Pericardiectomy (thinlung chhehvela membrane lakchhuahna surgery) chungchang hi han zir chiang ila.

Kan thinlung hi ro hlu tak ang mai a ni a ni lawm ni? Chuvângin, thilsiamte chuan chu ro hlu humhim tûrin thil mak tak a siam a ni. Chu chu thinlung hual veltu membrane te tak te a ni. Mahse a chang chuan he venhimna ngei hian thinlung tan harsatna a thlen thei a ni. Chutiang hunah chuan he membrane hi surgery hmanga lakchhuah a ngai a ni. Chu chu vawiina kan sawi tum chu a ni.

Pericardiectomy hi eng nge ni tak tak?

A awlsam zawngin, pericardiectomy chu i thinlung vêla membrane pericardium , a zawng zawng emaw, a ṭhen emaw surgery hmanga lak chhuah a ni. Hei hi a chang chuan “pericardial stripping” an ti bawk.

Ngaihtuah teh, he pericardium hi thinlung awmna, membrane pahnih nei sac ang mai a ni. Heng membrane pahnih inkarah hian tui tlemte chauh a awm a. Chu tui chu a ni a, thinlung chu a thawk tha thei a, engmah inhnialna awm lovin a thawk thei bawk.

He pericardium tel lo hian kan nung thei ang em?

Ni e, a theih ngei ang. Pericardium ngei pawh hi thinlung hnathawh dan pangngai atan a pawimawh lo. I lung leh i rilru leh i pum inthenna ruh (muscle) diaphragm te chu a tha a nih chuan pericardium lakchhuahnaah harsatna a awm lovang.

Dik tak chuan mi pakhatin pericarditis a neih chuan pericardium chu a smoothness a hloh a, chu chu friction tihziaawmna a ni tihna a ni. Chuvangin paih chhuah hian dinhmun a tichhe lo.

Pericardiectomy tih chhan hi engte nge ni?

He surgery neih chhan ber leh awm tam ber chu Constrictive Pericarditis an tih hi a ni . Hei hi thinlung chhehvel membrane chu a thim a, a nghet a, a chang chuan calcium deposit a awm a, chu chuan lung ang maiin a khauh a ni.

Thinlung chhehvela bawm chu a khauh nghal vat chuan eng nge thleng tih han ngaihtuah teh.

• Thinlung hi a hrual nghet a, a inzawm khawm thei lo.
• Chuvang chuan heart chamber-ah thisen a khat tawk lo.
• Thinlung lama thisen lo lut chu lung lam hawiin a nawr let leh thin.
• Thinlung hian a pangngaiin thisen a pump thei lo.
• Hei hian ke leh pum a ti na a, hei hi heart failure symptoms nen a inang hle.

He surgery hi Constrictive Pericarditis natna khirh ber ber tan chuan solution tha ber a ni.

Constrictive Pericarditis natna thlentu te

• Idiopathic: A tam zawkah chuan a chhan chiang tak hmuh tur a awm lo.
• Lung zai hmasak: A hmaa zai a nih vang pawh a ni thei.
• Radiation therapy to the chest: Cancer ang chi natna tan chuan rilru lam hmuna radiation therapy hmanga enkawlna.
• Tuberculosis ang chi natna: Hei hi damdawi lam thil engemaw avanga lo awm thei a ni.
• Viral emaw bacteria emaw infection: 1.1.Hei hi hri kai theihna thenkhat vang pawh a ni thei.

Chu bakah, he surgery hi thil dang engemaw zatah tih a ni bawk:

• Recurrent Pericarditis: Damdawi ei chung pawha he natna hi a awm chhunzawm zel chuan.
• Anti-inflammatory drugs atanga side effects: Pericardial tightness control nana steroid pek ang chi damdawi avanga harsatna a awm chuan.
• Cardiac Tamponade: A tlem hle a, hei hi thinlung chhehvela tui a awm khawm a, a compress hian tih a ni.

Operation hma leh operation neih chhung hian eng nge thleng?

Surgery neih hmain

I medical team chuan him taka surgery tih theihna tur hmanraw tul zawng zawng an buatsaih ang. Vawi tam tak chu, surgeon chuan cardiopulmonary bypass machine , heart-lung machine tia hriat bawk chu a hmang ang. He machine hian operation neih chhung hian thinlung leh lung hnathawh chu hun eng emaw chen a la a ni. Hei hian doctor chuan a sir lehlamah leh thinlung hnunglam atanga pericardium chu him takin a la chhuak thei a ni.

Surgery neih lai hian

1. Incision siam dan: Doctor chuan i rilru lai takah, i hnute ruh (sternum) zawhin, thinlung thleng turin incision a siam a. Hei hi Median Sternotomy an ti a .

2. Pericardial lakchhuah: Pericardial membrane chu uluk takin thinlung atanga lakchhuah a ni.

3. Sternum siam that: Sternum hi wire hmangin fix leh a ni.

4. Stitching the incision: A tawp berah chuan incision chu stitches hmanga khar a ni.

He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui a, mahse he surgery hi a ruala tih a nih chuan a danglam thei.

Surgery hnuah eng nge thleng?

Operation hnua i harh hunah natna engemaw zat i nei ang. I rilruah tube (drain) pakhat emaw a aia tam emaw dahin tui tam lutuk chu i chhuah tir bawk ang. Operation i neih zawh ni atang khan tui i in thei ang a, chutah chuan zawi zawiin chaw i ei thei ang. Diuretics i ei chhunzawm a ngai mai thei a, mahse operation hmaa i ei thin aia tlem zawkin i ei chhunzawm zel a ngai mai thei.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Surgery lian dang ang bawkin hlawkna leh hlauhawmna a awm bawk. Cardiac surgeon tawnhriat ngah tak thlan hian a hlauhawmna a ti tlem thei a ni.

Mite chu a hmaa heart surgery nei tawh, damdawi lama harsatna lian dang nei tawh, emaw, radiation therapy dawng tawhte chu harsatna an neih theihna chance a sang deuh hlek a ni.

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

A tlangpuiin damdawi inah ni nga atanga ni sarih vel i awm a ngai thin. In i haw hnuah chuan thil rit tak tak chawi lohvin zawi zawiin thil pangngai dang i thawk leh thei a ni.

A dam kim theih nan kar 6 leh kar 8 inkar a ngai a ni. He hun hi operation hmaa i dinhmun a chhiat dan azirin a danglam thei. Mi dinhmun chhe ber tan chuan hun rei zawk a la ngai thei. Mahse, mi tam zawk chuan operation an neih hnuah hahdamna an nei nghal a ni.

Engtikah nge doctor i hmuh leh tur?

Damdawi in chhuahsan atanga kar khat emaw kar hnih emaw chhungin i cardiologist i pan a ngai dawn a ni. Tin, operation hnu kar ruk hnuah echocardiogram (ultrasound scan of the heart) i neih a ngai bawk ang.

A hnuaia symptoms te hi a awm chuan doctor hnenah hrilh nghal rawh:

• A rilru a na
• Khawsik
• Surgery hliam atanga tui chhuak chu a tlangpui aia tam a awm chuan

Pericardiectomy, Pericardiocentesis leh Pericardiotomy - Eng nge a danglamna?

Heng hming pathumte hi a inang deuh a, chuvangin a buaithlak thei hle. A danglamna chu eng nge ni tih i lo en ang u.