I luak chhuak fo em? Hemodynamic Test chungchang hi han sawi ila!

A châng chuan rang takin i lu a buai a, i mit a sen a, i chhehvêla thilte chu a inher ang maiin i inhria em? A nih loh leh, i rilru a na lutuk a, thawk harsa i tih ang maiin i hrehawm em? Heng thilte hi a thleng fo a nih chuan eng thil nge a thlen tih hriat a pawimawh hle. Chutiang hunah chuan i doctor-in a rawt theih tur test bik chu ``Hemodynamic Test'' an ti a. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

He ‘Hemodynamic Test’ hi eng nge ni?

A awlsam zawngin sawi ila, he `(Hemodynamic Test)` hi i taksaa thisen kal dan, chu chu thisen kal dan leh i thinlung hnathawh that dan enfiahna hmanrua a ni. A chang chuan `(hemodynamic tilt test)` emaw `(technetium hemodynamic test)` emaw an ti bawk. Hei hi a chhan chu he test hian radioactive isotope `(technetium)` tih a hmang a (hemi chungchang hi a hnuah kan sawi leh ang). Hei hi a takah chuan `(nuclear imaging)` tih technology hmanga test a ni. Hlau suh, hei hi a hming hi scientific deuh mahse, test chungchang i hriat veleh hei hi chutiang khawpa hlauhawm a ni lo tih i hrechhuak ang.

Engvangin nge he test hi tih a nih? Eng nge a zawn?

Ngaihtuah teh, i ding reng lai pawhin i muhil nghal a, i tlu nghal bawk (``syncope'' an ti bawk). A nih loh leh doctor chuan i thisen kal danah, chu chu i thisen kal danah thil dik lo a awm tih a ringhlel a ni. Chutah chuan he test hi tih a ni.

He test atanga thu hriatte hian i doctor chu engvangin nge i muhil tih chiang takin a hriat theih nan, a nih loh leh i circulatory system-a harsatna awm chu eng nge ni tih a hriat theih nan a pui thei a ni. Chutah chauh chuan i tana enkawlna tha ber chu an ruat thei ang.

Mi pakhat a muhil theih chhan tlangpui engemaw zat a awm a:

• I thluaka thisen kal zat chu a tlahniam nghal a.
• I thisen sang emaw, i heart rate emaw tlahniam nghal mai.
• Taksa chhunga thisen awm zat (`thisen volume`) emaw, thisen sem danah emaw inthlak danglamna.

Vawi tam tak chu, chutianga muhilte chuan an thinlungah, an nervous system-ah emaw, thluaka thisen phurtu system-ah emaw damdawi lam dinhmun eng emaw tak an nei thei a ni. Chuvangin he ``(Hemodynamic Test)`` hian chutiang thil hriat chhuah nan a pui a ni.

Test hmain engtin nge i inbuatsaih ang?

He test i tih hma hian thil engemaw zat hriat tur leh zawm tur a awm. Anmahni dik taka i zawm chauh chuan test hlawhtling takin i pass thei ang.

• Naupai leh nau hnute pek: Naupai emaw, nau hnute pek emaw i nih chuan he test hi tih theih a ni lo. Chuvangin safe side-a awm tur chuan pregnancy test neih a ngai mai thei.
• Ei leh In: Test hma darkar li chhung chu engmah i ei leh in thei lo. Gum emaw toffee emaw i chew thei lo. Mahse, damdawi i neih chuan tui vawi hnih khat in i ei thei a ni. Hemi chungchang hi i doctor zawt la, chiang rawh.
• Caffeine: Test ni hian caffeine awmna engmah in loh tur. Tea leh coffee chauh ni lo, soft drink leh chocolate thenkhatah caffeine a awm bawk. "Caffeine-free" emaw "decaffeinated" tih ziak pawh hian a chang chuan caffeine tlem a pai thei a, chuvangin chutiang pawh chu pumpelh rawh.
• Zunthlum vei tan: Zunthlum i neih chuan 12:30 p.m. Chutiang chuan zing dar 8:30 a.m hmain chawhmeh light tak i ei thei a, hei pawh hi i doctor nen inbiakna neih a tha hle.
• Damdawi thenkhat: Test hmain diuretics (tui pill) emaw laxatives ( laxatives ) emaw ei loh tur. Test neih lai hian tho loh a tha ber.
• Damdawi dang: Damdawi dang i ei tlangpui apiang chu a hma ang bawkin i ei thei. Mahse, i doctor emaw pharmacist emaw hnenah damdawi i ei zingah caffeine a awm em tih zawt la, test ni-a ei tur a him em tih zawt rawh. Doctor thurawn tel lo chuan damdawi engmah ei tan leh chawlhsan suh.

Test ni-ah eng nge beisei tur?

Test ni-ah pawh heng thilte hi i enkawl tur a ni.

• Thawmhnaw: Thawmhnaw nuam, rit lo leh pheikhawk bun tur. Test neih chhung hian hospital gown i ha tur a ni a, chu chu i kawr atanga a chunglam thlengin a khuh lo ang.
• Jewelry leh thil hlu: Jewelry, bengbeh, kawrfual, ring (inneih zungbun telin) bun loh tur. Thil hlu tak tak phur suh.
• Thil rawn ken tur: Hengte hi rawn keng ngei ang che:
• Tun hnaia i medical history leh physical exam report.
• I hriselna lama harsatna nena inzawm medical record dangte.
• Damdawi leh supplement i ei zawng zawng (i ei zat te pawh tel) list.
• I allergy zawng zawng list.

He test hian eng chen nge a daih? I conscious em?

He test hi darkar thum vel a ni a, chuvangin damdawi inah darkar thum vel hun hman beisei ang che.

Ni e, test chhung zawng hian i conscious vek ang. Medical staff te chuan a nuam thei ang bera an siamsak ang che. Mahse, a theih ang anga muang leh ngawi renga awm hi a pawimawh hle. Chutiang chuan thlalak tha ber leh chiang ber an hmu thei a ni.

Test atan eng nge hman?

Doctor-te chuan he test an tih hian instrument leh method hrang hrang engemaw zat an hmang a. Eng nge an nih i han thlir teh ang.

• EKG (ECG) enkawl dan: 1.1.I rilruah hian patch te te, sticky tak tak (electrode) engemaw zat dah a ni. Chung atanga thu hriatte chu electrocardiograph (EKG/ECG) an tih machine-ah thawn a ni. He machine hian i thinlung electrical activity chu graph angin paper strip moving-ah a record a. Test laiin i heart rate leh rhythm a enfiah thei a ni.
• Blood Pressure Monitoring: I kut ah thisen sang cuff dahin i thisen sang chu test chhungin hun hrang hrangah teh thin a ni.
• Hemodynamic Echo: Test tan hmain (minute 20 vel i chawlh hnuah) echocardiogram i nei ang. He test hi minute 20 vel a ni. I thinlung thlalak chipchiar tak a la thin. Tin, vawi khatah i thinlungin thisen a pump zat (cardiac output) a teh bawk. Tichuan, test neih chhung hian i cardiac output chu an teh leh a, original reading nen an khaikhin leh a ni.
• Nuclear Medicine Imaging: Doctor hian test neih chhung hian camera bik gamma camera an tih hmangin thlalak a la thin. He camera hian radioactive isotope (or tracer) atanga gamma rays chhuak chu a hmuchhuak thin. He camera hmanga thlalak lakte hian doctor hnenah i thinlung hnathawh that dan leh i thisen a kal dan tur hriat tur pawimawh tak tak a pe a ni. I thinlungin thisen a pump chhuah zat leh i thisen a kal chak zia a hrilh thei bawk.

Test neih chhung hian eng nge thleng?

Okay, tunah chuan test neih chhung hian eng nge thleng tak tak tih kan en ang.

• Exam dawhkan chungah mu turin siam i ni ang.
• Healthcare provider, doctor emaw nurse emaw pawh nise, test chungchang hi chiang takin a hrilhfiah ang che. Chutih laia zawhna i neih apiang zawh hlau suh.
• IV (saline drip ang chi cannula) pek i ni ang. Hei hi a hmaa kan sawi tawh ang khan radioactive isotope (or tracer) chu i taksaah a lut a ni. He tracer hi i IV kaltlangin image set tin lak hmain inject a ni. A châng chuan test neih chhung hian he IV hmang hian damdawi dang pawh pek theih a ni.
• Doctor chuan gamma camera chu i rilruah a dah ang. Camera-in thlalak a lak lai hian i ding reng a pawimawh. Camera pawh i chhehvelah a rotate thei bawk.

Test lak hi engtin nge a awm?

Test neih chhung hian symptom bik i nei lo mai thei. Amaherawhchu, lu hah deuh deuh, luak chhuak deuh emaw, thinlung na tak tak nei emaw chu thil pangngai tak a ni. Chu chu lungngai suh.

Radioactive agent chu i IV-ah dah a nih chuan i kut chungah khawsik a rawn tlan chhuak tih i hre mai thei. I hmuiah metallic taste i nei thei bawk a, i hnar-ah rim mak tak i nei thei bawk. Mahse heng rilru put hmangte hi rei tak a daih lo va, rei vak lo hnuah a reh mai ang.

Test neih chhunga i hriat zawng zawng, eng ang pawhin te pawh ni se, doctor emaw nurse emaw hnenah i hrilh vek a pawimawh hle. Image set pahnih inkara awm awlsam zawk nan adjustment an siam thei a ni. Doctor chuan i natna lan chhuah dan leh test atanga thu hriatte hmangin i natna thlentu dik tak chu a hre thei ang.

Engtin nge hei hian hna a thawh?

I IV kaltlangin tracer pek chhuah radiation chu gamma camera hmangin a hriat theih a ni. Chumi hnuah chuan computer chuan chu information chu hmangin thlalak hrang hrang a siam a. Image set thum (pahnih mut laiin leh pakhat chu thut laiin) pek i ni thei bawk.

Test zawhah eng nge thleng?

Test zawh hnuah pawh thil tlemte i ngaihtuah reng tur a awm.

• Test neih chhunga symptoms i neih chuan chu symptoms te chu a bo vek hma loh chuan damdawi inah i awm a ngai dawn a ni.
• Test-na atana hman `(tracer)` thenkhat chu i zun-ah i taksa atangin a chhuak ang. A bak zawng chu i taksa chhungah natural takin a chhe vek ang. I theih chuan tui tlem tal in la. Chu chuan i taksa atanga `(tracer)` chu flush out rang zawk turin a pui ang.
• Test zawhah kar khat chhung i zin huna i ken tur card pek i ni ang. (US-ah chuan hei hi ``US Department of Homeland Security card'' a ni.) Test-na atana hman isotope chu ``(isotope)'' a nih avangin airport ang hmuna ``(security)'' check i paltlang hunah ``(alarm)'' i set off thei a ni.
• Mi tam zawk chu test zawhah an haw nghal thei. Amaherawhchu, natna lanchhuahna na tak i neih chuan in lama lirthei khalhtu tur i neih a tha ber. Chuvangin i kal dawnin mi pakhat i bula awm chu a finthlak khawp mai.

Hei hian eng nge a hlauhawmna leh a nghawng tha lo?

Medical test dang ang bawkin he test pawh hi thil tenawm tak tak a awm thei bawk.

• IV dahna hmunah hian hliam, sen, emaw, hring emaw engemaw zat i nei thei. Hei hi thil pangngai a ni a, ni engemaw zat hnuah a reh mai ang. IV i dah hian natna emaw, nuam lo emaw i nei thei bawk.
• Chu radioactive isotope chu dye a nih loh avangin allergic side effects a siam lo.
• Test-na atana radiation hman zat hi a tlem hle. Chest X-ray i lak hian i taksain radiation a dawn ang zat vel a ni. Chuvangin ngaihtuahawm tur a awm lo.

Eng ang nge a rah chhuah? Engtin nge min hrilh?

I doctor-in report a dawn chuan i result chu ``normal`` nge ``abnormal`` tih a tarlang ang.

Tin, he test hian hetiang hi a lantir thei bawk:

• Heart rhythm pangngai lo i nei em?
• Thisen sangah hian inthlak danglamna a awm em?
• Thinlung lamah harsatna a awm em, chu chu coronary artery disease, a awmna hmun, a nasat dan leh eng thisen kalna kawng nge a nghawng tih te hi a ni em?
• Thisen supply tlahniam (ischemia) a awm em?
• Thisen leh oxygen tlakchham vangin tissue thihna (infarction) a awm tawh em tih.

Hetiang ang thu pawimawh tak tak hi he test-ah hian hmuh tur a awm.

A result hriat nan eng chen nge hun a duh?

He test result hi doctor-in a hmuh theih nan ni 10 leh ni 14 inkar (chu chu kar hnih vel a ni) a ngai tlangpui.

Chumi hnuah chuan doctor chuan a result chu hmangin i tana tha tur enkawlna ruahmanna a siam ang. Damdawi thar i hman tan emaw, tuna i ei mek damdawi i thlak emaw a ngai mai thei. Specialist dang hnenah pawh refer theih i ni bawk.

He ``Hemodynamic Test'' result atang hian doctor chuan test dang neih belh a ngai tih a rel mai thei.

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

Chuvangin, he ``Hemodynamic Test'' hi test pawimawh tak a ni tih i hmu thei a, chu chuan thil chi hrang hrang, muhil fo leh thawk harsatna ang chi thil awm chhan zawng turin a pui thei che a ni.

He test neih chhunga i natna awmchhun chu IV i dah hian i rilru natna tlemte chauh a ni mai thei tih hre reng ang che. Thil dang zawng zawng hi i tan chuan a awlsam hle.

He test result hian i doctor chu i tan eng treatment nge tha ber tih a rel thei ang. He test chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

`Hemodynamic test, thisen kal dan, thinlung hnathawh, muthilh, syncope, nuclear damdawi, thinlung natna, EKG, echocardiogram