I thinlung hian beat a skip nghal ang maiin i hria em, a nih loh leh i rilru chhungah a rawn na nghal vat ang tih i hre ngai em? A chang chuan hetiang thil i hriat hian hlauhna leh lungkhamna tlem a awm hi thil pangngai a ni. Mahse a tam zawkah chuan hlauh tur a ni lo. Vawiin hian mi tam takin an tawn thin he common condition, Premature Atrial Contractions (PACs) chungchang kan sawi dawn a ni.
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Heng Premature Atrial Contractions (PAC) te hi engte nge ni?
Hei hi awlsam taka hrethiam tur chuan kan thinlung hnathawh dan hi han thlir hmasa ila. I thinlung hi engine te tak te, mahse chak tak mai niin han ngaihtuah teh. He engine hian a thawk tha tur chuan electrical signals chu systematic takin a dawng a ngai a ni. Kan thinlung pindan chunglam pahnih (hengte hi damdawi lam tawngin Atria'' kan ti a), dinglamah, a chung lam kil khatah chuan Sinus node'' an tih hmun te tak te a awm a. Hei hi thinlung pianpui ‘pacemaker’ ang maia hnathawk chu a ni. Chu chu, thinlung thawk tur rhythm leh speed tur tichiangtu electrical signals systematic takin a thawn chhuak tihna a ni.
Tunah chuan Premature Atrial Contractions (PACs) hi he thil kalphung pangngai tibuaitu tlemte a ni ta. A châng chuan, Sinus node'' aṭangin ni lovin, thinlung chung lam chamber hmun dang aṭangin electrical signal chu a hun hmain a chhuak ṭhin . ''Premature'' tih thumal hi ''premature'' tihna a ni a, chuvangin he premature signal avang hian thinlung hi a hun pangngai hmain vawi khat a thawk thin.
Ngaihtuah teh, hetah hian thil thleng hi mi pakhatin drum a tum laiin rhythm khata a beng a, mahse rang takin vawi khat chu rhythm atanga chhuakin a rawn hit ang mai a ni.
Thinlung a thawk hma chuan thisen a hloh nasa lutuk a, chutih lai chuan thinlung chhungah pump lut thei lo a ni. Chuvangin chu premature beat chu a chak lo fo thin. Tichuan, thinlung chuan second tlemte chhung chawlh rei vak lo a la a, a beat leh tur atan chuan a pangngaiin a beat ta a ni. Mahse chu chawlh rei vak lo avang chuan thinlung chu a rawn beng leh tur a lo thlen chuan thisen tlemin a khat leh ta a ni. Chuvangin chu beat chu a tlangpui aia harsa deuhin a lang. Chu hard beat chu "beat pakhat kan missed" emaw "beat-a pounding ang maia" emaw kan tih hi a ni.
A awlsam zawngin PAC hi heartbeat extra, premature heartbeat a ni a, chu chu heart chambers chunglam atanga lo chhuak a ni. Kum eng pawhah a awm thei a, a tlangpuiin a hlauhawm lo.
PACs nei mi pakhatin a symptoms engte nge a neih?
Mi thenkhat chuan PAC nei mahse symptom engmah an nei lo mai thei. Mahse, an tih chuan hetiang hian an lang mai thei. Hei hi a chiang zawkin i thlir ang u.
| Symptom a ni | Engtin nge a awm tih |
|---|---|
| Skipped beat a ni | Thinlung chu rei lo te chhung chu a reh tawh lo ang maia hriatna. Hei hi premature beat hnua short pause awm vang a ni. |
| A rilru a buai em em a (Pounding/Thump) . | A rilruah chuan rang takin a rit hle. Hei hi chu chawlh hnua thinlung na tak lo thleng vang a ni. |
| Palpitations a awm | Thinlung thawk mumal lo leh thinlung thawk chak lo tih hriatna. Mi thenkhat tan chuan hei hi rilruah ‘pounding’ ang maiin a lang thei. |
| Thil dang pawh a awm | Mi thenkhat chuan thawk harsa deuh emaw, lungkhamna emaw an nei thei bawk. |
| Symptoms engmah a awm loh | Mi tam tak chuan PAC an nei a, an nei tih pawh an hre lo mai thei. A chang chuan chhan dang avanga ECG tih a nih chuan accident-in an hmuchhuak thin. |
Engvangin nge heng PAC te hi kan neih? A chhan engte nge ni?
A tam zawkah chuan PACs awm chhan bik a awm lo. Mahse, he natna thlentu thil inang lo tak tak engemaw zat a awm. Chung zinga ṭhenkhat chu:
- Nunphung hrang hrang: 1.1.
- Caffeine overdose: Coffee, tea leh soft drink thenkhat ang chi thil in tam lutuk.
- Zu in hman dan: Zu in tur.
- Zuk leh hmuam hman dan: Cigarette leh in tur ang chi thil.
- Stress: Lungkham lutuk, pressure.
- Chauhna leh mut theih lohna: Chau lutuk leh mut tlem lutuk.
- Damdawi lam chhan:
- Taksa chhunga mineral inthlauhna: 1.1.Thisenah electrolyte, potassium emaw magnesium emaw a tlahniam emaw, a sang emaw.
- Structural heart problems: Thinlung thisen petu thisen kalna kawngkhar a block (Coronary Artery Disease) emaw, heart muscle thickening (Hypertrophic Cardiomyopathy) ang chi dinhmun.
- Thinlung chhiatna: A hmaa heart attack ang chi thil vang a ni.
- Thyroid harsatna: Thyroid hormone level inthlak danglam.
- Damdawi thenkhat: Lung natna emaw rilru lam natna emaw atana pek thin damdawi thenkhat.
- Dan loa ruihhlo hman.
PAC i neih fo chuan i doctor chuan heng chhante hi a zawng chhuak ang.
He natna hi tute nge vei theihna chance sang zawk?
PAC hi tu chungah pawh awm thei mahse, mi thenkhat chuan an vei tam zawk theihna chance a sang zawk.
- Mi sang tak tak
- Hmeichhe naupai
- Lung leh thisen zam natna nei te
- Taksa chak lo (Exercise hmang lote) .
- Thisen sang (a bik takin systolic pressure) nei te .
- Zunthlum vei te
- Cholesterol tha (HDL cholesterol) level hniam nei te .
- Chronic obstructive pulmonary disease (COPD) natna vei te chu .
- Tui in tam lo mite
- Mi zu in thinte
- Caffeine emaw stimulant emaw ei tam lutuk te
- Mi muthilh tawk lo leh stress nasa tak hnuaia awmte
PACs chungchangah hian harsatna awm thei a awm em?
PAC hi a tlangpuiin a hlauhawm lo. Mahse, mi pakhatin PACs a neih fo chuan , nakin lawkah chuan heart rhythm problem lian zawk Atrial Fibrillation (Afib) tih a nihna chhinchhiahna a ni thei.
"Frequent" tih hian awmzia bik a nei lo. Zirna thenkhatah chuan darkar 24 chhunga PAC 500 chuang chu "frequent" anga ngaih a ni.
Atrial Fibrillation (Afib) hi thinlung chunglam chamber-te chu control lohvin a thawk chak lutuk a, a mumal lo hle a ni. Hei hian stroke ang chi natna khirh tak tak a thlen thei a ni. Chuvangin PAC tam tak i tawk a nih chuan doctor pan a pawimawh hle.
Engtin nge doctor hian he natna hi a hriat theih ang?
Doctor i pan dawna PAC i neih loh chuan stethoscope hmangin a hmu thei lo mai thei. Chuvangin, i natna lan chhuah dan azirin i doctor chuan heng test te hi a rawt thei ang.
| Fiahna | Eng nge a tih? |
|---|---|
| ECG test (Electrocardiogram) hmanga enfiah a ni. | Thinlung electrical activity record tu test bulpui ber. Chutih lai chuan PAC record a nih chuan diagnosis tih theih a ni. |
| Hun eng emaw chen atan heart monitor a awm | Hei hi ‘Holter monitor’ a ni thei. He device te tak te hi ni khat, kar hnih emaw kar hnih emaw pawh i ha tur a ni. Nitin i thiltih pangngai i tih lai hian i thinlung rhythm chu a record chhunzawm zel ang. |
| Echocardiogram hmanga enfiah a ni | Hei hi thinlung scan a ni. Thinlung structural parts, valve leh muscles-a harsatna awm leh awm loh enfiah nan a pui thin. |
| Thisen test a ni | Thisen a electrolytes (potassium, magnesium) leh thyroid hormone awm zat enfiah thin ang che. |
PAC te hi engtin nge an enkawl?
Hei hi a pawimawh ber a ni: A tam zawkah chuan PAC-te hian enkawlna engmah an mamawh lo. Mahni chauhin an kal bo fo thin.
Mahse, i natna lan chhuah dan a nasat em avangin, emaw, PAC a awm fo chuan i doctor chuan enkawl che a rel thei ang.
- Nunphung thlak danglam: Hei hi tih hmasak ber tur a ni. Mi tam tak chuan caffeine leh zu in tlem te, meizuk bân te, mut ṭhat te, leh rilru hahna (stress) te tihtlem te hian hahdamna an hmu a ni.
- Damdawi: 1.1.
- Beta-blockers: Hetiang damdawi chi hi duhthlanna hmasa ber a ni. Anni hian heart rate leh a contraction chakna an tihziaawm a, symptoms an control thin.
- Antiarrhythmics: Thinlung rhythm control thei damdawi bik. Hengte hi beta-blockers ten an control theih loh chuan pek thin a ni tlangpui.
- Catheter hmanga tihbo a ni:Hei hi tih a tlem hle. Chutah chuan groin emaw arm emaw hmangin thinlung chhungah tube te tak te (catheter) dah a ni a, thinlung hmun tlemte tak tak, electrical signal pangngai lo pe chhuaktu chu a chhe vek a ni.
Enkawlna hian side effect a nei em?
Awle. Enkawlna dang ang bawkin, side effect awm thei a awm bawk. Beta-blockers hian hahna leh luak chhuak thei a ni. Anti-arrhythmic damdawi hian side effect hrang hrang a nei a, chuvangin i doctor enkawlna hnuaiah i ei tur a ni. Catheter ablation hi a tlangpuiin risk hniam tak ni mahse, risk tlemte chauh a awm a, thisen zam leh thisen chhuah te hi a ni.
PACs control tur leh risk tihtlem nan eng nge ka tih theih ang?
PAC tihtlem leh control theihna tur thil tam tak a awm a.
- Exercise tih fo thin ang che .
- Caffeine awmna in tur, coffee, tea, leh chocolate te chu tihtlem rawh.
- Zu in tlem emaw, tihtawp vek emaw.
- Meizial i zu a nih chuan bansan rawh.
- Tui tam tak in thin ang che. Dehydration tih loh tur.
- Nitin mut tlem la.
- Stress hi enkawl rawh. Yoga leh meditation ang chi thilte hian a pui thei a ni.
- Thisen sang leh cholesterol level control.
Engtikah nge Doctor ka hmuh ang?
A tlangpuiin PAC a lo awm fo chuan ngaihtuahawm tur a awm lo. Mahse, chutiang a nih chuan doctor i pan ngei tur a ni.
- I symptoms a na zual zel a nih chuan.
- PACs awm tam lutuk a nih chuan.
- Heng symptoms te hi rilru na, thawk hah lutuk, luak chhuak, emaw muhil emaw a awm chuan damdawi in Emergency Department (ETU) pan nghal tur a ni.
- Lung natna i neih tawh a, PAC i neih tawh chuan.
Zawhna thenkhat i nei thei bawk
PAC leh Atrial Fibrillation (Afib) te hi thil inang an ni em?
Ni lo, hengte hi thil chi hrang hrang pahnih a ni. PACs hi single, a hun hmaa heartbeat a ni. Afib hi natna khirh tak a ni a, thinlung chunglam (upper chambers) te chu rhythm mumal lo tak leh rang taka thawk chhuak a ni. Mahse, PAC neih fo hian Afib vei theihna a tipung thei a ni.
Naupai laiin PACs a lo awm hian ngaihtuahawm tur a ni em?
A tlangpuiin a ni lo. Naupai laiin PAC hi hormone leh thisen volume inthlak danglam vang a awm fo thin. A tam zawkah chuan anmahni chauhin an kal bo a, enkawl an ngai lo. Mahse, he thil hi i ngaihtuah a nih chuan i doctor nen inbia ang che.
PAC leh PVC (Premature Ventricular Contractions) te hi eng nge an danglamna?
A danglamna chu premature electrical signal a intanna hmun a ni. PACs hi thinlung chunglam (Atria) atanga tan a ni. PVCs hi thinlung hnuai lam (Ventricles) atanga tan a ni. An pahnih symptom hi a inang thei hle.
Take-Home Thuchah a ni
- Premature Atrial Contractions (PACs) hi a tam hle a, a tlangpuiin a hlauhawm lo.
- A lan chhuah dan ber chu beat skip leh rilru tight tih ang chi te hi a ni.
- Nunphung hrang hrang, caffeine, zu, zuk leh hmuam, stress, leh mut tlem te hian hei hi a nghawng thei a ni.
- Mi tam tak chuan inenkawl an mamawh lo. Nunphung inthlâk danglamna ringawt hian hahdamna a pe a ni.
- I symptoms a lo lang fo emaw, a nasat em avangin emaw, symptom dang, rilru natna ang chi te nen a awm a nih chuan doctor pan ngei ngei tur a ni.
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