I thinlung chu a na nghal vek em ni? Hei hi Wolff-Parkinson-White Syndrome a ni mai thei!

I thinlung chu chhan awm lovin mi â ang maiin a na nghal tih i hre ngai em? Chutih lai chuan hlauthawng deuhin i inhria a ni lawm ni? A chang chuan hei hi a chhan chu Wolff-Parkinson-White Syndrome an tih natna a ni thei a, chu chu vawiinah hian kan sawi dawn a ni. A hming hi thil lian tak angin lang mah se, awlsam takin sawi ila.

Wolff-Parkinson-White Syndrome hi eng nge ni?

A awlsam zawngin, Wolff-Parkinson-White syndrome (WPW) hi pian tirh laia thinlunga electrical pathway extra awm avanga lo awm a ni . Kan thinlung hi a na a, a chhan chu electrical signal te chu thinlung kal tlanga a kal vang a ni. A tlangpuiin heng signal te hian kawng bik an nei thin. Mahse WPW vei teah chuan he kawng bik bakah hian thinlungah hian "shortcut" te tak te a awm a.

Ngaihtuah teh, kawngpuiah i lirthei khalh lai hian kawngpui lian bâkah kawngpui sira kawngpui te tak te i zawh chuan i kal chak zawk thei ang. Hetiang extra electrical path avang hian thinlunga signal te chu a kal chak hle. Chumi avang chuan thinlung chu rang takin a thawk tan ta a ni. Doctor-te chuan hei hi supraventricular tachycardia (SVT) tiin an sawi a, chu chu thinlung chunglam atanga tan thin heartbeat chak tak tihna a ni.

Heti taka thinlung a na hian heart chamber-ah hian a hnua a beat hmaa thisen khat tur hun an nei tlem hle. Chumi awmzia chu thinlung hian taksaah thisen a pump tling thei lo tihna a ni.

He WPW condition hi engtiang chiahin nge a awm?

Wolff-Parkinson-White syndrome hi a takah chuan natna hlauhawm tak a ni . Khawvel pumah mi 1,000 zinga mi 1 atanga 3 velin a nghawng a ni. Tu pawhin WPW hi an siam thei a, a chang chuan chhungkaw hrang hrangah a kal thin. Chinese hnam chhuak zingah pawh a tam deuh niin an sawi bawk.

Eng nge a lan chhuah dan?

WPW natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi tam zawk chuan symptom an nei lo tak tak . Mahse, mi thenkhat chuan nitin second tlemte atanga darkar tlemte chhungin symptoms an nei thei. Mi dangte chuan kum khatah vawi tam tak an tawng thei a ni.

Hetiang thil hi i hre mai thei:

• Hrisel lohna leh lungkhamna nei mai mai .
• A rilru a na emaw, a tight emaw tih hriat.
• Vertigo (spinal vertigo) ang maia hriatna.
• Fainting a awm .
• Chau lutuk nia inhria.
• Palpitations hi i thinlung a thawk chak zawk tih hriat nghal mai a ni. Hei hi second tlemte emaw darkar tlemte emaw chhung a daih thei.
• Thâwk hahdam lohna (dyspnea) .

Kum tin WPW vei zinga 1% leh 2% inkar chuan heart rhythm danglam tak, a nih loh leh arrhythmia .

WPW hi eng thilin nge a thlen?

Vawi tam tak chu doctor-te pawhin WPW thlen chhan chiang tak hmuh an harsat phah thin.I chhungkuaa mi tu emaw chuan he natna hi a lo nei tawh a ni mai thei, a nih loh leh chhan hriat lohvin a lo awm thei bawk.

WPW hi thlahtute atanga lo piang a ni em?

Nu leh pa atanga fate hnena kai a nih leh nih loh zirchiangtute chuan an la chiang lo hle. WPW vei tam zawk chuan he natna nei nu leh pa an nei lo. Mahse, WPW thlentu gene thenkhat chu thlah kal zelah an kal zel thei a ni. He inherited condition hi familial Wolff-Parkinson-White syndrome an ti bawk.

WPW vang hian eng harsatna nge thleng thei?

A châng chuan, miten brace an vuah hian an tlu thei a, an hliam thei bawk . Mi thenkhat chuan an thinlung a na lutuk hian thisen sang an nei thei a. WPW complication awm lo tak mahse hlauhawm tak chu cardiac death rang tak hi a ni .

WPW symptoms i neih chuan doctor pan nghal rawh. Hetiang dinhmun hi enkawl hmasak chuan harsatna a veng thei a ni.

Engtin nge WPW hi hmuhchhuah a nih?

Doctor-te chuan WPW hi ECG (electrocardiogram) hmangin an hmuchhuak tlangpui . "Thinlung thlalak la rawh" kan ti mai a, chu chu a ni ta. A châng chuan, i doctor chuan taksa enfiahnaah i thinlung chakna (heart rate) a danglamna a hmu thei a. Exercise i tih laiin i symptoms a na zual a nih chuan exercise stress test neihpui turin an ti thei bawk che a ni . I heart rate a danglam tih i hriat chuan, emaw, WPW nena inzawm symptom dang i neih chuan i doctor hnenah hrilh ngei ang che.

WPW hriat theihna atan eng test nge hman thin?

I heart rate enfiah nan i doctor chuan hetiang test hi a rawt thei ang:

• Electrocardiogram (ECG): Hei hi test pawimawh ber a ni.
• Electrophysiology study: Hei hi thinlung electrical activity chipchiar tak tak a ni. Hei hi wire ang chi thil te te thinlung chhunga pass hmanga tih a ni.
• Holter monitor: Hei hi hmanraw te tak te a ni a, darkar 24 atanga darkar 48 chhung i taksaah bun theih a ni. Period chhung zawnga i thinlung hnathawh dan a record vek a ni.
• Long-term ambulatory monitoring: Holter monitor ang tho a ni a, mahse heart rate hi hun rei zawk (ni engemaw zat emaw kar engemaw zat emaw) enfiah a ni.

Heng test te hian i doctor hnenah i thinlung thawk dan, a rhythm leh electrical signal kal danah harsatna a awm leh awm loh a hre chiang zawk a ni. WPW vei ECG hian ECG pangngai aiin danglamna chiang zawk a lantir thei a ni.

Engtikah nge WPW hi hmuhchhuah a nih tlangpui?

A chang chuan doctor te chuan nausen laiin WPW hi an hmuchhuak thin . Mahse, i naupan lai, kum 15 leh 25 inkar ah hmuhchhuah a ni ber a, a chhan chu chutih lai chuan symptoms a lang tam ber thin.

WPW nena inzawm condition dang a awm em?

WPW vei thenkhat chuan thinlung lam natna dang an nei thei bawk. Entir nan:

• Atrial fibrillation: Thinlung chunglam (upper chambers) te chu a thawk mumal lo va, rang takin a thawk thin.
• Ebstein anomaly: Thinlung valve-a pianpui chhiatna.
• Ventricular fibrillation (V-fib): Nunna atana hlauhawm thei, thinlung hnuai lam chamber-te chu rang tak leh thunun theih loh khawpa na.

Heng thinlung natna engemaw zat i neih chuan i doctor chuan i thinlung hriselna enkawl dan tur a hrilhfiah ang che.

WPW hi engtin nge enkawl a nih?

WPW enkawl dan hi mi hrang hrangah a inang lo. Symptoms i neih fo loh chuan enkawlna engmah i mamawh lo mai thei . I symptoms te hi hun kal zelah a tlahniam thei a, a bo thei bawk.

Mahse, thinlung natna i neih fo a, luak chhuak leh muhil ang chi symptoms i neih bawk chuan i doctor chuan hetiang enkawlna tur a rawt thei ang:

• Radiofrequency ablation: Hei hi enkawlna chi khat a ni a, catheter ablation an ti a. Hetah hian thinlung chhunga electrical pathway extra chu hriatchhuah a ni a, a then tlemte chu radio wave energy hmangin tihchhiat a ni. Chumi hnuah chuan heart rate chu a normal leh ta a ni. Hei hi enkawlna tha tak a ni.
• Cardioversion: Hetiang procedure hi heart rate chak lo tak (a bik takin SVT ang chi) tihtawp nan leh heart rhythm pangngai siam that nan hman a ni. Hei hi damdawi pek (chemical cardioversion) emaw, rilruah electric shock tlemte pek (electrical cardioversion) emaw hmanga tih theih a ni.
• Damdawi: Damdawi hi i thinlung thawk chak lutuk control nan emaw, hun rei tak chhunga i heart rate normal taka awm reng nan emaw pek theih a ni.

WPW hian operation a ngai em?

WPW vei tam zawk chuan operation an mamawh lo. Mahse, a tlem hle a, doctor-te chuan thinlunga electrical pathway extra awm chu block turin open heart surgery an ti thei a ni. Hetiang surgery hi WPW bakah hian heart problem dang nen a rualin tih a ni tlangpui.

In lama WPW symptoms te hi engtin nge kan enkawl ang?

In lama i awm laiin i thinlung a na nghal vat a nih chuan i doctor chuan hetiang thil hi ti turin a hrilh thei che a ni:

• Valsalva maneuver: Hei hian i hnar i hrual a, i kâ aṭanga boruak chhuah tir a, balloon puak tum ang mai a ni. A dang pawhin thawk la la, i pum chhungah i nawr lut thei bawk.
• Khuh.
• Carotid sinus massage: Kawr sir khat (carotid sinus awmna) zawi zawiin massage la. Hei hi i doctor-in a tih che chauhvin ti rawh.

Chûngte chuan a châng chuan thinlung thawk chak tak chu a thunun thei a ni.

Enkawlna hian side effect/complication a nei em?

Damdawi eng pawh hian side effect a nei thei. An chungchang hi i doctor nen sawiho rawh.

Radiofrequency ablation hi thil him leh tangkai tak ni mahse, a hnuaia mi hi a thleng tlem hle:

• Thisen a chhuak thin.
• Kaichhawng.
• Thai.
• Thisen chhuak.

Cardioversion avanga harsatna thleng pawh a tlem hle. Mi thenkhat chuan thisen zam an nei thei a, electric shock pekna hmun vunah hliam te tak te an nei thei a, thinlung thawkna a tichhe thei bawk. Hengte hi a tlem hle.

Engtiang chiahin nge enkawl hnuah ka dam leh ang?

In lama i tih theih thil, Valsalva maneuver leh khuh te hian tun dinhmunah i heart rate a ti hniam deuh thei a ni. WPW damdawi i ei a nih chuan i doctor hnenah eng ang result nge i beisei theih tih zawt la.

Ablation emaw surgery emaw i tih hnuah i doctor chuan i natna lan chhuahna a lo ṭhat theih nan eng chen nge a ngaih dawn tih te, i dam leh huna i beisei tur te, engtikah nge i hnathawh pangngaia i kir leh theih ang tih te a hrilh ang che.

WPW hi ven theih a ni em?

No. Wolff-Parkinson-White syndrome hi i pianpui natna a ni . A veng tur hian engmah tih theih a awm lo.

WPW ka neih chuan eng nge thleng ang?

WPW i neih chuan i doctor nen thawhhona tha tak neiin i symptoms te hi i enkawl a ngai a ni. I symptoms a nasat loh nan appointment pangngaiah doctor i hmuh a ngai a ni. I doctor thupek ang chiah kha zawm rawh. Symptom thar i neih emaw, i symptom a zual emaw chuan doctor hnenah hrilh nghal rawh.

WPW vei te hmalam hun tur chu eng nge ni?

WPW vei enkawlna dawngtu dam rei zawng hi a pangngai a ni . Mi tam tak chu radiofrequency ablation emaw surgery emaw hmangin an dam kim thei a ni.

A tlangpuiin, symptom nei lote hian cardiac death rang tak avanga thihna chance an nei tlem hle. Tachycardia symptom nei te hian an hlauhawmna a sang deuh hlek a ni. Mahse, WPW vei zingah chuan sudden cardiac death hi a tlem hle.

Engtin nge ka hriselna ka enkawl ang?

Doctor hmu fo ang che. Doctor thupek zawm fo ang che. Hetiang hian i hriselna enkawl rawh:

• Chaw hrisel ei rawh .
• I thisen sang control rawh .
• Zuk leh hmuam hman loh tur.
• Stimulant (caffeine, damdawi thenkhat) ei loh emaw tihtlem emaw. Hemi chungchang hi i doctor nen sawiho rawh.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.

WPW i neih laia ei leh in tur tha ber berte chu engte nge ni?

Thil thenkhat chuan i thinlung a ti na thei hle. Hengte hi i doctor zawt la:

• Zu.
• Caffeine ( coffee, tea, leh in tur thenkhatah te hmuh tur a awm).
• Amphetamine emaw nicotine emaw ang chi stimulant.

WPW i neih chuan exercise i ti thei ang em?

Taksa tihchak hi i taksa leh rilru tan a tha hle. WPW hmanga exercise lak dan tur i doctor zawt rawh. Risk bik i hriat tur leh i tih theih loh thil eng pawh sawipui rawh.

Engtikah nge Doctor ka hmuh ang?

In lama damdawi hmanga i thunun theih loh thinlung na tak i neih thut chuan, a bik takin WPW natna lan chhuahna, luak chhuak, rilru hah, emaw, rilru natna te nen a inzawm a nih chuan, i doctor ko nghal rawh

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

Mi pakhatin hetiang dinhmunah hian emergency treatment a mamawh thei a ni:

• Minute 15 aia rei i rilru natna i neih chuan.
• If you have chest pain , thawk harsa, emaw, pum nuam lo .
• I chau a, i tho lo a nih chuan .
• Minute engemaw zat hnuah pawh thinlung thawk dan pangngai lo a awm chuan.

Doctor hnenah eng zawhna nge ka zawh ang?

Nang emaw i fa emaw hian WPW i nei a nih chuan i doctor hnenah heng zawhnate hi zawt la:

• WPW damdawi ka ei thin damdawi dang nen hian ei hi a him em?
• WPW ka neih chuan ka fate pawhin an nei dawn em ni?
• Engtin nge heartbeat chak tak hi emergency a nih leh nih loh ka hriat theih ang?
• Ka fa hian sikulah heart attack a nei a nih chuan a him ang em?
• Wolff-Parkinson-White syndrome neia infiamna khelh hi a him em?
• Ablation ang chi invasive treatment ka neih a ngai em?

Nu leh pa tam tak chuan an fain lung natna a neih an beisei lo. I fain Wolff-Parkinson-White syndrome avanga heart rate a neih chak chuan a hlauhawm thei hle. Mahse, he natna enkawlna hian mi tam tak a pui thei a, a tidam thei bawk. I natna lan chhuah dan tur i enkawl theih dan tur leh nang leh i fa tan hun rei tak chhunga chinfel dan tha ber berte chu i doctor hnenah zawt rawh.

Take-Home Thuchah a ni

Wolff-Parkinson-White syndrome (WPW) hi thinlunga electrical pathway extra awm vang a ni a, chu chuan thinlung a ti chak lutuk thei a ni. Mi zawng zawng hian symptom an nei vek lo a, mahse mi thenkhat chuan rilru na, luak chhuak, leh muthilh ang chi thil an nei thei. Lungngai suh, hei hi enkawl dan tha tak tak a awm.A châng chuan, radiofrequency ablation ang chi enkawlna hmangin a dam vek thei bawk. A pawimawh ber chu heng symptoms te hi i neih chuan a rang thei ang bera Doctor pan hi a ni. Tin, nun hrisel tak neih a pawimawh hle bawk. I doctor nen inbia la, i tana tha tur enkawlna ruahmanna siam rawh.

` Wolff-Parkinson-White Syndrome, Lung natna, Lung na rang, SVT, ECG, Lung natna, Ablation, Cardioversion, Sri Lanka Health