I taksa thisen zam, a bik takin i keah thisen zam a lo awm a, i lungah a tang a nih chuan a hlauhawm zia i hria em? Damdawi lamah chuan hei hi ‘pulmonary embolism’ kan ti a. Hei hian nunna a tichhe thei hial a ni. Chuvangin vawiinah hian hetiang dinhmun hlauhawm lo thleng tur venna atana hmanraw te tak te, mahse pawimawh tak tak kan sawi dawn a ni.
A awlsam zawngin, he Vena Cava Filter hi eng nge ni?
Vena Cava Filter hi thir hmanrua te tak te a ni. A dik zawk chuan mesh te tak te, a nih loh leh filter ang mai a ni. A hnathawh ber chu taksa thisen zam kal tlanga thisen zamte man a, i lung chhunga kal tur tihtawp hi a ni.
Kan taksaah hian thisen kalna kawng chi hnih a awm a.
- Inferior Vena Cava (IVC): Hei hian taksa hnuai lam (ke leh pum ang chi) atangin thisen chu thinlungah a phur a.
- Superior Vena Cava (SVC): Hei hian taksa chunglam (lu leh kut ang chi) atangin thisen chu thinlungah a phur a.
He filter hi a tam zawk chu Inferior Vena Cava (IVC) , taksa hnuai lam atanga thisen phur thei vein lian takah dah a ni. Chuvang chuan hengte hi `(IVC filters)` an ti bawk. Entirna awlsam berin sawi ila, tui pipe-a filter kan dah ang maiin han ngaihtuah teh. Tui chu engmah tibuaitu awm lovin kan luang lut thei a, mahse tui chhunga bawlhhlawh chu chu filter chhungah chuan a awm reng thung. He filter hian chutiang bawk chuan a ti ve bawk. Thisen chu engmah tikhawlo lovin thinlungah a luang lut thei a, mahse a kaihhnawih thisen zam hlauhawm tak takte chu a man a ni.
Eng ang mi nge he filter hi mamawh?
Hei hi mi zawng zawngin kan mamawh vek lo. Doctor chuan he filter hi chhan bik tlemte avang hian a rawt thei a ni. I thisen zam (Venous Thromboembolism emaw VTE) leh a hnuaia dinhmun pakhat emaw a aia tam emaw i neih chuan hei hi ngaihtuah theih i ni:
| Engtikah nge filter recommend tur | A sawifiahna awlsam tak |
|---|---|
| Thisen tithianghlimtu i ei thei lo a nih chuan | Thisen zam tihtawp nan damdawi pek ber chu anticoagulants a ni . Amaherawhchu, mi thenkhat chuan thisen chhuah harsatna emaw, allergy emaw vangin heng damdawi te hi an ei thei lo. Chutiang hunah chuan he filter hi a danglamna tha tak a ni. |
| Damdawi ei chung pawha thisen zam a lo awm chhunzawm zel chuan | Mi thenkhat chuan an thisen tihthianghlimna damdawi an ei dik lai pawhin thisen zam an nei chhunzawm zel a. He filter hi chutiang mite tan chuan extra protection atan hman a ni. |
| Thisen zam (blood clotting disorder) i neih tawh chuan | I doctor chuan deep vein thrombosis (DVT) emaw pulmonary embolism emaw i neih tawh a, a dang neih theihna chance sang tak i neih chuan hei hi a rawt thei ang. |
| Thisen zam lo awm theihna chance sang zawk awmna dinhmun | He filter hi mi pakhatin hun eng emaw chen atana thisen zam a neih theihna tur dinhmunah pawh hman theih a ni a, chu chu operation lian tak hnuah, accident na tak, naupai lai emaw, genetic blood clotting disorder nei te tan pawh hman theih a ni. |
Heng filter chi hrang hrang hi a awm em?
Ni e, chi hnih a awm ber.
1. Permanent Filters: Vawikhat dah luh tawh chuan heng filter chi hrang hrangte hi paih chhuah a ni lo. Nun chhung zawng an daih. Hengte hi thisen tihthianghlimna damdawi engmah ei thei lo leh hun rei tak chhunga harsatna tawk thei tura hlauhawm tak takte chungah dah a ni tlangpui.
2. Temporary/Retrievable Filters: Hengte hi temporary risk-a awmte chungah dah a ni. Entirnan, major surgery hnuah. Risk a bo tawh a, thisen tithianghlimtu hman tan leh theih a nih chuan heng filter te hi surgery hmangin an paih chhuak thin.
A pawimawh ber chu temporary filter hi a mamawh tawh loh veleh paih chhuah a ni a, taksaa a awm rei poh leh harsatna a thlen theihna a sang zawk a ni.
Operation hmain eng nge thleng thin?
Okay, tunah chuan doctor chuan he filter hi i chungah dah a tum ta ang u. Chumi hmaa inbuatsaih ngai tlemte a awm.
- I doctor chuan i health history kimchang a zawt ang. Damdawi i ei zawng zawng (vitamin pawh) kimchang takin i pe vek a ngai ang.
- Damdawi thenkhat chu operation hma ni engemaw zatah tihtawp a ngai mai thei. Entir nan:
- Anticoagulants a awm bawk
- Aspirin a ni
- Natna tidamtu (NSAIDs) .
- Doctor chuan operation hma darkar engzat nge ei leh in i chawlhsan tur tih chiang takin a hrilh ang che. A tlangpuiin darkar 8 hmaa ei leh in tur leh darkar 2 hmaa in tur bansan turin an ti ang che.
- I hriselna enfiah nan test engemaw zat i nei thei bawk a, chu chu thisen test, `Echocardiogram (echo)`, leh `Electrocardiogram (EKG)` te hi a ni.
Engtin nge surgery hi an tih thin?
Hei hi surgery lian tak hlauh tur a ni lo. ‘Minimally invasive’ tih a ni. Chu chu incision lian tham a awm lo tihna a ni. Darkar khat vel chhungin a zo thei tlangpui.
Hetiang hian a thleng thin:
1. A hmasa berin i kut chhunga vein pakhatah saline tube (IV) a inzawm ang.
2. I rilru hahdam leh hahdam theih nan sedative pek i ni ang.
3. A dawtah chuan filter dahna tur hmun (neck emaw groin emaw-ah) chu tihfai a ni a, chu hmun chauh chu numbed a ni .
4. Doctor chuan numb area-ah incision te tak te a siam a, vein chhungah catheter an tih tube te tak te a dah lut a.
5. Tichuan, X-ray chi khat ``Fluoroscopy'' tih hmangin he tube hi IVC vein-ah chiah a kaihruai a. A châng chuan, he tube hmang hian tui bik ``contrast material'' an tih chu inject theih a ni a, chu chuan vein chu chiang zawkin a lang thei a ni.
6. Hmun dik takah a awm tawh chuan filter chu catheter hmangin vein chhungah dah a ni. Vein chhungah a inhawng a, vein bang-ah a innghat a ni.
7. Hna thawh zawh chuan catheter chu la chhuakin incision chungah bandage te tak te dahin khar a ni.
Operation hnuah eng nge thleng?
Surgery zawhah darkar engemaw zat damdawi inah i awm a ngai dawn a ni. Medical team hian i heart rate leh thawk dan an enfiah ang a, i na a nih chuan painkiller an pe ang che.
A tam zawkah chuan i surgery ni vek hian in lamah i haw thei bawk . Amaherawhchu, nangmah ngeiin i khalh thei lova, i thian emaw, chhungte emaw i zui a ngai a ni. Ni engemaw zat chhung chu incision hmunah hian hliam leh hahdamna engemaw zat a awm thei.
I dam thuai thei ang em?
Awle. Filter chu i dah luh veleh hna a thawk tan nghal.
- If the filter is placed through a vein in your neck , a tlangpuiin darkar 24 chhungin i hna pangngai i thawk leh thei.
- Filter chu groin chhunga vein kaltlangin dah a nih chuan ni hnih vel thil thenkhat chu i pumpelh a ngai ang.
Darkar 48 chhung chu heng thilte hi ti suh:
* Stairs atanga chhoh tur
* Driving a ni
* Thil rit tak tak chawi
Mahse, i doctor chuan i tana inmil tur thupek dik tak a pe ang che.
Risk a awm em?
Hei hi a tlangpuiin surgery him tak anga ngaih a ni. Mahse, damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm. Hengte hi a thlen theihna chance a tlem hle a, mahse hriat chian a tha.
- Test nana hman tur contrast material allergy a awm.
- Catheter dahna hmuna thisen chhuah emaw, natna hrik emaw a awm.
- Thisen kalna kawng a chhiat.
- Filter a ti chhe thei.
- Thisen chu filter a\angin a in\hen a, thinlung emaw, lung emaw thlengin a kal a ni thei.
- IVC vein-a thisen zam (IVC thrombosis) a awm.
Heng thilte hi a thleng tlem hle. I doctor chuan heng hlauhawmnate hi tih tlem nan theihtawp a chhuah ang.
Engtikah nge Doctor i hmuh ang?
Surgery hnua in lama i haw dawnin i taksa enkawl hi a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor i call nghal tur a ni .
| Symptoms fimkhur tur |
|---|
| Chest na (hei hi emergency room (ETU) pan nghal tur a ni) . |
| Incision na hmun atanga thisen chhuak emaw, tui dang emaw chhuak chhunzawm zel |
| Khawsik |
| Incision na hmuna sen, lum, emaw, a hring tam emaw |
| Kut emaw ke emawa rilru hahna emaw, rilru hahna emaw |
| Lu na emaw, nausea emaw, a reh lo emaw, a zual zel emaw |
Take-Home Thuchah a ni
- Vena Cava Filter hi thir hmanraw te tak te, taksaa thisen zam hlauhawm tak tak lo awm tur leh lung lam pan tur venna a ni.
- Hei hi thisen tithianghlimtu ei thei lo leh special risk condition dang nei tan a tha hle.
- Hei hi surgery lian tak a ni lo. A tlangpuiin hun rei lote chhung, darkar khat vel chhungin, incision te tak te hmangin tih theih a ni.
- Filter hi chi hnih a awm a, chu chu permanent leh temporary removable a ni.
- Temporary filter a nih chuan a tul tawh loh veleh paih nghal tur a ni.
- Operation hnua symptom danglam tak tak i neih chuan doctor hnenah hriattir nghal rawh.
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