A châng chuan i thinlung chu a thawk nghal zual ang maiin i inhria em, a nih loh leh a hnungzui nghal vat ang maiin i inhria em? I rilruah thil mak tak mai, a na deuh pawh a ni mai thei. Hetiang thil hi ngaihthah hi a tha lo. Vawiin hian hei hi a chhan awm thei pakhat kan sawi dawn a, chu chu `(Bigeminy)` tih hming pu dinhmun hi a ni.
`(Bigeminy)` tih hi eng nge ni?
A awlsam zawngin `(Bigeminy)` hi kan thinlung rhythm, chu chu rhythm-a inthlak danglamna tenau tak a ni. Hetah hian thinlung
heartbeat pahnihna apiang chu normal beat hmaa extra beat angin a lo thleng a, a nih loh leh `(premature contraction)` angin a lo thleng thin. Chu chu normal beat khat, chutah extra beat, leh normal beat, chutah extra beat... Chutiang chu a ni. Hetiang hian han ngaihtuah teh. A tlangpuiin kan thinlung hmun khat a\anga electrical signal lo chhuakin thinlung chu a thawk \ha hle. Drum group-a main drummer-in rhythm khata a beat ang bawkin. Tichuan he signal hi thinlung chunglam atanga a hnuai lam thlengin a kal a, thinlung chu mumal takin a thawk thin. Mahse `(Bigeminy)` ah chuan thinlung
hmun dang atanga electrical signal dang a intan a , chu pattern pangngai chu a tibuaitu a ni. Hei hi second heartbeat apiangin a thleng thin. Lead drummer-in drum a vuak hnuah field hmun dangah drummer dangin a drum a vuak ang mai a ni a, second beat apiangin an inthlak kual thin.
`(Bigeminy)` chi hrang hrang a awm em?
Ni e, he `(Bigeminy)` dinhmun hi thinlung hmun hrang hrangah a intan thei a ni. Chumi ang chuan chi hnih a awm a. 1.
Atrial Bigeminy `(Atrial Bigeminy)`: Hei hi thinlung pindan chunglam pahnih, chu chu atria-ah a thleng thin. Hetah hian chu extra heartbeat te chu `(premature atrial contractions)` angin a lo thleng thin. 2.
Ventricular Bigeminy `(Ventricular Bigeminy)`: Hei hi thinlung pindan hnuai lam pahnih, chu chu ventricles-ah a thleng thin. Hetah hian extra heartbeats te hi `(premature ventricular contractions)` angin a lo thleng thin.
`(Bigeminy)` natna lanchhuahna chu engte nge ni?
Mi zawng zawng hian symptom an nei vek lo. Mi thenkhat chuan ``Bigeminy'' nei mahse engmah an hre lo mai thei. Mahse, symptom nei nei tan chuan hengte hi a thleng thei a ni:
- A rilru a na emaw a tight emaw hriat .
- Heart palpitations - I thinlung hian beat a skip ang maia inhriatna, a nih loh leh rang takin a na hle tih hriatna.
- Luak chhuak tih hriatna .
- A châng chuan fainting a awm thei bawk.
- Hyperventilation chu thawk chak leh thuk tak a ni.
- Chau leh chau lutuk tih hriatna.
Heng symptoms te hi i neih chuan doctor pan a pawimawh hle tih hre reng ang che.
Engvangin nge he `(Bigeminy)` hi a lo awm? A chhante chu engte nge ni?
Bigeminy hi thinlungin electrical signal a thawn danah harsatna a awm vang a ni. Hei hi thil awm dan hrang hrang a awm a. Entir nan:
- Heart attack i neih tawh chuan.
- Thisen sang i neih chuan (pressure a sang lutuk kan ti).
- Anemia ( thisenah hemoglobin tlahniam ).
- Thyroid gland hnathawh tihpun ( Hyperthyroidism ) .
- Cardiomyopathy natna a ni a, chu chuan thinlung ruh a tichak lo hle.
- Mitral valve prolapse hi heart valve a harsatna a ni.
A awlsam zawngin, thinlunga natural pacemaker aṭanga signal lo chhuak bâkah, thinlung chhung ngeia cell dangte chuan thinlung chu a thawk tûr signal an pe thei a ni. A nih loh leh, thinlung lam panna kawng pangngaiah hian blockage engemaw zat a awm thei bawk.
Tute nge ``Bigeminy'' vei theihna chance sang zawk?
``Bigeminy'' hlauhawmna tipungtu thil engemaw tak a awm. Eng nge an nih hi han thlir ila:
- Coronary artery natna a ni .
- Lung lam chak lohna .
- Caffeine hman tam lutuk (tea, coffee leh in tur thenkhatah te hmuh tur a awm).
- Zu in hman dan.
- Zuk leh hmuam thil (cigarette ang chi) hman.
- Hlauhthawnna .
- Taksa chhunga electrolyte level (sodium leh potassium ang chi) hi a level dik tak aia sang emaw a tlahniam emaw a ni.
- Mut tam loh vang.
Chung thil thenkhat chu kan thunun thei a ni lawm ni? Chumi chungchang chu nakinah kan sawi leh ang.
Bigeminy hian harsatna dang a thlen thei em?
Ni e, a chang chuan `(Bigeminy)` hian thinlung ruh a tichak lo thei. Chu dinhmun chu
`(Cardiomyopathy)` kan ti a. Mahse, chanchin lawmawm a awm. `(Bigeminy)` hi hlawhtling taka enkawl a nih chuan, entirnan
`(catheter ablation)` tih hmanga enkawl a nih chuan, `(Cardiomyopathy)` natna pawh hi tihdam theih a ni.
Engtin nge `(Bigeminy)` hi kan hriat theih ang? (Diagnosis) tih a ni.
Doctor hmu tura i kal hunah chuan Stethoscope hmangin i thinlung thu a ngaithla hmasa ang. Alternating normal leh extra beat i hriat chuan doctor chuan ``Bigeminy'' tih hi a ringhlel mai thei. Chumi hnuah chuan test ṭhenkhat chu a finfiah turin a ti ang.
Eng ang test nge tih thin?
A hnuaia test te hi order a ni tlangpui:
- Electrocardiogram (EKG) hmanga tih a ni a: 1.1.Hei hi thinlung electrical activity entu test ber a ni. ``Bigeminy'' tih a hriat theih fo.
- Holter monitor: Hei hi EKG machine te tak te ang a ni. Darkar 24 atanga 48 chhung i taksaah bun a ni a, chutih chhung chuan i heart rate a record thin. Bigeminy i neih reng loh chuan EKG pangngaiah a pick up lo mai thei.
- Thisen test : Hengte hi electrolyte level leh thyroid hormone level ang chi thil enfiahna atana tih a ni a, hengte hi a inthlak danglam chuan he dinhmun hi a nghawng thei bawk a ni.
- Echocardiogram: Hei hian thil chi hrang hrang a en thei a, chu chu a pianzia, a lian zawng, a valve hnathawh dan, leh thinlung ruh hnathawh dan te a ni. Heart scan ang mai a ni.
- Stress test: Hei hi treadmill-a tlan a, exercise neih laiin i heart rate a inthlak dan en a ni.
Mi zawng zawng hian ``Bigeminy'' hi enkawlna an mamawh em?
Hetah hian a pawimawh ber. I EKG-ah Bigeminy i nei tih a lang a,
mahse symptom i nei lo a nih chuan enkawlna bik i mamawh lo mai thei. Mahse, symptom nei nei te chuan enkawlna an mamawh tak zet a ni.
Engtin nge `(Bigeminy)` hi enkawl a nih?
`(Bigeminy)` symptom i neih chuan Doctor ten damdawi hmangin an enkawl thei che a ni. A châng chuan, a hmaa kan sawi tawh `(Cardiomyopathy)` nena a lan chhuah chuan enkawlna bik
`(catheter ablation)` tih a ngai mai thei. `(Bigeminy)` atana damdawi pek beiseina ber chu heart rate tihhniam hi a ni. Mahse, heng damdawi te hian `(Bigeminy)` natna hi a titawp vek lo thei a, a natna lanchhuahna pawh a ti bo vek lo thei bawk. `(catheter ablation)` an tih enkawlna hi damdawi atanga hahdamna hmu lote tan tih a ni. He enkawlna hlawhtlinna hi 75% aia tam a ni.
Damdawi/enkawlna bik hman
A hnuaia mite hi enkawlna atan hman a ni:
- Beta-blockers te pawh a awm
- Potassium channel blocker - entirnan, damdawi pakhat amiodarone (Cordarone® emaw Pacerone® emaw) an tih.
- Calcium channel blocker a ni
- Catheter ablation - Hei hian tube te tak te chu thinlung chhungah pass a, extra electrical signals lo chhuahna hmun chu tihtawp a ni.
Enkawlna hian side effect/complication a nei em?
Damdawi eng pawh hian side effect engemaw zat a nei thei. Mahse, damdawi thatna nena khaikhin chuan a side effect hi a na lutuk lo tlangpui. Thil ngaihtuah tur i neih chuan doctor nen inbia ang che. `(Bigeminy)` damdawiin a nghawng tha lo awm thei thenkhat chu:
- Luak chhuak thei
- Lung hlim (Lightheadedness) tih hriatna .
- Chau lutuk
- Pum natna (upset stomach) a awm
- Lu na
Catheter ablation hnua harsatna awm hi a tlem hle. Mahse, a châng chuan a hnuaia mite hi a thleng thei a ni:
- Kaichhawng
- Thisen chhuak
- Thisen kalna kawng emaw, thinlung tissue emaw a chhiat
- Thisen a chhuak thin
- Thai
Enkawl hnua dam leh theih nan eng chen nge a duh?
Catheter ablation hnuah pawh a dam kim theih nan kar engemaw zat a ngai thei. Hetih lai hian "bigeminy" tlemte a awm thei.
Engtin nge `(Bigeminy)` hlauhawmna tihziaawm theih ang?
Kan control theih risk factor thenkhat kan thlak danglam hian ``Bigeminy`` kan neih theihna tur risk kan tihtlem thei a ni. Heng thilte hi i ti thei em tih en rawh:
- Thisen sang i neih chuan control la.
- Caffeine ei tam lutuk loh tur. Tea leh coffee ang chi thilte chu tihtlem rawh.
- Zu in hi tihtlem la, a nih loh leh tihtawp vek rawh.
- Zan tin mut dan tur dik tak nei thin ang che.
- Lungkhamna enkawl dan tur zawng rawh . Meditation leh yoga ang chi thilte hian a pui thei a ni.
- Zuk leh hmuam (cigarette, bidis) hi pumpelh vek tur a ni.
Hengte hi nunphung inthlak danglamna tenau tak ni mahse, i thinlung hriselnaah nghawng lian tak a nei thei a ni.
`(Bigeminy)` a awm chuan eng nge thleng ang?
Symptoms i neih loh chuan tih theih tam tak a awm lo. Nun pangngaiin i nung thei a ni. Mahse, symptom i neih chuan i doctor chuan caffeine, ruihhlo leh zu ang chi thilte chu pumpelh turin a hrilh ang che. Damdawi an pe mai thei. Mi thenkhat chuan catheter ablation an mamawh thei bawk.
`(Bigeminy)` vei te hriselna dinhmun chu eng nge ni? (Hmuh dan tur) .
`(Bigeminy)` vei te hmalam hun hriselna chu thinlung natna dang leh risk factor dang an neih leh neih lohah a innghat a ni. Lung natna dang nei tan chuan `(Bigeminy)` hi thihna hlauhawmna a sang deuh mai thei tih chhinchhiahna a ni. Mahse mi dang tan, chu chu thinlung natna dang nei lote tan chuan mi pangngai aia thihna a sang lo.
Symptom nei lo `(Bigeminy)` vei tan chuan outlook a tha hle. Thil ngaihtuah tur a awm lo.
Engtin nge ka in enkawl ang?
Results tha ber tur chuan doctor thupek dik takin zawm tur a ni. Caffeine i tihtlem a ngai mai thei a, stress tihziaawmna tur kawng i zawn a ngai mai thei. Damdawi i ei a nih chuan bottle-a tarlan ang chiah khan ei tur a ni.
- Doctor-in a sawi angin a hun takah i damdawi ei tur a ni.
- I ei leh in ah fimkhur rawh. Caffeine, eitur thau, leh sweets te chu a theih ang anga tihtlem thin ang che.
- Meizial i zuk chuan i chawlhsan ngei ngei tur a ni.
- Zu in hi tihtlem rawh.
- Insawizawi. Mahse, i doctor hnenah eng exercise nge i tan a tha tih zawtin tan la rawh.
- Chawlh hahdam leh mut mumal a pawimawh.
- Stress tihziaawm rawh. Ṭhiante nena inbiakna te, hobby-a inhmang te, leh ngaihtuahna seng te ang chi thilte hian a ṭanpui thei a ni.
Engtikah nge Doctor ka hmuh ang?
I appointment pangngai i neih reng a pawimawh. Mahse, i doctor pan nghal rawh:
- Symptoms thar i neih chuan , emaw i symptoms a danglam chuan.
- I symptoms a na zual a nih chuan .
- I damdawi ei hian side effect tha lo a thlen a nih chuan .
- I rilru na tak, thawk harsatna, emaw, i hriatna hloh ang maia i hriat chuan damdawi inah kal nghal rawh.
Doctor hnenah eng zawhna nge ka zawh ang?
Doctor i tlawh dawnin hetiang zawhna hi zawh a tha ang:
- Caffeine engzat nge ka tihtlem ang?
- Follow-up appointment atan engzat nge ka lo kal ngai?
- Ka stress tihziaawmna tur kawng min rawn rawt thei ang em?
- Zuk leh hmuam hman tawh loh tura min pui thei tur program min refer thei ang em?
- Hetiang dinhmun nen hian exercise pangngaiin ka exercise thei ang em?
- Ka ei leh inah eng inthlak danglamna nge ka siam ang?
A tawp berah chuan a pawimawh ber
I doctor-in i thinlungah extra beats i nei tih a hrilh che chuan i lungkham deuh mai thei, a nih loh leh ``Bigeminy''. Chu chu thil pangngai a ni. Mahse hre reng ang che, ``Bigeminy'' vei tam tak, symptom nei lote chuan enkawlna an mamawh lo. ``Bigeminy'' enkawlna i mamawh leh mamawh loh chungchangah i doctor nen inbiakna neihpui rawh. I appointment te vawng reng la, damdawi i pek apiang ei rawh.
I thinlung enkawl a pawimawh.
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