Septostomy tih hi eng nge ni? Naute pianpui thinlung natna nei tan engvangin nge a pawimawh?

Nu emaw, pa emaw chuan an naute piang thar hian thinlung lama harsatna lian tak a nei tih an hriat chuan eng nge an rilru put hmang chu thumal hmanga sawi a harsa hle. Mahse vawiinah chuan damdawi lam hian hma a sawn nasa hle. A châng chuan, naute chu operation lian tak tih a nih hma loh chuan nung reng thei enkawlna tenau tak tak, mahse pawimawh tak tak a awm ṭhin. Vawiin hian chutiang nunna chhanhim thei damdawi pakhat chungchang kan sawi dawn a ni. Hei hi septostomy an ti a.

A awlsam zawngin, septostomy tih hi eng nge ni?

Septostomy hi nunna chhanhimna a ni a, naute pianpui heart defects nei te chu an thinlung siamthatna tur surgery lian tak an neih theih hma loh chuan an dam khawchhuak thei a ni. ‘Balloon atrial septostomy’ an ti bawk.

Hei hi open-heart surgery a ni lo. Heta thil thleng chu doctor chuan naute vun chhungah hian needle te tak te a thun a, chuta tang chuan tube (catheter) te tak te tak mai chu thinlungah a pass a ni. He tube tawp lamah hian balloon te tak te a awm a. He balloon hi naute thinlunga pianphung anga awm, khur te tak te tihzauh nan hman a ni.

He khur hian oxygen tamna thisen leh oxygen tlakchhamna thisen a inhmeh tir thei a ni . Tichuan, naute taksa pum puiah oxygen tamna thisen engemaw zat a kal kual a. Hetiang enkawlna hi tih a nih loh chuan naute taksaah hian thisen oxygen hniam tak tak chauh a inher chhuak thin. Hei hi naute nunna atan a hlauhawm hle.

Eng ang naute nge he enkawlna hi mamawh?

Nausen pianpui thinlung natna nei thenkhat chu an vunah rawng dum (bluish color) an nei thin. Damdawi lam hawi chuan hei hi cyanosis an ti a. Hei hi taksain thisen atanga oxygen a hmuh tlem vang a ni. Chumi awmzia chu oxygen tlakchhamna thisen chu lungah a kal nghal a, a thianghlim lo va, chu ai chuan taksa pum puiah a fang kual tihna a ni. Hetiang dinhmun hi a hlauhawm hle a , emergency medical treatment a ngai a ni .

Septostomy hi naute cyanotic heart disease nei tan a ngai tam ber. He enkawlna hi thinlung natna lian ber pahnih a awm a, chungte chu he enkawlna hi hman tam ber a ni.

He khur te tak te Foramen Ovale an tih chanchin hi eng nge ni?

Hei hi hrethiam tur chuan naute nu pum chhunga a awm lai kha tlem kan kir leh a ngai a ni.

Nausen pum chhunga a awm lai hian naute lungin hna a thawk lo. Naute hian a mamawh oxygen chu nu hnen atangin umbilical cord hmangin a hmu thin. Chuvangin, he oxygenated thisen hi lungah kal lovin taksaah direct-in a thawn a, he foramen ovale hi thinlunga natural small opening a ni. Hei hi thinlung chunglam chamber (atria) pahnih inkar bang chhungah a awm a.

Naute a pian hnuah chuan lungin hna a thawk tan a. Tichuan, he hawnna te tak te hi a ngai tawh lo a, a tlangpuiin a mah chauhin a khar thin.

Chuti a nih chuan engvangin nge he hole hi septostomy enkawlna atan a pawimawh?

Kan sawi tawh ang khan thinlung natna nei naute, blue-a inthlak thinte tan chuan he khur hi foramen ovale an tih hian an pian hnu ni engemaw zat chhung chu an dam khawchhuah theih nan a pui thin. Chumi hmang chuan oxygen tamna thisen thenkhat chu oxygen tlakchhamna thisen nen an inhmeh a, taksaah an lut thin.

Mahse, he khur hi a mah chauha a inkhar tan chuan chu hawnna chu a inkhar ta a ni. Tichuan naute nunna chu a hlauhawm ta hle mai. Chutih lai chuan septostomy enkawl a ngai ta a ni. Doctor te tih tur chu chu balloon hmang chuan foramen ovale a khur chu a lian deuh deuh a , a inhawng reng thin Tichuan naute chu major surgery tih a nih hma loh chuan a nung reng thei a ni.

A chang chuan he khur hi a inkhar kim vek a nih chuan doctor-te chuan special bladed tube hmangin khur thar an siam thei bawk. Thinlung chhunga khur siam tum hi thil mak tak a ni thei a, mahse hetiang hian naute nunna chhanchhuahna kawng awmchhun a ni mai thei.

Engtin nge he septostomy enkawlna hi tih a nih?

He enkawlna hi damdawi in cardiac unit-a special laboratory (catheterization lab)-ah emaw, neonatal intensive care unit (Neonatal ICU)-ah emaw tih a ni. Hemi atana training bik dawng tawh cardiologist-in a ti thin.

1. Gaining access: A hmasa berin doctor chuan naute groin area-a thisen kalna kawng lian takah needle te tak te a thun a. A chang chuan umbilical cord hmangin hei hi tih theih a ni.

2. Catheter dah luh: Chumi hnuah chuan needle chu la chhuakin, balloon nei tube te tak te (catheter) chu a khur atang chuan thisen kalna kawngah an dah lut a.

3. Thinlung lam pan: Doctor chuan he tube hi thisen kalna kawng kaltlangin thinlung lam panna kawngah uluk takin a kaihruai a , chutih lai chuan echocardiogram-a thlalak te chu a en a ni .

4. Khur lian zawk: Tube chu thinlung dinglam atrium-ah a awm tawh chuan foramen ovale kaltlangin veilam atrium-ah a lut a. Tichuan, tube tawp lama balloon chu an inflated a, dinglam lamah an hruai kir leh a. He pulling hian a zung te tak te chu a ti lian a ni.

5. Enkawlna tawp: A khur chu a lian tawk tawh chuan balloon chu a deflated a, tube chu uluk takin kan la chhuak thin.

Hetiang zawng zawng hi naute chu a tul anga anesthesia leh painkiller pek laiin tih a ni a, naute chu uluk taka enkawl a ni bawk.

Engtin nge doctor-te chuan enkawl a hlawhtlin leh hlawhtlin loh an hriat?

Doctor-te chuan enkawlna a hlawhtlin leh hlawhtlin loh hriat nan thil engemaw zat an en a.

• Naute thisena oxygen level chu 10% tal a pung em tih an enfiah thin .
• Thinlung chhunga khur siam chu a hma aia 33% tal a lian tawh em tih an enfiah thin.
• Thinlung dinglam leh veilam atrium inkarah thisen sangah danglamna lian tham a awm em tih kan enfiah thin.

Heng zinga pakhat emaw, a aia tam emaw a tlin chuan enkawlna chu hlawhtlingah ngaih a ni.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

A thatna te

He enkawlna hian a thatna lian ber chu naute nunna a chhanhim thei a ni . Nausen thinlung natna avanga oxygen tlakchham chu oxygen pek thuai theih a ni a, major surgery thlenga dam theihna hun pek theih a ni bawk.

Risk a awm thei

Damdawi dang ang bawkin, hlauhawmna a awm. Naute thinlung natna khirh tak nei tan enkawlna eng pawh hian hlauhawmna a keng tel a ni. Zirna thenkhatah chuan he enkawlna hian stroke a thlen thei tih hmuhchhuah a ni. Amaherawhchu, hei hi a enkawl dan ngei vang nge, thinlung natna avanga taksa tana oxygen a tlakchham vang nge tih erawh hriat chian a la ni lo.

Naute enkawl zawh hnuin a hmalam hun chu eng ang nge ni ang?

Naute septostomy nei zinga 94% chauh an dam . Chumi hnuah chuan an thinlung dinhmun siamthat nan operation lian tak an neih a ngai a ni.

Entirnan, d-TGA vei naute chu an pian hnu lawkah Arterial Switch Operation (ASO) tih operation an nei thin. Hei hian thisen kalna kawng pahnih switched te chu tan a, uluk taka inzawm leh a huam a ni. He operation hnuah hian naute 97% leh 98% inkar chu an dam tha hle .

Hetiang surgery lian tak hnuah hian i naute hian damdawi lam enkawlna kalpui zel a mamawh dawn a ni. Hei hian hunbi neia doctor pan a, test neih a, naute enkawl tha tihna a ni. Naute tin hi an danglam vek avangin i doctor chuan i naute hmalam hun tur chungchang a tha ber ber a pe thei che a ni.

Nu leh pa anga i hriat tur thilte

I fate hian natna khirh tak a nei tih i hriat hian hlauhna, lungkhamna leh zawhna tam tak neih hi thil pangngai tak a ni. Damdawi ina an awm laiin i naute hnen atanga hla taka awm chu a harsa hle bawk. Medical staff te hian i rilru put hmang hi an hrethiam a ni.

• Zawhna zawh hlau suh: I naute damdawi pek tur chungchang, a enkawl dan tur leh a hnua thil thleng tur chungchanga zawhna i neih apiang chu doctor emaw nursing staff emaw hnenah zawt rawh. I hriatthiam loh chuan awlsam taka sawifiah leh turin hrilh rawh.
• Ṭanpuina zawng rawh: Chutiang thil tawn tawh nu leh pa dangte nêna inbiakna chu fuihna nasa tak a ni thei a. I doctor hnenah support group chungchang zawt rawh.

Hetiang thinlung natna chi hrang hrang hi a tlem thei hle a, mahse nangmah chauh i ni lo. Septostomy hi i naute nunah hmalakna hmasa ber leh pawimawh ber a ni thei. Damdawi lam enkawlna dik leh i hmangaihna leh enkawlna i neih chuan i naute chu hmalam hun hrisel tak i pe ngei ang.