Cardiac Catheterization chungchang hi awlsam takin i zir dawn nia!

I rilru a na vang emaw, thawk harsat vangin doctor rawn turin i kal a, ‘Cardiac Catheterization’ neih a ngai tih an hrilh che em? He hming i hriat khan i hlau deuh mai thei. ‘I thinlunga thil dah’ tih thumal i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse a takah chuan kan ngaihtuah angin thil lian tak a ni lo a, hlauh tur a ni lo bawk. Hemi chungchang hi vawiinah hian awlsam takin sawi ila, i rilrua zawhna i neih zawng zawngte chhanna zawng rawh.

Cardiac Catheterization tih hi eng nge ni?

A awlsam zawngin, hei hi open-heart surgery a ni lo. Hei hi i thinlung hnathawh dan enfiahna atana test bik a ni. I thinlung chhung lam en ang mai a ni.

Hetiang tihnaah hian doctor chuan i kut emaw, i ke ruh emawa vein kaltlangin i thinlungah tube (catheter) te tak te, flexible tak tak a dah lut a. He tube hian doctor chuan coronary arteries, thinlunga thisen petu thisen kalna kawng leh thinlung chhunga chamber hrang hrangte dinhmun chiang takin a hmu thei a ni.

He test hi chi hrang hrang a awm em?

Ni e, chi hnih a awm. Catheter dahna thisen kalna leh thinlung hmun enfiah mek ah a innghat a ni.

Engvangin nge doctor chuan he test hi a rawt ang?

I doctor-in he test hi a rawt chhan hrang hrang a awm thei.

• I rilru na fo emaw i thinlung thawk dan pangngai lo emaw chhan dik tak chu zawng chhuak rawh .
• Lung thisen kalna kawng a block emaw heart valve ah harsatna a awm leh awm loh enfiah thin ang che .
• Heart muscle tlemte chu test (biopsy) atan la rawh .
• Lung ruh tichak lo thei dinhmun (cardiomyopathy) en rawh .
• Lung nena inzawm thisen kalna kawng (pulmonary hypertension) ah thisen sang a awm leh awm loh enfiah thin ang che.
• Test dang (ECG, Echo ang chi)-a hmuh theih loh information la rawh.
• He test hi enkawl dan tha ber hriat nan a pawimawh hle. Entirnan, angioplasty , stent dah emaw, coronary artery bypass grafting (CABG) emaw tih emaw, thisen kalna kawng khar enkawlna tur emaw.

Engtin nge hei hian hna a thawh? A chhungril lamah eng thil nge thleng?

Catheter chu thinlung hnaihah a awm chuan chuta tang chuan thisen kalna kawngah tui bik (contrast material) an inject a ni. He tui hi X-ray-ah chiang taka hmuh theih a nih avangin doctor chuan thinlung thisen kalna kawng chhunga thisen kal dan chu a ruala X-ray video lak hmangin live-in a en thei a (hei hi coronary angiogram an ti a ni ).

Heng X-ray thlalak atang hian doctor chuan:

• Thisen kalna kawng khar emaw a zim emaw awmna hmun dik tak zawng rawh .
• Thinlung pindan leh thisen kalna kawng lian leh te, a pianzia te enfiah thin ang che.
• Thinlung khawi hmunah pawh khur danglam tak emaw thisen chhuak emaw a awm leh awm loh enfiah thin ang che.

A châng chuan, doctor pawhin he test a tih lai hian enkawlna dang a ti thei bawk. Chumi awmzia chu harsatna a awm tih hriatchhuah a nih chuan a chinfelna tur pek nghal theih a ni tihna a ni.

• Angioplasty: Thisen kalna kawng khar chu balloon ang chi thil hmanga inflate-a hawn leh.
• Stent dah dan: Thisen kalna kawng hawn tawhah mesh ang chi thil te tak te dah luh a, a khar leh loh nan.
• Valvuloplasty: Thinlung valve tawi tak hawn.

Hei hian eng chen nge a daih ang?

Test ngei pawh hi minute 30 vel chauh a ni . Mahse test atana inbuatsaih nan leh test zawhah enkawl i nih theih nan hun a duh bawk. Chuvangin a vaiin darkar 5-9 emaw a aia rei emaw chhung damdawi inah i awm a ngai mai thei . Chuvangin, he test i neih ni hian nilengin damdawi inah awm beisei ang che.

Test hma, test neih chhung leh test zawhah eng nge beisei tur?

Hetiang kalphung hi i hriat lawk a pawimawh hle.

Test hmain

• Test hma darkar 6-8 chhung ei leh in loh tur thurawn pek i ni ang.
• I doctor chuan i ei tur damdawi thenkhat (a bik takin thisen tithianghlimtu) te chu rei lo te atan chawlhsan emaw, a dose thlak emaw turin a hrilh thei che a ni.
• Allergy i neih apiang leh i damdawi hman zawng zawngte chu i doctor hnenah hrilh rawh.
• Damdawi in i kal hunah chuan incheina tur special outfit pek i ni ang.
• Cannula (IV line) chu kut chhunga vein pakhatah dahin damdawi leh tui pek a ni.
• I heart rate enfiah nan electrode, stickers ang chi chu i rilruah dah a ni. Hengte hi EKG machine nena inzawm a ni.
• I rilru hahdam nan mild sedative an pe ang che. Mahse, i conscious a, doctor thusawi chu i hre thei.

Test neih chhung hian

• Catheter dahna tur hmun (arm emaw groin emaw) chu needle te tak te hmangin numbed a ni .
• Chumi hnuah chuan catheter chu vein kaltlangin thinlungah an kal leh thin. Hetih lai hian pressure tlem i nei mai thei a, mahse natna a awm lo vang .
• Thinlung chhung lam en turin contrast fluid inject a nih chuan lumna tlem i nei thei . Hei hi second tlemte chhungin a bo vek ang.
• X-ray lak lai hian rei vak lo i thawk khap tlat turin an ti ang che.
• Test zawh chuan catheter chu lakchhuah a ni.

Test zawhah

• Catheter chu dahin a hmun chu nghet takin an khih a, thisen chhuah loh nan.
• Kut hmanga tih a nih chuan: I kut chu darkar khat vel i dinglam a ngai a ni. I kal thei.
• Groin-a tih a nih chuan: Thisen chhuah loh nan darkar engemaw zat (2-6 vel) i ke dinglam hawiin khumah i mu a ngai ang.
• Contrast fluid chu i taksa atanga a chhuah thuai theih nan tui tam tak i in a ngai a ni.
• A tlangpuiin chu ni vek chuan in lamah i haw thei a, mahse a chang chuan damdawi inah zan khat riah turin an ti thei che a ni.
• I haw dawnin car i khalh thei lo , in lama hruai tur che i mamawh a ni.
• Ni engemaw zat chu thil rit phurh leh hna hahthlak tak tak i pumpelh tur a ni.
• Inbual theih a ni a, mahse hliam chu tuiah (e.g., inbual, tui chawi) kar khat chhung thun chu a tha lo.

Hei hian eng hlauhawmna nge a neih?

Damdawi lam thil tih dan dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse, harsatna lian tak tak chu a tlem hle tih hre reng ang che .

• Contrast fluid emaw damdawi dang emaw avanga allergy awm.
• Catheter dahna hmuna thisen chhuah, hliam emaw, natna hrik awm emaw.
• Lungphun pangngai lo.
• Thisen sang hniam.
• Thisen zam, heart attack, stroke te hi a tlem hle.
• Kidney chhiatna (a bik takin kal natna nei tawhte tan).

Doctor pan vat a ngaih hunah

In lama i haw hnua a hnuaia symptoms te hi i neih chuan i doctor hnenah hriattir nghal rawh .

• Khawsik i neih chuan .
• I luak chhuak emaw, i muhil emaw a nih chuan.
• Catheter dahna hmun chu a hring a, a na a, chuta ṭang chuan thisen emaw, tui dang emaw a luang chhuak a nih chuan .
• I rilru natna thar emaw thawk harsatna emaw i neih chuan .
• I kut emaw ke emaw (catheter dahna lam)-ah rawng a danglam, a rilru a buai emaw, a vawt emaw i neih chuan.

Heart attack emaw stroke emaw ang chi symptom i neih chuan hun khawhral suh la, damdawi in Emergency Department (ETU) ah kal nghal rawh.