Thâwk harsa i nei tawh em, i ke a hring emaw, thinlung lam harsatna i nei a, i doctor-in "Pericardiectomy" tih surgery chungchang a hrilh che em? Chu hming i hriat chuan i hlauthawng deuh mai thei a, chu chu thil pangngai a ni. Mahse, lungngai suh. Eng thil pawh hmachhawn dan tha ber chu a chanchin kimchang taka hriat hi a ni. Chuvangin vawiin hian he surgery chungchang te, engvangin nge tih a nih tih te, engtin nge a tih tih te, surgery hnua thil thlengte hi i hriatthiam theih tur angin kan sawi dawn a ni.
A hmasa berin he ‘pericardium’ hi eng nge ni?
A awlsam zawngin sawi ila, pericardium hi i thinlung hualtu venhimna bawm a ni. A dik zawka sawi chuan, bang pahnih nei sac a ni. Heng bang pahnih inkarah hian tui tlemte chauh a awm a. He tui hian thinlung chu a thawk tha thei a, harsatna awm lovin, inhnialna awm lovin a thawk thei a ni. Phên dangin sawi ila, thinlung hnathawhna atana lubricant angin a thawk a ni.
Mahse, he khuhna tel lo hian i nung thei ang em?
Ni e, a theih ngei ang. He `Pericardium` hi thinlung hnathawh dan pangngai atan a pawimawh lo. I lung leh a hnuaia ruh lian tak diaphragm an tih chu a tha a nih chuan he khuhna hi lakchhuah hian harsatna a thlen lo ang. Dik tak chuan `Pericarditis` (pericardium inflammation) ang chi natna i neih chuan i `Pericardium` lubricating property chu a bo tawh a ni. Chuvangin a lak chhuah chuan a dinhmun a tichhe lovang.
Chuti a nih chuan, he surgery (Pericardiectomy) tih chhan hi engte nge ni?
He surgery neih chhan ber leh awm tam ber chu Constrictive Pericarditis an tih hi a ni .
Ngaihtuah teh, i thinlung vêla he bawm flexible tak hi a vawt a, a thuk a, coconut hnah khauh tak ang maiin a lo awm ta a nih chuan eng nge thleng ang? I thinlung zalen taka thawk tur leh thisenin a khat theihna tur hmun a tikhawtlai dawn a ni lawm ni? Chu chu `Constrictive Pericarditis` an tih chu a ni.
Thinlung lining chu hetiang hian a thim a, a khauh chuan:
- Heart chamber-ah hian thisen a khat tawk lo.
- Thinlung in a pump tur thisen chu lung chhungah a back up tan ta a ni.
- Thinlung hian a pangngaiin thisen a pump thei lo.
- Ke leh pum chu a hring tan a.
- Hengte hi heart failure nena inmil symptoms an ni.
`Constrictive Pericarditis` na tak a nih chuan a solution tha ber chu he covering thickened hi surgery hmanga lakchhuah hi a ni.
A hnuaia table-ah hian `Constrictive Pericarditis` thlen thei thil engemaw zat tarlan a ni.
| Chhan | Hrilhfiahna |
|---|---|
| A chhan hriat loh (Idiopathic) . | Vawi tam tak chu he natna thlen chhan bik hi hmuh theih a ni lo. |
| Tun hmaa thinlung surgery neih tawhte | Heart surgery hmasa lama side effect angin a awm thei. |
| Radiation hmanga enkawl a ni | Cancer ang chi natna avanga rilru lam area thlenga radiation treatment i dawng tawh a nih chuan. |
| Natna dang | Natna chi hrang hrang Tuberculosis leh Mesothelioma te. |
| Viral emaw bacteria emaw atanga kai theih | Infection na tak tak, thinlung tichhe thei. |
Hemi chhan ber bakah hian Pericardiectomy surgery hi thil dang engemaw zatah tih a ni bawk:
- Pericarditis lo awm leh thin a nih chuan.
- Damdawi thenkhat avanga harsatna a awm avangin.
- A tlem hle a, `Cardiac Tamponade` tih hi thinlung chhehvelah tui a awm khawm a, thinlung a nawr hian a awm thin.
Surgery tih dan leh a dam leh hun chhung
Pericardiectomy hi thinlung inhawng (open-heart surgery) a ni. Surgical team te chuan:
1. I rilru chhungril lama breastbone (sternum) zawh zawngin incision siam a ni a, chu chuan thinlung chu a lut thei a ni. Hetiang tih dan hi Median Sternotomy an ti a .
2. I thinlung leh lung hnathawh hun eng emaw chen thawk thei machine (cardiopulmonary bypass) nen i inzawm fo ang. Hei hian doctor-te chuan i thinlung hnunglam leh a sir lama lining chu him takin a la chhuak thei a ni.
3. Thinlung vel khuhna thuk leh khauh tak (`pericardium`) chu uluk takin lakchhuah a ni.
4. Surgery zawhah sternum chu wire hmangin an inzawm leh a, incision chu stitches hmangin an khar leh thin.
He surgery hi darkar hnih atanga darkar thum vel a ni tlangpui . Surgery zawhah ni engemaw zat intensive care unit-ah enkawl i ni ang a, a tlangpuiin enkawl i ni angDamdawi in ah ni 5 leh ni 7 inkar i awm a ngai dawn a ni .
A dam kim theih nan kar 6 leh kar 8 inkar a ngai a ni. Hetih hun chhung hian thil rit phurh i pumpelh tur a ni a, mahse zawi zawiin inchhung hna pangngai i thawk leh thei a ni.
Surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery lian dang ang bawkin he surgery hian hlawkna leh hlauhawmna a nei vek a ni. Cardiac surgeon tawnhriat ngah tak surgery neih tir a, a hlauhawmna chu a tlem thei ang bera tih theih a ni.
| A thatna te | Risk a awm thei |
|---|---|
| Symptoms bo vek tawh mai. | Thisen chhuahna lama harsatna awm thei. |
| Damdawi ei aiin damna famkim a neih theihna a sang zawk. | Thisen pek a ngai. |
| Heart muscle tihchhiat belh zel tur venna. | Thinlung thawk mumal lo (Atrial Fibrillation). |
| Nunphung quality tihsan. | Kidney a chhiat phah. |
| A tlem hle a, thawkna atana puitu nerve (phrenic nerve) tihchhiat a awm thin. | |
| A tlem hle a, thihna hlauhawmna 1% - 2% a ni. |
Operation hnuah engtikah nge doctor ka hmuh ang?
Damdawi in atanga i haw hnuah vaukhânna chhinchhiahna a lo lang a nih chuan doctor hnenah hriattir nghal tur a ni.
- I rilru natna nasa tak i neih chuan .
- Khawsik i neih chuan .
- Surgery hliam atang hian a tlangpui aia tam tui a chhuak a nih chuan.
A tlangpuiin damdawi in i chhuahsan hnu kar khat emaw kar hnih emaw chhungin i cardiologist i hmu ang. Tin, kar 6 vel hnuah echocardiogram tih a ni ang a, i thinlung hnathawh dan enfiah a ni ang.
Take-Home Thuchah a ni
- Pericardiectomy hi surgery lian tak a ni a, thinlung pawn lam khuhna thuk leh khauh tak chu a paih chhuak thin.
- Hei hi `Constrictive Pericarditis` an tih natna enkawlna atan an ti fo thin.
- Hei hi open-heart surgery ni mahse, medical team tawnhriat ngah tak enkawlna hnuaia tih a nih chuan result hlawhtling tak a awm thei a ni.
- Operation hnua a dam kim theih nan kar 6-8 vel a ngai a, mahse mi tam zawk chuan hun rei tak chhung result tha tak tak an nei thin.
- Surgery chungchangah hlauhna emaw zawhna emaw i neih chuan i doctor nen zalen takin sawipui rawh. I mamawh tur information leh support zawng zawng an pe vek ang che.
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