Heart valve hian thisen a leak em? Non-surgical treatment method (Paravalvular Leak Closure) chungchang i zir dawn teh ang.

Heart valve thlak surgery i nei tawh a, engkim a kal tha vek tih i beisei ang tih han ngaihtuah teh. A tam zawkah chuan engkim a kal tha hle. Mahse, a chang chuan mi tlemte takah chuan artificial valve dah thar leh thinlung bang inkarah hian gap tlemte a awm a, chuta tang chuan thisen tlem a chhuak leh tan thei a ni. Tui pipe kan tihkhauh chuan a joint atang hian tui tlem a leak chhuak ang mai a ni. Damdawi lamah chuan hei hi ‘Paravalvular Leak’ (PVL) kan ti thin. Chuvangin vawiin hian damdawi awlsam tak, tunlai tak, he leak chi hi a rilru hawn ngai lovin a khar thei a, major surgery tih ngai lovin kan sawi dawn a ni.

A awlsam zawngin, Paravalvular Leak Closure hi eng nge ni?

Hei hi a awlsam hle. Paravalvular Leak Closure hi nonsurgical hmanga enkawlna a ni. Heart valve thlak hnua ka sawi tawh ang khan thisen chhuahna chu a titawp a ni. A tlangpuiin hetiang leak a awm hian surgery dang tih chauhvin siamthat theih a ni. Mahse, vawi khat heart surgery nei tawh mi pakhat tan chuan hetiang surgery lian tak neih leh hi a hlauhawm zia hi han ngaihtuah teh. Hetiang hlauhawmna hi kum upa zawk leh natna dang nei tan chuan a sang hle.

Chuvangin, interventional cardiologist te hian he risk tihziaawm nan hian he tunlai method hi an hmang thin.

A tam zawkah chuan leak a tlem chuan i doctor chuan damdawi a pe ang che. Mahse, damdawi hian leak a control loh a, operation dang neih belh a hlauhawm lutuk nia i hriat chuan i doctor chuan PVL khar a rawt thei ang. Hei hi minimally invasive procedure a ni a, heart valve chhehvela leak awm chu a siam tha thei a, i symptoms pawh nasa takin a tihziaawm thei bawk.

He enkawlna hi tuin nge mamawh tak tak?

Mi zawng zawng hian he enkawlna hi an mamawh vek lo. Mahse he enkawlna hian hlawkna nasa tak a thlen theihna tur special case thenkhat a awm. Eng nge an nih i en ang u.

Enkawl hma hian eng nge thleng thin?

Hetiang enkawlna i neih hma hian i doctor chuan a enfiah vek ang che. I hriselna leh i thinlung hnathawh dan an zirchiang ang. Tin, thinlung natna (endocarditis) a awm loh nan thisen culture hrang hrang an nei thei bawk.

Hei bakah hian leak awmna hmun dik tak, engzat nge a lian tih leh engtin nge a thlen theih tih hriat chian nan special test engemawzat an nei bawk. Chung zingah chuan thinlung thlalak lak te pawh a tel.

• ECG (Electrocardiogram): Thinlung electric hnathawh dan enfiahna test a ni.
• Echocardiogram: Thinlung scan a ni. Chu chuan thinlung pindan, valve leh thisen kal dan te chiang takin a hmu thei a ni.
• Transesophageal echocardiogram (TEE): Hei hi echo scan a ni bawk. Mahse, camera dahna tube te tak te chu ka chhungah dahin, chaw kawng hnuai lamah an pass a, thinlung hnunglam thlalak chiang zawkin an la a ni. Hei hi leak awmna hmun dik tak zawn nan a pawimawh hle.
• Angiogram: Thinlung thisen kalna kawng hrang hrangte chu tui bik inject-in X-ray hmanga thlalak lakna a ni.
• Cardiac CT scan leh cardiac MRI: Hengte hian thinlung thlalak chipchiar tak, three-dimensional (3D) a siam thei a ni.

Engtin nge enkawl a nih a, engtin nge i inbuatsaih thin?

He enkawlna hi interventional cardiologist-in a ti thin. Heart imaging specialist-te'n an pui a ni. Hei hi damdawi in pakhata special lab-ah tih a ni tlangpui. ‘Cardiac Catheterization Lab’ kan ti a ni.

Enkawl hmaa i inbuatsaihna

Doctor chuan enkawl hmaa tih tur chiang tak a pe ang che.

• Ei leh in: Enkawl hma darkar engemaw zatah ei leh in bansan turin an ti ang che.
• Thawmhnaw: Chumi ni chuan eng nge i hak tur tih thurawn.
• Damdawi: I ei thin damdawi thenkhat, a bik takin anticoagulants emaw nonsteroidal anti-inflammatory drugs (NSAIDs) te chu rei lo te chhung atan tihtawp emaw thlak danglam emaw turin an ti thei che a ni.
• Thil hriat tur: Allergy i neih apiang, damdawi i ei lai, vitamin i ei lai te chu i doctor hnenah i hrilh ngei tur a ni.

Engtin nge a enkawl dan

He thu i hriat hian hlau suh, thil awlsam tak a ni.

1. Pakhatnaah chuan natna numb turin numbing damdawi pek i ni ang. Chuvangin engmah i hre lovang, i hahdam ang.

2. Tichuan, doctor chuan i ke chunglam, i groin-a awm, thisen kalna kawng lian ber (femoral artery) -ah chuan tube nalh tak, te tak te, catheter an tih chu a dah lut a.

3. A dawtah chuan scanner kaihhruaina hnuaiah he catheter hmang hian wire tha zawk chu thinlung chhunga leak awmna hmun dik takah an kalpui a.

4. Leak awmna hmun a hriat veleh device te tak te (closure device) chu wire zawhin an kal tlang a, chu chuan gap chu a khar vek a ni. Hei hi plug hmanga khur seal ang a ni.

5. Scanning leh hna thawh dik a nih leh nih loh a finfiah hnuah a neitu chuan uluk takin tube chu a la chhuak thin.

A chang chuan prosthetic valve pahnih i neih chuan groin kaltlanga dah ai chuan i rilru sir lamah incision tenau tak tak siam theih a ni a, chuta tang chuan catheter chu dah theih a ni bawk. A pawimawh ber chu operation lian takah i tih angin i rilru i hawn kim vek a ngai lo.

Eng chen nge enkawl a nih? Chumi hnuah eng nge thleng?

A kalphung zawng zawng hi darkar hnih atanga darkar thum vel a ni tlangpui . Chu hmanrua te tak te, i thinlung chhunga dah chu eng nge thleng tih i ngaihtuah mai thei. Hun a kal zel a, i thinlung tissue chu device chhehvelah a lo thang lian a, chu chu i thinlunga thil awm tak a lo ni ta a ni.

Enkawl zawhah damdawiinah zan khat i awm ang a, enfiahna i nei ang. A tlangpuiin a tuk zingah i haw thei ang. I doctor chuan in lama awm dan tur, tih tur leh tih loh tur chungchangah thupek chiang tak a pe ang che. I thil tih dan pangngaia i kir leh theih hun tur chu i doctor hnenah i zawt thei ang.

A tlangpuiin enkawl a nih atanga thla thum vel hnuah scan lehin, leak chu a khar vek tawh em tih leh valve chu a thawk tha em tih enfiah leh thin a ni.

Hetiang method hian traditional surgery aiin eng nge a thatna?

Open surgery nena khaikhin chuan PVL Closure method hian thatna chiang tak tak a nei a.

• Dam chak zawk: Incision lian tham a awm loh avangin dam leh hun hi a rei lo hle.
• Hri kai theihna a hniam: Hliam lian tham a awm loh avangin hri kai theihna a tlem hle.
• Damdawi inah hun tlem zawk: Zan khata haw theih a nih avangin damdawi inah kar tam tak awm a ngai lo.
• Cut tenau leh hliam te: Taksaah hian cut te tak te chauh a la awm.

Engtikah nge doctor ka hmuh leh ang?

Doctor thupek dik taka zawm a, a hun taka i appointment-a kal hi a pawimawh hle. Enkawlna hnua natna danglam bik i neih chuan, a chhan hriat loh khawsik, i groin area-a na, emaw, a hring chhuak , i doctor hnenah hriattir nghal rawh.

Heart valve thlak tawh i nih chuan checkup neih fo a pawimawh. A châng chuan, hun kal zelah valve thar pawh a leak thei bawk. Chutiang a nih chuan enkawlnaah chuan damdawi ei te, re-surgery emaw, kan sawi tawh Paravalvular Leak Closure procedure te pawh a tel thei. I mamawh leh hriselna atana tha ber tur chu i doctor nen sawiho rawh.