Emphysema vangin thawk a harsa em? Lung surgery (Lung Volume Reduction Surgery - LVRS) chungchang i zir chiang ang u.

Emphysema na tak avang hian nitin thawk harsa i ti bawk em? Hna tenau i thawh hnuah pawh i muhil tih i hria em? Damdawi i ei hnu leh rehabilitation programme-a i kal hnuah pawh i thawk harsatna a tlahniam lo em ni? Chutiang a nih chuan, i doctor chuan surgery bîk chungchâng a sawipui thei che a ni mai thei. Chu chu vawiina kan sawi tum chu a ni. Hei hi Lung Volume Reduction Surgery, a tawi zawngin LVRS an ti a.

A awlsam zawngin LVRS surgery hi eng nge ni?

I lung chu sponge pahnih angin ngaihtuah rawh. Emphysema a nasat chuan he sponge hmun thenkhatah hian boruak bubble a lo awm a, chu chuan a ti hring chhuak thin. Heng hmun chhiate hian thawk an la thei tawh lo va, thisenah oxygen an la lut thei tawh lo. Chu mai ni lovin, heng hmun puak, tangkai lo tak takte hian lung hmun hrisel tak takte chu a tikhawlo bawk a, chu chuan hna a thawk tha thei lo.

LVRS surgery-ah hian lung hmun chhia, hring leh hmantlak lohte chu tan chhuah leh paih chhuah a ni.

Chu chu lungpui lian leh te a tlahniam tihna a ni. Hetianga i tih hian eng nge thleng? Lung hrisel la awmte chu a zau thei a, a thawk tha thei bawk. Tichuan, i thaw chhuah boruaka oxygen awm chu tha takin thisenah a lut thei a, taksa pumpuiah a thawn chhuak thei a ni.

He surgery hi tuin nge nei thei ang? Mi zawng zawng tan a theih loh em ni?

Ni lo, he surgery hi mi zawng zawng tan a tha lo. Zirna hrang hrangah chuan he surgery hian criteria thenkhat zawm damlo tan chauh a thawk tha ber tih hmuhchhuah a ni. I doctor chuan uluk takin a enfiah ang che, he procedure atana candidate tha tak i nih leh nih loh a hriat theih nan. Heng tehfungte hi ngaihtuah tlangpui a ni:

• Kum 75 hnuai lam nih.
• Damdawi leh pulmonary rehabilitation hmang pawha thawk hahdamna nasa tak (dyspnea) neih.
• Chuap chhiatna chu a chung lam a ni ber tur a ni. Chumi awmzia chu lung dang zawng zawng chu a dinhmun a tha tawk tur a ni tihna a ni.
• Lungs overinflated leh air trapping a awm tih finfiahna.
• Thla 4 tal chu meizuk i chawlhsan vek tawh tur a ni . He surgery hi meizuk chhunzawm zeltu chungah tih a ni lovang.
• Taksa leh rilru lamah chuan operation hma kar 6-10 chhung leh operation hnu kar 10-12 chhung chu pulmonary rehabilitation program-ah tel thei tur a ni.

Surgery tih dan tur chu engte nge ni?

Lung hmun chhe tawhte paih chhuah dan tlangpui pahnih a awm a. I surgeon chuan i dinhmun a zirin eng method nge i tan a tha ber tih a rel ang.

Tin, a then phei chuan Bronchoscopic Lung Volume Reduction (BLR) tih dan a awm a, chu chu bronchoscope hmangin lung chhungah valve te te dahin, a chhiat hmun atanga boruak a chhuak thei a, operation ngai lovin. Mahse chu chu thupui hran a ni.

Surgery hmain eng test nge tih thin?

He surgery atana candidate tha tak i nih leh nih loh hriat nan i doctor chuan test eng emaw zat neih tir ang che. Ngaihtuah buai suh, heng test zawng zawng hi i himna tur leh surgery atanga result tha ber i hmuh theih nan tih vek a ni.

• Imaging Test: Chest X-ray leh high-resolution CT scan hmangin lungah boruak engzat nge a tang tih leh khawiah nge a chhiatna nasa ber tih hriat theih a ni.
• Pulmonary Function Tests (PFTs): Hengte hi i lung hnathawh that dan tehna atan hman a ni. I FEV1 value ang chi thil an en a, surgery atanga hlawkna i hmuh tur zat tur an sawi lawk thin.
• Exercise Test: Minute ruk chhunga kal test ang chi thilte hian eng chen nge exercise i tih theih tih a teh thin.
• Lung Diffusion Test (DLCO): Hei hian i lungin i thisenah oxygen a lakluh that dan a test thin.
• Cardiac Test: I thinlung a thawk tha em tih hriat nan EKG, echocardiogram, leh stress test ang chi thil te hi tih thin a ni.
• Test dang: V/Q scan leh arterial blood gas test ang chi thilte hian thawkna kalphung chungchang a hriat belh theih.

Surgery hmanga hlawkna leh hlauhawmna

Surgery dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei vek a ni. Hemi chungchang hi doctor nen zalen taka sawi dun a, hriatthiamna tha tak neih a pawimawh.

Eng nge a thatna?

• Nunphung quality pawh nasa takin a lo tha chho ta a ni.
• Thâwk hahna a tlahniam.
• Lung hnathawh thatna.
• Exercise tih theihna a tipung.
• Thâwk lak awlsam zawk.

Eng nge a hlauhawmna?

Surgery tin hian hlauhawmna a nei vek a, doctor-te chuan theihtawp chhuahin chutiang chu a tlem thei ang bera tih theih a ni.

• Anesthesia hmanga a nghawng tha lo.
• Lung a tlakbuak (pneumothorax).
• Stitch atanga air leakage awm.
• Hri kai theihna, pneumonia ang chi te.
• Lung natna (myocardial infarction) a ni.

A dam leh theih nan eng chen nge hun a duh?

Surgery zawhah ni 3 atanga ni 7 chhung damdawi inah i awm a ngai dawn a ni. In i haw hnuah kar hmasa berah pulmonary rehabilitation program tan leh turin an ti ang che. Hei hi a pawimawh hle a, a chhan chu heng exercise leh training te hi i surgery atanga hlawkna tam ber i hmuh theih nan a pawimawh hle.

Surgery avanga thawk hahdamna hi kum hnih atanga kum nga chhung a ni tlangpui. Chuvangin, he hun chhung hian zuk leh hmuam inthiarfihlim vek a, doctor thupek zawm a pawimawh hle.

Engtikah nge Doctor ka hmuh ang?

Operation hnua a hnuaia symptoms te hi a lo awm a nih chuan damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni .

• Khawsik.
• A rilru a na hle.
• Thâwk harsa na tak.
• Vun, hmui emaw kut zungtang emaw a rawng blue a inthlak (cyanosis).