Thinlung chhehvela tui awmte fill-na atana hmanraw bik (Pericardiocentesis) chungchang hi i zir dawn em ni?

Thinlung vel ah tui a khat tih i hre tawh em? Tlem chuan a hlauhawm deuhin a ri a ni lawm ni? Hetiang dinhmun hi a takah chuan a chang chuan hlauhawm tak a ni thei. Mahse lungngai suh, chutiang thila nunna chhanhim thei tur damdawi bik a awm a ni. Chu chu vawiinah kan sawi dawn a, enkawl dan tur chu a ni.

Pericardiocentesis tih hi eng nge ni? A awlsam zawngin i hrethiam ang u

Pericardiocentesis hi i thinlung chhehvela bawm (damdawi lam tawngin pericardium an tih) atanga tui tam lutuk paih chhuahna a ni. Hei hi tih dan pawimawh tak a ni a, he tui chi hian a chang chuan thinlung a titawp thei a ni.

Kan thinlung hi venhimna bawm chhungah a awm tih han ngaihtuah teh. A tlangpuiin he bawm chhungah hian tui tlemte a awm a, chu chuan thinlung a che thei a, a thawk thei bawk. Chu chu buaina a ni lo. Mahse eng emaw chhan vanga hetiang tui hi a pung lutuk a nih chuan Pericardial Effusion kan ti thin.

He tui pung hi i thinlung chu tui balloon chhunga dah a, balloon chu tui tam zawka khat ang mai a ni. Zawi zawiin thinlungin a beng chakna a hloh a, thinlung chu a buai ta a ni.

He blockage hi a hlauhawm ber a ni. Hei hi Cardiac Tamponade kan ti a ni . Hei hi medical emergency a ni. A chhan chu thinlung hnathawh a titawp thei a, darkar tlemte emaw minute tlemte chhungin thihna a thleng thei bawk.

Chuvangin, Pericardiocentesis treatment-ah chuan, a rilruah chuan needle te tak te, thinlung chhehvel bawm chhungah dahin, a tui tam lutuk chu lakchhuah a ni. A châng chuan tui ṭhenkhat paih chhuah nân tube dah theih a ni bawk.

He enkawlna hi tute nge mamawh? A chhan engte nge ni?

Hetiang hian thinlung chhehvelah tui a lo awm thei hi chhan hrang hrang a awm thei. Hetiang enkawlna hi a tul theih chhan ber thenkhat chu hetiang hi a ni.

Enkawl hma hian eng nge thleng thin?

Hei hi emergency a nih leh nih loh a zirin inbuatsaihna kalphung pawh a inang lo deuh thei. Emergency a nih loh chuan i doctor chuan ni khat leh hun a pe ang che. A tam zawkah chuan i tih hma darkar 8 chhungin ei leh in kha bansan turin an ti ang che.

Enkawl hmaa tih dan tlangpui thenkhat han thlir ila.

• IV line dah: I vein-ah tube te tak te (IV line) dah a ni a, chutiang chuan saline emaw damdawi emaw ang chi thil pek theih a ni.
• Vun inbuatsaihna: Nadele dahna tur hmun chu hrual a, antiseptic solution hmangin uluk takin silfai a ni. Hei hi hri kai loh nan tih a ni.
• Vital signs monitoring: I thisen sang, thawk, heart rate, leh oxygen level enfiah turin sensor dah a ni ang . Tin , ECG (electrocardiogram) hmangin i thinlung electrical activity enfiah i ni bawk ang.
• Oxygen pek dan: A tul chuan hnar chhunga dah tube te tak te hmangin oxygen pek thin a ni.

Enkawl lai hian eng nge thleng?

He enkawlna hi doctor, nurse leh technician dangte team-in an ti a ni.

Imaging technology hmanga tanpui

Doctor hian needle a dah hmain imaging technology a hmang thin.Doctor chuan needle hmangin thinlung chhehvela tui awmna dik tak chu a zawng chhuak thin. Chumi atan chuan ultrasound (echocardiogram) an hmang fo thin. Hei hi needle dahna hmun him ber leh awlsam ber hriat nan hman a ni. Hei hian thinlung emaw, taksa peng dang emaw tihchhiat theihna a ti tlem hle.

Engtin nge needle hi a inthun ang

Emergency a nih loh chuan local anesthetic chu needle dahna hmunah an inject ang . Chuvang chuan engmah hrehawm i nei lovang. Tlemte chuan pressure i nei mai thei.

Hmun engemaw zatah hian needle hi dah theih a ni. A hmun tam ber chu rilru ruh lai tak (sternum) hnuaiah a ni. Chuta tang chuan awlsam takin thinlung vel bawm chhungah a lut thei a ni.

Sac chhunga needle dik taka dah a nih chuan doctor chuan syringe hmangin zawi zawiin tui chu a la chhuak thin. Hei hian minute 10-20 vel a awh tlangpui. Tui a tam chuan ni khat emaw ni hnih emaw chhung tui chhuah theih nan tube te tak te (catheter) dah theih a ni.

Hna thawh zawh hnuah pin emaw tube emaw chu la chhuakin plaster te tak te hmangin a hmun chu khuh turin an hnawih thin.

Enkawl hnuah eng nge thleng?

Damdawi lam team ten enkawl hnuah uluk takin an enkawl ang che.

• Fluid testing: Fluid sample lakchhuah chu laboratory-ah thawn a, fluid buildup chhan hriat a ni.
• Re-scan: Ultrasound (echocardiogram) scan nawn lehin, a tui zawng zawng chu a chhuak vek tawh em tih enfiah a ni ang.
• Recovery: Darkar 12-24 vel chawl turin an hrilh ang che. Fluid i lakchhuah hnu rei vak lovah i rilru a hahdam tan thuai ang.

He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?

Hlawkpuina

• Nunna a chhanhim thei: Hei hi Cardiac Tamponade ang chi emergency-a nunna chhanhim thei damdawi a ni.
• A chhan chu hriat theih a ni: Tui chu enfiah hian natna chhan bulpui ber chu hriat theih a ni. Hei hi nakin lawka inenkawlna atan a pawimawh hle.
• Quick and simple: Hei hi major surgery aiin a rang zawk. Incision lian tham a awm loh avangin dam leh hun chhung hi a tawi zawk.

Risk a awm thei

Damdawi lam thil dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse, ultrasound ang chi technology hman a nih avangin heng risk te hi a tlem hle tih hre reng ang che.

• Shell atanga a bul hnaia taksa peng hrang hrang, thinlung, lung emaw, thin emaw tihchhiat (hei hi a tlem hle).
• Arrhythmia hi thinlung electrical system a tihbuai hian a awm thin.
• Needle dahna hmuna natna hrik awm.
• Thisen kalna kawng lian tak a chhiat.

Mahse he enkawlna hi neih loh avanga harsatna awm thei nen khaikhin chuan heng hlauhawmnate hi a tlem hle. I doctor chuan heng zawng zawng hi a teh ang a, i tana tha ber tur chu a rel ang.

Damdawi lam thurawn lak leh hun tur

Enkawlna hnua in lama i haw hnua natna lan chhuahna i neih chuan damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur a ni .

He enkawlna hi a hrehawm em?

Needle chu numbing medicine inject a nih avangin natna i nei lovang. Needle a luh chuan pressure tlem i nei thei a, mahse a na lo.