I thinlung chu a na nghal zual sauh em? He (Atrial Flutter) chungchang hi i zir chiang ang u!

A chang chuan i rilru chu a na hle a, mahse chutiang bawka rhythm-a na ang maiin i inhria em? Drum ri chak tak ang mai a ni a, mahse rhythm pangngai takin. Hei hi a chang chuan i lungkham emaw, i hlauhthawn lai emaw pawhin a thleng thei. Mahse, hetiang hi a thleng fo a nih chuan, a nih loh leh symptom dang nen a awm a nih chuan heart condition `(Atrial Flutter)` an tih symptom a ni thei. Eng nge a nih, engvangin nge a lo awm tih leh eng nge i tih theih tih hi han thlir ila.

`(Atrial Flutter)` tih hi eng nge ni? A awlsam zawngin sawi ila...

A awlsam zawngin, `(Atrial Flutter)` hi kan thinlung chunglam pindan pahnih, `atria` te chu rang takin, mahse chutiang bawk chuan, pattern bik takin an beng tan thinna dinhmun a ni. Hei hi Doctor-te chuan heart rhythm pangngai lo (`supraventricular arrhythmia`) an ti a, chu chu thinlung chunglam atanga intan a ni.

Ngaihtuah teh, kan thut mai mai lai, chawlh hahdam lai hian kan thinlung hi minute khatah vawi 60 leh vawi 100 inkar vel a thawk thin. Chu chu thinlung hrisel rate chu a ni. Mahse ``Atrial Flutter`` nei mi pakhatah chuan thinlung chunglam, atria te hi minute khatah vawi 250 atanga 350 vel zetin a na thei a ni! Chu speed chu i ngaihtuah thei em? Atria te chu chutiang taka a beng chuan thinlung hnuai lam chamber pahnih, ``ventricles`` te pawhin an chhanna atan an beat chak zawk a ngai a ni. A châng chuan minute khatah vawi 150 emaw a aia chak emaw pawh a ni thei.

Hei hi a chhan ber chu thinlunga electrical signal a thawh that loh vang a ni. Kan thinlung hi electrical message ang maia thawk signal system hmangin a thawk thin. Hei hi heng signal-a harsatna emaw, hnathawh that loh emaw a awm chuan a thleng thin.

`(Atrial Flutter)` chi hrang hrang a awm em?

Ni e, `(Atrial Flutter)` chi hrang hrang a awm. Doctor chuan i `(ECG)`, chu chu thinlung hnathawh dan tehna test graph enin eng chi nge a nih tih chiang takin a hre thei a ni.

• `Typical Atrial Flutter` (hei hi a tlangpui ber a ni): Hetah hian electrical signal pangngai lote chu thinlung dinglam atrium chhungah darkar kalh zawng (counterclockwise, clockwise ang chi) pattern-in an kal a.
• `Reverse Typical Atrial Flutter`: Hetah hian electrical signal te chu atrium dinglam chhungah darkar lam (clockwise) circle-in an kal a.
• Atypical Atrial Flutter (hei hi a tlem deuh a, a bik takin a hmaa heart surgery emaw ablation emaw i neih loh chuan, chu chuan heart tissue thenkhat a tichhia): Hetah hian electrical signal pangngai lo chu left emaw right atrium-ah a awm thei a ni. A châng chuan, heng signal te hi heart surgery avanga scar tissue awmte chu a fang kual thei bawk.

`(Atrial Flutter)` natna lan chhuah dan chu engte nge ni?

Atrial Flutter vei thenkhatin symptom an neih loh dan hi thil mak tak a ni . Mahse, mi tam tak chuan a hnuaia mi pakhat emaw, a aia tam emaw an tawng thei a ni:

• Dyspnea: Thâwk hah emaw, thawk harsa emaw tih hriatna.
• Luak chhuak: Inher leh ding harsa tih hriatna.
• Taksa hahna: Chau lutuk leh engmah ti thei lo anga inhriatna.
• Heart palpitations: I rilru chhungril atanga i thinlung na tak leh rang taka na tak ang chi hriatna . Mi thenkhat chuan an kawr emaw, an kawr emaw ah pawh hetiang hian an hre thei bawk.
• Rapid pulse: I pulse i hriat chuan a rang hle ang.
• Chest na emaw tightness emaw: I rilru a constrict ang maiin a lang thei a, a na thei bawk.
• I muhil dawn nia inhriatna (fainting): Vawilehkhatah i mit a rawn sen a, i muhil dawn ang maiin i inhria.
• Lightheadedness : Lung hlim leh ke leia dah theih loh anga inhriatna.

Heng symptoms te hi mi hrang hrangah a inang lo thei. Mi thenkhat tan chuan an lo kal leh thin a, thenkhat tan erawh chuan an awm reng mai thei.

Engvangin nge hetiang `(Atrial Flutter)` hi a lo awm? A chhante chu engte nge ni?

Kan sawi tawh ang khan a chhan ber chu thinlung atria-a electrical signal awmte hi a rang lutuk leh a siam chhuah fo vang a ni. Hei vang hian atria te hi a contract nasa lutuk tan thin. Hei hi chhan hrang hrang a awm a, chungte chu:

• Heart valve disorders: Thinlung chhunga valve te khar loh emaw, inhawng tha lo emaw a nih chuan.
• Congenital heart conditions: Mi thenkhat chu pianpuiin thinlung lama harsatna engemaw zat nei an ni.
• Coronary artery disease: Thinlung thisen petu thisen kalna kawngte a tawi emaw, a khar emaw a ni.
• Heart failure: Thinlung hian taksaah thisen a pump tam thei lo tihna a ni.
• Thisen sang: Thisen sang a sang.
• Thyroid active lutuk (Hyperthyroidism): Thyroid hormone chhuak tam lutuk.
• Lung natna: Entirnan, COPD.
• Tun hnaia thinlung surgery neih a ni.

Tute nge ``Atrial Flutter'' vei theihna chance sang zawk?

Kum upat deuh deuh hian ``Atrial Flutter`` vei theihna a sang chho zel. Hmeichhia aiin mipain he natna hi an vei tam zawk tih hmuhchhuah a ni bawk.

Chu bakah, damdawi lam dinhmun leh tih dan dang thenkhat pawhin he hlauhawmna hi a tipung thei bawk:

• Lung natna dang (e.g. heart failure, valve natna) i neih chuan.
• Thisen sang a sang.
• Thyroid hnathawh that lohna (a bik takin hyperthyroidism).
• Zunthlum (`Diabetes Mellitus`) natna a ni.
• Lung natna (e.g. Chronic Obstructive Pulmonary Disease - `COPD`, `Pulmonary Embolism`).
• Zu in tam lutuk (`Zu hmansualna`).
• Mut theih lohna (obstructive sleep apnea) a awm.
• Thau lutuk.

`(Atrial Flutter)` avanga harsatna awm thei te chu engte nge ni?

`(Atrial Flutter)` i neih chuan i thinlung hian a thawk tha tawk lo. Factory-a assembly line ang maiin han ngaihtuah teh. Thisen chu thinlung atanga a chhuah hmain chamber pakhat atanga a dang ah a luang chhuak thin.

Mahse `(Atrial Flutter)` i neih chuan he `assembly line`-a workstation hmasa ber hi a tlan chak lutuk ang mai a ni. A chhan chu thinlung atria te chu an nat chak em em a, thisen mumal taka khat turin hun an nei lo. Tin, atria chhunga thisen zawng zawng hian lower chambers (`ventricles`) lama kal hun an nei lo. As a result , taksa hian thisen a pump tling lo.

Hei hian harsatna lian tak pahnih a thlen thei a ni:

1. Thisen zam leh stroke emaw heart attack emaw hlauhawmna: Atria atanga thisen zawng zawng luang thla tur hun a awm loh avangin thisen thenkhat chu atria ah a awm reng thin. He thisen hmun khata awm reng hi thisen zam a lo ni thei. Heng thisen zamte hi thluaka a kal chuan paralysis a thlen thei a, thinlung thisen kalna kawng (arteriries)-ah a tang a nih chuan heart attack a thlen thei bawk. Hei hi `(Atrial Flutter)` complication hlauhawm ber a ni.

2. Cardiomyopathy leh Heart Failure: Thinlung a thawk chak lutuk chuan thinlung ruh chu a chau thei a, a chak lo thei bawk. Tin, thinlung hnuai lam chamber-te hian a khat tawkin hun an nei lo va, chuvangin thinlungin thisen a pump chhuah zat a tlahniam bawk. Chutianga a kal zel chuan thinlung chu thinlung chak lohna dinhmunah a kal thei a ni.

A pawimawh ber chu: Atrial Flutter hi ngaihthah tur a ni lo. Enkawl that loh chuan harsatna lian tham tak a thlen thei a ni.

Engtin nge atrial flutter hi i hriat theih ang?

A chunga kan sawi tak symptoms i neih chuan doctor-in a enfiah thei che a, a tul chuan a hnuaia test thenkhat hi a ti thei ang:

• Electrocardiogram (ECG or EKG): Hei hi test pawimawh ber a ni. I thinlung electrical activity a record thin. Atrial flutter i neih chuan graph-a line awmte chu pattern bik angin a lang ang , sawtooth pattern emaw picket fence pattern emaw ang chi .
• `Echocardiogram` (Echo): Hei hi thinlung scan ang mai a ni. Thinlung atria-a thisen zam awm leh awm loh a enfiah thei a ni. Tin, heart valve dinhmun leh heart muscle hnathawh dan te, thil dang dang a enfiah thei bawk.
• Thisen test: Heng test te hian thyroid gland a thawk nasa lutuk emaw, thisenah electrolyte a inthlau em tih emaw, harsatna dang emaw a awm leh awm loh enfiah nan a pui thin.
• Pulmonary function test: Hengte hi lungin hna a thawh that dan hriat nan an ti thin a, chu chu lung natna thenkhatin heart rhythm a nghawng thei bawk.
• ``Holter monitor'' emaw ``Event monitor'' emaw a ni thei:A châng chuan Doctor i pan chuan thinlung thawk chak tak chu a reh thei. Chutiang a nih chuan ni engemaw zat chhung chu i thinlung thawk record thei hmanrua te tak te bun turin an ti mai thei che a ni.

`(Atrial Flutter)` enkawl dan tur chu engte nge ni?

Atrial flutter enkawlnaah hian a thlentu underlying condition enkawl hmasak ber tur a ni. Entirnan, thyroid lama harsatna a awm chuan chu chu enkawl a ni. Chu bakah, atrial flutter enkawlna bik a awm bawk. Chung zingah chuan damdawi leh tih dan tur pawh a tel thei.

Mi tam tak chuan damdawi hmangin he natna hi an enkawl thei a ni. Damdawi dang ang bawkin side effect awm thei a awm a, mahse a hlawkna nen khaikhin chuan a hlauhawmna a tlem tlangpui. Damdawi hian hna a thawk lo a nih chuan i doctor chuan tih dan dang a rawn rawt thei bawk.

Damdawi chi hrang hrang

`(Atrial Flutter)` damdawi chi hrang hrang pek thinte chu:

• Heart rate tihhniamna damdawi: Chung zingah chuan ``Calcium channel blockers'' leh ``Beta-blockers'' tih te pawh a tel a ni.Hengte hian heart beat rate control-in hna a thawk a ni.
• Antiarrhythmic drugs: Heng damdawi te hian thinlung rhythm chak tak, mumal lo tak chu tihtawp a, rhythm pangngaia hruai kir leh an tum thin.
• Anticoagulants emaw thisen tithianghlimtu emaw: Hei hi a pawimawh hle. Heng damdawi te hi a chunga kan sawi tak thisen zamte a lo awm loh nan leh paralysis ang chi thil a thlen loh nan pek thin a ni.

Damdawi lam kalphung

Damdawi chauh a tawk lo a nih chuan hetiang hi i ti thei bawk:

• Cardioversion: Hei hian heart rate chu a pangngaia a awm leh nghal a, damdawi emaw, a rilruah electric shock tlemte pek emaw a ni. Hei hi anesthesia hmanga tih a nih avangin natna engmah i nei lovang.
• Catheter Ablation: Hei hi a buaithlak deuh hlek a. Hetah hian thinlung lam panna thisen kalna kawng (thibe vessel) te tak te (catheter) dahin, thinlung chhunga tissue te tak te, electrical signal pangngai lo thlentu chu a hmu a, radiofrequency emaw cryoablation emaw hmangin a tichhia a ni. Hei hian signal pangngai lo chu a titawp ta a ni.
• Pacemaker emaw Implantable Cardioverter Defibrillator (ICD) Adjustment: Chutiang device chu i thinlungah i dah tawh a nih chuan atrial flutter chu a settings thlak danglamin control i tum thei ang.

Enkawlnaah hian harsatna a awm em?

A tlem hle a, ``(Catheter Ablation)`` ang chi enkawlna atang hian harsatna tenau te a awm thei. Entir nan:

• Kaichhawng
• Thisen chhuak
• Thisen kalna kawng a chhiat
• Thisen a chhuak thin
• Stroke (a tlem hle) .

Mahse, heng risk te hi a tlem hle tlangpui. I doctor chuan hei hi uluk takin a hrilhfiah ang che.

He enkawlna hi engtiang chiahin nge a hlawhtlin?

• `Cardioversion`: Hei hian hlawhtlinna rate 70% leh 90% inkar a nei a. Chumi awmzia chu mi 100 zinga 70-90 vel chu an lungphu pangngaiah a lo let leh dawn tihna a ni.
• Catheter Ablation: Mi thenkhat tan chuan catheter ablation hnua atrial flutter lo awm leh theihna hi 5% aia tlem a ni. Mahse, he hlawhtlinna rate hi atrial flutter chi leh damlo dinhmun a zirin a danglam thei. Atypical atrial flutter ang chi complex case-ah chuan hlawhtlinna rate chu 70% vel a ni thei.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Ablation hnuah chuan kar hmasa berah tlem fimkhur a ngai tlangpui. Kar khat vel chu rit phurh emaw, lirthei khalh emaw ang chi engmah ti lo turin an hrilh ang che. Chumi hnuah chuan zawi zawiin hna pangngaiah i kir leh thei tawh ang.

Atrial Flutter hi ven theih a ni em?

Risk factor thenkhat, kum ang chi te hi control theih a ni lo. Mahse, zu in tihtlem ang chi thilte hian he hlauhawmna hi a tihziaawm thei a ni. Tin, damdawi lam thil dang, atrial flutter (thisen sang, zunthlum, leh thyroid problem ang chi) te tan pawh damdawi tha tak neih a pawimawh bawk.

`(Atrial Flutter)` ka neih chuan eng nge ka beisei ang?

Atrial Flutter hi a tlangpuiin tihdam kim harsa tak a ni a, stroke ang chi harsatna a thlen theihna a sang hle a, chuvangin i dam chhung zawngin doctor pan a ngai dawn a, follow-up appointment neih a ngai dawn a ni. Heng appointment te hi tlawh loh a pawimawh a, Atrial Flutter hi a lo lang leh duh zawk a ni. Hei hian mi thenkhat damdawi ina awm fo a thlen thei a ni.

Engtin nge ka in enkawl ang?

• A pawimawh ber chu i doctor hnena follow-up appointment neih reng hi a ni. Kum tin i doctor chuan stroke i vei theihna tur a zirchiang ang a, i damdawi lam dinhmun dangte pawh a ngaihtuah ang. I risk a sang a nih chuan anticoagulant ei chhunzawm turin an ti thei che a ni.
• Damdawi pek chu a hun takah ei tur a ni.
• Nunphung hrisel tihdanglam (e.g., zu in bansan, zu tihtlem, ei leh in hrisel ei, exercise) siam rawh.

Engtikah nge ka doctor ka hmuh ang?

Doctor chu a hun takah i hmu tur a ni. Chutih lai chuan damdawi i pek apiangah allergy i neih chuan emaw, i natna lan chhuah dan a danglam a, a na zual a, a natna lanchhuahna thar i neih chuan doctor pan nghal tur a ni.

Engtikah nge emergency room (ER) ah ka kal ang?

I chawlh laiin minute khata i heart rate chu minute khatah 150 beats aia chak (chu chu i pulse enin i hre thei) a nih chuan doctor pan nghal tur a ni a, a tul chuan emergency room-ah kal tur a ni. Tin, i rilru natna nasa tak, thawk harsatna nasa tak i neih emaw, hriatna hloh emaw i neih chuan damdawi inah i kal nghal ngei tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor nena inhmuh hunah hetiang zawhnate hi zawh i ngaihtuah thei ang:

• `(Atrial Flutter)` emaw heart rhythm disorder chi dang emaw ka nei em?
• Ka tan enge inenkawlna tha ber? A thatna leh that lohna chu engte nge ni?
• Stroke ka vei theihna chu eng nge ni? Engtin nge ka tih tlem theih ang?
• Eng symptom nge ka ngaihtuah bik tur?
• Ka nunphungah eng inthlak danglamna nge ka neih?

`(Atrial Flutter)` hi a hlauhawm em?

Atrial Flutter hi nunna atana hlauhawm a ni lo a, mahse natna khirh tak a ni. A hmaa kan sawi tawh angin, enkawl loh chuan nunna atana hlauhawm, stroke, heart attack, emaw heart failure ang chi harsatna a thlen thei a ni.

I heart rate a chak lutuk chuan nuam lo tih hi thil pangngai a ni. Mahse, lungngai suh, i doctor-in `(Atrial Flutter)` enkawlna tha tak a pe thei a ni. Heng enkawlnate hian heng harsatna hlauhawm tak tak lo awm theihna hi a tiziaawm thei a ni. Chuvangin doctor nena in appointment neih reng a pawimawh em em a, a thupek zawm hi a pawimawh em em a ni. I doctor chuan i dinhmun enkawlna tha ber tur ngaihtuah turin a pui ang che.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur?

• Atrial flutter hi thinlung chunglam chamber-te chu rang takin a thawk a, mahse a bik takin a thawk a ni.
• A lan chhuah dan chu thawk hah, luak chhuak, leh rilru hahna te a ni thei. Mi thenkhat chuan symptom engmah an nei lo mai thei.
• A hlauhawm ber chu thisen zam a lo awm a , stroke ang chi thil a thlen thei a ni .
• Hei hi ECG hmangin awlsam takin a hriat theih a ni.
• Damdawi leh ``(Ablation)'' ang chi enkawlna a awm.
• Enkawlna hnuah pawh i dam chhung zawnga enkawl zui zel turin doctor pan a pawimawh hle.
• I chawlh laiin i heart rate chu minute khatah beat 150 aia tam a nih chuan doctor rawn la nghal rawh.

Hemi chungchangah hian zawhna dang i neih chuan i doctor biak pawh hlau suh. Engkim ngun takin a hrilhfiah ang che.

` Atrial Flutter, Lung na, Lung natna, ECG, Atrium, Cells, Paralysis, Lung na, Lung chak lohna, Catheter Ablation