Kan thinlung hi taksa peng mak tak a ni. A beat mai ni lovin, heartbeat control turin electrical system a nei a. Kan in chhunga wiring system ang maiin han ngaihtuah teh. He system atanga electrical signal te te lo chhuak hian thinlung chamber te chu a hun takah contract turin a hrilh thin. Mahse a chang chuan chhan hrang hrang avangin he electrical system hi a buai deuh thei. Chutah chuan he hmanraw te tak te, mahse pawimawh tak "pacemaker" an tih hian min pui ta a ni.
Chuti a nih chuan, he pacemaker hi eng nge ni?
A awlsam zawngin, pacemaker chu electronic hmanrua te tak te, i taksaah surgery hmanga i thinlung electrical system thlawp turin dah a ni. "Conductor" tlemte ang mai a ni a, chu chuan i thinlung rhythm a out of sync laiin a regulate thei a ni.
I thinlung electrical system chu a chak lo hle niin han ngaihtuah teh. Tichuan thinlung pindan te chu a hun takah a inzawm lo. An beat rang lutuk emaw, an beat slow lutuk emaw, rhythm a tibuai vek emaw pawh a ni thei. Chuvang chuan thinlung hian taksa pum puiah thisen a pump tling thei lo.
Pacemaker hian thinlunga natural electrical system hnathawh dan a enfiah thin. Thil danglam tak a hriat chuan pacemaker hian electrical signal fiah lo tak tak a thawn chhuak a, chu chuan thinlung chu, "Okay, tunah hian contract hun a ni tawh," tiin a hrilh a ni. Hei hian thinlung chu a thawk chak reng theih nan a pui a ni.
Pacemaker i mamawh theihna tur chhinchhiahna engte nge ni?
I doctor chuan pacemaker i mamawh leh mamawh loh chu a rel ang. Amaherawhchu, heng symptoms te hi i neih chuan Doctor hmu a, sawipui a pawimawh.
Heng symptoms nei zawng zawng hian pacemaker an mamawh vek dawn lo tih hre reng la, mahse hengte hi hriat chian a, doctor thurawn lak a pawimawh hle.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| A rilru natna (Angina) . | Thinlung chhunga thisen a thlen tlem vangin rilru a tight emaw, a na emaw. |
| Lung natna chak tak (Tachycardia) . | He thinlung hi chhan awm lovin minute khatah vawi 100 aia chak zawkin a thawk a. |
| Thinlung thawk zawi zawi (Bradycardia) . | Thinlung hi a thawk zawi hle a, minute khatah vawi 60 aia tlem loin a thawk a ni. |
| Thinlung thawk mumal lo (Arrhythmia) . | Heartbeat hi a mumal lo hle niin a lang a, a chang chuan beat pakhat a skip a, extra beat a nei bawk. |
| Palpitations a awm | Thinlung "struggling" emaw "rolling stones" emaw ang maia rilru chhunga tightness awm. |
| Thâwk harsa | Chau leh thawk harsa tih hriatna, a bik takin hna tenau tih emaw, kea kal emaw a nih chuan. |
| Luak chhuak, lu hah, hriatna hloh | Lu hring, rilru hah emaw, chhan awm lova rilru hah emaw. |
| Ke ruh, ke leh pum a hring | Taksa chhunga tui awmkhawm avanga ke leh ke ruh ang chi hmuna hring. |
Heng symptoms te hi i neih chuan heart rhythm problem vang pawh a ni thei. Entirnan, heart block emaw heart attack emaw nei tawhte pawhin pacemaker an mamawh thei bawk.
Pacemaker chi engzat nge awm?
Ni e, i thinlung dinhmun a zirin i doctor chuan i tana tha ber tur pacemaker chi chu a thlang ang. Chûngte chuan lead pakhat, pahnih, pathum an nei thei ber.
| Pacemaker chi khat a ni | Hrilhfiahna |
|---|---|
| Lead nei lo Pacemaker a ni | Hei hi a te hle a, vitamin capsule lian tak ang vel a ni. Wire a awm lo. Catheter hmangin thinlung chhungah dahin thinlung chhungril bang-ah a inzawm a ni. |
| Chamber khata awm Pacemaker a ni | Hei hian wire pakhat chauh a nei. Thinlung pindan pakhatah a inzawm a ni. |
| Dual-chamber Pacemaker hmanga siam a ni | Hei hian wire pahnih a nei a, chu chu thinlung chamber pahnih nena inzawm a ni. |
| Biventricular Pacemaker hmanga siam a ni | Wire pathum a nei a. Pahnih chu thinlung chamber hnuai lam (ventricles)-ah inzawm a ni a, pakhat chu dinglam chamber chunglam (right atrium)-ah a inzawm bawk. Cardiac Resynchronization Therapy (CRT) atan hman a ni. |
Pacemaker leh ICD hi eng nge an danglamna?
I doctor chuan ICD (Implantable Cardioverter Defibrillator) chungchang pawh a sawipui thei che a, chu chu pacemaker nen a inang a, mahse a danglam deuh hlek a ni.
- Pacemaker hian thinlung rhythm control turin electrical signal chauh a thawn thin. Thinlung lamah electric shock a pe thei lo.
- ICD hian pacemaker angin hna a thawk thei bawk. Chu bakah, heart rate chu nunna atana hlauhawm khawpa rang (e.g., ventricular tachycardia) a nih chuan a hmuchhuak thei a, heart-ah electrical shock na tak a pe thei a, chu chuan a rhythm chu a siam tha leh thei a ni.
Hei hi surgery lian tak a ni em? Engtin nge pacemaker hi i fit theih ang?
Hei hi thil lian tak, open-heart surgery a ni lo. Tunlai technology awm tawh nen chuan heng surgery te hi a hmasawn hle a ni. Natna a tlem a, i dam thuai thei a, i nun pangngaiah i kir leh thei bawk. Thil tih dan tlangpui pathum a awm.
1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Catheter-based approach: Hei hi leadless pacemaker atan hman a ni. Tube te tak te (catheter) chu groin kaltlangin vein pakhatah dahin, chuta tang chuan pacemaker chu kaihhruaiin thinlung chhungah dah a ni. Hei hian darkar khat aia rei lo a daih tlangpui.
2. Transvenous approach: Hei hi hman tlanglawn ber a ni. Collarbone hnuaiah emaw, kawr vunah emaw incision te tak te siam a ni a, pacemaker wire (leads) te chu vein hmangin thinlung chhungah dah a ni. Hei hi X-ray (fluoroscopy) kaihhruaina hnuaiah tih a ni. Thinlung chhunga hmun dik takah wire dah a nih hnuah, pacemaker device chu a rilru chunglam vun hnuaia siam "pocket" te tak teah dah a ni.
3. Epicardial approach: Hei hi naupang emaw, thinlung surgery dang neih lai emawa tih a ni tlangpui. A rilruah hian incision te tak te siam a ni a, thinlung pawnah wire dah a ni. Pacemaker device hi pum chhunga vun hnuaiah dah a ni.
Heng surgery te hi darkar hnih atanga darkar nga inkar vel a ni tlangpui. I doctor chuan eng method nge i tan a tha ber tih a hrilhfiah ang che.
Engkim ang bawkin risk a awm em? (Buaina awm thei) .
Damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau engemaw zat a awm. Mahse, hengte hi a tlem hle. I doctor chuan hengte hi a hriattir ang che.
- Allergic reactions: Damdawi hman emaw, pacemaker siamna metal emaw allergy a awm thei.
- Thisen zam: Hetiang hlauhawmna tihziaawm nan hian i doctor chuan thisen zam venna damdawi a pe thei ang.
- Device emaw wire emaw chhiatna: A châng chuan wire chu a dahna hmun aṭangin tlem a kal thei a. Chuvangin operation hnu rei vak lo chhung chu ke ruh (limb) a tihbuai lutuk loh a tha.
- Pawn lam thil atanga inthlak danglamna: Electrical emaw magnetic field chak tak nei device thenkhat (e.g. MRI machine) bulah i kal dawnin fimkhur a ngai a ni. Mahse, tunah chuan pacemaker thar zawk chu hei hi a do thei zawk turin an siam ta a ni. Hemi chungchangah hian i doctor chuan thurawn a pe ang che.
Pacemaker hmanga nun dan tur hriat tur
Pacemaker i neih hnuah chuan nun pangngai, active takin i hmang thei ang. Amaherawhchu, hriat reng tur tlemte a awm.
Pacemaker battery hian eng chen nge a daih?
Hei hi pacemaker chi leh a hnathawh that danah a innghat. A vaiin battery hi kum 10-15 vel a daih . I doctor chuan a hun takah clinic-a lo kal turin a ti ang che. Tichuan, pacemaker leh battery pahnih chu a check vek ang. Battery thlak hun a thlen chuan a hmasa berah pacemaker dah ai chuan surgery awlsam zawk, tenau zawk hmanga tih theih a ni.
Hrisel taka awm theihna tura i tih theih thilte
Pacemaker nei mi dam chhung hi an hriselna zawng zawngah a innghat a ni. Nun hrisel i neih chuan nun pangngai emaw, nun pangngai hnaih emaw i beisei thei a ni.
- I damdawi ei tur ang chiah chiah ei rawh: I doctor-in i pacemaker bakah damdawi dang a lo pek tawh chuan a hun takah leh hun bituk chhung dik takin ei thin ang che. Zawhna i neih chuan zawh hreh suh.
- A hun takah clinic-ah kal rawh: Hei hi a pawimawh hle. Hetih lai hian doctor chuan i hriselna leh pacemaker hnathawh dan a enfiah ang.
- I taksa thu ngaithla rawh: I pulse rate chu i doctor-in a pek che pangngai aia pawn a awm reng a nih chuan (a hniam lutuk emaw, a sang lutuk emaw) i doctor ko nghal rawh.
Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:
* Thâwk harsa i neih chuan.
* I thau lutuk emaw, i ke emaw i ke emaw a hring emaw a nih chuan.
* Luak chhuak, muhil emaw, rilru buai emaw i neih chuan.
* Pacemaker dah hmaa i symptoms kha a lo lang leh a nih chuan.
Lung lam harsatna avanga pacemaker mamawh tih an hrilh che chuan hlauthawng leh lungkham deuh hi thil awmdan pangngai a ni. Mahse, hei hi i nunphung tihchangtlunna tur leh i humhimna tura tih a ni tih hre reng ang che. I ngaihtuahna i neih apiang chu i doctor nen sawiho rawh. Chutiang chuan hriatthiamna tha zawk leh rilru thlamuanna i nei ang.
Take-Home Thuchah a ni
- Pacemaker hi electronic device te tak te, thinlung thawk mumal lo siamthatna tura puitu a ni.
- Luak chhuak, thawk hah, emaw, thinlung thawk chak emaw, slow emaw ang chi symptom i neih chuan doctor thurawn lak a pawimawh hle.
- Hei hi operation lian tak, open-heart surgery a ni lo va, tunlai technology hmang hian him takin tih theih a ni.
- Pacemaker hmang hian nun pangngai, active takin i nung leh thei a ni.
- Surgery zawhah doctor thupek dik tak zawm a, a hun taka clinic kal hi a pawimawh hle.
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