Off-Pump Bypass Surgery chungchang zawng zawng i zir vek ang u!

I doctor-in nangmah emaw i hriat mi emaw bypass surgery i mamawh thu a hrilh hian hlauhna tlem i neih hi thil pangngai a ni. Chu hlauhna chu "thinlung chu tihtawp a ni ang a, machine nen a inzawm ang" tih i hriat chuan a pung zual sauh sauh a ni. Mahse, he surgery hi thinlung titawp lovin, chu chu thinlung a la nat lai hian tih theih dan bik a awm tih i hria em? Chu chu vawiinah hian kan sawi dawn a, ‘Off-Pump Bypass Surgery’ tih chu a ni.

Off-Pump Bypass Surgery hi eng nge ni?

A awlsam zawngin sawi ila, hei hi bypass surgery chi khat (Coronary Artery Bypass Graft - CABG) a ni bawk a, chu chuan thinlunga thisen kalna kawng khar vel chu kawng thar a siam a ni. Traditional bypass surgery (On-Pump CABG) ah chuan surgeon chuan surgery a tih laiin damlo thinlung chu hun eng emaw chen a titawp thin. Chutih lai chuan thinlung leh lung hnathawh chu khawl bik ‘Cardiopulmonary Bypass Machine’ an tih hmanga thawk a ni. He machine hian taksa atangin thisen a la a, oxygen a dah belh a, carbon dioxide a paih chhuak a, taksaah a thawn kir leh thin.

Mahse he ‘Off-Pump’ surgery-ah hian thinlung hi a tawp lo. Surgeon hian he surgery hi thinlung a na laiin a ti thin. Chuvangin "Beating Heart Surgery" an ti bawk.

He surgery hi tute nge mamawh?

He surgery hi heart attack thlentu lian ber, coronary artery disease (CAD) vei te tan tih a ni ber.

Kan thinlunga thisen petu thisen kalna kawng te te hi kawngpui angin han ngaihtuah teh. CAD-ah chuan heng kawngpui chhung hi thau leh cholesterol (plaque an tih) hian a khuh a ni. Hei hian thinlungin a mamawh thisen a neih loh nan a veng a, rilru natna leh thawk hahna ang chi symptoms a thlen thin . He blockage hi a famkim chuan heart attack a awm thin.

Doctor chuan nunphung a inthlak danglam a, damdawi leh enkawlna dangte chuan a natna chu a thunun theih loh chuan bypass surgery neih a rawt tlangpui. Chutiang hunah chuan damlo thenkhat tan chuan ‘Off-Pump’ surgery hi duhthlan tur tha tak a ni thei.

Surgery atan engtin nge kan inbuatsaih ang?

I surgical team chuan surgery hmaa i mamawh tur instruction zawng zawng an pe vek ang che. An sawi tlangpui ang:

• Meizial i zu a nih chuan titawp vek rawh.
• Damdawi i ei ṭhenkhat, a bik takin anticoagulant te chu rei lo te atan chawlhsan turin an ti thei che a ni.
• Surgery ni-ah zanlai a\angin engmah ei leh in lo turin hriattir i ni ang.

Surgery hmain eng test nge tih thin?

Doctor chuan operation tih theih tur khawpa hrisel i nih leh nih loh enfiah turin test eng emaw zat a ti ang.

• Thisen test a ni
• Chest X-ray neih a ni
• Echocardiogram (Echo) hmanga tih a ni.
• ECG (Electrocardiogram - EKG) hmanga tih a ni.
• Nuclear cardiac stress test ang chi specialized test te pawh a awm bawk.

Surgery neih chhung hian eng nge thleng?

Surgery hi darkar engemaw zat a ni. Surgeon chuan eng nge thleng dawn tih a hrilhfiah lawk ang che. Hengte hi a tlangpuiin step hrang hrang a awm thin.

1. Pakhatnaah chuan anesthetized i ni ang a, i muthilh vek ang. Chuvang chuan engmah hrehawm i nei lovang.

2. A dawtah chuan i taksa peng dang, entirnan, i ke emaw, i rilru bang emaw atang hian thisen kalna (graft) hrisel tak chu lakchhuah a ni . He thisen kalna kawng hi a block na hmun panna kawng thar siam nan hman a ni.

3. Tichuan, vun chu a laiah an tan a, a hnute ruh chu a sir lehlamah an tan a, thinlung thlengin a thleng a ni.

4. Thinlung a nat avangin a che vel tihziaawm nan hmanraw bik (stabilizer) hman a ni a, a chet loh nan surgery an tihna hmun chauh an stabilise thin.

5. Thisen kalna kawngkhar block-a thisen kal chu hun eng emaw chen a titawp.

6. A hmaa kan lakchhuah tawh thisen kalna hrisel tak tawp khat chu thinlung thisen kalna bulpui (aorta) nen a inzawm a, a tawp dang chu a hnuai lama blocked area nen a inzawm bawk. Hei hi kawngpui khar paltlang tura bypass siam ang a ni.

7. Pathway thar siam a nih hnuah thisen kal dan a lo awm leh thin. Tunah chuan thisen chuan blockage chu a paltlang a, kawng thar zawhin a kal ta a ni.

8. A tawp berah chuan hnute ruh chu wire ang chi thil hmangin an inzawm leh a, vun chu sutured closed an ni.

Thil tih dan pahnih zingah hian eng nge tha zawk?

On-pump emaw off-pump surgery emaw hi a tha zawk em tih zirchianna chu kalpui mek a ni. I surgeon chuan eng method nge i tan a tha ber tih a rel ang. Heng hmanraw pahnih thatna leh danglamna te hi han thlir ila.

He surgery hian eng hlauhawmna nge a neih?

Surgery lian dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse mi tam zawk chu hlawhtling takin an dam leh thin. Harsatna awm thei thenkhat chu hetiang hi a ni:

• Thisen chhuah tam lutuk.
• Thisen zam (stroke emaw heart attack emaw thlen thei).
• Anesthesia avanga harsatna awm thei.
• Hri kai theihna dinhmun.
• Thinlung rhythm mumal lo.
• Kidney tha lo a awm.

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

I dam leh hun chhung hi i kum, i hriselna zawng zawng leh operation hnua harsatna i neih apiangah a innghat a ni. A tlangpuiin recovery process hi hetiang hian a lang.

• Tui in leh ei tur tlem te chu a ni vek emaw, a tuk emaw ah operation i tih tan theih a ni.
• Ni khatna emaw ni hnih emaw chhungin tanpuina nen chair-ah i thu thei ang a, tlem i kal thei ang.
• Damdawi inah ni engemaw zat i awm a ngai a ni.
• Damdawi in atanga i haw hnu ni engemaw zat chhung chu puitu tur i mamawh ang.
• Kar khat emaw kar sawm emaw vel hnuah stitch te chu lakchhuah a ni ang.
• Kar tlemte chhung chu rit phurh loh tur a ni .
• A dam kim theih nan kar engemaw zat emaw a aia rei emaw a ngai thei.
• I doctor chuan i chakna siam thar lehna tura pui turin cardiac rehabilitation program-a tel turin a fuih ang che.

Doctor pan nghal tur tih chhinchhiahnate chu engte nge ni?

I dam chhungin doctor i hmuh hun tur pek i ni ang. Mahse, a hnuaia chhinchhiahnate hi i neih chuan damdawi lam thurawn i la nghal tur a ni . A nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal la.

• Chhuak na reng reng emaw, pum na emaw.
• Khua a vawt emaw, thawk hah lutuk emaw.
• I hnute ruh chu a che emaw, ‘click’ ri emaw anga i hriat chuan.
• Heart rate chak lutuk emaw, mumal lo emaw.
• Nausea emaw, luak chhuak emaw.
• Thâwk harsa.
• Infection chhinchhiahna, a sen, a hring, suture hmun atanga zun chhuak , emaw khawsik te.
• Kar khat chhungin kg 2-3 aia tam a rihna a pung nghal.