I naute chu septostomy a mamawh thu an hrilh tawh em? Hemi chungchang hi i hrechiang lehzual ang u.

Doctor-in i fate hian pianpui thinlung natna a nei tih a hrilh che khan i hlau hle ngei ang. Tichuan, i naute nunna chhanhim nan septostomy an tih procedure a ngai dawn tih an hrilh che a ni mai thei. Heng thute hi i hriat hian i rilru a buai a, i buai hle tih hi thil pangngai a ni. Mahse, lungngai suh. Vawiin hian eng nge a nih, engvanga tih nge a nih, engtin nge a tih dan te chu i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.

Septostomy hi eng nge ni tak tak?

A awlsam zawngin sawi ila, septostomy hi thil tih dan bik a ni a, naute pianpui thinlung natna thenkhat nei te chu an natna siamthatna tur operation lian tak neih an nih hma loh chuan an dam khawchhuak thei a ni. Mi thenkhat chuan ‘Balloon Atrial Septostomy’ an ti bawk.

Ngaihtuah teh, kan thinlung (atria) chunglam pindan pahnih inkarah hian bang te tak te a awm a. Hetianga enkawlnaah hian chu bang chhunga pianphung anga awm khur te tak te chu balloon ang chi thil hmangin tlem a lian deuhin an siam thin.

He khur hi a lian chhoh chuan thisen oxygen tam zawk (thisen tha) leh thisen oxygen tlem zawk (thisen tha lo) te chu an inzawm khawm tan thin. Tichuan, he thisen inzawmkhawm thenkhat hi naute taksa pum puiah a fang kual a. Chutiang a nih loh chuan naute taksa pum puiah oxygen tel lo thisen chauh a kal a, chu chu nunna atan a hlauhawm hle.

Eng ang naute nge he enkawlna hi mamawh?

Nausen thenkhat chu thinlung lama harsatna engemaw tak neia piang an ni. Heng tlin lohna avang hian taksaa oxygen tlakchhamna thisen chu lungah a kal lo va, a tifai lo bawk. Tichuan naute tissue te hian an mamawh oxygen an hmu lo. Hetiang dinhmun hi ‘cyanosis’ kan ti a. Naute thenkhat vun dum nei i hmu tawh mai thei. Chu chu he thil chhinchhiahna ber chu a ni. Hei hi dinhmun hlauhawm tak a ni a, enkawl vat a ngai a ni.

Hetiang tih dan hi septostomy an tih hi thinlung natna chi hnih ah hman a ni ber.

He ‘natural hole’ Foramen Ovale an tih hi eng nge ni?

Hei hi thil mak tak a ni. Nausen pum chhunga an awm lai hian nausen tin hian an thinlung dinglam leh veilam inkarah bang (septum) te tak te an nei a. Foramen ovale an ti a.

Nausen pum chhunga an awm lai hian naute hian an lung hmangin an thawk chhuak lo. An oxygen chu nu nausen atang hian an hmu a, umbilical cord kaltlangin an hmu thin. He oxygenated thisen hi naute thinlung dinglam atanga lo chhuak a ni a, chu khur atang chuan veilam lamah a kal nghal a ni. Chuta tang chuan taksa pum puiah a kal a. Chumi awmzia chu an pum chhunga an awm lai hian thisen chu lungah a kal lo tihna a ni.

Mahse, naute a lo pian veleh lungin hna a thawk tan ta a ni. Tichuan chu khur chu a ngai tawh lo. Chuvangin, a pian hnu ni engemaw zat hnuah chuan a khur chu a pianphungah a khar thin .

Chuvangin, a chunga kan sawi tak thinlung natna nei naute tan chuan harsatna lian ber chu he khur hi a khar hun hi a ni. A chhan chu, chu khur chu a awm chhung chuan oxygen nei thisen thenkhat chu deoxygenated thisen nen a inhmeh a, taksaah a lut ta a ni. A khar veleh chu kawng chu a bo a, naute chuan oxygen a hmu tlem hle. Septostomy tih hian chu khur khar emaw, khar emaw chu hawn lehin, a lian deuh deuh a ni.

Engtin nge septostomy hi tih a nih?

Hei hi damdawi ina cardiac unit (catheterization lab) emaw neonatal intensive care unit (NICU)-a special room-ah tih a ni. Hemi atana training bik dawng tawh cardiologist-in a ti thin.

1. Inbuatsaihna: Naute chu a rilru a hahdam theih nan leh a natna awm lo turin a tul ang ang damdawi pek a ni.

2. Catheter dah luh: A tlangpuiin naute kawr chhunga thisen kalna kawng lian tak chu needle te tak te hmangin an hrual a, chuta tang chuan tube te tak te, flexible tak (catheter) an dah lut thin. He tube hian a tawp lamah balloon te tak te a nei a. A châng chuan hei hi umbilical cord-a tube hmangin tih a ni bawk.

3. Thinlung lam pan: Doctor chuan scanning machine, ‘echocardiogram’ ang chi chu a en a, uluk takin thisen kalna kawng kaltlangin thinlung lam thlengin tube chu a kaihruai thin.

4. Khuar lian zawk siam: 1.1 .Tube hi thinlung dinglam atrium-ah a lut a, chuta tang chuan foramen ovale kaltlangin veilam atrium-ah a lut a ni. Tichuan, tube tawp lama balloon chu an inflated a, dinglam lamah an hruai kir leh a. Tichuan, a zung chu a inzawm khawm a, a lian lehzual ta a ni.

5. End: Hnathawh zawh hunah balloon atanga boruak chu la chhuakin uluk takin tube chu la chhuak rawh.

Hetiang zawng zawng hi darkar khat aia rei lo a ni tlangpui.

Hei hi a hlawhtling em tih engtin nge i hriat? Eng nge a hlawkna leh a hlauhawmna?

Doctor-te chuan enkawlna a hlawhtlin leh hlawhtlin loh an rel a, chu chu hetiang hi a ni:

• Naute thisena oxygen level hi a hma aiin 10% tal a pung a ni.
• Thinlung khur chu a hma aiin hmun thuma ṭhena hmun khat tal a lian ta a ni.
• Thinlung dinglam leh veilam atria inkara thisen sang inthlauhna lian tak chu a bo ta a ni.

A thatna ber chu hei hian naute nunna a chhanhim a ni. Naute kawng danga oxygen dawng thei lo chuan operation lian tak neih hma loh chuan dam theihna hun a nei a ni.

Speaking of risks , damdawi lam kalphung eng pawhah hian risk a awm. A bik takin hetiang ang thinlung natna khirh tak nei naute tan chuan eng thil pawh hi a hlauhawm hle. Zirna thenkhatah chuan he enkawlna leh stroke inzawmna hi a awm thei tih hmuhchhuah a ni a, mahse chiang taka finfiah a la ni lo. A hlauhawmna chhan chu enkawlna avang ni lovin, thinlung natna avanga taksa tana oxygen tlakchham vang a ni zawk mai thei.

Naute enkawl hnua a hmalam hun chu eng ang nge ni ang?

Naute septostomy nei zinga percentage sang tak, 94% chuan hlawhtling takin an ti zo a ni. Chumi hnuah chuan major surgery (e.g., arterial switch operation) tih a ni a, chu chuan heart defect chu a hun takah siamthat a ni. Tunah hian heng surgery te hlawhtlinna hi a sang hle a, 97-98% vel a ni.

Operation hnuah pawh i naute hian damdawi lam enkawlna kalpui zel a mamawh dawn a ni. I doctor appointment i zawm a ngai ang a, scan i neih a ngai ang a, damdawi i ei a ngai bawk ang. Naute tin hi an danglam vek a, chuvangin i doctor chuan i naute hmasawnna chungchang a tha ber ber a pe thei che a ni.

I naute chunga hetiang thil i tih a ngaih huna i hlauhthawn leh lungkhamna hi ka hrethiam. Mahse, tunlai hian medical science hi a hmasawn hle tih hre reng ang che. I naute enkawl tur hian doctor leh nurse thiam tak tak team an awm a. Zawhna leh rinhlelhna i neih apiang zawt hreh suh.