Kan taksa chhunga thisen kalna kawng chhungah camera ang maia hmanraw te tak te thawn chhuakin a chhungril bangte dinhmun enfiahtu hmanrua i hre tawh em? Technology mak tak a ni tak zet a ni. Angiogram tih hi i hre tawh ngei ang, chu chu heart’s arteries-a blockage emaw cholesterol deposit emaw enfiah nan an hmang fo thin. Mahse vawiin hian test bik kan sawi dawn a, chu chu a fiah lo zawk thei a, chu chuan thisen kalna kawng bang chhunga thil thleng tak tak chu chiang takin a hmu thei a ni. Hei hi Intravascular Ultrasound (IVUS) kan tih chu a ni.
A awlsam zawngin, Intravascular Ultrasound (IVUS) hi eng nge ni?
I in chhunga tui pipe pakhat chu a khar ang maiin han ngaihtuah teh. Mahse pawn lam atang chuan khawiah nge a awm, engtiang chiahin nge a inkhar tih, pipe chhunga bangte a chhiat em tih pawh i hre thei lo, a dik em? Chutiang chu kan thisen kalna kawngah pawh a ni. IVUS hi a dik tak chuan scanner te tak te, thisen kalna kawng chhungah ngei thawn theih a ni.
Hei hian thisen kalna kawng chhunga soft tissue enfiah nan sound wave hman a huam a ni. Chumi atana siam hmanraw nalh tak tak chuan thisen kalna chhung atangin real-time image a la thin. He test hi thinlunga thisen pe chhuaktu coronary arteries , dinhmun enfiah nan hman a ni ber. Amaherawhchu, a tul chuan he kawng hi taksa chhunga thisen kalna kawng dangte enfiahna atan pawh hman theih a ni.
He test hi hming dang engemaw zatin an ko bawk:
- Coronary intravascular ultrasound hmanga tih a ni
- Endovascular ultrasound hmanga tih a ni
- Intravascular echocardiography hmanga tih hi a ni
Engtin nge he technology hian hna a thawh? A mak khawp mai!
Hei hi a hnathawh dan hi a awlsamin a mak hle. Bat pakhatin lungpui thim tak karah bang a tawk lova a thlawh dan hi han ngaihtuah teh. Bat hian thawm a tichhuak a, daltu a tawk a, a rawn let leh (echo) chuan bat chuan a hre a, a hmaa thil awm chu a hrethiam ta a ni. IVUS technology hi chutiang deuh chu a ni.
1. Catheter dah: A hmasa berin doctor chuan i groin emaw, i kut emaw a incision te tak te hmangin thisen kalna kawngah tube te tak te, flexible tak, catheter an tih chu a dah lut thin. Insertion site-ah numbing medication pek i ni ang a, chuvangin natna engmah i nei lovang.
2. Ultrasound Probe: He catheter tawp lamah hian kan thawnthua hero, ultrasound probe te tak te . Hei hi a tlem hle.
3. Sound wave thawn: Doctor chuan he catheter hi uluk takin thisen kalna kawng enfiah turin a kalpui a. A kal zel chuan probe hian high-frequency sound wave a pe chhuak thin.
4. Echo Recapture: Heng sound wave te hi thisen kalna kawng bang atang hian an rawn tla thla a, an rawn let leh a, bat chanchin ang bawkin.
5. Computer hmanga graphics siam dan: 1.1.Echo lo kir lehte chu computer hmangin an zirchiang a, chu chu thisen kalna kawng chhunga cross-sectional image chiang tak, cross-sectional image-ah an chantir nghal a ni. Heng thlalakte hi a en hian doctor chuan thisen kalna kawng chhunga awm dan dik takin a zirchiang thei a ni.
A awlsam zawngin sawi ila, he method hmang hian thisen kalna kawng chhungah lut la, a bang a thuk zia te, cholesterol a awm leh awm loh te, thisen kalna tur hmun engzat nge a neih tih te chu millimeter khat hnu millimeter khatin i hmu thei a ni.
Engtin nge IVUS test hian min puih theih ang?
Doctor-in i thisen kalna kawng a block emaw, a zim emaw a rinhlelh chuan IVUS test hi a tangkai hle thei a ni. Heart attack, pulmonary embolism, leh stroke ang chi natna khirh tak tak, nunna atana hlauhawm tak takte enkawlna kawngah a pui thei a ni.
IVUS test hian doctor-te a puih dan tur chu a hnuaia table hi han en ila.
| Check point a ni | IVUS atanga hrilhfiahna hmuh |
|---|---|
| Cholesterol awm zat (Atherosclerosis) . | Thisen kalna kawng bangah cholesterol, thau leh thil dang a awm leh awm loh (plaque) a teh thei a, a awm a nih chuan engtiang chiahin nge a nasat tih a teh thei bawk. |
| Enkawl dan tur ruahmanna siam | He information hi damlo chu stent dah a ngai em tih emaw coronary artery bypass surgery ang chi surgery lian tak neih a ngai em tih hriat nan a pawimawh hle |
| Stent dahna tur a ni | Stent (thisen kalna kawng hawn reng tura dah, mesh ang chi) dah a nih chuan IVUS hian stent size dik tak thlan leh vein wall-a a inzawm tha em tih enfiah nan a pui thin. |
| Risk factor dangte pawh a awm thei | He test hi thisen zam, aortic aneurysm, leh peripheral artery disease te hriat theihna atan pawh hman a ni. |
IVUS leh Angiogram hi eng nge an danglamna?
Hei hi mi tam takin zawhna an neih a ni. Angiogram hian thisen kalna kawng a block em tih a enfiah a, IVUS pawhin chutiang bawk chu a ti a, chuti a nih chuan eng nge an danglamna?
Kawngpuiah i kal a, leiah mi thlalak i hmu ang tih han ngaihtuah teh. Chu thlalak chu en chuan chu mi pianzia chu rough idea i nei thei ang. Angiogram hi chutiang thil chu a ni. Thisen kalna kawngah dye bik inject a, X-ray image lak a ni. Tichuan thisen kalna kawng chhunga thisen luang chhuak ‘shadow’ chauh kan hmu a. Chu chu, two-dimensional (2D) image a ni.
Mahse IVUS hi thlalak en ang a ni lo. Chhangphut pakhat chu slice-a tan a, slice pakhat la a, a chhunga thil awmte enfiah ang mai a ni. IVUS hmang hian thisen kalna kawng cross-section kan hmu a, chu chu three-dimensional (3D) view a ni. Tichuan, angiogram-in a hmuh theih loh thil chipchiar tam tak, thisen kalna kawng bang layer te, cholesterol a awm dan te, a thuk zawng te chu chiang takin kan hmu thei a ni.
Test tih dan: step khat hnu step khatin
Mi thenkhat chuan he test chungchang an hriat hian an hlau deuh mai thei. Mahse a takah chuan engmah hrehawmna awm lovin tih a ni. Heart doctor specialist (Interventional Cardiologist) emaw, vascular surgeon (Vascular Surgeon) emaw hmanga tih a ni.
A tlangpuiin thinlung thisen kalna kawng enfiah hian he IVUS test hi cardiac catheterization test-a tel angin an ti thin. Hei hian thinlung chhunga thil dang tam tak chu chutiang bawka enfiah theihna a siamsak a ni.
Hetiang hian a kalphung chu a awm:
1. Inbuatsaihna: Exam dawhkanah i mu ang. Tichuan, i chawlh hahdam theih nan sedative an pe ang che. A tam zawkah chuan i conscious ang a, mahse i relax hle ang. Natna engmah i hre lovang.
2. Thianghlim leh numbing: Catheter dahna tur hmun (a tlangpuiin groin) chu antiseptic solution hmangin uluk takin silfai thin a ni. Tichuan, a hmun chu a ti na thei lo turin anesthetic an inject leh a .
3. Catheter dah luh dan:Tunah chuan doctor chuan a natna hmunah hian incision te tak te a siam ang a, chuta tang chuan plastic sheath a dah ang. Hei hian thisen kalna kawng chhungah catheter dah a awlsam phah ang. Chumi hnuah chuan IVUS catheter chu a kal tlangin dahin, enfiah tur vein-ah hruai a ni ang.
4. Imaging: Catheter chu a hmunah a awm tawh chuan a tip-a ultrasound probe chu activate a ni a, thisen kalna kawng chhung lam thlalak a la ta a ni. Doctor chuan computer screen en chungin hetiang hian a ti thin.
5. Finishing: Thlalak tul zawng zawng lak chhuah a nih hnuah doctor chuan uluk takin catheter leh sheath chu a la chhuak thin. Incision hi a te lutuk avangin stitches hi a ngai lo tlangpui. A hmunah hian natna kai loh nan surgical dressing thianghlim tak an hnawih thin.
Results leh Recovery a ni
He test chungchanga thil ropui dang chu result hi real-time-a hmuh theih a ni. Mahse, doctor chuan test zawh hnuah leh sedative an pek che khan a nghawng a bo tawh hnuah a hrilhfiah ang che. Recovery room-a i la awm lai hian result i hmu thei mai thei.
Recovery chungchangah chuan IVUS test chauh i neih chuan chu ni vek chuan i haw thei tlangpui. Mahse, hei hi cardiac catheterization test nena inzawma tihsak i nih chuan damdawi inah zan khat i awm a ngai mai thei. Hemi chungchang hi i doctor chuan a lo hrilh lawk ang che.
IVUS test hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam tih dan dang ang bawkin he thil hian hlawkna leh hlauhawmna engemaw zat a nei bawk.
Hlawkpuina
- Results dik tak: Thisen kalna kawng dinhmun dik tak leh chipchiar tak tak i hmu thei.
- Non-radioactive: Hetiang tihnaah hian X-ray hman a nih loh avangin taksaah radiation exposure a awm lo .
- Results leh recovery rang: Results hi a rang a, recovery hun pawh a tawi.
Risk a awm thei
Heng risk te hi a tlem hle. Tin, he test hi medical team tawnhriat ngah tak enkawlna hnuaia tih a nih avangin eng dinhmun pawh hmachhawn turin an inpeih reng bawk.
- Heartbeat irregularities (Arrhythmia) - (a bik takin thinlung nena inzawm a nih chuan) .
- Thisen a chhuak thin
- Incision na hmuna natna hrik awm
- Dissection emaw, vessels tihchhiat emaw
A pawimawh ber chu i doctor nen he test chungchang hi sawipui la, i neih hmain i zawhna zawng zawng zawt hmasa phawt ang che. Hlauhna tur a awm lo.
Take-Home Thuchah a ni
- Intravascular Ultrasound (IVUS) hi special scan a ni a, sound wave hmangin thisen kalna kawng chhunglam bang chiang tak tak a siam chhuak thin.
- Hei hian angiogram pangngaia hmuh theih aiin thu chiang zawk a pe thei a, a bik takin cholesterol deposit awm dan (atherosclerosis) chungchang a ni.
- He test atanga thu hriatte hi doctor-te tan chuan stent dah leh bypass surgery ang chi enkawlna chungchanga thutlukna dik siam turin a pawimawh hle.
- Hei hi test him tak a ni a, a hlauhawmna pawh a tlem hle.
- Lung natna emaw, thisen kalna kawngah harsatna i neih chuan i doctor nen inbia la, he test hi i tan a tha em tih rel rawh.
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