I thinlung chu a hma aia rang zawk emaw, a na zawk emaw ang maiin i inhriat ngai em? I rilruah thil a inher a, thawk harsa i ti ngai em? Vawiin hian hetiang thil thlenga doctor-te’n heart rhythm pangngai (arrhythmias) siam\hatna atana an hman ṭhin enkawlna bik kan sawi dawn a ni. Hei hi cardioversion an ti a.
A awlsam zawngin, Cardioversion chu eng nge ni?
Cardioversion hi doctor-te’n i thinlung rhythm mumal lo, a nih loh leh rhythm mumal lo siam \hat lehna tura an tih a ni. Musical instrument a rhythm hloh tawh chu retuning ang maiin han ngaihtuah teh. Hei hi kawng hnih in tih theih a ni. Pakhat chu electronic device hmanga siam a ni. A dang chu damdawi pek che a ni. Emergency thenkhat, ventricular arrhythmia an tih ang chiah hian he enkawlna hian i nunna a chhanhim thei a ni. Thil dangah chuan nakin lawka harsatna lo thleng tur venna atan tih a ni.
Cardioversion enkawlna chi hrang hrangte chu engte nge ni?
Kan sawi tawh ang khan hei hi kawng pawimawh pahnihin tih a ni. Fiah takin i hrethiam ang u.
| Enkawlna chi hrang hrang | A hnathawh dan |
|---|---|
| Electric hmanga Cardioversion hmanga tihchak | Hei hian defibrillator an tih hmanraw bik hmangin i rilruah electrical energy (shock) controlled amount pek a huam a ni. Hei hi special pad pahnih (electrode patch) hmanga tih a ni a, chu chu i rilru leh hnungzang ah dah a ni. Hei hi i mut hnuah tih a ni a, chuvangin natna engmah i nei lovang. Heart rhythm lama harsatna hlauhawm tak nei thei tura hlauhawmna sang tak nei tan chuan hmanraw te tak te , Implantable Cardioverter-Defibrillator (ICD) an tih pawh hman theih a ni. |
| Damdawi hmanga (Chemical Cardioversion) . | Hei hian damdawi i ei tur pill angin emaw, i kut vein pakhata IV hmanga pek che a huam a ni. Damdawi hian minute tam tak, darkar tam tak, a nih loh leh ni tam tak a la ngai thei a ni. He enkawlna hi damdawi inah tih a ni fo thin a, a chhan chu i thinlung hnathawh dan enfiah a ngai a ni. In lama damdawi i ei a nih chuan doctor nena inbiakpawhna nghet tak neih a pawimawh. |
Cardioversion hi eng condition atan nge hman a nih?
He enkawlna hi thinlung thawk chak emaw, mumal lo emaw engemaw zat siamthat nan hman a ni. Chung zinga ṭhenkhat chu:
- Atrial Fibrillation leh Atrial Flutter: Heng natna pahnih hi cardioversion hmanga enkawl tam ber an ni.
- Atrial Tachycardia a awm thei
- Ventricular Tachycardia a awm thin
- Ventricular Fibrillation: Hei hi a hmanhmawhthlak hle a, nunna atana hlauhawm tak a ni.
Engvangin nge cardioversion treatment ka mamawh?
I thinlung hian i taksaah thisen dik tak a pump theih nan chuan beat leh rhythm dik tak a neih a ngai a ni. I heart rate a mumal loh chuan symptoms i nei thei a, chungte chu:
- Ka rilru chu a rawn ri nghal zat a, pawisa chawitir ang maiin ka hria.
- Thâwk harsa.
- Chest discomfort emaw a na emaw.
- Luak chhuak emaw, hah lutuk emaw tih hriat.
Heng symptoms te hian i thinlung hian i taksaah thisen a pump tling lo tihna a ni. Heng symptoms te hi i hmu lo a nih pawhin enkawl loh chuan nakin lawkah heart attack emaw stroke emaw ang chi natna khirh tak tak i neih theihna a sang zawk a ni.
Engtin nge enkawl ni atan i inbuatsaih thin?
I medical team chuan hemi chungchangah hian thupek chipchiar tak an pe ang che, mahse thil tlangpui ngaihtuah tur a awm.
Enkawl hma ni leh zing
- Driving: Inenkawl hnuah darkar 24 chhung chu i khalh thei tawh lovang. Chuvang chuan in lam pan tura khalhtu tur i neih a pawimawh hle.
- Ei leh In: I enkawl hma zan khan a pangngaiin ei thin ang che. Amaherawhchu, chumi zan chuan zanlai hnuah ei leh in leh ei loh tur. Hei hian tui, chewing gum emaw, mints emaw a huam a ni. Tin, ha i sil laiin tui i ei loh nan fimkhur bawk ang che.
- Damdawi: Anticoagulants (thisen tithianghlimtu) emaw, zunthlum damdawi emaw i ei a nih chuan i enkawl ni-ah i ei dan tur doctor zawt ngei ang che. Damdawi hman tlanglawn dangte chu a hma ang bawkin tui tlem nen ei la, i doctor-in ei loh tur a tih loh chuan.
Damdawi in thlen hunah eng nge i tih ang?
- Thawmhnaw:Thawmhnaw nuam tak, hak leh phelh awlsam tak tak ha chungin lo kal rawh. I enkawl chhung hian hospital gown i ha tur a ni.
- Faina: Makeup leh nail polish hmang suh. Tin, i rilru emaw, i hnungzang emaw ah deodorant, powder, cream engmah hnawih suh. Chungte chuan enkawlna atana hman adhesive pads te chu a tibuai thei a ni.
- Thil hlu: Jewelry, darthlalang leh thil hlu zawng zawng, inneih zungbun pawh tiamin, in lamah dah vek rawh.
Enkawl lai leh enkawl hnuah eng nge thleng?
Enkawl hmaa inbuatsaihna
Khumah dahin i kut vein pakhatah IV line (intravenous line) dah a ni ang. Hei hi enkawlna hun chhunga damdawi leh tui mamawh i dawnna hmun a ni ang. Tichuan, EKG pads leh Cardioversion pads te chu i rilru leh hnungzang ah dah a ni ang. Chutiang hmunah chuan sam a awm chuan an la chhuak ang.
Cardioversion hmain Transesophageal Echocardiogram (TEE) tih test i neih a ngai thei bawk. Hei hian i rilru tihbuai a, i rilru hnuai lam tube te tak te pass a, thisen zam a awm leh awm loh enfiah nan i thinlung thlalak lak a ngai a, hei hi enkawl laiin a lo chhuak a nih chuan a hlauhawm thei hle.
Ka harh tawh em?
No. IV hmangin damdawi pek i ni a, mut tir i ni. Chuvangin engmah i hre lo, hrehawm i nei lo.
Enkawl lai hian
I mut lai hian i doctor chuan cardioverter machine hmangin pad hmangin i thinlungah electrical energy (shock) controlled amount a pe chhuak thin. He chakna hian electrical rhythm mumal lo chu a titawp a, rhythm pangngaiah a kir leh thei ta a ni. Hei hi vawi tam tak tih a ngai mai thei a, chu chu a rhythm siam that leh theih a ni.
| Enkawlna hun chhunga enfiah tur thil leh hmanrua | |
|---|---|
| Hmanrua | Tihtur |
| Cardioverter / Defibrillator hmanga tihdam theih a ni | Thinlung tana electric chakna pe. |
| Electrocardiogram (ECG/EKG) hmanga tih a ni. | Thinlung electrical activity enfiah chhunzawm zel. |
| Thisen sang enfiahna | I thisen sang teh rawh. |
| Oximeter a ni | Kut zungtang-a clip te tak te hmanga thisen oxygen level tehna. |
Enkawl hnuah
Enkawl zawhah i harh leh ang. Damdawi pek i nih avangin i muhil ang. I rilru chu ni engemaw zat chhung chu a na deuh a, a na deuh thei bawk. I doctor-in a remtih chuan hei atan hian `Hydrocortisone` cream ang chi hi i hmang thei ang. I harh kim hunah chuan i doctor chuan a result leh i hmalam hun atana i enkawl dan tur a sawipui ang che.
Enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil dang ang bawkin, hlawkna a awm bakah hlauhawmna tenau tak tak a awm bawk.
- Hlawkna: A hlawkna ber chu thinlung rhythm normalization, symptoms tihziaawmna, leh heart pumping tha zawk a ni.
- Risks: Complication hi a awm tlem hle a, mahse pads vunah a inbunna hmuna sen, IV dahna hmuna hliam, thinlunga thisen zam a chhuak a, stroke a thlen (hei hi TEE test hi venna atana tih a ni), heart rhythm a chhe lutuk, emaw damdawi allergy a awm thei bawk.
Chumi ni vek chuan i haw thei tlangpui. Mahse darkar 24 chhung chu lirthei khalh tur a ni lo. Inenkawl zawhah a pangngaiin i ei leh in thei. I hnathawhna hmuna i kir leh theih hun tur hriat tumin i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Cardioversion hi a hlawk em em a, a him em em a, heartbeat mumal lo siamthat nan hman a ni.
- Hei hi mutthilh vek emaw, controlled electrical energy pek emaw, damdawi hman emaw hmanga tih a ni. Natna engmah i hre lovang.
- Inenkawl hmain doctor thupekte chu uluk takin zawm la, a bik takin ei leh in, leh thisen tihthianghlimna damdawi chungchangah.
- Inenkawl hnu darkar 24 chhung lirthei i khalh theih loh avangin in lama hruai tur che mi i bula neih a pawimawh hle.
- I rilru natna, thawk harsa, luak chhuak ang chi symptom i neih chuan ngaihthah suh. Doctor hmu nghal rawh.
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