I thinlung chu a châng chuan chhan awm lovin nasa takin a na em ni? I rilru chhungah khuang ri ang maiin a awm a, rhythm awm lovin, a hlauhawm hle bawk a ni lawm ni? Hetiang dinhmun hian i chau a, i lu a ti buai a, thawk a ti harsa a ni mai thei. Hetiang heartbeat mumal lo, a bik takin doctor-te’n `Atrial Fibrillation` (AFib) an tih hi a chang chuan a control nana damdawi an pekte hian a control tha lo. Chu chu doctor-te chuan enkawlna bik `AV Node Ablation` tih an ngaihtuah lai a ni.
A awlsam zawngin AV Node Ablation chu eng nge ni?
Okay, hei hi thumal buaithlak tak angin a lang thei a, mahse a awlsam zawngin i dah ang u.
A hmasain kan thinlung electrical system hi han thlir ila. I thinlung chu pindan pali nei in angin han mitthla teh. A chunga pindan te tak te pahnih chu atria an ti a. A hnuai lama pindan lian pahnih hi ventricles an ti a. Thinlung hian hna a thawk tha tur chuan heng pindan te hi mumal tak, rhythmic takin a contract a ngai a ni. He hna hi thinlung chhunga natural electrical system hmanga thunun a ni.
`Atrial Fibrillation` (AFib) ang dinhmunah chuan thinlung (atria) chunglam chamber pahnih a electrical signal te chu a buai hle a, chu chuan a ti rang hle a, a ti mumal lo hle bawk. Conductor nei lo orchestra ang mai a ni a, mi zawng zawngin anmahni tune an play vek a ni.
Hetah hian heng chaotic electrical signals te hian upper chamber atanga main chamber (cells) thlenga an kal hmain "gate" te tak te an paltlang a ngai a ni. He gate hi AV node kan tih chu a ni . He AV node hi traffic cop ang mai a ni. Chunglam atanga signal chak leh buai tak lo chhuak tlemte chauh kal tlang tir a, thil awmdan chu thunun tumin a bei thin.
Mahse a chang chuan he harsatna hi a nasat em avangin AV node pawhin a control thei lo. Chutih lai chuan doctor-te chuan `AV Node Ablation' an tih chu an ti ta a ni.
`Ablation` tih awmzia chu tissue thenkhat chu lumna emaw, khaw lum lutuk emaw hmanga deactivate tihna a ni. Chuvangin `AV Node Ablation` tih awmzia chu chaotic signals kalna "gate" (AV node) chu tumruh taka deactivate tihna a ni.
Hei hian a chunga room hrang hranga electrical surges buai tak chu a hnuaia main pumping room-a kal chu a titawp vek a ni.
Engvangin nge pacemaker hi a tul tak zet?
Hei hi he enkawlna chungchanga hriat tur pawimawh ber a ni.
Chunglam atanga signal lo kalte chu hnuai lam pan theihna gate (AV node) chu a nghet taka kan khar hnu chuan thinlung chamber pahnih (cell) te hian beat tur signal an dawng tawh lo. Chuti a nih chuan thinlung chu a thawk tawh dawn lo em ni? No. Chuvangin doctor te chuan solution atan permanent pacemaker an implant che a ni.
He pacemaker hi battery te tak te hmanga kal thei a ni.Thinlung hnuai lam chamber-ah electrical signal a thawn a, chu chuan rhythm bik leh speed bik a beat thin. A awlsam zawngin, thinlunga natural electrical system-a thil \ha lo tak chu kan disable a, chu chu artificial electrical controller hmangin kan thlak a, chu chu a thawk tha hle a ni.
A pawimawh ber chu AV Node Ablation an tih enkawlna hi tihdanglam theih loh leh awm reng a ni. Chumi awmzia chu a tih zawh hnuah chuan i dam chhung zawng pacemaker nen i khawsa a ngai dawn tihna a ni.
He enkawlna hi tute tan nge a rawt?
AV Node Ablation hi mi zawng zawng tan damdawi a ni lo. Doctor-in i tan a rawt theih chhan lian tak tak a awm a:
- I thinlung thawk mumal lo control nana damdawi dang pek zawng zawng a hlawhchham chuan.
- Damdawi hi a side effect na tak avanga i hman chhunzawm theih loh chuan .
- Pacemaker i neih tawh chuan chhan dang vangin.
- I `AFib` dinhmun avanga i thinlung hnathawh a chak lo a nih chuan.
He thutlukna hi i cardiologist-in uluk taka a enfiah hnua siam a ni.
Engtin nge enkawl hmain i inbuatsaih thin?
Pacemaker i neih loh chuan i doctor chuan ablation hma kar tlemteah emaw, ablation neih rualin emaw, a tih zawh hnuah emaw pacemaker a dah ang che.
Chu bakah, `ablation` an tih hmain doctor-te chuan EP Study (`Electrophysiology Study`) an ti bawk. Hei hian kan deactivate tur AV node awmna dik tak zawng turin thinlunga electrical pathways mapping a huam a ni.
Enkawlna hnathawh dan - step by step
Surgery lian tak a ni tih hi hlau suh. AV Node Ablation hi minimally invasive procedure a ni a, vunah khur te tak te hmanga tih a ni tlangpui a, incision lian tak tak awm lovin. A tih dan hi han thlir ila.
| Step hrang hrang | Thil thleng sawifiahna awlsam tak |
|---|---|
| 1. Inbuatsaihna | I kut vein pakhatah cannula te tak te (IV) dahin i mut theih nan leh i hahdam theih nan damdawi an pe che a, chuvang chuan natna i nei tam lo ang. |
| 2. Numbness tih hi a ni | I groin, arm, emaw neck area chu a numbed ang. Hei hi catheter dahna tur hmun a ni. |
| 3. Catheter dah luh | Catheter hi tube te tak te, sei tak, flexible tak a ni a, a natna hmun atanga thinlung thlengin vein kaltlangin a kal a ni. |
| 4. Monitoring neih a ni | Enkawlna hun chhung zawng hian doctor leh nurse te chuan computer screen-ah i heart rate leh blood pressure ang chi thilte an enfiah thin. |
| 5. AV node zawn chhuah | X-ray leh thinlung electrical mapping hmangin doctor chuan AV node awmna dik tak chu a hmuchhuak ang. |
| 6. Ablation (deactivation) tih a ni. | Catheter tip-a special device pakhat chuan AV node chu inactivate turin heat (`radiofrequency energy`) emaw extreme cold (`cryoablation`) emaw a hmang a. |
Hetiang zawng zawng hi darkar khat aia rei lo atanga darkar engemaw zat thleng a ni thei.
Eng nge a hlawkna leh a hlauhawmna?
Damdawi dang ang bawkin hlawkna leh hlauhawmna pawh a tlem hle.
Hlawkna ber ber
- I heart rate control nan damdawi i ei a ngai dawn lo (mahse thisen tithianghlimtu damdawi i ei chhunzawm a ngai mai thei).
- Simptoms, luak chhuak, hah, leh thawk hah ang chi te chu a tlahniam a, nunphung a tha zawk.
- Tun hma aiin taksa tihchakna tam zawk i nei thei tawh ang.
- Lung lam harsatna avanga damdawi ina awm emaw, Emergency Department (ETU) pan fo ngaina a ti tlem a ni.
- Hei hi hlawhtlinna leh himna sang tak a niEnkawlna hmanrua a nih avangin.
Harsatna awm thei (a tlem hle).
Complication hi a tlem hle a, mahse hriat reng a pawimawh.
- Thinlung chhehvela membrane-a tui awmkhawm (pericardial effusion).
- Lungphun mumal lo chi dang.
- Thinlung veilam ventricle hnathawh tlahniam (hei hi pacemaker bik hmangin siamthat theih a ni).
- Thihna thut (hei hi a tlem hle, a tlem hle).
I doctor chuan heng hlauhawmnate hi chipchiar zawkin a hrilhfiah ang che.
Enkawl hnuah eng nge thleng?
Enkawl zawh hnuah doctor chuan catheter te chu a la chhuak ang a, a dahna hmunte chu minute 15 vel a hmunah a vawng ang. Chumi hnuah chuan darkar engemaw zat khumah i mut a ngai dawn a ni.
Damdawi inah zan khat i riak tlangpui ang a, a tuk zingah i haw thei ang. In lama i haw hnu ni hnih emaw ni thum emaw chhung chu tlem chuan hah leh na takin i inhriat hi thil pangngai a ni. Mahse ni reilote chhungin i thiltih pangngai chu i thawk leh thei tawh ang.
Pacemaker dah a nih atanga thla khat vel hnuah follow-up visit nei turin rawn lut turin an ti ang che. Chumi hnuah chuan kum khatah vawi khat emaw vawi hnih emaw check-up i neih a ngai dawn a ni.
Doctor hmuh hun tur
Enkawl zawhah a hnuaia symptoms te hi i hmuh chuan doctor hnenah hriattir nghal tur a ni.
| Huntha | Features ngaihven tur a awm |
|---|---|
| Hri kai theihna chhinchhiahna | Pacemaker dahna hmun chu a na, a hring, a sen, emaw, khawsik emaw, khawsik emaw a awm chuan (hengte hi thla tam tak hnuah a thleng thei). |
| I pacemaker-ah harsatna a awm nia i hriat chuan | Luak chhuak fo, muhil, thawk harsa i neih fo chuan. |
Damdawi dang dang a awm em?
Awle. `AV Node Ablation` aia enkawlna dang anga ngaih chu `Pulmonary Vein Isolation` (PVI) a ni.
Hei hian AFib thlentu electrical signal pangngai lote intanna hmun (pulmonary veins-ah) zawng chhuakin, chu chu tihtawp nan ablate a ngai a ni. PVI enkawl hnuah chuan pacemaker hman a ngai lo tlangpui. Mahse, i doctor chuan heng enkawlna pahnih zingah hian eng nge i tan a tha ber tih a rel ang.
AV Node Ablation neih tura thutlukna siam hi thil awlsam a ni lo. A tihdanglam theih loh a ni. Tin, mi thenkhat chuan an dam chhung zawng pacemaker hmanga khawsak a ngai tih hi an duh lo. Mahse, he enkawlna hlawhtlinna hi 100% vel a ni. Tin, chu chuan i nun hahdamna leh quality a thlen chu a sang hle bawk.
Chuvangin, i zawhna leh hlauh zawng zawng chu doctor nen zalen takin sawipui rawh. Engkim a hrilhfiah ang che a, i dinhmun atana thutlukna tha ber siam turin a pui ang che.
Take-Home Thuchah a ni
- AV Node Ablation hi lungphun mumal lo (Atrial Fibrillation) damdawi hmanga thunun harsa tak enkawlna hlawhtling tak a ni.
- Hei hian thinlung chamber chunglam atanga chamber hnuai lam panna electrical signal chaotic tak takte chu a titawp reng a ni.
- Hei hi tihdanglam theih loh enkawlna a ni a, vawi khat tih zawh chuan tihdanglam theih a ni lo tihna a ni .
- AV Node Ablation hnuah chuan heartbeat mumal tak neih theih nan i dam chhung zawng permanent pacemaker vuah a ngai a ni.
- He enkawlna hian hlawhtlinna rate sang tak a nei a, symptoms a ti tlem a, nunphung pawh nasa takin a tichangtlung a ni.
- Thu tlûkna i siam hmain, i cardiologist nên a ṭhatna, a ṭhat lohna, leh a enkawlna kawngte ngun takin sawiho rawh.
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