I thinlung chhungah camera te tak te dahin an en a nih chuan engtin nge ni ang? Chu chu cardiac catheterization a ni!

I rilru a na fo em? A nih loh leh i doctor chuan thinlung lam harsatna i nei tih a ringhlel em? Vawiin hian i thinlung chhunga thil thleng dik tak hriat theihna tura fiahna bik kan sawi dawn a ni. Hei hi `(Cardiac Catheterization)` kan tih chu a ni. A hming hi thil lian tak angin a ri mai thei, mahse hlau suh. Hemi chungchang hi awlsam takin han sawi ila.

Cardiac Catheterization tih hi eng nge ni? A awlsam zawngin...

I thinlung chhunga thisen kalna kawng, i thinlunga thisen phurtu tube te tak te te hian hna an thawk tha em tih leh khawi emaw laiah blockage a awm em tih enfiah i duh angin han ngaihtuah teh. Chutah chuan he ``Cardiac Catheterization`` test hi an ti ta a ni.

A awlsam zawngin, hei hian i kut emaw, i ke ruh emawa thisen kalna kawng lian tak kaltlangin i thinlungah tube te tak te, te tak te (``catheter`` tia koh bawk) chu a luh tir a ni. Camera te tak te a chhungah dah ang mai a ni. Tube hi i thinlung chhunga a luh chuan doctor-te chuan i thinlung chhunga thisen kalna kawng bulpui ber berte chu chiang takin an hmu thei a, chu chu ``coronary arteries`` (thinlung ruh chhunga thisen petu thisen kalna kawng) emaw ``pulmonary artery`` (thinlung atanga thisen phurtu thisen kalna kawng) emaw te hi a ni. Chumi hnuah chuan thinlung pianzia emaw, hnathawh danah emaw harsatna a awm leh awm loh a hriat chian theih phah a ni.

Hei hi surgery lian tak a ni lo. Chu chu taksaah hian incision lian tham a awm lo tihna a ni. Chuvangin a dam hun chhung hi operation aiin a rei zawk hle. Mahse, a chang chuan he test zawhah hian result a zirin doctor chuan operation i mamawh tih a rel mai thei.

He test hi cardiologist pakhat, he lama training bik nei tawh leh a team te tih a ni. He team hi doctor dang, nurse leh technician dangte pawhin an zawm ve bawk.

Cardiac catheterization chi hrang hrangte chu engte nge ni?

Hei hi chi hnih a awm ber a:

1. Left heart catheterization: Hei hian tube te tak te (catheter) chu artery kaltlangin heart chhungah a luh tir a ni. Hetiang tih hian i thinlung veilam sir a chamber leh coronary arteries te dinhmun i hmu thei a, chu lam a pressure chu i teh thei bawk.

2. Right heart catheterization: Hetah hian vein hmangin tube an dah lut a. Hei hian thinlung dinglam chamber leh chu lam pressure chu kan hmu thei a ni.

Engvangin nge doctor chuan he cardiac catheterization test hi a rawt ang?

Doctor-in he test hi a rawt theih chhan hrang hrang a awm. Eng nge an nih hi han thlir ila:

• I rilru na fo emaw, thinlung thawk dan pangngai lo emaw i neih chuan a chhan zawng rawh.
• Thinlung atanga thisen sample emaw, tissue te tak te emaw la la, test (`(biopsy)`).
• I coronary arteries emaw heart valve emaw ah harsatna a awm lo tih hria ang che.
• Heart muscle a thawk tha em tih enfiah la, heart muscle natna (cardiomyopathy) a awm leh awm loh hriat theih a ni.
• I lung lam panna thisen kalna kawng (pulmonary arteries) leh thisen sang (pulmonary hypertension)-a harsatna awm leh awm loh enfiah thin ang che.
• Thinlung hmun hrang hranga thisen kal dan, oxygen level leh pressure te enfiah thin ang che.
• Test dangin dik taka an hmuh theih loh information te chu la rawh.
• Eng enkawlna nge mamawh leh tur tih chu rel rawh. Entirnan, thisen kalna kawng a block a nih chuan hei hian a tihfai tur nge, stent dah tur nge, coronary artery bypass graft (CABG) ang chi surgery tih tur tih thutlukna siam turin a pui ang.
• He test hi heart transplant ruahman hunah pawh a pawimawh hle.

Engtin nge cardiac catheterization hian hna a thawh?

Hei hi tlem ka han sawifiah teh ang. Doctor chuan chu tube te tak te chu thinlungah a dah hnuah, chu tube hmang chuan tui bik (`contrast material` an tih) chu thinlung leh thisen kalna kawngah a inject a ni. He tui hian thisen kalna kawng leh thinlung pindan te chu `X-ray` images ah chiang takin a hmu thei a ni.

He tui hi thinlung chhunga a kal lai hian X-ray (coronary angiogram an ti bawk)-ah record a ni. Heng digital image atang hian doctor chuan:

• Coronary artery a block emaw, a narrow emaw awmna hmun dik tak zawng rawh.
• Thinlung pindan leh thisen kalna kawng lian leh te, a pianzia tehna.
• Thisen chhuah leh hliam danglam tak tak a awm leh awm loh enfiah thin ang che.

A châng chuan thu chiang zawk hriat i mamawh chuan he ``Cardiac Catheterization'' nen hian test bik dang pawh tih theih a ni. Entir nan:

• Intravascular ultrasound (IVUS): Hei hi thisen kalna kawng chhunga plaque leh calcium awmte hmuh theih a ni a, stent a awm leh awm loh enfiah nan hman theih a ni bawk.
• Fractional flow reserve (FFR): Hei hi thisen kalna kawngkhar block leh a sir lehlamah pressure tehna atan hman a ni a, blockage chu enkawl ngai khawpa na a nih leh nih loh hriat nan hman a ni.
• `(Optical coherence tomography - OCT)`: Hei hian thisen kalna kawng chhung lam thlalak chiang tak tak a la thei.

Tin, a chang chuan doctor chuan he ``Cardiac Catheterization'' hi a tih lai hian enkawlna thenkhat a ti thei bawk. Hengte hi surgery a ni lo.

• Angioplasty: Lung thisen kalna kawng (heart arteries) tawi te a tizau a, thinlunga thisen kalna a ti tha.
• `(Stent placement)`: Artery zau zawkah hian mesh ang chi thil te tak te (`(Stent)`) dahin a zim leh tawh loh nan.
• Valvuloplasty: Thinlung valve tawi tak hawn.
• `(Rotablation)`: Arteries-a calcium awm zat paih chhuahna damdawi a ni.
• Intravascular lithotripsy: Hei hi balloon bik leh pressure wave hmanga calcium tihchhiat a ni.
• `(Cardiac ablation)` tih hi a ni.Heart rhythm dik lo siamthatna tur enkawlna.

Test vawi khat chauh hmangin i thinlunga harsatna i hmu thei a, a châng chuan chutah ngei chuan i enkawl thei a nih chuan a hlutzia han ngaihtuah teh? Chu chu hei hi a ni.

He heart catheterization (Heart Cath) test hian eng chen nge a daih?

Cardiac catheterization pangngai, i coronary arteries chauh en thin chu minute 30 vel a ni. Mahse, he hun hi test tum a zirin a danglam thei.

Mahse, hei hi inbuatsaihna hun leh test hnua dam leh hun i belhkhawm chuan nilengin damdawi inah i awm a ngai dawn a ni. Darkar nga, darkar kua, a nih loh leh a aia tam pawh a la ngai thei. Test neih laiin i harh a nih pawhin hei atan hian ni khat chhung chu i dah hran a ngai dawn a ni. Eng emaw chhan vanga doctor-te chuan angioplasty ang chi tih an tum a nih chuan a rei zawk thei a, darkar engemaw zat pawh a ni thei.

Test hmain eng nge beisei tur?

`(Cardiac Catheterization)` i tih hmain hengte hi i hriat hmasak phawt tur a ni:

• Test hma darkar engemaw zat (a tlangpuiin darkar ruk atanga darkar riat vel) ei leh in i chawlhsan a ngai ang.
• I doctor chuan damdawi thenkhat ei kha rei lo te atan emaw, a hman dan tur thlak emaw turin a hrilh thei che a ni. Chumi ang chuan i ti tur a ni.
• Allergy i neih apiang leh damdawi i ei zawng zawng chu i doctor hnenah i hrilh tur a ni.

Damdawi in i thlen hnuah:

• Hospital-in a pek che gown i ha tur a ni.
• I kut chhunga vein pakhatah tube te tak te (intravenous - IV) line) dahin damdawi leh tui a pe ang che.
• Khum bikah i mu a ngai a ni. He khum chungah hian X-ray camera lian tak leh TV monitor engemaw zat a awm a.
• Vun chu tube te tak te (catheter) dahna tur hmunah (arm emaw groin emaw-ah) siam a ni.
• I rilruah hian hmun te tak te, flat, sticky (electrode) engemaw zat dah a ni. Chungte chu electrocardiograph monitor (EKG) nen an inzawm a ni. Hei hian i heart rate leh rhythm a enfiah thin.
• I chawlh hahdam theih nan mild sedative pek i ni ang a, mahse test chhung zawng hian i harh a, i fimkhur reng ang.
• Allergy, nausea, leh chest discomfort ang chi thil lakah fimkhur a tha.

Test neih chhung hian eng nge thleng?

Cardiac catheterization neih chhung hian doctor chuan a hnuaia mi ang hian a ti ang:

• I vun hnuaiah hian numbing medicine chu needle te tak te hmangin i inject thin.
• Plastic sheath te tak te (`introducer sheath` - catheter hi hei hi kal tlang a ni) chu i kut, i kawr, emaw i groin-a thisen kalna kawngah dah a ni.
• Catheter hi sheath kaltlangin dahin thinlung chhungah hruai lut a ni. (Sheath emaw catheter emaw i dah hian pinch tlem i nei thei a, mahse a na tur a ni lo.)
• Catheter dah dikna tura pui turin i lu hawi emaw, thawk la chhuakin second engemaw zat chelh turin emaw an ti thei che a ni.
• Room chu a thim a, special liquid (contrast material) tlemte chu catheter hmangin i arteries leh heart chamber-ah inject a ni. Hetih lai hian second engemaw zat chhung chu i taksa emaw, i hmai emaw-ah lumna i nei thei .
• X-ray camera hmangin i thisen kalna kawng leh thinlung chamber-ah tui chu a kal tlang ang a, thlalak a la ang (X-ray lak lai hian i thawk khap tlat turin an ti ang che).
• I la awm lai hian catheter leh sheath chu an la chhuak ang.
• Light a rawn eng leh ta.

Cardiac catheterization hnuah eng nge beisei tur?

Exam zawh hnuah doctor chuan catheter leh sheath chu a la chhuak thin.

Catheter chu i kutah dah a nih chuan:

• Tube dahna hmunah hian bandage dah a ni.
• Darkar khat tal i kut chu i ding nghet tur a ni (mahse i kal thei).
• Darkar engemaw zat chhung chu symptom emaw side effect emaw a awm leh awm loh enfiah i ni ang.
• In lama i haw huna i kut enkawl dan tur thupek an pe ang che.
• Thisen chhuak ang maia i hriat (wet, warm), i kut zungtang a hrual emaw, thil danglam bik i hriat chuan doctor hnenah i hrilh tur a ni.

Catheter chu i groin kaltlangin dah a nih chuan:

• Insertion site chu tightened a ni a, a chang chuan suture emaw "plug" emaw hmangin (hei hian thisen chhuah a ti tlem bawk).
• Thisen chhuah tihtawp nan darkar hnih atanga darkar ruk chhung chu khumah i ke dinglam hawia mu turin an ti che a (hemi ṭum hi "plug" i dah chuan tihtlem theih a ni). Tin, i lu chu pillow pahnih aia tam chawi lo turin an ti bawk.
• Infection laka inven nan groin area chungah bandage fai tak dah a ni a, enfiah fo thin a ni.
• Thisen chhuak (wet, warm) i hriat chuan, i ke ruh a hrual a, thil danglam tak i hriat chuan hrilh rawh.

Cardiac Catheterization hnua dam lehna

I dam chhung hian heng thilte hi enkawl la:

• Special fluid (contrast material) chu chhuah chhuah nan tui tam tak i in a ngai a ni.
• Doctor chuan chu ni vek chuan in lamah i haw dawn nge, damdawi inah zan khat i riak dawn tih a hrilh ang che (either way, test zawhah darkar tlemte chhung chu enkawl i ni ang).
• Hliam enkawl dan tur chu i doctor nen sawiho rawh.
• In lam pan tur che i mamawh a ni (i in chu darkar hnih aia hla a nih chuan hotel-ah awm la, darkar khatah minute nga atanga minute sawm vel kein kal rawh).

Damdawi in chhuahsan atanga darkar 24 hnuah lirthei i khalh thei tlangpui. Catheter dahna hmun a zirin ni hnih atanga ni nga chhung chu thil hahthlak tak tak (sports emaw heavy lifting ang chi) tih loh tur a ni. I doctor chuan hna i thawh leh theih hun tur a hrilh ang che.

In lama kan awm chuan hliam chu kar khat chhung tuiah thun a tha lo.Chumi awmzia chu tui chawi leh inbual loh tur tihna a ni. Mahse, test zawh darkar 24 hnuah shower i la thei.

He test hian eng hlauhawmna nge a neih?

Medical test zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm a, mahse hengte hi a tlem hle.

• Allergy a awm thei.
• Thinlung rhythm mumal lo.
• Thisen sang hniam.
• Catheter dahna hmuna thisen chhuah emaw, natna hrik emaw a awm.
• Lung pakhat a tlakbuak (pneumothorax).
• A rilru a na reng.
• Kidney tha lo a awm.
• Thinlung chhehvela tui awmkhawm (`(cardiac tamponade)`).
• Thisen zam, heart attack, stroke emaw thihna (hengte hi a tlem hle ).
• Emergency surgery neih a ngai a, entirnan coronary artery bypass graft (CABG) surgery neih a ngai.

I doctor i biak hian heng hlauhawm zawng zawng hi i hrethiam vek tur a ni. Tin, engvangin nge he test hi nei tura tih i nih tih pawh zawt bawk ang che. Hei hi surgery ni lo mah se, thil pawi tak angin a lang thei. Mahse, he procedure atanga harsatna lo thleng hi a tlem hle tih hre reng ang che.

Eng nge a rah chhuah? Evi awmzia chu eng nge ni?

Cardiac catheterization hnuah i doctor chuan i enkawlna tur ruahmanna siam tura pui turin thu pawimawh tak tak a nei ang. Test chhan a zirin result a inang lo thei.

Doctor chuan:

• Harsatna pakhat, i coronary artery pakhata blockage ang chi zawng la, chutah chuan enkawl nghal rawh.
• Surgery ngai damdawi lam dinhmun hriatchhuah.
• I thinlung ruh sample chu laboratory-ah ``biopsy'' neihpui turin an thawn a.
• Enkawlna ruahmanna siamna atana i mamawh information te chu la rawh.
• I thinlung hi a hmaa enkawl hnuah a thawk tha em tih enfiah thin ang che.

Engtikah nge result hriat a nih ang?

I doctor chuan result chungchang chu a sawi nghal mai thei a, mahse tissue sample ang chi thil pakhat chu lab-a enfiah a nih theih nan hun a duh avangin result hmuh theih nan ni engemaw zat a ngai thei.

Results a dik lo a nih chuan eng nge i tih leh ang?

Doctor chuan heart cath neih chhunga harsatna a hmuh chuan test dang emaw, enkawl dan emaw a ruahman ang. Thu a dawnte hmang hian operation neih pawh a inbuatsaih mai thei.

Engtikah nge doctor ka biak ang?

Cardiac catheterization hnua heng symptoms te hi i neih chuan doctor ko nghal rawh:

• Khawsik i neih chuan .
• I lu a buai tih i hriat chuan .
• Catheter dahna hmunah natna, hliam, thisen chhuah emaw, zun emaw a awm chuan.
• I rilru natna i neih chuan .
• Thâwk harsa i neih chuan .
• I thinlung thawk dan pangngai lo anga i hriat chuan .

Heart attack emaw stroke emaw i nei nia i hriat chuan doctor tanpuina zawng nghal rawh.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Miin i thinlung chhungril lam a en reng tih ngaihtuah chu a hlauhawm thei hle. Mahse hre reng ang che, he `(Cardiac Catheterization)` hi surgery a ni lo va, enkawltu tur medical team thiam tak i nei bawk. He test atanga information kan hmuh hi i tana damdawi tha ber thlangtu doctor te tan chuan a hlu hle a ni. Chuvangin, he test hi i dam lehna kawngah step khat chauh a ni. Zawhna emaw rinhlelhna emaw i neih chuan i doctor zawt hreh ngai suh. I rilruah eng nge awm tih chiang taka hriat chian a pawimawh hle.

` Cardiac catheterization, thinlung natna, angiogram, stent, thinlung test, thinlung enkawlna, thinlung hriselna