I thinlung tanpui: Interventional cardiology chu eng nge ni?

"Interventional Cardiology" tih thumal hi i hre tawh em? I doctor-in a sawi a ni mai thei, a nih loh leh thinlung lam harsatna i neih avangin i enfiah a ni mai thei. Engpawh nise, hei hi damdawi lam thil pawimawh tak a ni. A tawi zawngin sawi ila, kan sawi dawn em ni?

Interventional Cardiology chu eng nge ni? A awlsam hle mai!

A awlsam zawngin sawi ila, interventional cardiology hi thil tih dan bik a ni a, chu chu tube te tak te, flexible tak ``catheter`` an tih hmangin thinlung leh thisen kalna natna hriatchhuah leh enkawl a ni. Kan kut ah saline kan dah huna kan hman thin cannula te tak te angin han ngaihtuah teh, mahse he ``catheter`` hi chu tube tha zawk a ni. Hei hi i thisen kalna kawng pakhat kaltlangin a lut a ni. Chuvangin vunah hian incision lian tak siam a, surgery tih a ngai lo. Hei hi he method hian a thatna lian ber a ni.

Hemi lama doctor (interventional cardiologist kan ti thin) te hian vascular leh coronary heart disease nei te chu an pui thin. Tin, naute, naupang tê tê, leh puitling thinlung lama harsatna nei, heart valve defect emaw congenital heart disease, septal defect emaw nei te pawh an enkawl bawk.

Interventional Cardiology leh Cardiothoracic Surgery te hi eng nge an danglamna?

Chûng pahnihte chu thinlung nên inzawm mah se, a danglamna tlem a awm.

Interventional cardiologist chuan ka sawi tawh ang khan ``Minimally Invasive`` treatment chu ``(Catheter)`` hmangin, incision lian tak nei lovin, khur te tak te hmangin a ti thin. Chu chu `` open-heart surgery`` an ti lo tihna a ni a, chu chu an rilru lai takah hliam lian tak siam (``Sternotomy``) tihna a ni.

Mahse, cardiothoracic surgeon chu rilru chhunga taksa peng hrang hrang, thinlung, lung leh chaw kawng (esophagus) te surgery titu a ni. Open-heart surgery an ti thin. A châng chuan incision lian pakhat aiah incision tenau tam tak an hmang bawk.

A pawimawh ber chu, a tam zawkah chuan heng specialist pahnih hian an thawk dun a, eng enkawlna kawng nge i tan a tha ber tih an rel thin.

Interventional cardiologist hian eng nge chiang takin a tih?

Heng doctor te hian chu ``(catheter)'' chu thinlung leh thisen kalna kawng natna hriatchhuah leh enkawl nan an hmang thiam hle. Thiltihtheihna thenkhat chu eng nge a nih chiah hriat nan hman a ni a, a then chu natna enkawl nan hman a ni bawk.

Interventional cardiologist chuan eng test nge a order?

Hemi kawngah hian a bik takinI taksaa thisen kal dan a thawk tha em tih a enfiah thin. Thisen kal dan tibuaitu harsatna a zawng a, chinfel tumin a bei thin. Entirnan, i thinlunga thisen petu thisen kalna kawng (``Coronary Arteries``) leh thinlung chamber chhunga thisen kal dan leh pressure a enfiah thin.

Chumi atana test tih thenkhat chu:

• Thinlung thisen kalna kawng CT scan (computed tomography (CT) of Coronary Arteries) a ni.
• Echocardiogram (rilru chhunga echocardiogram) tih a ni.
• Lung lam MRI hmangin .
• A rilru a buai em em a.

Interventional Cardiac Procedure tih hi eng nge ni?

Hei hi `(Catheter)` chauh hmanga thinlung enkawl dan a ni a, vun tikehsawm lo emaw, surgery tih loh emaw a ni. Entirnan, heart valve thlak emaw, heart valve siamthat emaw chu `(Catheter)` hmanga tih a nih chuan interventional heart treatment a ni.

Interventional cardiologist hian eng enkawlna nge a tih?

Heng doctor-te hian enkawlna an tih tam tak a awm a. Chung zinga ṭhenkhat chu i hre tawh mai thei.

• Cardiac catheterization: Thinlung chu a chhungah catheter dahin enfiah a ni.
• Angiogram (`Angiogram` - `Peripheral` or `Coronary`): Thisen kalna kawng hrang hrangah tui bik inject a, X-ray lak a, a blockage awmna hmun hriat theih a ni.
• Angioplasty: Thisen kalna kawngkhar khar chu balloon ang chi thil te tak te hmanga inflate-a hawn leh.
• Coronary Atherectomy: Thisen kalna kawnga thau awm (plaque) te paih chhuah .
• Fractional Flow Reserve (FFR) tehna: Thisen kalna kawngkhar a block vanga thisen kal dan a tihkhawtlai zat tehna a ni.
• Intravascular Ultrasound (IVUS): Thisen kalna kawnga ultrasound hmanrua te tak te dah luh dan a ni.
• Optical Coherence Tomography (OCT): Eng hmanga thisen kalna kawng chhung lam chiang taka hmuh theihna hmanrua a ni.
• Stent Placement: Thisen kalna kawngkhar block-a dah, a block leh loh nan angioplasty hmanga hawn mesh tube te tak te. Hei hi thir hmanga siam a ni fo.
• Heart Valve thlak leh siamthat: Tunah chuan hei hi catheter hmangin tih theih a ni tawh bawk.
• Left Atrial Appendage khar a ni.
• Atria inkar bang chhunga khur khar (`Atrial Septal Defect Closure`).
• Zu Septal Ablation tihchhuah a ni.
• Patent Foramen Ovale khar a ni.
• Renal Denervation: Thisen sang tihhniam nan kal (kidney)-a nerve awmte target-a enkawlna a ni.
• Thrombolysis: Thisen zamte tihthianghlim.

Interventional cardiologist-te enkawlna hman tlanglawn ber chu eng nge ni?

Heng doctor-te tih dan tlangpui chu angioplasty leh thinlung thisen kalna kawng hrang hranga stent dah hi a ni. Hei hian thinlung chhunga thisen kalna kawngkhar pakhata blockage awm zawng turin catheter hman a huam a ni. Tichuan, balloon ang chi hmanraw te tak te hmangin, a blockage (i.e., cholesterol deposit atanga siam plaque) chu vessel wall-ah an press a, thisen kalna tur kawng a siam a ni. Tichuan, a tul chuan mesh tube, stent an tih chu dah a ni a, chu chuan kawngpui chu a khar leh tawh loh nan. Hei hi heart attack nei tawh tan nunna chhanhimna a ni.

Eng natna leh dinhmun nge interventional cardiology hmanga enkawl?

Hetiang hmanrua hian thinlung leh thisen kalna kawng tichhe thei natna engemaw zat a tidam thei a ni. Entirna tlemte chu hetiang hi a ni:

• Lung Valve Natna
• Atherosclerosis natna a ni
• Lung natna (Heart Attack) a awm
• Carotid Artery Disease (hei hi kawr chhunga thisen kalna kawng lian tak a ni) .
• Coronary Artery natna a ni
• Hypertrophic Cardiomyopathy (thinlung ruh a thim) .
• Coronary Artery Fistula (Thinlung chhunga thisen kalna kawng leh thisen kalna kawng dang emaw, thinlung hmun thenkhat emaw inzawmna dik lo) .
• Peripheral Artery Disease (a taksa peng hrang hranga thisen kalna kawng a inkhar) .
• Venous (Vein) natna rei tak a awm
• Aortic Valve Stenosis a awm thin
• Thisen zam natna (`Thromboembolic Disease`) .
• Aneurysm a ni
• Atria inkar bang chhunga zung (`Atrial Septal Defect`) .
• Ventricles inkar bang chhunga zung (`Ventricular Septal Defect`) .

Interventional cardiologist hmu turin referral ka mamawh em?

Ni e, interventional cardiologist hmu turin doctor dang referral i mamawh fo ang. Hei hi a chhan chu heng specialist te hi i mamawh test emaw treatment bik emaw ti tura zirtir an nih vang a ni.

Heng interventional cardiologist te hian khawiah nge hna an thawh?

Interventional cardiologist te hian damdawi inah te, private medical center-ah te, leh medical school-ah te hna an thawk thin. Ṭhenkhat chuan enkawlna an pek rualin damdawi lam zirlai zir chianna leh zirtîrnaah an inhmang bawk.

Vawi tam tak chu heng doctor te hi emergency, entirnan, heart attack nei tawh enkawl turin an on call thin.

Interventional cardiology atan hian eng training nge mamawh?

Hemi lama hnathawh tur hian kum tam tak training neih a ngai a ni. Medical school (kum 4) an zawh hnuah he subspecialty zir mekte hian Internal Medicine-ah kum thum chhung residency training an nei a, chumi hnuah kum thum dang General Cardiology-ah specialty training an nei leh a ni.

Chumi hnuah chuan ``Catheter`` hman dan tur technique hrang hrangah kum khat tal specialized interventional cardiology training (`Fellowship`) i dawng leh ang. Chumi hnuah chauh chuan medical board atangin ``Certification`` i dawng ang.

Interventional cardiologist thenkhat chu Society for Cardiovascular Angiography and Interventions (SCAI) ang pawla member emaw, membership bik nei (``Fellow``) emaw an ni. ``Fellow`` chu procedure 1,000 chuang ti tawh a ni. Chumi awmzia chu training sang tak dawng tawhin a enkawl che tihna a ni.

Interventional cardiology appointment neih chhung hian eng nge i beisei theih ang?

Emergency a nih loh chuan interventional cardiologist chuan i thinlung emaw thisen kalna kawng emaw harsatna chungchang a sawipui ang che. I symptoms te leh eng chen nge i neih tawh tih te an zawt ang che. Damdawi i ei zawng zawng (prescribed, over-the-counter, vitamins, leh supplement pawh) list keng tel a pawimawh.

Doctor chuan i thinlung chu a ngaithla ang. Zuk leh hmuam i hman nge zu in tih a zawt bawk ang. Tin, i chhungte zingah lung natna emaw, thisen kalna kawng lama harsatna nei emaw an awm em tih a zawt bawk ang. Chutah chuan test awlsam tak tak, i thisen sang enfiahna ang chi pawh a ti thei bawk.

Diagnostic test leh/ emaw enkawlna i mamawh chuan chu ni atan chuan appointment hran i siam a ngai ang. I doctor chuan i tana tha nia an hriat interventional treatment chu a hrilhfiah ang a, a hlawkna leh a hlauhawmna te pawh a hrilhfiah bawk ang. Enkawlna atana inbuatsaih dan tur pawh an hrilh ang che. Entirnan, test emaw, enkawlna emaw hma darkar riat chhung ei leh in loh turin an ti thei che a ni.

Lung zai tur i nih thu an hrilh hian tlem a hlauthawng leh lungkham deuh hi thil pangngai a ni. Mahse, interventional cardiology i neih hian specialist trained sang takin a enkawl che tih hre reng ang che. An natna hriat theihna tura an mamawh information an khawlkhawm thei a, chutah chuan open-heart surgery tih ngai lovin an enkawl thei a ni.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Chuvangin, interventional cardiology hi damdawi lam field hmasawn tak leh damlote tana remchang tak a ni.

• Incision lian tham a awm lo: A thatna ber chu thinlung leh thisen kalna lama harsatna tam tak chu catheter te tak te chauh hmanga enkawl theih a ni a, incision lian tham siam ngai lovin.
• Dam thuai: Operation lian tham tih a nih loh avangin damdawi ina awm hun hi rei lo te a ni a, rang takin i dam leh thei a, i nun pangngaiah i kir leh thei bawk.
• Thiamna: He enkawlna hi hemi atana training bik nei doctor-te’n an ti thin.
• Hlau suh: Chutiang damdawi pek i nih chuan i doctor nen uluk takin sawi la, a chipchiar zawng chu zawt rawh. Thu dik hriatna chuan ṭul lo taka hlauhna i neih loh nân a ṭanpui ang che.

Lung lam harsatna i neih chuan Doctor hnenah thurawn dil theihnghilh suh. Thinlung hrisel chu nun hrisel tihna a ni!

` Lung natna, interventional cardiology, catheter, angioplasty, stent, thinlung surgery, thinlung hriselna