I heart rate a sang nghal em? Heng Vagal Maneuvers te hi han sawi ila!

I rilru a hah lai hian i thinlung chu a na nghal zual tan tawh em ni... chhan awm lovin a na zual hle em? I tlanbo mai mai ang maiin a lang, a nih loh leh i hlau tak zet a ni lawm ni? Hetiang hunah hian hlauhna tlem a awm hi thil pangngai a ni. A tam zawkah chuan hei hi heart rate a san thut vang a ni. Vawiin hian doctor-te’n he thil hi an enkawlna atana an hman thin, damdawi hman loh dan awlsam tak tak kan sawi dawn a ni.

Vagal Maneuvers hi eng nge ni tak tak?

A awlsam zawngin, Vagal Maneuvers hi kan taksa hmanga kan tih thin thil thenkhat a ni. Chungte chuan kan heart rate control tu nerve a tichak a. He nerve hi Vagus nerve kan ti a . Hei hi kan thluak atanga kan pum thlenga kal nerve pawimawh tak a ni.

Ngaihtuah teh, kan taksa hian system pahnih a nei a. Pakhat chu active taka min siam a, emergency atana min buatsaih hi a ni. A dang chu min thlamuan tir a, kan rilru hahdam tir a ni. He system pahnihna hi Parasympathetic Nervous System an ti a . Chu system-a thil awm ber chu Vagus nerve a ni. Chuvangin he nerve hi tlem kan tihchak hian thinlungah signal a thawn a, "Okay, tunah hian tlem tal slow down rawh." Tichuan thinlung natural pacemaker chu a slow a, heartbeat chak tak chu a pangngaiin a kir leh thei ta a ni.

Heng Vagal Maneuver chi hrang hrangte hi engte nge ni?

Doctor-te hman tlanglawn dan chi hrang hrang a awm. Chung zinga pakhat emaw pahnih emaw chu i hre tawh mai thei.

Engvangin nge heng hmanrua te hi kan hman?

A chhan ber chu Supraventricular Tachycardia (SVT) tih natna a ni. Hei hi thinlung chunglam atanga electrical signal lo chhuak hian heart rate chu minute khata beat 100 aia sang zawka a tihsan nghal vang a ni. Hetiang natna vei tan chuan doctor-te chuan Vagal Maneuvers hi an lo en hmasa phawt ang.

Avang,

• Risk hniam: Hengte hi damdawi pek emaw, electric shock (cardioversion) pek emaw aiin a him zawk hle.
• A man tlawm: Hei hian hmanraw bik leh damdawi bik a mamawh lo.
• Rang taka tih theih a ni: Damdawi inah emaw, clinic-ah emaw tih thuai theih a ni.

Heng hmanrua te hian heart rate pangngai siam thatna kawngah 20% atanga 40% velin hlawhtlinna an nei a ni. A châng chuan, heng hmanrua te hian doctor-te chu eng ang heart rhythm disorder (arrhythmia) chi nge i neih tih chiang taka hriat theih nan a pui thei bawk.

Heng kalphungte hi ti lo tur mi an awm em?

Ni e, a dik tak zet. Doctor chuan i dinhmun a stable chuan heng methods te hi a hmang chauh ang . Chu chu harsatna lian tham i tawk lo a nih chuan a ni. But if your condition is unstable , chu chu a hnuaia symptoms te hi i neih chuan heng methods te hi hman a ni lovang. Chutih hunah chuan enkawlna dang direct-in an sawi dawn a ni.

A hman dan tlangpui te chu tawi te tein han sawi ila.

1. Valsalva hmanga thil tih dan

Hei hi hmanraw hman tlanglawn ber a ni. Doctor-in hetianga a tih dan chu khumah muin thawk la, i hmui leh hnar khar a, thawk chhuah tum ang maia second 10-30 vel chelh tir che hi a ni. Pipe block-a puak tum ang maiin a awm tur a ni.

Hei hi tih dan hlawhtling dang a awm bawk. Modified Valsalva Maneuver tih a ni a . Chutah chuan i thut a, he nawrna hi i tih lai hian doctor chuan i taksa chunglam chu khumah a ti hniam nghal a. Chutih rual chuan a ke pahnih chu a chawi sang a, second 45 vel a chelh bawk. Hei hian hlawhtlinna rate a tisang lehzual a ni.

Naupang tê tête chunga chutianga tih theih nân doctor-te chuan an kâah an kutpui dahin boruak a chhuah loh hma loh chuan thawk tûrin an hrilh a ni.

2. Diving Reflex tih a ni

Hei hi thil mak deuhin a ri mai thei, a dik em? Mahse, hmanraw tangkai tak a ni bawk. Heta i tih tur chu, i thu a, thawk i la a, i thawk i la a, rang takin i hmai zawng zawng chu ice water-a khat basin-ah i thun lut ta a ni. I hmai chu tuiah a rei thei ang bera dah i duh a ni.

Hei aia danglamna atan hian ice water bag khat emaw, towel hnim lum tak tak emaw chu i hmaiah i vawn thei bawk.

3. Carotid Sinus Massage hmanga tihfai theih a ni

Hei hi Doctor chauh tih tur a ni. Nangmah ngeiin i tih phalsak i ni lo tak zet a ni. A chhan chu khawiah nge tih tur dik tak i hriat a ngai a, pressure dik tak i pek a ngai bawk.

Hetah hian doctor chuan i muhil ang a, i lu chu a sir khatah a herh ang a, i kawr sir lama carotid sinus chu a kut zungtang hmangin second 5-10 vel zawi zawiin a massage ang che. Hei hian i heart rate a ti hniam thei a ni.

Heng hmanrua te hnuah hian eng nge thleng?

Beiseina chu heart rate a normal leh ngei ang tih hi a ni. Doctor chuan EKG (electrocardiogram) dang a ti leh ang a, heart rhythm chu a normal leh tawh em tih a en ang.

Heng hmanrua te hi vawi hnih emaw vawi thum emaw i tih hnuah pawh a hlawhtling lo a nih chuan damdawi pek i ni thei. Hei hian i heart rate control nan intravenous medication pek theih a ni tihna a ni. A châng chuan cardioversion-ah refer i ni thei a, chu chu electric shock pek a ni.

Hlawhtling emaw hlawhtling lo emaw pawh nise, hetiang dinhmun hi a lo awm a nih chuan i doctor chuan cardiologist hnenah a refer thei che a ni.

Hei hian eng hlauhawmna leh hlawkna nge a neih?

A thatna tur kan sawi tawh a. A thatna ber chu damdawi hmang lovin, man tlawm takin, leh risk tlem takin i heart rate control i tum thei a ni.

Risk chungchang erawh chu doctor thiam takin dik taka a tih chuan complication a awm tlem hle. An lo thleng ta a nih pawhin hun eng emaw chen atan an ni tlangpui.

• Hypotension: Hun engemaw chen chhunga thisen sang tlahniam.
• Bradycardia: Lung chak lutuk.
• A tlem hle a, heart rhythm lama harsatna dang Atrial Fibrillation leh Ventricular Fibrillation te pawh a awm thei.

Carotid Sinus Massage hmanga stroke vei theihna hi a hniam hle a, mi 1,000 zinga 1 vel a ni. Hemi avang hian doctor-te chuan a hnuaia natna nei tan hian he hmanrua hi an hmang lo.

• Stroke emaw TIA (transient ischemic attack) emaw i neih tawh chuan .
• Carotid artery natna i neih chuan .
• Tun hnaia heart attack i neih chuan.