A chang chuan kan thinlung hi a na hle a, a nih loh leh a na hle bawk a ni lawm ni? Hetiang heartbeat mumal lo (arrhythmia) hi a chang chuan dinhmun hlauhawm tak chhinchhiahna a ni thei. Chuvangin, vawiinah hian damdawi hmanraw te tak te, mahse chak tak tak, chutiang dinhmunah chuan nunna chhanhim thei tur kan sawi dawn a ni. Hei hi ICD kan ti a, chu chu Implantable Cardioverter Defibrillator tihna a ni.
ICD hi eng nge ni tak tak?
A awlsam zawngin ICD hi damdawi hmanrua a ni a, i rilru vun hnuaiah dah a ni a, chu chu surgery tenau tak hmangin a ni. A ṭhen lian pahnih a nei a. Pakhat chu battery te tak te, stopwatch ang mai a ni. A dang chu he battery atanga i thinlung chamber-a kal wire te tak te thenkhat a ni. Heng wire te hi ``leads`` kan ti bawk.
He battery hmanga thawk hian i heart rate leh rhythm chu a enfiah chhunzawm zel a ni . Ngaihtuah teh, i thinlung thawk chu hlauhawm takin a inthlak danglam nghal a nih chuan, he hmanraw tê tak tê hian a siam ṭhat nâna electric shock mamawh chu a pe thei a ni. Chu electric shock chu ``leads'' an tih wire hmangin thinlungah a kal a ni.
ICD hi hetiang atan hian hman a ni ber:
- Thinlung thawk mumal lo (arrhythmias) siamthat. Entirnan, thinlung thawk chak lutuk (tachycardia) emaw, a thawk slow lutuk (bradycardia) emaw dinhmun.
- Cardiac arrest nghal mai loh nan.
- I thinlung hnathawh dan data khawlkhawm la, i doctor chu enkawlna chungchanga thutlukna siam turin pui rawh.
ICD leh Pacemaker hi eng nge an danglamna?
Mi tam tak chuan heng device pahnih hi an ti buai hle. An pahnih inkarah hian danglamna chiang tak a awm.
Pacemaker hian thinlung chu a thawk reng a, a normal rate a ni. Chu chu a on reng tihna a ni.
ICD hi thinlung thawk dan enfiahtu hmanrua a ni a, a tul hunah chauh a inrawlh thin . Chu chu thinlung rhythm hlauhawm taka a inthlak chuan shock a pe mai tihna a ni.
Mahse, ICD thar zawk thenkhat chu pacemaker angin an thawk thei bawk tih hriat reng a pawimawh. I doctor chuan eng chi nge i tan a tha tih a rel ang.
Tuin nge ICD device mamawh?
ICD device hi heart rhythm condition thenkhat, enkawlna dang hmanga control harsa tak tak nei tan chuan a ngai mai thei. A hnuaia table-ah hian heng dinhmun thenkhat hi tarlan a ni.
| Damdawi lam dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Brugada natna a ni | Genetic condition hmuh tur awm lo tak, heartbeat hlauhawm tak, mumal lo tak siamtu. |
| Thin natna pianpui thenkhat | Pian tirh atanga thinlung awm danah harsatna avanga rhythm inthlak danglamna. |
| Hypertrophic cardiomyopathy a awm a, a rilru a hah hle | Heart muscle thickening pangngai lo, thisen pump harsat. |
| Long QT syndrome tih hi a ni | Thinlung electrical system-a harsatna awm vanga thinlung thawk chak leh mumal lo. |
| Tun hmaa myocardial infarction emaw cardiac arrest emaw nei tawhte | Chutiang dinhmun lo thleng leh theihna tur tihtlem nan. |
| Ventricular arrhythmia / Ventricular fibrillation a awm a, a rilru a buai em em a, a rilru a hah em em bawk | Lungphun hnuai lam atanga intan, nunna atana hlauhawm thei thinlung thawk mumal lo. |
ICD device dahna tur surgery hi engtin nge an tih thin?
He surgery hi damdawi inah tih a ni tlangpui. Darkar engemaw zat a daih. Cardiac surgeon emaw electrophysiologist emaw ten an ti thin.
Surgery hmaa inbuatsaihna
I doctor chuan operation hmain a hnuaia thupekte hi a pe ang che:
- Operation hma darkar tlemte chhunginChaw nghei (tui tih loh chu ei leh in loh tur).
- Thisen, zun test, leh ECG te tih a ni ang a, surgery atan i dinhmun hrisel em tih enfiah a ni ang.
- Thisen chhuahna lama harsatna i neih emaw, thisen tihthianghlimna damdawi i ei emaw chuan i doctor hnenah hrilh ngei ang che .
- Tin, contrast dye, iodine, damdawi ang chi thila allergy i neih chuan hriattir bawk ang che.
- Natna dang, asthma, diabetes, kidney disease i neih chuan medical team-te hnenah pawh hrilh bawk ang che.
Surgery neih lai hian
Hei hi ``transvenous approach'' tih hmanga tih a ni fo thin.Hei hian a awmzia chu collarbone bulah incision te tak te siamin, wire ``leads'' tih chu vein hmangin thinlung chhungah dah a ni. A châng chuan open-heart surgery pawh a ngai thei bawk.
Hengte hi operation tih dan tlangpui chu a ni:
1. Damdawi hi ``IV'' hmanga pek a ni a, chu chu i rilru hahdam nan emaw, anesthesia hnuaia dah leh mut theih nan emaw a ni.
2. Incision na hmun chu a numb ang.
3. Collarbone, chest, abdomen bulah incision te tak te siam a ni.
4. Thinlung chamber-ah hian vein lian tak hmangin wire an dah lut thin.
5. ICD battery hi vun hnuaia hmun tlemte siamah dah a ni.
6. Wire te hi heart leh ICD ah an connect a.
7. Device leh wire te chu a inzawm tha em tih leh a thawk tha em tih enfiah thin ang che.
8. Incision chu sewn khar a ni.
9. Ward-a tirh i nih hmain system chu endik leh a ni ang.
Operation hnuah leh ICD hmanga khawsa hnuah
Operation hnuah chuan incision site-ah hian hahna engemaw zat leh natna engemaw zat i nei thei bawk. Hei hi painkiller hmanga control theih a ni. Mi tam zawk chu operation hnu ni khatah an haw thei.
ICD atanga shock lo chhuak hi engtin nge a awm?
Hei hi mi tam takin harsatna an neih a ni. ICD hian low-energy leh high-energy shock a pe thei vek a ni.
- Energy hniam shock chu rilru chhunga flutter emaw tapping sensation ang maiin a awm.
- A na zawkah chuan high-energy shock pek thin a ni. Tlemte chu a hrehawm deuh mai thei. A rilruah vuakna ang maiin a lang thei.
A tlangpuiin shock vawi khat hian thinlung rhythm a siam tha leh ang. Mahse, mi thenkhat chuan darkar 24 chhungin shock eng emaw zat an tawk thei. Hun rei lote chhunga shock engemaw zat (entir nan, vawi thum emaw a aia tam emaw) i dawn chuan emergency ‘electrical storm’ an tih a ni thei. Hetiang a nih chuan damdawi in hnai ber emergency department (ETU) pan nghal tur a ni. Hei hian thinlung lama harsatna lian tak emaw, ICD hnathawh that loh emaw a tilang thei a ni.
ICD nena khawsak huna ngaihtuah tur thil
ICD i neih chuan i purse-ah ID card ziakna keng reng tur a ni.Emergency-a in inbiak theih loh chuan medical staff te tan chuan tanpuina tha tak a ni ang.
Tin, healthcare worker zawng zawng, i doctor, dentist, leh MRI ang chi test ti thin technician te pawh ICD i nei tih i hrilh tur a ni a, hmanraw thenkhat chuan ICD hi a tibuai thei a ni.
ICD tibuai thei thil
Technological device thenkhat chuan ICD hnathawh a tibuai thei a ni. Chutiang thil i hman hunah fimkhur a ngai em tih doctor zawt rawh.
- Store hrang hrangah antitheft system hman a ni
- Radio chi thenkhat (CB radio, ham radio) .
- Electric hmanga fence siam a ni
- Headphone a awm bawk
- Lirthei battery charger, jumper cable te pawh a awm bawk
- Magnet chak tak tak awmna machine
- Airport ang hmuna metal detector te
- Medical test thenkhat, MRI ang chi te
Engtikah nge doctor ko nghal tur
Operation hnua a hnuaia symptoms te hi i neih chuan infection chhinchhiahna a ni thei. Hetiang a nih chuan doctor hnenah hriattir nghal tur a ni.
| Features ngaihven tur a awm | |
|---|---|
| Hri kai theihna chhinchhiahna |
|
| Emergency dang pawh a awm thei | |
Take-Home Thuchah a ni
- ICD hi damdawi hmanraw pawimawh tak a ni a, heart rhythm disorder hlauhawm tak nei te nunna a chhanhim thei a ni.
- Hei hi pacemaker nen a danglam hle. ICD hi a tul hunah chauh a activate thin.
- ICD i neih chuan i ID card kha i keng reng ang.
- Hemi chungchang hi healthcare worker zawng zawng, i doctor leh dentist te pawhin hriattir rawh.
- ICD tibuai thei tur hmanrua, magnet leh metal detector te lakah fimkhur rawh.
- Hun rei lote chhunga shock tam tak i neih chuan emergency-ah ngai la, damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Thil ngaihtuah leh rinhlelhna i neih chuan i doctor hnenah sawipui hlau suh.
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