Off-Pump Bypass Surgery chungchang hi han sawi ila!

Heart bypass surgery tih hi i hre tawh ngei ang, a dik em? I chhungte emaw, i thiante emaw pawhin hetiang surgery hi an neih a ngai tawh mai thei. A tlangpuiin bypass surgery chungchang kan sawi hian operation lian tak kan ngaihtuah a, chu chu thinlung tihtawp a, machine nena inzawm tir a ni. Mahse, thinlung titawp lo, chu chu thinlung a la na reng laia tih theih bypass surgery pawh a awm tih i hria em? Chu chu "Off-pump" bypass surgery, a nih loh leh "Beating Heart Surgery" kan tih chu a ni. Hemi chungchang hi vawiinah hian thumal awlsam takin han sawi ila.

Okay, he bypass surgery hi eng nge ni, thinlung titawp lova tih thin hi?

A awlsam zawngin sawi ila, hei hi coronary artery bypass graft (CABG) chi khat a ni. Bypass surgery-ah chuan thisen kalna kawng (artry) blocked (coronary artery) bypass turin artery thar siam a ni a, chu chuan heart-ah thisen a pe a ni. Hei hi taksa peng dang, entirnan, ke emaw, rilru emaw atanga lak chhuah thisen kalna (graft) hrisel tak hmanga tih a ni.

Ngaihtuah teh, kawngpuiah hian lirthei a tam em em a, chuvang chuan motor a kal lo. Tichuan chu lirthei tlan loh nan bypass road kan siam ta a ni. Hei hian thisen chu thinlungah uluk takin a luang leh thei a ni.

Traditional bypass surgery (On-pump CABG) -ah chuan surgeon-te chuan damlo thinlung chu an titawp vek a ni. Tichuan, thinlung leh lung hnathawh chu khawl bik hmangin an zai zawh hma loh chuan an thawk chhuak leh thin. Hei hi cardiopulmonary bypass machine an ti a. He machine hian taksa atanga thisen a la a, oxygen a dah belh a, carbon dioxide a paih chhuak a, thisen thianghlim taksaah a pump let leh thin.

Mahse off-pump CABG-ah chuan heart-lung machine hi hman a ni lo. Surgeon chuan i thinlung a na laiin surgery a ti thin . Chuvang chuan "Beating Heart" surgery tih a ni.

He surgery hi tute nge mamawh?

He surgery hi coronary artery disease (CAD) vei te tan tih a ni ber. CAD-ah chuan thinlung thisen kalna kawng chhungah thau (plaque) a lo awm khawm a, thisen kal dan a ti tawi a ni. Hei hian symptoms, rilru na leh thawk hah te a thlen thei a ni. Heng vessels te hi a block vek chuan heart attack hlauhawmna a sang hle.

Natna hi a na lutuk a, nunphung thlak danglam te, damdawi te, leh enkawlna dang hmanga control theih a nih loh chuan doctor-te chuan bypass surgery neih a rawt a ni. He surgery hian symptoms a ti tlem thei a, heart attack hlauhawmna a ti tlem thei a, dam rei theihna a tipung thei bawk. Chuvangin, bypass surgery neih tum damlo thenkhat tan chuan he off-pump procedure hi duhthlan tur tha tak a ni thei.

Operation hmain engtin nge i inbuatsaih thin?

He surgery hi neih tura ruahman i nih chuan i medical team chuan inbuatsaihna tur thupek an pe ang che. Heng thupekte hian:

• Meizial i zuk chuan chawlhsan nghal rawh.
• I doctor chuan damdawi thenkhat, a bik takin anticoagulants ei kha rei lo te chhung bansan turin a fuih ang che.
• Surgery neih hma ni khatah chuan zanlai a\angin engmah ei leh in lo turin an hrilh ang che.

Chu bakah, operation atana i dinhmun hrisel em tih hriat nan test eng emaw zat i nei thei bawk:

• Thisen test a ni
• Chest X-ray hmanga enfiah a ni
• Echocardiogram (Echo) hmanga tih a ni.
• ECG test (Electrocardiogram) hmanga enfiah a ni.
• Nuclear Cardiac Stress Test ang chi test bik a awm bawk

Surgery neih chhung hian eng nge thleng?

I surgeon chuan surgery neih chhunga thil thleng tur chu a hrilhfiah ang che. Thil thleng tlangpui tur thenkhat chu hetiang hi a ni:

1. Anesthesia: Natna i hriat loh nan muthilh kim vek a, anesthetized i ni.

2. Graft Harvesting: Bypass atana thisen kalna hrisel tak mamawh chu i ke, i kut emaw, i rilru chhung lam atanga lak chhuah a ni.

3. Incision: Incision hi a laiah siam a ni a, uluk takin hnute ruh chu a sir lehlamah a sawn thin. A châng chuan, a blocked duct awmna hmun azirin, rilru veilam sir a ribs inkarah hian incision te tak te siam theih a ni.

.​ Hei hian surgeon chu a ding reng thei a, operation chu chiang takin a ti thei bawk.

5. Bypass: He thisen kalna kawngkhar (Blocked artery) kal tlanga thisen kal chu hun eng emaw chen tihtawp a ni a, a hmaa thisen kalna hrisel tak lak tawh tawp khat chu aorta-ah a thlunzawm a, a tawp dang chu blockage hnuaia coronary artery-ah a inzawm bawk. Hei hian bypass thar a siam a ni.

6. Closure: Hna thawh zawh a nih chuan thisen kal chu rei lo te atan tihtawp a ni a, rilru ruh chu wire bik hmangin an inzawm leh a, vun chu suture leh khar a ni.

Traditional surgery (On-pump) nge he method thar (Off-pump) hi a tha zawk em?

Heng method pahnih zingah hian eng method nge hun rei tak chhunga tha zawk tih hriat tumin zirchianna neih mek a ni. I surgeon chuan eng method nge i tan a tha ber tih a sawipui ang che. Heng hmanraw pahnih danglamna ber leh a thatna leh that lohna 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 chuan hlawhtlinna hlawhtling tak tak an nei thin. Risk awm thei te chu:

• Thisen chhuak
• Thisen zam (stroke emaw heart attack emaw thlen thei) .
• Anesthesia avanga harsatna awm thei
• Infection awm thei te
• Thinlung thawk mumal lo (Arrhythmia) .
• Kidney Failure a awm

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

Operation hnua dam leh hun chhung hi thil engemaw zatah a innghat a, chu chu i kum, i hriselna zawng zawng, leh i incision lian leh te te hi a ni. Hetiang hian a kal tlangpui:

• Tui leh ei tur tlemte chu a ni vek emaw, operation hnu ni khatah emaw i ei tan thei bawk.
• 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.
• In i haw hnu ni hmasa berah hian puitu tur i neih a pawimawh tak zet a ni.
• Kar sawm vel hnuah stitch te chu lakchhuah a ni ang.
• Kar tlemte chhung chu engmah rit phurh loh a tha ber.
• A dam kim theih nan kar engemaw zat emaw a aia rei emaw a ngai thei.
• Doctor-te chuan i chakna siam thar lehna turin cardiac rehabilitation program-ah tel turin an fuih ang che.

Eng dinhmunah nge damdawi lam thurawn i lak nghal tur?

I dam chhung hian ni ruat saah clinic i tlawh a ngai ang a, i doctor i pan a ngai bawk ang. Mahse, a hnuaia symptoms te hi i neih chuan doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.