A rilru chhunga aorta chu a lo hring tawh em? He surgery (Thoracic Aortic Aneurysm Surgery) chungchang hi i hre vek ang u

I taksaa thisen kalna kawng lian ber leh pawimawh ber, aorta tih hi i hre tawh em? Kan in chhunga tui rawn thlentu main water pipe ang maiin han ngaihtuah teh. Thinlung hian thisen thianghlim a pump chuan chu thisen chu he aorta kaltlangin taksa pum puiah a darh chhuak thin. Chuvangin, he thisen kalna kawng pawimawh ber bang chhunga hmun pakhat a chak lo a, tire hlui bubble ang maia a bulh chhuah chuan damdawi lamah chuan ‘aneurysm’ kan ti thin. He bulge hi aorta chhunga aorta kal tlanga awm a nih chuan ‘Thoracic Aortic Aneurysm’ kan ti thin. He hming hi a hlauhawm deuh viau nachungin chiang tak leh awlsam takin sawi ila.

Thoracic aortic aneurysm tih hi eng nge ni?

A awlsam zawngin sawi ila, aorta hi kan taksa chhunga thisen kalna bulpui ber a ni a, i thinlung atanga intan a, i rilru leh i pum chhungah a kal a, i pelvis bulah a tawp thin. A bang pakhatah chak lohna a awm chuan a chhunga thisen luang chhuak pressure chuan chu chak lohna hmun chu balloon ang maiin a tipung a ni. Hei hi aneurysm kan tih chu a ni.

Hetiang dinhmun hi chutiang chuan a awm lo. Statistics atanga a lan dan chuan mi sang sawm zinga pakhat vel a nghawng a ni. Chuvangin he hming i hriat hian hlauthawng suh.

Hetiang dinhmun avang hian tute nge operation ngai?

Hetiang swelling nei zawng zawng hian operation an mamawh vek dawn lo. I doctor chuan operation i mamawh leh mamawh loh tur chungchangah thil engemaw zat a ngaihtuah ang.

• Aneurysm lian tham tak: Hei hi a pawimawh ber a ni. A tlangpuiin, aneurysm chu centimeter 5.5 aia lian a nih chuan , emaw , thla ruk chhunga centimeter 0.5 aia chak zawka a lo lian a nih chuan , i doctor chuan operation neih a ngaihtuah thei ang.
• I natna lan chhuah dan: A chang chuan he hliam hian rilru natna leh thawk harsa ang chi natna a thlen thei. Chutiang a nih chuan surgery neih a tha thei a, a lian zawng pawh a tlem hle.
• I hriselna zawng zawng: I kum leh damdawi lam harsatna dang (e.g. zunthlum, thinlung natna) i neih leh neih loh pawh hian he thutlukna hi a nghawng a ni.

Hei atan hian eng surgery chi nge awm?

Hetiang dinhmun enkawlna tur hian surgery chi hnih a awm a. An pahnih inthlauhna hi chiang takin i hrethiam ang u.

Medical team chuan i bulge awmna hmun leh a lian zawng, leh i hriselna dinhmun a zirin eng surgery nge i tan a tha ber tih an rel ang.

Engvangin nge he surgery hi a pawimawh em em?

He surgery tih chhan ber chu aorta-a aneurysm lo awm tawh chu a rupture loh nan a ni.

Ngaihtuah teh, he balloon ang maia hring hi ni khat chu a chhunga thisen sang vangin a puak thei a ni. Chutiang a nih chuan taksaah thisen chhuak nasa tak a awm ang a, chu chu nunna atana hlauhawm tak leh hlauhawm tak a ni. Chuvangin, doctor-te chuan he swelling puak theihna hi operation aiin a tam zawk nia an ngaih chuan he surgery hi an rawt a ni. Phên dangin sawi ila, hei hi accident lian tak a nih hmaa a venna atana fimkhurna a ni.

Surgery neih hmain eng nge thleng?

Surgery neih i tum tawh chuan, chutiang atana inbuatsaih nan step engemaw zat i tih theih a ni.

• Scans: Doctor chuan i hliam nasat dan leh a dinhmun a enfiah belh theih nan special scan, CT scan ang chi a hmang ang.
• Damdawi: I thisen sang control nan leh i thisen kalna kawng hahdam nan operation hma ni engemaw zat chhungin damdawi thenkhat pek i ni thei.
• Thisen zam venna damdawi: 1.1.Thisen tithianghlimtu damdawi (anticoagulants) i ei a nih chuan i doctor chuan operation hma ni engemaw zat ei tawh loh turin a fuih ang che.

I medical team chuan heng zawng zawng chungchangah hian thupek chiang tak an pe ang che.

Surgery neih chhung hian eng nge thleng?

Surgery chi hnih a thil thleng hi a danglam deuh hlek a ni.

Open surgery tih dan tur

• Surgeon chuan a rilru sir lamah incision sei tak a siam a.
• Thil hmanraw bik hmangin, thisen kalna tur thisen kalna hmuna thisen kal chu rei lo te chhung atan tihtawp a ni.
• Tichuan, a chhe tawh, a hring tawh chu an tan a, an la chhuak a, a hmunah graft an dah a, chu chuan thisen kal lehna tur a siam leh a ni.
• A tawpah chuan incision chu stitches hmangin an khar a.

TEVAR surgery tih dan tur

• Doctor chuan tube te tak te (catheter) a dah a, i groin chhunga thisen kalna kawng khat hmangin wire a hmang a.
• He tube hi X-ray ang chi technology hmangin rilru chhunga aneurysm awmna hmun tur a kaihruai thin.
• Thisen kalna kawngte chiang taka hmuh theih nan tui bik (contrast dye) an inject thin.
• Tichuan, a hmun dik tak en chuan stent chu a tizau ta a ni.
• Hna thawh zawh chuan tube leh wire chu lakchhuah a ni a, groin chhunga insertion site chungah bandage te tak te dah a ni.

Surgery hnuah eng nge thleng?

Operation hnua dam leh hun chhung hi operation chi hrang hrang a zirin a inang lo.

• Open surgery hnuah: Intensive care unit (ICU) -ah direct-in admit i ni ang . Chutah chuan ni khat emaw ni hnih emaw i awm ang. Tichuan general ward-ah sawn i ni ang a, ni 10 vel damdawi inah i awm a ngai mai thei.
• TEVAR surgery hnuah: Damdawi ina awm chhung hi a tlangpuiin hun rei lote, ni thum vel a ni. Groin-ah hian hliam leh natna engemaw zat a awm thei. Doctor chuan painkiller tul tak tak a pe ang che.

Nun pangngaia kir leh hun chhung hi a inang lo. Open surgery atanga a dam kim theih nan thla hnih atanga thla thum vel a ngai thei. Kar hmasa 4-6 chhung chu thil rit phurh loh a tha ber. TEVAR surgery hnu kar hnih vel hnuah hnathawh pangngaiah i kir leh thei a, mahse kar li vel chu thil hahthlak tak tak tih loh a tha ber.

He surgery hian eng hlauhawmna nge a neih?

Hei hi nunna chhanhim thei surgery ni mahse, surgery lian dang ang bawkin, a hlauhawmna engemaw zat a awm.

Harsatna awm thei thenkhat chu:

• Thisen chhuak nasa tak a chhuak
• Spine-a thisen supply a chhiat
• Lung natna
• Hri kai theihna dinhmun
• Kidney hnathawh that lohna
• Thâwk lama harsatna nei, pneumonia ang chi
• Stroke ang chi natna a ni
• Ke ah chak lohna a awm

Heng surgery pahnih hi enkawlna hlawhtling tak a ni. A bik takin TEVAR surgery-ah chuan stent dah hlawhtlinna hi 99% vel a ni.

Operation zawhah engtikah nge doctor ka hmuh a ngaih?

In i haw hnuah natna hrik emaw, harsatna i neih emaw i neih chuan i doctor hnenah hriattir nghal tur a ni. A bik takin a hnuaia symptoms te hi hre reng ang che.

Heng chhinchhiahnate hi i neih chuan ngaihthah suh la, damdawi lam thurawn la nghal rawh.