Heart disease emaw heart block emaw tih thumal kan hriat hian mi tam tak chuan hlauhna kan nei nghal thin. Kan ngaihtuah leh tur chu bypass surgery ang chi operation lian tak a ni. Damdawi ina ni tam tak hman tur ngaihtuah te, dam hun tur te, leh natna te hian min ti khur thin, a ni lawm ni? Mahse, tunlai damdawi lam thiamna changkang tak avangin thinlung natna tam tak chu hliam lian tak siam lovin, kutphah emaw, ke ruh emawa khur te tak te atanga tube te tak te (catheter) dahin enkawl theih a ni tih i hria em? Chu damdawi lam kalphung mak leh him tak chu Interventional Cardiology kan tih chu a ni. Vawiin hian he thu hi awlsam takin kan sawi dawn a, in hriatthiam theih nan.
A awlsam zawngin Interventional Cardiology chu eng nge ni?
I in chhunga tui pipe pakhat chu bawlhhlawhin a khuh ang tih han ngaihtuah teh. Tunah chuan tui chu a luang zawi hle mai. Hei hi siamthat dan kawng hnih a awm. Pakhat chu bang tihchhiat a, pipe lak chhuah a, pipe thar dah a ni. Hei hi hna tam tak a ni a, leivut a tam a, a ri nasa hle a, hun a duh rei hle a, a man pawh a to hle bawk. Kawng dang chu, bang tichhia lovin, pipe tawp khatah wire ang chi thil te tak te i dah a, bawlhhlawh khar chu i paih chhuak a, kawng chu i tifai a ni. Hei hi engtiang chiahin nge a awlsam? Chutiang chu Interventional Cardiology-ah chuan a thleng thin.
Traditional open-heart surgery hi surgery lian tak a ni a, bang tihchhiat a ngai a ni. Interventional Cardiology hi surgical procedure a ni a, thinlung chu bang tichhia lovin instrument nalh tak hmanga tihfai a ni.
Hei hi medical field-a branch hmasawn tak dang Cardiology tih a ni. Hetah hian doctor-te, Interventional Cardiologists -te chuan thinlung leh thisen kalna kawng natna hrang hrangte hriatchhuah leh enkawl nan catheter an tih tube te tak te, flexible tak tak an hmang thin. Hei hian incision lian tak a ngai lo. He catheter hi taksaah hian needle te tak te, arm emaw groin emaw a thisen kalna kawng khata dah hmangin taksaah dah a ni. Chuvangin hei hi "Minimally Invasive" treatment an ti bawk.
He method hian heart surgery lian zawk aiin eng nge a thatna?
Hetiang method hian hnute tihpunna surgery aiin thatna engemaw zat a nei a ni. Hei hi i hriat a pawimawh hle.
| Chhawr tangkai | Chumi awmzia chu... (A awmzia...) |
|---|---|
| Incision te tak te tak te (Cut tenau zawk) . | Incision lian tak ai chuan needle puncture chauh a awm. Chu chu ni rei lo te chhungin a dam vek ang. Stitch a ngai tawh dawn lo. |
| Thisen chhuah theihna a tlem zawk (Thisen hloh theihna a tlem zawk) . | Incision lian tham a awm loh avangin taksa atangin thisen tam tak a bo lo. Chuvangin pawn lam thisen pek a tulna pawh a tlem hle. |
| Lo dam vat rawh (Recovery hun rei zawk) | Surgery lian tak hnua a dinhmun pangngaia a awm leh theih nan kar tam tak, thla tam tak pawh a ngai thei. Mahse he method hmang hian ni engemaw zat chhungin hna pangngai i thawk leh thei a ni. |
| Damdawi ina hun hman hi a rei lo hle. (Damdawi ina awm rei zawk) | A tam zawkah chuan hetiang enkawlna chi hi damdawi inah ni khat emaw ni hnih emaw chauh i awm a ngai a, chu ni vek chuan i haw thei pawh a ni thei. |
Interventional Cardiologist hian eng nge a tih tak tak?
Heng doctor-te thil tum ber chu i taksaa thisen kalna kawng, a bik takin i thinlung nena inzawmte chu a thawk tha em tih enfiah a ni. Kawngpuiah traffic police-te ang bawkin thisen kalna kawngkhar khar an hmu a, a chhan an zawng a, chu chu an paih chhuak a, chu chuan thisen kal dan pangngai a siam leh thei a ni.
A pawimawh ber chu heng doctor te hian cardiothoracic surgeon angin open-heart surgery an ti lo. An hna zawng zawng hi catheter hmanga tih vek a ni.
Enkawlna hman tlanglawn ber chu angioplasty leh stenting a ni.
Hemi kawngah hian hei hi enkawl dan tlanglawn ber a ni. Emergency treatment a ni a, nunna chhanhim nana tih a ni a, a bik takin heart attack a awm chuan a ni. Hetiang thil hi engtin nge a lo awm tih i lo en ang u.
1. Blockage hriatchhuah: A hmasa berin X-ray test angiogram an tih chu i thinlunga thisen petu coronary artery pakhatah blockage a awm em tih enfiah a ni.
2. Catheter dah luh dan:Tichuan, catheter te tak te chu i kut emaw, i groin emaw a vein kaltlangin i thinlung chhunga thisen kalna kawng khatah a lut a. I hre pawh i hre lovang.
3. Angioplasty: Catheter tawp lamah balloon te tak te a awm a. Doctor in blocked area a thlen chuan balloon chu a inflated ta a ni. Chumi hnuah chuan cholesterol layer block chu artery wall-ah a innghat a, thisen kal leh theihna tur kawng a hawng ta a ni.
4. Pasage inhawng reng turin stent: Balloon hmanga inhawng chu a khar leh thei a, chuvang chuan a ven nan mesh tube te tak te, stent an tih chu a hmunah dah a ni. Hei hi tunnel chim tur tanpui ang mai a ni. He stent hian thisen kalna kawng a hawng reng a ni.
He procedure hi heart attack nei mi pakhat chungah tih nghal theih a ni a, heart chhiatna a tlem thei ang bera tih theih a ni a, nunna pawh a chhanhim thei bawk.
Hetiang hmang hian eng test leh treatment dang nge tih thin?
Angioplasty leh stent dah bakah hian he method hi natna dang engemaw zat atan hman a ni. Chung zinga tlemte chu hetiang hi a ni.
| Enkawlna/test hming | Hei hi eng nge thleng? |
|---|---|
| Cardiac Catheter hmanga tih a ni | Hei hi test bulpui ber a ni. Catheter hi thinlung pindan leh thisen kalna kawng hrang hrangah dahin pressure, thisen kal dan leh oxygen level te a teh thin. |
| Atherectomy tih a ni | A chang chuan cholesterol layer a thuk lutuk chuan balloon hmanga tihkhauh a harsa thin. Chutih lai chuan layer chu blade ang chi thil te tak te hmangin an scrape chhuak a, chu chu catheter kaltlangin an kalpui a ni. |
| Atrial Septal Defect (ASD) tih khar a ni | Pian tirh atanga thinlunga khur awm (congenital heart disease) chuan chest tube a ngai lo. "Umbrella" ang chi thil te tak te chu catheter kaltlangin a khur chu khar theih a ni. |
| Heart Valve thlak leh siamthat | Hetiang tih dan hi heart valve a tawi emaw, a leak emaw te siamthat emaw thlak emaw nan hman thin a ni. He natna hi TAVI/TAVR hi enkawlna lar tak a ni. |
| Thrombolysis tih a ni | Thisen zam chu thisen kalna kawng chhungah a tang a nih chuan catheter hmangin thisen zam awmna hmunah kal a, a tithianghlimtu damdawi inject theih a ni. |
Eng dinhmunah nge Interventional Cardiologist hnenah i refer ang?
I chhungkaw doctor emaw, general cardiologist emaw chuan i thinlung emaw, thisen kalna kawng emaw-ah harsatna i neih a rinhlelh chuan, eng nge a nih chiah tih hriat tumin emaw, enkawl turin emaw interventional cardiologist hnenah an refer thei che a ni.
An tanpuina hi a hnuaia damdawi lam dinhmunah hian a ngai tlangpui:
- Atherosclerosis: Kan sawi tawh ang khan thisen kalna kawng chhungah cholesterol a pung khawm a, a kalna tur a ti tawi tihna a ni.
- Coronary Artery Disease: Thinlung thisen petu thisen kalna kawng (arteries) a block. Hei hian rilru na (angina) a thlen thin.
- Heart Valve Disease: Heart valve a thawk tha lo.
- Congenital Heart Conditions: Nau piang laia awm thin thinlung natna (thinlung chhunga khur ang chi).
- Peripheral Artery Disease: Kut leh kea thisen phurtu thisen kalna kawng (arteries) a block.
- Aneurysms: Thisen kalna kawng chhunga balloon ang maia bulge awm.
- Thisen zam: Thisen zam.
Mahse, he method hi damlo zawng zawng tan a tha lo tih hre reng ang che. I dinhmun azirin major surgery hi a solution tha ber a ni thei. Chu thutlukna chu i enfiahtu doctor-in a siam ang.
Tin, heart attack rang tak ang chi i neih chuan damdawi in Emergency Treatment Unit (ETU)-ah direct-in dah theih i ni a, chutah chuan Interventional Cardiologist-in a enkawl thei bawk.
Doctor hmu tura i kal hunah eng nge i beisei ang?
Hetiang specialist pan tur hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Mahse, hlau suh.
A hmasain doctor chuan i symptoms te a zawt ang che. Engtik lai khan nge rilru natna hi a lo intan a, eng ang nge a nih a, eng chen nge a awm tawh? Tichuan, i chhungte zingah thinlung natna nei an awm leh awm loh an zawt ang.
A pawimawh ber chu i damdawi ei zawng zawng doctor hnenah hrilh vek tur a ni.Chu chu damdawi lei mai ni lovin, damdawi dawr-a i hman thin, over-the-counter painkiller, vitamin, leh traditional medicine (Sinhala damdawi) te pawh ei tihna a ni a, chu chu i hrilh vek a ngai a ni. A tha ber chu ziak vek hi a ni.
Tichuan Doctor in a enfiah ang che. Stethoscope hmanga i thinlung ngaihthlak leh i thisen sang tehna ang chi test awlsam tak tak a ti ang.
Catheterization emaw, enkawlna emaw i mamawh chuan ni hran (emergency a nih loh chuan) tih tur a ni. Chumi hma chuan i doctor chuan a tih dan tur a hrilhfiah ang che, a hlawkna leh hlauhawmna tenau awm thei te, chutiang atana inbuatsaih dan tur te pawh a hrilh ang che.
Take-Home Thuchah a ni
- Interventional Cardiology hi thinlung natna enkawlna atana hmanraw changkang tak a ni. Open-heart surgery lian tham ai chuan tube (catheter) tha tak tak hmanga enkawlna an ti thin.
- Hetiang hmanraw thatna chu natna a tlem a, a dam thuai a, damdawi ina awm a tlem a, hliam lian tham a awm lo bawk.
- Hetiang hmang hian natna tam tak, heart attack, thisen kalna kawng block, heart valve problem, leh congenital heart defects te hi hlawhtling taka enkawl theih a ni.
- Lung natna i neih chuan he damdawi hi i tan a tha em tih i doctor nen inbia ang che. Zawhna i neih apiang zawh hlau suh.
- Lung natna chungchang i hriat veleh hlauthawng ai chuan tunlaia enkawlna changkang tak tak awmte hriat chian chuan rilru chakna nasa tak a pe ang che.











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