Machine te tak te, lungphu chawl nghal vanga nunna chhanhim thei: S-ICD chungchang zawng zawng hi a awlsam zawngin

Sudden Cardiac Arrest tih hi kan hre vek tawh a ni lawm ni? Mi hrisel nia inngai tan pawh an thinlung hian hna a chawlhsan thut mai a, nunna atana hlauhawm a lo ni thei a ni. Hei hi mi tam tak ti hlauhawm tak a ni. Mahse, damdawi lam thiamna a lo thang chho zel a, tûn laiah hian chutiang thihna rang tak laka invenna hmanrua mak tak tak a awm ta a ni. Vawiin hian chutiang nunna chhanhim thei, hmanraw te tak te chungchang kan sawi dawn a ni. Hei hi S-ICD an ti a.

A awlsam zawngin, he S-ICD hi eng nge ni?

S-ICD awmzia kimchang chu Subcutaneous Implantable Cardioverter Defibrillator tih a ni. A hming hi a buaithlak deuh a, mahse a operation erawh a awlsam hle. Hei hi electronic device te tak te a ni a, i vun hnuaiah surgery hmanga dah a ni. Matchbox te tak te ang vel a ni.

He device hnathawh ber chu i thinlung rhythm enkawl chhunzawm zel hi a ni. I thinlung rhythm chu hlauhawm takin a rang a nih chuan, chu chu nunna atana hlauhawm rhythm pangngai (arrhythmia) i neih chuan S-ICD device chuan a hre nghal mai ang. A hriat hnuah i rilruah electric shock te tak te a pe ang. He shock hian heartbeat mumal lo chu a normal, chu chu rhythm pangngaiah a dah leh ang. Hetiang kalphung hi defibrillation kan ti a ni .

ICD pangngai leh S-ICD hi eng nge an danglamna?

ICD device pangngai tih hi i hre tawh mai thei. S-ICD pawh hi ICD chi khat a ni. Mahse, an pahnih inkarah hian danglamna lian tak, pawimawh tak a awm.

Traditional ICD device (Transvenous ICD emaw TV-ICD tia koh) ah chuan device nena inzawm wire pakhat emaw a aia tam emaw (lead tia koh) chu i thisen kalna kawng (veins) kaltlangin i thinlungah dah a ni. Hei hi thil buaithlak deuh a ni.

Mahse chutiang chu S-ICD-ah chuan a thleng lo. Hemi chungchanga thil danglam tak chu wire te hi thinlung chhungah emaw thisen kalna kawngah emaw thawn chhuah a ni lo . S-ICD device leh a nena inzawm wire te chu i vun hnuaiah dah vek a ni. Hei hian a him hle a ni. S-ICD hmang hian thisen kalna kawng hmanga wire thawn chhuah a nih chuan natna kai leh thisen zam a awm theihna a tlem hle. Tin, he device hi thlak ngai a nih chuan a awlsam hle bawk.

He S-ICD hi tuin nge mamawh?

ICD device hi heart rhythm condition thenkhat nei tan chuan hman a tha tlangpui. Entir nan:

• Ventricular Tachycardia: Thinlung hnuai lam (ventricles) a thawk chak lutuk.
• Ventricular Fibrillation: Thil hlauhawm tak a ni a, thinlung hnuai lam chu thunun theih lohvin a nghing thin. Hei hian instant death a thlen thei a ni.
• Tun hmaa cardiac arrest nghal tawhte: Chutiang dinhmun lo thleng leh thei tur venna atan.

Mahse heng mite zingah hian S-ICD hi a bik takin heng mite tan hian a tha hle a ni:

• Mi hri kai theihna sang tak nei: Entirnan, ICD natna vei tawh emaw, immunocompromised emaw te.
• Thisen kalna kawng harsa tak takte: Mi thenkhat chuan an taksa dinhmun a zirin thisen kalna kawng atanga wire pass harsa an ti thei.
• Mi nunphung active tak tak nei: Mite chuan infiammi an duh. S-ICD wire te hi thinlung chhungah a awm loh avangin taksa tihchak laiin wire te a chhiat theihna a tlem zawk.
• Thalaite: Thalai pakhatin he device hi rei tak a hman a ngai dawn avangin S-ICD hian hun rei tak chhunga harsatna a neih tlem avangin an tan chuan duhthlan tur tha zawk a ni.

S-ICD hian heart rate (pacing) a control thei em?

Hei hi zawhna pawimawh tak a ni. ICD chi thenkhat chuan heart beating chu a pangngai lo taka a slow chuan a normal rate a awm tir thei a ni . Hei hi pacemaker function an ti a.

Mahse tuna S-ICD devices te hian he pacing capability hi an nei lo. Chu chu S-ICD hian a hniam lutuk laiin heart rate a siam tha thei lo tihna a ni. A hnathawh awm chhun chu heart rate hlauhawm taka a chak lai hriatchhuah a, a siam that theih nan shock pe chhuak hi a ni. Pacing pawh i mamawh a nih chuan S-ICD hi i tan a tha lo mai thei. Thutlukna tha ber chu hemi chungchang hi doctor nen inbiakna neih hi a ni.

He surgery hma hian eng nge ka tih ang?

I doctor chuan S-ICD i tan dah a tum a nih chuan operation hmain thupek engemaw zat pek i ni ang. Anmahni zawm dik a pawimawh hle.

• Damdawi thenkhat, thisen tithianghlimtu ang chi, operation hma ni engemaw zat ei kha bansan turin an ti mai thei che a ni.
• Operation ni-ah chuan darkar engemaw zat ei leh in loh tur a ni ang.
• Operation i neih zawh ni vek chuan i haw thei mai thei avângin, mi pakhatin in lama hruai tûr che chu i ruahman lâwk tûr a ni .

Damdawi inah chuan damdawi lam thawktute chuan operation hmain a hnuaia thilte hi an ti ang:

• Device dahna tur vunah (a tlangpuiin rilru veilam emaw, armpit hnuaiah emaw) chhinchhiahna siam a ni.
• Chu lai hmuna sam chu hlihsak a, uluk taka tihfai a ni.
• I kut chhunga vein pakhatah cannula (IV line) dahin damdawi leh tui a pe che a ni.
• Hri kai laka invenna atan antibiotics pek a ni ang.
• Surgery neih chhunga natna awm lo turin anesthesia pek i ni ang. A tam zawkah chuan anesthesia chi khat a ni a, mut hahdam takin a awmtir thin.
• I kut chu surgery hmun khawih loh nan bandage nem tak hmangin i nghet thei bawk.

Surgery neih chhung hian eng nge thleng?

S-ICD dahna tur surgery hi darkar khat atanga darkar hnih vel a ni tlangpui. A bulpui ber pahnih dah a ni a, chungte chu generator (hei hi battery leh circuitry awmna hmunpui ber a ni) leh defibrillation lead (hei hi wire a ni) te an ni.

Surgeon chuan i rilru veilam emaw, i kawr hnuai emaw vun chu a hliam tenau pahnih emaw pathum emaw a siam ang. Tichuan, vun leh thau layer hnuaiah, i rib cage hnuai chiahah ‘pocket’ te tak te siamin, chutah chuan generator chu an dah lut ta a ni. A dawtah chuan wire chu vun hnuaiah, i rilru lai takah, i hnute ruh bulah an dah a, chutah chuan i kawr sir lamah an dah leh a.

Engkim kan install zawh chuan he device hi a thawk tha em tih kan test ang.. Hei hi thil mak deuhin a lang thei a, mahse a tak takah chuan hetiang hi a ni: Doctor-te chuan chu thinlung natna hlauhawm tak, mumal lo tak chu artificial takin i thinlungah an siam a ni. Tichuan, S-ICD chuan a hmuchhuak a, i thinlung chu a pangngaia a awm leh theih leh theih loh en turin shock a pe chhuak ta a ni. Hetih lai hian, anesthesia hnuaiah i awm a, chuvangin natna i hre lo vang , chuvangin ngaihtuahawm tur a awm lo.

Device hian hna a thawk tha tih an finfiah hnuah vunah incision siam te chu stitches hmangin an khar thin.

Surgery hnuah eng nge thleng?

Surgery zawhah recovery room-ah hruai i ni ang. Medical staff te chuan anesthesia avanga a nghawng a reh hma loh chuan uluk takin an lo en reng ang che. Device leh wire te chu a hmunah a awm em tih enfiah nan X-ray i nei thei bawk.

Mi tam zawk chu an zai zawh ni vek hian an haw thei a ni. Amaherawhchu, anesthesia hnuaia i awm avangin i khalh thei dawn lova, chuvangin in lama khalhtu tur i neih a pawimawh hle.

S-ICD hian eng nge a thatna?

S-ICD hlawkna ber chu cardiac death rang tak a veng thei a ni. Tin, thisen kalna kawng kaltlanga wire hmanga dah thin traditional ICD (TV-ICD) nen khaikhin chuan S-ICD hian:

• Cardiac perforation: Thinlung tissue tihchhiat (perforation) a awm.
• Infection: Infection na tak, a bik takin thinlung chhungril lam tichhe thei, endocarditis .
• Wire breakage: Thisen kal tlanga wire kalte hi hun kal zelah a chhe thei a, a lo chhuak thei bawk. Chutiang a nih chuan lak chhuah leh thlak a ngai dawn a ni. He risk hi S-ICD hmang hian a hniam zawk.
• Thrombosis: Thisen kalna kawng khata thisen zam.

Hei hian eng hlauhawmna leh harsatna nge a neih?

Surgery dang ang bawkin S-ICD dahnaah hian hlauhawmna tenau tak tak a awm a. Mahse, hengte hi a tlem hle.

S-ICD neia ka awm chhung hian engtin nge ka in enkawl ang?

S-ICD chu i nunah ṭhian thar ang mai a ni. Chuvang chuan a nunpui zir hi a pawimawh a ni. Hemi chungchangah hian i doctor chuan chipchiar takin a hrilh ang che.

• A hun takah clinic-ah kal rawh: Doctor chuan device chu a thawk tha em tih te, battery a awm dan te, i thinlung hriselna engtin nge a awm tih enfiah nan date a pe ang che. Chutiang date-ah chuan kal ngei ang che.
• Identification card keng rawh: S-ICD i neih thu ziakna card keng fo ang che. Hei hi emergency a awm chuan medical staff te tan a pawimawh hle dawn a ni.
• Doctor dangte hriattir: Natna dang eng pawh damdawi la tura i kal hunah S-ICD i neih thu doctor hnenah hrilh la.
• Khualzinnaah fimkhur rawh: Doctor rawn la, a bik takin airport ang hmuna metal detector i paltlang hunah.

S-ICD ah hian battery hi eng chen nge a daih?

S-ICD-a battery chu recharge theih a ni lo. Device chhungah hian a insiam lut a ni. Battery a tlakchham chuan generator pumpui chu a thara thlak turin operation tenau dang neih leh a ngai a ni.

S-ICD battery hi a tlangpuiin kum 5 vel a daih thei . Mahse, he hun hi device hi eng chen nge a trigger (shock) tih leh a settings ah a innghat thung. I doctor chuan clinic i tlawh apiangin battery level a enfiah ang.

Engtikah nge damdawi lam thurawn i lak ang?

S-ICD i dah hnua a hnuaia symptoms te hi i neih chuan doctor hmu nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.

• A rilru a na
• Luak chhuak thei
• Surgical incision atanga pus emaw fluid emaw leak
• Incision site bulah a sen, a hring emaw, a na lutuk emaw
• Thâwk harsa
• S-ICD dah hmaa heart symptom i neih tawh kha a lo lang leh thin

S-ICD hi technology tha tak leh him tak a ni a, cardiac death rang tak a veng thei a ni. I doctor-in ICD neih a rawt che a nih chuan S-ICD hi i tan a tha em tih sawipui rawh.