Thinlung khur khar thei enkawlna chungchang hi i zir dawn teh ang? (PFO khar a ni)

"Thinlung khur" tih hi i hre tawh em? I doctor ngei pawhin a hrilh che pawh a ni mai thei. Dik tak chuan kan pum chhunga kan awm lai hian kan thinlungah hian hetiang khur te tak te hi kan nei vek a ni. Chutih lai chuan thil tul tak a ni. Mahse pian hnuah he khur hi a inkhar tlangpui. Mahse mi thenkhatah chuan he khur hi khar kim lovin a awm reng thin. Damdawi lamah chuan hei hi Patent Foramen Ovale, a tawi zawngin `(PFO)` kan ti thin. Hei hi mi pali zinga pakhat vel chauhin an vei tlangpui a ni. Mi tam zawk tan chuan hei hian harsatna a thlen lo. Mahse, mi thenkhat tan chuan harsatna a thlen thei a ni. Chu chu enkawl dan `(PFO Closure)` kan sawi lai a ni.

A awlsam zawngin PFO Closure hi eng nge ni?

PFO Closure hi i thinlung upper chamber (atria) pahnih inkar khur te tak te (PFO) chu a nghet taka khar nan surgery tenau tak a ni. Mahse, incision lian tak a ngai lo. Doctor chuan i taksa hmun danga thisen kalna kawng lian tak hmangin i thinlungah tube te tak te, flexible tak, ``catheter'' an tih chu a dah lut a.

He tube hmang hian thil te tak te, a bik taka siam chu thinlung chhunga khur chhungah dahin an khar a ni. He device hi yo-yo tlemte angin ngaihtuah la, a nih loh leh a sir lehlamah circle pahnih nei button te tak te angin ngaihtuah rawh. Circle pakhat chuan khur sir khat a khuh a, circle dang chuan a sir lehlamah a khuh bawk.

Mahse, i PFO hi millimeter 25 aia lian ni ta se. Chutiang a nih chuan i doctor chuan he `(Catheter)` hmang hian open surgery tih a rel mai thei. Mahse, chutiang thil chu a tlem hle.

Eng dinhmunah nge he enkawlna hi a tul?

PFO nei tam zawk chuan enkawlna engmah an mamawh lo. Mahse, a then phei chuan, a bik takin thisen zam chu khur atanga thluak thlenga kal thei a, harsatna a thlen theih chuan doctor chuan he enkawl dan hi a rawt thei a ni.

Engtin nge enkawl hmain i inbuatsaih thin?

He enkawlna hma hian test eng emaw zat i neih a ngai dawn a ni.

• Chest X-ray neih a ni
• Lung lam scan (Echocardiogram) tih a ni.
• ECG test (Electrocardiogram) hmanga enfiah a ni.
• Thisen test eng emaw zat

Tin, thisen zam lo turin damdawi aspirin leh clopidogrel te ei tan turin an hrilh bawk ang che. I doctor chuan heng damdawi te hi i ei tan ni dik tak a hrilh ang che. Inenkawl lai hian thisen zam venna tur damdawi dang pek i ni bawk ang.

Enkawlna hnathawh dan step khat hnu step khatin

He enkawlna hi darkar khat emaw darkar hnih emaw vel a ni tlangpui. A tih zawh huna thil thleng chu hetiang hi a ni:

1. Numbness: A hmasa berin local anesthetic pek a ni a, chu chu groin chhunga catheter dahna tur hmun chu numb tir a ni. A chang chuan a tul chuan general anesthesia pawh hman theih a ni.

2. Small incision: Groin area-ah hian incision te tak te tak tak siam a ni.

3. Catheter dah luh: Catheter hi incision kaltlangin thisen kalna kawng lian takah dah a ni.

4. Thinlung lam pan: Tichuan, catheter chu uluk takin thinlung lam pan a ni.

5. Imaging: Thinlung chhungah dye bik an inject a, ngun zawka en theih nan X-ray image lak a ni (Angiography). Tin, thinlung chhung lam (Ultrasound) scan hmangin PFO lian tham tak chu teh a ni bawk.

6. A khur chu teh rawh:Balloon bik nei catheter an dah a, an inflated a, a khur lian tham tak chu an teh a ni.

7. Device dah luh: Tunah chuan PFO closure device chu catheter kaltlangin heart chhungah an lut a, a sir lamah an secure a, chu chuan hole chu a khar ta a ni.

8. A hmun finfiah: Scan dang (Transthoracic Echocardiogram) tih lehin device chu a hmunah a awm em tih enfiah a ni.

9. Completion: Engkim a OK chuan catheter chu uluk takin lakchhuah a ni.

Enkawl hnuah eng nge thleng?

Enkawl zawhah darkar 6 vel khumah i chawl a ngai dawn a ni. Chumi tlai emaw, a tuk zingah emaw chuan i haw thei ngei ang. In lama i haw hnua i hriat reng tur thenkhat chu hetiang hi a ni:

• I kal thei a, mahse kal chak suh.
• Ni hnih chhung chu lirthei khalh suh.
• Kar khat chhung chu pound 10 (kg 4.5 vel) aia tam chawi lo tur a ni.
• Thla khat chhung chu exercise hahthlak tak tak ti suh.
• Kar khat chhungin i thiltih pangngaiah i kir leh thei tlangpui. Mahse , heng zawng zawng hi i doctor nen sawiho a, a thupek zawm a pawimawh.

In lama hman tur damdawi an pe ang che. Thla 6 emaw a aia rei emaw chhung chu nitin aspirin emaw thisen tithianghlimtu dang emaw i ei a ngai dawn a ni. Damdawi lam thil thenkhat, ha tihfai ang chi tih hmain antibiotics ei turin an hrilh ang che. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

Hlawkpuina

• Nakin lawka stroke, a chhan hmuh theih loh tur a veng thei a ni.
• He device hi i taksaah i hre lovang.
• Hliam lian tak a hnutchhiah dawn lo.
• He hmanrua siamna hmanrua hi hun rei tak chhung chu a him hle tih finfiah a ni tawh.

Risk a awm thei

He enkawlna hi doctor tawnhriat ngah takin a tih chuan a him hle a, mahse damdawi hman dan dang ang bawkin hlauhawmna engemaw zat a awm.

• Lungphun pangngai lo (Atrial Fibrillation) a awm.
• Thisen a chhuak thin.
• Catheter awmna hmuna thisen chhuah emaw, natna hrik awm emaw.
• Device hi a install na hmun atang hian a kal a (hei hi a thleng tlem hle).
• Kum 60 chunglam te hian harsatna an nei tlem hle.