Mitral valve (TMVR) hi non-surgical treatment chungchang i zir dawn a ni.

Nangmah emaw, i hmelhriat emaw, i thian hnai tak emaw chuan i thinlung ‘Mitral Valve’-ah harsatna i neih thu leh zai a ngai tih doctor-in a hrilh tawh em? "Thinlung surgery" tih thumal kan hriat hian mi tam tak chuan kan hlau deuh thin a ni lawm ni? Chu chu thil pangngai a ni. A chhan chu, rilru hawn leh surgery lian tham tih ngai surgery chungchang kan hre tawh a ni. Mahse, i hria em, tunah chuan medical science hian hma a sawn nasa hle. Chuvangin, he valve hi rilru hawn loh leh incision tenau tak tak hmanga thlak theih dan thar a awm ta a ni. Vawiin hian mi tam tak tan hahdamna nasa tak ni tawh, enkawl dan kan sawi dawn a, chu chu `Transcatheter Mitral Valve Replacement` emaw, a tawi zawngin TMVR emaw tih a ni.

A awlsam zawngin TMVR hi eng nge ni?

Okay, a awlsam zawngin sawi ila. TMVR hi i thinlung chhunga mitral valve thlaktu tur a ni. Mahse a danglamna chu open-heart surgery ang maia i rilru hawn kim vek avanga tih a ni lo. Chu ai chuan incision te tak te tak hmangin tube te tak te (catheter) dah a ni a, chutah chuan valve thar chu i thinlungah dah a ni.

Valve lian tak chu la chhuakin a thara thlak ai chuan, valve thara a then te chu khur te tak te hmangin i hruai lut a, a chhungah i siam tha ang tih han ngaihtuah teh. Hei hi major surgery aiin invasive lo zawk a ni. Hetianga valve thar dah hi artificial a ni thei. A nih loh leh bawng, vawk, mihring thinlung tissue atanga siam biological valve a ni thei bawk. Valve thar an dah hnuah chuan i valve hlui, natna vei tawh ang chiah kha a ti tan ta a ni.

He TMVR enkawlna hi tute nge mamawh?

Hei hi hrethiam tur chuan he ‘mitral valve’ hi eng nge a nih leh a chunga thil thlengte hi han thlir hmasa ila.

Kan thinlung hian pindan lian pali a nei a. A chung lamah pahnih leh a hnuai lamah pahnih. Mitral valve hi left atrium leh left ventricle inkarah a awm a. Room pahnih inkar kawngkhar ang mai a ni. He kawngkhar hian flap (leaflet) pahnih a nei a. Thinlung a na apiangin heng flap te hi an inhawng a, an khar thin. Hei hian thisen chu kawng khat chauh, chunglam chamber atanga hnuai lam chamber thlengin a luang thei a ni. He valve hnathawh ber chu thisen hnunglam hawia a kal loh nan a ni.

Mahse a chang chuan pian tirh atang emaw, a hnu lamah emaw, he valve hi harsatna hrang hrang a awm thei a ni. Harsatna chi hnih a awm ber.

Heng natna te hi a nasat chuan thawk hah, hah, leh rilru na te ang chi natna a thlen thei a ni. Tin, natna khirh zawk, atrial fibrillation (thinlung thawk mumal lo), pulmonary hypertension (lung chhunga thisen sang), emaw thinlung chak lohna te pawh a thlen thei bawk.

TMVR leh MitraClip hi thil inang an ni em?

No. An pahnih hian mitral valve harsatna enkawlna invasive lo zawk ni mahse, an pahnih hian danglamna a awm.

• TMVR hi total valve thlak danglamna a ni .
• MitraClipTM hi valve siamthatna a ni . Valve leak flap pahnih inkarah clip te tak te dah a, leak tihtawp ang mai a ni.

I cardiologist chuan eng enkawlna nge i tan a tha ber tih a rel ang.

TMVR enkawl hmain eng nge thleng thin?

Hetianga enkawl hma hian i medical team ten uluk takin an enfiah ang che. Hei hian a hnuaia test te hi a huam ber ang:

• Echocardiogram: Hei hi thinlung ultrasound scan a ni. Thinlung chamber leh valve te hnathawh dan chiang takin a hmu thei a ni.
• CT Scan: Hei hian thinlung leh thisen kalna kawng three-dimensional (3D) image a la a, enkawlna ruahmannaah a pui bawk.

Heng test atanga information te hmang hian medical team chuan i tan valve size leh enkawlna tha ber tur an ruahman thin.

Chu bakah, anesthesiologist chuan a bia ang che a, i tih laiin natna i neih loh nan anesthesia chi tha ber tur a rel ang. Mut tir vek i ni thei (general anesthesia), a nih loh leh mut tir i ni thei a, natna i nei lo (conscious sedation).

I enkawl hma ni engemaw zat hnuah i doctor chuan inbuatsaih dan tur chiang takin a hrilh ang che. Chûng zîngah chuan:

• Damdawi thenkhat, thisen tithianghlimtu ang chi te hi ni engemaw zat chawlh a ngai thei.
• Enkawlna ni ah chuan darkar engemaw zat chaw nghei (ei leh in lo) turin an ti ang che.
• Inenkawl zawhah damdawiin atanga in lama hruai haw tur lirthei ruahman turin an ngen a.

TMVR enkawl chhung hian eng nge thleng?

He procedure zawng zawng hi darkar hnih atanga darkar thum vel a ni tlangpui a, doctor team lian takin an ti a, chung zingah chuan cardiac surgeon, interventional cardiologist, imaging specialist leh anesthesiologist te pawh an tel a ni.

Enkawlna hun chhunga thil thlengte step by step-a awlsam taka tarlanna chu hetiang hi a ni:

1. Pakhatnaah chuan incision siamna tur hmun (a tam zawkah chuan groin emaw, rilru chunga hmun te tak te emaw) tihfai a ngai a, a tul chuan sam chu hlihsak thin a ni.

2. Tichuan, i kut chhunga vein pakhatah cannula (IV line) dah a ni ang a, chuta tang chuan damdawi leh tui tul tak tak pek i ni ang.

3. A dawtah chuan valve thar chu catheter an tih tube te tak te, flexible tak tawp lamah an dah a.

4. Tunah chuan, groin emaw chest emaw hmun ruat lawkah incision tenau tak tak siam a ni a, chuta tang chuan he catheter hi thisen kalna kawngah dah a ni.

5. Special imaging technology, X-ray ang chi hmangin doctor-te chuan uluk takin he catheter hi thisen kalna kawng kaltlangin thinlung chhunga mitral valve thlengin an kaihruai thin.

6. A hmuna a awm tawh chuan valve thar chu valve hlui, natna nei chhungah dah a ni.

7. Valve thar chu a hmun dik takah a awm tawh chuan catheter chu uluk takin lakchhuah a ni a, a incision te tak te chu khar a ni.

Hemi chhung zawng hian medical team chuan i thisen sang leh thisen oxygen level atanga i thinlung hnathawh dan thlengin echocardiogram hmangin an enfiah chhunzawm zel ang.

Enkawl hnuah eng nge thleng?

Enkawlna a zawh hnuah recovery room-ah hruai i ni ang. Anesthesia atanga i dam leh hma loh chuan medical team te chuan uluk takin an enkawl ang che. Mi thenkhat chu intensive care unit (ICU)-ah hun engemaw chen awm a ngai mai thei. A tlangpuiin damdawi inah ni engemaw zat i awm a ngai dawn a ni.

In lama i haw hmain doctor-te chuan i tih leh tur chu chiang takin an lo hrilh ang che.

• Cardiac rehabilitation: Thinlung tichak leh tura pui turin exercise leh nunphung thlak danglam dan tur thurawn.
• Follow-up appointment: Doctor hmuh leh tur ni te.
• Damdawi: Damdawi thar hman tan emaw, damdawi hlui hman leh emaw chungchanga thurawn.
• Hna pangngai: Engtikah nge hnathawhnaah i kir leh theih ang a, hna pangngai i thawh leh theih ang?

TMVR hmanga enkawlna hian eng hlawkna nge a neih?

Open heart surgery nena khaikhin chuan he catheter hmang hian thatna engemaw zat a nei a ni.

• Mitral valve natna hi siamthat theih a ni.
• Natna avanga natna lanchhuahna, thawk hah leh hah te tihziaawmna.
• Hriselna lama harsatna lian tham thlen theihna a tlahniam.
• Open surgery aiin a dam chak zawk .
• Taksa a nghawng leh natna a tihziaawm.

He enkawlna hian hlauhawmna emaw, harsatna emaw a nei em?

Awle. Open heart surgery aiin a hlauhawmna a tlem zawk nachungin, damdawi lam thil dang ang bawkin TMVR hian hlauhawmna leh harsatna engemaw zat a nei thei a ni. Mahse, hengte hi a tlem hle.

Hengte hi harsatna awm thei lian ber berte chu an ni:

• Thisen zam: Heng thisen zamte hi thluaka a kal chuan stroke a awm thei.
• Tissue chhiatna: Thinlung bang (left ventricular perforation) emaw, thinlunga thisen petu thisen kalna kawng (coronary artery) emaw a hliam thei.
• Left ventricular outflow tract obstruction: Valve thar hian left lower chamber atanga thisen chhuak kawng a tikhawlo a ni.
• Valve movement: Valve chu a awmna tur hmun atanga a kal dan.

Complication thenkhat chu enkawl belh emaw, operation emaw a ngai thei bawk.

A dam leh theih nan eng chen nge hun a duh?

Mi tam zawk chuan kar tlemte chhungin an hnathawh dan pangngaiah an kir leh thei a, hna an thawk thei bawk. Mahse, a dam kim theih nan thla hnih atanga thla thum vel a ngai thei . A pawimawh ber chu i doctor thupek ngun taka zawm hi a ni. Hna rit tak tak emaw, thil hahthlak tak tak emaw-ah chuan hmanhmawh suh.

Eng dinhmunah nge enkawl hnuah doctor thurawn i lak ang?

Hei hi a pawimawh hle a ni. Inenkawl zawha in lama i haw dawnin i taksa a inthlak danglam dan hi i ngaihven tur a ni. Symptom thenkhat a awm a, a lo lang a nih chuan doctor thurawn la hmasa phawt tur a ni .

TMVR hi mitral valve natna vei, open heart surgery nei thei lo tan chuan enkawlna hlu tak a ni. Hemi chungchanga zawhna dang i neih chuan i doctor nen inbia ang che. I tan enkawlna tha ber a hrilhfiah thei ang che.