I thinlung chu a na hle a, thunun theih loh angin i inhriat ngai em? Drum ri chak tak mahse rhythm awm lo ang mai a ni. Damdawi lamah chuan he natna hi Atrial Fibrillation kan ti a. A tam zawkah chuan hei hi damdawi hmanga control theih a ni. Amaherawhchu, damdawi hmanga thunun theih a nih loh chuan vawiinah hian Doctor ten an hman thin enkawlna bik kan sawi dawn a ni.
A awlsam zawngin AV Node Ablation chu eng nge ni?
Okay, a hming hi a buaithlak deuhin a lang a, mahse a kalphung erawh a awlsam hle. A awlsam zawngin, AV Node Ablation hi minimally invasive procedure a ni a, i thinlung chhunga tissue hmun te tak te AV node (Atrioventricular node) an tih chu lum emaw, khaw lum lutuk emaw hmangin a tichhia a, a hnathawh a titawp a ni.
Tunah chuan, "Aw, thinlung hmun thenkhat tichak lo i tum em ni?" Lungngai suh, chu chu chiang takin sawi ila.
He AV node hi thinlung electrical system-a junction lian tak angin han ngaihtuah teh. He junction hmang hian thinlung chunglam chamber (atria) atang hian lower chamber (ventricles) ah electrical signal a thawn chhuak thin. Atrial fibrillation-ah chuan upper chamber atanga electrical signal lo chhuak chu a buai hle a, a rang hle bawk. Chuvangin, heng chaotic signals te hi lower chambers lama kal loh nan he junction (AV node) hi kan khar a ni.
Tichuan, i heart rate control nan he treatment hma emaw, enkawl lai emaw pawhin permanent pacemaker dah i ni ang. Hei hian pacemaker hian AV node hna a thawk dawn tihna a ni. Hei hian heart rate chu a rhythm dik taka a awm theih nan a pui ang.
He enkawlna hi tuin nge mamawh tak tak?
Atrial Fibrillation hi enkawl ngai a ni. Mahse, AV Node Ablation hi mi zawng zawng tan a tha lo. I doctor chuan a hnuaia category pakhata i tlak chuan he enkawlna hi a rawn rawt thei ang:
- Damdawi a thawk tha lo a nih chuan: Atrial fibrillation control nana damdawi pek te hian i thinlung thawk a control thei lo a nih chuan.
- Damdawi i tuar thei lo a nih chuan: Mi thenkhat chuan a side effect vangin damdawi hman chhunzawm harsa an ti thin.
- Enkawlna dang a hlawhchham chuan: Enkawlna dang, pulmonary vein isolation te hian heart rate a control thei lo a nih chuan.
- Pacemaker i neih tawh chuan: A chang chuan he enkawlna hi chhan dang avanga pacemaker hmang tawhte tan pawh rawt theih a ni.
AV Node Ablation hian Atrial Fibrillation chauh ni lovin, heartbeat mumal lo dang engemaw zat, heart chambers chunglam a awm te pawh a enkawl bawk. Entir nan:
- Atrial Flutter a ni
- Supraventricular Arrhythmia awm thei te hi a ni
Enkawlna hnathawh dan, step by step
Hei hi surgery lian tak ni lo mah se, uluk taka tih a ni.
Enkawl hma hian eng nge thleng thin?
Pacemaker i neih loh chuan he enkawlna hma kar tlemteah emaw, a chang chuan enkawlna ni-ah emaw permanent pacemaker i dah ang. Chu bakah, i doctor chuan i thinlung electrophysiology study a nei ang a, AV node awmna dik tak chu a hmu ang.
Enkawl tan tirh hian:
1. I kut vein pakhatah cannula te tak te (IV) dah a ni ang a, mut hahdamna (sedation) tur damdawi an pe ang che.
2. Groin, neck, arm ang hmuna vun chunglam a tingling.
3. Chumi hmang chuan i thisen zam pakhat hmangin i thinlungah tube (catheter) te tak te, sei tak tak a lut a.
Enkawl lai hian eng nge thleng?
Catheter an dah hnuah medical team te chuan:
- I vital signs leh heart rhythm te chu enkawl chhunzawm zel a ni ang.
- X-ray technology hmangin catheter chu AV node-ah hruai a ni.
- Catheter bik tip hmangin AV node chu heat (Radiofrequency ablation) emaw, extreme cold (Cryoablation) emaw hmangin a deactivate a ni.
Enkawl zawh hnuah?
A tih zawh chuan doctor chuan catheter te chu a la chhuak ang a, minute 15 vel a hmunah a dah ang. Chumi hnuah chuan darkar engemaw zat khumah mu turin an ti ang che. Damdawi inah zan khat i riak tlangpui ang a, a tuk zingah i haw leh ang.
AV Node Ablation leh PVI inthlauhna
Mi thenkhat chuan AV Node Ablation ai chuan Pulmonary Vein Isolation (PVI) tih damdawi an thlang zawk thin. An pahnih hian Atrial Fibrillation control tum mahse, an methodology leh result-ah hian danglamna tlem a awm. Hetiang hian han thlir ila.
| Nihphung | AV Node tihbo a ni | Pulmonary Vein Isolation (PVI) hmanga tihdam theih a ni. |
|---|---|---|
| Tum ber chu | Electrical signal chaotic tak takte chu thinlung hnuai lam pan tura tihtawp. | Chaotic electrical signals lo chhuahna hmun (pulmonary veins) vel ah barrier siam. |
| Pacemaker mamawh a ni | Nunna atan a mamawh tak zet . | A ngai lo fo. |
| Hlawhtlinna rate | A sang hle (90% aia tam). | A hniam hle (60% - 80% inkar). |
Eng nge a hlawkna leh a hlauhawmna?
Hei hian hlawkna a nei
- Heart rate tha: Damdawi tel lovin heart rhythm control theih a ni (mahse, thisen tithianghlimtu damdawi ei chhunzawm a ngai mai thei).
- Nunphung tha: Symptoms a tlahniam a, nun a nuam zawk.
- Exercise tih theih: Taksain a thawhrimna a tipung a.
- Damdawi ina dah tlem: Emergency hospitalization emaw, Emergency Treatment Unit (ETU) tlawh emaw tihtlem a ni.
Risk a awm em?
Damdawi dang ang bawkin hlauhawmna tlemte chauh a awm a, mahse hengte hi a thleng tlem hle.
- Pacemaker dah luh chungchangah harsatna a awm.
- Ventricular arrhythmias (thinlung hnuai lam chamber-a thinlung thawk mumal lo).
- Thinlung veilam ventricle hnathawh tlahniam (hei hi pacemaker lead dang dah belh (Biventricular pacing) hmangin siamthat theih a ni bawk.
A pawimawh ber chu AV Node Ablation hi a awm reng a, a reversed thei lo (irreversible) . Chuvang chuan dam chhung atan pacemaker a ngai a ni. Hei hi he thutlukna i siam hmain ngun taka i ngaihtuah hmasak tur a ni.
Engtikah nge Doctor i hmuh a ngaih?
Pacemaker i neih hnuah doctor i hmuh fo a ngai dawn a ni. A tlangpuiin thla hmasa hnuah, chutah chuan kum khatah vawi khat emaw vawi hnih emaw. Mahse, a hnuaia symptoms te hi i neih chuan doctor pan nghal rawh.
| Huntha | Symptoms zawng tur |
|---|---|
| Pacemaker awmna hmunah natna hrik i rinhlelh chuan: | |
| Hri kai theihna chhinchhiahna | Khawsik |
| Khua a vawt vangin a khur | |
| Pacemaker awmna hmunah natna, sen, emaw, hring emaw | |
| I pacemaker kha a thawk tha lo nia i hriat chuan: | |
| Performance chungchang a ni | Luak chhuak (vertigo) . |
| Darthlalang nei lova kal (tar) . | |
| Thâwk harsa | |
AV Node Ablation neih tura thutlukna siam hi thil awlsam a ni lo. A chhan chu tihdanglam theih loh a nih avangin i dam chhung zawng pacemaker nen i khawsa a ngai dawn a ni. Mahse, hlawhtlinna rate erawh a sang hle. Chuvangin i zawhna leh hlauh zawng zawngte chu doctor nen sawiho rawh. A pawimawh ber chu engkim hre vek a, i tana tha tur thutlukna siam hi a ni.
Take-Home Thuchah a ni
- AV Node Ablation hi atrial fibrillation na tak, enkawlna dangin a la control loh enkawlna tha tak a ni.
- Hei hi enkawlna awm reng, tihdanglam theih loh a ni a, enkawl zawhah dam chhung atan pacemaker i mamawh dawn a ni.
- He enkawlna hian hlawhtlinna rate 90% aia tam a nei a, i nunphung pawh nasa takin a tichangtlung thei a ni.
- Hei hi thutlukna lian tak a ni. Chuvângin, i doctor nêna a ṭhatna te, a ṭhat lohna te, leh i ngaihtuahna eng pawh chu tlang taka sawihoin, thu tlûkna dik tak siam rawh.
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