I thinlung rhythm hi a mumal lo niin i hria em? (Arrhythmia) Hemi chungchang hi awlsam takin han sawi ila!

I thinlung chu a na hle emaw, a na em em emaw, a beat tel lovin beat a skip mai thei emaw tih i hre ngai em? Hetiang thil i hriat hian tlem a hlauhthawn hi thil pangngai a ni. Mi tam zawk chuan an nunah engtik lai pawhin hetiang thil hi an tawng tawh a ni. Damdawi lamah chuan he thinlung rhythm-a thil danglam tak hi ‘Arrhythmia’ (‘arrhythmia’ tia lam tur) kan ti thin. Chuvangin hlau suh, vawiinah hian engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Arrhythmia hi eng nge ni tak tak?

A awlsam zawngin sawi ila, arrhythmia hi thinlung thawk mumal lo a ni. Hei hi ‘dysrhythmia’ an ti bawk.

Kan thinlung hi band-a drummer ang mai a ni ang tih han ngaihtuah teh. Drums chu tune dik tak leh speed dik taka a vuak phawt chuan hla hi a ri tha hle. Kan thinlungah pawh chutiang bawk chu a ni. Rhythm dik tak, inrual taka beat a ngai a ni. Chumi hnuah chauh chuan oxygen tamna thisen dik tak chu taksa pum puiah a pump thei ang.

Arrhythmia-ah chuan he rhythm hi a buai thin.

• Thinlung chu a na hle mai thei .
• Thinlung chu a na hle mai thei .
• A nih loh leh irregular takin play theih a ni , beat khat pawh tel lovin.

Heng dinhmunte hi thinlung hmun hrang hrangah a intan thei a ni.

Hei hi hlauh tur dinhmun pawi tak a ni em?

He zawhna hi i rilruah a lo lang hi thil awmdan pangngai a ni. A nihna takah chuan arrhythmia chi hrang hrang a awm. A chi thenkhat chu pawi lo, enkawl ngai lo an ni. Amaherawhchu, mi dang erawh chu an serious zawk. Cardiac arrest nghal an thlen thei hial a ni. Heng extreme pahnih inkarah hian arrhythmia chi hrang hrang a awm bawk.

Arrhythmia chi hrang hrangte chu engte nge ni?

Doctor-te chuan arrhythmias hi thinlunga khawi aṭanga ṭan nge tih a zirin an thliar hrang ṭhin. Hei hi a awlsam zawngin han sawi ila. Thinlung hian main chamber pali a nei a, a chung lamah pahnih leh a hnuai lamah pahnih a awm.

Sri Lanka leh khawvel hmun hrang hranga arrhythmia hmuh tur awm tam ber chu Atrial Fibrillation a ni. Supraventricular type a mi a ni.

Arrhythmia vei hian eng symptom nge a neih?

Mi thenkhat chuan arrhythmia an nei thei a, symptom engmah an nei lo. Hei hi "silent" arrhythmia kan ti a. Mahse, symptoms a awm tak tak a nih chuan:

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Arrhythmia awm chhan bik pakhat hriat chian a harsa hle. A chhan awm thei tam tak a awm. A chhan ber leh a hlauhawmna te han thlir ila.

Arrhythmia awm chhan

• Coronary artery disease ( thinlung thisen kalna kawng a block ) .
• Thisen sang a sang
• Lung ruh inthlak danglamna (`Cardiomyopathy`) .
• Lung valve lama harsatna nei
• A hmaa heart attack avanga hliam
• Thisenah electrolyte inthlauhna a awm
• Lung zai hnua a dam leh dan
• Natna dang (entir nan, thyroid harsatna) .

Risk tipungtu thilte

• Zuk leh hmuam thil hman (meizial zuk) .
• Zu in tam lutuk
• Caffeine awmna in tur leh ei tur (tea, coffee, cola) ei tam lutuk .
• Stimulant hman, khawsik damdawi thenkhat ang chi
• Thisen sang a sang
• Thau lutuk (BMI 30 aia tam) .
• Zunthlum emaw thisen sugar level sang emaw
• Hriselna leh mutthilh theih lohna

Enkawl loh chuan eng nge a rah chhuah pawi tak awm thei?

A enkawl that loh chuan arrhythmia chi thenkhat chuan harsatna lian tak a thlen thei a ni.

• Heart muscle chak lo (`Cardiomyopathy`): Hun rei tak chhunga heart beat mumal lo chuan heart muscle a chak lo thei a, thisen pump theihna a tlahniam thei bawk.
• Cardiac arrest: Ventricular arrhythmia na tak tak thenkhat chuan thinlung chu a titawp nghal thei a ni.
• Stroke: Arrhythmia thenkhat, atrial fibrillation ang chiah hian thinlungah thisen zam a lo awm thei a. He thisen zam hian thluak lamah a kal a, thisen kalna kawng a tikhawlo a nih chuan paralysis a thlen thei a ni.

Engtin nge doctor hian hei hi a hriat chhuah?

Doctor i pan hunah i natna lan chhuah dan a zawt hmasa ang a, a enfiah hmasa ang che. I pulse an check thei a, i thinlung chu stethoscope hmangin an ngaithla thei a, heartbeat mumal lo a awm leh awm loh an enfiah thei bawk.

Chumi hnuah chuan test hrang hrang order a ni thei a, a natna hriat chian leh a chhan zawn theih a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu arrhythmia i neih chi leh a nasat danah a innghat a ni. A châng chuan enkawlna a ngai lo. Enkawl a ngai a nih chuan duhthlan tur engemaw zat a awm.

1. Damdawi chi hrang hrang

Damdawi chi hrang hrang a awm a. Damdawi zawng zawng hi a inang vek lo. I doctor chuan i tan damdawi leh dose dik tak a zawng chhuak ang che.

• Antiarrhythmic drugs: Rhythm mumal lo tak chu a pangngai (sinus rhythm) a awm leh theih nan emaw, arrhythmia a awm loh nan emaw damdawi pek thin.
• Heart rate control damdawi: Heart beat control nana damdawi pek thin.
• Anticoagulant/antiplatelet damdawi: Thisen zam awm theihna tihziaawmna atana damdawi pek (e.g. warfarin, aspirin).

2. Nunphung inthlak danglamna

Hengte hi a pawimawh hle.

• Thisen sang leh zunthlum control.
• Meizial zuk bânsan vek.
• Zu in tam lutuk tihtlem.
• Caffeine leh stimulant hman tlem emaw tihtawp emaw.
• Rihna hrisel tak vawn reng.

3. Therapies bikte

• Cardioversion: Heart rhythm pangngai siam that leh nan controlled electrical shock chu thinlungah pek chhuah a ni.
• Catheter Ablation: Tube te tak te (catheter) chu ke emaw kut emaw a vein kaltlangin thinlungah a kal a, heart tissue thenkhat, arrhythmia thlentu chu high-frequency electrical energy hmangin deactivate a ni.

4. Taksa chunga bun tur hmanrua

• Permanent Pacemaker: Thinlung thawk hniam tak tak (bradycardia) nei te hnena pek thin hmanrua a ni. Heart rate chu a normal level-a awm reng turin electrical signal te te a thawn chhuak thin.
• Implantable Cardioverter Defibrillator (ICD): Hei hi thinlung thawk dan enfiah rengtu hmanrua a ni. Nunna atana hlauhawm thei, rhythm chak tak, pangngai lo (ventricular tachycardia/fibrillation) a hmuhchhuah chuan thinlungah shock a pe a, chu chuan rhythm chu a siam tha leh thin.

5. Surgery tih a ni

A then phei chuan arrhythmia thlentu thinlung natna (valve disease, blocked arteries) enkawl nan operation neih a ngai thei bawk. Maze procedure hi atrial fibrillation atana surgery bik a ni.

Engtikah nge Doctor ka hmuh ang? Engtik laiin nge ETU ah hian ka kal ang?

Arrhythmia i neih chuan a hun taka clinic-a kal a, doctor-in a tih angin check out neih a pawimawh. Mahse, a chang chuan damdawi lam thurawn i lak vat a ngai thin.

Emergency Treatment Unit (ETU) pan nghal tur dinhmunte:

A hnuaia symptoms te hi i neih chuan hun khawhral suh la, damdawi in hnai ber ETU (Emergency Treatment Unit) ah kal nghal rawh.

• Thâwk harsa na tak
• A rilru a na
• Luak chhuak nasa tak
• Fainting a ni