So woahyɛ no nsow pɛn, anaasɛ woanya osuahu sɛ wo koma rebɔ denneennen mpofirim? Ɛtɔ mmere bi a eyi betumi ayɛ nea ɛfata, nanso ɛtɔ mmere bi a ebetumi ayɛ ade a ɛhaw adwene. Today we are going to talk about a condition called
Monomorphic Ventricular Tachycardia , in which the heart rate increases abnormally. Ɛwom sɛ edin no ware kakra de, nanso momma yɛmma ɛnyɛ mmerɛw.
Dɛn ne Monomorphic Ventricular Tachycardia a ɛma obi ho yɛ hyew?
Sɛ yɛbɛka no tiawa a, eyi yɛ koma a ɛbɔ a ɛnteɛ, anaasɛ
koma a ɛbɔ denneennen . Eyi ne bere a wo koma no ase adan a wɔfrɛ no
ventricles , no fi ase bɔ ntɛmntɛm a ɛyɛ hu kɛse. Ɛdenam sɛnea eyi ba ne bere a ɛba so no, ebetumi abɛyɛ ɔhaw a asiane wom, na ɛde nkwa mpo to asiane mu. Fa no sɛ,
Ventricular Tachycardia (VT) tebea yi betumi ayɛ kɛse mpo na adan apɔw-mu-teɛteɛ a edi awu a wɔfrɛ no
Ventricular Fibrillation (V-fib) . Sɛ ɛba saa a, koma no betumi agyae. Sɛ wo ne obi wɔ hɔ na mpofirim ara n’adwene mu yɛ no naa na onni koma a ɛbɔ a,
ɛho hia yiye sɛ wobɛfrɛ 911 (anaasɛ nɔma a ɛfata a egye ntɛmpɛ) ntɛm ara, fi ase ntɛm ara CPR (Cardiopulmonary Resuscitation), na sɛ obi bɛn hɔ a, woahwehwɛ AED (Automated External Defibrillator) a. Sɛ wunnim sɛnea wɔde CPR bɛma a, wɔtaa tete wɔn a wɔyɛ adwuma ntɛm ara ma wɔakyerɛ wo sɛnea wɔde CPR ma wɔ telefon so. Sɛ wowɔ baabi a nnipa pii wɔ a, adan ne ahyehyɛde ahorow pii wɔ AED ahorow . Eyinom yɛ nnwinnade a ɛsom bo a ebetumi agye nnipa nkwa wɔ mmere a ɛte sɛɛ mu.
Dɛn na saa tebea yi din kyerɛ?
Edin "monomorphic ventricular tachycardia" no mu paapae yɛ n'afã horow na ɛkyerɛ sɛ:
- Mono (Mono-) : Baako.
- -morphic : nsusuwso.
- Ventricular : Ɛka wo koma no ase adan, benkum ne nifa ventricles ho .
- Tachy- : Ntɛmntɛm.
- -cardia : koma .
Ɛne sɛ,
ventricular tachycardia (VT) yɛ tebea a ɛma wo koma no fã a ɛwɔ fam no bɔ ntɛmntɛm, nanso ɛnkɔ mogya yiye. Mpɛn pii no, anyinam ahoɔden a ɛnyɛ ne kwan so a ɛwɔ ventricular muscle no mu na ɛde eyi ba. Asɛmfua "monomorphic" no fi ɔkwan a wɔfa so
kyerɛw saa koma no nnyigyei yi wɔ electrocardiogram (ECG) so.Biako – yɛfrɛ no
ECG anaa
EKG – gyina sɛnea ɛte so. Wɔ monomorphic
VT mu no, asorɔkye a ɛwɔ
ECG no so nyinaa hwɛbea yɛ pɛ, na ɛyɛ pɛ.
VT ayarefo bɛyɛ 70% wɔ saa monomorphic type yi.
ECG de nneɛma pii a ɛma wohu nneɛma pii, a wɔfrɛ no
electrode (mpɛn pii no 12) a ɛbata wo koko ho were ho no susuw anyinam ahoɔden a ɛwɔ koma no mu. Saa electrode ahorow yi kyere anyinam ahoɔden dwumadi no na ɛda no adi sɛ asorɔkye a ɛtoatoa so wɔ krataa anaa screen so. Monomorphic
VT kyerɛ sɛ saa asorɔkye yi nyinaa hwɛbea yɛ pɛ.
VT a ɛyɛ monomorphic VT ahorow nketewa atitiriw abien na ɛwɔ hɔ:
Saa tebea yi akwan titiriw abien na ɛwɔ hɔ:
- Non-sustained : Saa monomorphic VT yi kyɛ bɛboro mprɛnsa a ɛtoatoa so, nanso ennu sikani 30. Nanso, ebetumi aba mpɛn pii. Sɛ eyi ba a, ebetumi ayɛ den sɛ yebehu.
- Sustained : Eyi yɛ monomorphic VT a ɛkyɛ boro sikɔne 30, anaasɛ egye ayaresa bi na ama koma no asan ayɛ nea ɛfata.
Nsonsonoe bɛn na ɛda monomorphic ventricular tachycardia ne polymorphic ventricular tachycardia ntam?
Polymorphic Ventricular Tachycardia yɛ tebea a ɛte sɛ monomorphic
VT , nanso nsonsonoe titiriw biako na ɛwɔ mu. "Polymorphic" kyerɛ "nsusuwii ahorow." Wɔ
ECG , asorɔkye a ɛwɔ polymorphic
VT mu no sesa fi ɔbɔ biako so kɔ foforo so. Eyi kyerɛ sɛ anyinam ahoɔden a ɛwɔ wo koma mu no yɛ nea ɛnkɔ so yiye sen
VT a ɛyɛ monomorphic .
Hena na tebea yi ka no kɛse?
Ventricular tachycardia abu so
wɔ mmarima mu . Ɛka mpanyimfo, titiriw wɔn a wɔn mfe akɔ anim, ne wɔn a wɔwɔ komayare, titiriw wɔn a wɔn
ejection fraction so atew . Ebetumi aba mmofra nso, nanso ɛntaa nsi koraa. Ɛtaa ba nnipa a wɔwɔ
komayare a ɛwɔ nipadua no mu a ɛwɔ hɔ bere a wɔawo wɔn no so. Afei nso, wobetumi anya tebea horow a ɛde
ventricular tachycardia , te sɛ
Brugada syndrome anaasɛ
arrhythmogenic right ventricular cardiomyopathy, fi awo mu.
Saa tebea yi abu so dɛn?
Wɔ United States nkutoo no
, ventricular tachycardia ne akisikuru a ɛbata ho a wɔfrɛ no
ventricular fibrillation no ma nnipa bɛyɛ 300,000 wuwu afe biara.
Ɔkwan bɛn so na saa tebea yi ka me nipadua?
Mpɛn pii no, ɔhaw bi a ɛwɔ wo koma no anyinam ahoɔden nhyehyɛe mu na ɛde monomorphic ventricular tachycardia ba. Ɔhaw no ma ventricles no bɔ ntɛmntɛm araa ma wonnya bere mfa mogya nhyɛ mu ma ansa na ɛsɛ sɛ ɛbɔ bio. Ventricles no nso tumi bɔ wɔ bere a ɛnteɛ mu, na ɛma wɔne koma no atifi adan no ntumi nkɔ so.
Ventricular tachycardia betumi asɛe na abɛyɛ
ventricular fibrillation (V-fib) . Eyi nso yɛ tebea a koma no ase adan no ntumi mfa mogya nhyɛ mu ma, nanso ɛyɛ aniberesɛm kɛse. Wɔ
V-fib mu no, ventricles no ntumi mmɔ yiye, na mmom ɛwosow kɛkɛ. Esiane sɛ koma no ntumi nkɔ mogya yiye nti, ɛnyɛ den sɛ
ventricular fibrillation betumi ama
koma no ayɛ basaa anaasɛ
koma no agyae mpofirim . Eyi kyerɛ sɛ wo koma ntumi nkɔ mogya a ɛdɔɔso mfa nni wo nipadua ahiade ho dwuma. Ɛtɔ mmere bi a
ventricular tachycardia betumi akɔ komayare mu tẽẽ a ɛnkɔ
V-fib mu. Koma
a ɛtwetwe mpofirim yɛ tebea a sɛ wɔamfa
CPR amma no ntɛm ara a, ebetumi akum no wɔ simma kakraa bi mu (sɛ wɔantumi annye ɔyarefo no nkwa a wɔtaa frɛ no
Sudden Cardiac Death ).
Dɛn ne monomorphic ventricular tachycardia ho sɛnkyerɛnne ahorow?
Ebia nnipa binom wɔ monomorphic
VT nanso wonni sɛnkyerɛnne biara. Sɛ sɛnkyerɛnne biara nni hɔ a, mpɛn pii no
VT no nkyɛ na ɛnyɛ den. VT a ɛyɛ monomorphic
VT ho sɛnkyerɛnne ahorow bi ne:
- Rapid pulse (anaasɛ no pulse) : Wɔ monomorphic VT mu no, wo koma bɔ mpɛn pii fi 140 kosi 180 simma biara (ɛtaa bɔ kɛse sɛ ɛyɛ bɔne, na ɛda adi sɛ wubenya sɛnkyerɛnne ahorow). Wɔ tebea horow bi mu no, ebia wo koma bɛtew koraa, na ɛno kyerɛ sɛ worenya komayare.
- Koma a ɛbɔ : Eyi yɛ nkate a ɛnyɛ dɛ sɛ wo koma rebɔ a wonte nka sɛ wo koma bɔ. Ebetumi ayɛ te sɛ nea wo koma rebɔ, ɛrebɔ, ɛrehuruw, anaasɛ ɛrehuruhuruw.
- Chest pain (Angina) : Eyi ba bere a wo koma ntumi nkɔ mogya a ɛdɔɔso no.
- Adwene a ɛyɛ basaa anaasɛ ɛyɛ hare : Eyi ba bere a wo koma ntumi nkɔ mogya a ɛdɔɔso a ɛbɛma amemene no anya mframa pa a ehia no.
- Syncope : Eyi betumi aba wɔ adwenemhaw akyi bere a VT mu yɛ den no. Ebetumi ayɛ adwene a ɛyera koraa anaasɛ tebea a ɛkɔ so a ɛkame ayɛ sɛ obi adwene mu yɛ no naa.
- Dyspnea : Mogya a ɛnkɔ yiye no ma wo nipadua no nni oxygen, na ɛma ɛyɛ te sɛ nea ɛyɛ den sɛ wobɛhome.
Dɛn na ɛde monomorphic ventricular tachycardia ba?
Nneɛma ahorow betumi ama
VT a ɛwɔ nipadua no mu biako aba. Ebi ne:
- Koma mu yare a ɛma mogya tu : Ischemia a ɛma mogya a ɛkɔ nipadua no mu no so tew no betumi asɛe wo koma no anyinam ahoɔden nhyehyɛe na ama VT a ɛyɛ monomorphic VT .
- Koma mu ntini mu yare : Nnipa a wɔn koma yɛ mmerɛw na ɛyɛ akuru (esiane nneɛma ahorow a ɛde ba nti, sɛ nhwɛso no, ischemia) betumi anya anyinam ahoɔden a ɛnyɛ ne kwan so a ebetumi ama wɔanya VT .
- Pre-existing arrhythmias : Tebea horow a ɛsɛe wo koma no anyinam ahoɔden nhyehyɛe no ankasa betumi aba, anaasɛ ebetumi aba fi awo mu. Eyi ho nhwɛso ne Brugada yare no .
- Structural heart problems : Wo koma no anyinam ahoɔden nhyehyɛe no gyina sɛnea wo koma te so. Sɛ saa nsusuwii no sesa a, kwan a anyinam ahoɔden twa no betumi akɔ soro anaasɛ akɔ fam. Saa nsakrae yi betumi ama bere a wode tu anammɔn ahorow wɔ wo koma bɔ mu no ayɛ nea ɛnhyia, na ɛde monomorphic VT . Wubetumi anya komayare a wɔahyehyɛ a wɔde woo wo, a emu bi wunya fi w’awofo hɔ.
- Electrolyte a ɛnkari pɛ : Eyinom ba bere a wo nipadua no wɔ mineral ahorow bi a wo koma nkwammoaa hia na ama ayɛ adwuma yiye dodo (anaasɛ ɛnnɔɔso) no.
- : ( (digitalis) ) ( (methamphetamine) (cocaine) ) VT .
- Myocarditis : Eyi yɛ koma ntini a ɛyɛ hyew. Ebetumi afi nneɛma ahorow mu aba, a ɔyare mmoawa ka ho.
- Tebea afoforo : Tebea horow te sɛ koma mu amyloidosis , lupus, anaa ntini mu yare nso betumi de VT a ɛyɛ monomorphic VT aba.
So eyi yɛ ɔyare mmoawa?
Monomorphic
VT nyɛ ɔyare mmoawa, enti ɛntrɛw mfi onipa biako so nkɔ foforo mu. Nanso, tebea horow a ɛde ba no bi fi awosu mu. Eyi kyerɛ sɛ mmofra betumi anya afi wɔn awofo hɔ. Ebetumi nso afi ɔfe a ɔyare mmoawa de ba, a ɛtɔ mmere bi a ebetumi akɔ nnipa mu.
Ɔkwan bɛn so na wohu monomorphic ventricular tachycardia?
Sɛ wobetumi ahu monomorphic
VT , ɛsɛ sɛ wɔyɛ
ECG nhwehwɛmu wɔ ayaresabea. Oduruyɛfo betumi de nhwehwɛmu yi adi dwuma
de...Wobetumi de asorɔkye a ɛda no adi no ahu tebea yi. Ɔkwan biako pɛ a wobetumi afa so ahu
VT a ɛyɛ monomorphic ne
ECG . Nea enti a ɛte saa ne sɛ ɛno nkutoo ne ɔkwan a wobɛfa so ahu sɛnea koma no anyinam ahoɔden dwumadi yɛ pɛ no. Sɛ wowɔ
non-sustained monomorphic VT , a ɛkyerɛ sɛ ɛba na ɛkɔ a, ɛho behia sɛ woyɛ nhwehwɛmu ahorow a ɛde nnyinasosɛm koro no ara a wɔde yɛ
ECG , di dwuma, nanso enhia sɛ wotra ayaresabea. Wɔfrɛ eyinom
ambulatory monitors . Eyinom yɛ mfiri a etumi kyerɛw
ECG ho nsɛm bere tenten. Wubetumi de akɔ fie na woahyɛ nna anaa adapɛn pii mpo, a egyina monitor ko a wode bedi dwuma no so.
Ɔkwan bɛn so na wɔsa monomorphic ventricular tachycardia? So wobetumi asa no yare?
Sɛ wunni
ventricular tachycardia a ɛkɔ so tra hɔ na wunni yare no ho sɛnkyerɛnne biara a, ebia wunhia ayaresa mma
ventricular tachycardia . Nanso, wo duruyɛfo bɛtaa tu wo fo sɛ hwɛ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ tebea yi betumi ayɛ ɔhaw ama wo. Esiane sɛ
ventricular tachycardia a ɛkɔ so tra hɔ no betumi ama woanya komayare (tẽẽ anaasɛ denam dan a ɛbɛdan
V-fib ) nti, ɛho hia sɛ woma wo koma san kɔ sɛnea ɛte daa. Mpɛn pii no, eyi betumi ahwehwɛ sɛ wɔyɛ ayaresa biako anaa nea ɛboro saa, efi nnuru so kosi oprehyɛn so. Ɛdenam nea ɛde monomorphic
VT ba so no, mpɛn pii no wobetumi asa, nanso ɛnyɛ bere nyinaa na wontumi nsa. Sɛ́ ebia wobetumi asa wo tebea no anaasɛ wontumi nsa no taa gyina nea ɛde ba no so.
Nnuru ne ayaresa bɛn na wɔde di dwuma ma monomorphic ventricular tachycardia?
Mpɛn pii no, nea edidi so yi mu biako anaa nea ɛboro saa ka VT a ɛyɛ monomorphic
VT ayaresa ho:
- Nnuru : Nnuru a wɔde ko tia koma a ɛyɛ mmerɛw no betumi atew asiane a ɛwɔ hɔ sɛ ɔhaw ahorow ne owu a efi ventricular tachycardia mu ba no so kɛse . Nnuru afoforo nso betumi aboa wo koma ma asan ayɛ nea ɛfata. Wɔde nnuru yi bi ma wo wɔ ayaresabea nkutoo, efisɛ wɔde ma wo nipadua no tẽẽ denam ntini a wɔde fa ntini mu (IV) anaasɛ wɔde twitwiw mu so. Nnuru afoforo a wubetumi anom da biara da sɛ nnuru a wɔde sa yare.
- Electric defibrillation : Eyi hwehwɛ sɛ wode anyinam ahoɔden bedi dwuma de "abɔ" wo koma ma ayɛ nea ɛfata. Mpɛn pii no, wɔde eyi sie bere a wo tebea nyinaa ntumi nnyina, sɛ nhwɛso no, bere a wo mogya mmoroso sua koraa esiane ventricular tachycardia nti .
- Chest compressions : Eyinom ne akwan koro no ara a wɔfa so yɛ CPR . Eyi ne nea wɔtaa yɛ ntɛm ara sɛ worenya komayare esiane ventricular tachycardia nti a . Sɛ wowɔ pulse a, eyinom ho nhia.
- Oxygen, intubation, ne mframa a wɔde fa mu : Sɛ wɔma wo oxygen foforo (te sɛ nea ɛnam tube a ɛwɔ wo hwene ase so) a, ebetumi aboa ma nhyɛso a ɛwɔ wo koma so no so atew. Sɛ wo tebea no ntumi nnyina araa ma wuntumi nhome a, ebia ebehia sɛ wɔde afiri a wɔde hyɛ wo mu . Nea ɛka eyi ho ne sɛ wode afiri bi bɛhyɛ wo menewam na wode ahyɛ wo mframa afiri mu. Wɔde afiri a wɔde fa nsu mu no bata afiri bi a wɔfrɛ no ventilator , a ɛyɛ home adwuma ma wo ho.
- Implantable Cardioverter-Defibrillators (ICDs) : Sɛ wowɔ monomorphic VT , mfiri a wɔde hyɛ nipadua mu betumi abɔ wo ho ban afi komayare ho. ICD yɛ mfiri a oduruyɛfo a ɔyɛ oprehyɛn betumi de ahyɛ wo moma so na ɔde nhama (a wɔfrɛ no leads ) abɔ wo koma ho. ICD tumi hu sɛ obi koma no ntumi nyɛ adwuma yiye na ɛde anyinam ahoɔden ketewaa bi ma na ama wo koma no asan ayɛ nea ɛfata.
- Ablation : Wɔ tebea horow bi mu no, akwahosan ho adwumayɛfo betumi ayɛ akuru ntini wɔ wo koma mu de abubu anyinam ahoɔden akwan a ɛde monomorphic VT ba no. This procedure is called ablation . Wobetumi de oprehyɛn anaasɛ wɔde catheter ayɛ eyi. Sɛ obi de catheter di dwuma a, akwahosan ho ɔyaresafo de afiri bi a ɛte sɛ afiri bi hyɛ mogya ntini kɛse bi mu (mpɛn pii no, ɛwɔ w’asen atifi) na ɔkyerɛ kwan kɔ wo koma mu. Sɛ wɔkɔ koma no mu pɛ a, wɔde ɔhyew anaa awɔw a ano yɛ den a ɛyɛ pɛpɛɛpɛ paa di dwuma de yɛ akuru a ɛpaapae anyinam ahoɔden a asɛe no.
Nsɛnnennen/nsunsuanso bɔne a efi ayaresa mu ba
Nsɛnnennen ne nsunsuanso bɔne a ebia wubenya afi ayaresa ahorow yi mu no betumi ayɛ soronko kɛse. Wo duruyɛfo ne onipa a oye sen biara a ɔbɛka nea ɛda adi kɛse sɛ ɛbɛba wɔ w’asɛm no mu akyerɛ wo, efisɛ obetumi asusuw ayaresa a wuhia (anaasɛ woanya dedaw), w’akwahosan ho abakɔsɛm, ne tebea pɔtee biara ho.
Ɔkwan bɛn so na mehwɛ me ho/di sɛnkyerɛnne ahorow ho dwuma?
Esiane sɛ wɔhwehwɛ sɛ wɔyɛ
ECG na ama woahu monomorphic
VT , nti, wuntumi nhu sɛ wowɔ bi a wonhwehwɛ aduruyɛ mu afotu. Ɛno kyerɛ sɛ w’ankasa worentumi nsa a wunhu oduruyɛfo.
Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?
Nnipa pii fi ase te nka sɛ wɔn ho tɔ wɔn wɔ ayaresa akyi, titiriw sɛ ayaresa no ma wɔn koma bɔ brɛoo na ɛma wɔn koma san yɛ nea ɛfata a. Wɔ tebea afoforo mu no, ebia wubehia ayaresa foforo anaa oprehyɛn ansa na wo ho atɔ wo. Sɛ ɛsɛ sɛ wɔyɛ wo oprehyɛn a, ebia wo ho rentɔ wo koraa kosi sɛ wɔbɛyɛ oprehyɛn no awie. Wo duruyɛfo ne onipa a oye sen biara a wo ne no bɛkasa afa sɛnea bere a wo ho bɛtɔ wo no bɛyɛ ne sɛ ebia biribi wɔ hɔ a wubetumi ayɛ de aboa wo ma wo ho atɔ wo ntɛmntɛm anaa.
So metumi atew asiane a ɛwɔ hɔ sɛ eyi bɛba no so anaasɛ masiw ano koraa?
Mpɛn pii no, monomorphic
VTƐyɛ ɔhaw a wontumi nhu. Ɛkyerɛ sɛ wontumi nsiw ano. Ɔkwan biako pɛ a wobɛfa so asiw ano ne sɛ wobɛkwati tebea anaa dwumadi ahorow a ɛma ɛyɛ mmerɛw sɛ wubenya bi. Eyi ho nhwɛso ne sɛ wobɛkwati sɛ wode nnubɔne te sɛ
methamphetamine anaa
cocaine bedi dwuma . Sɛ wowɔ tebea foforo a ɛde monomorphic
VT , ba a, ebia wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya
VT no so denam saa tebea no a wobɛkwati anaasɛ wobɛtwentwɛn so no so. Nanso, ɛnyɛ bere nyinaa na eyi betumi aba. Sɛ monomorphic
VT fi awo mu tebea bi anaa awo mu a, wontumi nsiw ano.
Sɛ mewɔ saa tebea yi a, dɛn na ɛsɛ sɛ mehwɛ kwan?
Sɛ wunni monomorphic
VT ho sɛnkyerɛnne biara a, ebia ɛho renhia sɛ wokɔ ayaresabea. Sɛ wowɔ monomorphic
VT ho sɛnkyerɛnne a , ɛsɛ sɛ
wokɔ ayaresabea ntɛm ara . Eyi te saa efisɛ ɛnyɛ den sɛ
ventricular tachycardia betumi ama obi anya komayare (ntɛm ara anaasɛ ɛnam sɛ ɛbɛdan
V-fib ).
Monomorphic VT di bere tenten ahe?
Saa tebea yi betumi ayɛ bere tiaa bi, atra hɔ bere tiaa bi pɛ wɔ bere koro mu, anaasɛ ebetumi atra hɔ simma kakraa bi. Nanso, saa tebea yi yɛ nea asiane wom, enti ɛnsɛ sɛ woma ɛkɔ so. Ɛno nti na ayaresa a egye ntɛmpɛ ho hia paa na wɔasiw nsɛnnennen anaa owu ano no.
Dɛn ne tebea yi ho anidaso?
Non-sustained ventricular tachycardia , titiriw sɛ enni sɛnkyerɛnne biara a, mpɛn pii no ɛnyɛ ɔhaw a epira. Sɛ woanya
monomorphic VT , titiriw sɛ ɛyɛ sɛnkyerɛnne a, wuhia ayaresa a egye ntɛmpɛ. Sɛ wɔannya saa ayaresa no a, wo koma no betumi ayɛ basaa kɛse anaasɛ ebegyae koraa.
Mɛyɛ dɛn ahwɛ me ho?
Wo duruyɛfo ne onipa a oye sen biara a ɔbɛkyerɛ wo kwan wɔ nea wubetumi ayɛ de ahwɛ wo ho bere a wɔahu sɛ wowɔ monomorphic
VT akyi no . Mpɛn pii no, ɛsɛ sɛ woyɛ saa nneɛma yi:
- Fa wo nnuru sɛnea wɔakyerɛw ama wo no . Eyi ho hia yiye, efisɛ nnuru betumi aboa ma wo koma a ɛbɔ no ansakra akɔ VT a ɛyɛ monomorphic VT . Ɛnsɛ sɛ wugyae wo nnuru nom a wo ne wo duruyɛfo nkasa. Sɛ wowɔ nsɛmmisa bi fa wo nnuru a wobɛnom anaa wode besie ho a, wo ne wo duruyɛfo anaa nnuruyɛfo nkasa na woanya nsɛm pii.
- Hwɛ wo duruyɛfo sɛnea wɔkamfo kyerɛ no . Ɔhwɛ a wodi akyi ne ayaresa nsrahwɛ ho hia yiye na wɔasiw nsɛnnennen anaa ɔhaw afoforo a efi tebea yi mu ba ano.
Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?
Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn daa sɛnea wɔkamfo kyerɛ no. Ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn sɛ wufi ase nya yare no ho sɛnkyerɛnne, anaasɛ sɛ wo sɛnkyerɛnne no sesa na efi ase sɛe w’asetra a. Afei nso, bisa wo duruyɛfo no yare no ho sɛnkyerɛnne anaa kɔkɔbɔ nsɛnkyerɛnne foforo biara a ebetumi ahwehwɛ sɛ wofrɛ wo duruyɛfo adwumayɛbea anaa wokɔ ayaresabea.
Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?
Sɛ wowɔ monomorphic
VT ho sɛnkyerɛnne no bi a, ɛsɛ sɛ wokɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu. This is because the symptoms of this condition are very similar to those seen in other dangerous conditions, such as
a heart attack or
pulmonary embolism . Nsɛnkyerɛnne a ɛsɛ sɛ yɛhwɛ yiye wɔ ho bi ne:
- Koko mu yaw ( angina ).
- Sɛ wote nka sɛ wo koma rebɔ.
- Ɔhome a ɛyɛ den.
- Adwene a ɛyɛ basaa anaasɛ te nka sɛ ne ti ayɛ hare.
- Dae a wɔdae.
Awiei koraa no, nkrasɛm a wode bɛkɔ fie:
Monomorphic ventricular tachycardia yɛ tebea a ebetumi ayɛ asiane. Sɛ wowɔ saa tebea yi ho sɛnkyerɛnne a, ɛho hia sɛ wokɔ ayaresabea ntɛm ara. Dodow a wohwehwɛ ayaresa ntɛm no, dodow no ara na ɛda adi sɛ w’akwahosan ho ɔyaresafo no betumi ahu wo tebea no na wasa ansa na asɛe. Bere a wontumi nsa tebea yi bere nyinaa no, mpɛn pii no wobetumi asa sɛnea ɛbɛyɛ a wubetumi asan akɔ w’asetra ne dwumadi ahorow a w’ani gye ho kɛse no mu.
Nea ɛho hia sen biara ne sɛ wobɛma wo ho adwo wo na woadi wo duruyɛfo akwankyerɛ akyi. Koma a ɛbɔ, koma a ɛbɔ denneennen, koma a ɛbɔ denneennen, ECG, komayare, ventricular fibrillation, koma a ɛtwetwe mpofirim
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