Stroke hlauhawmna tihziaawmna LAA Closure (Left Atrial Appendage Closure) hmanga enkawlna chungchang zir rawh

Atrial Fibrillation (Afib) tih hi i hre tawh mai thei, chu chu i thinlung a thawk mumal lo va, a thawk rang hle. Nangmah emaw, i chhungte zinga tu emaw hian hetiang dinhmun hi i nei ve mai thei. Afib vei theihna lian ber chu stroke vei theihna a sang zawk a ni. Chumi chinfelna atan doctor-te chuan thisen tihthianghlimna damdawi an pe fo thin. Mahse heng damdawi te hi hun rei tak ei hi mi zawng zawng tan chuan thil awlsam a ni lo. Chutiang mite tan chuan stroke hlauhawmna tihziaawm thei tur enkawlna bik kan sawi a ni.

A awlsam zawngin, Left Atrial Appendage Closure (LAA Closure) tih hi eng nge ni?

Hei hi hrethiam tur chuan kan thinlung peng tlemte hi i zir hmasa phawt ang u. Kan thinlung veilam chamber chunglam, Left Atrium an tih ah hian pouch ang maia rawn chhuak te tak te a awm a. Hei hi Left Atrial Appendage (LAA) kan tih chu a ni.

A tlangpuiin thinlung chu rhythm-a a thawk chuan he LAA chhunga thisen hi thinlung dang zawng zawngah pump chhuah a ni. Mahse, Atrial Fibrillation (Afib) vei tan chuan thinlung chu a thawk mumal lo va, chuvangin he bag chhunga thisen LAA an tih hi a pump tha lo va, a inzawm khawm tan thin. Hetiang thisen inzawmkhawm hi a tawpah chuan thisen zam ah a chang thei a ni .

Vanduaithlak takin, he clot hi a chhuak a, thluak lam panna thisen kalna kawngah a tang a nih chuan stroke a thlen thei a ni . Afib vei te stroke 90% vel hi LAA-a clots lo awm vang a ni.

Chuvangin, he LAA Closure an tih enkawlnaah hian thisen zam awmna bag LAA an tih chu khar a ni a, chu chu operation hmangin emaw, incision tenau tak hmangin emaw a ni. Hei hi khar a nih hnuah thisen zam a lo awm a nih pawhin thisenah a lut thei lo. Chuvangin, stroke hlauhawmna nasa takin a tlahniam a ni.

He enkawlna hi tute tan nge a tha ber? Engvangin nge thisen tihthianghlimna damdawi chauh hman loh ang?

LAA Closure hi Afib vanga stroke hlauhawmna sang tak nei zawng zawng tan enkawlna a ni lo. A bik takin mite tan ngaihtuah a ni a, chungte chu:

• Hun rei tak chhung anticoagulants ei duh lo tan.
• Mi tlu fo thin leh chuvang chuan thisen chhuah theihna a sang zawk (a chhan chu hliam tenau tak pawh hian thisen tihthianghlimna damdawi ei hian thisen chhuahna lian tak a thlen thei a ni).
• Thisen tithianghlimtu damdawi avanga side effect dang tawk thinte tan.
• Thisen tihthianghlimna damdawi man to tak pe thei lote tan.

Mi tam tak chuan thisen tihthianghlimna damdawi hlui Warfarin ang chi an ei hian harsatna hrang hrang an tawk thin.

Damdawi thar zawk Apixaban leh Rivaroxaban te awm mahse, an man to lutuk leh thisen chhuah chhunzawm zel hi mi thenkhat tan chuan thil buaithlak tak a ni. I cardiologist nen inbia ngei tur a ni a, eng treatment nge i tan a tha ber tih i rel tur a ni.

He LAA hi khar nan hian eng method nge hman?

Hemi atan hian hmanraw hrang hrang leh hmanraw hrang hrang a awm a. Tui bottle hmui khar ang maiin han ngaihtuah teh, he device hi he bag LAA an tih hmui khar nan hman a ni.

• Internal occlusion devices: Hengte hi umbrella te tak te ang mai an ni. Catheter hmangin thinlung chhungah dahin, a chhung atanga LAA hawnna chu seal off nan an hmang thin. WATCHMANTM leh AmuletTM te hi hetiang chi device lar tak tak an ni.
• Pawn lam kharna hmanrua: A châng chuan, thinlung surgery dang neih laiin, LAA hi pawn lam aṭangin clip (`AtriClipTM`) emaw, special suture (`LariatTM`) emaw hmangin khar theih a ni.

I tana tha tur method chu i doctor nen inbiakna neih hnuah thlan a ni.

Enkawlna atana inbuatsaih leh enkawl dan tur

Enkawl hmain...

Hetiang tih hma hian i doctor chuan i LAA size leh shape dik tak a teh a ngai ang. Mi zawng zawng LAA hi a inang vek lo. Ṭhenkhat chuan vawk thla, cactus, cauliflower ang chi a ni an ti. Hei hian Transesophageal Echocardiogram (TEE) (tube larynx an tih hmanga thinlung scan) emaw Cardiac CT scan emaw a huam ang. Tin, tih hma darkar engemaw zat chaw nghei (ei leh in loh) turin an hrilh bawk ang che.

Enkawl lai hian...

Hei hi kawng lian pahnih hmanga tih theih a ni:

1. Lung surgery dang nen:Heart surgery lian dang, bypass surgery ang chi i neih chuan surgeon chuan LAA khar chu a rualin a la chhuak thei a, a sew thei bawk.

2. Minimally Invasive: Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian tube te tak te, catheter an tih chu i groin kaltlangin vein-ah dahin i thinlung thlengin a kaihruai a ni. Tichuan, LAA hawnna hmunah hian pre-selected device dahin thisen zam a chhuah loh nan sealed a ni. He procedure zawng zawng hi special X-ray (Fluoroscopy) leh scan (TEE/Intracardiac Ultrasound) technology kaihhruaina hnuaiah tih a ni.

Enkawl hnuah...

• A tlangpuiin damdawi inah zan khat riah a ngai thin.
• TEE scan hi ni 45 vel hnuah tih leh a ni ang a, enkawlna a hlawhtling em tih enfiah a ni ang.
• He device chhehvela taksa tissue a lo thanglian hma loh chuan thisen tithianghlimtu leh aspirin ei tur i pe ang a, thla khat leh a chanve vel a ngai a ni.
• Chumi hnuah chuan blood thinner ei kha i chawlhsan a ngai dawn a, thla 6 vel Clopidogrel leh aspirin i ei a ngai dawn a ni. I dam chhung zawng aspirin pawh i ei a ngai mai thei. Heng zawng zawng hi i doctor thurawn anga tih a ni ang.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna a nei vek a ni.

He enkawlna hi a hlawk hle. Zirna thenkhatah chuan he method hian stroke vei theihna chu 80% velin a tihziaawm thei a ni. Mahse, hei hi i tan a tha em tih i rel hmain heng zawng zawng hi i doctor nen sawiho hmasak a pawimawh hle tih hre reng ang che.

Engtikah nge Doctor ka hmuh ang?

I follow-up appointment ruat saah i kal bakah, a hnuaia symptoms te hi i neih chuan i doctor hnenah hriattir nghal rawh:

• Khawsik emaw natna dang emaw chhinchhiahna
• Lungphun mumal lo
• A rilru a na
• Thâwk harsa

Heng symptoms zinga pakhat tal i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.