Vawiin hian Pulseless Ventricular Tachycardia chungchang kan sawi dawn a, hei hi natna hlauhawm tak a ni a, thinlung a na lutuk a, pulse hriat theih loh a ni!

Mi pakhat chu hriat lohvin a tlu nghal tih i hre ngai em, i hmu ngai em? An rilru a chelh mai thei em? Thâwk harsa an ti hle niin a lang. Chutih lai chuan heart attack an nei niin kan ngai a ni lawm ni? Ni e, a thleng thei. Mahse vawiinah hian a hmanhmawhthlak zawk, nunna atana hlauhawm zawk dinhmun kan sawi dawn a ni. Chu chu thinlung hi a thawk chak em em a, pulse pawh hriat theih a ni lo tihna a ni a, chu chu doctor-te'n an tih angin ``Pulseless Ventricular Tachycardia'' an ti a ni. A hming hi a buaithlak deuhin a lang thei a, mahse hriatthiam a awlsam hle.

Chuti a nih chuan, pulse nei lovin he heartbeat chak tak hi eng nge ni? (Pulseless Ventricular Tachycardia) tih hi a awm lo.

A awlsam zawngin i thinlung hian pindan lian pali a nei a. A chunga chamber te tak te pahnih chu atria an ti a. A hnuai lama chamber lian leh nghet tak pahnih chu ventricles an ti a. Heng ventricles te hian thinlung pump lian ber angin hna an thawk a ni. Lung a na apiangin heng ventricles te hian an inzawm khawm a, taksa leh lung zawng zawngah thisen an pump chhuak thin. A pawimawh hle mai, a dik em?

Tunah chuan han ngaihtuah teh, heng ventricles te hi rintlak takin an beat tan a, minute khatah 100 aia tam, 200-300 vel pawh nise, eng nge thleng ang? Machine ang mai a ni. Chutiang a nih chuan chu chamber-te chuan thisen mumal taka khat turin hun an nei lo. An fill hmain contract an nei leh thin. Chuti a nih chuan eng nge thleng? Thisen hi taksa chhungah a pump chhuak lo. Thisen a reh chuan pulse pawh kan hre thei lo. Chu chu pulseless ventricular tachycardia kan tih chu a ni. Tachycardia chu thinlung a thawk chak lutuk hi a ni.

Hei hi dinhmun hlauhawm tak a ni. A chhan chu, thisen taksaa a luang chhuah a chawlhsan chuan kan taksa peng hrang hrangte hian oxygen leh nutrition an dawng lo. Chuvangin , taksa peng hrang hrangte chu rang takin an thawk thei lo (`organ failure`), thinlung chu a thawk lo vek thei (`heart failure`), thinlung chu a tawp nghal thei (`sudden cardiac arrest`). Hei hi nunna leh thihna inbeihna ang a ni.

Hetiang heartbeat chak tak hi monomorphic emaw polymorphic emaw pawh a ni thei. Hei hi Doctor ten ECG test hmang chauhin an hre thei a ni.

Ventricular Tachycardia hi pulseless condition a ni fo em?

Ni lo, chutiang chuan a thleng ngai lo. Ventricular tachycardia chu minute khata heart ventricles te chu minute khatah beat 100 aia chak zawka thawk thei dinhmun eng pawh a ni. A tlangpuiin mi hrisel tak chu a chawlh laiin minute khatah 60 leh 100 inkar velin a na thin.

He ``(Ventricular Tachycardia)`` nasat dan hi thil engemaw zat atanga teh a ni:

• Engtiang chiahin nge thinlung a na.
• He rapid pulse hi eng chen nge a awm ang?
• Hetiang dinhmun hi eng chen nge a lo awm?

Ventricular Tachycardia hi enkawl theih a ni fo. Mahse, control loh a nih chuan, emaw, thinlung natna dang nei mi pakhatah a awm a nih chuan a na zual a, Pulseless Ventricular Tachycardia-ah a lo chang thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hei hi mi zawng zawng tuar thei natna a ni lo. Mahse, America ang ramah hian kum tin mi 350,000 vel chu cardiac death nghal vangin an thi tih kan hria em, a bik takin kum 35 chunglamte chu? Chutiang thihna tam zawk chu ventricles-a heart rhythm dik lo (ventricular arrhythmias) vang a ni. Chuvangin, hei hi thil awlsam taka ngaih theih a ni lo.

Engtin nge he heartbeat chak tak hi pulse tel lovin a awm theih?

Kan thinlung hi electrical impulse system buaithlak tak hmangin a thawk thin. In chhunga wiring system ang bawkin, heng electrical impulse te hi thinlung chhungah hian kawng bik takin an kal a, chu chuan thinlung peng hrang hrangte chu mumal takin a inzawm khawm a ni.

Ngaihtuah teh, heng electric signal-te kalkawngah hian thil dik lo a awm a nih chuan, a nih loh leh hmun dik lovah signal thar a intan chuan engtin nge ni ang? Chutah chuan thinlung chu rang tak leh mumal lo takin a na chhuak ta a ni. `(Pulseless Ventricular Tachycardia)` hi electrical signaling system a chhiat vang a ni.

Hei hi eng chhan nge ni?

Thinlung electrical system a tihbuai theih chhan tam tak a awm a. Vawi tam tak chu a chhan ber chu structural heart disease dangte a ni. Chung zinga ṭhenkhat chu:

• Valvular heart disease: Thinlung chhunga kawngkhar ang maia thawk valve-a harsatna awm.
• Cardiomyopathy: Lung ruh chak lo emaw, a thim emaw tihna natna a ni.
• Coronary artery disease: Thinlung thisen petu coronary arteries te chu a tawi emaw, a block emaw a ni.
• Heart attack (`myocardial infarction`): Hei hi thinlung hmun thenkhat a chhiat lai a ni.
• Heart failure: Thinlung hian thisen a pump tha thei lo tihna a ni.

Heng bakah hian chhan dang pawh a awm thei:

• Genetic diseases, heart rhythm tichhe thei: Entirnan, `Long QT syndrome` leh `Brugada syndrome` ang chi natna.
• Damdawi thenkhat: Entirnan, antibiotic erythromycin emaw, natna tidamtu methadone ang chi emaw. Chungte chuan thinlung electrical activity a nghawng thei a ni.
• Taksa chhunga electrolyte inthlauhna: Kan taksaa salt, sodium leh potassium tamna emaw, tlem emaw hian thinlung hnathawh a tichhe thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Mi pakhatin ``Pulseless Ventricular Tachycardia'' a neih chuan, chu chu thinlung chu pulse nei lovin a thawk chak a nih chuan, chu mi chuan:

• Thil hriat loha lo awm.
• Engmah a chhang lo (`Unresponsive`).
• Pulse awm lovin.

Hei hi stage hlauhawm ber a ni. Mahse, hetiang dinhmun a thlen hma hian thinlung a thawk chak tan (Ventricular Tachycardia) hian heng ang symptoms hi a lo lang thei a ni:

• Chest na emaw tightness emaw a awm.
• Luak chhuak thei.
• I thinlung a na hle a, i rilru a na (`Heart palpitations`) ang maia inhriatna.
• Lu hring leh muhil (`Lightheadedness`) tih hriatna.
• Thâwk a tawi.

Nangmah emaw, i hriat miin emaw heng symptoms hi an neih chuan ngaihthah suh. Damdawi lam thurawn lak nghal a pawimawh.

Engtin nge hei hi i diagnose? (`Diagnosis`) tih a ni.

Dik tak chuan `(Pulseless Ventricular Tachycardia)` hi `damdawi lam emergency` a ni. Chuvang chuan damdawi ina hruai hmaa diagnosis dik tak siam hun a awm ngai lo. Mi pakhatin a hriatna a hloh nghal a, pulse a awm leh awm loh enfiah laiin pulse a awm loh chuan 1990 ambulance service i call nghal tur a ni a, a theih chuan `CPR (Cardiopulmonary Resuscitation)` tih tan tur a ni.

Damdawi ina hruai an nih hnuah doctor-te chuan he natna hi finfiah nan ECG leh test dangte an ti thin.

Hei hi eng enkawlna nge ni?

Hetiang emergency hi damdawi in pawnah a awm a nih chuan a hmasa ber atan ambulance personnel emaw, training nei tawh emaw CPR tih hi a ni. Chubakah chuan:

• Defibrillation: Movie-ah pawh i hmu tawh ngei ang, chutah chuan i rilruah shock i pe thin. Chu chuan thinlung thawk mumal lo chu a titawp a, a pangngaia a thawk leh theih nan a bei thin.
• Supplemental oxygen: Thisen a oxygen level a tisang.
• Damdawi pek dan: Thisen sang tihsan nan leh heart rate tihreh nan damdawi pek thin a ni.

A tum ber chu a rang thei ang bera thinlung chu a pangngai anga thawk leh a ni. Tichuan, ruang chu emergency avanga chhiatna a awm leh awm loh endik a ni. A bik takin thluak chhiatna a thlen loh nan therapeutic hypothermia hi hman a ni \hin. Hei hi heart attack vang a nih chuan hei pawh hi enkawl vat a ni.

Mi thenkhat tan chuan doctor-te chuan hmanraw te tak te , Implantable Cardioverter Defibrillator (ICD) an tih chu vun hnuaiah dahin an heart rate enfiah nan leh a tul chuan electric shock pein a rhythm siamthat nan an rawt a ni. He ICD hi thinlung tan nunna humhimtu ang a ni. Thinlung rhythm 24/7 a enfiah a, harsatna a hriat chuan siamthat nan shock a pe chhuak thin. Zirna hrang hrangah chuan heng hmanrua te hian cardiac death rang tak tihziaawmna kawngah a thawk tha hle tih hmuhchhuah a ni.

Engtin nge he dinhmun hlauhawm tak lakah hian kan inven theih ang? (Invenna) 1.1.

A tha ber chu hetiang thil hi a thlen hmaa thil thleng lo tura ven tum hi a ni. Lung hrisel nunphung zawm hian thinlung natna tam tak lakah a veng thei che a ni. Ṭanpui tûra i tih theih ṭhenkhat chu hetiang hi a ni:

• Ei leh in hrisel: Chaw chi, hriak, sugar, leh cholesterol tlem, leh thei leh thlai tamna ei.
• Stress enkawl dan: Meditation leh hobby ang chi thil hmangin i rilru hahdam tir rawh.
• Exercise neih fo: Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil.
• Zu leh caffeine hman tam lutuk tihtlem.
• Taksa rihna hrisel tak vawn reng.
• Thisen sang leh zunthlum ang chi natna i neih chuan control tha rawh.
• Meizial zu leh zuk leh hmuam hman loh vek.

Lung natna i neih tawh chuan engtin nge hei hi i ven theih ang?

Lung natna i neih tawh chuan hlauthawng suh. A pawimawh ber chu i doctor enkawl dan tur dik taka zawm hi a ni. Damdawi ei tur chu a hun takah ei la, doctor hnenah checkup neih fo bawk ang che. Heng thilte dik taka tih hian i thinlung natna a zual zel theihna tur leh `(Pulseless Ventricular Tachycardia)` ang chi natna hlauhawm tak i neih theihna tur a ti tlem thei a ni.

Hetiang natna vei tan hian eng prognosis nge a awm? (Prognosis) tih a ni.

Dik tak chuan, prognosis chu thinlung thawk a chawlhsan a, pulse a lo kir leh theih nan eng chen nge a rei tih a zirin a innghat a ni. Minute 15 aia rei a tlai chuan damchhuah theihna chance chu 5%-ah tihhniam theih a ni. Chu chu second tin hi a hlu tihna a ni. Chuvang chuan, mi hriat lohvin a tlu a nih chuan che nghal rawh kan ti a ni.

Hei hian eng side effect nge a neih theih? (Buaina awm thei) .

Thinlung a thawk a chawlhsan a, thluaka thisen kalna tur chu minute 3-5 aia rei a tihtawp chuan thluak a tichhe reng thei a ni. Tin, nunna atana hlauhawm harsatna dang pawh a awm thei bawk. Chung zingah chuan:

• Lung lam chak lohna.
• Organ dang failure (`Organ failure`) - kal leh thin ang chi te.
• Thluak lama harsatna.
• Taksa pumpuiah thisen a chhuak.

I medical team chuan heng harsatnate hi tihziaawmna turin theihtawp an chhuah ang a, i dam thuai theih nan an pui ang che.

Engtikah nge Doctor i hmuh ang?

A hmaa i lo hrilh tawh `(Ventricular Tachycardia)` symptoms te chu:

• A rilru a na
• Luak chhuak thei
• I thinlung chu a na hle ang tih hriatna
• Lung hlim leh muhil tih hriatna
• Thâwk harsa

Hetiang thil i tawn chuan ngaihthah suh. Damdawi lam thurawn zawng nghal rawh. A chhan chu natna hlauhawm tak `(Pulseless Ventricular Tachycardia)` an tih chhinchhiahna a nih theih avangin.

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

`(Pulseless Ventricular Tachycardia)` hi natna khirh tak, nunna atana hlauhawm tak a ni. Emergency-a enkawl vat a ngai a ni. Dam leh theihna chance a tlem hle nachungin, ven theih a ni.

A pawimawh ber chu thinlung hrisel nunphung zawm hi a ni. Lung natna i neih chuan doctor thurawn zawm la, checkup reng reng nei rawh. I thinlung hriselna chungchangah zawhna emaw rinhlelhna emaw i neih chuan i Doctor nen inbiak pawh hlau suh. Amah hi i kaihruaitu tha ber a ni.

Chuvangin, kan thinlung hi i enkawl vek ang u. Hrisel takin i awm ang u!

`Pulseless Ventricular Tachycardia, Lung natna, Lung na rang, Pulseless, Lung a titawp nghal, CPR, Defibrillation, Lung natna