I ke vein a block em? Peripheral Artery Bypass surgery chungchang hi a awlsam zawngin i zir dawn teh ang!

I keah pawh na i nei em, a bik takin hla vak lo i kal lai hian? Rei vak lo i ding a, i kal leh chuan a natna chu a reh em? A nih loh leh zanah i ke nain i harh thin em? Chûngte chu ke natna dang pangngai mai a ni lo mai thei. Hei hi a chhan chu i kea thisen petu thisen kalna kawngpui (main blood vessel) a inkharkhip vang a ni thei. Vawiin hian Peripheral Artery Bypass chungchang kan sawi dawn a, hei hi hemi atana surgery lian tak tih a ni.

A awlsam zawngin, Peripheral Artery Bypass hi eng nge ni?

Hei hi surgery a ni. He surgery hian i ke (a nih loh leh a chang chuan i kut)-a thisen kalna kawngkhar (artery) block emaw, narrowed emaw bypass turin thisen kalna tur kawng thar siam a ni.

Hei hi han mitthla teh. I kalna kawngpuiah chuan traffic jam lian tak a awm a, kawngpui pawh a inkhar vek bawk. Tunah chuan i kal thui thei tawh lo. Chuti a nih chuan kawngpui siamtute hian eng nge an tih? Traffic laka inven nan bypass road thar an siam a. Chutiang chu he surgery hi a ni.

Cholesterol leh thau dangte chu kan taksa thisen kalnaah a pungkhawm a, "fatty layer" a siam a ni. Damdawi lamah chuan hei hi plaque an ti a. Hun a kal zel a, he thau layer hi a lo thang lian a, thisen kalna kawng a tikhawlo thin. Hetiang dinhmun hi Peripheral Artery Disease (PAD) kan ti a. He thisen kal dan hi a block chuan i ke chhunga tissue te hian an mamawh oxygen leh nutrients an hmu lo. Chu chu doctor chuan blockage chung leh hnuai arteries te inzawmkhawmin thisen kalna kawng thar (a graft) a siam a ni.

Tute nge bypass surgery mamawh tak tak?

He surgery hi mi zawng zawng tan a ni lo. I doctor chuan damdawi leh nunphung tihdanglam (meizial zuk bânsan leh exercise lak ang chi) hmangin i dinhmun chu thunun a tum hmasa ang. Mahse, heng zinga pakhat mah a hlawhtling lo a, i thisen kalna kawng zau tak chu nasa taka a inkharkhip chuan operation tih chauh ngaihtuah a ni.

A hnuaia symptoms te hi i neih chuan i doctor chuan he surgery hi a rawt thei ang.

Surgery neih hmain eng nge thleng?

I vascular surgeon chuan operation hmain i dinhmun dik tak hriat theih nan test eng emaw zat a ti ang.

• ECG (Electrocardiogram): Thinlung hnathawh dan enfiah thin ang che.
• Ultrasound Scan: Thisen kalna kawnga thisen kal dan dik tak leh khawiah nge blockage awm tih hriat nan.
• Thisen Test: Zunthlum leh cholesterol level ang chi thil te enfiah thin ang che.
• Stress Test: Exercise i tih hian i thinlungin a chhan dan en rawh.

Heng test te bakah hian thil pawimawh tak pakhat i tih tur a awm bawk. Meizial i zuk chuan zu in kha bansan nghal rawh. Hei hian operation hnua harsatna awm thei tur chu nasa takin a tihziaawm ang che.

Operation hma ni khatah i doctor chuan heng thupekte hi a pe ang che:

• Damdawi thenkhat (a bik takin thisen zam vengtu te) chu hun eng emaw chen tihtawp a ngai mai thei.
• Zanlai pelh hnuah engmah ei leh in loh tur an ti a.

Surgery neih chhung hian eng nge thleng?

Hei hi operation lian tak a nih avangin anesthesiologist chuan natna engmah i neih loh nan a muthilh vek ang che. Tichuan surgeon chuan hengte hi a zawm ang:

1. Incision: Incision 4-8 vel a sei incision pahnih chu thisen kalna kawng khar chung leh a hnuaiah siam a ni.

2. Bypass (Graft) atan vein lak: .Bypass thar atan chuan vein a ngai a ni. Hei hi i ke atanga vein hrisel tak a ni fo thin. A nih loh leh plastic emaw puan graft emaw hman a ni. Mahni vein i hman chuan a hmuh theih nan incision te tak te dang i siam leh a ngai dawn a ni.

3. Kawng thar siam: Graft chu thisen kalna bulpuiah sewn a ni a, a sir khat chu blockage chungah a awm a, a sir lehlamah blockage hnuaiah a awm bawk. Tunah chuan thisen chuan blockage chu a paltlang thei tawh a, he kawng thar hi a luang chhuak thei ta a ni.

4. Incisions khar: A tawp berah chuan incisions chu stitches emaw staples emaw hmangin khar a ni.

Procedure pumpui hi darkar hnih atanga darkar ruk vel a ni thei a, chu chu a blocked artery sei zawng leh surgery buaithlak dan azirin a ni.

Operation hnuah eng nge beisei tur?

Operation zawhah ward-ah sawn i ni ang a, chutah chuan medical staff-te chuan an lo enkawl reng ang che:

• I pulse, thisen sang, temperature leh thawk dan te enfiah reng a ni.
• An ke zai a nih chuan thisen a kal tha em tih an enfiah fo thin.
• Natna thunun nan natna tidamtu damdawi pek thin a ni.

Damdawi in atanga i haw hunah doctor chuan i ei chhunzawm theih nan damdawi engemaw zat a pe ang che.

• Statins: Cholesterol a control thin.
• Aspirin emaw Clopidogrel emaw: Thisen zam a veng thei.

Surgery hmanga hlawkna leh hlauhawmna

Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.

Dam leh hnua ngaihtuah tur thil

A dam kim theih nan kar 6 atanga kar 8 vel a ngai thei. Mahse, kar tlemte chhungin zawi zawiin i thil tih dan pangngaiah i kir leh thei tur a ni. A tlangpuiin ni 2-5 chhungin damdawi in atangin i chhuak ang.

Heng thilte hi in i thlen hnuah a thleng thei tlangpui a, hlau suh:

• Ei duhna a tlahniam.
• Incisions vel ah natna emaw tingling emaw hriat.
• A ke chu a hring deuh a.
• Kal laiin taksa ruh natna hriat.

Engtikah nge doctor ko nghal tur!

In lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal la , damdawi in Emergency Department (ETU) ah kal rawh .

• Khawsik sang tak i neih emaw, khawsik avanga i khur emaw a nih chuan.
• Stitch atanga pus ang chi tui lo chhuak a awm chuan a sen a, a hring a, a na hle bawk.
• Ke rawng a inthlak (a rawng a dum emaw, a sen emaw a nih chuan), ke a vawt lutuk a nih chuan, a nih loh leh a tingling a san chuan.

Surgery zawhah doctor chuan follow-up nei tura lo haw leh hun tur a pe ang che. Heng clinic te hi lo kal ve ngei ang che. Chutah chuan doctor chuan ultrasound scan a ti ang a, i bypass chu a thawk tha em tih a en ang.