I thinlung a chak lo em ni? Ventricular Assist Device (VAD) chungchang hi i zir dawn nia

A chang chuan kan thinlung hi a chak lo thei hle. Heart muscle hi a chau lutuk a, damdawi emaw, enkawlna dang emaw pawhin a thunun thei lo. Hetiang dinhmun hi Advanced Heart Failure kan ti a. Chuti a nih chuan, hetiang hun lai hian thinlungah hian ‘ṭanpuitu’ tlem tal dah theih a ni a, thinlung hnathawh ṭhenkhat chu a kutah dah theih a ni tih i hria em? He device hi damdawi lam atanga kan sawi thin Ventricular Assist Device, a tawi zawngin VAD kan tih hi a ni. Vawiin hian hei hi awlsam takin i hrethiam ang u, kan thianpa nen kan inbia ang maiin.

A awlsam zawngin VAD chu eng nge ni?

I thinlung hi in pakhata tui pump chhuaktu motor angin ngaihtuah rawh. He motor a chhiat chuan tui chu in pum puiah a luang lo a ni lawm ni? Chu chu thinlung chak lo tak nen chuan a ni. VAD hi mechanical pump te tak te, thinlung chak lo tanpui nan hman a ni. Thinlung ventricle atanga thisen la chhuakin taksa peng dangah a pump chhuak thin. Motor chak lo takah chuan extra motor te tak te dah belh ang mai a ni.

Heng VAD te hi chi hrang hrang lian tak tak a awm a.

Eng ang mi nge VAD mamawh?

Heart failure na tak nei zawng zawng hi VAD vuah vek an ni lovang. Thil pathum atan hman a ni ber.

1. Damna kawngkhar angin: A chang chuan thinlung hi hun eng emaw chen chu a chak lo hle thei a ni. Chutiang hunah chuan VAD hmangin thinlung chu chawlh hahdamna pein, a mah chauha a thawk leh theih hma loh chuan a thlawp a ni.

2. Lung thlakna kawngkhar (bridge to a Heart Transplant): Damlo thenkhat chuan thinlung thlak an mamawh a. Mahse thinlung inmil tak a awm theih nan hun engemaw chen an nghah a ngai a ni. Chumi hun chhung chuan VAD hmangin nunna chhanhim nan thinlung chu an thlawp a ni.

3. Destination Therapy: Kum upa lam emaw, damdawi lam thil dang emaw avanga heart transplant dawng thei lo tan chuan he VAD hi dam chhung zawnga heart support pe turin a nghetin hman a ni. Hei hian an dam rei thei a, nunphung tha zawk an nei thei bawk.

He machine hian engtin nge hna a thawh?

He device hi part engemaw zat a awm a. Ṭhenkhat chu taksa chhûnga thinlung nên an inzawm a, ṭhenkhat erawh chu taksa pâwn lama awm an ni thung.

• Inflow Cannula: Hei hi heart chamber nena inzawm tube a ni. Thinlung atanga thisen la in mechanical pump ah a thlen thin.
• Mechanical Pump: Hei hi thawnthua hero a ni. Thinlung pump hna thawktu a ni.
• Outflow Cannula: He tube hian thisen pump chhuah chu taksa thisen kalna bulpui (aorta) emaw, lung lam panna tube emaw nen a thlunzawm leh thin.
• Driveline: Hei hi cable te tak te, chak tak a ni a, taksa chhunga pump chu taksa pawn lama controller nen a thlunzawm a ni. Vun kaltlangin a chhuak thin.
• Controller: Hei hi VAD thluak ang a ni. Computer te tak te. Hei hian VAD hnathawh dan a thunun a, doctor leh damlote chu chuta tang chuan information an en thei a ni.
• External Battery Pack: Heng battery te hian VAD atana power mamawh chu a pe a. Main battery leh emergency-a backup battery a awm bawk.

Surgery neih hmain eng nge thleng?

Hei hi surgery pawi tak a nih avangin damlo pakhat chu test nasa tak tak a neih hnuah VAD surgery atan thlan a ni. Tuna thinlung leh taksa peng dang (kidney leh liver ang chi) dinhmun hi uluk takin an enfiah thin.

Test hman tlanglawn tak takte chu:

• Electrocardiogram (ECG) hmanga tih a ni.
• Echocardiogram (Echocardiogram) tih hi a tha hle.
• CT Scan hmanga tih a ni
• Exercise Testing neih a ni
• Cardiac Catheter hmanga tih a ni

Tin, damlo leh chhungte chu VAD nena nun dan leh enkawl dan zirtir an tha ber. Damlo pui thei tur chhungte emaw, thian hnai tak emaw neih hi a pawimawh zual hle.

Engtin nge surgery hi tih a nih?

Hei hi open-heart surgery a ni. A awlsam zawngin, hei hi a thleng thin:

1. General anesthesia hnuaiah dah i ni ang. Chuvangin engmah i hre lo ang a, i hre reng bawk lovang.

2. Surgery neih chhung hian ventilator hmangin thawkna tur puihna pek i ni ang .

3. Surgeon chuan a rilru lai takah incision a siam a, thinlung a pholang.

4. Chumi hnuah chuan cardiopulmonary bypass machine nen i inzawm ang . He machine hian i taksaah thisen a kal kual chhunzawm zel dawn a, operation laiin i thinlung chu a tawp tawh a nih pawhin.

5. A dawtah chuan VAD pump chu thinlung chhunga hmun remchang takah dahin, driveline chu abdominal wall kaltlangin lakchhuah a ni.

6. VAD hi activate a, taksa tan thisen mamawh a pe tih i enfiah hnuah bypass machine atangin i la chhuak ang.

7. A tawp berah chuan rilru ruh chu thir wire hmangin an inzawm leh a, hliam chu dissolvable stitches hmangin an khar leh a.

Eng nge a hlawkna leh a hlauhawmna?

Surgery lian dang ang bawkin VAD hian hlawkna leh hlauhawmna a nei vek a ni.

I medical team chuan heng risk te hi enkawl turin an lo enkawl reng ang che.

VAD nen hian nun hi eng ang nge ni?

VAD nena nun chu nunphung thar hman thiam tihna a ni.

• Limitations: Device hi tui a tlak loh avangin i inbual thei lo va, i inbual thei lo bawk (mahse, special cover hmanga shower lak dan tur zirtir i ni ang). Tin, inhliam theihna sang tak nei contact sport te pawh i pumpelh tur a ni.
• Maintenance: Driveline hi vun atanga a chhuahna hmunah fai takin dah fo ang che. Battery thlak la, controller atanga alarm hriatthiam dan zir rawh.
• Damdawi: I dam chhung zawngin anticoagulant, Warfarin ang chi i ei a ngai dawn a ni. I thisen sang control nan damdawi i ei a ngai bawk ang.
• Medical supervision: Doctor i hmuh fo a ngai a, thisen test i neih a ngai a, VAD data i check a ngai bawk. A tir lamah chuan damdawi in pan fo a ngai mai thei a, mahse hun kal zelah a tlem chho zel ang.

Rilru hriselna lam pawh ngaihtuah a ngai em?

Dik tak chuan, a ni. Mi ṭhenkhat chuan chutiang inthlâk danglamna lian tak nêna an nun hian lungkhamna, lungngaihna, a nih loh leh lungkhamna an nei thei a ni. Chu chu thil pangngai a ni. Chutianga i awm chuan nangmah chauhin hrehawm tuar suh, mahse i doctor nen inbia ngei ang che. Chumi atan chuan tanpuina lak a pawimawh hle.

Doctor nena inbiakna neih a ngaih hunah

A hnuaia symptom emaw harsatna emaw i neih chuan i medical team hnenah hriattir nghal rawh.

VAD hi technology lama hmasawnna mak tak a ni a, thinlung natna khirh tak do mek mi pakhat tan nunna pahnihna a pe thei a ni. Nunna chhanhimna a pekte hi a hlu hle. Mahse chutiang hlawknate chu a hlawkpui tur chuan damlo chuan anmahni leh an device chu nasa taka a enkawl a pawimawh hle.