Radial Artery & Saphenous Vein Harvesting (RA&SV) hmanga tihdam theih a ni.

Nangmah emaw, i hriat mi emaw hnenah doctor-in heart artery a block a, bypass a ngai tih a hrilh tawh em? ‘Bypass’ tih thumal hi kan hre vek tawh. Kawngpuiah lirthei tam tak a awm tih han ngaihtuah teh, chutah chuan hei hi lirthei kalna tur kawng dang siam ang mai a ni. Thinlung lama thisen petu thisen kalna kawng a inkhar chuan kawng thar, chu chu thisen kalna kawng thar chu thinlungah a inzawm a, chu chu bypass surgery tih mai a ni. Mahse, he kawng thar siam tur hian khawiah nge thisen kalna kawng an hruai tih i ngaihtuah ngai em? A tam zawkah chuan mahni taksa atanga thisen kalna kawng hrisel tak chu hei atan hian hman a ni. Chu chu vawiin a kan sawi tur kalphung chu a ni a, chu thisen kalna chu taksa peng khat atanga lak chhuah a, thinlunga dah a ni.

Thisen kalna kawng ‘seh’ tih awmzia chu eng nge ni?

A awlsam zawngin, hei hi thisen kalna kawng lakkhawm ang a ni. A dik zawka sawi chuan, i taksa peng pakhat (a tlangpuiin kut emaw ke emaw) atanga thisen kalna kawng hrisel tak chu surgery hmanga lakchhuah a, i thinlunga thisen kalna kawng khar ai chuan hman a ni. Chutianga thisen kalna kawng lak chu ``graft'' an ti a.

He graft tawp khat chu taksa thisen kalna kawng lian leh lian ber, aorta nen a inzawm a, a tawp dang chu blockage hnuaia thinlung chhunga thisen kalna kawngkhar blocked nen a inzawm bawk. Tichuan, thisen chu thisen kalna kawng inzawm thar kaltlangin thinlungah engmah tikhawlo lovin a luang a, a block lai chu a paltlang ta a ni. He surgery hi damdawi lamah chuan Coronary Artery Bypass Grafting (CABG) an ti a.

Heng thisen kalna kawngte hi khawi atanga lo chhuak nge?

Bypass surgery atana hman tam ber chu thisen kalna kawng chi hnih a awm a.

1. Kut ah Radial Artery a awm

Hei hi thisen kalna kawng lian tak a ni a , i kut chhungril atanga i elbow atanga i kutphah thlenga kal a ni . Hei hi i pulse i hriat huna i hriat theih artery chu a ni. Vun lam atanga superficial takin a awm a ni.

2. Kea Saphenous Vein a awm

Hei hi kan taksa vein sei ber a ni. Thisen bawlhhlawh chu thinlunga phur kir lehtu vein a ni. Taksa hnuai lam atanga a kekawr thlengin a tlan a ni. A paih chhuah chuan harsatna a thlen lovang. A chhan chu ke chhungah hian venous system thuk zawk a awm a ni. Saphenous vein chu lakchhuah a nih hnuah a hnathawh chu deep venous system chuan a luah ta a ni.

Surgery hmain eng nge i tih thin?

He surgery hi tih a tum hmain doctor chuan i thinlunga blockage awm dan dik tak leh a awmna hmun dik tak hriat nan test eng emaw zat a ti ang. Results a zirin bypass atana vein tha ber chu i kut emaw ke emaw ah a awm em tih a rel ang.

Tin, operation hmaa doctor-in a pek che dan zawm a pawimawh hle bawk .

• Surgery hma darkar engemaw zat chaw nghei (ei leh in loh).
• Meizial i zu a nih chuan titawp vek rawh.
• Damdawi thenkhat (vitamin leh herbal remedies te pawh tel) ei kha rei lo te atan chawlhsan turin an ti thei che a ni.

Engtin nge surgery hi tih a nih?

Thisen kalna tur surgery hi bypass surgery ang chiah a ni . General anesthesia hnuaiah dah i ni. Thisen kalna kawng lakchhuah dan tlangpui pahnih a awm a.

1. Endoscopic Surgery: Hei hi kut emaw ke emaw vunah hian incision tenau tak tak pakhat emaw pahnih emaw siam a ni.Camera leh surgical instruments hmanga thuam tube (endoscope) te tak te tak te dah luh a ni. Doctor chuan monitor en reng chungin uluk takin thisen kalna chu a la chhuak thin. Chumi avanga hliam awm chu a tlem hle.

2. Open Surgery: Hemiah hian thisen kalna hmuna incision lian tak, sei tak siamin vun hawn a ni.

Bypass surgery neih lai hian i thinlung leh lung chu hun eng emaw chen chu ``Heart-Lung Bypass Machine`` ah a inthlak thei a ni.`` Chumi hnuah surgeon chuan a hmaa thisen kalna hrisel ``graft`` a lakchhuah chu a la a, a blockage chu bypass in heart ah a dah lut a ni.

Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?

Hetianga taksa atanga vein grafting dan hi bypass surgery hlawhtlinna chhan ber a ni. Chutianga tih hian thatna engemaw zat a nei a, a bik takin endoscopic method hmang hian.

Hlawkpuina:

• Dam chak zawk leh natna tlem zawk.
• Damdawi ina hun hman tlem.
• Scar lian tak tak a awm lo va , natna kai theihna a tlahniam bawk .
• Thisen chhuah leh thisen zam (Hematomas) awm theihna a ti tlem.

Risk awm thei: 1.1.

Surgery zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a, mahse hengte hi mi zawng zawngah a thleng lo.

• Incision na hmuna thisen chhuah emaw, hliam emaw.
• Thisen a chhuak.
• Incision chhehvel nerve chhiat avanga a hmuna rilru hahna emaw, hriatna hloh emaw.
• A hring (Edema) a awm.
• Hri kai theihna dinhmun.

Doctor pan vat a ngaih hunah

Operation hnua in lama i haw hunah chuan i rilru hahna engmah ngaihthah suh. A hnuaia symptoms te hi i neih chuan doctor thurawn la nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

• Chhung na emaw, rilru a tight tih hriatna (Angina).
• Sudden cold thawmhnaw a rawn chhuak .
• Thâwk harsa (Dyspnea).
• Infection chhinchhiahna, surgery hliam atanga yellow fluid chhuak leh khawsik te .

A tawp berah chuan zirchianna hrang hrangah chuan radial artery emaw internal mammary artery hmanga bypass surgery hi saphenous vein hman aiin hun kal zelah a hlawhtling zawk tih hmuhchhuah a ni. Hei hi a chhan chu arterial wall te hi vein aiin a chak zawk a, chuvangin an block leh theihna a tlem zawk a ni. Mahse, i doctor chuan i medical record zawng zawng chu a enfiah vek ang a, eng vein nge i tan a tha ber tih leh a hman theih dan tur tha ber chu a hre vek ang.