I doctor-in thawk harsatna i neih emaw, thinlung lam harsatna i neih emaw a rinhlelh chuan i thinlung chhunga thil thleng dik tak hriat an duh a ni lawm ni? Hetiang hunah hian vawiin hian i thinlung hnathawh dan dik tak hriat theihna atana hmanraw bik kan sawi dawn a ni. Swan-Ganz Catheter tih a ni. He hming hi i hre lo mai thei, mahse fiahna pawimawh tak a ni.
A awlsam zawngin, he Swan-Ganz pipe hi eng nge ni?
Swan-Ganz catheter hi tube (catheter) te tak te, flexible tak a ni. ‘Pulmonary artery catheter’ an ti bawk. Tube te tak te, a chhungah tube tenau zawk pali awm ang maiin han ngaihtuah teh. Heng tube tin hian hna hrang hrang an nei vek a.
I circulatory system hnathawh dan, chu chu thisen a kal that dan (hemodynamics) tehna atan hman a ni ber.
Hengte hi he pipe hmun hrang hrang (port) te hian an ti thin:
- Fluid emaw damdawi mamawh emaw chu thinlungah direct-in pek theih a ni.
- Thinlung pindan hrang hrang chhunga thisen sang leh thisen kalna kawng chhunga thisen sang chu dik takin a teh theih a ni.
- He tube hi lung chhunga thisen phurtu main artery (pulmonary artery)-ah dah a nih chuan balloon te tak te, hmun dik takah a hruai theih nan a pui thin.
- Thisen sample chu lung lama thisen phurtu artery atang pawhin lak theih a ni bawk.
He tube atang hian doctor ten eng nge an hriat?
He test hian i doctor hnenah i thinlung a hrisel zia chiang takin a hriattir thei a ni. I thinlung chhung lam en ang mai a ni.
| Thu hriat tur a awm | Chu chuan eng nge a sawi? |
|---|---|
| Thinlung dinglam chamber-a pressure awm | Thinlung thisen a khat hian eng filling pressures nge tih i hre thei ang. |
| Thinlung veilam ventricle-a pressure (an estimate) 1.1. | A veilam sir a functionality chungchang hi rough idea i hmu thei ang. |
| Pulmonary artery pressure a ni | Pulmonary hypertension (lung nena inzawm thisen kalna kawng hrang hranga thisen sang sang) ang chi dinhmun hriatchhuahna kawngah a pui thin. |
| Cardiac Output a ni | Minute khat chhungin i thinlungin i taksa a thisen a pump chhuah zat chiang takin i teh thei a ni. |
| Heart valve hnathawh dan | Heart valve te hian hna a thawk tha em tih leh thisen a chhuak em tih te hi i hre thei ang. |
Hetiang hmanrua hi hman a la ni em?
Ni e, a dik tak zet. Hetiang method hi thinlung leh lung kawng chhunga pressure awm dan dik ber hriat theihna tur "gold standard" anga ngaih a la ni reng a ni.
Mahse, tun hnaiah he hman dan hi a tlahniam a, a bik takin intensive care unit-a damlo na tak takte tan chuan a tlahniam hle. Hei hi taksa chhunga lut lovin thu hriat theihna tur ``Echocardiography`` (thinlung scan) ang chi, risky lo zawk, noninvasive methods siam chhuah vang a ni.
He test hi tute nge tih ngai?
I doctor chuan a hnuaia damdawi lam natna zinga pakhat i neih a rinhlelh emaw, a hriat emaw chuan he test hi a rawt thei ang:
- Thâwk harsa
- Lung natna
- Lung lam chak lohna
- Cardiogenic shock vang a ni
- Pulmonary hypertension a awm bawk
- Thinlung rhythm pangngai lo
- Pulmonary embolism a awm thin
- Cardiac tamponade a ni
- Thinlung natna (congenital heart conditions) a awm thin
Hetiang method hi operation lian tak hma leh hnua heart hnathawh dan hriatna atan pawh hman a ni a, chu chu heart transplant emaw left ventricular assist device implantation emaw a ni.
He test tih dan hi tlem han zir ila.
He test hi damdawi inah cardiac catheterization lab-ah tih thin a ni tlangpui. Hemi chungchang hi ngaihtuah buai a ngai lo. Doctor te chuan a theih ang anga nuam taka awm tir che an tum ang.
Test hmain eng nge thleng?
1. He test hi tih chhan leh tih dan tur hi doctor in chiang takin a hrilhfiah ang che.
2. Damdawi eng emaw i ei a nih chuan test hmaa tihtawp a ngai em tih an zawt ang che.
3. Test hma darkar engemaw zat ei leh in loh turin thurawn i dawng ang.
4. He test neihna tur hian ziaka phalna (permission) lak a ni ang.
5. Khum bikah mu turin siam i ni ang.
6. I rilru hahdamna tur leh i rilru hahdamna tur vein (`IV`) hmangin damdawi pek i ni ang.
Test neih chhung hian
A hmasa berin, doctor chuan tube dahna tur hmun (a tlangpuiin i kawng, i rilru, a ke) chu uluk takin a tifai ang a, natna i hriat loh nan a hmun chu a ti hlim ang . Tichuan, Swan-Ganz tube chu uluk takin vein lian takah dahin, thinlung ventricle dinglam kaltlangin lung (pulmonary artery) panna main artery-ah thread a ni.
Chutianga a tih lai chuan doctor chuan X-ray video chu monitor-ah a en a, chu chuan tube chu a kalna tur hmun dik takah a awm em tih a enfiah thin. Chuvangin a him hle mai.
Thu tul zawng zawng teh zawh chuan uluk takin tube chu lakchhuah a ni.
Test zawhah
Tube an lakchhuah hnuah chuan a hmunah hian bandage emaw plaster emaw an hnawih ang a, thisen chhuak reng reng chu a titawp ang. Tube hi i ke hmanga dah a nih chuan darkar hnih atanga darkar ruk chhung khumah mu turin an ti ang che. Tube dahna hmunah hian hliam te tak te hmuh chu thil pangngai a ni. Hei hi kar khat emaw kar hnih emaw vel hnuah a bo ang.
Hei hi risk a awm em?
Hei hi a pawimawh ber a ni. Swan-Ganz tube dah avanga harsatna awm thei hi a tlem hle . Chu chu 0.5% aia tlem tihna a ni. Chumi awmzia chu hetiang hi mi 200-te chunga tih a nih chuan mi pakhat chauhvin harsatna a nei dawn tihna a ni. Mahse, damdawi lam thil tih dan dang ang bawkin, a hlauhawmna a tlem hle.
- Tube dahna hmuna natna hrik awm.
- Thisen kalna kawng khata boruak bubble lut.
- Chest vein (subclavian vein) hman a nih chuan lung a chhiat theihna chance a tlem hle.
- Lungphun pangngai lo.
- Heart wall, valve, artery tihchhiat (hei hi a tlem hle).
Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.
Test zawha in lama i haw hunah a hnuaia thil awmte hi i tawn chuan doctor hnenah hriattir nghal rawh.
- Tube dahna hliam chu a hring a nih chuan emaw thisen emaw tui dang emaw a chhuak a nih chuan .
- Tube dahna keah hian a hring emaw, a hring emaw a awm chuan.
Take-Home Thuchah a ni
- Swan-Ganz tube hi test bik a ni a, heart function leh blood pressure chungchangah information dik tak a pe thei a ni.
- Chuta tang chuan i doctor-in i damdawi lam dinhmun dik taka a hriat theih nan leh a enkawlna tur dik ber leh tha ber a thlan theih nan nasa takin a pui ang.
- He test hi a hlauhawmna a tlem hle. Hei hi doctor-te chuan uluk takin an ti a, an enkawl reng che a ni.
- Test zawhah thil danglam (swelling emaw thisen chhuak emaw) i hmuh chuan hlauthawng lo tur leh doctor hriattir nghal a pawimawh.











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