Kan thinlung hi pump mak tak ang maia thawk organ a ni. He pump chhungah hian kawng khat chauha thisen kal theihna tura puitu kawngkhar te tak te a awm a. Hengte hi heart valve kan ti a. Chûng kawngkhâr zînga pakhat chu a inhawng ṭha lo a, a inkhar a, a khâwn a nih chuan eng nge thleng ang tih han ngaihtuah teh? Tichuan thisen pump turin thinlung hian nasa takin hna a thawk a ngai a ni. Hetiang dinhmun hi stenosis kan ti a. Chuvangin vawiin hian chutiang valve block chu a thawk tha leh thei tur, chu chu a hawnna lian zawka siam theihna tur enkawlna kawng buaithlak lo tak kan sawi dawn a ni.
A awlsam zawngin, valvuloplasty tih hi eng nge ni?
Valvuloplasty hi heart valve tawi emaw, block emaw hawnna zau zawka siamna atana hman tlanglawn tak a ni. A awlsam khawp mai. I doctor chuan tube te tak te, te tak te, catheter an tih chu a hmang ang. He tube tawp lamah hian balloon te tak te a inbun a.
Hei hi Balloon Valvuloplasty an ti bawk . Chuvangin, he balloon ang maia siam tube hi i thisen kalna kawng pakhat kaltlangin i thinlunga valve tawi takah a kal a ni. Tichuan, balloon chu a inflated chuan valve narrowed chu a hawng a, a lian zawk a ni. Procedure an tih zawh chuan balloon chu deflated a ni a, tube chu lakchhuah a ni. A awlsam hle mai, a dik em?
A chang chuan hei hi "valvotomy" an ti thin. Mahse, chu hming chu he balloon tih dan atan bakah open-heart surgery hmanga valve tihpunna tur surgery atan pawh hman a ni fo. Amaherawhchu, tuna kan sawi tak "valvuloplasty" ah hian incision lian tak tak siam a ni lo.
He enkawlna hi eng dinhmunah nge hman a nih?
He enkawlna hi heart valve a zim tawh (stenosis) tihzauh nan hman a ni ber. Hei hi kan thinlunga valve lian pali zinga pakhatah pawh tih theih a ni. Mahse, he enkawlna hi mitral valve leh aortic valve tihtlem nan hman a ni ber .
Hetiang hian han ngaihtuah teh. A chang chuan hei hi hun eng emaw chen atana chinfelna atan tih a ni. Chu chu, he enkawlna hnuah hian hun engemaw chen chu hahdamna i hmu thei a, chutah chuan a hnuah valve thar (Valve thlak) dahna tur operation i neih a ngai mai thei tihna a ni.
A pawimawh ber chu valvuloplasty hi heart valve transplant thar a ni lo . Valve awmsa chu a siam tha mai a, a hawnna chu a ti lian mai a ni.
Engtin nge enkawl hmain ka inbuatsaih ang?
Chumi atana inbuatsaih dan tur chu i doctor chuan chiang takin a hrilh ang che. A tlangpuiin, a hnuaia mite hi i tih a ngai ang:
- Inenkawl (fasting) hma zan atang khan engmah ei leh in loh tur.
- Thisen tithianghlimtu damdawi (anticoagulants) i ei a nih chuan i doctor-in a hrilh angin rei lo te chhung chu i ei tawh loh a ngai dawn a ni.
- Metal jewelry leh darthlalang te chu la chhuakin in lamah dah la.
Damdawi in i kal hunah chuan medical team te chuan i rilru hahdam nan sedative (anesthesia) an pe ang che. A tam zawkah chuan he enkawl chhung hian i harh ang a , mahse natna engmah i nei lovang.
Enkawl lai hian eng nge thleng?
He balloon valvuloplasty procedure hi cardiologist-in a ti thin a ni. A tlangpuiin darkar khat vel emaw, a aia rei tlem emaw vel a ni. Hetiang tih lai hian eng nge thleng tih hi han thlir ila.
| Step hrang hrang | Thil thleng sawifiahna awlsam tak |
|---|---|
| 1. Tube chhunga dah luh | Doctor chuan i groin, i kut emaw, i kephah emawa thisen kalna kawng lian takah tube te tak te, sheath an tih chu a dah lut a. |
| 2. Catheter thawn chhuah | Chu tube chhungah chuan a tawp lama tube nei catheter chu uluk takin thisen kalna kawng zawhin thinlungah an kalpui a. |
| 3. Kawngpui enkawl | Thisen kal tlanga he tube kalna kawng chiang taka hmuh theih nan ‘contrast dye’ chi khat bik an inject thin. He dye hian X-ray ang maia machine hmanga en chuan vessels chhung chu a lang thei a ni. |
| 4. Balloon inflation a ni | Catheter hian blocked valve awmna dik tak a thlen chuan balloon chu a inflated a, blocked valve chu a inhawng a, a zau ta a ni. |
| 5. Tube atanga lak chhuah | Valve chu a dilated hnuah balloon chu deflated a ni a, catheter leh balloon chu uluk takin lakchhuah a ni. |
| 6. Hliam khar | Tube dahna hmun chu stitch te tak te emaw, surgical glue chi khat emaw hmangin khar a ni. |
A châng chuan thisen chhuah theihna a awm emaw, thisen tihthianghlimna damdawite a chhe vek hma chu nghah a ngai a nih chuan, tube dah hmasak ber, ‘sheath’ an tih chu darkar ruk vel a hmunah dahin, chu chu lakchhuah a ni.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi enkawlna dang ang bawkin a hlawkna leh hlauhawmna a awm bawk. I doctor chuan i hriselna dinhmun bik a zirin hengte hi chipchiar takin a hrilhfiah ang che.
| Hlawkpuina | Risk awm thei te |
|---|---|
| Thisen kal dan a tha a, thinlung hian thisen pump hna thawh tur a nei tlem hle. | Dye atanga allergy nei. |
| Valve thlak surgery tihkhawtlai emaw pumpelh emaw pawh a ni thei. | Hri kai theihna dinhmun lo awm. |
| Open heart surgery aiin i dam chak zawk thei. | Thisen chhuak. |
| Taksaah hliam lian tak a hnutchhiah lo. | Thisen kalna kawng emaw thinlung emaw tihchhiat. |
| Complication awm theihna a tlem hle. | Valve atanga leak a awm. |
| A na hi a reh hle mai. | Tichuan valve chu a tawi leh ta a. |
| Lungphung dik lo a awm. | |
| Heart attack emaw stroke emaw (a tlem hle) . |
Enkawl hnuah eng nge thleng?
Enkawlna a zawh hunah chuan recovery area-ah sawn i ni ang. Catheter dahna hmunah hian bandage dah a ni ang.
- Catheter hi groin kaltlanga dah a nih chuan darkar engemaw zat chhung chu i ke dinglam i dah a ngai dawn a ni. A tlangpuiin darkar hnih atanga darkar ruk chhung khumah i awm a ngai ang.
- Tui tam tak in turin an ti ang che . Hei hian i taksaa dye dah chu i zun hmangin a flush chhuak thei ang.
- Khumah i zun a ngai a nih chuan chutiang tur chuan hmanraw bik (urinal/bedpan) i hman a ngai dawn a ni.
- Darkar tlemte hnuah chuan i tho thei tawh ang a, i kal thei tawh ang.
- Mi tam zawk chu a tuk zingah an haw thei .
A dam leh theih nan eng chen nge hun a duh?
Hei hi thil engemaw zatah a innghat a, chu chu i hriselna tlangpui leh thinlung dinhmun te hi a ni.
- Hnathawh leh tui chawi ang chi thil hahthlak tak tak ni nga atanga ni sarih vel chu i pumpelh tur a ni .
- Mi tam zawk chu kar khat vel hnuah hna an thawk leh thei . Amaherawhchu, i hna hian taksa chakna a mamawh a nih chuan, i doctor chuan rei vak lo chawlh hahdam turin a fuih mai thei che a ni.
- I nun pangngaia i awm leh theih nan kar 8 vel a ngai thei.
- Enkawl hnu thla 3-6 vel hnuah check-up turin lo kir leh turin an ti ang che. Chumi hnuah chuan kum khatah vawi khat Doctor i pan tur a ni tlangpui.
Engtik hunah nge doctor ka biak ang?
Inenkawl zawha in lama i haw chuan i taksa kha ngun takin i ngaihven ang. A hnuaia symptoms te hi i neih chuan tihkhawtlai suh la, doctor rawn nghal rawh.
| Emergency symptoms fimkhur tur | |
|---|---|
| - A rilru a na | - Khawsik leh khawsik nei |
| - Fainting / Syncope tih hi a ni | - Insertion site atanga fluid emaw thisen chhuak emaw |
| - Nausea emaw luak chhuak emaw | - Natna emaw, hring emaw tihpun |
| - Ni khat chhungin kg 1.5 (3 lbs) aia tam a rihna (hei hi fluid retention chhinchhiahna a ni thei) | |
Heart surgery chungchang sawi dawn chuan open surgery ni lo pawh ni se, tlem chuan hlauthawng deuha inhriat hi thil pangngai a ni. Valvuloplasty hi valve thar mamawhna tihkhawtlai nan a tha hle. Mahse, mi zawng zawng tan enkawlna pakhat chauh a ni lo. Balloon kalphung chungchanga zawhna i neih chuan doctor zawt hreh suh.
Take-Home Thuchah a ni
- Valvuloplasty hi thil awlsam tak, non-invasive procedure a ni a, balloon hmangin heart valve narrowed chu a zau zawk a ni.
- Hei hi valve thar dah chungchang a ni lo va, valve awmsa siamthat a ni zawk.
- A thatna ber chu open heart surgery aiin a dam chak zawk, a na lo zawk a, a hliam a tlem zawk bawk.
- Enkawlna hnua i rilru natna, khawsik, emaw, a hring lutuk emaw ang chi symptom i neih chuan doctor hnenah hriattir nghal rawh.
- He enkawlna hi i tan a tha em tih leh a hlawkna leh hlauhawmna te chu i cardiologist nen zalen takin sawiho rawh.
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