Mitral Valve Repair chungchang kan sawi dawn em ni?

Doctor-in heart surgery chungchang a hrilh che hian hlauhna leh hlauthawng deuh i neih hi thil pangngai a ni a, a bik takin mitral valve siamthat chungchang a hrilh che hi thil pangngai a ni. "He surgery hi eng nge ni?", "Engvangin nge hetiang hi tih ka mamawh?", "A hlauhawm em?", etc. Zawhna tam tak ka rilruah a lo lang mai thei. Vawiin hian heng zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

He mitral valve hi eng nge ni? Siam that tih awmzia chu eng nge ni?

I thinlung hi pindan pali nei in angin ngaihtuah rawh. Chunglam veilam sir, upper chamber (left atrium) leh lower chamber (left ventricle) inkar "kawngkhar" chu Mitral Valve an ti a. He kawngkhar hi a inhawng a, chu chuan lung atanga oxygen tamna thisen chu veilam ventricle chhungah a lut thei a ni. Chumi hnuah veilam ventricle chuan thisen chu taksa dang zawng zawngah a pump chhuak leh thin.

Chuvangin he valve, mitral valve hian hna a thawh that loh atang hian harsatna a intan thin. Hun a kal zel a, hei hian thinlung leh lung a tichhe thei a ni. Mitral valve siamthat nan hian open-heart surgery hmangin he valve-a chhiatna awm hi siamthat a ngai a ni. Doctor-te chuan i valve thlak kim vek ai chuan nangmah ngeiin siam that an tum fo thin. Hei hi a chhan chu hlawkna tam zawk leh hlauhawmna tlem zawk a neih vang a ni.

Eng dinhmunah nge he surgery hi a tul?

Doctor chuan he surgery hi damdawi lam thil pawimawh pathum-ah a ngaihtuah thei a ni.

I thinlung veilam (left ventricle) in i taksaa thisen kal a tihtlem (left-sided heart failure) emaw, i thinlung a lian emaw a nih chuan he surgery hi a ngai thei bawk. Amaherawhchu, natna hi a bul tanna a nih chuan damdawi hmanga thunun theih a ni. I doctor chuan i thinlung dinhmun enfiah nan echocardiogram a ti fo ang.

Operation hmain engtin nge i inbuatsaih thin?

Operation hmaa i medical team-in an pek che dan zawm a pawimawh hle. Anni chuan hetiang hi an hrilh thei che a ni:

• Damdawi thenkhat, a bik takin anticoagulant (e.g., aspirin, warfarin) ei kha operation hma kar tlemteah chawlhsan turin an ti ang che.
• Meizial i zuk chuan bânsan tûrin a ṭanpui ang che .
• Surgery hma zan hian antiseptic soap hmanga i taksa sil turin an ti ang che.
• Surgery neih zingah eng damdawi nge i ei tur tih an hrilh ang che.
• Operation ni-ah hun bituk hnuah ei leh in bansan turin an ti ang che.

Surgery neih laiin eng nge thleng tak tak?

Hei hi open-heart surgery a nih avangin anesthesia pek i ni ang a, mut tir i ni ang. Chuvangin engmah i hre lovang. Surgery neih chhunga thil thleng chu hetiang hi a ni, a awlsam zawngin:

1. Anesthesia: Hei hian mut thuk takah a dah che a, natna engmah hre lovin.

2. Bypass machine: Surgery i tih lai hian i thinlung leh lung hnathawh chu hun eng emaw chen thawk thei tur machine bik ``Cardiopulmonary Bypass Machine'' tih nen inzawm tir i ni ang.

3. Incision: Surgeon chuan a rilruah incision a siam a. He incision hi a lian zawng hi operation chi hrang hrang a zirin a inang lo.

4. Valve siamthat: Chumi hnuah surgeon chuan technique hrang hrang hmangin i mitral valve a chhiatna chu a siam tha leh thin. Vawi tam tak chu puan hmanga siam ring (annuloplasty ring) chu valve chu a thlawp theih nan an dah a ni. Hei hian valve chu a awmna pangngaiah a dah leh ta a ni.

5. Inspection: Valve hi a tha em tih enfiah thin a ni. A tul chuan siamthat belh zel a ni.

6. Resuscitation: Bypass machine atanga inzawmna i tihtawp a, i thinlung leh lung chu hnathawh tir leh a ni.

7. A tawp bera enfiahna:Test bik Transesophageal Echocardiogram tih hmangin valve hi enin, surgery a hlawhtling em tih finfiah a ni.

Surgery atan hian eng technique nge hman thin?

Chumi atan chuan surgeon-te chuan hmanraw hrang hrang an hmang thin. Entirnan, rilru chhunga incision pawh a danglam thei.

• A rilru chhungril lam atanga incision lian tak (Full Sternotomy) .
• Partial sternotomy (a rilru hmun thenkhata hliam tenau) .
• Rib pahnih inkar a incision te tak te (Right Thoracotomy) .
• Robotic surgery hi ruh inkar ah incision tenau tak tak engemaw zat siamin an ti thin.

Valve siamthat dan hrang hrang a awm a. Chung zingah chuan a chhe tawhte chu cut chhuakin a la awmte chu hrual a, chordae chu a lo chhuak a nih chuan Gore-Tex® ang chi special synthetic thread hmanga thlak emaw a ni. I doctor chuan hei hi chipchiar zawkin a hrilhfiah ang che.

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

Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung i awm a ngai dawn a ni. Chutah chuan medical team chuan i pulse leh thawk dan uluk takin an enfiah ang. Chumi hnuah chuan regular ward-ah ni engemaw zat i awm leh ang a, chutah chuan i haw thei ang. A dam kim theih nan kar li atanga kar riat vel a ngai thin. Mi thenkhat chuan hun rei zawk an la thei.

I dam chakna tichhe thei thil engemaw zat a awm a:

• Operation hmaa i thinlung natna nasat dan.
• Operation hmaa i hriselna zawng zawng.
• Surgery atana hman tur surgery technique.

In i haw hnuah thil tum tenau te siam la, zawi zawiin i thiltih pangngaiah lo kir leh rawh. Chawlh hahdam tam rawh. I doctor chuan engtikah nge lirthei khalh i tan theih ang, rit i chawi tan theih ang a, engtikah nge exercise i tih theih ang tih a hrilh ang che.

Siamthat hian eng hlawkna nge a neih? Risk a awm em?

Valve thlak aiin siamthat hian a thatna engemaw zat a nei.

• Surgery hnua dam rei leh dam rei theihna chance a sang.
• Lung hnathawh venhimna tha zawk.
• Stroke leh endocarditis ang chi complication awm theihna a ti tlem.
• I dam chhung zawngin anticoagulant ei a ngai tawh lo.

Surgery zawng zawng ang bawkin risk a awm. Entirnan, heart rhythm pangngai lo (arrhythmias), thisen chhuah leh infection a awm thei. Mahse, i doctor chuan he surgery hi a rawt thei a , chu surgery hlawkna chuan a hlauhawmna aiin a tam zawk daih a nih chuan.Chu chu an rin tlat vang a ni. He surgery atanga kum 10 hnuah pawh mi 94% vel chuan valve problem lian tham an nei leh tawh lo niin an sawi. Hei hian a hlawhtling hle a, hun rei tak daih tur a ni tihna a ni.

Operation hnuah engtikah nge doctor ka hmuh ang?

Recovery period chhung hian harsatna engemaw zat tawk hi thil pangngai a ni. Mahse, a hnuaia symptoms pakhat emaw a aia tam emaw i neih chuan complication chhinchhiahna a ni thei. Chutiang a nih chuan doctor ko la, damdawi inah kal nghal rawh.

Symptom chungchangah ngaihtuahna i neih chuan i doctor zawh chu hlau ngai suh. Thil pawi tak a ni lo tih hriat hi a thlamuanthlak hle.