I chhungte emaw, i hriat emaw tu emaw chuan heart attack vangin stent an dah tawh em? A nih loh leh, rilru natna enkawlna atan stent dah a ni em? Tunlai hian hei hi a hluar hle. Stent dah a nih hnuah mi tam zawk chuan an rilru a hahdam hle tlangpui. Mahse, a chang chuan stent dahna artery chu a zim leh tan thei bawk. Vawiin hian hetiang hunah hian enkawlna bik hman dan tur kan sawi dawn a ni.
A awlsam zawngin, Coronary Brachytherapy chu eng nge ni?
He hming hi a buaithlak deuhin a lang thei. Mahse, a awlsam zawngin i vawng ang u. Coronary Brachytherapy hi thinlunga thisen petu thisen kalna kawng (Coronary Arteries) te tan enkawlna bik a ni. Hei hian radiation hmangin heart vessels te chu a zim leh tawh loh nan a hmang thin.
I thinlunga thisen kalna kawng pakhat chu cholesterol dahkhawmnain a tikhawlo niin han ngaihtuah teh. Doctor ten stent an dah a. Stent chu mesh ang chi tube te tak te a ni. Thisen kalna kawng zim takah dahin a zau leh a, chu chuan thisen zalen takin a luang chhuak thei a ni.
Mahse, mi thenkhatah chuan stent chhehvelah hian scar tissue a lo piang tan thin. Hliam kan neih hian hliam a lo awm ang bawkin. He scar tissue hian stent dahna hmun chu a tizau leh ta a ni. Damdawi lamah chuan he natna hi in-stent restenosis (ISR) kan ti thin. Chu chu doctor-te’n Coronary Brachytherapy an ngaihtuah lai a ni.
He enkawlnaah hian radiation dose tlemte tak, controlled dose chu scar tissue siamna hmunah minute engemaw zat chhung an dah a ni. He radiation hian scar tissue siamtu cell te chu a tichhia a ni. Chuvangin area chu a tlahniam leh tawh lo. Thlai a lo thang leh tawh loh nan damdawi hnawih ang mai a ni.
A pawimawh ber chu he radiation therapy hi a him hle a ni. A natna hmun lam chauh a ni. Taksa peng dang a tichhe lo.
He enkawlna hi tute nge mamawh?
Coronary Brachytherapy hi mi zawng zawng tan damdawi a ni lo. A tlangpuiin damlo bik, a hmaa stent dah tawh, a chhunga reoccurrence (ISR) lo awm tawh, leh enkawlna dang pawh a hlawhtlin loh a rinawm loh tan chauh hman a ni.
A hnuaia information te hi han en teh. Hemi chungchangah hian ngaihdan tha tak i nei ang.
| Coronary Brachytherapy a remchan hunah | |
|---|---|
| Blockage awm leh thin | Stent dah hnua vawi khat aia tam a block (recurring ISR) a nih chuan. |
| Stent tam tak neih | Thisen kalna kawng khatah stent tam tak dah a nih chuan emaw, stent sei tak tak dah a nih chuan. |
| Hriselna lama harsatna dangte | Damdawi lam harsatna nei tan chuan enkawlna dang atanga harsatna awm thei, zunthlum ang chi te tan. |
| Thisen kalna kawng te te | Thinlung chhunga thisen kalna kawng te tak te leh te tak te te tan. |
Tute nge he enkawlna hi nei lo tur?
Tin, he enkawlna hi a rem lo hun pawh a awm bawk.
- Stent chu a vawi khat nan a block a nih chuan .
- Tun hmain i rilru lam (e.g. hnute cancer tan) radiation hmanga enkawlna i lo dawng tawh a nih chuan.
- He blockage hi scar tissue vang ni lovin, angioplasty neih chhunga balloon hman a harsatna vang a ni.
Stent a narrow leh a nih chuan hei chauh hi enkawlna a ni em?
No. Hei hi a takah chuan damdawi hman tlem zawk a ni. Stent a block leh a, in-stent restenosis (ISR) an tih chu doctor-te chuan enkawlna dang an lo enchhin hmasa ber thin.
- Stent dang dah: Stent dang dah leh chu blocked stent chhungah dah a ni.
- Balloon Angioplasty: Balloon hmangin a zau zawng chu a zau zawk a. A chang chuan special balloon (cutting balloon) hmangin tissue tam lutuk chu an cut chhuak thin.
- Coronary Artery Bypass Surgery: A blockage nasat chuan bypass surgery atan refer theih i ni.
- Damdawi: Thisen zawrh tur venna atana aspirin leh cholesterol tihhniamna atana statin ang chi damdawi an pe thin.
Tunlai hian stent chi thar a chhuak mek a.Chungte chu drug-eluting stent an ti a. Chungte chuan damdawi an chhuah zawi zawi a, chu chu scar tissue siam loh nan a ni. Chuvangin tunah chuan mi tam zawk stent chu a block leh theihna a tlem tawh hle. Chuvang chuan Coronary Brachytherapy hi hman a ni tawh lo.
Enkawlna hnathawh dan - step by step
Hei hi surgery lian tak a ni lo. He enkawlna hi Interventional Cardiologist leh Radiation Oncologist team ten an ti thin a ni. Procedure zawng zawng hi minute 10 vel a ni. Amaherawhchu, darkar engemaw zat damdawi inah i awm a ngai dawn a ni.
Enkawl hmain
I doctor chuan intravascular ultrasound scan a ti thei a, i thinlung kalna kawng chhungah chiang takin a hmu thei ang. Hei hian enkawlna chu khawiah nge a mamawh tih leh eng chen nge a awm tih chiang taka hriat theih nan a pui thei a ni.
Enkawl lai hian
Hei hi kalphung awlsam tak a ni. Natna i nei vak lovang.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Sedation tih hi a ni | I muhil kim lovang. I chawlh hahdam theih nan leh natna nei lo turin damdawi pek i ni ang. Mi thenkhat chu general anesthesia pek pawh an ni thei. |
| 2. Catheter dah luh (Incision) . | Tube (catheter) te tak te tak mai chu kut emaw ke emaw a thisen kalna kawng kaltlangin X-ray kaihhruaina hnuaiah thinlung chhunga thisen kalna kawngkhar (blocked artery)-ah a kal a. |
| 3. Balloon hmanga Angioplasty tih a ni | Balloon te tak te chu a zau zawngah dahin, radiation pek chhuahna tur hmun zau zawka siam turin inflated a ni. |
| 4. Radiation (Radiation) atanga lo chhuak | Tunah chuan chu tube te tak te hmang chuan, chiang taka control theih radiation source chu scar tissue awmna hmunah chuan a thawn chhuak ta a ni. Minute tlemte chhung chauh a awm . Hemi hun chhung hian scar siamtu cell te chu a chhe vek a ni. |
| 5. Khar a ni | Radiation source leh catheter chu lakchhuah a ni a, insertion site chungah plaster te tak te dahin khar a ni. |
Enkawl hnuah
Mi tam zawk chu ni khatah an haw thei. Damdawi inah zan khat riak turin an ti mai thei che. In lama i haw hnuah chawlh hahdam tur a ni a, ni engemaw zat chu i thawhrim loh tur a ni. Tin, thisen zam a awm loh nan i doctor-in damdawi a pek che pawh i ei tur a ni.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.
A thatna ber chu stent tam tak nei tawh leh blockage lo awm leh tawh, emaw, thil dang avanga operation lian tham nei thei lo tan pawh solution tha tak a ni. He enkawlna hian heart attack leh heart failure hlauhawmna a ti tlem a ni. Tin, rilru natna (angina), thawk hah (dyspnea), leh luak chhuak ang chi natna lan chhuah leh tur a veng bawk.
Speaking of risks , hengte hi cardiac catheterization eng pawh hmanga risk awm thei tlangpui an ni.
- Thinlung thawk mumal lo (Arrhythmia) .
- Thisen a chhuak thin
- Thisen kalna kawng a chhiat
- Infection awm thei te
- Catheter dahna hmuna natna emaw thisen chhuak emaw
Heng risk te hi a tlem hle . Heng zawng zawng hi i doctor chuan a hriattir ang che.
Doctor hmuh hun tur
Enkawlna i neih hnua i haw hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
- Khawsik sang tak i neih chuan.
- I rilru, i hmui, i kut leh kekawrteah natna nasa tak i neih chuan.
- Thâwk harsa i neih chuan.
- Catheter dahna hmun atanga zun chhuak a awm chuan, rimchhia, emaw, a sen leh hring (infection chhinchhiahna) a awm chuan.
Enkawl zawhah ni reilote chhungin i thil tih dan pangngaiah i kir leh thei tlangpui. Mahse, he enkawlna i neih tawh vang mai maia engkim a tawp tawh tih ngaihtuah chu thil tha a ni lo. I thinlung hrisel taka awm reng tur chuan nunphung tha zawm a pawimawh hle .
- Diet oil, chi leh sugar tlem zawk ei thin ang che.
- Meizial zu kha bansan vek rawh.
- Zu in hi tihtlem rawh.
- Doctor-in a tih angin exercise la fo ang che.
Take-Home Thuchah a ni
- Coronary Brachytherapy hi damlo thenkhat, stent dah hnua in-stent restenosis nei tan chuan radiation hmanga enkawlna bik a ni.
- Hei hian radiation dose tlemte tak tak, controlled dose hmanga blockage thlentu scar cells te lo thang zel tur tihtawp a huam a ni.
- Tunah chuan hei hi hman a ni lo nain, blockage lo awm leh thin, stent tam tak, damdawi lam harsatna dang nei tan chuan a tangkai hle thei a ni.
- Hei hi surgery lian tak a ni lo va, a hlauhawmna pawh a tlem hle. Enkawl hnuah i dam thuai thei.
- Inenkawl hnu pawhin thinlung hriselna vawng nung turin nunphung hrisel zawm a pawimawh hle.
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