Nangmah emaw, i hriat emaw chuan heart valve thlak danglamna surgery i nei tawh em? Hun engemaw chen hnuah chuan valve thar chhehvel tissue chu a chang chuan a leak tlem tan thei bawk. Hei hi ‘Paravalvular Leak’ emaw, damdawi lam hawi chuan PVL emaw kan tih chu a ni. Hetiang leak hian thawk hah leh hah ang chi symptoms a thlen thei. Chuvangin vawiin hian hetiang leak hi major surgery paltlang ngai lovin seal off thei tur treatment awlsam tak kan sawi dawn a ni.
Paravalvular Leak Closure hi eng nge ni?
A awlsam zawngin sawi ila, hei hi non-surgical treatment a ni. I thinlungah prosthetic valve dah i nei a, mahse tunah chuan valve chu a leak tlem ta niin han ngaihtuah teh. Tun hma chuan hetiang thil hi siamthat tur chuan i rilru i hawng leh a ngai thin a, open-heart surgery i nei thin. Mahse mi zawng zawng hian surgery an nei leh thei lova, risky tak a ni.
Hetah hian hei hi a chinfel dan tur kan rawn tarlang e, Paravalvular Leak (PVL) Closure tih damdawi a rawn chhuak ta. Hetah hian interventional cardiologist chuan tube te tak te tak, catheter an tih hmangin thinlung chhunga leak awmna hmunah a kal a, chu chu device te tak te (closure device) hmangin a khar a ni. Tui pipe-a khur te tak te chunga 'seal' dah ang mai a ni.
Hei hi surgery a nih loh avangin dam hun a rei lo va, a hlauhawmna a tlem a, damdawi ina awm pawh a rei lo hle.
He enkawlna hi tute nge mamawh?
Prosthetic valve nei zawng zawng hian he natna hi an nei vek dawn lo va, leak nei zawng zawng pawhin he enkawlna hi an mamawh vek dawn lo. Damdawi hmanga thunun theih loh leak na tak nei tan a tha tlangpui. He enkawlna hi i tan a tha em tih i doctor chuan a rel ang.
He enkawlna hi a hnuaia natna nei tan chuan a tha thei ang:
| Dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Thisen chhuak nasa tak | Leak vangin thisen tam tak chu kawng dik lo lamah a luang chhuak a nih chuan. |
| Thâwk harsa (Dyspnea) . | Thil tih dan pangngaiah pawh thawk harsa i tih chuan. |
| Hemolytic Anemia avanga thisen tlakchhamna (Hemolytic Anemia). | Anemia hi thisen leak kaltlanga thisen a kal laiin thisen sen (red blood cells) a chhe vek vang a ni. |
| Endocarditis vei enkawl mekte | Thinlung chhungril lam natna hrik i neih avangin enkawl i nih chuan. |
| Re-surgery risk sang tak nei te | Surgery vawi tam tak nei tawh, surgery dang nei thei lote tan. |
Enkawl hmain eng nge i tih thin?
He enkawlna i tih hma hian i doctor chuan uluk takin i hriselna a enfiah ang. I thinlung hnathawh dan enfiah turin test hrang hrang a ti ang.
- ECG (Electrocardiogram): Thinlung electric hnathawh dan en rawh.
- Echocardiogram: Thinlung scan a ni.
- Transesophageal Echocardiogram (TEE): Hei hi scan bik a ni. Camera te tak te chu esophagus kaltlangin an kal a, heart valve te chu chiang takin an hmu thei a ni. Hei hi leak awmna hmun dik tak zawn nan a pawimawh hle.
- Cardiac CT scan emaw MRI: Thinlung thlalak chipchiar tak, three-dimensional (3D) la rawh.
- Thisen test: Infection a awm leh awm loh enfiah thin.
Allergy i neih apiang leh damdawi i ei apiang (a bik takin thisen tithianghlimtu) doctor hnenah hrilh a pawimawh hle .
Enkawl lai hian eng nge thleng?
He enkawlna hi damdawi in pakhata cardiac catheterization lab-ah tih a ni tlangpui. Natna laka inven nan damdawi leh anesthesia pek i ni ang.
Chumi hnuah chuan specialist chuan hengte hi a zawm leh thin:
1. Catheter dah luh: I groin chhunga thisen kalna kawng lian tak (femoral artery)-ah tube (catheter) te tak te, flexible tak tak dah a ni.
2. Leak awmna hmun hriat dan: Scanning technology (TEE ang chi) hmangin tube chhungah wire an kalpui a, thinlung chhunga leak awmna hmun dik takah an kaihruai a.
3. Device install dan tur:Leak awmna hmun dik tak hriat chian a nih chuan, a zung khar thei tur thil te tak te (closure device) bik chu catheter kaltlangin an kalpui a, a hmunah an dah a, an khar a ni.
4. Catheter lakchhuah: Hna thawh zawh veleh catheter leh wire te chu uluk takin lakchhuah a ni.
A kalphung zawng zawng hi darkar hnih atanga darkar thum vel a ni tlangpui. Hun a kal zel a, i thinlung tissue chu device dah thar vel chu a lo thang lian a, chu chuan i thinlunga tel ve a ni ta a ni.
Enkawl hnu leh a thatna te
A tlangpuiin he enkawlna hnu hian damdawi inah zan khat chauh i awm a ngai thin. A tuk ah i haw thei ang. Doctor chuan in haw hnua awm dan tur te, tih tur leh tih loh tur te a rawn hrilh ang che. A tlangpuiin thla thum vel hnuah i enfiah leh ang a, leak chu a khar tha em tih leh valve a thawk tha em tih i enfiah ang.
Open surgery nena khaikhin chuan he method hian a thatna thenkhat chu:
- Fast recovery: Incision lian tham a awm loh avangin i hnathawh pangngai chu rang takin i thawk leh thei ang.
- Hri kai theihna a hniam: Hliam lian tham a awm loh avangin hri kai theihna a tlem hle.
- Damdawi ina awm rei zawk: Zan khat chu in lamah i haw thei.
- Small scars: Groin-ah khur te tak te chauh a awm a, a rilruah hliam lian tak a awm lo.
Engtikah nge Doctor i hmuh leh duh?
Inenkawl zawhah doctor thupek dik taka zawm a, hun ruat saah clinic-a kal a pawimawh hle.
Hriselna hriat loha khawsik, i groin area-a natna emaw, hliam emaw, emaw, natna dang danglam tak i neih chuan i doctor hnenah hriattir nghal rawh .
Heart valve thlak tawh i nih chuan medical checkup neih fo a pawimawh hle. A chhan chu a chang chuan hetiang leak hi a awm thei a ni. Mahse a tha ber chu tunah chuan hei hi zai ngai lovin enkawl theih a ni ta. I doctor nen inbia la, i tan eng enkawlna nge tha ber tih rel rawh.
Take-Home Thuchah a ni
- Paravalvular Leak (PVL) chu artificial heart valve dah hnua thisen a leak vel a ni.
- PVL Closure hi non-surgical treatment a ni a, he leak hi rilru hawn lovin a khar a, catheter hmanga dah luh device te tak te hmangin a khar a ni.
- Hetiang method hi re-surgery risk sang tak nei leh symptom na tak nei tan a tangkai hle.
- He enkawlna hian dam hun a ti rei zawk a, a hlauhawmna a hniam zawk a, damdawi ina awm rei pawh a ti rei lo hle.
- He enkawlna hi i tan a tha em tih hriat tumin i cardiologist nen inbia ngei ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh