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

I thinlung chu chhan awm lovin a na nghal zual tih i hre ngai em, a nih loh leh i rilruah hnim hring ang maia fluttering sensation mak tak i nei tawh em? Hetiang heart rhythm inthlak danglamna (irregular heartbeat) hi a chang chuan ngaihtuahawm tak a ni. Vawiin hian doctor-te’n heng heartbeat mumal lo chi hrang hrang enkawlna atana an hman thin enkawlna bik kan sawi dawn a ni.

A awlsam zawngin Chemical Cardioversion chu eng nge ni?

A awlsam zawngin sawi ila, chemical cardioversion chu i thinlung rhythm pangngai lo taka chak emaw, mumal lo emaw chu a normal rhythm-a hruai kir lehna tur damdawi hman hi a ni. He enkawlna hlawhtlinna hi i thinlung thawk mumal lo chhan, eng chen nge a awm tawh tih leh i doctor-in damdawi chi hrang hrang a thlan danah a innghat a ni.

Hei hi Pharmacologic Cardioversion kan ti bawk. He enkawlna chhunga damdawi pekte hian thil pawimawh engemaw zat a ti a:

• I thisen kalna kawng a ti hahdam.
• Heart muscle te tan hahdamna a pe thin.
• Thinlung chunga hnathawh tur a tihziaawm.
• Electrical signal-in thinlung thawk tura a hrilh chakna chu a control a ni.

Heart rhythm a mumal loh chuan taksa pum puiah thisen a pump tling lo. Kan taksaa cell tin, a bik takin thluak hian thisen atanga oxygen supply mumal tak a mamawh a ni. Chutianga thisen kal a tihbuai chuan luak chhuak, hah, thawk hah, leh rilru na ang chi symptoms i nei thei a ni .

Engvangin nge he damdawi hi hman a nih a, eng natna atan nge hman a nih?

I thinlung thawk a chak lutuk emaw, a mumal lo emaw a nih chuan chemical cardioversion i mamawh mai thei. I thinlung rhythm a mumal loh chhan hrang hrang a awm thei.

• Damdawi i hman thenkhat
• Pneumonia ang chi natna hrik kai theihna
• Lung natna
• Thinlung insiam dan inthlak danglamna
• Pulmonary embolism a awm thin
• Congestive heart failure a awm thin
• Lung natna chi hrang hrang COPD emaw Emphysema emaw

Chemical Cardioversion hi a hnuaia heartbeat mumal lote enkawlna atan hman a ni ber a:

Enkawl hma hian eng nge thleng thin?

I doctor chuan eng enkawlna nge i tan a tha ber (damdawi emaw electrical cardioversion emaw) a rel ang. I thisen sang a hniam lutuk chuan i doctor chuan electrical cardioversion a thlang mai thei.

• Ei leh In: He enkawlna hma darkar 8 vel ei leh in loh tur i ni ang.
• Test: Ni hnih aia rei heartbeat mumal lo (atrial arrhythmia) i neih chuan i doctor chuan Transesophageal Echocardiogram (TEE) tih test a ti thei ang. Hei hi thinlung chhunga thisen zam awm leh awm loh enfiah nan a ni. Hei hian enkawl laiin a clot a lo chhuak a nih chuan stroke a thlen thei.
• Damdawi: Damdawi i ei zawng zawng chungchang, over-the-counter damdawi, vitamin, leh Sinhala damdawi thlengin.I doctor hnenah i hrilh tur a ni. Thisen zam hlauhawmna tihziaawmna turin enkawl hma kar thum chhungin anticoagulant ei tan turin an ti thei bawk.

Enkawl lai hian eng nge thleng?

He enkawlna hi damdawi in intensive care unit (ICU)-ah emaw, a tan room bik ruat-ah emaw tih a ni tlangpui. Hei hi a chhan chu damdawi pek a nih hian heartbeat mumal lo chi dang a awm theihna tur a tlem avangin uluk taka enkawl a ngai a ni.

Hetih lai hian nangmah chauh i ni lo. Doctor leh nurse te chu i kiangah an awm a, i thisen sang leh heart rate (ECG) te chu an enfiah chhunzawm zel a ni. Thil tul zawng zawng (defibrillator ang chi) chu emergency a awm chuan a inpeih vek a ni.

Damdawi hi i ei tur pill angin emaw i kut vein pakhata IV hmangin emaw pek che a ni . A chang chuan damdawi dose hmasa berin hna a thawh loh chuan dose dang pek leh theih a ni.

Damdawi hman tlanglawn tak tak

Damdawi chi hrang hrang pek i nih dan chu i dinhmun a zirin a inang lo ang. Damdawi hman tlanglawn tak tak thenkhat chu:

• Amiodarone (Cordarone®) tih a ni a, a man hi a to hle.
• Procainamide hmanga siam a ni
• Ibutilide a ni
• Flecainide a ni
• Propafenone (Rythmol®) hmanga siam a ni.
• Sotalol (Betapace®) tih a ni.
• Beta-blockers te chu metoprolol (Lopressor®) te hi a ni.
• Calcium channel blocker te chu diltiazem (Cardizem®) te hi a ni.
• Adenosine (Adenocard®) hmanga siam a ni.

Enkawlna a thatna leh that lohna engte nge ni?

Damdawi inah enkawl hnuah darkar 24 atanga darkar 48 chhung enkawl turin i awm thei bawk. Mi thenkhat chuan he damdawi avang hian tlem a hah emaw, nuam lo emaw an ti thei.

A thatna te: 1.1.

• Heartbeat hi a normal rhythm-ah a hruai kir leh thei a ni.
• Luak chhuak leh hah ang chi symptoms te chu a reh thei.
• Electrical cardioversion ai chuan hman theih a ni.

Risk leh Complication awm thei:

• Thinlung thawk mumal lo thar lo awm tan emaw, a awm tawh a na zual emaw.
• Thisen zam chu a chhe thei a , stroke a thlen thei bawk .
• Side effects te, nausea leh hahna te.
• Damdawi thenkhat chuan thla tam tak chhung hna an thawk thei.
• He enkawlna hi a hlawhtling lo a nih chuan enkawlna dang, electroconvulsive therapy emaw catheter ablation emaw i hman a ngai mai thei.
• Damdawi hian mi zawng zawng tan a thawk tha tawk lo. A chang chuan, hun rei tak chhunga hlawhtlinna rate chu 50% vel a ni.

Engtikah nge damdawi lam thurawn i lak nghal ang?

Chemical cardioversion hnua a hnuaia chhinchhiahna danglam tak takte hi i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh:A nih loh leh kum 1990 khan ambulance service call la, hengte hi ngaihthah suh.

• Lung na tak tak
• Luak chhuak nasa tak
• Lung hring (lightheadedness) a awm
• Taksa chak lohna
• Sudden thawmhnaw a chhuak
• A rilru a na
• Thâwk harsa
• Allergy symptoms te chu hives te hi a ni

I doctor-in damdawi a pek zawng zawng, enkawl hma leh enkawl zawhah pawh, a hun takah ei vek tur a ni. Zawhna i neih chuan i doctor zawh hreh ngai suh.