Nangmah emaw, i chhungte tu emaw hian pacemaker emaw, cardiac device dang emaw i nei em? Chutiang a nih chuan, chu hmanrua aṭanga thinlung thlenga wire tê tak tê a kal thu i hre tawh mai thei. Chungte chu dam chhung atan an implant tlangpui. Mahse, thil bik thenkhatah chuan heng wire te hi uluk taka lakchhuah emaw, thinlung atanga inzawm loh emaw a ngai a ni. Hei hi damdawi lama ‘lead extraction’ kan tih chu a ni. Engvangin nge hetiang hian tih a nih? A hlauhawm em? Vawiin hian he thu hi awlsam takin kan sawi dawn a, in hriatthiam theih tur angin.
A hmasain he ‘hruaitu’ an tih hian eng nge a awmzia i en ang u.
‘Lead’ i ngaihtuah hian pencil lead hi ngaihtuah suh! Hei hi thil danglam tak a ni. A awlsam zawngin sawi ila, wire te tak te tak, special insulation-a khuh a ni. I pacemaker emaw ICD (implantable cardioverter-defibrillator) device atang hian i thinlungah a kal lut thin.
I hria em, heng hmanrua te hi heart rhythm abnormalities enkawlna atan hman a ni a, chu chu thinlung a thawk chak lutuk, a na lutuk emaw, a thawk mumal lutuk emaw (arrhythmias) a ni. Chuvangin, thinlung rhythm a kal sual chuan, chu device atanga electrical signal te tak te chu he lead zawh hian thinlungah a kal a ni. Chu signal chu heart beating normal taka ti lehtu a ni. Remote hmanga TV on ang mai a ni.
Chuti a nih chuan ‘Lead Extraction’ chu eng nge ni?
A awlsam zawngin, hei hian thinlung chhunga heng ‘lead’ wire pakhat emaw a aia tam emaw lakchhuahna surgery a kawk a ni.
Mahse hei hi a lan dan angin a awlsam lo. A chhan chu he wire hi thinlung chhunga dah a nih hnuah hun kal zelah kan taksa hian a chhehvelah scar tissue te tak te a siam thin. He scar tissue hian wire chu thisen kalna kawng leh heart wall-ah nghet takin a inzawm tir a ni. Hei hian a pangngaiin a paih theih loh phah a ni. Chutianga tih chuan thisen kalna kawng a tichhe thei a ni.
Chuvangin, he scar tissue hi uluk taka tihchhiat a, thisen kalna kawng tichhe lovin he wire hi chhuah tir tur chuan hmanraw bik leh cardiologist tawnhriat ngah tak thiamna a pawimawh hle.
Awle, engvangin nge heng wire te hi i lak chhuah nghal a ngai?
Hei hi chhan hrang hrang a awm a. Ṭhenkhat chu emergency a ni a, ṭhenkhat chu ruahman lawk a ni. A chhan berte han thlir ila.
| A chhuah chhan | A sawifiahna awlsam tak |
|---|---|
| Device emaw wire emaw chhunga natna hrik awm | Hei hi a chhan ber leh a chhan ber a ni . Thisenah natna (bacteremia) a awm chuan device leh wire-ah a darh thei a ni. A chang chuan heart valve te pawh a infect thei bawk (infective endocarditis). Chutiang hunah chuan infection control nan system pumpui (device leh wire) lakchhuah a ngai a ni. |
| Wire a chhe emaw, a thawk tha lo emaw | Hun a kal zel a, wire chu a chhung emaw pawnah emaw a chhe thei a ni. Tichuan device atanga signal rawn thawn chu thinlung a thleng tha lo. Chuvangin, wire chhe tawh, tangkai lo tak chu paih chhuah a ngai a ni. |
| Scar tissue siam tam lutuk (Exit Block) . | Wire tawp, thinlung nena a inzawmna hmun chu scar tissue-in a thuk lutuk chuan electrical signal chu chu barrier kaltlangin thinlungah a lut thei lo. Hei hi ‘exit block’ an ti a. Hei hian device chu a thawk tha lo hle. |
| Harsatna dang | A châng chuan wire ngei pawh hian heart rhythm mumal lo a siam thei bawk. Tin, wire chhehvelah thisen zam a lo awm thei a, thisen kal dan a tikhawlo thei bawk. |
| A siamtuin a sawi nawn leh a | A tlem hle a, a siamtu chuan wire chi khat a chhiat avangin a ko kir leh thei. Chuti chung pawh chuan paih chhuah a ngai dawn a ni. |
Engtin chiah nge he surgery hi tih a nih?
He surgery hi tih dan tlangpui pahnih a awm. A hman tlanglawn ber chu subclavian vein hmangin a ni a, chu chu collarbone (clavicle) hnuaiah a awm a ni. Chu chu a theih loh chuan groin-a vein (femoral vein) kaltlangin pawh tih theih a ni.
Surgery neih chhunga thil thlengte step by step-a sawifiahna awlsam tak chu hetiang hi a ni:
1. Anesthesia: A hmasa berin general anesthesia hnuaiah dah i ni ang. Chumi awmzia chu surgery a zawh hma chuan engmah i hre lovang a, i muhil ang.
2. Tube bik dah luh:Chumi hnuah doctor chuan i thisen kalna kawng pakhatah ‘sheath’ an tih special tube a thun a, i thinlung chhunga ‘lead’ awm chu a kaihruai a ni.
3. Wire khuh: A dawtah chuan wire hlui chu he ‘sheath’ hian a khuh vek a, pen cap chu cap hmanga khuh ang bawkin.
4. Live X-ray hman: Heng zawng zawng hi live X-ray images (fluoroscopy) hmanga tih a ni. Chuvangin doctor chuan taksa chhunga thil thleng chu chiang takin a hmu thei a ni.
5. Scar tissue tihchhiat: ‘Sheath’ tawp lama hmanraw bik hmangin wire vel scar tissue chu a chhe zauh zauh a, wire chu a chhuah zalen a ni. A chang chuan laser beam pawh hemi atan hian an hmang thin. Laser energy hian scar tissue chu a vaporize a, a paih chhuak ta a ni.
6. Wire lakchhuah: Wire chu scar tissue a awm loh vek hnuah uluk takin ‘sheath’ nen taksa atangin lakchhuah a ni.
7. Hliam khar: A tawp berah chuan incision chu stitches hmanga khar a, bandage hmanga khuh a ni.
Wire thar i dah leh dawn em ni?
Hei hi wire lakchhuah chhanah a innghat. A chhan chu infection ni ta ila. Chutiang a nih chuan, natna chu tihdam vek a ngai a ni . Hei hian ni engemaw zat emaw, kar engemaw zat emaw antibiotics ei a ngai thei. Infection a dam hnuah chauh device thar leh wire thar dah a ni ang. Mahse, a chhan chu wire chhe ang chi a nih chuan a hlui lakchhuahna tur surgery neih rualin a thar dah theih a ni.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil dang ang bawkin, a hlawkna leh a hlauhawmna a awm vek. He surgery hi medical team tawnhriat ngah tak takin an tih chuan a hlauhawmna chu a tlem thei hle.
| Hlawkna ber ber | |
|---|---|
| ✅ a ni | Infection a awm a nih chuan a dam kim thei a ni. |
| ✅ a ni | Wire chhe tawh emaw, a thawk thei lo emaw chu wire thar, hnathawk tha tak hmanga thlak a, device pakhat efficiency siam that leh. |
| ✅ a ni | Heart rhythm mumal lo leh wire avanga thisen zam ang chi harsatna chinfel. |
A pawimawh ber chu cardiologist leh damdawi in thiam tak, tawnhriat ngah tak thlan a ni a, hei hi surgery buaithlak tak a nih avangin.
| Risk awm thei (a tlem hle) . | |
|---|---|
| ⚠️ a ni | Thisen kalna kawng emaw, thinlung bang emaw a chhiat leh thisen chhuah tam lutuk. |
| ⚠️ a ni | A lak chhuah chuan wire chu a chhe a, taksa chhungah chuan a te te a awm reng a ni. |
| ⚠️ a ni | Thinlung vel ah thisen a awm khawm. |
| ⚠️ a ni | Anesthesia avanga harsatna awm thei. |
Surgery zawhah damdawi inah ka awm a ngai em?
Ni e, ni khat emaw ni hnih emaw chhung chu damdawi inah i awm a ngai tlangpui ang. A rei zawk pawh a ni thei. Chutih lai chuan:
- Chawlh: Khumah muin darkar engemaw zat i chawlh a ngai ang, a bik takin surgery chu groin hmanga tih a nih chuan.
- Antibiotics pek: Infection avanga operation tih a nih chuan intravenous antibiotics pek chhunzawm zel a ni ang.
- X-rays: A tuk zingah chest X-ray tih a ni a, wire tharte chu a awmna tur dik takah a awm em tih enfiah a ni.
In lama haw hnuah engtik lai nge doctor biak a ngaih?
In lama i haw hnuah pawh i taksa inthlak danglamna hi en reng a pawimawh hle. A hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
- Thâwk harsa i neih chuan.
- I khawsik (101°F aia sang) i neih chuan .
- Surgery na hmun atanga swelling, thisen chhuah tam lutuk, pus ang chi tui chhuak a awm chuan.
- I kut zungtang emaw i ke ruh emaw a hring danglam tih i hriat chuan.
Heng symptoms te hi ngaihthah suh. Enkawl hmasak hian harsatna lian tham a veng thei a ni.
Take-Home Thuchah a ni
- Lead extraction hi specialized surgery a ni a, pacemaker emaw ICD device emaw wire te chu thinlung atanga lakchhuah a ni.
- Hei hi a chhan ber chu device emaw wire emaw a infection vang a ni. Chu bakah, wire chu a chhe thei a, a thawk tha lo thei bawk.
- Hei hi surgery buaithlak tak a ni a, doctor tawnhriat ngah takin uluk taka tih a ngai a, hun kal zelah wire chhehvelah scar tissue a lo awm thin avangin.
- Surgery hnua vaukhânna lanchhuahna (khawsik, thawk harsa, swelling) awm thei te hriat a pawimawh hle a, chutiang dinhmun a lo awm chuan doctor lam pan nghal a pawimawh hle.
- Hemi chungchangah hian ngaihtuahna emaw hlauhna emaw i neih chuan i cardiologist nen zalen takin sawiho rawh. Engkim an hrilhfiah ang che.
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