I thinlung electrical activity chungchang chiang takin i zawng chhuak ang u? (Electrophysiology zir chianna - EP zir chianna)

I thinlungah thil mak tak, flutter ang maiin i hria em? A châng chuan doctor-te chuan i thinlung electrical activity ngun zawka enfiah turin test an tih a ngai tih an sawi ṭhin. Chu chu he ``Electrophysiology Study``, a tawi zawnga kan sawi dan chuan ``EP Study`` kan sawi lai a ni. Hlau suh, he thu hi awlsam takin sawi ila.

EP study chu eng nge ni?

A awlsam zawngin, EP study hi i thinlunga electrical activity dik taka zirchian theihna test a ni. Ngaihtuah teh, kan thinlung hian a thawk theih nan electric signal te tak te a mamawh a ni. Heng signal te hian hna a thawh that chuan thinlung chu mumal takin a thawk thin. A châng chuan heng electrical signal-te hi thil dik lo a awm a, chu chu thinlung thawk mumal lo ( arrhythmia ) tihna a ni. Chu chu EP study hmanga buaina chu eng nge ni a, khawiah nge buaina awm tih hriat a ni.

Hetiang ti tur hian doctor-te chuan cardiac catheter (tube te tak te, te tak te) leh computer te an hmang thin. Heng tube te hi i thinlungah dahin chuta tang chuan i thinlung electrical activity chu a teh thin. It’s like an EKG , mahse heng sensor, i thinlung chhunga dah te hian i rilru pawn lama dah sensor aiin information chipchiar leh dik zawk a pe thei hle .

Bus chu a kalna tur pangngaia kal, a hun takah leh felfai taka kal ang maiin han ngaihtuah teh. Mahse heartbeat mumal lo (arrhythmia) chu bus-in a kalna tur pangngaia a kal loh ang mai a ni a, hmun dik lo atanga tan a, stop skip emaw, a kalna tur zawng zawng kal loh emaw ang mai a ni. A nih loh leh a kal chak hle thei a, a kal muang hle thei bawk. Chu chu doctor-te’n an zawn ngai signal erratic chi hrang hrangte chu an ni. Chumi hnuah chauh chuan he natna hi a hlauhawm em tih leh enkawl dan tur an rel thei ang.

Engtin nge he electrical heart activity hi i hriat theih?

He `(EP Study)` tihna lab hi detective office ang mai a ni. Hetiang titu specialist doctor hi `( Electrophysiologist )` a ni a, heart rhythm pattern hre chiang tak a ni. `(EKG)` tape-a wave pattern hrang hrang atang hian thinlung hmun hrang hrang hnathawh dan a hre thei a ni.

Heng doctor-te hian EKG wave te, a tlangpuiin engtin nge a lan tur tih te, wave pakhat chu a hmel danglam a nih chuan eng nge a awmzia tih te an zirchiang a ni. EKG-a thinlung thawk mumal lo (irregular heartbeat) intan leh tawpna hmun chu an ngaihven hle.

Tichuan, "Awle, hei hi a ni thei ang," tiin an ngaihtuah ta a. Tichuan EP Lab-ah an test leh thin. EngemawzatAnni hian damdawi (Adenosine, Isoproterenol ang chi) an pe a, chu chuan thinlung a ti chak a, a ti slow thei bawk , chutah chuan chutih laia thinlung electrical activity a inthlak dan chu an enfiah leh thin. Hei hi ruahmanna bik angin tih a ni a, rinhlelhna mai ni lovin. Thu an khawn khâwmte a\angin, a chhan awm thei engemaw zât an ngaihtuah a, chutah chuan buaina chu eng nge ni tih chiang taka an hriat hma loh chuan test an nei ṭhîn .

Engvangin nge he EP study hi i tih?

EP study hian i doctor hnenah i heartbeat mumal lo chungchang tam tak a hrilh thei a ni . Entir nan:

• Eng ang heart rhythm disorder (arrhythmia) nge i neih?
• Hetiang thil dik lo awm chhan hi eng nge ni ?
• Thinlunga khawiah nge he buaina hi a intan tak tak?
• Eng thil nge i luak chhuak fo thin a, mumang i neih harsat chhan ?
• Hei hi eng damdawi nge tha ber tih chu rel rawh.
• Tuna i damdawi ei mek hi a thawk tha em tih enfiah rawh .
• Sudden cardiac death hlauhawmna i nei em tih zawng rawh .

Doctor chuan ECG, Holter monitor (ni khat emaw ni hnih emaw vel i mut laiin heart rhythm enfiahna hmanrua), event recorder , stress test (exercise laiin thinlung enfiahtu), echocardiogram (thinlung ultrasound scan), emaw angiogram (thinlung chhunga thisen kalna kawngte enfiahtu) atanga information tling tak an hmuh theih loh chuan EP Study tih a rel thin.

A châng chuan, i dinhmun leh EP Study aṭanga thu hriatte a zirin, Catheter Ablation tih damdawi chu a rualin tih theih a ni . Chumi awmzia chu thinlung chhunga hmun tenau, electrical signal mumal lo siamtute chu thinlung chhunga catheter (tube) dah hmangin deactivate a ni tihna a ni.

EP zir tur hian engtin nge i inbuatsaih ang?

He test hma hian inbuatsaihna tenau tlemte i siam a ngai a ni. Lungngai suh, hengte hi thil pangngai a ni.

• Damdawi in kal leh haw tur mi pakhatin a zui theih nan ruahmanna siam rawh. Test zawhah darkar 24 chhung chu i khalh thei dawn lo.
• He test chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan doctor nen sawiho rawh.
• Latex allergy i neih emaw anesthesia lama harsatna i neih tawh emaw chuan min hrilh teh .
• Thawmhnaw nuam tak takInthuam chungin lo kal rawh.
• Damdawi ina i lo kal hmain makeup leh nail polish zawng zawng paih vek tur a ni.
• Ring, necklace, leh darthlalang ang chi jewelry hlu zawng zawng chu in lamah dah vek rawh. I glasses leh hearing aids i neih chuan keng la.

Damdawi leh ei leh in lam pawh han thlir ila:

• I damdawi ei zawng zawng (prescribed, over-the-counter, herbal, vitamins) te chu i doctor hnenah hrilh rawh .
• Ni khat chhung atan i damdawi ei tur tling keng la. Mahse, doctor nen in inbiak hma loh chuan ei suh.
• I doctor hnenah test hmain eng damdawi nge i ei tur tih te, eng damdawi nge i tihtawp tur tih te, engtikah nge i tihtawp tur tih te, engtikah nge i ei tan leh tur tih te zawt rawh . Doctor thurawn tel lo chuan damdawi engmah ei khap suh.
• Zunthlum i neih chuan i zunthlum damdawi i siamrem dan tur zawt rawh .
• Test hma zanah chaw pangngai ei rawh.
• Test hma zan zanlai hnuah ei leh in leh ei loh tur. Chewing gum, mint, tui pawh ni lo. Hei hi i himna atan a pawimawh hle.
• Damdawi i ei ngei ngei tur a nih chuan tui vawi khat emaw, vawi hnih emaw chauh in la.
• Ha sil lai hian tui ei suh.

EP zirlai ni hian eng nge beisei tur?

I test hi room bik Electrophysiology Lab (EP Lab) emaw Catheterization Lab emaw an tih ah tih a ni ang.

Khum chunga i mut hnuah doctor leh chuta team chuan a hnuaia mi ang hian an ti ang:

• I kut emaw i kut emaw ah intravenous (IV) line (saline line ang chi) dah a ni ang. Hei hi test neih chhunga damdawi leh tui pekna hmun a ni.
• A tul chuan i kutphah, i kut emaw, i kawr emaw chu i sam ang a, disinfectant solution hmangin i tifai ang.
• I kawr atanga i ke thlengin puan sterile hmangin i khuh ang.
• I kut chuan hrik paihna hmun a khawih loh nan i kawr velah belt dahin i kut chu chawi sangin i dah a ni.

EP zirlai chhung hian eng nge thleng?

Tunah hian hun pawimawh ber a ni. Doctor-in a tih turte chu hetiang hi a ni:

• I groin, i kawng emaw, i kut (catheter dahna hmun) chu damdawi bik hmangin a numb ang.
• Tichuan, heng catheter (thin tube) engemaw zat hi i groin, i kawng emaw, i kut emaw a vein lian takah dah a ni.
• `Fluoroscopy` (hei hi `X-ray` video ang mai a ni) leh `Ultrasound` machine hmangin heng catheter te hi i thinlung chhungah chiang takin, a chamber chhungah a hruai lut a ni. Heng catheter te hi thinlunga electrical activity hriatchhuah leh record nan hman a ni. Hei hian `Conduction System`, i thinlung chhunga electrical signal kalna system chu i hrethiam zawk thei a ni.
• Catheter pakhat hmangin, .Pacemaker an tih device hian electrical signal te te a thawn a, chu chuan i heart rate a ti chak zawk a ni. Hetih lai hian i thinlung chu tlem a rang leh chak zawkin i hre mai thei.
• I dinhmun a zirin connection chhia a awm a, chu chuan electrical signal mumal lo a siam a nih chuan `Catheter Ablation` tih hmangin deactivate theih a ni.

A pawimawh ber chu EP Study neih chhunga thil nuam lo emaw, thil mak emaw i hriat chuan chuta doctor emaw nurse emaw hnenah hrilh rawh.

Heartbeat mumal lo i neih chuan i doctor chuan i IV hmangin damdawi a pe ang che, an control that dan a en ang. A tul chuan i rilru chhunga patch pakhat hmangin electrical impulse tlemte an pe thei bawk che a, chu chuan i thinlung rhythm siam that lehna tur a pui thei bawk.

He exam chhung zawng hian i medical team te hian instrument hrang hrang an hmang ang:

• Fluoroscopy: I chunga X-ray machine lian tak a ni. Hei hian doctor chuan i thinlung chhunga catheter chu X-ray screen-ah a hmu chhunzawm thei a ni.
• `Defibrillator / Pacemaker / Cardioverter`: Hei hi i hnungzang a patch leh i rilru a patch nen a inzawm a ni. Heart beat slow ti chak turin electrical pulses a pe thei a, rhythm hlauhawm tak a titawp thei bawk.
• Electrocardiogram (EKG): Hei hi i rilru a sticky patch engemaw zat nen a inzawm a, chubakah i thinlung chhunga catheter te nen pawh a inzawm bawk. I thinlung chhunga electrical signal kal tlangte thlalak a siam chhuak thin.
• Intracardiac Echocardiogram: Hei hi ultrasound te tak te a ni. Test neih chhunga catheter dik taka kaihhruaina atan a pui thin.
• Blood Pressure Monitor: Hei hi i kut a cuff-ah bun a ni a, test chhung zawngin i thisen sang a enfiah thin.
• Oximeter Monitor: Hei hi clip te tak te a ni a, i kut zungtang ah i dah thin. I thisena oxygen awm zat a teh thin.

Test zawhah eng nge beisei tur?

EP Study zawh hnuah doctor chuan i groin, arm, emaw neck atanga catheter chu a la chhuak ang a, chu hmunah chuan rei vak lo pressure a pe ang a, thisen chhuah chu a titawp ang. Tichuan:

• Darkar khat atanga darkar li vel khumah i awm a ngai ang . Catheter hi groin kaltlanga dah a nih chuan i ke chu a dinglam thei ang bera dah tur a ni a, sawn loh tur a ni.
• I test result hmasa a zirin a tul chuan damdawi inah i awm a ngai mai thei .
• Catheter chungah hian sterile bandage (dressing) te tak te dah a ni. A tuk ah lakchhuah theih a ni. A tam zawkah chuan stitches hi a ngai lo.
• Hliam na hmun chu fai leh vawt taka dah tur a ni .
• Test zawhah ei leh in damdawi ei theih a ni.
• Test zawh ni khatah i thil tih pangngai chu i thawk leh thei ang.Mahse kar khat vel chu rit phurh ang chi thil i tihtlem a ngai dawn a ni.

Hei hian risk a nei em?

EP study hi a tlangpuiin test him tak a ni. Mahse, damdawi lam tih dan dang ang bawkin hlauhawmna engemaw zat a awm. Chung zingah chuan:

• Catheter dahna hmuna natna hrik emaw thisen chhuah emaw.
• Thinlung thawk mumal lo (Arrhythmia) .
• Catheter-ah hian thisen zam a lo awm a, thisen kalna kawngah a tang a ni.
• Thisen kalna kawng, heart valve emaw heart chamber emaw hliam.
• Lung natna a ni.
• Thai.

Mahse, lungngai suh, i doctor-te hian he EP Study hi control tha takah an ti a ni. Tin, i tana hlauhawm tur tih tlem nan hmalakna bik an nei bawk. He test hian a hlauhawmna leh a thatna chungchanga zawhna i neih chuan i doctor nen inbia ang che.

EP zirchianna hian eng hlawkna nge a neih?

`(EP Study)` atang hian a hnuaia hlawkna te hi i hmu thei ang:

• I thinlung rhythm-a thil dik lo awm chungchanga i zawhnate chhanna i hmu ang.
• ``Catheter Ablation'' hmanga buaina chinfel theih a nih chuan damdawi thenkhat ei chhunzawm ngai lo turin kan zalen mai thei.
• I nunphung a tha zawk ang.
• Heart rhythm disorder thenkhat tan chuan ``Catheter Ablation'' hmanga enkawl hi ``Arrhythmia'' surgery aiin a man tlawm zawk mai thei.

EP study hi a tlangpuiin a him. Hei vang hian thihna a tlem hle a, mi 5,000 zinga 1 vel a ni.

Engtin nge result ka hmuh theih ang? Engtin nge ka tih leh ang?

Test zawhah doctor chuan a result hmasa ber a hrilh ang che . Chu result a\ang chuan in lama i haw theih leh theih loh emaw, damdawi ina awm reng a ngai em tih emaw chu an rel ang. Doctor chuan ni dangah lo kal lehin EP Study result leh i enkawlna chungchang sawi belh turin a ti thei che a ni.

Results-ah thil danglam tak a awm chuan i doctor chuan ``Catheter Ablation'' hmangin a enkawl nghal mai thei. Chutiang a nih loh chuan enkawlna dang ruahman emaw, damdawi an pek emaw a ngai mai thei. Mi thenkhat chuan ``Catheter Ablation'' an tih hnuah pawh enkawlna dang, ``Pacemaker' ' te hi an mamawh mai thei.

Engtik lai nge doctor pan tur i mamawh?

Test zawha in lama i haw chuan heng symptoms te hi i neih chuan i doctor i ko ngei tur a ni:

• Catheter hmun chu a sen a, a hring emaw, tui a chhuak emaw a nih chuan.
• Catheter dahna hmuna kut emaw ke emaw-ah rilru hahna emaw, thil mak tak tak emaw i neih chuan.
• Catheter dahna kut emaw ke emaw-ah emaw pawh niseI kut zungtang a vawt a, hriatna a hloh emaw, a rawng a thlak emaw chuan.
• I luak dawn a nih chuan.
• I rilru natna i neih chuan .

Emergency treatment atan 1990 call la, a nih loh leh damdawi in hnai ber pan la, a hnuaia thilte hi i tawn chuan:

• Catheter hmun hmet leh vawn hnuah pawh thisen chhuah a tawp loh chuan.
• Hliam chhehvela hliam chu a lo pung nghal a nih chuan.

Zawhna tlem tal i tan.

EP study kan tih hian kan harh em?

Awle. IV hmangin damdawi an pe che a, chu chuan i rilru a ti hahdam a, i muhil deuh bawk. Mahse, i muhil kim lo.

EP study hian eng chen nge hun a duh?

Darkar khat atanga darkar li vel a ni tlangpui .

EP zir hi a hrehawm em?

Sedative pek i nih avangin natna engmah i nei tur a ni lo. Mahse, catheter dahna vunah chuan pinching sensation tlem i nei thei.

I hriat reng tur pawimawh ber berte

EP study nei tura tih i nih chuan a hmaa heart test dang i neih tawh zawng zawng aiin thil lian zawk angin a lang thei. Mahse i doctor hian chhan neiin a order a ni. I thinlunga thil thleng dik tak hriat tumin leh i tanpui nan a ti a ni . EP study-ah hian i thinlungah instruments dah tel a ni a, mahse test him tak a ni. I doctor- in i thinlung thawk mumal lo enkawlna atana a mamawh information a pe a ni.

Test neih chhung hian medical team chuan theihtawp an chhuah ang tih hre reng ang che. Zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui rawh. Hei hian i rilru a hahdam zawk ang.

` Heart rate, EP study, thinlung natna, catheter, cardiac electrical activity, arrhythmia, heart test te