I thinlung hian mak tak maiin hna a thawk tih i ngaihtuah ngai em? Electrical system te tak te ang mai a ni a, thinlung hmun hrang hrangah electrical signal a thawn a, chu chuan thinlung a thawk tha thei lo. Mahse a chang chuan, heng electrical signal kalna kawngah hian inthlak danglamna tenau te a awm thei bawk. Chu chu "Heart Block" chungchang kan sawi lai a ni. Vawiin hian heart block chi khat, trifascicular block an tih chungchang kan sawi dawn a ni.
Thinlung chhunga heng fascicles te hi engte nge ni? Khawiah nge an awm?
Okay, tunah chuan heng "fascicles" te hi eng nge an nih kan en ang. A awlsam zawngin, hengte hi thinlung chhunga electrical message kengtu muscle fiber bundle bik an ni. Chungte chu "bundle branch" an ti bawk. Chungte chu thinlung hnuai lam chamber pahnih, "ventricles"-ah an awm a. Heng fascicles te hi electrical signal thawn rang tak an ni a, chu chuan heart chamber te chu a ti contract tha a, thisen a pump tir thin.
I hriat angin kan thinlung hi circulatory system organ ber a ni. Chamber lian pali a nei a:
- Atria: A chunglam chamber pahnih.
- Ventricles: Chamber hnuai lam pahnih. Trifascicular block hian heng chamber hnuai lam pahnih hi a nghawng a ni.
Tunah chuan heng chamber hnuai lam pahnih a fascicles te hi han en ila:
- Right Ventricle: Hei hi thinlung dinglama chamber hnuai lam a ni. Heta tang hian Pulmonary Arteries kaltlangin lungah thisen a thawn a, oxygen a dawng a ni. Ventricle dinglam hian fascicle pakhat chauh a nei a. Right Bundle Branch an ti a ni .
- Left Ventricle: Hei hi thinlung veilam sir hnuai lam chamber a ni. Oxygenated thisen chu aorta kaltlangin taksa dang zawng zawngah a pump lut thin. Left ventricle hi thinlung chhunga pumping chamber lian ber leh chak ber a ni. Fascicle pahnih a nei a, chungte chu Left Anterior Fascicle leh Left Posterior Fascicle te an ni. Heng pahnih hian an thawhhona chuan Left Bundle Branch an din a ni. Heng fascicles te hi fiber tenau zawk maktaduai tam takah an inthen leh a, chu chu Purkinje Fibers an ti a ni.
Hetiang hian han ngaihtuah teh, heng fascicle te hi in chhunga electrical wiring ang mai an ni. Switch i on chuan (i.e., signal chu thinlung a thlen chuan) heng wire-ah hian electric a luang a, light bulb a on (i.e., thinlung ruh a inzawm khawm) a ni. Chuti a nih chuan heng wire-ah hian khawi emaw laiah hian interruption a awm a nih chuan eng nge thleng ang? Awle, chu chu heart block-ah chuan a thleng thin.
Heart Blocks hi engtin nge an classified?
Doctor-te chuan heng heart block, a nih loh leh "AV Blocks" te hi an nasat dan azirin chi thum ah an then a:
1. First-degree Block: Hei hi atria atanga ventricles thlenga electrical signal lo lut tur a tlai deuh a ni. Hei hi ``Incomplete Blockage`` a niChuvangin a tam zawkah chuan symptom a awm lo va, enkawl ngai a awm lo.
2. Second-degree Block: Hetiang a nih chuan electrical signal thenkhat chu cell-ah a kal a, a then erawh chu a kal lo. Hei pawh hi block kim lo tak a ni. Hei hian heart rate a ti hniam thei a, chu chu "bradycardia" an ti. A nih loh leh heart rate a mumal lo thei a, chu chu "arrhythmia" an ti. He second-degree block hi third-degree-a a kal chuan enkawl a ngai mai thei.
3. Third-degree Block: Hei hi blockage kimchang tak a ni . Atria atang hian ventricles ah electrical signal a thawn lo. Thinlung rhythm hi AV node, His bundle emaw ventricles ngeiin a thunun a ni. Hei hian heart rate a ti hniam nasa hle. Hei hian nunna a tichhe thei a, chuvangin enkawl nghal a ngai a ni.
Chuti a nih chuan Trifascicular Block hi eng nge ni tak tak?
"Tri" tih thumal hian pathum tihna a ni. Chuvangin, trifascicular block-ah chuan thinlung conduction system-ah hmun thum, "AV Node" hnuaiah blockage a awm a.
A awlsam zawngin sawi ila, trifascicular block hi right bundle branch leh left bundle branch pahnih (chu chu left anterior leh left posterior fascicles pahnih)-a electrical signal-te harsatna a ni. Hei hi heart block tluantling anga ngaih a ni bawk . ( Bundle dinglam branch leh veilam fascicle pakhatah chauh blockage a awm chuan "bifascicular block" an ti a ni.)
Chumi awmzia chu, trifascicular block nei mi pakhat chuan heng condition pahnih hi a nei tihna a ni:
- Right Bundle Branch Block: Hetah hian dinglam fascicle atanga veilam bundle branch thlenga electrical signal chu a slow hle.
- Left Bundle Branch Block: Hei hi electrical signal chu left ventricle kal tlanga zawi zawia a kal lai a ni. Trifascicular block-ah chuan blockage hian left anterior leh left posterior fascicles pahnih a nghawng a ni.
Kawngpui lian pathum vawi khata khar a nih chuan lirthei tlan danah eng nge thleng tih han ngaihtuah teh. Thinlung chhunga thuchahte pawh chutiang bawk chu a thleng thin.
Heng heart block te hi engtiang chiahin nge a awm?
Mithiamte chuan kum 70 chunglam, thinlung natna nei tawh mi 10 zinga pakhat vel chuan an dam chhungin engtik lai pawhin third-degree heart block an nei dawn niin an sawi.
Trifascicular block awm chhan hi engte nge ni?
Kum upat deuh deuh hian heart block chi hrang hrang vei theihna a sang chho zel a ni. A châng chuan heng block te hi chhan hriat lohvin a thleng thei bawk. Tin, pianpui lung natna (congenital heart disease) avanga lo awm thei an ni bawk.
Mahse, a tam zawkah chuan trifascicular block hi thinlung tihchhiat vang a ni. He chhiatna hi thil hrang hrang atanga lo awm thei a ni:
- Coronary Artery natna a ni
- Thinlung lian zawk (Hypertrophic Cardiomyopathy) .
- Lung natna (Heart Attacks) a awm
- Lung natna dang
- Lung Valve Natna
- Thisen a potassium level sang (Hyperkalemia) .
- Minimally Invasive Heart Surgery emaw Open-Heart Surgery emaw hmanga tih theih a ni
- Vagus Nerve hmanga hnathawh tam lutuk
- Rheumatic Fever natna (Rheumatic Fever) a ni
- Sarcoidosis (natna pakhat, taksa peng hrang hranga inflammatory cell te te a awm khawm) .
Trifascicular block a awm hian eng symptoms nge a neih?
Mild (first or second degree) heart block hian symptom a nei lo tlangpui. Mahse, trifascicular block hmang hian bundle branch pathumte hi a nghawng vek a, chuvangin symptoms a awm tam zawk. I tawng mai thei:
- Chhuak na emaw, tightness emaw (Angina) .
- Luak chhuak leh Luak chhuak (Syncope) .
- Chau
- Heart palpitations (i thinlung a tlan chak emaw, beat skip emaw ang maia hriat) .
- Luhai
- Thâwk a tawi
Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah suh. Doctor hnenah thurawn dil a pawimawh.
Trifascicular block avanga harsatna awm thei te chu engte nge ni?
Heart block hian thinlung tan taksa pumpuiah thisen pump chhuah a ti harsa hle. Hei hian nunna atana hlauhawm harsatna a thlen thei a, chungte chu:
- Thinlung thawk mumal lo (Arrhythmia) .
- Lung natna (Heart Attack) a awm
- Lung lam chak lohna
- Sudden Cardiac Death (Lung natna avanga thihna) `(Sudden Cardiac Death / Sudden Cardiac Arrest)`
Hengte hi natna khirh tak tak an nih avangin hetiang ang thinlung lama harsatna awmte hi enkawl vat vat a pawimawh hle kan ti.
Engtin nge Trifascicular Block hi hmuhchhuah a nih?
Doctor-te chuan "electrocardiogram" an tih test hmangin thinlung electrical system inthlak danglamna an hmuchhuak thin. Hei hi a tawi zawngin ECG (E.C.G.) an ti bawk. Mi thenkhat chuan EKG (E.K.G.) an ti bawk.
He ECG test hian thinlung electrical activity a teh a ni. Tin, electrical signal te thinlung chhunga a kal theih nan eng chen nge a rei tih pawh a teh bawk. Thinlung pindan pali zawng zawng hnathawh theihna tura hun a mamawh dan a tarlang a ni.
ECG hi natna nei lo, non-invasive test a ni.Minute 15 vel a ni. Hetah hian patch ang chi "electrode" te te chu i rilru, i kut leh ke ah te a inbun a. Heng electrode te hi ECG machine ah wire hmanga inzawm a ni. He machine hian i thinlung electrical activity chu graph angin a record a. (ECG hian i taksaah electric a thawn lo a, chuvangin chutiang lam ngaihtuah suh.)
Trifascicular block hi engtin nge enkawl a nih?
Trifascicular block nei tam tak chuan an thinlunga an heart rhythm control theihna tur device dah turin operation an neih a ngai a ni.
- Pacemaker: Hei hian thinlungah electrical signal a thawn a, chu chuan heart chamber te chu rhythm-in a ti beat thin. Pawn lam atanga thinlung "push" tlem pek ang mai a ni.
- Device thenkhat "Implantable Cardioverter Defibrillators (ICDs)" tih te pawh hian pacemaker angin hna an thawk bawk. Chu bakah, cardiac arrest nghal theihna a awm chuan heng ICD te hian thinlung chu electrical shock an pe a, chu chuan thinlung chu a pangngaiin a ti na leh thin.
Doctor chuan a enfiah ang che a, eng ang enkawlna nge i tana tha tur tih a rel ang.
Trifascicular block hi a veng thei ang em?
A chhan thenkhat kan thunun theih loh laiin, kan thinlung hriselna venhimna tur thil kan tih theih a awm. Hengte hian trifascicular block ang chi natna hlauhawmna tihtlem nan a pui thei a ni:
- Lung hrisel ei tur ei la , exercise neih fo bawk ang che.
- Zu in hi tihtlem rawh.
- Stress control dan hrisel zawng rawh .
- I taksa rihna tihtlem (a tul chuan) la, taksa rihna hrisel tak vawng reng rawh.
- Thinlung tichhe thei dinhmun, thisen sang, zunthlum, leh cholesterol sang te enkawl rawh.
- Meizial zu bânsan tûr leh secondhand smoke pumpelh tûrin ṭanpuina dîl rawh .
A tir lamah chuan heng thilte hi i nunphungah telh chu harsa deuh mah se, hun rei tak chhung chu i thinlungah a hlawkpui ang.
Trifascicular Heart Blocks vei te hi eng dinhmun nge ni?
Enkawlna dik tak pek a nih chuan trifascicular heart block vei tam zawk chu heart block kimchang takah an kal zel lo. Trifascicular heart block hi enkawl loh a nih chuan a hlauhawmna a sang hle. Hei hian heartbeat mumal lo (arrhythmia) a thlen thei a, hei hian heart block aiin thihna a thlen tam zawk. Enkawlna dik tak – a tlangpuiin pacemaker ang chi hmanrua hmanga enkawl hian he hlauhawmna hi a tihziaawm thei a ni.
Engtik hunah nge doctor ka hmuh ang?
Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni:
- I chau hle tih i hriat chuan.
- I thinlung thawk mumal lo nia i hriat chuan.
- I rilru natna nasa tak i neih chuan.
- Thâwk harsa i neih chuan.
- Heart attack symptoms i neih chuan (e.g., i kut hnuai lam atanga i rilru natna nasa tak radiating, jaw na, sweating).
- Sawifiah loh khawpa nausea a awm chuan.
Heng zinga pakhat tal i neih chuan "Hei hi thil thleng mai mai a ni" tih mai mai suh. Damdawi lam thurawn zawng nghal rawh.
Ka doctor hnenah eng nge ka zawh ang?
Trifascicular block i vei tih hmuhchhuah a nih chuan i doctor hnenah zawhna i zawt mai thei a, chungte chu:
- Eng thilin nge he trifascicular block hi ka neih chhan?
- Engtin nge heart attack emaw heart disease dang emaw ka neih theihna tur chu ka tihtlem theih ang?
- Pacemaker emaw ICD emaw ka mamawh em?
- Pacemaker emaw ICD emaw dah a nih chuan eng hlauhawmna nge awm?
- Complication symptoms hi ka ngaihtuah tur em ni?
Heng zawhnate zawh hian i dinhmun hriatthiamna tha zawk i neih theih nan leh enkawlnaah i tel ve thei ang.
Hriat reng tur pawimawh ber berte (Take-Home Message) .
Trifascicular heart block hi heart kaltlanga electrical signal phurtu kawngpui lian pathumte a block vek a ni. Hei hian thinlung chu a inzawm khawm thei lo va, thisen a pump thei lo. Third-degree, emaw complete, heart block hian nunna atana hlauhawm heartbeat mumal lo (arrhythmias) emaw, cardiac death rang tak emaw pawh a thlen thei.
Kum 70 chunglam leh lung natna nei te chu an hlauhawmna a sang zawk. ECG hian thinlung electrical system-a harsatna awmte chu a hmuchhuak thei a ni. I doctor chuan pacemaker emaw ICD emaw ang chi hmanrua a rawn rawt thei ang. Heng hmanrua te hian thinlung chamber-ah electrical signal an thawn a, chu chuan rhythm-a a beng reng thei a ni.
I thinlung kha enkawl rawh. Thil danglam bik i hriat chuan ngaihthah suh. Damdawi lam thurawn zawn vat chuan i nunna a chhanhim thei a ni.
` Trifascicular block, thinlung block, thinlung electrical system, ECG, pacemaker, thinlung natna, thinlung thawk

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