat a ti tlem a ni. Hun a kal zel a, hei hian thinlung ruh a tichak lo hle. Bypass surgery-ah chuan surgeon chuan i taksa peng dang (a tlangpuiin i ke) atanga thisen kalna kawng hrisel tak hmangin thisenin blockage a bypass theihna tur kawng thar a siam thin.

Angioplasty leh Stent hmanga tih a ni

Hei hi coronary artery blocked hawn nan surgery tenau tak a ni bawk. Chutah chuan catheter tawp lama balloon te tak te chu thisen kalna kawngkhar khar chhungah an lut a, an inflated a ni. Hei hian plaque blocked chu a tichhia a, thisen kalna kawng a tizau bawk. Tichuan, a inkhar leh loh nan mesh ang chi tube te tak te, stent an tih chu a hawnna chhungah dah a ni.

Lung Valve Surgery neih a ni

I thinlung chhunga valve te hian kawng khatah thisen kal dan an control a. Heng valve te hi a khar tha lo thei a, thisen chu hnunglam hawiin a leak thei (regurgitation), a nih loh leh valve wall te chu a thim thei a, a inhawng tha lo thei bawk (stenosis). Heng pahnihah hian thinlung hian thisen pump turin a thawkrim zawk a ngai a ni. Hei hian heart failure a thlen thei bawk. He surgery hi valve tha lo siamthat emaw, a thara thlak emaw a ni.

LVAD (Left Ventricular Assist Device) hmanga siam chhuah a ni.

Mi thenkhat tan chuan heart failure hi a nasat em avangin thinlung hian a mah chauhin taksaah thisen a pump thei lo. LVAD chu pump te tak te, thinlung veilam ventricle-a dah a ni. Controller hi taksa pawnah bun a ni. Mi thenkhat tan chuan hun rei tak enkawlna atan an hmang a, thenkhat tan chuan lungphun thlak theih a nih hma chu hun eng emaw chen ‘bridge’ atan an hmang thin.

Lungphun thlak a ni

Hei hi end-stage heart failure nei tan chuan duhthlan tur hnuhnung ber a ni. I thinlung chak lo chu lakchhuah a ni a, donor thi tawh atanga thinlung hrisel tak chu thlak a ni. Mahse, donor heart tlakchham vangin heart transplant i neih theih nan criteria khauh tak tak i tlin a ngai a ni.

Operation hma leh operation hnuah eng nge thleng?

I doctor chuan operation hmain a tul zawng zawng a pe ang che. Entir nan:

• Ei leh in tur leh tih loh tur
• Damdawi ei tur leh tihtawp tur
• Damdawi ina lo kal hunah eng nge inbel tur leh eng nge ken tur tih

Operation hnuah intensive care unit (ICU) emaw general ward emaw-ah sawn i ni ang. Damdawi ina i awm rei zawng chu i operation chi hrang hrang leh i hriselnaah a innghat ang. Ni khat chhungin i haw thei mai thei a, kar engemaw zat i awm a ngai mai thei bawk. Mi thenkhat chuan an chakna an neih leh theih nan rehabilitation centre-ah hun engemaw chen an awm a ngai mai thei bawk.

Risk dinhmunte chu engte nge ni?

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Thisen chhuah, natna hrik kai, stroke, thihna thlengin a awm thei. Mahse, lungngai suh. I surgeon chuan heng hlauhawmnate hi i kum leh damdawi lam thil dangte nena a inzawm dan chiang takin a hrilhfiah ang che. Chutih laia zawhna emaw, ngaihtuahna emaw i neih chuan zawt rawh.

Engtikah nge Doctor ka hmuh ang?

Heart failure hi hun rei tak chhunga awm a nih avangin doctor nen inbiak reng a pawimawh. A hnuaia symptoms te hi a zual emaw, a lo awm emaw chuan doctor hnenah hrilh nghal rawh.

Surgery zawhah doctor thupek dik tak zawm rawh. Date ruat saah clinic-ah kal rawh. Recovery period chhunga harsatna emaw, lungawi lohna emaw i neih chuan doctor hnenah sawi hreh ngai suh.