"Thinlung surgery" tih thumal kan hriat hian mi tam tak tan chuan tlem chuan hlauthawng leh hlauthawng deuh kan inhriat hi thil pangngai tak a ni. A chhan chu thil lian tak a ni tih kan hre vek a ni. Mahse a takah chuan beiseina thar nunna pe thei leh thinlung hnathawhna tichangtlung thei thil a ni. Chuvangin vawiin hian heng thinlung surgery chungchang hi, ṭhian nena inbiakna ang maia awlsam taka sawi kan tum a, i hriatthiam theih tur angin.
Lung zai hi eng nge ni tak tak?
A awlsam zawngin, heart surgery chu i thinlung emaw, a inzawm thisen kalna kawng emaw hmanga surgery eng pawh a ni. Procedure complex tak a nih avangin he surgery chi hrang hranga specialist cardiac surgeon te hian an ti thin. I nunah thil thleng lian tak ni mahse, operation hnuah chuan i thinlung hnathawh leh thisen kal dan chu nasa takin a tha chho ang a, nun thar i nei ang tih i hre mai thei.
A chang chuan heng surgery te hi congenital heart disease ang chi thil enkawl nan an ti thin. Tin, nakin lawka thinlung natna lo awm thin enkawlna atan pawh an hmang thin. I surgery chi hrang hrang chu i dinhmun a zirin a innghat ang. Mi thenkhat chuan hei hi ``Cardiac surgery'' emaw ``Cardiovascular surgery'' emaw an ti thin.
Eng dinhmunah nge thinlung zai hi a ngai?
Lung zai a ngai tlangpui a, a hnuaia mi ang hian:
- I thinlunga thisen phurtu thisen kalna kawng pakhat emaw a aia tam emaw a block chuan .
- Thinlung chhunga valve te chu a thawk tha lo a nih chuan (an inhawng leh khar tha lo).
- Heart rhythm dik lo (arrhythmias) i neih chuan.
- Heart failure ang chi dinhmunah chuan, chu chu thinlungin taksaah thisen a pump tam theih loh hunah a ni.
A tam zawkah chuan i doctor (a tlangpuiin cardiologist)-in thinlung lam harsatna i nei tih a hriat hnuah, a chinfelna tha ber chu operation a nih chuan ruahmanna siam lawk a ni ang.
Mahse, a châng chuan, i beisei loh ber laiin emergency angin heart surgery i neih a ngai mai thei. Entirnan, mi pakhatin heart attack a neih emaw, test-naah a heart valve nasa taka a block tih a hriat chuan operation neih nghal a ngai mai thei.
Mahse, thinlung natna zawng zawngah hian zai a ngai lo tih hre reng ang che. Tunlai thiamna changkang tak tak nen chuan non-surgical treatment a awm ta. Entirnan, ``Percutaneous Coronary Intervention (PCI)`` ang chi procedure hian damdawi ina awm a tihtlem thei a, i dam thuai thei bawk.
Lung zai chi hrang hrangte chu engte nge ni?
Lung zai chi hrang hrang a awm a. I surgery chi hrang hrang chu i damdawi lam dinhmun a zirin a innghat ang. Surgery chi hrang hrang hi han thlir ila.
| Surgery chi hrang hrang | A awlsam zawngin... |
|---|---|
| Coronary Artery Bypass Grafting (CABG) hmanga tihdam theih a ni. (Bypass hmanga operation tih a ni) . | Thinlung chhunga thisen kalna kawng (artery blocked) vel a thisen kal theihna tur kawng thar siam. Hei hian taksa peng dang atanga lak chhuah artery hrisel tak hman a huam a ni. Arteries block zat a zirin hei hi "double" emaw "triple" bypass emaw an ti bawk. |
| Lung Valve Surgery neih a ni (Thinlung valve zai a ni) . | Lung chhunga thisen kal dan control tu "gate" ang chi valve pakhat chu a thawk tha lo a nih chuan siamthat emaw, a thar dah emaw a ngai a ni. |
| Aneurysm siamthatna tur (Thisen kalna kawng zau zawng siamthat) . | Thisen kalna kawngkhar hmun thenkhat a chak lo a, balloon (aneurysm) ang maia a bulh chuan chu hmun chu lakchhuah a ni a, a hmunah artificial vessel (graft) dah a ni. |
| Maze tih dan tur | Atrial fibrillation (AFib), thinlung thawk mumal lo enkawlna pakhatah chuan thinlunga electrical signal pangngai lo kalna kawngte khap turin scar tissue te tak te siam a ni. |
| Cardiac Device dahna tur surgery neih a ni (A hmanrua dah luh) . | Heart rhythm siamthat nan emaw, heart function pui turin device hrang hrang dah a ni. Entirnan: (Pacemaker) , (ICD) , (LVAD) te chu a hnuaia mi ang hian a ni. |
| Lungphun thlak a ni (Thinlung thlak danglam) . | Hei hi a hnuhnung ber a ni. End-stage heart failure nei mi chu donor thi tawh hnen atangin heart hrisel tak transplant a ni. Hei hi a buaithlak hle a, surgery tih pawh a tlem hle. |
Surgery neih hmain eng nge thleng?
Surgery atana inbuatsaih nan kar tam tak emaw thla tam tak emaw a ngai thei. I doctor-te chuan i dinhmun chu uluk takin an enfiah hmasa ang a, chutah chuan operation tihsak che an tum ang.
Test i tih theih
Operation i mamawh leh mamawh loh hriat nan test eng emaw zat tih a ni ang a, a mamawh a nih chuan eng chi nge:
- ECG (Electrocardiogram) hmanga tih a ni.
- Echocardiogram (Echo) hmanga tih a ni.
- Stress test a ni
- Chest X-ray neih a ni
- Coronary angiography hmanga enkawl a ni
- Cardiac CT scan hmanga tihchhuah a ni
- Lung lam MRI
I inbuatsaih dan tur
Surgery i mamawh tih rel a nih hnuah chuan medical team chuan inbuatsaihna tur dik tak an hrilh ang che.
- Damdawi ei tawh loh hun: Damdawi thenkhat chu zai hma ni engemaw zatah chawlhsan tur a ni.
- Chaw nghei: Surgery hma zan atang khan engmah ei leh in lo turin an ti ang che.
- Meizial zu leh zu in: Surgery neih hlauhawmna tihziaawm nan meizuk bânsan a, zu in tlem a pawimawh hle.
Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor zawh hreh suh. I mamawh zawng zawng nen inbuatsaih a tha ber.
Surgery hnuah eng nge thleng?
Surgery zawhah intensive care unit (ICU)-ah hruai i ni ang. Ni khat tal chu i awm ang. Tichuan regular ward-ah sawn i ni ang.
Damdawi inah eng chen nge i awm tih chu i surgery neih dan leh i taksa a dam thuai danah a innghat a ni. Open-heart surgery atanga a dam kim theih nan kar 6 leh 12 inkar a ngai tlangpui.
Damna kawngah hian a hnuaia mi hi i tawng thei a ni. Hengte hi thil pangngai tak a ni:
- Chest-a "click" ri hriat (hei hi kar khat emaw kar hnih emaw hnuah a bo ang).
- Incision vel a hliam emaw, a hring emaw te te.
- Ek khal.
- Mut harsat.
- Chaw chu a thlum lo.
- A kekawrte leh hnungzang chunglam a na.
- Lungngaihna, lungkhamna emaw, rilru put hmang danglam emaw.
A hlauhawmna leh harsatna awm thei te chu engte nge ni?
Lung zai result hi a tlangpuiin a hlawhtling hle. Mahse, surgery dang ang bawkin risk engemaw zat a awm.
| Harsatna awm thei |
|---|
| Anaesthesia avanga allergy nei. |
| Thinlung thawk mumal lo (Arrhythmias). |
| Thisen chhuah tam lutuk. |
| Incision-ah emaw, rilru chhungah emaw infection a awm. |
| Thai. |
| Kidney-a nghawng a neih dan. |
Damdawi lam harsatna dang, zunthlum, chronic obstructive pulmonary disease (COPD), kal natna, emaw, zu in thin emaw i neih chuan i hlauhawmna chu a sang deuh mai thei. Chuvangin operation hmaa heng conditions te hi control a pawimawh hle.
Engtikah nge doctor i hmuh ang?
I dam chhung hian harsatna i neih chuan , i doctor ko nghal rawh. Natna engemaw zat neih chu thil pangngai a nih laiin, a hnuaia mite hi thil pangngai a ni lo.
- Hun kal zelah a reh lova rilru natna .
- Khawsik .
- Nausea leh luak chhuak .
- Thâwk lak harsat .
- Infection chhinchhiahna, incision atanga pus lo chhuak leh sen .
- Stroke symptoms te chu tawng harsa tih ang chi te hi a ni .
Symptom pakhat chu a damna kawng pangngai emaw, harsatna chhinchhiahna emaw a nih leh nih loh i hriat chian loh chuan, hreh lovin i doctor ko rawh. Ngaidam ai chuan him taka awm a tha zawk. Emergency a awm chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
Take-Home Thuchah a ni
- Heart surgery hi nunna chhanhimtu leh nun tidanglam thei tak a ni. Hlau suh.
- Surgery atana inbuatsaih tha a pawimawh hle. I doctor thupek ang chiah kha zawm rawh.
- Dam nan hun a duh a ni. I taksa chu a dam theih nan a mamawh hun pe rawh. Dawhthei takin awm rawh.
- Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
- Operation hnua vaukhânna chhinchhiahna lo awm thei te chu hre reng ang che. Chutiang chhinchhiahna i hmuh chuan damdawi lam thurawn la nghal rawh.
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