Kidney lam panna vein-a stent dah dan tur i zir dawn em ni? (Renal Artery Stenting hmanga tih a ni) .

Thisen sang pawh i nei em? I thisen sang control nan damdawi chi khat aia tam i ei mai thei. Mahse i thisen sang control harsa i la neih chuan a chhan chu i kal (kidney)-a thisen petu thisen kalna kawng (arteries) a inkharkhip vang a ni thei. Chuvangin vawiinah hian hetiang thila hman thin ‘Renal Artery Stenting’ tih damdawi hi han sawi ila. He thu i hriat hian hlau suh, a chungchang zawng zawng hi awlsam takin i hrethiam ang u.

Renal Artery Stenting hi eng nge ni?

A awlsam zawngin kan taksa chhunga kal pahnih a thisen phurtu thisen kalna kawng lian ber berte chu ‘renal arteries’ an ti a. Garden-a tui phurtu pipe lian pahnih ang bawkin. A châng chuan, heng thisen kalna kawng chhungah hian thau ang chi thil a lo awm khawm a (he natna hi `(Atherosclerosis)` an ti) a, thisen kalna kawng chu a tawi ta a ni. Hei hi ‘renal artery stenosis’ kan ti a.

Tui pipe-a hnim hring hring hring ang chi thil pakhat chu han mitthla teh. Tichuan tui kawng chu a zim ta hle mai, a dik em? Chutiang bawkin kal (kidney) panna kawng pawh a inkharkhip thin.

Renal Artery Stenting hi thisen kalna kawngkhar khar hawn lehna emaw, hawn reng emaw atan hman a ni. Chutah chuan mesh ang chi metal tube (stent) te tak te tak chu a block na hmunah dahin, vein chu a hawng a ni. Tichuan, thisen chu kal (kidney)-ah a luang tha leh tan leh ta a ni.

Renal veins a block hian eng nge thleng tak tak?

I hriat angin kan kal (kidney) hnathawh ber pakhat chu thisen filter a, taksa atanga chi leh tui tul lo tak tak te chu zun anga paih chhuah hi a ni. Kidney-a thisen kal zat a tlahniam chuan he hna hi an thawk tha thei lo. Tichuan, taksaah tui a lo awm tan ta a ni.

Chu mai a ni lo, thil pawimawh dang a thleng a. Kidney hian thisen a luang tlem zawk tih a ‘hriat’ chuan taksa pum puia thisen sang a tlahniam niin a ngai a ni. Chuvangin, thisen sang tisang turin kal hian hormone bik `(renin)` an tih chu a tichhuak a. He hormone hian taksa chhunga thisen kalna kawng a tikhauh a. Mahse thil thleng tak tak chu chutih lai chuan taksaa thisen sang chu a sang hle mai thei.

Tute nge stent mamawh?

Renal artery block nei zawng zawng hian stent an mamawh vek dawn lo. I doctor chuan he enkawlna hi thil bik thenkhatah chauh a rawt ang.

Stent vuah hmain eng test nge tih thin?

Stent dah tura thutlukna i siam hmain i doctor chuan i thisen kalna kawng chu engtiang chiahin nge a block tak tak tih hriat nan test eng emaw zat a ti ang.

• Duplex Doppler Ultrasonography: Hei hi scan pangngai ang a ni. Sound wave hmangin thisen kalna kawng a zim zia leh thisen a luang chak dan tehna a hmang thin.
• Computed Tomography Angiogram (CT Angiogram): Hei hian i thisen kalnaah dye bik i inject a, CT scanner hmangin i thisen zamte chu three-dimensional (3D) thlalak a la a ni. Hei hian vein te chu khawiah nge a block tih chiang takin a hmu thei a ni.
• Magnetic Resonance Angiogram (MRA): Hei hi MRI scan nen a inang a. Dye an inject a, magnetic field hmangin thisen kalna kawngte thlalak chiang tak siam a ni.
• Angiogram: Hei hi a dik ber a ni. Hetah hian tube (catheter) te tak te tak mai chu groin emaw arm emaw chhunga vein kaltlangin dahin renal vein lam pan a ni. Tichuan, chuta tang chuan dye an inject a, X-ray hmangin thisen a kal dan an en a. He test neih chhung hian stent hi tih a ni tlangpui.

Pawimawh: Heng test hma hian i doctor hnenah damdawi i ei zawng zawng (a bik takin thisen tithianghlimtu aspirin ang chi) leh allergy i neih apiang i hrilh tur a ni.

Engtin nge stent surgery hi an tih thin?

Hei hi open surgery lian tak a ni lo. I muthilh tir lo. I rilru hahdam leh mut theih nan damdawi `sedation` an pe che a. Chuvangin hrehawmna i nei lo va, a hnuah pawh hriatrengna i nei lo.

Enkawlna chu hetiang hi a ni mai:

1. I groin emaw i kut emaw vunah hian incision te tak te (millimeter tlemte) siam a ni.

2. Chumi hmang chuan vein chhungah flexible tube (sheath) an dah lut a.

3. Chu tube hmang chuan tube (catheter) te tak te tak dang chu kidney chhunga vein blocked ah a kal leh a.

4. Tichuan, tube tawp lama balloon te tak te chu inflated a, blocked area chu a zau thei ang.

5. A tawp berah chuan a hmaa kan sawi tawh mesh ang chi stent chu a zau zawkah dah a ni. Stent hian artery wall chu a press a, artery chu a inhawng reng a ni.

6. Chutah chuan stent chu a nghetin dah a, balloon leh tube chu lakchhuah a ni a, a incision chu khar a, bandage vuah a ni.

Enkawlna hnuah eng hlawkna leh hlauhawmna nge awm?

Damdawi dang ang bawkin, a hlawkna leh hlauhawmna tenau te pawh a awm vek.

Enkawl zawhah darkar engemaw zat emaw, zan khat emaw damdawi inah i awm a ngai dawn a ni. In lama i haw hnu ni engemaw zat chhungin thil pangngaiah i kir leh thei tawh ang. Kar khat vel hnuah i thiltih pangngai chu i thawk leh thei tawh ang.A pawimawh ber chu thisen tithianghlimtu damdawi (`Aspirin`, `Clopidogrel` ang chi) doctor-in a pek hun bituk chhung chiah ei tur a ni. Doctor zawt lovin damdawi ei kha bansan ngai suh.

Engtikah nge doctor ka hmuh leh ang?

Stent dah hnuah pawh doctor-in a rawt angin follow-up visit-ah i kal ngei tur a ni, a chhan chu a chang chuan stent emaw hmun dang emaw chu a block leh thei a ni.

A hnuaia symptoms te hi a lo awm a nih chuan doctor ko nghal rawh:

• Khawsik i neih chuan.
• Thâwk harsa i neih chuan.
• Skin rash a awm chuan.
• Tube dahna hmun chu a sen, a hring, a na emaw, chuta tang chuan thisen emaw, zun emaw a chhuak a nih chuan.
• Treated side-a ke chu a na a, a vawt emaw, a hring emaw a nih chuan.
• I pum chhungah emaw, enkawl lam emaw-ah natna thar i neih chuan.
• I luak chhuak a, i thisen sang a tlahniam nasa hle a nih chuan.

Stent hi taksa permanent a ni. A tlangpuiin a na lo. Mi tam tak chu an thisen sang control turin a pui thei a, mahse i thisen sang control nan damdawi i la a ngai mai thei. I doctor chuan i dinhmun a zirin hei hi a rel ang.