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

I doctor chuan i mitral valve a chak loh thu leh operation i mamawh thu a hrilh che em? Hetiang thil i hriat hian tlem a hlauhthawn leh lungkham deuh hi thil pangngai a ni. Mahse, lungngai suh. Tunah chuan hei hi surgery hmasawn tak leh hlawhtling tak a ni tawh. Vawiin hian Mitral Valve Replacement chungchang te, a awmzia te, a tih chhan te, a tih dan te, awlsam takin i hriatthiam theih tur angin kan sawi dawn a ni.

A hmasain, he mitral valve hi eng nge ni?

I thinlung hi pindan pali nei in angin ngaihtuah rawh. Heng pindan inkarah hian kawngkhar a awm a, chu chuan thisen a kal leh chhuak thei a ni. Heng kawngkharte hi kawng khatah chauh hawn a ni. Chuvangin, he mitral valve hi thinlung veilam sir upper chamber (left atrium) leh lower chamber (left ventricle) inkar kawngkhar pawimawh tak a ni.

Oxygen tamna, lung atanga thisen thianghlim chu veilam atanga he upper chamber ah hian a lut hmasa thin. Tichuan, mitral valve chu a inhawng a, chu thisen chu lower chamber-ah a lut ta a ni. Chamber hnuai lam atang hian taksa pum puiah thisen a pump chhuak thin. Chuvangin he kawngkhar, chu chu valve hi a hun takah hawn leh khar a ngai a ni.

Mahse natna thenkhat avangin he valve hian hna a thawk tha lo. Tichuan thinlung hian pressure nasa tak a nei ta a ni. Hun a kal zel a, hei hian thinlung leh lung a tichhe thei a ni.

Eng dinhmunah nge mitral valve thlak ngai?

He surgery hi damdawi lam thil pahnih avanga tih a ngai ber a ni.

1. Mitral regurgitation: Hei hi valve a khar that loh vang a ni. Tichuan, a hnuai lam chamber chhunga thisen lut ṭhenkhat chu a chung lam chamber-ah a leak leh ta a ni. Kawngkhar khar chhe ang mai a ni.

2. Mitral Stenosis: Hetah hian thil thleng chu valve a inhawng tha lo. A tawi a, a block bawk. Tichuan, a chunglam chamber atanga a hnuai lam panna kawng chu a inkhar ta a ni. Kawngkhar a inkhung ang mai a ni.

Valve hi a hnuaia thil avang hian siamthat theih a ni lo mai thei:

• Thinlung natna (endocarditis) avanga valve a chhiat nasat chuan.
• Naupan laia lo awm tawh rheumatic heart disease (Rheumatic Heart Disease) avanga valve chu a hliam a, a thim a nih chuan.
• Valve-ah calcium deposit a lo awm a, lung ang maia lo awm a nih chuan.
• Valve thlawptu cord system nalh tak (papillary muscles emaw chordae emaw) a chhiat chuan.

Valve chi tharte chu engte nge ni?

Valve thar i dawng dawn a nih chuan chi hnih a awm a, chu chu duhthlan tur a ni. An pahnih hian an thatna leh that lohna an nei ve ve. Nang leh i doctor hian i kum, i nunphung leh hriselna a zirin eng nge i tana tha ber tih chu in rel dun a ngai dawn a ni.

Doctor-te chuan hetiang hian kaihhruaina an hmang tlangpui:

• Kum 50 hnuai lam a nih chuan: mechanical valve (naupai emaw, naupai tum emaw a nih loh chuan).
• Kum 50 leh 65 inkar a nih chuan: chi hnih zinga pakhat tal.
• Kum 65 aia upa a nih chuan: biological valve.

Hei hi thutlukna lian tak a ni a, chuvangin zawhna leh hlauhna i neih apiang doctor nen sawipui hreh suh.

Surgery hma leh operation neih chhung hian eng nge thleng?

Surgery hmaa inbuatsaihna

I doctor chuan operation atana inbuatsaih dan tur a hrilh ang che. A tlangpuiin a hnuaia mite hi i tih a ngai ang:

• Surgery hma kar tlemteah damdawi thenkhat (a bik takin thisen tithianghlimtu) ei kha bansan rawh.
• Meizial i zu a nih chuan titawp vek rawh.
• Surgery hma zan khan antiseptic soap hmangin i taksa sil thin ang che.
• Operation hma zan zanlai atang khan ei leh in kha bansan rawh.
• In i thlen huna ṭanpuitu tur che ruahman rawh. Heavy lifting tih emaw, hun engemaw chen chaw siam emaw chu i harsat mai thei. Chuvang chuan chhungte emaw, thian emaw hnen atanga tanpuina lak a pawimawh hle.

Surgery neih lai hian

Hei hi open-heart surgery a ni tlangpui. Hei hian surgery hi rilru chhunga hawnna hmanga tih a ni tihna a ni. Mahse, mi thenkhat chuan catheter (transcatheter) hmangin an zai tir thei a ni. Hei hi i tan a tha em tih i doctor chuan a rel ang.

Surgery neih chhung hian:

1. Anesthetized vek i ni ang. Chuvangin engmah i hre lo ang a, i hre reng bawk lovang.

2. Surgery neih chhung hian i thinlung leh lung hnathawhna tur machine bik (Cardiopulmonary Bypass Machine) nen inzawm tir i ni ang.

3. Surgeon chuan a rilruah incision a siam a, thinlung a thleng.

4. Tichuan, mitral valve chhia chu uluk takin lakchhuah a ni a, valve thar chu a hmunah sewn a ni. Doctor te chuan nangmah ngeiin i tissue hrisel tak tak chu a tam thei ang ber humhim an tum thin.

5. Valve thar chu a thawk tha em tih enfiah a ni a, i rilru chu khar a ni a, chutah chuan heart-lung machine atangin i la chhuak leh thin.

He surgery hi darkar hnih atanga darkar li vel a ni tlangpui.

Operation leh dam leh hnuah

Operation hnuah kar khat vel damdawi inah i awm a ngai dawn a ni.

• Ni khatna emaw ni hnih emaw chhung chu intensive care unit (ICU)-ah i awm ang a, chutah chuan i thinlung thawk atanga i thawk dan thlengin uluk taka enfiah a ni ang.
• Tichuan regular ward-ah sawn an ni.
• Surgery hnuah heartbeat mumal lo (`Arrhythmias`) a awm fo thin. Hemi atan hian damdawi pek a ni.
• Thisen zam venna damdawi (anticoagulation therapy) pek tan a ni.
• I dam chakna turin cardiac rehabilitation program-ah refer i ni ang.

A dam leh theih nan kar 4 leh kar 8 inkar a ngai tlangpui. Mahse hei hi mi tin a inang lo. He hun hi i kum leh i operation hmaa i hriselna ang chi thil a zirin a danglam thei. Chuvangin hmanhmawh suh. I taksa thu ngaithla la, chawlh hahdamna tam tak nei rawh.

I doctor hnena report nghal tur risk symptoms te chu engte nge ni?

In lama i haw hnua a hnuaia symptoms te hi i neih chuan ngaihthah suh. I doctor ko nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh.