Thinlung rhythm hlauhawm tak: Torsades de Pointes chungchang hi i zir mai ang u

I lu a na nghal a, i rilru a na a, i mit a sen a, i muhil dawn ang maiin i inhria em? A chang chuan hei hi thinlung rhythm hlauhawm tak chhinchhiahna a ni thei bawk. Vawiin hian chutiang dinhmun hmuh tur awm lo mahse hlauhawm tak pakhat kan sawi dawn a ni. Torsades de Pointes (French tawng, "torsades de pointes" tia lam tur) tih a ni. A hming hi a mak deuhin a lang thei a, mahse a awmzia leh a tih theih dan hriat a pawimawh.

A awlsam zawngin Torsades de Pointes chu eng nge ni?

Hei hi heart rhythm chak tak, pangngai lo leh hlauhawm tak a ni a, i thinlung hnuai lam chamber pahnih (ventricles) atanga intan a ni. A dik tak chuan hei hi heart rate chak tak (Ventricular Tachycardia) chi khat bik a ni. A tlangpuiin mi hrisel chuan minute khatah 60 leh 100 inkar vel a ni. Mahse, hetiang dinhmun hi a lo awm chuan heart rate chu minute khatah beat 150 atanga 300 thlengin a sang thei a ni .

Hei hi a hlauhawm hle a ni , a chhan chu vaukhânna awm lovin cardiac death nghal mai theihna a awm a ni .

I EKG (electrocardiogram) i en chuan hetiang dinhmunah hian doctor-te hmuh thin pattern bik a awm a. Wave pattern a ni a, a hnung leh a inher chhuak a, coil ang mai a ni. French tawng "Torsades de Pointes" tih awmzia chu "point hrang hrang tihdanglam" tihna a ni. A hming hi EKG twisted nature atanga lak a ni.

Hetiang dinhmun hi thinlung electrical activity-a harsatna dang nen a lo awm tlangpui. QT interval rei tak an ti a. A awlsam zawngin sawi ila, QT interval hi i thinlung hnuai lam chamber vawi khat a beat a, a hnua a beat leh tur atana inbuatsaih hun a ni. He hun hi a tlangpuiin a rei (QT rei) a nih chuan extra beat a awm thei a, Torsades de Pointes a thlen thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Heta thil hlauhawm tak chu he natna vei zinga a chanve chiah hian symptoms an nei lo . Symptoms nei ve thote chuan a hnuaia mi hi an tawng thei a ni. Hengte hi i fimkhur hle tur a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi a chhan lian ber pahnih a awm a.

1. Congenital causes: Mi thenkhat chu pianpui atanga lo piang an ni a, `Long QT Syndrome` an tih. Chumi awmzia chu an chhungkuaah hetiang dinhmun hi an nei tihna a ni. Heng mite hi Torsades de Pointes vei theihna chance a sang zawk a ni.

2. A hnu lama a chhan: Hei hi a tam ber a ni. Damdawi thenkhat hman leh taksaa electrolyte level tlahniam hian `QT interval` hi a ti rei thei a ni. Hei hian Torsades de Pointes vei theihna a tipung a ni.

Damdawi hlauhawmna tipungtu:

• Heart rhythm control thei damdawi thenkhat (Antiarrhythmics) .
• Antibiotics thenkhat
• Luak chhuak damdawi thenkhat (Antimetics) .
• Antifungals a ni
• Antipsychotics hi rilru lam natna thenkhat enkawlna atana hman thin damdawi a ni.
• Cancer damdawi thenkhat

Hei hi eng risk factors nge awm?

Mi thenkhat chuan he natna hi an nei tam zawk. Heng risk factors te hi:

• `Long QT Syndrome` tih natna nei.
• Lung natna dang neih.
• Hmeichhia nih (hmeichhia hi an hlauhawm zawk) .
• Kum 65 chunglam a nih vang a ni.
• Thyroid a thawk tha lo.
• Stroke a vei tawh avangin.
• Diuretics hman dan.
• Lung natna (Bradycardia) a ti hniam.
• Taksaah hian calcium, magnesium, potassium a tlem.
• Luak chhuak lutuk emaw, luak chhuak emaw.

Risk hi tihziaawm theih a ni em?

Ni e, i ti thei ngei ang. Thil engemaw zat tih theih a awm a:

• I chhungkuaa mi pakhatin `Long QT Syndrome` a neih chuan i test ngei ngei tur a ni. I neih chuan exercise program i tan hmain cardiologist hmu hmasa phawt ang che.
• Damdawi i ei danah fimkhur rawh: `QT interval` ti rei thei damdawi i ei a nih chuan, chu ai chuan damdawi dang i ei theih leh theih loh zawt la. Damdawi thar i tan dawnin i doctor hnenah tuna i damdawi ei mek ah harsatna a thlen loh nan hrilh rawh.
• Ei leh in chungchang ngaihtuah rawh: I doctor-in a rawt chuan i calcium, magnesium leh potassium level tipung rawh.
• I damdawi ei tur chu a hun takah ei rawh: Hetiang natna hi a lo awm leh tawh loh nan i doctor-in a tih ang chiah khan damdawi hi hmang ang che.
• Tui in tam: Taksaah tui leh chi level dik tak vawng reng ang che.
• I heart rate hre rawh: Lungphung pangngai chu eng nge ni tih leh a teh dan tur zir rawh.
• Heart monitor pek i nih chuan: I doctor-in in lama bun tur heart monitor a pe che a nih chuan bun ngei ngei tur a ni.

Engtin nge diagnosis hi siam a nih?

Hei hi hriat theih dan ber chu `EKG` (Electrocardiogram) test hmanga enfiah a ni. Doctor-te chuan `EKG`-a `twisted` pattern danglam tak leh `QT interval` rei tak hmuh theih chu enin an hre thei a ni.

Tin, heng test te hi tih theih a ni bawk:

• Thisen test: Taksa chhunga electrolytes awm zat, magnesium leh potassium awm zat enfiah thin ang che.
• Echocardiogram: Thinlung insiam dan leh hnathawh dan enfiahna scan a ni.
• Heart Monitor: Ni eng emaw zat bun a, thinlung thawk dan enfiah chhunzawm zel tur hmanrua a ni.

Engtin nge enkawl a nih?

Enkawlna chu a natna chhan a zirin a ni. Congenital Long QT Syndrome vei chuan ruihhlo vanga natna vei aiin hun rei zawk enkawl a ngai dawn a ni.

Engtikah nge Doctor ka hmuh ang?

Torsades de Pointes vangin damdawi inah i awm a ngai a nih chuan kar hnih hnuah follow-up nei turin i haw ngei ngei tur a ni. Hei hi thihna hlauhawm tak a nih avangin, cardiologist enkawlna hnuaia awm reng a pawimawh hle.

I doctor hnenah heng zawhnate hi i zawt thei ang:

• Long QT Syndrome nei ka piang nge, damdawi avanga lo awm?
• Ka chhungkaw mi dangte pawhin he natna hi a lo awm theihna chance engzat nge awm?
• Hetiang hlauhawmna thlentu ai hian damdawi dang ka ei theih a awm em?

Enkawlna hmang hian he natna hi control theih a ni a, nun tha tak i hmang thei bawk. Mahse, enkawl loh chuan thihna a thlen thei a ni. Chuvangin doctor thupek dik tak zawm a, ni ruat saah clinic-ah kal a pawimawh hle.