I thinlung chu rang takin a thawk tan em? Atrial Fibrillation (AFib) chungchang hi han sawi ila!

A chang chuan i rilru chu a rawn na nghal zung zung a, a chhungah mi pakhat a tlan lut ang maiin i inhria em? A nih loh leh, i rilru chhungah hnim rual rual khatin an thlawk kual vel ang maiin i hria em, a nih loh leh sanghain a bengchheng ang maia hriatna mak tak i nei em? Heng thilte hi hahna leh luak chhuak ang chi thilin a zui a nih chuan ngaihthah mai mai suh la, thil pangngai anga ngaih suh. Chûngte chu i thinlung rhythm-a thil dik lo awm chhinchhiahna a ni thei. Vawiin hian Atrial Fibrillation, a tawi zawngin AFib kan sawi dawn a, chu chu thinlung thawk mumal lo leh mi tam tak zingah a awm fo thin.

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

Okay, hei hi awlsam takin i hrethiam ang u. Kan thinlung hi pump mak tak a ni. Systematic takin, rhythm-a hnathawh a ngai a ni. He rhythm hi kan thinlunga natural electrical system-in a thunun a ni. A dik tak chuan he system atanga electrical signal lo chhuak avang hian thinlung ruh te hi a hun takah a inzawm khawm a, thisen a pump chhuak thin.

Tunah chuan orchestra lian tak hi han mitthla teh. Conductor pakhat chauh a awm chuan mi zawng zawngin an en a, rhythm inang chiah chiahin an play thin. Music pawh a mawi hle mai. Mahse, conductor sawm chu vawi khata lo kal a, kawng hrang hranga kut an vawn ṭan chuan eng nge thleng ang? Player te hian tu ngaithla tur nge an hre lo. Music pumpui chu a buai ta vek mai a ni lawm ni?

AFib hi chutiang thil chu a ni. Thinlung chunglam chamber pahnih (hengte hi atria kan ti)-a electrical signal thawn chhuaktu system-ah hian thil dik lo a awm a ni. Signal pakhat ai chuan hmun hrang hrang atangin a rualin signal chak leh buai tak tak tam tak a lo thleng tan thin. Chuvang chuan thinlung chunglam pindan pahnih chu a inzawm tha lo va, a khur zawk thin. Hei hi Fibrillation kan tih chu a ni .

Upper chamber pahnih a thawh that loh chuan thisen chu a hnuai lam chamber pahnih (ventricles) ah a pump tha lo. Tin, chunglam atanga heng chaotic signal lo chhuak hian a hnuai lam chamber pahnih chu chaotically leh rang takin a beat tir bawk. Kan rilru chhunga thinlung na ang maia kan hriat chu heng hnuai lam chamber pahnih in na hi a ni. Chuvangin, hei vang hian AFib vei hian heartbeat mumal lo a nei a, a chang chuan a rang hle bawk.

AFib natna lan chhuah dan chu engte nge ni? Chûngte chu nang pawhin i tawng ve em?

AFib vei zawng zawng hian symptom inang an nei vek lo. Mi thenkhat chuan engmah an hre lo mai thei. Mahse a lan chhuah dan tlangpui thenkhat a awm. Eng nge an nih i han thlir teh ang.

AFib hi natna khirh tak a ni em? Engvângin nge kan ngaihsak ang?

Ni e, AFib hi natna khirh tak a ni. A hlauhawm ber chu stroke a ni .

Hetiang hian a thleng thin: Thinlung chunglam pindan pahnih chu a inzawm tha lo a, a khur chuan an chhungah thisen a awm tan thin. Tui luang thei lo ang maiin. Hmun khata thisen awmkhawm chuan awlsam takin thisen zam a siam thei a ni. Thisen zam chu a chhuak a, thisen kalna kawng a kal tlang a, thluaka thisen kalna kawng te tak teah a tang a nih chuan thluaka thisen kal chu a titawp thei a, stroke a thlen thei a ni.

Chu bâkah, thinlungin hun rei tak chhûng chutianga a hnathawh dân mumal lo leh rang taka a thawh chuan, thinlung ruh chu a chak lo thei a, thinlung chak lohna pawh a thlen thei bawk . Chumi awmzia chu thinlungin taksa mamawh thisen a pump thei lo tihna a ni.

Chuvangin AFib symptoms i neih chuan a rang thei ang bera doctor pan a pawimawh hle.

Hei hi emergency a ni! Heng symptoms te hi i neih chuan enkawlna zawng nghal rawh.

• I rilru natna nasa tak i neih chuan
• Thâwk harsa tak a nih chuan
• I hriatna hloh emaw, i hriatna hloh dawn nia i hriat emaw chuan

Chutiang dinhmunah chuan 1990 call nghal emaw, damdawi in hnai ber Emergency Department (ETU) pan emaw rawh. Hun hi a pawimawh ber a ni.

Engvangin nge AFib kan hmuh? Risk factors te chu engte nge ni?

AFib hi a chhan pakhat mah a awm lo. A chhan awm thei engemaw zat a awm. A bul berah chuan thinlung tissue emaw a electrical system emaw tichhe thei thil eng pawh hian AFib a thlen thei a ni.

A chhan ber leh a hlauhawmna:

• Lung natna dang: Lung natna, thinlung natna, thinlung natna (heart valve disease) ang chi natna i neih tawh chuan AFib i vei theihna a sang zawk.
• Thisen sang: Thisen sang thunun loh chuan hun rei tak chhungin thinlung a tichhe thei a ni.
• Tar: Kum 65 hnuah AFib vei theihna a sang hle.
• Thau lutuk: Taksa rihna tam lutuk hian thinlung a tibuaitu a ni.
• Diabetes Mellitus: Zunthlum hi thinlung hriselna tichhe theitu lian tak a ni bawk.
• Hyperthyroidism: Thyroid hormone level sang chuan heart rate a tisang thei a, AFib a thlen thei bawk.
• Obstructive Sleep Apnea: Hetiang dinhmun hian thinlungah pressure a siam bawk.
• Zu in tam lutuk: Zu tam tak in chhunzawm zel emaw, vawi khata in emaw hi AFib thlentu chak tak a ni.
• Exercise neih loh: Taksa tihchak loh nunphung pawh hi hlauhawm tak a ni.
• Genetic Factors (Genetic Variants): I chhungkuaa mi pakhatin AFib a neih chuan nang pawhin i vei theihna a hlauhawm thei.
• Heart surgery: AFib hi heart surgery hnuah chhan dang vangin hun eng emaw chen a awm thei.

Engtin nge doctor hian AFib hi a hriat theih ang?

Doctor i pan hunah i symptoms te a zawt ang che a, physical exam a ti ang che. Tichuan, AFib finfiah nan test eng emaw zat an kalpui thei a, a chhan pawh an hmu thei bawk.

• Electrocardiogram (ECG/EKG): Hei hi test pawimawh ber a ni. I rilru, i kut leh keah sensor te te dahin i thinlung electrical activity record a ni. Hei hian i heart rhythm a mumal loh leh AFib i neih leh neih loh a hriattir chiang thei che a ni.
• Echocardiogram (Echo): Hei hi thinlung scan ang a ni. Sound wave hmangin thinlung lian leh te, a pianzia, valve hnathawh dan leh thisen a pump dan te chiang takin a hmu thei a ni.
• Holter Monitor: A chang chuan AFib hi a awm ngai lo. A lo kal a, a kal zel bawk. Chutiang hunah chuan ECG pangngai hmanga hriat theih a ni lo mai thei. Chutiang a nih chuan i doctor chuan ECG machine te tak te, darkar 24 emaw 48 emaw chhung i bun theih tur a pe ang che. Hei hian nitin hna i thawh laiin i thinlung hnathawh dan a enfiah thei a ni.
• Thisen Test: Thisen test hi AFib tichhe thei thil dang, thyroid lama harsatna leh kal hnathawh te enfiah nan an ti thin.

AFib hi engtin nge enkawl a nih?

AFib enkawlna kawngah hian thil tum lian tak pahnih a awm a, chungte chu:

1. Stroke laka invenna.

2. Heart rate control leh rhythm pangngai siam leh.

Enkawl dan tur chu i kum, i natna lan chhuah nasat dan leh damdawi lam thil dangte a zirin a ni.

AFib hmang hian engtin nge kan awm ang?

AFib i nei tih i hriat chuan hlau lo la, hlau suh. Manageable condition a ni. A pawimawh ber chu i doctor thupek dik taka zawm hi a ni.

• Damdawi ei tur chu a hun takah ei rawh: I damdawi ei ni khat pawh ei loh tur, a bik takin thisen tithianghlimtu te hi ei loh tur a ni.
• I pulse check: I doctor hnenah i kutphah a i pulse check dan tur zirtir turin hrilh rawh. A dik lo nge a rang tih enfiah fo ang che.
• Nunphung hrisel: Hei hi a pawimawh hle. Salt, oil, leh sugar tlakchhamna diet ei te, thei leh thlai tam tak ei te, nitin exercise neih te hian AFib enkawlna kawngah nasa takin a pui thei a ni.
• Doctor hmu fo rawh: Ni ruat saah clinic-ah kal thin ang che. I doctor hnenah inthlak danglamna emaw, symptom thar emaw i hmuh chuan hrilh rawh.

AFib hi hlauh tur a ni lo va, enkawl tur a ni. Enkawlna dik leh nunphung thlak danglam chuan nang pawh nun hrisel leh thawkrim takin i nung thei ang.