I thinlung chu rang takin a na hle tih i hmu ngai em, a nih loh leh i tawng tawh em? A chang chuan hei hi thil pangngai a ni thei a, a chang chuan ngaihtuahawm tak a ni thei bawk. Vawiin hian
Monomorphic Ventricular Tachycardia tih natna pakhat kan sawi dawn a, chutah chuan heart rate chu a pangngai lo takin a sang thin. A hming hi sei deuh mahse, a awlsam zawngin i dah ang u.
Monomorphic Ventricular Tachycardia chu eng nge ni?
A awlsam zawngin, hei hi thinlung thawk mumal lo, a nih loh leh
arrhythmia . Hei hi i thinlung hnuai lam,
ventricles , tia koh te chu hlauhawm takin an thawk tan thin a ni. Hetiang thil a thlen dan leh a thlen hun azirin harsatna hlauhawm tak, nunna atana hlauhawm tak pawh a ni thei. Ngaihtuah teh, he
Ventricular Tachycardia (VT) natna hi a na zual thei a,
Ventricular Fibrillation (V-fib) tih hming pu arrhythmia thihna thlen thei takah a chang thei a ni. Chutiang a nih chuan thinlung chu a tawp thei a ni. Mi pakhat bulah i awm a, a rilru a buai nghal a, pulse a nei lo
a nih chuan 911 (a nih loh leh a kaihhnawih emergency number) call nghal a, CPR (Cardiopulmonary Resuscitation) rang taka tan a, a bula awm a nih chuan AED (Automated External Defibrillator) zawn a pawimawh hle. CPR pek dan i hriat loh chuan emergency responder te chu phone hmanga CPR pek dan zirtir turin an zirtir fo thin. Mipui hmuna i awm chuan building leh institution tam takah AED an nei . Hengte hi hetiang huna nunna chhanhim thei hmanraw hlu tak tak an ni.
He dinhmun hming hian eng nge a awmzia?
"Monomorphic ventricular tachycardia" tih hming hi a hmun hrang hrangah a inthen a, a awmzia chu:
- Mono (Mono-) : Pakhat.
- -morphic : a pianzia.
- Ventricular : I thinlung hnuai lam, veilam leh dinglam ventricle te nen a inzawm .
- Tachy- : Fast.
- -cardia : thinlung .
Chu chu,
ventricular tachycardia (VT) hi i thinlung hnuai lam chamber-te chu rang takin a thawk a, mahse thisen a pump tha lo tihna a ni. Hei hi ventricular muscle-a electrical circuit dik lo vang a ni tlangpui. "Monomorphic" tih thumal hi he heart rhythm
hi electrocardiogram (ECG)-a record dan atanga lo chhuak a ni.Pakhat –
ECG emaw
EKG emaw kan ti thin – chu a lan dan atanga thlir a ni. Monomorphic
VT -ah chuan
ECG- a wave zawng zawng hi a inang vek a, a pianzia inang vek a ni.
VT vei zinga 70% vel chuan he monomorphic type hi an nei a ni.
ECG hian thinlung electrical activity chu sensor engemaw zat hmangin a teh a, chu chu
electrode (a tlangpuiin 12) an ti a, chu chu i rilru vunah a inzawm a ni. Heng electrode te hian electrical activity chu an man a, paper emaw screen emaw ah wave series angin an entir a ni. Monomorphic
VT tih awmzia chu heng wave zawng zawng hi an pianzia inang vek an ni tihna a ni.
Monomorphic VT hi subtype lian pahnih a awm a, chungte chu:
Hetiang dinhmun hi chi hnih a awm a, chungte chu:
- Non-sustained : Hetiang chi monomorphic VT hi a zawnin beat thum aia tam a daih a, mahse second 30 aia rei lo a daih thung. Mahse, a thleng nawn fo thei. Chutiang a lo thlen chuan hriat a har thei hle.
- Sustained : Hei hi monomorphic VT a ni a, second 30 aia rei a ni a, a nih loh leh thinlung chu a rhythm pangngaia a awm leh theih nan enkawlna engemaw zat a ngai a ni.
Monomorphic ventricular tachycardia leh polymorphic ventricular tachycardia te hi eng nge an danglamna?
Polymorphic Ventricular Tachycardia hi monomorphic
VT nen a inang a, mahse danglamna lian tak pakhat a nei thung. "Polymorphic" tih awmzia chu "a pianzia hrang hrang" tihna a ni.
ECG -ah chuan polymorphic
VT wave te chu beat khat atanga beat dang ah a inthlak thin. Hei hian i thinlung electrical activity chu monomorphic
VT aiin a erratic zawk tihna a ni.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
Ventricular tachycardia hi
mipa ah a tam zawk . Puitling, a bik takin tarte, leh thinlung natna nei te, a bik takin
ejection fraction tlahniam te a nghawng a ni . Naupangah pawh a awm thei a, mahse a tlem hle. Nau piang laia awm
, structural heart disease nei te zingah a awm tlangpui. Tin,
ventricular tachycardia thlentu dinhmun ,
Brugada syndrome emaw
arrhythmogenic right ventricular cardiomyopathy emaw te pawh hi rochun theih a ni bawk.
Hetiang dinhmun hi engtiang chiahin nge a awm?
United States-ah chauh pawh
, ventricular tachycardia leh a kaihhnawih arrhythmia
ventricular fibrillation an tih hian kum khatah mi 300,000 vel a thihpui thin.
He dinhmun hian engtin nge ka taksa a nghawng?
Monomorphic ventricular tachycardia hi i thinlung electrical system-a harsatna awm vang a ni tlangpui. Buaina avang hian ventricles te chu a beat chak em em a, an vuak leh a ngai hma chuan thisen khatna hun an nei tawh lo. Ventricles te pawh hi a hun dik lovah an beat thei a, chu chuan thinlung chunglam chamber te nen an rhythm an hloh thei a ni.
Ventricular tachycardia hi a na zual thei a,
ventricular fibrillation (V-fib) a lo ni thei bawk. Hei hi thinlung hnuai lam (lower chambers) thisenin a khat thei lo tihna a ni bawk a, mahse a pawi zawk.
V-fib -ah chuan ventricles te hi an beat tha lo va, chu ai chuan an quiver mai thin. Heart hian thisen a pump tha lo a,
ventricular fibrillation hian awlsam takin
cardiogenic shock emaw
sudden cardiac arrest emaw a thlen thei a ni . Chumi awmzia chu i thinlung hian i taksa mamawh phuhruk turin thisen a pump tling thei lo tihna a ni.
Ventricular tachycardia hi a chang chuan
V-fib -ah lut lovin heart attack-ah a kal nghal thei bawk.
Sudden cardiac arrest hi
CPR pek nghal loh chuan minute tlemte chhungin thihna thlen thei a ni (damlo chhanchhuah theih loh chuan
Sudden Cardiac Death an ti fo thin).
Monomorphic ventricular tachycardia natna lan chhuah dan chu engte nge ni?
Mi thenkhat chuan monomorphic
VT nei mahse symptom an nei lo. Symptoms a awm loh chuan
VT hi a rei lo tlangpui a, a na lo hle. Monomorphic
VT symptoms te chu:
- Rapid pulse (or no pulse) : Monomorphic VT -ah chuan i heart rate hi minute khatah beat 140 leh 180 inkar a ni tlangpui (value sang zawk hi a chhe zawk tlangpui a, symptoms i nei tam zawk bawk). A then phei chuan i pulse i hloh vek thei a, chu chu heart attack i nei tihna a ni.
- Heart palpitations : Hei hi i thinlung na tak tak, pulse nei lovin i thinlung a na a, a nuam lo hle. I thinlung a thawk chhuak, a na a, a skip emaw, a flutter emaw ang maiin a awm thei.
- Chest pain (Angina) : Hei hi i thinlungin thisen a kal tlem chuan a thleng thin.
- Dizziness or lightheadedness : Hei hi i thinlungin thluak mamawh oxygen pe thei tur thisen a pump tlem chuan a thleng thin.
- Syncope : Hei hi VT a nasat chuan luak chhuak hnuah a thleng thei. Thil hriatna hloh vek emaw, near-syncope dinhmun chhunzawm zel emaw pawh a ni thei.
- Dyspnea: Thisen kal tha lo vangin i taksaah oxygen a tlachham a , thawk harsa a ti hle .
Eng thilin nge monomorphic ventricular tachycardia hi a thlen?
Monomorphic
VT hi chhan hrang hrang vang a ni thei. Chung zinga ṭhenkhat chu:
- Ischemic heart disease : Ischemia hian thisen kal a tihtlem avangin i thinlung electrical system a tibuai thei a, monomorphic VT a thlen thei bawk.
- Cardiomyopathy : Thinlung chak lo leh hliam nei (a chhan hrang hrang, entirnan, ischemia) nei te chuan electrical circuit pangngai lo tak tak an nei thei a, chu chuan VT a thlen thei a ni.
- Pre-existing arrhythmias : I thinlung electrical system tibuaitu natna hi a mah chauhin a lo awm thei a, a nih loh leh pian tirh atangin a awm thei bawk. Hei hi entirnan Brugada syndrome hi a ni .
- Structural heart problems : I thinlung electrical system hi i thinlung pianziaah a innghat a ni. Chu pianzia chu a inthlak chuan electric current kalna hlat zawng chu a pung thei a, a tlahniam thei bawk. Heng inthlak danglamna te hian i heartbeat-a step hrang hrangte timing chu a inmil lo thei a, chu chuan monomorphic VT a thlen thei a ni. I pianpui structural heart conditions i nei thei a, a then chu i nu leh pate hnen atanga i rochun a ni.
- Electrolyte imbalances : Hengte hi i taksain i thinlung cell-te hnathawh thatna tura a mamawh mineral thenkhat a neih tam lutuk (a nih loh leh a neih tlem lutuk) hian a thleng thin.
- Damdawi leh damdawi : Damdawi ( digitalis ang chi) leh damdawi ( methamphetamine emaw cocaine ang chi) te hian monomorphic VT a thlen thei.
- Myocarditis : Hei hi thinlung ruh natna a ni. Chhan hrang hrangin a awm thei a, hri kai pawh a tel.
- Thil dang : Cardiac amyloidosis , lupus, emaw rheumatoid arthritis ang chi natna hian monomorphic VT a thlen thei bawk.
Hei hi hri kai theih a ni em?
Monomorphic
VT hi a kai theih loh avangin mi pakhat atanga mi dangah a darh lo. Mahse, a thlentu dinhmun thenkhat chu genetic a ni. Chumi awmzia chu naupangte chuan an nu leh pate hnen atangin an rochun thei tihna a ni. Infection avanga inflammation vang pawh a ni thei a, a chang chuan hri kai theih a ni.
Engtin nge monomorphic ventricular tachycardia hi hriat theih?
Monomorphic
VT , hriat theih nan chuan damdawi inah
ECG test neih a ngai a ni. Doctor chuan he test hi hmangin
...He natna hi a waveform a lantir atang hian hriat theih a ni. Monomorphic
VT hriat theihna awmchhun chu
ECG hmanga hriat theih a ni . Hei hi a chhan chu thinlung electrical activity uniform waveform hmuh theihna awmchhun a nih vang a ni.
Non-sustained monomorphic VT , a lo kal leh kal tihna i neih chuan
ECG ang bawka principle hmanga test i neih a ngai ang a, mahse damdawi ina awm reng a ngai lo. Hengte hi
ambulatory monitor an ti a . Hengte hi hun rei tak chhunga
ECG data record thei device an ni. In lamah i hruai thei a, monitor chi hrang hrang a zirin ni tam tak emaw, kar tam tak emaw pawh i ha thei bawk.
Engtin nge monomorphic ventricular tachycardia hi enkawl a nih? Dam theih a ni em?
Sustained ventricular tachycardia i neih loh a, symptoms i neih loh chuan
ventricular tachycardia enkawlna i mamawh lo mai thei. Mahse, i doctor chuan he natna hi i tan harsatna a thlen thei tih chhinchhiahna en reng turin a fuih fo ang che.
Sustained ventricular tachycardia hian heart attack a thlen theih avangin (direct emaw
V-fib -a chantir emaw) i thinlung chu a normal rhythm-a dah leh a pawimawh hle. Hei hian enkawlna pakhat emaw, a aia tam emaw a mamawh fo thei a, damdawi aṭanga operation thlengin. Monomorphic
VT awm chhan a zirin enkawl theih a ni tlangpui a, mahse tihdam theih a ni ngai lo. I natna hi a dam theih leh theih loh chu a chhan bulpuiah a innghat fo thin.
Monomorphic ventricular tachycardia hi eng damdawi leh enkawlna nge hman?
Monomorphic
VT enkawlnaah hian a hnuaia mi pakhat emaw a aia tam emaw a tel tlangpui:
- Damdawi : Anti-arrhythmia damdawi hian ventricular tachycardia avanga harsatna leh thihna thlen theihna nasa takin a tihziaawm thei a ni. Damdawi dangte pawhin i thinlung chu a rhythm pangngaia a awm leh theih nan a pui thei bawk. Heng damdawi thenkhat hi damdawi inah chauh pek che a ni a, a chhan chu intravenous (IV) line emaw injection hmanga i taksaah direct-a pek a nih vang a ni. Damdawi dang nitin pill atan i ei theih.
- Electric defibrillation : Hei hian electric current hmanga i thinlung chu rhythm pangngaia "shock" turin a huam a ni. Hei hi i dinhmun pum pui a nghet loh hunah, entirnan, ventricular tachycardia avanga i thisen sang a hniam em em lai atan chauh dah a ni tlangpui.
- Chest compressions : Hengte hi CPR- a hman thin technique ang chiah kha a ni . Hei hi ventricular tachycardia avanga heart attack i neih chuan tih nghal mai thin a ni . Pulse i neih chuan hengte hi a ngai lo.
- Oxygen, intubation, leh ventilation : Oxygen extra pek che (i hnar hnuaia tube kaltlangin ang chi) hian i thinlunga harsatna awm chu a tiziaawm thei a ni. I dinhmun a nghet lo lutuk a, thawk i la thei lo a nih chuan intubate i mamawh mai thei . Hei hian i rilru hnuai leh i thlipui chhungah tube dah a huam a ni. Tube hi ventilator an tih machine nen an inzawm a, chu chuan thawkna hna chu i tan a thawk a ni.
- Implantable Cardioverter-Defibrillators (ICDs) : Monomorphic VT i neih chuan implantable devices hian heart attack lakah a veng thei che a ni. ICD hi surgeon-in i rilruah a dah theih a, i thinlungah wire ( lead an tih ) hmanga a thlunzawm theih a ni. ICD hian arrhythmia a hmuchhuak thei a, electrical shock te tak te a pe thei a, chu chuan i thinlung chu a rhythm pangngaiah a siam leh thei a ni.
- Ablation : A then phei chuan healthcare provider te chuan i thinlungah scar tissue an siam thei a, chu chuan monomorphic VT thlentu electrical circuit te chu a tichhia thei a ni. Hetiang tih dan hi ablation an ti a . Hei hi surgery emaw catheter hmangin emaw tih theih a ni. Catheter-ah chuan healthcare provider chuan thisen kalna kawng lian takah (a tlangpuiin i kawr chunglam) tube ang chi hmanrua a dah a, i thinlung thlengin a kaihruai a ni. Thinlung chhunga an awm tawh chuan lumna dik tak emaw, khaw lum chakna nasa tak emaw hmangin electric circuit chhia chu tichhe thei hliam an siam a ni.
Enkawlna avanga harsatna/side effect awm thei
Heng enkawlna avanga harsatna leh side effect i neih theih dan hi a inang lo thei hle. I doctor hi i case-a thil thleng thei ber tur hrilh chetu tha ber a ni a, i mamawh (a nih loh leh i dawn tawh), i hriselna chanchin leh i dinhmun bik eng pawh a ngaihtuah thei a ni.
Engtin nge ka in enkawl/symptoms ka enkawl?
Monomorphic
VT hriat theihna turin
ECG a ngai a, chuvang chuan damdawi lam thurawn la lovin i nei tih i hre thei lo. Chumi awmzia chu Doctor hmuh loh chuan nangmah chauhin i enkawl thei lo tihna a ni.
Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?
Mi tam tak chuan enkawl hnuah an rilru a hahdam tan a, a bik takin enkawlna hian an thinlung a ti hniam a, an thinlung chu a rhythm pangngaiah a hruai kir leh a nih chuan. Thil dang dangah chuan i rilru a hahdam hmain enkawlna dang emaw, operation emaw i mamawh thei bawk. Operation i mamawh chuan operation zawh hnuah chauh i dam kim lo mai thei. I doctor hi i dam hun tur leh i dam chakna tur i tih theih tur a awm leh awm loh chungchang sawipui tur tha ber a ni.
Hetiang hi ka vei theihna tur hi ka tihtlem thei ang em, ka veng thei ang em?
A tam zawkah chuan monomorphic
VTHarsatna sawi lawk theih loh a ni. A dang thei lo tihna a ni. A ven theihna awmchhun chu i vei theihna tur dinhmun emaw thiltih emaw pumpelh hi a ni. Hei hi entirnan ruihhlo
methamphetamine emaw
cocaine emaw hman loh hi a ni . Monomorphic
VT thlentu natna dang i neih chuan, chu natna chu pumpelh emaw, tihkhawtlai emaw hmangin
VT vei theihna i tihtlem thei ang. Mahse, hei hi a theih reng reng lo. Monomorphic
VT hi inherited emaw congenital condition avanga lo awm a nih chuan ven theih a ni lo.
Hetiang dinhmun hi ka neih chuan eng nge ka beisei ang?
Monomorphic
VT -a symptoms i neih loh chuan damdawi lam pan i ngai lo mai thei. Monomorphic
VT symptoms i neih chuan
emergency medical attention i mamawh nghal a ni . Hei hi a chhan chu
ventricular tachycardia hian awlsam takin heart attack a thlen thei (a awm nghal emaw,
V-fib- a inthlak emaw pawh ni se).
Monomorphic VT hi eng chen nge a awm?
Hetiang dinhmun hi a rei lo hle thei a, vawi khatah hun rei lote chauh a awm thei a, minute tlemte chhung pawh a awm thei bawk. Mahse, he dinhmun hi a hlauhawm avangin chhunzawm zel tur a ni lo. Chuvangin, harsatna emaw, thihna emaw laka invenna atan emergency medical treatment hi a pawimawh em em a ni.
Hetiang dinhmun hi eng nge a thlir ang?
Non-sustained ventricular tachycardia , a bik takin asymptomatic a nih chuan harsatna hlauhawm tak a ni lo tlangpui.
Monomorphic VT , a bik takin symptomatic a nih chuan emergency medical treatment i mamawh a ni. Chu enkawlna tel lo chuan i thinlung chu arrhythmia na zawk a nei thei a, a tawp vek thei bawk.
Engtin nge ka in enkawl ang?
I doctor hi monomorphic
VT i vei tih hmuhchhuah a nih hnua i in enkawl dan tur i tih theih dan tur kaihruaitu tha ber a ni. A tlangpuiin hengte hi i ti tur a ni:
- I damdawi ei tur chu a tih angin ei rawh . Hei hi a pawimawh hle a, a chhan chu damdawi hian i thinlung rhythm chu monomorphic VT -a a inthlak loh nan a pui thei a ni. Doctor nen inbia lovin i damdawi ei kha i bansan tur a ni lo. I damdawi ei emaw, dah emaw chungchanga zawhna i neih chuan i doctor emaw pharmacist emaw nen inbia la, thu belhchian dawl zawk i dawng ang.
- I doctor hnenah a rawt angin hmu rawh . He natna avanga harsatna emaw harsatna dang emaw lo awm tur venna atan hian follow-up care leh medical visit hi a pawimawh hle.
Engtikah nge ka doctor ka hmuh ang?
Doctor hnenah a rawt angin i hmu fo tur a ni. Symptoms i neih tan chuan doctor i pan tur a ni a, i symptoms a danglam a, i nun a tibuai tan a nih chuan i doctor i pan tur a ni. Tin, i doctor office biak emaw, damdawi lam pan emaw ngai thei symptom dang emaw, warning sign emaw i neih chuan i doctor zawt bawk ang che.
Engtikah nge Emergency Department (ETU) ah ka kal ang ?
Monomorphic
VT -a symptoms i neih chuan damdawi in emergency room-ah i kal tur a ni. Hei hi a chhan chu he natna lan chhuah dan hi dinhmun hlauhawm dang,
heart attack emaw
pulmonary embolism emawa hmuh theih nen a inang hle a ni. Symptoms fimkhur tur chu:
- A rilru a na ( angina ).
- I thinlung a na hle tih hriat.
- Thâwk harsa.
- Luak chhuak emaw, lu hahdam emaw.
- Mumang a nei.
A tawp berah chuan take-home message:
Monomorphic ventricular tachycardia hi natna hlauhawm tak a ni. Hetiang natna lanchhuahna i neih chuan damdawi lam pan nghal a pawimawh. Enkawlna i zawn hma poh leh i healthcare provider chuan i dinhmun chu a na zual hmain a hmuchhuak thei ang a, a enkawl thei ang. He natna hi tihdam theih a nih loh laiin, a tlangpuiin i nun leh i thiltih nuam ber berte i neih leh theih nan enkawl theih a ni.
A pawimawh ber chu thlamuang taka awm a, doctor thupek zawm hi a ni. Lung natna, tachycardia, arrhythmia, ECG, thinlung natna, ventricular fibrillation, lungphu chawl nghal vat
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