Doctor-in chhungte emaw, ṭhian emaw bypass surgery a mamawh thu a hrilh che chuan hlauhna leh hlauhna tlem a awm hi thil pangngai a ni. A bik takin "triple bypass" tih thumal i hriat hian chu hlauhna chu a nasa zawk thei. "Triple bypass hi risk lian tak a ni em?" "Hemi hnu hian pangngai takin ka nung thei dawn em ni?" I rilruah zawhna tam tak i nei ngei ang. Chuvangin, he thil hi a chungchanga i ngaihtuahna zawng zawng tihfel nan awlsam tak, hriatthiam theih takin i sawi ang u.
‘Triple bypass’ surgery hi eng nge ni tak tak?
Hei hi hriatthiam dan tha ber chu kawngpuiah lirthei tlan tam dan ngaihtuah hi a ni. Kawngpui lian pathum awmin, car zawng zawng a tang vek a, chu chuan traffic jam nasa tak a siam niin han ngaihtuah teh. Chuvangin i kal duhna hmunah i thleng thuai thei lo. Hetih lai hian eng nge kan tih? Chutiang traffic jam awm loh nan bypass road kan hmang thin a ni lawm ni?
He surgery pawh hi chutiang bawk chu a ni. Kan thinlung (coronary arteries)-a thisen petu thisen kalna kawng lian ber berte chu thau leh cholesterol dahkhawm (hei hi `plaque` kan ti) hian a tikhawlo a ni. `Triple bypass` surgery-ah hian thisen kalna tur kawng thar pathum siam a ni a, heng blocked area pathumte hi bypass a ni.
Chutiang ti tur chuan surgeon-te chuan i taksa peng dang atanga thisen kalna kawng hrisel tak (a tam zawkah chuan i ke, i kut emaw, i rilru chhung lam atang emaw) an la a, chu chu ‘bypass’ thar ang maiin i thinlunga hmun khar lai vel chu an thlak a ni. Hei hian heart muscle chu engmah tihbuai lohvin thisen a dawng thei a ni. He operation hi damdawi lam chuan `Coronary Artery Bypass Graft` emaw `CABG` emaw an ti a.
He surgery hi tute nge tih tur?
He surgery hi coronary artery disease nei tan a ngai tlangpui . Mi zawng zawng ni lovin, condition engemaw zat nei tan.
- Thinlung thisen petu thisen kalna kawng lian ber berteah blockage nasa tak a awm chuan. Entirnan, veilam main artery 50% aia tam emaw, branch artery dang 70% aia tam emaw a block a nih chuan.
- Heng blockages te hian symptoms a thlen fo chuan rilru natna (angina) leh thawk harsatna te .
- Heart attack neih theihna chance sang tak i neih chuan.
- Blockage chu a buaithlak lutuk emaw, a zau lutuk emaw a nih chuan, angioplasty (balloon hmanga thisen kalna kawng zau zawka siam a, stent dahna) ang chi enkawlna, invasive lo zawk hmanga enkawl theih a nih chuan,
A awlsam zawngin, bypass surgery hi heart function humhimna atana solution tha ber a ni a, complex case-ah chuan multiple blockage a awm bawk.
Surgery hma leh operation neih chhung hian eng nge thleng?
Operation ni tur i rel hnuah i doctor chuan i dinhmun a zirchian tha zawk nan test eng emaw zat a ti ang.
| Test neihna tur hming | A awlsam zawngin, eng ang nge a nih? |
|---|---|
| Angiogram hmanga enfiah a ni | Thinlung thisen kalna kawng (blood vessels) a blockage awmna hmun dik tak leh a lian leh te enfiah thin ang che. |
| Echocardiogram hmanga tih a ni | Lung hnathawh dan enfiah la, chu chu thinlung hian engtiang chiahin nge a pump tha tih hi a ni. |
| ECG/EKG hmanga tih a ni | Thinlung electrical activity leh rhythm te enfiah thin ang che. |
| Chest X-ray emaw CT scan emaw hmanga enfiah a ni | Thinlung leh lung dinhmun tlangpui enfiah thin ang che. |
| Thisen Test neih a ni | Kidney function leh thisen sugar level ang chi thil te enfiah thin ang che. |
I operation hma zan zanlai atang khan engmah ei leh in loh turin hriattir i ni ang. Damdawi thenkhat, thisen tithianghlimtu ang chi, ni engemaw zat ei kha i chawlhsan a ngai thei bawk.
Surgery neih lai hian
Hei hi `open-heart surgery` angin an ti fo thin. Full anesthetized (muthilh tir) i ni a, surgery chu tan a ni. Surgeon chuan i rilru lai tak atanga inches 6 vel zeta sei vertical incision a siam a, uluk takin i rilru ruh lai tak (sternum) chu pahnih ah a then a, thinlung thlengin a thleng a ni. Tichuan, a hmaa kan sawi tawh ang khan i ke emaw, i taksa peng dang emaw atanga thisen kalna kawng hrisel tak lakchhuah hmangin blockage vel chu kawng thar siam a ni. Procedure pumpui hi darkar 3 leh darkar 6 inkar a ni thei tlangpui .
Surgery hnuah eng nge thleng? A dam leh theih nan eng chen nge hun a duh?
Operation hnuah ni khat vel intensive care unit (ICU)-ah dah i ni ang a, chutah chuan uluk takin an enkawl ang che. Hemi chhung hian i ka chhungah thawkna tur tube i nei ang a, i taksa atanga tui chhuak tur tube i nei ang a, i heart rate leh thisen sang ang chi thilte enfiahna tur machine i nei bawk ang. Heng thilte hian hlauthawng suh, heng zawng zawng hi i damna tur atana thil pangngai tih vek a ni.
Ni khat emaw ni hnih emaw hnuah general ward-ah i kir leh thei tawh ang. Zawi zawiin i kal tan thei bawk. In i haw hnuah chuan a dam kim theih nan kar 6 vel emaw a aia rei emaw a ngai thei. Hemi hun chhung hian doctor thupek zawm a pawimawh hle.
- Driving: I sternum a dam hma (kar 6 vel) chu lirthei khalh loh tur.
- Heavy lifting: Kg 4-5 aia rit (entir nan, tui bottle litre 5) chu chawi suh.
- Damdawi: Damdawi `Aspirin` ang chi, thisen zam venna atana pek te hi dam chhung atan ei a ngai mai thei. Damdawi dang chu Doctor-in a tih angin ei tur a ni.
- Cardiac Rehab: Operation hnua i thinlung tichak turin doctor-te enkawlna hnuaiah exercise leh lifestyle training program bik nei turin an hrilh bawk ang che. Hei hi tih ngei ngei tur a ni.
He surgery hi a hlauhawmna a awm em?
Surgery lian dang ang bawkin, hlauhawmna a awm. Mahse, bypass surgery nei zinga 95% aia tam chuan harsatna lian tham an nei lo. Thihna hlauhawmna hi 1% aia tlem a ni a, a bik takin operation ruahman lawk a nih chuan. Harsatna awm thei te chu:
- Kidney hnathawh a tlahniam
- Thai
- Thisen a chhuak thin
- Thisen kalna kawng (transplanted blood vessel) a hlawhchham
- Incision hliam a natna hrik awm
- Thinlung thawk mumal lo (`Atrial Fibrillation`) .
Chutiang thil chu a tel ve mai thei. Mahse hengte hi a thlen theihna chance a tlem hle.
I haw hnuah engtikah nge Doctor i hmuh a ngaih?
In lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
- Cut atanga thisen chhuak emaw, pus emaw
- Khawsik
- Hliam na chu a zual zel a.
- Heart rate a sang chho zel
Tin, operation hnu ni ruat saah clinic-ah kal la, doctor hmu ngei ang che.
Take-Home Thuchah a ni
- ‘Triple bypass’ surgery hi thil hlawhtling tak leh hman tlanglawn tak a ni a, thinlunga thisen kalna kawng pathum khar tawhte bypass-in thisen kalna kawng thar a siam a ni.
- Hei hian i thinlung ruh a humhim a, rilru natna ang chi symptoms a ti tlem a, i nunphung a ti tha bawk.
- A dam leh theih nan hun engemaw chen (kar 6 aia rei) a ngai. Hemi hun chhung hian doctor thupek dik taka zawm a pawimawh hle.
- Operation hnua nun hrisel tak nei tur chuan ei leh in tha neih a pawimawh a, exercise neih fo , leh meizuk loh vek a pawimawh .
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. Thu hriat reng hian rilru chakna nasa tak a pe ang che.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh