Nangmah emaw, i hriat emaw chuan pacemaker emaw, implantable cardioverter defibrillator (ICD) emaw i dah tawh em? Chutiang a nih chuan, ‘leads’ tia hriat wire chungchang hi i hre tawh ngei ang. A chang chuan he lead hi harsatna a awm chuan surgery hmanga lakchhuah a ngai thin. Hei hi doctor-te’n ‘lead extraction’ an tih chu a ni. He hming hriat hi a hlauhawm deuh thei. Mahse, lungngai suh, vawiinah hian awlsam leh chiang takin kan sawi dawn a ni.
I lo en hmasa phawt ang u, ‘Lead’ tih hi eng nge ni?
A awlsam zawngin, lead chu wire bik, insulated a ni a, chu chuan i pacemaker emaw ICD (Implantable Cardioverter-Defibrillator) device atanga electrical signal chu i thinlungah a phur a ni. Kan in chhunga light pakhata current phur thei wire ang mai a ni.
I thinlung rhythm a dik lo (Arrhythmia) a nih chuan he lead hian a hre chiang a, rhythm siam that lehna tura pui turin thinlungah electrical signal dik tak a thawn a ni. A tlangpuiin, chutiang lead pakhat, pahnih, a nih loh leh pathum pawh a awm thei a, chu chu mi rilru chhunga device dah dan azirin a ni. Chungte chu thinlung dinglam lamah thisen kalna (vein) hmangin an inzawm a ni.
Engvangin nge he lead hi lakchhuah a ngai?
Lead lakchhuah chhan hrang hrang a awm thei. Mahse a tam zawkah chuan a chhan ber chu infection a ni. Ngaihtuah teh, thisenah hrik a lut a nih chuan (Bacteremia), chu natna chu he lead-ah hian a kal thei a, thinlung valve (Infective Endocarditis) pawh a kai thei a ni. Chutiang a nih chuan device leh lead chu lakchhuah a ngai a ni.
A pawimawh ber chu hetiang natna hrik hi enkawl loha awmtir hi a hlauhawm hle a ni. Chuvangin, Doctor in thurawn a pek chuan hengte hi paih chhuah a pawimawh hle.
Infection bakah hian chhan dang engemaw zat avangin lead pakhat chu lakchhuah a ngai thei bawk.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Lead a chhe emaw, a thawk tha lo emaw | Thil siamtuin break, breakage, emaw recall emaw ang chi, lead chhung emaw pawnah emaw. |
| Scar tissue avanga harsatna awm | Hun a kal zel a, lead tip vel ah hian scar tissue tam tak a lo awm khawm thin. Tichuan device atanga electrical signal lo lut chu thinlungah a kal tha lo. Hei hi exit block kan ti a . |
| Thisen kalna kawng a block | Lead vel hian thisen zam emaw, scar tissue emaw a lo awm thei a, chu chuan a chhunga thisen kal a tikhawlo thei a ni. |
| Lead ngei atanga lo chhuak arrhythmia | A tlem berah chuan lead hian thinlung rhythm a tibuai thei a, thinlung thawk mumal lo a siam thei bawk. |
Engtin nge he procedure hi tih a nih?
Hei hi a buaithlak deuh a, doctor tawnhriat ngah takin tih tur a ni. A chhan chu hun engemaw chen hnuah chuan lead chu a chhehvela scar tissue lo awm avang hian thisen kalna kawngah nghet takin a inzawm thei a ni. Chuvangin thisen kalna kawng a chhiat loh nan hmanraw bik hmanga lakchhuah a ngai a ni.
He surgery hi general anesthesia hmanga tih a ni a, chu chu engmah i hre lo vang, i muhil dawn tihna a ni.
1. Doctor chuan collarbone (clavicle) hnuaiah emaw groin area (femoral artery bulah) incision te tak te a siam a, thisen kalna kawngah a lut a.
2. Tichuan, he thisen kalna kawngah hian tube bik (sheath) chu lead awmna hmun thlengin an kalpui a.
3. Doctor chuan X-ray ang maia special screen (fluoroscopy) a en laiin he tube hi lead zawhin dik takin a kaihruai thin.
4. He tube tip-a instruments hmang hian lead chhehvela scar tissue chu zawi zawiin a chhe vek a, lead chu a chhuah zalen ta a ni.
5. A chang chuan laser technology hmangin he scar tissue hi tihthianghlim nan pawh an hmang thin.
6. Lead chu a free vek tawh chuan uluk takin lakchhuah a ni a, a incision chu khar a ni a, bandage vuah a ni.
Engtikah nge lead thar post a nih ang?
Lead lakchhuah chhan ah a innghat. Infection avanga lakchhuah a nih chuan infection a dam vek hma chu i nghah hmasak a ngai ang. Chumi hnuah chauh chuan lead leh device thar a awm ang. Chhan dang vangin operation neih chhung hian lead lakchhuah nan a thar dah theih a ni. I doctor chuan hei hi a hrilhfiah ang che.
He surgery hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin he surgery hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
| ✅ Hlawkna a awm | ⚠️ Risk a awm thei |
|---|---|
| Infection a awm chuan a tidam thei. | Anesthesia avanga harsatna awm thei. |
| Lead chhe emaw, a thawk tha lo emaw chu a thara thlak chuan device chu a thawk tha thei ang. | Lead chu lakchhuah a nih chuan a chhe thin. |
| Thisen kalna kawngkhar (blood vessel blockages) te chu paih chhuakin thisen kal dan tur a siam tha leh thin. | Thisen kalna kawng emaw thinlung emaw tihchhiat. |
| Lead avanga arrhythmias atanga chhanchhuahna. | Thisen chhuah tam lutuk leh thisen pek ngai. |
Doctor nen engtik lai nge i biak a ngaih?
Surgery zawh hnua in lama i haw hian i hriat tur tlemte a awm. A hnuaia symptoms te hi i neih chuan hun khawhral suh la, doctor ko nghal rawh.
- Thâwk harsa i neih chuan .
- I khawsik 101 degree Fahrenheit (101°F) aia sang i neih chuan .
- Surgery neihna hmuna hliam, thisen emaw, zun emaw ang chi tui chhuak danglam tak.
- Kut zungtang emaw ke ruh emaw a hring chhuak.
Hriat reng tur chu emergency, thawk harsa emaw, rilru na tak emaw i neih chuan Emergency Department (ETU) hnai ber pan nghal tur a ni.
Take-Home Thuchah a ni
- Lead Extraction hi surgical procedure a ni a, pacemaker emaw ICD device emaw a wire (leads) te chu lakchhuah a ni.
- Hei hi infection vang a ni tlangpui a, mahse lead breakage emaw malfunction vang emaw pawh a ni thei.
- Hei hi surgery buaithlak tak a ni a, doctor tawnhriat ngah tak takin a tih tur a ni a, chuvangin a rah chhuah tha ber tur chuan doctor tawnhriat ngah tak hnen atanga enkawl a pawimawh hle.
- Surgery zawhah doctor thupek dik tak zawm rawh.
- Harsatna emaw, lungkhamna emaw i neih chuan, chu chu i doctor hnenah sawipui hlau ngai suh.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment