Heartbeat mumal lo tak tak i nei bawk em? Atrial Fibrillation atana Maze Procedure chungchang hi i zir belh dawn nia!

I thinlung chu rang tak leh mumal lo takin a thawk tih i hre ngai em? He natna hi i rilruah thil a rawn inher chhuak ang maia hriat a ni a, damdawi lam chuan Atrial Fibrillation tia hriat a ni. Hei hi damdawi hmanga thunun theih loh lai hian enkawlna kawng khat, a buaithlak deuh, mahse a hlawk em em, a solution atana hman tur kan sawi a ni. Chu chu Maze Procedure a ni.

He Maze Procedure hi eng nge ni?

A awlsam zawngin, maze ang mai a ni. I naupan lai khan mazes i khel tawh mai thei a, chutah chuan kawngkhar pakhat atanga i lut a, chhuahna tur chuan kawng dik pakhat chauh i zawh a ngai a ni. He surgery pawh hi chutiang bawk chu a ni.

Kan heart beat hi electrical signal hmanga control a ni. Atrial fibrillation-ah chuan thinlung chunglam chamber pahnih, atria tia koh-a electrical signal awmte chu a inthlak danglam a, signal dik lo a thawn chhuak tan thin. Chutah chuan thinlung chu a thawk mumal lo tan ta a ni.

Maze Procedure-ah chuan surgeon chuan thinlung atria-ah scar tissue chu a nalh hle a, ruahmanna fel tak siamin a siam a. He scar tissue hian barrier ang maiin hna a thawk a, electrical signal dik lote chu thinlung chhung zawnga kal chhuah loh nan a titawp a ni. Mahse, thinlungin a thawk ṭhat theihna tura signal dik tak chauh mamawhna kawng a hnutchhiah a ni. Chu maze chhungah chuan kawng dik pakhat chauh a awm ang bawkin. Hei hian thinlung chu a pangngaiin a thawk leh thei ta a ni.

He scar tissue siam nan hian kawng hnih hman a ni a:

• Cryoablation: Khaw lum lutuk (freezing) hmanga tissue inactivation.
• Radiofrequency Ablation: Tissue lumna sang tak hmanga tihlum (radio wave).

He surgery hi surgery hran anga tih theih a ni a, bypass surgery emaw heart valve surgery emaw nen a ruala tih theih a ni bawk.

Engvangin nge he Maze Procedure hi tih a nih?

He surgery hi mi zawng zawng tan a tha lo. I doctor-in he enkawlna hi a rawt theihna tur dinhmun engemaw zat a awm a:

• Atrial fibrillation damdawi pekte hian i tan hna a thawk lo emaw, i ei theih lohna tur side effect i neih emaw chuan.
• Hetiang dinhmun hian i taksaah thisen zam a siam a , stroke ang chi natna khirh tak tak a awm a nih chuan .
• Heart surgery dang (e.g. bypass, valve thlak) i neih a, atrial fibrillation pawh i neih chuan.
• Tun hmaa enkawlna `(Catheter Ablation)` ang chi kha a hlawhtling lo a nih chuan.

Surgery hma leh operation neih chhung hian eng nge thleng?

Hei hi surgery lian tak a nih avangin a tan hmain uluk takin i enfiah ang.

Surgery tih dan pahnih

Surgery tih dan tlangpui pahnih a awm a. I medical team chuan eng method nge i tan a tha ber tih an rel ang.

1. Open Surgery (Sternotomy Method): Hetiang method ah hian chest bone lai takah inch 6-8 incision hmangin surgery an ti thin.

2. Minimally invasive surgery (Thoracoscopic Method): Hetiang method-ah hian rilruah incision lian tak siam ai chuan ribs leh camera inkarah incision tenau engemaw zat siamin instrument nalh tak tak dah a ni. Hetiang method hmang hian recovery time a tawi zawk.

Left Atrial Appendage lakchhuah a ni

He surgery atana thil pawimawh tak dang chu Left Atrial Appendage an tih hmun te tak te kha khar emaw lakchhuah emaw hi a ni. Hei hi beng ang maia lian pouch te tak te, thinlung veilam atrium-a inbun a ni.

Atrial fibrillation vei damlote zingah hian stroke thlentu thisen zam 90% chu he bawm te tak teah hian a lo awm thin.Chu chu hmuhchhuah a ni tawh. Thinlung a thawk tha lo a, he hmunah hian thisen a pungkhawm a, a clot thin. He thisen zam hi a chhuak a, thluaka a kal chuan stroke a awm thin. Chuvangin, Maze procedure neih chhung hian he hmun hi stitches, staples emaw, device bik emaw hmangin khar a ni. Hei hian stroke hlauhawmna nasa takin a tihziaawm thei a ni.

Surgery hnuah eng nge thleng?

Surgery zawhah intensive care unit (ICU)-ah ni khat emaw ni hnih emaw chhung enfiah turin dah i ni ang a, chutah chuan regular ward-ah sawn i ni ang. Minimally invasive surgery (thoracoscopic) i neih chuan ni 4 vel chhungin i haw thei ang. Open surgery i neih chuan kar khat vel damdawi inah i awm ang.

In i haw hnuah pawh thla engemaw zat chhung chu damdawi chi hrang hrang i la ei a ngai dawn a ni.

• Blood thinners (Anticoagulants): Thisen zam tur ven nan thla 3 tal `Warfarin` emaw `Apixaban` ang chi damdawi i ei a ngai dawn a ni. Chumi hnuah chuan i doctor chuan i ei chhunzawm a ngai em tih a rel ang.
• Heart rate control medication: Heart recovery tir lama heartbeat mumal lo lo awm thei control nan.
• Diuretics: Taksa chhunga tui tul lo taka awm zat tihtlem.

He surgery hian eng hlawkna leh hlauhawmna nge a neih?

Eng chen nge a dam theih a, engtikah nge doctor ka hmuh leh ang?

I tih dan pangngaiah a hma ang bawkin kir leh rawh.Kar 3 leh kar 6 inkar a ni thei . Minimally invasive method hmanga surgery tih a nih chuan a dam hun chhung hi a rei zawk hle.

Surgery i neih zawh chuan doctor hnenah hun ruat saah i hmuh a ngai dawn a ni.

• Damdawi in a chhuahsan atanga kar khat hnuah.
• Damdawi in a chhuahsan atanga thla khat hnuah (cardiologist).
• Thla 3, 6, leh 12-ah ECG test neih a ni.
• Thla 6 leh thla 12-ah `Holter Monitor` (darkar 24 chhung lungphu enkawltu hmanrua) test a ni.

Heng test leh appointment zawng zawng hi i hriselna atan a pawimawh hle.