I thinlung chu mak tak maiin a na nghal em? Brugada Syndrome a ni thei ang em?

I hriatna hloh nghal, luak chhuak i nei tawh em? A nih loh leh thinlung na chak tak, emaw thawk harsa tih hriatna i nei em? A châng chuan hengte hi thil pawi lo deuh avânga lo awm thei a ni. Mahse, a tlem berah chuan thinlung natna Brugada Syndrome an tih chhinchhiahna an ni thei. Hemi chungchang hi vawiinah hian tlem han sawi ila, a chhan chu fimkhur a pawimawh em em a ni.

Brugada Syndrome hi eng nge ni?

A awlsam zawngin Brugada Syndrome hi i thinlung hnuai lam, ventricles an tih, electrical activity pangngai lo thlentu a ni. Hei hian i thinlung chu a rhythm a hloh nghal thei a ni. Hei hi ventricular fibrillation emaw v-fib emaw an ti a. Thisen pump tha tak ai chuan i thinlung chu a thlawk chhuak ang tih han mitthla teh. Hei hian i thluak hian thisen a hmu tlem phah thin. Chu chu i hriatna i hloh (syncope) hunah a ni .

Hei hi dinhmun hlauhawm tak a ni thei a, a chhan chu he `v-fib` hian cardiac death rang tak pawh a thlen thei a ni . A tam zawkah chuan hetiang hi i chawlh lai emaw, i mut lai emaw a thleng thin. Zirchiangtute chuan khawvel pumah Brugada Syndrome hi sudden cardiac death 4% vel a ni an ti.

Mahse hei hi natna tlanglawn tak a ni lo. Mi sang sawm zinga mi pathum atanga pali velin he natna hi an nei a ni.

Eng symptom nge lo lang?

Brugada Syndrome symptoms hi kum eng pawhah a lang thei. Mahse, kum 40 vel atanga tan an ni tlangpui a, mi thenkhat chuan symptom engmah an lantir lo mai thei. Mi 70% aia tam chuan symptom an nei lo nia sawi a ni. Mahse, symptoms a lo lang a nih chuan:

• Lungphun pangngai lo (`ventricular arrhythmia`) : Chumi awmzia chu lungphun a tibuai tihna a ni.
• Syncope: Thil hriatna hloh leh tlu nghal mai .
• Dizziness : A rilru a buai em em a, a rilru a buai em em bawk.
• Thâwk lak harsat .
• Heart palpitations : A rilru a buai emaw, a inher emaw tih hriatna.
• Cardiac arrest : Hei hi a chang chuan a lan chhuah hmasak ber a ni. Hemi avang hian mi thenkhat chu an muthilh laiin an thi mai thei.

Pawimawh: Heng symptoms zinga pakhat emaw a aia tam emaw i neih fo chuan doctor pan a, thurawn lak a tha ber.

Brugada syndrome thlentu thilte chu engte nge ni?

Thil engemaw tak chuan Brugada syndrome symptoms hi a rawn lang nghal thei a, a ti na zual thei bawk. Hengte hi `triggers` kan ti thin.

• Fever : Heng symptoms te hi Brugada syndrome neiin khawsik a neih chuan a lo lang thei a ni.Khawsik hi tihhniam vat a pawimawh hle . Implantable cardioverter defibrillator (ICD) i neih pawhin khawsik hi i tihhniam a ngai tho. Hei hi damdawi dawr-a over-the-counter fever-reducing damdawi awmte hmangin tih theih a ni.
• Heat exhaustion / Dehydration : Taksa chhunga tui awm, khaw lum lutuk avanga hah.
• Damdawi thenkhat : .
• Sodium channel blocker a ni.
• Lithium a ni.
• Tricyclic hmanga tihdam theih a ni.
• Zu : Zu in tam lutuk.
• Ruihhlo : Cocaine leh marijuana ang chi ruihhlo hman.

Hengte hi hriat chian a, a theih ang anga pumpelh a pawimawh hle.

Hei hi eng chhan nge ni?

Brugada Syndrome hi a chhan dik tak hi hriat a ni lo fo . A nih loh leh genetic a ni thei bawk . Eng genetic mutation nge he natna hi mi 70% velin a thlen tih chiang taka hriat a la ni lo.

Mahse, mi thenkhat chuan genetic variation 18 aia tam an nei thung. Chung zinga a tam ber chu SCN5A tih gene a danglamna a ni . Heng danglamna te hian thinlung chhunga electrical signal kal dan a tibuai a ni.

Hei hi nu leh pa pakhat chauh atanga rochun theih natna a ni . Chu chu Brugada syndrome nena inzawm gene mutation nei mi pakhat fa chuan a vei theihna chance 50% a nei tihna a ni.

Hetiang hi tuin nge nei tam zawk? (Risk Factor hrang hrang) 1.1.

He natna hi mipa ah a tam zawk . Hmeichhia aiin mipaah ​​a let 8 atanga a let 10 velin a tam zawk.

Tin, i chhungkuaa mi tu emaw chu rilru natna (cardiac arrest) avanga thi a nih chuan, emaw, Brugada syndrome , a vei tih hmuhchhuah a nih chuan , hei pawh hi i tan test a finthlak ang.

Thil dang pakhat chu he natna hi Asian hnam chhuak zingah a tam deuh niin an sawi bawk .

Engtin nge doctor hian hei hi a hriat chian? (Diagnosis) tih a ni.

Brugada Syndrome i vei em tih hriat nan doctor chuan a hnuaia mi ang hian a ti ang:

• Physics exam pek i ni ang .
• I medical history chu enfiah a ni ang.
• I chhungte hriselna chanchin (biological family history) an zawt ang a, a bik takin i chhungkuaa tu emaw chuan cardiac death nghal a nei em tih an zawt ang.
• Special test engemaw zat tihsak turin an ti ang che .

Eng test nge tih thin?

He natna hi hriat chian nan hian test lian tak tak hman a ni a:

• Genetic testing neih a ni: He test hian Brugada syndrome nena inzawm gene mutation bik i neih leh neih loh chu i hmui emaw thisen emaw sample lak hmangin a hriat theih a ni. Tin, i chhungkaw midangte pawhin he gene mutation hi an nei em tih hriat nan he test hi tihsak a tha bawk. A bik takin Brugada syndrome vei i chhungte hnai tak (`first-degree relative`) i neih chuan, i nu leh pa, i unau, i fate ang chi, hei hi screening i nei ngei tur a ni
• Electrocardiogram (EKG emaw ECG) : Hei hi i thinlung a thawk lai electrical activity record nan hman a ni. Doctor-te chuan EKG-ah hian pattern bik (Brugada syndrome type 1 EKG pattern) an zawng a. A châng chuan type 2 emaw type 3 emaw an tih pattern chak lo tak chu hmuh theih a ni a, mahse chu chauh chuan natna chu a nemnghet thei lo. Mahse, a chunga kan sawi tak trigger (e.g. fever) avang hian he type 2 emaw type 3 emaw pattern hi type 1 pattern ah a inthlak thei a ni. A châng chuan he pattern hi EKG-ah hian a lang nghal lo va, chuvangin doctor chuan EKG hi vawi hnih emaw vawi thum emaw a ti leh thei a, leads a thlak danglam thei bawk. A châng chuan chaw ei kim hnuah EKG pawh tih a ni bawk.
• Damdawi hmanga EKG (drug challenge test) : EKG hmain i doctor chuan Brugada syndrome i neih chuan i EKG chiang zawka a lan theih nan damdawi a pe thei che a ni. He test hi i EKG hian type 2 emaw type 3 emaw pattern a nei em tih hriat nan hman a ni a, chu chu type 1 pattern ah a inthlak thei a ni.

I EKG result a zirin test dang pawh tih theih a ni:

• Electrophysiology (EP) testing : Hei hian i ke (femoral vein) chhunga vein lian tak kal tlangin tube te tak te (catheter) chu i thinlung chhungah i luhtir a, chu chuan i thinlung chhunga electrical activity a teh a ni. Hei hi test dang hnuah pawh diagnosis a chiang lo a nih chuan tih theih a ni.
• Lab test: Thisen test hi thisenah electrolytes potassium, calcium, leh magnesium awm zat enfiah nan an ti a, heart rhythm mumal lo awm thei dang awm leh awm loh enfiah nan an ti thin.

Engtin nge enkawl ang? (Tihdamna)

Brugada Syndrome enkawlna tum ber chu ventricular arrhythmias lo awm tur ven leh a lo awm chuan rang taka control a ni.

Hetiang hian enkawlna i pe thei ang:

• Damdawi Isoproterenol ang chi te .
• Damdawi chinidine ang chi te .
• Thil te tak te, thinlunga dah (Implantable Cardioverter Defibrillator - ICD) .: Heart attack (ventricular tachycardia), fainting, cardiac arrest i neih tawh chuan ICD fit i ni thei. He device hian heart rhythm hlauhawm tak a hmuchhuak a, electric shock te tak te chu heart-ah a pe a, chu chu a normal-ah a awm leh ta a ni.
• Ablation ( a then phei chuan): Hei hian thinlung chhunga electrical signal pangngai lo thlentu hmunte hriatchhuah leh tihchhiat a huam a ni.

Symptoms i nei lo a nih pawhin i doctor chuan i chhungkaw history leh test result a zirin ICD dah a tum mai thei. Doctor thenkhat chuan check reng che an rel mai thei a, symptom i neih chauhvin an enkawl che a ni. Mahse, doctor dangte chuan he approach hi an pawm lo mai thei, i symptom hmasa ber chu cardiac death rang tak a ni thei a ni.

Enkawlnaah hian harsatna a awm em?

ICD hi 100% foolproof device a ni lo. A châng chuan hetiang thil hi a thleng thei a:

• Hun dik loah shock i pe thei .
• Machine chhunga lead pakhatah hian fault a awm thei .
• Machine chhehvelah natna hrik a awm thei .

Chuvangin ICD an dah hnuah doctor-in a sawi ang chiah chiah test neih a pawimawh hle.

Eng chen nge tihdam a ngaih?

ICD dah a nih hnuah ni engemaw zat chhungin i thil tih pangngai tam zawk chu i ti thei tawh ang. Mahse, kar khat vel chu lirthei khalh i chawlhsan a ngai dawn a ni. Nitin hna hahthlak tak tak i thawk thei a, mahse hahthlak khawpin thawk suh. Doctor-in a tih hma loh chuan rit phurh emaw, exercise hahthlak tak tak emaw ti suh.

Hei hi ven theih a ni em? (Invenna) 1.1.

Nu leh pa hnen atanga Brugada Syndrome i rochun chuan tihdanglam theih a ni lo. Mahse, i chhungkuaa mi tu emaw Brugada Syndrome vei tih i hriat chuan nang leh i chhungte nen genetic test in nei thei ang.

Tin, fa neih i beisei a nih chuan genetic counselor te nen in inhmu thei a, hei hi i fate hnena i thlen theih dan tur chungchang i sawipui thei bawk.

Brugada syndrome neia i nun lai hian eng nge i beisei theih ang?

Brugada Syndrome hi damdawi a la awm lo . Mahse, enkawlna hian nasa takin cardiac death rang tak a tihziaawm thei a ni.

Brugada syndrome vei, symptom nei mahse enkawlna dawng lote chu sudden cardiac death hlauhawmna a sang hle. Hetiang hlauhawmna hi natna lanchhuahna nei lo leh EKG pangngai nei te tan chuan a hniam zawk hle.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

Doctorin Brugada Syndrome i vei tih a hrilh che chuan a pawimawh ber chu chu rhythm tibuaitu trigger tam thei ang ber pumpelh hi a ni .

• Khawsik laka invenna. Khawsik i neih chuan rawn hniam vat rawh.
• Damdawi leh thil thenkhat lakah inthiarfihlim rawh . I doctor hnenah damdawi i allergy nei list zawt rawh.
• Zu leh ruihhlo tam lutuk hi pumpelh vek rawh .
• Dehydration awm loh nan tui tam tak in thin ang che .
• Thil hahthlak tak tak i tih hian fimkhur rawh .

Engtikah nge Doctor i hmuh a ngaih? / Emergency room-ah kal a ngai em?

Brugada syndrome i neih chuan kum khatah vawi khat tal doctor pan tur a ni a, check-up i nei tur a ni . ICD i neih chuan kum khatah vawi hnih tal i check tir tur a ni . Thil danglam tak i hriat chuan i doctor hnenah hrilh rawh .

Rikrum! Cardiac arrest i neih chuan i tanpui thei dawn lo. Chuvangin, tanpuitu tur che i mamawh dawn a ni. Cardiac arrest hlauhawm i nih chuan i chhungte hnenah CPR (Cardiopulmonary Resuscitation) zir turin hrilh la, 1990 (Sri Lanka emergency ambulance service) emaw, emergency number hnai ber emaw ah call rawh. He hlauhawmna hi i hnathawhna hmunah pawh hriattir bawk ang che.

I doctor zawh tur zawhna pawimawh

Doctor hmu tura i kal hunah hetiang zawhna hi zawh theihnghilh suh:

• ICD neih a ngai em?
• Engtin nge ICD hi vawn reng tur?
• Hetiang natna vei midangte inkhawm theihna tur support group chungchang min hrilh thei ang em?
• Eng damdawi nge ka ei loh tur? List min pe thei ang em?
• Hemi chungchangah hian ka chhungte dang zawng zawng hi test an ni tur em ni?

Take-Home Thuchah a ni

Heart attack nghal thei tur natna i nei tih i hriat hian i rilru a buai tih hi thil pangngai a ni. Mahse, hlauhawmah i awm tih hriatna chuan chu hlauhawmna tihtlem nâna hma la tûrin hun remchâng a pe che a ni . I doctor chuan i tan enkawlna tha ber a hmu ang.

A theih chuan i in leh i fate sikul-ah Automatic External Defibrillator (AED) nei ta se, thlamuanna ropui tak a ni ang. Tin, i ṭhenawmte leh i thawhpui te pawh CPR zir turin hrilh bawk ang che. Heng thilte hian nunna chhanhimna kawngah a pui thei a ni. I doctor thupek zawm fo la, checkup reng reng la, nunna atana hlauhawm thilte chu pumpelh rawh .

` Brugada syndrome, cardiac arrhythmias, sudden cardiac arrest, genetic diseases, EKG, ICD, thinlung natna