Tlemte i chau laiin thawk hah lo, stairs i chhoh laiin i rilru a hah emaw, i rilruah rit takin i awm bawk em? A chang chuan heng symptoms kan neih chhan hi kan thinlunga inhawng te tak te, valve pakhat avanga harsatna a ni thei bawk. Chuvangin vawiin hian thinlunga mitral valve awm dan leh a harsatna avanga repair surgery a ngai thei tur chungchang kan sawi dawn a ni.
Mitral valve siamthat hi eng nge ni?
A awlsam zawngin sawi ila, mitral valve siamthat hi open-heart surgery a ni a, i thinlung chhunga mitral valve chungchanga harsatna awmte siamthat a ni.
Kan thinlung hi pindan pali nei in angin han ngaihtuah teh. Mitral valve hi veilam (left atrium) a upper chamber leh veilam (left ventricle) a lower chamber inkar gate a ni. Kan lung atanga thisen oxygen tamna, thianghlim tak chu left atrium-ah a lut hmasa ber a. Tichuan, chu thisen chu mitral valve an tih gate hmangin a lut a, left ventricle-ah a kal ta a ni. Chuta tang chuan thisen chu taksa pum puiah a pump lut ta a ni.
Chuvangin he valve, mitral valve hian hna a thawk tha lo a, natna a lo chhuah chuan thinlung hnathawh that a ti harsa thin. Hun a kal zel a, hei hian thinlung leh lung a tichhe thei a ni. He surgery hi chu chhiatna chu ven emaw, tihkhawtlai emaw tura ruahman a ni.
Mitral valve natna na tak i neih chuan i doctor chuan valve siamthat emaw thlak emaw turin operation neih a rawt mai thei. Mahse thil tam takah, a bik takin valve atanga thisen chhuak a nih chuan doctor-te chuan valve thlak ai chuan siamthat an tum zawk ang. Chu chu mahni taksa peng pakhat humhalh hian hlawkna tam tak leh hlauhawmna tlem zawk a neih vang a ni.
He surgery hian eng dinhmun nge a enkawl?
He surgery hi a hnuaia natna hrang hrangte enkawlna atan hman a ni ber.
| Damdawi lam dinhmun | A awlsam zawngin sawifiah a ni |
|---|---|
| Mitral valve atanga chhuak (regurgitation) a awm | Valve flap pahnih chu a khar tha lo va, thisen engemaw zat chu kawng dik lo lamah, chu chu hnunglam hawiin a chhuak thei a ni. He leak hi a nasat emaw, symptoms a awm emaw chuan operation neih a ngai mai thei. |
| Mitral valve a stenosis a awm thin | Valve hawnna chu a zim a, chu chuan thisen tling tawk a luang chhuak thei lo. Symptoms a nasat emaw, valve a zim lutuk emaw chuan operation a ngai mai thei. |
| Mitral valve a tlakbuak | Valve-a leaflet pahnih chu a chak lo va, a lo chhuak ta a ni. Hetiang dinhmun avanga thisen chhuak tur venna atan mitral valve surgery 10 zinga paruk neih thin a ni. |
He surgery hi i thinlung veilam hian taksaah thisen a pump tawk lo (left-sided heart failure) emaw, i thinlung a lian emaw a nih chuan a ngai mai thei. Amaherawhchu, natna a na lo a nih chuan doctor chuan i natna lan chhuah dan control nan damdawi a pe thei a ni. Mahse, i valve dinhmun enfiah nan echocardiogram mumal tak i la nei tur a ni. Natna a zual emaw, i thinlung a chhiat emaw chuan a hnuah operation neih a ngai mai thei.
Operation hmain engtin nge i inbuatsaih thin?
I doctor leh medical team te chuan operation atana inbuatsaihnaah an pui ang che. An thupek dik tak i zawm a pawimawh hle.
- Damdawi thenkhat ei kha bansan turin an ti mai thei che: Operation hma kar tlemteah thisen tithianghlimtu (anticoagulants) aspirin leh warfarin te ei kha bansan turin an ti thei che a ni.
- Meizial zuk bânsan tûrin a ṭanpui che: Meizial zu mi i nih chuan i doctor chuan bânsan tûrin a ṭanpui thei che a ni.
- Antiseptic soap hmang rawh: Operation hma zanah antiseptic soap hmangin i taksa sil turin an hrilh ang che.
- Surgery ni a damdawi ei tur: Chumi ni zingah chuan eng damdawi nge i ei tur tih doctor chuan a hrilh ang che.
- Chaw nghei: Surgery ni-ah chuan hun bituk hnua ei leh in loh tur a ni.
Surgery neih chhung hian eng nge thleng?
He surgery neih chhung hian surgeon chuan i valve-a harsatna pakhat emaw a aia tam emaw chu a siam tha ang. Hengte hi operation neih chhunga thil thleng tlangpui a ni.
1. Anesthesia: Mut thuk takah dah turin anesthetic damdawi an pe ang che, hriat lohvin.
2. Heart-lung machine nena inzawmna:Surgery neih chhung hian i thinlung leh lung hnathawhna hmun luahtu tur machine bik (cardiopulmonary bypass machine) nen inzawm tir i ni ang.
3. Incision siam: A rilruah incision siam a ni. He incision lian leh te hi surgery kalphung a zirin a inang lo.
4. Annuloplasty ring: Valve vel ah hian puan atanga siam washer ang ring an dah thin. Hei hian valve chu support a pe a, a pianphung pangngaiah a kir leh theih nan a pui bawk.
5. Valve siamthat: Mitral valve hi surgical technique hrang hrang pakhat emaw a aia tam emaw hmanga siamthat a ni.
6. Inspection: Valve siamthat a nih leh nih loh enfiah la, a tul chuan siamthat belh leh rawh.
7. Nau hnute hnek: Surgery zawhah machine atanga lakchhuah i ni ang. Tichuan i thinlung leh i lung chu a thawk tan leh ang.
8. Final check: Valve chu hlawhtling taka siam that a nih leh nih loh finfiah nan special echo test (transesophageal echocardiogram) tih a ni.
Surgery atan hian eng surgical technique nge hman thin?
Surgeon te hian he operation atan hian technique hrang hrang an hmang thin. I surgery atana hman dan tur chu i doctor nen sawiho rawh.
Cut hman dan tur
- Full sternotomy: Hnute ruh lai takah incision kimchang tak siam a ni.
- Partial sternotomy: Hnute ruh lai tak atanga a then chauh tan.
- Right thoracotomy: Dinglam sir lama ruh pahnih inkarah incision te tak te siam a ni.
- Robotic-assisted method: Robot hmanga surgery tih chu ruh chhunga incision tenau tak tak engemaw zat hmanga tih a ni.
Surgery tih dan dangte
- Annuloplasty: Kan sawi tawh ang khan hei hian valve vel ah ring dah a huam a. Hei hi mitral valve siamthat apiangin tih thin a ni.
- Triangular emaw quadrangular resection: Valve chhia chu a tlem ber chu tan chhuakin lakchhuah a ni a, a tha dang zawng chu an inzawm khawm a ni.
- Chordal repair: Valve hmuna vawngtu hrui ang chi fiber te tak te (chordae) te chu a chhiat chuan a chhe lai chu lakchhuah a ni a, artificial (Gore-Tex® ang chi thil atanga siam) emaw, thinlung hmun hrisel dang atanga lak chhuah fiber emaw hmangin thlak a ni.
Surgery hnuah eng nge thleng?
Operation hnuah a hnuaia mi hi i beisei thei ang:
- Intensive care unit (ICU)-ah ni khat emaw ni hnih emaw i awm a ngai ang a, chutah chuan medical team chuan i pulse leh thawk dan an enfiah ang.
- Chumi hnuah chuan regular ward-ah ni engemaw zat i awm leh a ngai dawn a ni.
- Cardiac rehab chungchang ka hrilh ang che .
- In i haw hnuah surgery hliam enkawl dan tur zirtir i ni ang.
Mi tam zawk chu he operation an neih hnu hian kar khat vel damdawi inah an awm a ngai a ni.
He surgery neih hian eng hlawkna nge a neih?
Valve awmsa chu a thara thlak ai chuan siamthat hian thatna engemaw zat a nei a ni.
- Dam rei theihna chance a sang: Operation hnua dam rei leh hrisel taka dam theihna chance a sang.
- Lung hnathawh venhimna tha ber: Lung hnathawh chhiatna hi a tlem hle.
- Harsatna awm theihna a tlem: Stroke leh endocarditis (heart valve infection) ang chi harsatna a awm thei.
- Hun rei tak chhunga thisen tihthianghlimna hman a ngai lo: A tam zawkah chuan thisen tihthianghlimna (anticoagulants) hi rei tak ei a ngai lo.
A theih phawt chuan doctor-te chuan valve thlak ai chuan siamthat an tum thin a, a chhan chu chu chu damlo tam zawk tan chuan a tha ber a ni.
Engtiang chiahin nge surgery hi a hlawhtling? Eng harsatna nge awm thei?
He surgery hi a tam zawkah chuan a hlawhtling hle. Report-a a lan danin, operation an neih hnu kum 10 hnuah pawh damlo 94% vel chuan thisen chhuak nasa tak an nei lo.
Mahse, surgery dang ang bawkin risk leh complication awm thei a awm.
- Lungphung dik lo (Arrhythmias) .
- Thisen chhuak
- Heart block a ni
- Lung lam chak lohna
- Kaichhawng
- Thai
Heng hlauhawmnate leh i tihtlem theih dan tur te hi i doctor nen sawiho rawh.
A dam leh theih nan eng chen nge hun a duh?
He surgery atanga a dam kim theih nan kar li atanga kar riat vel a ngai tlangpui a, mahse mi thenkhat chuan hun rei zawk an hmang thei bawk.
A pawimawh ber chu, i dam lehna kalphung hi midangte nen tehkhin suh. Thla khat chhunga i ṭhenawmte a dam ṭhat vang mai mai chuan i dam tur a ni lo. Mi tin taksa hi a danglam vek. Hun a daih che a nih chuan chu chu thil pangngai a ni. I dam thuai theih nan pressure siam suh.
I dam leh theih hun chhung hi thil engemaw zatah a innghat a ni:
- Operation hmaa i thinlung natna nasat dan: Operation hmaa i thinlung hnathawh a tichhe tawh a nih chuan chakna neih leh theih nan hun engemaw chen a ngai dawn a ni.
- Operation hmaa i hriselna tlangpui: Hei hi i active em tih emaw, i harsatna thlentu damdawi dang i neih leh neih lohah a innghat ang.
- Surgery hman dan: 1.1.Chhung lai takah incision lian tak siam a nih chuan (median sternotomy) ruh chu a dam theih nan kar 6-8 vel a ngai ang. Surgery hi incision te te hmanga tih a nih chuan hliam te chu a dam thuai ang.
Engtikah nge Doctor i hmuh ang?
Operation hnuah pawh harsatna engemaw zat neih hi thil pangngai a ni. Hei atan hian i doctor chuan painkiller a pe ang che. Mahse, a hnuaia symptoms te hi i neih chuan a pangngaiah ngai suh la, doctor rawn nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Khawsik, khawsik, khawsik | Thisen emaw yellow/green mucus emaw khuh |
| A rilru a na | Thâwk harsa |
| Surgery hliam vel a sen, a hring, a hring emaw, a na emaw a awm | Nausea leh luak chhuak |
| Lu na na tak, luak chhuak, hriatna hloh | Thusawi harsa, tawng thei lo (stroke symptoms) . |
| Lungphun mumal lo (rang lutuk emaw, a slow lutuk emaw) . | Ke hnuai lam natna, sen emaw, hring emaw |
A châng chuan hei hi damna pêng pangngai nge thil pawi tak a ni tih i hre thei lo. Ringhlel i neih chuan i doctor rawn call a, i zawt a tha ber.
Take-Home Thuchah a ni
- Mitral valve repair hi lung natna tan surgery hlawhtling tak a ni. Hei hi hlauh a ngai lo.
- A tam zawkah chuan valve thara thlak ai chuan siamthat hi a hlawk zawk.
- Surgery atanga dam leh tur chuan hun a duh a, chuvangin i taksa thu ngaithla la, dawhthei takin awm rawh.
- I doctor thupek ang chiah kha zawm rawh. Ringhlelna i neih emaw, natna lan chhuah dan danglam tak i neih chuan doctor hnenah hriattir nghal rawh.
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