Antiarrhythmics, heartbeat mumal lo enkawlna atana hman thin damdawi te hi i zir belh ang u.

I rilru chu chhan awm lovin a rawn na nghal mai ang tih i hre ngai em? A nih loh leh i thinlung a tawp a, a bul tan leh ang maia hriatna mak tak? Mi thenkhat tan chuan hei hi i thinlung rhythm tihbuai ang maiin a lang. Damdawi lam hawi chuan heng dinhmunte hi heartbeat mumal lo, a nih loh leh ‘arrhythmias’ kan ti thin. Hei hi mi tam tak tan chuan a awm fo nachungin, a chang chuan a pawi thei hle. Chuvangin, he heart rhythm siam that nan hian doctor-te’n damdawi chi khat bik an pek a awm a. Chu chu vawiinah hian he thuziak-ah hian kan sawi dawn a ni, a awlsam hle a, i hriatthiam theih ang angin.

A hmasain, he thinlung thawk mumal lo (arrhythmia) hi eng nge a nih i en ang u.

Chu chu hrethiam tur chuan thinlung hnathawh dan tlem kan hriat hmasak a ngai a ni. I thinlung hi electrical system te tak te hmanga thawk pump niin han ngaihtuah teh. He electrical system hian thinlung ruhte chu a inzawm theihna tur signal petu a ni a, chu chu inzawmkhawmna tur signal petu a ni. Chutianga thinlung a inzawmkhawm leh a zau chuan taksa pum puiah thisen a pump chhuak thin. Hei hi heartbeat kan ti a. Chuti a nih chuan, chu electrical system ka sawi tawhah chuan harsatna emaw, a thawk tha lo emaw a awm a nih chuan eng nge thleng ang? Tichuan thinlung thawk ri (rhythm) chu a tibuai ta a ni. Chumi awmzia chu:

• Heart rate a sang lutuk thei. (Hei hi Tachycardia kan ti a)
• Heart rate hi a slow lutuk thei (hei hi bradycardia an ti).
• Thinlung hi a thawk mumal lo thei a, engmah rhythm a awm lo.

Chutiang dinhmun eng pawh chu arrhythmia kan ti tlangpui . Chutiang thil dik lo chi hrang hrang zingah chuan Atrial Fibrillation , Atrial Flutter , leh Ventricular Tachycardia te hi a langsar ber pawl an ni.

Chuti a nih chuan heng antiarrhythmics te hi engte nge ni?

A awlsam zawngin, antiarrhythmics hi a chunga kan sawi tak heart rhythm disorders te control, venna leh enkawlna atana pek damdawi a ni. Heng damdawi te hian a bik takin thinlung electrical system a chhiatna awm chu a siam tha a, thinlung chu a rhythm pangngai leh hrisel takah a hruai kir leh thin. Heng damdawi te hian kawng hnih in hna an thawk ber a: 1. Thinlung chhunga electrical signal pangngai lo, extra electrical signal lo chhuak te chu an titawp thin. 2. Lung tissue kal tlanga electrical signal chak lo tak takte chu an veng emaw, an control emaw a ni. A tam zawkah chuan heng damdawi te hi nitin ei tur pill angin i doctor-in a pe che a ni. Mahse, emergency dinhmun thenkhatah chuan damloin pill a ei theih loh emaw, a natna a nasat chuan intravenous (IV) damdawi atan pawh pek thin a ni.

Engtin nge heng damdawi te hian hna an thawh? I han en teh ang.

Heng antiarrhythmic damdawi te hi a inang vek lo. An hnathawh dan azirin chi hrang hrangah then an ni. I doctor chuan i thil tihsual chi hrang hrang leh a chhan a zirin i tan damdawi tha ber a thlang ang. Heng chi lian ber berte hi eng nge an nih leh engtin nge an hnathawh tih hi han thlir ila.

He damdawi hman hian eng hlawkna nge a neih?

Arrhythmia i neih chuan heng damdawi te hian i rilru hahna chu nasa takin a tihziaawm thei a ni. Hetiang dinhmun avanga harsatna lian tham lo thleng thei tur venna kawngah pawh an pui thei bawk. Heng damdawi te hian an control theih symptom lian ber berte chu:

• Chhuak na emaw, nuam lo emaw
• Luak chhuak leh i inher ang maia inhriatna.
• Fainting (hriatthiam lohna) .
• Lung na tak tak
• Thâwk harsa

Heng symptoms te hi control a nih chuan i nitin nun a awlsam phah hle. Heng damdawi te hian natna khirh tak tak, heart failure , cardiac arrest, leh stroke te pawh a tihziaawm thei bawk.

A hlauhawmna leh a side effect pawh i hrechiang ang u, a dik em?

Damdawi dang ang bawkin heng antiarrhythmic damdawi te hian hlauhawmna leh side effect engemaw zat a nei thei a ni. Hei hi hriat chian a pawimawh hle. I doctor leh cardiologist te chuan an check reng ang che. Symptom thar i neih chuan i damdawi hman zat thlak emaw, damdawi dang hmanga thlak emaw an tum mai thei.

Side effect hmuh tur awm tlangpui:

Mi thenkhat chuan he damdawi hi an ei hian heng ang side effects hi an nei thei a ni:

• Ek khal
• Luak chhuak thei
• Tuihâl lutuk
• Vun inthlak danglam ( sen , vawt) .
• Lu na
• Luhai
• Beng chhunga ri ri hriat (Tinnitus) .
• Ni sensitivity (vun chu awlsam takin a sen) .
• Edema a awm
• Zun harsatna
• Vision a danglam thin
• Asthma i neih chuan a pung thei.

Heng symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.

Overdose a ni

Heng damdawi hi doctor-in a pek aia tam ei ngai suh . A tam zawk ei hi a hlauhawm hle thei. Overdose hian natna khirh tak tak a thlen thei a, chungte chu:

• Rilru tibuai
• Lung tissue tihchhiat
• Thluak lama harsatna (Respiratory Arrest) a awm
• Sedation tih hi a ni
• Seizures a awm thin
• Coma-ah a tlu lut

Nangmah emaw i hriat emaw chuan he damdawi hi a ei tam lutuk a nih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh . Hrechiang duh tan Colombo National Hospital-a National Poisons Information Center- ah pawh biak theih a ni bawk.

Damdawi dangah harsatna a awm thei em? (Drug nena inzawmna) .

Ni e, a dik tak zet. Heng antiarrhythmic damdawi te hian i ei mek damdawi dang nen an inzawm a, harsatna a thlen thei a ni. Chuvangin, i doctor-in he damdawi a pek hma hian i ei zawng zawng i hrilh hmasak phawt a pawimawh. Hei hian a huam tel a ni:

• Natna dang damdawi
• Skin care cream te pawh a awm bawk
• Inhalers te pawh a awm
• Damdawi lei theih loh
• Vitamin, mineral, ei leh in tha tak tak te
• Ayurveda emaw, thing leh mau damdawi etc.

I doctor hian i damdawi ei zawng zawng a hriat chian chuan i tan damdawi him ber a pe thei che a ni. Tin, naupai emaw, naupai tum emaw i nih chuan he damdawi hi i ei tan hmain i doctor hnenah hrilh hmasa phawt ang che.

He damdawi hi eng chen nge ka ei a ngaih?

Vawi tam tak chu heng damdawi te hi hun rei tak ei a ngai thin. A châng chuan, i dam chhûng zawnga lak a ngai mai thei. I doctor-in a hrilh angin i ei chhunzawm zel tur a ni a, damdawi hian hna a thawk a, side effect na tak i neih loh chhung chuan. Antiarrhythmics, Heartbeat, Arrhythmia, Chest Beat, Heart Rhythm, Beta blockers, Lung natna, Atrial Fibrillation, Sinhala medical article te a ni