Vun hnuaia machine te tak te hian nunna a chhanhim thei em? Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) chungchang hi han sawi ila!

Ngaihtuah teh, i thinlung chu rang takin a na nghal vat a, thunun theih lohvin... chu chu i nunna atan hlauhawm tak a ni thei a ni lawm ni? Chutiang dinhmun hlauhawm takah chuan vawiin hian i nunna chhanhim thei tur technological device te tak te, mahse chak tak tak chungchang kan sawi dawn a ni. Hei hi S-ICD kan ti a. Hlau suh, a hming hi a buaithlak deuh a nih pawhin a functioning hi awlsam takin i hrethiam ang u.

He S-ICD hi eng nge ni?

A awlsam zawngin sawi ila, S-ICD (Subcutaneous Implantable Cardioverter Defibrillator) hi electronic hmanrua te tak te, i vun hnuaiah, i taksa chhungah dah a ni. Matchbox te tak te ang mai a ni. A hnathawh ber chu i thinlung rhythm enkawl chhunzawm zel hi a ni .

Ngaihtuah teh, thinlung rhythm chu hlauhawm takin a lo chak nghal vat a nih chuan, chu chu thunun theih lohvin a thawk tan a nih chuan, he hmanraw te tak te hian a hrechhuak ta a ni. A hrechhuak a, thinlung chu electric shock tlem a pe nghal a ni. He shock hian a thawk dan mumal lo, rang tak chu a titawp a, thinlung chu a rhythm pangngaiah a hruai kir leh thin. Hetiang kalphung hi defibrillation kan ti a ni . Hei hian mi pakhat chu cardiac arrest nghal vanga thihna lakah a chhanhim a ni.

Engtin nge S-ICD hi ICD pangngai nen a danglam?

ICD device pangngai tih hi i hre tawh mai thei. An pahnih inthlauhna ber i hriatthiam chuan S-ICD hi eng thilin nge a danglam bik tih i hrethiam ang.

• Traditional ICD (Transvenous ICD - TV-ICD): Hetiang chi hian device nena inzawm wire ( leads ) pakhat emaw a aia tam emaw chu i thisen kal tlangin thinlungah a inzawm nghal a ni.
• S-ICD: Mahse chutiang chu S-ICD-ah chuan a ni lo. Hetah hian wire hi thisen kalna kawngkhar chhungah dah a ni lo. Chu ai chuan vun hnuaiah , rilru lai takah , thinlung chungah dah a ni.

He S-ICD hi tuin nge mamawh?

S-ICD hi heart rhythm condition bik nei tan chuan hman a tha tlangpui.

A bik takin, S-ICD hi mi tan a tha ber a, chungte chu:

• Hri kai hlauhawmna sang tak nei tan.
• Taksa thisen kalna kawngte luh harsa tisa taksa dinhmun nei te tan.
• Nun chak tak hmang (e.g. infiammi) tan.
• Relatively young people , because they have a longer lifespan , chuan hun kal zelah traditional ICD wire-in a thlen theih harsatnate chu an pumpelh thei a ni.

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

Hei hi zawhna pawimawh tak a ni. No. Tuna S-ICD hmanrua te hian heart rate control theihna, chu chu pace theihna an nei lo .

Ngaihtuah teh, mi pakhat thinlung a chakna a tlahniam a nih chuan , pacemaker chu a chakna pangngaia awm reng tura puitu hmanrua a ni. S-ICD chuan chutiang chu a ti thei lo. S-ICD hian heart rate chu hlauhawm taka a san hunah chauh shock a pe a , chutah chuan rhythm pangngaiah a rawn kir leh thin. Chuvangin, pacemaker i mamawh chuan i doctor chuan i tana hmanraw tha ber a rawn rawt ang che.

He surgery hma leh surgery neih chhung hian eng nge thleng?

Hei hi non-complicated surgery a ni a, darkar tlemte a awh tlangpui.

Surgery hmaa inbuatsaihna

I doctor chuan a tul angin thurawn a pe ang che.

• Damdawi thenkhat, thisen tithianghlimtu ang chi, operation hma ni engemaw zat ei kha bansan turin an ti ang che.
• Operation ni-ah darkar engemaw zat chaw nghei turin an ti ang che.
• Surgery zawh hnua haw tur lirthei ruahman turin min ti a.

Surgery tih dan tur

Surgery neih chhung hian natna engmah i nei lovang. A tam zawkah chuan i rilru hahdamna tur damdawi (`conscious sedation`) pek i ni ang.

1. Inbuatsaihna: Device dahna tur hmun (a tlangpuiin rilru veilam) chu silfai a, a tul chuan sam hlihsak thin a ni. Infection laka inven nan antibiotics pek thin a ni.

2. Incision siam dan: Doctor chuan i rilru veilam, i armpit hnuai chiaha incision te te pahnih pathum a siam ang.

3. Device implantation: Generator (box te tak te) chu vun hnuaiah rib cage bulah incision pakhat hmangin dah a ni. Tichuan, a incision dang kaltlangin vun hnuaiah wire (lead) dah a ni a, chu chu a rilru (breastbone) lai takah a tlan chho a ni.

4. Checking: A tawp berah chuan Doctor ten machine a thawk tha em tih an enfiah thin. Chutiang ti tur chuan artificial takin i thinlungah heartbeat chak lo tak an siam a, chutah chuan S-ICD atang chuan shock an pe a, chu chu siamthat nan an hmang thin. Ngaihtuah buai suh, he hun chhung hian sedated i la ni reng dawn a, chuvang chuan engmah i hre lo ang.

5. Hliam hrual : Engkim hlawhtling taka tih zawh a nih hnuah a hliamte chu hrual vek a ni.

Operation i neih zawh chuan recovery room-ah hun engemaw chen enfiah turin an hruai ang che. Mi tam zawk chu ni khatah an haw thei.

S-ICD hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi lam thil dang ang bawkin S-ICD hian hlawkna leh hlauhawmna tenau a nei a ni.

Engtikah nge damdawi lam thurawn i lak ang?

I S-ICD dah hnua heng symptoms zinga pakhat tal i neih chuan doctor pan nghal tur a ni a, a nih loh leh i hnai ber damdawi in Emergency Department (ETU)-ah i kal tur a ni.

• A rilru a na
• Luak chhuak thei
• Thâwk harsa
• Incision na hmuna a sen, a hring emaw, a na emaw
• Cut atanga pus emaw fluid dang emaw chhuak
• S-ICD dah hmaa symptoms awm tawhte lo lang leh