A châng chuan chhan hriat lohvin i thinlung chu a na zual sauh tih i hria em? I rilru chhungah sava pakhatin a thla a rawn phawrh ang maiin i hria em? Hei hi thil hlauhawm tak a ni tak zet. Hetianga heart rate tihsan nghal mai hi Supraventricular Tachycardia (SVT) an ti a. Hetiang hunah hian damdawi i hman hmain i heart rate normalize thei tur method awlsam tak mahse tangkai tak a awm a. Vawiin hian ‘Vagal Maneuvers’ kan sawi dawn a ni.
A awlsam zawngin ‘Vagal Maneuvers’ tih hi eng nge ni?
I taksa hian natural ‘brake’ a nei a, chu chuan i thinlung tlan chakna a thunun thei ang tih han ngaihtuah teh. Chu brake chu ‘Vagus Nerve’ an ti a. Hei hi kan thluak atanga kan pum thlenga nerve sei tak a ni. He nerve hian thil tam tak a thunun thei a, kan thinlung thawk chakna leh thawk chakna te pawh a thunun thei a ni.
‘Vegal maneuvers’ tih hi taksa tihchakna thenkhat, tumruh taka kan tih thin a ni. Anni hian ‘vagas nerve’ an tichak a, chu chuan thinlung natural pacemaker-ah signal a thawn a, chu chuan heart rate a ti hniam a ni. A awlsam zawngin sawi ila, hengte hi kan taksa pianphung ‘brake’ hmanga thinlung thawk chak tak tihreh dan thenkhat an ni. Hei hi Doctor enkawlna hnuaia tih a ni. Hengte hi doctor nena inbia lovin nangmah chauhin enchhin suh.
Engvangin nge heng hmanrua te hi a pawimawh em em?
Rapid heart rate (SVT) nei mi an enkawl hian doctor-te chuan heng ‘vegal maneuvers’ te hi an duhthlanna hmasa ber atan an hmang fo thin . Hei hi chhan hrang hrang a awm a:
- Risk hniam: Heng hmanrua te hi damdawi pek emaw, electrical shock (cardioversion) pek emaw aiin a hlauhawm lo zawk hle.
- A man tlawm: Hei hian hmanraw bik leh damdawi bik a mamawh lo va, chuvangin a man a to hle.
- Quick results: Hlawhtling a nih chuan minute tlemte chhungin heart rate chu a normal leh ta. Hlawhtlinna rate hi 20% leh 40% inkar a ni tlangpui.
- Diagnostic aid: A châng chuan, heng hmanrua te hi i thinlungin a chhân lêt dân en hian, i doctor chuan eng ang heart rhythm disorder (arrhythmia) nge i neih tih chiang takin a hre thei a ni.
Doctor-te hman ‘vegal maneuver’ chi hrang hrang
Hengte hi eng emaw zat a awm. A hnuaia table-ah hian doctor-te hman tlanglawn ber ṭhenkhat tarlan a ni.
| Thiltih dan Hming | A awlsam zawngin sawifiah a ni |
|---|---|
| Valsalva Maneuver hmanga tih a ni | I thawk kha vawng tlat a, i ek chhuah ang maia inbuatsaih. |
| Diving Reflex a ni | Vawikhatmah hmai chu ice water bawm khatah a thun lut ta a. |
| Carotid Sinus Massage hmanga tihfai a ni | (Doctor chauhvin) Kawr sir lama hmun bik pakhat zawi zawia massage. |
| Gag reflex a ni | Thlalak tichak turin rilru tichaktu. |
| Khuh a awm | Khuh ri nasa tak, na tak nei tur. |
Engtin nge heng hmanrua te hi i tih thin?
Hetah hian hmanraw hman tlanglawn ber pathum tih dan tur kan rawn tarlang e. Hengte hi doctor enkawlna hnuaia tih a ni tih hre reng ang che.
- Valsalva Maneuver: Khumah mu turin an ti ang che a, thawk la la, i hnar leh i hmui kha khar la, second 10-30 chhung thawk chhuak la, pipe block-a puak tum ang maiin i thawk chhuak ang. A châng chuan doctor chuan khum lu chu a hnuai lam hawiin, i thawk chhuah rualin i ke a chawi sang thei bawk.
- Diving Reflex: Thut laiin thawk la, i hmai zawng zawng chu ice water basin-ah thun rawh. I hmai chu tuiah a rei thei ang ber dah la. A dang pawhin i hmaiah ice pack emaw, cold wet towel emaw i keng thei bawk.
- Carotid Sinus Massage: Hei hi doctor chauhin a tih theih a ni. Khumah i mu ang a, i lu chu a sir khatah i hawi ang a, doctor chuan i kawr sir lama ‘Carotid Sinus’ an tih hmun chu second 5-10 chhung zawi zawiin a hmet ang.
He method hi tute tan nge a inhmeh lo? (Risk factor hrang hrang) 1.1.
Heng hmanrua te hi mi zawng zawng tan a tha lo. Damlo dinhmun ‘unstable’ a nih chuan doctor-te chuan hengte hi an hmang lo va, chu chu a hnuaia symptoms te hi an neih chuan tihna a ni.
- Thisen sang a hniam hle(Thin sang hniam) .
- A rilru a na
- Thâwk a tawi
- Taksa tana oxygen tling lo
- Organ te hian thisen an dawn tlem lohna dinhmun
Chutiang mi nghet lo tan chuan ‘vagal maneuvers’ ai chuan damdawi emaw electric shock emaw hmanga thinlung thawk control thei cardioversion hman a ni.
Pawimawh: I rilru natna, thawk hah, emaw, thinlung na chak lutuk ang chi symptom i neih chuan emergency a ni. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
Heng hmanrua hmang hian hlauhawmna a awm em?
A tlangpuiin doctor-in mi tling tak chunga he thil hi a tih hian harsatna a awm tlem hle. A lo awm tak tak a nih chuan a tam zawk chu hun eng emaw chen atan chauh a ni.
- Thisen sang hniam (Hypotension) .
- Lung na lutuk (Bradycardia) .
- Heart rhythm disorder dang awm tam lo tak takte chu Atrial Fibrillation, Ventricular Fibrillation, leh Ventricular Tachycardia te an ni.
A bik takin ‘Carotid Sinus Massage’ an tih dan hi mi zawng zawngin an ti thei lo. A hnuaia history nei te hian tih tur a ni lo:
- Stroke emaw TIA (transient ischemic attack) nei tawh tan chuan .
- Carotid artery natna vei tan
- Tun hnaia heart attack nei tawhte tan
- Naupang kum 10 hnuai lam tan
Hei vang hian kan sawi nawn leh a, heng hmanrua te hi, a bik takin neck massage method hi doctor thurawn tel lovin nangmah chauhin enchhin ngai suh.
Take-Home Thuchah a ni
- ‘Vegal maneuvers’ hi taksa tihchakna awlsam tak, atrial fibrillation (SVT) control nana hman thin a ni.
- Doctor-te chuan hengte hi enkawlna hmasa ber atan an hmang a, a chhan chu risk a tlem zawk vang a ni.
- Doctor-in a hrilh loh chuan in lamah hengte hi tih tum suh. A bik takin Carotid Sinus Massage hi doctor chauhin tih tur a ni.
- I thinlung a nat laia i rilru na, luak chhuak, thawk harsa i neih chuan damdawi in Emergency Department (ETU) ah kal nghal tur a ni.
- Heng hmanrua te hian i heart rate a control loh chuan hlauthawng suh. I doctor hian damdawi emaw, enkawlna dang emaw (e.g., catheter ablation) a nei thei bawk. A thupekte chu zawm fo ang che.
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