I keah, a bik takin bawnghnute awmna hmunah, i kal laiin na i nei em? Rei vak lo i kal hnuah i ke te hian chakna a hloh tawh ang maiin i hria em, i chawlh laiin a tlahniam ang maiin i hria em? I kea thisen kalna kawng pakhat chu zawi zawiin a lo inkhar tawh mai thei. Hetiang dinhmun hi Peripheral Artery Disease (PAD) kan ti a. Vawiin hian he natna hi a nasat a, enkawlna dang hmanga thunun theih loha tih tur special surgery kan sawi dawn a ni.
Peripheral Artery Bypass hi eng nge ni?
A awlsam zawngin, kawngpuiah lirthei tam lutuk lo turin bypass thar siam ang mai a ni. Cholesterol leh thau dangte chu kan taksa, a bik takin kan ke-a thisen phurtu thisen kalna thisenah a pungkhawm a, "plaque" a siam a ni. Hun a kal zel a, he plaque hi a lo pungkhawm a, thisen kalna kawngte a tikhawlo a ni. Hei hian kan kea tissue te hian oxygen leh nutrient an mamawh chu a hloh tir a ni.
Chuvangin, Peripheral Artery Bypass surgery-ah chuan surgeon chuan thisen kalna kawng khar chu bypass turin kawng thar a siam a. Hei hian i taksa atanga thisen kalna hrisel (a tlangpuiin i ke atanga thisen kalna) emaw, graft emaw hman a huam a ni. Hei hi blocked area chung leh hnuaiah a inzawm a, thisen kalna tur kawng thar a siam a ni.
He surgery hi tuin nge mamawh tak tak?
He surgery hi PAD nei zawng zawng tan a ni lo. I doctor chuan damdawi, nunphung tihdanglam (meizial zuk bânsan, exercise lak, leh ei leh in siam ang chi), leh enkawlna dang, hliam tenau (angioplasty emaw stent emaw siam ang chi) te chu a lo enchhin hmasa ang.
He surgery hi heng hmanraw pakhat mah hlawhtlinna nei lo leh an thisen kalna kawng tam tak nasa taka tihkhawtlai tawhte tan a tha tlangpui.
He surgery hi ngaihtuah chhan lian tak tak engemaw zat a awm.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Kea kal lai emaw, zan lamah emaw ke na | He natna hi thisen kal tlem avanga taksa ruhte oxygen an tlakchham hian a awm thin. Zana mut theih loh khawpa natna a nasat chuan natna khirh tak a ni. |
| Kea hliam dam lo | Thisen kal that loh avangin hliamte hian damna atana an mamawh ei tur tha an dawng lo. Scratch tenau pawh hi hliam lian takah a chang thei. |
| Tissue thihna (Gangrene) . | Hei hi a na ber stage a ni. Kea thisen kalna chu a tawp vek tawh mai chuan ke ruh emaw, ke ruh thenkhat emaw chu a dum a, a thi tan thin. Hetiang hunah hian operation tih a nih loh chuan ke pawh tan a ngai mai thei. |
Operation hmain eng nge i tih tur?
Doctor chuan he surgery hi tihsak che a tum hunah chuan i hriselna tlangpui enfiah turin test eng emaw zat a ti ang.
- Electrocardiogram (EKG): Thinlung electric hnathawh dan en rawh.
- Ultrasound Scan: Thisen kalna kawng kha khawiah nge a inkhar tih leh a nasat zia chiang takin en rawh.
- Thisen test: Thisen sugar, cholesterol, leh kal hnathawh ang chi thil te enfiah thin ang che.
- Stress test: He test hi a chang chuan exercise neih laiin thinlung hnathawh dan en nan an ti thin.
A pawimawh ber chu meizuk i nih chuan i zai hma kar engemaw zat chhungin i zuk loh vek tur a ni. Meizial in hian i thisen kalna kawng a tikhawtlai a, operation hnua harsatna i neih theihna a tipung bawk. Tin, i operation hma zan zanlai hnu lama ei leh in loh i mamawh bawk ang a, i doctor-in chawlhsan tura a tih che damdawi eng pawh i ei tawh loh a ngai bawk ang.
Engtin nge surgery hi an tih thin?
Surgery neih chhung hian natna engmah i hriat loh nan general anesthesia (hriatna hloh vek) pek i ni ang. Tichuan, surgeon chuan thisen kalna kawng khar chung leh a hnuaiah inch 4-8 vela sei incision a siam ang. I kea vein hrisel tak hmanga bypass siam a nih chuan chutiang atan pawh chuan incision hran siam a ni ang.
Chumi hnuah chuan graft chu uluk takin blockage chung leh hnuai thisen kalna kawng hrisel takah an sewn thin. Thisen thar siam a nih hnuah chuan incision chu stitches emaw staples emaw hmangin an khar thin. Procedure pumpui hi darkar hnih atanga darkar ruk vel a ni thei a, chu chu surgery buaithlak dan azirin a ni.
Surgery hnuah eng nge thleng?
Surgery zawhah ni 2-5 vel damdawi inah i awm a ngai dawn a ni. Hemi hun chhung hian doctor leh nurse te chuan i pulse, thisen sang leh khawsik te chu an enfiah fo ang. A pawimawh ber chu, an ke zai laiah thisen a luang tha em tih an enfiah fo ang. Natna damdawi an pe ang che.
In i haw hnuah doctor chuan i ei chhunzawm theih nan damdawi engemaw zat a rawn pe ang che.
- Statin type damdawi (cholesterol tihhniam) te.
- Damdawi Aspirin emaw Clopidogrel emaw (transplant thara thisen zam a awm loh nan).
In kan haw hnu kar hmasa berah chuan chaw ei duh lohna, incision site-ah natna emaw, rilru hahna emaw, ke thenkhatah hliam emaw, taksa ruh natna te hi thil pangngai a ni. Chungte chu hun kal zelah a tlahniam zauh zauh ang. A dam kim theih nan kar 6-8 vel a ngai thei.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery lian zawng zawng ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| Damdawi dang hmanga tihdam loh ke natna nasa tak tihziaawmna. | Thisen a chhuak thin. |
| Hliam dam lohte chu a dam tan thin. | Infection te chu cut ah a awm. |
| Gangrene vanga ke hloh theihna tur a awm lo. | Thisen chhuah tam lutuk. |
| Hun rei tak chhunga result (kum 5 hnuah pawh transplant 60%-85% chu a la thawk tha hle). | Surgery neihna hmuna nerve tihchhiat. |
| Nunphung leh kea kal theihna tihchangtlun. | Heart attack hlauhawmna tlem (surgery 3% vel). |
Mi tam zawk chuan harsatna lian tham an nei lo. Mahse, kum 70 chunglam leh damdawi lam harsatna dang, zunthlum emaw, kal natna emaw nei te erawh chuan harsatna an tawk tlem hle. A châng chuan graft siam thar pawh kum tam tak hnuah a block thei bawk. Chutiang a nih chuan enkawl nawn leh a ngai mai thei.
In i haw hnuah khawsik i nei a, i khawsik a, i surgery na hmun atanga pus ang chi tui lo chhuak a nih chuan emaw, i ke rawng, a pianzia, a hriatna a inthlak thut a nih chuan doctor hmu nghal emaw, damdawi in Emergency Department (ETU)-ah pawh tihkhawtlai lohvin kal rawh.
Take-Home Thuchah a ni
- Peripheral Artery Bypass surgery hi an kea thisen kalna kawng nasa taka inkharkhip, enkawlna dang dawng lote surgery lian tak a ni.
- Meizial i zuk chuan hlawhtling taka i chhuah theih nan operation hma leh operation hnuah pawh bânsan vek a pawimawh hle.
- I doctor-in damdawi a pek chu a hun takah ei thin ang che. I thisen tithianghlimtu damdawi ei theihnghilh suh, a bik takin.
- Surgery zawhah clinic appointment engmah lo nei tawh suh. I doctor chuan i kea thisen kal dan a enfiah fo tur a ni.
- Khawsik, incision atanga tui chhuak emaw, i ke a inthlak danglam nghal emaw i hmuh chuan doctor rawn nghal rawh.
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