Lung transplant chungchanga hriat tur pawimawh te

Nangmah emaw, i hriat mi emaw chu doctor-in lung transplant chungchang a hrilh tawh em? A nih loh leh i hre tawh a, eng nge a nih i chiang lo em ni? Lung transplant hi surgery lian tak a ni. Chumi chungchangah chuan zawhna tam tak, ngaihtuahna leh ngaihtuahna tam tak i nei thei tih hi hriatthiam theih a ni. Chuvangin vawiinah hian i thian hnai tak nen in inbia ang maiin a awlsam, hriatthiam awlsam takin i hrilhfiah ang u.

A awlsam zawngin, lung transplant tih hi eng nge ni?

Lung transplant chu surgical procedure a ni a, i lung natna nei, thawk tha lo emaw, chhia emaw zinga pakhat emaw, pahnih emaw chu lakchhuah a, donor atanga lung hrisel emaw, lung emaw hmanga thlak a ni. A tam zawkah chuan hetianga lung pek hi mi thi atanga lo chhuak a ni.

Damdawi dang emaw, enkawlna dang emaw hmanga tihdam theih loh lung natna khirh tak nei tan chuan he surgery chi hi doctor-te chuan an rawt tlangpui.

Lung transplant chi hrang hrangte chu engte nge ni?

Lung transplant hi chi thum a awm a. Eng nge an nih i han thlir teh ang.

Tute nge lung transplant dawng thei?

Hei hi mi zawng zawngin kan tih theih surgery a ni lo. He surgery atana candidate tha tak i nih leh nih loh hriat nan thil engemaw zat ngaihtuah a ni.

A tlangpuiin, a hnuaia criteria te hi i tlin chuan he surgery atan hian candidate tha tak i ni:

• Natna emaw dinhmun na tak i nei a, chu chuan i lung a thawk tha thei lo.
• I lung natna hi damdawi dang leh enkawlna dang hmanga tihdam a ni lo.
• Doctor-te chuan he surgery hi i neih loh chuan i dam rei zawng chu kum khat atanga kum thum chhung chauh a ni tih an rel a.
• Lung cancer i nei lo.
• Zuk leh hmuam thil (meizial zuk ang chi) i hmang lo.
• Immunosuppressive damdawi i ei thei bawk.

He surgery hi eng condition chi hrang hrang atan nge tih a nih?

Lung transplant hi thil tam takah chuan a tha thei a, chung zingah chuan a hnuaia thil awmte hi a tel a ni:

• Bronchiectasis natna (bronchiectasis) a awm
• Chronic obstructive pulmonary disease (COPD) natna hrik pai thei lo (COPD) .
• COVID-19 avanga lung chhiatna nasa tak
• Cystic fibrosis (CF) natna a awm thei.
• Interstitial lung natna (ILD) atanga lo chhuak a ni.
• Pulmonary hypertension a awm bawk

Surgery neih hmain eng nge thleng?

Lung transplant i neih hmain test uluk tak leh chipchiar tak tak i nei ang. Hei hi pre-transplant screening an ti a. Hei hi he surgery hi i tan a tha ber em tih hriatna atana hmalakna hmasa ber a ni. Transplant coordinator bik training nei chuan i damdawi lam chanchin zawng zawng a khawlkhawm vek ang.

Hei hian test te pawh a huam tel a, chungte chu:

• I hriselna zawng zawng enfiah.
• Chhungkaw history-a natna nei.
• Damdawi i ei tur chungchang chipchiar takin, a bik takin thisen tithianghlimtu.
• Tun hnaia CT scan leh chest X-ray report te.
• Thisen test a ni.
• Tissue typing - Hei hian i taksa tissue chu donor tissue nen a inmil em tih a enfiah thin.
• Pulmonary function test neih a ni.
• Lung test (ECG, Echocardiogram, Cardiac catheterization) hmanga tih theih a ni.
• Ruh density test (DEXA scan) a ni.

Heng test zawng zawng hnuah hian i transplant team te chu an rawn inkhawm ang a, heng report zawng zawng hi an enfiah ang a, he surgery atana candidate tha tak i nih leh nih loh chungchangah thutlukna hnuhnung ber an siam ang. I nih an rel chuan i hming chu list-ah a tel ve ang.National lung transplant waiting list-ah dah i ni ang.

Waiting list-a i awm hian eng nge thleng?

Lung tling tak hmuh theih nan thla tam tak, kum tam tak pawh i nghah a ngai mai thei. A chhan chu he surgery mamawh mi tam tak an awm laiin, thawhlawm thawh tur lung hi a tlem hle. Chuvangin, i tih theih tlemte a awm a:

• Nunphung thlak danglam: Zu in hi i bansan vek tur a ni. Taksa rihna hrisel tak i vawng reng tur a ni.
• Exercise: I taksa dinhmun tha ber tura i awm theih nan exercise program siam a ni.
• Appointment: Thla hnih atanga thla thum danah i medical team te nen in inhmukhawmin i hriselna i enfiah thin tur a ni.
• Inbuatsaihna: Lung tling tak chu engtik lai pawhin a awm thei a, chuvangin damdawi in panna tur lirthei ruahmanna neih a pawimawh. Tin, thawmhnaw tul, inbualna tur leh thil dang dahna bag peih fel a tha bawk.

Surgery neih chhunga thil thleng

Hei hi operation nalh tak a ni a, darkar tam tak a daih. Lung transplant vawi khat hi darkar 4-8 vel a ni thei a, lung transplant vawi hnih hian darkar 6-12 vel a daih thei bawk.

1. A hmasain, fully anesthetized i ni ang . Chuvangin operation neih chhung hian engmah hriatna leh natna i nei lovang.

2. Thâwk lakna machine (mechanical ventilator) nen i inzawm ang . He machine hian surgery chhung zawngin thaw a chhuah tir ang che.

3. Thisen hi i thinlung leh lungah reroute turin ECMO (extracorporeal membrane oxygenation) tih machine bik i hman a ngai mai thei.

4. Surgeon chuan i rilruah hmun remchang takah incision a siam ang a, lung natna nei emaw, lung pahnih emaw chu a la chhuak ang.

5. Tichuan, lung hrisel tak pek chu a hmunah dah a ni a, thisen kalna kawng leh thawkna kawngte chu nalh takin a inzawm leh ta a ni.

6. Lung thara thisen leh boruak a kal tha tih finfiah hnuah a incision chu an sewn leh thin.

Operation hnua hlauhawm leh harsatna awm thei te chu engte nge ni?

Surgery lian dang ang bawkin, a hlauhawmna a awm bawk. Hengte hi fimkhur a pawimawh hle.

• Surgery hlauhawmna: Surgery eng pawha hlauhawm tlangpui, thisen chhuah, thisen zam, leh natna hrik kai te pawh hetah hian a awm bawk.
• Lung transplant rejection: Hei hi harsatna lian ber a ni. A awlsam zawngin, i taksa immune system chuan lung thlak thar chu "hmêlma" angin a hre chiang a, a bei tan ta a ni. Chutiang a nih loh nan chuan i dam chhung zawngin immunosuppressive damdawi i ei a ngai dawn a ni.
• Kaichhawng:A chunga kan sawi tak immunosuppressive damdawi te avang hian i taksain natna a do theihna a tlahniam a ni. Chuvangin natna chi hrang hrang i vei tam zawk a ni.

Lung rejection symptoms te chu engte nge ni?

Heng symptoms te hi i fimkhur hle tur a ni. I neih chuan i doctor emaw transplant team emaw hnenah hriattir nghal rawh.

Recovery hun leh nun hmalam

Operation hnuah intensive care unit (ICU)-ah ni engemaw zat dah i ni ang a, chumi hnuah regular ward-ah sawn i ni ang. Damdawi in atanga haw kim vek tur chuan kar 2 emaw a aia rei emaw a ngai thei.

Recovery period hi a rei a ni. Thla 3-6 hmasa berah chuan damdawi inah check-up leh enkawl turin i lo kal fo a ngai dawn a ni. Thla engemaw zat hnuah exercise i ti thei tawh ang a, lirthei i khalh thei tawh ang a, hna i thawk leh thei tawh ang a, mahse heng zawng zawng hi i medical team te thurawnah a innghat vek ang.

He surgery hlawkna ber pakhat chu dam rei leh nunphung tihpun hi a ni. Thâwk harsat a bo tawh a, nitin thil tih leh exercise neih theihna chakna i nei ta a ni.