I kal laiin i ke, a bik takin i kawr leh i kekawrteah natna nasa tak i nei thin em? Tlemte i kal laiin he natna avang hian i chawlhsan a ngai em? A nih loh leh i kea hliam tenau te pawh a dam rei em em a, i ke chu khawih chuan a vawt hle a, a rawng pawh a danglam em? Heng thilte chhan ber chu i ke thlenga thisen phurtu thisen kalna kawng (arteries) a block vang a ni thei. Chuvangin, he natna hi a nasat chuan doctor-te’n an rawt enkawlna ber leh tangkai ber pakhat chu bypass surgery hi a ni. Hemi chungchang hi vawiin hian han sawi ila.
Vascular Bypass Surgery hi eng nge ni?
Hei hi a awlsam hle. Khawpui pakhata kawngpui lian pakhat chu enkawlna atan khar vek a ni ang tih han ngaihtuah teh. Tichuan lirthei te pawh an lut thei lo a ni lawm ni? Chuti a nih chuan thuneitute hian eng nge an tih? Chu kawng chu an paltlang a, lirtheiin an tumna hmun an thlen theihna turin side road thar, bypass road an siam a ni.
Hei hi bypass surgery kan tih lai hian kan taksaah thil thleng dik tak a ni. I ke thlenga thisen phur thei thisen kalna kawng lian tak chu cholesterol ang chi thilin a tihkhawtlai em em a, thisen kal chu a tikhawlo vek a nih chuan, surgeon chuan thisen kalna kawng thar a siam a, chu thisen chu a khar kual vel a ni.
He kawng thar siam nan hian ‘graft’ hman a ni. He graft hi i taksa peng dang atanga lo chhuak (a tam zawkah chuan i ke atanga lo chhuak) vein a ni thei. A nih loh leh a bik taka siam synthetic material pawh a ni thei bawk. He surgery hian a tum ber chu i keah thisen kal tha tak siam leh a, tissue chu a nung reng a, nakin lawkah ke ruh tliak hlauhawm tak atanga chhanchhuah che a ni.
He surgery hi tute nge mamawh?
He surgery hi an kea thisen petu arteries-a blockage na tak nei tan chuan a ngai tlangpui. He natna hi damdawi lamah chuan `Peripheral Artery Disease (PAD) tia hriat a ni.` He `PAD` natna hi a nasat chuan kea thisen kalna chu a tlahniam nasa hle a, kea tissue te chu a thi tan thin. Hei hi `Critical Limb Ischemia` an ti a.
A awlsam zawngin, kea thisen tel lo chuan ke ngei pawh hi a hlauhawm hle. Hetiang dinhmun khirh takah hian damlote ke chhanchhuah nan he bypass surgery hi hman a ni fo thin.
Bypass surgery chi hrang hrangte chu engte nge ni?
Heng surgery hi chi hrang hrang a awm a. Bypass tanna artery leh thisen kalna tur artery a zirin an hming an vuah a ni. Hei hi a hnuaia table atang hian ngaihdan tha tak i hmu thei ang.
| Surgery tih hming (Type of Bypass) 1.1. | Thil thleng mek hi a awlsam hle |
|---|---|
| Aortobifemoral bypass hmanga tih a ni | Pum chhunga main artery lian tak (Aorta) atanga tan in, a sir lam hawia ‘Y’ ang maiin pahnih ah a inthen a, ke pahnih kekawr bul a main arteries (Femoral arteries) te nen a inzawm a ni. |
| Femoral-popliteal bypass hmanga tih theih a ni | Groin chhunga femoral artery atanga tan niin khup chunglam emaw hnuai lam emaw popliteal artery nen a inzawm a ni. |
| Femoral-tibial bypass hmanga tih theih a ni | Groin chhunga femoral artery atanga tan niin khup hnuai lama tibial arteries te nen a inzawm a ni. |
Operation hmaa test neih thin a ni
Ni e, a dik tak zet. I doctor chuan i surgery tur a ruahman hmain test eng emaw zat a ti ang. A bulpui berte chu:
- Ankle-brachial index: Hei hian i kut leh ke ruh a thisen sang a teh a, a pahnih hi a khaikhin a ni. Hei hian i kea thisen kal zat a tlahniam tih hriatna a pe thei che a ni.
- Vascular Ultrasound (Doppler Scan): Hei hi natna nei lo scan a ni a, thisen kalna kawng chhunga thisen kal dan leh blockage eng pawh dik takin a en thei a ni.
Tin, ke vein lama harsatna nei tam tak pawhin an heart vein-ah harsatna an neih theih avangin doctor-te pawhin operation hmain i thinlung hriselna an enfiah bawk ang. Hei hi i himna atan a pawimawh hle.
Surgery tih dan leh a hlauhawm theih dan
Surgery hi damdawi in operation room-ah neih a ni. Pakhatnaah chuan general anesthesia (anesthetic) pek i ni. Chuvangin surgery neih chhung hian engmah i hre lovang. Tichuan, surgeon chuan vunah hian incision (incision) engemaw zat a siam a, chu chuan vein mamawh a thlen thei a ni. A dawtah chuan graft dik tak chu lak a ni a, blocked vein chu bypass a ni a, kawng thar siam a ni a, stitches nalh tak tak hmangin. He surgery hi darkar hnih atanga darkar ruk inkar a ni tlangpui.
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, a bik takin zunthlum, thinlung natna, a nih loh leh kal natna ang chi damdawi lam harsatna hnuaia awmte tan chuan a hlauhawm hle.
| Risk/complication awm thei |
|---|
| Bypass graft failure - Chumi awmzia chu graft chhunga thisen kal chu a tlahniam emaw, a block leh emaw tihna a ni. |
| Cuts atanga thisen chhuak. |
| Hliam emaw graft emaw infection a awm thei. |
| Nerve chhia, ke ruh, chak lohna emaw. |
| Lung natna. |
| Pneumonia natna (Pneumonia) a ni. |
Surgery hnuah eng nge thleng?
Surgery zawhah ni engemaw zat damdawi inah i awm a ngai dawn a ni. Graft siam thar chhunga thisen zam a awm loh nan anticoagulants pek i ni ang.
A pawimawh ber chu i doctor chuan khum atanga tho la, tlem tal kal kual tan turin a hrilh mai thei che a ni. Hei hi i thisen kal zel tur leh i dam thuai theih nan a pawimawh hle. Mi thenkhat chuan physical therapy an mamawh thei bawk. Zawi zawiin i thiltih pangngaiah i kir leh thei tawh ang.
Thil pawimawh tak pakhat hre reng ang che. He surgery hian i PAD chu a tidam kim lovang. Symptoms control chauh a ni ang a, i ke a chhanhim ang. Hun a kal zel a, heng grafts te hi a block leh thei a ni. Graft failure hi meizial zu thinte zingah a tam hle. Chuvangin, surgery hlawhtlinna chu i nunphungah a innghat a ni.
Engtikah nge doctor ko nghal vat a ngaih?
Surgery zawh hnua in lama i haw hunah a hnuaia symptoms te hi fimkhur hle ang che. Chung zinga pakhat tal i neih chuan i doctor emaw, i enkawlna damdawi in emaw hnenah hriattir nghal rawh.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| Operated leg hian heng symptoms te hi a neih chuan: | |
| - Natna thar emaw, na tak emaw | - Ke lum, pale, emaw blue emaw |
| - Numbness emaw engmah hriat loh emaw | - Ke hliam na zual zel |
| Complication awm dan tlangpui dang a awm chuan: | |
| - Khawsik | - Nausea leh luak chhuak |
| - Incisions vel a sen leh lum | - Hliam atanga pus ang chi tui chhuak |
Take-Home Thuchah a ni
- Vascular Bypass hi thisen kalna kawngkhar khap chu bypass-in thisen kalna tur kawng thar a siam a ni.
- Hei hian a tum ber chu kea thisen kal lehna tur leh ke ruh tliak hlauhawmna atanga chhanchhuah a ni.
- Surgery hlawhtlinna leh graft hi hun rei tak enkawl a nih theih nan chuan meizuk lak loh vek a pawimawh a, zunthlum leh thisen sang ang chi natna te uluk taka control a pawimawh bawk.
- Operation hnuah pawh doctor nena inbiak reng leh checkup neih reng a pawimawh hle.
- I kea natna thar, rilru hahna, rawng danglam, emaw, hliam na zawk i hmuh chuan ngaihthah suh la, doctor hnenah hriattir nghal rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh