Thinlung chhunga enfiahna test: Transesophageal Echocardiogram (TEE) chungchang hi i zir dawn teh ang!

I doctor-in i thinlunga harsatna i neih leh neih loh enfiah turin special test a ti em? `(Transesophageal Echocardiogram)` a ni thei a, kan tih angin `(TEE)` test pawh a ni thei bawk. Thil mak deuhin a ri thei a, mahse i thinlung dinhmun chu chiang takin, a chhungril atanga i hmuh theihna tur method a ni. Chuvangin he thil hi tlem i hlau emaw, i hriat duh emaw pawh a ni thei. Chuvangin he `(TEE)` test chungchang hi awlsam takin, i hriatthiam theih angin sawi ila.

Hei (TEE) test hi eng nge ni? Engtin nge tih a nih?

A awlsam zawngin Transesophageal Echocardiogram hi sound wave hmanga i thinlung thlalak lakna test a ni. Hei pawh hi echo test a ni. Mahse, a tlangpui zawk Transthoracic Echocardiogram (TTE), rilru chhunga tih thin nen chuan a danglam deuh hlek a ni. Hei hi a chhan chu thlalak te hi taksa chhung lam atanga lak a nih vang a ni.

Doctor, hmanraw te tak te, sei tak, tube ang chi, ``Endoscope,'' kan tih chu uluk takin i kawr hnuai lam i ei tur pipe (esophagus)-ah dah a ni. He tube tawp lamah hian ``Transducer'' te tak te a awm a, he ``Transducer'' hian sound wave a pe chhuak thin. Heng sound wave te hian thinlung hmun hrang hrangah an rawn deng a, an reflect leh a, echo ang maiin an rawn lang leh thin. ``Transducer'' hian chu wave lo kir leh chu a la a, computer-ah a thawn ta a ni. Computer chuan chu data chu image-ah a chantir thin. Heng thlalakte hian thinlung pianzia leh hnathawh dan chipchiar takin a tarlang a ni.

A châng chuan doctor-te chuan he TEE test bakah hian Doppler ultrasound leh Color Doppler tih hming pu technique bik an hmang ṭhin. Chûngte chuan thinlunga thisen kal chakna leh a kalna lam chu dik takin a teh thei a ni.

He (TEE) test hmang hian doctor-te chuan eng nge an hmuh?

He `(TEE)` test hian thinlung insiam dan, chu chu a peng hrang hrang inrem dan te, thinlung hnathawh dan te chiang takin a tarlang thei a ni. Hei hian natna chi hrang hrang hriatchhuahna leh enkawlna huna enkawl danah a pui thei a ni. Entirna tlemte chu hetiang hi a ni:

• Aortic aneurysm: Hei hi kan taksaa thisen kalna kawng lian ber (aorta) bang a chak lo va, balloon ang maia a bulh lai a ni.
• Thinlung chhunga thisen zam: A bik takin atrial fibrillation nei te hian thinlung pindan chunglam (atria)-ah thisen zam an nei tam zawk.
• Cardiac tumors: Hengte hi cancer emaw cancer ni lo emaw a ni thei.
• Congenital heart disease: Hei hian pian tirh atanga lo awm thin thinlung natna chi hrang hrang a kawk a ni.
• Heart valve natna: Entirnan mitral valve natna. He valve hi a tawi thei (stenosis) emaw thisen hnunglam hawiin (regurgitation) a leak thei bawk. Tin, prosthetic valve nei te chu an valve-a harsatna awm leh awm loh, infection emaw thisen zam emaw te pawh enfiah theih a ni bawk.
• Lung tissue emaw valve emaw a natna: Entirnan, `(Infective endocarditis)` ang chi natna.
• Pericardial disease: Hei hian thinlung hual veltu thin sac (pericardium)-a natna awmte a kawk a ni.

Engvangin nge he (TEE) test hi tih a nih? Eng dinhmunah nge?

TEE test tih theih chhan hrang hrang a awm. Eng nge an nih hi han thlir ila:

1. Regular echocardiogram (TTE) a tawk lo a nih chuan: I rilruah regular echocardiogram (TTE) an tih zawh hnuah i doctor chuan i thinlung hi chiang zawk, chipchiar zawka en a ngai mai thei. Chutiang hunah chuan TTE bakah hian TEE test pawh tih theih a ni a, chu chuan thinlung lam harsatna hriatchhuahna emaw, enkawl dan tur ruahmanna emaw a siam thei a ni.

Kawngpuiah i kal a, glass atang chuan dawr pakhatah plate mawi tak tak i hmu ang tih han ngaihtuah teh. Plate-ah hian pangpar lem a awm tih i hmu thei a, mahse eng pangpar nge an nih tih chiang takin a chiang lo a, a chipchiar zawng chu eng nge ni tih erawh a chiang lo, a chhan chu a chhehvelah mi an awm a, glass pawh a awm bawk. Chuvangin dawr chhungah chuan lut la, plate te chu ngun zawkin i en a. Chutah chuan roses an nihzia i hmu ta a ni.

Chutiang chuan rilru chhunga echocardiogram (TTE) pangngai tih chu dawr chhunga glass atanga thlir ang mai a ni. Thil tam tak a hrilh thei che a ni. Mahse he TEE hi dawr chhunga lut a, plate lak ang mai a ni. He TEE-ah hian thinlung hmun thenkhat, a bik takin hnungzang lama awmte chu a chiang hle. I esophagus hi i thinlung hnung lamah a awm avangin transducer tan sound wave thawn leh dawnna hmun tha tak a ni.

A bik takin heng hmunte hi en a tha hle:

* Left atrium: Thinlung veilam chamber chunglam.

* Left atrial appendage (LAA): Left atrium chhunga bawm te tak te, beng ang maia awm. Hei hi thisen zam (blood clots) a lo awm fo thinna hmun a ni.

* Interatrial septum: A veilam leh dinglam atria inthenna bang a ni.

* Thoracic aorta: Aorta peng pakhat, rilru chhunga kal.

A chang chuan Doctor ten TTE ni lovin TEE an ti thin. Hei hi a hnuaia mite avang hian a ni:

• Chest structure chu TTE tih harsa thei dinhmunah a awm chuan.
• Lung natna i neih chuan (thinlung thlirna a tihbuai theih avangin).

2. Emergency, nunna atana hlauhawm dinhmun: Emergency thenkhatah chuan doctor ten thinlung dinhmun hi an en vat a ngai thin. Tichuan `(TEE)` hi a tangkai hle. Entir nan:

• Hemodynamic instability (thisen sang leh thisen kalna lama harsatna) .
• Thisen sang hniam (Hypotension) .
• Oxygen level tlahniam (Hypoxia) .
• Emergency thila endik nghal ngai, aortic dissection ang chi te.
• Heart attack nia rinhlelh a nih chuan.
• Prosthetic valve-a harsatna (thisen chhuak, infection ang chi).
• Trauma chu a rilruah a awm.

. Hei hi a chhan chu thisen zam a awm chuan a tih laiin a chhuak thei a, thisen kalna kawng (thromboembolism) a tikhawlo thei a ni.

4. Surgery leh damdawi dang tihnaah tanpui tur: TEE hi surgery leh medical procedure thenkhatah chuan hmanraw hlu tak a ni. Surgery hmaa thinlung insiam dan en nan leh operation tih zawh hnua a hlawhtlinna finfiah nan hman a ni. Entirnan:

• Congenital heart disease avanga operation neih a ni.
• Valve siamthat a ni.
• Valve thlak danglam a ni.

Tin, catheter hmanga enkawlna thenkhatah chuan, chu chu thisen kalna kawng atanga thisen kalna kawng (thin tube) te tak te, thinlunga kaltirna enkawlnaah te chuan TEE hmangin taksa chhung lam enin, a kalphung kaihruaitu tur real-time images pek a ni bawk . Entirnan:

• `(Transcatheter aortic valve thlak danglamna - TAVR)`
• `(Transcatheter mitral valve siamthat)`
• `(Transcatheter tricuspid valve siamthat)`
• `(Transcatheter veilam atrial appendage khar)`

TEE test hi taksa chhungah tih a ni em? Anesthesia hman a ni em?

Ni e, TEE hi taksa chhunga hmanrua dah luh a nih avangin invasive test anga ngaih a ni. Harsatna engemaw chen i nei thei a, mahse harsatna lian tham i neih theihna chu a tlem hle.

A tam zawkah chuan TEE test atan hian local anesthesia leh moderate sedation chauh a ngai thin . Chumi awmzia chu doctor chuan i rilru hnung lamah numbing medicine a spray ang tihna a ni. Tin, i rilru hahdamna tur damdawi intravenous (IV) a pe bawk ang che.

Mi tam zawk chuan general anesthesia an mamawh lo a, mahse i tana tha ber tur chu i doctor nen inbiakna neihpui a tha.

Chuti a nih chuan, tun dinhmunah hian kan muthilh tir em ni? Kan conscious em?

Moderate sedation hian mut a tichhuak ang a, test hi hrehawm lutuk lovin i ti thei ang. Medical staff te chuan harsatna i neih leh neih loh an enfiah chhunzawm zel ang che . A tul chuan sedation tam zawk an pe thei che a ni.

`(General anesthesia)` pek ni ta la, i muhil vek ang a, test chungchang engmah i hrechhuak lo ang. Mahse, `(General anesthesia)` pek i nih chuan `(Breathing machine) nen i connect a ngai dawn a ni.` Tin, mut thuk takah dah i nih avangin, moderate sedation aiin a dam rei deuh a ni.

He test hian eng chen nge a daih?

TEE test hi minute 90 chhung awh thei a ni. Engpawhnise,Thlalak shoot hi minute 15 vel a ni tlangpui.

(TEE) test hmain engtin nge kan inbuatsaih ang?

I medical history chu i doctor nen sawiho ngei ang che. Damdawi lam thil thenkhat chuan TEE test hi a ti hlauhawm thei hle. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:

• Chaw ei kawng cancer a ni
• Gastritis natna (Gastritis) a ni
• GERD (Chronic acid reflux) tih hi a awm lo.
• Hiatal hernia a awm thin
• Intravenous drug hman tawh (IV drug hman) tawhna chanchin .
• Harsatna a awm
• Mut theih lohna (sleep apnea) a ni
• Pum cancer a ni

Tin, heng thil atan hian damdawi i ei a nih chuan min hrilh bawk ang che:

• Mut chungchangah harsatna a awm
• Hlauhthawnna
• Na

I doctor chuan TEE test atana inbuatsaih dan tur chipchiar takin a hrilh ang che. Chu thupekte chu dik takin zawm ngei ang che. I hriatthiam loh thil a awm em tih zawh hlau suh. Instruction-ah hian a hnuaia mite hi a tel ang:

• Ei leh in chawlhsan hun (a tlangpuiin test hma darkar ruk tal).
• Engtikah nge i damdawi hman thin kha i ei tur?
• Hun engemaw chen (test hma ni engemaw zat pawh ni se) zu in loh tur.
• `(TEE)` hmaa i tih tur leh tih loh tur dang.

(TEE) test neih chhung hian eng nge thleng?

Hengte hi `(TEE)` test-a thil thleng tlangpui chu a ni:

1. Hospital gown hak tur pek i ni ang.

2. Doctor chuan i rilruah sticker te te ``Electrodes'' tih chu a dah ang. Hengte hi ``TEE'' chhunga i thinlung electrical activity enfiah nan hman theih a ni.

3. I kut ah thisen sang cuff dah a ni ang a, i kut zungtang ah pulse oximeter dahin i oxygen level a enfiah ang.

4. I rilru ti na turin gargle pek i ni ang. Doctor chuan i kawr chhungah damdawi a theh ang. Hei hi local anesthetic a ni. Hei vang hian TEE chhung hian natna engmah i nei lovang.

5. I hahdam theih nan intravenous (IV) sedative pek i ni ang.

6. Oxygen pe turin i hnar chhungah tube te tak te (nasal cannula) dah i mamawh mai thei.

7. Exam table veilam lamah hawitir i ni ang a, mut tir i ni ang.

8. Doctor chuan zawi zawiin ``Endoscope`` (tube te tak te, sei, flexible) chu i hmuiah a dah ang. Tube tawp lamah chuan ``Transducer`` a awm a. He tube hi i rilruah a tla thla a, i ei tur pipe chhungah a lut a. A tlak awlsam zawk nan lubricate a ni. A châng chuan ``Transducer`` chu hmun dik takah a luh theih nân ei tûra tih i ni ang. Hei hi a nuam lo deuhin a lang thei a, mahse hei hi doctor chuan uluk takin a ti ang. I beng tichhe turin damdawi an pe ang che, chuvang chuan na lutuk i nei lovang.

9. Doctor chuan thlalak a la a. Natna i nei mai thei. Mahse `(Transducer)` erawh a danglam thung.I sawn lai hian i rilruah pressure tlem i nei thei. He part hi minute 10-15 vel a ni.

10. Doctor chuan i kawr atanga tube chu a la chhuak ang a, i thisen sang, pulse, leh oxygen level te chu a enfiah chhunzawm zel ang.

11. Doctor in haw theih a tih hma chu nghak rawh.

(TEE) test zawhah eng nge ka beisei theih ang?

TEE test zawhah in lama hruai tur che i mamawh ang. Sedatives hian a nghawng avangin darkar 24 chhung chu i khalh thei dawn lo . A hnuaia mi hi i beisei thei ang:

• Darkar khat vel chhung chu i rilru a na ang. Hun engemaw chen hnuah a reh mai ang. A natna a reh hma chuan engmah ei leh in suh. I ei leh in vat lutuk chuan i chok mai thei.
• Ni hnih vel chu i rilru a na thei. Hei hi thil pangngai a ni a, ni engemaw zat hnuah a reh mai ang. Mahse, a natna a awm reng emaw, a zual emaw chuan doctor nen inbia ang che.

(TEE) kalphung hian hlauhawmna a nei em?

Mi thenkhat chuan TEE an tih hnuah an rilru a na thin. Darkar tlemte emaw ni thum atanga ni nga thleng a daih thei.

Harsatna dang chu a tlem hle a, mahse a awm thei:

• Damdawi ei avanga allergy awm thei.
• Aspiration pneumonia hi ei leh in emaw tui emaw thawkna kawng a luh avanga lo awm a ni.
• Thisen sang emaw heart rhythm lama harsatna a awm.
• Digestive tract atanga thisen chhuak tenau.

He test hi i tih hmain i doctor nen TEE hlauhawmna chungchang sawi hmasak a pawimawh.

Engtin nge (TEE) test result hi ka hmuh theih ang?

I doctor chuan i test result chungchang a sawipui ang che. I electronic medical record (i medical information i hmuh theihna tur online system)-ah pawh i nei thei bawk. I doctor nen engtikah nge result i hmuh dawn tih leh enkawl dan tur sawipui rawh.

Mi thenkhat tan chuan medical test chungchangah hian tlem chuan an hlauthawng emaw, an hlauthawng emaw tih hi thil pangngai tak a ni. Mahse, Transesophageal Echocardiogram (TEE) ang chi test te hian hriselna atana i hriselna emaw, harsatna lo awmte enkawlna emaw kawngah hmun pawimawh tak a chang thei a ni. TEE hi test hman tlanglawn tak a ni a, harsatna a thlen theihna a tlem hle. TEE i neih chuan i doctor nen inbuatsaih dan tur leh i beisei tur chungchang sawipui rawh.

A tawp berah chuan hei hi hre reng ang che.

TEE test hi hmanraw bik a ni a, chu chuan i thinlung chhungril chu chiang takin a hmu thei a ni. Tlem chuan nuam lo deuhin lang mah se, thinlung natna hriatchhuahna leh uluk taka enkawl kawngah a \angkai hle. A pawimawh ber chu zawhna emaw, rinhlelhna emaw i neih chuan i doctor nen inbia ang che. Tichuan he fiahna hi hlau lo leh inrintawkna nen i hmachhawn thei ang.

` Transesophageal echocardiogram, TEE, thinlung test, thinlung, endoscope, echo test, chaw kawng enfiah