I doctor chuan i heart function a chak lo, heart failure i nei tihna a ni tih a hrilh che em? I chau lutuk a, thawk i hah lutuk a, nitin hna i thawh theih loh khawpin i inhria em? I doctor pawhin pacemaker chungchang a hrilh che pawh a ni thei. Vawiin hian a ang chiah, mahse a danglam deuh deuh, heart function chak lo tak tak nei tan pawha tangkai thei tak device kan sawi dawn a ni. Chu chu Biventricular Pacemaker a ni.
A awlsam zawngin, he Biventricular Pacemaker hi eng nge ni?
Biventricular pacemaker hi hmanraw te tak te, taksa chhungah surgery hmanga dah a ni a, pacemaker pangngai ang bawkin, heart rhythm pangngai lo (arrhythmias) control nan a pui a ni. Mahse, a danglamna ber chu a wire connect zat a ni.
Ngaihtuah teh, pacemaker pangngai chuan wire pakhat emaw pahnih emaw a nei a. Mahse he Biventricular Pacemaker hian wire pathum a nei a . Hei hi a pawimawh hle. Heng wire pathum avang hian pakhat chu thinlung dinglam chamber chunglam (Right Atrium)-ah a inzawm a, a dang pahnih chu thinlung hnuai lama main chamber pahnih (Ventricles)-ah a inzawm bawk.
Tunah chuan en teh, heart attack-ah hian a chang chuan i thinlung hnuai lam chamber (ventricles) pahnih chu a rualin, rhythm khatah an inzawm lo. Mi pahnih chuan kawng hrang hranga lawng khalh ai chuan lawng an khalh ang mai a ni a, mahse mi pakhatin a khalh zawh chuan a dangin a luah ta a ni. Tichuan lawng chu hmalam a pan tha tawk lo a ni lawm ni? Chutiang chu a ni. Thinlung chamber pahnih an thawh dun loh chuan taksain oxygen tamna thisen a mamawh zat pump chhuah chu thinlung tan a harsa hle.
Biventricular Pacemaker hian chamber pahnihah electrical signal a thawn a, a ruala contract leh rhythm inangah a thawk a, heart pumping efficiency a siam tha leh a ni. Doctor-te chuan he enkawlna hi Cardiac Resynchronization Therapy (CRT) tiin an vuah a ni.
He device hi tuin nge mamawh?
A tlangpuiin doctor chuan chhan engemaw avangin hetiang device hi a rawt thin. Eng nge an nih i en ang u.
- I thinlung dinhmun control nana damdawi pek hmanga i symptoms control theih loh chuan.
- I hah lutuk leh thawk harsatna (dyspnea) avanga nitin hna tha taka i thawh theih loh chuan.
- I thinlung hian i taksaah thisen a pump tling lo a nih chuan.
- ECG ang chi test hmanga heart chamber te hi an thawk dun lo tih a chiang a nih chuan.
- Doctor chuan cardiac arrest nghal vanga nunna atana hlauhawm a awm tih a hriat chuan.
CRT-P leh CRT-D inthlauhna
Hetah hian thil dang i hriat tur a awm. Mi thenkhat chuan heart rhythm hlauhawm tak control nan defibrillator an mamawh thei bawk a, he Biventricular Pacemaker (CRT-P) nen hian.ICD pawh dah a ni bawk. He device hi CRT-D tih a ni. Hei hian thinlung chu hlauhawm taka a thawk lai a hrechhuak a, electric shock te tak te a pe a, chu chuan thinlung rhythm a siam tha leh thin. Hei hian mi tu emaw chu thihna rapthlak tak lakah a chhanchhuak thei a ni. I doctor chuan eng type nge i mamawh tih a rel ang.
He device install hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin, a hlawkna bakah hlauhawmna tenau te pawh a awm bawk. Hengte hi hriatthiamna chiang tak neih a pawimawh.
| Hlawkna ber ber | Risk leh harsatna awm thei te |
|---|---|
| Chauhna leh thawk hahna ang chi symptoms nasa taka tihtlem. | Surgery dang ang bawkin natna hrik kai leh thisen chhuah te pawh a awm thei. |
| Nunphung tihchangtlun. | Wire-a wire inbun chu a hmun aṭangin a slip emaw, a inzawm lo emaw a ni. |
| Lung natna avanga damdawi ina awm tam lohna. | Device hi beisei angin a thawk thei lo. (e.g. battery lama harsatna nei) . |
| Lung hnathawh tihchangtlun. | A châng chuan (mi sawm zinga pathum vel) chuan natna lan chhuahna lama hmasawnna beisei chu a awm lo thei. |
| Lung natna nen i dam theih hun rei zawk. | CRT-D type a nih chuan defibrillator hian a tul lo taka shock a pe thei a ni. |
He device hi install theih loh a awm em?
Ni e, hei hi mi thenkhat tan chuan a tha lo mai thei. Entirnan, taksaah active infection, thisen chhuahna lama harsatna, emaw, kum khat chhunga nunna atana hlauhawm thei natna khirh tak dang a awm chuan doctor chuan he surgery hi a rawt lo mai thei.
Pacemaker i dah hnuah eng nge i fimkhur tur?
I taksa peng pakhat ang a nih avangin i enkawl a ngai a ni.
Damdawi lam enfiahna (Follow-ups) neih a ni.
Kum khatah vawi engemaw zat doctor i hmuh a ngai dawn a ni. Heng a tlawh chhung hian i hriselna a enfiah ang a, i device a thawk tha em tih a enfiah ang a, battery a enfiah ang a, software update a awm leh awm loh a enfiah bawk ang . Tin, thla tin in atanga remote check-up ti turin an ti thei bawk.
Engtin nge harsatna a awm tih i hriat?
I symptoms (chau, luak chhuak, muhil, thawk hah) te chu a hma ang bawkin a lo kir leh a nih chuan doctor ko nghal rawh. A châng chuan device chu a beep thei bawk. CRT-D i neih chuan electric shock i neih chuan report nghal tur a ni bawk .
Devices atanga inthiarfihlim tur
Hei hi a pawimawh hle. Magnetic field chak tak nei thilte chu i hlat tur a ni a, chu chuan i pacemaker atanga signal lo chhuak chu a tibuai thei a ni.
- Cell phone leh headphone: Phone-a inbiak hian pacemaker hmaa beng bulah vawn tlat tur a ni. Speaker phone hman a tha ber. Phone emaw headphone emaw chu kawr pocket-ah keng ngai suh.
- Metal Detectors: Hengte hian airport ang hmunah te alarm a tichhuak thei a ni. Chuvangin i pacemaker ID card kha keng reng la, security personnel te hnenah special check dil turin entir fo ang che.
- Damdawi hmanraw dang: Surgery dang, MRI scan, kidney stone enkawlna, natna enkawlna atana TENS therapy, cancer enkawlna radiation therapy tih i mamawh chuan i cardiologist hnenah i hriattir hmasa ngei tur a ni.
Damdawi chauh pawh a tawk lo tih thinlung natna tan pacemaker i mamawh tih an hrilh hian hlauhna leh lungkhamna tlem i neih hi thil pangngai a ni. Mahse he hmanrua hian i nunah hahdamna leh hlawkna a thlen theih chu a tam hle. Chuvangin, he thil chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh suh.
Take-Home Thuchah a ni
- Biventricular pacemaker hi hmanraw bik a ni a, heart failure na tak nei tan chuan heart chamber pahnih chu a thawk dun thei a, hei hian heart efficiency a tipung a ni.
- Hei hian hahna leh thawk hahna ang chi symptoms te chu nasa takin a tihziaawm ang a, i nunphung a tichangtlung bawk ang.
- Device dah a nih hnuah doctor-in a tih angin hun ruat saah check-up neih a pawimawh hle.
- Cell phone leh magnet chak tak ang chi thil i phurh dawnin fimkhur hle ang che. I ID card kha i keng reng ang.
- I luak chhuak a, i muhil a, thawk harsa i ti a, device atanga i rilru a buai a nih chuan doctor hnenah hriattir nghal rawh.
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