I thinlung a chak lo em ni? I thinlung tanpui thei tur machine chungchang i zir ang u? (Ventricular Assist Device - VAD) hmanga siam a ni.

I thinlung hi a chak lo lutuk a, thisen a pump tha thei lo tih i doctor chuan a hrilh che em? A nih loh leh i chhungkuaa tu emaw hian hetiang dinhmun hi a nei em? Vawiin hian kan sawi dawn a, advanced heart failure a awm chuan thinlung tanpui nan hmanraw bik kan sawi dawn a ni. Hei hi Ventricular Assist Device, a tawi zawngin VAD an ti a.

A awlsam zawngin, he VAD hi eng nge ni?

I thinlung hi i taksa pum puia thisen pump chhuaktu motor te tak te angin ngaihtuah rawh. A chang chuan he motor hi a chak lo deuh thin. Tichuan a thawk tha thei lo. Chutih lai chuan VAD hi mechanical device a ni a, chu chuan thinlung atanga thisen chu taksa peng dangah a pump chhuak thei a ni. Motor chak lo pui turin motor te tak te dang dah belh ang mai a ni.

VAD chi hrang hrang a awm a. A chi hrang hrang hi han thlir ila.

Engvangin nge VAD hi ka mamawh?

Advanced heart failure i neih a, i thinlung hian a mah chauhin i taksaah thisen a pump lut thei lo a nih chuan VAD i mamawh mai thei. Hmanna lian pathum a nei a.

• Bridge to transplant: Mi thenkhat chuan heart transplant an nei thei. Mahse, matching heart a awm theih nan hun engemaw chen an nghah a ngai a ni. Chumi chhung chuan he VAD hi i thinlung chak lo tak tanpui nan hman a ni. Bridge ang mai a ni .
• Damna kawngkhar: A châng chuan thinlung hi rei lo têah a chak lo thei a ni. Enkawlna dik tak a awm chuan a tawpah chuan thinlung hi a lo dam leh thei a ni. Chu thinlung chu a dam leh hma chuan he VAD hi tanpui nan hman theih a ni.
• Destination therapy: Damlo thenkhat chu kum upat vang emaw, damdawi lam thil dang vang emaw chuan thinlung thlak theih an ni lo mai thei. Chutiang damlo tan chuan he VAD hi dam chhung zawnga heart support device atan hman theih a ni. Hei hian nunphung tha zawk nen an dam rei thei a ni.

He VAD machine hian engtin nge hna a thawh?

He device hian part engemaw zat a nei a. Ṭhenkhat chu surgery hmanga thinlungah an inzawm a, taksa chhungah an awm bawk. Pêng dangte chu taksa pawn lam a ni.

Surgery neih hmain eng nge thleng?

Heart failure na tak nei zawng zawng hian VAD an nei vek thei lo. Candidate tha tak i nih leh nih loh hriat nan medical leh psychological evaluation uluk tak i nei ang. Hei hian i thinlung leh taksa peng pawimawh dang (i kal leh thin ang chi) uluk taka enfiah a huam ang. Damdawi lam thil dang an enfiah bawk ang. Test tih theih thenkhat chu:

• Electrocardiogram (ECG) hmanga tih a ni.
• Echocardiogram (Echo) hmanga tih a ni.
• Computer tomography (CT) hmanga tihchhuah a ni
• Exercise testing neih a ni
• Cardiac catheterization (thinlung chhunga catheter dah hmanga test tih) .

Tin, nang leh i chhungte chuan VAD nena nun dan leh nitin enkawl dan tur in hre chiang hle ang. Hetiang kawngah hian chhungkaw member emaw, i hnaih ber emaw pawh nise, nangmah thlawp thei tur mi tel tir hi a pawimawh hle.

Surgery neih chhung hian eng nge thleng?

Hei hi surgery lian tak a ni. A awlsam zawngin sawi ila, a chhunga thil thleng chu hetiang hi a ni:

1. Anesthesia: A hmasa berin i muthilh kim vek ang (general anesthesia). Chuvangin engmah i hre lo vang a, operation kha hriatrengna pawh i nei tawh lo vang.

2. Thâwk chhuah ṭanpuina: Operation zawhah , leh intensive care unit (ICU)-a ni hmasa berte chhungin, ventilator chuan thawk a pe ang che.

3. Surgery tih tur: 1.1 .Surgeon chuan i rilru lai takah incision a siam a, i thinlung awmna hmunah a kal a.

4. Heart-lung bypass machine: A dawtah chuan machine bik nen in connect leh ang. Chu chu `Cardiopulmonary Bypass Machine` an ti a. Surgery neih chhung hian thinlung leh lung hnathawh chu he machine hmang hian hun eng emaw chen a thawk a ni. Tin, thisen zam tur venna atan damdawi `Heparin` an pe bawk ang che.

5. VAD dah: Chumi hnuah surgeon chuan VAD device chu thinlung chhunga hmun remchang takah a dah a. Chumi hnuah chuan driveline chu pum vun hmangin an la chhuak leh thin.

6. Machine on dan: VAD a connect zawh chuan a on a, special machine atang chuan i la chhuak ta a ni.

7. Surgery zawh: VAD chu a nghet taka a thawk tawh chuan thisen a normal lehzual theih nan damdawi `Protamine` tih chu pek a ni a, a rilru ruh chu wire hmangin an inzawm leh a, vun hliam chu an suture leh thin.

VAD hman hian eng hlawkna nge a neih?

Mi tam tak chuan VAD nena an nun lai hian heng thilte hi an tawng tan thin:

• Thâwk lak awlsam: Chauhna leh thawk hah lutuk hi nasa takin a tihziaawm a ni.
• Organ function tihchangtlun: Taksa chhunga organ dangte hian thisen kal tha zawk an dawng a, chuvangin an hnathawh a tha zawk.
• Revitalization: A hmaa hah lutuk kha a bo tawh a, taksa chuan chakna tha tak a nei ta a ni.

Hemi nena inzawm risk te chu engte nge ni?

Surgery lian dang ang bawkin hlauhawmna a awm a, dam chhung zawng he hmanrua hi hman a nih pawhin harsatna engemaw zat a awm thei bawk.

• Thinlung thawk mumal lo (Arrhythmias) .
• Thisen chhuak
• Thisen a chhuak thin
• Kaichhawng
• Device a thawk tha lo
• Dinglam atanga thinlung natna
• Cerebrovascular accident ( stroke ) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

Heng risk te hi hlau suh. I medical team te chuan an lo awm a nih chuan ven leh enkawl turin an lo thlir reng thin.

VAD nena khawsak huna ngaihtuah tur thil

Surgery zawhah intensive care unit (ICU)-ah ni engemaw zat i awm a ngai dawn a ni. Tichuan regular ward-ah sawn i ni ang. Damdawi ina i awm chhung hian he hmanrua hmanga khawsa turin zirtir i ni ang.

In lama i haw hunah heng thilte hi lo buaipui rawh:

• Damdawi hi ei dik rawh:Thisen tihthianghlimtu Warfarin ang chi thisen zam venna atana pek thin hi a hun takah ei a pawimawh hle . Thisen sang leh heart rate control na tur damdawi dang pawh dik takin i ei tur a ni.
• Device Care: Device, battery leh driveline te thianghlim taka vawn dan tur zirtir i ni ang. Heng thupekte hi uluk takin zawm rawh.
• Nunphung inthlak danglamna:
• Device hi tuiah thun ngai lo tur a ni. Hei hian inbual emaw, tui chawi emaw pawh a hmang thei lo tihna a ni. Mahse, device uluk taka khuh chunga shower lak dan tur kan entir ang che.
• Contact sports hi pumpelh tur a ni a, a chhan chu, thisen tihthianghlimna damdawi i ei a nih chuan hliam tenau tak pawh hian thisen chhuahna nasa tak a thlen thei a ni.
• Battery emaw, wall-a plug emaw-ah i connect a ngai reng a ni.
• Thinlung hrisel nunphung: Meizial zuk loh vek tur a ni. Ei leh in tha tak ei rawh. Doctor-in a thurawn angin exercise \ha tak ti rawh.

Doctor hmuh hun tur

VAD nena khawsa hian medical check-up neih reng a ngai dawn tihna a ni. A tir lamah chuan kal tam zawk a ngai mai thei a, mahse i dinhmun a lo ṭhat deuh deuh chuan a kal fo ṭhinna chu a tlahniam ang.

Heng symptoms te hi i neih chuan doctor ko nghal rawh:

Rilru hriselna lam pawh ngaihtuah teh

Chutiang inthlak danglamna lian tak nena i nun lai hian lungngaihna leh lungkhamna i neih hi thil pangngai tak a ni. Mahse, chutiang rilru put hmang chu i rilruah dah suh. Zahpui tur a ni lo. Hetiang hian i awm a nih chuan i doctor nen pawh sawipui ngei ang che .