Thinlung chhung thuk takin i en ang u! Swan-Ganz Catheterization chungchang hi zir rawh!

Doctor ten thinlung natna zawng turin test hrang hrang an ti thin tih i hre tawh ngei ang. A châng chuan thinlung chhûnga thil thleng dik tak, thisen a kal dân leh pressure chu eng nge ni tih chiang taka hriat a ngai ṭhîn. Hetiang hun laia hmanraw leh tih dan bik hi Swan-Garns catheterization an ti a. Hemi chungchang hi thumal awlsam takin kan sawi dawn em ni?

Swan-Ganz Catheter tih hi eng nge ni?

A awlsam zawngin, tube te tak te, special tak a ni. Doctor ten information an hmuh theih nan i taksa chhunga an dah spy te tak te ang mai a ni. Pulmonary artery catheter an ti bawk a, a chhan chu i lung chhunga thisen phurtu main vein (artery)-ah a tawp thin.

He catheter hian tube te zawk pali, a nih loh leh ‘ports’ , a nei a, chungte chu main tube chhungah a lut a ni. Kawngpui lian pakhat nena inzawm, side road te te ang mai an ni. Heng port tin hian hna hrang hrang an nei vek a.

• Lungah tui emaw damdawi emaw thawn rawh. Ngaihtuah teh, damdawi thenkhat chu thinlungah direct-a pek a ngai fo thin a ni lawm ni? Hei hi chutiang thil atan chuan hman theih a ni.
• Taksa peng hrang hranga thisen sang teh thin. A bik takin thinlung chhung leh lung chhunga thisen phurtu vein-a pressure enfiah thin ang che.
• Balloon te tak te pakhat inflating. He catheter hi pulmonary artery chhunga hmun dik takah catheter kaihhruaina atan hman a ni. Balloon hian tehna engemaw zat lakna kawngah pawh a pui bawk.
• Pulmonary artery atanga thisen sample lak a ni. Hei hi thisen lung chhunga kal (entir nan, oxygen awm zat) enfiah nan a pawimawh hle.

He Swan-Ganz atang hian eng nge kan zir theih ang?

Mechanic chuan car engine chhunga thil awm zawng zawng chu harsatna a awm leh awm loh a enfiah ang bawkin, doctor-te chuan he catheter hi hmangin i thinlung hnathawh that dan tur tam tak an hmu chhuak thin.

I hriat tur pawimawh ber berte chu hetiang hi a ni:

• I thinlung dinglam (``right atrium'' leh ``right ventricle'')-a chamber-a thisen an khat huna pressure awm. Heng chamber-a pressure hi thinlung chhunga thisen a luh lai leh thinlung atanga pump chhuah lai hian a pawimawh hle.
• Thinlung veilam (``left atrium'' leh ``left ventricle'') a chamber-a pressure awm dan hi rough idea i nei thei. Hei hi curve hmanga teh a ni.
• Catheter dahna vein-a pressure awm chu.
• I pulmonary artery pressure a ni. Hei hian thisen chu i lung chhunga a kal zelna pressure a teh a ni.
• I cardiac output hi engtin nge a awm? Chu chu minute khatah i thinlungin i taksa pum puiah thisen engzat nge a pump chhuah tihna a ni. Hei hi tehna pawimawh tak a ni.
• I thinlung chhunga valve te hian hna an thawk tha em tih te.

Swan-Ganz Catheter hi hman a la ni em?

Ni e, doctor-te chuan he hmanraw hi an la hmang reng a, a chhan chu mi tam tak chuan thinlung leh pulmonary artery chhunga thil thleng dik tak hriat theihna kawng tha ber nia an ngaih vang a ni. ' Gold standard' ang mai a ni.

Mahse tunah chuan damlo damlo tak takte tan emergency room-ah hman a ni tawh lo. Chu ai chuan noninvasive tool echocardiography tih chu hman a ni ta zawk a ni. Hei hi a chhan chu echocardiography hian Swan-Ganz catheter dah luh huna risk tenau tak tak a neih loh vang a ni.

Swan-Ganz Catheter hi tuin nge mamawh?

Doctor chuan a hnuaia symptom emaw condition emaw i neih nia an rinhlelh emaw, i nei tawh tih an hriat chuan he catheter hi hman a tum tlangpui ang:

• Thâwk hahna (a chhan a chiang lo a nih chuan) .
• Lung lam chak lohna
• Thinlung rhythm pangngai lo
• Cardiogenic shock vang a ni
• Thisen kalna kawng zau lutuk avanga shock (Distributive shock) .
• Constrictive pericarditis ( thinlung chhehvela membrane a khauh ) .
• Lung natna
• Cardiac tamponade (thinlung chhehvela tui awm khawm ) .
• Pulmonary hypertension (lung chhunga thisen kalna kawng (veins) a pressure sang) .
• Pulmonary embolism a awm thin
• Puitling pianpui thinlung natna

Chu mai ni lovin, he catheter hi heart transplant hma leh transplant hnu te, left ventricular assist device dah hma leh dah hnu te, operation dang thenkhat hma leh zawh hnua information lakkhawmna atan pawh hman a ni.

Swan-Ganz Catheter hian engtin nge hna a thawh?

A awlsam khawp mai. Ka sawi tawh ang khan doctor ten he catheter-ah hian ‘port’ hrang hrang emaw, tube te te emaw hmangin i taksa chhungril atanga information an la khawm thin. He catheter hian thinlung dinglam (right atrium leh right ventricle)-a chamber-te a paltlang chuan chu chamber-a pressure chu an teh thin. Tichuan, pulmonary artery chhunga a luh chuan catheter tawp lama balloon te tak te hmangin chu artery chhunga pressure chu an teh thin. Hei hi thinlung leh lung chhunga thisen kal dan chungchangah thu pawimawh tak tak an hmuh dan a ni.

Swan-Ganz Catheterization hma hian eng nge beisei tur?

He test hma hian doctor chuan a hnuaia mite hi a hrilhfiah ang che:

• Swan-Ganz catheter hmanga an tih beisei chu an hrilhfiah ang che. Hetih lai hian zawhna i neih apiang i zawt thei ang.
• Test hmaa damdawi eng emaw i ei a nih chuan a then chu tihtawp a ngai em tih an zawt ang che. Chuvangin i damdawi ei zawng zawng chu i doctor hnenah hrilh ngei ang che.
• Catheterization hma darkar engemaw zat ei leh in kha chawlhsan turin an ti ang che.
• He test hi neih theih nan phalna kan dil a ni.
• Cardiac catheterization lab-ah khum bik pakhatah mu turin an ti ang che.
• I rilru hahdamna tur damdawi chu intravenous (IV) cannula hmangin pek a ni ang. Hei hian lungkhamna leh lungkhamna a ti tlem ang.

Swan-Ganz Catheterization lai hian eng nge thleng?

Hetih lai hian medical team hian hetiang hian hna an thawk mek a ni.

• Catheter dahna tur hmun (a tam zawkah chuan ke, kawr, emaw rilruah emaw vein lian tak) chu uluk takin tihfai hmasa la, a hmun chu natna i hriat loh nan numbed (anesthesia) a ni .
• Tichuan, Swan-Ganz catheter chu numb area kaltlangin vein chhungah an dah lut a.
• Catheter hi thinlung dinglama chamber awmte kaltlangin hmalam pan a ni. As it travels , X-ray images chu monitor-ah enfiah rengin catheter awmna hmun a hriat theih nan. GPS-in kawng min kawhhmuh ang mai a ni.
• A tawpah chuan catheter chu pulmonary artery-ah a lut ta a ni.
• Thu tul zawng zawng an khawn khawm hnuah catheter chu uluk takin an la chhuak thin.

Swan-Ganz Catheterization hnuah eng nge beisei tur?

Doctor in Swan-Ganz catheter a lakchhuah hnuah chuan catheter dahna hmunah hian rei lo te chhung pressure a pe ang. Tichuan, a hmunah hian bandage an vuah ang.

A pawimawh ber chu i keah catheter dah a nih chuan i ke chu ti che lovin darkar hnih atanga darkar ruk chhung muhil turin an hrilh ang che. Hei hi a pawimawh hle a, chuti lo chuan thisen a chhuak mai thei.

Catheter dahna hmunah hian hliam te tak te a awm hi thil pangngai a ni. Kar khat, kar hnih, a tam berah kar thum chhungin a mah chauhin a dam ang.

Swan-Ganz Catheterization hian eng hlauhawmna nge a neih?

Tunah chuan damdawi lam kalphung eng pawh hian risk tlemte a keng tel a ni. Mahse Swan-Garns catheter atanga harsatna lo thleng hi a tlem hle – 0.5% aia tlem. Chumi awmzia chu mi za zingah chuan pakhat chungah a thleng lo mai thei tihna a ni.

Mahse, hlauhawmna tenau tlemte a awm thei. Anni chu:

• Kaichhawng. Catheter hmunah hian hrik a lut a nih chuan.
• I thisen kalna kawngah boruak bubble a awm.
• Lung a tlakbuak. Hetiang hlauhawmna hi a chang chuan kawr chhunga subclavian vein hman a nih chuan a awm thei.
• Heart rhythm pangngai lo (arrhythmia) a awm thei. Hei hi a chang chuan catheter chu thinlung chhunga an kalpui hian a thleng thei bawk.
• Heart wall, valve emaw pulmonary artery emaw a chhiatna tenau te. Hengte pawh hi a tlem hle.

Doctor-te chuan heng hlauhawmnate hi an hre chiang hle a, a tih tlem theih nan theihtawp an chhuah thin. Chuvangin , a tam zawkah chuan he test hi harsatna awm lovin hlawhtling taka tih theih a ni.

Swan-Ganz Catheterization result hi doctor chuan engtin nge a tih?

Test atanga information kan hmuh chu information ro hlu tak ang mai a ni. I doctor chuan he information hi hmangin eng enkawlna nge i mamawh tih a rel ang.

Test result hian damdawi lam dinhmun i nei em tih a nemnghet thei a ni. I harsatna nasat zia hriat theihna turin medical team te pawh an pui thei bawk.

A dinhmun a zirin a hnuaia enkawlna te hi tih theih a ni.

• Damdawi chi hrang hrang. (Damdawi thenkhat chu Swan-Ganz catheter-a ‘port’ hmangin pek theih a ni a, i kut vein-a ‘IV’ hmangin pek theih a ni bawk.)
• Damdawi lam kalphung dangte. `(Procedures)`
• Inzai. `(Surgery)` tih a ni

Engtikah nge doctor ka hmuh leh ang?

Test zawhah a hnuaia thil awmte hi i tawn chuan doctor hnenah hriattir nghal ngei ang che:

• Catheter dahna hmun a hring a nih chuan, emaw, thisen emaw, tui dang emaw a chhuak a nih chuan.
• Catheter dahna ke chu a hring emaw, a hring emaw a nih chuan.

Heng chhinchhiahnate hi i neih chuan ngaihthah suh. Damdawi lam thurawn lak nghal a tha ber.

Hriat reng tur pawimawh ber (Take-Home Message) .

Swan-Ganz catheter hi doctor-te hnena i thinlung emaw, i lung emaw-a harsatna awm tih hriat theihna tura thu hlu tak tak pekna a ni. He thu hian doctor te chu enkawlna tha ber leh dik ber pe turin a pui che a ni .

He test neih chhung hian medical team te chuan i hlim leh hahdam theih nan an enkawl ang. Tin, harsatna awm theihna chance pawh a tlem hle bawk. Chuvangin hetiang test chi hi doctor-in a rawt chuan hlauh a ngai lo. Zawhna emaw rinhlelhna emaw i neih chuan doctor nen sawiho la, chinfel rawh.

` Lung, Swan-Ganz catheter, pulmonary artery, thisen sang, lung natna, lung, damdawi lam test te