A châng chuan naupang pakhat, a naupan laiin thinlung lam harsatna chi khat neia piang chanchin i hre tawh mai thei. Chu naupang chuan chutih lai chuan operation a nei a, a dinhmun chu siamthat a ni mai thei. Mahse chutiang naupang chu tlem a lo puitlin chuan, a naupan lai chuan chu naupan laia thinlung buaina awm tawh chu kawng dangin a lo lang leh thei a ni. Chutiang hunah chuan vawiinah hian nunna chakna nasa tak pe thei tur enkawlna kawng pawimawh tak kan sawi dawn a ni.
Chuti a nih chuan, TPVR hi eng nge ni?
A awlsam zawngin, TPVR , emaw Transcatheter Pulmonary Valve Replacement , hi i thinlung chhunga pulmonary valve tha lo chu thlak danglam thei, mahse i rilru hawn loha tihdanglamna bik a ni. Hei hi mak tak maiin a ri a ni lawm ni? A tlangpuiin heart valve thlak kan ngaihtuah hian open-heart surgery kan ngaihtuah a, chu chu rilru lai takah incision lian tak siam a ni. Mahse, he TPVR procedure-ah hian surgeon chuan i groin vunah hian incision te tak te tak a siam a, chuta tang chuan procedure zawng zawng chu a ti vek a ni.
Pulmonary valve hi kan thinlung atanga kan lung a thisen kal dan tur control tu gate a ni. A thawk tha lo a nih chuan taksa pum puia thisen kal chu a tibuai dawn a ni. Chuvangin he method hmang hian valve malfunctioning chu a thara i thlak chuan i dam rei zawng leh quality of life chu nasa takin a pung ang. Tin, operation lian tham tih nawn leh ngai lo tura tihkhawtlai emaw, pumpelh vek emaw a pui bawk ang.
He TPVR enkawlna hi eng nge thleng tak tak?
Traditional open-heart surgery-ah chuan doctor-te chuan rilru ruh chu an tan a, hun eng emaw chen atan thinlung hnathawh chu machine (heart-lung bypass machine)-ah an sawn a, chutah chuan valve hlui chu la chhuakin a thar an dah tih hi han ngaihtuah teh. Hei hian hun rei tak a daih a, a dam rei zawk a, damlo thenkhat tan chuan hetiang operation lian tak neih hi a hlauhawm lutuk thei bawk.
Mahse TPVR kalphung erawh a danglam hle. Minimally invasive method a ni. Hetah hian thil thleng chu a awm:
1. Interventional cardiologist chuan i groin (femoral vein)-a thisen kalna kawng lian takah incision te tak te a siam a, chuta tang chuan tube te tak te, flexible tak, catheter an tih chu a dah lut a.
2. He catheter chhungah hian valve thar a awm a, balloon te tak te chu a inzawm khawm a.
3. X-ray ang chi technique bik hmangin doctor chuan he catheter hi thisen kalna kawng kaltlangin lung chhunga lungphun (pulmonary valve) awmna hmun thlengin uluk takin a kaihruai thin.
4. A hmun dik takah a awm chuan balloon chu a inflated thin. Valve thar, folded tawh chu a zau a, valve hlui awmna hmunah a snap a.
5. Chuta tang chuan valve thar chu a thawk tan ta. Thinlung atanga lung a thisen kal chu a pangngaiin a awm leh thin.
Hei hi a thatna lian ber pakhat chu he enkawlna nei tawh tam zawk hi an haw nghal thei a ni. Recovery hun hi a rei lo hle.
Chuti a nih chuan, he pulmonary valve hian hna a thawk tha lo a nih chuan eng nge thleng ang?
Pulmonary valve-ah hian harsatna lian tak pahnih a awm thei a.
| Damdawi lam dinhmun | A awlsam zawngin... |
|---|---|
| Pulmonary Stenosis a awm thin | Valve hi a inhawng tha tawk lo a, chu chuan a kal tlanga thisen lung a luang lut thei chu a ti tlem a ni. Hei hian thinlung dinglam lamah harsatna nasa tak a siam a, chu chuan chu hmun chu a tichhe thei a ni. |
| Pulmonary regurgitation a awm thin | Valve a khar tha tawk loh avangin lung-a thisen pump lut chu thinlungah a leak leh thin. Hei hian thinlungah harsatna a siam belh thei a, a dinglam a tichhe thei bawk. |
Heng dinhmun pahnih avang hian thawk harsa (dyspnea) , ke leh pum a hring (edema) , rilru na , leh thinlung thawk mumal lo ang chi symptoms i nei thei a ni. Heng symptoms te hi TPVR hmanga enkawl hnuah nasa takin a tlahniam dawn a ni.
He enkawlna hi tute tan nge a inhmeh ber?
Pianpui thinlung natna neia piang i nih a, naupan lai atanga zai i neih chuan he enkawlna hi i tan a inhmeh theihna chance a awm. A chhan chu naupan laia valve dah (homograft fo thin) chu hun kal zelah a chhe thei a ni. Tichuan a chunga kan sawi tak, stenosis emaw regurgitation emaw ang chi hi puitling naupang takah a lo lang thei a ni. Chuvang chuan doctor ten hetiang mite tan hian TPVR method hi an rawt a ni.
Hetiang procedure hi a hnuaia congenital heart conditions enkawl nan hman a ni:
- Tetralogy of Fallot: Thil tha lo pali inzawmkhawm, thinlunga khur awm, thisen tha leh tha lo inhmeh lo.
- Pulmonary Atresia: Pian tirh atanga pulmonary valve siam loh natna.
- Truncus Arteriosus: Thinlung atanga lo chhuak thisen kalna kawng lian pahnih (aorta leh pulmonary artery) te chu inzawmkhawmin pakhat an siam a.
- Transposition of the Great Arteries: Thisen kalna kawng lian pahnih chu a sir dik lo lamah an inthlak a, an inzawm khawm a.
A pawimawh ber chu i doctor chuan he enkawlna hi i tan a tha em tih a rel ang a, chu chu i damdawi lam chanchin, tuna i hriselna dinhmun leh test bik engemaw zat a zirin a ni.
Enkawl hma leh enkawl hnuah eng nge thleng?
Enkawl hmaa inbuatsaihna
TPVR i tih theih leh theih loh en turin i doctor chuan uluk takin a enfiah ang che a, exercise stress test pawh a ti thei bawk. Tin, a hnuaia test te hi tih theih a ni bawk:
- Angiogram hmanga enfiah a ni
- Cardiac CT scan hmanga tihchhuah a ni
- Lung lam MRI
- Echocardiogram hmanga tih a ni
- ECG test a ni
Heng zawng zawng hi a ngaihtuah hnuah doctor chuan i tan eng solution nge tha ber tih a rel ang.
Enkawl lai hian
Enkawlna tan hmain anesthetized i ni ang a, chuvangin natna engmah i nei lovang. Procedure zawng zawng hi darkar hnih atanga darkar thum vel a ni. Doctor-te chuan catheter chu an dah ang a, valve chu an dah ang a, a hnathawh dan an enfiah ang a, chutah chuan catheter chu an la chhuak ang.
Enkawl hnuah
Zan khat chhung enkawl turin damdawi inah dah i ni ang a, a tuk zingah in lamah an thawn fo ang. Kar khat vel hnuah i thiltih pangngai chu i thawk leh thei tawh ang.
Eng nge a hlawkna leh a hlauhawmna?
Damdawi zawng zawng ang bawkin he damdawi hian hlawkna a nei a, hlauhawmna engemaw zat a nei bawk.
| A thatna te | Risk a awm thei |
|---|---|
| Recovery hun hi a rei lo hle. | Thisen chhuak. |
| Hri kai theihna a tlem hle. | Thisen kalna kawng a chhiat. |
| Damdawi ina awm hun pawh a tawi zawk. | Thinlung thawk mumal lo (Arrhythmia). |
| Scar lian tham a awm dawn lo. | Lung natna (Endocarditis) a awm thei. |
| A na chu a tlem zawk. | Beisei loh taka thisen chhuak. |
A tlem hle a, harsatna lian tak tak, heart attack, stroke, thihna te pawh a awm thei. Chuvangin, thutlukna siam hmain he enkawlna thatna leh that lohna hi doctor nen sawiho hmasak a pawimawh hle.
Thil pawimawh dang hriat tur thenkhat
Valve thar hian eng chen nge a daih?
Hei hi i hriselna zawng zawng leh i thinlung dinhmun a innghat a ni. Mi thenkhat chuan rei vak lo hnuah operation dang an neih leh a ngai mai thei. Mahse thu lawmawm tak chu a tul chuan TPVR procedure hmangin valve dang thlak leh theih a ni.
Ha enkawl lai hian fimkhur a ngai em?
Ni e, hei hi a pawimawh hle. Ha lakchhuah leh ha tihfai ang chi thilte hian ka chhunga bacteria te chu thisenah lutin a kal tlang thei a, chu chuan natna khirh tak endocarditis , heart valve dah thara infection a siam thei a ni. Chuvangin ha enkawlna engmah i neih hmain TPVR i neih tawh thu i ha enkawltu hnenah i hriattir ngei ang. Enkawl hmain antibiotics ei turin an ti thei che a ni.
Airport venhimna lamah harsatna a awm em?
No. Airport X-ray leh security check te hian a tichhe lovang. Mahse, MRI scan i ngaihtuah a nih chuan i doctor nen inbia hmasa phawt ang che.
Take-Home Thuchah a ni
- TPVR hi tunlai, minimally invasive treatment a ni a, heart’s pulmonary valve chu incision te tak te hmangin a thlak a, a rilru a hawng lo.
- Hei hi kum naupan lai atanga valve problem lo awm thin tan chuan solution tha tak a ni a, a bik takin naupan laia congenital heart disease avanga surgery nei te tan chuan solution tha tak a ni.
- Traditional open-heart surgery aiin dam hun a tlem a, damdawi ina awm a tlem a, natna a tlem zawk bawk.
- Enkawlna zawng zawng ang bawkin hlauhawmna a awm a, chuvangin i tan a tha em tih i ngaihtuah hmain i doctor nen in sawiho hmasa tur a ni.
- I hriselna atan i doctor thupek ang chiaha enkawl a pawimawh hle a, ni ruat saah i doctor hmuh a pawimawh hle.
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