A châng chuan i rilruah rit lutuk emaw, i rilruah thawmhnaw emaw, stairs-a i kal chhoh lai te, bus-a i tlan lai emawa i rilru a buai ang maiin i inhria em, a nih loh leh i muhil dawn ang maiin i inhria em?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..?..? Hei hi hahna pangngaiah i ngai mai thei a, mahse a châng chuan thinlung natna Hypertrophic Cardiomyopathy tih a ni thei bawk. Ngaihtuah buai suh, vawiin hian surgery hlawhtling tak Septal Myectomy tih kan sawi dawn a, hei hi he natna enkawlna atana tih a ni. Thian hnena hrilhfiah ang chiah hian thumal awlsam takin engkim hi sawi ila.
A hmasain, he Hypertrophic Cardiomyopathy an tih hi eng nge a nih i en ang u?
Hei hi awlsam taka hrethiam tur chuan kan thinlung hi tui pump nen tehkhin ila. Pump hna chu pipe hmanga tui lak chhuah a, in chhung zawng zawnga thawn chhuah a ni. Kan thinlung hi chutiang chu a ni a, a hna ber chu kan taksa pum puia thisen pump chhuah hi a ni.
Kan thinlungah hian pindan lian pali a awm a.
- Upper chamber pahnih chu atria (dinglam leh veilam) kan ti a.
- Heart ventricles hnuaia chamber pahnih (dinglam leh veilam) kan ti a.
A dik tak chuan a hnuaia veilam leh dinglam chamber inthenna tur wall of muscle a awm a. Hei hi septum kan ti a . Hypertrophic cardiomyopathy-ah chuan he septum, chu chu thinlung lai takah he bang hi a pangngai aia a thuk lo hle a ni.
Chu tui pump-a pipe pakhat a inkhar chuan eng nge thleng ang tih han ngaihtuah teh? Tui luangna tur hmun a tlem a, pump chuan tui chu nawr chhuah nan nasa takin a thawk a ngai a ni. Hetah pawh hi chutiang chu a ni. He septum hi a thick a, left ventricle ah a rawn chhuak chhuak thin. Tichuan, thinlung atanga taksa lama thisen pump chhuaktu main chamber left ventricle atanga thisen chhuak tur kawng chu a block ta a ni. Chuvang chuan thinlung hian taksa pumin thisen a mamawh zat pump turin a hma aia nasa zawk (overwork) a ngai a ni.
Hetiang dinhmun hi mi thenkhat tan chuan congenital heart disease a ni thei. Chumi awmzia chu he harsatna neia piang an ni tihna a ni. Mi dangte tan chuan nakin lawkah a lo thang lian thei a ni.
Chuti a nih chuan he surgery hi Septal Myectomy tih hi eng nge ni?
A awlsam zawngin sawi ila, Septal Myectomy hi open-heart surgery a ni a, cardiac surgeon chuan heart wall (septum) atanga a thick lutuk chu a cut chhuak a, a paih chhuak thin.
Tui pipe-a blockage awm chu paih chhuakin kawngpui tihfai ang bawkin, he surgery zawh hian thinlunga thisen kalna daltu chu a bo vek a ni. Tichuan thinlung hian awlsam takin taksa pum puiah thisen a pump thei a, engmah tibuaitu awm lovin. Hei hi he surgery neih chhan ber a ni.
He surgery hi tute tan nge tih a rawt?
A tlangpuiin doctor chuan he surgery hi a rawt nghal lo. Damdawi pein a natna lan chhuah dan thunun an tum hmasa thin. Engpawhnise,
- Damdawi hmanga an natna lan chhuah dan (thaw hah, rilru na ang chi) te tan chuan.
- Thinlung veilam sir bang thuk tak nei, thisen kal dan tikhawtlai nasa tak nei tan chuan .
- Hypertrophic Cardiomyopathy vei hmeichhia naupai tum (a natna lan chhuah dan a na lo hle a nih pawhin, naupai laiin thinlung hi extra strain hnuaiah dah a nih avangin fimkhur nan he surgery hi tih a tha thei ang).
Hetiang thil thlengah hian doctor chuan a bia ang che a, he surgery hi a tha ber a ni tih a rel ang.
Operation hmain eng nge i tih tur?
I doctor chuan operation hmaa i mamawh tur instruction zawng zawng a pe ang che. A bik takin thil lian tham tih tur a awm lo a, mahse thil engemaw tak i hriat tur a awm.
- Damdawi eng emaw i ei a nih chuan, thisen tithianghlimtu ang chi , operation hma ni engemaw zat chu ei tawh lo turin an ti mai thei che.
- If you are a smoker , operation hmaa bânsan tum a pawimawh hle a, meizuk hian damna a tibuai avangin.
Hei bakah hian i thinlung dinhmun dik taka tehna atan test eng emaw zat neih a ni bawk ang. Hengte hi operation hmaa i thinlung chu engtiang chiahin nge a inpeih tih hriat nan an ti thin.
| Fiahna | A awlsam zawngin, engtin nge i tih? |
|---|---|
| Thisen Test neih a ni | I hriselna tlangpui, kal leh thin hnathawh ang chi thil te chu enfiah thin a ni. |
| Chest X-ray neih a ni | Thinlung leh lungte pianzia leh a lian zawng enfiah rawh. |
| Electrocardiogram (ECG) hmanga tih a ni. | Thinlung electrical activity, chu chu heartbeat rhythm tih hi a check thin. |
| Echocardiogram (Echo) hmanga tih a ni. | Hei hi heart scan ang a ni. Thinlung pindan te, bang te leh valve te hnathawh dan te, a bang te chu engtiang chiahin nge a thuk tih te, thisen kalna tur daltu a awm em tih te chiang takin a hmu thei a ni. |
| Cardiac MRI hmanga enkawl a ni | He test hi thinlung ruh (heart muscle) thlalak chiang tak, chipchiar tak tak hmuh theihna tura tih a ni. |
| Cardiac Catheter hmanga tih a ni | Test, tube te tak te chu kut emaw ke emaw chhunga vein kaltlangin thinlung chhunga luhtir a, thinlung thisen kalna kawng leh thinlung chhunga pressure awm leh awm loh enfiah a ni. |
Surgery tih dan tur step khat hnu step khatin
Hei hi open-heart surgery a nih avangin general anesthesia pek i ni ang. Chumi awmzia chu engmah hrehawmna i nei lovang, muthilh thuk takah i awm dawn tihna a ni. Surgery tan atanga a tawp thlengin engmah i hre lovang.
I mut hnuah surgical team chuan hengte hi an zawm ang:
1. Thinlung luh theihna: Surgeon chuan i rilru lai takah vertical incision a siam a, uluk takin hnute ruh (sternum) chu pahnih ah a then a, chu chuan thinlung a lut thei a ni.
2. Heart-Lung Machine nena inzawmna: A dawtah chuan heart-lung machine nena inzawm i ni ang . Hei hi machine mak tak a ni. Surgery neih chhung hian i thinlung leh lung hnathawh, taksa vel thisen pump chhuak leh thisenah oxygen dah belhtu chu he machine hian hun eng emaw chen a thawk a ni. Hei hian surgeon chuan thinlung chu a titawp thei a, boruak muanawm leh thisen awm lohna hmunah surgery chu a ti thei a ni.
3. Thickened part lakchhuah: Tunah chuan main part a lo thleng ta. Surgeon chuan uluk takin thinlung bang (septum) thickened (septum) a extra muscle part chu a cut chhuak ang. Hei hi thisen kalna tur daltu tihbo nan a tul ang tawk chauh tih a ni.
4. Nau hnute hnek: Surgery zawh hnuah heart-lung machine nen i inzawm lo ang a, i thinlung hian a mah chauhin hna a thawk tan leh ang.
5. Incision khar dan:A tawpah chuan sternum chu an inzawm leh a, chest incision chu dissolvable stitches hmangin an khar leh a ni.
Surgery pumpui hi darkar thum emaw darkar li emaw vel a ni tlangpui .
Surgery hnuah eng nge thleng?
Operation hnuah Intensive Care Unit (ICU) -ah direct-in dah i ni ang a, chutah chuan i heart rate leh thisen sang chu uluk takin an enfiah ang.
- Darkar 24-48 hmasa berah chuan zun catheter leh chest drainage tube i dah thei a, chu chuan tui tam lutuk chu a chhuah tir thei a ni. Hengte hi ngaihtuah buai suh, hun eng emaw chen atan a ni.
- Darkar 48 vel hnuah chuan physical therapist puihnain zawi zawiin i kal tan ang.
- Mi tam zawk chu damdawi inah ni nga aia rei lo an awm a, chumi hnuah chuan an haw thei a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk. Mahse, Septal Myectomy hi surgery hlawhtling tak, risk hniam tak a ni.
| Surgery-a thatna ber berte | |
|---|---|
| Symptoms bo vek | Operation hnuah chuan thawk hah (dyspnea), rilru na (angina), leh muthilh (syncope) te ang chi natna lanchhuahna te chu a bo vek tawh mai ang. Nun chak tak i hmang leh thei tawh ang. |
| Hlawhtlinna sang tak nei | He surgery hian hlawhtlinna rate a nei sang hle. Zirchianna pakhatah chuan operation nei zinga 94% chuan an natna lanchhuahna atanga hahdamna an tawng a ni. |
| Hun rei tak chhunga result awm thei | He surgery result hi rei tak daih a ni. Surgery an neih hnuah damlote dam rei zawng chu mi pangngai hrisel dam rei zawng nen a inang tih hmuhchhuah a ni. |
| Harsatna awm thei (Risks) - (Hengte hi a awm lo) . | |
|---|---|
| Thinlung emaw, lung emaw vel a tui awmkhawm | A châng chuan thinlung emaw, lung emaw vêlah tui a lo awm thei bawk. Hei hi damdawi hmanga enkawl theih a ni tlangpui. |
| Atrial Fibrillation a awm thei | Lungphun mumal lo tak a ni. Hei pawh hi damdawi hmanga control theih a ni fo bawk. |
| Heart Block a ni | Thinlung electrical signal tihbuai. Hei hian heartbeat mumal lo (arrhythmias) a thlen thei a ni. A tlem berah chuan enkawlna atan pacemaker dah a ngai mai thei. |
Heng harsatnate hi thinlung lam natna dang nei te, zu in thin te, kum 65 chunglam te tan a sang hle tih hre reng ang che.Mi hrisel takah chuan he hlauhawmna hi a tlem hle.
Dam leh hunah engtin nge i awm ang?
Operation hnu ni engemaw zat emaw, kar engemaw zat emaw chhungin i rilru a hahdam hle ang. Thâwk hahna ang chi thil a bo chuan a danglamna chu i hmu ang.
- A tir lamah chuan i rilruah natna emaw, tight deuh emaw i nei thei a, mahse tuar theih loh tur a ni lo.
- Operation hnua chau deuh leh chakna tlem zawka inhriat hi thil pangngai a ni a, mahse kar tlemte chhungin i chakna chu a pangngaiin a lo kir leh ang.
Engtikah nge doctor i hmuh ang?
In lama i haw hnua i dam leh dan enfiah a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor hnenah i biak nghal tur a ni .
| Symptoms fimkhur tur | |
|---|---|
| Cut nena inzawm harsatna | Surgery neihna hmun (incision) vel ah hian a danglam bik a, a sen, a hring emaw, a lum emaw a awm chuan. |
| Khawsik | Taksa lumna chu 100.4 Fahrenheit (38 Celsius) aia sang a nih chuan . |
| Rihna a sang chho zel | Kar khat chhunga kg 2.5 (pound 5) aia tam i rihna i tihpun thut chuan (hei hi fluid retention chhinchhiahna a ni thei). |
| Thâwk harsa | Thâwk harsa emaw, rilru na emaw i neih thut chuan. |
Septal Myectomy hi surgery lian tak a ni. Mahse Hypertrophic Cardiomyopathy enkawlna hlawhtling tak leh nun tidanglam thei tak a ni. He surgery i neih zawh hian hlauhna awm lo, hah lo, nun pangngai i hmang leh thei tawh ang. Heng symptoms te hi i neih chuan doctor nen inbiakna neih hreh suh la, a tul anga test ti la, hemi chungchang hi zawt belh rawh.
Take-Home Thuchah a ni
- Septal Myectomy hi open-heart surgery a ni a , Hypertrophic Cardiomyopathy , heart wall chu a tlangpuiin a thim a ni.
- He surgery hian heart wall thickened section extra section chu cut chhuakin, heart-a thisen kal theihna tur daltu chu paih chhuak a ni.
- He surgery hi damdawi hmanga natna lan chhuah dan thunun theih loh tan a tha tlangpui.
- Hei hi hlawhtling tak, risk hniam tak a ni. Mi tam zawk chuan an tih zawh hnuah symptoms atanga hahdamna famkim an nei thin.
- Operation hnua dam lehna tur hian kar eng emaw zat a daih a, chutih chhung chuan damdawi lam thupek zawm a pawimawh hle.
- I natna lan chhuah dan danglam tak tak, a hliam, khawsik, emaw, i taksa rihna sang lutuk emaw i neih chuan doctor hnenah hriattir nghal rawh.
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