Heart bypass surgery atan vein an harvest dawn tih an sawi khan i hlau em? (Radial Artery & Saphenous Vein hmanga lakkhawm) tih a ni.

Doctor-in chhungte, i ṭhian emaw, i hriatte emaw hnenah, "Heart bypass an tih a ngai a, i kut emaw i ke emaw aṭangin vein an la chhuak ang," a tih i hre tawh ngei ang. Chutiang hunah chuan hlauhna leh hriat duhna tlem a awm chu thil pangngai a ni. "Aw, i kut emaw i ke emaw atanga vein an lakchhuah chuan kha organ kha engtin nge a awm? Thisen a chhuak dawn lo em ni? Nakinah harsatna a awm dawn em ni?" Chutiang thil chu i ngaihtuah mai thei, a dik em? Awle, vawiin hian chu zawhna zawng zawng chu i hriatthiam theih tur awlsam takin ka chhang dawn a ni.

A awlsam zawngin, vein lak chhuah tih awmzia chu eng nge ni?

Hei hi hrethiam tur chuan heart bypass surgery, a nih loh leh damdawi lama coronary artery bypass surgery tia hriat chu eng nge a nih tlem han hrethiam hmasa ila.

I in chhunga tui rawn thlentu main water pipe chu khawi emaw laiah a inkhar niin han ngaihtuah teh. Tunah chuan tui chu a lo thleng zawi hle a, a lo thleng lo pawh a ni mai thei. Chuti a nih chuan engtin nge i tih? Blocked part chu cut out ai chuan blocked part sir leh hnung lamah pipe thar i connect a, kawng thar i siam a ni. Tichuan tui chu mumal takin a luang leh ang.

Heart bypass surgery hi hetiang chiah hian a ni. Kan thinlunga thisen pe chhuaktu coronary arteries-ah cholesterol ang chi thil a lo awm a, a block chuan thinlung hian a mamawh thisen a hmu lo. Chutah chuan angina ang chi thil a lo thleng thin. Doctor-te tih tur chu, i taksa peng dang atanga lak chhuah thisen kalna (vein) hrisel tak hmangin a block lai vel leh a chhehvel kawng thar an siam thin. He kawng thar hi graft an ti a .

Chuvangin, he ‘vein pakhat paih’, a nih loh leh doctor-te’n ‘harvesting’ an tih hian chu kawng thar siamna atana mamawh thisen kalna hrisel tak chu nangmah taksa hmun dang atanga lak chhuah dan a kawk a ni.

Heng vein te hi khawi atanga lo chhuak nge an nih tlangpui?

He bypass surgery atan hian thisen kalna kawng chi hnih hman tam ber a awm a.

1. Radial Artery a awm thin

Hei hi i kut hmawr ah a awm a, i elbow atanga i wrist thlengin a awm. Doctor-in i pulse an hriat chuan khawiah nge a hriat ang tih i hre reng em? Chuta tang chuan radial artery chu a lo chhuak ta a ni. Kan kut ah hian artery lian pahnih kan nei a. Hei hi chutiang zinga mi a ni.

2. Saphenous Vein a ni

Hei hi kan taksa vein sei ber a ni. Ke chhungril atanga tan a ni a, chutah chuan groin kaltlangin a chho a, thigh-a vein thuk tak nen a inzawm a ni. Vein hnathawh chu oxygen tlakchham thisen chu thinlungah phur kir leh a ni. He saphenous vein hi ke vun hnuai chiaha awm a nih avangin operation hmanga lakchhuah a awlsam hle.

Engtin nge doctor hian eng vein nge hman tur tih a rel?

Hei hi zan khat thil thua thutlukna siam tur a ni lo. I medical team chuan i dinhmun uluk taka an enfiah hnuah leh thil engemaw zat an ngaihtuah hnuah he thutlukna hi an siam ang. Surgery neih hmain test eng emaw zat neih tir turin an ti ang che.

• Thisen chhiar kim vek
• Chest X-ray neih a ni
• Imaging test CT Scan emaw MRI emaw ang chi te
• Angiogram test - Hei hi thinlung chhunga thisen kalna kawng (arteries) a block dan dik tak enfiah nan hman a ni.

Thutlukna hnuhnung ber chu heng test result te ngaihtuah a nih hnuah siam a ni a, chubakah a hnuaia table-a thil awmte pawh ngaihtuah a ni bawk.

A tlangpuiin, doctor-te chuan i nondominant side aṭanga vein chu lak chhuah an tum ang . Chumi awmzia chu, kut dinglam hmang i nih chuan i kut veilam atanga radial artery lak chhuah an tum dawn tihna a ni.

Surgery neih laiin eng nge thleng tak tak?

He vein lakchhuah dan hi i bypass surgery hma lawk hian tih a ni. I anesthetized vek (general anesthesia) a, hei hi tih vek a ni. Chuvang chuan engmah hrehawm i nei lovang.

Vein lakchhuah dan tlangpui pahnih a awm.

1. Endoscopic Surgery hmanga tih a ni:Hei hi minimally invasive procedure hman tlanglawn ber a ni. Hetiang tihnaah hian kut emaw ke emaw vunah hian incision te tak te tak tak pakhat emaw pahnih emaw hmangin endoscope an tih tube te tak te an dah a. He tube tawp lamah hian camera, light leh hmanraw nalh tak tak, operation atana mamawh te a awm a. Surgeon chuan monitor-ah a en reng a, uluk takin vein chu a chhehvel tissue atang chuan a then hrang a, a la chhuak thin.

2. Open Surgery: Hetiang tih danah hian vun chu vein awmna hmunah sei zawngin an tan a, vein chu direct-a hmuh theih turin an la chhuak thin. Tun hma chuan he method hi hman thin a ni a, tunah chuan endoscopic method avang hian hman a tlem tawh hle.

Artery chu lakchhuah a nih hnuah bypass surgery bulpui ber chu a intan ta a ni. Surgeon chuan graft tawp khat chu i aorta-ah a dah a, a tawp dang chu artery blocked-ah a dah bawk. Tunah chuan i thinlunga thisen luang chhuak tur kawng thar, hrisel tak i nei ta.

Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?

Damdawi lam thil tih dan dang ang bawkin hlawkna leh hlauhawmna a awm bawk. A bik takin endoscopic procedure hmanga hlawkna tam tak a awm.

In lama haw hnua dam leh huna ngaihtuah tur thil

I ngaih pawimawh ber tur chu bypass surgery atanga dam leh hi a ni tur a ni. Damdawi in chhuahsan hnuah i doctor leh nursing staff-te thupek dik taka zawm a pawimawh hle .

• Damdawi dik ei: Thisen zam venna atana i pek damdawi (anticoagulants) leh painkillers te chu a hun takah leh a zat dik takah ei thin ang che.
• Hliam fai taka vawn dan: Damdawi inah i hliam tihfai dan leh tuam dan tur zirtir i ni ang. Heng thupekte hi zawm rawh.
• Thil rit phurh loh tur: Doctor-in a tih hma loh chuan engmah rit phur suh.
• Socks bik ha chungin:I ke atanga i saphenous vein lakchhuah i nih chuan i ke a hring tihziaawmna turin special compression stockings ha turin an ti ang che. Tin, i ke chu tlem a sang zawka dah turin a hrilh bawk ang che.

Engtikah nge damdawi lam thurawn i lak nghal ang?

Tin, a hnuaia symptoms pakhat emaw a aia tam emaw a lo lan chuan doctor hnenah hriattir hmasak phawt tur a ni.

• Chhuak na emaw, tightness emaw (Angina) .
• Vawikhatmah thawk hah lutuk
• Thâwk harsa (Dyspnea) .
• Infection chhinchhiahna, surgery hmun atanga yellow discharge leh khawsik te

Bypass surgery hi nunna chhanhimna tur surgery pawimawh tak a ni. Mahni taksa atanga vein lak chhuah hi a pawimawh hle. Technology hmasawnna avang hian he procedure hi him takin tih theih a ni tawh a, natna tlem ber leh dam thuai theih a ni tawh bawk. Chuvangin tul lovah hlau suh. Harsatna emaw, rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawipui thin ang che.