Tlemte i chau lai emaw, stairs i chhoh lai emaw hian thawk harsa i ti fo thin em? I rilruah rit tak, thawk hah ang maiin i hria em? Heng symptoms te hi chhan tam tak awm mahse, i ngaihtuah loh chhan a awm thei. Chu chu thinlung ruh peng pakhat a tul lo taka tihthianghlim a ni. Vawiin hian Alcohol Septal Ablation chungchang kan sawi dawn a, damdawi tha tak, open surgery lian tak ni lo, he natna enkawlna atana hman thin a ni.
Zu Septal Ablation hi eng nge ni?
A awlsam zawngin, hei hi thinlung natna Hypertrophic Cardiomyopathy (HCM) tih enkawlna atana hman, minimally invasive procedure a ni. Ngaihtuah teh, kan thinlungah hian pindan pahnih inthenna kulh a awm a. Hei hi septum kan ti a. HCM veiah chuan he bang hi a tul lovah a thim a, a khauh bawk.
Chutianga bang a thim chuan thinlung atanga taksa panna kawng chu a inkhar ta a ni. Kawngpui zau takah lirthei lian tak tang chuan lirthei tlan a siam ang bawkin. Hei hian thinlungin thisen a pump tha thei lo. Chutah chuan thawk hah leh hahna ang chi symptoms a lo lang thin.
Alcohol Septal Ablation (ASA) tih hian thisen kalna kawng te tak te, thisen kalna kawng te tak te, a thicked muscle-a thisen pe thinah hian tube te tak te, flexible tak, catheter , an dah a ni. Tichuan, zu tlêm tê mai chu a kal tlangin an inject a. Zu hian a ṭul lova cell thick tawhte a tichhia a, a hmun chu a ti tlem a ni. Chumi hnuah thisen kal dan block chu hawn leh a ni a, thisen kal chu a lo awm leh ta a ni.
Engvangin nge he enkawlna hi tih a nih a, tute tan nge a tha ber?
He enkawlna hi a hmaa kan sawi tawh ang chi natna , hypertrophic cardiomyopathy (HCM) tan hman a ni ber. Hei hi a tlangpuiin genetic condition a ni a, thlah khat atanga thlah dangah a kal zel a ni.
Cardiologist-te chuan damdawi hmanga thunun theih loh thawk hah leh hahna ang chi symptom nei te tan he enkawlna hi an rawt a ni.
HCM enkawlna ber dang chu open-heart surgery , septal myectomy an tih hi a ni. Chutah chuan rilru chu hawn a, ruh thim tawh chu tan chhuakin lakchhuah a ni. Mahse, mi zawng zawng hian major surgery an nei thei lo. Open surgery neih hian kum upa lam emaw, damdawi lam harsatna dang nei emaw tan a hlauhawm hle.
Hetiang open heart surgery tuar thei lo tan chuan Alcohol Septal Ablation (ASA) hi a tha em em a, a him em em bawk.
| Nihphung | Zu Septal Ablation (ASA) hmanga tihchhuah a ni. | Septal myectomy (open surgery) tih a ni. |
|---|---|---|
| Enkawl dan tur | Minimally invasive (catheter hmangin) a awm lo. | Open heart surgery (rilru hawn) . |
| Recovery hun chhung | Hun rei lote chhung (kar khat vel) . | Long term (kar emaw thla engemaw zat emaw) . |
| Tu tan nge inhmeh ber? | Open surgery tuar thei lo, kum upa tawh, natna dang nei te tan | A tlangpuiin hrisel, thalai, operation tuar thei tan |
Enkawl hmain eng nge ka tih ang?
He enkawlna hma hian i doctor chuan i mamawh tur thurawn zawng zawng a pe ang che.
- Damdawi thenkhat enkawl hma ni engemaw zat ei khap turin an ti mai thei che.
- Enkawl hma darkar engemaw zat chaw nghei (ei leh in loh) i mamawh ang.
- I hriselna enfiah nan test engemaw zat i ti thei bawk:
- Echocardiogram: Thinlung hnathawh dan leh a insiam dan enfiahna scan a ni.
- Electrocardiogram (EKG): Thinlung electric hnathawh dan enfiahna test a ni.
- Complete Blood Count (CBC): Thisen chhiar kim vek a ni.
- Chest X-ray: A rilru a buai em em a, a rilru a hah em em bawk a.
Enkawl lai hian eng nge thleng?
Hei hi damdawi ina tih a ni a, darkar khat emaw darkar hnih emaw vel a ni. I fimkhur ang a, mahse medical team chuan i rilru a hahdam theih nan leh i rilru a hahdam theih nan damdawi an pe ang che.
1. Numbness: A hmasa berin catheter dahna tur hmun (a tlangpuiin kut chunglam emaw kutphah emaw) chu a numbed a.
2. Catheter dah luh dan:Tichuan, thin tube (catheter) chu thisen kalna kawngah dahin X-ray image hmangin thinlung chhunga hmun dik takah hruai a ni.
3. Zu injection: Thisen kalna kawng dik tak hriat chian a nih veleh chuta tang chuan zu thianghlim tak tak (`isopropyl alcohol`) tlem te te inject a ni. Hetih lai hian i rilruah harsatna tlem i nei thei.
4. Temporary Pacemaker: Hetiang tih lai hian i kawr chhunga vein pakhat hmangin i thinlungah temporary pacemaker wire an dah lut a. Hei hi enkawl hnu ni 2-3 chhung i heart rate enfiah nan tih a ni.
5. Finishing: Hna thawh zawh chuan catheter chu lakchhuah a ni a, insertion site chungah bandage dah a ni.
Enkawl hnuah eng nge thleng?
Inenkawl zawhah damdawiinah ni hnih emaw ni thum emaw i awm a ngai dawn a ni. Hemi chhung hian medical team te chuan i hriselna leh heart rate te an enfiah chhunzawm zel dawn a ni. Natna i neih chuan painkiller pek i ni ang.
Enkawlna hnua damdawi ina i awm chhung hian i heart rate enfiah chhunzawm zel a pawimawh a , mi tlemte chauhvin he enkawlna avanga side effect angin heartbeat mumal lo an nei thei a, permanent pacemaker dah a ngai thei bawk.
Enkawlna chu vein hmanga tih a nih chuan thisen chhuah loh nan darkar engemaw zat i ke phar chungin khumah mu turin an ti ang che. Wrist splint hmanga tih a nih chuan chutianga khumah mut a ngai lo tlangpui.
He enkawlna hian eng hlauhawmna nge a neih?
Damdawi lam thil dang ang bawkin hlauhawmna tenau tak tak a awm a, mahse harsatna erawh a awm tlem hle.
- Catheter dahna hmuna thisen chhuah emaw, natna hrik emaw a awm .
- Thisen kalna kawng hrang hranga thisen zam (blood clots) siam.
- Thinlung bangte a chhiatna tenau (surgery hmanga siamthat a ngai mai thei).
- Heart Block: Thinlung electric signal tihbuai a ni. Hei hian thinlung a na lutuk emaw, rang lutuk emaw a thlen thei a ni. Chutiang a nih chuan pacemaker nghet tak a ngai mai thei.
- Pericardial Effusion: Thinlung chhehvela bawm chhunga tui awmkhawm.
Hemi chungchangah hian lungngai suh. I doctor chuan heng hlauhawmnate hi uluk takin a hrilhfiah ang che.
| Enkawl hnua heng symptoms te hi i neih chuan doctor pan nghal rawh! | |
|---|---|
| * A rilru a na | * Thâwk harsa emaw thawk harsa (dyspnea) . |
| * Luak chhuak emaw, rilru hah emaw | * Lungphung pangngai lo emaw, rilru na tak emaw |
| * Chauh lutuk | * Catheter dahna hmuna sen, hring, thisen chhuak, khawsik emaw |
| * Nausea leh luak chhuak | |
Mi tam zawk chu an enkawl atanga kar khat chhungin an hnathawh dan pangngaiah an kir leh thei a, a natna lan chhuah dan pawh a reh thuai thuai thin.
Take-Home Thuchah a ni
- Alcohol Septal Ablation (ASA) hi HCM, heart muscle thickening, non-surgical treatment hlawhtling tak a ni.
- Hei hi duhthlan tur tha tak a ni a, a bik takin tar emaw, natna dang nei emaw tan chuan open heart surgery tuar harsa tur tan chuan a tha hle.
- He enkawlna hian a dam chak zawk a, mahse hlauhawmna tenau tak tak a awm a, chu chu heart block te hi a ni a, chu chuan pacemaker nghet tak a mamawh thei a ni.
- I cardiologist nen enkawl hma leh enkawl zawhah a chipchiar zawng zawng sawiho la, hrethiam rawh.
- Enkawlna hnua natna lan chhuah dan danglam tak a awm chuan damdawi lam thurawn la nghal rawh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Wheezing/asthma hi lung natna mai a ni em? Thinlung lian zawkah chuan thawk hah hi a awm thei em?
Mi tam tak chuan thawk hahna hi ‘Asthma’-ah chauh a awm niin an ngai. Mahse, chu chu a dik lo tak zet a ni! ‘Cardiomyopathy / Heart Failure’ Lung a chak loh chuan lung a tui (thisen) a khat a, chu chuan damlo thawk a ti harsa a, ‘wheezing’ a awm thei bawk. Hei hi medical science-ah chuan ‘Cardiac Asthma’ an ti a. Chutiang a nih chuan inhaler hman lai pawhin rilru a inhawng lo!
💬 Engtin nge ka wheezing hi normal asthma emaw heart failure emaw a ni tih ka hriat theih ang?
Asthma attack pangngai chu bawlhhlawh/leivut a awm chuan, emaw, khawsik a awm chuan a thleng thin. Mahse, ‘thinlung harsatna’ chungchang a nih chuan, 1) Zanah khumah i mut/flat a, mut i tum chuan thawk harsa i ti thut a, au chhuakin i harh chhuak thin (Orthopnea). 2) Chumi rual chuan i ke/kekawrte chu a pangngai lo takin a hring (Edema). 3) Stairs i chhoh dawnin i rilru a na zawka i hriat chuan thinlung natna a ni ngei ang!
💬 Stroke i neih chuan ambulance ko nghal tur a ni a, in lama awm lovin, inhaler hmangin i ko tur a ni. Thihna/emergency dinhmunte chu engte nge ni?
Hlauhawm ber chu cardiac arrest vek hi a ni! Heart attack rual hian 1) a rilru lai takah lung awm ang maia tuar theih loh natna a awm chuan (Chest Pain / Heart attack), 2) a kut veilam atanga a zung hnuai lam thlenga natna chu a darh chuan, 3) damlo chu inbual ang maia a thawmhnaw a chhuah tam chuan a hmai a dum/blue a, a lu a luang a, a hriatna a hloh a, chu damlo chu second tlemte chhungin a thi thei! Damdawi in emergency department-ah i kal nghal tur a ni!
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