A chang chuan kan thinlung hi a chak lo deuh thin a ni lawm ni? Kum tam tak chhung car engine tha taka thawk tawh ang bawkin a performance pawh hun kal zelah a tlahniam thei a ni. A bik takin heart failure end-stage a thlen chuan heart tan chuan a mah chauhin taksa pum puia thisen pump chhuah chu harsatna lian tak a lo ni ta a ni. Chutiang hunah chuan thinlung chak lo tak tanpui thei tur mechanical device bik kan sawi a ni.
A awlsam zawngin, he LVAD hi eng nge ni?
LVAD awmzia kimchang chu Left Ventricular Assist Device a ni. Sinhala tawng chuan ‘left ventricle puitu hmanrua’ tihna a ni. Hei hi a takah chuan mechanical pump a ni. Hei hi heart failure na tak nei taksaah dah a ni.
Kan thinlunga pumping chamber ber chu left ventricle a ni. Hei hi oxygen tamna, thisen thianghlim tak chu aorta kaltlangin taksa pum puiah a thawn chhuak a ni. Thinlung a chak loh chuan he hna hian hna a thawk tha lo. LVAD hian chu left ventricle chu a pui thin. Chu chu veilam ventricle atangin thisen a la a, a pump a, aorta-ah a thawn tihna a ni. Hei hi a pawimawh hle a, a chhan chu kan taksaa cell tin hi oxygen tel lovin an nung thei lo.
Engtin nge he device hian hna a thawh? A peng hrang hrangte chu engte nge ni?
LVAD device hi thinlung hnuai lam a bun a ni a, rilru chhungah dah a ni. Thisen a dawn chuan tube hmangin aorta chhungah a thawn lut thin. He system pumpui hian a bulpui ber engemaw zat a nei a.
| Device atanga a then | Hnathawh dan tur |
|---|---|
| Pump a ni | Hei hi a bulpui ber a ni. Hei hi thinlunga tuh chu a ni. He pump hian thisen pump hna chu a thawk a ni. |
| Driveline a ni | Hei hi pump atanga cable lo chhuak a ni. Pum vun kaltlangin taksa atanga chhuakin pawn lama controller nen a inzawm a ni. |
| Controller a ni | Hei hi computer te tak te ang a ni. Pump hnathawh dan a control thin. Harsatna a awm chuan a thawn chhuah signal (alarm) leh message hmangin kan hre thei a ni. |
| Power Supply a awm bawk | Battery rechargeable hmanga kalpui a ni. A nih loh leh electrical outlet-ah i plug thei bawk. Battery te hian darkar 14 vel power a pe thei a ni. |
Eng ang mi nge LVAD hmang?
Hei hi heart failure hnuhnung berte tan hman a ni. Chu pawh chu thil tum lian tak pahnih atan.
1. Lung thlakna kawngkhar angin (Bridge to Transplant - BTT) .
Mi pakhatin thinlung thlak a ngai ang tih han ngaihtuah teh. Mahse thinlung inmil tak a awm hma chu an nghah a ngai a ni. Hemi hun chhung hian damlo dinhmun a chhe zual thei a ni. Tin, taksa peng dang, kal leh thin te pawh a chhe thei bawk.
Chutiang hunah chuan LVAD hian damlo nunna humhimna leh nunphung tha tak vawng reng turin a pui a, heart transplant a awm hma loh chuan . Bridge ang mai a ni. Lung pakhat chu thlak theihna tur a awm tawh chuan operation laiin LVAD device chu lakchhuah a ni.
2. Nun chhung zawnga enkawlna atan (Destination Therapy - DT) .
Mi thenkhat chu kum leh damdawi lam thil dang vangin heart transplant an nei thei lo. Chutiang mite tan chuan he LVAD hi an dam chhung zawnga thinlung chhawmdawl nan an hmang thin. Doctor-te chuan damdawi dang zawng zawng, damdawi leh nunphung tihdanglamna te pawh a hlawhchham hunah chauh he duhthlanna hi an ngaihtuah thin. Hei hian damlo dam chhung a ti sei mai ni lovin, nunphung a tichangtlung thei bawk.
LVAD surgery atan engtin nge kan inbuatsaih ang?
Doctor-te chuan LVAD atana i tling leh tling loh an rel hmain test eng emaw zat an nei hmasa thin.
- E.C.G.-in a sawi. (Electrocardiogram - ECG) hmanga tih a ni.
- Chest X-ray neih a ni
- Thisen test a ni
- Echocardiogram hmanga tih a ni
- Lung lam catheter hmanga siam a ni
Amaherawhchu heart failure nei zawng zawng tan a tha lo. A hnuaia dinhmunte hi i neih chuan LVAD implant i nei thei lo mai thei:
- Thisen zam natna
- Kal natna tihdam theih loh
- Liver natna na tak a ni
- Lung natna na tak a ni
- Antibiotics hmanga tihdam theih loh natna hrik
Engtin nge surgery hi tih a nih?
Hei hi open-heart surgery a ni. Chu chu fully anesthetized i ni tawh tihna a ni a, surgery zawh hma chu i muhil tihna a ni.
Operation laiin i taksaah oxygen pe rawhHeart-lung bypass machine hman a ni. I tana thawk turin ventilator-ah dah i ni bawk ang. Surgeon chuan i rilru lai takah incision a siam ang a, i hnute ruh chu a hawng ang a, i thinlung chu a access ang. Chumi hnuah LVAD chu dahin incision chu khar leh a ni. Procedure pumpui hi darkar li atanga darkar ruk vel a ni thei.
Operation hnuah eng nge thleng? In lama i haw huna ngaihven tur thil
Damdawi in chhuahsan hma hian he hmanrua hi enkawl dan tur leh emergency-a tih tur chungchangah uluk taka zirtirna pek i ni ang. Chumi chungchânga i hriatna chu in lama i haw hmain i lantîr a ngai bawk ang.
In lama kan haw hnuah chuan nunphung hrisel tak zawm a pawimawh hle .
- Meizial zuk bânsan vek.
- Ei leh in hrisel hman thiam.
- Zu in hi bansan rawh.
- Doctor thupek angin exercise lak.
- Damdawi pek, thisen tithianghlimtu (anticoagulants) te pawh a hun taka ei.
Operation hnua cardiac rehabilitation program-a tel hi a pawimawh hle bawk. Tin, tui chawi, weight lifting, leh contact sports ang chi thiltih te pawh khapna a awm thei bawk. Heng zawng zawng hi i doctor nen in sawiho tur a ni a, thurawn i la tur a ni.
LVAD hman hian eng hlawkna nge a neih?
Hei hian thinlung natna a tidam lo nain, LVAD vei damlote chu damdawi chauh ei thinte aiin an dam rei thei tih hmuhchhuah a ni.
| Hamthatna | Hrilhfiahna |
|---|---|
| Organ hrang hrangte hnathawh dan | Organ lian tak tak, kal, thin, leh thluak te hian thisen kal dan tha zawk an dawng a, chu chuan an hnathawh a ti tha zawk a ni. |
| Symptoms tihziaawmna | Natna lanchhuahna, hah, thawk hah, taksa vulh te chu nasa takin a tlahniam a ni. |
| Energy leh activity te | Taksain chakna a neih chhoh zel chuan a hmaa a tih theih loh thil, exercise ang chi te chu a ti thei ta a ni. |
| Damdawi in atanga chhuahtir | Damdawi inah i awm reng a ngai lo. In lama haw a, nun pangngaia nun theihna hun i nei a ni. |
Hei hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin, hlauhawmna engemaw zat a awm. I medical team chuan heng hlauhawmnate hi an hrilhfiah ang che a, i tih tlem theih dan tur pawh an hrilhfiah ang che.
A hlauhawm ber chu natna hrik kai, thisen zam leh stroke, thisen chhuah tam lutuk, thinlung dinglam tha lo, leh device malfunction te hi a ni. I hlauthawng hmain i doctor nen zalen taka inbiakna neih a pawimawh a, i zawhna zawng zawng zawh hmasak phawt a pawimawh.
Engtikah nge Doctor i hmuh nghal tur?
A hnuaia symptoms te hi i neih chuan i medical team te hriattir nghal rawh.
| Emergency symptoms fimkhur tur | |
|---|---|
| Khawsik | Device driveline atanga vun atanga a chhuahna hmuna sen emaw, a hring emaw |
| Chhung emaw pum na emaw | Thisen chhuak nasa tak a chhuak |
| Ke emaw hnungzang hnuai lam emaw a hring | Thâwk harsa |
| Thil hmanrua thenkhatah harsatna a awm | A rilru a na nghal |
LVAD leh pacemaker hi thil inang an ni em?
Ni lo, an pahnih hian an danglam vek. LVAD hian heart ventricle veilam chu thisen pump turin a pui thin. Pacemaker hian thinlung thawk mumal lo chu a control thei a ni.
LVAD lak leh dawn loh chu mimal thutlukna a ni a, chuvangin i doctor nen uluk takin sawi la, a hlawkna, hlauhawmna leh hlawkna i hmuh tur chu chiang takin hrethiam rawh.
Take-Home Thuchah a ni
- LVAD hi mechanical device a ni a, heart failure na tak nei damlote thinlungah thisen pump thei a ni.
- Hei hi natna tihdamna famkim ni lo mah se, dam rei zawkna leh nunphung tihchangtlunna kawngah nasa takin a pui a ni.
- He hmanrua hi heart transplant hmaa bridge atan emaw, dam chhung enkawlna atan emaw hman theih a ni.
- LVAD surgery hma leh operation hnuah pawh nunphung tihdanglam a pawimawh hle a, chu chu meizuk bânsan, ei leh in hrisel ei, leh exercise neih te hi a ni.
- Thutlukna i siam hmain i doctor nen a hlawkna leh hlauhawmna chungchang zau taka sawiho a, hriatthiamna chiang tak neih a pawimawh.
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