I thinlung chu a na hle emaw, a thawk mumal lo emaw angin i inhriat ngai em? I rilru chhungah sangha a bengchheng emaw, hnim hring emaw a thlawk ang maiin i hria em? Heng thilte hi random takin hnawl mai suh. Hei hi i thinlung rhythm nena inzawm natna khirh tak a ni thei. Vawiin hian chutiang dinhmun pakhat, Atrial Fibrillation, emaw kan hriat vek angin AFib emaw kan sawi dawn a ni.
A awlsam zawngin, Atrial Fibrillation (AFib) hi eng nge ni?
Okay, hei hi awlsam takin i siam ang u. I thinlung hian pindan lian pali a nei a. Chamber chunglam pahnih chu atria an ti a , a hnuai lam chamber pahnih chu ventricles an ti bawk . A tlangpuiin heng chamber te hi thinlung natural electrical system atanga signal lo chhuak angin rhythmic takin an inzawm khawm thin. Chu chu, upper chambers (atria) te chu an inzawm khawm a, lower chambers (the ventricles) ah thisen an pump lut tihna a ni. Tichuan, a hnuai lam chamber te chu an inzawm khawm a, chu thisen chu taksa pum puiah an pump chhuak ta a ni. Hei hi kan thinlung natna anga kan hriat chu a ni.
Mahse AFib vei chungah thil danglam tak a thleng thin. Hmun khat atanga thinlung (atria) chunglam (atria)-a electrical signal mumal tak lo kal ai chuan hmun tam tak atang hian a rualin electric signal buaithlak tak tak, rang tak tak tam tak a lo chhuak tan ta a ni.
Orchestra-a conductor pakhat ni lovin, vawi khatah conductor sawmin music an kaihruai a nih chuan eng nge thleng ang tih han ngaihtuah teh. Musician-te chuan tu ngaithla tur nge, eng rhythm nge play tur tih pawh an hre lo ang. Music pumpui chu a buai hle ang, a ni lawm ni? Chu chu AFib-a thinlung chunglam chamber-ah chuan a thleng thin.
Heng chaotic signals te avang hian atria te chu a inzawm tha lo a, a ti nghing tan thin. Chuvang chuan a hnuai lam chamber-ah thisen chu uluk takin an pump lut thei lo. Upper chamber atanga heng chaotic signal lo lutte chhangtu lower chamber (cell) te pawh hi a mumal lo va, rang takin an beat tan bawk. Heng lower chamber-te beat hi thinlung thawk ang maiin kan hre thin. Chuvangin a mumal lo va, a rang bawk.
AFib vei hian eng symptoms nge a neih?
AFib vei zawng zawng hian symptoms an nei vek lo thei a, mahse mi tam zawk chuan a hnuaia symptoms pakhat emaw a aia tam emaw an nei ang:
| Symptom a ni | Engtin nge a awm? (Engtin nge a awm) |
|---|---|
| Lung natna (thinlung thawk chak emaw, mumal lo emaw) . | I rilru chhungah hnim hring hring ang maia inhriatna te, sanghain a bengchheng ang maia inhriatna te, a nih loh leh i thinlung a na nghal zual ang maia inhriatna te. |
| Fatigue nasa lutuk | Chhan awm lova hah lutuk leh hah lutuk. |
| Luak chhuak / Lung hlim | Luak chhuak, lightheaded tih hriatna. |
| Fainting / Syncope tih hi a ni | Vawikhatmah hriatna hloh leh tlu. |
| Thâwk hah / Dyspnea | Tlemte kea kal emaw, hna pangngai thawh emaw pawhin a na hi a hriat theih. |
| A rilru a na / Angina | Thinlung tight, pressure emaw natna emaw hriatna. |
AFib hi hlauh tur condition a ni em?
Awle. AFib hi natna khirh tak a ni a, i ngaihtuah tur a ni ngei ang. Symptoms nei emaw nei lo emaw pawh nise a pawi khawp mai. A chhan chu heart rhythm a tihbuai chuan thinlung chhungah thisen a pungkhawm thei a, a bik takin atria-ah thisen a inzawm khawm thei a, thisen zam a lo awm tam zawk a ni.
Thisen zam chu a chhuak a, thluak lam panna thisen kalna kawngah a tang a nih chuan stroke a thlen thei a ni . Hun kal zelah thinlung a tichak lo thei bawk a, heart failure ang chi dinhmun a thlen thei bawk . Chuvangin AFib symptoms i neih chuan doctor pan nghal rawh.
Damdawi lam tanpuina zawng nghal rawh!
A hnuaia mi hi i chungah a lo thleng a nih chuan tihkhawtlai suh. 1990 Ambulance Service-ah call nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh:
* I rilru natna nasa tak i neih chuan .
* Thâwk lak harsa tak a nih chuan .
* I hriatna hloh emaw, hriatna hloh duhna i neih emaw chuan.
AFib hi engte nge a chhan leh a hlauhawmna?
AFib hi a chhan pakhat chauh a awm lo. A chhan leh hlauhawmna engemaw zatin a thlen thei a ni.
A chhan ber
- Lung natna dang: Heart attack, heart valve natna, heart failure, coronary artery disease i neih tawh chuan AFib i vei theihna a sang zawk.
- Damdawi lam thil dang: Thisen sang, thau lutuk, zunthlum, hyperthyroidism, kal natna rei tak, leh obstructive sleep apnea te ang chi te hian AFib a thlen thei.
- Genetic factors: AFib hi chhungkaw hrang hrangah a kal tlangpui a, chu chu genetic influence (`genetic variants`) a awm tihna a ni.
- Heart surgery: Mi thenkhat chuan chhan dang vangin heart surgery an neih hnuah pawh AFib an nei thei.
Risk tipungtu thil dang
- Tar: Kum 65 hnuah AFib vei theihna hi a pung zauh zauh thin.
- Zu in tam lutuk: Zu in tam lutuk, a bik takin zu in tam lutuk hian AFib vei theihna a tipung hle.
- Taksa exercise neih loh: Nitin exercise tam tawk loh hi risk factor a ni bawk.
- Exercise tam lutuk: Mak ti suh, eng thil pawh tam lutuk hi a tha lo va, kum tam tak chhung ni khata darkar tam tak exercise hahthlak tak tak pawh hian mi thenkhatah AFib vei theihna a tipung thei a ni.
Engtin nge doctor hian AFib hi dik taka a hriat theih ang?
Doctor i pan hunah i natna lan chhuah dan an zawt ang a, an enfiah ang che. AFib finfiahna atana test ber chu ECG (Electrocardiogram) a ni.
- ECG (EKG) test: Hei hi i thinlung electrical activity recording a ni. Doctor chuan i heart rhythm a mumal lo emaw, AFib i neih leh neih loh emaw a hre thei.
Chu bâkah, doctor chuan test dang engemaw zât a rawt thei bawk.
- Thisen test: Thyroid hormone level leh kidney function ang chi thil te enfiah thin.
- Echocardiogram (Echo): Hei hi thinlung scan ang a ni. Thinlung chamber lian leh te, valve hnathawh dan leh thinlung pump theihna te hriatthiamna tha zawk neih theih nan a pui a ni.
- Holter Monitor: A chang chuan AFib hi a awm ngai lo. A lo kal a, a kal zel bawk. Chutiang hunah chuan hmanrua te tak te, darkar 24 emaw 48 emaw chhung i taksaa inbun reng chuan i ECG chu a record chhunzawm zel a ni. Hei hian in chhung hna pangngai i thawh laiin i thinlung rhythm a enfiah thin.
AFib hi eng stage nge awm?
AFib hi hun kal zelah a na zual thei a, chuvangin doctor-te chuan stage hrang hrangah an ṭhen tawh a ni.
Stage 1: AFib vei theihna tur hlauhawm
Heng mite hian AFib hi an nei lo a, mahse risk factors, thisen sang, zunthlum, leh thau lutuk te an nei ve tho.
Stage 2: AFib hmaa tih tur
Heng mite hian AFib an la nei lo. Mahse ECG emaw Echo test-ah chuan thinlungah hian inthlak danglamna tenau tak tak a awm tih a lang. Hengte hian AFib vei theihna a sang zawk tih a tilang.
Stage 3: AFib dinhmun (AFib) 1.1.
ECG-in AFib a nemnghet lai tak hian. Hei pawh hi hmun hrang hrangah then a ni bawk.
- Paroxysmal AFib: AFib hi a lo awm a, a tlangpuiin enkawl lohvin a mah chauhin a reh a, a tlangpuiin ni 7 chhungin (a tam zawkah chuan darkar 24-48 chhungin a reh thin).
- Persistent AFib: AFib hi ni 7 aia rei a daih a, a tihtawp theih nan enkawl a ngai a ni.
- Hun rei tak chhunga awm tawh AFib: AFib hi kum khat aia rei a daih.
- AFib ablation hlawhtling: AFib hi operation emaw enkawlna dang emaw hnuah control a ni.
Stage 4: AFib awm reng tur
Hetih lai hian damlo leh doctor chuan AFib dinhmun hi tihdanglam an tum dawn lo tih an rel dun a ni. A ngaih pawimawh ber chu heart rate control leh thisen zam venna a ni.
AFib hi eng enkawlna nge ni?
AFib enkawlna hian thil tum lian tak pathum a awm a, chungte chu:
1. Heart rate control dan.
2. Thinlung rhythm siam that leh.
3. Stroke ang chi harsatna laka invenna.
Hei hi enkawlna hrang hrang a awm a.
1. Nunphung inthlak danglamna
Hei hi a lungphum chu a ni.
- I taksa rihna hrisel vawn reng: I thau lutuk a nih chuan i taksa rihna tihtlem a pawimawh hle.
- Zu tihtlem la, zu in loh tur: Hengte hian AFib vei theihna leh symptoms a tipung a ni.
- Exercise neih fo: I doctor-in a thurawn angin i tana tha tur exercise-ah tel ve rawh.
- Thisen sang leh zunthlum ang chi natna control dan: Heng natnate hi uluk taka control a pawimawh hle.
2. Damdawi ei tur
Doctor chuan i dinhmun a zirin damdawi chi hrang hrang a pe thei a ni.
- Heart rate control thei damdawi: 1.1.Chungte chuan heart rate tihziaawmna atan a pui a (e.g. `Metoprolol`, `Diltiazem`).
- Heart rhythm control tu damdawi: Hengte hian rhythm mumal lo chu rhythm pangngai (`sinus rhythm`) (e.g. `Amiodarone`)-ah a kir leh theih nan a pui a ni.
- Anticoagulants / Thisen tithianghlimtu: Hei hi a pawimawh hle . Heng damdawi te hi stroke hlauhawmna tihziaawmna tura pek a ni. `Warfarin` hi ruihhlo hlui tak a ni. Tunah hian damdawi thar zawk (`DOACs`) `Apixaban` leh `Rivaroxaban` te pawh hman a ni tawh bawk. Doctor thurawn tel lo chuan heng damdawi te hi titawp ngai suh la, a dose pawh thlak ngai suh.
3. Ablation hmanga enkawlna (AFib tan Ablation) .
AFib hi damdawi hmanga control harsa a nih chuan i doctor chuan he enkawlna hi a rawt thei ang.
- Catheter Ablation: Hetah hian thin tube (catheter) te tak te chu groin chhunga thisen kalna kaltlangin thinlung chhungah dahin thinlung chhunga AFib thlentu electrical signal mumal lo thawn chhuaktu hmunte chu a zawng chhuak a, chutah chuan lumna emaw, khaw lum lutuk emaw hmangin deactivate a ni.
- Maze Procedure: Hei hi open-heart surgery hmanga tih a ni. Thinlung atria-ah hian incision te te siamin electrical signal mumal lote kal lohna tur pattern siam a ni.
4. Thiltih dan dang
- Cardioversion: Emergency emaw, ruahmanna fel tak emaw a nih pawhin, rilruah electric shock pek emaw, damdawi pek emaw hmanga thinlung rhythm rang taka siam \hatna a ni.
- Left Atrial Appendage (LAA) Closure: Thinlung chhunga thisen zam awm tamna hmun, bawm te tak te ang chi kha khar nan hmanraw te tak te dah a ni. Hei hi thisen tihthianghlimna damdawi ei thei lo tan pawh a tha mai thei.
AFib hmang hian engtin nge kan awm ang? A dam kim thei ang em?
Treatment hian AFib a awm loh nan a titawp thei a, a rhythm a siam tha leh thei bawk. Mahse AFib hi dam chhung zawnga natna a ni a , tihdam theih a ni lo . Enkawl hnua symptoms te chu a bo tawh a nih pawhin a lo let leh thei a ni. Chuvangin doctor nena inbiak reng a pawimawh a, checkup neih reng a pawimawh a, damdawi ei tur pawh a tih ang chiah chiah a ei a pawimawh bawk.
AFib vei dam rei zawng chungchang sawi dawn chuan zirchianna thenkhatah chuan AFib vei te hian mipui zawng zawng aiin an dam rei zawk thei tih hi a dik a ni. Mahse chu chu statistic mai a ni. I doctor nen in thawk dun a, nunphung i thlak danglam a, i damdawi i ei tha a, he natna hi i enkawl tha a nih chuan nang pawh hian nun rei tak, hrisel takin i nung thei ang.
Take-Home Thuchah a ni
- Atrial Fibrillation (AFib) hi natna khirh tak a ni a, thinlung hi a thawk mumal lo. Thil dang mai mai angin ngaihthah suh.
- I rilru natna, hah lutuk, luak chhuak ang chi symptom i neih chuan doctor pan ngei ngei tur a ni.
- Chhung natna nasa tak, thawk harsa, hriatna hloh hi emergency a ni. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- AFib hlauhawmna ber chu stroke a ni. Chumi laka inven nan chuan damdawi an pek ang chiah kha hmang ang che.
- Nunphung thlak danglam te, damdawi te, leh a tul chuan enkawlna dang te hmangin AFib hi uluk taka enkawl theih a ni a, nun pangngai i hmang thei bawk.
- I doctor hian i dinhmun a hre chiang ber. Amah nen inrawn fo la, a thurawn zawm zel bawk ang che.
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