Thinlung chhunga khur awm enkawlna - Cardiac Closure Device chungchang hi a awlsam zawngin i zir dawn nia

Doctor-in i thinlungah khur a nei tih a hrilh che khan i hlauthawng hle a, i mangang hle bawk. "Aw ka Pathian, ka thinlungah khur a awm em?" Mahse, lungngai suh. Hei hi kan ngaihtuah angin a hlauhawm lo a, tunah chuan hei hi enkawl dan changkang tak tak leh hlawhtling tak tak a awm ta. I hahna i hriat te, tlem i thawhrim laia thawk harsatna te hi he dinhmun avang hian a ni thei. Chuvangin vawiinah hian heng thinlunga khur te hi kan sawi dawn a, chu chu khar nana hmanraw te tak te, ‘Cardiac Closure Device’ chungchang kan sawi dawn bawk a ni.

I lo en hmasa phawt ang u, he thinlunga khur hi eng nge ni?

A awlsam zawngin kan thinlung hi pindan pali nei in ang a ni. Chhawng chung lamah pindan pahnih leh a hnuai lamah pindan pahnih a awm. Heng pindan pahnih hi a chung lama awmte hi Atria kan ti a. Atrium dinglam leh atrium veilam a ni. Heng pindan pahnih inkarah hian bang a awm a. He kulh hi ‘Interatrial Septum’ kan ti a. A chang chuan, he bang hi pian tirh atangin khur a lo awm thei bawk. Hei hi damdawi lam chuan Atrial Septal Defect (ASD) kan tih chu a ni.

In sak lai hian pindan pahnih inkara bang siam a nih chuan hmun tlemte chu plaster lohvin a awm tih han ngaihtuah teh. Hei hi pianpui (congenital condition) a ni.

Hetiang ang chiah hi condition dang a awm a, mahse a danglam deuh hlek a ni. Patent Foramen Ovale (PFO) tih a ni. Hei hi ASD angin hole tak tak a ni tak tak lo. Kan pum chhunga kan awm vek hian heng atria pahnih inkarah hian kawngkhar te tak te a awm a. Chutih lai chuan kan lungte hian hna a thawh loh avangin he hawnna hi thisen kalna atan a pawimawh hle. Kan pian hnuah, kan thawk tan chuan he hawnna hi a inkhar nghal mai thin. Mahse mi thenkhatah chuan hei hi a khar kim lo va, khuhna tlemte ang maiin a awm reng thung. A tul hunah a hawng thei. Hei hi PFO an ti a.

Engvangin nge heng khur te hi neih hi harsatna a nih?

Okay, tunah chuan, "Chuti a nih chuan khur a awm chuan eng nge thleng?" Hetah hian thil thleng chu a awm.

Kan thinlung veilam ah hian oxygen tamna, thisen thianghlim a awm a. He thisen hi taksa pum puiah pump chhuah a ni. A dinglamah chuan thisen hman tawh, oxygen tlachham, thianghlim lo a awm a. He thisen hi lungah thawn chhuah a ni a, chu chu re-oxygenated a ni.

Tunah chuan han ngaihtuah teh, heng sir pahnih inkarah hian bang chhungah hian khur awm ta se eng nge thleng ang? Tui thianghlim tank filter tha tak leh tui hman tawh tank inkar khur ang mai a ni. Oxygenated thisen tha thenkhat chu deoxygenated thisen nen an inhmeh hle. Tichuan taksaa oxygenated thisen kal ngai zat chu a tlahniam ta a ni.

Chumi avang chuan:

• Chau leh chau lutuk tih hriatna .
• Thâwk harsa a awm ṭhin.
• Palpitations hi heart rate pangngai lo ang maiin a lang tan thin.

PFO a nih chuan a hlauhawm lehzual thei. Kan taksaa thisen zam te te, a bik takin kan kea lo awm te hi a chang chuan thinlung lamah a kal thin. A tlangpuiin lungah an kal a, chuta tang chuan lakchhuah an ni. Mahse PFO hole nei mi pakhatah chuan he thisen zam hi dinglam atanga veilam lamah a zuang thla thei a, thluaka kal thisen kalna kawngah a kal nghal thei a ni. Chutiang a nih chuan stroke hlauhawmna a sang zawk.

Engtin nge he khur hi i khar ang? - Cardiac Closure Device hnathawh dan

Tun hma chuan hetiang khur hi khar tur chuan open-heart surgery lian tak i tih a ngai thin. Mahse tunah chuan technology hmasawn tak avang hian 80% aia tam chu awlsam takin tih a ni ta. Chuvangin he hmanraw te tak te Cardiac Closure Device an tih hi hman a ni.

Umbrella te tak te pahnih inzawm khawm ang mai a ni a, button ang chi device ang mai a ni. Nitinol an tih metal alloy hmanga siam wire mesh hmanga siam a ni a, polyester puan hmanga khuh a ni bawk.

Enkawl dan hi a awlsam hle.

Hei hi cardiologist-in a ti thin.

1. Pakhatnaah chuan i hriat lohna emaw, zu ruih emaw theihna tur damdawi pek i ni ang.

2. Tichuan, i ke vein lian takah chuan tube te tak te , catheter an tih chu i dah lut a.

3. He catheter hi thisen kalna kawng kaltlangin thinlung thlengin a kal a. Heng zawng zawng hi X-ray leh ultrasound ang chi technology kaihhruaina hnuaia tih a ni.

4. Catheter hian thinlunga khur a hnaih chuan balloon te tak te ang chi an dah hmasa a, chu chu a khur lian tham tak tehna atan an hmang thin.

5. Tichuan, closure device, a size dik tak chu catheter kaltlangin folded position-in hole awmna hmunah an kalpui a.

6. A hmun dik takah a awm chuan catheter chu lakchhuah a ni. Tichuan, umbrella ang maia inzawm khawm pahnih chu khur sir lehlamah a inhawng a, chu khur chu a khar vek a ni. A sir lehlamah bang-ah a innghat a, sandwich ang maiin a innghat.

7. Device chu a hmunah nghet taka a awm tih finfiah hnuah catheter chu lakchhuah a ni.

Chu chu a ni. I rilru khuh a ngai lo. Cut lian tak tak a awm lo.

He enkawlna hian a hlawkna leh a nghawng tha lo awm thei te chu engte nge ni?

Damdawi dang ang bawkin hlawkna a awm bakah hlauhawmna tlemte chauh a awm bawk.

A thatna ber

• Hlawhtlinna sang: Zirna hrang hrangah he enkawlna hi 93% aia tam a hlawhtling tih hmuhchhuah a ni.
• Dam chak zawk: Catheter hmanga surgery neih chuan zan khat chauh damdawi inah i awm a ngai a ni. Kar hnih vel hnuah i nun pangngaiah i kir leh thei ang. Open surgery aiin i dam chak zawk hle.
• Natna tlem: Incision lian tak a awm loh avangin na a tlem hle.
• Stroke hlauhawmna tihziaawmna: A bik takin PFO vei tan chuan he method hian damdawi ei aiin stroke hlauhawmna a ti tlem zawk thei a ni.

Side effect awm thei (hengte hi a tlem hle) .

• Thisen zam: Device chhehvelah thisen zam a lo awm thei.
• Device shaking: A tlem hle a, device chu a dahna hmun atang hian a che deuh thei.
• Lungphun (abnormal heart rhythms): Hun rei lote chhung atan thinlung thawk dan (rhythm) hi a danglam thei.
• Endocarditis risk: Hei hi thinlung chhungril lama bacteria infection a ni.
• Device erosion: Hei hi a tlem hle hle (0.04% - 0.3% vel). Device hi heart wall-ah a innghat thei a, hun kal zelah wall a tichhia thei bawk.

Side effect awm lo turin eng nge kan tih ang?

Enkawl zawhah i lam atanga i tih tur tlemte a awm. Hengte hi dik taka zawm chuan chutiang side effects hmuh tur awm lo tak takte pawh chu i veng thei ang.

1. Thisen zawrh loh nan

I doctor chuan i enkawl hnu thla 6 vel chhung chu nitin anticoagulant emaw antiplatelet damdawi, aspirin ang chi ei turin a hrilh ang che. He damdawi hi a hun taka ei a pawimawh hle a , ei theihnghilh ngai suh .

2. Endocarditis infection laka inven nan (hei hi a pawimawh hle!) .

Device hi dah a nih hnuah i taksa tissue te a lo thang lian a, a khuh vek theih nan thla 6 vel a ngai a ni. Hemi hun chhung hian i taksa hmun dang atanga bacteria i thisenah a lut a nih chuan device-ah a kal thei a, infection a thlen thei a ni. Hei hi ven nan:

• I ha leh i hmui te chu fai takin vawng reng ang che. Nitin ha uluk takin silfai thin ang che.
• Ha enkawlna eng pawh (ha lakchhuah, tihfai, fill ang chi) hmain ha enkawltu hnenah chutiang hmanrua chu i thinlungah i nei tih i hrilh hmasa tur a ni.
• Thisen chhuah theihna tur medical test emaw surgery emaw i tih hmain antibiotics i ei hmasa tur a ni . Hei hi hri kai laka inven nan a ni.
• Infection symptoms, khawsik, taksa na, ril na emaw i neih chuan doctor ko nghal rawh.

Hemi chungchang hi doctor chuan card a pe ang che. Engtik lai pawhin i hnenah vawng reng ang che.

Enkawlna hnuah nun pangngaiah kir leh...

Catheter hmanga enkawlna i neih tawh chuan damdawi inah zan khat i awm thei ang a, a tuk zingah i haw thei ang. Ni hnih atanga ni thum chhungin hna pangngaiah i kir leh thei dawn a, mahse kar hnih vel chhung chu thil rit phurh emaw, thil hahthlak tak tak emaw tih loh a tha ber.

Hun a kal zel a, i thinlung tissue chu a lo thang lian ang a, he device hi a khuh vek ang. Tichuan i thinlunga tel ve a lo ni ta a ni. A awm pawh i hre lovang. Nun pangngai nei turin zalenna famkim i nei ang a, exercise i la ang a, i duh duh i ti thei bawk ang.

MRI scan neih a ngai a nih chuan khapna engemaw zat a awm thei. Chuvangin, eng thil pawh i tih hmain i heart doctor nen inbia a, thurawn lak hmasak phawt a tha ber.