TAVR procedure (Transcatheter Aortic Valve Replacement) chungchanga i hriat tur, heart hawn loha valve thlak danglam thin

"Thinlung surgery" tih thumal i hriat hian eng nge i rilruah a lo lang? A tam zawkah chuan surgery lian tak, rilru hawn ngai kan ngaihtuah thin a ni lawm ni? Mahse, damdawi lam science a lo thang chho zel a, tunah chuan thinlung lam harsatna thenkhat enkawlna awlsam zawk, hlauhawm lo zawk a awm ta a ni. Vawiin hian chutiang enkawlna thar, hlawhtling tak pakhat chu kan sawi dawn a ni.

TAVR chu eng nge ni? A awlsam zawngin i hrethiam ang u.

TAVR awmzia kimchang chu Transcatheter Aortic Valve Replacement tih a ni. A chang chuan TAVI (Transcatheter Aortic Valve Implantation) an ti bawk. Heng hming pahnih hian enkawl dan inang a kawk a ni.

A awlsam zawngin sawi ila, TAVR hi thinlung aortic valve chu incision tenau tak hmanga thlak danglam dan a ni a, chu chu rilru hawn lohvin a ni.

Kan thinlung hi in chhunga tui pump ang maiin han ngaihtuah teh. He pump hian main pipe hmangin taksa pum puiah thisen a thawn chhuak thin. He main pipe hi aorta an ti a. Thinlung atanga he aorta-a thisen a kal hian chu thisen kal dan tur control tu gate ang chi thil a awm a. Chu chu aortic valve kan tih chu a ni. He valve hi a inhawng tha lo emaw, a khar tha lo emaw a nih chuan taksa pum puia thisen kal danah harsatna lian tak a awm thin. TAVR hian valve chhia leh thawk tha lo chu valve thar hmanga thlak a huam a ni.

TAVR procedure hi tuin nge mamawh?

He enkawlna hi aortic stenosis tih natna nei tan a mamawh ber a ni . Chu chu a hmaa kan sawi tawh aortic valve kha a zim tihna a ni. Gate rusty ang maiin he valve hi a inhawng kim lo.

Hetianga valve hi a tawi chhan lian tak tak a awm a:

• Tar: Kum 70 chunglam ah hian a tam zawkah chuan valve chhungah calcium deposit a awm a, chu chuan a ti thim a, a tikhauh thin.
• Damdawi lam thil dang: He valve hi rheumatic heart disease emaw congenital heart defects thenkhat (e.g., bicuspid aortic valve) ang chi natna avang hian a chhe nghal thei bawk.

Valve a zim chuan taksain thisen a mamawh zat pump turin a hma aia nasa zawkin thinlung hian hna a thawh a ngai a ni. Motor pakhatin pipe khar atanga tui tam zawk a pump a ngai ang mai a ni. Hun a kal zel a, he thinlunga he extra strain hian heart muscle a tichak lo thei a, a tawpah chuan heart failure a thlen thei a ni.

TAVR hma hian eng nge thleng thin?

TAVR i tih hmain i doctor chuan i dinhmun dik taka enfiah turin test eng emaw zat a ti ang. Heng test te hian i thinlung chhunga thisen a luang dan leh harsatna dang a awm leh awm loh chiang takin a tarlang thei a ni.

Hengte hi test tih dan tlangpui chu a ni:

• Thisen test a ni
• Echocardiogram - Hei hi thinlung scan ang a ni.
• Electrocardiogram (ECG) hmanga tih a ni.
• CT scan emaw MRI scan emaw hmanga tih theih a ni
• Cardiac catheterization - Hei hian thinlunga thisen pe chhuaktu coronary arteries-a blockage awm leh awm loh a enfiah thin.

Heng test zawng zawng tih zawh hnu hian doctor chuan a bia ang che a, a enkawl dan tur, a hnua i beisei tur leh anesthesia pek dan tur zawng zawng a hrilhfiah ang che. Hetih lai hian zawhna i neih apiang i zawt thei ang.

Enkawl hma darkar 4-6 chhungin ei leh in kha bansan turin an ti ang che. Tin, i doctor hnenah damdawi eng emaw ei khap a ngai em tih leh engtikah nge i chawlhsan tih i zawt tur a ni.

TAVR enkawlna kalpui dan

Hei hi kalphung awlsam tak a ni. Natna i hriat loh nan anesthesia pek i ni ang. Thisen zawrh loh nan damdawi pek i ni bawk ang.

Tichuan, interventional cardiologist chuan hengte hi a zawm a:

1. Incision te tak te siam: Incision te tak te tak te hi siam a ni a, a tlangpuiin i kekawr chunglam, thisen kalna kawng lian tak (femoral artery) bulah, groin bulah siam a ni.

.

3. Valve thar dah: Valve thar hi he catheter hmang hian lak chhuah a ni a, i valve hlui, chhe tawh chhungah dah a ni a, tihzauh a ni. Chumi hnuah chuan valve thar chu chu hmunah chiah chuan dah a ni. Valve hlui chu a tharin a nawr a, chutah chuan a awm reng a ni.

4. Testing: Valve thar hi a thawk tha em tih leh leak a awm em tih enfiah thin a ni.

5. Removal and suturing: Engkim a tha a nih chuan catheter chu uluk takin lakchhuah a ni a, a tir lama incision te tak te siam chu suture a ni a, plaster hnawih a ni.

A tlangpuiin, he thil tih zawng zawng hi darkar khat emaw darkar hnih emaw vel a ni.

Hei hian eng hlawkna nge a neih?

TAVR hian traditional open-heart surgery aiin thatna tam tak a nei a ni.

Heng thatnate hi awm mahse, open heart surgery hi damlo thenkhat tan chuan a remchang zawk mai thei. TAVR emaw open surgery emaw hi i tan a tha ber em tih doctor nen in sawiho tur a ni.

Side effect a awm lo em ni? Risk te pawh sawi ila

TAVR hi enkawlna hlawhtling tak a ni. Technology lama hmasawnna avang hian tunah chuan harsatna a awm tawh lo. Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm.

• Thinlung electrical system a nghawng a, pacemaker dah a ngai a ni .
• Valve thar vel a thisen chhuak.
• Thai.
• Thisen chhuak.
• Kaichhawng.
• Kal, thinlung emaw thisen kalna kawng emaw a chhiat.

I doctor chuan heng hlauhawmnate hi uluk takin a hrilhfiah ang che. Hei hi medical team tawnhriat ngah tak takte tih a nih avangin a hlauhawmna a tlem hle.

TAVR kalphung hi mi zawng zawng tan a tha lo em ni?

He inenkawlna hi \angkai hle mah se, mi zawng zawng tan a \ha lo. I doctor chuan a hnuaia natna nei tan TAVR hi a rawt lo mai thei:

• Thla khat chhunga heart attack i neih tawh chuan.
• Complex congenital heart defects i neih chuan.
• Heart valve dang (e.g. Mitral regurgitation)-a harsatna a awm chuan.
• Tun hnaia stroke emaw TIA (Transient ischemic attack) emaw i neih chuan.
• Kidney natna khirh tak i neih chuan.

I doctor chuan i hriselna dinhmun zawng zawng a zirin i tana enkawlna tha ber tur a ruat ang.

Eng chen nge tihdam a ngaih?

Mi tam zawk chu TAVR hmanga enkawl an nih hnu ni khat emaw ni hnih emaw chhungin damdawi in atangin an haw thei a ni. A dam kim theih hun chhung hi mi hrang hrangah a inang lo.

• Nitin hnathawh tam zawk chu ni engemaw zat chhungin i thawk leh thei tlangpui.
• Weights lifting ang chi thil tih hmain kar khat vel i nghah a ngai a ni.
• Kar hnih vel chhungin hnathawhna hmunah i kal thei a, thla khat vel chhungin lirthei i khalh thei bawk.
• A dam kim theih nan kar 6 leh kar 10 inkar a ngai thei.

I doctor chuan chawlh hahdam i mamawh zat, tih tur leh tih loh tur te a hrilh ang che. Chu thurawn zawm chu dam thuai nan a pawimawh hle.

Chu bâkah, cardiac rehabilitation program -ah pawh hruai i ni thei a, chu chu i thinlung tichak tûra exercise bik hrang hrang a ni. Hei hian i recovery process a ti chak zawk ang.

Engtikah nge Doctor i hmuh a ngaih?

TAVR enkawl zawhah checkup turin an ti ang che, thla khatah vawi khat vel, kum khatah vawi khat vel. Heng follow-up visit te hi valve thar hian a thawk tha em tih enfiah nan a pawimawh hle. Mahse, a hnuaia symptoms te hi i neih chuan doctor i ko nghal tur a ni.

Emergency , rilru natna nasa tak emaw thawk harsatna nasa tak a awm chuan , damdawi in hnai ber Emergency Department (ETU) -ah kal nghal rawh.