I rilru a buai lai khan chhan hriat lohvin i thinlung a na a, a tlan chak hle tih i hre ngai em? Hetiang hun lai hian hlauhna leh lungkhamna tlem a awm hi thil pangngai a ni. Hetianga heart rate chak tak awm chhan pakhat chu SVT a ni a, hei hi Supraventricular Tachycardia tihna a ni. Chuvangin vawiin hian hei hi enkawlna hlawhtling tak kan sawi dawn a ni. Chu chu SVT Ablation a ni.
A awlsam zawngin SVT leh Ablation hi eng nge ni?
SVT hi eng nge a nih i en hmasa ang u. Kan thinlung hi taksa peng mak tak a ni. A hnathawhna tur electrical signal system a nei a. In chhunga wiring system ang maiin. Heng electrical signal te hi dik tak leh felfai taka an kal chuan kan thinlung chu rhythm dik takin a thawk thin.
Mahse mi thenkhatah chuan thinlung chunglam chamber-a electrical signaling system-ah "short circuit" te tak te a awm thei a ni. Wire loop ang maiin han ngaihtuah teh. Tichuan he short circuit avang hian electrical signal kal zel tur chu a buai ta a, rang takin thinlung chu a thawk chak hle ta a ni. Hei hi SVT (Supraventricular Tachycardia) kan tih chu a ni.
Tunah chuan Ablation hi eng nge a nih kan en ang. Hei hi chu short circuit siamtu cell dik lote chu "disable" tu treatment a ni. Doctor-te chuan special catheter, tube te tak te tak te hmangin thinlung chhung thuk takah lutin electrical signal dik lo lo chhuahna hmun dik tak chu an zawng chhuak thin. Tichuan, chu hmunah chauh chuan chhiatna tlemte an ti thin.
- Radiofrequency energy: Hetiang hmang hian cell te chu a lum a, hliam te tak te a siam a.
- Cryoablation: Hetiang method ah hian extreme cold (nitric oxide) hmangin cell te chu freeze a ni a, scar a siam thin.
Chutianga scar siam a nih chuan electric signal dik lo chu a kal tlang thei lo. Chu chu short circuit a chhe tihna a ni. Tichuan thinlung chu rhythm pangngaiin a thawk leh ta a ni.
Doctor-te chuan he enkawlna hi damdawi hmanga control theih loh a nih chuan, emaw, damdawi hian side effect a neih chuan an hmang tlangpui. Mahse, a chang chuan duhthlanna hmasa ber atan an rawt thin.
Enkawl hma leh enkawl lai hian eng nge thleng?
Hetiang enkawlna hi neih ni tur a rel hnuah doctor chuan thupek bik engemaw zat a pe ang che.
- Treatment (fasting) hma darkar 6 atanga darkar 8 chhung chu engmah ei leh in loh turin an ti ang che .
- Damdawi i ei lai thenkhat chu rei lo te chhung bansan turin an ti thei bawk che a ni. Heng zawng zawng hi chiang taka i hriat theih nan i doctor nen in sawiho tur a ni.
He enkawlna hi electrophysiology lab hmanraw bik neiah tih a ni . Chutah chuan thil thleng chu step by step-in han thlir ila:
1. Pakhatnaah chuan vein (IV) kaltlangin damdawi pek i ni ang a, chu chuan i hahdam theih nan leh natna engmah i hriat loh nan a pui ang che. A tam zawkah chuan conscious sedation an tih chu pek i ni ang. Chumi awmzia chu i muhil kim lo ang a, mahse i hahdam ang a, tlem chuan i muhil ang.
2. Tichuan, i groin area-a vun chu a numbed (local anesthetic), thisen kalna kawngah catheter te tak te dah a ni. Numbing vang hian natna i nei tam lovang.
3. He catheter hi thisen kalna kawng zawhin thinlung thlengin a kaihruai a.
4. Tichuan, he catheter hmang hian electrical signal thawnin, harsatna thlentu cell awmna dik tak chu zawn chhuah a ni.
5. Hmun a dik tawh chuan a hmaa kan sawi tawh radiofrequency energy chu chu cell te chu deactivate turin kan hmang thin. Hetih lai hian natna engmah i hre lovang.
Enkawl hnuah eng nge thleng? Tin, in lama i haw hunah eng nge i tih thin?
Enkawlna a zawh hnuah catheter hmun chu rei vak lo clamp a ni ang a, thisen chhuah a titawp ang. A châng chuan hmanraw bik (vascular closure device) hman a ni ang. Chumi hnuah chuan darkar 6 atanga darkar 8 vel i ke chu ti sei turin an hrilh ang che.
In i haw hnuah chuan a tuk zingah thil pangngai i ti tan thei ang . Mahse, ni thum vel chhung chu tlan, zuang, rit phurh ang chi thil hahthlak tak tak tih loh a pawimawh hle.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Hei hi a thatna lian ber chu hlawhtlinna rate a sang hle a ni . SVT chi tam zawk tan chuan he enkawlna hi 90% - 95% velin a hlawhtling thin . Chumi awmzia chu mi sawm chungah hetiang hian i tih chuan mi 9 chu an dam kim vek ang tihna a ni. Mahse, mi tlemte (2% - 11%) chuan he natna hi an nei leh thei a ni.
Damdawi enkawlna dang ang bawkin, hlauhawmna tlemte chauh a awm. Eng nge an nih i chhui chhuak ang u.
| Risk/side effects a awm thei | Hrilhfiahna awlsam tak |
|---|---|
| Thisen chhuah emaw, natna hrik kai emaw | Catheter dahna hmuna awm thei dinhmun. Hei hi a tlem hle. |
| Hematoma (Hematoma) a awm | Catheter dahna vun hnuaia thisen awmkhawm. |
| Thisen a chhuak thin | Thisen kalna kawngah thisen zam (blood clots) a lo awm theihna chance a tlem hle. |
| Cardiac Tamponade hmanga tihdam theih a ni | Thinlung chhehvela thisen emaw tui emaw a khat. Hei hi emergency hmuh tur awm lo tak a ni. |
| Pacemaker mamawhna a ni | A tlem hle a, thinlung electrical system pangngai a chhiat chuan thinlung hnathawh control nan pacemaker dah a ngai mai thei. |
Thil pawimawh ber: Heng hlauhawm tam zawk hi a tlem hle tih i hre reng tur a ni , i enkawltu doctor-te pawhin he thil hi an fimkhur hle ang tih i hre reng tur a ni.
Engtikah nge damdawi lam thurawn i lak nghal ang?
In kan thlen hnua buaina a lo chhuah chuan eng nge kan tih ang tih kan hriat a ngai bawk.
| Rikrum! Hospital-a Emergency Treatment Unit (ETU)-ah kal nghal rawh. | |
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| Heng symptoms te hi i neih chuan doctor nen inbia ang che. | |
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Heart rhythm problem i nei tih hriat hi a hlauhawm deuh thei. Mahse, a enkawlna tha tak tak a awm tih i hriat hunah chuan rilru hahdamna nasa tak i nei ang. Chutiang damdawi tha tak pakhat chu SVT Ablation hi a ni. Hemi chungchanga zawhna dang i neih chuan i doctor nen inbiakna neihpui hreh suh la, engkim hrilhfiah rawh.
Take-Home Thuchah a ni
- SVT (Supraventricular Tachycardia) hi thinlung electrical system-a "short circuit" ang chi chhiatna a awm avangin thinlung a thawk chak hle a ni.
- SVT Ablation hi enkawlna hlawhtling tak a ni a, special catheter hmangin thinlungah lut a, cell chhia te chu tihlum emaw, freeze emaw hmangin inactivate a, thinlung rhythm a siam tha leh thin.
- He enkawlna hlawhtlinna hi 90% - 95% vel a ni.
- Inenkawl hnuah a dam thuai a, ni rei lote chhungin nun pangngaiah i kir leh thei bawk.
- Hliam a na lutuk emaw, thisen a chhuak chhunzawm zel emaw a nih chuan damdawi in Emergency Department (ETU) pan nghal tur a ni. Symptom danglam dang i neih chuan doctor hnenah hriattir tur a ni.
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