Lung na em em? Cardiac Ablation chungchang hi han sawi ila!

A chang chuan i thinlung a na zual emaw, i thinlung na a skip emaw, mak tak maiin a na emaw i hre thin em? A chang chuan hei hi rilru na leh luak chhuak nen a lo thleng thei bawk. Damdawi lam hawi chuan hetiang heart rhythm disturbance hi ‘Arrhythmia’ an ti a. Damdawi ei pawhin he natna hi a chang chuan thunun a harsa thei hle. Mahse lungngai suh, hei hi enkawlna tha tak, non-invasive a awm. Chu enkawlna, chu chu Cardiac Ablation tih hi vawiinah hian kan sawi dawn a ni.

A awlsam zawngin, cardiac ablation chu eng nge ni?

I in electrical system chhungah khawi emaw laiah ‘short’ emaw faulty ‘wiring’ te tak te a awm ang tih han ngaihtuah teh. Tichuan light chu a eng reng lo va, ‘a eng’ a, a nih loh leh a thi thut mai a ni lawm ni? Chu chu kan thinlungah a thleng thin. Kan thinlung hi electrical signal system nalh tak hmangin a thawk a. Heng electrical signal te hi hmun dik lo atanga tan a nih chuan, emaw, kawng dik lovah a kal chuan thinlung thawk a inthlak danglam thin.

Cardiac Ablation (Catheter Ablation tia koh bawk) hi thinlung chhunga tissue tlemte tak tak, electrical signal pangngai lo siamtu chu hmuchhuakin a off thin. Hei hi operation lian tak a ni lo. Cardiologist chuan i thinlungah tube te tak te, flexible tak (hei hi catheter kan tih chu a ni ) chu i groin, arm, emaw neck-a thisen kalna kawng lian tak hmangin a dah lut a.

Tichuan, he catheter tawp lama instruments hmangin heart tissue harsatna awmna hmun chu enkawl a ni. Chutianga tih theih dan kawng hrang hrang a awm a:

• Radiofrequency Ablation: Radiofrequency wave (heat) hmangin tissue a lum a, hliam te tak te a siam thin.
• Cryoablation: Khaw lum lutuk hmangin tissue chu a vawt a, hliam a siam a ni.
• Pulsed Field Ablation: Hei hian electrical energy wave tawi tak tak hmangin tissue a tichhia a ni.

Chutianga hliam te tak te siam a nih avangin electric signal dik lo chu chu hmun piah lamah chuan a kal thei lo. I in chhunga short circuit chungah insulation tape dah ang mai a ni. Tichuan i heart rate chu a normal leh ta. He enkawlna chhung hian natna engmah i hre lovang. Sedation emaw general anesthesia emaw pek i ni thei bawk.

He enkawlna hian eng thinlung natna chi hrang hrang nge a enkawl?

Cardiac ablation hi fast heart arrhythmias enkawlna atan hman a ni ber. Damdawi hmanga thunun theih loh emaw, nunna atana hlauhawm emaw an nih chuan hei hi a solution tha ber a ni.

A hnuaia table hi en la, he damdawi hi eng condition lian ber nge hman a nih tih i hmu ang.

Tin, he enkawlna hi rilru natna (sudden cardiac arrest) hlauhawmna sang tak nei tan pawh a tha thei bawk. A châng chuan, buaina lo chhuahna hmun dik tak hriat tumin, doctor-te chuan he ablation tih hma hian electrophysiology study (EP study) an nei ṭhin. Hei hian thinlung chhunga electrical signal awmte tehna atana catheter hman a huam a ni.

Engtin nge enkawl hmain ka inbuatsaih ang?

I doctor-in he enkawlna hi tih a tum hnuah chuan i tih tur tlemte a awm a. I doctor chuan heng zawng zawng hi chiang takin a hrilhfiah ang che.

• Thisen tithianghlimtu: Thisen tithianghlimtu (e.g., apixaban, rivaroxaban, warfarin) i ei a nih chuan i doctor chuan enkawl hma ni engzat nge i ei tawh loh tur tih a hrilh ang che. Doctor thurawn tel lo chuan heng damdawi te hi ei khap ngai suh.
• Ei leh in tur:Enkawl hma darkar engemaw zat (a tlangpuiin zanlai atanga) ei leh in loh turin an ti ang che.
• In lama khalhtu tur che: Inenkawlna hnua in lama hruai tur che tur ruahmanna siam lawk rawh.
• Thawmhnaw leh bungrua: Damdawi inah i lo kal dawnin thawmhnaw nuam tak ha la. Thil hlu tak tak, jewelry leh pawisa te chu in lamah dah mai a tha ber.
• IV line: Damdawi inah chuan i kut vein pakhatah tube te tak te (IV line) dah a ni. Hetah hian damdawi mamawh, saline, leh anesthetics te pek i ni ang.

Enkawl lai hian eng nge thleng?

Hei hi a takah chuan i ngaihtuah angin a hlauhawm lo. A kalphung zawng zawng chu hetiang hian a kal a ni:

1. Inbuatsaihna: Catheter dahna tur hmun (a tlangpuiin groin) chu shave, tihfai, numbed a ni.

2. Sheath dah luh: Tube te tak te (sheath) chu vun kaltlangin thisen kalna kawngah dahin kalkawng siam a ni.

3. Catheter dahna: Electrode nei catheter tha tak tak chu a kalna tur siam tawh hmangin dah a ni. Chungte chu X-ray kaihhruaina tel lovin uluk takin thinlungah an hruai thin.

4. Buaina mapping: Thinlung chhunga an luh veleh catheter atanga signal lo chhuakte chu an en a, electrical signal dik lo awmna hmun dik tak chu an zawng chhuak thin (mapping).

5. Treatment (Ablation): Hmun dik tak hmuh a nih veleh, a hmaa kan sawi tawh ang khan, tissue chu heat, cold, energy dang hmangin treatment leh deactivate a ni.

6. Completion: Enkawl zawh hnuah catheter leh sheath chu uluk takin lakchhuah a ni a, thisen chhuah tihtawp nan plug emaw suture emaw dah a ni.

A kalphung zawng zawng hi darkar 2 leh 4 inkar vel a ni tlangpui a, mahse a chang chuan a rei zawk thei bawk.

Enkawl hnuah eng nge thleng?

Enkawl zawhah darkar engemaw zat recovery room-ah hruai i ni ang. Nurse pakhatin i dinhmun a enfiah chhunzawm zel ang. I dinhmun azirin chu ni vek chuan i haw thei mai thei a, damdawi inah zan khat riah a ngai mai thei bawk.

In lama i haw hunah chuan in lama zawm tur thupek thenkhat pek i ni ang. Thisen zam lo turin thisen tithianghlimtu damdawi ei turin an ti mai thei che. I medical history a zirin heng damdawi te hi thla engemaw zat emaw a aia rei emaw i ei a ngai mai thei.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Enkawlna dang ang bawkin hei hian hlawkna leh hlauhawmna tenau a nei vek a ni.

Hlawkpuina

• HeiSurgery lian tak a ni lo. I rilruah bandage i vuah a ngai lo. Chuvangin i dam thuai thei ang.
• Damdawi hmanga thunun theih loh heart rhythm disorder te chu a tawp thlenga tihdam theihna hun remchang a siamsak a ni.
• Ṭhenkhat chuan nunna atana hlauhawm dinhmun aṭangin nunna an chhanhim thei a ni.
• Damdawi ei avanga side effects te chu i paih chhuak thei a ni.

Risk a awm thei

Cardiac ablation hi a hlauhawmna a tlem hle. Harsatna hi a awm tlem hle a, a bik takin damdawi in tawnhriat ngah tak, he enkawlna hi ti fo thinah chuan. Mahse fimkhur a tha.

• Thisen a chhuak thin
• Catheter dahna thisen kalna kawng a chhiat
• Heart tissue emaw valve emaw chhiatna
• Infection emaw thisen chhuah emaw
• Thai
• Pacemaker nghet tak mamawh (a tlem hle) .

Engtikah nge hna pangngai ka thawh leh ang?

I dam leh dan hi mi hrang hrangah a inang lo thei.

• Hnathawh lama kir leh: Taksa lam ni lo hna, rit phurh ang chi i thawh chuan kar khat vel hnuah hna i thawk leh thei a ni.
• Weight lifting: Kar khat tal chu pound 10 (kg 4.5 vel) aia rit thil phurh loh tur a ni.
• Exercise leh driving: I doctor hnenah exercise leh driving tan leh hun tha ber zawt la.

Eng symptoms nge doctor ka hmuh ang?

Enkawlna i zawh hnua i haw hunah a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni . Mi thenkhat chu damdawi in Emergency Department (ETU)-ah enkawl vat a ngai thei bawk.

A tawp berah chuan, i thinlung surgery emaw, enkawlna emaw neih chungchangah tlem a hlauthawng emaw, lungkham deuh emaw i neih chu thil pangngai a ni. Mahse, Cardiac Ablation hi a him a, risk hniam tak a ni a, heart rhythm lama harsatna nei tam tak enkawlna atan hlawhtling takin an hmang tawh a ni. Hemi chungchangah hian zawhna i neih chuan doctor zawt la. Procedure i hriatthiam veleh i hlauhthawnna chu a reh ang.