Thinlung thar nei nun thar: Lung thlak chungchang hi a awlsam zawngin sawi ila

I thinlung chu damdawi emaw, enkawlna dang emaw hmanga thunun theih tawh loh khawpin a chak lo em ni? A châng chuan i nunna chhanhimna kawng awmchhun leh hnuhnung ber chu thinlung thar, hrisel tak neih hi a ni. Hei hi heart transplant kan ti a. Hei hi surgery buaithlak tak, lian tak a nih avangin mi tam tak chuan zawhna, hlauhna leh hriat duhna an nei thei a ni. Chuvangin vawiinah hian a bul atanga a tawp thlengin engkim kan sawi dawn a, a awlsam zawngin i hrethiam thei ang.

Heart transplant tih hi eng nge ni? Tuin nge mamawh?

A awlsam zawngin, heart transplant chu surgery hmanga i thinlung natna nei, chak lo tak chu lakchhuah a, donor thi tawh hnen atanga thinlung hrisel tak hmanga thlak a ni. Hei hi i nunna chhanhimna atana hmanraw hnuhnung ber a ni. Chu chu, end-stage heart failure nei, enkawlna dang hmanga tihdam theih loh tan a tha tihna a ni.

Thinlung hi a chak lo em em a, hetiang dinhmun hi a thleng thei a ni. Lung thlak ngai natna lian ber berte chu:

• Cardiomyopathy: Hei hian thinlung ruh tichhe thei dinhmun eng pawh a kawk a ni. Thil chi hrang hrang avanga lo awm thei a ni a, infection leh genetics te pawh a ni thei. A châng chuan eng ang pawhin test ni mah se, a chhan chu hmuh chhuah a ni lo mai thei.
• Coronary Artery Disease: Thinlung (coronary arteries) hnena thisen petu thisen kalna kawng (arteries) a block avanga lo awm thin. Hei hian heart attack a thlen thei a, heart tichhe thei lo a thlen thei bawk.
• Congenital Heart Disease: Hei hian nau piang laia thinlung insiam dan lama chhiatna awmte a kawk a ni. Congenital heart disease chi hrang hrang na tak tak thenkhat chu a tawpah chuan heart transplant a ngai mai thei.
• Valvular Heart Disease: Thinlung chhunga valve chhiat avanga natna lo awm.

He surgery hi naupang bakah kum 70 thlenga tih theih a ni tlangpui a, thil bik thenkhatah chuan kum 75 thleng pawh tih theih a ni bawk.

Heng surgery te hi engtiang chiahin nge a awm? Engvangin nge an tlem?

Heart transplant hi a takah chuan khawvela surgery neih tlem ber zinga mi a ni. Chumi chhan lian tak pahnih a awm.

1. Donor hearts tlakchham: Lung pakhat chu a thlak theih nan tu emaw chuan a donate a ngai a ni. Chutiang thilpek petu chu an tlem hle. Tin, donor leh dawngtu inkarah pawh match tha tak a awm tur a ni. Chumi awmzia chu thisen chi hnih hi a inmil tur a ni a, taksa lian zawng pawh a inang deuh vek tur a ni. He match hi a famkim lo a nih chuan a dawngtu immune system hian thinlung thar chu a hnawl zawk a ni.

2. Surgery-a thil harsa tak takte: 1.1.Hei hi surgery buaithlak tak a ni a, technology sang tak leh thiamna sang tak a mamawh a ni. Chuvangin, damdawi in, specialized, fully equipped facility nei chauhvin he surgery hi an ti thei a ni.

Operation hmain eng nge thleng thin? Heng step te hi chiang takin i hria ang u

Vawikhat chu heart transplant neih i tum tawh chuan surgery i paltlang nghal a ngai tawh lovang. Step engemaw zat tihfel hmasak ngai a awm.

1. Transplant program-a referral: I enkawltu doctor chuan heart transplant program neia specialised hospital-ah a refer ang che.

2. Surgery atan i tling em tih enfiah: A dawtah chuan i taksain hetiang surgery lian tak a tuar theih dan leh surgery zawhah result tha tak i nei thei em tih kan zirchiang ang.

3. Waiting list: Surgery atana tling tura i insiam chuan i hming chu waiting list-ah dah a ni ang.

4. Transplant a awm hma loh chuan enkawl dan: I tana thinlung tha tak a awm hma chuan i dinhmun a nghet theih nan enkawlna chi hrang hrang pek a ni.

He step hi chipchiar deuhin han thlir ila.

Surgery atana i tha em tih enfiah (Transplant Evaluation) .

Hei hi thil pawimawh tak a ni. Donor thinlung tlemte chauh an awm avangin, chu taksa peng hlu tak chu operation atanga hlawkna hmuh theihna chance tha ber neitu hnenah dah a ni a, chu chu dam rei tak, nun tha tak nei tihna a ni. Hei hian i taksa, rilru leh khawtlâng ṭhatna kawng tinrêng en a huam a ni.

Waiting List-a tel theihna tur

Heng test zawng zawng hian operation atana i tling tih a finfiah hnuah chuan waiting list-ah dah i ni ang. He list-a telte hian thil ngaih pawimawh dan tur angin thinlung an dawng thin. Chumi awmzia chu thinlung i dawn hun chu thinlung mamawhna a hmanhmawh danah a innghat tihna a ni.

Bridge enkawl dan tur

Thinlung tling i hmuh theih nân thla tam tak, kum tam tak pawh ni se, i nghah a ngai mai thei. Hemi chhung hian i thinlung chak lo tak thlawp tur leh i natna lan chhuah dan tur enkawl nan enkawlna hrang hrang i dawng ang.

• Damdawi: Lungphun chak zawk nan leh thinlung pump pui turin damdawi chi hrang hrang pek thin a ni.
• Mechanical devices: A chang chuan heart pump puitu special devices te hi taksaah an inzawm a ngai thin. Entirnan ``intra-aortic balloon pump'' tih hi a ni.
• Left Ventricular Assist Device (LVAD): Lung hi a chak lo hle a, taksaah thisen a pump tling thei lo a nih chuan he hmanrua hi surgery hmangin thinlung chhungah dah a ni. Hei hian heart pump thisen a pui thin.

Surgery tih dan tur step khat hnu step khatin

Matching heart i dawng tih i hriat veleh operation atan i inpeih nghal mai ang. Hei hi operation buaithlak tak a ni a, darkar tam tak a daih.

1. Anesthesia: Pakhatnaah chuan general anesthesia pek i ni ang a, chu chuan i muthilh kim vek ang.

2. Ventilator nena inzawmna: I mut hnuah i kawr hnuai lamah tube dahin thawkna khawl (ventilator) nen a inzawm ang. He machine hian surgery chhung zawngin thawk a pe ang che.

3. Heart-lung machine nena inzawm: A dawtah chuanCardiopulmonary bypass machine nen i inzawm ang. A awlsam zawngin, he machine hian operation neih laiin i thinlung leh lung hnathawh chu hun eng emaw chen atan a la a ni. I thisenah oxygen a dah belh a, carbon dioxide a paih chhuak a, i taksa pum puiah thisen a pump chhuak bawk.

4. Lung natna lakchhuah: Surgeon ten i rilru an hawng ang a, thinlung lam panna thisen kalna kawngte chu an khar ang a, i thinlung natna chu uluk takin an la chhuak ang.

5. Lung hrisel transplant: Tichuan, thinlung hrisel tak pek chu a hmunah rawn hruaiin thisen kalna kawng bulpui nen an thlunzawm a ni. Tichuan, thinlung thar chu vuak leh turin siam a ni. A châng chuan, electrical stimulation tlemte pek a ngai bawk.

Operation hnuah eng nge beisei tur?

Surgery hlawhtling taka zawh hnuah i nunah bung thar a intan a.

• Damdawi ina dam lehna: Damdawi inah kar khat atanga kar thum vel i awm a ngai ang. Ni hmasa berte chu intensive care unit (ICU) -ah i hmang ang a, chutah chuan darkar 24 chhung enkawl i ni ang a, a bik takin i taksain thinlung thar a hnawl tih chhinchhiahna a awm leh awm loh enfiah a ni ang.
• Home care plan: Damdawi in i chhuahsan hmain i doctor chuan home care plan a pe ang che, chutah chuan damdawi atanga ei leh in thlengin, exercise atanga natna kai emaw, hnawl emaw chhinchhiahna fimkhur thlengin a tel vek ang.
• Cardiac Rehab: I chakna, i tuar theihna leh i thinlung hnathawh that nan special supervised exercise program-ah dah i ni ang.

Immune System tihkhawtlai a ni

Hei hi operation hnua thil pawimawh ber leh i dam chhung zawnga i tih tur a ni .

He hnialna hi titawp la, i dam chhung zawng nitin i immune system hnathawh control emaw titawp thei damdawi bik (immunosuppressants) i ei a ngai dawn a ni

He surgery hi eng nge a thatna leh a that lohna?

A thatna te

A thatna lian ber chu he surgery hian duhthlan tur dang a awm loh laiin i nunna a chhanhim thei a ni . Enkawlna dangin hna a thawh loh emaw, a puih a rinawm loh emaw, a hlauhawm lutuk emaw a nih chuan a solution awmchhun a ni. Tin, mi tam tak chuan operation hnuah nunphung tha zawk neih theihna hun remchang an nei bawk.

A that lohna te

• Donor thinlung a tlakchham avangin thinlung mamawh zawng zawngin thinlung an nei thei lo.
• Hei hi surgery buaithlak tak a nih avangin damlo thenkhat taksa hian surgery hi a tuar thei lo mai thei.
• Surgery neih hian hlauhawmna leh harsatna awm thei a awm.

Surgery nena inzawm risk leh complication te

Surgery lian dang ang bawkin heart transplant hian hlauhawmna a keng tel a ni. Hetah hian a bulpui berte chu kan rawn tarlang e.

Eng chen nge a dam leh theih ang? Nakin hun chu eng nge ni ang?

A dam kim theih nan thla engemaw zat a ngai a ni. Damdawi inah kar 3 vel i awm a ngai dawn a ni. Mahse tunlai damdawi lam hmasawnna a lo thlen takah chuan lungphun thlak tawhte tan hmalam hun a eng hle a ni.

• Operation hnu kum khatnaah damchhuah zat chu 90% aia tam a ni.
• Mipui zinga a chanve vel chu kum 10 aia tam an dam .
• Medical science hmasawnna avang hian tunah chuan kum 20-30 emaw a aia rei emaw chhung nun hrisel tak nei mi an awm ta .

Chu chu i hmangaih tak takte nen hriatrengna thar tam tak siam theihna hun remchang thar i hmu tihna a ni.

Operation hnua nitin nun chungchanga zawhna

Engtikah nge thiltih pangngai chu a chhunzawm leh theih ang?

Hemi chungchangah hian i doctor chuan thurawn tha ber ber a pe thei che a ni. A tlangpuiin kar 6-8 chhung chu kg 5 aia rit lirthei khalh emaw, chawi emaw a tha lo. Doctor thupek dik taka zawm a pawimawh hle.

Zu ka in thei em?

A tha ber chu zu in hi bansan vek emaw, nasa taka tihtlem emaw hi a ni. Zu hian i thisen thau (triglycerides) a tisang a. Chu chu i thinlung thar tan a tha lo. Hriselna lama chance pahnihna i nei tawh a, chuvang chuan chu thinlung chu uluk taka enkawl chu i mawhphurhna a ni.

Vaccine ka la thei em?

Ni e, vaccine chi hrang hrang i dawng thei. Mahse, i taksa hriselna tichhe thei damdawi i ei avangin live vaccine thenkhat chu pek theih a ni lo. Chuvangin eng vaccine pawh i lak hmain doctor nen inbia a, a remtihna lak hmasak a pawimawh hle.

Doctor hmuh emaw, damdawi ina kal nghal emaw i mamawh hunah

Operation hnua in lama i awm lai hian symptom thenkhatah fimkhur hle tur a ni. Chûngte chu natna hrik emaw, harsatna lian tak dang emaw chhinchhiahna a ni thei.

• Khawsik.
• Surgery hliam atanga pus emaw tui dang emaw leak.
• Hliam sen emaw, hliam chhehvel lumna emaw.
• Chest (sternum)-a middle bone chu a kal leh chhuak emaw, a kal leh emaw ang maia hriatna.
• I chet laia i rilru ruh chhunga ‘click’ emaw ‘click’ ri hriat emaw hriat emaw.

Heng symptoms te hi ngaihthah suh. Enkawlna lak hma hian harsatna lian tham a veng thei a ni.