‘Thinlung siam’ tih hi i hre ngai em? Movie-ah pawh i hmu tawh maithei. Mahse, eng nge a nih, tute nge mamawh, leh engtin nge a hnathawh tih i hria tak tak em? Vawiin hian he hmanraw mak tak mai, thinlung hnathawh that lohna nasa tak nei mi pakhat chu thinlung thar thlak theih a nih hma loh chuan nung reng tura puitu hi kan sawi mai ang.
A awlsam zawngin, thinlung siam (artificial heart) chu eng nge ni?
Artificial heart chu mechanical pump a ni a, chu chu i thinlung hnuai lam chamber pahnih, ventricles an tihte a thawk tha lo a nih chuan taksaah dah a ni. Kan thinlung hian chutiang chamber pahnih, veilam leh dinglam ventricle a nei a. Total artificial heart dah a nih chuan heng chamber pahnih hi lakchhuah a ni a, an hmunah he hmanrua hi dah a ni.
Chuvangin, i thinlung cell-te tih theih loh, chu chu i taksa vel thisen pump chhuah hi he artificial heart hian a ti a ni. He hmanrua hi i thinlung chunglam pindan pahnih (`atria`) leh thisen kalna kawng lian ber berte nen a inzawm a ni.
Engtin nge he device hian hna a thawh?
Hei hi han ngaihtuah teh, a mak deuh mai thei. He artificial heart hian a chakna chu i taksa pawn lama awm portable air compressor (or `driver`) atang hian a hmu thin. He `driver` atanga boruak lo chhuak hi tube te tak te pahnih (`drivelines`) kaltlangin artificial heart-ah a kal a, rhythm-a pump turin a pui bawk.
Heng tube pahnih hi i pum vun hmangin taksa atangin an chhuak a, `driver` nen an inzawm a ni. He `driver` battery hi in lamah emaw, car chhungah emaw i charge thei. Kan phone-te tana `power bank` ang bawkin, hei hi i zin hunah `backpack`-ah i keng thei a ni.
Sure, i rilru chhungah mechanical device awm hi thil mak deuhin a lang thei a, mahse he technology hian heart transplant nghaktu mi sang tam tak nunna a chhanhim a ni.
Tuin nge thinlung siam (artificial heart) mamawh?
Lung natna khirh tak chuan thinlung hian taksa pum puiah thisen a pump tha thei lo a ni. Hei hi thinlung siam (artificial heart) a tul hun a ni. Lung pakhat tan "bridge to transplant" atan hman a ni tlangpui. Chu chu, a inmil tur donor atanga thinlung a awm hma loh chuan damlo chu a hrisel leh chak theih nan a pui tihna a ni.
A hnuaia natna nei mi tu emaw chuan thinlung siam (artificial heart) a mamawh mai thei.
| Damdawi lam dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| Lung lam chak lohna | Thinlung hian taksaah thisen a pump tling thei lo. |
| Heart attack nasa tak a awm | Lung ruh (heart muscle) a chhiatna nasa tak a awm chuan. |
| Congenital heart issues a awm thin | Piansualna (complex birth defects) thenkhat tan chuan. |
| Lung lam natna (Cardiomyopathy) a awm | Lung ruh chak lo, thick emaw, khauh emaw. |
| LVAD device a chhiat phah | Left ventricle support nana hman LVAD (Left Ventricular Assist Device) device a chhiat chuan. |
| Thinlung thawk mumal lo (Arrhythmia) . | Lungphung pangngai lo, nunna atana hlauhawm. |
I thinlung hian hna a thawk tha lo a nih chuan hetiang hian symptoms i nei thei a:
- Chauhna nasa tak awm reng.
- Thisen sang hniam (hypotension).
- Taksaah, a bik takin ke ruh leh pum chhungah a hring (edema) .
- Thâwk harsa (dyspnea).
- Khumah mut laiin nuam lo.
Operation hmain engtin nge i inbuatsaih thin?
Hei hi operation lian tak a nih avangin operation hmain kar khat tal damdawi inah i awm a ngai dawn a ni. Hemi chhung hian medical team chuan nang leh i chhungte chu artificial heart chungchang te, i nun a nghawng dan tur te, harsatna a awm a nih chuan eng nge i tih tur tih te an zirtir ang.
Tin, operation atan i hrisel tawk em tih enfiah nan test eng emaw zat neih a ni bawk ang.
Operation hmaa test neih thin a ni
- Thisen test a ni
- CT scan a ni
- Chest X-ray neih a ni
- Electrocardiogram (ECG emaw EKG emaw) hmanga tih a ni.
- Echocardiogram (Echocardiogram) tih hi a tha hle.
- Pulmonary function testing neih a ni
Surgery tih dan tur
He surgery hi specialist team ten an ti a, cardiac surgeon te pawh an tel. General anesthesia hnuaiah dah i ni ang a, thawk lakna tur breathing tube dah a ni ang.
1. Pakhatnaah chuan doctor chuan i rilru lai takah ruh chu a tan tir ang. Hei hi `(Sternotomy)` an ti a.
2. A dawtah chuan hun eng emaw chen i thinlung thawk kha tihtawp nan damdawi an pe ang che.
3. Surgery neih chhung hian i thisen a kal kual theih nan `heart-lung bypass machine` nen inzawm tir i ni ang.
4. Tichuan, i thinlung hnuai lam (`ventricles`) chak lo pahnih chu lakchhuah a ni.
5. Chu ai chuan , thinlung siam (artificial heart) dah a ni a , chu chu thinlung chunglam (`atria`) leh thisen kalna kawng lian ber berte nen an thlunzawm a ni.
6. A tawp berah chuan heart-lung bypass machine chu tihtawp a ni a, artificial heart chu activate a ni.
Surgery pumpui hi darkar 9 vel a ni thei. Hei hi surgery buaithlak tak a ni.
Surgery hnuah eng nge thleng?
Surgery hnuah intensive care unit (ICU)-ah dah i ni ang. Ni hmasa berah chuan thawk chhuahna tur ventilator-ah connect i ni ang. Tube emaw saline (IV) hmangin nutrition pek i ni ang. Natna damdawi pek i ni bawk ang.
Zawi zawiin i dam chhoh zel chuan nangmah chauhin thawk i la thei ang a, i ei leh in thei ang a, zawi zawiin damdawi inah i kal kual thei bawk ang.
A bik tak chu, zai zawhah doctor ten i rilru an khar nghal mai ngai lo. A chhan chu an rilru chhunga thil pakhat enfiah leh an duh vang emaw, emergency a awm chuan awlsam taka enkawl an duh vang emaw chuan ni khat vel hnuah chuan an rilru chu a khar vek a ni.
Eng nge a hlawkna leh a hlauhawmna?
A thatna ber chu
Hei hi a thatna lian ber chu nunna a chhanhim vang a ni . Thinlung siam (artificial heart) tel lo chuan mi tam tak chu a inmil thinlung nghah laiin an thi thin. Surgery i neih zawh chuan zawi zawiin chakna i nei leh a, a hma aiin i rilru a hahdam tan ta a ni. Hei hian heart transplant neih theihna tura chakna leh hriselna a pe che a ni.
Risk leh complication awm thei te
Damlo, artificial heart mamawhtute chu hriselna dinhmun khirh takah an ding tawh a ni. Surgery leh device nena nun hian hlauhawmna engemaw zat a thlen thei.
- Thisen a chhuak thin
- Thai
- Thisen chhuak nasa tak a chhuak
- Kaichhawng
- Kidney emaw liver emaw a tha lo
- Thisen sang a sang
Hengte hi risk lian ber berte chu an ni. Hemi chungchang hi i doctor nen inbiakna neih hmasak a pawimawh hle.
Dam lehna leh mahni inenkawlna
Surgery zawhah thla khat vel damdawi inah i dam leh a ngai dawn a ni. In i haw hnuah chuan i nitin hna i thawk thei tawh ang. Chu `driver` ka sawi tawh kha `backpack`-ah i phur thei a, zalen takin i kal kual thei bawk.
I in enkawl dan tur chu hetiang hi a ni:
- Date ruat saah medical checkup nei turin kal rawh.
- Thisen zam leh infection laka invenna tur damdawi an pekte chu a hun takah ei thin tur a ni.
- Thinlung hrisel chaw ei rawh.
- mut tha rawh.
- I doctor-in a rawt chuan cardiac rehabilitation program-ah te tel ve rawh.
Doctor pan vat vat hun tur
Operation hnua a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | Taksaah natna hrik a awm tih chhinchhiahna a ni thei bawk. |
| Stroke natna lan chhuah dan | Hmai sir khat tlak, thusawi harsa, kut pakhata hriatna hloh. |
| Pulmonary embolism a awm thin | Thâwk a harsat thut, rilru na. |
| Hri kai theihna chhinchhiahna | Tube taksa chhunga a luhna hmunah a sen, a hring leh a hring chhuak. |
Take-Home Thuchah a ni
- Artificial heart chu temporary mechanical pump a ni a, heart failure na tak nei damlote chu heart transplant an tih hma loh chuan a nung reng a ni.
- Hei hian surgery lian tak leh buaithlak tak a mamawh a, a dam leh theih nan hun rei tak a ngai a ni.
- He device nena nung tur chuan pawn lam power supply device (`driver`) a ngai a, chu chu engtik lai pawhin i keng tel tur a ni.
- Damdawi lam thurawn zawm leh damdawi ei dik a pawimawh a, thisen zam, natna hrik, leh stroke te ang chi hlauhawm a awm avangin.
- Vaukhânna chhinchhiahna, khawsik, stroke symptom, thawk harsa tih ang chi i hmuh chuan doctor hnenah hriattir nghal rawh.
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