Endarterectomy tih hi eng nge ni? Kan sawi dawn nia!

Kan taksa chhunga thisen kalna kawngte hi in chhunga tui pipe ang mai a ni tih i ngaihtuah ngai em? Hun kal zelah tui pipe chhungah bawlhhlawh leh hnim a lo awm khawm a, tui luang tur a tikhawlo ang bawkin, oil leh thau ang chi thil te pawh kan thisen kalna kawng chhungah a lo awm khawm thei a, thisen kalna tur a tikhawlo thei bawk. Chu chu `Endarterectomy` kan tih chu a ni a, chutiang thisen kalna kawng khar chu tihfai nan surgical procedure a ni. Vawiin hian he thu hi thumal awlsam takin kan sawi dawn a ni.

A awlsam zawngin Endarterectomy tih hi eng nge ni?

Endarterectomy (pronounced: en-da-te-rek-to-me) hi surgery hmanga thisen kalna kawngkhar block emaw, narrowed emaw hawn lehna a ni. Hetianga tihnaah hian doctor-te chuan plaque , i thisen kalna chhunga thau, calcium, leh plaque thuk tak lo awm chu an paih chhuak a ni.

Tui pipe chhunga bawlhhlawh awmte tihfai a, tui chu a luang chhuak leh thei ang bawkin, he operation hnuah hian thisen kalna kawnga thisen kal dan chu a lo awm leh ta a ni. Hei hian thisen zam leh stroke ang chi thil hlauhawm tak tak a thlen theihna a ti tlem hle .

He surgery hi atherosclerosis an tih natna enkawlna atan an ti tlangpui. Hei hi thisen kalna kawng chhungah plaque a lo awm khawm a, chu chuan zawi zawiin a khauh a, a ti tawi a ni. He surgery hi symptomatic, moderately severe cases of blocked arteries tan a tha tlangpui.

He surgery hmanga enkawl hian natna chi hnih a awm a, chungte chu:

• Peripheral Artery Disease (PAD): Hei hi i ke emaw, i kut emaw a thisen petu arteries-a plaque awmkhawm a ni. Hei hian i kal laiin i ke a ti na thei a, hliam a dam zawi zawi a, a chang chuan tissue thihna (gangrene) pawh a thlen thei bawk.
• Carotid Artery Disease: Hei hi natna khirh tak a ni. Thluak lama thisen phurtu kawng chhunga thisen kalna kawng lian pahniha plaque awmkhawm vang a ni. Enkawl loh chuan stroke emaw transient ischemic attack (TIA) emaw a thlen thei.

Endarterectomy surgery chi hrang hrangte chu engte nge ni?

I taksa chhunga thisen kalna hmun a inkharkhip dan azirin operation chi hrang hrang a inang lo. Hei hi i tan awlsam zawk nan a hnuaia table hi en la.

Operation hmain engtin nge ka inbuatsaih ang?

He surgery hma hian doctor chuan i thisen kalna kawng chu engtiang chiahin nge a block tih hriat tumin test eng emaw zat a nei ang.

• Doppler Ultrasound: Hei hian sound wave hmangin thisen kalna kawngkhar khawiah nge a inkhar tih leh thisen kal zat a hriat theih.
• CT Angiography: Hemiah hian i kut zungtang pakhatah tui bik (contrast dye) inject a ni a, CT scan hmangin i thisen kalna kawng (3D)-a thlalak lak a ni.
• Angiography: Hetiang tihnaah hian tui bik pakhat chu thisen kalna kawngah direct-in inject a ni a, X-ray image lak a ni.
• Magnetic Resonance Angiography (MRA): Magnet leh radio wave hmangin thisen kalna kawng thlalak a la thin.

Chu bakah, i doctor chuan operation atana inbuatsaih dan tur a hrilh ang che. Damdawi thenkhat, thisen tithianghlimtu (anticoagulants) te ei kha rei lo te atan chawlhsan turin an ti thei che a ni. A châng chuan, aspirin ang chi damdawi ei ṭan tûra tih i ni thei bawk.

Tin, operation hma darkar engemaw zat chaw nghei i mamawh bawk ang. Anesthesiology team te chuan i tih tur dik tak an hrilh ang che. I thinlung hriselna enfiah nan `Echocardiogram` emaw `Stress Test` ang chi test pawh i nei thei bawk.

Tute nge he surgery hi nei thei lo ang?

Damdawi lam harsatna thenkhat nei thenkhat chu he surgery hi an nei sang zawk a, chuvangin doctor-te chuan an tan an rawt lo. Entir nan:

• Lung natna khirh tak, thunun theih loh (congestive heart failure) i neih chuan.
• Tun hnaia heart attack i neih chuan.
• Lung natna lanchhuahna, enkawl theih loh i neih chuan.
• Lung natna na tak emphysema emaw COPD emaw i neih chuan.
• Tun hmaa radiation treatment i lo dawng tawh a nih chuan surgery tihna hmun thlengin.
• Chu lai hmunah chuan hri kai a awm chuan.

Engtin nge surgery hi tih a nih?

Surgery neih chhung hian natna engmah i hriat loh nan anesthesia pek i ni ang. A tam zawkah chuan general anesthesia pek i ni ang. Chumi awmzia chu i hriat lohvin i awm dawn tihna a ni. Mahse, a then phei chuan, a bik takin i kawr chhunga thisen kalna kawng (carotid endarterectomy) i tihfai hian, i thluak hnathawh dan enfiah a tul avangin, operation neih chhung hian i harh reng thei a, chu hmunah chauh (local anesthesia) i rilru a buai thei bawk.

Surgery neih chhung hian doctor chuan:

1. Incision chu thisen kalna kawngkhar khar chunga vun tan a ni.

2. Thisen kalna kawng hawn a, a chhunga `plaque` layer awm chu uluk takin lakchhuah a ni.

3. Thisen kalna kawng chu an inzawm khawm leh a, an khar leh thin. A châng chuan, chu hmun chu a zim leh tawh loh nân, artificial `patch` (patch) emaw, i taksa peng dang aṭanga lak chhuah vein hrisel chi khat emaw hmangin chu hmun chu tlem a zau deuh ṭhin.

4. A tawp berah chuan vun incision chu khar a, suture a ni.

Hlawkna, hlauhawmna leh dam leh hun chhung

He surgery hlawkna ber chu thisen kalna kawng khar chu a titawp a, thisen kal dan a siam tha leh a ni. Hei hian ke natna, hliam dam lo, a bik takin stroke hlauhawmna nasa takin a tihziaawm a ni . He surgery result hi kum tam tak chhung a daih tlangpui.

Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse hengte hi a thlen theihna a tlem hle.

• Thisen chhuak
• Lung natna, thinlung natna ang chi
• Infection awm thei te
• Nerve chhiatna (a tam zawkah chuan hun eng emaw chen) .
• Surgery an neihna vein ang chiah kha narrowing
• `Stroke` a ni

Eng chen nge tihdam a ngaih?

Damdawi ina i awm rei zawng chu operation chi hrang hrangah a innghat a ni.

• Carotid (neck vein) surgery: ni khat vel.
• Femoral (leg vein) surgery atan: Ni hnih atanga ni li vel.
• Aortic (abdominal artery) surgery: kar khat vel a ni.

Operation hnu kar li vel hnuah follow-up nei turin rawn lut turin an ti ang che. Mi tam zawk chu he follow-up hnuah hian hnathawhna hmunah an kir leh thei a ni. Mahse, hna rit tak tak phur ngai i neih chuan i dam kim theih nan thla khat emaw thla hnih emaw a la ngai thei.

Engtik hunah nge doctor ka biak ang?

I operation hnua a hnuaia symptoms te hi i hmuh chuan i doctor i ko nghal tur a ni a, a nih loh leh i damdawi in hnai ber Emergency Department (ETU) ah i kal tur a ni.

• A rilru a na
• Thâwk harsa
• Khawsik emaw, khawsik emaw i neih chuan
• Incision site-a rilru hahna emaw chak lohna emaw i neih chuan
• Incision chhehvelah hian swelling, redness, pus ang chi tui a awm chuan
• Mit hmuh dan inthlak danglam, tawng thiam lo emaw, hmai sir khata tlak hniam emaw
• Nausea emaw, luak chhuak emaw a awm chuan