I doctor chuan Atrial Fibrillation, thinlung thawk chak lo tak i nei tih a hrilh che em? Hetiang natna vei te hi midang aiin a let thum atanga a let nga velin stroke an nei tam zawk tih i hria mai thei. Hei hi a chhan ber chu thinlung chhunga thisen zam (blood clots) lo awm hi a ni. Chuvangin vawiin hian mi tam tak tan hahdamna nasa tak thlentu leh he hlauhawmna hlauhawm tak tihziaawmna atana hman thin enkawlna bik kan sawi dawn a ni.
A awlsam zawngin, Left Atrial Appendage Closure tih hi eng nge ni?
Okay, hei hi hming buaithlak tak angin a lang thei a, mahse a thawnthu hi a awlsam hle. Kan thinlung chhunga pindan chunglam, left atrium hi han ngaihtuah teh. He chamber bang atang hian pouch ang chi hmun te tak te a lo chhuak a. Chu chu doctor-te chuan Left Atrial Appendage (LAA) an tih chu a ni.
A tlangpuiin thinlung a thawk tha chuan thisen chu he bawm chhungah hian a luang lut a, chutah chuan a chhuak leh thin. Mahse Atrial Fibrillation (Afib) vei tan chuan thinlung chunglam (upper chambers) te chu a inzawm tha lo va, a khur zawk thin. Tichuan, chu bawm LAA an tihah chuan thisen a awm khawm a, thisen zam a lo awm tan ta a ni. Afib vei te zingah hian stroke thlentu thisen zam 90% chu he sac te tak te LAA an tih ah hian a lo awm thin.
Chuvangin, Left Atrial Appendage Closure (LAA Closure) hi surgery tih a ni a, a nih loh leh incision te tak te hmangin incision te tak te hmangin LAA, thisen zam awmna bag chu khar a ni. Hei hi khar a nih chuan chutah chuan thisen zam a lo awm a nih pawhin thisenah a lut thei lo va, thluak lamah a kal thei lo. Hei hian stroke hlauhawmna nasa takin a ti tlem a ni.
A tha ber chu LAA hmun hi khar hian thinlung hnathawh dang a nghawng lo tih hi a ni. Chumi tel lo chuan thinlung chu a thawk tha thei khawp mai.
He enkawlna hi tute nge mamawh?
He enkawlna hi Atrial Fibrillation (Afib) vei, stroke vei theihna sang tak nei tan a tha ber. A bik takin thisen tina damdawi lama harsatna nei tan chuan a tha hle.
Doctor-te chuan stroke hlauhawmna tihziaawmna turin thisen tithianghlimtu warfarin (Coumadin®) ang chi an pe fo thin. Mahse mi thenkhat chuan heng damdawi te hi harsatna an nei a:
- Thisen test neih fo: Damdawi dose dik tak i ei tih hriat chian nan thisen test neih fo a ngai a ni.
- Diet control: Chaw thenkhat, thlai vitamin K awmna te hi a tlem a ngai mai thei.
- Thisen chhuah theihna: He damdawi hian hliam tenau a\ang pawhin thisen chhuahna a tikhawtlai thei a ni. Hei hi tlu fo emaw, intestine atanga thisen chhuah hlauhawma awm emaw tan chuan a hlauhawm hle.
- He damdawi hian mi thenkhat tan hna a thawk lo.
Apixaban (Eliquis®), rivaroxaban (Xarelto®) te hi warfarin tel lovin a awm a niHetiang damdawi thar hi awm mah se, mi zawng zawng tan a thawk tha lo. Mi thenkhat tan chuan an man to hle a, thisen chhuah theihna a keng tel bawk.
Chuvangin, hetiang thil avanga thisen tithianghlimtu damdawi ei chhunzawm harsa titute tan chuan LAA Closure tih damdawi chungchang hi i doctor nen in sawi dun thei ang.
LAA khar nan hian eng method nge hman?
LAA hmun hi khar dan leh hmanraw hrang hrang a awm a. Chung zinga ṭhenkhat chu:
| Device chi hrang hrang | A hnathawh dan | Entirnan |
|---|---|---|
| LAA occlusive hmanrua te a ni | Hengte hi bottle cap ang mai a ni. LAA hmui, thinlung veilam atrium nena inzawm chu he hmanrua hmang hian khar a ni. Tichuan, a chhungah thisen zam (blood clots) lo awm mah se, a chhuak thei lo. | WATCHMANTM, AmuletTM, WaveCrestTM te pawh a awm bawk |
| Clip chuan LAA base chu a vawn tlat a | Hei hi thawmhnaw hrual ang a ni. He clip hi LAA chu a hmunah (a base-ah) vawn nan leh khar nan hman a ni. | AtriClipTM hmanga tih a ni |
| Loop emaw stitches emaw hmanga khar dan | LAA base vel ah hian band emaw loop bik dahin khar nan an khar thin. | LariatTM, SierraTM tih te a ni |
Enkawlna atana inbuatsaih leh tihfel
Enkawl hmain
Hetiang enkawlna i neih hma hian i doctor chuan i thinlung chu Transesophageal Echocardiogram (TEE) hmangin a enfiah ang.TEE an tih scan emaw, cardiac CT scan emaw an ti thin. TEE ah hian camera te tak te chu esophagus hnuai lamah dahin thinlung chhunga LAA awm dan leh a lian zawng dik tak teh a ni. Hei hi mi zawng zawng LAA a inang vek loh vang a ni. Mi thenkhat LAA hi vawk thla ang maia siam a ni a, thenkhat LAA chu hnim hring ang maia siam a ni bawk. He scan hmang hian i tana device leh size dik tak i thlang thei a ni.
Tin, enkawl hma darkar engemaw zat ei leh in (chaw nghei) kha bansan turin a hriattir bawk ang che.
Enkawl lai hian
Chutianga tih theih dan tlangpui pahnih a awm.
1. Lung surgery dang nen a ruala tih: Lung surgery lian dang, bypass surgery ang chi i neih chuan surgeon chuan LAA hmun hi a rualin a tan a, a la chhuak thei a, a nih loh leh a khar thei bawk.
2. Minimally Invasive: Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian incision lian tak a awm lo. Hei hi a ni:
- Groin bula vunah hian incision te tak te an siam a, chutah chuan thisen kalna kawng khat kaltlangin catheter an tih tube te tak te chu thinlungah an kalpui a ni.
- He tube hi thinlung dinglam atrium atanga veilam atrium thlengin, chamber pahnih inkar bang chhunga khur te tak te hmangin dah a ni. (Lungngai suh, he khur hi thla 6 chhungin a mah chauhin a khar tlangpui).
- Chumi hnuah chuan tube chu LAA-ah hmasawn a ni a, a hmaa device thlan tawh chu LAA hmui chu khar tir a ni.
- Heng zawng zawng hi Fluoroscopy (X-ray video) leh TEE ang chi scan hmanga chhung lam enin tih a ni.
- Hna thawh zawh chuan catheter chu an la chhuak leh thin.
Enkawl hnuah eng nge thleng?
He enkawlna hi incision tlemte hmanga tih a nih chuan zan khat chauh damdawi inah i awm a ngai mai thei a, a tuk zingah i haw thei tawh ang.
In i haw hnuah damdawi hman dan tur ruahmanna chu a danglam deuh ang.
- A tlangpuiin, ni 45 hmasa berah , anticoagulant leh aspirin ei turin an hrilh ang che. Chutih lai chuan device vel chu vun tissue a lo awm ang a, a seal nghet hle ang.
- Ni 45 hnua TEE scan-in LAA chu a khar vek tawh tih a hriat chuan thisen tithianghlimtu damdawi ei kha i chawlhsan thei tawh ang. Chumi hnuah clopidogrel (Plavix®) leh aspirin thla 6 chhung pek i ni ang .
- A chang chuan doctor chuan aspirin hi hun rei tak ei turin a fuih thin.
A pawimawh ber chu, i doctor-in a tih hma loh chuan damdawi engmah ei kha bansan suh. Follow-up appointment-ah a hun takah kal ngei ngei tur a ni.
Eng nge a hlawkna leh a hlauhawmna?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk. I doctor chuan heng zawng zawng hi a hrilhfiah vek ang che.
| Enkawlna hlawkna | Risk/Complication awm thei te |
|---|---|
|
|
Engtikah nge doctor nen inbiakna neih a ngaih?
Enkawlna hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
- Khawsik emaw natna kai chhinchhiahna dang (swelling, redness of the incision).
- Thinlung thawk dan pangngai lo, rilru chhunga hlimthla ang maia awm.
- A rilru a na hle.
- Thâwk harsa.
Afib nena khawsak hi a buaithlak thei hle a, a bik takin i thisen tithianghlimtu damdawi lama harsatna i neih chuan. LAA Closure hi mi zawng zawng tan a ni lo a, mahse i tan chuan option a ni mai thei. Chuvângin, i cardiologist hnênah chu chu inhawng takin sawi la, i zawhnate zawt la, i tâna ṭha ber tûr thu tlûkna siam rawh.
Take-Home Thuchah a ni
- Left Atrial Appendage (LAA) Closure hi Atrial Fibrillation (Afib) vei te stroke hlauhawmna tihziaawmna atana enkawlna hlawhtling tak a ni.
- Hei hi thinlung chhunga bawm te tak te LAA an tih chhunga thisen zam a lo awm loh nan tih a ni a, chu bawm chu khar a ni.
- Hei hi thisen tihthianghlimna damdawi ei chhunzawm harsat tan chuan solution tha tak a ni thei.
- He enkawlna hi i tan a tha em tih i doctor nen in sawiho tur a ni.
- Inenkawl zawhah doctor-in a tih ang chiaha i damdawi ei a, a hun taka test neih a pawimawh hle.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh