I thinlung rhythm chu a out of whack niin a lang em? Atrial Fibrillation (AFib) chungchang hi han sawi ila!

A chang chuan i thinlung chu khuang ang maiin i inhria em, a nih loh leh mi â ang maiin a na nghal mai em ni? A nih loh leh, i rilruah hnim hring thlawk ang maia hriatna mak tak i nei em, a nih loh leh sangha insual ang maiin i nei em? Chûngte chu rilrua lo lang mai mai a ni lo mai thei. Tin, thinlung natna ‘Atrial Fibrillation’ (AFib) tih chhinchhiahna a ni thei bawk. Chuvangin, vawiin hian he AFib chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Atrial Fibrillation (AFib) hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, Atrial Fibrillation (AFib) hi thinlung thawk mumal lo, i thinlung pindan chunglam pahnih, atria an tih, a awm a ni. Kan thinlung hian electrical system a nei a, chu chuan thinlungah signal a thawn a, chu chu mumal tak leh felfai takin a thawk a ni. Mahse AFib vei thinlungah chuan he electrical system hian hna a thawk tha lo. Inrem taka signal thawn ai chuan a rualin signal chi hrang hrang tam tak a thawn chhuak thin.

I thinlung hi orchestra angin ngaihtuah rawh. A tlangpuiin conductor pakhat a awm a, chu chuan signal a pe a, beat te chu mumal takin a play tir thin. Mahse AFib-ah chuan conductor pakhat ni lovin kawng hrang hranga signal petu mi engemaw zat an awm a. Tichuan orchestra member-te chuan tu signal nge an tum tih an hrethiam lo. Music hi a buai vek tawh a ni lawm ni? Chutiang chuan AFib hian thinlung chunglam, atria te chu a ti na hle a, a buaithlak hle bawk.

Atria te hi an inzawm tha tawk loh avangin thinlung hnuai lam chamber, ventricles -ah thisen an pump tha thei lo. Ventricles te hian atria atanga signal lo lut chu an chhang let a, an inzawm khawm lo tan thin. He heartbeat i hriat hi heng ventricles te hi a inzawm khawm vang a ni. Chuvangin, AFib-ah chuan he beat hi a rang a, a mumal lo bawk.

Engtin nge AFib i neih leh neih loh i hriat theih ang? Eng nge a lan chhuah dan?

AFib vei zawng zawng hian symptom an nei vek lo. Mahse, a lan chhuah dan tlangpui thenkhat a awm. Heng symptoms zinga pakhat tal i neih chuan doctor pan a tha.

• I rilruah hnim hring hring chhuak ang maiin a awm a, sangha inhnek ang maiin a awm . A nih loh leh i thinlung chu a na hle a, i rilruah a na hle bawk. Damdawi lamah pawh hei hi heart palpitations'' kan ti bawk.
• Chau lutuk tih hi extreme fatigue a ni . Chau mai ni lovin, engmah tih theih loh khawpa chau lutuk.
• Luak chhuak emaw lu hah emaw .
• A chang chuan i faint (syncope) thei bawk .
• Thâwk harsa (dyspnea) . Tlemte thawhrimna pawh nise thawk harsatna nei angin i inhria mai thei.
• Chest na emaw tightness (angina) emaw a awm thei.

Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh.

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AFib hi natna khirh tak a ni em?

Ni e, AFib hi natna khirh tak a ni . Symptoms i nei emaw nei lo emaw, AFib i neih hian i heart rhythm a mumal lo tihna a ni. I thinlung a thawk tha lo a nih chuan i thinlung chhungah thisen zam a lo awm theihna chance a sang zawk. Heng thisen zamte hi i thinlung atanga inthen a, i thluak ang chi taksa peng pawimawh takah a kal chuan natna khirh tak , stroke an tih chu a thlen thei a ni. Tin, AFib hi rei tak i neih chuan i thinlung chu a chak lo thei a, a chak lo thei bawk a, chu chuan heart failure tih dinhmun a thlen thei bawk .

Chuvangin AFib symptoms i neih chuan doctor advice lak nghal a pawimawh hle .

Hetiang dinhmunah hian 1990 call nghal la, a nih loh leh damdawi in hnai ber pan rawh:

• I rilru natna nasa tak i neih chuan .
• Thâwk harsa tak i neih chuan .
• I rilru i hloh emaw i rilru hloh duhna i neih emaw chuan .

Engvangin nge AFib hi a lo awm? A chhante chu engte nge ni?

AFib awm chhan ber chu thinlung tissue leh electrical system inthlak danglamna a ni. Heng inthlak danglamnate hi nghawng thei thil engemaw zat a awm a:

• Cardiovascular disease dang: Entirnan, coronary artery disease, valve disease, leh heart failure ang chi condition te hian AFib hi a thlen thei a ni.
• Hriselna dang: Thisen sang, thau lutuk leh thau lutuk, hyperthyroidism, kal natna rei tak, leh obstructive sleep apnea.
• Genetic factors: Tun hnaia zirchianna hrang hrangah chuan genetic variation thenkhat chu AFib lo awm dan nen a inzawm tih hmuhchhuah a ni. Heng genetic influences te hi a chang chuan AFib hi naupan lai atanga lo awm chhan a ni thei bawk.
• Heart surgery: AFib hi heart surgery hnuah pawh chhan dang vangin a awm thei bawk. AFib hi non-heart surgery atanga dam leh lai pawhin a awm thei bawk.

Eng thil dang nge AFib vei theihna tipung?

A chunga kan sawi tak dinhmun bakah hian thil dang engemaw zatin AFib vei theihna a tipung a:

• Kum upa lam: Kum upat danah AFib vei theihna a sang chho zel a, a bik takin kum 65 hnuah .
• Zu in tam lutuk: Zu in tam lutuk, a bik takin zu in tam lutuk hian AFib vei theihna a tipung a ni.
• Natna khirh tak tak: AFib vei theihna a sang chho zel a, natna khirh tak, damdawi ina dah ngai (e.g., sepsis, COVID-19 infection na tak) i neih chuan.
• Taksa exercise neih loh: 1.1.Nitin taksa tihchak tawk loh hi AFib thlentu dang a ni.
• Extreme exercise training: Exercise hi thinlung tan a tha a, eng thil pawh tam lutuk hi a tha lo. Ni khata darkar thum aia tam, kum tam tak chhunga exercise la thinte pawhin AFib an vei theihna a sang hle.

Doctor-te hian engtin nge AFib hi an hriat chhuah?

AFib i neih leh neih loh dik taka hriat theihna tur test pawimawh ber chu ECG emaw EKG (Electrocardiogram) emaw a ni.

• Hei hi i thinlung electrical activity chu graph-a record hmanga tih a ni. Chu graph chu en chuan i doctor chuan AFib emaw, heart rhythm disorder dang (arrhythmias) emaw i neih leh neih loh a hre chiang thei ang.

Chu bakah, doctor chuan hengte hi a ti ang:

• Taksa enfiahna an nei ang a, i medical history an zawt ang.
• Thisen test tura tih a ni thei bawk. Hengte hian damdawi lam thil dang a awm leh awm loh emaw, AFib enkawlna ruahmanna tichhe thei dinhmun a awm leh awm loh emaw hriat theih nan a pui thei a ni.
• Echocardiogram - echo) test neih tir a ni. Hei hi thinlung insiam dan leh hnathawh dan ngun taka enfiah nan hman theih a ni.
• Monitor te tak te (Holter monitor emaw cardiac event monitor) pek i ni thei a, chu chu ni engemaw zat emaw, kar khat emaw chhung i ha thei ang. Hei hian nitin hna i thawh lai leh i mut lai pawhin i thinlung electrical activity chu a record chhunzawm thei a ni.

AFib hi stage hrang hrang a awm em?

Ni e, AFib hi progressive condition a ni. Chu chu stage hrang hrang a paltlang thei a, hun kal zelah a na zual thei tihna a ni. Doctor-te chuan AFib hmuhchhuah leh enkawl hunah heng stage te hi an ngaihtuah thin:

• Stage 1: AFib vei theihna tur hlauhawm
• Stage 2: AFib hmaa tih tur
• Stage 3: AFib (AFib) (Hei pawh hian sub-stage engemaw zat a nei bawk) .
• Stage 4: AFib awm reng tur

Stage 1: AFib vei theihna tur hlauhawm

Hei hian AFib vei theihna tur risk factors i nei tihna a ni. Entir nan:

• Thisen sang a sang
• Thau lutuk
• Zunthlum
• Hriak leh thawk harsatna (Sleep apnea) .
• Zu in tam lutuk
• Cardiovascular system lama harsatna awm thei
• Kum 65 chunglam a ni

Heng thilte hi i neih chuan AFib vei theihna hlauhawmah i awm thei.

Stage 2: AFib hmaa tih tur

Hetih lai hian i thinlung electrical activity emaw structure emaw-ah inthlak danglamna engemaw zat i hmu mai thei. Hengte hian AFib vei theihna a tipung a ni. Doctor-te chuan hetiang chhinchhiahna hi an zawng thin:

• Atrial tachycardia a awm thei
• Atrial flutter a ni
• Veilam leh/ emaw dinglam atrium lian zawk
• Ectopic heartbeat awm fo thin

Tin, AFib vei theihna chance sang zawka dah thei dinhmun nei te, (Coronary artery disease), (Heart failure), (Heart valve disease), (Hyperthyroidism), (Hypertrophic cardiomyopathy), leh (Neuromuscular disorders) te hi he stage pahnihnaah hian an tla thei bawk.

Stage 3: AFib (hei pawh hi a then a awm) .

ECG hmanga AFib i neih thu a hriat chuan hetiang dinhmunah hian i awm tawh tihna a ni. Mahse he stage hi a danglam thei. Mi thenkhat chuan symptoms lo thleng leh chhuak an nei a, thenkhat erawh chuan enkawl ni mahse AFib an nei chhunzawm zel thung. Chuvangin doctor-te chuan he stage hi sub-stage paliah an ṭhen a:

• Paroxysmal AFib: Hetiang AFib chiah hian AFib hi a awm fo thin a, kar khat chhungin a mah chauhin a reh thin a, a tam zawkah chuan enkawl lohvin a reh thin. Mahse, he hun rei lote chhung hian lungawi lohna i la nei thei tho. AFib nei lote aiin stroke vei theihna i nei sang zawk bawk.
• Persistent AFib: Hei hi AFib hi persistent , kar khat aia rei a daih tihna a ni. A tihtawp theih nan enkawl a ngai a ni.
• Hun rei tak chhunga awm reng AFib: Hetiang a nih chuan AFib hi kum khat emaw a aia rei emaw chhung a awm thei.
• Ablation enkawlna hlawhtling hnuah: AFib hi operation emaw catheter hmanga enkawlna (ablation) hnuah a tawp tawh.

AFib i vei tih i hriat hnuah heng sub-stage inkarah hian i kal leh chhuak thei a ni. Entirnan, ablation hlawhtling tak hnuah pawh persistent AFib hi hun kal zelah a lo kir leh thei.

Stage 4: AFib awm reng tur

Chumi awmzia chu nang leh i doctor chuan i AFib control turin enkawl i ni tawh dawn lo tih in rel dun a, AFib-ah hian a awm reng dawn tih in rel dun tihna a ni. He thutlukna hi i mimal dinhmun a zirin siam a ni.

AFib hi eng enkawlna nge ni?

AFib hi a hnuaia mi pakhat emaw a aia tam emaw hmanga enkawl theih a ni:

• Nunphung a inthlak danglam thin
• Damdawi chi hrang hrang
• Ablation hmanga enkawl a ni
• Enkawlna dang

Nunphung a inthlak danglam thin

Hengte hi AFib a nasat loh nan nitin i tih theih turte a ni. Heng nunphung inthlak danglamna te hi symptoms i neih tan hma pawhin a pawimawh hle. I doctor chuan heng thilte hi a pui thei ang che:

• I taksa rihna hrisel tak neih theihna tura puitu .
• Zu in tam lutuk tihtlem.
• Zuk leh hmuam (cigarette ang chi) hman loh vek tur a ni.
• Nitin taksa tihchakna tur ruahman zat neih.
• AFib vei theihna tipung thei dinhmun, thisen sang, thau lutuk, obstructive sleep apnea, leh zunthlum te control tha.

Damdawi chi hrang hrang

I doctor chuan i heart rate leh/ emaw heart rhythm control nan damdawi a pe thei ang. Heng damdawi te hian i thinlung a tihchhiat loh nan a pui thei a, i rilru hahna leh lungkhamna te pawh a tiziaawm thei bawk. I doctor pawhin thisen zam leh stroke hlauhawmna tihziaawmna tur damdawi a pe thei bawk.

AFib control nana damdawi chi hrang hrang mamawh chu hun kal zelah a danglam thei a ni. A tlangpuiin, stroke vei theihna i neih chuan thisen tithianghlim thei damdawi (anticoagulants) i ei a ngai ang . Doctor-te chuan oral anticoagulants (DOACs - Direct Oral Anticoagulants) an pe tam ber. Entirnan:

• Apixaban tih a ni
• Rivaroxaban tih a ni
• Dabigatran tih a ni
• Edoxaban tih a ni

A then phei chuan DOACs'' aiah Warfarin'' tih damdawi an pe thin.

I heart rate enkawl dan tur damdawi:

• Carvedilol tih a ni
• Digoxin tih a ni
• Diltiazem tih a ni
• Metoprolol tih a ni
• Verapamil tih a ni

I thinlung thawk dan pangngaia thawk thei damdawi:

• Amiodarone tih a ni
• Dofetilide tih a ni
• Dronedarone tih a ni
• Flecainide tih a ni
• Propafenone tih a ni

Ablation therapy (AFib tan lakchhuahna) .

AFib atana ablation hi thinlung hmun thenkhata scar tissue tlemte siam thin enkawlna pawl sawina tlangpui a ni. Scar tissue hi thil tha lo tak anga kan ngaih tlangpui laiin, hetiang hunah hian he scar tissue hian thinlung electrical system chu a thawk tha thei hle a ni. He scar tissue hian electrical signal pangngai lo chu thinlung chhunga kal turin a block a ni. Hei hian thinlung rhythm chu a pangngaia a awm leh theih nan a pui thin.

AFib atana i cardiologist-in a rawt theih tur ablation procedure bik engemaw zat a awm a:

• Catheter ablation: Hei hi enkawlna tlem ber a ni. Surgeon chuan i thisen kalna kawng pakhat kaltlangin i thinlungah tube te tak te (catheter) a dah lut a. AFib atana catheter ablation chi khat chu pulmonary vein isolation (PVI ablation) a ni bawk.
• Maze procedure: Hei hi surgical ablation an ti bawk. Surgeon hian thinlung chhunga scar tissue awm chu "maze" pattern a siam a, chu chuan signal mumal lote chu a block a ni. Hei hi heart surgery dang (coronary artery bypass grafting emaw valve surgery emaw ang chi) nen a rualin tih a ni fo thin.

Enkawlna dang

AFib enkawl dan dang thenkhat:

• Cardioversion: 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hemiah hian doctor chuan electronic device (defibrillator) a hmang ang emaw, i thinlung rhythm pangngaia siam leh turin damdawi a pe ang che.
• Left atrial appendage (LAA) khar: Thisen tithianghlimtu i tuar thei lo a nih chuan i thinlungah hmanraw te tak te dahin stroke i vei theihna tur a ti tlem thei a ni. Hei hian thinlung chhunga bawm te tak te, awlsam taka thisen zam siam thei, left atrial appendage kha khar hmangin hna a thawk a ni .

AFib hnuah thinlung hi a normal leh em?

Ni e, a châng chuan i thinlung chu a mah chauhin a rhythm pangngaiah a kir leh ang. Hei hi Paroxysmal AFib ah hian a thleng thin. Persistent emaw long-standing AFib emaw i neih chuan thinlung thawk mumal lo tihtawp nan enkawlna i mamawh ang.

Mahse a pawimawh ber chu AFib hi tihdam theih a ni lo. Nun chhung zawnga dinhmun a ni. I doctor chuan a enkawl theih nan a pui thei che a ni. Enkawlna hian stroke i vei theihna a ti tlem thei a, i symptoms a ti na lo thei bawk.

AFib hmang hian eng chen nge i dam theih ang?

Kum 2024-a zirchianna tihchhuahah chuan AFib vei te chu AFib nei lote aiin an dam rei zawk thei tih hmuhchhuah a ni. Hei hi natna hmuhchhuah a nih huna kum a zirin a danglam thei.

Mahse, statistics hian a sir khat chauh a sawi tih hre reng ang che. I AFib leh damdawi lam dinhmun dangte uluk taka enkawl turin i medical team te nen in thawh dun chuan dam rei tak, hrisel taka nun theihna chance tha tak i nei a ni .

Engtin nge ka in enkawl ang?

AFib i vei theihna tihtlemtu tih dan ang chiah hian AFib i neih lai pawhin i dam theih nan a pui ang che.

• Chaw tha tak tak ei .
• Ni khatah minute 30 chhung, kar khatah ni 5 tal exercise hi thinlung tan a tha hle. Exercise chhunzawm zel harsa i tih chuan minute 10 inkar ah i then thei bawk.
• Zuk leh hmuam leh zu bânsan hi thinlung tan pawh a pui hle bawk.

Engtikah nge Doctor ka hmuh ang?

Hemi atan hian schedule pakhat chauh a awm lo. I natna lan chhuah dan, enkawl dan tur leh i tih dan tur i neih tawh chuan i enkawl danah a innghat a ni. Chuvangin, i doctor nen inbia a, i tana tha tur ruahmanna siam a pawimawh.

• Appointment engmah tlai lovin a hun takah doctor hmu rawh.
• Damdawi i ei tur list chu vawng reng la, doctor i pan hunah i keng tel bawk ang. Tin, emergency a awm chuan he list hi i purse-ah dah reng a tha bawk.
• Appointment apiangah i doctor hnenah symptom thar i neih leh i damdawi ei avanga side effect awm apiang hrilh thin ang che.
• Over-the-counter (OTC) damdawi (e.g., khawsik leh khuh damdawi) leh nutritional supplement i ei hmain i doctor zawt fo ang che.A châng chuan hengte hian i heart rate a nghawng thei a, damdawi dang i ei lai nen pawh a inrem thei bawk.

Doctor hnenah eng zawhna nge i zawh tur?

Doctor i zawh theih tur zawhna thenkhat chu:

• Engtin nge ka risk factors te hi ka tihtlem theih ang?
• Dietitian nen min inzawm tir thei ang em?
• A bul hnaia health leh fitness program eng emaw zat i recommend thei ang em?

In lamah AFib i check thei em?

AFib symptoms i neih nia i hriat chuan a pawimawh ber chu i doctor call nghal a, i rilru put hmang hrilh hi a ni. I pulse check turin an ti mai thei che. A dik lo emaw, a chak lo emaw a nih chuan AFib chhinchhiahna a ni thei.

Mahse a chang chuan, i pulse-ah danglamna i hre lo mai thei a, a bik takin i AFib a na lutuk lo a nih chuan. Chu ai chuan, i chau emaw, thawk harsa emaw i ti mai thei. I symptoms hi AFib vang nge thil dang vang tih i hre thei lo mai thei. Chuvang chuan doctor nen inbiak a pawimawh. AFib i nei tih hi nangmah ngeiin i rel thei lo.

AFib hi engtiang chiahin nge a awm?

Khawvel pumah kum 55 chunglam mi maktaduai 33 chuangin AFib vei hmuhchhuah an ni. United States-ah ringawt pawh hian kum 2030-ah chuan mi maktaduai 12 velin AFib hi an vei dawn nia chhut a ni a, kum tin AFib hian United States-ah hian damdawi-ina mi maktaduai chanve vel a thlen a, kum tin he natna avanga thi hi an pung zel a ni.

AFib i nei tih hriat chu a hlauhawm thei a, a buaithlak thei a, a buaithlak thei bawk. Mahse, nangmah chauh i ni lo. Khawvel hmun hrang hrangah mi maktaduai tam takin he dinhmun enkawl dan tur leh nun hlim zawka nun dan tur kawng thar an zir mek a ni. I doctor chuan enkawlna kawng hrang hrang, resources leh support community te chungchang a hrilh belh thei che a ni.

Chuti a nih chuan, he thuziak a\anga kan hriat reng tur pawimawh berte chu engte nge ni?

Okay, chuvangin kan sawi tawh atanga kan hriat reng tur thenkhat chu hetiang hi a ni:

- AFib hi heart rhythm a mumal lo a, a na thei hle a, symptom awm lo pawhin a na thei hle. Harsatna a awm thei a, a bik takin stroke a awm thei.

- A natna lan chhuah dan te, rilru na tak, hah, luak chhuak, leh thawk harsa tih te fimkhur tur a ni. Heng zinga pakhat tal i tawn chuan doctor pan ngei ngei tur a ni.

- AFib hi enkawl theih a ni. Nunphung thlak danglam, damdawi, leh a then phei chuan ablation'' ang chi enkawlna hmangin a control tha hle.

- Nunphung hrisel (ei leh in tha, exercise neih fo) .Nunphung hrisel (exercise, meizuk, leh zu) vawn hi AFib control leh thinlung hriselna atan a pawimawh hle.

- He zinkawngah hian nangmah chauh i ni lo. I doctor nen inbia la, i tana tha ber tur treatment plan leh management strategy siam rawh. Zawhna zawh leh i rilru put hmang sawi chhuah hlau suh.

Awareness hi nun hrisel neihna atana hmalakna hmasa ber a ni tih hre reng ang che!