Omutima gwo gukuba mangu? Ka tuyige ku kino (Junctional Tachycardia)!

Ggwe oba omuntu yenna mu maka go, naddala omwana omuto, wali ofunyeeko omutima okukuba amangu mu ngeri etayinza kulowoozebwako? Oba watya katono omusawo bwe akugambye erinnya `(Junctional Tachycardia)`? Tofaayo. Embeera eno etatera kubaawo, naye bw’omala okugitegeera mu ngeri ennyangu, ojja kuwulira obuweerero bungi. Katukyogereko mu bujjuvu leero.

`(Junctional Tachycardia)` kye ki? Mu ngeri ennyangu ennyo...

Mu ngeri ennyangu, `(Junctional Tachycardia)` mbeera nga ennyimba z’omutima gwaffe, kwe kugamba, enkola y’okukuba kw’omutima gwaffe, ya njawulo katono, era ebaawo mangu. Okubeera omutuufu, ekibaawo wano, okukuba kw’omutima tekutandikira mu kifo kituufu, wabula kutandikira mu kifo kya njawulo ne kutandika okudduka amangu.

Teebereza omutima gwaffe gulina enkola y’amasannyalaze. Kino kye kiwa omutima akabonero okukuba mu kiseera ekituufu. Mu budde obwabulijjo, akabonero kano katandikira mu kifo ekitono ekiyitibwa `(Sinoatrial node)` waggulu ku mutima. Kiringa switch enkulu mu nnyumba yaffe. Okuva awo, obubaka bw’amasannyalaze butambula mu mutima gwonna ne buleetera ebinywa by’omutima okukonziba n’okukuba. Kino tukiyita `(Normal Sinus Rhythm)`.

Naye oluusi singa ekintu kituuka ku `(Sinoatrial node)` eno, tekisobola kukola bulungi. Nga omuzannyi akyusa mu muzannyo ng'omuzannyi omukulu mulwadde, ekifo ekirala mu mutima, kwe kugamba, `(Atrioventricular node)` ekisangibwa wakati w'ebisenge ebya waggulu n'ebya wansi eby'omutima (kino era kiyinza okuyitibwa "junction" y'omutima), kitwala obuvunaanyizibwa bw'okutandika okukuba kw'omutima. Mu ngeri eno, omutima okukuba amangu nga gutandikira ku nkulungo y’omutima guyitibwa `(Junctional Tachycardia)`.

Mu budde obwabulijjo, bwe tuba tuwummudde, omutima gwaffe gukuba wakati w’emirundi 60 ne 100 buli ddakiika. Wabula mu muntu alina ``Junctional Tachycardia``, omutima gukuba emirundi egisukka mu 100 buli ddakiika, oluusi nga gukuba mangu nnyo.

Bika ki ebikulu ebya `(Junctional Tachycardia)`?

Obutabeera bulungi buno mu nnyimba z’omutima buyinza okubaawo mu ngeri bbiri enkulu.

1. Okusookerwako oba okuzaalibwa (Junctional Tachycardia) .

Kino kye kika ekisinga okubeera ekitono. Abalongo abamu basobola okufuna embeera eno nga bazaalibwa. Singa kino kibaawo, ebisenge ebya wansi (`ventricles`) eby'omutima gw'omwana bisobola okukuba ku sipiidi ya waggulu nnyo, emirundi nga 200 ku 250 buli ddakiika. Eno mbeera ya maanyi nnyo.

2. Okulongoosa okw’okubiri oba okw’oluvannyuma lw’okulongoosebwa (Junctional Tachycardia) .

Kino kye kika ekisinga okubeerawo. Kiyinza okubaawo naddala mu baana abato abalina ekizibu ky’omutima kye bazaalibwa nga bamaze okulongoosebwa okukitereeza. Okugeza abalongo abamu abalongoosebwa okutereeza embeera y’omutima eyitibwa Tetralogy of Fallot bayinza okufuna embeera eno. Kiyinza okubaawo mu baana abali wakati wa 5% ne 11% abalongoosebwa.

`(Junctional Tachycardia)` ye `(SVT)`?

Yee, `(Junctional Tachycardia)` kika kya `(SVT)`. `(SVT)` kitegeeza `(Supraventricular Tachycardia)`. Kwe kugamba, okukuba kw’omutima okw’amangu okutandikira mu bisenge ebya waggulu eby’omutima (waggulu wa `Ventricles`).

Ani asinga okukosebwa embeera eno?

Junctional Tachycardia tetera nnyo mu bantu abakulu. Kyokka businga kubeera mu baana abawere n’abaana abato. Nga bwe kyayogeddwako emabegako, kiyinza okubaawo olw’ekizibu ekizaalibwa (ekitali kya bulijjo nnyo) oba oluvannyuma lw’okulongoosebwa omutima.

Obubonero bwe buliwa? Tubategeera tutya?

Oluusi embeera eno esobola okubaawo nga tewali bubonero bwonna. Naye singa obubonero bulabika, buyinza okuli:

• Palpitations : Kiyinza okuwulira ng’omuntu adduka munda mu kifuba kyo, oba ng’omutima gwo gubuuka okukuba emu oba bbiri.
• Okuziyira : Oyinza okuwulira ng’oziyira n’okukaluubirirwa okuyimirira.
• Okuzirika : Oyinza okubulwa ekizibu mu bwangu n’ogwa.
• Okuwulira ng’okooye nnyo : Oyinza okuwulira ng’okooye nnyo nga tolina ky’osobola kukola.

Singa obubonero buno bubaawo naddala mu mwana omuto, kikulu nnyo okugenda ew’omusawo mu bwangu.

Biki ebivaako `(Junctional Tachycardia)`?

Waliwo ensonga eziwerako eziyinza okutaataaganya ``Sinoatrial node`` mu mutima gwaffe okukola obulungi obubonero bw'amasannyalaze. Eno y'ensonga lwaki ``Junctional Tachycardia`` ebaawo.

Okugeza, embeera eno eyinza okubaawo olw’obutwa bw’eddagala `(Digoxin)` (amannya g’ekika `Cardoxin®` oba `Digitek®`).

Wano waliwo ensonga endala ntono:

• Myocarditis : Okuzimba ebinywa by’omutima.
• Obulwadde bw’omutima .
• Okukyusa vvaalu y’omutima oba okulongoosa omutima mu ngeri endala.
• Obulwadde bw’omutima obuzaalibwa nabwo : Buno tebutera kuvaako bulwadde.
• Okuggyamu ekituli mu mutima ddagala eriwonya obuzibu obulala obw’okukuba omutima.
• Obulwadde bwa Lyme .

Otegeera otya `(Junctional Tachycardia)`?

Ekigezo ekikulu okuzuula embeera eno kwe `(Electrocardiogram - ECG)`. Kino kiwandiika enkola y’amasannyalaze g’omutima. Omuntu alina `(Junctional Tachycardia)` ajja kuba ne ``P wave`` ebula mu ``ECG``. Kino ``P wave`` kye kabonero nti omutima gutandika okukuba okuva ku `(Sinoatrial node).``

Ng’oggyeeko ECG, omusawo wo ajja kutwala ebyafaayo byo byonna eby’obujjanjabi. Ayinza n’okulagira okukeberebwa ebirala, gamba ng’okukeberebwa omusaayi n’okukeberebwa echocardiogram, nga kino kwe kukebera omutima.

Kijjanjabwa kitya?

Obujjanjabi businziira ku kivaako embeera eno n’obubonero bwo. Singa ennyimba ezitali za bulijjo zaatandika oluvannyuma lw’okulongoosebwa omutima, omusawo ayinza:

• Okutereeza obutakwatagana bwa electrolyte mu mubiri.
• Kebera olabe oba olina omusujja era bw’oba ​​olina omusujja gujjanjabe.
• Okuwandiika eddagala okukendeeza ku kukuba kw’omutima.

Waliwo obujjanjabi obulala:

• Eddagala erikendeeza ku kukuba kw’omutima oba okuguzza mu nnyimba eya bulijjo, nga `(Amiodarone)` (amannya ga kkampuni `Cordarone®` oba `Pacerone®`), liyinza okuweebwa.
• Enkola z’obujjanjabi eziyitibwa `(Catheter ablation)` oba `(Cryoablation)` ze zino. Mu kino, ekituli kiyingizibwa mu kitundu ky’omutima ekivaako obubonero bw’amasannyalaze obutali bwa bulijjo ne kisaanyaawo ekitundu ekyo. `(Cryoablation)` nkola ekozesa ennyonta esukkiridde.
• Overdrive atrial pacing: Okugezaako okuzza ennyimba z’omutima mu mbeera eya bulijjo ng’okozesa ekyuma eky’ebweru, gamba ng’ekyuma ekikuba omukka.

Waliwo ebizibu byonna ebiva mu bujjanjabi?

Oluvannyuma lw'okujjanjabwa `(Catheter ablation)`, oluusi ennyimba zino ezitali za bulijjo zisobola okudda. Era, nga `(Catheter ablation)` mu bantu abakulu, waliwo akabi ka `(Atrioventricular block)` (kwe kugamba, okuzibikira kwa kondakita addako atambuza akabonero k'amasannyalaze oluvannyuma lwa `(Sinoatrial node)`). Olw’okuba akabi kano katono, abasawo oluusi bakozesa enkola ya `(Cryoablation)`. Singa obujjanjabi bwa `(Ablation)` tebufuna buwanguzi oluvannyuma lw'emirundi nga ebiri, oyinza n'okwetaaga okubeera ne `(Pacemaker)` (ekyuma ekitono ekifuga okukuba kw'omutima) okuteekebwamu.

Kitwala bbanga ki okuwona obujjanjabi buno?

Ebiseera ebisinga, oluvannyuma lw’okuggyibwako ekituli, osobola okudda eka n’oddamu okukola emirimu gyo egya bulijjo amangu ago. Kyokka, kiyinza okukwetaagisa okulinda ennaku ntono nga tonnaba kukola mirimu gyonna egy’amaanyi. Omusawo wo ajja kukuwa ebiragiro ebitongole ku nsonga eno.

Obulabe bwa `(Junctional Tachycardia)` busobola okukendeezebwa?

Abasawo basobola okukendeeza ku bulabe bw’okulwala Junctional Tachycardia nga bawa eddagala erimu nga tebannalongoosebwa oba nga balongooseddwa. Okugeza nga:

• `(Magnesium)`
• `(Propranolol)` (amannya g'ebika `Inderal®XL` oba `InnoPran®XL`)
• `(Dexmedetomidine)` (Kino oluusi kikozesebwa nga balongoosa omutima ku baana abato)

Omuntu alina `(Junctional Tachycardia)` ayinza kusuubira ki?

Ekivaako ennyimba zino ezitali za bulijjo bwe zimala okuzuulibwa n’okujjanjabibwa, obubonero bujja kutereera mpolampola. Wabula ojja kwetaaga okusigala mu ddwaaliro okutuusa ng'embeera yo eya ``Junctional Tachycardia`` eteredde.

Ebivaamu (`Outlook`) eby'embeera eno byawukana okusinziira ku kika.

• Okusookerwako oba okuzaalibwa (Junctional Tachycardia) .Embeera eno nzibu okujjanjaba. Era kiyinza okuvaako embeera ez’amaanyi nga `(Okulemererwa kw’omutima)` (omutima okulemererwa), `(Okuzibikira ddala omutima)` (okuzibikira ddala obubonero bw’amasannyalaze g’omutima), ne `(Ventricular fibrillation)` (okukuba okutafugibwa kw’ebisenge ebya wansi eby’omutima). Singa tebajjanjabwa, emikisa gy’okufa gibaawo ebitundu 9%. Kyokka, singa ennyimba zino zitandika oluvannyuma lw’emyezi omukaaga egisooka egy’obulamu, ebivaamu biba birungi nnyo.
• Secondary oba Postoperative Junctional Tachycardia etera okubaawo oluvannyuma lw’ennaku bbiri oba ssatu ng’olongooseddwa, naye etera okuggwaawo mu wiiki emu. Kiyinza okuvaako puleesa okukka, okuziyira, n’okubulwa amagezi.

Ddi lwe nnina okulaba omusawo?

Olina okulaba omusawo okukugoberera mu wiiki bbiri ng’omaze okudda eka okuva mu ddwaaliro. Era olina okugenda mu maaso n’okufuna obujjanjabi ku mbeera eyaliwo eyavaako obulwadde bw’omutima obuyitibwa junctional tachycardia.

Ddi lwe nnina okugenda mu kisenge ky’abalwadde ab’amangu (ER)?

Bw’oba ​​omaze okuggyibwako omusulo, funa amagezi mu bwangu omusawo singa ofuna obubonero bwonna ku buno wammanga mu kifo we bassa omusulo (ebiseera ebisinga ekisambi):

• Singa kizimba mu bwangu.
• Singa omusaayi tegukoma ne bw’ogunyiga n’okugukwata.

Bibuuzo ki bye nnina okubuuza omusawo wange?

Bw’okizuula nti ggwe oba omwana wo olina embeera eno, kya bulijjo okuba n’ebibuuzo bingi. Totya kubuuza musawo wo ku bintu bino:

• Omwana wange/nze alina kika ki ekya Junctional Tachycardia?
• Bujjanjabi ki obusinga obulungi ku mbeera yange?
• Waliwo omukisa nti abaana bange abalala nabo bajja kufuna embeera eno?

Omwana wo bw’aba alina obulwadde bwa Junctional Tachycardia, buuza omusawo wo ku bubonero era obutegeere. Olwo, singa ekintu nga kino kiddamu okubaawo, osobola okukitegeera amangu. Totya kubuuza bibuuzo ku bujjanjabi omwana bw’afuna n’akabi akalimu. Okumanya bino byonna kijja kukuyamba okusalawo obulungi omwana wo.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Totya nga owulira erinnya `(Junctional Tachycardia)`. Kino kizibu ku nnyimba z’omutima, naye:

• Kino kiyinza okuzuulibwa. Kino kiyinza okuzuulibwa nga tuyita mu kukebera nga `ECG`.
• Waliwo obujjanjabi. Okusinziira ku kivaako, kisobola okufugibwa n'eddagala oba enkola nga ``(Ablation)``.
• Ekika ekibaawo naddala oluvannyuma lw’okulongoosebwa, kitera okuba eky’akaseera obuseera. Kijja kutereera mu nnaku ntono.
• Yogerako mu lwatu n’omusawo wo. Yogerako n’omusawo wo ku bibuuzo byo byonna n’okutya kwo era owulira bulungi.

Ekisinga obukulu kwe kujjukira nti toli wekka. Abasawo n’abakozi b’ebyobulamu bulijjo beetegefu okukuyamba.

Nga tukwagaliza obulamu obulungi n'ab'omu maka go!

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