Heart valve thlak a ngai em? Surgery lian tham tih hlau em? Tichuan TAVR chungchang hi i zir dawn teh ang! (Transcatheter Aortic Valve thlak danglamna) .

I doctor-in i thinlunga valve pakhatah harsatna i neih thu leh thlak a ngai tih a hrilh che chuan i hlau deuh mai thei. I ngaihtuah mai thei, "Aw, hei hi i rilru hawn theihna tur operation lian tak a ni em?" Chutiang surgery hi a pawi deuh a, a dam theih nan hun rei tak a ngai tih chu a dik a ni. Mahse vawiinah hian tunlai technology kan sawi dawn a, chutiang surgery lian tak nei lovin heart valve thlak theih a ni a, mahse incision tenau tak tak hmang chauhvin a thlak theih a ni. Hei hi TAVR an ti a.

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. Hengte hi thil inang an ni.

A awlsam zawngin, hei hian i thinlung chhunga valve lian ber, aortic valve chu i rilru hawn lovin thlak a huam a ni.

I thinlung hi in chhunga tui pump ang maiin ngaihtuah rawh. He pump hian in pum puiah tui a thawn ang bawkin thinlung hian thisen thianghlim, oxygen tamna taksa pum puiah a pump chhuak a ni. He thisen hian thinlung atanga a chhuahna kawngkhar ber chu aortic valve a ni . Hei hi kawngkhar pakhat chauh hawn ang a ni. Thisen a chhuah chuan a inhawng a, lo kir leh a tum chuan a khar bawk. Hei hi function pawimawh tak a ni.

Eng ang damdawi lam dinhmun nge TAVR surgery neih ngai?

TAVR tih chhan ber chu Aortic Stenosis an tih hi a ni . Chu chu kan sawi tawh Aortic valve kha a block emaw a tawi emaw tihna a ni . Kawngkhar pahnih chu a inhawng tha lo a, a inhawng tlem chauh ang mai a ni.

Hetiang hian valve hi a tlakbuak theih chhan lian tak tak a awm a:

• Kum upa lam: Kum i upat deuh deuh chuan kum 70 hnu lamah chuan calcium a awm avangin valve chu a thick thei a, a thawk tha lo thei bawk. Hei hi a chhan tam ber a ni.
• Damdawi lam thil dang: Mi thenkhatah chuan he valve hi naupan lai atanga lo awm thin congenital heart disease (e.g., Bicuspid Aortic Valve) emaw rheumatic heart disease emaw ang chi natna avang hian a chak lo thuai thei a ni.

Hetianga valve a block hian eng nge thleng? Thinlung hian taksa pumpuiah thisen pump turin nasa takin hna a thawk a ngai a ni. Pipe block atanga tui pump chhuahna tur motor-a extra load dah ang mai a ni. Hetiang thil hi rei tak a lo thlen chuan heart muscle a chak lo a, a tawpah chuan heart failure a thlen thin.

TAVR neih hmain eng nge tih tur?

TAVR neih i tum a nih chuan, i doctor chuan i thinlung dinhmun dik taka a zir chian theih nan leh operation neih chhunga harsatna awm thei zawng zawng hriat theihna turin test eng emaw zat a ti hmasa ang.

Heng test neih zawh hian doctor chuan surgery chungchang te, anesthesia chungchang te a sawipui ang che a, zawhna i neih apiang a chhang ang che. Surgery hma darkar 4-6 chhungin ei leh in kha bansan turin an ti ang che.

TAVR surgery hi engtin nge an tih thin?

Hei hi hnute tihpunna surgery a nih loh avangin hriat loh vek a ngai lo. A tam zawkah chuan mut hahdam taka awmtir thei damdawi (sedation) pek i ni ang. Chuvang chuan engmah hrehawm i nei lovang.

Surgery hi step khat hnu step khatin a hnuaia mi ang hian tih a ni:

1. Interventional cardiologist chuan i kawr chunglam (a nih loh leh i kawr emaw i rilru hmun dangah pawh) incision te tak te tak te a siam thin.

2. Tube te tak te, flexible tak, catheter an tih chu incision kaltlangin, thisen kalna kawng lian tak zawhin, thinlung chhungah a lut a.

3. He tube chhung atang hian valve thar chu a te teah an fold a, valve hlui, clogged awmna thinlungah an dah thin.

4. A hmunah a awm tawh chuan valve thar chu a zau leh ta. Chumi hnuah chuan a hmunah a snap leh ta a ni. Valve hlui chu lakchhuah a ni lo , valve thar chuan a hnaih a.

5. Valve thar chu a thawk tha em tih leh thisen chhuak a awm em tih enfiah thin ang che.

6. A tawp berah chuan catheter chu la chhuakin, incision te tak te chu stitch pakhat emaw pahnih emaw hmangin an khar a, bandage an vuah bawk.

A kalphung zawng zawng hi darkar khat emaw darkar hnih emaw vel a ni tlangpui .

TAVR surgery hian eng hlawkna leh hlauhawmna nge a neih?

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

A thatna ber

• No big incision: A hnute ruh chu tan emaw, a ruh te chu lakchhuah emaw a ngai lo. Incision te tak te chauh a awm.
• Dam chak zawk: Hliam lian tham a awm loh avangin natna a tlem a, taksaah harsatna a tlem a, a dam chak zawk bawk.
• Damdawi ina awm rei zawk: In most cases , operation hnu ni vek hian in lamah i haw thei bawk . Ni hnih emaw ni thum emaw i awm a ngai mai thei.
• High-risk patients tan a tha: Hetiang method hi kum upa tawh tak tak, natna dang tam tak nei, operation lian tak tak tuar thei lo tan chuan duhthlan tur tha tak a ni.

Risk dinhmun hrang hrang

Damdawi lam thil dang ang bawkin TAVR hian hlauhawmna tenau engemaw zat a keng tel a ni. Mahse, tûn laia technology hmasawn tak takte avângin, hengte hi a thlen theihna chu a tlem hle a ni .

• Thinlung electrical system a nghawng a, pacemaker dah a ngai mai thei .
• Valve thar sir atang hian thisen tlem a chhuak a.
• Stroke vei theihna a tlem hle.
• Incision na hmuna thisen chhuak emaw infection emaw a awm.
• Kidney emaw thisen kalna kawng emaw a chhiat.

I doctor chuan heng zawng zawng hi a sawipui ang che a, i dinhmun atana a tangkai dan leh a hlauhawmna te a hrilhfiah ang che.

Surgery hnua dam leh dan leh fimkhur dan tur

Surgery zawhah darkar engemaw zat khumah i awm ang a, chawlh hahdam i ni ang. Incision siamna thisen kalna kawngte chu thisen chhuah tihtawp nan clamp a ni ang. Infection venna tur leh thisen zam tihtawp nan damdawi pek i ni ang.

In i haw hnuah kar khat emaw kar hnih emaw chhung chu thil chawi emaw, thil hahthlak tak tak emaw tih loh tur a ni. Kar hnih vel hnuah i thiltih pangngaiah i kir leh thei ang. A dam kim theih nan kar 6 atanga kar 10 vel a ngai thei.

Chu bâkah, cardiac rehabilitation program-ah refer i ni ang a, chu chu doctor-in i thinlung tichak tûra exercise program bik a tih ang mai a ni.

Heng symptoms te hi i neih chuan doctor ko nghal rawh!

In lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir ngei ang che.