I heart rate hi a dik lo em ni? Atrial Flutter Ablation enkawlna chungchang hi i zir dawn nia!

I thinlung chu rang takin a thawk tan em? A châng chuan i rilruah thil mak tak mai, a nih loh leh i thinlung rhythm a inmil lo tih i hre ṭhin em? Hetiang hi i tawng tawh a nih chuan ‘Atrial Flutter’ tih natna i nei thei. Lungngai suh, tunah chuan hei hi enkawlna tha tak tak a awm ta. Chuvangin vawiin hian chutiang damdawi tha tak leh hman lar tak pakhat, ‘Atrial Flutter Ablation’ chungchang kan sawi dawn a ni.

A awlsam zawngin, Atrial Flutter Ablation chu eng nge ni?

Hei hi kan hriatthiam hmain ‘Atrial Flutter’ tih hi eng nge a nih kan en hmasa phawt ang u. Kan thinlung (atria) chunglam chamber pahnih te hi electrical signal pe chhuakin thinlung thawk tan tir thin an ni. A tlangpuiin heng signal te hi mumal tak, rhythmic takin an chhuak thin. Mahse ‘Atrial Flutter’ vei miah chuan heng upper chamber chhunga cell thenkhat hian electrical signal mumal lo, rang tak tak an pe chhuak tan thin. Orchestra-a instrument pakhatin a play chak em em a, a out of tune ang mai a ni. Hei hian thinlung rhythm a ti buai a, thinlung chu a thawk rang hle.

Atrial Flutter Ablation hi electrical signal mumal lo siamtu cell te hriatchhuah leh tihchhiat emaw deactivate emaw hmanga enkawlna a ni. Hemi hnu hian signal mumal lo chu a tawp a, thinlung chu a pangngaiin a thawk leh ta a ni.

He hna thawhna atan hian hmanraw lian pahnih hman a ni a:

• Radiofrequency Ablation: Hei hian heat hmanga harsatna nei cell te tihchhiat a huam a ni.
• Cryoablation: Hei hian cell te deactivate nan extreme cold (freezing) hman a ni.

Hêng hmanraw pahnihte hian thil inang an ti a: thinlung rhythm tibuaitu cell aṭanga signal lo chhuak chu a titawp a ni.

Engvangin nge he enkawlna hi i mamawh?

A tlangpuiin doctor chuan damdawi pein heart rate control a tum hmasa thin. Mahse a chang chuan damdawi te hian a natna hi a thunun thei lo. Tichuan, a chang chuan ``Cardioversion'' tih treatment an ti thin. Hei hian thinlung chu a thawk leh theih nan electric shock tlemte pek tihna a ni.

Chuvangin, damdawi emaw, cardioversion emaw pawhin i heart rate a control thei lo a nih chuan , i doctor chuan atrial flutter ablation chu solution tha ber leh tangkai ber dawttu atan a rawt thei ang.

Engtin nge enkawl hmain i inbuatsaih thin?

Hei hi surgery lian tak ni lo mah se, inbuatsaihna tlem a ngai a ni.

• Doctor chuan enkawl hma darkar ruk atanga darkar riat vel engmah ei leh in lo turin a hrilh ang che.
• He enkawlna hma ni engemaw zat hnuah tuna i ei mek damdawi thenkhat ei kha bansan turin an ti mai thei che. Hemi chungchangah hian i doctor chuan chiang takin thurawn a pe ang che.
• Pawimawh tak: Anticoagulants i ei a nih chuan doctor-in a tih loh chuan eng vangin pawh i ei tawh lo ang. Hei hi a pawimawh hle.

Engtin nge he enkawlna hian hna a thawh?

Mi tam tak chuan hei hi `open-heart surgery` angin an ngai a. Mahse, a ni lo. Hei hi thinlung natna (`cardiac catheterization lab`) atana special unit-ah tih a ni.

A awlsam zawngin sawi ila, step by step khata thil thleng chu hetiang hi a ni:

1. Pakhatnaah chuan i natna titawp tur leh mut tir turin damdawi (`twilight sedation`) pek i ni ang. A châng chuan, general anesthesia pawh pek i ni thei bawk.

2. Tichuan doctor chuan i groin vun atang chuan needle te tak te a rawn thun lut a.

3. Chumi hmang chuan thisen kalna kawng khatah tube (`(Catheters)`) te tak te, fim tak tak (`(Catheters)`) engemaw zat dah a ni.

4. He tube hmang hian tube te tak te dang electrode nei (`electrode catheter`) chu thinlungah a kal leh a.

5. He electrode hmang hian thinlung chhunga electrical signal buaithlak tak takte chu khawi atanga lo kal nge tih chiang taka hriat theih nan map siam a ni (`mapping`).

6. Buaina nei cell te chu an hriat chian hnuah radiofrequency energy (heat) thawnin an tichhia a ni.

Hetiang zawng zawng hi darkar hnih atanga darkar li vel a ni thei tlangpui .

Enkawl hnuah eng nge thleng?

Treatment zawh hnuah tube dah luh tawh zawng zawng chu lakchhuah vek a ni ang. Surgeon chuan thisen chhuah tihtawp nan needle dahna hmunah pressure a pe ang. Chumi hnuah chuan darkar ruk atanga darkar riat chhung i ke chu ti sei turin an hrilh ang che .

In lama i haw hnuah pawh i doctor-in a tih angin i anticoagulants (thisen tithianghlimtu) chu i ei chhunzawm zel tur a ni a, vawi khat mah i ei loh tur a ni. Thisen chhuah tam lutuk i neih chuan doctor ko nghal rawh.

He enkawlna hi engtiang chiahin nge a hlawhtlin? Tin, a hlauhawmnate chu engte nge ni?

Hei hi mi tam tak tan chuan harsatna lian ber a ni. Thu lawmawm tak chu ``(Atrial Flutter Ablation)`` hi enkawlna a ni a, hlawhtlinna rate 90% aia tam a nei a ni . Hemi hnu hian mi tam zawk thinlung na chu a pangngaiin a lo let leh thin. Mahse, mi tlemte chauh (4%-6% vel) chuan he natna hi a lo awm leh theihna chance an nei a ni.

Damdawi lam thil dang ang bawkin risk a tlem hle a, mahse harsatna awm theihna chance chu 1% aia tlem a ni.

Eng chen nge tihdam a ngaih?

Hemi chungchanga thil tha dang pakhat chu a dam hun chhung hi a rei lo hle a ni.

• In i thlen veleh thil pangngai i thawk leh thei bawk.
• Mahse, taksa tihchakna leh rit phurh ang chi thil hahthlak tak tak lakah ni thum vel awm loh a tha ber .

I cardiologist thurawn a zirin thisen tihthianghlimna damdawi, hun rei lote chhung emaw, hun rei tak emaw pawh i ei chhunzawm zel a ngai mai thei.

Engtikah nge Doctor i hmuh a ngaih?

Hemi chungchang hi i hriat chian a pawimawh hle. A hnuaia symptoms te hi hre reng ang che.

Thinlung thawk mumal lo neih hi thil lungchhiatthlak tak a ni thei. Mahse tunah chuan a enkawlna tha leh tangkai tak tak a awm ta. Chutiang damdawi tha tak pakhat chu Atrial Flutter Ablation hi a ni. He enkawlna hi i tan a tha em tih hriat tur tha ber chu i doctor hi a ni. Chumi chungchang chu ngun takin sawipui la, i zawhna zawng zawng zawt rawh.