Kan thinlung hi machine te tak te, rhythm-a thawk ang mai a ni tih i ngaihtuah ngai em? Mahse a chang chuan he rhythm hi a kal sual thei. Chumi awmzia chu thinlung chu hlauhawm takin a thawk rang tihna a ni a, chu chuan nunna a tichhe thei a ni. Chutiang hunah chuan vawiinah hian i thinlung vengtu hna thawktu hmanraw te tak te kan sawi dawn a ni.
He ICD hi eng nge ni?
A awlsam zawngin sawi ila, ICD (Implantable Cardioverter Defibrillator) hi thil te tak te, battery hmanga thawk, nitin darkar 24 chhung i thinlung rhythm enkawltu a ni. I thinlung chhunga lifeguard dah ang mai a ni. I thinlung rhythm hlauhawm taka a inthlak danglam (arrhythmias kan tih condition) a hriat theih a, i thinlung rhythm siam that leh turin electrical shock te tak te a pe bawk.
He ICD hi i rilru vun hnuaiah surgery hmanga dah a ni tlangpui. Stopwatch te tak te ang vel a ni. Battery leh circuitry a awm a, chu chuan i thinlung electrical activity a enfiah thin. He device nena inzawm wire te tak te (`(leads)`) pakhat emaw a aia tam emaw chu i heart chamber-ah a lut a, a enfiah a, a tul chuan electric shock a pe bawk.
ICD tam takah hian pacemaker a awm bawk a, chu chuan heart rate a control thei a ni. Hei hian thil pahnih a ti tihna a ni.
Tuin nge ICD mamawh?
ICD hi cardiac arrest nghal vanga thih hlauhawmna sang tak nei tan a tha tlangpui. Hetiang hlauhawmna tipung thei damdawi lam thil engemaw zat a awm.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| A hmaa heart attack emaw cardiac arrest emaw i neih tawh chuan | Hetiang history nei te hi a thleng leh theihna chance a sang zawk. |
| Ventricular Tachycardia a awm thin | Rhythm hlauhawm tak, thinlung hnuai lam (ventricles) te chu chak takin an thawk thin. |
| Ventricular Fibrillation a awm avangin a chhuak thei lo | Thinlung hnuai lam (lower chambers) te chu thunun theih loha a khur thinna, thihna thlen thei dinhmun. |
| Heart failure leh ejection fraction tlahniam | Thinlung hian taksaah thisen a pump tam theih loh avangin a hlauhawmna a sang chho zel a ni. |
| Hypertrophic Cardiomyopathy natna a ni | Lung ruh (thicken muscle) a thick avanga lo awm natna. |
| Genetic condition dangte pawh a awm | Entirnan, Brugada syndrome leh Long QT syndrome ang chi natna te. |
He surgery hma hian engtin nge i inbuatsaih thin?
ICD dah tura surgery neih hmain i doctor chuan thil engemaw ti turin a ti ang che. Heng thilte hi surgery atana i dinhmun tha tak a nih theih nan tih a ni.
- Test hrang hrang: Thisen leh zun test te, thinlung electrical activity enna electrocardiogram (ECG) test te, thinlung hnathawh leh insiam dan enfiahna echocardiogram te ang chi thil ti turin an ti thei che a ni.
- Warnings: Thisen zam harsatna i neih emaw, thisen tithianghlimtu i ei emaw a nih chuan i doctor hnenah i hrilh ngei ang. Damdawi lam harsatna dang i neih (diabetes, asthma, kidney disease) te pawh i hrilh tur a ni.
- Allergy: Test thenkhata hman tur thil (contrast dye emaw iodine emaw) i allergy i neih chuan chu pawh chu min hriattir dawn nia.
- Chaw nghei: Surgery (fasting) hma darkar engemaw zat ei leh in loh turin an ti ang che.
Doctor thupek dik taka zawm a pawimawh hle.
Surgery neih chhung hian eng nge thleng?
He surgery hi darkar tlemte a ni tlangpui. A tam zawkah chuan i collarbone bulah hian incision te tak te siam a ni a, ICD leads te chu thisen kalna kawng kaltlangin i thinlungah a lut thin. Hei hi transvenous approach an ti a.
Surgery tih dan tur step by step-a sawifiahna awlsam tak chu hetiang hi a ni:
1. Pakhatnaah chuan anesthetized vek i ni ang (`general anesthesia`) emaw, surgery tihna tur hmun chauh a numbed ang (`local anesthesia`).
2. Tichuan doctor chuan belt bula vun ah hian incision te tak te a siam a.
3. Chuta tang chuan thisen kalna kawng lian tak, subclavian vein ang chi chu a lut a, wire te chu uluk takin thinlung pindan remchang takah an hruai thin.
4. Tunah chuan ICD device (box ang chi te tak te) chu vun incision hnuaia hmun tlemte siamah dah a ni.
5. Tichuan heart-a wire thawn te chu ICD-ah an connect leh ta a.
6. Heng zawng zawng hi tih zawh a nih chuan device leh wire te chu a thawk tha em tih enfiah thin ang che.
7. Engkim a OK chuan vunah incision chu sewn closed a ni.
Hei hian eng hlawkna leh hlauhawmna nge a neih?
A thatna ber chu
Hei hi a thatna lian ber leh awmchhun chu nunna chhanhim theihna hi a ni .
A awlsam zawngin, he hmanraw te tak te hian thinlung rhythm hlauhawm tak avanga thihna rapthlak tak chu a veng thei a ni. I thinlung hnathawh dan chanchin a record thei bawk a, i doctor-in enkawlna chungchanga thutlukna a siam theih nan a pui thei bawk.
Risk leh complication awm thei te
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm a, mahse hengte hi a awm lo tlangpui.
| Risk/Complication awm thei | Hrilhfiahna |
|---|---|
| Thisen chhuah emaw, hliam emaw | Surgery neihna hmunah a thleng thei. |
| Infection awm thei te | Incision-a infection emaw, device-a infection emaw a awm. |
| Lung lama harsatna (Pneumothorax) . | Surgery neih chhung hian lung chhiatna hlauhawmna a tlem hle. |
| Device emaw wire emaw a kal dan | Installed device emaw wire emaw chu a tumna hmun atanga sawn theihna. |
| Electric shock dik lo tak tak | Shock chu nunna atana hlauhawm lo cardiac rhythm dang chhanna atan pek a ni. |
ICD nena khawsak huna ngaihtuah tur thil
ICD i dah hnuah chuan i nun chu a pangngai angin i hmang thei tawh ang. Mahse hriat tur tlemte a awm.
ICD atanga shock lo chhuak hi engtin nge a awm?
Electric shock chakna hi a inang lo thei. Energy hniam shock chu a rilruah a hlimthla ang maiin a lang thei. High-energy shock chu a rilruah rei lo te chhunga vuak ang maiin a lang thei.
A tam zawkah chuan shock vawi khat chauh hian thinlung rhythm a siam tha leh ang. Mahse shock i dawn chuan i doctor hnenah i hrilh ngei tur a ni.
Heng thilte lakah hian inthiarfihlim rawh.
Magnetic field chak tak leh technological device thenkhat chuan ICD hnathawh a tibuai thei a, chuvangin heng thilte hi fimkhur hle ang che.
| Thil pumpelh tur emaw, fimkhur tur emaw | Hrilhfiahna |
|---|---|
| Magnetic field chak tak tak a awm | MRI machine, lirthei chawi thei magnet lian tak tak, stereo speaker chak tak tak, etc. MRI scan i neih hmain ICD i neih thu hrilh hmasa phawt ang che. |
| Mobile Phone te pawh a awm thei | I phone chu ICD implant na hmun atanga inches 6 tal hlaah dah la. Chumi sir lamah chuan i kawr pocket-ah dah suh. |
| Security system hrang hrang a awm bawk | Store-a anti-theft system emaw, airport-a metal detector emaw bulah rei tak awm suh. Anmahni chu kal tlang vat rawh. |
| Thil hmanraw dang | Arc welding hmanrua, electric fence, leh lirthei battery jump cable te hnaih loh tur. |
A pawimawh ber: I purse-ah ICD i neih thu ziakna card keng fo ang che. Emergency-ah chuan a pawimawh hle dawn a ni.
Engtikah nge doctor nen inbiakna neih a ngaih?
A \henah chuan damdawi lam thurawn i lak nghal a ngai a ni.
- Infection chhinchhiahna: Surgery neihna hmun atanga thisen emaw, zun emaw a chhuak a nih chuan, a hmun chu a sen leh a hring a nih chuan, khawsik emaw, khawsik emaw i neih chuan, a natna a zual zel a nih chuan doctor hnenah hrilh ngei ang che.
- Shock: Hun rei lote chhunga shock tam tak i tawn chuan emergency a ni thei. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
ICD battery hi eng chen nge a daih?
ICD-a battery hi kum 7 vel a daih tlangpui. Mahse, hei hi shock i dawn zat a zirin a danglam thei. I doctor chuan i ICD chu thla 3-6 danah a check ang a, battery status a enfiah ang. Chuvang chuan a hun taka clinic kal hi a pawimawh hle a ni.
Take-Home Thuchah a ni
- ICD hi hmanraw te tak te, nunna chhanhim thei tak a ni a, heart rhythm hlauhawm tak takte control-in, thihna rapthlak tak a veng thei a ni.
- He surgery hi a tlangpuiin a him viau nachungin, surgery dang ang bawkin, hlauhawmna engemaw zat a awm tih hre reng ang che.
- ICD nena kan khawsak hian magnetic field chak tak leh electronic device thenkhat atanga inthiarfihlim a pawimawh hle.
- ICD i neihzia tilangtu identification keng fo ang che.
- ICD atanga shock i dawng a nih chuan, emaw, surgery hmuna natna kai chhinchhiahna i neih chuan doctor hnenah hriattir nghal rawh.
- Hun ruat saah medical clinic tlawh a, ICD endik tir ngei ngei tur a ni.
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