Lung chhunga thisen zam (Pulmonary Thromboendarterectomy - PTE) tihbo dan tur surgery chungchang i zir dawn teh ang.

Hun engemaw chen chu thawk harsatna i nei tawh mai thei a, i kal laiin thawk harsa i ti hle pawh a ni thei. I doctor chuan pulmonary hypertension i nei tih a hrilh che a ni mai thei a, chu chu i lung chhunga thisen zam hlui awmkhawmna a ni. Hetiang dinhmun hi damdawi hmanga control theih loh lai hian i nunna chhanhim thei tur special surgery kan sawi a ni.

A awlsam zawngin, he PTE surgery hi eng nge ni?

Pulmonary Thromboendarterectomy tih hming sei tak hi hlau suh. A tawi zawngin PTE kan ti ang. PTE hi specialist surgeon ten an tih thin a ni a, a buaithlak hle. I lung (Pulmonary Arteries)-a thisen phurtu thisen kalna kawng lian ber ber (the Pulmonary Arteries) bang-a thisen zam hlui leh hliam tuar (scar tissue) te chu operation hmanga lakchhuah a ni.

I in chhunga tui pipe pakhat chu bawlhhlawhin a khuh a, tui a luang lo ang tih han ngaihtuah teh. PTE surgery hi pipe chhung lam tihfai a, tui chu mumal taka luang leh tur ang a ni. Hei hi heng thisen zam hlui leh khauh tak tak, damdawi hmanga tihthianghlim theih loh te hi paih chhuah dan tha ber a ni. A châng chuan, he surgery hian a natna chu a tidam vek thei hial a ni.

Eng dinhmun nge PTE surgery hmanga enkawl?

He surgery hi Chronic Thromboembolic Pulmonary Hypertension (CTEPH) tih natna nei te tan tih a ni ber. Hei hi hming hi a buaithlak deuh a, chuvangin i hrethiam ang u.

• Chronic: tih awmzia chu "rei tak daih" tihna a ni.
• Thromboembolic: tih awmzia chu "thisen chhuak avanga lo awm" tihna a ni.
• Pulmonary Hypertension: Hei hian "lung chhunga thisen sang sang" tihna a ni.

A awlsam zawngin sawi ila, CTEPH chu a hmaa lung chhunga thisen zam (Pulmonary Embolism - PE) lo awm tawh chu a hmin tha lo va, chu ai chuan lung chhunga thisen kalna kawng bangah a innghat a, hun kal zelah scar tissue a siam a, thisen kal a tikhawlo a, chu chuan lungah pressure a tisang a ni.

A tlangpuiin mi pakhatin lungah thisen zam (PE) a neih chuan Doctor ten thisen tihthianghlimna damdawi an pe thin. A tam zawkah chuan heng damdawi te hian thisen zam chu a tithianghlim thin. Mahse mi tlemte, 2% - 4% vel ah chuan heng thisen zam hi a bo vek lo. An tar a, thisen kalna kawng bangah an innghah a, thisen kalna tur kawng an tikhawlo a ni. Hei hian thinlung dinglam lamah harsatna nasa tak a siam a, chu chuan lungah thisen a pump lut a ni. Hun a kal zel a, hei hian thinlung a tichak lo , lung a tichhe thei a, nunna atana hlauhawm harsatna pawh a thlen thei bawk.

He surgery hi tute nge mamawh? Mi zawng zawngin an nei thei ang em?

CTEPH i neih chuan he surgery hi i tih theih leh theih loh hriat nan thil engemaw zat ngaihtuah a ni ang.

• I symptoms nasat dan.
• Thisen zamte hi khawiah nge an awm, eng chen nge an darh tawh, engzat nge thisen kalna kawng a khar tih te.
• I kum, i hriselna zawng zawng, leh i thinlung leh lung hnathawh dan te.

Surgeon-te sawi dan chuan heng thisen zamte hi him taka lakchhuah theih a nih chuan CTEPH enkawlna atana duhthlan tur chu PTE surgery a ni.

Mahse, CTEPH vei zawng zawng hian he surgery hi an nei thei lo. 40% vel, mi sawm zinga pali vel chu he surgery atan hian an tling lo. A chhan ber chu surgery buaithlak tak a nih vang a ni.

Engvangin nge he surgery hi a buaithlak em em?

He surgery neih chhung hian medical team chuan i thinlung leh lung hnathawh chu hun eng emaw chen chu cardiopulmonary bypass machine-ah an sawn a ni . Chumi awmzia chu he machine hian i taksaah oxygen a pe a, operation laiin thisen a pump chhuak tihna a ni.

Chu aia pawimawh zawk chu, operation neih chhung hian surgeon chuan lung chhunga thisen kalna kawng nalh tak takte chu chiang taka a hmuh a ngai a ni. Chutianga tih theih nan chuan hmanraw bik hmangin i taksa lumna chu 18 degree Celsius (65 Fahrenheit)-ah tihhniam a ni a, hei hian thisen kalna chu rei lo te chhung chu a titawp vek a (Deep Hypothermic Circulatory Arrest). Hetiang hian taksa hi a lum a, thluak a chhiat loh nan. Hetiang hmang hian surgeon chuan thisen zam leh scar tissue te chu uluk takin a paih chhuak thei a, chu chu thisen tel lo surgery field chiang takah a paih chhuak thei a ni.

Surgery tih theih a nih loh chuan eng option dang nge awm?

Doctor ten eng thil vang pawha PTE surgery atan i tling lo tih an rel a nih chuan enkawlna dang an rawt ang.

• Oral Medication: Chuap chhunga thisen sang control thei damdawi bik a awm a.
• Balloon Pulmonary Angioplasty (BPA): Hei hi ke chhunga thisen kalna kawngkhar atanga tuikhuah te tak te dah luh hmanga lung chhunga thisen kalna kawngkhar khar tawhte thleng a, balloon ang chi hmanrua hmanga inflate a, thisen kalna kawng hawnsak a ni.

Operation hmain engtin nge i inbuatsaih thin?

I doctor chuan operation atana inbuatsaih dan tur chiang takin a hrilh ang che. Chu thupekte chu dik taka zawm a pawimawh hle.

Surgery neih chhung hian eng nge thleng?

He surgery hi zing atanga tan a ni tlangpui a, darkar 6 vel a ni. Full anesthetized i nih avangin engmah i hre lo ang.

1. Thâwk lakna kawnga ṭanpui: A hmasa berin i hmui emaw, hnar emaw hmangin tube te tak te (Endotracheal Tube - ETT) dahin, i thlipui hnuai lam, oxygen machine (ventilator)-ah connect a ni. He machine hian surgery chhung zawngin thawk turin a pui ang che.

2. Chhung hawn: A dawtah chuan surgeon chuan i hnute ruh (sternum) chu a tan ang a, thinlung leh lung thlengin a thleng ang.

3. Bypass machine nena inzawmna: Chumi hnuah Cardiopulmonary Bypass Machine nen in inzawm leh ang. He machine hian operation neih chhung hian thinlung leh lung hnathawh a thawk ang.

4. Taksa lumna: A dawtah chuan i taksa lumna chu zawi zawiin 18 degree Celsius-ah tihhniam a ni.

5. Thisen zam lakchhuah: Taksa a vawt a, thisen kal vel hun eng emaw chen a tihtawp hnuah, surgeon chuan uluk takin lung chhunga thisen zam leh scar tissue te chu hmanraw bik hmangin a la chhuak thin.

6. Rewarming: Thisen zam te kha lakchhuah a nih hnuah i taksa lum leh vawt chu a pangngaiin a lo awm leh a, bypass machine nen a inzawm lo. Mahse ventilator nen chuan i inzawm tlat thung.

7. Chest khar dan: 1.1.A tawp berah chuan surgeon chuan i rilru a khar ang a, i taksa chhunga tui tam lutuk awm thei chu a chhuah theih nan tube te tak te engemaw zat a dah ang.

Surgery hnuah eng nge thleng?

Operation hnuah intensive care unit (ICU) -ah dah i ni ang . Chumi zan chuan ICU-ah i riak ang. A tuk zingah medical team te chuan i thawk dan an enfiah ang. Mahni chauha thawk thei anih chuan ventilator chu lakchhuah a ni ang.

A tlangpuiin ni 7 atanga ni 10 chhung damdawi inah i awm a ngai dawn a ni. ICU-ah i awm hmasa ang a, chutah chuan i dinhmun a ṭhat deuh deuh chuan regular ward-ah sawn i ni ang.

Recovery process hi open heart surgery atanga dam leh ang deuh a ni. Ni rei lote chhungin i kal thei ang a, zawi zawiin hna engemaw zat i thawk thei tawh ang. In lama i haw hmain oxygen i mamawh leh mamawh loh enfiahna tur test engemaw zat i nei bawk ang.

PTE surgery hian eng hlawkna leh hlauhawmna nge a neih?

A thatna te

• Hei chauh hi CTEPH tihdam kim theihna kawng awmchhun a ni.
• Mi tam tak tan chuan surgery hi a hlawhtling a, thawk leh lung hnathawh pawh a tha hle.
• Mi tam tak, operation hmaa oxygen-a innghat thinte chuan operation hnuah oxygen an mamawh tawh dawn lo.
• He natnain thinlung dinglam a tihchhiatna hi a let leh fo thin.
• Operation hnua rei tak dam theihna chance a sang hle.

Risk leh Complication awm thei te

Hei hi surgery lian tak a nih avangin hlauhawmna engemaw zat a awm. Mahse, kum engemaw zat kalta chhunga technology hmasawnna avang hian heng hlauhawmnate hi nasa takin a tlahniam ta a ni.

• Tunah chuan operation neih chhunga thihna hlauhawmna chu 1% vel a ni tawh.
• Stroke vei theihna hi 1% - 2% vel a ni.
• Mi thenkhat chuan operation hnuah pawh pulmonary hypertension level engemaw zat an la nei thei. Damdawi an ei chhunzawm a ngai dawn a ni.
• A chang chuan thinlung chhehvelah tui a awm khawm (pericardial effusion) a awm thei bawk.

A hnuaia symptoms te hi i neih chuan 1990 ah call nghal la, damdawi in hnai ber Emergency Department (ETU) ah kal rawh:

• A rilru a na hle
• Fainting a ni
• Thâwk hahna nasa tak

Eng chen nge tihdam a ngaih?

Hun kal zelah nun pangngaiah i kir leh thei a ni. Mahse, tlem chuan i dawhtheih a ngai a ni.

• Kar 6 hmasa ber: I lirthei khalh thei lo, hnathawhna hmuna kal thei lo, pound 10 aia tam (kg 4.5 vel) i chawi thei lo.
• Kar 7 atanga 12 chhung: Pound 25 (kg 11 vel) thleng a phur thei.
• Kar 12 hnuah: Weight-lifting khapna chu tihbo a ni tlangpui.

Mi tam zawk chu thla 3 chhungin an hnathawh dan pangngaiah an kir leh thei a ni. I thawk leh exercise i tih theihna chu zawi zawiin a tha chho zel ang a, kum 4 thleng pawh hmasawnna i hmu thei bawk.

Surgery hnuah medical supervision hi engtin nge a awm?

Surgery zawhah doctor pan chhunzawm a ngai dawn a ni.

• Operation atanga kar 6 hnuah i lung enfiah nan special test engemawzat i nei ang a, thla 3-6 inkarah i nei leh ang.
• A pawimawh ber chu thisen zam thar a lo awm loh nan i dam chhung zawng anticoagulants/blood thinners i ei a ngai dawn a ni.

Heng symptoms te hi i neih chuan doctor nen inbia ang che.

• Natna chu tuar theih loh a nih chuan, a nih loh leh a na chu a tlahniam a, a lo pung leh a nih chuan.
• Lung na a chak emaw, a mumal lo emaw a nih chuan.
• Surgery hliam chu a sen, a hring, a hring chhuak, emaw, khawsik a neih chuan (hengte hi natna kai chhinchhiahna a ni).

PTE hi CTEPH vei tan nunna pahnihna pe thei tur surgery hlu tak a ni. Surgery buaithlak tak ni mahse, a dam leh theih nan hun rei tak a ngai a, mahse a rah chhuah, thawk hah lo leh zalen taka nun theihna hun remchang chu a hlu hle.