A châng chuan chhan hriat lohvin i thinlung chakna chu a pung thut ang maiin i inhria em? I tlan tam tawh mai mai ang maiin? Hei hi i hriat tawh angin `Supraventricular Tachycardia` emaw `(SVT)` emaw tia koh natna chhinchhiahna a ni thei. Hei hi thil hlauhawm tak ni thei mahse, lungngai suh. Tunah chuan hei hi enkawlna tha tak tak a awm ta. Vawiin hian chutiang damdawi tha tak pakhat, `SVT Ablation` chungchang kan sawi dawn a ni.
A awlsam zawngin SVT Ablation chu eng nge ni?
`SVT Ablation` hi i thinlung chamber chunglam a cell tlemte, heartbeat nena inzawm electrical signal tibuaitu cell tlemte tihchhiat leh deactivate theihna a ni. Kan thinlung electrical system hi in chhunga wiring system ang maiin han ngaihtuah teh. A tlangpuiin, heng "wire" kal tlanga electrical signal mumal taka a kal chauhvin thinlung hi a thawk tha hle.
Mahse mi thenkhatah chuan he "wire" system ah hian loop te tak te, emaw loop ang chi emaw a lo awm thin. Tichuan "short circuit" ang mai a lo ni ta a , thinlung rhythm pangngai chu a tibuai a, thinlung chu a na nghal zual sauh sauh a ni. `Ablation` treatment-ah chuan tube te tak te tak mai, special `catheter` an tih chu thinlung chhungah lutin, signal dik lo thawntu "short circuit" chu zawngin, deactivate turin an hmang thin.
Chutianga tih theih dan kawng hnih a awm a:
- Radiofrequency energy: Catheter thenkhat chuan lumna thawnin cell te chu a tichhia a, hliam te tak te a siam thin.
- Freezing: Catheter thenkhat chuan chu cell te chu deactivate turin khaw lum nasa tak an hmang thin.
Heng hmanraw pahnih hian electrical signal dik lo thawn chhuahna kawng chu a tikhawlo a, chu chuan thinlung chu a pangngaiin a thawk leh thei ta a ni.
Doctor-te chuan SVT hi damdawi hmanga control theih a nih loh chuan, a nih loh leh damdawiin side effect a neih chuan he enkawlna hi an rawt tlangpui. Mahse, a chang chuan damlo dinhmun a zirin ablation hi enkawlna hmasa ber atan hman a rawt thei bawk.
He enkawlna hi engtiang chiahin nge a awm?
A vaiin khawvela mi 1,000 zinga pahnih velin SVT an vei thei a ni. Mahse, mi tam tak, 60% leh 80% inkar chuan damdawi hmangin hahdamna tha tak an hmu thin. Chuvangin, he `Ablation` enkawlna hi damdawi hmanga thunun harsa tan chuan solution tha tak a ni fo thin.
SVT Ablation hmain eng nge tih tur?
Hei hi surgery lian tak a ni lo a, mahse inbuatsaihna tlem a ngai a ni.
- Enkawlna atan hian darkar 6 atanga darkar 8 chhung (fasting) chhung ei leh in atanga inthiarfihlim vek a ngai a ni.
- Tuna i damdawi ei mek thenkhat chu i doctor hian a nei thei a ni.(A bik takin thisen tithianghlimtu) te hi ni engemaw zat ei tawh loh tur a ni. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.
Enkawl lai hian eng nge thleng?
He enkawlna hi hmun bik `electrophysiology lab` an tihah tih a ni a, he thila thil thleng hi step by step awlsam takin han thlir ila.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Natna damdawi pek | I kut vein pakhatah IV line (saline line) dah a ni a, chuta tang chuan damdawi pek a ni a, chu chuan i hahdam theih nan leh natna engmah i hriat loh nan a pui a ni. |
| 2. Catheter dah luh dan | I groin area-a vun chu a numbed a, chutah chuan thisen kalna kawng lian tak hmangin tube (catheter) te tak te tak tak a lut a. |
| 3. Thinlung lam panna zin | He tube hmang hian electrode bik nei catheter chu i thinlungah a kal a. |
| 4. Buaina zawng chhuak | Doctor chuan he catheter hmang hian electrical signal te te a thawn a, chu chuan thinlung a ti na hle a, chu chu "short circuit" awmna hmun dik tak a zawng chhuak a ni. |
| 5. Ablation tih a ni | Buaina awmna hmun dik tak hriat chian a nih chuan, chu cell-te chu tihchhiat nan heat (radiofrequency energy) emaw, khaw lum emaw hmangin an tichhe vek a ni. |
I bo vek tawh em?
A tam zawkah chuan i harh kim lovang. I mut hahdam theih nan damdawi pek i ni ang a, zu ruih deuhin i awm ang. Hei hi `conscious sedation` kan ti a.Hetih lai hian i chhehvela thil thlengte chu i hre chiang lo hle a, hrehawmna pawh i nei lo. Mahse, a tlem hle a, thil bik thenkhatah chuan general anesthesia pek a ngai mai thei. Hei hi i dinhmun a zirin doctor-in a rel thin.
Hei hi a hrehawm em?
Dik tak chuan chu cell dik lo i tihlum chuan natna i nei lo. Doctor chuan catheter dahna hmun chu a numb a. Chuvangin i natna awm chhun chu numbing injection (lidocaine) i pek hian i rilru natna te tak te, prickly sensation a ni.
Enkawl hnuah eng nge thleng?
Enkawlna zawh a, catheter zawng zawng lakchhuah a nih hnuah thisen chhuah tihtawp nan catheter awmna hmun chu clamp a ni. A chang chuan hmanraw te tak te, vascular closure device an tih hmangin hliam hi an khar thin. Chumi hnuah chuan khumah i ke phar chungin darkar 6 atanga darkar 8 vel i mu a ngai dawn a ni . Hei hi a nuam lo mai thei a, mahse thisen chhuah ang chi harsatna awm lo turin a pawimawh hle.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi dang ang bawkin hlawkna leh hlauhawmna tenau tak tak a awm bawk.
| Lampang | Hrilhfiahna |
|---|---|
| A thatna te | He enkawlna hian hlawhtlinna rate sang tak a nei a, 90% leh 95% inkar a ni . Chumi awmzia chu mi 100 zinga 95 chuan a dam kim vek tihna a ni. Hetiang dinhmun hi a lo lang leh theihna chance a tlem hle (2% - 11% vel). |
| Risk a awm thei | Hengte hi thil tlem tak a ni.
|
Eng chen nge tihdam a ngaih?
Hemi chungchanga thil tha dang chu i dam thuai theih hi a ni. In lamah i haw thei a, i thil tih pangngai (office hna, in lama hnathawh ang chi) chu a tuk zingah i tan thei ang . Mahse, thawhrimna tlemte mamawh thil, thil rit phurh emaw, exercise lak emaw ang chi tih i duh chuan ni thum tal nghah a ṭha ber .
Engtikah nge doctor i hmuh ang?
Inenkawl zawha i taksa enkawl hi a pawimawh hle. A hnuaia symptoms te hi hre reng ang che.
| Huntha | Ziarang |
|---|---|
| Hospital-a Emergency Treatment Unit (ETU)-ah kal nghal rawh. | |
| Rikrum |
|
| I doctor nen inbia ang che. | |
| Features fimkhur tur a awm |
|
Heartbeat mumal lo neih hi a hlauhawm thei hle. Mahse lungngai suh, a enkawlna tha tak tak a awm. SVT ablation hi chutiang enkawlna hlawhtling tak, hlauhawmna tlem ber zinga mi a ni. Heng symptoms te hi i neih chuan doctor nen inbia la, he enkawlna hi i tan a tha em tih rel rawh.
Take-Home Thuchah a ni
- SVT hi heart chambers chunglam atanga electrical signal dik lo avanga heart beat chak lutuk a ni.
- SVT Ablation hi enkawlna tha tak a ni a, heng signal dik lo thawn chhuaktu "short circuit" te hi a titawp thei a ni.
- Hei hi damdawiin a natna a thunun theih lohna hmunah te, a chang chuan first-line treatment atan emaw hman a ni.
- He enkawlna hlawhtlinna hi 90% aia tam a ni a, a hlauhawmna pawh a tlem hle.
- A dam leh theih nan ni engemaw zat chauh a ngai a, i nun pangngaiah i kir leh thuai thei bawk.
- Enkawlna hnua natna lan chhuah dan danglam tak a awm chuan doctor hnenah hriattir nghal rawh.
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