I thinlung chu rang takin a thawk tan em? PSVT (Paroxysmal Supraventricular Tachycardia) chungchang hi han sawi ila!

I thinlung natna a sang nghal vat a, ngaihtuah phak loh khawpin i rilru a na a, i rilru a na a, chutah chuan hun rei lote chhung chu i normal tawh em? Hei hi thil thleng pangngai mai mai niin i ngai mai thei, a nih loh leh i hlauhthawn deuh huna thil thleng mai mai a ni mai thei. Mahse, a chang chuan a ni lo. Vawiin hian `Paroxysmal Supraventricular Tachycardia` emaw `PSVT` tih hming pu, heart rate tihdanglam nghal mai thei dinhmun kan sawi dawn a ni. Lungngai suh, he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

PSVT chu eng nge ni?

A awlsam zawngin `PSVT` hi kan thinlung rhythm-a thil awm lo, chu chu kan thinlung thawk dan (`arrhythmia`) a ni. Chutiang a nih chuan thinlung chu rang takin a thawk tan ta a ni. Tichuan, chutiang bawk chuan rang takin heart rate chu a normal rate-ah a tlahniam leh ta a ni. Heng thinlung thawk chak tak takte hi `paroxysms` kan ti thin. Hetiang dinhmun hi thinlung chunglam chamber pahnih, `atria` an tih atanga intan electrical activity pangngai lo vang a ni. Thinlung hnuai lam pindan pahnih, `ventricles` kan ti a. Heng chamber palite hian kan taksa pum puiah thisen pump turin hna an thawk dun a ni.

Chuvangin, `PSVT` hi heng atria-a electrical activity pangngai lo vang a ni a, chu chuan rang tak leh chhunzawm zel turin a tikhawtlai a ni. Mahse a pawimawh ber chu `PSVT` hi natna enkawl ngai emaw, nunna atana hlauhawm emaw a ni ngai lo. A châng chuan enkawl ngai loin enkawl theih a ni. A tul chuan doctor-te chuan damdawi, thinlung enkawlna thenkhat, leh a tlem hle mai, `pacemaker` an rawt ang. I thinlung thawk danah thil mak tak i hriat chuan doctor pan a, enfiah tir hi a tha ber ngei ang.

Engtin nge kan thinlung hian hna pangngai a thawh?

PSVT chu eng nge a nih kan hriatthiam hmain kan thinlung hi a pangngaia hnathawh dan hi han thlir ila. Thinlung hrisel takah chuan heartbeat hi atria chhunga tissue te tak te atanga intan a ni. Sinoatrial node (SA node) kan ti a. Hei hi thinlung natural pacemaker angin a thawk a ni.

He `SA node` hian electrical signal a thawn chhuak a, chu chuan atria a ti contract a, thisen a pump tir thin. Chumi hnuah chuan heng signal te hi cell bundle te tak te dang `atrioventricular node` (AV node) an tih hmangin ventricles ah an kal leh thin. `AV node` hian ventricle-ah electrical signal a thawn a, chu chu contract a ni. Hetiang hian kan thinlung hi mumal takin a na a ni.

PSVT chi hrang hrang a awm em?

Ni e, `PSVT` category zau tak hnuaiah hian condition dang tam tak a awm bawk. Chungte chu thinlung chunglam chamber atanga a hnuai lam chamber thlenga electrical connection pakhat aia tam a awm vang a ni thei a, chu chu direct emaw `AV node` kaltlangin emaw a ni thei. Hei hian thinlung a ti na zual (`tachycardia`). A châng chuan, he heart rate chak tak hi thinlung chunglam chamber-a `irritable focus` a\angin a in\an thei bawk.

Heng tachycardia chi hrang hrang hming hman tlanglawn thenkhat chu:

• ``Atrioventricular nodal re-entrant tachycardia (AVNRT) a awm a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle.
• ``Orthodromic reciprocating tachycardia (ORT) tih a ni a, a chhuahna tur hmun leh a hmanna tur hmun chu a in ang lo hle.
• ``Antidromic reciprocating tachycardia a awm a, a chhuahna tur hmun leh a hmanna tur a awm lo''.
• `Atrial tachycardia` tih a ni
• `Atrial flutter` tih a ni

Hei hi scientific deuhin lang mah se, doctor-te tan chuan i dinhmun dik tak hriatthiam a, enkawlna dik ber pek a pawimawh hle.

Hei hi engtiang chiahin nge a hluar?

Heart rhythm disorder (arrhythmias) hi a takah chuan a tam hle. Sri Lanka leh khawvel hmun hrang hrangah mi maktaduai tam takin heart rhythm disorder chi khat emaw an vei a ni.

Supraventricular tachycardias (SVT) hi heart rhythm disorder chi khat a ni ber a, a bik takin naupang te leh nausen te zingah hian a langsar ber a ni. Naupang pianpui thinlung natna neiah pawh an tam zawk.

Engvangin nge he PSVT hi a lo awm? A chhante chu engte nge ni?

PSVT (re-entry tachycardia an ti bawk) hi heart rhythm disorder a ni a, atria-ah a awm thin. Atria-a electrical activity pangngai lo a awm chuan a thleng thin. Chumi awmzia chu atria-a hypersensitive area emaw, thinlung electrical pathway-a short circuit emaw a awm chuan electrical signal te chu circle-in a kal tan tihna a ni. Hei hi atria te chu rang tak leh chhunzawm zel tura inzawmkhawm tan hun a ni.

Heng electrical signal pangngai lo te hi atria leh ventricles inkarah extra electrical pathway (`extra pathway`) a awm chuan direct emaw `AV node` kaltlangin emaw a awm thei a ni. Entirnan, `Wolff-Parkinson-White syndrome` tih natna nei te hian an thinlungah he extra pathway hi an nei a. Tichuan, electrical signal te hian he extra pathway hi `AV node` pangngai kaltlangin an kal chak zawk a nih chuan thinlung chu a na lutuk tan thin.

Heart rhythm disorder dang (arrhythmias) ang bawkin PSVT hi thlahtute atanga lo chhuak a ni thei. Chumi awmzia chu i chhungkuaa mi tu emawin a neih chuan i nei tam zawk tihna a ni. Hei bakah hian he natna thlen thei thil dang engemaw zat a awm bawk. Eng nge an nih hi han thlir ila:

• Kum upat rualin: A chhan chu kum upat rualin thinlung a inthlak thin.
• Anemia: Taksain oxygen a hmuh tlem chuan.
• Dehydration leh hah lutuk: Hengte hian thinlungah harsatna a siam thei.
• Caffeine awmna in tur leh ei tur: Tea, coffee, chocolate, leh energy drink thenkhat ang chi thil.
• Chaw thenkhat: Mi thenkhat chuan thau, sugar, carbohydrates tamna ei tur an ei hnuah rilru natna an nei thei. Entirnan, chaw ei kham hnuah emaw, party zawhah emaw i rilru a na hle tih i hre mai thei.
• Damdawi thenkhat: Entirnan, pseudoephedrine, hnar hrualna atana decongestant thenkhatah hmuh tur a awm.
• Zu in tam lutuk.
• Tun hmaa heart attack emaw heart surgery avanga heart chhiatna emaw nei tawh.
• Lung natna: a bik takin coronary artery disease (CAD).
• Thisen sang (Hypertension).
• Stress leh lungkhamna nasa tak: Exam lo awm tur, hnathawhna lama harsatna emaw, chhungkaw buaina emaw ang chi thil avanga stress.
• Hormone inthlak danglamna: Hmeichhia menopause lai emaw, naupai lai emaw. Dik tak chuan naupai lai hian palpitations hi a tam hle.
• Thau lutuk (thau lutuk) leh thau lutuk.
• Meizial zu leh zuk leh hmuam hman.
• Thinlung structure lama harsatna: Entirnan, thinlung valve natna.
• Thyroid lama harsatna: a bik takin `Hyperthyroidism` (Thyroid gland active lutuk).

PSVT natna lan chhuah dante chu engte nge ni?

PSVT symptoms hi a tlangpuiin a intan nghal a, a tawp nghal bawk. Mi thenkhat tan chuan a nem thei a, thenkhat tan chuan a na thei bawk. Hetiang heartbeat chak tak hi workout na tak hnuah emaw, ni khat mut that loh hnuah emaw, stress nasa tak i neih hnuah emaw i hre mai thei.

A lan chhuah dan ber chu:

• Heart rate chak tak, mumal lo tak. A tlangpuiin minute khatah beat 100 aia tam (BPM), mahse a chang chuan 250 BPM thlengin a sang thin. Naupang naupang PSVT vei te hian heart rate an nei sang zawk thei.
• Chhung, kawr emaw, kawr emaw-ah throbbing, pounding, pounding sensation (`palpitations`) hriat. Mi thenkhat chuan "a rilru chhungah drum a ri" ang maiin a awm an ti. I pulse na tak, rang tak i hre mai thei.
• Heart rate a inthlak danglam nghal. I thinlung chu minute engemaw zat emaw darkar engemaw zat emaw chhung chu a na zual thei a, chutah chuan rang takin a pangngaiin a thawk leh thei a ni. (Puitling tan chuan heart rate pangngai chu minute khatah 60 leh 100 inkar a ni.)

Hetiang `PSVT` dinhmun hi a lo awm hian symptom dang engemaw zat i nei thei bawk:

• Lungkhamna leh luak chhuak tih hriatna.
• Chhuak na, nuam lo, emaw, rilru a tight tih hriatna.
• Thâwk harsa emaw thawk harsa (dyspnea).
• Luak chhuak leh lu hlim, mit sen.
• Thil hriatna hloh (syncope) emaw, muhil emaw.
• Chauh lutuk emaw, hah lutuk emaw.
• Luhai.

PSVT i nei tih engtin nge i hriat theih ang?

Doctor i pan hunah i symptoms te a zawt hmasa ang che a, Stethoscope hmangin i thinlung a ngaithla ang. Tichuan, thisen test turin an order ang. He thisen test hian i thyroid function leh i thisena harsatna dangte a enfiah thin.

A dawtah chuan doctor chuan electrocardiogram (EKG emaw ECG emaw) a ti ang. Hei hi Doctor office-a tih theih a ni a, minute 15 vel a ni. EKG hian i vunah sensor inzawm hmangin i thinlung electrical activity leh i heart rate chu a record thin. A châng chuan exercise nasa tak neih laiin PSVT i neih chuan exercise stress test tihsak i ni thei bawk.

EKG-ah hian heartbeat mumal lo a lang lo a nih chuan i doctor chuan ambulatory monitor, Holter monitor emaw patch monitor tia hriat bawk chu ni engemaw zat emaw thla khat emaw chhung pawh bun theih turin a pe mai thei che a ni. Hei hi i taksaa i bun theih tur hmanrua te tak te a ni. I heart rate leh heartbeat mumal lo (a awm chuan) a record chhunzawm zel a ni.

PSVT hi engtin nge enkawl a nih?

I hriselna zawng zawng leh i natna lan chhuah dan azirin enkawlna engmah i mamawh lo mai thei. Heart rhythm mumal lo (`arrhythmia`) i neih chuan `cardiologist` hnenah refer i ni ang. A hnuaia mite hi a rawt thei ang:

• Zu leh caffeine (tea, coffee, soft drink thenkhat) ei loh tur. Tin, pseudoephedrine awmna damdawi thenkhat, decongestants te ei kha bansan rawh .
• Mut tha la, chawlh hahdam rawh.
• Hydration tha tak neih theih nan tui tam tak in thin ang che.
• Stress leh lungkhamna tihziaawmna turin tanpuina la la, chawlh hahdamna exercise pawh ti bawk ang che.
• I thau lutuk (obese) a nih chuan i taksa rihna tihtlem la, i taksa rihna hrisel tak vawng reng rawh.
• Meizial i zu a nih chuan titawp vek rawh.

Tin, he `PSVT` natna hi i tawn hian i doctor hnenah i heart rate chu rei lo te chhunga tihhniam theih dan tur thenkhat i zawt thei bawk. Chungte chu `Vagal maneuvers` an ti a. Entirnan:

• Vawi khatah tui lum i hmaiah theh vek.
• Kawng bik taka khuh tur.
• I mit khap la, zawi zawiin i mitmeng chu pressure pe rawh.

Pawimawh: Heng `vagal maneuvers` te hi nangmah chauhin ti ngai suh, training mumal nei lovin. I doctor rawn tur a ni a, a hrilh ang chiah khan i ti tur a ni.

• Chutiang hmanraw dang chu `Valsalva maneuver` a ni. Chutah chuan thawk i la a, i hnar i hrual a, i khat ang maiin i chelh a, chutah chuan rang takin thawk i chhuah a, balloon i phuhruk ang maiin i thawk chhuak leh thin. Hei hian i heart rate pawh tlem a tihniam thei bawk.

I heart rate a inthlak fo a nih chuan, hrehawmna a thlen che a nih chuan, thinlung natna dang i neih chuan doctor chuan enkawl a rawt thei ang. Chutiang enkawlnaah chuan:

• `Catheter hmanga tihbo`:Hei hian thinlung tissue-a electrical signal mumal lo thawn chhuaktu chu chhiatna tenau thlen a huam a ni. Hei hi enkawlna a ni a, vein kaltlangin tube te tak te (catheter) dah a ni a, incision lian tak siam lovin.
• `Carotid sinus massage`: Hetah hian doctor chuan i kawr hmun bik pakhatah pressure zawi zawiin a pe a, chu chuan i heart rate a ti hniam a ni. Hei hi Doctor chauhin tih tur a ni a, in lamah tih loh tur a ni.
• Devices: A châng chuan thinlungah hian `Implantable Cardioverter Defibrillator (ICD), `subcutaneous ICD` emaw `permanent pacemaker` emaw ang chi hmanrua dah a rawt thei bawk.
• Electrical cardioversion: Hetah hian thinlung chu electrical shock him (jolts of energy) pek a ni a, chu chuan rhythm mumal lo chu a titawp a, thinlung chu a thawk pangngaiin a thawk thei ta a ni.
• Damdawi: Heart rhythm siam that thei leh heart rhythm mumal lo awm lo tur venna damdawi a awm.

PSVT vei theihna hi engtin nge kan tihziaawm theih ang?

PSVT hi ven kim theih a ni lo mai thei. Mahse, nunphung hrisel zawm leh hrisel taka awm hian i hlauhawmna chu i tihtlem thei a ni. I risk tihziaawmna tura i tih theih thenkhat chu hetiang hi a ni:

• Thinlung hrisel ei tur ( oil, chi, leh sugar tlem, leh thlai, thei leh greens tamna) zawm rawh .
• Hetiang `PSVT` condition thlentu i hriat thil (`triggers`) i neih chuan hla takah awm rawh.
• Exercise tha la, active takin awm la, taksa hriselna vawng reng tum bawk ang che.
• I thau lutuk a nih chuan i taksa rihna tihtlem la, i doctor nen inbia la, i taksa rihna hrisel tak vawng reng rawh.
• Thisen sang (hypertension) i neih chuan control la.
• Cholesterol level hrisel tak vawng reng rawh.
• Meizial i zu a nih chuan titawp vek rawh.
• Nangmah emaw i fa emaw hian PSVT vei theihna tipungtu thinlung natna i neih chuan i doctor nen sawiho rawh. Hrisel taka awm dan tur leh thinlung natna i vei theihna tihtlem dan tur thurawn chiang tak a pe ang che.

PSVT vei chu engtin nge a awm? Nakin hun chu eng nge ni?

PSVT vei tan chuan thil engemaw zat a innghat a, chung zingah chuan i kum leh i hriselna zawng zawng pawh a tel. I nunphung leh ei leh in lama inthlak danglamna siamin i natna lan chhuah dan tur i enkawl thei a ni.

Hun kal zelah PSVT hian heart muscle a tichak lo thei a ni. A nasat chuan PSVT hian hriatna hloh a thlen thei a, rang takin cardiac arrest pawh a thlen thei bawk. Chuvangin PSVT i vei chuan i thinlung hriselna enfiah nan doctor pan fo a pawimawh hle.

Thu lawmawm tak chu a tam zawkah chuan PSVT hi catheter ablation tih damdawi hmangin a dam kim thei a ni.

PSVT chungchangah engtikah nge doctor ka hmuh ang?

I heart rate chungchangah ngaihtuahna i neih chuan, emaw, heartbeat mumal lo (arrhythmia) symptom i neih chuan doctor nen inbia ngei ang che. PSVT i vei tih hmuhchhuah a nih chuan i cardiologist pan fo a pawimawh hle.

Heng thilte hi a lo thlen chuan damdawi lam thurawn zawng nghal rawh:

• A chhan hriat loh vanga chau lutuk i tih thut chuan.
• I rilru a hah emaw, i hriatna hloh emaw a nih chuan.
• I rilru na, thawk harsa, thawk harsa i neih chuan.

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

Paroxysmal Supraventricular Tachycardia (PSVT) hi a lo awm chuan a hlauhawm thei hle. Mahse, a tlangpuiin nunna atana hlauhawm leh nunna atana hlauhawm a ni lo. Mahse, i thinlung natna chungchangah harsatna emaw zawhna emaw i neih chuan hriselna lama harsatna lian tham a awm loh nan doctor pan a, a kimchang taka enfiah a tha ber fo.

PSVT hi enkawl ngai reng reng lo mah se, i mamawh chuan enkawl dan tur a awm. Active taka awm a, caffeine leh zu ang chi thil tihtlem te, nunphung hrisel zawm te, leh a hun taka i cardiologist hmuh te hian PSVT avanga harsatna i tawh theihna chu i tihtlem thei a ni. Chuvangin, i thinlung hi enkawl rawh, i nunna thisen a nih avangin!

` Lung natna, thinlung na chak tak, PSVT, Paroxysmal Supraventricular Tachycardia, arrhythmia, thinlung natna, rilru na, tachycardia