Thinlung a tawp nghal theihna dinhmun hlauhawm ber (Ventricular Fibrillation) chungchang hi i zir dawn teh ang?

Ngaihtuah teh, i inbiakna hlimawm tak chu leia hriat lohvin a tlu nghal a. An thawk pawh an la chhuak lo ang maiin a lang. Hetiang hunah hian engtin nge kan ngaih? Mi tam tak chu an hlauthawng a, an lungngai bawk. Vawiin hian thinlung natna hlauhawm tak, hetiang thil thleng thei kan sawi dawn a ni. Hei hi Ventricular Fibrillation, a tawi zawngin V-fib a ni.

Ventricular Fibrillation (V-fib) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, V-fib hi thinlunga awm, arrhythmia thihna thlen thei a ni. Kan thinlung hian pindan lian pali a nei a. Chamber chunglam pahnih leh a hnuai lam chamber pahnih a awm. Chamber hnuai lam pahnih chu ``ventricles`` an ti a. Heng chamber pahnih hian taksaah thisen pump hna an thawk ber a ni.

A tlangpuiin heng chamber pahnih te hi a insiamrem a, a inzar pharh a, thisen pump thei a ni. Mahse V-fib-ah chuan heng chamber pahnih hian pump dik tak an titawp a, an wobble tan chauh a ni. Jelly chi khat ang maiin. Chuti a nih chuan eng nge thleng ang? Thisen hi taksa dang, a bik takin thluak lamah a pump lut lo.

Mi pakhatin thisen kal a chawlhsan atanga second tlemte chhungin a hriatna a hloh thei a ni. Hetiang dinhmun hi cardiac arrest an ti a . Emergency treatment an dawn loh chuan minute reilote chhungin thihna a thleng thei a ni. Hei hi dinhmun pawi tak a ni.

Hei hi a lo thlen hma hian eng symptoms nge lo lang?

A tam zawkah chuan V-fib hi hriattirna awm lovin a awm thin . Mahse, mi thenkhat chuan an natna a lo awm hma lawk hian symptom thenkhat an nei thei. Chûngte hriat chian chuan hma la tûrin hun remchâng a pe thei che a ni.

Heng symptoms te hi a lan chhuah atanga second emaw minute emaw chhungin mi chu a hriatna a hloh a, leiah a tla thla thei a ni. Chutiang a lo thlen chuan chu mi chuan thusawi emaw, khawih emaw chu a chhâng lo vang. Tin, thawk an chawlhsan emaw, thawk harsa ang maiin emaw an lang thei bawk.

V-fib awm chhante chu engte nge ni?

Hetiang dinhmun hlauhawm tak thlentu ber chu heart attack a ni. Chu chu thinlunga thisen pe chhuaktu thisen kalna kawng (artery) a block nghal (ischemia) tihna a ni. Mahse hei hi nghawng thei thil dang tam tak a awm.

• Heart attack: Hei hi a tam ber leh a chhan ber a ni.
• Thinlung pianphung tidanglam thei natna: Cardiomyopathy ang chi natna, thinlung ruh tichak lo.
• Heart rhythm disorder dang: V-fib hi heart rhythm dik lo dang (arrhythmias) vang pawh a ni thei.
• Congenital heart disease: Genetic condition thenkhat, Brugada syndrome ang chi te.
• Heart surgery: He risk hi heart surgery thenkhat hnuah pawh a awm thei.
• Damdawi thenkhat: He natna hi damdawi thenkhat side effect angin a awm thei.
• Ruihhlo hman: Cocaine leh methamphetamine ang chi ruihhlo hman.
• Taksa chhunga chi (salt) inthlauhna: Thisenah potassium emaw magnesium emaw a tlem emaw, a tam emaw a awm.
• Electric shock: Kan taksa chhunga electric current sang tak kal tlang.
• A rilruah vuakna nasa tak: Infiamna khelh laiin ball ang chi thilin a rilru a rawn nam nghal vat a, chu chu ``Commotio cordis`` an tih natna a ni.

Hei hi nunna atana hlauhawm tak a ni! Engtin nge enkawl a nih?

Hei hi a pawimawh ber a ni. V-fib hi medical emergency a ni. Mi pakhat chu a rilru a buai a, hetiang hian a tlu a nih chuan second tin hi a chhiar vek a ni. I thiltih rang tak chuan nunna a chhanhim thei a ni.

Eng nge i tih duh?

1. Thlamuang takin awm la, tanpuina dil rawh: Pakhatnaah chuan hlauthawng suh. 1990 (Suvaseriya) ambulance service biak nghal emaw, damdawi in hnai ber Emergency Treatment Unit (ETU) hnenah emaw hriattir nghal rawh.

2. CPR tan: Ambulance lo thleng emaw, AED lo thleng emaw chauh nghak suh. CPR (Cardiopulmonary Resuscitation) pek dan i hriat chuan chest compression hi tan nghal rawh. Hei hian thluak leh taksa peng dangte thisen kalna engemaw zat a vawng reng thei a ni.

3. AED hmang rawh: AED (Automated External Defibrillator) hi thinlung electrical activity siam that leh nan electric shock pe chhuaktu hmanrua a ni. Tunah hian heng machine te hi vantlang hmun tam takah (airport, shopping mall) ah te hman theih a ni tawh. An hman tur chuan damdawi lam hriatna engmah a ngai lo. Machine i on zawh chuan machine-a instruction awmte chu i zawm thei tawh ang. V-fib hi arrhythmia mak tak a ni. Thil thleng atanga minute 3 hmasa berah AED hman a nih chuan nunna chhanhim theihna chance chu 95% vel a ni.

Damdawi inah an hruai hnuah doctor-te chuan V-fib dinhmun hi ``EKG`` test hmangin an nemnghet a ni. Tichuan, a chhan hriat tumin test dang tam tak an ti leh a, chu chu thisen test, ``echocardiogram``, leh ``cardiac MRI`` te hi a ni.

V-fib atanga i damchhuah chuan eng nge thleng leh ang?

Hetiang dinhmun hlauhawm takah hian mi pakhatin a damchhuak a nih chuan thil ropui tak a ni. Mahse, he natna hi a lo awm leh theihna a awm. Chuvang chuan Doctor ten a chhan an zawng chhuak a, chumi ang chuan hun rei tak chhung enkawlna an pe thin.

• Damdawi: Heart rhythm control nan ``Antiarrhythmic medications'' ang chi damdawi pek thin a ni.
• Thil dah theih: V-fib atanga damchhuak tam tak chuan an rilru vun hnuaiah hmanraw te tak te , Implantable Cardioverter Defibrillator (ICD) an tih chu an dah a. Hei hi thinlung tana nunna humhimtu ang a ni. Heart rhythm a dik lo leh a nih chuan he device hian a hrechhuak a, electric shock a pe nghal a, chu chuan heart rhythm a siam tha leh ta a ni.

Thil engemaw takah chuan thinlung chhunga electrical signal dik lo thlentu hmun tichhe thei ``ablation'' ang chi enkawlna pawh hman theih a ni bawk.

V-fib leh Heart Attack hi thil inang an ni em?

Ni lo, hei hi mi tam takin an buaipui thin thil a ni.

• Heart Attack: Hei hi "vessel problem" a ni. Chumi awmzia chu thinlunga thisen petu thisen kalna kawng chu cholesterol ang chi thilin a block tihna a ni. Hei hian heart muscle a tichhia a ni.
• Ventricular Fibrillation (V-fib) atanga lo chhuak a ni.Hei hi "electrical problem" a ni. Chu chu thinlung electrical signaling system a chhiat avangin heart rhythm a tibuai tihna a ni.

Mahse, V-fib hi heart attack vang a ni thei tih hre reng ang che. Chumi awmzia chu heart attack hi V-fib thlentu ber a ni tihna a ni.

Hemi nena inzawm natna dang chu `Ventricular Tachycardia` an ti a. Hei hi thinlung hnuai lam chamber `(ventricles)` te chu a thawk chak em em lai a ni. Hei hi V-fib a lo ni thei bawk. Heng pahnih hi nunna atana hlauhawm tak tak an ni.

Engtin nge he dinhmun hlauhawm tak lakah hian kan inven theih ang?

V-fib thlentu ber chu thinlung natna a nih avangin, invenna tha ber chu heart attack i neih theihna tur tihtlem hi a ni. Chu chu thinlung hrisel vawng reng tihna a ni. I tanpui theih tur thil tam tak a awm a.

• Thinlung hrisel ei: Hriak, chi leh chini ei tlem la, thlai, thei leh thlai chi tam zawk ei bawk ang che.
• Exercise neih fo: Ni khatah minute 30 tal kea kal, tlan, tui chawi ang chi thil tih.
• Thisen sang, cholesterol, leh zunthlum control dan: Heng natnate hi i vei a nih chuan i doctor thupek leh damdawi te dik takin zawm tur a ni.
• Stress management: Yoga leh meditation ang chi thil hmangin i rilru timuang rawh.
• I taksa rihna hrisel vawn reng: I san zawng nena inmil tur rihna vawn reng a pawimawh hle.
• Meizial leh zu in loh tur.

I chhungkuaa mi tu pawhin thinlung natna nei tawh emaw, thih thut emaw an neih chuan i doctor nen sawiho rawh. Test bik neih a ngai mai thei.