Mitral Valve siamthatna tur a awm lo

I thinlung chu i taksaa engine ang mai a ni. He engine hian a thawk tha tur chuan a chhunga part zawng zawng hi a thawk tha vek a ngai a ni. Thinlung hmun pawimawh ber chu valve (valve) te hi a ni. In chhunga pindan inkar kawngkhar ang bawkin, heng valve te hian thisen chu kawng khatah chauh a kal theih nan a pui a ni. Chung valve pakhat chu Mitral Valve a ni. A chang chuan he mitral valve hi a chhiat phah thei bawk. Tun hma chuan siamthat tur chuan i rilru i hawn a, operation lian tak i tih a ngai thin. Mahse tunah chuan technology hmasawn tak avangin he surgery hi chutiang khawpa lian incision awm lovin khur te tak te hmangin tih theih a ni ta. Chuvang chuan ‘Minimally Invasive Mitral Valve Repair’ kan ti a ni. Hemi chungchang hi vawiinah kan sawi a ni.

A awlsam zawngin, he incision te tak te mitral valve siamthatna hi eng nge ni?

A awlsam khawp mai. Ngaihtuah teh, mitral valve hi i thinlung veilam chamber chunglam (left atrium) leh veilam hnuai lam chamber (left ventricle) inkar kawngkhar a ni. He kawngkhar hna chu a chung atanga a hnuai lam thlenga thisen luang chhuah tir a, a luang leh tawh loh nan khar a ni. Chuvangin he kawngkhar hi a khar tha lo a nih chuan, emaw, a inhawng tha lo a nih chuan thisen kalna a tibuai a ni. Chutih lai chuan he valve hi siamthat a ngai a ni.

'Minimally invasive' tih awmzia chu "chhiatna tlem ber hmanga tih" tihna a ni. Traditional open-heart surgery-a tih angin inch lai takah inch khata sei incision siam ai chuan, he method hian incision te tak te pakhat emaw a aia tam emaw, centimetre tlemtea sei, chu chu ruh inkar ah incision te tak te pakhat emaw a aia tam emaw siam a ni.

A chang chuan hei hi robotic surgery hmanga tih a ni. Tichuan, surgeon chuan heng khur te tak te kal tlanga robot kut pakhat chu a control a, nalh takin valve chu a siam tha thin. Kawngkhar lian tak tichhia a, in chhunga lut a, chabi khur atanga thlir a, wire te tak te dah luh a, lock siam that ang mai a ni.

Eng dinhmunah nge he surgery hi a tul?

He surgery hi mitral valve-a natna pahnih awm vang a ni ber. Heng dinhmun pahnih hi awlsam zawka hriatthiam theih nan chipchiar zawkin han thlir ila.

Doctor in he natna hi i nei tih a sawi chuan he surgery hi a solution tha tak a ni mai thei.

Valve ‘repairing’ leh ‘replace’ hi eng nge a danglamna?

Hei hi zawhna pawimawh tak a ni.

• Repair: Hetah hian i tih tur chu nangmah ngeiin valve dah la, a chhiatna chauh siam that hi a ni. Chair ke chhe tawh siam that ang mai a ni. Chair thar i lei lo.
• Replacement: Hei hian i valve chu la chhuak vek a, artificial valve (mechanical valve) emaw ran tissue atanga siam valve (vawk emaw bawng emaw atanga siam) hmanga thlak a ni.

Doctor-te chuan valve siam that an tum fo thin, a chhan chu nangmah ngeiin i natural valve aia tha zawk a awm lo . Vawikhat siamthat a nih chuan i dam chhung zawngin anticoagulant i ei a ngai tawh lovang. Mahse a chang chuan valve chhiatna nasa lutuk , siamthat theih loh a nih chuan thlak a ngai mai thei.

Chuti a nih chuan engtin nge he surgery tenau tak hmang hian valve hi i siam that theih ang?

Surgeon hian i valve chungchanga harsatna awm dan azirin kawng hrang hrang a hmang thin.

• Annuloplasty: Hei hi tih dan tlangpui a ni. Valve leak tighten nan chuan a chhehvelah mesh emaw metal emaw ring dahin an sewn lut a, hei hian valve pianzia a siam tha leh a , leaflet te chu a khar tha thei a ni.
• Valve leaflets inzawm dan: A chang chuan valve leaflet te hi a chak lo thei a, a tla thla thei bawk. Tichuan, chu lehkhabu te chu a tichak lehzual a ni.
• Valve chhunga khur khar: Valve chhungah khur a awm chuan a khar a ni.
• Tissue tam lutuk lakchhuah: A chang chuan, extra tissue te chu valve leaflets te khar tha lo turin a lo thang lian thei thin. Chutiang a nih chuan duh loh zawng chu an tan chhuak a, an paih chhuak thin.
• Valve leaflet nghet tak takte inthen dan: Stenosis ang bawkin, leaflet inzawmkhawmte chu zawi zawiin an inthen a, a inhawng tha leh thei bawk.

He surgery atan hian tute nge tling? Mi zawng zawngin an ti thei ang em?

No. He surgery hi mi zawng zawng tan a ni lo. Doctor-te chuan he thil atân hian i tling leh tling lo tih rêl tûrin thil engemaw zat an ngaihtuah a.

Surgery hma leh operation neih chhung hian eng nge thleng?

Surgery hmaa inbuatsaihna

I tan surgery tur a rel hnuah i doctor chuan a tul angin thupek a pe ang che a, i thinlung chungchang hriat belh nan test eng emaw zat a ti bawk ang.

• Echocardiogram: Hei hi thinlung ultrasound scan a ni. Thinlung valve hnathawh dan leh thisen a luang dan chiang takin a hmu thei a ni.
• Cardiac Catheter hmanga tihchhuah a ni:Hei hian thinlung (coronary arteries)-a thisen pe chhuaktu thisen kalna kawng (arteries)-a blockage awm leh awm loh a enfiah thin.
• CT Scan: Hei hian thinlung leh rilru chhunga thisen kalna kawng hrang hrangte chipchiar taka thlalak a siam bawk.

Surgery neih lai hian

Hengte hi he surgery neih chhunga thil thlengte a ni a, darkar hnih atanga darkar li inkar vel a ni.

1. Anesthesiologist chuan general anesthesia hnuaiah a dah ang che. Hei hian engmah i hre lovang tihna a ni a, i muhil vek dawn tihna a ni.

2. Surgeon chuan i rilru dinglam, i ruh inkar ah centimetre 4-6 vel zeta zauah incision te tak te a siam ang.

3. He incision hmang hian tube te tak te (endoscope) camera inbun a ni a, monitor hmangin i mitral valve chu chipchiar takin a en thei a ni.

4. Tichuan, incision kaltlangin surgical instrument tha tak tak, sei tak tak dahin valve-a chhiatna awm chu siamthat a ni.

5. Hna thawh zawh hnuah instruments te chu la chhuakin incision chu sewn khar a ni.

Surgery hnuah eng nge thleng? Eng nge a hlawkna leh a hlauhawmna?

Operation i neih zawh chuan intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung an awm ang. Hemi chhung hian i heart rate leh blood pressure te a enfiah ang. I rilruah drainage tube i dah thei bawk a, chu chuan tui awm thei zawng zawng chu a chhuah tir thei bawk.

Tichuan regular ward-ah sawn i ni ang. Ni khat emaw ni hnih emaw chhungin tho leh kal turin tanpui i ni ang. I lungah mucus a awm chuan chu chu tihfai nan thawkna exercise ti turin an hrilh ang che. I haw hmain ni nga vel damdawi inah i awm tlangpui ang.

In lama haw hnua dam leh hun chhung chu engtin nge a awm?

In i haw hnuah kar tlemte chhung chu a hma ang bawkin i chau hle mai thei. Hei hi thil pangngai a ni. Zawi zawiin i chakna i nei leh ang. I doctor chuan hnathawhna hmuna i kir leh theih hun leh i hnathawh pangngai i thawh leh theih hun tur a hrilh ang che. Kar tlemte chhung chu thil rit phurh loh tur a ni.

Tin, i doctor chuan cardiac rehabilitation program-ah tel ve turin a rawt thei bawk. Hei hi a pawimawh hle. Heng programme te hian exercise him leh ei leh in hrisel tak hmangin i fitness tihchangtlun nan a pui thei che a ni.

Operation hnuah engtikah nge doctor i hmuh ang?

Operation hnua harsatna i neih chuan doctor i pan nghal tur a ni . A bik takin a hnuaia symptoms te hi hre reng ang che.

A tawp berah chuan, a chang chuan heng valve chi hrang hrangte siamthat nan hian percutaneous intervention pawh a awm thin. Hei hian tube pakhat chu groin chhunga thisen kalna kaltlangin thinlungah kaltir a, chuta tang chuan valve siamthatna tur hmanrua dah a ni. I doctor chuan eng method nge i tan a tha ber tih a hrilhfiah ang che.