Doctor-in nangmah emaw i hmangaih tu emaw hnenah "heart surgery" neih tir a tih hian hlauhna leh hlauthawng deuh i neih hi thil pangngai a ni. Mi tam tak chuan "surgery" leh "operation" tih thumal kan hriat hian kan hlauthawng thin. Mahse, lungngai suh. Vawiin hian he thu hi a awlsam zawngin kan sawi dawn a, kan thianpa nen kan inbia ang bawkin. He thuziak i chhiar zawh hunah chuan he thu hi i hrethiam tawh zawk ang.
Lung zai hi eng nge ni tak tak?
A awlsam zawngin, heart surgery chu i thinlung emaw, a inzawm thisen kalna kawng lian ber ber emaw surgery eng pawh a ni. Hei hi a buaithlak deuh a ni. Chuvangin he thila specialist cardiac surgeon an awm a ni.
Ngaihtuah teh, kan taksa engine hi thinlung a ni. He engine hi thil dik lo a awm chuan he surgery hi siamthat leh a hnathawh that leh theihna tur service tha tak a ni. Hei hian i thinlung hnathawh dan te, taksa chhunga thisen kal dan te a tichak thei a, nun thar, nun thar a pe thei bawk. Ṭhenkhat chuan hei hi cardiac surgery an ti bawk.
Engtikah nge thinlung zai hi a tul?
Lung zai a tulna chhan tam tak a awm thei. A chang chuan hengte hi kan pianpui harsatna (Congenital Heart Disease) a ni thei. A châng dangah chuan kan hnu lama kan neih natnate vang pawh a ni thei.
Doctor chuan operation i mamawh nghal mai lo tlangpui. He thutlukna hi i cardiologist-in a enfiah hnuah, test tul zawng zawng a run hnuah, i thinlung harsatna chinfelna tha ber emaw, solution awmchhun emaw chu operation a nih thu a hriat hnuah chauh siam a ni.
Mahse, a châng chuan hei hi emergency treatment angin tih a ngai bawk . Entîr nân, heart attack i neih thut a nih chuan, emaw, i thisen kalna kawng chu nasa takin a inkhar tih i hriat thut chuan, i nunna chhanhim nân operation i neih nghâl a ngai mai thei.
Lung natna zawng zawngah hian operation a ngai lo. Tunlai technology hmasawn tak nen chuan surgery ni lo enkawlna pawh a awm a, chutah chuan incision te tak te (entir nan, Percutaneous Coronary Intervention - PCI) siam a ngai a ni. I doctor chuan i tana tha ber tur chu a rel ang.
Lung surgery hmanga enkawl natna bulpui ber
A hnuaiah hian heart surgery hmanga enkawl natna thenkhat hi han en ila. Heng hmingte hi hmuh hlau suh, awlsam takin i hrethiam ang u.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Coronary Artery Disease (CAD) avanga natna hrik natna (CAD) . | Lung chhunga thisen pe chhuaktu thisen kalna kawng (coronary arteries) te chu tui pipe chhunga bawlhhlawh a lo awm ang bawkin, tui luang chhuak a ti tlem a, chu chu cholesterol dahkhawmnain a khuh a ni. |
| Lung Valve Natna | Thinlung chhunga kawngkhar ang deuh, kawng khata thisen kal theihna tur (valve) te hian hna a thawk tha lo. An inhawng tha lo va, an khar tha lo bawk. |
| Lung lam chak lohna | Thinlung hian thisen a pump tur angin chak takin a pump thei lo. Chumi awmzia chu thinlung hnathawh a chawlhsan tihna a ni lo va, a thawk tha lo zawk tihna a ni zawk. |
| Aneurysm a awm thin | Thinlung bang emaw thisen kalna kawng lian tak tak emaw chu a chak lo va, balloon ang maiin a bung chhuak thin. Hei hi a hlauhawm thei a, a puak thei bawk. |
| Arrhythmias a awm thin | Lungphun mumal lo. Chu chu thinlung chu a na lutuk emaw, a na lutuk emaw, rhythm nei lo emaw a ni tihna a ni. |
| Pianpui Lung natna | Pian tirh atanga lo awm thin thinlung natna, entirnan, thinlunga khur awm. |
Lung zai chi hrang hrangte chu engte nge ni?
Natna enkawl mek azirin surgery chi hrang hrang a inang lo. Surgery chi hrang hrang tih tam ber thenkhat han thlir ila.
Bypass surgery (Coronary Artery Bypass Grafting - CABG) hmanga tih a ni.
Hei hi mi tam takin an hriat tawh "bypass" operation a ni. Heart-a thisen pe chhuaktu artery pakhat chu a block chuan a block chu bypass turin kawng thar siam a ni. Kawngpui buai tak paltlang tur chuan side road zawh ang mai a ni. He kawng thar siam nan hian i ke atanga emaw, i rilru chhung lam atanga artery hrisel tak hman a ni. Arteries block zat a zirin hei hi "double" emaw "triple" bypass emaw an ti bawk.
Heart valve siamthat emaw thlak emaw (Heart Valve Surgery) .
Thinlung chhunga valve (kawngkhar ang) a thawk tha lo a nih chuan siamthat emaw, lakchhuah emaw a ni a, artificial valve dah a ni. Hei hian thisen a luang chhuak tha leh thei a ni.
Aneurysm siamthatna tur
Hei hian thisen kalna kawng chak lo tak, balloon ang maia lo awm tawh chu lakchhuah a, artificial tube (graft) hmanga thlak a huam a ni. Hei hian vein chu a puak thei lo.
Cardiac Device dah luh a ni
Thinlung thawk mumal lo emaw, thinlung chak lo emaw tanpui nan electronic hmanrua chi hrang hrang thinlungah dah a ni.
- Pacemaker: Lungphun mumal lo nei te chu rhythm mumal tak nei turin a pui thin.
- ICD (Implantable Cardioverter Defibrillator): Heart rate hlauhawm taka a chak chuan a hrechhuak a, electric shock te tak te a pe a, chu chuan a normal leh ta a ni.
- LVAD (Left Ventricular Assist Device): Pump te tak te, heart failure na tak nei te tan thisen pump theitu a ni.
- Total Artificial Heart (TAH): Mi pakhat, a thinlung a chhiat vek tawh, thinlung thlak theihna tur a awm hma loh chuan hun eng emaw chen atana hman thin machine a ni.
Lungphun thlak a ni
Hei hi a hnuhnung ber a ni. Mi thinlung chu a thawk tha lo vek a, enkawlna dang hmanga tihdam theih a nih loh chuan a petu thi tawh hnen atanga thinlung hrisel tak chu thlak a ni. Hei hi a buaithlak hle a, surgery tih pawh a tlem hle.
Surgery neih hmain eng nge thleng? Engtin nge i inbuatsaih ang?
Surgery neih i tum hnu chuan, chutiang atana inbuatsaih nan kar tam tak emaw, thla tam tak emaw a ngai thei a ni. Hemi chhung hian i Doctor ten uluk takin an enfiah ang che.
- Medical test: I thisen a cholesterol ang chi thil te enfiah nan i medical history, chhungkaw medical history, leh thisen test te an sawi ang.
- Special test: Thinlung dinhmun dik taka enfiah turin test engemaw zat neih a ni a:
- ECG (Electrocardiogram) hmanga tih a ni.
- Echo Test (Echocardiogram) hmanga enfiah a ni.
- Chest X-ray neih a ni
- Stress Test a ni
- Coronary Angiogram hmanga enfiah a ni
- Cardiac CT emaw MRI scan emaw hmanga tih theih a ni
Heng zawng zawng hnu hian doctor chuan eng surgery nge i neih a ngai tih leh chumi atana inbuatsaih dan tur chiang takin a hrilh ang che.
A pawimawh ber chu, .Doctor thupek dik takin zawm rawh. Entîr nân, damdawi ṭhenkhat chuan operation hmain i ei tawh loh a ngai mai thei. Surgery (chang nghei) hma zan khan ei leh in bansan turin an ti mai thei che. Meizial i zuk chuan i chawlhsan ngei ngei tur a ni. Heng thupekte dik taka zawm hian operation hlauhawmna nasa takin a tihziaawm thei a ni.
Surgery neih chhung hian eng nge thleng?
Surgery tih dan hrang hrang a awm a. Medical team chuan eng method nge i tan a tha tih an rel ang.
1. Open-heart Surgery: Hei hi hmanlai tih dan a ni. Inch 6-8 vela sei incision siam a ni a, a sternum chu a sir lehlamah tan la, thinlung thleng tur a ni. Hetih lai hian heart-lung bypass machine nen i inzawm dawn a ni. He machine hian hun eng emaw chen chu i thinlung leh lung hnathawh (thisen pump leh oxygen pek) hna a thawk a ni. Hei hian surgeon chuan heart beating, stationary heart chu operation a ti thei a ni.
2. Off-pump Bypass Surgery: Hei hi open surgery nen a inang a, mahse thinlung hi heart-lung machine nen a inzawm lo. He surgery hi thinlung a nat lai hian tih a ni. Hei hi bypass surgery atan tih a ni tlangpui.
3. Minimally Invasive Surgery: Hei hi "keyhole surgery" an ti bawk. Incision lian tak ni lovin, a rilruah khur te tak te tlemte hmangin operation hi tih a ni a, camera leh instrument bik hmangin tih a ni. A chang chuan hei atan hian robotic surgery pawh an hmang thin. Hetiang hmanraw thatna chu a dam rang zawk a, hliam a awm tlem zawk bawk.
Bypass surgery hi darkar 3-6 vel a ni tlangpui. Procedure chhung zawng hian anesthetized (numb) i ni ang a, chuvang chuan engmah i hre lo ang a, i hre reng ang.
Operation hnuah eng nge i beisei theih ang?
Surgery zawhah intensive care unit (ICU) ah hruai i ni ang . ICU-ah ni khat tal i awm a ngai dawn a ni. Chutah chuan doctor leh nurse ten i dinhmun an enfiah chhunzawm zel ang. Chumi hnuah chuan regular ward-ah sawn i ni ang.
Damdawi inah eng chen nge i awm a ngai tih chu i surgery neih dan leh i dam thuai danah a innghat a ni. Open-heart surgery atanga a dam kim theih nan kar 6 atanga kar 12 vel a ngai tlangpui.
Dam leh lai hian hetiang thil hi hriat hi thil pangngai a ni:
- Incision hmunah hian hliam, hliam leh natna engemaw zat a awm.
- Chest chhung atanga "click" ri (hei hi kar khat emaw kar hnih emaw hnuah a bo ang).
- Chaw ei chak lohna, luak chhuak.
- Ek khal.
- A kekawrte leh hnungzang chunglam a na.
- Mut lo.
- Lungngaihna neiin, mood a inthlak danglam thin.
Heng thilte hi a pangngai viau nachungin, a natna chu tuar theih loh emaw, hrehawmna dang i neih emaw chuan, medical team-te hrilh hreh suh.
Lung surgery neih hian eng hlauhawmna nge a neih?
Surgery dang ang bawkin heart surgery hian hlauhawmna engemaw zat a nei a ni. Mahse, tunlai technology hmang hian heng surgery te hi an hlawhtling hle a ni. Harsatna awm thei thenkhat chu:
- Anaesthesia avanga allergy nei.
- Thisen chhuah tam lutuk.
- Incision site emaw, rilru chhungah emaw infection a awm.
- Thinlung thawk mumal lo (Arrhythmias).
- Thai.
- Kidney-a nghawng a neih dan.
Damdawi lam harsatna dang i neih chuan zunthlum, chronic obstructive pulmonary disease (COPD), kal natna, zu in mi , emaw, thau lutuk , i neih chuan i hlauhawmna a sang deuh thei. Chuvangin operation hmaa heng zawng zawng hi control vek a pawimawh hle.
Engtikah nge doctor nen in inbia ang?
In i haw hnuah i dam chhungin risk symptoms a awm chuan doctor ko nghal a pawimawh hle.
A hnuaia symptoms te hi i neih chuan doctor rawn la nghal rawh:
- Hun kal zelah a reh ngai lo rilru natna nasa tak.
- Khawsik .
- Thâwk lak harsat .
- Incision site chu a sen a, a hring a, pus ang chi tui a lo chhuak a nih chuan (infection chhinchhiahna).
- Nausea leh luak chhuak reng reng .
- Stroke chhinchhiahna, tawng harsa leh hmai sir khata tlak te.
A châng chuan hei hi tihdamna kawngah a tel em tih hriat a harsa thei a, harsatna lian tak a ni em tih hriat a harsa thei bawk. Ringhlel i neih chuan i doctor rawn call leh zawt hreh ngai suh.
Take-Home Thuchah a ni
- Heart surgery hi hlauh tur a ni lova, nun thar pe theitu tur enkawlna a ni.
- Operation hmain i doctor thupekte chu uluk takin zawm la, a bîk takin meizuk bânsan leh damdawi ei chungchânga thupêkte chu zawm rawh.
- Operation hnua recovery period chhung hian i taksa chawlh hahdam a pawimawh hle. Thil rit phur leh thil hahthlak tak tak tih loh tur.
- Damna kal zelah lungawi lohna leh natna tawk hi thil pangngai a ni. Amaherawhchu, natna lan chhuah dan danglam bik (na na tak, khawsik, thawk harsat) i neih chuan doctor hnenah hriattir nghal rawh.
- Lung zai hnua nunphung hrisel (ei leh in tha, exercise) i hman chuan hun rei tak chhung hrisel taka awmtir turin a pui ang.
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