I doctor-in thinlung surgery i mamawh thu a hrilh che a, chu chu i rilru hawn a ngai tih a hrilh che chuan i hlauthawng leh hlauthawng deuh mai thei. Chu chu thil pangngai a ni. Tuman surgery hi an duh lo. Mahse heart surgeon ten an tih fo thin leh hlawhtling taka an tih thin a ni. Chuvangin hlauh tur a awm lo. He thuziak ah hian sternotomy chu eng nge a nih, engvangin nge tih a nih, engtin nge an tih tih leh operation hnua i hriat tur te kan sawi mai ang.
Sternotomy tih hi eng nge ni, a awlsam zawngin?
A awlsam zawngin sawi ila, sternotomy chu i rilru lai takah ruh flat, sternum chu operation tihna atan pahnih a then a, surgery tih a ni. Mi thenkhat chuan hei hi "median sternotomy" an ti bawk.
Ngaihtuah teh, he sternum leh ribs hi kan rilru chhunga taksa peng pawimawh tak tak, thinlung leh lung ang chite humhim turin a awm a ni. Safety cage ang mai a ni. Chuvangin, i thinlungah harsatna a awm a, surgery hmanga siamthat a ngai a nih chuan, surgeon tan chuan thinlung lam panna kawng tha ber leh awlsam ber chu he sternum hi a laiah tan la, a sir lehlamah kawng siam hi a ni.
Tin, "mini sternotomy" an tih dan pawh a awm a, chutah chuan sternum pumpui chu tan lovin, incision te tak te siam a ni. Hetah hian inches 2-3 vel zeta sei incision te tak te siam a ni.
Hei hi open heart surgery hi a ni em? Hei hi surgery lian tak a ni em?
Hei hi mi tam tak tibuaitu a ni. Sternotomy hi open heart surgery neih theihna kawng hawnsaktu a ni . I in chhunga thil siam that i duh hunah kawngkhar i hawn hmasak a ngai ang mai a ni. Chutiang chu a ni. Sternotomy hi thinlung lam panna tur "kawngkhar hawn" tihna a ni. Open heart surgery hi chhungril atanga thinlung siamthatna a ni.
Ni e, hei hi major surgery anga ngaih a ni . A chhan chu ruh chu a dam kim theih nan leh a tan hnuah a inzawm leh theih nan thla hnih vel a ngai a ni. Tin, open-heart surgery ang chi surgery lian dang pakhata tih a nih avangin an pahnih hi an inzawm khawm chuan surgery lian tak a ni.
Engvangin nge hetiang surgery hi i neih a ngai?
Doctor chuan he method hmang hian sternum leh ribs-in a humhim organs te chu a thleng thin. A bik takin:
- Heart: Heart valve siamthat leh coronary artery bypass surgery tih ang chi thil atan.
- Aorta: Thinlung atanga thisen kalna kawng lian ber aorta chungchanga harsatna nei tan.
- Pulmonary arteries (Pulmonary arteries): Thinlung atanga lung lam thlenga thisen phurtu thisen kalna kawngte.
Sternotomy hi eng natna pawh damdawi a ni lo. Surgeon-in awlsam zawka a hna a thawh theih nan taksa peng hrang hrangte tan hmun siamsak tura tih a ni. America ang ramah chuan kum tin heng surgery 700,000 chuang an tih thin a ni. Chutiang chu a ni.
Surgery neih hmain eng nge thleng?
I operation hmain medical team chuan thupek engemaw zat an pe ang che, chungte chu:
- Damdawi in i lo kal hmain shower tha tak la la, fai takin lo kal turin an ti che a.
- I rilruah sam i neih chuan fimkhur takin an la chhuak ang.
- Zai hnua hri kai loh nan antibiotics pek a ni ang.
- Surgery an tihna tur chest area chu antiseptic solution hmangin uluk takin an tifai thin.
Surgery tih dan tur step khat hnu step khatin
Hei hi i tan chuan hlauhawm deuhin a lang thei a, mahse hre reng ang che , heng zawng zawng hi anesthesia pek i nih hnuah leh i mutthilh hnuah tih a ni. Chuvangin engmah i hre lovang.
1. A hmasa berin surgeon chuan vunah incision a siam a, i shoulder blades inkar atanga tan in sternum zawh zawngin a hnuai lam pan a ni.
2. Tichuan, damdawi hmanraw bik "sternal saw" an tih hmangin a chung atanga a hnuai thlengin sternum chu line felfai takin an tan thin.
3. Ruh hnah pahnih cut te chu a sir lehlamah dahin, "retractor" an tih device dahin thinlung chhunga lut tur siam a ni.
4. A dawtah chuan thinlung vel venhimna membrane, pericardium chu hawn a ni.
5. Tunah chuan surgeon chuan thinlung chu chiang takin a hmu thei tawh ang. Tichuan an tih duh surgery lian ber (e.g. bypass surgery) chu an ti leh thin.
6. Main surgery zawh hnuah sternum hmun hnih an tan tawh chu an dah khawm leh a, steel wire 8 emaw 12 emaw vel (sternotomy wires) hmangin an nghet leh a ni. Thil chhe tawh chu khin ang mai a ni.
7. A tawp berah chuan chest tissue leh vun chu an sewn leh a, antibiotic ointment chu hliam chungah an hnawih a.
Operation hnuah eng nge i beisei theih ang?
Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw i awm ang a, chumi hnuah regular ward-ah sawn i ni ang.
- Natna: Operation hnuah natna engemaw zat i nei thei a, mahse i doctor chuan a control theih nan painkillers a pe ang che. Mi tam zawk chuan Paracetamol ang chi over-the-counter painkiller hmangin an natna hi an enkawl thei a ni.
- Chest tubes: Hliam atanga tui leh thisen tam lutuk chhuah nan tube pakhat emaw a aia tam emaw chu chest-ah dah theih a ni. Hengte hi ni rei lote hnuah paih chhuah a ni ang.
- Hmeichhia tana thurawn bik: I hnute a lian hle a nih chuan doctor-te chuan damdawi in chhuahsan atanga kar khat atanga kar hnih chhung darkar 24 chhung bra supported tha tak ha turin an fuih che a, chu chuan hliam chunga rit leh pressure tihziaawmna a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin he surgery hian hlawkna leh hlauhawmna tenau tak a nei a ni.
| A thatna te | Risk/Complication awm thei te |
|---|---|
| Surgeon hnenah thinlung leh a chhehvela thisen kalna kawng lian ber berte a luh theihna tur kawng tha tak siamsak. | Hliam natna. |
| Damlo tam zawkin an tuar thiam theih dan hlawhtling tak nih. | Thisen chhuah tam lutuk. |
| Tih rang leh awlsam tak a ni. | Thinlung thawk dan pangngai lo (abnormalities) a awm. |
| Complication awm theihna a tlem hle. | Hliam a hring chhuak. |
A dam leh theih nan eng chen nge hun a duh? Engtin nge in lamah ka in enkawl ang?
Sternum hi a dam kim theih nan kar 8 vel a ngai a ni. Hemi chhung hian i taksa chunglam che vel kha i tihtlem tur a ni. Doctor thupek dik taka zawm a pawimawh hle.
Hetih lai hian i sternum chu a inrem fel a ngai tih hre reng la, chuvangin i rilruah a tul lo taka pressure siam thei thil tih hi i pumpelh vek tur a ni.
- Thil rit phurh loh tur: Pound 10 (kilogram 4.5 vel) aia rit phur suh. A awlsam zawngin sawi ila, chu chu bawnghnute litre 4 vel a ni.
- Kut pahnih hmang rawh: Thil i chawi dawnin kut pahnih hmang la, a ruala chawi sang rawh. Kut pakhat chauh hmangin rit chu chawi chhuak suh.
- I kut chu i taksa hnaih takah dah la: Thil i chawi dawnin i kut chu i taksa hnaih takah dah la.
Driving chungchang
Surgery i neih hnu thla khat vel hnuah i khalh leh thei tawh ang. Mahse chumi hma chuan i doctor hnenah phalna i dil ngei ang. I sternum a dam hma chuan car-a i kal dawnin passenger hmalam seat-ah thut a tha ber. Seat belt in i rilru a hmet chuan i rilru a hah hle a nih pawhin seat belt hi vuah ngei ang che , a chhan chu accident a thlen hunah a venghim ang che.
Doctor hmuh hun tha ber berte chu engte nge ni?
I doctor nen hian follow-up appointment i nei fo ang. Mahse, a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Mihring ziarang | Hrilhfiahna |
| Chhung ruh na | Beisei aia nasa zawka natna tawk. |
| Ruh inthlak danglamna | Khuh, nuih emaw, taksa chet lai emawa rilru ruh a che ang maia hriatna. |
| "Tuck" emaw "pop" emaw a ri | Chest area-a "click" leh "popping" ri hriat. |
| Hliam atanga tui lo chhuak | Surgery hliam atanga pus, thisen emaw tui dang emaw chhuak, a sen emaw, a hring emaw. |
I thinlung surgery atana kawng tha ber thlan chu i dinhmun bik a zirin i doctor-in thutlukna a siam tur a ni. A tam zawkah chuan sternotomy hi thinlung luh theihna kawng tha ber a ni. Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
Take-Home Thuchah a ni
- Sternotomy hi surgeon-te’n rilru hawn leh thinlung surgery neih theihna tur kawng an neihna atana hmanraw hman tlanglawn tak leh him tak a ni.
- Sternum severed chu a dam kim theih nan kar 8 vel a ngai a ni.
- Recovery period chhunga i doctor-in weight lifting leh activity restriction a pek apiang kha khauh taka zawm a pawimawh hle.
- Vaukhânna chhinchhiahna eng emaw i hmuh chuan, i rilruah thawm danglam tak i hriat te, ruh a che tih hriat te, hliam aṭanga tui chhuak emaw te chu i doctor hnenah hriattir nghal rawh.
- I surgery emaw, i dam lehna tur emaw chungchangah ngaihtuahna i neih chuan i doctor hnenah zawhna zawt ngai suh.











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