I thisen kalna kawng surgery neih a ngai em? Vascular surgery chungchang hi han sawi ila!

Kan taksa pum puia thisen kalna kawng (network of blood vessels) chu khawpui chhunga kawngpui ang maiin han ngaihtuah teh. Heng kawngpui dungah hian kan thinlung a\angin kan taksa kil tinah thisen a kal \hin. Chuti a nih chuan heng kawngpuiah hian blockage, rupture, break, emaw harsatna dang emaw a awm chuan eng nge thleng ang? Traffic zawng zawng a tibuai vek a ni lawm ni? Chutiang bawkin kan thisen kalna kawngah harsatna a awm chuan a enkawlna atana special surgery an tihte chu `(Vascular Surgery)` kan ti mai thin.

A awlsam zawngin ‘Vascular Surgery’ tih hi eng nge ni?

Vascular Surgery hi kan taksa chhunga thisen kalna kawng (arteries, veins, leh capillaries) te inrawlhna leh enkawlna hrang hrang sawina tlangpui a ni. He thisen kalna kawng (network of blood vessels) hi a ni a, kan thinlung atanga thisen chu taksa peng leh tissue dang zawng zawngah a phur a, thisen chu thinlungah a hruai kir leh thin.

Heng thisen kalna kawngte hi damdawi lam thil chi hrang hrangin a tichhe thei a ni. A châng chuan heng dinhmunte hi nunphung thlak danglam leh damdawi hmanga enkawl theih a ni. Mahse, ṭhenkhatah chuan buaina a zual zel loh nan operation i mamawh mai thei.

Heng surgery-te hi a bik takin:

• Thisen kalna kawng chhia siam that.
• Heng dinhmun avanga harsatna lian tham lo thleng thei tur tihtlem.
• Kidney vei te tan dialysis ang chi damdawi lam enkawlna awlsam zawka thisen kalna kawng siam.

Eng dinhmunah nge ‘Vascular Surgery’ hi a tul?

A hnuaia natna pakhat emaw a aia tam emaw i neih chuan vascular surgery i mamawh mai thei. Hemi chungchanga thutlukna tha ber chu i doctor-in a siam thin.

Hetiang natna dang tam tak tan chuan heng surgery te hi a tul mai thei. I doctor chuan i dinhmun chu uluk takin a enfiah ang a, damdawi nen operation neih a ngai em tih a rel ang.

Surgery chi hrang hrang lian ber berte chu engte nge ni?

Thisen kalna lama harsatna awmte enkawl nan surgery leh procedure hrang hrang a awm a. Surgery i mamawh tur chi chu i dinhmun a zirin a innghat ang. A chi hrang hrang thenkhat han sawi ila.

1. Aortic Aneurysm siamthatna tur

Kan taksaa thisen kalna kawng lian ber (aorta) chu a chak lo a, balloon ang maia a inflate chuan a puak hmain siamthat a ngai a ni. Hei hi chutiang atana surgery tih chu a ni.

• Open Aneurysm Surgery: Hei hian rilru emaw, pum chhungah emaw incision siam a, thisen kalna kawng chhia chu lakchhuah a, artificial tube (graft) hmanga thlak a ni.
• Endovascular Aneurysm Repair (EVAR): Hei hi operation tlem zawk a ngai a ni. A vunah hian khur te tak te siam a ni a, chu khur atang chuan wire mesh tube stent graft an tih chu dah luh a ni a, chu tube thar atang chuan thisen a luang chhuak a ni.
• Thoracic Endovascular Aneurysm Repair (TEVAR): Hei hi `(EVAR)` nen a inang a, mahse rilru chhunga aorta-a aneurysm awm tan chuan tih a ni.

2. Peripheral Artery Disease (PAD) enkawl dan .

PAD hi ke leh kut thlenga thisen phurtu thisen kalna kawng (arteries)-ah plaque (plaque) a lo awm khawm thin a ni. Hei hian kea kal laiin ke na ang chi symptoms a thlen thei a ni.

• Angioplasty leh Stent hmanga tihchhuah te:Chutah chuan thisen kalna kawngkhar khar chhungah balloon te tak te dahin, thisen kalna kawng zau zawka siam turin inflated a ni. Tichuan, a chhungah chuan wire mesh te tak te ``stent`` dah a ni a, chu chu a block leh loh nan. Tui pipe block tawh tihfai a, a chhungah tube te tak te dah a, a block leh loh nan a ni.
• Atherectomy: Hei hi catheter tawp lama blade te tak te (tube te tak te) hmanga thisen kalna kawng bang chunga thau awm tawhte chu hrual chhuah a ni.
• Peripheral Artery Bypass Surgery: Hei hian thisen kalna kawng khar hawn a, thisen kalna tur kawng thar siam a huam a ni. Hei hian taksa chhung atanga thisen kalna kawng hrisel dang emaw, artificial tube emaw hman a huam a ni. Kawngpuiah lirthei kal dan tur bypass turin bypass siam ang mai a ni.

3. Carotid Artery (neck vein) lama harsatna nei te enkawl dan

Carotid artery disease hi kan thluaka thisen pe chhuaktu, kan kawr chhunga thisen kalna lian ber ber (main arteries)-ah thau (fatty deposits) a awm khawmna a ni. Hei hian stroke ang chi dinhmun hlauhawm tak a thlen thei a ni.

• Carotid Angioplasty leh Senting: A hmaa kan sawi tawh ang khan he thisen kalna kawng hi balloon leh stent hmanga tihzauh a ni.
• Carotid Endarterectomy: Hetah hian a kawngah hian incision te tak te siam a ni a, artery chu hawn a ni a, a chhunga thau awm chu lakchhuah a ni a, artery chu a inzawm khawm leh a ni.

4. Venous Diseases enkawl dan

Kan taksa chhunga thisen bawlhhlawh chu thisen kaltlangin thinlungah a rawn hruai kir leh thin. Vein, a bik takin keah hian valve a nei a, chu chuan thisen chu chunglam hawiin a pump thei a ni. Heng valve te hi a chak loh chuan keah thisen a awm khawm a, chu chuan ``Varicose veins`` ang chi dinhmun a siam thin.

• Vena Cava Filter Placement: Deep vein thrombosis (DVT) ang chi natna nei tan chuan thisen zamte chu thinlung emaw lung emaw-a kal loh nan vein lian tak chhungah filter te tak te dah a ni.
• Vein Ligation leh Stripping: Hetah hian vein natna (varicose veins) te chu surgery hmangin an tan a, an paih chhuak thin.
• Endovenous Thermal Ablation: Laser beam emaw high-frequency radio wave hmangin natna vein chu a chhung atangin deactivate a ni a, incision lian tak siam lovin khar a ni.
• Sclerotherapy: Hei hi chemical solution inject a, varicose vein te te leh spider vein te khar a ni.

Operation hmain eng nge thleng thin?

I doctor chuan operation hmain uluk takin a enfiah ang che.

• Medical history: I symptoms te, natna hmasa te, damdawi i ei te, leh allergy i neih zawng zawng te sawi rawh.
• Test hrang hrang:Surgery atana mamawh test hrang hrang order a ni ang. Entirnan, `(Angiogram)`, `(Doppler ultrasound)`, `(Echocardiogram - echo)`, `(Electrocardiogram - EKG)` tih ang chi test te hi a ni.
• I inbuatsaihna: Surgery hmaa i tih theih tlemte a awm.
• Doctor chuan i ei fo thin damdawi eng emaw zat i ei tawh loh a ngai em tih a zawt ang che.
• Operation hma zan khan ei leh in kha bansan turin an ti ang che.
• Meizial i zuk chuan bansan turin an fuih a ni. Heng thupekte hi dik taka zawm a pawimawh hle.

Surgery tih dan pahnih: Open leh Endovascular

Vascular surgery tam zawk hi kawng lian pahnih hmanga tih a ni. I doctor chuan eng method nge tih che tih a hrilhfiah ang che.

Surgery hnuah eng nge thleng? Tin, a hlauhawmnate chu engte nge ni?

Operation hnua thil thleng hi i surgery chi hrang hrang a zirin a inang lo hle. Surgery lian tham thenkhatah chuan intensive care unit (ICU)-ah ni engemaw zat awm a ngai thei bawk. Mahse, sclerotherapy ang chi thil tenawm tak i tih hnuah chuan chu ni vek chuan i haw thei mai thei.

Surgery dang ang bawkin heng surgery te hian risk engemaw zat an nei bawk.

• Anesthesia emaw, hmanraw hman emaw avanga allergy nei.
• Thisen chhuak.
• Thisen a chhuak thin.
• Kaichhawng.
• Nerve tihchhiat a ni.
• Heart attack emaw stroke emaw a awm thei.

He hlauhawmna hi i natna nasat dan te, i kum leh i damdawi lam harsatna dang, zunthlum ang chi te a zirin a pung thei a ni. Hemi chungchang hi i doctor nen zalen takin sawipui rawh.

Doctor ka hmuh vat a ngai!

Surgery atanga i dam chhoh laiin harsatna i neih chuan i doctor i biak nghal tur a ni. A bik takin a hnuaia symptoms te hi hre reng ang che.

Vascular Surgery hi damdawi lam thil pawimawh tak a ni a, chu chuan kan nunna a chhanhim thei a, kan nunphung a tichangtlung thei bawk. Zawhna i neih apiang, eng ang pawhin tlem pawh ni se, i doctor zawh chu hlau ngai suh.