I thawhrim lai te, stairs i chhoh lai te, a nih loh leh hna pangngai i tih hian thawk hah emaw, thawk hahna emaw i nei bawk em? A chang chuan hei hi a chhan chu thisen zam hlui, i lung chhunga rei tak awm tawh vang pawh a ni thei. A tlangpuiin damdawi hmanga he natna hi thunun tum mah la, chu chuan a hlawhtling lo a nih chuan doctor-te chuan i nunna chhanhim thei tur special surgery-ah an refer che a ni. Vawiin hian chu surgery buaithlak tak, mahse pawimawh tak, PTE chungchang kan sawi dawn a ni.
He PTE surgery hi eng nge ni?
A awlsam zawngin PTE hi Pulmonary Thromboendarterectomy tih tawifel a ni. Hei hi surgical procedure a ni a, i lung chhunga thisen kalna bulpui (pulmonary arteries)-a thisen zam hlui leh scar tissue tangte chu a paih chhuak thin. Hei hi kalphung buaithlak deuh a ni a, hriatna bik a ngai a ni. Mahse damlo thenkhat chu a tidam vek thei.
Eng dinhmun nge PTE surgery hmanga enkawl?
He surgery hi CTEPH (Chronic Thromboembolic Pulmonary Hypertension) tih natna enkawlna atana tih a ni ber. ‘Chu chu hming sei tak a ni tak zet a ni,’ tiin i ngaihtuah mai thei, a dik em? A awlsam zawngin i vawng ang u.
Ngaihtuah teh, mi pakhatin an lungah thisen zam a nei a. ``Pulmonary Embolism (PE)`` kan ti a. A tam zawkah chuan heng thisen zamte hi thisen tithianghlimtu pek an nih hian an bo vek thin. Mahse a tlem hle a, mi thenkhatah chuan heng thisen zamte hi a bo vek lo va, lung chhunga thisen kalna kawng bangah a innghat a, hun kal zelah scar tissue-ah a chang ta a ni.
Thisen zam hlui leh scar tissue te hian lung chhunga thisen kalna kawngte a block chuan chu thisen kalna kawng chhunga thisen sang chu a sang lutuk thin. Chu chu CTEPH kan tih chu a ni.
Hei hian thinlung dinglam chu lung chhunga thisen pump turin nasa zawka hna a thawh a ngai thin. Hun a kal zel a, hei hian natna khirh tak tak, heart failure leh lung chhiatna te a thlen thei a ni. CTEPH tihdam theihna awmchhun chu PTE surgery a ni.
He surgery hi tute nge mamawh? Mi zawng zawngin an nei thei ang em?
CTEPH i neih chuan thil engemaw zatin PTE surgery i neih theih leh theih loh a hril ang.
| Ngaihtuah ngai | Hrilhfiahna |
|---|---|
| Symptoms nasat dan | I natna lan chhuah dan, thawk hah leh thawk hah ang chi te hi a nasat zia. |
| Thisen zam awmna hmun | Thisen zam leh scar tissue te pawh hi surgery hmanga him taka lakchhuah theihna hmunah a awm tih hi. |
| I hriselna zawng zawng | I kum, i thinlung leh lung hnathawh dan te, damdawi dang i neih leh neih loh te pawh a pawimawh hle. |
CTEPH vei zawng zawng hi he surgery hi an nei vek lo. Damlo 40% vel chu he surgery hi an nei thei lo. A chhan chu surgery buaithlak tak a nih vang a ni.
Engvangin nge surgery hi a buaithlak em em?
Operation neih laiin i thinlung leh i lung chu hna ṭhenkhat thawh ṭanpui tûrin cardiopulmonary bypass machine- ah dah a ni ang tih han ngaihtuah teh. Tichuan, surgeon-in i lung chhungril a hmuh theih nan i taksa lumna chu 18 degree Celsius (65°F)-ah tihhniam a ni a, i thisen kal chu rei lo te chhung a titawp a ni. Hei hi `deep hypothermic circulatory arrest` an ti a, lungngai suh, he procedure hian surgeon chuan thisen zam leh scar tissue te chu fai takin a paih chhuak thei a, chutih rualin i thluak chu eng chhiatna pawh laka a veng thei bawk.
Surgery atan engtin nge kan inbuatsaih ang?
I doctor chuan operation hmaa i mamawh tur instruction zawng zawng a pe ang che. Hengte hi ngaihven turin an hrilh tlangpui ang che:
- Damdawi: Operation hma ni engemaw zat chhungin thisen tithianghlimtu (aspirin leh warfarin ang chi) leh natna tidamtu (NSAID) thenkhat ei kha bansan turin an ti ang che, hengte hian operation laiin thisen chhuah theihna a tipung thei a ni.
- Ei leh In: Operation hma darkar engemaw zat chaw nghei (ei leh in loh) turin an ti ang che. Anesthesia pek a nih chuan pum ruak neih a him zawk.
- Meizial zu leh zu: A pahnih i hman chuan operation hmaa chawlhsan vek a pawimawh hle a, damna a tikhawtlai a, harsatna a thlen theihna a tipung bawk.
Surgery hnuah eng nge thleng?
Surgery hnuah intensive care unit (ICU)-ah dah i ni ang. Chumi zan chuan i riak ang. A tuk zingah chuan nangmah chauhin thawk i la thei em tih an enfiah ang a, chutah chuan ventilator chu an la chhuak ang.
A tlangpuiin ni 7 atanga ni 10 chhung damdawi inah i awm ang. Hemi chhung hian zawi zawiin i kal tan ang. In lama i haw hmain oxygen i mamawh leh mamawh loh test engemaw zat i nei bawk ang. Hei hi open heart surgery atanga dam lehna ang chiah a ni.
Eng nge a hlawkna leh a hlauhawmna?
Surgery dang ang bawkin PTE hian hlawkna leh hlauhawmna a nei vek a ni.
| A thatna te | Risk a awm thei |
|---|---|
| CTEPH atanga dam leh kim theihna tur. | Operation laiin thihna hlauhawmna (tunah chuan 1% vel a ni tawh). |
| Thâwk leh exercise lama hmasawnna nasa tak. | Stroke vei theihna (1%-2%). |
| Thinlung dinglam a chhiatna awmte siamthat lehna. | Operation hnuah pawh pulmonary hypertension (PH) hi level engemaw takah a awm reng a ni. |
| Surgery hnua dam rei tak, hrisel taka nun theihna. | Thinlung chhehvela tui awmkhawm (pericardial effusion). |
Rikrum!
Operation hnua i rilru na tak , nasa tak, thawk hahna nasa tak, emaw, i muhil a nih chuan, damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh. Tin, surgery na hmunah hian natna lan chhuah dan, a hring, a sen, a hring, a khawsik ang chi i neih chuan doctor pan nghal rawh.
Engtin nge dam leh hun chu?
A dam kim theih nan thla 3 vel a ngai a ni.
- Kar 6 hmasa ber: Motor khalh loh, hnathawhna hmuna kal loh, kg 4.5 (10 lbs) aia tam chawi loh.
- Kar 7 atanga 12 chhung: Kg 11 (25 lbs) thleng a chawi thei.
- Kar 12 hnuah: A tlangpuiin khapna a awm lo.
I thawk leh exercise theihna chu zawi zawiin operation hnu kum 4 thleng a tha chho thei a ni.
Take-Home Thuchah a ni
- PTE hi lung chhunga thisen zam hlui paih chhuahna atana surgery buaithlak tak ni mahse, CTEPH an tih natna hi a tidam vek thei a ni.
- He surgery hi mi zawng zawng tan a ni lo. I doctor leh specialist team te chuan i tan a tha em tih an rel ang.
- Damna hun hi rei deuh mah se, operation hnuah i nunphung, thawk thiamna leh i kal theihna te chu nasa takin a ṭha chho ang.
- Operation hnuah thisen zam a lo awm leh tawh loh nan i dam chhung zawng anticoagulants i ei a ngai dawn a ni.
- A hun taka doctor pan a, test neih a pawimawh hle. I hrehawmna i tawh theih dan tur chu i doctor nen sawipui hlau suh.
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