Thinlung rhythm-ah hian harsatna lian tak a awm em? Ventricular Arrhythmia chungchang hi han sawi ila.

I thinlung a na lutuk emaw, beat khat pawh skip emaw angin i inhriat ngai em? Hetiang hi mi tam takin an tawng tawh a ni. Mahse a chang chuan hei hi thil pangngai a ni lo va, i thinlung rhythm-ah harsatna lian tak a awm tih chhinchhiahna a ni thei bawk. Entirnan, ventricular arrhythmias hi thinlung hnuai lam chamber-a rhythm inthlak danglamna kan ti a. Chûng zînga ṭhenkhat chu pawi lo mah se, chi ṭhenkhat chu nunna atana hlauhawm tak a ni thei.

Hei hian engtin nge thinlung hnathawh a nghawng?

A awlsam zawngin, i thinlung hi pump chak tak, chamber pali nei ang mai a ni. A chung lama chamber te tak te pahnih chu atria an ti a, a hnuai lama chamber lian leh chak tak pahnih chu ventricles an ti bawk.

Ventricle dinglam hian thisen chu lungah a pump lut a, oxygen a hmu thei a ni. Tichuan oxygen nei thisen chu thinlungah a kir leh a, chutah chuan veilam ventricle kaltlangin taksa dang zawng zawngah a pump lut ta a ni. Chuvangin lower ventricle pahnih hian taksa pum puiah thisen a pump chhuak tih i hmu thei ang .

Chuvangin heng cell-te rhythm pangngaiah hian tihbuai a awm chuan a rah chhuah pawi tak a nei thei a ni.

• Cardiogenic shock: Hei hi thinlungin thisen a pump tam thei lo va, taksa peng hrang hrangin an mamawh oxygen an tlachham phah thin.
• Sudden cardiac arrest: Hei hi vaukhânna awm lovin thinlungin a thawk a chawlhsan nghal mai a ni .

Ventricular Arrhythmia chi hrang hrangte chu engte nge ni?

Hetiang dinhmun hi chi thum a awm a. An chanchin pakhat hnu pakhatin sawi ila.

1. Lungphun dang (Preventricular Contractions - PVCs) .

Hengte hi thinlunga "extra beat" ang maia hriat thinte chu an ni. Anni hi an hlauhawm lo tlangpui . Mi tam zawk chuan an nunah engtik lai pawhin hetiang thil hi an tawng thin. Mahse, i thinlung pianzia tidanglam thei dinhmun i neih tawh chuan emaw, heng extra beats (PVCs) te hi i neih fo emaw, rei tak emaw i neih chuan ngaihtuahawm tak a ni.

2. Ventricular Tachycardia (VT) a awm thei lo.

Hei hi thinlung hnuai lam, a nih loh leh atria-te chu ngaihtuah phak loh khawpa chak taka an thawk ṭan hun a ni. Hei hi thinlung electrical system a chhiat vang a ni. A then phei chuan he `Ventricular Tachycardia` (VT) natna hi a na zual thei a, natna hlauhawm tak `Ventricular Fibrillation` ah a chang thei a, chu chu a dawta kan sawi leh ang.

Doctor-te chuan he VT chi hi chi dang engemaw zatah an ṭhen a:

• Hun rei lote chhung nge hun rei tak chhung? (Sustained vs. non-sustained) tih hi a ni.Hetiang heartbeat chak tak hi second 30 aia rei a chhunzawm chuan `Sustained VT` tih a ni. Second 30 aia rei lo a chawlh pawhin `Cardiogenic shock` ang chi natna a thlen chuan he category-ah hian a tel ve bawk.
• ECG pattern: Doctor-te chuan i thinlung electrical activity chu `Electrocardiography (ECG or EKG) tih test hmangin an en thei a ni.` He test-ah hian sensor engemaw zat i rilruah an dah a, i thinlung atanga electrical wave lo chhuak pattern chu record a ni. Thinlung hrisel takah chuan he wave pattern hi `Sinus rhythm` an ti a, VT ang dinhmunah chuan he pattern hi a danglam thin. Doctor-te chuan he thil danglam tak hi an zir chiang thei a, harsatna chu eng nge ni tih chiang takin an hre thei a ni.

3. Ventricular Fibrillation (V-fib) a awm thei lo.

Hei hi heng zinga hlauhawm ber a ni a , emergency treatment a ngai a ni . Heta thil thleng chu pump tha ai chuan thinlung hnuai lam chamber te chu a khur a, a thlawk chhuak mai mai a ni. A chhan chu an inzawm tha lo va, thisen an pump thei lo va, taksaa thisen kal chu a tawp vek tawh mai. Hei hi `Sudden cardiac arrest` an ti a, chutah chuan thinlung chu a tawp nghal a ni. Thluak lamah thisen a kal loh avangin second tlemte chhungin hriatna i hloh a, i tlu ta a ni. Minute tlemte chhunga thisen kal dan a lo let leh loh chuan hei hi thihna thlentu a ni.

Hetiang dinhmun hi eng symptoms nge ni thei ang?

A chi hrang hrangah hian symptoms a inang lo. Ṭhenkhat chuan PVC ang bawkin symptom engmah an nei lo mai thei. A chi lian pahnih zingah hian a lan chhuah dan tlangpui hi ngun zawkin han thlir ila.

Eng thilin nge hetiang hi a thlen theih?

Heng dinhmunte hi chhan hrang hrang a awm thei.

Ventricular Tachycardia (VT) natna thlentu te 1.1.

• Lung ruh chak lo emaw, a thim emaw (Cardiomyopathy) .
• Lung natna (a bik takin thinlung pianzia tidanglam thei natna) .
• Thinlung natna (congenital heart conditions) a awm thin
• Taksa chhunga electrolyte inthlauhna
• Lung natna
• Lung lam chak lohna
• Thinlung natna (inflammatory conditions) a awm thin
• Lung zai hnuah
• Heart valve natna te
• Taksa tana oxygen tlakchhamna
• Damdawi thenkhat

Ventricular Fibrillation (V-fib) awm chhan hrang hrang 1.1.

• A rilruah vuakna nasa tak (e.g., ball chak takin a vuak) .
• Lung ruh chak lo emaw, a thim emaw (Cardiomyopathy) .
• Pianpui thinlung natna
• Electric hmanga tihchak
• Lung natna
• Lung zai hnuah
• Damdawi thenkhat
• Ventricular Tachycardia thunun theih loh

He natna hi tuin nge vei tam ber?

Ventricular Arrhythmia hi thinlung natna nei tawhte zingah a tam ber a ni. Chuvangin, kum upat deuh deuh hian a hlauhawmna chu a pianphungah a pung zel a ni. He hlauhawmna hi thinlung insiam dan emaw, a pianzia emaw tidanglam thei natna nei tan chuan a sang hle.

Thil hlauhawm lo chi thenkhat chu kum eng pawhah a awm thei. Mahse a chi hlauhawm zawk, `Sustained VT` ang chi hi chu thinlung natna hnuaia awmte zingah a tam zawk. Mahse a chang chuan, natna lanchhuahna nei lo leh thinlung natna nei tih hre loteah a thleng thei.

Engtin nge doctor hian hei hi a hmuh theih?

Doctor i pan dawn chuan zawhna a zawt hmasa ang che a, i natna lan chhuah dan te a zawt ang che a, medical history a la ang. Tichuan a enfiah ang che. Chu chu i thinlung ngaihthlak a, i thisen sang lak tihna a ni.

Eng ang test nge tih thin?

Hetiang dinhmun hriat theihna atana test hman ber chu ECG (Electrocardiography) a ni. Hemi chungchang hi kan sawi tawh a. Hetah hian thinlung electrical activity chu wave pattern angin record a ni a, doctor chuan eng thil dik lo nge awm tih a zirchiang a ni.

Mahse a chang chuan he rhythm pangngai lo hi a awm reng reng lo. Chutiang hunah chuan ECG pangngai hmanga hriat theih a ni lo mai thei. Chutiang hunah chuan i doctor chuan ni khat emaw, a aia tam emaw i hman theih tur hmanrua a pe thei che a ni.

• Holter monitor te chu:Hei hi a tlangpuiin cell phone ang vela lian device a ni. I rilruah i bun thin sensor-ah wire dah a ni. Darkar 24 emaw 48 emaw chhung chu i thinlung rhythm a record chhunzawm zel a ni.
• Ambulatory monitor: Hengte hi Holter monitor nen a inang a, mahse hun rei zawk, a chang chuan ni 30 thleng bun theih a ni. A chi thenkhatah chuan button i press a, chu chu symptom i hriat chuan i hmet thin. A dangte chu automatic an ni a, rhythm danglam tak an hriat veleh an record nghal vek a ni.

Hei hi eng enkawlna nge ni?

He natna hi a dam kim theih leh theih loh chu a chhan a zirin a ni. A châng chuan a chhan chu tihdam theih a ni a, tihdam theih a ni bawk. Mahse, natna khirh tak, pianpui atanga lo awm a nih chuan tihdam a harsa tlangpui. Chutiang a nih chuan enkawlna tum ber chu natna enkawl leh i nunah nghawng a neih tlem zawk hi a ni.

Emergency hmanga enkawl a ni

• CPR (Cardiopulmonary Resuscitation): Mi thinlung a reh a, pulse a awm loh chuan CPR tih tan nghal tur a ni. Hei hian thisen kal dan chu artificial-a enkawl a, rilru chu compress-in a tichak tihna a ni. Ambulance a lo thlen hma emaw, `AED` machine rawn luhtir a, hman a nih hma emaw chuan CPR tihtawp hi thil tha a ni lo.
• Automated External Defibrillator (AED): Hei hi mi thinlung rhythm thlirletna hmanrua a ni a, a tul chuan electric shock (`shock`) pein thinlung rhythm a siam tha leh thin. `VT` leh `V-fib` rhythm pahnih hi hetiang hian electric shock hmangin siamthat theih a ni.
• Damdawi: Heart rhythm control nana damdawi bik pek thin a awm a.

Emergency ni lo enkawlna

• Ablation: Hei hian thinlung chhungah tube te tak te, cannula ang chi dah luh a, lum lutuk emaw, khaw vawt lutuk emaw hmangin thinlung hmun tlemte tak tak, electrical signal pangngai lo thlentu chu inactivate a ngai a ni. Hei hian rhythm pangngai lo chu a titawp a ni.
• Implantable Cardioverter Defibrillator (ICD): Hei hi hmanraw te tak te, rilru vun hnuaia dah a ni. Heartbeat mumal lo hlauhawm tak a hriat chuan electric shock a pe chhuak thei a, chu chuan heart rhythm pangngai a siam leh thei a ni.
• Damdawi: Hun rei tak chhunga rhythm control nan damdawi pek theih a awm. Amaherawhchu, hengte hi mi zawng zawng tan a thawh dan inang vek lova, side effect thenkhat a awm thei bawk. Chuvangin i doctor nen inbiain i tana tha ber tur damdawi i thlang tur a ni.

Enkawl hnuah eng nge thleng? Engtin nge i tih theih ang?

I tih tur pawimawh ber chu i doctor thupek dik taka zawm hi a ni . Damdawi ei tur chu a tih angin ei a, ni ruat saah clinic-ah kal a pawimawh hle.

Enkawl hnua dam leh hun chhung hi enkawl dan azirin a inang lo. Ablation emaw ICD emaw i neih chuan ni engemaw zat chhungin i dam tan ang. Damdawi hmang hian kar tlemte hnuah danglamna i hmu ang. He natna hmalam hun tur hi i dinhmun a zirin a danglam nasa hle. I enkawltu doctor chuan hei hi a hrilhfiah thei ber che a ni.

Hetiang dinhmun hi ven theih a ni em?

Heng arrhythmias chi hrang hrangte hi beisei loh takin a lo awm fo avangin ven a awlsam lo hle a, a bik takin congenital heart disease i neih chuan ven a awlsam lo.

Mahse, indirect takin he natna kan neih theihna tur hi kan tihziaawm thei a, chu chu he natna thlen thei natna dang (lung natna, thisen sang ang chi) kan tihziaawm thei a ni. Chutiang ti tur chuan:

• Meizial zu (cigarette, vaping te pawh tel) chu bansan vek rawh.
• Doctor-in a rawt angin ei leh in inthlau tak ei rawh.
• A theih ang anga taksa chak takin awm rawh.
• I taksa rihna hrisel tak vawng reng rawh .
• Zu in hi control rawh .

Engtikah nge Doctor ka hmuh ang? Engtikah nge ETU ah hian ka kal ang?

I natna lan chhuah dan a danglam tih i hriat chuan, emaw, nitin nun a tibuai tan a nih chuan doctor pan rawh. Tin, symptoms nei lo mah la, natna hriat hmasak nan kum khatah vawi khat tal taksa enfiahna kimchang neih a pawimawh.

Heng a hnuaia symptom na tak tak te hi i neih chuan damdawi in Emergency Department (ETU) ah tihkhawtlai lohvin kal nghal rawh.

• A rilru natna nasa tak (Angina) .
• Thâwk harsa
• Sawifiah loha hriatna hloh emaw, muhil (lithiness) tih hriat fo emaw .

Ventricular Arrhythmia hi mi hrang hrangah a inang lo thei hle a, chuvangin i hriselna hriatthiam leh enkawl dan tha ber chu heng symptoms te hi i nei nia i rinhlelh chuan doctor lam pan hi a ni.