Heart Transplant chungchanga hriat tur pawimawh te

I doctor-in lung lam harsatna i neih avangin ‘heart transplant’ chungchang a sawipui tawh em? A nih loh leh i hre tawh a, chiang takin i hre lo em ni? Surgery pawi tak leh complex tak a nih avangin hlauhna leh hriat duhna neih hi thil pangngai a ni. Chuvangin vawiin hian heart transplant tih hi eng nge a nih a, engtin nge kan hmachhawn ang tih hi, awlsam tak leh chiang takin i sawi dawn nia.

Heart transplant tih hi eng nge ni, a awlsam zawngin?

A awlsam zawngin, heart transplant chu i thinlung natna nei, thawk tha lo chu surgery hmanga lakchhuah a, donor hnen atanga thinlung hrisel tak hmanga thlak a ni. Hei hi surgery pangngai a ni lo. End-stage heart failure nei, damdawi dang emaw, enkawlna dang emaw hmanga tihdam theih loh tan chuan a tawp ber a ni . Mahse, donor heart tlemte chauh a awm avangin he surgery neih theihna tur hian criteria khauh tak tak i tlin a ngai a ni.

Tute nge heart transplant mamawh?

He enkawlna hi mi thinlung a chhiat reng a, taksa mamawh phuhruk thei tur thisen pump theih loh khawpa chak lote tan a mamawh a ni. Hei hi a thlen theihna tur condition lian tak tak engemaw zat a awm.

Engvangin nge he surgery hi a tlem em em?

Heart transplant hi a tlem hle. Hei hi chhan lian tak pahnih a awm a, chungte chu:

• Donor tlakchhamna: Thinlung hrisel tak pe thei tur an awm a ngai. Tin, thisen petu leh dawngtu hian thisen chi hrang hrang a inmil tur a ni a, a lian zawng pawh a inang tlangpui tur a ni. He "match" hi a famkim lo a nih chuan taksain thinlung thar a hnawl a rinawm zawk.
• Surgery buaithlak tak: Hei hi surgery buaithlak tak a ni. Hospital tlemte chauh, special facility leh expertise nei te chauh hian he surgery hi an ti thei a ni.

Surgery neih hmain eng nge thleng? (A kalphung) .

Hei hi vawi khata thil thleng vek a ni lo. Hei hi hun rei tak a ni.

1. I doctor-in a refer: A hmasa berin i enkawltu doctor chuan heart transplant program nei damdawi inah a refer tur che a ni.

2. Evaluation: A dawtah chuan he surgery atan hian engtiang chiahin nge i tling tih uluk takin enfiah i ni ang. Hei hi a chhan chu thinlung lian tham lo tak hi a tha thei ang bera hman a ngai a ni. He evaluation hian thil engemaw zat a huam a:

• Damdawi lam test: Thisen, zun test, kal hnathawh, natna chi hrang hrang (HIV, Hepatitis, Tuberculosis) te endik thin a ni. Tin, test tam tak tih a ni bawk a, chungte chu X-ray, (CT) scan, (MRI), (Echocardiogram), (ECG) te hi a ni. Zu, zu in (vaping telin), leh ruihhlo dangte inthiarfihlim vek a pawimawh hle.
• Psychological leh neurological test: He surgery hi i nunah inthlak danglamna lian tak a ni ang. Rilru lama i hmachhawn theih dan leh i chhungte hnen atanga tanpuina i dawn dan pawh teh a ni ang.
• Ha enkawl dan: Mak suh, ha hriselna hian thinlungah nghawng lian tak a nei a ni. Ha chhunga natna hrik awmte hian thisen kaltlangin thinlungah a kal thei a, chhiatna a thlen thei bawk.

3. Waiting List: Heng test zawng zawng hi i pass vek chuan waiting list-ah dah i ni ang. He list-a i awmna tur hi i dinhmun nasat dan azirin a innghat ang.

4. Bridge Treatment: Hei hi thinlung a awm hma loh chuan i dinhmun enkawl dan tur enkawlna hming an vuah a ni. Hei hi damdawi hmanga control theih a ni a, a nih loh leh thinlung pui tura hnathawk machine (``Left Ventricular Assist Device - LVAD'' ang chi) chu taksaah hun eng emaw chen a inzawm thei bawk.

Surgery tih dan tur

Thinlung inmil hmuh a nih thu hriattir i nih hnuah chuan operation atan i inpeih tawh ang. Hei hi thil buaithlak tak a ni a, darkar engemaw zat a daih thei.

• A hmasa berin general anesthesia hnuaiah dah i ni ang. Hei hian engmah i hriat lohna tur muthilh thuk takah dah i ni ang tihna a ni.
• A dawtah chuan i thawk dan tur vawng reng turin ``ventilator'' an tih machine nen i inzawm ang.
• Surgery neih chhung hian i thinlung leh lung hnathawhna tur machine bik cardiopulmonary bypass machine an tih nen inzawm tir i ni ang. He machine hian i thisen chu i taksa pum puiah a kal zel a ni.
• Tichuan, surgeon ten uluk takin i thinlung natna chu an la chhuak ang.
• A tawpah chuan thinlung hrisel tak pek chu lak a ni a, i thisen kalna kawng lian ber berte nen an inzawm a, hnathawh tir leh a ni.

Surgery hnuah eng nge thleng?

Operation hnuah kar khat atanga kar thum vel damdawi inah i awm a ngai dawn a ni. Ni hmasa berah chuan Intensive Care Unit (ICU)-ah i awm ang a, darkar 24 chhung enkawl i ni ang.

Cardiac rehabilitation program-a tel ve turin an ti thei bawk che a, chu chuan zawi zawiin i chakna leh thinlung hnathawh a tichak ang.

Immune Suppression a ni

Hei hi operation hnua thil pawimawh ber a ni. I taksa hi ram angin ngaihtuah rawh. Immune system chu chu ram sipai a ni. Pawn lam atanga lo chhuak (virus, bacteria) eng pawh hi he sipaite hian hmelma angin an hmu a, an bei thin. Thinlung thar pawh hi taksa tan ‘ram dang’ a nih avangin he sipaite hian chu pawh chu beih an tum a ni. Hei hi "organ rejection" an ti a ni.

Hei hi ven nan chuan i dam chhung zawng immunosuppressant i ei a ngai dawn a ni. Heng damdawi te hian chu sipai chakna chu tihtlem a, thinlung thar chu a na lo turin hna a thawk a ni.

He surgery hian eng hlauhawmna nge a neih?

Surgery lian dang ang bawkin, hlauhawmna a awm. A bulpui berte chu:

• Organ hnawlna thinlung thar.
• Immunity titawp thei damdawi avanga natna kai theihna a sang.
• Thinlung thlak a thisen kalna kawng (Cardiac allograft vasculopathy - CAV) .
• Kal natna.
• Thisen sang (Hypertension).
• Thinlung thawk mumal lo (Arrhythmias).
• Hun kal zelah cancer vei theihna (immunosuppressive drugs vang).

I doctor chuan heng hlauhawmnate hi chipchiar takin a sawipui ang che.

ETU (Emergency Treatment Unit) nghal ngai natna lan chhuah dan .

In lama i awm laiin hetiang thil hi i hmuh chuan Emergency Department (ETU) hnai ber ah kal nghal la , 1990 ah call rawh.

• Khawsik.
• Surgery hliam atanga pus emaw fluid emaw leak.
• Hliam vel a sen emaw, a lum emaw.
• I hnute ruh (sternum) a che tih hriatna, i che laia "click" ri chhuak.