I thinlung thawk chu a inmil lo em ni? Ventricular Dyssynchrony chungchang hi awlsam takin i zir dawn teh ang!

A châng chuan thawk harsa i ti em, i chau reng em, a nih loh leh i ke a hring chhuak em? Chûngte chu a châng chuan i thinlunga harsatna i neih chhinchhiahna a ni thei. Vawiin hian thinlung hnathawhna tichhe thei dinhmun kan sawi dawn a, mahse kan la hre tam lo mai thei. Chu chu ventricular dyssynchrony , emaw doctor-te’n an tih angin, ``(Ventricular Dyssynchrony)`` a ni. A hming hi a buaithlak deuhin a lang thei a, mahse awlsam takin han sawifiah ila.

Ventricular Dyssynchrony tih hi eng nge ni?

A awlsam zawngin, ventricular arrhythmia chu i thinlung hnuai lam chamber pakhat emaw, a aia tam emaw, ventricles , an tih chu a inthlau lo va, inremna awm lovin a beat a ni. I thinlung cell hrang hrang inzawmkhawm tan emaw, cell pakhatin a dang nena khaikhin chuan a inzawm tan tirh inkarah emaw, millisecond 40 vel zet a tlai deuh niin han ngaihtuah teh. Chu chu arrhythmia anga ngaih theih a ni.

Kan thinlung hian a chamber chhunga thau te chu a ruala leh a ruala a inzawm khawm chuan a thawk tha thei chauh a ni. A tlangpuiin electric signal te hi thinlung chhungah hian mumal takin a kal thin. Thinlung pindan lian pahnih chuan inzawmkhawmna tur signal an dawn chuan, chu chamber chhunga thau te chu a zat inang leh a hun laia inzawmkhawm a ngai a ni. A bik takin, i left ventricle, thinlung pumping chamber ber chu a inzawm tlat a ngai a ni. A sir lehlamah atanga centre lam pana nawr ang mai a ni.

Mahse, he signal hian heart cell pahnih hi a ruala a thlen loh chuan muscle te hi a rualin an inzawm thei lo. Chu chu he dyssynchrony kan tih chu a ni.

Cellular dyssynchrony hian i taksa hi a hnuaia mi ang hian a nghawng thei a ni.

• I thinlung hnathawh thatna a ti tlem a ni.
• Valve, a tlangpuiin kawng khata thisen kal theihna tura puitu hian thisen chu hnunglam (kawng dik lovah) a tichhuak thei a ni .
• I thinlungin thisen a pump theih zat (Cardiac Output) a tlahniam.

Cardiac arrhythmias chi hrang hrangte chu engte nge ni?

Cell asynchrony hi chi hrang hrang a awm a, chungte chu:

• Atrioventricular Dyssynchrony: Hei hi i thinlunga upper chamber (atria) leh lower chamber (ventricles) te chu inremna awm lovin an inzawm khawm a ni.
• Interventricular Dyssynchrony: Hetah hian i veilam leh dinglam ventricles (lower chambers) te chu hun hrang hrangah an inzawm khawm thin.
• Intraventricular Dyssynchrony: Hetah hian cell pakhata hmun hrang hranga taksa peng hrang hrangte chu hun hrang hrangah an inzawm khawm thin. Chu chu pindan bangte chu a ruala chhung lam hawia nawr ai chuan, hun hrang hranga inzawm khawm angin ngaihtuah rawh.

Cell asynchrony hian tute nge a nghawng ber?

Hetiang dinhmun hi a hnuaia damdawi lam natna nei te zingah hian hmuh tur a awm tlangpui:

• Lung lam natna nei te.
• Left Bundle Branch Block (LBBB) ah a awm a.
• Dinglam Bundle Branch Block (RBBB) ah a awm a.
• Lung ruh natna `(Cardiomyopathy)`.
• Thisen sang a sang.
• Lung natna dang.

Kan khuaa Uncle Somapala kha han ngaihtuah teh. Hun engemaw chen chu `(Heart Failure)` a lo tuar tawh a ni. Tun hnaiah chuan thaw a harsat a, a chau zual zel bawk. Doctor-in a enfiah chuan a thinlungah pawh he natna `(Ventricular Dyssynchrony)` an tih hi a nei tih a sawi a, hei vang hian a natna lan chhuah dan chu a na zual sauh sauh a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Lung lam natna chi khat nei zinga hmun thuma ṭhena hmun khat vel chuan he cell asynchrony chi hi an nei thei a ni. Ram changkang zawkah chuan puitling 2% velin lung lam natna an vei a ni. Tin, kum 65 chunglam zinga 6% leh 10% inkar chuan heart failure an nei bawk. Chuvangin, he dinhmun hi chutiang nena inzawma hmuh theih thil a ni bawk.

Eng nge a lan chhuah dan?

Cellular dyssynchrony hian heart failure symptoms a ti na zual thei a, a nih loh leh a tan chauh symptoms a thlen thei bawk. Hengte hi a bulpui berte chu an ni:

• Thâwk harsa (a bik takin i chau lai).
• Chau lutuk (hun rei lo te chhung atan pawh nise).
• Khuh (a awm reng pawh a ni thei).
• Taksaah (a bik takin ke leh ke ruh ang chi hmunah) a hring (edema) a awm .

Cell asynchrony awm chhan hi engte nge ni?

Lung lama harsatna hrang hrang engemaw zatin hei hi a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Ventricular Dysfunction a awm thei lo.
• Heart attack avanga lo awm scar tissue .
• Electrical Conduction Delay, hei hian Left Bundle Branch Block leh Right Bundle Branch Block ang chi condition te a huam a ni.
• Lung ruh natna nei.
• Lung ruh (Ischemia)-a thisen kal tlem (Ischemia).

He natna hi hriat theih nan eng test nge tih thin?

I doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, i thinlung hnathawh dan enfiah turin taksa enfiahna a nei ang che. Sometimes , stethoscope hmanga i thinlung ngaihthlak hian he asynchrony hi ngaihtuahna a pe thei bawk.

Thinlung electrical conduction system-a harsatna awmte hriat theihna atana test hman ber chu electrocardiogram (ECG) a ni. Right Bundle Branch Block leh Left Bundle Branch Block ang chi condition a hmuchhuak thei a, chu chuan thinlung chu a beat out of sync tir thin. ECG-a heng dinhmunte hi hmuh a nih chuan doctor chuan test dang neih belh turin a refer ang che.

Doctor-te chuan cardiac arrhythmias hriat nan echocardiogram an hmang fo thin. Chu chuan thinlung chamber, valve leh muscle te chu engtin nge an inzawm tih an hmu thei a ni.

Test dang pawh tih theih a ni:

• Positron Emission Tomography (PET) hmanga tihchhuah a ni.
• Multigated Acquisition (MUGA) hmanga thil tih a ni.
• Heart Magnetic Resonance Imaging (MRI) hmanga tihchhuah a ni.
• Computer hmanga Tomography (CT) hmanga tihchhuah a ni.
• Single Photon Emission Computed Tomography (SPECT) hmanga tihchhuah a ni.

Cell asynchrony hi engtin nge enkawl a nih?

Healthcare provider-te chuan i cell asynchrony thlentu damdawi lam dinhmun hnuaia awm chu an enkawl thei a ni.

Thil tam takah chuan cardiac resynchronization therapy (CRT) (CRT emaw biventricular pacemaker tia koh bawk) hian thinlung lehlam lehlamah rhythm control-in heart pump tha zawkah a pui thei a ni. Mahse, he enkawlna hian he enkawlna dawngtu 50% atanga 70% vel chauh symptoms a ti tha zawk a ni. Asynchrony na tak nei te hi an hlawhtling zawk.

CRT enkawlna avanga harsatna awm thei

`CRT` (bi-polar pacemaker) dah hian a hnuaia harsatna te hi a thleng thei (hengte hi a tlem hle a, mahse hriat tur tha tak a ni):

• Pneumothorax natna (Pneumothorax) a ni.
• Chest wall leh lung inkara thisen awmkhawm (Hemothorax).
• Lungphun a hliam.
• Thinlung ni lo taksa ruh dangte tihchakna.
• Pacemaker hian hmun atanga chhuakin hma a hruai.

Engtiang chiahin nge enkawl hnuah ka dam leh thuai ang?

CRT therapy hian cell asynchrony a tihziaawm nghal mai. Mi thenkhat chuan device an dah atanga kar tlemte chhungin an rilru a hahdam tan thin. Hun rei tak chhunga hlawkna tur pawh a awm:

• I thinlungin thisen a pump chhuah zat tihchangtlun (Cardiac Output).
• Mitral valve atanga thisen backward leakage tihtlem.
• I nunphung tihchangtlun.
• Minute ruk chhunga i kal theihna hlat zawng chu a pung zel a.

Eng damdawi nge hman?

Atrial fibrillation thlen thei dinhmun, heart failure, cardiomyopathy, emaw thisen sang emaw tan chuan doctor chuan damdawi a pe thei a, chungte chu:

• Angiotensin tidanglam thei Enzyme (ACE) titawp thei.
• Angiotensin II Receptor Blockers (ARBs) te hi a awm a, hei hi a chhuahna tur hmun tur a ni.
• Beta-Blockers te pawh a awm.
• Diuretics (diuretics) tih a ni.

Heng damdawi te hian i thinlung hnathawh chu eng emaw chen ti tha thei mah se, electrical conduction abnormalities avanga asynchrony awm chu a tidanglam vek thei lo. Chuvang chuan CRT ang chi enkawlna hi a ngai a ni.

Engtin nge cell asynchrony hlauhawmna hi i tihziaawm theih ang?

I tih theih ṭha ber chu i thinlung enkawl ṭhat hi a ni. Chutianga i tih chuan cell asynchrony thlentu condition thenkhat chu i veng thei ang.

I thinlung venhim dan thenkhat:

• Saturated fat tlem (oil leh fried foods tihtlem) diet ei thin ang che .
• Ni tam zawkah chuan minute 30 tal exercise la (kea kal pawh a tha).
• I tan taksa rihna hrisel tak vawn reng.
• Doctor-in a sawi ang chiaha damdawi ei.

Cell asynchrony ka neih chuan eng nge thleng ang?

Left Ventricular Dyssynchrony (LVD) hi enkawl a ni lo va, a result pawh a tha tawk lo. LVD vei te hi he natna nei lo te aiin cardiac events vei an tam zawk. I ventricle pakhatah (a nih loh leh a pahnih) ah dyssynchrony i nei thei a, mahse i ventricle veilam hi i taksa pum puia oxygen tamna thisen pumptu ber a ni. Hei hi function pawimawh tak a ni.

Inenkawlna `CRT` (dual-cell pacemaker) tih hian heart failure nei te damdawi ina awm tlem nan leh dam rei zawk nan a pui thei a ni.

Asynchrony awm chhan bulpui ber pawh hian a rah chhuah pawh a nghawng tih hre reng ang che. Mi thenkhat dinhmun chu mi dang aiin a chhe zawk mai thei.

Engtin nge ka in enkawl ang?

• I doctor-in damdawi a pe che a nih chuan, a tih ang chiah khan ei ngei ngei tur a ni . Damdawi hi i doctor-in chawlhsan tura a tih hma loh chuan a tih angin ei thin ang che.
• Biventricular pacemaker i neih chuan ni ruat saah clinic-ah kal tur a ni tih hre reng ang che . Hengte hi i doctor-in i pacemaker a thawk tha em tih a enfiah theihna hmun a ni. Damdawi in thenkhatah chuan CRT clinic an tih bik clinic an nei a. Chutah chuan cardiologist leh heart specialist te chuan i pacemaker atanga hlawkna tam ber i hmuh theih nan an thawk ho thin.

Engtikah nge ka doctor ka hmuh ang?

• Damdawi pek hmanga i rilru a hahdam loh chuan.
• I biventricular pacemaker-ah harsatna a awm chuan.

Chutiang hunah chuan Doctor pan nghal tur a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

If you experience any of these symptoms , doctor thurawn zawng nghal rawh:

• Chhuak na emaw, nuam lo emaw.
• Vertigo (i inher ang maia inhriatna).
• Thâwk harsa na tak.
• Pum na, luak chhuak.
• Hnung, kawng emaw, hmui emaw na.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah heng zawhnate hi zawh theihnghilh suh:

• Engvangin nge cell asynchrony hi ka lo neih?
• `CRT` enkawlna atan ka tling em?
• Lung natna vei te tanpui thin support group an awm em?

I thinlungin hna a thawk tha lo tih i hriat chuan tlem a lungkham deuh hi thil pangngai a ni. Mahse, lungngai suh. I doctor chuan i arrhythmia awm chhan chu a zawng chhuak thei a, i tana enkawlna tha ber a thlang thei bawk. Damdawi bottle-a thupek awmte chu chiang takin zawm rawh. Nitin a hun khata i damdawi ei hian ei tur i hriat reng theih nan a pui ang che. Calendar-ah i appointment date chhinchhiah la, i phone-ah hriattirna set rawh. Hei hian anmahni i tlakchham loh nan a pui ang che.

Thupui tawi leh Take-Home Message

Okay, chuvangin tunah chuan vawiin a kan sawi tawh ``Ventricular Dyssynchrony'' hi hriatthiamna tha zawk in neih ka beisei.

A awlsam zawngin, hei hi thinlung hnuai lam chamber (cell) te chu a inthlau lo va, an inrem lo a, an inrem lo tihna a ni. Hei hian thinlung hnathawh thatna a ti tlem thei a, thawk hah leh hah ang chi symptoms a thlen thei bawk.

• `(ECG)` leh `(Echocardiogram)` ang chi test te hian he natna hi a hriat theih nan a pui thin .
• Enkawlna atan chuan natna hnuaia awm enkawlna bakah hian pacemaker therapy ``Cardiac Resynchronization Therapy (CRT)`` tih pawh a pawimawh hle.
• I thinlung enkawl leh nunphung hrisel zawm hian chutiang dinhmun venna kawngah kawng thui tak a zawh a ni.
• Heng symptoms te hi i neih chuan doctor thurawn la hreh suh. Natna hi hriatchhuah leh enkawl thuai a nih chuan a rah chhuah a tha zawk.

I thinlung hi i thil neih hlu ber a ni tih hre reng ang che. A humhalh hi i mawhphurhna a ni.

` Lung natna, ventricular dyssynchrony, ventricular tachycardia, thinlung natna, CRT, pacemaker te a awm bawk