Right Heart Catheterization chungchang hi i zir dawn em ni?

I doctor hian he test hi nei turin a ti che em? A nih loh leh i hriat duh vang mai mai pawh a ni thei. Eng nge a nih, engtin nge a tih, engvangin nge a tih tih hi awlsam takin han thlir ila. Ngaihtuah buai suh, engkim ka hrilhfiah vek ang che.

He thinlung dinglam catheterization hi eng nge ni?

A awlsam zawngin sawi ila, hei hi i thinlungin a thawh that dan hriatna atana test bik a ni. A bik takin, i thinlung dinglam leh i lung chhunga thisen sang leh oxygen level a teh thin. Hei hi a then chuan pulmonary artery catheterization an ti bawk . Mi dangte chuan Swan-Ganz catheter test an ti mai thei bawk.

Chutianga tih theih nân doctor-te chuan catheter an tih, tube te tak te, hmin thei tak an hmang a ni. He tube hi i kawr, i kawr, a nih loh leh i kut a vein lian takah dah a ni a, i thinlung dinglam leh i lung chhunga thisen kalna thisen kalna kawng lian ber , pulmonary artery -ah zawi zawiin a thread a ni. Camera te tak te a chhunga dah ang maiin ngaihtuah la, mahse pressure leh oxygen a teh a ni.

Engvângin nge he fiahna hi a pawimawh êm êm? Eng nge a hmuh ang?

He ``Right Heart Catheterization'' test hian doctor te chu natna tam tak chungchang hriat tur leh enkawlna kawngah a pui thin. Entirna tlemte chu hetiang hi a ni:

• Cardiogenic shock: Thinlung hian thisen a pump tha tawk a chawlhsan chuan natna khirh tak a ni.
• Cardiomyopathy: Lung ruh chak lo emaw, a lian emaw tihna natna a ni.
• Congenital heart disease: Mi thenkhat chu pianpuiin thinlung lama harsatna engemaw zat nei an ni thei. An awm leh awm loh enfiah rawh.
• Heart failure: Thinlung hian thisen a pump tling thei lo a nih chuan.
• Heart valve natna: Lung chhunga valve te hnathawh that loh chuan.
• Pulmonary hypertension: Pulmonary hypertension: Lung lama thisen phurtu thisen kalna kawng hrang hranga pressure sang.

Tin, a châng chuan he test hi organ transplant hma emaw, a hnu emaw, emaw, thinlung ṭanpui thei thil bik, ``Left Ventricular Assist Device'' tih ang chi dah hma emaw a ngai thei bawk. A chhan chu hei hian doctor-te chu thinlung chhunga dinhmun chiang takin a hriattir a ni.

Thinlung dinglama tih leh veilam a tih hi eng nge a danglamna?

Ni e, an pahnih inkarah hian danglamna pawimawh tak tak a awm. Eng nge an nih i en ang u.

Dinglam heart catheterization-ah chuan doctor chuan vein pakhatah tube te tak te (catheter) a dah lut a.. Chu chu thisen bawlhhlawh phurtu vein atanga lo chhuak tihna a ni. Hei hi thinlung dinglam panna a ni. Hei hian i right atrium, right ventricle leh i lung chhunga thisen phurtu pulmonary artery-a pressure a teh ber a ni.

Mahse, veilam catheterization-ah chuan catheter chu artery-ah dah a ni . Chu chu thisen thianghlim phur thei vein a ni. Entirnan, kea femoral artery , kut chhunga brachial artery emaw, armpit- a axillary artery emaw. Hei hi thinlung veilam panna hmun a ni. Hei hian left ventricle-a pressure a teh a, aorta leh a valve , a en a, thinlunga thisen petu coronary arteries- a blockage awm apiang a zawng bawk. He veilam test hi cardiac catheterization emaw coronary angiography emaw an ti bawk. A danglamna chu i hrethiam em?

He test hi tuin nge ti? Khawiah nge tih a nih?

He `(Right Heart Catheterization)` test hi damdawi in chhunga pindan bik pakhatah tih thin a ni. Chu chu `Cardiac Catheterization Laboratory` emaw, a tawi zawngin `cath lab` emaw an ti a. Trained team of specialist ten an ti thin a ni. A tlangpuiin `Advanced Heart Failure Cardiologist` emaw `Interventional Cardiologist` emaw kaihhruaina a ni. Chuvangin, kut tha takah i awm tih i ring tlat thei a ni.

Hemi atan hian engtin nge i inbuatsaih ang?

I doctor chuan inbuatsaihna tur thupek chiang tak a pe ang che, mahse hetiang hi a ni tlangpui:

• Damdawi i ei zawng zawng chu i doctor hnenah i hrilh tur a ni. Hei hian prescription, supplement, leh over-the-counter damdawi te a huam a ni. Damdawi thenkhat, a bik takin anticoagulants/blood thinners , ni engemaw zat chawlh a ngai mai thei. Hei hi i doctor-in a hrilh ang chiaha tih tur a ni.
• Test zawhah in lama hruai turin mi rawn hruai la, a chang chuan a nuam lo deuh thei a, a nih loh leh muthilh tir thei damdawi pek i nih chuan lirthei khalh hi a tha lo.
• I jewelry emaw nail polish emaw i ha thei apiang chu paih chhuak rawh.
• Test hma darkar 6 atanga darkar 12 chhung chu engmah ei leh in loh tur. Hei hi a pawimawh hle a, a chhan chu pum ruak hian test a ti awlsam a, emergency a awm chuan i inpeih thei bawk.

Test hlawhtling taka pass tur chuan hengte hi dik taka zawm a pawimawh hle.

Test hmain eng nge thleng?

Test tan a nih dawn chuan doctor emaw nurse emaw chuan a hnuaia mi ang hian a ti ang:

• Hospital gown ha tur leh zun (bladder empty) turin an ti ang che.
• Khum bikah mu turin an ti che a.
• I rilruah thil te te te an stick thin. Anni hi electrode an ti a . Hengte hi i thinlung hnathawh dan enfiah chhunzawm zeltu an ni a, ECG ang maiin.

A tam zawkah chuan hei hi test rang tak ``Right Heart Catheterization'' an tih a nih avangin anesthetized vek i ni lo. Hei hian i conscious tihna a ni. Mahse a chang chuan, i kut vein pakhatah ``IV line'' an tih tube te tak te dah a ni thei a, chuta tang chuan tui emaw, sedative damdawi emaw pek i ni thei a, chu chuan tlem a ti thlamuang emaw, i muhil emaw a ti thei ang. Hei hi i rilru hahna tihziaawmna tura tih a ni.

Test neih chhung hian eng nge thleng? Eng nge beisei tur?

Test ngei pawh hi darkar khat vel a ni tlangpui. Mahse, inbuatsaihna hun leh test hnua dam leh hun chhung hian darkar engemaw zat a daih thei a ni. Lungngai suh, hei hi thil pangngai a ni.

Test chhung zawng hian i conscious vek ang. Doctor chuan a hnuaia mite hi a ti ang:

• Catheter dahna tur hmun (groin, arm, emaw neck) chu tihfai a ni ang a, a tul chuan chuta sam thenkhat chu tihfai a ni ang.
• Local anesthetic tlem te te inject a, a hmun chu a ti hlim thei lo. Chuti a nih chuan engmah hrehawm i nei lovang. Injection i pek chuan rulhut te tak te hian a seh che ang maiin a lang ang.
• Tichuan, zung bik emaw, hmanraw te tak te emaw hmangin thisen zam chhungah khur te tak te an siam a. Hei hi i kea femoral vein , i kawr chhunga jugular vein emaw, i kut chhunga vein emaw pawh a ni thei.
• Tunah chuan, chu tube te tak te, catheter , chu zawi zawiin an dah a, thinlung leh thisen kalna hmun hrang hrangah an hruai ta a ni. A tih lai hian i hre lovang.
• A tulna hmun atang hian tehna lak a ni a, a chang chuan thinlung tissue sample te tak te (tissue sample / biopsy) lak theih a ni a, chu pawh chu he catheter hmang hian tih a ni bawk.
• A châng chuan ngawi reng tûr te, i taksa dinhmun thlak tûr te, a nih loh leh kawng bîk taka thawk tûra hrilh che i ni thei bawk.
• A then phei chuan i doctor chuan exercise tlem tal ti turin a ti thei bawk che (i ke hmanga pedal te tak te pedal hmangin pawh a ni mai thei). Hei hian exercise i tih laiin i heart rate a inthlak dan a en ang.
• I kut a IV hmangin damdawi thenkhat i pe thei bawk a, i thinlungin a chhan dan i en thei bawk.
• A tawpah chuan catheter chu la chhuakin hliam te tak te chu khar a ni.

Hlauh tur a awm lo, doctor leh nurse te pawh an awm vek a, thil nuam lo i hriat chuan hrilh rawh.

Test zawhah eng nge thleng?

Test an zawh hnuah medical team chuan a rilruah electrode an dah chu an la chhuak ta a ni.IV chu an la chhuak ang a, an dah ang a, chutah chuan room hran (recovery room) ah an hruai ang che . Chutah chuan a hnuaia mite hi ngun takin an enfiah ang:

• Catheter dahna hmun atang hian thisen a chhuak em?
• Thisen sang a ni.
• Lungphun na tak.
• Taksa lum leh vawt.

Heng zawng zawng hi a pangngaia a lo awm leh hma loh chuan enkawl i ni ang.

A dam leh theih nan eng chen nge hun a duh?

Medical team chuan darkar engemaw zat an lo nghak ang che. Chumi hnuah chuan mi tam zawk chu an haw thei a ni. Mahse, tlem chuan i muhil emaw, i chau deuh emaw a nih theih avangin mi pakhatin a khalh tir che tih hre reng ang che.

Mahse, test-naah thil pawi tak a hmuh chuan test dang neih belh a ngai mai thei a, enkawl a ngai mai thei a, damdawi inah i awm a ngai mai thei bawk. Hemi chungchang hi Doctor in a hrilh ang che.

He test hian a ti na em?

Hei hi mi tam takin an zawh thin a ni. Test chhung zawnga i rilru put hmang chu doctor hnenah hrilh rawh.

A tlangpuiin numbing injection pek a nih chuan natna tlem i nei ang. Catheter dah hian pressure tlem i nei thei bawk. Chu bâkah, mi ṭhenkhat chuan a hnuaia mite hi an tawng thei bawk:

• Catheter hian i thinlung bang a rawn nam chuan i rilruah flutters emaw, skip beats emaw i nei thei. Hei hi thil pangngai a nih avangin lungngai suh.
• Mi thenkhat chuan lu na an nei thei .
• I lu a buai (lightheadedness) i nei thei .
• Nausea a awm thei.
• Catheter chu thisen kalna kawng a kal laiin pressure tlem i nei thei.
• I khuh duhna i nei mai thei .
• Damdawi thenkhat chuan lumna emaw flushing emaw a thlen thei .

Eng thil pawh i hriat chuan doctor emaw nurse emaw hnenah hrilh rawh. An pui ang che.

He test-ah hian hlauhawmna a awm em?

`(Right Heart Catheterization)` hi a tlangpuiin test him tak a ni . Mahse, medical test dang ang bawkin risk engemaw zat a nei thei. Because it is an invasive procedure , chutiang hlauhawmna chu eng nge ni tih hriat a pawimawh:

• Damdawi emaw thil hman emaw avanga allergy awm .
• Lungphung dik lo `(Arrhythmia)` .
• Thisen kalna kawng chhiatna tenau (Artery chhiatna) (hei hi a thleng tlem hle).
• Catheter dahna hmunah thisen chhuah emaw, hliam emaw a awm thei.
• Thisen zam a awm thei (hei pawh hi a tlem hle).
• A tlem hle a, cardiac tamponade , .Heart attack emaw stroke emaw ang chi pawh a ni thei . Hengte hi a tlem hle a, mahse fimkhur a pawimawh hle.
• Infection a awm thei.
• Collapsed lung (hei pawh hi a tlem hle).

A pawimawh ber chu heng risk tam zawk hi a tlem hle a ni. Doctor-te chuan he test hi an ti thin a, a hlawkna chu a hlauhawmna tenau aiin a tam zawk daih nia an hriat chuan. Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.

Engtikah nge test result ka hriat ang?

A tam zawkah chuan doctor in i haw hmain result chungchang a sawipui ang che. A nih loh leh, ni dangah lo kal lehin result chungchang sawiho turin an ti ang che (a `follow-up appointment`) . Mahse, result chungchang chiang taka sawifiahna pek i ni ang.

Test zawhah engtin nge ka in enkawl ang?

In i haw veleh i doctor emaw nurse emaw chuan awm dan tur, tih tur leh tih loh tur thupek a pe ang che. Hetiang hian an sawi tlangpui:

• Darkar engemaw zat, a nih loh leh ni engemaw zat pawh ben, chawi, nawr, emaw, hrual loh tur. Hei hian catheter awmna hmun a nghawng thei a ni.
• Mutthilh tir thei sedative pek i nih chuan hun engemaw chen chu lirthei khalh suh la, machine rit tak tak hmang suh.
• Tui tam tak in thin ang che. Taksa atanga natna hrik a paih chhuak thei a, damdawi chu taksa atanga a chhuah theih nan a pui bawk.
• Catheter dahna hmunah hian bandage chu ni khat emaw ni hnih emaw chhung dah tur a ni. Doctor-in a tih angin thlak rawh.
• Chu hmunah chuan ice pack i dah thei a , chu chuan natna emaw a hring emaw a tihziaawm thei a ni .
• Test zawhah darkar 24 atanga darkar 48 chhung chu inbual loh tur a ni. I inbual a nih chuan hliam chu a dam vek hma loh chuan ti suh.
• Hliam a hnim chuan zawi zawiin pat dry la, chak taka hnawih ngai lovin.

Heng thupekte hi uluk taka zawm hi dam thuai nan a pawimawh hle.

Examination zawhah engtik lai nge doctor nen inbiakna neih i duh?

Test zawhah heng symptoms zinga pakhat tal i neih chuan doctor pan emaw damdawi in pan nghal emaw tur a ni:

• Catheter hmun atanga thisen chhuak a awm a nih chuan, emaw, chutah chuan lump lian tak a lo awm a nih chuan.
• Lung na a chak emaw, a mumal lo emaw a nih chuan.
• Catheter dahna ke emaw, kut emaw a na a, a sen a, a vawt emaw, a rilru a buai emaw a nih chuan.
• Thil hriatna hloh.
• Lung natna lan chhuah dan: 1.1.Chest na emaw pressure emaw, thawk hah lutuk, thawk hah lutuk.
• Infection chhinchhiahna: Khua a lum, a sen, zun ang maia chhuak, a hring, leh catheter awmna hmuna lum.

Hetiang thil hi a lo thleng a nih chuan tihkhawtlai lovin damdawi lam thurawn zawng rawh.

Chuvangin, take-home message hnuhnung ber chu:

Okay, chuvangin tunah chuan kan sawi tawh test ``Right Heart Catheterization'' tih kha in hriatthiam ka beisei.

A awlsam zawngin, hei hi dinglam atrium, ventricle leh pulmonary artery-a pressure tehna test a ni. Hei hian doctor-te chu thinlung leh lung natna hriatchhuah leh enkawl turin a pui a ni.

Doctor-in he test hi nei turin a hrilh che a nih chuan, doctor chuan engkim a hrilhfiah ang che, a tih chhan te, a inbuatsaih dan tur te, a result-in eng nge a awmzia tur tih te pawh a hrilhfiah ang che. Hlau suh, zawhna i neih chuan zawt rawh. A pawimawh ber chu i hriselna fimkhur hi a ni.

` Cardiac catheterization, heart test, pulmonary hypertension, thinlung natna, cath lab, thinlung hriselna, medical test te