I fa chu a inkhelh lai emaw, a mut lai emaw chuan an lungphu chu a chak hle ang tih i hre ngai em? A nih loh leh a chang chuan a beng chak hle niin a lang em? Tlem an upa deuh a nih chuan, "Nu, ka rilru a na hle mai" emaw, "Ka rilruah hian drum ri a awm ang maiin ka hria" emaw an ti mai thei. Nu emaw pa emaw hian hetiang thil an hriat emaw, an hmuh emaw hian tlem a hlauhthawn hi thil pangngai tak a ni. Mahse lungngai suh, a tam zawkah chuan hei hi thil pawi tak a ni lo. Vawiin hian naupangte zingah hian heng heart rhythm inthlak danglamna te hi kan sawi dawn a, chu chu damdawi lam hawia arrhythmia an tih natna a ni.
A awlsam zawngin, arrhythmia chu eng nge ni?
Arrhythmia, a awlsam zawngin, kan thinlung rhythm pangngai, mumal tak inthlak danglamna eng pawh hi a ni. Hei hi puitling bakah naupang tê têah pawh a thleng thei a ni.
Hetah hian thil thleng thei engemaw zat a awm a:
- I fa thinlung chu a tlangpui aia chak zawkin a na .
- Thinlung hi a tlangpui aia rang zawkin a thawk .
- Thinlung na tak hian kawng a tibuaitu ang maiin a lang .
- Heartbeat extra neih hi .
A tam zawkah chuan he natna hi enkawlna bik a ngai lo. Mahse, a tlem berah chuan a pawi thei hle. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Engtin nge kan thinlung hian hna a thawh? Hrilhfiahna tawi te
Arrhythmia tih hi eng nge a nih kan hriatthiam hmain kan thinlung hian rhythm awm reng tura hna a thawh dan hi awlsam takin han thlir ila. Thinlung hi ‘engine room’ te tak te angin ngaihtuah rawh. Electrical system bik a nei a. Hei hian thinlung rate leh rhythm control tu chu a ni.
In chhunga wiring system ang bawkin hei pawh hi step by step in a thawk a:
1. Signal hmasa ber: Heartbeat tin hi thinlung dinglam sir chunglam cell cluster te tak te atanga electrical signal atanga tan a ni. Hei hi ``Sinoatrial node`` emaw ``SA node`` emaw kan ti a. Hei hi thinlunga natural 'pacemaker'' a ni.
2. Upper chambers contract: He electrical signal hian thinlunga upper chamber pahnih (the `Atria`) a ti contract a, thisen chu lower chamber pahnih (the `Ventricles`) ah a pump lut a.
3. Signal chu a tlahniam: He signal hi cell group dang ah a kal leh thin. ``Atrioventricular node`` emaw ``AV node`` emaw an ti a. Hei hi a chung atanga a hnuai lam thlenga electric phurtu ``wire`` ang a ni.
4. Lower chambers contract: AV node hian heart hnuai lam chamber pahnih (ventricles) ah signal dang a thawn leh a. Chu signal chu lower chamber pahnih chuan an dawn chuan an inzawm khawm a, thinlung aṭangin thisen chu taksa dang zawng zawngah an pump chhuak a ni.
5. Chawlh la, tan leh rawh: A tawpah chuan chamber pahnih chu an hahdam a, electrical signal lo awm tur atang chuan heartbeat thar a intan ta a ni.
Hetiang thil hi a dik taka a awm chuan thinlung chu a rate leh rhythm mumal takin a thawk thin. Mahse he electrical system khawi hmunah pawh buaina emaw harsatna emaw a awm chuan arrhythmia a awm thin.
Naupang zingah arrhythmia hi engtiang chiahin nge a awm?
Dik tak chuan, arrhythmia hi naupangte zingah a awm fo va , a tlangpuiin a hlauhawm lo . Chumi awmzia chu ngaihtuahawm tur a awm lo tihna a ni. Mahse kan sawi tawh ang khan, a tlem hle a, he natna hi a na thei hle a, nunna atana hlauhawm pawh a ni thei. Chuvang chuan a natna lan chhuah dan fimkhur a pawimawh hle.
Naupangte zingah eng ang arrhythmias nge awm?
Puitling leh naupangah pawh arrhythmia chi hrang hrang a awm a. Anni hi category hrang hrangah i dah mai ang u.
| Arrhythmia chi hrang hrang | A awlsam zawngin... |
|---|---|
| Thinlung chunglam (Atria) atanga intan chi hrang hrang . | |
| Supraventricular Tachycardia (SVT) hmanga tih hi a tha hle. | Hei hi naupang zinga hmuh tam ber chi a ni. Heart rate chu rang takin a rang hle. Light switch flip on ang maiin a intan a, chutah chuan a tawp nghal a ni. Tin, pianpui natna, Wolff-Parkinson-White syndrome te pawh a awm thei bawk. |
| Atrial Flutter a ni | Hemi kawngah hian thinlung chu na takin thawk mah se, a pattern leh order engemaw tak a awm a ni. |
| Atrial Fibrillation a awm thei | Thinlung chu a thawk chak hle a, a mumal lo hle a, a buaithlak hle bawk. Mahse, hei hi naupangteah chuan a tlem hle. |
| A hun hmaa Atrial Contractions (PACs) 1.1. | A hun hmaa thinlung na. Hei hi ‘extra beat’ emaw ‘missed beat’ emaw ang maiin a lang. |
| Thinlung hnuai lam (ventricles) atanga intan chi hrang hrang . | |
| Ventricular Contractions (PVCs) a awm hmasak ber . | Hei hi a hmaa mi ang kha a ni a, mahse he extra beat hi thinlung hnuai lam chamber atang hian a intan thin. |
| Ventricular Tachycardia (V-tach) a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo. | Hei hi dinhmun pawi tak a ni. Thinlung hnuai lam chamber atanga electrical signal lo chhuak avang hian thinlung hi a thawk chak lutuk a ni. |
| Ventricular Fibrillation a awm avangin a chhuak thei lo | Hei hi dinhmun hlauhawm tak a ni. Thisen hi uluk taka inzawmkhawm leh pump chhuah ai chuan thinlung hnuai lam chamber te chu a nghing thin. |
| A chi dang | |
| Bradycardia a ni | Chumi awmzia chu heart rate chu a pangngai aia rang zawk tihna a ni. Naupangin symptom dang a neih loh chuan hei hi a hlauhawm lo tlangpui. |
| Heart Block a ni | Thinlung chunglam atanga a hnuai lam thlenga electrical signal kal chu tihkhawtlai emaw, a block vek emaw. |
Chuti a nih chuan Sinus Arrhythmia hi eng nge ni?
He thu hi i hriat chuan i hlau mai thei. Mahse `Sinus Arrhythmia` hi a takah chuan damdawi lam thil a ni lo. Naupangte zingah hmuh theih dinhmun pangngai leh hrisel tak a ni.
Hei hi naupangin thaw an chhuah dawnin an lungphu (heart rate) a sang deuh a, an thaw chhuah laiin a tlahniam deuh a ni. Hei hi thinlung hriselna tha tak chhinchhiahna a ni. Enkawlna engmah a ngai lo.
Naupangah hian arrhythmia natna lan chhuah dan engte nge ni?
Naupangin arrhythmia a neih chi hrang hrang a zirin symptoms a inang lo thei hle. Naupang thenkhat chuan symptom engmah an lantir lo thei. A lan chhuah dan tlangpui chu:
- Chhung na emaw, nuam lo emaw hriat.
- Luak chhuak , lu hah, emaw, muhil (syncope) emaw.
- Thâwk harsa emaw thawk harsa (dyspnea).
- Chau lutuk emaw, chak lo emaw tih hriat.
- Palpitations hi thinlung na tak tak tih hriatna a ni . An rilruah hnim hring thlawk ang maiin an hre thei a, kawngkhar inhawng ang maiin an hre thei a, thinlung na tak tak ri ang maiin an hre thei bawk.
Engtin nge naute tê tê hian heng thilte hi a hriatthiam theih ang?
Nausen piang thar emaw, naupang tê tê tawng thei lo emaw chuan heng thilte hi a hrethiam lo vang. Chuvangin chutiang naupangah chuan heng chhinchhiahnate hi hre reng ang che:
* Bawnghnute in harsat leh in duh loh .
* Engtik lai pawha rilru hahdam lo emaw, chhan awm lova tap emaw.
* Thâwk lak dan inthlak danglam.
* Vun rawng a inthlak (blue emaw pale emaw).
A tlem berah chuan a lan chhuahna hmasa ber chu seizure, fainting, emaw, cardiac death rang tak emaw a ni thei.
Naupangte zingah arrhythmia hi eng thilin nge a thlen?
A tam zawkah chuan SVT ang natna nei naupangte hian an thinlungah hian structural problem dang an nei lo. Mahse, arrhythmia chi dang thlen thei thil engemaw zat a awm.
- Pianpui thinlung natna .
- Natna te, cardiomyopathy , thinlung ruh a ti thim a, a ti lian a.
- Genetic conditions , entirnan, long QT syndrome.
- Khawsik, tui tlakchhamna, stress, mut theih lohna, taksaa inflammatory condition te.
- Viral emaw bacteria emaw atanga kai theih .
- Taksa electrolyte (e.g. potassium, sodium)-a electrolyte inthlauhna awm .
- Damdawi thenkhat , a bik takin intensive care unit-a naupangte hnena pek thin.
Engtin nge doctor hian he natna hi a hriat theih ang?
A tam zawkah chuan doctor chuan hei hi routine checkup emaw, natna dang enkawl lai emaw hian a hmuchhuak thin. I fate natna lan chhuah dan chungchangah ngaihtuahna i neih chuan i doctor nen pawh sawipui ngei ang che.
Doctor chuan naupang leh chhungte damdawi lam chanchin a zawt ang a, naupang thinlung a ngaithla ang a, a tul chuan hetiang test eng emaw zat a rawt ang.
| Fiahna | A awlsam zawngin, hei hi engtin nge i tih? |
|---|---|
| Thisen test a ni | Infection, salt imbalance, taksaa chemical dang inthlak danglamna emaw an enfiah thin. |
| Echocardiogram (Echo) hmanga tih a ni. | Hei hi heart scan ang a ni. Sound wave hmangin thinlung insiam dan leh hnathawh dan chipchiar takin a en thin. |
| Electrocardiogram (ECG) hmanga tih a ni. | Hei hi test awlsam tak, hrehawm lo tak a ni. Naupang rilruah sticker te te dahin, a thinlung electrical activity te chu record a ni. |
| Holter Monitor a ni | Hei hi ‘darkar 24 chhunga ECG’ ang a ni. Naupang chu hmanraw te tak te bun turin an ti a, nilengin an dinhmun pangngaiah awm turin an ti a ni. Hei hian nitin an thinlung rhythm a inthlak dan a hmu thei a ni. |
| Electrophysiologic Study (EPS) hmanga enkawlna (EPS) neih a ni. | Hei hi specialized test a ni. Tube te tak te chu ke emaw, kut emaw chhunga thisen kalna kawng kaltlangin thinlungah a kal a, doctor chuan electric signal pangngai lo chhuahna hmun dik tak chu a hmu chhuak thin. |
Arrhythmia hi engtin nge enkawl a nih?
Arrhythmia thenkhatah chuan enkawl ngai a awm lo. Doctor chuan naupang dinhmun chu rei lo te enfiah turin a ti ang.
A dang erawh chuan arrhythmia thlentu underlying condition chu enkawl a ni. Entirnan, infection vang a nih chuan antibiotics pek thin a ni. Taksa chhunga chi (salts) inthlauhna a nih chuan siamthat nan damdawi pek thin a ni.
Naupang thenkhat chu an thinlung rhythm control nan damdawi `beta-blockers` emaw `calcium channel blockers` emaw pek an ni thei bawk.
Tlem a na zawkah chuan hetiang hianThil tih dan tur bik a ngai mai thei:
- Ablation: Hetah hian thinlunga cell te tak te, arrhythmia thlentu te chu heat emaw high-temperature energy hmangin an tichhia a ni.
- Cardioversion: Hei hi thinlungah controlled electrical shock pek a, thinlung rhythm siam thatna a ni.
- Implanted Device: Thil hmanraw, pacemaker emaw implantable cardioverter defibrillator (ICD) ang chi, vun hnuaia dah, thinlung thawk dan control nan.
In lama i tih theih tur thil a awm em?
Awle. A bik takin SVT ang chi heartbeat chak tak tak a awm chuan doctor i hmuh hmaa thil awlsam tak tak i tih theih tur a awm. Hengte hi i tih hmain doctor hnenah thurawn dil hmasa phawt a tha.
- Tharum taka khuh emaw, i rilru tihfai emaw tum.
- Naupang hmaiah ice pack emaw, tui lum a puan emaw dah.
- Valsalva maneuver: Hei hian naupang hnar chu pinch a, an hmui khar a, thawk chhuah tum a ni. Balloon inflating ang mai a ni. Hei hian rilru chhunga pressure a tisang thei a, heart rate pawh a pangngaia a awm leh theih nan a pui thei bawk.
Pawimawh: I fa chu a rilru a buai a, a rilru a na hle a, a thawk harsa a nih chuan heng thilte hi enchhin suh la , damdawi in hnai ber Emergency Department (ETU)-ah hruai nghal rawh
He dinhmun hian hun rei tak chhung chu engtin nge a nghawng ang che?
Hei hi nu leh pa zawng zawng rilruah zawhna lian ber a ni: arrhythmia vei naupang hmalam hun tur chu eng nge ni ang?
- Thu lawmawm tak chu naupang arrhythmias chi tam zawk hi a hlauhawm lo va, hun rei tak chhung hriselna lama harsatna a thlen lo.
- Naupang thenkhat chuan an lo puitlin chuan he dinhmun hi an outgrow thin .
- Midangte chuan he natna hi an nei chhunzawm zel a, mahse enkawlna engmah awm lovin nun pangngaiin an hmang thei bawk.
- Naupang arrhythmias na tak nei pawh hlawhtling takin enkawl theih an ni .
Rarely, if left untreated , arrhythmia na tak chuan thisen zam (thluak lama an kal chuan stroke a thlen thei), thinlung chak lohna, a nih loh leh harsatna dang a thlen thei. Chuvang chuan symptoms ngaihthah ai chuan doctor advice lak a pawimawh zawk.
Take-Home Thuchah a ni
- Naupangte heartbeat mumal lo (arrhythmia) hi a hluar hle a, a tam zawkah chuan hlauhawm lo tak a ni a, chuvangin hlauthawng suh.
- I fa hian a rilru natna, luak chhuak, muthilh, emaw, heart rate dik lo ang chi symptoms a neih chuan ngaihthah suh. Doctor hmu ngei ang.
- ‘Sinus Arrhythmia’ hi thil pangngai, hrisel tak a ni a, thawk lak rualin heart rate a inthlak danglam thin. Natna a ni lo.
- Thil pawi tak tak pawh hi uluk taka enfiah leh enkawl a nih chuan a enkawl tha hle.
- I fa dinhmun chungchangah zawhna emaw rinhlelhna emaw i neih chuan i doctor hnenah chiang zawka hriattirna zawt la.











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