I naute hian Norwood Procedure hi a nei tur em ni? A awlsam zawngin sawi ila.

Doctor-te’n i fate hian pianpui lung natna khirh tak (complex congenital heart condition) a nei tih an hrilh che khan engtiang chiahin nge i hlauthawng a, i mangang em? ‘Norwood Procedure’ neih a ngai tih an hrilh che khan a thumal pawh i hrethiam lo mai thei. A tam hle mai. Hetiang hun lai hian zawhna sangkhat zet rilruah a lo lang thin. Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Norwood Procedure chu eng nge ni?

A awlsam zawngin sawi ila, Norwood procedure hi naute pianpui, pianpui heart defect buaithlak tak neia piangte nunna chhanchhuahna atana surgery hmasa ber leh lian ber a ni. He thinlung natna hi Hypoplastic Left Heart Syndrome (HLHS) kan ti a ni.

Tunah chuan en teh, thinlung hrisel chuan chamber lian pali a nei a. A dinglam hian taksa thisen oxygen tlachham chu lungah a thawn chhuak thin a ni. Lung atanga oxygen tamna thisen chu thinlung veilam lamah a lo kal a. He thisen oxygen tamna, thianghlim tak hi taksa pum puiah pump chhuaktu veilam hian a thawk a ni.

Mahse, HLHS vei naute thinlung veilam chu a lo thang kim lo. Chumi awmzia chu taksaa thisen thianghlim pumptu ber chu hna a thawk lo tihna a ni. Chuvangin chutiang naute tan chuan dam khawchhuah a har khawp mai.

Hei hi doctor-te’n Norwood procedure an tih lai a ni. Hetiang tih dan hian naute thinlung dinglam, a thawk tha tawh chu a veilam hnathawh tur chu a thawk thei a ni. Chu chu thinlung thisen kal dan chu a inthlak danglam a, chutiang chuan ventricle dinglam chuan lungah thisen a pump lut a, chutih rual chuan oxygenated thisen chu taksa pum puiah a pump chhuak bawk.

He surgery hi tute nge mamawh?

He surgery hi kan sawi tawh ang khan HLHS condition nei naute tan a ngai ber a ni. Heng naute hi an pian atanga kar hnih chhungin he surgery hi an mamawh a ni.

Ngaihtuah teh, naute chu pum chhunga a awm lai hian he thinlung chak lohna hi harsatna a ni lo a, a chhan chu umbilical cord atanga oxygen a dawn vang a ni. Pian hnuah pawh ni engemaw zat chhung chu thisen kalna kawng lian ber (aorta leh pulmonary artery) (patent ductus arteriosus) inkar thinlung tube ang chi hmun te tak te chu a inhawng reng a ni. Hei hian thisen engemaw zat taksaah a luang lut thei a ni.

Mahse, he tube hi a pianphungah ni engemaw zat chhungin a khar ta a ni. Chutih lai tak chuan naute hian thawk a harsat a, a nunna pawh a hlauhawm hle. Chuvang chuan Doctor-te chuan a tube khar loh nan damdawi bik an pe a. Chutih lai chuan naute chu he Norwood operation atan hian an inpeih tawh a ni.

A châng chuan naute piang hmaa piang, nau piang rit lo emaw, hriselna lama harsatna lian tak dang nei emaw tan chuan he surgery hi vawi khatah tih theih a ni lo mai thei. Chutiang hunah chuan doctor-te chuan hun eng emaw chen atana hmanraw dang an hmang thei a ni.

Surgery neih chhung hian eng nge thleng?

Hei hi surgery buaithlak tak a ni a, darkar engemaw zat a awh a, a chang chuan ni khat pawh a awh a ni. Doctor-in a tih dan awlsam tak chu hetiang hi a ni:

1. Thinlung chunglam pindan (atria) inkar khur tihzauh: Hei hian lung atanga thisen oxygenated chu thinlung dinglamah awlsam zawka luang lut turin a pui a ni.

2. Main artery (aorta) siam thar lehna (Reconstruction of the main artery) (aorta): Nausen aorta te tak te, lo thang lian lo tak chu pulmonary artery, lung chhunga thisen phurtu artery nen a inzawm a, thisen kalna kawng pakhat, lian leh chak tak siam turin patch bik dah a ni.

3. Artery thar chu ventricle dinglam nena inzawm tir: Tunah chuan he aorta lian tak siam thar hi thinlung hnathawhna hmun awmchhun ventricle dinglam nen a inzawm ta a ni. Tunah chuan dinglam chuan taksa pum puiah thisen a pump thei ta.

4. Lung lama thisen thawn chhuahna tur shunt dah: Tunah chuan thisen zawng zawng chu aorta thar kaltlangin taksaah a kal vek tawh avangin lungah thisen kalna tur kawng hran siam a ngai a ni. Hei hi tube te tak te shunt an tih hmanga tih a ni. Hei hi aorta thar atanga pulmonary arteries (Blalock-Taussig emaw BT shunt) emaw, right ventricle atanga pulmonary arteries (Sano shunt) emaw thlengin a inzawm a ni.

He surgery neih chhung zawng hian naute thinlung leh lung chu hun eng emaw chen atan machine bik cardiopulmonary bypass tiin an enkawl a ni.

Surgery hnuah eng nge thleng?

Operation zawhah i naute chu Intensive Care Unit (ICU) -ah dah a ni ang a, chutah chuan doctor leh nurse thiam bikte chuan nitin darkar 24 chhung i naute chu an enkawl ang.

Naute taksaah hian tube leh wire tam tak inzawm a awm tih i hmu ang. Naute mamawh damdawi, oxygen, ei tur pekna atan leh taksa hnathawh dan teh reng nan an hmang thin. Hmuh hlau suh , naute damna tur an awm vek.

Surgery hnuah pawh kan sawi tawh ang khan naute vun leh hmuiah hian oxygen tamna leh oxygen hniam thisen inzawmkhawm vangin blue tinge tlem a awm thei. Hei hi tun dinhmunah chuan thil pangngai a ni.

Intensive care unit-a kar khat vel i awm hnuah, naute dinhmun a ṭhat leh chuan regular ward-ah sawn i ni ang. In lama i haw hmain doctor leh nurse-te chuan i naute enkawl dan tur te, damdawi pek dan tur te, eng symptoms nge fimkhur tur tih te uluk takin an hrilhfiah ang che.

HLHS condition tan surgical series kimchang tak neih a ni

Norwood procedure hi he zinkawngah hian a hmasa ber chauh a ni. HLHS vei naute nun pangngai a neih theih nan chuan operation vawi thum neih a ngai a ni.

Thil hlauhawm leh harsatna awm thei te chu engte nge ni?

Surgery lian dang ang bawkin Norwood procedure hian hlauhawm engemaw zat a keng tel a ni. I doctor chuan hengte hi a hrilhfiah ang che. Harsatna lo awm thei ber chu:

• Thisen kalna kawng a zim: Operation hnuah aorta siam thar emaw, lung lama thisen phurtu artery emaw chu a tawi thei (stenosis).
• Shunt problems: Lung-a thisen thawntu shunt chu a block emaw, a thawk tha lo emaw a ni thei.
• Lungphun pangngai lo: Lungphun a danglam thei (arrhythmia).
• Lung hnathawh chak lo: Thinlung pump theihna emaw, a valve hnathawh emaw a tichhe thei.
• Neurodevelopmental delays: Thluak hmasawnna a nghawng theihna chance tlemte a awm a, chu chuan zirlai emaw nungchang lama harsatna (Neurodevelopmental delay) a thlen thei a ni.

Engtin nge a rah chhuah leh dam khawchhuah theihna chu?

Hei hi nu leh pa tinte zawhna lian ber a ni. Thudik tak chu, he surgery hi kum 1980 chhoa hmuhchhuah a nih hma khan HLHS vei nausen piangte tan enkawlna a awm lo. Norwood procedure hi heng naute te tan hian dam theihna hun remchang a ni.

Statistics atanga a lan dan chuan he operation hnua damdawi ina damchhuah theihna chance hi 90% a ni.Operation hnua kum nga chhunga dam rei zawng chu 60% leh 75% inkar a ni. Naute thenkhat chu vanduaithlak takin operation vawi hnihna stage an thlen hmain an thi nghal vek a ni.

Mahse, surgery pathumte hi a hlawhtling vek a nih chuan heng naupangte hi puitling naupang takah an lo thang lian thei a ni. Sikul kal theihna hun remchang an nei ang a, infiamna hun remchang an nei ang a, nun pangngai an nei bawk ang.

Engtikah nge Doctor ka hmuh ang?

Naute i rawn hruai haw hnuah mawhphurhna lian tak i nei a ni. A hnuaia thilte hi i fimkhur hle a ngai a ni. Hetiang thil hi i hriat chuan doctor ko nghal rawh.

• Naute chu a thau tha lo a nih chuan.
• I naute oxygen level chu i doctor-in a hrilh che aia hniam a nih chuan (in lama oxygen tehna hmanrua pek i ni tawh ang).
• Naute chu damdawi pek a nih chuan a chhang tha lo a nih chuan.
• I naute enkawl dan tur chungchanga zawhna emaw rinhlelhna emaw i neih chuan.

HLHS hi thil awm lo tak a nih avangin hetiang surgery ti fo thin doctor leh hospital tawnhriat ngah tak thlan a pawimawh hle. I hriatthiam loh zawng zawng doctor hnenah zawh nawn fo chu hlau lo la, zak suh.