A châng chuan heart attack lian tak, heart surgery emaw, damdawi lam harsatna dang emaw avângin kan thinlung hi a chak lo hle thei a ni. Hnathawh hahthlak avanga chau ang maiin thinlung hian taksaah thisen a pump tling thei lo. Chutiang dinhmun khirh takah chuan thinlung hahdamna tlem leh tanpuina atana hmanraw bik kan sawi dawn a ni. Hei hi Intra-Aortic Balloon Pump, a tawi zawngin IABP an ti a.
A awlsam zawngin, he IABP hi eng nge ni?
IABP hi damdawi hmanraw sei leh te tak te, balloon ang maia siam a ni. Kan taksa thisen kalna bulpuiah dah a ni a, thinlung hnathawh dan azira inflate leh deflate tura duan a ni. Ngaihtuah teh, i thinlung hian hna a thawk nasa lutuk a, thisen a pump thei lo a nih chuan he balloon hian a puitu tur "helper" tlemte angin hna a thawk thin.
A pawimawh ber chu, hei hi taksaah ni engemaw zat chauh dah a ni tlangpui. Permanent a ni lo. Thinlung a normal leh hma loh chuan hun eng emaw chen atana tanpuina mai a ni.
He thil hi engtin nge a thawh? A mak khawp mai!
Hei hi engtin nge a thawh tih hriatthiam a awl hle. Kan thinlung hian hna pawimawh pahnih a nei a ni lawm ni? Pakhat chu taksa pum puia thisen contract (squeeze) leh pump chhuah hi a ni. A dang chu chawlh hahdam (expand) a, thisenin a khat a ni.
IABP ngaihdan hian he kalphung hi a pui hle a ni.
- Thinlung a chawlh a, thisen a khat laiin: Balloon chu a inflate . Chutiang a nih chuan thisen tam zawk chu coronary arteries-ah a luang lut a, chu chuan thinlungah thisen a pe chhuak thin. Chumi awmzia chu thinlung hian oxygen leh nutrients a hmu tam zawk tihna a ni.
- Thinlung a inzawm khawm a, taksaah thisen a pump chhuah hian: Ventricles chu a deflate . Hei hian thisen kalna bulpui chhungah vacuum te tak te a siam a, chu chuan thinlungin thisen a pump theihna dodalna a ti tlem a ni. Chumi awmzia chu thinlung hian chutiang taka thawhrim ngai lovin awlsam zawkin thisen a pump thei tihna a ni.
He balloon hi a bula computer inbun hian chiang takin a control a, chu chuan i heart rate chu a enfiah a, chutiang chuan balloon performance chu a siamrem thin.
Engtikah nge IABP hi a mamawh?
Doctor chuan he hmanrua hi thinlungin a mah chauha hna a thawh theih lohna hmun na takah hman a tum a ni. Chu case te chu eng nge ni tih i en ang u.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Cardiogenic Shock a ni | Heart attack ang chi thil avang hian thinlungin taksaah thisen a pump tam thei lo a, natna khirh tak a ni. |
| Lung ruh natna (Myocarditis) . | Viral infection ang chi thil pakhat avanga thinlung ruh hring leh chak lohna. |
| Lung surgery engemaw zat hnuah | Complex heart surgery hnuah, heart a dam leh hma loh chuan support atan. |
| Angina nghet lo tak | Damdawi hmanga thunun theih loh rilru natna nasa tak, engtik lai pawhin heart attack-ah a chang thei. |
He enkawlna hi a tha lo mi an awm em?
Awle. Hetiang enkawlna hi mi zawng zawngin an ti thei vek lo. Damdawi lam harsatna thenkhat nei tan hman a ni lo. Entir nan:
- Aortic Aneurysm emaw Dissection emaw a awm thei
- Aortic regurgitation chu aortic valve a khar tha lo a, thisen hnunglam a luang chhuak a ni.
- Uncontrolled sepsis (infection na tak, thunun theih loh) .
Doctor-te chuan IABP enkawl dan tur an rel hmain heng natna te hi i neih leh neih loh hriat nan uluk takin an enfiah ang che.
Engtin nge he balloon hi taksaah i dah luh?
Hei hi damdawi in emergency room (ETU), intensive care unit (ICU), emaw, operation room-ah emaw tih a ni tlangpui. Chu chu hriat lohna (anesthetizing) emaw, a sawina hmun chauh numbing emaw hmanga tih a ni.
1. Catheter dah dan: Doctor chuan i groin chhunga thisen kalna kawng lian takah tube te tak te (catheter) a dah lut a.
2. Balloon thawn: Balloon deflated chu chu tube kaltlangin thinlung lam pan chuan a thawn a.
3. Positioning dik: X-ray ang chi technology hmangin taksaa main artery, aorta-ah hmun dik takah dah a ni.
4. Machine nena inzawm: Tichuan, balloon tawp lehlama tube chu a hmaa kan sawi tawh computer machine nen a inzawm leh ta a ni.
Hemi atan hian engvangin nge helium gas hi hman a nih?
Hei hi thil pawimawh tak a ni. Helium hi balloon inflate leh deflate nan hman a ni. A chhan chu helium hi gas rit tak, inert tak a nih vang a ni. Balloon atanga gas tlemte chu thisenah a luang lut a nih chuan helium hian harsatna lian tham a thlen lovang. Mahse kan thawk boruak ang chi thil kan hman chuan boruak bubble a siam thei a, thisen kalna kawng a tikhawlo thei bawk (Air Embolism). Chu chu a hlauhawm hle mai. Chuvang chuan helium hi himna atan hman a ni.
Enkawl hnuah eng nge thleng? Risk a awm em?
IABP dah a nih hnuah khumah i awm a ngai dawn a ni. Balloon nei ke chu dinglam taka vawn reng a pawimawh hle a, a chhan chu i ben chuan balloon chu a inher kual thei a ni. Tin, thisen zam tur ven nan thisen tithianghlimtu heparin te pawh pek a ni fo bawk.
Damdawi zawng zawng ang bawkin, hlauhawmna engemaw zat a awm a ni. Mahse, hei hi nunna chhanchhuahna atana a tul tak tak hunah chauh hman a ni tih hre reng ang che.
- A hlauhawmna: Thisen chhuah, natna hrik kai, thisen kalna kawng chhiatna, balloon puak (a tlem hle), emaw, balloon atanga kal (kidney) ang chi taksa peng hrang hrang chhiatna hmun dik lo a awm.
- A hlawkna ber: Hei hian i nunna a chhanhim thei a ni. Heart attack a awm chuan taksa peng dangte thisen kalna tur a vawng reng thei a ni.
Enkawl hnuah heng symptoms te hi fimkhur rawh
A tlangpuiin, ni engemaw zat hnuah, thinlung dinhmun a ṭhat chuan doctor-te chuan balloon hnathawh chu an tihtlem zauh zauh a, thinlung chu a mah chauhin a thawk thei em tih an en ṭhin. Engkim a tha a nih chuan balloon chu lakchhuah a ni.
Enkawlna hnua i haw hunah i doctor nen inbia la, harsatna i hmuh chuan hriattir tur a ni. A bik takin a hnuaia symptoms te hi hre reng ang che:
- Balloon dahna hmunah a hring lutuk leh a sen lutuk.
- Chhan awm lova khawsik.
- I thinlung a na hle tih hriatna (palpitations).
- Thâwk harsa tihpun (dyspnea).
- Ke ruh leh kut ah te a hring chhuak thin.
- Kar khat chhungin kg 2-3 aia tam a rihna a pung.
Hetiang thil hi i tawn chuan doctor hnenah hriattir nghal rawh.
Take-Home Thuchah a ni
- Intra-Aortic Balloon Pump (IABP) hi balloon hmanrua a ni a, thinlung a chak lo hle lai pawhin hun eng emaw chen atan hman a ni.
- Hei hian thinlung thawk dan azirin a zau a, a inzawm khawm a, thinlunga hnathawh tur a tihtlem bakah thinlung thauah thisen tam zawk a pe bawk.
- Hei hi nunna chhanhim thei damdawi a ni a, damdawi inah ni rei lote chhung chauh hman a ni tlangpui.
- He enkawl lai leh enkawl zawh hian damdawi lam thupek uluk taka zawm a pawimawh hle.
- Symptom danglam tak tak a awm chuan doctor hnenah hriattir nghal rawh.
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