Kan thinlung hi in pakhata pindan pali ang a ni. Heng pindan inkarah hian kawngkhar a awm a, chu chuan thisen a kal leh chhuak thei a ni. Hengte hi "Heart Valves" kan ti thin. A chang chuan heng kawngkharte hi a inhawng tha lo va, a zim deuh thin. Tichuan thisen pump turin thinlung hian nasa takin hna a thawk a ngai a ni. Vawiin hian enkawl dan kan sawi dawn a, balloon ang chi thil hmanga valve tawi te tihzauh a ni.
Valvuloplasty hi eng nge ni tak tak?
A awlsam zawngin Valvuloplasty hi heart valve tawi te tihzauh emaw, tih lian emaw tihna a ni. Hei hi heart valve a thawk tha lo laia thisen kalna blockage tihtawp nan tih a ni.
Hei hi `Balloon Valvuloplasty` an ti bawk. A chhan chu i doctor-in he enkawlna a tih hian tube te tak te (`Catheter`) a hmang a, a tawp lamah balloon te tak te a bun a ni. He tube hi i thinlung chhunga valve tawi takah chuan a lut a, balloon chu a inflated ta a ni. Tichuan, valve zim tawh chu a zau a, thisen chu awlsam zawkin a luang leh thei ta a ni.
Mi thenkhat chuan hei hi `Valvotomy` an ti bawk. He balloon hmanga enkawlna hi `Open-heart surgery` an ti bawk a, chu chuan valve a tizau a ni. Mahse vawiinah hian non-surgical balloon method kan sawi dawn a ni.
Eng dinhmunah nge he enkawlna hi a tul?
Valvuloplasty hi heart valve a tawi (stenosis) a nih chuan a zau zawnga tihzauh nan tih a ni. Hetiang tih hi kan thinlung chhunga valve pali zinga pakhatah pawh tih theih a ni. Mahse, valve pahnih Mitral leh Aortic-ah tih a ni ber.
A châng chuan he enkawlna hi hun eng emaw chen atana chinfelna atan pawh tih a ni. Chu chu a hnua valve thar dah theih a nih hma loh chuan thinlung hnathawh dan tur chu hun eng emaw chen tihchangtlun nan a ni. Valvuloplasty hi heart valve thlak danglamna a ni lo , chu chu hriat reng a pawimawh.
Engtin nge enkawl hmain i inbuatsaih thin?
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:
- Enkawl (fasting) hma zanah engmah ei leh in loh tur.
- Damdawi eng emaw, anticoagulants ang chi i ei a nih chuan doctor-in a tih angin titawp rawh.
- Metal jewelry leh ha lem lakchhuah theih te chu in lamah dah la.
Damdawi in i kal hunah chuan medical team te chuan i chawlh hahdam theih nan damdawi (`anesthesia`) an pe ang che. A tam zawkah chuan he enkawlna chhung hian i harh ang a, mahse i rilru hahna i neih loh nan theihtawp an chhuah ang.
Enkawlna hnathawh dan step khat hnu step khatin
He enkawlna hi cardiologist-in a ti thin. Darkar khat emaw a aia rei emaw a daih tlangpui. Enkawlna hun chhunga thil thleng thenkhat chu hetiang hi a ni:
1. I groin, arm, emaw shoulder-a thisen kalna kawng lian tak kaltlangin tube (sheath) te tak te tak tak i dah lut a.
2. Tichuan, a tawp lama uninflated balloon awmna catheter chu a hmaa tube dah tawh atang chuan thinlung chhungah an lut a.
3. He catheter hi a hmun dik takah kaihhruai a ni a, X-ray ang chi imaging technology hmanga en laiin special liquid (contrast dye) inject a ni.
4. Catheter chu valve zim tawh a thlen chuan balloon chu boruakin a inflated a. Chumi hnuah chuan valve narrowed chu a zau leh ta a ni.
5. Tichuan, balloon chhunga boruak chu deflated a ni a, catheter leh balloon chu lakchhuah a ni.
6. A tawp berah chuan catheter dahna hmun chu stitch te tak te emaw, glue chi khat emaw hmangin khar a ni.
A châng chuan thisen chhuah theihna a awm chuan a tir lama an dahna sheath chu darkar ruk vel a hmunah dah theih a ni.
Eng nge a hlawkna leh a hlauhawmna?
Damdawi dang ang bawkin, a hlawkna bakah a hlauhawmna a awm bawk. A pahnih hi hriatthiamna chiang tak neih a pawimawh.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Open heart surgery aiin a dam chak zawk . | Dye hman allergy a awm. |
| Scar lian tak tak awm zat tihtlem. | Hri kai theihna dinhmun. |
| Complication awm theihna a ti tlem. | Thisen chhuak. |
| Natna a tlahniam. | Thisen kalna kawng emaw heart chamber emaw a chhiat. |
| Heart rate a tlahniam. | Valve a leak a. |
| Valve thlak surgery tihkhawtlai emaw pumpelh theihna emaw. | Rei vak lo hnuah chuan valve chu a tawi leh ta a. |
| Lungphun dik lo (Arrhythmias). | |
| Heart attack emaw stroke emaw a awm thei. |
I nghawng thei risk factor bikte chu i hriselna zawng zawngah a innghat a, chuvangin he thu hi i doctor hnenah inhawng takin sawi la, zawhna i neih apiang zawt rawh.
Enkawl hnua dam leh hun chhung
Enkawl zawhah recovery area-ah hruai i ni ang. Catheter dahna hmun chungah bandage dah a ni ang.
Damdawi ina hun hman dan
Catheter hi groin kaltlangin dah a nih chuan darkar engemaw zat i ke chu i ben phal lovang. Darkar hnih atanga darkar ruk chhung khumah i awm a ngai dawn a ni. Dye hman tawh chu i taksa atanga a chhuah thuai theih nan tui tam tak i in a ngai dawn a ni. Hemi hun chhung hian zun i mamawh a nih 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 lamah an haw thei.
In a haw hnu chuan
Dam leh hun hi i hriselna tlangpui ang chi thilah a innghat a ni.
- Ni nga atanga ni sarih chhung chu thil tih hahthlak tak tak leh tui chawi loh tur a ni.
- Mi tam zawk chu kar khat vel hnuah hna an thawk leh thei a, mahse i hnaah taksa thawhrimna a ngai a nih chuan rei vak lo i nghah a ngai mai thei.
- I nun pangngaia engkim i chhunzawm leh theih nan kar 8 vel a ngai thei.
- Enkawlna atanga thla 3-6 hnuah follow-up a awm ang. Chumi hnuah chuan kum khatah vawi khat Doctor i pan tur a ni.
Engtikah nge doctor ko nghal tur
In lama i haw hnuah a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni . A then phei chuan damdawi in hnai ber Emergency Department (ETU) pan a ngai mai thei.
- A rilru a na
- Chills emaw, khawsik emaw
- Luak chhuak emaw, muhil emaw (`Syncope`) .
- Catheter dahna hmun atanga tui emaw thisen chhuak emaw
- Nausea emaw, luak chhuak emaw
- A natna emaw, a hring emaw a zual zel a nih chuan
- Ni khatah i taksa rihna kg 1.5 (3 lbs) aia tam a san chuan
Heart surgery chungchang sawi dawn chuan open surgery ni lo pawh ni se, tlem chuan hlauthawng deuha inhriat hi thil pangngai a ni. Valvuloplasty hian heart valve thlak surgery hun sawn hlat turin a pui thei che a ni. Mahse, mi zawng zawng tan enkawlna pakhat chauh a ni lo. I doctor chuan i dinhmun chu a ennawn ang a, i tana tha ber tur chu a rel ang.
Take-Home Thuchah a ni
- Valvuloplasty hi thil awlsam tak a ni a, balloon hmangin heart valve tawi tak chu a zau zawk a ni.
- Hei hi open heart surgery aiin a hrehawm lo zawk a, a dam chak zawk bawk.
- Enkawlna zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a, chuvangin enkawl hmain doctor nen uluk takin sawiho rawh.
- Inenkawl zawhah doctor thupek dik takin zawm rawh. Warning sign i neih chuan doctor hnenah hriattir nghal rawh.
- Hei hi valve thenkhat tan chuan hun rei tak chhunga solution a ni a, a then phei chuan nakin lawka surgery lian tak neih hmaa hun eng emaw chen atana solution a ni thei bawk.











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