Heart rhythm mumal lo i nei em? Cardiac Ablation tih enkawlna chungchang hi han sawi ila!

I thinlung chu rang takin a na nghal vat ang maiin, a nih loh leh a rhythm atanga chhuak ang maiin i inhriat ngai em? A nih loh leh i rilruah hnim hring hring hring ang maia hriatna mak tak i nei em? Damdawi lam hawi chuan he natna hi ‘Arrhythmia’ emaw thinlung thawk mumal lo emaw kan ti thin. Vawiin hian damdawi hmanga thunun theih loh laia doctor-te hman dan bik, mahse hmasawn tak tak kan sawi dawn a ni.

A awlsam zawngin, cardiac ablation chu eng nge ni?

Cardiac Ablation (Catheter Ablation tia hriat bawk) hi thinlung thawk dan pangngai lo (arrhythmias) enkawl dan a ni. Kan thinlung hian electrical system a nei a, signal a dawnte hian a ti tha hle niin han ngaihtuah teh. A châng chuan, he electrical system hmun tê tête hian electrical impulse pangngai lo tak tak a siam thei a ni. Hetiang hian chutiang signal pangngai lo thawn chhuaktu tissue area te chu a zawng chhuak a, "a off" thin.

Hei hi operation lian tak a ni lo. Cardiologist-in a ti thin. I thinlungah tube (catheter) te tak te tak mai chu i groin, arm, emaw neck-a vein hmangin a dah lut a. Tichuan, he tube hmang hian heat (radiofrequency ablation), extreme cold (cryoablation), emaw short energy wave (pulsed field ablation) emaw an thawn a, chu chuan signal pangngai lo chhuahna tissue-ah hliam te te a siam a ni. Heng hliamte hian electrical signal pangngai lo kal chu a titawp a, heart rhythm chu a pangngaiin a awm leh ta a ni.

He enkawlna hian eng ang dinhmun nge a enkawl?

Cardiac ablation hi heartbeat chak tak tak (tachyarrhythmias) enkawlna a ni. Mahse, first-line treatment angin pek a ni tlangpui lo. I doctor chuan i arrhythmia chu damdawi hmanga control theih loh a nih chauhvin he enkawlna hi a rawt thei ang. I doctor chuan he enkawlna hi i tan a tha em tih a rel hmain i thinlung leh i hriselna zawng zawng uluk takin a enfiah ang.

He enkawlna hi a hnuaia natna hrang hrangte tan hian hman a ni ber.

Tin, he enkawlna hi nunna atana hlauhawm tak tak, sudden cardiac arrest emaw Ventricular Fibrillation (V-Fib) ang chi te tan pawh a tha thei bawk.

Engtin nge enkawl hmain i inbuatsaih thin?

Hetiang tih hma hian a hnuaia mite hi i tih hmasak phawt a ngai ang:

• Thisen tithianghlimtu damdawi ei kha bansan rawh: Aspirin emaw warfarin emaw ang chi damdawi i ei a nih chuan ni engemaw zat ei tawh loh turin an ti mai thei. Mahse hei hi i doctor-in a tih ang chauhin ti la, a tih ni a\ang chauhvin ti rawh. I duh hun apiangah chawlhsan suh.
• Ei leh in loh tur: I tih hma darkar engemaw zat ei leh in kha chawlhsan turin an ti ang che, a tlangpuiin zanlai hnuah. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.
• In lama haw tura puitu tur che: Procedure zawhah mi pakhatin in lama hruai che turin ruahmanna siam hmasa phawt ang che.
• IV line dah a ni: I kut chhunga vein pakhatah IV line (saline pekna atana hman tube ang chi) dah a ni. Hetah hian damdawi mamawh leh anesthesia pek i ni ang.
• Thawmhnaw leh bungrua: Thawmhnaw nuam tak ha rawh. In lama lunghlu leh bungrua hlu tak tak dah mai a tha ber.

Enkawl lai hian eng nge thleng?

Ablation procedure neih chhunga thil thlengte step by step-in hetiang hian kan rawn tarlang e:

1. A hmasa berin catheter dahna tur hmun (a tlangpuiin groin) chu tihfai a, vun chu a numb a.

2. A dawtah chuan thisen kalna kawngah tube te tak te (sheath) dahin catheter luhna tur kawng a siam a.

3. Electrode nei catheter tha tak takte chu sheath kaltlangin thisen kalna kawng zawhin thinlung thlengin an kalpui thin. Hei hi X-ray ang chi technique kaihhruaina hnuaiah tih a ni.

4. Thinlung chhunga vawi khat an awm chuan heng catheter te hian thinlung electrical activity chu ‘map’ an siam a, signal dik lo lo chhuahna hmun an tarlang bawk.

5. Buaina hmun a awm hnuah chuan catheter tip atang hian heat, cold emaw energy wave emaw thawn chhuah a ni a, chu chuan tissue chu a enkawl a, signal dik lo lo lut tur chu a titawp thin.

6. A tawp berah chuan catheter leh sheath chu uluk takin lakchhuah a ni.

Hetiang zawng zawng hi a tlangpuiin darkar hnih atanga darkar li vel a ni thei a, a chang chuan a rei zawk bawk.

Enkawl hnuah eng nge thleng?

Procedure zawhah recovery room-ah hruai i ni ang. Darkar tlemte chhung chu chutah chuan i awm a ngai dawn a ni. Nurse chuan i dinhmun, heart rate leh thisen sang te chu 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 i haw hunah chuan in lama zawm tur thupek chiang tak pek i ni ang. I doctor chuan thisen zam lo turin aspirin emaw thisen tithianghlimtu damdawi dang emaw a pe ang che. Hei hi thla engemaw zat emaw a aia rei emaw ei a ngai mai thei.

Enkawlna hlawkna leh hlawhtlinna

Hei hi minimally invasive procedure a ni a, damdawi ina rei tak awm ngai lo a ni a, damdawi hmanga control theih loh heart rhythm pangngai siam that lehna kawngah a pui thei bawk. A châng chuan nunna chhanhim thei damdawi a ni thei .

Hlawhtling a nih chuan arrhythmia i neih chi hrang hrangah a innghat.

• SVT ang condition hian hlawhtlinna rate sang tak 90% - 95% a nei a ni.
• Afib leh VT ang condition tan chuan hlawhtlinna rate chu 60% - 80% inkar a ni.

Risk leh hriat tur awmte chu engte nge ni?

Cardiac ablation hi a hlauhawmna a tlem hle. Complication hi a awm tlem hle a, a bik takin damdawi ina hetiang enkawlna chi hi tih dan pangngaia tih thinna hmunah chuan a awm lo. Mahse, hriat tur hlauhawm awm thei thenkhat a awm a:

• Thisen a chhuak thin
• Catheter hmanga thisen kalna kawng emaw heart valve emaw a tihchhiat
• Infection emaw thisen chhuah emaw
• Thai
• Pacemaker nghet tak dah a ngai

Nu naupai i nih chuan he enkawlna hi naute pian hnu thlenga sawn theih a nih leh nih loh chungchang hi doctor nen sawiho rawh.

Dam leh hun tur leh doctor hmuh hun tur

A dam kim theih nan kar engemaw zat a ngai thei. Kg 5 aia tam chawi emaw, exercise hahthlak tak tak emaw tih loh tur a ni a, a hnuah kar khat tal chu tih loh tur a ni. I doctor hnenah engtikah nge hnathawhna hmuna i kir leh theih ang a, i khalh theih ang tih zawt rawh.

A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.