So woate nka pɛn sɛ wo koma rebɔ anwonwakwan so, te sɛ nea ɛrehuruw abɔ, anaasɛ ɛrebɔ mpofirim wɔ wo moma so? Nnipa binom ka sɛ ɛte sɛ nea wo koma "retu." Nnipa pii ahu eyi. Ɛnnɛ, yɛbɛka ade biako a ebetumi de eyi aba ho asɛm, tebea bi a wɔfrɛ no Premature Ventricular Contractions (PVCs) . Mma ɛnhaw wo, momma yɛmma ɛnyɛ mmerɛw.
Enti, dɛn ne saa Premature Ventricular Contractions (PVCs) yi?
Sɛ yɛbɛka no tiawa a, Premature Ventricular Contractions (PVCs) yɛ ade a ɛnkɔ so wɔ wo koma bɔ mu. Ne titiriw no, ɛba bere a anyinam ahoɔden sɛnkyerɛnne a efi koma no ase bɔ no mfi baabi a ɛfata, na mmom efi koma no ase adan abien no biako mu (a wɔfrɛ no ventricles ). Mpɛn pii no, anyinam ahoɔden sɛnkyerɛnne a ɛma koma no bɔ fi ase no fi ase wɔ koma no atifi nifa so ( atrium ).
Ɛnyɛ bere nyinaa na saa PVC ahorow yi yɛ ɔhaw kɛse. Nanso, sɛ ɛkɔ so asram anaa mfe pii a, ebetumi ama koma ntini no ayɛ mmerɛw. Wɔfrɛ eyi Cardiomyopathy . Mpɛn pii no, wobetumi de nnuru anaa ayaresa nketenkete ayɛ saa PVC ahorow yi ho adwuma.
Nnipa binom nso frɛ saa tebea yi "pre ventricular contractions." Nnuruyɛfo nso betumi de din ahorow yi afrɛ no:
- Ventricular complexes a ɛba ntɛm
- Ventricular extrasystoles a ɛwɔ nipadua no mu
- Ventricular a ɛbɔ ntɛm
Ɔkwan bɛn so na anyinam ahoɔden a ɛwɔ koma no mu no di koma no bɔ so?
Ɛlektrik nhyehyɛe bi a ɛyɛ nwonwa yiye na ɛhwɛ yɛn koma bɔ so. Mpɛn pii no, nkwammoaa akuwakuw bi a ɛwɔ atrium nifa so, wɔ wo koma atifi, a wɔfrɛ no sinoatrial node (SA node) , de anyinam ahoɔden sɛnkyerɛnne a edi kan a ɛkyerɛ sɛ koma bɔ no kɔ. Saa sɛnkyerɛnne yi fa koma no nyinaa mu na ɛkɔ benkum ne nifa adan (ventricles) a ɛwɔ koma no ase no mu. Ɛno na koma no nya ahyɛde sɛ ɛntwetwe, anaasɛ ɛbɔ.
Nanso, wɔ PVC ahorow fam no, saa sɛnkyerɛnne a edi kan yi fi ase wɔ koma no dan bi a ɛwɔ fam (ventricle) mu. Afei, ɔkwan a saa sɛnkyerɛnne no fa koma no mu no sesa, na ɛma koma no bɔ a ɛnteɛ. Ɛtɔ da bi a, sɛ wowɔ PVC a, ebia wobɛte nka sɛ wo koma "rehuruw abɔ no."
Henanom na ɛda adi kɛse sɛ wɔbɛyɛ PVC ahorow? Ɛtaa ba dɛn?
PVC betumi ato obiara. Nanso, ɛtaa ba nnipa a wɔn mfe akɔ anim ne nnipa a wɔwɔ komayare mu. Wo nso wowɔ asiane kɛse mu sɛ wobɛnya PVC sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Koma a entumi nyɛ adwuma yiye
- Mogya mmoroso ( Hypertension ) .
- Sɛ woanya komayare pɛn a
- Koma mu ntini mu yare a ɛdɔɔso dodo
Nokwarem no, PVC abu so kɛse sen sɛnea ebia wubesusuw.Nhwehwɛmu ada no adi sɛ nnipa dodow bɛyɛ 75% na wonya saa tebea yi.
So ɛsɛ sɛ yɛhaw yɛn ho wɔ saa PVC ahorow yi ho? So eyi yɛ nea asiane wom?
Nnipa dodow no ara nni sɛnkyerɛnne anaa akwahosan ho haw biara a efi PVC ahorow mu ba. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn . Ebia wubehia ayaresa, titiriw sɛnea ɛbɛyɛ a wobeyi komayare te sɛ koma mu ntini mu yare afi hɔ .
Mpɛn pii no, PVC ahorow no nyɛ nea ɛde nkwa to asiane mu. Nanso, sɛ ɛkɔ so ba bere tenten a, ebetumi asɛe wo koma ntini.
Dɛn ne Premature Ventricular Contractions (PVCs) ho sɛnkyerɛnne ahorow?
Nnipa dodow no ara nhu PVC ho sɛnkyerɛnne biara. Nanso sɛ wuhu yare no ho sɛnkyerɛnne ahorow a, mpɛn pii no ɛnyɛ den. Nhwɛsoɔ:
- Adwene a ɛyɛ basaa
- Sɛ wote nka sɛ woatɔ piti, a ɛbɛn sɛ wobɛtotɔ piti
- Koma a ɛbɔ denneennen
- Sɛ wote nka sɛ kɔn mu ntini no mu ayɛ den
Sɛ wowɔ komayare afoforo a, ebia ɛyɛ den ma wo sɛ wobɛhome ( dyspnea ) esiane PVC bi nti. Afei nso, bere a mpɛn dodow a PVC ahorow no kɔ soro no, ebia wubehu sɛnkyerɛnne pii.
Sɛ PVC ahorow ba a, ɛte dɛn?
Nnipa pii ka PVC ho asɛm sɛ ɛyɛ nea ɛrehuruhuruw, ɛrehuruhuruw, anaasɛ ɛte sɛ nea wɔahuruw abɔ . Nanso, ebia worente biribiara nka. Nokwarem no, nnipa pii nte PVC nka mpo.
Dɛn na ɛde PVC ahorow ba?
Nneɛma pii nti na PVC betumi aba. Ebi ne:
- Electrolyte a ɛnkari pɛ wɔ nipadua no mu, sɛ nhwɛso no, potassium anaa magnesium a ɛba fam .
- Koma mu ntini a ɛyɛ mmerɛw
- Koma a entumi nyɛ adwuma yiye
- Adrenaline dodow a ɛkɔ soro wɔ nipadua no mu - Eyi betumi afi dadwen anaa adwennwen mu .
- Mogya a ɛkɔ koma no mu a ɛso tew, sɛ nhwɛso no, sɛ ahrawa mu ntini mu yare bi wɔ hɔ a .
Ɔkwan bɛn so na wohu Premature Ventricular Contractions (PVCs) a ɛwɔ nipadua no mu?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo wo yare no ho sɛnkyerɛnne, w’akwahosan ho abakɔsɛm, na wayɛ wo nipadua mu nhwehwɛmu. Ebia wɔde afiri a wɔde tie asɛm nso betie wo koma bɔ de ahwɛ sɛ ebia biribi a ɛnteɛ wɔ hɔ anaa.
Sɔhwɛ a edi kan a wɔtaa yɛ ne electrocardiogram (EKG).Sɔhwɛ. EKG susuw wo koma bɔ na ɛhwɛ anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ wo koma mu. Mpɛn pii no, EKG betumi aboa wo duruyɛfo ma wahu sɛ ebia wowɔ arrhythmia, ɔhwe a ɛboro so.
Ɛtɔ da bi a, wobetumi aka akyerɛ wo sɛ hyɛ Holter monitor anaa mfiri foforo a ɛhwɛ wo koma dwumadi so nna kakraa bi. Eyi betumi aboa ma wɔahu PVC ahorow a wɔntaa nhu mpo denam wo koma bɔ ne sɛnea ɛbɔ denneennen a wobɛsusuw so.
Sɔhwɛ bɛn na wɔyɛ de hu nea ɛde PVC ahorow ba?
Sɛ wotaa nya PVC anaasɛ woanya bi bere tenten a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo bi. Wɔde saa nhwehwɛmu ahorow yi hwehwɛ komayare afoforo a ebia ɛde wo PVC ahorow no reba. Ebia wowɔ sɔhwɛ ahorow te sɛ eyinom:
- Mogya mu nhwehwɛmu - Eyinom hwɛ wo potassium ne thyroid hormone dodow.
- Koma mu nhyɛsoɔ nhwehwɛmu - susuw wo koma bɔ ne mogya a ɛfa wo koma ntini mu bere a woreyɛ apɔw-mu-teɛteɛ.
- Cardiac MRI anaa CT scan - Eyinom hwɛ sɛnea koma no nhyehyɛe, dwumadi, ne mogya a ɛkɔ so no.
- Coronary angiogram - Nhwehwɛmu a ɛkyerɛ mogya ntini a ɛwɔ koma no mu. Eyi boa ma wohu mogya a ɛkɔ nipadua no mu a ɛnteɛ, mogya ntini a asiw anaasɛ ayɛ teateaa.
- Echocardiogram ( Echocardiogram / Echo ) - Eyi de aniwa hwɛ sɛnea koma no yɛ adwuma, sɛnea ntini no yɛ adwuma, ne ɔkwan a mogya fa so fa koma no mu.
- Electrophysiology adesua - Eyi hwehwɛ anyinam ahoɔden dwumadi a ɛwɔ koma no mu.
Ɔkwan bɛn so na wɔsa Premature Ventricular Contractions (PVCs) no yare?
Ebia nnipa a wɔntaa nnya PVC no renhia ayaresa biara. Koma tebea a ɛda adi no a wɔbɛsa no betumi atew mpɛn dodow a PVC ahorow no so. Sɛ nhwɛso no, ebia ebehia sɛ wonom nnuru na ama wo mogya so atew anaasɛ wo koma bɔ brɛoo. Saa nnuru yi nso betumi atew mpɛn dodow a wɔde PVC di dwuma no so.
Ɛtɔ da bi a, wo duruyɛfo betumi akyerɛw ayaresa pɔtee bi ama PVC ahorow. Saa ayaresa yi ho hia ma PVCs sɛ wo koma bɔ a ɛnteɛ daa na wowɔ asiane mu sɛ wobɛsɛe wo koma ntini nkutoo a. Ebia ayaresa no bi ne:
- Catheter ablation procedure: Eyi yɛ adeyɛ a ɛnyɛ oprehyɛn a ɛnyɛ nea wɔde hyɛ nipadua mu a ɛhwehwɛ sɛ wohu koma no fã a ɛde koma no bɔ a ɛnteɛ no na wɔsɛe no.
- Nnuru: Sɛ nhwɛso no, nnuru a ɛko tia koma a ɛbɔ a ɛnteɛ, anaasɛ beta-blockers anaa calcium channel blockers a ɛma mogya mmoroso so tew.Te sɛ nnuruyɛ.
So wobetumi asiw Premature Ventricular Contractions (PVCs) ano?
Nokwarem no, ɔkwan biara nni hɔ a wobɛfa so asiw PVC ahorow ano koraa. Nanso, saa nneɛma yi a wobɛyɛ no betumi akɔ so ama wo koma akwahosan nyinaa akɔ so ayɛ yiye:
- Kura mu duru a ɛfata a ɛfata wo tenten, wo bɔbeasu, ne wo nipadua su.
- Gyae tawanom koraa na to nneɛma te sɛ nsa ne caffeine ano hye.
- Di aduan a ɛkari pɛ na ɛma koma nya ahoɔden a nnuaba, nhabannuru, ne aburow a wɔayam pii wom.
- Apɔw-mu-teɛteɛ a wɔyɛ no daa - Eyi ka apɔw-mu-teɛteɛ a ɛma mframa bɔ , ahoɔden ntetee, ne ntrɛwmu.
- Cholesterol ne mogya mmoroso dodow a ɛfata a wobɛkɔ so akura mu.
- Akwan pa a wode bedi dwuma de adi dadwen ne adwennwen ho dwuma - se nhwɛso no, kasa ayaresa anaa nsusuwii.
- Anyɛ yiye koraa no, da nnɔnhwerew ason anadwo biara.
Mɛyɛ dɛn ahu sɛ mewɔ asiane mu sɛ menya PVC ahorow?
Nneɛma pii betumi ama asiane a ɛwɔ hɔ sɛ wubenya PVC ahorow no ayɛ kɛse. Ebi ne:
- Esiane sɛ wɔahu sɛ ɔwɔ komayare afoforo, a komayare a wɔde awo obi ka ho nti .
- Sɛ́ wubenya abusua abakɔsɛm a ɛkyerɛ sɛnea koma no nyɛ adwuma yiye (koma a ɛbɔ daa).
- Sɛ woanya komayare pɛn a.
Dɛn ne anidaso a ɛwɔ hɔ ma PVC ahorow no gyinabea?
Mpɛn pii no, anidaso a ɛwɔ hɔ ma nnipa a wɔwɔ PVC no ye. Nnipa dodow no ara nni asiane mu sɛ wobenya akwahosan ho nsɛnnennen afi eyi mu.
Nanso, sɛ wowɔ akwahosan ho haw afoforo, anaasɛ woanya komayare bere bi a atwam a, asiane a ɛwɔ hɔ sɛ wubenya akwahosan mu nsɛnnennen a ɛkyerɛ sɛ wobɛtra ase no nso betumi ayɛ kɛse.
Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?
Sɛ wowɔ PVCs, anaasɛ wususuw sɛ ebia wowɔ bi a, ɛyɛ papa sɛ wubebisa wo duruyɛfo nsɛm yi:
- Dɛn ne ade titiriw nti a menya saa PVC ahorow yi?
- So ebetumi aba sɛ akwahosan ho tebea foforo na ɛde saa sɛnkyerɛnne ahorow yi ba?
- So ɛsɛ sɛ meyɛ nhwehwɛmu de hwɛ sɛ mewɔ komayare bi a ɛhyɛ me ase anaa?
- Sɔhwɛ bɛn na ɛsɛ sɛ meyɛ na ama mahu PVC ahorow?
- So mihia ayaresa ma PVC ahorow?
- Dɛn ne nsɛnkyerɛnne a ɛkyerɛ sɛ PVC ahorow no reyɛ kɛse?
- So PVC ahorow no befi hɔ koraa bere a wɔayɛ no aduru awie no?
Bere bɛn na ɛsɛ sɛ wokɔ Emergency Room?
PVCs ntaa nyɛ ade a egye ntɛmpɛ. Nanso, sɛ wowɔ saa sɛnkyerɛnne ahorow yi ka PVC ahorow ho a, frɛ 911 ntɛm ara (wɔ Sri Lanka no, frɛ 1990 Suwaseriya Ambulance Service) anaa kɔ dan a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu:
- Adwene a ɛyɛ no yaw anaasɛ ɔtotɔ piti ( Syncope ) / adwenem naayɛ a ɛyera
- Lightheadedness - (te nka sɛ ɛyɛ hare) .
- Ɛyaw wɔ koko, kɔn, anom, anaa abasa mu
- Ɔhome a ɛyɛ den ( Dyspnea ) .
- Delirium a ɛma obi ho kyere no
Nea ɛho hia: So PVC betumi ama obi awu mpofirim?
Sɛ wowɔ komayare a ɛhyɛ wo ase, anaasɛ sɛ PVC fi ase wɔ koma no mmeae bi a, PVC betumi ama asiane a ɛwɔ hɔ sɛ koma no wu mpofirim no ayɛ kɛse. Nanso, wɔ nnipa dodow no ara fam no, PVC yɛ tebea a asiane biara nni ho na ɛmma obi wuwu mpofirim.
So akwahosan tebea afoforo betumi de sɛnkyerɛnne ahorow a ɛte sɛ PVC ahorow aba?
Aane. Nsɛnkyerɛnne te sɛ koma a ɛbɔ ne koko a ɛyɛ den nso betumi afi akwahosan tebea afoforo mu aba. Nhwɛsoɔ:
- Anemia (mogya mu nkwammoaa kɔkɔɔ a ɛso tew) .
- Adwennwene anaa ehu a ɛba obi so
- Hyperthyroidism (thyroid ntini a ɛyɛ adwuma boro so) .
- Hypoglycemia (asikre a ɛba mogya mu) .
- Electrolyte a ɛnkari pɛ
Nkrasɛm a Etwa To a Wɔde Kɔ Fie
Premature Ventricular Contractions (PVCs) yɛ koma a ɛbɔ a ɛnyɛ daa. Wɔba bere a anyinam ahoɔden sɛnkyerɛnne a ɛma koma no bɔ no fi ase wɔ koma no ase adan mu sen sɛ ɛbɛkɔ soro adan no mu no. Mpɛn pii no, PVC te sɛ nea wɔahuruw, anaasɛ ɛrehuruhuruw anaasɛ ɛrehuruhuruw wɔ koko mu. Nanso, nnipa pii nhu yare no ho sɛnkyerɛnne biara.
PVC nyɛ asiane mma nnipa dodow no ara. Nanso, sɛ wowɔ akwahosan tebea afoforo, titiriw komayare a, asiane kɛse wom sɛ wubenya nsɛnnennen afi PVC ahorow mu. Sɛ wowɔ nsɛm bi a ɛhaw wo anaa ɛhaw wo a, ɛbɛyɛ papa sɛ wobɛhwehwɛ aduruyɛ mu afotu. Afei wubetumi ayɛ nhwehwɛmu a ɛho hia na woanya ayaresa a ɛfata. Mma wo werɛ mmfi sɛ asetra a ahoɔden wom nso ho hia yiye ma koma akwahosan.
` Ventricular Contractions a Ɛba Ntɛm, PVCs, Koma a Ɛbɔ, Koma a Ɛbɔ a Ɛnyɛ Daa, Koma Yare, Koma a Ɛbɔ Electrical Signals, Cells, Atria, EKG, Koma Yare Nsɛnkyerɛnne











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