Doctorin "Right Heart Catheterization" tih test i neih a ngai tih a hrilh che khan i hlauthawng deuh em? Mi tu pawhin thinlungah "catheter" ang chi thil dah a nih thu an sawi hian hlauhna leh hriat duhna tlem an neih hi thil pangngai a ni. Mahse, hlau suh. Vawiin hian he thu hi awlsam takin kan sawi dawn a, i rilruah zawhna i neih zawng zawng chhanna tur a ni. Tichuan hei hi a tawpah chuan hlauh tur a ni lo tih i hrechhuak ang.
A awlsam zawngin, Right Heart Catheterization chu eng nge ni?
Hei hi fiahna bik a ni. A awlsam zawngin, i thinlung hnathawh that dan, chu chu thisen a pump that dan tehna a ni. He test hian thisen sang leh oxygen level dik tak hriat theihna a siam a, a bik takin i thinlung dinglam leh lungah te a ni.
Doctor-te chuan hei hi "pulmonary artery catheterization" an ti bawk. A chang chuan "Swan-Ganz catheter" tih pawh i hre mai thei. Heng zawng zawng hi test inang hming vek a ni.
He test tih nan hian i doctor chuan tube te tak te, flexible tak , catheter an tih chu a hmang ang. He tube hi i kawr, i kephah emaw, i kut emaw a vein lian tak hmangin dahin uluk takin i thinlung dinglamah thread a ni. Chuta tang chuan i lung chhunga thisen phurtu main artery, pulmonary artery -ah a hruai lut ang. Hei hi i thinlung chhunga information teh dan a ni.
Engvangin nge hetiang test hi neih a tul?
He test atanga information kan hmuhte hi a hlu hle. Doctor-te chu damdawi lam dinhmun hrang hrang dik taka hriat theih nan leh enkawlna kawnga an hlawhtlin zia hriat theihna turin a pui a ni.
Ngaihtuah teh, mechanic-in motor engine-a harsatna a awm leh awm loh enfiah nan hmanraw bik a hman ang bawkin, doctor chuan he catheter hmang hian thinlung chhunga pressure leh oxygen level a teh thin.
A hnuaia table hian he test mamawhna damdawi lam dinhmun lian ber berte a tarlang a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Cardiogenic shock vang a ni | Thinlung hian taksaah thisen tling a pump thei lo thut mai. |
| Lung lam natna (Cardiomyopathy) a awm | Heart muscle chak lo emaw, lian emaw avanga thisen pump harsa. |
| Pianpui thinlung natna | Congenital heart defects hrang hrang. |
| Lung lam chak lohna | Thinlung hian taksa mamawh phuhruk nan thisen a pump thei lo. |
| Lung valve natna | Thinlung chhunga valve te hi a inhawng tha lo va, a khar tha lo bawk. |
| Pulmonary hypertension a awm bawk | Lung lama thisen phurtu thisen kalna kawng hrang hranga pressure sang lutuk. |
Tin, he test hi organ transplant surgery thenkhat hma emaw, zawh hnuah emaw, thinlung tanpui thei tur device bik (`(left ventricular assist device)`) dah hmain a ngai thei bawk.
Heng test pahnih hi thinlung dinglam leh veilam a tih te hi eng nge an danglamna?
Ni e, hei hi zawhna pawimawh tak a ni. Thinlung dinglamah test (`Right heart catheterization`) leh thinlung veilam (`Left heart catheterization`) test a awm bawk. An pahnih inkarah hian danglamna chiang tak a awm.
| Nihphung | Lung dinglam Catheterization (dinglam sir) hmanga enkawl . | Left Heart Catheterization (khawi lam hawi) hmangin . |
|---|---|---|
| Catheter dahna tur tube a ni | Vein (a kawng, kawr, emaw, kut emaw-ah) kaltlangin . | Artery kaltlangin (a tam zawkah chuan groin emaw arm emaw-ah) . |
| Thinlung peng enfiah mek chu | Thinlung atrium dinglam, ventricle dinglam leh pulmonary artery te. | Thinlung veilam ventricle, aorta leh coronary arteries te chu thinlunga thisen pe chhuaktu te an ni. |
| Tum ber chu | Thinlung leh lung dinglam a pressure tehna. | Coronary arteries-a blockage awm leh awm loh enfiah nan. |
| Hming dang | Pulmonary artery-a catheter hmanga tihchhuah a ni | Cardiac catheter hmanga enkawl, Coronary angiography hmanga enkawl a ni |
He fiahna atan hian engtin nge i inbuatsaih ang?
Awle, tunah chuan ni hmasa lama i inbuatsaih dan tur kan en ang. I doctor chuan hemi chungchangah hian thupek chiang tak a pe ang che, mahse hengte hi tih tur tlangpui chu a ni.
- I damdawi ei zawng zawng chu i doctor hnenah hrilh rawh: I damdawi ei tur, vitamin, supplement, emaw , over-the-counter damdawi emaw i ei apiang chu i doctor hnenah hrilh a pawimawh. Damdawi thenkhat, a bik takin anticoagulants , test hma ni engemaw zat chu tihtawp a ngai mai thei.
- In lamah mi rawn hruai rawh: Test zawhah nangmah ngeiin i khalh thei lo mai thei a, chuvangin in lama mi rawn hruai a pawimawh hle.
- Jewelry leh nail polish te paih chhuak rawh: Test hmain jewelry zawng zawng, necklace, bracelets, leh ring te chu paih vek tur a ni. Nail polish eng pawh, a awm chuan paih chhuak rawh.
- Chaw nghei: Test hma darkar 6 atanga darkar 12 chhung chu engmah ei leh in lo turin an hrilh ang che. He thurawn hi dik taka zawm a pawimawh hle.
Test ni hian eng nge thleng?
Procedure pumpui hi darkar engemaw zat a awh thei a, mahse catheter a awm chhung hi darkar khat vel a ni tlangpui.
Test hma hian...
Hospital-a special unit ("cath lab")-a hruai i nih hnuah nurse pakhat a rawn lut ang a, hospital gown ha turin a hrilh ang che. Bathroom-ah kal la, i bladder kha empty turin an ti ang che. Chumi hnuah chuan exam table-ah an muttir ang che a, i rilruah patch te te an dah ang che. Chungte chu electrode an ti a . Hengte hi test chhung zawnga i thinlung hnathawh dan (ECG ang chi) enfiahna atan hman a ni.
A tam zawkah chuan he test atan hian i muhil dawn lo. Mahse, a châng chuan i kut zungtang vein-a dah cannula (IV) hmangin i mut theih nân emaw, i chawlh hahdam theih nân sedative emaw, damdawi emaw an pe thei che a ni.
Test neih chhung hian...
Hetih lai hian i harh tawh a ni. Doctor leh team te chuan engkim an hrilhfiah vek che a ni.
1. A hmasa berin catheter dahna tur hmun (neck, groin, or arm) chu tihfai a, a tul chuan sam awm zawng zawng chu paih chhuah a ni.
2. Tichuan , local anesthetic an inject a, chu chu a hmun chu a numb ta a ni. Chuvang chuan hrehawmna i nei vak lovang.
3. Tunah chuan special needle hmangin thisen kalna kawng chu luhtir a, chuta tang chuan catheter chu luhtir a ni.
4. Tichuan, zawi zawi leh uluk takin, x-ray ang maia screen bik en chungin, catheter chu thinlung dinglamah leh pulmonary artery chhungah a hruai lut a.
5. Catheter chu a awmna tur dik takah a awm tawh chuan hmun tinah pressure an teh a, a tul chuan thisen sample lak thin a ni.
6. Hemi hun chhung hian ngawi reng turin emaw, thawk la emaw, chawlh la emaw, i taksa dinhmun thlak danglam turin an ti thei che a ni.
7. A chang chuan, exercise i tih hian i heart rate a inthlak dan pawh i hmu thei bawk (entir nan, khumah mu chungin pedal machine i hmang).
8. A tawp berah chuan catheter chu uluk takin an la chhuak a, a dahna hmunah chuan plaster emaw bandage emaw an hnawih thin.
Hei hian a ti na em?
Numbing damdawi inject hian natna tlem i nei mai thei. Catheter dah hian pressure tlem i nei thei bawk. Chumi piah lamah chuan catheter a luh chuan natna a awm lo va, mahse, hetiang hi i hre mai thei:
- A rilru natna emaw, catheter-in thinlung bang a rawn deng a, thinlung na tak a tlakchham tih hriatna emaw.
- Lu na, luak chhuak tih hriat.
- Nauseous tih hriatna.
- Khuh ang maia awm.
- Damdawi pek a nih chuan a lumna.
Heng zinga pakhat tal i hriat chuan doctor emaw nurse emaw hnenah hrilh nghal rawh. A pawimawh hle mai.
He test hi hlauhawmna a awm em?
Right heart catheterization hi a tlangpuiin a him hle a ni . Mahse, damdawi lam thil dang ang bawkin hlauhawmna tlemte chauh a nei thei. I doctor chuan a hlawkna chu a hlauhawmna aiin a tam zawk tih i rel chauhvin a rawt ang.
Risk awm thei thenkhat chu:
- Damdawi emaw thil hman emaw avanga allergy awm.
- Thinlung thawk mumal lo (Arrhythmia).
- Catheter dahna hmuna thisen chhuah emaw, hliam emaw.
- Thisen a chhuak thin.
- Kaichhawng.
- A tlem hle a, thinlung emaw thisen kalna kawng emaw a chhiat a, heart attack emaw stroke emaw a awm.
Heng risk te hi a tlem hle tih hre reng ang che. Hetiang thil hi veng turin medical team te chu an inpeih kim vek a ni.
In i thlen hunah eng nge tih i duh?
Test zawhah darkar engemaw zat enfiah i ni ang a, in lamah thawn haw i ni ang. In haw hnuah heng thilte hi fimkhur rawh.
- Chawlh: Nilengin chawlh hahdam rawh. Darkar 24 tal ben, chawi sang, nawr loh tur.
- Driving pumpelh rawh: Mut damdawi light tak pek i nih chuan darkar 24 chhung chu lirthei khalh emaw, machine rit tak tak emaw hmang suh.
- Tui in tam: Tui tam tak in hi taksa tan a tha.
- Bandage enkawl rawh: I doctor-in a hrilh che chhung (a tlangpuiin ni khat emaw ni hnih emaw chhung) catheter dahna hmunah hian bandage hi dah la.
- Inbual: Darkar 24-48 chhung inbual loh tur. Tin, hliam a dam vek hma chuan bathtub-ah lut suh. Inbual dawnin hliam hi hnawih nasat lutuk loh tur a ni a, a hnim zawk tur a ni.
Heng symptoms te hi i neih chuan doctor ko nghal rawh!
A hnuaia symptoms te hi i neih chuan doctor ko nghal vat rawh . A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.
| Vaukhânna chhinchhiahna | Eng nge a bik taka ngaihven tur |
|---|---|
| Catheter dahna hmuna thisen chhuah emaw, a hring emaw | Thisen chhuah a reh loh chuan emaw, chutah chuan lump lian tak, na tak a lo awm a nih chuan. |
| Infection a awm tih chhinchhiahna | Hliam vel a sen, a hring, a lum, a hring emaw, a khawsik emaw. |
| Thinlung thawk chak emaw, mumal lo emaw | I rilru a na tih i hriat emaw, i thinlung thawk dan mak tak emaw i hriat chuan. |
| Kut emaw ke emaw inthlak danglamna | Catheter dahna kut emaw, ke emaw a na a, a sen a, a vawt emaw, a tingling emaw a nih chuan. |
| Lung natna lan chhuah dan | Chhung na emaw, tight emaw, thawk hah lutuk, thawk harsa. |
| Thil hriatna hloh | I hriatna i hloh nghal a nih chuan. |
Take-Home Thuchah a ni
- Right Heart Catheterization hi test pawimawh tak leh a tlangpuiin him tak a ni a, i thinlung dinglam hnathawh dan a enfiah thin.
- He test hma hian doctor thupek (chaw nghei, damdawi hman dan tur) uluk takin zawm tur a ni.
- Test neih chhunga i rilru hahna eng pawh medical team hnenah hrilh hlau suh.
- In lama i haw hnuah chawlh hahdam leh hliam enkawl a pawimawh hle.
- Vaukhânna chhinchhiahnate chu fimkhur rawh. Heng symptoms zinga pakhat tal a lo lang a nih chuan doctor thurawn la nghal rawh.
- Hemi chungchanga zawhna i la neih chuan doctor nen sawipui hreh suh.
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