I thinlung na leh lungkhamna hian lungkhamna a siam em? (Heart Palpitations & Anxiety) - Hemi chungchang hi han sawi ila!

I rilru chu chhan bik nei lovin a rawn na nghal zat a, a rawn na nghal bawk em? Hmun hla tak i tlan chhuak chauh ang maiin. A nih loh leh i rilru chhungah thil a rawn inher a, beat khat skip a, a rawn pound leh ang maiin i hria em? Hei hi mi tam tak chunga thil thleng a ni. Hei hi a bik takin hlauhna, nawrna, lungkhamna nasa tak i neih hian a thleng thei a, chu chu ``Lungkhamna'' kan tih chu a ni. Chuvangin, hlau suh. Hemi chungchang hi vawiin hian chiang takin sawi ila.

A awlsam zawngin, heng thinlung natna hi engte nge ni?

‘Heart Palpitations’ tih thumal hian mi thenkhat a ti hlauthawng mai thei. Mahse hei awmzia awlsam ber chu i thinlung a na hle tih i hre tan tih hi a ni. A tlangpuiin kan thinlung na tak hi kan hre lo. Mahse hetih lai hian, .

• Thinlung chu nasa tak leh rang takin a na ang maiin a hria mai thei .
• I rilruah hnim hring hring ang maiin i inhria mai thei .
• Lungphun chu vawi khat chu skip ang maiin a lang thei a, a dawt lehah chuan a thawk chak zawk .
• I thinlung chu a thawk mumal lo ang maiin a lang thei , a thawk chak zawk, chutah a thawk slow zawk, chutah a thawk chak lehzual leh bawk.

Hetiang rilru put hmang hi rilruah, kawr chhungah emaw, kawr chhungah emaw a awm thei a ni. A chang chuan second tlemte chhungin a bo vek thin. Hun dangah chuan minute engemaw zat a daih thei bawk.

Engvangin nge lungkhamna hian rilru natna a thlen? Eng nge inzawmna chu?

Kawngpuiah i kal laiin ui lian tak pakhatin a rawn zuang nghal che tih han mitthla teh. I chungah eng thil nge thleng? I vawt a, i thawmhnaw a chhuak a, i rilru a na tan a, a dik em? Chu chu kan taksa natural defense mechanism a ni. "Fight or flight response" kan ti a ni.

Hlauhna, lungkhamna emaw, lungkhamna emaw i neih chuan i thluak chuan hlauhawmah i ngai a ni. Chutih lai chuan thluak chuan chu "hlauhawm" hmachhawn tura inbuatsaih turin taksa hnenah signal a thawn thin. Chutih rual chuan kan taksa hian adrenaline ang chi hormone a tichhuak bawk . Heng hormone te hnathawh ber pakhat chu heart rate tih chak hi a ni. Hei hi a chhan chu taksa peng hrang hrangah thisen leh oxygen an pump nghal vat a, insual emaw tlanbo emaw theihna chakna an pe che a ni.

Chuvangin, hei hi `(Anxiety)` i neih hian a thleng thin. Hnathawhna hmuna harsatna emaw, exam emaw, mi hmaa thusawi hlauhna emaw pawh ni se, i thluak hian "hlauhawm" tiin a signal thei a ni. Tichuan `(Fight or Flight)` response chu a activate a, adrenaline a pung a, i rilru chu a na zual tan ta a ni.

Engtikah nge rilru natna hi kan ngaihtuah tur?

Lungngaihna avanga rilru natna hi a tlangpuiin hlauhawm lo mah se, rilru natna zawng zawng hi lungkhamna avanga lo awm vek a ni lo. A châng chuan hrisêlna lama harsatna chhinchhiahna a ni thei bawk. Chuvangin, a hnuaia symptom tarlan te hi i rilru natna nen i neih chuan doctor rawn nghal vat a pawimawh. Hei hian a rang thei ang bera damdawi in hnai ber Emergency Department (ETU) pan tihna a ni.

Lungkhamna tel lova rilru natna thlentu dangte

• Heart rhythm lama harsatna (Arrhythmias): Entirnan, `(Atrial Fibrillation - Afib)` ang chi natna.
• Myocarditis: Viral infection avanga thinlung ruh natna.
• Thyroid lama harsatna: A bik takin hyperthyroidism.
• Structural heart problems: Heart valve natna ang chi thil.
• A chhan dang: caffeine (coffee, tea) emaw zu in tam lutuk, damdawi thenkhat, thisen tlakchham (thisen tlakchhamna).

Engtin nge doctor hian he natna hi a hriat theih?

Hemi chungchang sawi tura doctor i pan hunah chuan uluk takin a be hmasa ang che. Hlauh a ngai lo. I rilru put hmang chu chiang takin sawi rawh. Doctor chuan hetiang hi a zawt thei che a ni:

• Eng chen nge he rilru natna hi i lo neih tawh? Eng chen nge a lo awm tawh? Ni khatah vawi engzat nge i hriat?
• Hetiang thil a thlen hma hian engtin nge i awm? Hlauhna emaw, lungkhamna emaw i nei em?
• Eng damdawi nge (vitamin leh herbal remedies te pawh tel) i ei thin?
• I ei leh in dante chu engte nge ni? Coffee, tea leh energy drink engzat nge i in thin? Zu i in em?
• I chhungkuaah hian thinlung natna nei an awm em?

Tichuan, doctor chuan i rilruah stethoscope dahin a enfiah ang. A tul chuan a chhan dik tak hriat theih nan test dang neih belh turin thu a pe thei bawk.

• Thisen test: Anemia, thyroid hormone level, leh mineral level potassium (hypokalemia) ang chi te enfiah thin ang che.
• ECG (Electrocardiogram): Thinlung electric hnathawh dan chhinchhiahna test a ni. Hei hian thinlung rhythm-a thil dik lo awm leh awm loh a enfiah thei a ni.
• Echocardiogram (Echo): Hei hi thinlung scan a ni. Thinlung insiam dan te, valve hnathawh dan te, thinlungin thisen a pump that dan te a enfiah thei a ni.
• Holter Monitor: Hei hi ni khat emaw ni hnih emaw chhunga i hman thin device te tak te a ni. Nitin hnathawh i tih laiin i thinlung hnathawh dan a record chhunzawm zel a ni.
• Event Recorder: Hei hi kar engemaw zat chhung chu i hmang thei ang. Heartbeat i hriat chuan a chungah button pakhat hmet la, chutih lai chuan ECG record a ni ang.

Lungkhamna avanga rilru natna hi engtin nge kan enkawl ang?

Test zawhah i doctor chuan i rilru a tightness chu ``Anxiety'' vang a nih thu a nemnghet a nih chuan enkawlnaah hian i ``Anxiety'' condition enkawl hi a pawimawh ber ang. A chhan chu a chhan enkawl a nih chuan a symptom (chest tightness) chu a tlahniam nghal mai dawn a ni.

Psychotherapy hmanga enkawlna

Hei hi hmanraw tangkai tak a ni. ‘Talk Therapy’ kan ti bawk. Hetah hian i harsatnate chu trained counselor emaw psychiatrist emaw hnenah i sawi a, ani chuan i ``Anxiety'' thlentu ngaihtuahna kalphungte hriatchhuah leh thlak danglam turin a pui che a ni. Chumi atan chuan Cognitive Behavioral Therapy (CBT) hi hmanraw tangkai tak a ni a, hei hi hman tlanglawn tak a ni.

Damdawi chi hrang hrang

A châng chuan doctor chuan a natna thunun nân damdawi a pe thei bawk.

• Anti-anxiety medications (anxiolytics) leh antidepressant ang chi damdawi te hian hun rei tak chhung chu lungkhamna control turin a pui thei a ni.
• Beta-blockers ang damdawi hian hormone adrenaline hnathawh a tiziaawm a, taksa lama natna lan chhuah dan, thinlung thawk chak leh khur ang chi te chu a control thei a ni.
• Benzodiazepines te pawh a awmHeng damdawi chi hrang hrangte hian emergency-ah hahdamna rang tak ni mah se, hman tlem lutuk leh hun rei lote chhung chauh hman tur a ni a, addiction hlauhawmna a keng tel avangin.

Nunphung inthlak danglamna leh palliative measures te

Damdawi bakah hian nangmah ngeiin i tih theih tam tak a awm a. Chûngte chu i nunah i siam chuan lungkhamna leh rilru natna pahnih chu i thunun ṭha zâwk thei a ni.

Chest pain instant control theih dan tur

Anxiety attack i nei nghal a, i rilru a na tan ang tih han ngaihtuah teh. Chutih lai chuan hlauthawng suh, heng thilte hi tih tum ang che.

• Deep Breathing: Hei hi a tha ber leh rang ber a ni. Hahdam takin thu rawh. I mit kha chhing rawh. I kut pakhat chu i rilruah dah la, pakhat chu i pum chungah dah bawk ang che. I hnar hmangin zawi zawiin thawk la la (4 chhiar rawh). I thawk chhuah rualin i pum chunga i kut chu hmalam pan zel tih i hre tur a ni. Tichuan second 1-2 chhung thawk kha vawn la, zawi zawiin i hmui hmangin thawk chhuak rawh (6 chhiar la). Hetiang hian vawi engemaw zat ti la, i heart rate chu zawi zawiin a normal leh tawh tih i hria ang.
• Mindfulness: I awmna hmun hi ngaihven rawh. I thil hmuh 5, i hriat 4, i khawih thil 3, i rim 2, leh i thlum thil 2 (tui tlemte pawh nise) hriat chian tum ang che. Hei hian i rilru chu hlauhna lakah a fihlim ang a, tunlai hunah a hruai kir leh ang che.
• Tui lum: I hmaiah tui lum tlem theh la. A nih loh leh tui lum glass khat in fo thin ang che. Hei hian nervous system a ti reh thei a ni.
• Kal: A theih chuan rei vak lo kal rawh. I chhehvel hi han en teh. Hei hian i rilru a tibuai ang.