I thinlunga mitral valve chu thlak a ngai em? (Mitral Valve Replacement) - Hemi chungchang hi awlsam takin han sawi ila

Kan thinlung hi machine mak tak a ni tak zet a ni lawm ni? A chhunga valve pali te hian kawngkhar kawng khata hawn ang maiin hna an thawk a ni. Chung kawngkhar pawimawh tak pakhat chu Mitral Valve hi a ni. He valve hi a ni a, thisen thianghlim, oxygen tamna chu thinlung chamber pakhat atanga a dang a kal tir thei a ni. Mahse, he valve-a thil dik lo a awm chuan eng nge thleng ang tih han ngaihtuah teh? Chu chu thisen chu a khar tha lo a, hnunglam a leak a nih chuan emaw, a inhawng tha lo a, a block a nih chuan thinlung hian strain nasa tak a nei tihna a ni. Chu chu doctor-te’n he valve hi la chhuakin thlak an rel a, siamthat theih a nih loh chuan.

A awlsam zawngin, mitral valve thlak hi eng nge ni?

Mitral valve thlak hi open - heart surgery a ni. I mitral valve natna nei, a thawk tha lo chu paih chhuakin valve thar nen thlak a ngai a ni. He valve thar hi chi hnih a awm thei.

• Mechanical valve: Hei hi carbon leh steel ang chi metal atanga siam artificial valve a ni.
• Biological/Bioprosthetic valve: Hei hi vawk, bawng, leh a chang chuan (a tlem hle) mihring tissue atanga thinlung tissue atanga siam valve a ni.

He surgery hi tih dan lian tak ni mahse, i doctor-in a rawt chuan i valve a chhe chho zel tihna a ni a, surgery i neih loh chuan harsatna lian tak a thlen thei a ni. Repair theih loh tihna a ni bawk.

Engvangin nge he surgery hi i mamawh?

Kan lung atanga oxygen tamna thisen chu thinlung veilam atrium-ah a lut a, chuta tang chuan mitral valve kaltlangin veilam ventricle-ah a lut a ni. He left ventricle hian taksa pum puiah thisen a pump chhuak thin. Tunah chuan mitral valve natna i neih chuan he valve hi a inhawng tha lo va, a khar tha lo bawk. Hei hian harsatna lian tak pahnih a thlen thei a ni.

1. Mitral Valve Regurgitation: Thisen chu hnunglam hawiin a leak a, a chhan chu Valve a khar tha lo.

2. Mitral Valve Stenosis: Valve hi a inhawng tha lo a, thisen kal a tikhawlo.

Heng thil pahnih hian thinlung veilam lamah harsatna nasa tak a siam a ni. Hun a kal zel a, hei hian thinlung leh lung a tichhe thei a ni.

Siamthat theih loh chhan hrang hrang a awm thei:

• Endocarditis emaw, rilru natna (reumatic heart disease) emaw a ni thei) chuan valve chu nasa takin a tichhia a ni.
• Calcium tam tak awm emaw, valve-a hliam emaw a awm.
• Valve thlawptu papillary muscle emaw chordae emaw nasa taka tihchhiat.

Chuvang chuan Doctor nen i dinhmun sawipui a, i duhthlan tur te hriat a pawimawh hle.

Eng ang valve nge kan thlan?

I kum, nunphung leh hriselna dinhmun dangte hian valve i dah tur chi thlan kawngah hian chanvo a nei ang. A chi hnih inthlauhna hi han thlir ila.

Kum 50 leh 65 inkar i nih chuan i doctor chuan i dinhmun a zirin heng chi hnih zinga pakhat hi a rawn rawt ang che. A pawimawh ber chu he thu hi ngun taka sawi la, i duh ber thlang rawh.

Operation hmain engtin nge kan inbuatsaih thin?

I medical team chuan operation atana inbuatsaih dan tur chiang takin an pe ang che. A tlangpuiin heng thilte hi i inpeih a ngai dawn a ni.

• I doctor-in a pek damdawi thenkhat (a bik takin thisen tithianghlimtu) chu operation hma kar tlemteah tihtawp a ngai mai thei.
• Meizial zu leh zuk leh hmuam hman hi tihtawp vek a ngai a ni.
• Operation hma zan hian i taksa chu antiseptic soap hmanga sil turin an hrilh ang che .
• Operation hma zan chuan ei leh in i chawlhsan vek a ngai ang a, a tlangpuiin zanlai dar 12 hnuah .
• Surgery zing atana damdawi an pek chauh ei tur a ni.

Operation hnua in lama i haw hunah i rilru hahdam theih nan i in boruak siam that a pawimawh bawk. Entîr nân, ruahmanna siam lawk chu a ṭha a, chu chu i mamawh tûr thilte chu i thlen theihna hmuna dah a, damdawi in aṭanga in lama hruai haw tûra mi pakhatin ruahmanna siam a ni.

Surgery neih chhung hian eng nge thleng?

He surgery hi thil buaithlak tak a ni a, a tlangpuiin darkar hnih atanga darkar li vel a awh thin. Mahse, lungkham tur i nei lo. Medical team tawnhriat ngah tak takin an enkawl tha ang che. Hetah hian surgery neih chhunga thil thleng tur step by step-in kan rawn tarlang e.

1. Anesthesia: Pakhatnaah chuan muthilh tir vek i ni ang. Chuvangin surgery chungchangah engmah i hre lo vang a, i harh hunah pawh i hre reng lo vang.

2. Connections: I heart rate leh thawk dan enfiah turin monitor-ah i connect ang. Infection laka inven nan vein hmangin antibiotics pek i ni ang.

3. Cardiopulmonary Bypass Machine: A dawtah chuan machine bik nen in connect leh ang. He machine hian operation neih chhung hian i thinlung leh lung hnathawh chu hun eng emaw chen a la a ni. Hemi hun chhung hian i thinlung a na lovang.

4. Incision: Surgeon chuan i rilru a luh theih nan i rilruah incision a siam ang. Hei hi sternotomy (i rilru ruh lai tak atanga tan) hmanga tih a ni fo.

5. Valve thlak danglam: Mitral valve thleng turin thinlung veilam atrium-ah incision siam a ni. Tichuan, a chhiat lai chu uluk takin an la chhuak a, a hmunah chuan valve thar chu dahin nghet takin an sewn thin.

6. Testing: Valve thar chu a thawk tha em tih leh a kawngkhar a inhawng leh khar tha em tih enfiah thin ang che.

7. Operation tawp: Engkim a OK tawh chuan i thinlunga incision chu khar a ni ang a, heart-lung machine atang chuan zawi zawiin i la chhuak ang.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery dang ang bawkin hlawkna leh hlauhawmna a awm a, hengte hi hriat chian a pawimawh hle.

Heng risk te hi hlau suh. I medical team te hi heng natna lo awm theihna tur tihtlem nan leh a lo awm a nih chuan enkawl dan tur zirtirna sang tak an nei a ni.

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

Surgery zawhah chuan a tlangpuiin kar khat vel damdawi inah i awm a ngai dawn a ni.

• Ni khat emaw ni hnih emaw chhung chu intensive care unit (ICU)-ah dah i ni ang a, i dinhmun chu uluk takin an enfiah ang.
• Tichuan regular ward-ah sawn i ni ang.
• Operation hnua heartbeat mumal lo hi a awm fo a, hei hi damdawi emaw, temporary pacemaker emaw pawh i mamawh mai thei.
• Thisen zam (Blood thinners) hman tan a ni dawn a, hei hian thisen zam a tihziaawm phah dawn a ni.
• Cardiac rehabilitation program chungchang hriattir i ni ang a, chu chuan i dam leh thuai ang.

A tlangpuiin a dam kim theih nan kar 4 leh kar 8 inkar a ngai thin. Mahse, he hun hi mi tin a inang lo. Hei hi operation hmaa i hriselna leh i dinhmun nasat dan te hian a nghawng a ni.

I doctor chuan engtikah nge lirthei khalh leh rit phurh ang chi hna i thawh leh theih ang tih a hrilh ang che. Tin, ei leh in hi thinlung hriselna atana tha ei te, meizuk leh zu in loh te, taksa rihna hrisel tak neih te, leh exercise chhunzawm zel te hi i nunphung thenkhatah siam a pawimawh bawk.

Eng symptoms nge ngaihven vat ngai?

I dam chhung hian i taksa enkawl hi a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor ko nghal la , i hnai ber damdawi in Emergency Department (ETU) ah kal rawh.

"Hei hi thil tenawm tak a ni mai thei" tih ngaihtuahin ngaihthah suh. Symptom tenau tak anga lang pawh hi thil pawi tak chhinchhiahna a ni thei. Chuvangin rinhlelhna i neih chuan i doctor nen inbiakna neih hreh suh.