Thâwk harsa i nei em, i rilru a na em, thil pangngai i tih lai pawhin i chau hle em? I doctor chuan hei hi heart valve lama harsatna vang a ni tih a hrilh che a ni mai thei. Chu valve thlak tur chuan operation i neih a ngai tih a hrilh che pawh a ni mai thei (Heart Valve Replacement Surgery). Hetiang thil i hriat hian tlem a hlauhthawn leh lungkham deuh hi thil pangngai tak a ni. Chuvang chuan he thu hi in hriatthiam theih tur awlsam takin kan sawi dawn tih kan ngaihtuah a ni.
Engvangin nge thinlung hian valve a mamawh? Hei hian eng nge a awmzia?
A awlsam zawngin kan thinlung hi pump, chamber pali nei ang a ni. Heng chamber inkarah hian kawngkhar pali a awm a, chu chuan thisen chu kawng khat chauh a luang chhuak zel turin a pui a ni. Chu kawngkhar chu heart valve kan tih chu a ni .
Heng valve te hi a inhawng leh khar tha em avangin thisen chu mumal takin a luang chhuak thin.
- Thinlung hmun khat atanga hmun dangah.
- Lung hian oxygen a hmu a.
- Thisen kalna bulpui (Aorta) hian taksa pum puiah oxygen tamna thisen a thawn chhuak a.
Kan sink chhunga tui chu a luang chhuak tha lo niin han ngaihtuah teh. Tui chu a tang a, a nih loh leh a luang chhunzawm zel bawk. Chu chu valve natna a awm chuan a thleng thin. Thisen kal dan a tikhawlo a, a nih loh leh thisen chu hnunglam hawiin a leak (regurgitation). Hei hian thinlung chu a thawkrim zual sauh a ni.
Hetiang dinhmunah hian doctor chuan damdawi hmanga thunun a tum hmasa ang. Mahse chu chuan hna a thawk lo a nih chuan valve chu siamthat emaw, thlak vek emaw a ngai mai thei.
Switching atan hian eng valve chi hrang hrang nge hman thin?
Valve hi chi hnih lian tak a awm a. I surgeon chuan i kum, hriselna, leh nunphung te ngaihtuah chungin eng chi nge i tan a tha ber tih a rel ang.
1. Biological Valve te hi a awm a
Hengte hi tissue atanga siam valve an ni. Tissue valve emaw bioprosthetic valve emaw an ti bawk .
- Bovine tissue: Bawng thinlung khuh tu membrane atanga lo chhuak.
- Porcine tissue: Vawk thinlung valve atanga lo chhuak.
- Homograft: Mihring thinlung valve, donor thi tawh atanga lak chhuah a ni. Hengte hi naupang zawk emaw, natna hrik vanga an valve chhiat tawhte tan hman a ni fo.
2. Mechanical Valve hmanga siam a ni
Hengte hi carbon leh titanium ang chi thil chhe thei lo hmanga siam valve an ni. I valve ang maia hnathawk thei tura siam an ni. An chhe thei lo hle a, dam chhung zawng an daih thei bawk.
Mechanical valve thenkhat i dah hian a hawn leh khar rualin "click" ri tlem i hre mai thei. Hei hi thil pangngai a ni a, ngaihtuahawm tur a awm lo.
Biological nge mechanical? Engtin nge i thlan?
He thutlukna hi a pawimawh hle. Chuvangin i doctor nen uluk takin sawi rawh. A hnuaia table hian an pahnih inthlauhna chu a hre chiang hle ang.
| Nihphung | Biological Valve hmanga siam a ni | Mechanical Valve hmanga siam a ni |
|---|---|---|
| A chhe thei lo | Kum 15-20 vel a daih tlangpui. Reoperation neih a ngai mai thei. | A chhe thei lo hle. Nun chhung zawnga daih tura duan a ni. |
| Thisen tithianghlimtu | Mi tam zawk chuan an dam chhungin heng damdawi (e.g., Warfarin) te hi an ei a ngai lo. | Thisen tithianghlim thei damdawi (Warfarin ang chi) hi i dam chhung zawng ei ngei ngei tur a ni . |
| Tu tan nge a inhmeh? | Kum 60-65 chunglam, thisen tithianghlimna damdawi ei duh lo, leh naupai tum hmeichhiate tan a tha ber. | Mi naupang zawk, thawkrim zawk tan a tha ber (e.g., Aortic valve atan kum 50 hnuai lam, Mitral valve tan kum 65 hnuai lam tan). |
| A that lohna te | Hun a kal zel a, a chhe tawh mai thei a, thlak a ngai thei bawk. | Damdawi dam chhung damdawi ei leh thisen test fo a ngai a ni. Thisen chhuah theihna a awm. |
Surgery tih dan tur chu engte nge ni?
Tunah chuan valve thlak danglamna surgery tih dan tur kawng hrang hrang a awm tawh a.
1. Open-Heart Surgery: Hei hi hmanlai tih dan a ni. He surgery hi rilru ruh lai takah incision lian tak hmanga tih a ni.
2. Minimally Invasive Surgery: Hei hi rilruah incision te tak te siam a ni. Hei hian dam hun a ti tlem a, thisen a hloh tlem a, hri kai theihna a ti tlem bawk.
3. Transcatheter Aortic Valve Replacement (TAVR): Hei hi tih dan thar leh changkang zawk a ni. A rilru a hawng lo. Catheter (thin tube) chu thisen kalna kawng kaltlangin thinlungah chuan groin emaw chest emaw-a incision te tak te hmangin an lut a, chu valve thar chu valve hluiah dahin an fix a ni. He procedure hi open surgery risk tuar thei lo tan chuan a tha hle.
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung enfiah turin dah i ni ang. Tichuan general ward-ah sawn i ni ang. Damdawi ina awm chhung zawng hian ni 5-7 vel a awh thei.
Dam leh hun chhung:
- A dam kim theih nan thla khat emaw thla hnih emaw a ngai thei. Minimally invasive surgery tih a nih chuan a dam hun chhung chu a tawi zawk hle.
- Kar hmasa lamah chuan i chau thuai ang. Chu chu thil pangngai a ni. Zawi zawiin i chakna i nei leh ang.
- Kar 6-8 chhung chu pound 10 (kg 4.5) aia tam chawi loh tur a ni.
- Kar tlemte chhung chu lirthei khalh suh. Hemi chungchangah hian doctor hnenah thurawn zawt rawh.
Damdawi in atanga i haw hnuah cardiac rehabilitation program-ah refer i ni thei a, chu chuan i dam thuai theih nan nasa takin a pui ang che.
Engtikah nge i doctor hmuh nghal tur
A hnuaia symptom pakhat emaw a aia tam emaw i neih chuan doctor rawn la emaw, damdawi inah emaw kal hmasa phawt ang che:
- Khawsik.
- Surgery hliam chu a hring, a sen emaw, a hring chhuak emaw a ni.
- A rilru a na hle.
- Ni engemaw zat chhungin kg 2-3 vel a rihna a pung (tui tlakchhamna chhinchhiahna a ni thei).
- Thâwk harsa na tak.
- Rilru lama harsatna nasa tak emaw, lungngaihna emaw.
Take-Home Thuchah a ni
- Tunah chuan heart valve thlak surgery hi a hlawhtling hle a, nunna chhanhimtu a ni tawh a, chuvangin a tul lovah hlau suh.
- Valve chi (biological emaw mechanical emaw) leh surgical procedure i tana tha tur chu i doctor-in a ruat ang a, i kum leh hriselna dinhmun te ngaihtuah chungin.
- Mechanical valve dah a nih chuan anticoagulant damdawi i ei a ngai ang a, i dam chhung zawng medical test neih reng a ngai bawk ang.
- Operation hnua a dam kim theih nan hun a duh a ni. Doctor thupek dik taka zawm a pawimawh hle.
- Surgery chungchanga zawhna emaw, a hnua harsatna lo awm thei emaw i neih chuan doctor zawt hreh suh.
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