I thinlung chu a na nghal zual sauh em? Ventricular Tachycardia (VT) chungchang hi han sawi ila!

I thinlung chu chhan awm lovin a na nghal hle tih i hre ngai em? A nuam lo hle a, a rit lutuk, i rilru a tight a, i lu a hah bawk. A chang chuan hei hi thil pangngai a ni thei. Mahse, a châng chuan thinlung natna khirh tak, a châng chuan nunna atana hlauhawm tak Ventricular Tachycardia (VT emaw V-tach) tih chhinchhiahna a ni thei bawk. Vawiin hian he thu hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin Ventricular Tachycardia (VT) hi eng nge ni?

Awle, hei hi eng nge a nih kan en hmasa phawt ang u. Kan thinlung hian pindan lian pali a nei a. A chunglam chamber pahnih leh a hnuai lam pahnih. A tlangpuiin thinlung hrisel tak chu upper chamber atanga electrical signal lo chhuak hmangin a thawk tan thin.

Mahse, he Ventricular Tachycardia (VT) an tih dinhmunah hian thinlung thawkna chu thinlung hnuai lam chamber pahnih, ventricles an tih aṭangin a intan a ni. Heta buaina awm chu hetianga heartbeat intan hi a rang hle a ni . Thinlung hian minute khatah 100 aia tam a thawk tan tlangpui.

Tui pump ang maiin han ngaihtuah teh. Taksa pumpuiah thisen a pump chhuak thin. Lungphun pangngai taka a na chuan bus a hun taka tlan ang mai a ni. Mite chu chuang leh chhuk theihna hun remchang a pe a ni. Chu chu thinlung pindan (chamber) te hian thisen a khat tur leh chu thisen pum chu taksaah pump turin hun an nei tling tihna a ni.

Mahse VT-ah chuan he bus hi stop-a ding lovin a tlan chak ang mai a ni. Thinlung chu a thawk chak em em a, chamber-te hian thisen a khat tawkin hun an nei lo. Chuvangin taksain a mamawh thisen leh oxygen a pump thei lo. Hei vang hian thisen sang a tlahniam thut a ni. Hei hi he dinhmun hlauhawmna a ni.

VT second tlemte chhung a awm chuan harsatna lian tham a thlen lo mai thei. Mahse he natna hi second 30 aia rei a nih chuan , natna khirh tak a ni. Enkawl vat a ngai a ni. A chhan chu hei hi natna hlauhawm dang `Ventricular Fibrillation`-ah a chang thei a, cardiac arrest nghal vanga thihna pawh a thleng thei a ni.

Hetiang natna lan chhuah dan hi engte nge ni?

Thinlung hian taksaah thisen a pump tling thei lo a nih chuan kan taksa peng leh cell te hian an mamawh oxygen an hmu lo. Chutah chuan heng symptoms te hi a lo lang tan ta a ni.

Ventricular Tachycardia (VT) hi engte nge ni?

VT awm chhan awm thei engemaw zat a awm. A châng chuan, a chhan chiang tak hmuh tur a awm lo. Mahse, a chhan tam ber chu ischemic heart disease an tih hi a ni. Chumi awmzia chu thinlunga thisen petu coronary arteries te chu thau (atherosclerosis) in a block a, chu chuan heart muscle-in a mamawh thisen leh oxygen a dawng thei lo tihna a ni.

He risk hi tihziaawm theih a ni em?

Ni e, a tam zawkah chuan VT thlentu thinlung natna hnuaia awmte control hian he hlauhawmna hi a tihziaawm thei a ni. A awlsam zawngin, i thinlung hrisel taka vawn reng hi a pawimawh ber a ni.

Hemi chungchangah hian i tih theih thenkhat chu hetiang hi a ni:

• Ei leh in hrisel: Thau leh chi tlem, leh thlai, thei leh thlai chi tamna ei tur.
• Exercise neih fo thin:I doctor nen inbia la, i duh ang exercise plan zawm rawh.
• I taksa rihna hrisel tak vawn reng: I san zawng a zirin taksa rihna hrisel tak neih tum ang che.
• Meizial in loh tur: Meizial i zuk chuan titawp vek tur a ni. Hei hi thinlung tana hlawkna lian ber pakhat a ni.
• Damdawi ei dik: Thisen sang emaw cholesterol sang emaw ang chi condition i neih chuan i doctor-in damdawi a pek chu a hun takah ei tur a ni.

Doctor-te hian engtin nge hei hi an hmuh?

VT natna lanchhuahna i neih nia i hriat chuan i doctor chuan i natna lan chhuah dan te, i chhungte zingah thinlung natna nei an awm leh awm loh te, i medical history te a zawt hmasa ang che. Tichuan physical exam an ti ang a, i pulse rate an check ang.

Hetiang dinhmun hi chiang taka hriat theihna tur test ber chu ECG (Electrocardiogram) a ni.

Chu bâkah, a chhan hriat theih nân leh natna a nasat dân hriatthiam nân test dang neih belh tûrin thupek a ni thei bawk.

• Cardiac Event Monitor: Hei hi hmanraw te tak te a ni a, in lamah i hruai thei a, i ha thei bawk. Symptom i neih hunah i thinlung rhythm a record thei.
• Stress Test: Exercise i tih laiin (treadmill-a i tlan laiin) ECG lak a ni a, stress i neih laiin i thinlung hnathawh dan tur a ni.
• Echocardiogram: Hei hi thinlung scan a ni. Valve lian leh te, a pianzia, thau hnathawh dan leh a dinhmun hriatthiamna tha zawk neih theih nan a pui thin.
• Electrophysiology Study (EPS): Hei hi test harsa deuh deuh a ni. Fine wire (catheter) te chu thinlung chhungah an lut a, thinlung electrical system chu an zirchiang kim vek a ni.
• Coronary Angiogram: Thinlung thisen petu thisen kalna kawng (arteries)-a blockage awm leh awm loh enfiahna test a ni.

Hei hi eng enkawlna nge ni?

Enkawlna chu i natna lan chhuah dan te, i VT a awm rei tawh dan te, leh a thlentu damdawi lam dinhmun a zirin a innghat a ni.

Emergency hmanga enkawl a ni

VT hi second 30 aia rei a daih emaw, symptom na tak tak (chhung na, hriatna hloh) i neih chuan medical emergency a ni.

• Cardioversion: Hei hian electric shock hmanga thinlung thawk mumal lo chu tihtawp a, a rhythm pangngaia siam leh tum a ni.
• CPR (Cardiopulmonary Resuscitation): Damlo thinlung chu a tawp tawh a nih chuan restart tumna hmanrua a ni.
• Damdawi thisen zam: 1.1.Heart rate control tumna atan damdawi Amiodarone emaw Procainamide emaw hi thisen kaltlangin (IV) pek thin a ni.

Hun rei tak chhung enkawlna

Emergency control a nih hnuah, a natna a lo awm leh tawh loh nan hun rei tak enkawl a ngai a ni.

• Damdawi: Damdawi beta-blocker ang chi hian heart rate a ti hniam thei a, VT a veng thei bawk. Damdawi dangte hian thinlung rhythm pangngai vawng reng turin a pui thei a ni. Heng damdawi te hian side effect a nei thei a, chuvangin doctor nen inbia ang che.
• ICD (Implantable Cardioverter-Defibrillator) hmanrua: Hei hi thinlung tana nunna humhimtu ang a ni. Thil te tak te, rilru vun hnuaia dah a ni. Thinlung rhythm a enfiah reng a ni. VT ang chi rhythm hlauhawm tak a awm chuan he device hian electrical shock te tak te a pe chhuak a, chu chuan thinlung chu a normal leh ta a ni.
• Cardiac Ablation: Hei hi enkawlna bik dang a ni. Electrophysiology study (EPS) hmangin thinlung chhunga VT awmna dik tak hriat theih a ni. Tichuan, catheter bik hmangin chu hmuna cell ṭhenkhat chu khaw lum emaw, khaw lum lutuk emaw avângin a chhe vek a ni. Hei hi electric wire chhia siam that ang a ni. Mi thenkhat tan chuan he enkawlna hian VT hi a tidam vek thei hial a ni.