I thinlungah hian thisen kalna kawng (artery) a block avangin stent dah i nei tawh em? Mi tam tak chuan pakhat an neih hnuah hahdamna an hmu thin. Mahse, a chang chuan, stent dahna hmunah ngei chuan artery chu a tawi leh tan thin. Natna hlui chu a lo let leh tawh ang maiin a lang. Vawiin hian hetiang hunah hian a danglam deuh, special treatment method kan sawi dawn a ni.
A awlsam zawngin, Coronary Brachytherapy chu eng nge ni?
Hei hi hming buaithlak deuh ni mahse, a thawnthu hi a awlsam hle. Coronary brachytherapy hi thinlunga coronary arteries-a radiation hmanga enkawlna bik a ni.
Thinlung-a thisen petu thisen kalna kawngte chu tube angin han ngaihtuah teh. Heng tube chhungah hian plaque a lo awm a, a zim chuan hei hi coronary artery disease (CAD) kan ti thin. Hei hi enkawlna atan doctor-te chuan stent, mesh tube te tak te chu artery chhungah an dah a, chu chu a zau leh thei a ni.
Mahse mi thenkhatah chuan stent chhehvelah scar tissue a lo awm tan thin. Hliam kan neih hian hliam a lo awm ang bawkin. He scar tissue hian dilated artery chu a ti tawi zauh zauh a, a block leh ta a ni. Damdawi lam hawi chuan hei hi in-stent restenosis (ISR) kan ti a ni.
Chutiang bawkin coronary brachytherapy hmangin stent vel a scar tissue lo awm a, thisen kalna kawng a ti tawi leh thei lo. Hei hian radiation dose tlemte tak tak, controlled tak takin, a narrowed area-ah direct a, scar tissue siamtu cell te chu a tichhia a ni.
He enkawlna hi tuin nge mamawh tak tak?
Hei hi mi zawng zawng tan enkawlna a ni lo. Doctor-te chuan thil chiang tlemteah chauh an rawt a ni. Stent i dah tawh a, a block leh (ISR) a nih chuan he enkawlna hi i tan a tha mai thei.
Hei hi tu tan nge a inhmeh ber tih hriat nan a hnuaia table hi en la.
| Brachytherapy atana tha thei tur mi | |
|---|---|
| Stent occlusion lo awm leh thin (Recurring ISR) 1.1. | Stent dah nawn fona hmun chu a zim a nih chuan. |
| Stent tam tak emaw, stent sei tak emaw | I coronary arteries-ah stent tam tak i neih chuan emaw, stent sei tak i neih chuan. |
| Natna dang, zunthlum ang chi | Damdawi dang, zunthlum ang chi avanga enkawlna dang (e.g. bypass surgery) neih laiin harsatna tawk thei dinhmun sang zawk nei tan. |
| Thisen kalna kawng te te | Enkawlna dang atana lung thisen kalna kawng a te lutuk te tan. |
Hetiang enkawlna hi nei lo tur an awm em?
Ni e, hei hi mi zawng zawng tan a inhmeh lo. Entirnan, a hmaa hnute cancer emaw, rilru chhunga cancer dang emaw avanga radiation therapy i lo neih tawh chuan he enkawlna hi tih loh a ni tlangpui. Tin, stent hi scar tissue vang ni lovin, stent dahna atana hman balloon-a harsatna a awm avangin a block a nih chuan he enkawlna hi a ngai lo. Hemi chungchangah hian i cardiologist chuan thutlukna tha ber a siam ang .
Enkawlna hnathawh dan - step by step
Hei hi surgery lian tak a ni lo. Minimally invasive procedure kan ti a. Natna i nei vak lovang. Procedure pumpui hi minute 10 vel a ni tlangpui a, mahse darkar engemaw zat damdawi inah i awm a ngai dawn a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Inbuatsaihna | Enkawl hmain doctor chuan scan, intravascular ultrasound ang chi a ti ang a, chu chuan vein chu khawiah nge a zim tih chiang takin a en ang. |
| 2. Anesthesia hmanga tihdam theih | I rilru a buai vek lo vang. I mut theih nan leh i rilru hahna tur damdawi pek i ni ang. I conscious ang, mahse engmah i hre lo ang. |
| 3. Catheter dah luh | Tube (catheter) te tak te tak mai chu kut emaw ke emaw a vein lian tak kaltlangin dah a ni a, X-ray hmangin thinlung chhunga thisen kalna kawng (artery) tawi takah a hruai lut a ni. |
| 4. Balloon tihzauh | Artery chhungah balloon te tak te chu an inflated a, chu chuan a hmun zau takah radiation therapy pekna tur hmun a siam a ni. Hei hi balloon angioplasty an ti a. |
| 5. Radiation pek | A dawtah chuan, chu catheter hmang chuan, radiation dose control ṭha tak chu minute engemaw zat chhûng chu a zimna hmunah chuan a kaltîr a ni. He radiation hian scar tissue siamtu cell te chu a tichhia a ni. Hmun dang a nghawng lo. |
| 6. Finishment tihfel | Radiation device leh catheter te chu uluk taka lakchhuah 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
- Recurrent stent occlusion (ISR) hi ven theih a ni.
- Nakin lawkah heart attack neih theihna chance a ti tlem a ni.
- Symptoms, rilru natna (angina), thawk hah (dyspnea), leh luak chhuak te ang chi te chu a bo thei a ni.
- Bypass surgery lian tak neih ngai lovin solution hmuh theih a ni.
Risk awm thei te
Heng risk te hi a tlem hle. Hengte hi cardiac catheterization procedure eng pawha risk awm tlangpui an ni.
- Thinlung thawk mumal lo (Arrhythmia) .
- Thisen a chhuak thin
- Catheter dahna hmuna natna emaw, natna hrik emaw a awm
- Thisen kalna kawng chhiatna tenau te
A pawimawh ber chu he enkawlna atana hman radiation hi a him hle a ni.Controlled takin pek a ni a, a hmun remchangah chauh pek a ni a, chuvangin taksa peng dang a tichhe lo.
Enkawl hnuah eng nge thleng? Tin, engtikah nge doctor ka hmuh ang?
Mi tam zawk chu procedure an tih ni khatah an haw thei bawk. Damdawi inah zan khat riah a ngai mai thei. In lama i haw hnuah ni engemaw zat chhung chu thil hahthlak tak tak tih loh a pawimawh. I doctor chuan thisen zam lo turin damdawi a pe ang che.
Enkawl hnua i thinlung hriselna vawng reng hi i mawhphurhna a ni.
- Thau tlem, ei leh in hrisel ei rawh.
- Meizial zuk kha bansan vek rawh.
- Exercise neih fo thin ang che.
- Zu in dan kha thunun rawh.
A hnuaia symptoms te hi i neih chuan doctor ko nghal tur a ni a, a nih loh leh damdawi in hnai ber Emergency Department (ETU) pan tur a ni.
- Khawsik sang tak i neih chuan.
- I rilru, i hmui, i kut, a nih loh leh i kekawrteah natna nasa tak i neih chuan .
- Thâwk harsa i neih chuan.
- Catheter dahna hmun atanga zun chhuak a awm chuan, a rimchhia a nih chuan, a hring leh a sen a nih chuan.
He enkawlna hi hman lar ni tawh lo mah se (stent chi thar - drug-eluting stent - hian reocclusion hlauhawmna nasa takin a tihziaawm avangin), natna khirh tak nei damlo, stent occlusion nawn fo thinte tan chuan solution tha tak leh hlu tak a ni thei a ni.
Take-Home Thuchah a ni
- Coronary brachytherapy hi radiation hmanga enkawlna a ni a, stent vel a scar tissue lo awm tur leh thisen kalna kawng a zim leh loh nan (in-stent restenosis) a ni.
- Hei hi mi zawng zawng tan enkawlna a ni lo a, mahse a bik takin stent blockage nawn fo te, natna dang zunthlum ang chi te, heart condition complex tak tak nei te tan a tha hle.
- Hei hi surgery lian tak a ni lo va, tube te tak te (catheter) chu thinlung chhungah lutin controlled dose of radiation a pe chhuak thin.
- Radiation hman zat hi a tlem hle a, a him a, taksa peng dang a nghawng lo.
- Inenkawl zawhah thinlung hrisel nunphung zawm a pawimawh hle. I rilru natna emaw, thawk hah emaw ang chi vaukhânna chhinchhiahna i neih chuan doctor pan vat rawh.
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