Pacemaker emaw ICD (Implantable Cardioverter Defibrillator) emaw, i thinlung thawk tha thei tura puitu hmanraw te tak te i nei tawh em? Chutiang a nih chuan hun engemaw chen hnuah battery ang chi parts thlak a ngai dawn tih i hre mai thei. Mi tam tak chuan he thu hi an hriat hian an hlauthawng deuh thin. "Surgery dang ka neih leh a ngai dawn em ni? A harsa dawn em?" Mahse a takah chuan kan ngaihtuah angin a hlauhawm lo. Vawiin hian heng heart devices te hi a awlsam zawngin thlak danglam dan tur kan sawi dawn nia.
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Heart device thlak danglam hi eng nge a awmzia?
A awlsam zawngin hei pawh hi surgery a ni. Mahse i thinlung rhythm control turin electronic device (Cardiac Implantable Electronic Device - CIED) dah tawh chu a thara thlak a ngai a ni. Heng hmanrua te hi chi hnih a awm a. Pakhat chu pacemaker a ni . A dang chu ICD (Implantable Cardioverter Defibrillator) a ni.
A tam zawkah chuan hei hi surgery tenau tak a ni a, damdawi ina awm ngai lo a ni a, chu ni vek chuan i haw thei bawk . Chuvangin ngaihtuah lutuk a ngai lo.
Hetiang device hi tuin nge thlak duh ang?
Heart device thlak chhan ber chu a battery a tlakchham vang a ni. Kan phone battery a tlakchham ang mai a ni. Chutiang device a battery hi kum 6 leh 10 inkar chhung hman theih a ni tlangpui . Chuvangin dam chhungin vawi tam tak thlak a ngai mai thei.
Mahse hei hi ngaihtuah buai suh. Clinic i kal dawnin i doctor chuan he device battery level hi a enfiah fo ang. Chuvangin battery a tlakchham dawn hunah an hriattir lawk ang che.
Battery a tlakchham bakah hian heng device te hi thlak a ngai mai thei chhan dang engemaw zat a awm bawk. Eng nge an nih i han thlir teh ang.
| Chhan | Hrilhfiahna |
|---|---|
| Battery a tlakchham tawh | Hei hi a tam ber leh a chhan ber a ni. Battery a chak loh chuan device thlak a ngai thin. |
| Device tihchangtlun a ni | I doctor chuan tuna i hman mek aiin hmanraw thar zawk, thil tithei zawk a rawn rawt mai thei. |
| Thil hmanrua dik lo a awm | Implanted device-ah technical fault a awm emaw, a thawk tawh lo vek emaw a nih chuan thlak a ngai dawn a ni. |
| Hri kai theihna dinhmun | A tlem hle a, device chhehvelah natna hrik a lo awm a nih chuan lakchhuah a ngai mai thei. Hei hi hmuh tur a awm vak lo. |
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I doctor chuan he surgery atana inbuatsaih dan tur chiang takin a hrilh ang che. Heng thupekte hian:
- Damdawi thenkhat tihtawp: Thisen tithianghlimtu (entir nan, aspirin ) leh natna tidamtu thenkhat ni engemaw zat ei kha bansan turin an ti mai thei che.
- Lung test: Thinlung hnathawh dan enfiah nan ECG (Electrocardiogram) emaw Echocardiogram scan ang chi thil tih theih a ni.
- Thisen test: Surgery atan i hrisel em tih hriat nan thisen test eng emaw zat tih a ni ang.
Surgery neih chhung hian eng nge thleng?
A tha ber chu a tam zawkah chuan he surgery hian i taksa peng generator an tih, battery awmna, i vun hnuaia awm chauh a thlak thin. Chumi awmzia chu i thinlung nena inzawm leads te chu a chhuak lo tihna a ni. Hei hian operation lian tak ni lovin operation tenau tak a ni ta zawk a ni.
Mahse, a then phei chuan device pumpui, wire te pawh thlak danglam a ngai mai thei. Chu chu a buaithlak zawk deuh a ni .
Generator pangngai thlak hunah eng nge thleng:
1. Pakhatnaah chuan i kut vein pakhat hmangin mild sedative (sedation) pek i ni ang. Natna engmah i hre lovang.
2. Tichuan, device dahna tur vunah hian incision te tak te siam a ni.
3. Generator hlui chu wire unplug hmangin lakchhuah a ni.
4. Generator thar hi hmun khatah plug a ni a, a hlui nen wire inangah connect a ni.
5. A tawp berah chuan incision chu stitches emaw glue chi khat emaw hmangin an khar thin .
Hei hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.
| Hlawkpuina | Risk a awm thei |
|---|---|
| Device hi maximum efficiency-in a thawk a ni. | Sedatives allergy nei a ni. |
| Lungphung pangngai lo, hlauhawm tak takte venna. | Thisen chhuah tam lutuk emaw thisen zam lutuk emaw. |
| Thinlung hriselna tha vawn reng leh nunna humhim. | Incision emaw wire emaw vel (wire thlak a nih chuan) infection. |
A pawimawh ber chu hei hi a him em em a, risk hniam tak a ni . A buaithlakna hi a tlem hle.
Recovery lai hian engtikah nge doctor ka biak ang?
Operation hnuah darkar engemaw zat damdawi inah i awm a ngai dawn a ni. Staff ten an vil reng ang che a, engkim a tha a nih chuan chu ni vek chuan in lamah an thawn haw ang che. In i haw hnuah , ni engemaw zat chhung chu exercise ang chi thil rit tak tak tih loh tur a ni . Incision chu a hring deuh a, a na deuh a nih chuan thil pangngai a ni. Chumi atan chuan doctor chuan painkiller a pe ang che.
Chu bâkah, i doctor chuan incision thianghlim taka vawn dân te, device thar enkawl dân te, leh engtikah nge hna pangngai i thawh leh theih ang tih te a hrilh bawk ang che.
Amaherawhchu, a hnuaia symptoms te hi i neih chuan doctor rawn nghal tur a ni.
| Damdawi lam thurawn zawng nghal rawh. | |
|---|---|
| Heng symptoms te hi i neih chuan: | |
| A rilru a na | Khawsik emaw taksa na emaw |
| Thâwk harsa (Dyspnea) . | Infection chhinchhiahna, incision atanga pus, rim, emaw sens te |
| Device chu a thawk tha lo nia i rinhlelh chuan (heng symptoms i neih chuan): | |
| Luak chhuak thei | Thil hriatna hloh (fainting) . |
| I thinlung chu a na rang emaw, a na emaw ang maia inhriatna | Hiccups awm reng |
A pawimawh hle: I rilru natna nasa tak, thawk harsatna nasa tak, emaw, muhil i neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh.
Take-Home Thuchah a ni
- I pacemaker emaw ICD device thlak hi thil tih dan pangngai, ruahmanna fel tak siam a ni. A chhan ber chu battery a thi tawh vang a ni.
- Hei hi surgery tenau tak, risk tlem tak a ni a, damdawi ina awm ngai lovin ni khatah in lamah i haw thei fo thin.
- I doctor chuan device battery level a enfiah fo ang a, thlak hun a nih hunah a hriattir ang che.
- Operation hma leh operation hnua doctor-in a pek zawng zawng zawm a pawimawh hle.
- Vaukhânna chhinchhiahnate chu fimkhur rawh. Thil ngaihtuah tur i neih chuan doctor call emaw, emergency-a ETU pan emaw hreh suh.
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