I thinlung a na mumal lo em ni? Sick Sinus Syndrome chungchang hi han sawi ila!

I thinlung chu a thawk chhuak lo ang maiin i inhriat ngai em? A chang chuan a beat chak hle a, a chang chuan rin loh takin a beat bawk. Hetiang rilru natna mak tak hi i neih chuan, emaw, i hnaih ber tu emaw hian he harsatna hi a nei a nih chuan, tunlaia kan sawi tak, Sick Sinus Syndrome an tih hi i hriat chian a pawimawh hle. Ngaihtuah buai suh, awlsam takin sawi ila.

A awlsam zawngin, Sick Sinus Syndrome hi eng nge ni?

Kan thinlung hi musical ensemble angin han ngaihtuah teh. He ensemble hi rhythm dik tak pe tur chuan, chu chu thinlung thawk tha tur chuan natural ‘pacemaker’ te tak te a awm a ni. Damdawi lamah chuan hei hi sinoatrial node, a nih loh leh `SA node` kan ti thin. A dik tak chuan hei hi thinlung chu "tunah beat" tura hrilhtu electrical signal ber a ni.

Tunah chuan he `Sick Sinus Syndrome` an tih dinhmunah hian thil thleng chu thinlung natural pacemaker, `SA node` hian hna a thawk tha tawh lo. Rhythm a vawng tha thei lo. Hei hi thil tlemte vang a ni ber thei:

• Heart rate slow tak: Hei hi ``bradycardia'' an ti a. Heart rate hi a tlangpui aiin a slow zawk hle.
• Fast leh slow inkara inthlak danglam: A chang chuan thinlung hi a na hle a, chutah chuan rang takin a na nghal zung zung leh thin. Hei hi ``tachy-brady syndrome`` an ti bawk.
• Heartbeat hi rei lo te chhung a tawp: A chang chuan SA node hian second thum vel chhung chu signal eng pawh a thawn chhuak thei lo. Hei hi sinus pause emaw arrest emaw kan ti a. Hetih lai hian thinlung hmun dangin signal thawn a tum a. Mahse chu chuan a hlawhtlin loh chuan i muhil thei a, i hriatna i hloh thei bawk.

Hetiang dinhmun hi a awm vak lo va, mahse kum upat deuh deuh hian a lo awm theihna a sang chho zel a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

A tam zawkah chuan he natna hi a tir lamah hian symptoms a awm lo thei. Mahse, heart rate a hniam emaw, a sang emaw avanga symptoms a awm chuan hetiang hian a lang thei:

Engvangin nge hetiang dinhmun hi a lo awm?

A châng chuan a chhan hmuh theih loh a ni a, mahse a chhan hriat tlemte a awm.

• Aging (a chhan tlangpui): Kan tar chhoh zel chuan kan taksaa thil dang zawng zawng ang bawkin thinlung electrical signaling system leh SA node te chu a chak lo zauh zauh thei a.
• Heart surgery: Lung zai lai hian SA node hi a chhe thei hle.
• Damdawi thenkhat: Thisen sang, thinlung thawk mumal lo (arrhythmias) (e.g., beta-blockers, calcium channel blockers) damdawi thenkhat hian he natna hi a thlen thei a ni.
• Damdawi lam harsatna dangte:Hei hi heart disease, heart muscle chak lohna (cardiomyopathy), leh heart attack hnua thil awm dan te pawh a ni thei bawk.
• Taksa tichhe thei natna dang: Natna `(Sarcoidosis)` leh `(amyloidosis)` te pawhin thinlung a nghawng thei bawk.
• Congenital problems: Mi thenkhat chu hetiang thinlung lama harsatna nei hi an piang thei a.

He natna hi tute nge vei theihna chance sang zawk?

Hetiang natna hi i vei theihna chance a sang deuh mai thei a, chu chu:

• Kum 70 aia upa i nih chuan.
• Tun hmaa heart surgery i lo neih tawh chuan.
• Damdawi thenkhat i hman a nih chuan, a hmaa kan sawi tawh ang khan.
• Zunthlum emaw thisen sang emaw i neih chuan.
• Damdawi dang dang, rheumatic fever ang chi i neih tawh chuan.
• Genetic influence a awm chuan.

Risk hi tihziaawm theih a ni lo em ni?

Gene leh tar ang chi thil hi kan thunun thei tak tak lo. Mahse, kan tih theih thil a awm. A pawimawh ber chu i thinlung enkawl that hi a ni. Zunthlum emaw thisen sang emaw ang chi natna i neih chuan uluk takin control rawh. I doctor nen inbiakna nei fo la, i damdawi eite hlauhawmzia zawt rawh.

Engtin nge diagnosis hi siam a nih?

Doctor i pan chuan i natna lan chhuah dan a ngaithla hmasa ang a, chumi hnuah taksa enfiahna a nei leh ang. Hetiang dinhmun hi nemnghet tur chuan i natna lan chhuah dan leh heart rate slow (bradycardia) inzawmna chiang tak a awm a ngai a ni.

Hei hi doctor chuan test engemaw zat a ti thei a:

• ECG (Electrocardiogram): Hei hian thinlunga electric hnathawh dan a test thin.
• Thisen test: A chhan dang, taksaa mineral (electrolytes) inthlauhna te enfiah thin ang che.
• Heart rate monitor: In lama darkar 24 emaw a aia rei emaw i bun theih nan hmanraw te tak te pek i ni thei. Hei hian nitin i heart rate a record ang.
• Electrophysiology study (EP study): Thil engemaw takah chuan damdawi inah hian thinlung electrical pathways enfiahna tur special test tih theih a ni.

Enkawlnate chu engte nge ni? Hlauh tur thil a ni em?

Thil ngaihtuah tur a awm lo tak zet a ni. Hemi atan hian enkawlna tha tak tak a awm. Enkawlna chu symptom i neih leh neih lohah a innghat.

• Symptoms i neih loh chuan: Symptoms i neih loh chuan enkawlna engmah i mamawh lo mai thei. I doctor chuan a lo vil reng ang che.
• Damdawi avanga lo awm a nih chuan:Hetiang natna thlentu hi damdawi i ei vang a nih chuan i doctor chuan damdawi chu a thlak danglam thei a, a dose pawh a tihtlem thei bawk.
• Symptoms a awm chuan: Luak chhuak leh hah lutuk ang chi symptoms a awm chuan a enkawl dan tlangpui chu permanent pacemaker dah hi a ni.

He pacemaker hi eng nge ni?

Hei hi a te hle a, battery hmanga hman theih a ni. I rilru vun hnuaiah surgery hmangin incision te tak te tak hmangin dah a ni. I heart rate chu a enkawl chhunzawm zel a ni. I heart rate a chak lutuk chuan pacemaker hian electrical signal te tak te a thawn a, chu chuan i heart chu a normal taka a thawk thei a ni. Hei hian i symptoms te chu a bo vek tawh mai thei a, nun pangngai tak i hmang thei bawk.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor thurawn la nghal rawh.

• I rilru a hah a, i hriatna i hloh chuan damdawi in Emergency Department (ETU) ah kal nghal rawh. Hei hi tihkhawtlai loh tur thil a ni.
• A hmaa kan sawi tawh ang khan symptoms (luak, rilru na, thawk harsa, thawk harsa) i neih chuan doctor pan nghal rawh.
• Pacemaker i dah tawh a, a harsatna a awm nia i hriat chuan (e.g. i hring, i dahna hmuna natna, emaw, i natna lan chhuah dan hlui lo kir leh emaw), i doctor nen inbia ang che.

Tin, doctor hnenah heng zawhnate hi zawh a tha bawk:

• Eng thil nge ka tan he dinhmun hi thlentu nia i hriat?
• Pacemaker ka mamawh dawn em ni?
• Pacemaker ka neih chuan engzat nge ka check ngai?

Hetiang dinhmun hi hun kal zelah a zual zel tlangpui. Chuvang chuan a hun ruatah doctor pan a, check-up neih a pawimawh hle. Chutiang chuan thil danglam eng pawh chu rang taka hriat theih a ni a, a tul anga enkawlna pek theih a ni bawk.