So wo nso wunya koma a ɛrebɔ denneennen? Momma yɛnka tachycardia ho asɛm!

So woate nka pɛn sɛ wo koma bɔ ntɛmntɛm bere a na wo ho yeraw wo kɛse anaa woabrɛ paa no? Ɛyɛ ade a ɛyɛ daa. Nanso sɛ, biribiara nti, wo koma bɔ ntɛmntɛm bere a wugyina hɔ ara mpo, sɛ ɛte sɛ nnyigyei bi a ɛrebɔ fi wo koko mu reba a, ebia ɛbɛyɛ biribi a ɛsɛ sɛ wohaw wo ho. Ɛnnɛ yɛrebɛka tebea a ɛte saa a ɛma koma bɔ ntɛmntɛm, a wɔfrɛ no tachycardia .

Dɛn ne tachycardia? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, tachycardia yɛ bere a wo koma bɔ ntɛmntɛm sen sɛnea ɛte daa bere a woagye w’ahome no. Mpɛn pii no, sɛ yɛregye yɛn ahome a, ɛsɛ sɛ yɛn koma bɔ 60 kosi 100 simma biara. Nanso, wɔ tachycardia fam no, dodow yi kɔ soro kodu bɛboro 100 a wɔbɔ simma biara. Saa koma a ɛbɔ ntɛmntɛm yi tumi di fi sikɔne kakraa bi kosi nnɔnhwerew pii.

Susuw nea ɛba bere a koma no bɔ ntɛmntɛm saa no ho hwɛ. Koma no nnya bere mpo mfa mogya bɛhyɛ mu ma yiye, efisɛ ɛbɔ no ntɛmntɛm paa. Afei nkwammoaa afoforo a ɛwɔ yɛn nipadua mu no nnya mogya ne mframa pa a wohia no. Eyi betumi ayɛ asiane kakra , efisɛ yɛn nipadua nyinaa gyina mogya a efi koma no mu ba no so.

Dɛn ne koma a ɛyɛ mmerɛw ahorow atitiriw?

Tachycardia betumi aba akwan horow pii so. Ahorow bi betumi aba mpɛn pii, na ebetumi ayɛ nea anibere wom kɛse. Bere a ebia komayare ahorow bi rempira kɛse no, afoforo betumi asɛe ade a ɛkɔ fam kosi nea emu yɛ den. Oduruyɛfo nkutoo na obetumi akyerɛ wo koma a ɛyɛ mmerɛw a wowɔ ne sɛnea wubedi ho dwuma pɛpɛɛpɛ.

Yɛn koma wɔ adan atitiriw anan. Tachycardia betumi aba wɔ saa adan yi mu biara mu. Nea enti a ɛte saa ne sɛ ɔhaw bi wɔ anyinam ahoɔden nsɛnkyerɛnne a ɛwɔ koma no mu no ho.

Tachycardia ahorow atitiriw abien na ɛwɔ hɔ:

1. Supraventricular tachycardias (SVTs) : Eyinom fi ase wɔ koma no atifi adan, atria no mu. Nhwɛso ahorow bi ne atiridiinini a ɛyɛ den ne atiridiinini a ɛtwetwe ntɛm .

2. Ventricular tachycardias : Eyinom fi ase wɔ koma no ase adan a wɔfrɛ no ventricles no mu. Nhwɛso ahorow bi ne ventricular fibrillation ne torsades de pointes . Mpɛn pii no eyinom yɛ tebea horow a ɛhwehwɛ sɛ wodwen ho kakra .

Nsɛnkyerɛnne bɛn na obi a ɔwɔ tachycardia da no adi?

Nnipa binom wɔ tachycardia na wɔnda sɛnkyerɛnne biara adi. Nanso afoforo betumi anya yare no ho sɛnkyerɛnne ahorow a emu nyɛ den kosi nea emu yɛ den, a emu yɛ den . Hwɛ sɛ wunya eyinom mu biara mu osuahu:

• Koma a ɛbɔ (ɛte sɛ nea wo moma so rebɔ) .
• Dyspnea (te nka sɛ wo ho ayɛ wo hyew, ɛyɛ den ma wo sɛ wobɛhome ) .
• Koko mu yaw anaasɛ koko a ɛyɛ den
• Koma a ɛbɔ a ɛnteɛ (te nka sɛ koma no nnyigyei asesa, te sɛ nea ɛrebɔ mpofirim - `Koma a ɛbɔ`)
• Adwene a ɛyɛ basaa
• Ti a ɛyɛ hare (te nka sɛ wo ti ayɛ hare, wo totɔ piti) .
• Nkae a wɔhwere (amnesia) .
• Akisikuru (te nka sɛ wofe) .
• Ɔbrɛ a ɛboro so a wɔte nka (ɔbrɛ dodo sɛ wobɛyɛ biribiara) .

Sɛ wotaa hu saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu.

Dɛn nti na koma a ɛyɛ mmerɛw yi ba? Dɛn na ɛde ba?

Mpɛn pii no, yɛn koma yɛ adwuma sɛnea anyinam ahoɔden nsɛnkyerɛnne a efi beae titiriw bi wɔ koma no mu a wɔfrɛ no sinoatrial (SA) node . Saa nsɛnkyerɛnne yi na ɛkyerɛ mpɛn dodow a ɛsɛ sɛ koma no bɔ. Sɛ nhwɛso no, sɛ wosuro mpofirim, anaasɛ wo ho yeraw wo kɛse, anaasɛ wo ho yeraw wo, anaa sɛ woteɛteɛ w’apɔw mu a, koma no ma sɛnea ɛde nsɛnkyerɛnne yi mena bere tiaa bi no yɛ kɛse. Wɔfrɛ eyi sɛ sinus tachycardia . Mpɛn pii no, eyi fi hɔ bere a wo ho adwo wo anaa woagye w’ahome no. Ɛnyɛ ɔhaw kɛse.

Nanso, nnubɔne a wɔnom, tawanom, caffeine anaa nsa a wɔnom boro so nso betumi ama koma no bɔ kɛse.

Nea ɛka ho no, nneɛma afoforo pii wɔ hɔ a ebetumi ama koma no ayɛ mmerɛw:

• Ɔbrɛ
• Nsu a ɛho ntew
• Mogya mmoroso
• Koma mu yare afoforo, sɛ nhwɛso no, ahrawa mu ntini mu yare
• Asikre a ɛwɔ mogya mu a ɛba fam
• Nyinsɛn a wɔde di dwuma
• Anemia (mogya a enni nipadua no mu) .

Dɛn ne asiane ahorow a ɛma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse?

Nnipa binom wɔ asiane kɛse mu sɛ wobenya komayare a ɛyɛ mmerɛw. Nneɛma bi a ebetumi aka no ni:

• Sɛ obi wɔ abusua no mu wɔ tachycardia (Family history of tachycardia) a .
• Obolo
• Asikreyare `(Asikreyare)`
• Asaabo anaa ahurututu mu nyarewa
• Thyroid ho nsɛm a wɔansa
• BiNnuru , sɛ nhwɛso no, nnuru a ekum apɔw-mu-teɛteɛ ne nnuru a ekum adwenemhaw

Dɛn ne nsɛnnennen a ebetumi afi tebea yi mu aba?

Sɛ wɔansa no yiye a, koma a ɛyɛ mmerɛw ahorow bi betumi ama w’asaabo, wo mmerɛbo, anaa wo koma ayɛ adwuma yiye . Tachycardia nso betumi de tebea horow te sɛ:

• Mogya a ɛtɔ - Sɛ eyinom tu kwan kɔ amemene no mu a, ebetumi ama obi anya akisikuru.
• Nnwodwoɔ
• Koma mu yare
• Koma ntini a ɛyɛ mmerɛw (Cardiomyopathy) .
• Koma a ɛyɛ den mpofirim

Enti, sɛ wowɔ tachycardia ho sɛnkyerɛnne ahorow a, mmu w’ani ngu so. Ɛyɛ papa sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara.

Ɔkwan bɛn so na wobetumi ahu tachycardia? (Nyare a Wɔahu) .

Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo w’ayaresa ho abakɔsɛm na wayɛ wo nipadua mu nhwehwɛmu . Nea ɛka ho no, wobetumi ahyɛ sɛ wɔnyɛ sɔhwɛ ahorow bi te sɛ:

• Electrocardiogram (EKG) : Eyi sɔ sɛnea koma no mu anyinam ahoɔden yɛ adwuma hwɛ.
• Holter monitor anaa monitor foforo a wotumi hyɛ : Wɔhyɛ eyi da koro anaa nnanu na ɛkyerɛw koma no dwumadi wɔ saa bere no mu.
• Tilt table test : Eyi sɔ sɛnea wo koma bɔ ne wo mogya mmoroso sesa bere a wosakra wo gyinabea no hwɛ.
• Adwennwen ho sɔhwɛ : Eyi sɔ sɛnea koma no yɛ n’ade wɔ apɔw-mu-teɛteɛ ho hwɛ.
• Electrophysiology test (EP study) : Sɔhwɛ titiriw a wɔde hu ɔhaw ahorow a ɛwɔ koma no anyinam ahoɔden nhyehyɛe mu.
• Echocardiogram : Koma no mu nhwehwɛmu a wɔde ultrasound yɛ. Ɛhwɛ sɛnea koma no hyehyɛ ne sɛnea ɛyɛ adwuma.
• Mogya mu nhwehwɛmu : Hwɛ sɛ nneɛma te sɛ thyroid haw ne mogya a ɛtɔ kɔ nipadua mu anaa.
• Awosu mu nhwehwɛmu : Hwɛ sɛ ebia efi awosu mu ba anaa.
• Koma mu mfonini : Ɛte sɛ MRI.

Dɛn ne ayaresa ahorow a wɔde sa tachycardia?

Wɔde akwan horow ne nnuru titiriw na ɛsa koma a ɛyɛ mmerɛw . Ayaresa no gyina tachycardia ko a wowɔ ne nea ɛde ba so.

Akwan a wɔfa so sa yare:

• Vagal maneuvers : Ɛtɔ da bi a wo duruyɛfo bɛkyerɛ wo eyinom. Eyinom yɛ akwan a ɛnyɛ den a ebetumi aboa ma woadi wo koma bɔ so kakra.
• Ablation : Adeyɛ a ɛsɛe koma no mmeae a ɛde anyinam ahoɔden nsɛnkyerɛnne a ɛnkɔ so daa ba.
• Cardioversion: Wɔde anyinam ahoɔden ma koma no na ama koma no asan ayɛ adwuma sɛnea ɛsɛ.
• Implantable cardiac defibrillator (ICD) : Afiri a ehu koma a ɛyɛ den a ɛde nkwa to asiane mu na ɛteɛteɛ denam anyinam ahoɔden a ɛde ba no so.
• Pacemaker : Afiri a ɛboa ma ɛma koma bɔ.
• Left atrial appendage closure : Wɔyɛ eyi de siw mogya a ɛbɛtɔ nnipa a wɔwɔ atrial fibrillation no ano.

Nnuru ahorow a wɔde di dwuma:

• Beta-blockers a wɔde siw ano
• Nnuru a esiw calcium kwan
• Nneɛma a esiw potassium kwan
• Nnuru a esiw sodium kwan
• Nnuru a wɔde ko tia apɔw-mu-teɛteɛ
• Nnuru a ɛma mogya yɛ mmerɛw anaa nnuru a ekum mogya a ɛtwetwe (titiriw ma wɔn a wɔwɔ atiridiinini) .

Wɔ tebea horow bi a egye ntɛmpɛ mu no, ebia ɛho behia mpo sɛ CPR (Cardiopulmonary Resuscitation) .

Dɛn na obi a ɔwɔ tachycardia nya?

Wo suahu begyina tachycardia ko a wowɔ no so. Ebetumi ayɛ sɛnkyerɛnne a asiane biara nni ho, anaasɛ ebetumi ayɛ tebea a ɛde nkwa to asiane mu, te sɛ ventricular tachycardia anaa fibrillation. Nnuru ne ayaresa afoforo betumi aboa ma woadi wo koma bɔ ntɛmntɛm so.

Sɛ wopɛ sɛ wuhu sɛ wo nnuru no reyɛ adwuma yiye anaa a, ebia ebehia sɛ wohyɛ Holter monitor anaasɛ woyɛ electrophysiology nhwehwɛmu .

Tachycardia di bere tenten ahe? So wobetumi asa no yare?

Sɛ wowɔ sinus tachycardia a, wo sɛnkyerɛnne no befi hɔ bere a adwennwen anaa dadwen a ɛde bae no afi hɔ no. Nanso komayare afoforo dodow no ara hia nnuru anaa ayaresa na amma koma a ɛbɔ ntɛmntɛm ne sɛnkyerɛnne afoforo ansan mma bio.

Tachycardia a ɛde nkwa to asiane mu no nnyɛ yiye wɔ n’ankasa mu. Ɛsɛ sɛ wudi asetra a ɛfata akyi, nom wo nnuru no yiye, na ɛtɔ mmere bi a woyɛ ayaresa bi te sɛ ablation.

Ɛwom sɛ nnuru ntumi nsa koma a ɛyɛ mmerɛw koraa de, nanso ebetumi aboa ma wɔadi koma no bɔ so . Ablation therapy betumi ama wɔanya ano aduru a ɛtra hɔ kyɛ, na ɛtɔ mmere bi a wɔasa, ama tachycardia ahorow bi.

Mɛyɛ dɛn ahwɛ me koma akwahosan so?

Sɛ wo duruyɛfo akyerɛ wo vagal maneuvers a, ebia wubetumi adi wo tachycardia no so akodu baabi.

Nea ɛka ho no, hwɛ nneɛma yi so yiye:

• Di tebea horow te sɛ mogya mmoroso ne srade a ɛkɔ soro so .
• Fa nnuru a wo duruyɛfo akyerɛw ama wo no pɛpɛɛpɛ na fa bere ano.
• To anonne a caffeine ne nsa wom ano hye . (Tew kɔfe ne tii nkuruwa dodow a wonom da biara no so.)
• Gyae tawa ho nneɛma a wode di dwuma koraa.
• Kura mu duru a ɛfata a ɛfata wo mu.
• Di aduan a ahoɔden wom (a ngo, nkyene, ne asikre kakraa bi na ɛwom, na nnuaba ne nhabannuru pii wom).
• Di adwennwen ho dwuma. (Nneɛma te sɛ adwennwen, yoga, ne anigyede betumi aboa.)

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛsɛ sɛ mekɔ Emergency Department (ETU) ?

Sɛ wohu sɛ wowɔ tachycardia wie a, wobɛkɔ akɔhwɛ wo duruyɛfo daa . Nanso, sɛ wo nnuru no mma wo ho ntɔ wo sɛnea ɛsɛ, anaasɛ wunya yare no ho sɛnkyerɛnne foforo a, ma wo duruyɛfo nhu ntɛm ara.

Sɛ ɛba saa a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ (ETU) ntɛm ara:

• Sɛ ɛyɛ den ma wo sɛ wobɛhome a
• Sɛ wote nka sɛ wo koma rebɔ (ɛbɔ) a .
• Sɛ wowɔ koko mu yaw a
• Sɛ wote nka sɛ wo ti ayɛ wo yaw anaasɛ wo ti ayɛ hare a

Afei nso, sɛ obi hwe ase mpofirim anaasɛ n’adwene mu yɛ no naa esiane ventricular fibrillation nti a, hwehwɛ nnuruyɛfo mmoa ntɛm ara. Ɛsɛ sɛ wɔyɛ CPR kosi sɛ ambulance no bɛba na wɔagye wɔn nkwa.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa wo duruyɛfo nsɛm te sɛ:

• So mewɔ tachycardia bi a ɛyɛ hu?
• Ayaresa bɛn na wokamfo kyerɛ me?
• Dɛn ne wo nkonimdi wɔ koma a woyi fi nipadua mu ayaresa mu?
• So m’abusua nso wɔ asiane mu sɛ wobenya komayare a ɛyɛ mmerɛw?

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Sɛ wote nka sɛ wo koma rebɔ ntɛmntɛm a, ɛyɛ ade a ɛfata sɛ wugyae nea woreyɛ no na wususuw nea ɛrekɔ so no ho. Tachycardia ho sɛnkyerɛnne betumi afi nea emu nyɛ den so kosi nea emu yɛ den so, a egyina tachycardia ko a wowɔ so. Nya awerɛhyem, sɛ wowɔ sɛnkyerɛnne ahorow a, wo ne wo duruyɛfo nkasa. Ɔbɛka akyerɛ wo sɛ biribi wɔ hɔ a ɛsɛ sɛ wohaw wo ho a.

Nea ɛho hia sen biara ne sɛ wobɛnom nnuru a wo duruyɛfo akyerɛw ama wo, titiriw koma mu nnuru, sɛnea wɔakyerɛw ama wo no pɛpɛɛpɛ. Nnyae wɔn a wonom a wo duruyɛfo no mpene so. Afei nso, hwɛ hu sɛ wobɛkɔ so ayɛ nhyehyɛe a wobɛyɛ daa no.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Koma a ɛte apɔw ma obiara!

` Tachycardia, koma a ɛbɔ, komayare, koma a ɛbɔ, koko mu yaw, ahome a ɛyɛ tiaa, koma akwahosan