Kan in chhunga tui pipe te chu a hlui deuh deuh chuan bawlhhlawh leh hnim hringin a khuh thin tih i hre tawh ngei ang. Chutiang bawkin kan taksaa thisen kalna kawng, thisen phurtu tube-te pawh hi hun kal zelah thil chi hrang hrangin a lo hnawih thei a ni. Thisen kalna kawng a inkhar chuan thisen kal a tibuai a. Chutiang hunah chuan operation hmanga thil khar te chu paih chhuah a, thisen kalna kawng tihfai dan chu ``Endarterectomy`` tih mai a ni.
Endarterectomy tih hi eng nge ni? Eng thil chiah nge thleng?
A awlsam zawngin, endarterectomy hi thisen kalna kawng (arteries) block emaw, narrowed emaw hawn lehna tur surgery a ni. Plaque hi thau leh calcium layer khauh tak, sticky tak a ni a, kan thisen kalna kawng chhungah a lo awm khawm a ni. Tui pipe-a rust lo awm ang mai a ni. He surgery-ah hian doctor-te chuan thisen kalna kawng chu an hawng a, a chhunga plaque lo awm tawh chu an scrape chhuak thin.
Chutianga plaque lakchhuah a nih chuan thisen kalna kawng chhunga hmun a pung a ni. Hei hian thisen a kal tha leh thei a ni. Hei hian thisen zam leh stroke ang chi natna khirh tak tak te chu nasa takin a tihziaawm thei a ni .
He surgery hi thisen kalna kawnga plaque awmkhawmna atherosclerosis tia hriat natna hi a nasat lutuk chuan tih a ni tlangpui a, a bik takin natna lanchhuahna nei mekte tan a ni.
He surgery hmanga enkawl natna ber berte chu:
- Peripheral Artery Disease (PAD): Hei hi i ke emaw, i kut emaw thlenga thisen phurtu thisen kalna kawng (arteries)-a plaque (plaque) a lo awm a, chu chuan a block a ni. Hei hian i kal laiin i ke a na thei a, hliam a dam lo a, a pawi berah chuan tissue thihna (gangrene) a thlen thei bawk.
- Carotid Artery Disease: Hei hi kan kawr chhunga thisen kalna kawng lian pahnih thluaka thisen phurtu plaque awmkhawmna a ni. Heng arteries te hi a zim a nih chuan thluaka thisen kal chu a titawp thei a, chu chuan stroke, transient ischemic attack (TIA), emaw, hun eng emaw chen chu mit hmuh lohna a thlen thei a ni.
Endarterectomy surgery chi hrang hrangte chu engte nge ni?
He surgery hi a tihna hmun a zirin chi hrang hrang a awm a. I hriatthiam awlsam zawk nan hetiang hian han thlir ila.
| Surgery chi hrang hrang | Blockage lakchhuahna hmun | Pawimawhna |
|---|---|---|
| Carotid Endarterectomy tih a ni | Kawr kaltlanga thluaka thisen phurtu artery. | Surgery tih fo thin. Paralysis awm theihna a ti tlem. |
| Aortic leh Iliac Endarterectomy te tih a ni | Pum leh pelvis chhunga thisen kalna bulpui ber berte. | Surgery tih tlanglawn tak a ni. |
| Femoral Endarterectomy tih a ni | Groin area atanga ke thlenga kal arteries. | Kea thisen kal dan tur a siam tha leh thin. |
| Coronary Endarterectomy hmanga tihchhuah a ni | Coronary arteries, thinlunga thisen pe chhuaktu. | Bypass surgery hmanga tih fo thin. |
| Pulmonary Endarterectomy tih a ni | Pulmonary arteries te pawh a awm. | Surgery tih tlem a ni. |
Operation hmain engtin nge i inbuatsaih thin?
He surgery i tih hma hian doctor chuan test eng emaw zat a ti ang a, thisen kalna kawngkhar a blockage chu engzat nge a awm tih leh khawiah nge a awm tih chiang takin a hre ang.
- Doppler ultrasound: Sound wave hmanga thisen kal dan leh blockage awmte zawn chhuahna scan a ni.
- CT angiography: X-ray bik leh contrast dye hmangin thisen kalna kawng hrang hrang (3D) image siam a ni.
- Angiography: Dye pakhat chu artery-ah direct-in an inject a, X-ray hmangin thisen kalna kawng thlalak an la thin.
- A rilru a buai em em a, a rilru a hah em em bawk a.Thisen kalna kawng chipchiar tak takte chu magnet leh radio wave hmangin an la chhuak thin.
Heng test neih zawh hian i doctor chuan operation atana inbuatsaih dan tur a hrilh ang che. Damdawi thenkhat, thisen tithianghlimtu ang chi ei kha rei lo te chhung bansan turin an ti thei che a ni. Damdawi thenkhat, aspirin ang chi ei tan turin an ti thei bawk. Heng zawng zawng hi i doctor-in a hrilh ang chiah khan i ti tur a ni.
Tin, operation hma darkar engemaw zat chaw nghei (engmah ei leh in loh) i mamawh bawk ang. Anesthesia team chuan hemi chungchangah hian thupek chiang tak an pe ang che.
Engtin nge surgery hi tih a nih?
Surgery neih chhunga natna engmah i neih loh nan anesthesia pek i ni ang. Mi tam zawk hi general anesthesia pek an ni. Hei hian surgery neih chhung hian i muhil dawn tihna a ni. Mahse, a chang chuan a bik takin carotid endarterectomy ang chi surgery-ah chuan i muhil thei a, thluak hnathawh dan enfiah awlsam zawk nan a sawi tur hmun chauh chu a numbed (local anesthesia) a ni thei.
Surgery neih chhunga thil thlengte step by step-a tarlanna chu hetiang hi a ni:
1. Skin incision: Vun ah hian incision te tak te hi a blocked artery chungah direct-in siam a ni.
2. Plaque lakchhuah: Artery hawn a, a chhunga plaque layer awm chu uluk takin kan scrape chhuak thin.
3. Artery khar: Chumi hnuah artery chu stitched shut a ni. A châng chuan, thisen kalna kawng chu a zim leh tawh loh nân hmun tê tê an siam ṭhin. He patch hi artificial-a siam theih a ni a, i taksa chhunga vein dang atanga lak chhuah tissue chi khat pawh a ni thei bawk.
4. Skin closure: A tawp berah chuan vun incision chu stitches hmanga khar a ni.
Carotid Endarterectomy hi darkar khat emaw darkar hnih emaw vel a ni tlangpui. Surgery chi dang tih hun chhung hi a inang lo thei.
Surgery hmanga hlawkna leh hlauhawm awm thei te chu engte nge ni?
A pawimawh ber chu doctor-in he surgery hi tihsak che a rawt a nih chuan, surgery neih loh hlawkna chu surgery neih loh hlauhawmna aiin a tam zawk tihna a ni.
A thatna ber chu:
- A blockage chu paih chhuakin thisen kalna kawng chu a pangngaiin a awm leh ta a ni.
- Thisen kal dan pangngai a lo kir leh chuan ke na leh hliam dam lo ang chi thil te chu a dam tan ta a ni.
- Stroke vei theihna hi nasa takin a tlahniam a ni.
- A tam zawkah chuan operation result hi kum tam tak chhung a daih thin.
Risk awm thei: 1.1.
Surgery dang ang bawkin, hlauhawmna tenau tak tak a awm bawk.
- Thisen chhuak
- Lung lam harsatna, heart attack ang chi te
- Hri kai theihna dinhmun
- Nerve chhiatna (a tam zawkah chuan hun eng emaw chen) .
- Surgery hnua artery tihzauh leh
- Paralysis a awm
Mahse mi tam zawk tan chuan harsatna lian tham tak tak thlen theihna hi a tlem hle.
Operation hnuah a dam leh theih nan eng chen nge a duh?
Operation hnua damdawi ina i awm rei zawng chu surgery i tih chi hrang hrang a zirin a inang lo ang.
| Surgery chi hrang hrang | Damdawi ina awm chhung zawng zawng |
|---|---|
| Carotid Endarterectomy tih a ni | Ni 1 chhung a ni |
| Femoral Endarterectomy tih a ni | Ni 2-4 chhung a ni |
| Aortic emaw Visceral Endarterectomy emaw tih theih a ni | Kar khat vel a ni |
| Pulmonary Endarterectomy tih a ni | Ni 10 vel a ni |
In lama i haw hnuah chuan chawlh hahdam a, i damdawi ei tur chu i doctor-in a tih angin ei a pawimawh hle. Kar 4 vel hnuah clinic-ah follow-up visit nei turin an ti ang che. Chumi hnuah chuan incision chu enfiah a ni ang. Mi tam zawk chuan he clinic tlawh hnuah hian hna an thawk leh thei tlangpui.
Mahse heavy lifting ti thin i nih chuan thla khat emaw thla hnih emaw chhung chu i dam kim hma loh chuan i chawlh a ngai dawn a ni. A bik takin pum surgery i neih tawh chuan thla hnih chhung kilo 5 aia tam chawi hi a tha lo.
Engtikah nge doctor i biak nghal tur?
I operation hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
- A rilru a na
- Thâwk harsa
- Khawsik emaw, khawsik emaw i neih chuan
- Incision site atanga swelling, redness, emaw pus ang chi tui lo chhuak a awm chuan
- I taksaah rilru hah emaw, chak lohna emaw i neih chuan
- I mit hmuhna inthlak danglamna, thusawi thiam lo emaw, i hmai sir khatah i tlakbuak emaw i neih chuan
- Nausea emaw, luak chhuak emaw
Take-Home Thuchah a ni
- Endarterectomy hi surgical procedure a ni a, thisen kalna kawng chhunga thau awm (plaque) te chu paih chhuakin thisen kal dan tur a siam tha leh thin.
- He surgery hian damdawi lam natna khirh tak tak, paralysis ang chi te chu nasa takin a tihziaawm thei a ni.
- Hei hi surgery lian tak ni mahse, damlo dik tak chunga tih a nih chuan a hlawkna a sang hle.
- I doctor thupek dik taka zawm a pawimawh hle a, operation hma leh operation hnuah pawh a pawimawh hle.
- Operation hnua vaukhânna chhinchhiahna i neih chuan doctor thurawn la nghal rawh. I hriselna chungchangah harsatna i neih chuan i doctor nen sawiho chu hlau ngai suh.
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