I thinlung chu a na nghal zual sauh em? AVNRT (Atrioventricular Nodal Reentrant Tachycardia) chungchang hi han sawi ila!

A chang chuan i thinlung chu chhan awm lovin a na hle niin i hria em? A nih loh leh i rilruah thil a inher ang maiin i hria a, thawk harsa i ti em? Hei hi a chang chuan luak chhuak, i rilru a tight deuh, etc. te nen a inzawm thei a, heng thilte hi random thil mai a ni lo. Hei hi vawiin a kan sawi tur AVNRT (Atrioventricular Nodal Reentrant Tachycardia) tih natna lan chhuahna a ni thei. Ngaihtuah buai suh, he thu hi awlsam takin sawi ila.

AVNRT (Atrioventricular Nodal Reentrant Tachycardia) tih hi eng nge ni?

A awlsam zawngin sawi ila, AVNRT hi i thinlung electrical system-a inthlak danglamna tlemte avang hian i thinlung chu rang takin a thawk tan nghal vat thin. Supraventricular Tachycardia (SVT) tih hming pu condition group lian zawk zinga mi a ni a, chu chu heart rhythm chak tak, heart chambers chunglam (the atria) atanga intan a ni. Dik tak chuan AVNRT hi SVT chi khat a ni ber.

A tlangpuiin chawlh hahdam lai hian kan thinlung hi minute khatah vawi 60 leh vawi 100 inkar vel a thawk thin. Mahse AVNRT vei mi pakhatah chuan, rang takin, engmah vaukhânna awm lovin, heart rate chu minute khatah beat 140 aṭangin 280-ah a zuang thei a, a aia chak zawk pawh a ni thei. Chu chu han mitthla teh! Hun engemaw chen a daih thei a, a chang chuan a rei deuh thei bawk.

AVNRT leh SVT hi arrhythmias category lian zawka tel condition an ni . Arrhythmia chu thinlung a thawk mumal lo tihna a ni a, chu chu a thawk chak lutuk, a na lutuk emaw, a danglam lutuk emaw tihna a ni.

Tute nge AVNRT vei tam zawk?

Dik tak chuan tu pawhin he natna hi AVNRT an tih hi an nei thei a ni. Mahse, mipa aiin hmeichhiaah a tam zawk . Tin, puitling thalai, hrisel tak tak, natna lian dang nei lote pawhin he natna hi an nei thei bawk. Chuvangin, "Ka hrisel a, hetiang hi ka chungah a thleng dawn lo" tih hi ngaihtuah suh.

Engvangin nge AVNRT hi a lo awm? Thinlung chhungah eng thil nge thleng?

Kan thinlung thawk chakna leh rhythm hi electrical system buaithlak takin a thunun a ni. Hei hi thinlung dinglam chamber (atrium)-a awm, taksa peng hrang hrang pawl bik , Sinoatrial node (SA node) an tih atanga tan a ni. He SA node hian kan thinlung natural pacemaker angin hna a thawk a ni.

Thinlung hrisel takah chuan he SA node atanga electrical signal lo chhuak hian thinlung (atria) chunglam chamber pahnih chu a inzawm khawm a, thisen chu a hnuai lam (veins)-ah a nawr lut a ni. Chu electrical signal chu kawng bik hmangin Atrioventricular node (AV node) an tih hmunah a kal a ni. He AV node hi upper leh lower chamber inkar gate ang mai a ni. Chuta tang chuan signal chu lower chambers (veins)-ah a kal a, a inzawm khawm tir thin. Chutiang chuan thinlung pangngai chuan taksa pum puiah thisen a pump chhuak a, chu chu mumal takin a pumpelh thin.

Mahse, he electrical system-ah hian harsatna a awm chuan thinlung chu a thawk mumal lo thei a ni. Chu chu a tlan chak thei a, a slow thei a, a rhythm pawh a buai thei tihna a ni. Chu chu arrhythmia kan tih chu a ni.

AVNRT-ah chuan AV node bulah hian extra, electrical pathway te tak te (reentrant circuit) an tih mai a awm a. Hei hi pian tirh laia awm reng thil a ni thei. A châng chuan thinlung a inzawm hma lutuk avangin electrical signal chu he extra pathway-ah hian a lut a, circle-in a kal kual ṭan ṭhin. Electrical circuit tenau takah short circuit ang maiin han ngaihtuah teh. Chutah chuan thinlung chu rang takin a thawk tan a, chutiang chuan a awm thei bawk.

Chhungkaw thenkhatah chuan mi engemaw zatin he natna hi an neih avangin AVNRT hi thlahtute atanga lo chhuak a ni thei tih rinhlelhna a awm a, mahse a chhan dik tak chu hriat chian a la ni lo.

AVNRT natna lan chhuah dan chu engte nge ni?

AVNRT hi condition kal zel a ni lo. Episodic condition a ni a . Chumi awmzia chu heartbeat chak tak chu a rawn on nghal mai thei a, rei vak lo chhung chu a tawp thei tihna a ni. Mi thenkhat chuan kum tam tak chhung chu heng symptoms hi an nei a, mahse eng thil nge thleng dik tak tih hriat nan hun rei tak a ngai thei.

Hengte hi a lan chhuah dan tlangpui chu an ni:

• Kawr emaw, rilru emaw a nuam lo , thawk hah lutuk.
• Dizziness , a chang chuan lu hahdamna.
• Heartbeat chak tak (minute khatah 140-280 vel) a ni.
• Palpitations - Hei hi i thinlung natna hriatna a ni. Hei hi kawng hrang hrangin hriat theih a ni.
• Polyuria - Hei hian zun tam leh tam lutuk tihna a ni. Hei hi thinlung a thawk chak zawk hian taksaa hormone thenkhat inthlak danglamna avanga lo awm a ni.
• Thâwk harsa , thawk hah ang maia inhriatna.

Heng palpitations te hi eng ang nge an nih?

AVNRT vei te chuan he heart rhythm hi hetiang hian an sawi:

• Chest chhungah thil pakhat a chho leh chho ang maiin a lang (flip-flopping) .
• Fluttering lightly, hnim hring thlawk ang maiin.
• Kawr emaw, kawr emaw a tight emaw, a khat emaw tih hriatna .
• Drum ri ring taka vuak ang maiin.
• Thinlung chu intlansiak ang maiin a na (Racing) .

A tlem hle a, na tak takah chuan AVNRT hian symptom leh complication na zawk a thlen thei a ni. Entir nan:

• A rilru a na .
• Rilru tibuai .
• Thil hriatna hloh (Syncope) .
• Thisen sang hniam (Hypotension) .
• Shock - Hei hi a tlem hle.

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

AVNRT emaw arrhythmia dang emaw i neih leh neih loh hriat nan doctor chuan a hnuaia mi ang hian a ti ang:

1. I damdawi lam chanchin zawh: Hmanlai natna i neih tawh zawng zawng te, tun hnaia i lo lan chhuah tawh zawng zawng te, damdawi, vitamin, supplement leh damdawi i ei lai te zawhna zawh che a ni ang.

2. Taksa enfiahna:I thawk dan, thisen sang, leh heart rate ang chi thilte an teh ang. Stethoscope hmangin i thinlung an ngaithla bawk ang.

3. Electrocardiogram (EKG): Hei hi test pawimawh ber a ni. EKG hian i thinlung electrical activity a teh a, chu chu heartbeat tin hun chhung leh hun chhung te hi a ni. Diagnosis confirm-naah a \angkai hle thei a, a bik takin i thinlung a na lutuk laiin EKG i la thei a nih chuan.

Chu bâkah, i doctor chuan i thinlung chungchâng hriat belh nân test dang a ti thei bawk:

• Thisen test: I thinlung tichhe thei harsatna dang (e.g., thyroid harsatna, thisen tlakchhamna) te enfiah thin ang che.
• Echocardiogram (Echo): Hei hian thinlung (ultrasound ang chi) thlalak a la a, thinlung insiam dan emaw, thisen a pump danah emaw harsatna a awm leh awm loh enfiah a ni.
• Holter monitor emaw ambulatory monitor dang emaw: Hei hi hmanraw te tak te, ni engemaw zat chhunga i hman thin a ni. Nitin hna i thawh laiin i thinlung rhythm a record chhunzawm zel a ni. EKG neih laiin arrhythmia a awm loh chuan hetiang device hmang hian man theih a ni.
• Exercise stress test: Treadmill-a i tlan lai emaw, stationary bike i khalh lai emaw hian i heart rate chu enfiah a ni. Mi thenkhat chuan exercise an tih laiin he heartbeat chak tak hi an nei thei a ni.
• Electrophysiological (EP) study leh cardiac mapping: Hei hi test buaithlak zawk a ni. Chutah chuan wire te tak te (catheter) chu vein kaltlangin thinlung chhunga luhtir a, chu chuan arrhythmia hi khawi atanga a intan nge tih leh engtin nge a lo awm tih chiang takin a hriat theih a ni. He test hi catheter ablation an tih enkawlna hmaa tih a ni fo thin.

AVNRT tan hian eng enkawlna nge awm?

Mi tam takin AVNRT nei mahse, mi zawng zawngin enkawl an mamawh vek lo. A bik takin symptoms hi a chang chang chauh a awm a, a tibuai lutuk lo a nih chuan enkawl a ngai lo mai thei. Mahse, i healthcare team chuan a hnuaia thil thlengah hian enkawl turin an refer thei che a ni:

• Complication na tak tak i neih theihna tur i nih chuan .
• I nitin nun tibuai thei symptoms i neih chuan , mut theih lohna ang chi.
• AVNRT hi a awm fo emaw rei tak emaw a nih chuan .

Enkawl dan hrang hrang a awm a:

1. Vagal maneuvers: He thinlung thawk chak tak hi a chang chuan in lama i tih theih thil awlsam tak tak hmangin i titawp thei bawk. Entirnan, khuh, thawk khap (Valsalva maneuver), leh i hmai tui lum chhunga dah . I doctor chuan hengte tih dan tur a kawhhmuh ang che.

2. Electric hmanga cardioversion: 1.1.Hei hian i rilruah paddle emaw patch emaw dah a, i thinlungah electric shock thlen a huam a ni. Hei hian i thinlung rhythm chu a pangngaia a awm leh theih nan a pui thei a ni. Hei hi emergency-ah tih a ni fo.

3. Damdawi: Heart rate leh rhythm control thei damdawi chi hrang hrang a awm a. Entirnan, Adenosine injection (hei hi vein-a injection pek a ni a, chu chuan rang takin a rate a ti hniam a), Antiarrhythmic drugs (arrhythmia tan damdawi bik pek), Calcium channel blockers , leh Beta-blockers Hengte hi doctor-in a sawi ang chiah chiah ei tur a ni.

4. Catheter ablation: Hei hi AVNRT enkawlna awmchhun anga ngaih a ni fo. Hemiah hian a hmaa kan sawi tawh EP study ang bawkin, ke emaw, kut emaw chhunga vein pakhat kaltlangin catheter te tak te chu thinlungah an kal a, reentrant circuit chu a awm a, radiofrequency energy emaw cryoablation hmangin hliam te tak te siam a ni. Hei hian thinlung chhunga electrical signal pangngai lo kal chu a titawp a, arrhythmia chu a tawp ta a ni. Hei hi enkawlna hlawhtling tak a ni.

Engtin nge he natna lo awm hi ka tihtlem theih ang?

AVNRT ven dan tur finfiah a awm lo. Mahse, he natna hi i neih chuan thil engemaw chuan he thinlung thawk chak tak hi a tizual tih i hmu mai thei. Hengte hi "trigger" kan ti thin.

Heng triggers te hi pumpelh hian AVNRT attack tamna chu i tihtlem thei a ni.

Hengte hi mi tam zawk nghawngtu trigger te chu an ni:

• Zu
• Caffeine - coffee, tea, leh soft drink thenkhatah te a awm.
• Exercise chi hrang hrang (hei chungchang hi i doctor nen inbia tur a ni).
• Herbal supplement thenkhat .
• Dan loa ruihhlo (Recreational drugs) .
• Meizial zu emaw zuk leh hmuam hman emaw .
• Rimtawng .

AVNRT vei te hmalam hun eng nge ni?

A tlem hle a, AVNRT hian harsatna lian tak a thlen thei a, chu chu cardiac arrest nghal mai ang chi hi a ni. Mahse, mi tam zâwk tân chuan nunna atana hlauhawm tak a ni lo . Uluk taka enkawl a nih chuan miten nun pangngai an hmang thei a ni.

AVNRT ka nei a, engtin nge ka in enkawl ang?

Heng tips te hi i AVNRT condition enkawl nan a pui ang che:

• Doctor rawn hmasa lovin over-the-counter damdawi emaw nutritional supplement emaw hmang suh.
• I cardiologist ang bawkin doctor-te hnenah check-up neihpui zel ang che.
• Damdawi an pek zawng zawng chu dik tak leh a hun takah ei vek tur a ni.
• I AVNRT tichhuaktu chu zawng chhuak la, chutiang chu pumpelh tum ang che.
• I natna lan chhuahnaah danglamna i hmuh chuan (e.g., a hma aiin a na zawk, a tam zawk) i doctor hnenah hrilh rawh.

AVNRT ka neih chuan exercise ka ti thei ang em?

Lung hriselna atan exercise hi a pawimawh hle. AVNRT vei tam zawk chuan exercise an la thei . Mahse, i doctor nen eng exercise nge i tan a tha ber tih leh khapna a awm leh awm loh chungchang sawipui a tha ber.

Engtikah nge AVNRT tan hian damdawi lam pan vat tur?

AVNRT i neih chuan heng symptoms te hi i neih chuan doctor pan nghal rawh:

• A rilru a na .
• Heart palpitations hi rei tak a awm tawh emaw a awm fo emaw a nih chuan .
• Lu natna, luak chhuak, emaw, rilru hah emaw tih hriatna .
• Thâwk lak harsatna nasa tak .

A tawp berah chuan hei hi hre reng ang che.

AVNRT hi heart rhythm disorder tlanglawn tak a ni. Hetiang dinhmunah hian thinlung chu a tlangpui aia rang zawkin a thawk nghal zung zung thin. A tam zawkah chuan nunna atana hlauhawm lo mah se, a lan chhuah dan thenkhat chuan a tibuai thei hle. Heng symptoms te hi i neih chuan doctor pan hreh suh. Hetiang dinhmun hi enkawl dan leh a tul chuan enkawl dan tur tam tak a awm. I thinlung enkawl la, hrisel takin awm rawh!