Damdawi pek hmanga thinlung rhythm siamthat dan chemical cardioversion chungchang i zir dawn teh ang.

A châng chuan i thinlung a na lutuk a, hlauhna i nei tih i hria em, a nih loh leh i thinlung thawk rhythm chu a inmil lo ang maiin i hria em? Drum i tum ang bawkin i thinlung chu a thawk rang zawk a, a na zawk a, a beat pakhat a skip nghal bawk. Vawiin hian hetiang thila doctor ten an hman thin enkawlna bik kan sawi dawn a ni. Hei hi ‘Chemical Cardioversion’ an ti a. A hming hi a buaithlak deuh nachungin, a awmzia hi a awlsam hle.

A awlsam zawngin Chemical Cardioversion chu eng nge ni?

Chemical Cardioversion hi damdawi hmanga heart rhythm pangngai lo chu a normal rhythm-a siam \hat lehna a ni. Traffic police officer pakhatin traffic jam buai tak control turin a rawn kal a, lirthei te chu mumal takin a kaihruai ang mai a ni. Hetah hian ‘traffic police officer’ tih hi doctor-in damdawi a pek che a ni.

He enkawlna hlawhtlinna hi thil engemaw zatah a innghat a, chu chu i thinlung thawk mumal lo chhan, eng chen nge he natna hi i neih tawh, leh i doctor-in eng damdawi chi nge a thlan tih te hi a ni.

He enkawlna atana damdawi pekte hian thil pawimawh engemaw zat a ti a:

• I thisen kalna kawng a hawng deuh a, thisen kal a ti awlsam hle.
• Heart muscle te a ti hahdam.
• Thinlung phurrit, chu chu thinlung hnathawh phurrit a tiziaawm a ni.
• Thinlung thawk tura signal petu electrical signal tlan chakna a control a ni.

Thinlung rhythm a tihbuai chuan taksa pum puiah thisen a pump tha lo. Kan thluak cell te hian cell dang zawng zawng ang bawkin oxygen an mamawh a ni. He oxygen hi thisenin a phur a ni. Chuvangin thisen kal a tlem chuan symptoms , luak chhuak (vertigo), hahna, thawk hah, leh rilru na te a awm thei a ni.

Engvangin nge he inenkawlna hi kan mamawh?

I thinlung a na lutuk emaw, a rhythm mumal lo emaw a nih chuan chemical cardioversion i mamawh mai thei. I thinlung rhythm hi a mumal lo thei hle. I thianpa Nimal chuan a rilru a na nghal hle tih han ngaihtuah teh. Doctor hnena a kal meuh chuan natna khirh tak chuan a thinlung rhythm a tichhe tih a hre ta chauh a ni.

Tin, a chhan dang tam tak a awm bawk:

• Damdawi i ei thenkhat: Damdawi thenkhat hian side effect angin heart rhythm a tidanglam thei a.
• Infection: Bacterial emaw virus emaw infection hian heart muscle a nghawng thei a ni.
• Heart Attack: Heart attack hian thinlung electrical system a tichhe thei a ni.
• Thinlung pianphung inthlak danglamna: pianpui thinlung natna emaw, a hnu lama inthlak danglamna emaw.
• Pulmonary Embolism: Hei hi emergency a ni.
• Congestive Heart Failure: Thinlung a chak lo a, thisen pump theihna a tlahniam chuan.
• Lung natna: COPD emaw Emphysema ang chi natna.

Hetiang hmang hian eng ang heart rhythm nge enkawl theih ang?

Chemical cardioversion hi thinlung thawk dan pangngai lo chi hrang hrang enkawlna atan hman a ni a, chung zingah chuan:

Electrical Cardioversion leh hei hi a danglamna

Movie-ah pawh i hmu tawh ngei ang, chutah chuan thinlung chu restart turin rilruah shock an pe thin. ‘Electrical Cardioversion’ tih a ni. Electrical system ‘reset’ turin thinlungah controlled electric shock thawn a ni. Chemical Cardioversion tih hian chutiang bawka ti turin damdawi pek a huam a ni.

I doctor chuan i dinhmun a zirin i tan enkawlna tha ber a ruat ang. Entirnan, i thisen sang a hniam hle a nih chuan i doctor chuan electrical cardioversion tih a rel mai thei.

Enkawl hma hian eng nge thleng a, engtin nge kan inbuatsaih ang?

He enkawlna hma hian i doctor chuan thupek engemaw zat a pe ang che. Anmahni zawm dik a pawimawh hle .

1. Ei leh in pumpelh: Inenkawl hma darkar 8 vel chu engmah ei leh in loh turin an ti ang che.

2. Thisen zam a awm leh awm loh enfiah: Ni hnih aia rei i thinlung a mumal lo a nih chuan i thinlung chhungah thisen zam te te a lo awm theihna chance a awm. He enkawlna hnu hian i heart rate chu a normal leh nghal a nih chuan, clot chu a lo chhuak a, i thluaka thisen kalna kawng khatah a tang a nih chuan stroke ang chi natna khirh tak a thlen thei a ni. Chutiang hlauhawmna chu enfiah nân, i doctor chuan Transesophageal Echocardiogram (TEE) tih hming pu scan bik neihtîr tûrin a ti thei che a ni. Hei hian i rilru hnuaiah tube te tak te dah luh a, i thinlung hnunglam chu chiang takin enin thisen zam a awm leh awm loh en a huam a ni.

3. Anticoagulants: A chunga kan sawi tak thisen zam hlauhawmna tihziaawm nan, enkawl hma kar 3 vel ah thisen tithianghlimtu damdawi ei tan turin an ti ang che. Enkawl hnu kar 4 vel chu heng damdawi te hi i ei chhunzawm zel a ngai dawn a ni.

4. Damdawi i ei zawng zawng chu doctor hnenah hrilh rawh: Damdawi i ei zawng zawng , over-the-counter pain reliever, vitamin leh herbal remedies te pawh i doctor hnenah hrilh vek a pawimawh. Damdawi thenkhat chu he enkawlna atana damdawi pekte nen hian an inzawm thei a ni.

Enkawl lai hian eng nge thleng?

Hei hi in lama tih theih a ni lo. Damdawi inah dah i ni ang a, enkawl reng chungin he enkawlna hi pek i ni ang.

• Hmun: Damdawi in intensive care unit (ICU) emaw a ang chi ward-ah dah i ni ang a, chutah chuan uluk taka enkawl i ni ang. Lungngai suh, hei hi i himna tur a ni. A chhan chu damdawi pek i nih hian i thinlung rhythm a inthlak danglam leh awm loh uluk taka enfiah a ngai a ni.
• Monitoring: I kut ah IV line (cannula) dahin monitor a connect ang. Hei hian i ECG (thinlung electric activity), thisen sang leh oxygen level te chu a enfiah chhunzawm zel ang.
• Damdawi pek dan tur:Damdawi hi ka ei tur pill angin emaw, i kut chhunga IV line kaltlangin vein-ah direct-in emaw pek i ni ang. A chang chuan dose hmasa ber khan hna a thawk lo a nih chuan dose dang pek i ni thei bawk.
• Hriselna: Doctor leh nursing staff te chu i bulah an awm reng a ni. Rhythm danglam dang a awm chuan an bulah defibrillator ang chi hmanrua an nei bawk. Chuvangin boruak him takah i awm a ni.

Hemi atan hian eng damdawi nge hman?

I doctor-in damdawi a pek che chu i thinlung rhythm dik lo chi hrang hrangah a innghat ang. Heng damdawi thenkhat hi thisen sang leh congestive heart failure enkawlna atan an hmang thin.

Damdawi chi hrang hrang hman dan tlangpui thenkhat chu hetiang hi a ni:

• Adenosine a ni
• Amiodarone a ni
• Procainamide hmanga siam a ni
• Ibutilide a ni
• Beta-blockers te hi - e.g. Metoprolol a ni
• Calcium channel blocker - e.g. Diltiazem a ni
• Flecainide a ni
• Propafenone hman a ni

Heng damdawi tin hian hna a thawk dan a inang lo va, chuvangin i doctor chauhvin i tana tha ber damdawi a thlang thei ang.

Enkawl hnuah eng nge thleng?

Damdawi pek a nih hnuah leh i heart rate a normal leh hnuah, engkim a stable em tih enfiah nan darkar 24 atanga 48 dang damdawi inah enkawl i ni thei bawk. Chumi hnuah chuan i haw thei tawh ang.

He enkawlna hian eng hlauhawmna leh hlawkna nge a neih?

Damdawi dang ang bawkin a thatna leh a hlauhawmna a awm vek. I doctor chuan he enkawlna hi a hlawknain a hlauhawmna aiin a tam zawk chauhvin a rawt ang.

Engtikah nge doctor pan vat a ngaih?

Inenkawl zawha in lama i haw hian natna lan chhuah dan danglam tak tak a awm chuan fimkhur a pawimawh hle. A hnuaia symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal la , 1990 ah call rawh.

• Lung na tak tak
• Luak chhuak nasa tak
• I mit a sen a, i lu a hlim (Lightheadedness) .
• Chaklohna
• Sudden taka thawk hah lutuk (Sweatiness) .
• Allergic reaction te, vun rawng leh hnim hring te
• A rilru a na
• Thâwk harsa

Enkawl hma leh enkawl zawhah doctor-in damdawi a pek zawng zawng chu a hun takah leh a hun takah ei vek tur a ni. Damdawi ei danah rinhlelhna i neih chuan i doctor hnenah chiang zawka dil leh rawh.