A chang chuan i thinlung chu mi â ang maiin a na ang maiin i inhria em? A nih loh leh thil mak tak, i rilruah rit ang maiin i hria em? Hlauthawng suh, heng zawng zawng hi thil pawi tak avanga thleng a ni tih ngaihtuah vat vat suh. Mahse, a chang chuan heng symptoms te hi Multifocal Atrial Tachycardia (MAT) , tunlaia kan sawi tur condition chhinchhiahna a ni thei. Chuvangin, he thu hi awlsam takin, i hriatthiam theih angin sawi ila.
Multifocal atrial tachycardia (MAT) tih hi eng nge ni?
A awlsam zawngin sawi ila, multifocal atrial tachycardia (MAT) hi i thinlung chunglam chamber pahnih, atria an tih atanga electrical signal lo chhuakte chu buai takin, hmun hrang hrang atanga lo chhuak a ni. I thinlung chhunga heng upper chamber-a "electrical message center" te tak te tam tak hian vawi khatah hna an thawk tan ang maiin ngaihtuah rawh. Hei hian i thinlung chu a ti rang hle a , a ti mumal lo hle . A tlangpuiin minute khatah heart rate hi 100 aia tam a ni a, mahse a chang chuan MAT-ah chuan minute khatah 150 beats thlengin a kal thei. Hei hi Chaotic Atrial Tachycardia an ti bawk a, chu chu "chaotic atrial tachycardia" tihna a ni.
MAT leh Atrial Fibrillation hi eng nge an danglamna?
Heng pahnih hi heart rhythm pangngai lo tak a ni a, chu chu heart chamber chunglam, atria-ah a awm a ni. Dik tak chuan, a châng chuan MAT vei mi pakhat chu atrial fibrillation nei anga hriat sual theih a ni . Mahse, doctor chuan i Electrocardiogram (EKG) result enin an pahnih danglamna chu a hre thei a ni. Anni hian EKG-a ‘P waves’ te hi an en ber a, chu chu heart’s atria contract a nih chuan record a ni. An pahnih hian an pattern a\angin an danglam a ni.
Pawimawh tak chu MAT vei zinga a chanve vel chuan a hnuah atrial fibrillation emaw atrial flutter emaw an nei thei a ni.
Hetiang dinhmun hian tute nge a nghawng nasa ber?
MAT hi kum upa lam zingah hmuh tam ber a ni a, a tlangpuiin kum 70 vel an ni . Mahse, naupang tê têah pawh a awm thei tih hriat reng a pawimawh. A tam zawkah chuan MAT vei te hi chutih laia natna khirh tak tak nei te an ni. Hei hian a awmzia chu mi hrisel takin MAT a vei nghal ai chuan damdawi lam dinhmun dang a zual zel avanga MAT a awm tam zawk tihna a ni.
Hei hi heart rhythm disorder a awm lo hle a ni . MAT hi heart rhythm disorder (arrhythmias) zawng zawng zinga 1% aia tlem loah hmuh a ni.
MAT atang hian i taksaah eng nge thleng?
I thinlung hi tui pump angin ngaihtuah rawh. I taksa pum puiah thisen a pump chhuak thin. Speed leh rhythm dik taka a beat chuan a hna dik tak a thawk thei chauh a ni.
Mahse, MAT ang dinhmunah chuan thinlung hi a thawk chak hle., thinlung pindan palite hian thisen khat turin hun an hmu tlem hle. Oxygen tlachham thisen chu thinlung kaltlangin lungah a kal a, oxygen a la a, chutah chuan thinlungah a kir leh a, taksa pum puiah pump chhuah a ni. Heng heartbeat inkar hun hi a tawi em avangin, vawi khata heart chamber-a thisen luah khat chu a pangngai aia tlem a ni. Chumi awmzia chu thinlung thawk apianga i taksa cell-a thisen kal zat pawh a tlem zawk tihna a ni . Hei hian i taksain a mamawh oxygen leh nutrients a hmuh loh phah thei a ni.
MAT natna lanchhuahna chu engte nge ni?
Mi tam zawk chuan MAT vang hian symptom bik an nei lo. Mahse, MAT thlentu damdawi lam thil dang symptoms i nei thei.
Mahse, a chang chuan MAT hian heng ang symptoms hi a thlen thei a ni:
- Chest na emaw tightness emaw a awm
- Palpitations (i thinlung a thawk chak ang maia hriat) .
- Thâwk a tawi
- Fainting, hriatna hloh
MAT awm chhante chu engte nge ni?
MAT vei tam zawk (60% leh 85% inkar) hian lung nena inzawm natna an nei a ni . Heng zingah hian Chronic Obstructive Pulmonary Disease (COPD) hi a chhan ber a ni. Ngaihtuah teh, mi ṭhenkhat chuan khuh reng reng, thawk hah, leh chutiang thilte chu an nei ṭhin.
A chhan dang pawh hetiang hian koh theih a ni:
- Thluak lama harsatna nei
- Infection na tak tak a awm
- Coronary artery natna a ni
- Lung lam chak lohna
- Taksaah potassium, magnesium emaw sodium emaw a tlem
- Ngawt
- Zunthlum (Diabetes Mellitus) natna a ni.
- Surgery lian tak neih mek a ni
- Kidney tha lo a awm
- Pulmonary embolism (hei hi a tlem deuh) .
- Heart valve natna (hei pawh hi a awm lo) .
A awlsam zawngin, taksa chunga pressure leh stress nasa tak siamtu natna khirh tak eng pawh hian MAT a thlen thei a ni.
Engtin nge MAT ka neih leh neih loh ka hriat theih ang?
Doctor-te chuan MAT hi Electrocardiogram (EKG) test hmangin an hmuchhuak tlangpui. I rilru leh i kutphahah i thinlung electrical activity tehna stickers te te kha i hmu tawh ngei ang. Chutiang chuan a diagnose thin. EKG-a pattern hi MAT tan bik a ni.
MAT hriat theihna tur hian eng test dang nge tih thin?
MAT dik taka hriat theih nan EKG test neih a tawk .
Mahse, MAT i vei tih i hriat hnu chuan i doctor chuan a thlentu medical condition hnuaia awm chu a hriat theih nan test dang neih belh turin a ti thei ang. Chûng zîngah chuan:
- Chest X-ray neih a ni
- Thisen test - Entirnan, taksaa chi (salt level) leh natna hrik a awm leh awm loh enfiah nan.
- A tlem hle a, thinlung ultrasound, chu chu echocardiogram .
MAT enkawl dan tur chu engte nge ni?
A tam zawkah chuan MAT vei te hi MAT thlentu dinhmun bulpui (underlying condition) enkawl an ngai thin. Entirnan, lung infection na tak i neih a, MAT i neih chuan doctor-te chuan chu natna chu enkawl an tum hmasa ang. A hnuaia dinhmun hi enkawl a nih hnuah chuan MAT hi a mah chauhin a reh fo thin.
MAT i neih chuan natna khirh tak, thawk lama harsatna ang chi avangin damdawi inah i awm tawh mai thei. Chumi hnuah chuan doctor-te chuan chu natna enkawlna mamawh chu an pe ang.
Mahse, a chang chuan heart rate control nan enkawl a ngai mai thei. Hei hian a hnuaia mite hi a huam thei ang:
- Beta-blockers, metoprolol (Lopressor® emaw Toprol®XL) te hian heart rate control-in hna an thawk a.
- Taksaah magnesium leh potassium salt a tlakchham chuan pek.
- Calcium channel blocker , verapamil (Verelan® emaw Calan®) emaw diltiazem (Diltzac® emaw Cardizem®) te pawh hian heart rate control turin a pui bawk.
A tlem hle a, chu chu enkawlna dangin a thunun theih loh chuan AV node ablation (thinlung electrical signal pathway thenkhat tichhe thei) leh pacemaker (thinlung thawk mumal tak vawng reng tura dah) ang chi enkawlna te hman theih a ni.
Enkawlna hian side effect a nei em?
MAT damdawi thenkhat pek hian side effect a thlen thei a, chungte chu:
- Luak chhuak thei
- Lu na
- Pum natna, nausea ang chi (Upset stomach) .
- Kawthalo
- Ek khal
Chung zinga pakhat tal i neih chuan i doctor hnenah hrilh rawh . A dose a thlak thei a, damdawi dang a pe thei bawk.
Engtin nge MAT vei theihna tur i tihziaawm theih ang?
MAT awm chhan ber chu damdawi lam thil dang, a bik takin lung natna emaw, thinlung natna emaw a zual zel vang a ni. Chuvangin, i lung natna awm tawh (COPD, asthma ang chi) emaw, thinlung natna emaw i control thei a nih chuan , chu chu i damdawi ei tur chu i doctor-in a hun taka i ei a, checkup i neih fo chuan MAT vei theihna i ti tlem thei a ni.
MAT vei chu engtin nge a awm? Nakin hun chu eng nge ni?
MAT thlentu underlying condition chu hlawhtling taka enkawl a nih hnuah damdawi in atangin i haw thei ang. A dinhmun ngei pawh, MAT hi a chhan bulpui ber enkawl a nih chuan a reh tlangpui.
Mahse, MAT vei mi pakhat prognosis chu MAT ngei aiin a hnuaia medical condition nasat dan a zirin a innghat zawk a ni.A chhan chu MAT thlentu underlying conditions (lung failure, infection na tak tak ang chi) te hi a chang chuan nunna atana hlauhawm tak a ni thei a, MAT vei zinga 30% leh 60% vel chu damdawi ina an awm chhungin an thi thin. Heng thihnate hi MAT vang ngei pawh ni lovin, a chhan bulpui, natna khirh tak avanga lo awm a ni fo tih hre reng ang che.
Engtin nge ka in enkawl ang?
MAT i vei a, a bulpui ber chu enkawl a nih tawh chuan i doctor chuan beta-blocker emaw calcium channel blocker emaw chu hun engemaw chen ei chhunzawm turin a rawt thei ang. Mahse, hei hi MAT vei zinga 25% vel chauhvin a thleng thin.
A pawimawh ber chu i doctor thupek dik taka zawm hi a ni. Date ruat saah clinic-ah kal a, i damdawi ei dik a pawimawh hle.
Engtikah nge Doctor ka hmuh ang? Eng zawhna nge ka zawh ang?
MAT i neih chhan condition chu follow-up appointment i neih a ngai ang. Hun rei tak chhunga natna (entir nan, COPD) a nih chuan, a control tha em tih hriat nan doctor pan fo a ngai ang.
I doctor hnenah hetiang zawhna hi zawt hreh suh:
- "Doctor, he damdawi min pek hi eng chen nge ka ei a ngai ang?"
- "Ka dinhmun ngaihtuah chuan ka hmalam hun tur chu tlem tal min hrilhfiah thei ang em?"
- "He MAT condition hi ka nei leh thei ang em?"
MAT vei tam tak chuan symptoms an nei lo va, chuvangin he natna hi an nei tih hriat chu mak a ti thei hle. Mahse, a pawimawh ber chu i doctor-in a bulpui (a tam zawkah chuan lung natna) chu a enkawl a, chu chuan thinlung thawk dan pangngai lo a siam a ni. I doctor thupek zawm la, i hriatthiam loh thil a awm chuan zawhna zawt ngei ang che. I underlying condition a tha chhoh zel chuan i heartbeat mumal lo pawh a tha chho zel bawk ang.
Take-Home Thuchah a ni
Okay, chuvangin kan sawi tawh kha hriatrengna awlsam tak chu hetiang hi a ni:
- MAT hi thinlung chunglam atanga electrical signal chaotic lo chhuak avanga thinlung thawk chak leh mumal lo tak a ni.
- Hei hi damdawi lam harsatna dang, a bik takin lung natna (COPD ang chi) nei te tan a thleng fo thin.
- Mi tam tak chuan MAT symptom bik an nei lo a, mahse a hnuaia natna awm symptoms an nei thei bawk.
- MAT hi EKG hmangin dik takin a hriat theih a ni.
- Enkawlna hian MAT thlentu natna hnuaia awm chu a target ber a ni. Tichuan MAT pawh nasa takin a tha chho dawn a ni.
- A chang chuan heart rate control nan damdawi (Beta-blockers, Calcium channel blockers) pek theih a ni.
- MAT nasat dan hi a thlentu natna atanga teh a ni.
- Damdawi lam thurawn dik tak zawm a, scheduled test neih a pawimawh hle.
Nangmah emaw, i hriat miin emaw hetiang harsatna i neih chuan Doctor hmuh leh thurawn lak hlau suh. A natna hmuhchhuah leh enkawl a nih hma chuan a tha zawk.
` Lung natna, lung natna, tachycardia, MAT, lung natna, EKG, thawk harsa











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