Nangmah emaw, i hmangaih tak emaw chu doctor-in heart valve surgery neih a ngai tih a hrilh tawh em? Chu thu i hriat chuan tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. "Heart surgery" tih thumal hi tu nge duh lo ang, a dik em? Mahse he surgery hi eng nge a nih chiang taka i hriat veleh i hlauhthawnna chu a bo tawh ang. Chuvangin, vawiin hian heart valve surgery chungchang hi thumal awlsam takin, i hriatthiam theih tur tawng hmangin kan sawi dawn a ni.
Heart valve surgery hi eng nge ni tak tak?
A awlsam zawngin, heart valve surgery hi i thinlung chhunga valve pakhat emaw a aia tam emaw siamthat (fix) emaw thlak emaw tura operation a ni.
I thinlung hi pindan pali nei in angin ngaihtuah rawh. Heng chamber pali inkarah hian kawngkhar ang chi, thisen chu kawng khat chauha luang chhuak thei tur hmun a awm a. Chu chu valve kan tih chu a ni . Thinlung a na apiangin heng valve te hi an inhawng a, an khar a, chu chuan thisen chu mumal takin, kawng khata kal zelin a kal zel a ni.
Mahse a chang chuan heng valve te hi an na lo. Either an khar tha lo a thisen chu hnunglam hawiin a leak tan thin . A nih loh leh, valve chu a thim a, a tawi a, thisen hmalam panna kawng a tikhawlo . Engpawh thleng se, thinlung hian hna a thawk tha thei lo. Chumi awmzia chu thinlung hian thisen pump turin a thawhrimna aia nasa zawk a thawh a ngai tihna a ni. Chutih lai chuan doctor ten surgery an ngaihtuah thin.
Kan thinlungah hian valve chi li a awm a.
| Valve Hming | Hmun |
|---|---|
| Tricuspid Valve hmanga siam a ni | Thinlung dinglama pindan chunglam leh hnuai lam inkar |
| Pulmonary Valve a ni | Ventricle dinglam leh pulmonary artery inkarah |
| Mitral Valve a ni | Thinlung veilam sir chung leh hnuai lam inkar |
| Aortic Valve a ni | Left ventricle leh taksaa thisen phurtu main artery (Aorta) inkarah . |
Surgery chi hrang hrangte chu engte nge ni?
Thil engemaw zatin i surgery chi hrang hrang a hril ang. Entîr nân, i kum, i thinlung dinhmun, leh damdawi lam natna dang i neih theih zawng zawngte. Doctor chuan i valve-a harsatna i neih leh a nasat dan dik tak hriat tumin test a ti ang. Chumi hnuah chauh chuan i tana ṭha ber tur surgery chu a rel ang.
Surgery hi chi hnih a awm a.
Valve siamthat Surgery neih a ni
Hei hian a theih ang anga mahni valve humhalh a, a chhiatna siamthat chauh a huam a ni. Hei hi surgeon-te duhthlanna hmasa ber a ni fo thin a, a chhan chu nangmah ngeiin tissue i vawn theihna hi a thatna nasa tak a ni.
Valve thlak danglamna Surgery neih a ni
A chang chuan valve hi a chhe lutuk a, siamthat theih loh a ni thei bawk. Chutiang a nih chuan valve chhia chu paih vek a ni a, a hmunah valve thar dah a ni. He valve thar hi biological (vawk, bawng, mihring tissue atanga siam) emaw mechanical (metal emaw carbon emaw atanga siam) emaw a ni thei. Hengte hi taksa nena inmil tura duan a nih avangin i taksain a hnar lovang.
Heart valve hi a mah chauhin a dam thei em?
Ni lo, a ni ngai lovang. Hei hi kan hriat chian a tul ber a ni. Heart valve natna hi hun kal zelah a zual zel a ni. Damdawi hian hun engemaw chen a natna lan chhuah dan a thunun theih laiin, natna a tidam lo. A chinfelna awmchhun chu surgery a ni. Chuvangin i doctor-in surgery neih a ngai tih a rel chuan sawn hlat a tha lo.
Surgery hi ngaihtuah a ni tlangpui a, a natna lan chhuah dan , rilru na, thawk hah, leh luak chhuak te chu damdawi hmanga thunun theih loh khawpa na a nih chuan. A chang chuan symptoms a lan hmaa operation neih hi a him zawk.
Operation hmain engtin nge i inbuatsaih thin?
Surgery neih hma ni khat vel khan test vawi tam tak i neih a ngai dawn a ni.
- Chest X-ray neih a ni
- Lung scan (Echocardiogram) hmanga enfiah a ni.
- ECG test (Electrocardiogram) hmanga enfiah a ni.
- CT scan a ni
- Test hrang hrang, cardiac catheterization ang chi te
- Thisen test a ni
Surgery hma zan zanlai hnuah engmah ei leh in lo turin hriattir i ni ang. Tin, i damdawi ei tur chungchang i doctor nen sawiho la, operation hmaa i ei tawh loh tur leh i ei chhunzawm zel tur chu chiang takin zawng rawh.
Surgery neih chhung hian eng nge thleng?
Operation chhung zawng hian anesthesia hnuaiah i awm ang a, mut thuk takah i awm ang a, chuvangin natna engmah i hre lo ang. Surgeon chuan i rilru a luh theih nan i rilruah incision te tak te a siam ang. Operation neih chhung hian i thinlung leh lung hnathawhna tur machine bik (heart-lung machine) hman a ni ang. Chumi hnuah chuan medical team chuan valve chu an siamṭhat emaw, an thlak emaw ang. Operation zawh a nih chuan heart chu restart a ni ang a, incision chu khar a ni ang.
| Surgery tih dan tur | Hrilhfiahna |
|---|---|
| Traditional open-heart surgery neih thin a ni | A rilruah hian inch 6-8 vela sei incision siam a ni. |
| Minimally invasive surgery tih a ni | Inch 3-4 emaw a aia te emaw incision hman thin a ni. Robotic-assisted technology pawh hman theih a ni. |
| Transcatheter hmanga tih a ni | Surgery hi rilru hawn lohvin tih a ni a, chu chu groin chhunga thisen kalna kawng kaltlangin tube te tak te (catheter) dah a ni. TAVR hi hetiang chi hmanraw hriat lar tak a ni. |
A dam leh theih nan eng chen nge hun a duh?
A tlangpuiin a dam kim theih nan kar 4 atanga kar 8 vel a ngai thin. Mahse, minimally invasive surgery i neih chuan i dam hun chhung chu a tawi zawk mai thei.
Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung dah i ni ang a, chumi hnuah regular ward-ah sawn i ni ang. Damdawi inah ni 5-7 vel i awm ang. A tir lamah chuan hah deuh deuha inhriat a, incision na hmuna natna engemaw chen hriat hi thil pangngai a ni.
I dam chhung hian heng thilte hi hre reng ang che:
- Doctor-in follow-up appointment a pek apiangah kal theihnghilh suh.
- Kar hmasa 6-8 chhung chu rit rit (kg 7 aia tam) chawi loh tur a ni.
- Doctor rawn hmasa lovin lirthei khalh suh.
- A rang thei ang bera kal tan rawh. A hmasa berin in chhungah, tichuan zawi zawiin a hlat zawng tihpun.
- Kar 6-12 hnuah hna i thawk leh thei mai thei. Hemi chungchang hi i doctor nen sawiho rawh.
Engtikah nge doctor i biak ang?
I dam chhungin harsatna a awm chuan doctor hriattir nghal a pawimawh hle.
| Feature ngaihven tur a ni | Eng nge tih tur |
|---|---|
| Incision chhehvelah natna, sen, hring, emaw, hnim hring emaw a awm. | Doctor hnenah hrilh nghal rawh. Hei hi infection chhinchhiahna a ni thei. |
| Khawsik. | Infection chhinchhiahna dang a ni. Damdawi lam thurawn zawng nghal rawh. |
| A taksa rihna a pung nghal (e.g. kg 2 aia tam). | Hei hi fluid retention chhinchhiahna a ni thei. I doctor hnenah hrilh rawh. |
| Chhung natna nasa tak emaw, thawk harsa emaw. | Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. |
Zawhna dang ṭhenkhat chu i rilruah a awm mai thei
Ka dam chhung zawngin anticoagulant ka ei a ngai dawn em ni?
Hei hi eng ang valve nge i neih ah a innghat.
- Mechanical valve i neih chuan , a ni. I dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai dawn a ni. Valve-a thisen zam (blood clots) a awm loh nan a veng a ni.
- Valve repair i nei tawh a ni lawm ni? Biological valve an dah lut a.Chutiang a nih chuan operation hnu kar tlemte chhung chauh he damdawi hi i ei a ngai mai thei. I mamawh lo tak tak pawh a ni thei. I doctor chuan i tih tur dik tak a hrilh ang che.
Surgery hnuah pawh nun pangngaiin ka hmang thei ang em?
Ni e, mi tam zawk chuan an ti thei. Surgery hmaa i thiltih te, exercise te, etc. i chhunzawm leh thei a, mahse hre reng ang che, mi zawng zawng hi an inang vek lo. I dam lehna chu midang dam dan nen a danglam thei. Chuvangin chawlh hahdamna pe la, i taksa thu hi ngaithla rawh.
Take-Home Thuchah a ni
- Heart valve surgery hi hlauh tur a ni lo. Tunah chuan surgery hlawhtling tak, nunna chhanhim thei leh nunphung tichangtlungtu a ni ta.
- Valve natna nei chu a mah chauhin a dam lovang. Hun kal zelah a natna a zual zel dawn a, chuvangin doctor thupek zawm a pawimawh hle.
- Surgery i neih chi (repair, reconstruction, open surgery, emaw minimally invasive) chu i hriselna dinhmun a zirin a innghat ang.
- I dam chhung hian dawhthei takin awm rawh. I taksa chu a dam theih nan a mamawh hun pe rawh.
- Zawhna, hlauhthawnna, rinhlelhna i neih apiang chu i doctor nen zalen takin sawipui rawh. I tanpui turin an awm reng a ni.
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