Doctor-in nangmah emaw, i hriat mi emaw hnenah open heart surgery neih a ngai tih a hrilh hian i rilruah hlauhna lian ber pakhat chu, "Ka rilru a inhawng dawn em?" Hemi kawngah hian eng nge thleng tak tak? He "rilru hawn" tih hi damdawi lam thumal chu "Sternotomy" tih a ni. He hming i hriat hian hlau suh, i ngaihtuah angin a hlauhawm lo. A atanga Z thlengin engkim hi awlsam takin sawi ila.
A awlsam zawngin Sternotomy chu eng nge ni?
Sternotomy hi i rilru lai takah ruh flat, sternum (breastbone) chu operation atan hun engemaw chen a then a ni. Hetiang hian han ngaihtuah teh: sternum leh ribs hi kan rilru chhunga thinlung leh lung ang chi taksa peng pawimawh tak takte humhim turin a awm a ni. Thil hlu dahna safe ang mai a ni.
Chuvangin, thinlung lama harsatna (thinlung lam panna thisen kalna kawngkhar khar ang chi) chu surgery hmanga siamthat a ngaih hunah chuan surgeon chuan thinlung lam panna kawng tha tak a neih a ngai a ni. Chutih lai chuan he venghimtu hnute ruh hi uluk takin a laiah an tan a, chutah chuan pahnihah then a, thinlung lam panna kawng siam a ni. Hei hi `Sternotomy` an ti a.
In chhunga thil lian tak a luh theih nan kawngkhar frame chu hun eng emaw chen lakchhuah a, a hnua inzawm leh a nih ang bawkin, he hnute ruh hi hun engemaw chen chu pahnih-ah then a ni a, chutah chuan operation zawhah dah leh a ni a, chu chuan surgeon-te’n awlsam takin i thinlung an thleng thei a ni.
A châng chuan sternum chu a tikehsawm vek ai chuan incision tenau zawk (inches 2-3 vel) siam a ni. Hei hi `mini-sternotomy` an ti a.
Sternotomy hi surgery lian tak a ni em?
Ni e, hei hi surgery lian takah ngaih a ni. A chhan ber chu sternum hi a dam kim theih nan kar 8 vel, a nih loh leh thla hnih vel a ngai a ni. Tin, sternotomy hi open heart surgery anga tih a ni tlangpui a, chu chu open heart surgery ang chi surgery lian tak neihna tur kawng a buatsaih tihna a ni a, chuvangin heng surgery pahnih hi i lak dun chuan surgery lian tak a ni ta a ni. Mahse hre reng ang che, hei hi khawvel hmun hrang hranga cardiac surgeon-te tih thin surgery hman tlanglawn tak leh hlawhtling tak a ni.
Engtin nge surgery hi an tih thin? Step khat hnu step khatin
Hetiang surgery ngaihtuah hian hlauhna neih hi thil pangngai a ni. Mahse chu hlauhna chu thil thleng tur dik tak i hriat chuan nasa takin a tlahniam thin. Hetah hian operation hi step by step khata tih dan tur kan rawn tarlang e.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Inbuatsaihna | Fully anesthetized i ni dawn a, chuvang chuan natna engmah i nei lovang. Tichuan, i rilru vun chu uluk takin i tifai ang a, a tul chuan sam pawh i la chhuak ang. |
| 2. Vun incision | Surgeon chuan i rilru vunah inch 6-a sei incision a siam ang a, i collarbones inkar atanga a hnuai lam thlengin a ti ang. |
| 3. Sternum incision a ni | Medical saw bik (`sternal saw`) hmangin, hnute ruh chu uluk tak leh dik takin a laiah pahnih ah then a ni. |
| 4. Thinlung tan hmun siam | Thil hmanraw bik (``retractor'') dahin ruh chi hrang hrang pahnih chu a sir lamah an sawn a, chu chuan thinlung chu chiang taka hmuh theih turin hmun a siam a ni. |
| 5. Surgery lian tham tih | Hei hi thinlung emaw a kaihhnawih taksa peng (e.g., bypass surgery, valve thlak) surgery an tih hian a ni. |
| 6. Sternum (sternum) inzawm lehna | Surgery an tih zawh chuan sternum inthen tawh chu an dah khawm leh a, stainless steel wire (sternotomy wire) 8 atanga 12 vel hmangin an nghet leh a ni. |
| 7. Hliam chu stitching | A tawp berah chuan internal tissue leh vun te chu suture-in, hliam chu an khar a, infection ven nan ointment an hnawih bawk. |
Operation hnuah eng nge beisei tur?
Surgery zawhah damdawiin intensive care unit (ICU)-ah ni engemaw zat i awm a ngai dawn a ni. Tichuan regular ward-ah sawn i ni ang.
Recovery hun leh thil hriat tur
- Recovery hun chhung: 1.1.Sternum hi a dam kim theih nan thla hnih vel a ngai a ni. Hemi hun chhung hian fimkhur hle a ngai a ni.
- Natna: Operation hnua natna engemaw zat neih hi thil pangngai a ni. Mahse, mi tam zawk chuan natna tihdamna damdawi awlsam tak `Paracetamol` hmangin an enkawl thei a ni. Natna tuar theih loh i neih chuan i doctor emaw nurse emaw hrilh rawh.
- Lifting weights: Hei hi a pawimawh hle . Thla hnih hmasa berah chuan kg 4-5 aia tam chawi suh . A awlsam zawngin, bawnghnute litre 4-5 aia tam chawi hi a tha lo.
- Kut hman dan: Thil i chawi dawnin kut pahnih hmang ang che. Tin, i kut pahnih chu i taksa hnaih takin chawi sang bawk ang che. Kut pakhat hmanga rit phurh emaw, kawngkhar nawr emaw loh tur.
- Khuh leh thawk hah: Khuh, khuh emaw, nuih emaw hian i rilruah pillow emaw, kut hrual emaw dah la. Hei hian i sternum-a pressure a tihziaawm ang a, natna a tiziaawm bawk ang.
- Driving: A tlangpuiin thla khat emaw thla hnih emaw vel hnuah chuan i khalh leh thei tawh ang a, mahse doctor hnenah i zawtfiah a tha ber.
Doctor pan tur a nih thu vaukhânna chhinchhiahna
I haw hnuah i hliam leh i taksa ngaihven a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor ko nghal rawh , a nih loh leh i enkawlna damdawi inah kal rawh.
- Breastbone changes: I hnute ruh chu a che ang tih i hriat chuan, emaw, ‘click’ emaw ‘click’ emaw ri i hriat emaw i hriat emaw chuan.
- Natna tihpun: Hliam a dam deuh deuh chuan a na hi a tlahniam zauh zauh tur a ni. Mahse, a natna chu a lo zual thut a nih chuan.
- Hliam chhuahna: Hliam atanga tui sen, sen, emaw, rimchhia tak tak, pus ang chi tui a luang chhuak a nih chuan.
- Hliam leh sen: Hliam chhehvel chu a sen hle a, a hring a, khawih pawhin a lum tih a hriat chuan.
- Khawsik: Taksaah khawsik a awm chuan.
Heng symptoms te hian hliam a infect emaw, ruh a dam tha lo emaw a ni thei. Chuvangin ngaihthah suh.
Take-Home Thuchah a ni
- Sternotomy hi thinlung surgery neihna tur hmun siam nan hmanraw hman tlanglawn tak leh him tak a ni. A tul lovah hlau suh.
- Sternum severed chu a dam theih nan thla hnih vel a ngai a ni. Hemi chhung hian thil rit tak tak chawi emaw, engti kawng pawhin i taksa tihbuai loh tur a ni.
- I doctor thupek chu uluk takin zawm la, a bik takin rit phurh leh i rilru venhimna chungchangah.
- Hliam a na a, thawm danglam tak a siam emaw, a atanga zun chhuak ang chi symptoms a neih chuan doctor lam pan nghal tur a ni.
- He surgery chungchanga zawhna i neih chuan i surgeon zawt hreh suh. I dikna a ni.
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