Intra-Aortic Balloon Pump chungchanga hriat tur pawimawh te

Kan taksa peng mak ber chu thinlung hi a ni. Chawlh hahdamna awm lovin, kan pian ni a\angin hna a thawk \hin. Mahse a chang chuan heart attack lian tak vang emaw, operation lian tak hnuah emaw, heart condition na tak dang vang emaw pawh nise, kan thinlung hi a chak lo hle thei a ni. Chutiang hunah chuan thinlung hian taksaah thisen a pump tling thei lo. Hei hi natna khirh tak, nunna atana hlauhawm tak pawh a ni. Chuvangin, hetiang hun lai hian doctor-te'n thinlung "chawlh" tlem an pekna leh a hna thawk tura an puih nan hmanraw bik kan sawi dawn a ni.

A awlsam zawngin sawi ila, he Intra-Aortic Balloon Pump (IABP) hi eng nge ni?

A hming hi a buaithlak deuh niin a lang a, mahse a hnuaia concept hi a awlsam hle. Intra-Aortic Balloon Pump (IABP) hi balloon ang maia sei leh sei tak a ni. Kan taksaa thisen kalna kawng lian ber aorta-ah dah a ni a, chu chuan thinlung atanga taksa peng dangah thisen a phur a ni. Tube ang chi balloon sei tak angin ngaihtuah rawh.

He balloon hi a awm mai mai lo. Machine bik nen a inzawm a ni. Chu machine chu a fing hle mai. Kan thinlung rhythm nena inmil turin he balloon hi a inflate a, a deflate bawk. Hetiang kalphung hian thinlung chak lo zawk tan thisen pump a awlsam phah hle. A tlangpuiin he hmanrua hi taksaah ni engemaw zat chauh dah a ni. Chu chu thinlung chu mahni chauha thawk leh thei tura a chak tawk hma chu hun eng emaw chen atana thlawptu angin a ni.

He balloon pump hnathawh dan hi ngun zawkin han thlir ila.

Hei hi hrethiam tur chuan thinlung hnathawh dan hi tlem tal i neih a ngai a ni. Kan thinlung hi chamber pahnih atanga siam pump ang a ni.

1. Thinlung a insiam (Contraction/Systole): Lung a inzawm chuan a chhunga thisen chu aorta kaltlangin taksa pum puiah a pump chhuak thin.

2. Thinlung a hahdam (Relaxation/Diastole): Thinlung a hahdam leh chuan thisen a khat leh thin. Round leh tur atan pump rawh.

Tunah chuan IABP hian he thila a puih dan hi han en teh. Thinlung kalphung kalh takin hna a thawk a ni.

• Thinlung a inzawm khawm a, thisen a pump chhuah chuan balloon chu a chhuak nghal vek a ni. Pipe lian tak chhunga blockage awm chu paih chhuah ang maiin han ngaihtuah teh. Tichuan thinlung chak lo chuan awlsam takin thisen chu a pump chhuak thei a, chutiang taka thawhrim ngai lovin.
• Thinlung a zau a, thisen a khat chuan balloon chu a inflate nghal a ni. Hei hian thisen chu aorta chhungah a nawr leh ta a ni. Hei hian hlawkna pahnih a nei a. Pakhat chu thisen tam zawk chu coronary arteries-ah a kal a, chu chuan heart muscle-ah thisen a pe a, thinlung hian ei tur tha zawk a dawng a ni. A dang leh chu taksa peng dang, a bik takin kut leh kea thisen kalna a titha zawk tih hi a ni.

Engtikah nge IABP hi a mamawh?

Damlo thinlung chu a chak lo em em a, taksa peng hrang hrangah thisen a pe tam thei tawh lo a nih chuan doctor chuan he hmanrua hi hman a tum ang. Damdawi lam hawi chuan he natna hi "cardiogenic shock" an ti a. Hei hi dinhmun hmanhmawhthlak tak leh pawi tak a ni.

A hnuaia table-ah hian cardiogenic shock thlen thei thil engemaw zat tarlan a ni.

Tin, he IABP hi heart surgery lian tham thenkhat hnuah, emaw , thisen kalna kawng khar hawn thei angioplasty (Percutaneous Coronary Intervention) ang chi enkawlna hnuah emaw tanpuina a mamawh chuan hman a ni bawk.

Hei hi mi zawng zawngin kan hmang thei ang em?

No. He hmanrua hi damdawi lam harsatna thenkhat nei tan chuan hman loh tur a ni a, a chhan chu a thatna aiin a tichhe zawk thei a ni.

• Aortic Aneurysm: Aorta bang a chak lo a, balloon ang maia a bulh chuan.
• Aortic Dissection: Aorta bang layer hrang hrang inkarah thisen a chhuak a, a inthen a nih chuan.
• Aortic Regurgitation: Thinlung chhunga aortic valve a khar tha lo a, thisen hnunglam a luang chhuak thin.
• Severe Peripheral Artery Disease: Kea thisen phurtu thisen kalna kawngte chu nasa takin a inkhar a nih chuan he hmanrua hi dah a harsa mai thei.
• Uncontrolled Sepsis: Infection na tak, taksa pum puia darh tawh a awm chuan.

Engtin nge he hmanrua hi taksa chhunga dah luh dan hi tih a nih?

Hei hi cardiologist leh an team-in an ti tlangpui a, damdawi in intensive care unit (ICU) emaw operation room-ah emaw an ti thin.

Process hmain

Damlo chu heart surgery a neih tawh chuan anesthesia hnuaiah an awm ang a, engmah an hre lo ang. Chutiang a nih loh chuan a hranpaa tih a nih chuan local anesthetic pek a ni ang a, chu chuan device dahna tur ke hmun chu a ti na thei ang. Chuvangin hrehawm an tuar lovang.

A kalpui chhung hian

Doctor chuan hengte hi a zawm a ni:

1. A hmasa berin ke ruhro (groin area)-a thisen kalna lian takah chuan catheter an tih, tube te tak te, hollow tak tak an dah a.

2. A dawtah chuan he catheter hmang hian deflated balloon chu uluk takin aorta chung lamah an pass a.

3. Hei hi X-ray technology hmanga a point tak tak, chu chu thinlung hnuai lam chiah aorta en nan tih a ni.

4. A hmun dik takah a awm tawh chuan balloon pawn lam chu computer bik nen a inzawm leh ta a ni. Chumi hnuah chuan machine chuan heartbeat angin balloon chu a control tan ta a ni.

A kalphung zawhah

Device dah a nih hnuah damlo chu intensive care unit-ah special observation hnuaiah a awm reng a ngai dawn a ni.

• Device a awm chhung chuan khumah i awm tur a ni. I lu chu tlem han chawi sang la.
• Catheter awmna ke chu dinglam hawia dah tur a ni . I ben chuan catheter chu a inher kual thei.
• Thisen zam a awm loh nan thisen tithianghlimtu, heparin ang chi chu thisen zam chhungah dah tan a ni.

Eng nge a hlawkna leh a hlauhawmna?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.

Mahse, hlauhawmna engemaw zat a awm thei. Damlo kum leh hriselna zawng zawngah a innghat a ni. Medical team te hian heng hlauhawmna te hi an hre reng a ni.

Recovery leh device lakchhuahna

IABP chu ni engemaw zat chauh a hmunah dah a ni tlangpui . Doctor ten thinlung a tha deuh deuh nia an ngaih chuan pump chu rei vak lo an titawp a, an en thin. Tichuan, thinlung chu a mah chauhin a thawk tha a nih chuan doctor chuan chu hmanrua chu paih chhuah a tum ta a ni.

Mahse, natna khirh tak tak ṭhenkhatah chuan thinlung a chak lo hle a nih chuan, he hmanrua hi enkawlna dang, thinlung thlakna ang chi, kawngkhar atan kar tam tak a hmunah dah a ngai mai thei.

Engtikah nge doctor koh tur

Nangmah emaw, i hnaih ber emaw hian hetiang enkawlna hi i lo nei a, damdawi in atanga i haw hnua harsatna i neih chuan i doctor hriattir nghal a pawimawh hle.