Heart valve thlak dan thar! (Transcatheter Pulmonary Valve thlak danglamna - TPVR)

Lungphun hawn vek lovin heart valve thlak danglam chu i ngaihtuah thei em? Ni e, tunah chuan thil tak tak a ni ta. Vawiin hian he technology hian congenital heart disease avanga pulmonary valve lama harsatna nei tam tak tan beiseina thar a thlen a ni. Hei hi inbiakna awlsam tak, friendly tak tak hmangin i tan ang u.

A awlsam zawngin TPVR hi eng nge ni?

TPVR hi Transcatheter Pulmonary Valve Replacement tihna a ni a, i thinlung chhunga pulmonary valve tha lo chu incision te tak te tak hmangin valve thar hmanga thlak a ni. A tlangpuiin thinlung surgery kan ngaihtuah hian kan rilru chhungril takah incision lian tak siam a, kan rilru hawn a ngai a. Mahse, he procedure-ah hian hetiang khawpa lian incision hi siam a ni lo.

Chu ai chuan doctor-te chuan i groin vunah khur te tak te an siam a, chuta tang chuan hna chu an thawk ta zawk a ni. He pulmonary valve hi i thinlung atanga i lung chhunga thisen thawn chhuaktu gate angin a thawk a, a pawimawh hle. Mi pianpui thinlung natna neia piangte chuan naupan laia operation an neih hnua an upat deuh deuh chuan he valve hi harsatna an nei thei a ni. Chuvangin, chu valve chu he method hmanga thlak hian i dam chhung leh i nunphung chu nasa takin a tichangtlung thei a, operation lian tham tih nawn fo ngai lovin.

TPVR system-ah hian eng nge thleng tak tak?

Traditional open-heart surgery-ah chuan a rilru ruh chu an tan a, damlo chu heart-lung bypass machine-ah an thlunzawm a, valve hlui chu lakchhuah a ni a, a thar dah a ni. Hei hian hun rei tak a daih a, a dam rei zawk a, mi thenkhat tan chuan he surgery hi risky tak a ni.

Mahse TPVR-ah chuan chutiang chu a ni lo. Interventional cardiologist chuan i groin chhunga vein pakhat kaltlangin tube te tak te (catheter) a dah a, chu tube kaltlangin valve thar chu i thinlungah a hruai lut thin. Hei hi X-ray ang chi technology kaihhruaina hnuaia tih vek a ni. A hmun dik takah a awm tawh chuan valve thar chu balloon hmangin an inflated a, a hmunah an fix leh thin.

Hei hi tih zawh a nih hnu hian thinlung atanga lung lam panna thisen kal chu a thain a lo awm leh thin. Thinlung chunga hna thawh tur a tlem a, taksain oxygen a dawng tha zawk. A tam zâwk chuan, he operation nei tawh chu chu ni vek chuan a haw thei a ni .

Ka pulmonary valve a thawk tha lo a nih chuan eng nge thleng ang?

Pulmonary valve-ah hian harsatna lian tak pahnih hmuh tur a awm a. Hengte hi tawi te tein han thlir ila.

Heng dinhmun pahnihah hian hetiang hian symptoms i nei thei a:

• Thâwk harsa (dyspnea) .
• Pum leh ke a hring (edema) .
• A rilru a na
• I thinlung a na hle tih hriatna (palpitations) .

Heng symptoms te hi heart failure emaw heartbeat mumal lo (arrhythmias) vang a ni. Heng symptoms te hi TPVR surgery hnuah a tha tlangpui.

He TPVR surgery hi tute tan nge a inhmeh ber?

I thinlung pulmonary valve tichhe thei natna neia piang i nih chuan he surgery hi i hlawkpui thei ang. A bik takin, .

• Naupangte a nih laia pulmonary valve surgery nei tawhte.
• Chu valve nei puitling leh thalai te chu hun kal zelah a block emaw, a leak emaw thin.
• Vawi tam tak chu doctor-te chuan kum naupan lai aṭanga donor hnen aṭanga homograft (valve transplant) dawng tawhte tan TPVR kalphung hi an ngaihtuah ṭhin a, chutih lai chuan chu valve chu hun kal zelah a chak lo ṭhin.

He surgery hmanga enkawl natna lian ber ber thenkhat chu:

• Pulmonary Atresia: Pian tirh atanga pulmonary valve siam loh natna.
• Regurgitant Pulmonary Valve: Valve kaltlangin thisen hnunglam hawia a luang chhuak thin.
• Tetralogy of Fallot: Lung lam chhiatna pali inzawmkhawm avanga thisen tha leh tha lo inzawmkhawmna a ni.
• Truncus Arteriosus: Thinlung atanga thisen kalna kawng lian pahnih lo chhuakte inzawmkhawmna a ni.
• Transposition of the Great Arteries: Thinlung thisen kalna kawng lian pahnih inthlak danglam leh inzawmkhawmna dinhmun a ni.

TPVR surgery hian hetiang dinhmun enkawlna atan hian result hlawhtling tak a nei a ni.

Surgery hma, operation neih chhung leh operation zawhah eng nge thleng?

Surgery hmaa inbuatsaihna

He surgery hi i tan a tha em tih rel tur chuan i doctor chuan uluk takin a enfiah hmasa ang che. Test engemaw zat a ti thei a, chungte chu:

• Angiogram hmanga enfiah a ni
• Cardiac CT scan hmanga tihchhuah a ni
• Lung lam MRI
• Echocardiogram hmanga tih a ni
• Electrocardiogram (ECG) hmanga tih a ni.

Heng test result a\ang hian i doctor chuan TPVR surgery a rawt ang a, a nih loh leh hun engemaw chen chu i dinhmun enfiah turin a rel ang. Tin, operation hmaa eng ei tur nge ei tur tih leh eng damdawi nge ei tawh loh tur (a bik takin thisen tithianghlimtu) tih te pawh a fuih ang che. Allergy i neih chuan doctor hnenah hrilh theihnghilh suh.

Surgery neih lai hian

Surgery tan hmain anesthesia pek i ni ang a, chutiang chuan natna engmah i hriat loh nan. Chumi hnuah chauh chuan specialist chuan hna a thawk tan ang.

1. A hmasa berin i groin (femoral vein) emaw, i kawr (jugular vein) emaw-ah incision te tak te siam a, chuta tang chuan tube (catheter) dah a ni.

2. Tichuan X-ray ang chi technology hmangin valve thar chu tube kaltlangin leh wire hmangin thinlung chhunga hmun dik takah hruai a ni. He valve hi balloon chungah fold a ni.

3. A hmun dik a thlen chuan balloon chu a inflated thin. Valve thar hi a zau a, valve hlui chhungah a in fit nghet hle. Chuta tang chuan valve thar chuan hna a thawk tan ta a ni.

4. A tawp berah chuan valve chu a thawk tha em tih enfiah la, inserted tube zawng zawng chu la chhuak vek rawh.

Hetiang zawng zawng hi darkar hnih emaw darkar thum emaw vel a ni tlangpui .

Surgery an neih hnuah

Surgery zawhah damdawi inah zan khat chhung enkawl turin i awm ang. Engkim a kal tha a nih chuan a tuk zingah i haw thei tawh ang . I doctor chuan in lama i haw huna i zawm tur thupek set khat a pe ang che. A tam zawkah chuan ni sarih vel chhungin i hnathawh pangngai chu i thawk leh thei tawh ang .

TPVR method hian eng nge a thatna leh a hlauhawmna?

Damdawi lam thil dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk. A pahnih hi i fimkhur ang u.

A tlem hle a, harsatna lian tak tak, heart attack, stroke, thihna te pawh a awm thei. Mahse hengte hi a tlem hle. I doctor chuan heng zawng zawng hi chipchiar takin a sawipui ang che.

Zawhna dang i nei thei bawk

He valve thar hi eng chen nge a daih ang?

Thil tam takah a innghat a, chu chu i hriselna zawng zawng leh thinlung hnathawh dan te hi a ni. Mi thenkhat chuan hun engemaw chen hnuah hetiang surgery hi an neih leh a ngai mai thei.

Ha enkawl hmain thil bik tih a ngai em?

Ni e, hei hi a pawimawh hle. Ha enkawl lai hian i ka atanga bacteria te chu thisenah lutin heart valve thar (endocarditis) infection a thlen thei a ni. Chuvangin ha enkawltu i pan dawnin heart valve thlakna i neih tawh thu i hrilh lawk tur a ni . Ha lakchhuah hmain antibiotics i ei a ngai thei bawk.

Airport-ah security check ka paltlang thei ang em?

Ni e, harsatna a awm lo. X-ray leh airport security scanner te hian i valve a tichhe lovang. Mahse, MRI scan i neih hmain i doctor nen in inbia ngei tur a ni.