I thinlung chu a na nghal zual sauh em? Atrial Tachycardia chungchang hi i zir dawn teh ang!

I hloh lai hian i thinlung chu a na zual sauh sauh a, a tlan chak ang maiin a thawk nghal em? A nih loh leh thil mak tak, i rilru chhunga thawm ri ang maia i hre em? Hetiang thil tawn hi mi tam tak an awm. Hei hi damdawi lam hming chu Atrial Tachycardia a ni. A hming i hriat chuan hlau suh. Hei hi a tlangpuiin dinhmun hlauhawm tak a ni lo. Vawiin hian he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin, Atrial Tachycardia chu eng nge ni?

Kan thinlung hi in te tak te, pindan pali nei ang mai a ni. A chung lam pindan pahnih leh a hnuai lam pindan pahnih a awm bawk. Heng upper room pahnih hi atria kan ti a. A tlangpuiin kan thinlung hian electrical system a nei a. He system atanga signal lo chhuak ang hian thinlung hi a thawk tha hle.

Atrial Tachycardia chu thinlung chunglam pindan pahnih, atria te chu a tlangpui aia rang zawka thawk tan a ni. Minute khata a tlangpuiin vawi 60-100 vel thawk thin thinlung hian minute khatah vawi 100 atanga vawi 250 vel a na thei tawh a ni. Chu speed chu han mitthla teh! Hei hi thinlung thawk dan dik lo a ni a, damdawi lamah chuan ``arrhythmia`` an ti a. Hei hi ``SVT - supraventricular tachycardia`` an tih natna a ni.

Mahse a pawimawh ber chu, hei hi a tam zawkah chuan a hlauhawm lo. Enkawlna tha tak nen chuan thunun theih a ni a, a chang chuan a dam vek thei bawk. Hetiang dinhmun hi kum upat deuh deuhin a pung deuh deuh a ni.

Hetiang dinhmun hi chi hrang hrang lian ber ber a awm em?

Ni e, hei hi kawng lian pahnihin a thleng thei. I hriat a tha, Doctor, a chhan chu heng thute hi i hmang mai thei a ni.

Mi thenkhat tan chuan he ``Focal`` type hi hmun khat aia tam ah a awm thei. Hei hi ``Multifocal`` type an ti a. Chutiang a nih chuan enkawlna chu a harsa deuh thei a, a chhan chu buaina chu hmun khatah a intan lo.

Eng symptom nge i neih theih ang?

A châng chuan he natna hi chhinchhiahna awm lovin a lo thleng thei a, a kal leh thei bawk. Mahse, mi tam tak chuan symptom engemaw zat an nei ve tho. Heng symptoms te hi thinlung natna khirh tak dang nen a inang thei a, chuvangin hriat reng a, a rang thei ang bera doctor pan a tha ber.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Okay, tunah chuan engvangin nge heng thinlung chunglam chamber te hian mi â ang maiin an rawn thawk nghal mai tih hi han en ila. Hei hi chhan lian tak pathum a awm thei.

1. Automatic tih a ni

A awlsam zawngin kan thinlung rate control tu master center a awm a. Mahse a chang chuan, thinlung chhunga cell dang emaw, cell pawl dang emaw chu "boss" an lo ni ta a, master center ngaithla lovin electrical signal chak tak tak an thawn chhuak tan thin. Hei hi taksaa sodium, potassium leh calcium level inthlauhna vang a ni thei.

2. Thiltih tichhuak (triggered activity).

Hei hi heart muscle cell-a chemical imbalance awm vangin an tihchak a, an tih tur laiin electrical signal tul lo tak tak an pe chhuak a nih chuan a thleng thin. Hun dik lo taka alarm ri ang mai a ni.

3. Reentry leh tur

Thinlung electrical signal kalna kawngah harsatna a awm a, chu chu a hmaa surgery neih tawh avanga hliam tuar ang chi a nih chuan, chu electric signal chu a kal tlang nghal lo vang a, chu ai chuan a vel chu a loop tan ang. Chutiang chuan electrical signal te chu loop-ah a tang a, thinlung chu a tichak chhunzawm zel a, chu chuan thinlung chu a ti chak zawk a ni.

Hetiang natna vei theihna tipung thei thil

Hetiang dinhmun hi tu chungah pawh awm thei mahse, thil thenkhat chuan a hlauhawmna a tipung a ni.

• Lung natna awm tawh
• Tun hmaa heart attack nei tawh
• Lung kaihhnawih natna
• Taksa chhunga electrolyte inthlauhna
• Zu in tam lutuk
• Hri kai theihna chi hrang hrang
• Taksaah oxygen level a tlahniam
• Damdawi thenkhat `(Digoxin)` te hian toxic effect a nei
• Caffeine (tea, coffee) leh thil dang tichaktu hman tam lutuk

Heng risk factor thenkhat hi eng emaw chen chu control theih a ni a, entirnan zu leh caffeine in tlem te, ei leh in tha ei te, exercise lak te hi a ni.

Engtin nge hei hi i hmuh theih, Doctor?

I natna lan chhuah dan min hrilh hnu chuan doctor chuan a enfiah ang che a, he natna hi an rinhlelh chuan test engemawzat nei turin an refer ang che.

• Taksa endikna: Doctor-in i thinlungah stethoscope a dah a, a ngaihthlak chuan thinlung thawk chak tak i hre mai thei.
• ECG (Electrocardiogram): Hei hi test bulpui ber leh awlsam ber a ni. Sticker ang chi sensor hi i rilru leh i kut leh keah bun a ni a, chu chuan i thinlung electrical activity a record a ni.
• Holter Monitor: A chang chuan heng heartbeat chak tak takte hi a thleng reng reng lo. Chuvângin, doctor-in a enfiah hunah a hre lo mai thei. Chutiang a nih chuan ECG machine te tak te, ni khat emaw, ni hnih emaw, kar khat emaw chhung pawh i bun theih tur pek i ni ang. Nilengin i thinlung thiltih dan a record a ni.
• Electrophysiology Study: Hei hi test buaithlak deuh a ni. Damdawi inah tih a ni. Tube te tak te chu thisen kalna kawng khat kaltlangin thinlung chhungah a lut a, chu chu thinlung electrical system map lak a, buaina chu khawiah nge a awm tih chiang takin hriat theih a ni.
• Implantable Loop Recorder: Thla engemaw zat danah symptoms i neih chuan vun hnuaia dah thin device te tak te hmangin thla tam tak chhung, kum tam tak chhung pawh i heart rate enfiah theih a ni.

Enkawlnate chu engte nge ni?

Hemi atan hian enkawlna tha tak tak a awm. I doctor chuan i dinhmun, i natna lan chhuah dan leh a chhan a zirin i tana tha ber tur enkawlna a thlang ang.

Hei hi a dam kim thei ang em?

A tam zawkah chuan, a ni! A bik takin ``Focal`` type nei tan chuan ``(Catheter ablation)`` enkawlna hian damna rate a sang hle . A châng chuan, damdawi lam thil dang avânga lo awm a nih chuan, chu natna chu enkawl a nih hunah chuan thinlung thawk chak tak chu a bo thei a ni.

Hetiang dinhmun hi asymptomatic a nih a, hun rei lote chhung chauh a awm chuan i doctor chuan enkawlna engmah awm lovin enkawl che a rel thei ang.

Engtikah nge doctor i hmuh ang?

Hei hi a pawimawh ber a ni. A chunga kan sawi tak symptoms te hi i neih chuan, a la awm reng a nih chuan, a na zual a nih chuan, emaw, i nitin nun a tibuai a nih chuan, hun khawhral suh la, doctor pan rawh.

I doctor hnenah hetiang zawhna hi i zawt thei bawk ang:

• Eng ang Atrial Tachycardia nge ka neih?
• Eng enkawlna nge ka tan a tha ber?
• Doctor hi engzat nge ka hmuh ang?

Hetiang dinhmun hi a hlauhawm em?

Sawi tawh ang khan he dinhmun hi hun rei lote chhunga lo awm a, a bo chuan hlauhawmah ngaih a ni lo. Mahse, he heartbeat chak tak hi rei tak a awm chuan heart muscle a tichak lo thei a ni. `(Cardiomyopathy)` kan ti a. Hei hi enkawl loh chuan nakin lawkah `(Heart failure)` ang chi natna khirh tak a thlen thei a ni.

Chuvang chuan kan sawi a, symptom i neih chuan a rang thei ang bera doctor rawn la rawh. Enkawl vat chuan hun rei tak chhunga chhiatna awm lovin i nung tha thei ang.

Hetiang lung lam harsatna an hriat hian tu pawhin hlauhna leh lungkhamna an neih hi thil pangngai a ni. Mahse, hei hi a tam zawkah chuan thunun theih leh tihdam theih a ni tih hre reng ang che. Hemi chungchang hi i doctor nen zalen takin sawipui rawh. I hlauhthawnna leh rinhlelhna zawng zawng chu a ngaithla vek ang. Tichuan he dinhmun nen hian hlawhtling taka nung turin chakna nasa tak i nei ang.