A chang chuan i thinlung hian beat a skip ang maiin i inhria em? A nih loh leh, sava pakhatin i rilru chhungah a thla a vawm ang maiin i hria em, a nih loh leh i thinlung chu a na em em a, a zuang chho leh chho ang maiin i hria em? Hetiang hi mi tam takin an tawng tawh a ni. A tam zawkah chuan ngaihtuahawm a ni lo. Damdawi lam hawi chuan he natna hi Premature Ventricular Contractions, a tawi zawngin PVCs an ti a. Chuvangin vawiinah hian heng PVC te hi eng nge an nih, engvangin nge an lo awm tih leh an chanchin kan hriat tur te hi han sawi ila.
A awlsam zawngin, heng PVC te hi eng nge ni?
Awle, hei hi hrethiam tur chuan kan thinlung hnathawh dan hi han thlir hmasa ila. Kan thinlung hi in pakhat, electric system te tak te nei ang maiin han ngaihtuah teh. He in hian a hun takah electric a dawn chauhvin light leh fan te chu a thawk tha thei ang. Kan thinlung pawh hian electrical system ang chiah hi a nei ve bawk.
A tlangpuiin thinlung chunglam dinglam atrium-ah hian cell cluster te tak te, sinoatrial node emaw SA node emaw an ti a. Hei hi kan thinlung ‘master switch’ a ni. Thinlung thawk tura hrilhtu electrical signal hmasa ber chu hetah hian a intan a ni. He signal hi thinlung chhung zawng zawngah a kal a, thinlung hnuai lama main chamber pahnih, ventricles-ah a kal a ni. He signal hi a dawn chuan heart muscle chu a contract tha hle a, taksaah thisen a pump chhuak thin. Hei hi thil kalphung pangngai a ni.
Mahse PVC-ah chuan thil engemaw chu a danglam deuh. ‘Main switch’ (SA node) atanga heart beating start tu electrical signal ai chuan heart `(ventricle) hnuai lam chamber atang hian a intan nghal a ni. In pakhata main switch ni lovin room dang a light on ang mai a ni. Hei hian thinlung rhythm chu a ti buai deuh thin. Hetiang extra beat avang hian a hnuaia heartbeat pangngai chu a tlai deuh a ni. Chutah chuan ‘heartbeat a miss’ ang maiin kan inhria. Beat lo awm tur chu a chak deuhin a lang mai thei.
A tam zawkah chuan PVC hi a serious lo. Mi hrisel zinga 75% vel chuan an dam chhungin engtik lai pawhin an tawng tawh a ni. Mahse an lo thleng fo a nih chuan Doctor nena inbiakna neih a pawimawh.
Doctor-te pawhin he natna atan hian hming dang an hmang thei bawk a, chuvangin heng hmingte hi hre reng ang che:
- Ventricular complex a lo piang hmasa ber
- Ventricular extrasystoles a awm thin
- Ventricular a hun hmaa a beat
Tute nge PVCs vei theihna chance sang zawk?
Tu pawhin PVC hi an dawng thei a, mahse mi thenkhat chu an hlauhawm zawk. A bik takin:
- Kum upa lam tan.
- Lung natna nei te tan.
- Thisen sang (Hypertension) nei tan.
- Tun hmaa heart attack nei tawhte tan.
- Heart failure nei te tan.
- Hypertrophic cardiomyopathy nei tan chuan.
PVCs natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat?
Thil mak tak chu mi tam takin PVC an nei a, symptom engmah an nei lo. I doctor-in thil dang atana EKG a tih hian accident a ni thei. Mahse symptoms a awm chuan hetiang hian a lang tlangpui:
| Symptom a ni | Engtin nge a awm tih |
|---|---|
| Lungphun (Palpitations) a awm | Thinlung chu mak tak maiin a rilru chhungah a na a. Thinlung chu ‘jump’, ‘rolling’, ‘leaping’ ang maiin a lang. |
| A rilru a buai (fluttering) . | I rilru chhungah sava pakhatin a thla a phawrh ang maiin i hria mai thei. |
| Pounding in a kawr ah | Mi thenkhat chuan an kawr chhunga vein kaltlangin extra heartbeat chu nasa takin an hre thei. |
| Luak chhuak/Lightheadedness | PVC tam tak a zawna a lo awm chuan thluaka thisen kal tlem tlem avangin hriatna hloh emaw, luak chhuak emaw ang maiin i inhria thei. |
| Thâwk a tawi | Hei hi thinlung natna dang nei tawh mi pakhatah PVC a awm hian a lang tam ber. |
Hetiang rilru put hmang hi mi zawng zawng tan a inang em?
No. Mi thenkhat chuan ni khatah PVC za tam tak an nei a, engmah an hre lo mai thei. Mi dangte chuan ni khatah pakhat emaw pahnih emaw an nei thei a, an hre nasa hle bawk. Mi tin a inang lo.
Engvangin nge PVC kan hmuh? A chhante chu engte nge ni?
PVC awm chhan bik hmuh theih loh hun a awm bawk. Mahse, heng thilte hian PVC a siam thei a, a tipung thei bawk.
- Stress leh Anxiety: Kan stress emaw, kan hlauhthawn emaw hian kan taksa hian hormone adrenaline a siam chhuak thin. Hei hian thinlung electrical signaling system a tichak thei a, PVC a siam thei bawk.
- Caffeine leh Zu: Caffeine leh zu, coffee, tea, chocolate, leh soft drink thenkhatah te awm thin hian thinlung thawk mumal lo a thlen thei a ni.
- Electrolyte Imbalances: Potassium leh magnesium te hi kan taksaa electrical signal te dik taka hnathawhna atana mineral pawimawh tak an ni. Hengte hi a hniam chuan PVC a thlen thei a ni.
- Lung natna: A hmaa kan sawi tawh ang khan PVC hi heart attack, thisen sang, leh coronary artery disease ang chi natna avanga lo awm thei a ni.
- Damdawi lam thil dang: Hengte hi hyperthyroidism leh thisen tlakchhamna ang chi natna vang pawh a ni thei.
- Damdawi thenkhat: Asthma ang chi natna atana damdawi thenkhat ei hian PVC a thlen thei bawk.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms te hi i neih chuan i doctor chuan i symptoms leh family medical history te a zawt hmasa ang che. Tichuan i thinlung chu stethoscope hmangin an ngaithla ang. Chu bakah, heng test te hi an ti thei bawk.
- Electrocardiogram (EKG/ECG): Hei hi test bulpui ber a ni. Sticker ang chi sensor te te chu i rilru, i kut leh keah dahin i thinlung electrical activity chu minute engemaw zat chhung record a ni. Hei hian PVC awm zawng zawng chiang takin a tarlang thei a ni.
- Holter Monitor: A chang chuan PVC hi a lo thleng reng reng lo. Ni khatah vawi tlemte chauh an lo kal chuan EKG pangngai chuan a la lo mai thei. Chutiang hunah chuan i doctor chuan darkar 24 emaw 48 emaw chhung machine te tak te i bun tir ang che. Hei hian i thinlung rhythm chu a record chhunzawm zel ang. I thinlung diary vawn ang mai a ni.
- Cardiac Stress Testing: EKG hi treadmill-a i kal laiin tih a ni. Hei hian exercise neih laiin PVCs a pung emaw a tlahniam emaw tih hriat nan a pui a ni.
- Echocardiogram: Hei hi thinlung ultrasound scan a ni. Thil tam tak a en thei a, chu chu thinlung insiam dan te, chamber lian leh te, valve te hnathawh dan te, thisen a pump that dan te hi a ni. Hei hi PVCs hnuaia thinlung natna dang a awm leh awm loh hriat nan a pawimawh hle.
- Thisen test: Thisen test hi taksaa potassium leh magnesium level, thyroid hormone level, leh thisen tlakchhamna a awm leh awm loh enfiah theih a ni.
PVC te hian enkawl an mamawh em?
Hei hi a pawimawh ber a ni. Mi hrisel, thinlung natna dang nei loin PVC a neih tam loh chuan enkawlna engmah a ngai lo tlangpui. I doctor chuan nunphung tihdanglamna tenau engemaw zat siam turin a hrilh ang che.
Mahse, heng ang case-ah hian enkawl a ngai mai thei:
- I symptoms hian i nitin nun a tibuai a nih chuan.
- Ni khata PVC awm zat a tam hle a nih chuan (entir nan, heart beat zawng zawng zinga 15% aia tam chu PVC a ni).
- PVC vangin thinlungin thisen a pump theihna (ejection fraction) a tlahniam a nih chuan.
- PVCs hnuaia thinlung natna khirh tak dang a awm chuan.
A hnuaia mite hi enkawlna atan hman theih a ni:
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Nunphung a inthlak danglam thin | Caffeine, zu leh zu in bânsan. Stress (meditation, yoga, etc.) enkawl dan. Mut tam tawk neih. |
| Damdawi chi hrang hrang | Damdawi beta-blocker emaw calcium channel blocker emaw te hian heart rate a control thei a ni. A chang chuan anti-arrhythmic damdawi pawh pek theih a ni. |
| Catheter hmanga tihbo a ni | He enkawlna hi damdawi hmanga thunun theih loh PVC tam tak i neih chuan hman a ni. Hetah hian i groin chhunga vein pakhat kaltlangin tube te tak te (catheter) chu i thinlungah a kal a, PVC siamtu cell bikte chu hriatchhuah a ni a, chu cell te chu radiofrequency hmangin tihchhiat a ni. Hei hi enkawlna tha tak a ni. |
PVC chungchangah hian ka buai tur em ni? Engtikah nge emergency treatment ka mamawh?
A tlangpuiin PVC ringawt hi emergency a ni lo. Amaherawhchu, PVC leh heng symptoms te hi i neih dun chuan damdawi in emergency department (ETU) ah kal nghal tur a ni.
- A rilru a na hle
- Thâwk harsa na tak
- Luak chhuak nasa emaw, muhil emaw (syncope) .
- Delirium (delirium) a awm
Heng symptoms te hian PVC aia pawi zawk thil a thleng thei tih a tilang a ni. Chuvangin nghah rei lutuk suh.
PVC hi a awm fo thin tih hre reng ang che. Thinlung hrisel tak nei tan chuan hun rei tak chhung chhiatna an thlen tam lo hle. Mahse, an awm reng emaw, an nasat lutuk emaw chuan cardiomyopathy an tih natna a thlen thei a, chu chu thinlung ruh chak lohna a ni. Hei vang hian symptoms i neih chuan doctor thurawn lak a pawimawh hle.
Take-Home Thuchah a ni
- Premature Ventricular Contractions (PVCs) hi lungphun a inthlak danglam deuh thin a, chu chu kan lungphun (Premature Ventricular Contractions) a ni. A tam zawkah chuan hei hi thil pawi tak a ni lo.
- ‘Heart palpitations’ leh ‘chest fluttering’ tih ang chi hriatna hi a lan chhuah tam ber a ni. Mahse, mi tam tak chuan symptom engmah an nei lo.
- Stress, caffeine, zu ang chi thilte hian PVC a tipung thei a ni. Chûngte pumpelh chuan a ṭanpui thei a ni.
- Heng symptoms te hi i tawng fo a nih chuan, emaw, i ngaihtuah a nih chuan doctor pan ngei ngei tur a ni.
- PVC-te nen hian rilru natna nasa tak emaw, hriatna hloh emaw ang chi symptoms a awm chuan emergency a ni. Damdawi inah kal nghal rawh.
- Thinlung hrisel nei te hian enkawlna an mamawh tam lo hle. A tul chuan enkawlna tha tak tak a awm a.
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