Hmun hla vak lo i kal lai pawhin i chau hle a, thawk i hah hle em? Heng symptoms te hi heart function a chak lo hle a, chu chu heart failure na tak takah a awm fo thin. Thinlung hian taksa pum puia thisen pump theihna tur chakna a hloh a. Chuvângin, hetiang hun lai hian, damdawi lam science lama hmasâwnna mak tak takte nên chuan, i thinlung ṭanpui theitu hmanraw bik a awm a ni. Vawiin hian kan sawi dawn a ni. Chu chu LVAD (Left Ventricular Assist Device) an tih hmanrua a ni.
A awlsam zawngin, he LVAD hi eng nge ni?
LVAD hi mechanical pump a ni a, end-stage heart failure nei damlote taksaah surgery hmanga dah a ni. Phên dangin sawi ila, i thinlung ṭanpuitu ‘assistant’ ang mai a ni.
Kan thinlung hian pindan lian pali a nei a. A hnuai veilam a awm chu Left Ventricle an ti a . Taksa pum puia oxygenated thisen pump chhuahna hna ber thawktu a ni. Chuvangin, heart attack-ah chuan he left ventricle hi a chak lo ta a ni. LVAD hian a tih chu chu left ventricle chak lo tak chu a puih hi a ni. Chuvang chuan Left Ventricular Assist Device an ti a ni.
He pump hi thinlung hnuai lam lamah a inzawm a, chuta tang chuan thisen a la a, tube hmangin aorta -ah a thawn chhuak a ni. Aorta hi kan taksaa thisen kalna kawng lian ber a ni. Chuta tang chuan oxygen tamna thisen chu taksa pum puiah a insem darh ta a ni. Chuvangin LVAD hian he hna pawimawh tak hi thawk turin a pui a ni.
A pawimawh ber chu LVAD hi thinlung siam (artificial heart) a ni lo tih hi a ni. I thinlung atanga i paih chhuah leh i thlak chhuah thil a ni lo. Chu ai chuan nangmah ngeiin i thinlung bulah hna thawkin a thlawptu hmanrua a ni zawk.
LVAD-a thil pawimawh ber berte chu engte nge ni?
LVAD system hi a bulpui ber engemaw zat a awm a. Heng part zawng zawng hian an thawk dun a, he device mak tak hi a thawk thei a ni. Chu parts te chu eng nge an nih i han en teh ang.
| Device atanga a then | Hrilhfiahna awlsam tak |
|---|---|
| Pump a ni | Hei hi a bulpui ber a ni. He pump hi surgery hmangin rilru chhungah dah a ni. Chu chu thinlung veilam ventricle atanga thisen la chhuakin aorta chhunga pump luttu a ni. |
| Driveline a ni | Hei hi cable bik a ni. Taksa chhunga pump atang hian a kal a, pum chhunga vun kaltlangin a chhuak a, pawn lama controller nen a inzawm a ni. Uluk taka enkawl a, fai taka vawn a pawimawh hle. |
| Controller a ni | Hei hi computer te tak te ang a ni. Taksa pawn lama dah thin device a ni. Pump hnathawh dan a control a, a speed a thlak a, harsatna a awm chuan alarm a tichhuak bawk. |
| Power Supply a awm bawk | LVAD hian a thawh theih nan electric a mamawh a ni. Battery rechargeable a hmang a ni. Heng battery te hian darkar 14 vel power an pe thei a ni. Battery charge a tlem chuan battery thar hmanga thlak a ngai a ni. In lama electrical outlet-ah direct-in i plug thei bawk. |
He LVAD hi tuin nge mamawh?
LVAD hi thil awmdan lian pahnih ah hman a ni tlangpui. I doctor chuan i dinhmun chu uluk takin a enfiah ang a, eng method nge i tana tha ber tih a rel ang.
1. Lung thlakna kawngkhar angin (Bridge to Transplant - BTT) .
Damlo thenkhat chuan heart transplant an mamawh a ni. Mahse matching donor heart a awm hma chu rei vak lo an nghah a ngai a ni. Hemi hun chhung hian damlo dinhmun a chhe zual thei. Tin, taksa peng dang, kal leh thin te pawh a chhe thei bawk.
Chutiang hunah chuan LVAD hian damlo chu thinlung a awm hma loh chuan a hrisel leh chak theih nan "bridge" angin hna a thawk a ni . Hei hian damlo nunphung a titha a, natna lan chhuah dan a ti tlem a, hlawhtling taka heart transplant surgery neih theihna tur chakna a pe bawk. Heart transplant lai hian LVAD device hi lakchhuah a ni.
2. A tawp ber atan (Destination Therapy - DT) .
Damlo thenkhat chu kum upat vang emaw, hriselna lama harsatna dang vangin heart transplant an dawng thei lo. Damdawi leh nunphung tihdanglamna te pawh tiamin, enkawlna dang zawng zawngah pawh an thinlung hnathawh a nasat reng chuan dam chhung zawnga tanpuina an mamawh mai thei.LVAD dah mek a ni.
Hei hi Destination Therapy an ti a. Hetah hian LVAD hian damlo dam chhung zawng thinlung chu a thlawp a, nun tha zawk, active zawka an nun theihna turin a phalsak a ni.
LVAD surgery hmain engtin nge kan inbuatsaih ang?
LVAD dah tura thutlukna hi zan khat thil thua siam a ni lo. Doctor team chuan uluk takin an enfiah ang che. Hei atan hian test eng emaw zat tih a ni ang a, chung zingah chuan:
- ECG (Electrocardiogram): Thinlung electric hnathawh dan enfiah nan.
- Chest X-ray: Thinlung leh lung dinhmun hriat nan.
- Thisen test: Taksa hriselna zawng zawng, kal leh thin hnathawh dan tehna atan.
- Echocardiogram: Thinlung chamber leh valve te hnathawh dan leh thisen an pump dan enfiahna scan a ni.
- Metabolic stress test: Exercise a tih hian thinlungin a chhân lêt dân hriat nân.
- Heart catheterization: Heart thisen kalna kawng (blood vessels) a blockage leh pressure awm leh awm loh enfiah nan.
Tin, damdawi lam thil engemaw zat a awm a, chu chuan LVAD implant chu a rem lo hle bawk. Entir nan:
- Thisen zam natna
- End-stage renal failure a awm thin
- Liver natna na tak a ni
- Lung natna na tak a ni
- Antibiotics hmanga thunun theih loh natna hrik
Surgery tih dan leh a hnu hun
LVAD implantation hi open-heart surgery a ni. Darkar 4 leh 6 inkar vel a ni. Surgery chhung zawng hian anesthesia hnuaiah i awm a, chu chu i muhil vek tihna a ni.
Surgery zawhah chuan damdawi inah kar 2 atanga kar 3 vel i awm a ngai dawn a ni. Hemi chhung hian doctor, nurse leh specialist team te chuan LVAD device hmanga nun dan tur an zirtir ang che.
- Device hnathawh dan
- Battery thlak dan tur
- Driveline chhuahna hmuna hliam thianghlim taka vawn dan
- Emergency-ah eng nge tih tur
Heng zawng zawng hi i ti thei kim tih finfiah a nih hnuah chauh in lama haw phalsak i ni ang.
LVAD nei nun
I in lama i haw hnuah i nun chu eng emaw chen a danglam dawn a, mahse chu inthlak danglamna nen chuan hlawhtling takin i nung thei a ni.
- Inbual: I inbual thei lo va, i inbual thei lo va, a tlangpuiin LVAD hmangin device chu tuiah i thun thei lo. Mahse, shower i lak theih nan hmanraw bik a awm bawk.
- Damdawi: I dam chhung zawngin anticoagulant i ei a ngai dawn a ni. Hei hi a pawimawh hle.
- Diet: Ei leh in hrisel zawm a pawimawh hle.
- Insawizawi:Cardiac rehabilitation program-ah te i tel thei a, i doctor-in a tih angin exercise \ha tak i ti thei bawk.
- Nunphung hrisel: Meizial zu leh zu in hi bansan vek tur a ni.
LVAD hian eng hlawkna leh hlauhawmna nge a neih?
Surgery dang ang bawkin LVAD implantation hian hlawkna a neih bakah hlauhawmna engemaw zat a nei bawk.
A thatna ber
- Thâwk harsa leh hahna ang chi symptoms nasa taka tihtlem .
- Tin, taksa peng dang, kal, thin, leh thluak lama thisen pek thatna.
- Damdawi in chhuahsan thei, in lama haw theihna leh chhungte nena hun hman theihna.
- Exercise neih theihna tihpun leh nitin thil tih theihna tihpun.
- A pum puiin, nunphung chu nasa takin a lo ṭha chho ta a ni .
- LVAD device hmanga khawsa te hian ruihhlo hmanga enkawl ringawt te aiin an dam rei zawk a ni.
Risk awm thei te
Surgery apiang hian risk a nei vek. I doctor chuan heng hlauhawmnate hi tihtlem dan tur leh a nghawng dan tur te a sawipui ang che.
| Risk dinhmun | Hrilhfiahna |
|---|---|
| Kaichhawng | Infection a awm thei a, a bik takin driveline hian vun atanga a chhuahna hmunah a awm thei. Chuvangin chu lai hmun chu fai taka vawn a pawimawh hle. |
| Thisen zam leh Stroke | Device chhungah hian thisen zam a awm theihna a awm. Chungte chu thluaka an kal chuan stroke a awm thei a ni. Hei hi ven nan anticoagulants pek thin a ni. |
| Thisen chhuak | Thisen tithianghlimtu damdawi i ei avangin, hliam tenau tak pawhin thisen a chhuah nasa lutuk thei a ni. |
| Right Heart Failure tih hi a ni | LVAD hian thinlung veilam a puih hian a chang chuan dinglam hian pressure a tuar thei lo thei bawk. |
| Device a thawk tha lo | Hengte hi mechanical device an nih avangin tihsual a awm tlem hle. Mahse, chutiang thil chu controller chuan a hriattir lawk che a ni. |
Engtikah nge doctor i hmuh ang?
LVAD i neih hnuah chuan i medical team nen inzawmna nghet tak neih a pawimawh. A tirah chuan kar tin i check a ngai ang a, chutah chuan thla tin i check leh a ngai ang. A hnuaia symptoms te hi i neih chuan i doctor emaw hospital emaw hnenah hrilh nghal rawh .
- Khawsik.
- Driveline atanga vun atanga a chhuahna hmunah chuan a sen, a hring emaw, a hring chhuak emaw.
- Chhung emaw pum na emaw.
- Thisen chhuah dan pangngai lo.
- Ke leh hnungzang a hring chhuak.
- Thâwk harsa.
- LVAD device hmun thenkhata harsatna emaw, signal (alarm) pangngai lo emaw a chhuak a ni.
LVAD lak leh dawn loh chungchanga thutlukna siam hi mimal leh thutlukna lian tak a ni. I doctor leh chhungte nen uluk takin sawipui rawh. I zawhna zawng zawng zawt la, rinhlelhna i neih chuan tifai rawh. He technology avang hian tunah chuan thinlung natna khirh tak nei mi sang tam tak chuan nun tha zawk, hlim zawkin an hmang mek a ni.
Take-Home Thuchah a ni
- LVAD hi thinlung siam (artificial heart) a ni lo. Mechanical assist pump a ni a, heart failure na tak a awm chuan nangmah ngeiin thisen pump turin a pui thin.
- Hei hi heart transplant nghaktute tan "bridge" atan emaw, heart transplant nei thei lote tan "lifelong treatment" atan emaw hman a ni ber.
- LVAD surgery hnua nunphung chu nasa takin tihchangtlun ni mah se, device hi uluk taka enkawl te, damdawi ei te, nunphung hrisel tak zawm te hi a pawimawh hle.
- Device-a harsatna i neih emaw, i hriselna dinhmun emaw i neih chuan, i medical team-te chu tihkhawtlai loha hriattir a pawimawh hle.
- Hei hi thutlukna lian tak a ni. I doctor nen a hlawkna leh hlauhawm zawng zawng chu zalen takin sawi la, i tana tha ber tur thutlukna siam rawh.
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