Thinlung thawk mumal lo em ni? CRT enkawlna (Cardiac Resynchronization Therapy) chungchang hi han sawi ila

I thinlung hi musical ensemble angin ngaihtuah rawh. Mi zawng zawng inlungrual taka hna an thawh lai hian, chutih rual chuan music mawi tak tak a siam chhuak thin. Mahse a chang chuan, a bik takin heart failure ang chi condition-ah chuan heart chamber hnuai lam pahnih, ventricles te chu an inhmachhawn a, out of sync takin hna an thawk tan thin. Pakhatin a vuak chuan a dangin a vuak lo va, a dangin a vuak chuan a vuak lo. Thinlung chamber pahnih an inthen chuan thinlung hian thisen a pump tha thei lo. Chutah chuan enkawlna bik Cardiac Resynchronization Therapy, a tawi zawngin CRT tih chu min pui ta a ni.

A awlsam zawngin, he CRT hi eng nge ni?

CRT hi thinlung thawk dan pangngaia siam thattu enkawlna a ni. Biventricular Pacing an ti bawk. "Biventricular" tih awmzia chu "chamber pahnih" tihna a ni. Chumi awmzia chu he enkawlna hian thinlung hnuai lam chamber (ventricles) pahnih chu a rualin a titawp tihna a ni. Chutiang ti tur chuan i doctor chuan i rilru vun hnuaiah device te tak te a dah ang.

Hei hi pacemaker pangngai nen chuan a danglam deuh hlek. Pacemaker pangngai chuan wire pakhat emaw pahnih emaw a nei a. Mahse he CRT device hian wire pathum a nei a . Heng wire pathumte hi thinlung chhung hmun bik pathum-ah an inzawm a ni.

• Wire pakhat chu thinlung chamber chunglam (right atrium) ah a kal a .
• Wire pahnihna chu thinlung dinglam chamber hnuai lam (right ventricle)-ah a kal a.
• Wire pathumna chu thinlung veilam chamber hnuai lam (left ventricle)-ah a kal a.

Heng wire pathumte hian electrical signal fiah lo tak tak an thawn a, chu chuan thinlung chamber te chu a thawk dun a, inlungrual takin a thawk a ni. Conductor pakhatin orchestra hmaah a thu a, mi zawng zawng chu zai dun turin signal a pe ang mai a ni. Hei hian thinlung pumping efficiency nasa takin a tipung a ni.

He CRT treatment hi tuin nge mamawh tak tak?

He enkawlna hi mi zawng zawng tan a ni lo. I doctor chuan a rawt hmain thil engemaw zat a en ang.

• Heart Failure Status: Heart failure nasat leh chak loh i neih leh neih loh a enfiah thin.
• Damdawi hmanga enkawl: Lung natna damdawi tha ber ber kan hman hnuah pawh a natna lanchhuahna (thaw hah, hah) a la lang reng a.
• Heart rhythm problems: ECG test hian i thinlunga electrical signals transmission tihkhawtlai a awm tih a zawng thin. Hei hi a tha fo thin a, a bik takin Left Bundle Branch Block ang chi natna nei tan chuan a tha hle.
• Thinlung pump chakna chu:Echocardiogram (heart scan) pawhin i thinlung thisen pump theihna (ejection fraction) a hniam em tih a enfiah bawk ang.

A awlsam zawngin sawi ila, doctor-te chuan he enkawlna hi damdawi leh nunphung tihdanglamna hmanga thunun harsa, thinlung thawk mumal lote tan an ngai a ni.

Engtin nge enkawl hmain i inbuatsaih thin?

Hei hi surgery tenau tak a nih avangin a hmain i inbuatsaih a ngai a ni. I doctor chuan a hnuaia mite hi ti turin a hrilh ang che:

• Test: Operation i neih hma ni engemaw zat hnuah echocardiogram , thinlung MRI scan , leh thisen test thenkhat neih tir i ni ang a, i thinlung dinhmun dik tak hriat theih nan.
• Chaw nghei: Operation hma darkar 6 tal ei leh in lo turin thurawn i pe ang.
• Damdawi: Surgery neih chhung hian i natna titawp thei tur leh mut hahdam taka dah turin damdawi pek i ni ang a, chuvangin engmah i hre lo ang.

Engtin nge surgery hi an tih thin?

Hetiang hian darkar engemaw zat a daih a ni. Hetah hian thil thleng chu a awm:

1. Wire dah dan: A hmasa berin doctor chuan i kekawr iptea vein pakhat hmangin wire te tak te tak tak pathum a thun a, a nih loh leh i kekawr ipteah pawh a dah lut thei bawk. Hei hi X-ray machine en laiin uluk takin an ti thin.

2. Thinlung lama wire thawn: Chumi hnuah chuan heng wire te hi vein kaltlangin an kal a, a hmaa kan sawi tawh ang khan thinlung hmun ruat pathum (right atrium, right ventricle, leh left ventricle)-ah dah a ni.

3. Device tan hmun siam: A dawtah chuan i collarbone hnuai vunah hian incision te tak te siam a ni a, vun hnuaiah hmun (pocket) te tak te siam a ni. Hei hi CRT device dahna tur hmun a ni.

4. Connection leh testing: He CRT device-ah hian wire pathum thawn chhuah tawp dangte chu a inzawm a ni. Tichuan, a thawk tha em tih leh signal a kal tha em tih an enfiah thin.

5. Implantation of the device: Engkim a OK chuan CRT device chu siam pocket chhungah dahin, a incision chu khar a ni a, stitch te chu felfai takin dah a ni.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin CRT hian hlawkna leh hlauhawmna a nei vek a ni. Hengte hi doctor nen uluk taka sawiho a pawimawh.

Enkawl hnuah eng nge thleng?

Operation hnuah ni khat vel damdawi inah i awm a ngai dawn a ni.

• In lam panna kawngah: Mut theihna damdawi pek i nih avangin lirthei i khalh thei dawn lo . Chuvang chuan in lama hruai tur mi rawn hruai a pawimawh.
• Arm movement: Device dahna sir (a tlangpuiin kut veilam) a kut chu a ding reng tur a ni a, darkar 12 vel chu chawi sang lo tur a ni . Hei hian wire inserted te chu thinlung chhungah a settle tha thei a ni.
• Special Card: Special card pek i ni ang a, chutah chuan he device details zawng zawng hi a awm vek ang. He card hi i wallet-ah engtik lai pawha dah reng a pawimawh hle.
• Recovery: Ni engemaw zat chhungin thil pangngai i thawk leh thei a, mahse kar khat vel chhung chu lirthei khalh emaw, thil rit tak tak chawi emaw a tha lo.
• Recheck: In lama an thawn hmain X-ray emaw ECG emaw hmangin wire te chu a hmunah a awm em tih enfiah theih a ni.

CRT leh ICD hi eng nge an danglamna?

Hei hi mi tam tak tibuaitu a ni. CRT leh ICD hi hmanraw chi hnih a ni.

• CRT (Cardiac Resynchronization Therapy): Kan sawi tawh ang khan hei hi heartbeat synchronize nan hman a ni. Chu chu thinlung pindante chu a thawk ho a, rhythm pakhatah a siam tihna a ni. Pacemaker advanced version a ni.
• ICD (Implantable Cardioverter-Defibrillator): Hei hian thil danglam tak a ti a. Thinlung chu hlauhawm takin a na a nih chuan a hre chiang a, electric shock te tak te a pe a , chu chuan a normal leh ta a ni . Hei hi nunna chhanhimna hmanrua a ni.

Mahse, a tam zawkah chuan thinlung natna vei te hian heng harsatna pahnih hi an nei thei a ni. Chuvangin doctor-te chuan thiltihtheihna pahnih nei device pakhat, CRT-D (CRT with Defibrillator) .

Doctor nen engtikah nge kan inbia ang

CRT device i dah hnuah chuan fimkhur tur thil engemaw zat a awm.

Hei bakah hian clinic hun ruat saah pawh i tel tur a ni.

• Follow-up hmasa ber chu operation hnu thla khat vel hnuah neih a ni ang.
• Chumi hnuah chuan kum khatah vawi khat emaw vawi hnih emaw hmu turin an ngen ang che.

Heng clinic-ah hian doctor chuan device dinhmun, a battery leh wire te a enfiah thin. He device avang hian i thinlung hnathawh a lo that tawh zia a enfiah bawk.