Kan taksaa thisen kalna kawng lian ber leh pawimawh ber tih hi i hre tawh em? Aorta kan ti a. Kan in chhunga tui rawn thlentu main water pipe ang bawkin he aorta hian thinlung atanga taksa pum puiah thisen thianghlim a phur a ni. Mahse, a châng chuan, he aorta bang-ah hian hmun chak lo tak a lo awm a, chu hmun chu balloon ang maiin a lo chhuak ṭan ṭhin. Chu chu ‘aneurysm’ kan tih chu a ni. Hetiang bulge hi rilru chhunga aorta-ah a awm chuan ‘Thoracic Aortic Aneurysm’ an ti. Hei hi a hlauhawm deuhin a lang thei a, mahse lungngai suh. Engkim hi chiang tak leh awlsam takin sawi ila.
Thoracic Aortic Aneurysm tih hi eng nge ni?
A awlsam zawngin, hei hi kan rilru chhunga thoracic aorta hmun thenkhata bulge awm a ni. Tui pipe hlui pakhat han mitthla teh, a hmun khat chu a chak lo va, a bulge chhuak deuh bawk. Hetah pawh hi chutiang chu a ni. Hei hi a takah chuan thil awm lo deuh a ni a, mi sang sawm zinga pakhat chauhvin he natna hi an nei a ni.
A tam zawkah chuan he hliam hi an nei tih tumahin an hre lo. Test neih laiin accident-in hmuhchhuah a ni a, chu chu CT scan ang chi, chhan dang avanga tih a ni.
Mi zawng zawng hian he surgery hi an nei vek tur em ni?
No. Hetiang swelling nei zawng zawng hian operation an mamawh vek dawn lo. Surgery i mamawh leh mamawh loh tur thil engemaw zat a awm.
- Size of the bulge: Hei hi engtiang chiahin nge a lian tih hi a pawimawh hle. A tlangpuiin centimetre 5.5 aia lian a nih chuan surgery ngaihtuah tur a ni.
- Growth rate: He swelling hi thla ruk chhunga centimetre 0.5 aia rang zawka a lo thang chuan chu pawh chu operation neih chhan a ni.
- I natna lan chhuah dan: Mi thenkhat chuan rilru na leh thawk harsa tih ang chi symptoms an nei thei.
- I hriselna zawng zawng: I kum leh damdawi lam harsatna dang i neih leh neih loh pawh hian operation chungchanga thutlukna siamnaah nghawng a nei a ni.
Heng zawng zawng hi i ngaihtuah hnuah i doctor chuan i tana tha ber tur chu a rel ang.
Surgery hi chi hnih a awm a, eng nge an nih i en ang u
He natna enkawlna tur hian surgical procedure lian pahnih a awm a. An pahnih inthlauhna hrethiam turin a hnuaia table hi en la.
| Nihphung | 1. Open Thoracic Aneurysm siamthatna tur | 2. TEVAR hman dan (Thoracic Endovascular Aortic Repair) tih a ni. |
|---|---|---|
| Engtin nge kan tih ang | A rilru sir lamah hian incision rei tak siam a ni a, artery chhia chu lakchhuah a ni a, a hmunah artificial tube (graft) dah a ni. | Groin-ah hian incision te tak te siam a ni a, chuta tang chuan thisen kalna kawngah tube te tak te (catheter) an kalpui a, a chhung lam atanga tihchak nan mesh ang chi device (stent) chu a hringna hmunah an dah a ni. |
| Zai | Incision lian leh sei tak a ngai a ni. | Incision te tak te chauh a ngai a ni. |
| Damdawi in chhunga hun hman | Ni 10 thleng a daih thei. | A tlangpuiin ni 3 vel a ni. |
| Damna hun | Nun pangngaia kan awm leh theih nan thla 2-3 vel a ngai a ni. | Kar tlemte chhungin hna pangngai i thawk thei ang. Hna rit tak tak thawh tur chuan thla khat vel i nghah a ngai a ni. |
Engvangin nge he surgery hi a pawimawh em em?
He surgery tih chhan ber chu aneurysm rupturing hlauhawmna tihtlem nan a ni . Aneurysm zawng zawng hi a rupture vek lo. Mahse, an tih chuan nunna atana hlauhawm emergency a ni.
Surgery-ah hian hlauhawmna engemaw zat awm mahse, thisen kalna kawng (artery) puak theihna chu a nasa zawk hle. Chuvang chuan doctor-te chuan a hun takah surgery neih an rawt a ni.
Surgery neih hmain eng nge thleng?
I doctor chuan operation hmain a tul angin a hrilh ang che.
- Test: `CT scan` ang chi thil tih hmangin a hring lian leh te chu enfiah reng a ni.
- Damdawi:I thisen sang control nan leh i thisen kalna kawng ti hahdam turin damdawi pek i ni thei a, operation hma ni engemaw zatah.
- Anticoagulants: Anticoagulants i ei a nih chuan i doctor chuan operation hma lawk khan ei tawh loh turin a fuih ang che. Damdawi lam thurawn tel lo chuan hengte hi ei kha bansan ngai suh.
Surgery hnuah eng nge thleng?
Open surgery hnuah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung enkawl i ni ang. Tichuan regular ward-ah sawn i ni ang a, ni 10 vel damdawi inah i awm a ngai dawn a ni.
TEVAR surgery hnuah ni thum vel damdawi inah i awm a ngai tlangpui ang. Doctor-te chuan operation hnua natna awm thei tur damdawi an pe ang che.
He surgery hian eng hlauhawm nge a thlen theih?
Hei hi nunna chhanhim thei surgery ni mah se, surgery lian dang ang bawkin, a hlauhawmna a awm a ni. Mahse, medical team chuan heng hlauhawmnate hi tih tlem tumin theihtawp an chhuah mek a ni.
- Thisen chhuak
- Lung infection (pneumonia) emaw, thawk lama harsatna dang emaw a awm thei
- Lung natna
- Thai
- Kidney hnathawh a tlahniam
- Surgery hmuna natna hrik awm
- Spine-a thisen pek that loh vanga ke chak lohna
Heng thute i hriat hian hlauthawng suh. Hengte hi thil thleng thei mai mai a ni . Hemi chungchang hi i doctor nen zalen takin sawi la, zawhna i neih chuan zawt rawh.
Operation hnua doctor hmuh hun tur
Operation hnua in lama i haw dawnin harsatna i neih chuan a rang thei ang bera hriat a pawimawh hle. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Symptom a ni | Eng nge ngaihven tur |
|---|---|
| Khawsik | Taksa lumna 100.4 F (38 C) aia sang a nih chuan. |
| Cutting road vel a inthlak danglamna | Incision vel a sen nasat, a hring emaw, lump a lo awm emaw. |
| Na | Damdawi ei chung pawha natna nasa tak awm reng. |
| Vung | Surgical area emaw ke emaw ah a hring danglam. |
Heng surgery pahnih hi enkawlna hlawhtling tak a ni. TEVAR procedure-ah chuan stent hi 99% hlawhtling takin dah theih a ni. Open surgery pawh a hlawhtling hle. Hei hi nunna chhanhim tura tih a ni tih hriatthiam hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- Thoracic aortic aneurysm hi thinlung atanga chhuak thisen kalna bulpui rilru lam atanga chak lo leh bulging a ni.
- Hetiang dinhmun a thlen chhan ber chu arterial wall chak lo vang a ni.
- Surgery a ngai leh ngai loh chu bulge lian leh te, a lo lian chak dan te, leh i hriselna dinhmun ah a innghat a ni.
- Enkawl dan pahnih a awm a, open surgery leh TEVAR, chu chu groin kaltlangin tube te tak te dah a ni.
- He surgery tih chhan ber chu dilated artery a puak a, nunna atana hlauhawm thil a thlen loh nan a ni.
- Operation zawhah doctor thupek dik tak zawm a pawimawh hle a, natna lan chhuah dan danglam tak i hmuh chuan doctor hriattir nghal a pawimawh hle.
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