I thinlung electric signal a tibuai em? (Left Anterior Fascicular Block) a ni a, a hnuaia mi ang hian a awm.

`(Left Anterior Fascicular Block)` tih thumal i hriat khan i buai deuh mai thei a, a nih loh leh doctor-in a hrilh che khan eng nge a nih tih hriatthiam harsa i ti mai thei bawk. A nihna takah chuan i ngaihtuah angin a buaithlak lo. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila. Eng nge a nih, engvanga lo awm nge a nih, a natna lan chhuah dan te, engtin nge kan hriatchhuah theih ang tih te, eng nge kan tih tur tih te i lo en ang u.

(Left Anterior Fascicular Block) tih hi eng nge ni? A awlsam zawngin sawi ila...

I thinlung hi electrical system te tak te angin ngaihtuah rawh. He electrical system hian heartbeat, heart in contraction leh thisen pump dan chu a hun takah a control thin. Thinlung chhungah hian ‘wire’ system bik, a nih loh leh pathway hrang hrang a awm a, chuta tang chuan heng electrical signal te hi a kal tlang a ni.

Thinlung veilam lamah chuan electric cord lian tak a awm a, chu chu ‘left bundle branch’ kan ti a ni. Thingkung atanga hnah chhuak ang bawkin he main cord pawh hi hnah te zawk ‘fascicles’ an tih ah a inzar pharh bawk. Chung branch pakhat chu ‘left anterior fascicle’ an ti a. Hei hian electrical signal chu thinlung veilam ventricle hmalam bang-ah a phur a.

Tunah chuan a (Left Anterior Fascicular Block) hi ‘left anterior fascicle’ an tih ‘wire’ kal tlanga electrical message kal chu a tikhawlo deuh a ni. Kawngpuiah traffic jam ang mai a ni a, message a tlai deuh. Hei hian thinlung veilam ventricle - thinlung pumping ber - chu dinglam ventricle aiin a tikhawtlai deuh a ni.

Hei hi mi tam tak chunga thil thleng em ni?

Tûnah chuan, ‘He natna hi mi zawng zawng khawihtu a ni em?’ tiin i ngaihtuah mai thei. Dik tak chuan mipui 1% leh 6% inkar hian he natna hi an nei thei niin an chhut. Mahse, kum upa lam zingah a lang tam ber . Thalai zingah a tlem hle.

Eng nge a lan chhuah dan? Mi zawng zawngah a thleng vek em?

Hetah hian a pawimawh ber. `(Left Anterior Fascicular Block)` vei tam tak chuan symptom an nei lo . Chu chu, lungawi lohna an nei lo tihna a ni. A châng chuan chhan dang vanga `(ECG)` lak a nih chuan accident-a hmuhchhuah an ni.

Mahse, a chang chuan, a bik takin he ‘block’ hi a na zawk a nih chuan, emaw, thinlung natna dang nen a inzawm chuan a hnuaia chhinchhiahna thenkhat hi a lo lang thei a ni:

• Luak chhuak (Dizziness) tih hriatna .
• Chau tih hriat reng (Tiredness) .
• Fainting a ni

Heng symptoms te hi a awm chuan doctor-in `(Left Anterior Fascicular Block)` vang nge, thil dang vang nge tih a hriat chian tur a ni.

Engvangin nge hetiang (Left Anterior Fascicular Block) hi a lo awm? A chhante chu engte nge ni?

Awle, chuti a nih chuan engvangin nge thuchah thawn chhuahnaah hian hetiang taka buaina a awm? A chhan hrang hrang a awm thei.

Zirchiangtute chuan mi thenkhat tan chuan chutiang chuan an ngaiGenetically, chu chu inherited tihna a ni a, thinlung hnuai lam chamber-a electrical signal-ah thil danglam engemaw zat a awm thei a ni.

Chumi piah lamah chuan a chhan finfiah, hmuh tlanglawn tak tak engemaw zat a awm a:

• Coronary Artery Disease (CAD): Hei hi thinlunga thisen petu thisen kalna kawng (arteries) a blockage kan tih tlangpui, a nih loh leh heart attack thlentu ber a ni. Hei hi Left Anterior Fascicular Block thlentu lian tak a ni.
• Thisen sang: Hun rei tak chhung thisen sang neih hian thinlung a nghawng thei bawk.
• Structural heart disease: Entirnan, fibrosis emaw, thinlunga hliam emaw a awm. Chungte chuan electrical signal inthlunzawmna a tibuai thei a ni.
• Dilated Cardiomyopathy: Hetiang dinhmunah hian heart chambers te chu a lian a, muscle te pawh a chak lo hle.
• Lung surgery emaw enkawlna thenkhat side effect angin:
• `(TAVR)` tih awmzia chu heart valve thlak danglamna tur special treatment method hnuah `(Transcatheter Aortic Valve Replacement)` tihna a ni.
• ``Surgical Septal Myectomy'' tih surgery an neih hnuah, chu chu ``Hypertrophic Obstructive Cardiomyopathy'' tih hming pu, heart muscle a thim lutukna condition atan an ti a ni.
• Bundle branch-a sclerodegenerative disease: Hei hi kum upat dan azirin a thleng thei.
• Heart muscle inflammation (Myocarditis) vang pawh a ni thei.

Heng thilte hian thinlung electric kalna kawng a tichhe thei a, ``Left Anterior Fascicular Block'' a siam thei a ni.

Engtin nge doctor-te hian hei hi an hriat chian? Eng test nge tih thin?

`(Left Anterior Fascicular Block)` dik taka hriat theihna tur test ber leh awlsam ber chu ECG (Electrocardiogram) a ni. `(ECG)` i nei tawh em? Chu sticker ang chi thil te te chu i rilru, i kut leh keah a innghat a, thinlung electrical activity chu a record a ni. Doctorin `(ECG)` strip a en hian awlsam takin he `block' hi a awm leh awm loh a hre thei.

Chu bâkah, doctor chuan hriat belh a duh chuan, a nih loh leh a chhan hriat a duh chuan, test dang, chu chu:

• Echocardiogram: Hei hi thinlung ultrasound scan ang a ni. Thil tam tak a check thei a, chu chu thinlung pindan lian leh te, a bang thuk zia te, valve hnathawh dan te, thinlungin thisen a pump that dan te a enfiah thei a ni.
• Stress test: Hei hi treadmill emaw exercise emaw i kal laiin i ECG leh thisen sang enfiah a ni. Hei hi i thinlungin stress a chhan dan tur hriat nan tih a ni.
• Thinlung MRI scan (Cardiac MRI): 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hian thinlung insiam dan leh hnathawh dan chipchiar zawkin a hriattir thei a ni.
• Nuclear imaging test: Heng test bikte hi thinlunga thisen kal dan ang chi thil entu a ni.

Hei hi enkawl dan tur a awm em?

Tunah chuan, ‘Awle, hei hi eng damdawi nge ni ang? Engtin nge he thil hi ka siam that theih ang?’ a ti a. Mak tak maiin `(Left Anterior Fascicular Block)` tih hi enkawlna bik a awm lo . Chu chu, electrical signal inthlunzawmna tihbuai tenau tak chu enkawlna tur damdawi bik a awm lo tihna a ni.

Mahse, a pawimawh ber chu he ‘block’ thlentu thinlung natna emaw, a dinhmun emaw enkawl hi a ni .

Entir nan:

• Coronary artery disease (CAD) i neih chuan i doctor chuan a enkawl ang (damdawi, angioplasty, bypass surgery ang chi).
• Thisen sang vang a nih chuan a thunun nan damdawi pek a ni ang.
• Lung ruh (cardiomyopathy) a chak lohna a awm chuan enkawlna \ha tak a tan ang.

A awlsam zawngin sawi ila, doctor-te chuan he `(Left Anterior Fascicular Block)` thlentu harsatna bulpui ber chu zawng chhuakin enkawl an tum a ni.

Nakinah eng nge thleng dawn? (Hmuh dan tur) .

He dinhmun hi engtin nge a kal zel dawn tih hriat a pawimawh bawk.

• Tlangval, hrisel tak chuan thinlung natna dang nei lo ``Left Anterior Fascicular Block'' chauh a neih chuan harsatna lian takah ngaih a ni lo. An nei tlem zawk a, an neih chuan nghawng lian tham a nei lo mai thei.
• Mahse, kum upa zawkin a vei a nih chuan, a bik takin kum 50 chunglam a neih chuan, a chang chuan thinlung natna dang hmahruaitu emaw, tilangtu emaw a ni thei.

Research atanga a lan dan chuan ``Left Anterior Fascicular Block'' vei te hian midang aiin:

• Congestive Heart Failure a awm thin
• Atrial Fibrillation (thinlung thawk mumal lo, rang tak) .
• Tin, a pumpuiah chuan thihna hlauhawmna a sang zawk tih a sawi bawk.

Chuvangin, hei hi ‘Aw, block tenau mai a ni’ tia hnawl mai mai chu thil tha a ni lo, a bik takin i upa deuh emaw, symptom dang i neih chuan. Hemi chungchang hi doctor nen inbiakna neihpui a, a tul anga test neih tir a pawimawh.

Engtin nge ka thinlung hi ka enkawl ang?

He `(Left Anterior Fascicular Block)` hi thinlung natna dang nen a inzawm theih avangin a tha ber chu i thinlung enkawl tha hi a ni . Chûng thilte chuan a ṭanpui thei che a ni:

• Ei leh in hrisel tak zawm rawh:
• Saturated fat tlem zawk ei tur ei thin ang che. Oil, chaw hmin, bawnghnute thau tamna, leh sa sen i ei kha tihtlem rawh.
• I eitur ah thei, thlai, legumes leh whole grains te tam zawk dah la.
• Chi ei tamna tihtlem.
• Exercise neih fo thin ang che:I doctor thurawn angin ni khatah minute 30 tal exercise tlemte, kea kal emaw, tui chawi emaw ang chi ti thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Meizial i zuk chuan chawlhsan nghal rawh. Meizial zuk hi thinlung tan a tha lo hle.
• Stress tihziaawmna: Meditation, yoga, thawk chhuahna exercise, leh hobby-a inhmang ang chi thilte hian a ṭanpui thei a ni.
• Thisen sang leh cholesterol sang i neih chuan control tha rawh. Damdawi doctor-in a pek chu a hun takah leh a pek zat angin ei thin ang che. Doctor hmu la, hengte hi enfiah fo rawh.
• Zunthlum i neih chuan control tha rawh.

Engtikah nge Doctor ka hmuh ang?

• Checkup neihpui turin doctor pan fo a pawimawh . Chutiang chuan thisen sang emaw cholesterol ang chi natna khirh tak tak i neih chuan a control tha em tih i hmu thei ang.
• If you feel anything different than usual , a bik takin i rilru na, thawk harsa, i ke a hring, emaw, i chau emaw i neih chuan doctor pan ngei ngei tur a ni.
• `(Left Anterior Fascicular Block)` i nei tih i hriat chuan i doctor-in a tih angin `(ECG)` leh test dangte tih chhunzawm zel ang che .

Engtikah nge damdawi inah ka kal nghal ang (ETU) ?

Heng heart attack symptoms zinga pakhat tal i neih chuan hun khawhral suh la, ambulance dil turin 1990 call nghal la, a nih loh leh hospital hnai ber emergency room-ah a rang thei ang bera kal rawh:

• A rilru a na lutuk, a tight emaw, a pressure emaw a awm a, chu chu a laiah emaw, a veilam emaw a ni. He natna hi minute engemaw zat aia rei a daih a, a nih loh leh a lo thleng a, a bo vek bawk.
• Thâwk harsa nghal.
• A natna chu kekawrte, kawr, hmui, kutphah emaw, hnungzang emaw thlenga darh ang maiin a lang.
• Thaw chhuak nghal, luak chhuak, luak chhuak, luak chhuak, emaw muhil emaw.

Heng symptoms te hi fimkhur rawh. Enkawlna rang tak hian nunna a chhanhim thei a ni.

Doctor hnenah eng nge ka zawh ang?

Doctor i hmuh hian he `(Left Anterior Fascicular Block)` chungchanga zawhna i neih apiang zawt hreh suh. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni. Chu chuan i hriatthiam belh theih nân a ṭanpui ang che:

• 'Doctor, engvangin nge he `(Left Anterior Fascicular Block)` hi ka neih? Lung natna hnuaia awm dang ka nei em?’ a ti a.
• 'Coronary artery disease ka test tur em ni?'
• 'He 'block' avang hian heart attack emaw heart disease dang emaw ka neih theihna tur risk chu eng nge ni?'
• 'Eng symptom nge ka ngaihtuah bik tur?'
• 'Ka thinlung hrisel taka awm reng turin eng nunphung nge ka tihdanglam theih ang?'
• 'Engzat nge ECG emaw test dang emaw ka tih ang?'

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

Okay, chuvangin `(Left Anterior Fascicular Block)` chungchang hi kan sawi nasa hle. A tawi zawngin:

• Hei hi thinlung electrical system veilam sir a ‘wire’ te tak te signal path tihbuai a ni.
• Mi tam tak chuan symptoms an nei lo.
• Hei hi damdawi chiang tak a awm lo va, mahse a chhan bulpui ber chu enkawl a ni .
• Hei hi kum naupang zawkte aiin kum upa zawkte thinlung natna dang a awm tih tilangtu a ni thei.

Hei hi enkawlna chiang tak awm lo mah se, thinlung natna dangte chungchâng hriatna min pe thei tih hre reng ang che . Chuvang chuan a pawimawh ber chu i thinlung enkawl a, Doctor thupek zawm tur a ni. Coronary artery disease leh heart failure lakah inveng rawh. Doctor hnenah checkup fo la, damdawi i pek ang chiah kha hmang rawh. I thinlung hi i tan a hlu em em a ni! Chuvangin uluk takin enkawl rawh.

` Lung natna, thinlung electrical system, ECG, thinlung thawk, Left Anterior Fascicular Block, thinlung hriselna, thinlung natna