Stroke hi eng ang taka na nge a nih tih i ngaihtuah mai thei. Hei hi a chhan ber chu kan kawr sir lehlamah thisen thluaka thisen phurtu artery pawimawh ber (carotid artery) chu thau dahkhawmnain a block thin vang a ni. Tui pipe chhungah rust a lo awm a, zawi zawiin a khar ang mai a ni. Mahse lungngai suh, tunah chuan hei hi enkawlna hmasawn tak tak leh awlsam tak tak a awm ta. Chu chu vawiina kan sawi tum chu a ni.
He TFCAS enkawlna an tih hi eng nge ni?
A awlsam zawngin sawi ila, Transfemoral Carotid Artery Stenting (TFCAS) hi minimally invasive procedure a ni a, kawr chhunga carotid artery block tawh chu hawn lehna atan hman a ni. Chutah chuan mesh ang chi tube te tak te tak, stent an tih chu a blocked artery chhungah dahin a zau leh thei a ni.
Ngaihtuah teh, kan kawr sir lehlama carotid arteries te hi kan thluak, hmai leh kan kawng thlenga oxygen leh nutrients phurtu artery lian pahnih an ni. Hun a kal zel a, kan ei leh in atanga cholesterol leh thau te chu heng thisen kalna kawng bang ah hian a lo awm tan thin. Hei hi plaque kan ti a. He plaque buildup hian artery walls a ti thim a, a khauh (atherosclerosis) a siam thin. A tawpah chuan thisen kalna kawngte chu a zim (stenosis) ta a ni. He thisen kal dan hi tihkhawtlai a nih chuan thluaka thisen kalna a tlahniam a, stroke hlauhawmna nasa takin a tipung a ni.
TFCAS enkawlnaah chuan i groin emaw, i kut emaw a incision te tak te tak tak hmangin special tube (catheter) dahin i kawr chhunga thisen kalna kawngkhar (blocked artery) lam pan a ni. Chumi hnuah chuan catheter kaltlangin stent dahin thisen kalna kawng chu hawn leh a ni. Stent hian tent pole ang maiin artery chu a chim leh tawh loh nan a pui a ni. Hei hian thluaka thisen kal dan a siam tha leh a, stroke hlauhawmna a ti tlem a ni.
He enkawlna hi tute nge mamawh?
I doctor-in carotid artery disease i nei tih a hriat chuan he enkawlna hi a tha thei ang. A châng chuan symptoms engmah i nei lo thei bawk. Mahse, mi thenkhat chuan mini-stroke (or transient ischemic attack - TIAs) ang chi symptoms an nei thei.
Carotid artery stenosis hi enkawlna hrang hrang a awm tlangpui. I doctor chuan i hriselna dinhmun, artery pianzia leh stenosis awmna hmun a zirin i tana tha ber tur enkawlna a thlang ang.
A pawimawh ber chu i doctor nen heng enkawlna zingah hian eng nge i tan a tha ber tih sawiho a ni.
| Enkawl dan tur | Eng thil nge thleng mai mai | Specialty a ni |
|---|---|---|
| TFCAS (he thuziak-a kan sawiho dan) . | Groin emaw arm emaw atanga tube dah hmanga kawr chhunga vein chhunga stent dah. | Cut lian tak a awm lo. Damna hun hi a rei lo hle. |
| Carotid Endarterectomy (CEA) hmanga tihchhuah a ni. | A kawngah hian incision siam a ni a, artery chu hawn a ni a, chutah chuan fatty layer (plaque) awm khawm chu lakchhuah a ni. | Mi tam tak chungah traditional surgery an ti a. |
| Transcarotid Stenting (TCAR) hmanga tihchhuah a ni. | Collarbone chung lam deuhah hian a kawngah incision te tak te siam a ni a, stent chu artery chhungah direct-in dah a ni. | Zirna thenkhatah chuan TFCAS aiin stroke vei theihna a hniam zawk tih hmuhchhuah a ni. |
TFCAS enkawlna hi tute tan nge a tha ber?
TFCAS enkawlna hi CEA surgery aiin i tan a tha zawk mai thei a, heng risk factors te hi i neih chuan:
- Surgery hmanga awlsam taka thlen theih lohna hmunah artery a block a nih chuan.
- Hriselna lama harsatna dang (comorbidities) i neih chuan thinlung natna, lung natna, thau lutuk te.
- I hmaa surgery emaw radiation therapy emaw avanga i kawngah scar tissue i neih chuan.
- I vocal cords a chhiat chuan.
Operation hmain engtin nge i inbuatsaih thin?
He surgery hma hian i doctor chuan hetiang hian a ti thei ang che:
- Thisen test thenkhat leh hriselna test dang tihsak rawh.
- Echocardiogram emaw stress test emaw nei la, thinlung hnathawh dan enfiah rawh.
- Imaging test `carotid angiography`, `vascular ultrasound`, emaw `MRA` tih ang chi hmangin thisen kalna kawng kha khawiah nge a block tih chiang takin enfiah rawh.
- Damdawi leh supplement i hman zawng zawng list pe rawh.
- Thisen zam venna atan damdawi aspirin ang chi te pawh pek theih a ni.
- Operation hma darkar engemaw zat ei leh in (fast) loh tur.
Engtin nge surgery hi an tih thin? Step khat hnu step khatin
He surgery hi darkar hnih aia rei lo a ni tlangpui a, doctor training bik team-in an ti thin.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Anesthesia hmanga tihdam theih | Anesthetized kim vek i ni fo ang. I harh laiin i rilru hahdam nan damdawi tlemte pek i ni thei bawk. |
| 2. Catheter dah luh | Tube bik (catheter) chu groin-a khur te tak te siam hmangin X-ray hmangin kawr chhunga carotid artery thlengin an hruai a. |
| 3. Filter install dan tur | A blockage piah lamah filter te tak te dah a ni a, chu chuan artery tihzauh laiin plaque a chhe thei apiang chu a man thei a ni. Hei hian stroke hlauhawmna a ti tlem a ni. |
| 4. Balloon hman dan | Balloon te tak te chu blockage chhungah dahin inflated a ni a, chu chuan fatty layer chu artery wall-ah a press a, artery chu a tizau hle. Chumi hnuah balloon chu an la chhuak leh a. |
| 5. Stent dah dan tur | Tunah chuan a zau zawkna hmunah hian self-expanding stent dah a ni ta. Hei hian artery chu a inhawng reng thei a ni. |
| 6. Finishment tihfel | Filter leh catheter chu lakchhuah a ni a, groin chhunga khur chu hmanraw bik hmangin khar a ni. |
Operation hnuah eng nge thleng?
Surgery hnuah darkar eng emaw zat recovery room-ah enkawl i ni ang. Chumi hnuah chuan damdawi inah zan khat i awm a ngai tlangpui ang.
- I rilru hahna eng pawhah natna tidamtu (painkillers) pek i ni ang.
- I doctor chuan stent awmna hmuna thisen zam a awm loh nan i dam chhung zawng antiplatelet damdawi (e.g., Aspirin, Clopidogrel) ei turin a hrilh ang che.
Mi tam zawk chu darkar 24 hnuah damdawi in atangin an haw thei. Ni engemaw zat chhung chu incision hmunah hian hliam, hliam, leh natna tlemte a awm thei.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Hlawkpuina
- Stroke vei theihna tihtlem: Thluaka thisen kal dan a lo awm leh chuan stroke vei theihna a tlahniam hle.
- Small incision: Incision lian tak a awm loh avangin a na a tlem a, natna kai theihna a tlem a, a hliam a awm bawk.
- Recovery rang: Ni engemaw zat chhungin hna pangngai i thawk leh thei.
Risk a awm thei
Surgery dang ang bawkin risk tlemte a awm a, mahse complication na tak tak awm theihna chu 3% aia tlem a ni.
- Restenosis: A tlem hle a, stent hnuaiah hian scar tissue a lo awm thei a, artery chu a ti tawi leh thei bawk.
- Stroke: Operation lai hian thau chi hrang hrang a inthen thei a, thluaka thisen kalna kawng (artery) a tikhawlo thei a ni. Mahse, he risk hi a hmaa kan sawi tawh filter hian nasa takin a tihziaawm a ni.
- Lung natna
- Thisen chhuah emaw, natna hrik kai emaw
Engtikah nge Doctor i hmuh a ngaih?
Operation hnua in lama i haw hunah heng symptoms zinga pakhat tal i neih chuan , i doctor ko nghal rawh.
- Khawsik emaw, khawsik emaw i neih chuan
- Nausea leh vomiting a reh chuan
- Incision site chu a sen, a hring emaw, yellow fluid a lo chhuak emaw a nih chuan (infection chhinchhiahna) .
A pawimawh ber: Stroke symptoms, tawng thiam lo, taksa sir khata chak lohna, hmai tlak, emaw, mit hmuh dan danglam te i neih chuan damdawi in Emergency Department (ETU)-ah rei vak lovah kal nghal rawh.
Take-Home Thuchah a ni
- TFCAS hi advanced, minimally invasive procedure a ni a, kawr chhunga thisen kalna kawng khar (bloked arteries) hawn nan leh stroke hlauhawmna tihziaawmna atan hman a ni.
- He enkawlna hi mi zawng zawng tan a tha lo. I doctor nen eng treatment option nge i tan a tha ber tih sawiho rawh.
- Nunphung hrisel (ei leh in tha, exercise, leh meizuk bânsan) neih a pawimawh hle a, operation hnua i damdawi pek ang chiah kha ei a pawimawh hle.
- Operation hnua vaukhânna chhinchhiahna lo awm thei te, a bîk takin stroke chhinchhiahnate hriat chian hian i nunna a chhanhim thei a ni.
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