Tlemte i chau lai emaw, stairs i chhoh lai emaw pawhin thawk hah emaw, thawk hah emaw i nei em? Nge i ke a hring em? Hei hi thil pangngaiah i ngai mai thei a, i upat deuh deuha thil thleng a ni. Mahse chutiang chu a ni reng reng lo. A châng chuan, heng chhinchhiahna hnung lamah hian kan thinlung hmun tê tak tê, mahse pawimawh tak takah harsatna a awm thei a ni. Vawiin hian hetiang hmun pawimawh tak, thinlung tricuspid valve chungchang kan sawi dawn a ni. Doctor-in i thinlunga valve pakhatah harsatna a awm tih a hrilh che chuan hlauhna i neih hi thil pangngai a ni. Mahse hlau suh, tunlai medical science hmasawn tak nen hian hei hi enkawlna tha tak tak a awm a ni. Hemi chungchang hi awlsam takin i hrethiam vek ang u.
A hmasain, tricuspid valve chu eng nge ni?
A awlsam zawngin kan thinlung hi machine mak tak, chamber pali nei a ni. A chung lamah chamber pahnih a awm a, a hnuai lamah chamber pahnih a awm bawk. Taksa thisen oxygen tlachham chu thinlung dinglam (Right Atrium) chunglam chamber-ah a lut hmasa ber a ni. Chuta tang chuan chu thisen chu lower chamber (Right Ventricle)-ah a kal a ngai a ni. Tunah chuan, chu pindan chunglam leh chamber hnuai lam inkar kawngkhar chu tricuspid valve kan tih chu a ni.
Hei hi kawngkhar pakhat chauh hawn ang a ni. Chunglam atanga a hnuai lam thlenga thisen a luang chuan he kawngkhar hi a inhawng a, a hnuai lam pindan thisen a khat chuan a khar leh thin. Tichuan thisen chu top chamber-ah a luang leh tawh lo. A dik tak chuan he valve hian leaflet pathum a nei a. Chuvang chuan ‘tri’ an ti a ni. He valve hnathawh dan dik hi kan taksa pum puia thisen kal dan tur dik tak atan a pawimawh hle.
Chuti a nih chuan he valve hi eng harsatna nge lo awm thei?
Hun kal zelah he valve hi chhan hrang hrang avangin a thawk tha lo thei a ni. Condition lian ber pahnih hmuh tur a awm. Eng nge an nih i han thlir teh ang.
| Dinhmun | A awlsam zawngin, eng nge thleng? |
|---|---|
| Tricuspid atanga lo chhuak (tricuspid regurgitation) a awm | Hemi a thil thleng chu valve flap te hi a khar tha lo a ni. Tichuan, lower chamber chu a inzawm khawm a, lung chhungah thisen a pump lut a, thisen thenkhat chu upper chamber-ah a leak leh ta a ni. Kawngkhar khar tha lo ang mai a ni. |
| Tricuspid stenosis a awm thin | Hetianga thil thleng chu valve leaflet te chu a thim a, a nghet lo va, a inhawng tha lo. Chumi awmzia chu flap te chu rust ang maiin an inzawm khawm tihna a ni. Chumi hnuah chuan upper chamber atanga lower chamber panna thisen kal chu a tikhawlo a ni. |
Eng dinhmun pawh ni se, chutiang bawk chu a thleng thin. Kan taksain thisen a mamawh zat pump turin kan thinlung hian nasa zawkin hna a thawk a ngai a ni. Hun a kal zel a, hei hian thinlung a tichak lo thei a, chu chuan thinlung chak lohna ang chi dinhmun a thlen thei a ni.
Valve siamthat emaw, a thar dah emaw a tha zawk em?
Hei hi mi tam takin harsatna an neih a ni. A tlangpuiin doctor-te chuan nangmah ngeiin i valve siam that an tum fo thin. A chhan chu keimahni taksa peng khat aia tha zawk a awm lo.
Amaherawhchu, a chang chuan a chhiat nasat em avangin siam that theih loh a nih chuan lakchhuah a ngai mai thei a, valve thar dah (replacement) a ngai mai thei bawk. Heng valve thar te hi chi hnih a awm a.
I cardiologist chuan eng enkawlna nge i tan a tha ber tih a rel ang tih hre reng ang che. Chu thu tlûkna chu i dinhmun ngun taka a enfiah hnuah a siam ang.
| Valve chi hrang hrang | Thuziak leh thil bikte |
|---|---|
| Biological valve hmanga siam a ni | Chungte chu rannung tissue (e.g. vawk emaw bawng emaw atanga siam) emaw, mihring donor thi tawh atanga siam emaw a ni. Hei hi a thatna chu operation hnuah rei tak anticoagulants ei a ngai tawh lo. Mahse, hengte hi kum 10-20 chhung chauh a awm tlangpui. Chumi hnuah chuan operation dang i neih leh a ngai mai thei. |
| Mechanical valve hmanga siam a ni | Hengte hi carbon ang chi synthetic material chhe thei lo hmanga siam a ni. Nun chhung zawng an daih. Mahse heng valve-ah hian thisen zam a awm theihna a awm avangin i dam chhung zawng thisen tithianghlimtu damdawi i ei a ngai a ni. Chu damdawi chu a pek ang chiah chiah ei a pawimawh hle. |
Operation hmain engtin nge i inbuatsaih thin?
Okay, tunah chuan doctor in surgery neih a ngai tih a rel ta ang u. Chumi hma chuan uluk takin i inbuatsaih tawh ang.
- Awareness: Medical team chuan operation hma, operation neih chhung leh operation hnua thil thleng tur chipchiar takin an hrilhfiah ang che.
- Zawhna zawh: Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen sawiho rawh. Nangmah ah engmah dah suh.
- Risk chungchang sawi: Surgery zawng zawng ang bawkin risk tlemte a awm. Chumi chungchang pawh hriattir i ni ang.
- Consent form-a sign: Surgery neihna tur remtihna pe turin document-ah i sign a ngai ang.
- Test: Surgery atan i tling em tih hriat nan test eng emaw zat i nei ang.
- Thisen test a ni
- ECG (Electrocardiogram) hmanga tih a ni.
- Chest X-ray hmanga enfiah a ni
- Echocardiogram (hei hi thinlung scan ang mai a ni. Valve hnathawh dan ngun takin a en thei) .
- In lama inbuatsaih: Operation hnua in i thlen hunah puitu tur i mamawh ang. Heng thilte hi i ruahman lawk tur a ni.
Engtin nge surgery hi tih a nih?
Tricuspid valve surgery tih dan tlangpui engemaw zat a awm.
Traditional Open-Heart Surgery hmanga tih thin a ni
Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian thinlung chu rilru lai takah incision hmangin a lut a ni. Surgery an neih chhung hian, .
1. Anesthetized (muthilh tir) vek i ni ang.
2. Thinlung hnathawh chu hun eng emaw chen a chawlhsan.
3. Chutih hunah chuan i thinlung leh lung hna thawktu machine bik (heart-lung bypass machine) nen i inzawm ang.
4. Surgeon chuan valve chu a siam tha emaw, a thlak emaw thin.
5. Chumi hnuah chuan heart chu restart a ni a, machine atang chuan lakchhuah a ni a, incision chu khar a ni.
Minimally Invasive duhthlan tur a awm
Tunah chuan technology a lo thang chho tawh a, incision lian tak siam a ngai tawh lo. He surgery hi incision tenau zawk hmanga tih theih dan a awm.
- Right thoracotomy: Hei hi dinglam sir lama ruh pahnih inkarah incision te tak te siam a ni.
- Robotically assisted surgery: Hetah hian surgeon chuan robotic machine kut chu a control a, a rilruah incision tenau engemaw zat hmangin surgery chu a ti thin.
- Transcatheter hmanga hman dan:Hei hi procedure thar ber leh invasive tlem ber a ni. Hetiang tihnaah hian ke emaw kut emaw chhunga vein lian tak kaltlangin thinlungah tube te tak te (catheter) an kalpui a, chuta tang chuan valve chu siamthat emaw thlak emaw a ni. Hetianga tih hnua dam leh hun chhung hi a rei zawk hle.
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Surgery zawhah damdawi in intensive care unit-ah ni engemaw zat i awm ang. Tichuan general ward-ah sawn i ni ang. Hospital-a awm zawng zawng hi i dinhmun leh operation chi hrang hrang a zirin a inang lo ang.
Chutiang chu damna hun nen pawh a ni.
- Open heart surgery hnua a dam kim theih nan thla engemaw zat a ngai thei .
- Transcatheter ang chi procedure i tih hnuah kar tlemte chhungin hna pangngai i thawk leh thei ang.
In i haw hnuah i doctor-in damdawi a pek chu a hun taka ei a, chawlh hahdam a, zawi zawiin exercise lak tan a pawimawh hle.
Doctor pan ngai symptoms te chu engte nge ni?
In i thlen hnu hian i taksa hi ngun taka i ngaihven a ngai a ni. Thil danglam bik a awm chuan ngaihthah suh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Heng symptoms te hi i neih chuan doctor ko nghal tur a ni. | |
| Luak chhuak /fainting | I ding lai emaw, hun pangngaiah emaw i lu a buai a nih chuan. |
| Chauhna nasa tak a awm | Engmah ti thei lo tura i chau lutuk nia i hriat chuan. |
| Sudden thau lutuk | Ni hnih danah i thau chhoh nghal chuan. |
| Ke emaw ke ruh emaw a hring chhuak | Ke ruh a hring a san chuan. |
| Surgery hliam nena inzawm natna chhinchhiahna - doctor hnenah hrilh nghal rawh | |
| Khua/khawsik/chills | Taksa lumna a san chuan. |
| Hliam atang hian pus a chhuak | Incision site atanga fluid lo chhuak a awm chuan. |
| Hliam vel a sen, natna a tipung | Hliam a sen a, nitin a natna a zual zel chuan. |
| Heng symptoms te hi i neih chuan Emergency Department (ETU) ah kal nghal rawh! | |
| A rilru a na | Ka beng chu an hrual ang maiin ka hria a, an hrual ang maiin ka hria. |
| Thâwk lak harsat thut, nasa tak | Vawikhatmah thawk i la thei lo a nih chuan. |
| Fainting a ni | I hriatna hloh nghal a, i tlu nghal a nih chuan. |
Heart valve lama harsatna neia nun hi a harsa thei hle. Mahse heng surgery te hian i symptoms te chu a ti reh thei a, nun pangngai takin i hmang leh thei a, i duhzawng thilte chu i ti thei bawk. Chuvangin hlau suh, i Doctor nen inbia la, i tana tha tur enkawlna tur thlang rawh.
Take-Home Thuchah a ni
- Tricuspid valve natna hi enkawl theih a ni. Ngaihsak loh chuan thinlung a tichhe thei a ni.
- Valve siamthat hi duhthlanna hmasa ber ni mahse, a chhiatna nasa tak a awm chuan a thara thlak a ngai mai thei.
- Tunlai minimally invasive surgical technique, open-heart surgery ang chi te chu tunah chuan hman theih a ni ta. I doctor nen i tana tha ber tur method chungchang sawipui rawh.
- Surgery hnua symptom danglam bik (a bik takin rilru na, thawk hah, hriatna hloh) i neih chuan doctor thurawn la nghal rawh. Hospital-a Emergency Treatment Unit (ETU)-ah kal rawh.
- Lungngai suh. Heng surgery te hian i nunphung leh i dam chhung chu nasa takin a tichangtlung thei a ni.
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