I ke chhunga thisen kalna kawngte chu a inkhar em? Vascular Bypass Surgery chungchang hi a awlsam zawngin i zir ang u.

I keah pawh natna nasa tak i nei em, a bik takin hla vak lo i kal lai hian? Rei vak lo i thut hnua i kal leh chuan natna chu a reh em? A nih loh leh, i ke ruh tliak te, i kea khawsik te, a nih loh leh hliam tenau tak pawhin a dam theih nan hun rei tak a mamawh tih hriatna i nei em? Hengte hi i taksa thisen kalna kawng (blood vessel system)-ah eng emaw zat a inkhar tih chhinchhiahna a ni thei a, a bik takin i ke thlenga thisen phurtu thisen kalna kawng (arteries)-ah a inkharkhip (blood vessel system) engemaw zat a awm tih chhinchhiahna a ni thei. Vawiin hian hetiang hunah hian nun tidanglam thei tur, ‘bypass’ surgery chungchang kan sawi dawn a ni.

A hmasain, vascular disease chu eng nge a nih i en ang u.

A awlsam zawngin sawi ila, hei hi kan taksaa thisen kalna kawng (blood vessel system) buaina a ni. Kan taksa hian vein network a nei a, chu chuan thisen chu kil tinah a phur a. Kan in chhunga tui rawn thlentu plumbing system ang bawkin. Vein chi hnih a awm a. Thinlung atanga taksa peng dang thlenga thisen thianghlim (oxygen leh nutrients awmna) phurtu vein te chu arteries an ti a. Taksa atanga thisen thianghlim lo phur kir leh thin veins te hi veins an ti a .

‘Vascular Disease’ an tih dinhmunah hian heng arteries bang chhungah hian oil leh cholesterol ang chi thil a lo awm a, tui pipe-a rust lo awm ang chi te, thisen kal dan chu a zim zauh zauh thin. Damdawi lam hawi chuan hei hi ‘Peripheral Artery Disease’ (PAD) kan ti a ni. Hetianga thisen kalna a zim hian thinlung atanga hla taka awm taksa peng hrang hrang, a bik takin ke te hian an mamawh oxygen leh nutrients an hmu lo. Chuvangin kea kal lai hian natna leh rilru hahna ang chi symptoms a lang thin.

Chuti a nih chuan bypass surgery tih hi eng nge ni?

Okay, tunah chuan blocked artery chu eng nge a nih i hrethiam ta. ‘Bypass’ tih awmzia chu he thisen kalna kawng (blocked artery) tan hian kawng dang siam tihna a ni.

Colombo-City Road-ah hian lirthei a tam hle a, lirthei pawh a kal thei lo tih han ngaihtuah teh. Chuti a nih chuan sorkarin eng nge a tih? Chu traffic chu bypass turin expressway thar an siam a ni lawm ni? Chutiang bawkin surgeon chuan thisen kalna kawng thar emaw, artificial tube emaw hmangin thisen kalna kawng khar chu a paltlang a, chu chuan thisen chu engmah tikhawlo lova a kal theihna tur kawng thar a siam a ni.

He kawngpui siam thar hi ‘graft’ kan ti a ni. He ‘graft’ hi hetiang hian hman a ni:

1. I taksa peng dang atanga lo chhuak vein: Vein hman tlanglawn ber chu saphenous vein a ni a, chu chu ke vun hnuai lama awm a ni. A chang chuan kut zungtang vein pawh hman theih a ni. Hei hi duhthlan tur tha ber a ni.

2. Synthetic material hmanga siam pipe: 1.1.I taksa atanga vein lut thei lo a nih chuan, a bik takin thisen kalna kawng bypass tur chu a lian hle a nih chuan (entir nan, i pum chhunga aorta) hian hetiang artificial tube hi hman thin a ni.

He surgery hian a tum ber chu kea thisen kal lehna te, natna tihziaawm te, hliam tihdam te, a pawi berah chuan ke ruh tliak hlauhawmna atanga chhanchhuah te hi a ni.

Bypass surgery chi hrang hrangte chu engte nge ni?

Bypass surgery hi chi hrang hrang a awm a. Chungte chu thisen kalna kawngkhar leh thisen kalna kawng thar inzawmna hmun azira hming vuah a ni. Kan ramah hian type hrang hrang perform tlangpui thenkhat han thlir ila.

Surgery hmain eng test nge tih tur?

Ni e, a dik tak zet. I doctor chuan surgery a ruahman hmain test eng emaw zat a ti ang. Hei hian thisen kalna kawng chu khawiah nge a inkhar tih leh engzat nge a block tih chiang takin a hriat theih nan a pui ang.

• Ankle-Brachial Index (ABI) a awm chuan a chhuak leh ta a ni.Hei hi test awlsam tak a ni. I ke leh ke pahnih (brachial)-a i thisen sang an teh a, value pahnih chu an khaikhin a ni. I kea pressure chu i kut a pressure aiin a hniam zawk a nih chuan i kea thisen kalna tur daltu engemaw zat a awm tihna a ni.
• Vascular Ultrasound: Hei hi natna nei lo scan a ni a, naute i neih huna tih ang chiah a ni. Thisen kal tlanga thisen kal dan te, thisen zam a awm leh awm loh te, khawiah nge a inkhar tih te chiang takin a hmu thei a ni.
• Test dang: A châng chuan i doctor pawhin i thinlung dinhmun enfiah a tum thei bawk. Hei hi a chhan chu mi tam takin an kea thisen kalna kawnga harsatna nei te pawhin an thinlunga thisen kalna kawng hrang hrangah harsatna an nei thei bawk.

Surgery neih ni hian eng nge thleng?

He surgery hi damdawi inah, operation room-ah tih a ni. Hlauh tur engmah i nei lo. Doctor leh nursing staff ten uluk takin an enkawl ang che.

1. Anesthesia: A hmasa berin anesthesiologist-in a enfiah ang che a, surgery chhung zawnga mut thuk taka i awm theih nan damdawi mamawh a pe ang che. Hei hi ‘General Anesthesia’ an ti a.

2. Surgery: I mut hnuah surgeon chuan i vunah hian thisen kalna kawng sawi tur awmte chu a luh theih nan i vunah hian hliam tenau engemaw zat a siam thin. Heng cut awmna hmun leh a lian zawng hi bypass i neih chi hrang hrangah a innghat ang.

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4. Incisions khar: Kawng thar siam a nih hnuah thisen kal dan enfiah a ni a, vunah incision siamte chu stitches hmanga khar leh a ni.

This entire process can usually take anywhere from two to six hours , bypass surgery i neih mek chu a buaithlak dan azirin.

He surgery hi a hlauhawmna a awm em?

Surgery dang ang bawkin risk leh complication awm thei a awm bawk. Mahse, heng hlauhawmnate hi medical team thiam tak enkawlna hnuaiah a tlem thei hle. Complication awm theihna hi a sang deuh hlek a, a bik takin damdawi lama harsatna awm thei, thinlung natna, kal natna, leh/ emaw zunthlum vei te tan chuan a sang zawk hle.

Surgery hnuah eng nge thleng? Engtin nge dam leh hun chu?

Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Hemi chhung hian:

• Painkiller pek i ni ang.
• Graft thara thisen zam a awm loh nan anticoagulants pek a ni ang.
• Nursing staff ten i hliamte an tifai ang a, an enkawl tha ang.

A pawimawh ber chu khum atanga tho chhuakin a rang thei ang bera kal tan hi a ni. Hei hi a tir lamah chuan a harsa deuh mai thei a, mahse, i doctor leh physiotherapist-te thurawn angin, zawi zawiin kal a pawimawh hle. Hei hian thisen kal a titha ang a, i dam chak zawk ang.

In i haw hnuah pawh zawi zawiin i tih dan pangngaiah i luh leh a ngai dawn a ni. Thil rit phur leh thil hahthlak tak tak tih chu rei lo te chhung chu i chawlhsan a ngai mai thei.

Graft hi rei tak a hrisel theih nan i nunphung i thlak a ngai dawn a ni.

• I zuk chuan vawiin hian chawlhsan rawh: Meizial hi graft failure thlentu lian ber a ni.
• Zunthlum, thisen sang, leh cholesterol control: Doctor-in damdawi a pekte chu a hun takah ei thin ang che.
• Ei leh in hrisel ei rawh: hriak, chi leh sugar te tihtlem. Thlai, thei leh thlai chi hrang hrang ei tam rawh.
• Doctor-in a tih angin exercise la: Nitin kea kal ang chi exercise awlsam tak pawh hi a hlawkthlak hle.
• Clinic-ah a hun takah kal rawh: I surgeon nen inhmu la, graft dinhmun enfiah fo ang che.

Engtikah nge Doctor ka hmuh leh ang?

Operation hnua a hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

I rilru na tak, thawk harsa, emaw, ke na tak, na tak tak, ke lum leh sen hring nena inzawm i neih chuan, damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.