Sudden Arrhythmic Death Syndrome (SAD) natna avanga thihna thleng thei (SAD) .

Tlangval leh hrisel tak, rang taka boral thu i hre ngai em? Chutiang chu engtin nge a lo awm theih ang tih i ngaihtuah ngai em? A châng chuan vawiin a kan sawi tur dinhmun pakhat Sudden Arrhythmic Death Syndrome (SADS) tih vang pawh a ni thei. Hei hi thil pawi tak a ni a, mahse hriat chian a pawimawh hle.

Sudden Cardiac Death Syndrome (SADS) hi eng nge ni?

A awlsam zawngin, hei hi thinlung natna a ni. A tam zawkah chuan, it’s something you inherit , chu chu thlah khat atanga thlah dangah a inthlak danglam thei tihna a ni. Hemiah hian thil thleng chu i thinlunga electrical system-ah harsatna a awm tih hi a ni. Ngaihtuah teh, kan thinlung hian generator te tak te ang maiin hna a thawk a. Electrical signals te hian thinlung a ti na thei a ni. Chuvangin, he system-a harsatna a awm chuan thinlung rhythm chu a danglam ta a ni . Hei hi enkawl tha a nih loh chuan thihna rapthlak tak pawh i hmachhawn a ngai mai thei. Chuvang chuan a hlauhawm em em a ni.

SADS chi hrang hrangte chu engte nge ni?

SADS hi chi hrang hrang a awm a. An vai hian danglamna tlem an nei vek a. A chi hrang hrang thenkhat han thlir ila:

• Brugada syndrome: Hei hi thinlung hnuai lam, atria tia koh, thinlung thawk chak tak, mumal lo (polymorphic ventricular tachycardia) a lo awm thinna a ni.
• Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT): Hei hi heart cells te hi rang tak leh mumal lo taka thawk thin a ni bawk. Hetiang dinhmun hi a bik takin taksa chakna emaw rilru hahna emaw a awm thei.
• Long QT syndrome (LQTS): Hei hi i heart muscle-in a lo beat leh tur atana a inbuatsaih hun rei zawk, chu chu recharge (repolarize emaw recharge) a nih chuan a ni. Battery charge nan hun rei zawk a duh ang mai a ni. EKG i en chuan Q leh T wave inthlauhna chu QT interval an ti a. He hun hi a rei lutuk chuan thinlung cell te chu a thawk chak lutuk (ventricular tachycardia) emaw, a thawk mumal lo lutuk (ventricular fibrillation) emaw a thawk tan thei a ni.
• Short QT syndrome (SQTS): Hei hi QT rei tak nen a inkalhin a ni. Chumi awmzia chu heart cells te hian a hnua beat tur atana an inbuatsaih nan hun an hmang tlem lutuk tihna a ni. Hei hian thinlung chunglam (atrial fibrillation) chu a ti na thei lo a, a hnuai lam (ventricular tachycardia) te chu a thawk rang thei a, a tiharh mumal lo thei bawk (ventricular fibrillation).
• Timothy syndrome: Hei hi natna awm lo tak a ni. Long QT syndrome chi khat a ni bawk.
• Wolff-Parkinson-White natna (WPW) natna hi a ni a:Hei hi electrical signal-te chu upper chamber (atria) leh lower chamber (mitra) inkara kal theihna tur kawng dang, pangngai lo siam a nih hian a ni. Hei hi kawng pangngai bakah a ni a, chu chuan thinlung a ti na lutuk (tachycardia) a ti thei a ni.

Heng SADS natna te hi engtiang chiahin nge a awm?

Chungte chu a tam vak lo nain awm lo pawh a ni lo. Entirnan, a hmaa kan sawi tawh long QT syndrome (LQTS) hian nau piang thar 2,000 zinga pakhat vel a vei nia chhut a ni. Brugada syndrome hi a tam lo zawk a, mipui 1% aia tlem loin an vei a ni. CPVT tia koh natna hian mi sang sawm zinga pakhat vel a nghawng a ni.

Mahse, a pum puiin, United States-ah chauh pawh kum tin mi 200,000 vel chu sudden cardiac arrest (SCA) vangin an thi a ni. Kum tin heng SADS natna avang hian naupang leh thalai puitling 4,000 vel an thi tih an sawi bawk. Chuti a nih chuan, chu chu thil tenawm tak a ni lo, a dik em?

SADS natna lan chhuah dan chu engte nge ni?

SADS chi hrang hrang awm mahse, a lan chhuah dan tlangpui thenkhat a awm. Mahse, mi thenkhat chuan symptom engmah an nei lo mai thei.

A lan chhuah dan tlangpui:

• Exercise neih laiin, emaw, i phur lutuk emaw, i hlauthawng lutuk emaw hian fainting emaw seizure emaw a awm thei.
• Exercise neih laiin rilru na a awm thei.
• Exercise neih laiin thawk hah i nei thei.

Tunah chuan SADS chi hrang hrang nena inzawm symptom hrang hrang kan en ang.

Brugada syndrome natna lan chhuah dan

Mi tam zawk chuan natna lan chhuahna nei lo mah se, ṭhenkhat chuan:

• Cardiac arrest a awm thei a, a bik takin mut laiin.
• Fainting a ni.
• Convulsions a awm thin.
• Thâwk lak dan pangngai lo tak.

Catecholaminergic polymorphic ventricular tachycardia (CPVT) natna lan chhuah dan te.

Heart attack a awm hma chuan symptoms a awm lo mai thei a, mahse mi thenkhat chuan exercise an neih laiin an muhil thei.

Long QT Syndrome (LQTS) natna lan chhuah dan .

LQTS vei zinga a chanve vel chuan symptom an nei lo. Mahse mi thenkhat chuan:

• Arrhythmia bik Torsades de Pointes an tih hian heart attack a thlen thei a ni.
• Fainting a ni.
• Convulsions a awm thin.

Short QT Syndrome (SQTS) natna lan chhuah dan .

Hetiang natna vei zinga 40% vel chuan symptom an nei lo. Mahse mi dangte chuan:

• Palpitations a awm .
• Fainting a ni.
• Lung natna.

Timothy syndrome natna lan chhuah dan

Hemi a features hmuh tur awmte chu:

• Fainting a ni.
• Lung natna.
• A châng chuan webbed fingers leh/or toes te pawh a awm bawk.
• Hmasawnna lam thil.

Wolff-Parkinson-White syndrome (WPW) natna lan chhuah dan .

WPW natna lan chhuah dan chu:

• Palpitations a awm.
• Luak chhuak (lightheadedness) tih hriat.
• Thâwk harsa.
• Fainting a ni.
• Convulsions a awm thin.

Pawimawh: Nangmah emaw i hriat emaw hian heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn i la ngei ang.

SADS awm chhante chu engte nge ni?

Vawi tam tak chu, tleirawl pakhat a thih thut a, an thinlung insiam dan enfiah a nih chuan a pangngai anga a lan chuan, doctor-te chuan arrhythmia hriat loh, thinlung thawk mumal lo an nei niin an ring a ni. Kan sawi tawh ang khan heng arrhythmias thlentu SADS condition te hi nu leh pa atanga fate hnena kai darh fo thin a ni . Chu chu genes atanga lo chhuak an ni tihna a ni. Heng natnate hi naupangte hnena kai theih dan tur hi gene inrawlh leh thinlung hmun a nghawng dan azirin a danglam thei a ni.

Doctor-te hian engtin nge SADS hi an hmuh?

Tlangval pakhatin a chunga kan sawi tak symptoms hi a neih chuan, an chhungkuaa mi tu emaw chuan kum 40 a tlin hmaa sawifiah theih loha thihna rapthlak tak a neih chuan doctor chuan SADS a ringhlel thei a ni. SADS chi hrang hrang a zirin diagnostic method hi a inang lo.

Diagnostic method hman ber berte chu:

• Electrocardiogram (EKG): Hei hian thinlung electrical activity a test thin.
• Genetic testing: Hei hian SADS nena inzawm genetic variation a test thin.
• Treadmill stress test: Hei hian exercise laknaah thinlungin a chhan dan a test thin.
• Catecholamine provocation test: Damdawi bik pek a ni a, thinlung chhanna enfiah a ni.
• Holter monitor: Darkar 24 vel chhung lungphu record chhunzawm zel thei hmanrua a ni.
• Echocardiogram: Hei hi ultrasound scan a ni a, thinlung insiam dan leh hnathawh dan a en thin.
• Fetal ultrasound: Hei hi naute pum chhunga a la awm laiin tih theih a ni.
• Cardiac catheterization diagnostic test: Thinlung chhunga tube te tak te dah luh a ni.
• Electrophysiologic study: He zirchiannaah hian wire tha tak tak te chu thinlung chhungah an lut a, chu chuan thinlung electrical system thuk takin an enfiah thin.

SADS enkawl dan tur chu engte nge ni?

SADS chi hrang hrang a zirin enkawl dan a inang lo va, chuvangin eng chi nge i neih tih chiang taka hriat a pawimawh.

Brugada syndrome enkawlna a ni

• Implantable cardioverter defibrillator (ICD): Hei hi machine te tak te, vun hnuaia dah a ni. Heart rate hlauhawm taka a inthlak danglam chuan electric shock te tak te a pe a, chu chuan heart rate a siam tha leh thin.
• Quinidine ang chi damdawi te hi .
• Thinlung chhunga sodium channel block thei damdawi hman loh tur.

Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) hmanga enkawl a ni

• Heng mite hi damdawi chi khat beta-blockers an tih chu pek an ni.
• A tul chuan ICD dah a ni ang.

Long QT Syndrome (LQTS) enkawl dan tur a ni

Hei hi damdawi emaw, surgery emaw ang chi thil hmanga tih theih a ni:

• Beta-blockers te pawh a awm.
• ICD pakhat a ni .
• Left cardiac sympathetic denervation: Hei hi minimally invasive surgery a ni a, thinlunga kal autonomic nerve thenkhat chu a tikehsawm a, a paih chhuak bawk.
• I EKG-a QT interval ti rei thei damdawi thenkhat hman loh tur.

Short QT Syndrome (SQTS) enkawl dan tur a ni

Hei atan hian damdawi leh hmanrua a awm a:

• ICD pakhat a ni .
• Quinidine a ni.

Timothy syndrome enkawlna a ni

Hei hian damdawi leh hmanrua a hmang bawk:

• Beta-blockers te pawh a awm.
• ICD pakhat a ni .
• I EKG-a QT interval ti rei thei damdawi hman loh tur.

Wolff-Parkinson-White syndrome (WPW) enkawlna a ni

Damdawi hian WPW natna lan chhuah dan tur a veng thei a ni. Ablation therapy tih pawh a awm bawk . Hei hian extra electrical pathway chu a tichhia a ni. Hei hian a chang chuan WPW hi a tidam vek thei. Doctor-te pawhin antiarrhythmics an tih damdawi an pe bawk a, hei hian heart rhythm pangngai lo awm theihna a ti tlem a ni.

Heng enkawlnate hian side effect a nei em?

Ni e, enkawlna thenkhat chuan side effect tenau te a nei thei.

• Mi thenkhat chuan an doctor-in a pek beta-blockers hi an tuar harsa thei hle.
• Chumi hnuah chuan left cardiac sympathetic denervation surgery an nei leh a:
• Thil danglam tak, thawmhnaw hahna.
• Kut vawt.
• Hmai hmun thenkhatah temperature emaw rawng emaw inthlak danglam.
• Mahse he surgery hian nunphung nasa takin a tichangtlung thei a ni.
• ICD device hian thinlung rhythm siam that nan electric shock a pek avangin a nuam lo deuh thei. Pawh:
• Infection a awm thei.
• Device hian hna a thawk tha lo mai thei.

Engtin nge ka risk hi ka tihtlem theih ang? SADS hi ven theih a ni em?

I chhungkuaa mi pakhatin SADS a neih chuan chhungkaw member dangte pawhin CPR an tihsak tur a ni.I tih dan i hriat chuan, leh in lama Automatic External Defibrillator (AED) i neih chuan SADS vei tan chuan thlamuanna ropui tak a ni thei. A chhan chu emergency-a pui turin mi a awm tih hriat hi a ropui hle.

SADS hi pumpelh kim theih ni lo mah se, i chhungkaw zinga mi pakhatin he natna hi a vei tih hmuhchhuah a nih chuan, anmahni pawhin genetic mutation hi an nei em tih enfiah a pawimawh hle. I doctor nen inbiain tu nge test tur tih i rel thei ang. Mi pakhatin he natna hi a vei tih hriat a nih hnuah, damdawi emaw, enkawlna dang emaw hmangin a humhim theih nan hmalak theih a ni.

SADS vei tan chuan hmalam hun eng nge awm?

Eng ang SADS chi nge i neih, eng chen nge i hriat hma tih leh engtiang chiahin nge enkawl tan a nih tih ah a innghat tak zet a ni. Nun chhung zawnga natna a ni a , a chang chuan thihna pawh a thlen thei bawk .

Mahse, Wolff-Parkinson-White syndrome (WPW) vei te chuan ablation therapy hian harsatna a siam that theih avangin thlirna tha zawk an nei a ni. Long QT syndrome (LQTS) vei enkawl mekte chu thih thut theihna chance a hniam zawk hle. Mahse, left ventricular ablation hmanga hlawkna hmu thei mi tam tak chuan an ti lo. Short QT syndrome (SQTS) ang chi dinhmun chungchangah hian zirchianna a tlem hle a, a chhan chu he natna vei hi tlemte (200 vel) chauh an awm a ni.

Chuvangin SADS vei zawng zawng tan damdawi tha ber ber zawn chhuah nan zirchianna neih belh a ngai a ni.

ICD dah hian heart rhythm pangngai lo a enkawl avangin cardiac death rang tak a veng thei a ni . He natna hi tidam lo mah se, heng natna avanga thihna hlauhawmna tihziaawmna kawng tha tak a ni.

SADS i neih chuan engtin nge i in enkawl ang?

• I doctor-in damdawi a pek che chuan a pek ang chiah chiah ei la, ni khat pawh tlai lovin ei rawh. SADS vei naupang tan pawh chutiang bawk chu a ni. An damdawi hi a hun taka pek an ngai a, vawi khat pawh skip hi thil tha a ni lo.
• Damdawi thar i ei tan hmain i doctor emaw pharmacist emaw zawt fo ang che. Damdawi tam tak, antibiotics hman tlanglawn leh anti-nausea damdawi te hian i thinlung damdawi nen a inzawm thei a ni. QT interval pawh an nghawng thei a, hei hian long QT syndrome nei mi pakhat thih thut theihna a tipung a ni.
• I (or i fa) ICD hnathawh dan hrethiam rawh. Tin, doctor hnenah pawh enfiah fo bawk ang che. Damdawi lam thil thenkhat leh nitin electronic hmanrua thenkhat chuan i ICD hnathawh a tibuai thei a ni. Chuvangin, pumpelh tur chu hre rawh.
• I fa hian SADS a vei a nih chuan a dinhmun nen hian infiamna a khel thei em tih doctor hnenah zawt rawh.

Engtikah nge doctor i hmuh ang? Engtikah nge emergency room-ah i kal ang?

SADS i neih chuan regular checkup neih a pawimawh hle. Hei hi damdawi i ei zat tur dik tak i ei tih chian nan a ni. I fa hian SADS a vei a nih chuan a lo puitlin leh a thau chhoh zel chuan damdawi dose hi tihpun a ngai mai thei. Chuvang chuan naupangte tan checkup neih reng a pawimawh zual hle. ICD i neih chuan kum khatah vawi hnih tal doctor pan thin ang che.

Emergency a nih chuan:

• Mi pakhatin cardiac arrest a neih chuan 911 (or i ram emergency number) call nghal la, CPR ti rawh.
• Heng symptoms te hi i neih chuan emergency room-ah kal la, 911 ah call nghal rawh:
• I rilru a hah a, i lu a buai a, i rilru a na a nih chuan.
• I rilru na nghal emaw, thawk harsa emaw i neih chuan.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Nangmah emaw, i chhungte zinga tu emaw SADS vei an nih chuan, i doctor hnenah heng zawhnate hi zawh a pawimawh hle:

• Eng ang SADS nge ka neih?
• Ka dinhmun bik atan hian eng enkawlna nge i rawt?
• Ka chhungkuaah hian tute nge he thil hi test ngai tih hriat tumin min pui thei ang em?
• Defibrillator ka mamawh em?
• Ka dinhmun nen hian damdawi ka ei loh tur a awm em?

A tawp berah chuan heng thilte hi hre reng ang che!

SADS hi natna khirh tak ni mah se, a hriat chian a, hma lakna dik tak chuan nangmah leh i hmangaihte a humhim thei a ni. I diagnosis hriat chian hian i duhthlan turte hriatthiamna a pe thei che a ni. I doctor nen thawk ho la, nangmah emaw, i hmangaih tak emaw tan eng enkawlna nge tha ber tih rel rawh. Checkup mumal tak, a bik takin ICD i neih chuan a pawimawh hle. In lama AED neih leh mi zawng zawngin hman dan leh CPR tih dan an hriat chian chuan nang leh i chhungte a pui thei a ni. Hlauthawng suh, awareness hi defense tha ber a ni.

` Sudden Arrhythmic Death Syndrome, SADS, thinlung natna, thinlung thawk dan pangngai lo, genetic disease, thih thut, thinlung electrical system