Nang pawh i tlu fo em? Hemi (Tilt Table Test) chungchang hi han sawi ila!

I mitmeng dum nghal mai, thil inher chhuak ang maia i inhriat emaw, i hriatna hloh ang maia inhriat emaw i nei tawh em? Hetiang hi i chungah a thleng fo a nih chuan vawiin hian a chhan zawng chhuak thei tur test chungchang kan sawi dawn a ni. Hei hi `(Tilt Table Test)` an ti a. Hlau suh, a awlsam khawp mai. Eng nge a nih, engtin nge a tih tih leh i hriat tur eng nge ni tih i lo en ang u.

Hei hi eng nge ni (Tilt Table Test)?

A awlsam zawngin sawi ila, ``Tilt Table Test'' hi muhil emaw, hriatna hloh emaw (damdawi lam hawia ``Syncope'' tia hriat bawk) chhan hriat theihna tura puitu test a ni. Chu chu khum bik (table)-a muttir tir che a, khum chu angle hrang hranga a inher laiin i thisen sang , heart rate , leh heart rhythm te enfiah chhunzawm zel a ngai a ni. Khum chu i lu chu i lu chungah a awm theih nan a dah fo thin.

Tilt Table Test hmang hian eng nge hmuh theih?

He ``Tilt Table Test'' hian i dinhmun i thlak (entir nan, mut atanga i ding nghal mai) hian i heart rate, rhythm leh blood pressure a inthlak dan kan hmu thei a ni. Heng thute hmang hian i doctor chuan i luak chhuak leh lu hahdamna chhan chu a hre thei ang . Chu chuan i tana enkawlna tur ruahmanna tha ber siam turin a pui thei che a ni.

Tunah chuan en teh, syncope, emaw fainting tih hi thluaka thisen kal zat a tlahniam rei vak lo vanga hriatna hloh leh taksa thunun theih lohna a ni. Chuvang chuan a chang chuan mi an tlu thin. Hetiang thisen hloh hi thisen sang a tlakhniam thut vang te, heart rate a tlahniam vang te, taksaa thisen awm zat emaw thisen kal dan a inthlak vang emaw a ni thei. I hriatna i neih leh hnuah pawh i lu a hah deuh mai thei.

Kan ding emaw, kan thu emaw, kan mu emaw pawh nise, kan taksa hian kan heart rate leh blood pressure chu automatic-in a tidanglam tur a ni. Mahse, damdawi lam dinhmun thenkhat chuan he thil hi a tibuai thei a ni. Chutiang a nih chuan i ding chhuak chuan i thisen sang chu a tlahniam nghal thei a ni.

Syncope hi thil dang avanga lo awm a ni fo thin a, chu chuan i thinlung, i nervous system emaw, thluaka thisen kal dan emaw a nghawng fo thin. Chuvangin, i doctor chuan i dinhmun hriatthiamna tha zawk neih theih nan Tilt Table Test nen hian test dang a order thei bawk.

Engtin nge hei hi i tih (Tilt Table Test)?

I taksa chhunga thil thleng chu han ngaihtuah teh, rang taka mut atanga i ding chhuak a. Chu chu he ``Tilt Table Test'' hian artificial takin a ti a ni. Mahse a him zawk hle . Khumah hian strap hmanga i inbun avangin, khum chu ding chunga i sawn chuan i lu a buai a nih pawhin i tlu lovang.

Engtikah nge Tilt Table Test hi tih thin? Khawnge? Eng chen nge a daih?

Doctor chuan he ``Tilt Table Test'' hi a ti thei a, chhan hriat loha luak chhuak emaw, hriatna hloh emaw i neih fo chuan.

He test hi damdawi in emaw clinic emaw-a awm ``Tilt Lab'' emaw ``Electrophysiology Lab'' bik ah tih a ni.

Test tih zawh nan minute 90 vel a ngai thei a, hei hi i symptoms leh test chhunga i thisen sang leh heart rate inthlak dan a zirin a ni. Mi thenkhat chuan test hmasa ber atang khan symptoms an nei nghal mai thei a, chuvangin test hi tih belh a ngai tawh lo. Chutih hunah chuan doctor chuan an mamawh zawng zawng chu a nei vek tawh ang.

Tilt Table Test atan engtin nge kan inbuatsaih ang?

Doctor thupekte uluk takin zawm la, test ni-a tih tur chu hre chiang rawh. Test zawhah i thian emaw, i chhungte emaw chu in lama lirtheia hruai turin ngen a tha.

Ei leh in chungchang:

• Test hma zanah chaw pangngai ei rawh.
• Test hma darkar li chhung chu tui vawi hnih khat tih loh chu ei leh in loh tur.
• Test ni hian caffeine awmna engmah (coffee emaw tea emaw) in loh tur.

Damdawi lam chungchang:

• I damdawi hman thin chu a hun takah tui in la.
• Diuretics (tui pill) i ei a nih chuan test zawhah i ei theih leh theih loh doctor zawt rawh.
• Laxatives ei loh tur.
• Zunthlum i vei emaw, insulin i ei emaw chuan i doctor hnenah i damdawi ei dan tur chu test ni-ah zawt la. Damdawi in panna kawngah i thisen sugar a hniam nia i hriat chuan i glucose meter keng la.
• Doctor biak loh chuan damdawi ei kha bansan ngai suh.

Eng nge i hak tur?

• Thawmhnaw nuam tak leh pheikhawk pahnih ha la. Hospital gown ai chuan T-shirt kut tawi emaw, kutkawr nei lo emaw i ha thei bawk. Thawmhnaw kut sei emaw, tight emaw i ha a nih chuan hospital gown ha tura tih i ni thei. Test laiin i luak emaw i zun emaw a nih chuan i thlak tur thawmhnaw dang rawn keng tel a tha.

Eng nge i ken tel ngai?

• Thil hlu reng reng keng suh.
• Heng thilte hi keng la:
• Tuna i damdawi ei mek leh a hman dan tur ziak chhuah.
• Medical record hlui, a awm chuan.
• I allergy zawng zawng (damdawi, ei leh in, environmental substances) te ziak vek a ni.
• I insurance card kha.

Test hmain eng nge thleng?

Doctor emaw nurse emaw chuan test chungchang hi a hrilhfiah ang che a, i zawhnate chu a chhang ang che a, consent form-ah sign turin a ti ang che. Test hma ni khata doctor nena in inhmuh hunah pawh he form hi i dawng thei bawk. Mi tu emaw chuan test atana inbuatsaihnaah a pui ang che a, zawhna i neih apiang a chhang ang che.

Test hmain i doctor hnenah i kut pakhat chu IV (intravenous saline solution) dah nan emaw, i thisen sang enfiah nan emaw hmang lo turin i ngen duh a nih chuan hrilh rawh.

Test hma hian medical staff ten a hnuaia mi ang hian an ti ang:

• ``Tilt Table''-ah i muhil ang. Hei hi motorized bed a ni a, i ke dahna tur metal plate a awm bawk.
• I taksa pum puiah puan nem tak tak strap a inbun ang a, mahse test neih chhung hian nangmah ngeiin i rit i phur a ngai dawn a ni.
• I kut emaw i kut emaw vein pakhatah IV dah a ni ang. Hei hian thisen sample a la thei a, test laiin damdawi a pe thei che a, a tul chuan.
• Blood pressure cuffs chu i kut pakhat leh i kut zungtang pakhatah i bun ang. Hengte hi test chhung zawnga information thawn chhuaktu monitor te nen an inzawm a ni. Test chhung zawng hian finger-a cuff chu on chhunzawm zel a ni. Arm-a cuff hian minute 4-10 danah i thisen sang a check thin.
• I rilruah electrode an tih patch te te, sticky tak tak te dah a ni. Hengte hi electrocardiogram (EKG) monitor nen an inzawm a ni. Hei hian i thinlung electrical activity chu moving paper strip-a line kal lai graph angin a entir a ni. Hei hian test laiin i heart rate leh rhythm a enfiah thei a ni.

Test neih chhung hian eng nge thleng?

Test chhung zawng hian medical staff te chu i bulah an awm reng ang. A nuam thei ang bera awm tir che an tum ang. Machine te hian i thisen sang, heart rhythm leh heart rate te chu a enfiah chhunzawm zel ang. Thu lakkhawmte chu computer-ah record a ni ang.

A ṭhen khatna:

``Tilt Table Test'' chhung hian minute 15 vel i mu ang.

Tichuan, i la awm lai hian doctor-in i thisen sang leh EKG a la ang.

Motorized table control tu chuan hetiang hian table chu a tilt a:

• Minute 2-3 chhung 30 degree ah dah tur a ni.
• 45 degree ah minute 2-3 vel a ni.
• 70 degree-ah minute 45 thleng a awm thei.

A pawimawh ber chu test neih chhung hian i lu i chawi sang reng tur a ni.

Test result dik tak hmuh theih nan heng thupekte hi zawm tur a ni:

• Test neih chhung hian a theih ang anga ngawi reng leh ngawi rengin awm rawh.
• Ding chunga i awm lai hian i ke kha sawn suh.
• A tul tak tak a nih loh chuan thusawi loh tum ang che.
• Tilt Table Test neih chhunga symptom i neih apiang (luak chhuak, lu hah, emaw pum na) te chu i doctor hnenah hrilh rawh.

Part Two (a tul chuan):

Test hun hmasa berah i thisen sang a tlahniam lo a nih chuan doctor-in damdawi a pe thei che a, i taksain a chhan dan tur a en thei ang. He damdawi hian i thinlung a ti rang zawk a ni. He damdawi hi i ``IV'' kaltlangin, pill angin emaw, i ka chhunga spray angin emaw pek theih a ni.

Damdawi a pek hnuah doctor chuan minute 15 thleng dawhkan chu 60 degree-ah a tilt ang. Hemi hun chhung hian i thisen sang a tlahniam chuan test a tawp tawh tihna a ni. Mahse, test ṭhen hnihna chu minute 15 chhungin tihfel a ni ang.

Test neih chhung hian engtin nge i awm ang?

Test chhung zawng hian doctor chuan i rilru put hmang a zawt ang che. Symptoms i nei lo thei a, ``pre-syncope'' symptoms i nei thei bawk. Hengte hi a tlangpuiin:

• Lightheadedness - Lung hlim, tui chunga awm ang maia inhriatna.
• Luak chhuak thei.
• I pum thlenga natna, i luak chhuak dawn ang maia awm.
• Palpitations hi thinlung na tak leh rilru na tak tak hriatna a ni.

I mit a fiah lo emaw, lu na emaw i nei thei.

He test hian a tum ber chu i hlauthawng tihna a ni lo. Mahse, test i chhan dan azirin i hlauthawng thei a ni.

Pawimawh tak: Test chhung zawnga i rilru put hmang chu i doctor hnenah hrilh rawh. I natna lan chhuah dan chu 1 atanga 10 (10 chu a na ber a ni) scale-a rate turin an ti thei che a ni. I natna lan chhuah dan te, test atanga thu lakkhawm te nen chuan i doctor chuan i natna lan chhuah chhan chu eng nge ni tih a hriat theih nan a pui ang.

I natna lan chhuah dan avanga test chhunzawm thei lo nia i hriat chuan i doctor hnenah hrilh rawh . An duh chuan test hi an titawp thei a ni. Mahse, test chhunzawm zel chu i tan a him nia an hriat chuan test zawh hma chu nghah turin an fuih ang che, chutih hunah chuan result kimchang ber i hmu dawn a ni.

Test zawhah eng nge thleng?

Tilt Table Test zawhah doctor chuan table chu a flat position-ah a dah leh ang. Dawhkan chungah minute 5-10 vel i mu ang. Hemi chhung hian doctor chuan i dam tha em tih a enfiah ang a, i thisen sang, heart rate leh rhythm te a teh leh ang.

Test hnuah pawh symptom na tak tak a awm reng hi a tlem hle a, mahse a awm reng chuan Emergency Department-ah evaluation neihpui a ngai mai thei.

Hei hi ni khata i test hnuhnung ber a nih chuan doctor chuan i `(IV)` chu a la chhuak ang. Chumi ni a `(IV)` tih ngai test dang i neih chuan `(IV)` chu a awm ang angin an chhuahsan ang. Test dang titu chuan i test hnuhnung ber hnuah `(IV)` chu a la chhuak ang.

Mi tam zawk chu test zawhah an haw thei. Mahse, puitling mawhphurhna nei tak i neih a ngai a, chu chuan in lamah a hruai che a ngai a ni. Chumi ni chuan i khalh thei lo.

Chaw nghei ngai test dang i neih loh chuan test zawhah a pangngaiin i ei thei ang.

Test hnua natna lan chhuahna thar a lo awm a nih chuan, emaw, natna lan chhuah tawh chu a la awm reng a nih chuan, i doctor hnenah hrilh rawh .

Hei hi (Tilt Table Test) nen hian hlauhawmna a awm em? A him em?

A tlem hle a, ``Tilt Table Test'' neih chhung hian mi muthilh tir an ni. Mahse, doctor-te an awmpui avangin rang takin dawhkan chu an hniam tir ang a, i dinhmun pangngaiah an hruai kir leh ang che. I chau a,/ emaw, pum na i nei thei bawk. Mi thenkhat chuan test an neih chhungin an zun an thunun thei lo.

He test hi a tlangpuiin a him . Mahse, test zawng zawng ang bawkin, hlauhawmna engemaw zat a awm. A tlem hle a, coronary arteries emaw carotid arteries emaw narrowed te hian heart attack emaw stroke emaw an nei thei.

I doctor chuan tilt table test-a hlauhawmna leh hlawknate chu test-na a remtih hmain a sawipui ang che. A tul chuan i doctor chuan i hlauhawmna tihziaawmna turin test-ah hian inthlak danglamna engemaw zat a siam thei a ni.

Test chu (Positive) / (Negative) a nih chuan eng nge a awmzia?

• Tilt table test positive tih hian i thisen sang, heart rate, heart rhythm-a inthlak danglamna danglam thei damdawi i nei thei tihna a ni.
• Tilt table test negative tih awmzia chu i thisen sang, heart rate leh heart rhythm-a inthlak danglamna danglam thei damdawi lam dinhmun i lantir lo tihna a ni.

Eng dinhmun nge (positive) test a thlen theih?

`(Positive) (Tilt Table Test)` awm thei tur condition thenkhat chu:

• Lung natna (Bradycardia) chu a pangngai lo hle.
• Lungphun chak lo tak (Tachycardia).
• Thisen sugar level hniam (Hypoglycemia).
• Thisen sang hniam (Hypotension).
• Postural Orthostatic Tachycardia Syndrome (POTS) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

Engtikah nge test result ka hriat ang?

Doctor chuan a result chu a enfiah thei a, a hnuaia thil awm danah hian a sawipui thei che a ni:

• I thisen sang, heart rhythm, heart rate-ah danglamna nasa tak i neih chuan.
• Harsatna i tawk a nih chuan.
• Test hnuah pawh i symptoms a awm reng chuan.

Lab-a doctor-in test zawhah result chungchang a sawipui lo che a nih chuan he test atana refertu doctor chu phone la, result chungchang zawt rawh. A tam zawkah chuan result hi ni rei lote chhungin a awm nghal ang a, a rang thei ang bera hmuh theih a ni lo.

Results a dik lo a nih chuan eng nge i tih leh ang?

Tilt Table Test result a zirin i syncope chhan dik tak hriat nan test dang i mamawh mai thei. Heng test-ah hian:

• Hemodynamic test, echocardiogram hmanga tih a ni a, chu chu i taksa pumpuiah thisen a insem dan te, i thisen kalna kawnga pressure te, leh i thinlungin i taksa pum puiah thisen a pump chhuah dan te enfiah a ni.
• Autonomic reflex test hian i autonomic nervous system - kan control loh thiltih, thawk, heart rate, leh digestion ang chi control tu system chu a test thin.
• `(Vestibular function test)` (balance nena inzawm test).
• Heart rate enfiah a ni.
• Echocardiogram (thinlung hi ultrasound test) hmanga enfiah a ni.

Engtikah nge doctor nen inbiakna neih a ngaih?

He test atana refertu doctor chuan test result a hrilhfiah ang che a, i enkawl dan tur a sawipui ang che.

Damdawi chungchang hi doctor zawh a pawimawh hle. Damdawi i ei tur chi hrang hrang emaw, a dose emaw i tihdanglam a ngai mai thei. I doctor-in a tih tur treatment plan thar chu dik takin zawm rawh.

Panic attack hian mahni chauha awm emaw, chhuah emaw hlauhna a siam thei. Doctor-te chuan kum sawm tam tak chhung chu he ``Tilt Table Test'' hi miten an panic attack chhan an hriat theih nan an hmang tawh a ni. A chhan an hriat veleh i tanpui theihna tur treatment plan an siam thei ang.

Hriat reng tur pawimawh ber (Take-Home Message) .

Fainting spell neih fo hi a tibuaitu leh hlauhawm tak a ni thei. Mahse hei hi a chhan chu zawn chhuah theih leh enkawl theih a ni tih hre reng ang che. Chumi atana puitu tur chuan ``Tilt Table Test`` hi thil pawimawh tak a ni.

Heng symptoms te hi i neih chuan ngaihthah suh. Doctor hmu la, an chanchin sawi rawh. Tichuan, i mamawh ṭanpuina chu i hmu thei ang. He test chungchanga zawhna dang i neih chuan i doctor zawh hreh suh. I hriselna enkawl hi a pawimawh ber a ni!

` Fainting, hriatna hloh, tilt table test, heart rate, thisen sang, diagnosis, syncope