Lung hawng lovin valve thlak dan thar ber (Transcatheter Mitral Valve Replacement - TMVR) i zir dawn teh ang!

Kan thinlung hi taksa peng mak tak a ni a, tihtawp lohvin hna a thawk a ni. He thinlung chhungah hian thisen kal dan tur chiang taka control turin kawngkhar pali ang maia thawk valve pali a awm a. Chûngte chuan thisen chu kawng khatah chauh a luang chhuak thei a ni. Chung zinga pakhat chu ‘Mitral valve’ an ti a. Hei hi thinlung veilam lamah upper chamber (left atrium) leh lower chamber (left ventricle) inkarah a awm a. Mahse a chang chuan he mitral valve hi a na thei hle. Chumi awmzia chu thisen chu khar tha lovin hnunglam hawiin a leak thei tihna a ni a, a nih loh leh inhawng tha lovin a block thei tihna a ni. Chuvangin hetiang a nih chuan chu valve chu thlak a ngai a ni.

Chuti a nih chuan TMVR hi eng nge ni?

A awlsam zawngin sawi ila, TMVR (Transcatheter Mitral Valve Replacement) hi tunlai enkawlna hmanraw tha tak a ni a, mitral valve chhia chu open-heart surgery lian tham nei lovin valve thar hmanga thlak a ni.

Ngaihtuah teh, surgery lian tak, rilru hawn a, thinlung tihtawp ai chuan, tube te tak te (catheter) chu groin emaw, rilru emawa incision te tak te tak tak kal tlangin, thisen kalna kawng zawhin, thinlung chhungah an lut a, chu tube kaltlangin valve thar dahin, valve hlui, natna nei tawh aiah an fix a ni. He valve thar hi mihring siam valve a ni thei a, rannung tissue (bawng, vawk) atanga siam a ni thei bawk. Hetiang tih danah hian valve hlui chu lakchhuah a ni lo va, chu ai chuan a thar chu a chhungah dahin fix a ni zawk.

He enkawlna hi tuin nge mamawh tak tak?

Mitral valve natna hi chi hnih a awm a, chungte chu:

1. Mitral valve regurgitation: Hei hi valve flap pahnih inkhar tha lo a, thinlungin thisen a pump chhuah thenkhat chu hnunglam hawiin a leak thin. Faucet chhe atanga tui chhuak ang mai a ni.

2. Mitral valve stenosis: Hei hi valve a zim a, a inhawng tha lo a nih chuan a ni. Hei hian thisen hmalam pan thei zat a tikhawtlai a ni. Pipe a block lai ang bawkin tui luang a tlahniam thin.

Heng pahnih hi a nasat chuan thawk harsa, atrial fibrillation, pulmonary hypertension, leh heart failure te ang chi natna khirh tak tak a awm thei a ni.

TMVR leh MitraClip hi thil inang an ni em?

Ni lo, heng pahnih hi thinlung hawn loha enkawlna ni mah se, hmanraw pahnih a ni.

• MitraClipTM: Hei hian valve leak siamthat a huam a ni. Hei hian thisen chhuah loh nan valve-a leaflet pahnih inkarah clip ang chi thil te tak te dah a ni.
• TMVR hmangin:Hei hi siamthatna a ni lo va, valve thar tak tak dah a ni.

TMVR enkawl hmain eng nge thleng thin?

He enkawlna hi pek che tura thutlukna an siam hnuah medical team te chuan uluk takin an enfiah ang che.

• Test: Test engemawzat tih a ni a, chu chu thinlung hnathawh dan enfiah nan ``Echocardiogram`` leh thinlung insiam dan enfiah nan ``CT scan`` tih te hi a ni. Hengte hi enkawl dan tur ruahman nan an hmang thin.
• Anesthesia chungchang sawi: Specialist chuan enkawlna chhunga natna awm loh nan anesthesia chi hrang hrang pek tur che chu a sawipui ang che. I dinhmun a zirin thutlukna siam a ni ang a, general anesthesia emaw conscious sedation emaw pek i ni ang.
• Thupek: Doctor chuan thupek bik engemaw zat a pe ang che.
• Damdawi thenkhat (a bik takin thisen tithianghlimtu) hi ni engemaw zat chawlh a ngai thei.
• Inenkawl ni-ah darkar engemaw zat chaw nghei turin an ti ang che.
• Enkawl zawhah mi rawn hruai turin hriattir i ni ang.

Enkawl lai hian eng nge thleng?

He enkawlna hi darkar hnih atanga darkar thum vel a ni tlangpui. Hemi kawngah hian specialist team, cardiac surgeon, cardiologist, leh anesthesiologist te an tel a ni.

A tawi zawngin, hengte hi a lo thleng thin a ni.

1. Incision na hmun (groin or chest) tihfai leh buatsaih.

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

3. Valve thar chu tube te tak te (catheter) tawp lamah an dah a.

4. He tube hi thisen kalna kawngkhar chhungah hian groin emaw chest emaw-a incision te tak te siam hmangin dah a ni.

5. Special imaging technology hmangin he tube hi thinlung mitral valve-ah a kaihruai a.

6. Valve thar chu valve hlui, natna neiah dahin, a awmna tur dik takah dah a ni a, dah a ni.

7. Chumi hnuah tube chu la chhuakin incision chu khar a ni.

He hun chhung zawng hian medical team hian engkim, i thisen sang leh oxygen level te pawh an enfiah vek a ni.

TMVR hnuah eng nge thleng?

Enkawl zawhah recovery room-ah hruai i ni ang. Anesthesia atanga i dam leh hma loh chuan uluk takin an enkawl ang che. Mi thenkhat chu intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung an awm a ngai mai thei. A tlangpuiin damdawi inah ni engemaw zat i awm a ngai dawn a ni.

In i haw hunah i doctor chuan a hnuaia mite hi a rawn hrilh ang che:

• Cardiac rehabilitation programme-a tel dan tur.
• Follow-up appointment neih a ni bawk.
• Damdawi tan leh tur chungchang leh damdawi thar ei tur chungchang.
• Engtikah nge thil tih pangngai leh hnathawhnaah ka kir leh theih ang?

TMVR hmanga enkawlna hlawkna leh hlauhawmna

Damdawi dang ang bawkin, a hlawkna bakah a hlauhawmna a awm bawk. Anni hi han thlir ila.

Engtikah nge emergency medical advice i lak ang?

Inenkawl zawha in lama i haw chuan symptom thenkhatah fimkhur hle tur a ni. A hnuaia symptoms te hi i neih chuan , damdawi in Emergency Department (ETU) ah kal nghal rawh.