A châng chuan thawk harsa i ti em, i rilru a hrual ang maiin i inhria em, a nih loh leh stairs i chhoh emaw, thil hahthlâk deuh deuh i tih hian i rilru a hah em? Heng symptoms te hi chhan tam tak a awm thei. A chhan ber pakhat chu heart muscle thickening vang a ni. Damdawi lam hawi chuan hei hi ‘Hypertrophic Cardiomyopathy’ kan ti a. Chuvangin, he natna hi damdawi hmanga control harsa a nih chuan doctor-te rawtna special surgery a awm thin. Vawiin hian ‘Septal Myectomy’ tih surgery kan sawi dawn a ni.
A awlsam zawngin, he thinlung bang thicking hian eng nge a awmzia?
Kan thinlung hi taksa peng mak tak a ni. In te tak te, pindan pali nei ang mai a ni. Chamber chunglam (atria) pahnih leh hnuai lam chamber (chamber) pahnih a awm a. Chung hnuai lama pindan lian pahnih, chu chu dinglam leh veilam chamber te hi a laiah bang thuk takin an inthen a ni. He muscle atanga siam wall hi ‘septum’ kan tih hi a ni.
‘Hypertrophic Cardiomyopathy’ an tih dinhmunah chuan he septum chhunga thau hi a thim lutuk a ni. I in chhunga pindan pahnih inthenna bang chu a lo hring chhuak nghal a, pindan pakhat chu a chhungah a nawr lut a nih chuan eng nge thleng ang tih han ngaihtuah teh. Chu chu hetah hian thil thleng a ni. He bang thim tak hian chhung lam a nawr a, a bik takin left ventricle, taksaa thisen pump chhuahna chamber lian ber chhungah a nawr lut a ni.
Tichuan, thisen thinlung atanga chhuak tur kawng chu a inkhar ta a ni. Chumi avang chuan thinlung hian a hma aia nasa zawk, pressure nasa zawk hnuaiah, taksa peng dang zawng zawnga thisen pump turin a thawkrim a ngai a ni. Hei vang hian a hmaa kan sawi tawh ang chi natna lan chhuah dan, thawk hah leh rilru natna te chu a lo lang tan ta a ni. He natna hi mi thenkhatah chuan pianpui a ni thei a, a hnu lamah pawh a lo awm thei bawk.
Tute nge Septal Myectomy surgery mamawh?
Hetiang natna vei zawng zawng hian operation an mamawh vek lo. I doctor chuan damdawi hmangin a natna lan chhuah dan chu thunun a tum hmasa ang. Mahse, a then phei chuan surgery hi a solution tha ber a ni.
- Damdawi hmanga symptoms control thei lote tan: Damdawi hmanga symptoms, rilru na, thawk harsa, leh luak chhuak te hi thunun theih loh a nih chuan i doctor chuan he surgery hi a ngaihtuah thei ang.
- Heart wall (septum) thuk tak nei tan chuan: Mi thenkhat chuan symptoms tlem zawk nei mahse, septum hi a thim hle a, thisen kalna a tikhawtlai nasa hle a nih chuan he surgery hi tih a tha.
- Hmeichhia naupai beisei tan:Hetiang natna vei hmeichhia hian nau pai a beisei a nih chuan, a natna lan chhuah dan chu a na lutuk lo a nih pawhin, he surgery hi a \henah chuan tih tur a ni. Naupai lai hian thinlunga pressure a san avangin he daltu hi tihbo hmasak a him zawk.
Operation hmain eng nge i tih tur?
Surgery neih hmain doctor chuan i thinlung dinhmun uluk taka enfiah turin test eng emaw zat a ti ang. Thil ngaihtuah tur a awm lo. Chungte chu a him thei ang bera leh hlawhtling taka surgery tih theihna tura information mamawh zawng zawng hmuh theihna tura tih a ni.
| Fiahna | A awlsam zawngin, engvangin nge an tih? |
|---|---|
| Thisen Test neih a ni | Taksa hriselna tlangpui leh harsatna dang a awm leh awm loh enfiah thin ang che. |
| ECG (Electrocardiogram) hmanga tih a ni. | Thinlung electrical activity enfiah la, heartbeat rhythm zir rawh. |
| Echocardiogram (Echo) hmanga tih a ni. | Thinlung video la la, thinlung chamber, valve leh wall te thickness dik takin teh rawh. |
| Lung lam MRI hmanga siam a ni | Thinlung thlalak chiang tak, chipchiar tak tak la la, taksa ruh (thickened muscle area) chu hriat chian rawh. |
| Cardiac Catheter hmanga tih a ni | Tube te tak te chu thisen kalna kawng khat kaltlangin thinlung chhungah an lut a, chu chuan thinlung chhunga pressure leh thisen kalna kawngkhar chhungah block a awm leh awm loh enfiah thin a ni. |
Tin, damdawi eng emaw, thisen tithianghlimtu ang chi i ei a nih chuan, i doctor chuan operation hma ni engemaw zat chhung chu ei tawh lo turin a hrilh ang che.Meizial zu mi i nih chuan operation hmaa bânsan chuan i dam lehna kawngah nasa takin a pui ang.
Engtin nge surgery hi tih a nih?
Hei hi open-heart surgery a ni. Mahse tunlai technology hmang hian hengte hi hlawhtling tak leh him takin an ti thei a ni.
1. Anesthesia: A hmasa berin anesthetized kim vek i ni ang. Chumi awmzia chu zai lai hian natna engmah i hre lovang a, muthilh thuk takah i awm dawn tihna a ni.
2. Surgery: Surgeon chuan a rilru lai takah, a sir lehlama hnute ruh (sternum) kaltlangin, thinlung thleng turin incision a siam a.
3. Heart-Lung Machine: A dawtah chuan ‘heart-lung machine’ ah i connect leh ang. He machine hian operation chhungin i thinlung leh lung hnathawh a thawk ang.
4. Muscle removal: A dawtah chuan surgeon chuan uluk takin septum chhunga muscle part, a tul lo taka thick tawh chu a cut a, a la chhuak leh thin. Hei hian thisen kal dan block chu a hawng leh ta a ni.
5. A tawp ber: Chumi hnuah chuan heart-lung machine atang chuan i disconnect a, i sternum chu a dah leh a, chest incision chu dissolvable stitches hmangin khar a ni.
He surgery zawng zawng hi darkar thum atanga darkar li vel a ni tlangpui .
Surgery hnuah eng nge thleng?
Operation hnuah Intensive Care Unit (ICU)-ah direct-in admit i ni ang. Chutah chuan doctor leh nurse te chuan i dinhmun chu uluk takin an enfiah ang. Ni khat emaw ni hnih emaw chhung chu urinary catheter emaw chest drain emaw i nei thei a, mahse ngaihtuah buai suh.
Ni hnih vel hnuah chuan physical therapist puihnain khum atanga tho chhuakin tlem tal i kal kual tan thei tur a ni. Mi tam zawk chu damdawi inah ni nga aia rei lo an awm thin . In haw hnua rei vak lo chau tih hi thil pangngai a ni. Kar tlemte chhungin i chakna pangngai i nei leh ang.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin he surgery hian hlawkna a nei a, hlauhawmna pawh a tlem hle.
| A thatna ber | Risk awm thei te |
|---|---|
| Symptoms, rilru na (Angina) leh thawk hah (Dyspnea) te chu a bo vek tawh mai. | Thinlung emaw lung emaw vel a tui awmkhawm. |
| Thinlung hah lova hnathawh theih. | Atrial fibrillation (thinlung rit lam harsatna) a awm. |
| Nun chhung zawnga mi pangngai, hrisel tak anga nun theihna. | Thinlung electrical signal tihbuai (heart block). |
Heng risk te hi mi zawng zawng tan a ni lo. A bik takin, thinlung natna dang nei te, zu in thin te, leh kum 65 chunglam te tan chuan a hlauhawmna hi a sang deuh thei a, mahse a pumpuiah chuan Septal Myectomy hi surgery a ni a, hlawhtlinna rate sang tak (94% aia tam) a ni.
Operation hnuah engtikah nge doctor ka hmuh ang?
In haw hnuah harsatna i neih chuan doctor ko nghal a pawimawh hle.
- Hliam kaihhnawih harsatna: Surgery hliam chhehvel chu a sen lutuk a, a hring lutuk a, a lum lutuk a nih chuan.
- Khawsik: Thermometer hmanga khawsik 38 Celsius (100.4 Fahrenheit) aia sang i neih chuan.
- Weight gain: Kar khat chhunga i rihna chu kg 2.5 (5 lbs) aia tam a san thut chuan (hei hi fluid retention chhinchhiahna a ni thei).
Hetiang thil i tawn chuan hlauthawng suh la, doctor hnenah hriattir nghal rawh.
Take-Home Thuchah a ni
- ‘Septal Myectomy’ tih hi ‘Hypertrophic Cardiomyopathy’ natna, thinlung ruh a thim nasat avangin open-heart surgery tih a ni.
- He surgery hi damdawi hmanga an natna lan chhuah dan thunun theih lohte chungah tih a ni tlangpui.
- Surgery-ah hian thinlunga thisen kal tibuaitu taksa ruh (muscle tissue thickened) chu lakchhuah a ni.
- Hei hi surgery hlawhtling tak a ni a, operation hnuah pawh symptoms atanga relief nasa tak a awm bawk.
- Hei hi surgery lian tak ni mahse, a result a tha hle. A pawimawh ber chu i doctor thupekte uluk taka zawm tur a ni a, operation hma leh operation zawhah.
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