A chang chuan chhan awm lovin i chau thin em, a nih loh leh stairs i chhoh dawnin thawk harsa i ti em? I doctor chuan i thinlung a thawk tha lo deuh tih a hrilh che pawh a ni mai thei, chu chu ‘Heart Failure’ tih natna i nei tihna a ni. Chutiang thila thil thleng ber chu thinlung chamber-te chu a rualin leh rhythm inangah an thawk lo tih hi a ni. Chumi avang chuan thinlungin taksa mamawh thisen chu mumal takin a pump thei lo. Hei hi tunlaia he harsatna kan sawi tak, he enkawlna bik CRT tih hi a chinfel dan tur a ni.
A awlsam zawngin, he CRT enkawlna hi eng nge ni?
CRT hi ‘Cardiac Resynchronization Therapy’ tih tawifelna a ni. A dik tak chuan hei hi operation tenau tak hmanga thinlung chhungah pacemaker bik dahna a ni. Hei hi a hming dang chu ‘biventricular pacing’ tih a ni.
Ngaihtuah teh, kan thinlung hian a hnuai lam chamber pahnih a nei a, chu chu damdawi lam chuan ventricles tiin kan ko a ni. Thinlung hrisel takah chuan heng chamber pahnih hi a inzawm khawm tur a ni a, a rualin taksaah thisen pump turin. Mahse heart failure ang chi dinhmunah chuan heng chamber pahnih hi hun hrang hrangah an inzawm khawm thin. Hei hi ‘dyssynchrony’ an ti a. Chutih lai chuan he CRT device hian a tih chu electrical signal te te a thawn a, chu chuan heng chamber pahnih hi a rualin, rhythm inangah a beat tir a ni. Chu chu heartbeat a resynchronize tihna a ni.
He CRT device hian engtin nge hna a thawh?
Pacemaker pangngai tih hi i hre tawh ngei ang. Lead pakhat emaw pahnih emaw an nei a. Mahse he CRT pacemaker hian hmahruaitu pathum a nei a . Hei hi a danglam bikna chu a ni.
Ngaihtuah teh, heng wire pathum zinga pakhat hi thinlung ventricle dinglamah a inzawm a, pakhat zawk chu veilam ventricle-ah a inzawm bawk. Wire pathumna chu atrium dinglamah a inzawm a, chu chu thinlung chunglam chamber a ni. Chuvangin, thinlung rhythm hi heng wire pathum hmang hian enkawl reng a ni. Rhythm-a thil danglam tak hmuh a nih chuan, chu chu chamber-te chu an inhnek lo a nih chuan, he hmanrua hian a hun takah electrical signal te tak te a thawn a, chu chamber-te chu a thawk dun thei a ni. Orchestra conductor ang mai a ni a, mi zawng zawng chu rhythm khata thunun thei a ni.
CRT leh ICD hi eng nge an danglamna?
ICD an tih hmanrua pawh i hre tawh mai thei. An pahnih hi tibuai suh. Heng pahnih hian hna pahnih an thawk a ni. Hei hi dawhkan hmangin i hrethiam ang u.
| Hmanrua | Hnathawhpui ber |
|---|---|
| CRT (Cardiac Resynchronization Therapy) hmanga tihdam theih a ni. | Resynchronization chu thinlung hnuai lam chamber (ventricles) pahnih chu rhythm inang leh a ruala thawk tura siam a ni. |
| ICD (Cardioverter-Defibrillator dah theih) hmanga siam a ni. | Heart rhythm chak tak, pangngai lo leh nunna atana hlauhawm thei (e.g., Ventricular Tachycardia) hmuhchhuah a, rhythm pangngai siam that leh turin electrical shock pek. |
Mahse thil dang a awm. Damlo thenkhat chuan heng harsatna pahnih hi an nei thei bawk. Chu chu heart chambers te chu an inbeng khawm lo va, hlauhawm takin rhythm chak tak tak a lo awm tihna a ni. Chutiang mite tân chuan doctor-te chuan heng hmanrua pahnih (CRT-D device) inzawmkhawma dah tûrin an rawt a ni .
He enkawlna hi tute nge mamawh?
A tlangpuiin heart rhythm mumal lo (arrhythmias) nei te hian he pacemaker chi hi an mamawh thin. Mahse, CRT therapy hi criteria thenkhat zawmtute tan bik a tha hle. Thinlung chak lo emaw, rhythm mumal lo emaw a neih chhan hi chhan hrang hrang a awm thei.
- Heart Failure: Thinlung hian taksaah thisen a pump tling thei lo.
- A hmaa heart attack vangin heart damage a awm .
- Kum upat deuh deuh hian thinlung hnathawh a tlahniam thin.
- Damdawi thenkhat vangin.
- Pianpui thinlung natna .
- Thinlung chhunga electrical signal thawn chhuahna lama harsatna awm. Entirnan, ‘Bundle Branch Block’ tih condition pakhat .
Mahse, damdawi leh nunphung tihdanglamnain i thinlung chakna a thunun theih loh chuan doctor-te chuan CRT chu a dawt leh tur atan an ngai ang tih hre reng ang che. Hei hi i tan a tha em tih chungchangah hian i cardiologist chauhvin thutlukna hnuhnung ber a siam thei ang.
Surgery tih dan tur
Operation hmain eng nge thleng thin?
Operation hma ni engemaw zat hnuah i doctor chuan i thinlung hnathawh leh a insiam dan enfiah turin test eng emaw zat a ti ang. Entirnan, thinlung MRI scan emaw, Transthoracic Echocardiogram (TTE) emaw ti turin an ti thei che a ni. Surgery neih chhunga natna engmah i neih loh nan anesthesia pek i ni ang. I muhil thei bawk.
Surgery neih lai hian...
1. A hmasa berin, doctor chuan i thinlung hmun bik takah wire bik pathum a dah a, chu chu i kekawr iptea vein kaltlangin emaw, i kekawrte pawh a ni mai thei.
2. A dawtah chuan kekawr hnuai vunah hian incision te tak te siamin pacemaker device (battery leh circuitry awmna box te tak te) dahna tur pocket te tak te siam a ni.
3. Tichuan heart-a wire thawn te chu he device-ah hian connect a ni a, a thawk tha em tih enfiah a ni.
4. Engkim a OK chuan device chu siam pocket chhungah dah a ni a, vun incision chu dissolvable stitches hmangin khar a ni.
Operation hnuah eng nge thleng?
- Damdawi inah darkar engemaw zat emaw, zan khat emaw i awm a ngai ang.
- Anesthetized i nih tawh avangin in lamah lirthei khalh suh. Midang nen i kal a ngai dawn a ni.
- Operation hnu darkar 12 vel chhung chu i kut veilam chu a che lutuk lo turin an hrilh che a, chu chu wire te chu a hmuna a awm hma loh chuan a ni.
- Card bik pek i ni ang. I chhunga device dah chungchang chipchiar takin a awm a ni. He card hi engtik lai pawhin i hnenah dah reng a pawimawh hle . Hei hi airport ang hmunah te chuan tih a ngai a ni.
- Wire te chu hmun dik takah a awm em tih hriat nan X-ray i lak a ngai mai thei a, i thinlung rhythm enfiah nan EKG (electrocardiogram) i tih a ngai mai thei bawk.
CRT enkawlna hlawkna leh hlauhawmna
Enkawlna hlawkna
He enkawlna hi a hlawhtling a nih chuan i nunphung chu nasa takin a lo tha chho thei a ni.
- Thinlung in taksaa thisen a pump chhuah zat hi a pung zel a ni.
- Thinlung efficiency a sang chho zel.
- Thâwk harsa leh hahna ang chi symptoms te chu a tlahniam a.
- Heart rhythm pangngai lo awm theihna a ti tlem.
- Nun hun hi a pung thei a ni.
- Mitral regurgitation ang chi, thisen chu heart valve hmanga hnunglam hawia luang chhuak ang chi dinhmun pawh a ṭha thei hle.
- Exercise thiamna a tha chho zel.
Hei hi risk a awm lo em ni?
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. Mahse, hengte hi a tlem hle. I doctor chuan hengte hi a sawipui ang che a, enkawlna ṭhatna leh ṭhat lohna a hrilhfiah ang che.
- Installed wire te chu a chhe emaw, a hmun atanga chhuak emaw a ni.
- Surgery hmuna natna hrik awm.
- Thisen a chhuak thin.
- Anesthetics emaw thil dang emaw avanga allergy nei.
- Lung lam harsatna dang nei, heart attack (a tlem hle) ang chi.
Dam leh damdawi lam thurawn lak
Operation hnu ni engemaw zat chhungin hna pangngai i thawk leh thei bawk. Mahse, doctor-te chuan kar khat emaw kar hnih emaw chhung chu lirthei khalh emaw, rit phurh emaw ang chi thil engmah ti lo turin an fuih che a ni . He implanted pacemaker-a battery hi kum 7-10 vel a daih tlangpui. Battery a chak loh chuan surgery tenau dang hmanga thlak theih a ni.
Engtikah nge doctor i hmuh ang?
Operation i neih atanga thla khat vel hnuah follow-up appointment i nei ang. Chumi hnuah chuan kum khatah vawi khat emaw vawi hnih emaw Doctor i pan a ngai dawn a ni. Computer-a device, battery leh wire te chu a thawk tha em tih an enfiah ang.
Pawimawh tak: Khawsik i neih chuan, emaw, device dahna hmun chu a sen emaw, a hring emaw, a na emaw a nih chuan, operation hnu kar emaw thla emaw hnuah doctor ko nghal rawh. Hei hi infection chhinchhiahna a ni thei.
Take-Home Thuchah a ni
- CRT hi specialized pacemaker treatment a ni a, heart failure ang chi condition avanga heart chamber inzawm lote tan pek thin a ni.
- Hei hian thinlung hnathawhna a tipung thei a, thawk hah ang chi symptoms te pawh a ti tlem thei bawk.
- Operation hnua special card pek tur che chu i hnenah dah reng ang che. Tin, magnet leh electric field chak tak nei device bulah i kal dawnin fimkhur hle bawk ang che. Hemi chungchang hi doctor zawt rawh.
- Surgery neihna hmunah hian khawsik, natna, emaw, hliam emaw ang chi thil i hmuh chuan doctor lam pan nghal rawh.
- Clinic-ah hian ni ruat saah kal a ngai a, device check tir a ngai bawk.
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