I thinlung chu chhan awm lovah, i rilruah thil dik lo a awm ang maiin i hre ngai em? Thil dang pawh a ni thei. Mahse a chang chuan thinlung natna atrial flutter an tih chhinchhiahna a ni thei bawk. Ngaihtuah buai suh, vawiin hian he natna leh a enkawlna tha tak, ablation an tih chungchang kan sawi dawn a ni.
Atrial Flutter hi eng nge ni?
A awlsam zawngin sawi ila, hei hi thinlung rhythm-a buaina a ni. Kan thinlung hian chamber pahnih a nei a, chungte chu a chung lam (atria) leh a hnuai lam (ventricles) te an ni. Thinlung hrisel takah chuan heng chamber pahnih hi mumal takin, rhythm inang takin an beat thin.
Orchestra zirtir tha tak takte’n inlungrual taka hla an play ang maiin han ngaihtuah teh. Mahse Atrial Flutter-ah chuan thinlung chunglam, a nih loh leh atria-te chu a thawk chak hle a, a mumal lo hle bawk. Orchestra member engemaw zatin an duh ang speed-a drum an vuak ang mai a ni. Hei hian thinlung hnathawh zawng zawng a tibuai a ni. Hetiang hian rei tak a awm chuan thinlung tan a tha lo.
Chuti a nih chuan he Ablation treatment hi eng nge ni?
Atrial Flutter Ablation hi thinlung thawk chak leh mumal lo taka thawktu cell chhia te tihchhiat a ni.
In pakhata light pakhat chu wiring chhiat avanga a off leh on lai han mitthla teh. Ablation chu wiring dik lo zawng chhuak a, tihtawp a, harsatna chu a tawp thlenga chinfelna a ni.
Hetah hian doctor-te chuan signal dik lo thawn chhuaktu cell-te chu inactivate turin radiofrequency ablation an tih dan an hmang tlangpui. A châng chuan, hei hi extreme cold (cryoablation) hmanga tih a ni. Engti kawng pawhin, thil tum chu signal dik lo tihtawp a, thinlung rhythm siam ṭhat leh hi a ni.
A pawimawh ber chu, hei hi open-heart surgery a ni lo.
Engvangin nge ablation tih i mamawh?
Doctor chuan he enkawlna hi a hmang tlangpui a, chu chu damdawi emaw, thinlung rhythm siam \hat lehna tur cardioversion an tih procedure emaw hmanga control theih loh a nih chuan a hmang \hin. He enkawlna hi i tan a tha em tih i doctor chuan a rel ang.
Enkawl hma leh enkawl hnua hriat tur thil
He enkawlna hma leh enkawl zawhah hian hriat tur engemaw zat a awm.
Enkawl hmaa inbuatsaihna
- I doctor chuan enkawl hma darkar 6-8 chhung ei leh in loh tur a hrilh ang che.
- Damdawi thenkhat chu enkawl hmain ni engemaw zat ei tawh loh turin an ti mai thei che.
- Mahse hei hi a pawimawh hle: Anticoagulant damdawi i ei a nih chuan i cardiologist-in a tih loh chuan eng vangin pawh titawp suh. Dose khat pawh skip suh.
Engtin nge a enkawl dan
Hei hi cardiac catheterization lab-ah a thleng tlangpui. I mut theihna tur damdawi (twilight sedation), a nih loh leh general anesthesia pawh a awm thei. Tichuan:
1. Groin area-a vun kaltlangin needle te tak te an dah a.
2. Chumi hmang chuan thisen kalna kawng khatah `catheters` an tih tube te tak te engemaw zat an dah a.
3. He tube hmang hian electrode catheter chu i thinlungah a lut a.
4. He catheter hmang hian thinlung chhunga cell awmte chu kan hmu chiang thei a, chu chu harsatna thlentu a ni.
5. Tichuan, radiofrequency energy hmangin cell chhia te chu deactivate a ni.
Hetiang zawng zawng hi darkar hnih atanga darkar li vel a ni thei.
Enkawl hnuah
Treatment an tih zawh chuan tube dah luh zawng zawng chu lakchhuah vek a ni a, puncture hmun chu tihkhauh vek a ni. Chumi hnuah chuan darkar 6-8 vel i ke chu dinglam hawia dah turin an ti ang che. In i haw hnuah pawh i doctor-in a tih hma loh chuan i anticoagulants i ei chhunzawm zel a ngai dawn a ni.
Enkawlna hlawhtlinna, hlauhawmna leh fimkhur tur thilte
Damdawi dang ang bawkin, hemi chungchangah hian hriat tur tlemte a awm. Anni hi ngun zawkin han thlir ila.
| Thu hriat tur chi hrang hrang | Eng nge hriat tur |
|---|---|
| Hlawhtlinna Rate | He enkawlna hian hlawhtlinna rate 90% chuang a nei a ni . Mi tam zawk chuan an thinlung rhythm pangngai an nei leh thin. Mahse, za zela tlemte, 4%-6% vel chuan a lo lang leh thei a ni. |
| Risk a awm thei | Complication awm theihna hi 1% aia tlem a ni.Mahse, harsatna awm lo tak takte chu: heart block, stroke, cardiac perforation, infection, leh thisen chhuah tam lutuk te hi a ni. |
| Engtikah nge ETU (Emergency Treatment Unit) pan nghal tur | Hliam dahna hmuna hliam chu a lo hring nghal emaw, hliam atanga thisen chhuak chu thunun theih loh emaw a nih chuan. |
| Engtikah nge doctor ko nghal tur | Thisen chhuak tam lutuk, chak lohna, buaina, tawng harsa, emaw, rilru hah leh tlu mai thei ang maia i awm chuan. |
| Feature dang ngaihven tur | Thâwk harsa, luak chhuak, rilru na, ke hliam, hliam chhehvela hring emaw, hliam emaw, thinlung thawk dan pangngai lo emaw, pum na emaw i neih chuan doctor hnenah hrilh rawh. |
Eng chen nge tihdam a ngaih?
Hemi chungchanga thil tha ber chu a dam theih nan hun rei tak a daih lo.
In lamah i kir leh thei a, a tuk zingah i hna pangngai i thawk leh thei bawk. Mahse, ni thum vel chhung chu exercise leh rit phurh ang chi thil hahthlak tak tak tih loh chu a finthlak hle.
I dinhmun azirin i cardiologist thurawn angin thisen tihthianghlimna damdawi, hun rei lote leh hun rei tak chhunga ei a ngai mai thei.
Tu pawhin heart rhythm problem an hriat hian tlem an hlauthawng hi thil pangngai a ni. Mahse Atrial Flutter hi enkawl theih a ni. Ablation hi enkawl dan tha tak leh him tak a ni. Chuvangin, he thu hi i doctor nen zalen takin sawi ula, i tan damdawi tha ber thlang rawh.
Take-Home Thuchah a ni
- Atrial flutter hi enkawl theih a ni a, chu chu thinlung chunglam chamber-te’n a nat dan mumal lo leh rang taka a thawh vang a ni.
- Hemi atan hian ablation hi a hlawhtling ber (90% aia tam) leh him ber a ni. Open heart surgery a ni lo.
- Enkawl hma leh enkawl zawhah damdawi lam thupek uluk taka zawm a pawimawh hle a, a bik takin anticoagulant ei chungchangah hian uluk taka zawm a pawimawh hle.
- Enkawlna hnua vaukhânna chhinchhiahna, thisen chhuak nasa, muhil, leh thusawi harsa tih te chu en reng ang che. Harsatna i neih chuan i doctor emaw, damdawi in hnai ber Emergency Department (ETU) hnenah kal nghal rawh.
- He enkawlna hi hlau suh, i cardiologist nen zalen takin sawiho la, thutlukna siam rawh.
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