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

A chang chuan i thinlung chu a na hle a, a na hle niin i hria em? I rilru ri pawh i hre thei a, thawk hah deuhin i awm thei a, i lu a buai thei bawk. Hetiang thil hi i tawng tawh a nih chuan, emaw, i hriat mi pakhatin hetiang thil hi a tawk tih i hriat chuan, vawiin a kan sawi tur dinhmun, Ventricular Tachycardia tih hi i hriat a pawimawh hle.

He thinlung thawk chak tak (Ventricular Tachycardia) hi eng nge ni tak tak?

A awlsam zawngin `(Ventricular Tachycardia)` tih hi minute khata i thinlung na 120 aia tam a na a ni. Mahse he thila thil danglam tak chu he thinlung thawk chak tak hi thinlung electrical signal system pangngai atanga intan a ni lo. A tlangpuiin kan thinlung hi `(Sinoatrial Node)` an tih hmun atanga electrical signal lo chhuak atang hian a thawk tan tur a ni a, chu chu thinlung chung berah switch ang maiin a thawk thin. Mahse `(Ventricular Tachycardia)` ah chuan he thinlung thawk hi thinlung hnuai lama chamber lian pahnih, chu chu ventricles atanga tan a ni. Hei hi thil pakhatin thinlunga electrical pathway pangngai aia a kal avanga lo awm buaina chu a ni.

Kan chawlh hahdam lai hian minute khatah vawi 60 leh 100 inkar kan thinlung a na thin a ni lawm ni? Chuvângin, he chhiarpui hi 120 aia tam a pun thut chuan eng nge thleng ang tih han ngaihtuah teh! Thinlung hi hetiang taka a na hian heng thil pawimawh tak takte hi a thleng thin:

• I thisen sang chu a tlahniam nghal mai thei.
• Thinlung hian chamber-te chu thisenin a khat tawkin taksaah pump chhuah leh turin hun a nei tlem hle. As a result , taksa peng dang, a bik takin thluak leh ke leh ke te hian an mamawh oxygen an hmu lo.
• Heng avang hian symptom hrang hrang i nei tan thin.

Hei hi dinhmun pawi tak a ni tak tak em?

Ni e, hei hi natna khirh tak a ni a, enkawl vat a ngai a ni. He thinlung thawk chak tak `(Ventricular Tachycardia)` tih hi second 30 aia rei a daih chuan (hei hi `sustained Ventricular Tachycardia` kan ti a) chu chu natna khirh zawk `(Ventricular Fibrillation)` tih ah a kal thei a ni. Chutiang a nih chuan cardiac arrest nghal mai thei leh thihna thleng pawh a awm thei. Chuvangin hei hi ngaihthah tur a ni lo.

`(Ventricular Tachycardia)` leh `(Ventricular Fibrillation)` hi eng nge an danglamna?

An pahnih hian heart rhythm chak lo tak an ni. Mahse, ``Ventricular Fibrillation'' hi ``Ventricular Tachycardia'' aiin natna khirh zawk leh nunna atana hlauhawm zawk a ni.

Ngaihtuah teh, `(Ventricular Tachycardia)` ah hian thinlung hi a thawk chak hle a, mahse taksaah thisen engemaw zat a pump lut thin. Mahse chutiang chakna avang chuan taksain thisen a hmu tlem hle.

Mahse `(Ventricular Fibrillation)` ah chuan a beng dik ai chuan thinlung ruh chu a inher mai thin. Tichuan thinlung hian taksaah thisen a pump chhuak ngai lo. Hei hian cardiac death rang tak a thlen thei a ni.A thleng thei.

Ventricular Tachycardia hi a mah chauhin a dam thei em ?

Ni e, a then phei chuan hei hi second tlemte chauh a ni thei a, thinlung rhythm pawh a normal leh thei bawk. Chutiang hunah chuan chhiatna lian tham a awm lovang. Mahse chutiang chu a thleng reng turah kan beisei thei lo.

Hetiang hi tuin nge nei tam zawk? - Risk factors te

`(Ventricular Tachycardia)` lo awm dan tur tichhe thei risk factor thenkhat a awm. Heng thilte hi i neih chuan midang aiin he natna hi i nei tam zawk ang:

• Tun hmaa thinlung natna i lo vei tawh a nih chuan .
• I chhungkuaa tu emaw chuan heart rhythm issues (chu chu hereditary link a ni) nei tawh a nih chuan.
• Coronary artery disease i neih chuan .
• ``Myocarditis'' tih natna i neih chuan, chu chu thinlung ruh inflammation a ni.
• Heart failure i neih chuan .
• Thinlung a lian chuan cardiomyopathy i nei tihna a ni .
• Heart valve natna i neih chuan .
• Tun hmaa heart attack (`Myocardial Infarction`) i lo neih tawh emaw, heart surgery i neih tawh emaw a nih chuan.
• Taksa electrolytes , chu chu salt (potassium leh magnesium ang chi)-ah inthlauhna nasa tak a awm chuan.
• Stimulant drugs thenkhat (entir nan, cocaine, methamphetamine) i hman chuan.

Ventricular Tachycardia hian engtin nge ka taksa a nghawng?

`(Ventricular Tachycardia)` a lo awm chuan i thinlung chu a thawk rang em em a, thinlung chamber-te chuan a rawn thawk leh hmaa thisen a khat turin hun an nei tlem hle. Bus pakhat chu stop pakhatah hun rei lote chhung a ding tih han mitthla teh. Tichuan mi zawng zawngin bus-a chuan hun an nei vek lo va, ṭhenkhat chu kawngpuiah an awm ta a ni. Hetah pawh hi chutiang chu a ni. Thinlung hian thisen a khat theihna hun a neih loh chuan taksa pum puia thisen pump chhuah zat a tlahniam thin. Tichuan taksa cell leh tissue te hian oxygen leh nutrients an hmu tlem zawk thin.

Hei hi eng symptoms nge ni?

`(Ventricular Tachycardia)` natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptoms an nei lo mai thei. Mahse hengte hi a lan chhuah dan tlangpui a ni. Heng symptoms te hi i neih chuan emergency room-ah i kal nghal tur a ni. Hei hian cardiac arrest leh thihna thlengin a thlen thei a ni.

• Chest na emaw tightness emaw a awm.
• Thâwk harsa.
• Thinlung na tak tak tih hriat te, rilru na tak tak (`Palpitations/rapid pulse`) hriat te.
• Luak chhuak, lu hah, emaw, rilru hah emaw.

A pawimawh ber chu heng symptoms te hi ngaihthah loh hi a ni. Thil tenawm tak angin lang mah se, nunna atana hlauhawm tak an ni thei.

Engvangin nge hetiang `(Ventricular Tachycardia)` hi a lo awm?

Awle, tunah chuan hetiang thil hi engvangin nge a lo awm tih hi han en ila. I thinlung hnuai lam, ventricles tia koh, electrical signal pangngai lo a awm chuan, chu signal chu thinlung rhythm pangngai control tu sinoatrial node atanga signal lo chhuak nen a inhnial a ni. Hei hian thinlung chu thunun theih loh khawpin a ti na a, a ti rang hle bawk. Hetiang speed hian thinlung chamber-te chu thisenin a khat thei lo.

Ventricular Tachycardia vei tam zawk hian thinlung natna dang an nei bawk. A chhan ber chu:

• Coronary Artery natna a ni.
• Lung lam chak lohna.
• Myocarditis natna (Myocarditis) a ni .
• Thinlung lian zawk (Cardiomyopathy) .
• Heart valve natna a ni .
• Tun hmaa thinlung surgery a neih tawh .
• A hmaa heart attack (`Myocardial Infarction`) avanga thinlunga hliam (scar tissue) .
• Damdawi lam natna dang `(Sarcoidosis)` .
• Inherited condition thenkhat .

Thil dang, thinlung nena inzawm lo, mahse `(Ventricular Tachycardia)` thlen thei a awm bawk:

• Damdawi thenkhat .
• Taksa chhunga electrolytes (hei hi thinlung rhythm control tu minerals te an ni) inthlauhna (imbalance) a ni.
• Caffeine emaw zu in tam lutuk.
• Dan loa ruihhlo hman (`Intihhlimna atana ruihhlo`) .
• A châng chuan exercise tam lutuk vang pawh a ni thei .

A châng chuan a chhan zawn chhuah theih a ni lo mai thei.

A chhan tlangpui chu eng nge ni?

Ventricular Tachycardia thlentu ber chu ischemic heart disease a ni . Hei hi coronary heart disease emaw coronary artery disease emaw an ti bawk. A awlsam zawngin sawi ila, coronary arteries a block avangin heart muscle hian thisen leh oxygen a hmu tlem hle. Heng blockage te hi atherosclerosis vang a ni fo thin .

Engtin nge `(Ventricular Tachycardia)` hriat theih ang?

`(Ventricular Tachycardia)` i vei em tih chiang taka hriat duh chuan i doctor chuan heng thilte hi a ti ang:

• I symptoms chungchang chipchiar takin an sawipui ang che.
• Physics exam tih a ni ang a, i pulse rate pawh enfiah a ni ang.
• I medical history chungchang information a khawlkhawm thin .
• Test tul eng emaw zat tih turin thupek a pe a ni.

Hei atan hian eng test nge tih thin?

Ventricular Tachycardia hriat theihna atana test hman ber leh hman tlanglawn ber chu electrocardiogram (ECG/EKG) a ni. Hei hian i thinlung electrical activity a record a ni.

Tin, test dang pawh tih theih a ni a, chungte chu:

• Holter monitor: Hei hi hmanraw te tak te a ni a, darkar 24 emaw 48 emaw chhung i thinlung rhythm record chhunzawm zel a ni.
• Electrophysiology study (EPS): Hei hi thinlung chhungah wire te tak te pass a, thinlung electrical system thuk taka enfiah a ni.
• Cardiac event monitor: Hei hi Holter monitor nen a inang a, mahse nangmah ngeiin i activate thei a, symptom i neih chuan i heartbeat i record thei bawk.
• Treadmill stress test: Hei hian exercise i tih (treadmill-a tlan) huna i thinlungin a chhan dan a test thin.
• Echocardiogram: Hei hi thinlung ultrasound scan a ni. Thinlung insiam dan leh hnathawh dan a en thei a ni.
• Thisen test: Electrolyte level leh heart enzymes ang chi thil te enfiah thin.

Ventricular Tachycardia hi engtin nge enkawl a nih?

Symptoms i neih chuan, emaw, symptoms nei lo mahse second 30 aia rei Ventricular Tachycardia i neih chuan enkawlna i mamawh tak zet a ni.

Hei hi enkawl a nih hian a bulpui ber chu he natna thlentu natna hnuaia awm enkawl hi a ni. Heng enkawlnate hian he thinlung thawk dan pangngai lo hi a titha thei a, a lo let leh tawh loh nan a veng thei bawk.

Ventricular Tachycardia enkawlna emergency chu hetiang hi a ni:

• CPR (Cardiopulmonary Resuscitation): Thinlung a reh loh chuan nunna chhanhimna tur first aid treatment a ni.
• Electrical defibrillation: Thinlung chu a rhythm pangngaia siam leh tumna atan electric shock pek a ni.
• IV damdawi: Lung chakna control.

Emergency ni loah chuan enkawl dan pangngai chu:

• Radiofrequency Catheter Ablation (RCA): Hetah hian heart rhythm dik lo awmna hmun dik tak chu hmuh a ni a, chu hmuna tissue awm chu electric current hmangin catheter (tube te tak te) hmangin an tichhia a ni.
• Implantable Cardioverter-Defibrillator (ICD): Hei hi hmanraw te tak te, thinlung bula vun hnuaiah surgery hmanga dah a ni. I thinlung rhythm chu a enkawl chhunzawm zel a ni. Ventricular tachycardia a awm chuan chu device chuan a hmuchhuak a, electrical signal a thawn nghal a, chu chuan thinlung chu a rhythm pangngaiah a siam leh thin.
• Damdawi: Heart rate tihhniam nan leh rhythm pangngai vawng reng turin damdawi pek thin a ni. Mahse, damdawi thenkhat chuan side effect a nei thei. I doctor chuan hengte hi a hrilhfiah ang che.

Enkawlnaah hian harsatna a awm em?

Ventricular tachycardia tan catheter ablation hi a tlangpuiin a him a, a hlawk bawk. Mahse, harsatna thenkhat chu a awm tlem hle thei. Chung zingah chuan:

• I thinlung emaw thisen kalna kawng emaw a chhiat.
• Thisen a chhuak thin.
• Thisen chhuak.
• Kaichhawng .

Enkawl hnua dam leh theih nan eng chen nge a duh?

`(Ventricular Tachycardia Ablation)` i tih zawh chuan damdawi inah zan khat tal i awm a ngai ang. Damdawi in chhuahsan hnu ni engemaw zat chhungin hna pangngaiah i kir leh thei tlangpui. Mahse , ni thum tal, emaw, i doctor-in a tih hma loh chuan thil rit leh hahthlak tak tak tih a tha lo.

Engtin nge he risk hi ka tihziaawm theih ang?

Ventricular Tachycardia thlentu thinlung natna i pumpelh hian he natna hi i vei theihna tur a ti tlem thei a ni.

Coronary artery disease laka inven nan heng thilte hi i ti thei a, hei hi a chhan tam ber a ni:

• Thau tlem leh chi tlem ei tur hrisel ei rawh .
• Exercise fo thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Zuk leh hmuam siam zawng zawng hman kha titawp vek rawh.
• I doctor-in thisen sang leh cholesterol sang damdawi a pek ang chiah chiah ei rawh.

`(Ventricular Tachycardia)` ka neih chuan eng nge thleng ang? (Prognosis) tih a ni.

I prognosis chu i Ventricular Tachycardia nasat dan leh thinlung natna dang i neih leh neih lohah a innghat a ni. He natna hi a na thei hle a, a bik takin i thinlung veilam ventricle a thawk tha lo a nih chuan. Mahse inenkawlna mumal tak a awm chuan mi tam zawk chuan nun pangngaiin an khawsa thei a ni.

Ventricular Tachycardia hi a dam kim thei em?

Hei hi a chhan bulpuiah a innghat a ni. Mi thenkhat tan chuan Radiofrequency Catheter Ablation hian he rhythm danglam tak hi a tidam vek thei a, enkawl belh a ngai tawh lo. Implantable Cardioverter Defibrillators (ICDs) an tih device te hian hei hi a tidam lo a, mahse Ventricular Tachycardia nunna atana hlauhawm tak takah chuan heart beat emaw shock emaw pe chhuakin thinlung chu a rhythm pangngaia siam leh turin a pui hle.

Engtin nge ka in enkawl ang?

`(Ventricular Tachycardia)` vei i nih angin i in enkawl nan heng thilte hi i ti tur a ni:

• I medical team-in an rawt angin thinlung hriselna atana tha ei leh in leh exercise plan zawm rawh.
• Zuk leh hmuam thil hman kha bansan rawh.
• I doctor-in damdawi a pek che chu ei chhunzawm zel la, engmah skip lovin.

Engtikah nge ka doctor ka hmuh ang?

Follow-up test atan doctor pan fo a pawimawh hle. I doctor chuan hetiang hian a duh ang:

• I awm dan en rawh.
• I enkawlna chu a thawk tha em tih enfiah rawh.
• I natna lan chhuah dan thar emaw, i rilru put hmang inthlak danglam emaw chu sawi rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Heng symptoms te hi i neih chuan 1990 (Sri Lanka-a awm a nih chuan) call nghal la, emergency room-ah kal nghal rawh:

• A rilru a na.
• Fainting a ni.
• Pulse chak leh pangngai lo tak a ni.

Hetiang hunah hian nangmah chauhin lirthei khalh suh. A rang thei ang bera tanpuina dil rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hmu tura i kal dawnin hetiang zawhna hi zawh hreh suh. I dinhmun hi hriatthiamna tha tak neih a pawimawh hle.

• Engzat nge ``follow-up`` test neihna tur ka lo kal a ngai?
• ICD ka mamawh dawn em?
• Catheter ablation ka neih leh a ngai dawn em ni?
• Ka nunphungah eng inthlak danglamna nge ka neih?

I heart rate leh i rilru put hmang hriat chian hian i mamawh hunah enkawlna i dawng thei a ni. Ventricular Tachycardia enkawl hmasak hi a pawimawh hle. Chuvângin, nangmah emaw, i hmangaih tak emaw chuan ṭanpuina i mamawh a nih chuan sawn suh. Damdawi in chhuahsan hnuah pawh Doctor thupek dik takin zawm thin ang che. Damdawi chu a pek ang chiah chiah ei tur a ni. Nunphung hrisel tak hmang rawh. A bik takin enkawlna atana medical device install i neih chuan `(follow-up)` test-ah beat khat pawh hloh lovin kal thin ang che.

A tawp berah chuan thil hriat reng tur

Ventricular Tachycardia hi heartbeat chak tak, pangngai lo tak a ni a, heartbeat hnuai lam atanga tan a ni. Hei hi natna khirh tak a ni thei a, chuvangin a natna lan chhuah dan hi ngaihthah suh. I rilru na, thawk harsa, luak chhuak, emaw, i muhil emaw i neih chuan doctor pan nghal rawh.

Vanneihthlak takin he natna hi enkawlna tha tak tak a awm a. Damdawi, catheter ablation leh ICD device te hian natna hi a control thei a ni. A pawimawh ber chu doctor thupek zawm a, nun hrisel taka nun hi a ni. Tichuan he dinhmun hi i nung tha thei ang.

` Heart rate, thinlung natna, tachycardia, rang taka cardiac arrest, heart rhythm, thinlung enkawlna, ICD