I thinlung chu a na nghal zual sauh em? He (Junctional Tachycardia) chungchang hi i zir chiang ang u!

Nangmah emaw, i chhûngkaw zînga mi tu emaw, a bîk takin naupang tê tê emaw chuan rang takin, ngaihtuah phak loh khawpa rang takin thinlung natna i tawng tawh em? A nih loh leh doctor-in (Junctional Tachycardia) tih hming a hrilh che khan i hlau deuh em? Lungngai suh. Hei hi thil awm lo tak a ni a, mahse awlsam taka i hriatthiam chuan hahdamna nasa tak i nei ang. Vawiin hian chipchiar takin sawi ila.

(Junctional Tachycardia) tih hi eng nge ni? A awlsam zawngin sawi ila...

A awlsam zawngin, (Junctional Tachycardia) hi kan thinlung rhythm, chu chu kan thinlung thawk dan pattern a danglam deuh a, a thleng rang zawk tihna a ni. A dik zawka sawi chuan hetah hian thil thleng chu thinlung thawk hi hmun dik atanga intan ni lovin, hmun dang atanga tan a, tlan chak zawk a ni.

Ngaihtuah teh, kan thinlung hian electrical system a nei a. Hei hian thinlung chu a hun takah a beat theihna tur signal a pe a ni. A tlangpuiin he signal hi thinlung chunglam hmun tenau tak (Sinoatrial node) an tih atanga tan a ni. Kan in chhunga main switch ang mai a ni. Chuta tang chuan electrical message chu thinlung chhung zawngin a fang kual a, heart muscle chu a inzawm khawm a, a ti na bawk. Hei hi (Normal Sinus Rhythm) kan ti a.

Mahse, a chang chuan he (Sinoatrial node)-ah hian thil a thleng a nih chuan a thawk tha thei lo. Play-a substitute actor-in main actor a damloh ang bawkin, thinlunga hmun dang, chu chu thinlung pindan chunglam leh hnuai lam inkar a awm (Atrioventricular node) (hei hi thinlung "junction" tia sawi theih a ni bawk) hian thinlung thawk tanna mawhphurhna a la a ni. Chutiang chuan thinlung inzawmna atanga tan a thinlung na chak tak chu (Junctional Tachycardia) an ti a.

A tlangpuiin chawlh hahdam lai hian kan thinlung hi minute khatah vawi 60 leh vawi 100 inkar vel a thawk thin. Mahse, Junctional Tachycardia vei tan chuan minute khatah vawi 100 aia tam thinlung a thawk a, a chang chuan a chak zawk hle.

(Junctional Tachycardia) chi hrang hrangte chu engte nge ni?

He heart rhythm abnormality hi kawng lian pahnih a awm thei.

1. Primary emaw Congenital emaw (Junctional Tachycardia) emaw a ni thei.

Hei hi a rarest type a ni. Naute thenkhat chuan an pian tirh atangin he natna hi an nei thei a ni. Chutiang a nih chuan naute thinlung hnuai lam (ventricles) te chu chak takin a thawk thei a, minute khatah vawi 200 atanga vawi 250 vel a thawk thei a ni. Hei hi dinhmun pawi tak a ni.

2. Secondary emaw Postoperative emaw (Junctional Tachycardia) emaw a awm thei ang.

Hei hi a tam ber chi a ni. A lo awm thei a, a bik takin naupang tê tê, pianpui thinlung lama harsatna nei, chu chu siamṭhatna tura operation an neih hnua an pianpuiah a thleng thei a ni. Entirnan, naute thenkhat, thinlung natna Tetralogy of Fallot an tih siamthatna tura operation nei te chuan he natna hi an nei thei a ni. Naupang operation nei zinga 5% leh 11% inkarah a awm thei.

(Junctional Tachycardia) hi (SVT) a ni em?

Ni e, (Junctional Tachycardia) hi (SVT) chi khat a ni. (SVT) tih hi (Supraventricular Tachycardia) tihna a ni. Chu chu thinlung chamber chunglam (Ventricles chunglam) atanga tan thin heartbeat chak tak tihna a ni.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Junctional Tachycardia hi puitlingah a awm lo hle. Mahse, nausen leh naupang têah a tam zawk. Sawi tawh ang khan pianpui (a tlem hle) vang emaw, thinlung surgery hnuah emaw a lo awm thei a ni.

Eng nge a lan chhuah dan? Engtin nge kan hriat chian?

A châng chuan he natna hi chhinchhiahna awm lovin a awm thei bawk. Mahse symptoms a lo lang a nih chuan:

• Palpitations : I rilru chhungah mi pakhat a tlan lut ang maiin a lang thei a, i thinlung chu beat khat emaw pahnih emaw skip ang maiin a awm thei bawk.
• Luak chhuak : I luak chhuak thei a, ding harsa i ti thei bawk.
• Fainting : I hriatna hloh nghal maiin i tlu mai thei.
• Chau lutuk anga inhria : I chau lutuk a, engmah tih theih loh khawpin i chau thei.

Heng symptoms te hi a awm a nih chuan, a bik takin naupang tê têah chuan doctor lam pan vat a pawimawh hle.

(Junctional Tachycardia) hi engte nge ni?

Kan thinlunga Sinoatrial node chu electrical signal dik taka siam chhuah theihna tura tibuaitu chhan engemaw zat a awm. Hei vang hian Junctional Tachycardia a lo awm thin.

Entirnan, he natna hi damdawi (Digoxin) (brand names Cardoxin® emaw Digitek®) toxicity vang a ni thei.

A chhan dang tlemte chu hetiang hi a ni:

• Myocarditis : Lung ruh natna (inflammation) a awm.
• Lung natna a ni.
• Heart valve thlak emaw, heart surgery dang emaw tih theih a ni.
• Congenital heart disease : Hei hi a chhan awm lo tak a ni.
• Catheter ablation hi heart rhythm disorder dang enkawlna a ni.
• Lyme natna a ni .

Engtin nge (Junctional Tachycardia) hriat theih ang?

Hetiang dinhmun hriat theihna atana test ber chu (Electrocardiogram - ECG) a ni. Hei hian thinlunga electrical activity a record a ni. (Junctional Tachycardia) vei chuan ECG ah P wave a bo ang. He P wave hi (Sinoatrial node) atanga thinlung a thawk tan tih signal a ni.

ECG bakah hian i doctor chuan i medical history kimchang a la ang. Test dang a order thei bawk a, chu chu thisen test leh echocardiogram, thinlung ultrasound a ni.

Engtin nge enkawl a nih?

Enkawlna chu i natna chhan leh i natna lan chhuah danah a innghat a ni. Lung zai hnua rhythm pangngai lo chu a lo intan a nih chuan i doctor chuan:

• Taksa chhunga electrolyte awm zat inthlauhna siamthat.
• Khawsik i neih leh neih loh enfiah la, a neih chuan enkawl rawh.
• Heart rate tihziaawmna tur damdawi pek.

Enkawlna dang a awm bawk:

• Heart rate tihkhawtlai emaw, a rhythm pangngaia awm leh theihna tur damdawi, (Amiodarone) (brand name Cordarone® emaw Pacerone®) te pawh pek theih a ni.
• Enkawl dan (Catheter ablation) emaw (Cryoablation) emaw tih te hi a ni. Hei hian thinlung chhunga electrical signal mumal lo siamtu hmunah catheter dahin chu hmun chu a tichhia a ni. (Cryoablation) hi khaw lum lutuk hmanga tih a ni.
• Overdrive atrial pacing: Pacemaker ang chi pawn lam thil hmanga thinlung rhythm chu a pangngaia siam leh tumna.

Enkawlnaah hian harsatna a awm em?

(Catheter ablation) enkawl hnuah hian a chang chuan he rhythm pangngai lo hi a lo let leh thei a ni. Tin, puitlingah (Catheter ablation) a awm chuan (Atrioventricular block) (chu chu (Sinoatrial node) hnuaia electrical signal phurtu conductor lo awm tur blockage tihna a ni). Hetiang hlauhawmna hi a tlem avangin doctor-te chuan (Cryoablation) tih dan hi an hmang \hin. Vawi hnih vel hnua (Ablation) enkawlna a hlawhtlin loh chuan (Pacemaker) (heartbeat control tu device te tak te) implant a ngai mai thei bawk.

Heng enkawlna atanga dam leh tur hian eng chen nge a mamawh?

A tlangpuiin catheter ablation hnuah in lamah i haw thei a, i thil tih pangngai chu i thawk leh nghal thei a ni. Mahse, thil hahthlâk tak tak i tih hmain ni engemaw zât i nghah a ngai mai thei. Hemi chungchangah hian i doctor chuan thupek chiang tak a pe ang che.

(Junctional Tachycardia) hlauhawmna hi tihziaawm theih a ni em?

Doctor-te chuan Junctional Tachycardia vei theihna chu an tihziaawm thei a, chu chu operation hma emaw, operation neih lai emawa damdawi thenkhat pek a ni. Entir nan:

• (Magnesium) tih a ni
• (Propranolol) (brand hming Inderal®XL emaw InnoPran®XL emaw)
• (Dexmedetomidine) (Hei hi naupang tê tête lung zai laia hman ṭhin a ni) .

(Junctional Tachycardia) vei chuan eng nge a beisei theih ang?

He rhythm pangngai lo awm chhan hi hmuhchhuah a nih hnu leh enkawl a nih chuan a natna lan chhuah dan chu a reh zauh zauh ang. Mahse, i Junctional Tachycardia dinhmun a ṭhat hma chuan damdawi inah i awm a ngai dawn a ni.

Hetiang dinhmun atanga chhuak (Outlook) hi chi hrang hrangah a inang lo.

• Primary emaw Congenital emaw (Junctional Tachycardia) emaw a ni thei.A dinhmun hi enkawl harsa tak a ni. Tin, natna khirh tak tak, (Heart failure) (heart failure), (Complete heart block) (Thinlung electrical signals a block vek), leh (Ventricular fibrillation) (thinlung hnuai lam chambers control loh taka beating) te a thlen thei bawk. Enkawl loh chuan thihna chance 9% a awm. Mahse, he rhythm hi thla ruk hmasa ber atanga tan a nih chuan a rah chhuah chu a tha zawk hle.
• Secondary emaw Postoperative Junctional Tachycardia hi operation hnu ni hnih atanga ni thum chhung a awm tlangpui a, mahse kar khat chhungin a reh fo thin. Thisen sang hniam, luak chhuak, leh hriatna hloh a thlen thei a ni.

Engtikah nge Doctor ka hmuh ang?

Damdawi in atanga i haw hnuah kar hnih hnuah i doctor hnenah follow-up appointment i nei tur a ni. Junctional tachycardia thlentu underlying condition pawh enkawl chhunzawm zel tur a ni.

Engtikah nge emergency room (ER) ah ka kal ang?

Catheter ablation i neih tawh chuan, catheter dahna hmunah (a tlangpuiin groin) a hnuaia symptoms te hi i neih chuan doctor rawn la nghal rawh:

• A lo hring nghal a nih chuan.
• Hrem leh vawn hnuah pawh thisen chhuak a reh loh chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Nangmah emaw, i fa emaw hian he natna hi i nei tih i hriat chuan zawhna tam tak neih hi thil pangngai a ni. Heng thilte hi i doctor zawh hreh suh:

• Ka fa/kei hian eng ang Junctional Tachycardia nge kan neih?
• Ka dinhmun enkawlna tha ber chu eng nge ni?
• Ka fa dangte pawhin he natna hi an neih theihna chance a awm em?

I fain Junctional Tachycardia a vei a nih chuan i doctor hnenah a symptoms zawt la, hrethiam rawh. Tichuan, hetiang thil hi a lo thleng leh a nih chuan i hre thuai thei ang. I fain enkawlna a dawn dan leh a hlauhawmna chungchang zawhna zawt hlau suh. Heng zawng zawng hi i hriat chian chuan i fa thatna tur thutlukna tha ber siam turin a pui ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

(Junctional Tachycardia) tih hming i hriat hian hlau suh. Hei hi thinlung rhythm-a harsatna a ni a, mahse:

• Hei hi hriat theih a ni. Hei hi ECG ang chi test hmanga hriat theih a ni.
• Enkawlna hrang hrang a awm. A chhan azirin damdawi emaw (Ablation) ang chi hmanga control theih a ni.
• A bik takin operation hnua lo awm chi hi chu hun eng emaw chen atan a ni fo. Ni engemaw zat hnuah a tha leh ang.
• I doctor nen zalen takin inbiakna nei rawh. I zawhna leh hlauh zawng zawng chu i doctor nen sawiho la, rilru hahdam takin awm rawh.

A pawimawh ber chu nangmah chauh i ni lo tih hriat reng hi a ni. Doctor leh healthcare staff te pawhin tanpui turin an inpeih reng a ni.

Nang leh i chhungte hriselna tha neih duhsakna ka hlan e!