Kodi mtima wanu umagunda mofulumira mwadzidzidzi? Tiyeni tiphunzire za Atrial Tachycardia!

Mukasokonezeka, kodi mtima wanu wayamba kugunda mofulumira kwambiri, ngati kuti ukuthamanga? Kapena mumamva chinthu chachilendo, ngati thud mkati mwa chifuwa chanu? Pali anthu ambiri omwe adakumanapo ndi izi. Dzina lachipatala la izi ndi Atrial Tachycardia. Musachite mantha mukamva dzinalo. Izi nthawi zambiri si vuto loopsa. Lero, tikambirana izi mwachidule, m'njira yomwe mungamvetse.

Mwachidule, kodi Atrial Tachycardia ndi chiyani?

Mtima wathu uli ngati nyumba yaying'ono yokhala ndi zipinda zinayi. Zipinda ziwiri zapamwamba ndi ziwiri zapansi. Timazitcha zipinda ziwiri zapamwamba kuti atria. Nthawi zambiri, mtima wathu umakhala ndi makina amagetsi. Mtima umagunda mwadongosolo malinga ndi zizindikiro zochokera mu dongosololi.

Atrial Tachycardia ndi pamene zipinda ziwiri zapamwamba za mtima, atria, zimayamba kugunda mofulumira kwambiri kuposa masiku onse. Mtima, womwe nthawi zambiri umagunda nthawi 60-100 pamphindi, tsopano ukhoza kugunda mofulumira nthawi 100 mpaka 250 pamphindi. Tangoganizirani liwiro limenelo! Uku ndi kusakhazikika kwa kugunda kwa mtima, komwe m'mankhwala kumatchedwa ``arrhythmia``. Ili ndi vuto lotchedwa ``SVT - supraventricular tachycardia``.

Koma chofunika ndichakuti, izi sizowopsa nthawi zambiri. Ndi chithandizo chabwino, zimatha kulamulidwa, ndipo nthawi zina zimatha kuchiritsidwa kwathunthu. Chiwopsezo cha vutoli chimawonjezeka pang'ono ndi ukalamba.

Kodi pali mitundu ikuluikulu ya vutoli?

Inde, izi zitha kuchitika m'njira ziwiri zazikulu. Ndibwino kudziwa, Dokotala, chifukwa mwina mukugwiritsa ntchito mawu awa.

Kwa anthu ena, mtundu wa ``Focal`` uwu ukhoza kuchitika m'malo opitilira amodzi. Izi zimatchedwa mtundu wa ``Multifocal```. Zikatero, chithandizo chingakhale chovuta pang'ono, chifukwa vutoli siliyambira m'malo amodzi.

Kodi ndi zizindikiro ziti zomwe mungakumane nazo?

Nthawi zina vutoli limatha kutha popanda zizindikiro zilizonse. Komabe, anthu ambiri amakumana ndi zizindikiro zina. Zizindikirozi zimatha kufanana ndi za matenda ena akuluakulu a mtima, choncho ndi bwino kuzidziwa ndikuonana ndi dokotala mwamsanga.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chabwino, tsopano tiyeni tiwone chifukwa chake zipinda zapamwamba za mtima izi zimayamba kugunda modabwitsa. Pakhoza kukhala zifukwa zitatu zazikulu za izi.

1. Kudzipangira wekha

Mwachidule, pali malo oyendetsera mtima omwe amalamulira kuthamanga kwa mtima wathu. Koma nthawi zina, selo lina kapena gulu la maselo mumtima limakhala "bwana" ndipo limayamba kutumiza mauthenga amagetsi mwachangu popanda kumvera malo oyendetsera mtima. Izi zitha kuchitika chifukwa cha kusalingana kwa sodium, potaziyamu, ndi calcium m'thupi.

2. Ntchito yoyambitsidwa

Izi zimachitika pamene kusalinganika kwa mankhwala m'maselo a minofu ya mtima kumawapangitsa kuti azilimbikitsidwa ndi kutulutsa zizindikiro zamagetsi zosafunikira nthawi yomwe ziyenera kutero. Zili ngati alamu yolira panthawi yolakwika.

3. Kubwereranso

Ngati pali cholepheretsa panjira ya zizindikiro zamagetsi za mtima, monga chilonda cha opaleshoni yapitayi, zizindikiro zamagetsi sizingadutse molunjika pa cholepheretsacho ndipo m'malo mwake zimayamba kuzungulira. Mwanjira imeneyi, zizindikiro zamagetsi zimakakamira mu kuzungulira ndikupitiliza kulimbitsa mtima, zomwe zimapangitsa mtima kugunda mofulumira.

Zinthu zomwe zimawonjezera chiopsezo cha vutoli

Ngakhale kuti vutoli lingachitike kwa aliyense, zinthu zina zimawonjezera chiopsezo.

• Matenda a mtima omwe analipo kale
• Popeza ndinali ndi vuto la mtima kale
• Matenda okhudzana ndi mapapo
• Kusalinganika kwa ma electrolyte m'thupi
• Kumwa mowa kwambiri
• Matenda osiyanasiyana opatsirana
• Kuchepa kwa mpweya m'thupi
• Zotsatira zoopsa za mankhwala ena monga `(Digoxin)`
• Kugwiritsa ntchito kwambiri caffeine (tiyi, khofi) ndi zinthu zina zolimbikitsa

Zina mwa zinthu zoopsazi zitha kuthetsedwa pang'ono, mwachitsanzo mwa kuchepetsa kumwa mowa ndi caffeine, kudya zakudya zopatsa thanzi, komanso kuchita masewera olimbitsa thupi.

Kodi mwapeza bwanji izi, Dokotala?

Mukatiuza za zizindikiro zanu, dokotala adzakuyang'anirani ndipo ngati akukayikira vutoli, adzakutumizani kuti mukayesedwe kangapo.

• Kuwunika thupi: Dokotala akaika stethoscope pamtima panu ndikumvetsera, mungamve kugunda kwa mtima mofulumira.
• ECG (Electrocardiogram): Iyi ndi njira yosavuta komanso yodziwira matenda. Masensa ofanana ndi zikhomo amamangiriridwa pachifuwa, m'manja ndi m'miyendo kuti alembe momwe magetsi a mtima wanu amagwirira ntchito.
• Holter Monitor: Nthawi zina kugunda kwa mtima mofulumira kumeneku sikumachitika nthawi zonse. Choncho dokotala sangazindikire akamakuyang'anani. Pankhaniyi, mudzapatsidwa makina ang'onoang'ono a ECG omwe mungavale kwa tsiku limodzi kapena awiri kapena ngakhale sabata imodzi. Amalemba zomwe mtima wanu ukuchita tsiku lonse.
• Kafukufuku wa Electrophysiology: Iyi ndi mayeso ovuta pang'ono. Amachitikira kuchipatala. Chubu chopyapyala chimadutsa mumtsempha wamagazi kupita mumtima, ndipo mapu amagetsi a mtima amatengedwa kuti adziwe komwe vuto lili.
• Chojambulira Loop Chomwe Chimayikidwa: Ngati muli ndi zizindikiro zomwe zimachitika miyezi ingapo iliyonse, chipangizo chaching'ono chomwe chimayikidwa pansi pa khungu chingagwiritsidwe ntchito kuyang'anira kugunda kwa mtima wanu kwa miyezi ingapo, mwina zaka.

Kodi mankhwala ake ndi otani?

Pali mankhwala abwino ochizira izi. Dokotala wanu adzasankha chithandizo chomwe chikugwirizana ndi vuto lanu, mtundu wa zizindikiro zanu, ndi chifukwa chake.

Kodi izi zingathe kuchiritsidwa kwathunthu?

Nthawi zambiri, inde! Makamaka kwa iwo omwe ali ndi mtundu wa ``Focal```, chithandizo cha ``(Catheter ablation)`` chimakhala ndi chiwopsezo chachikulu chochira . Nthawi zina, ngati chachitika chifukwa cha matenda ena, kugunda kwa mtima mwachangu kumatha kutha pamene vutoli lachiritsidwa.

Ngati vutoli silili ndi zizindikiro ndipo limangochitika kwa kanthawi kochepa, dokotala wanu angasankhe kukuyang'anirani popanda chithandizo chilichonse.

Kodi muyenera kupita kwa dokotala liti?

Ichi ndi gawo lofunika kwambiri. Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, ngati zikupitirira, ngati zikuipiraipira, kapena ngati zikusokoneza moyo wanu watsiku ndi tsiku, musataye nthawi ndikuonana ndi dokotala wanu.

Mukhozanso kufunsa dokotala wanu mafunso monga awa:

• Kodi ndi mtundu wanji wa Atrial Tachycardia womwe ndili nawo?
• Ndi chithandizo chiti chomwe chili chabwino kwa ine?
• Kodi ndiyenera kupita kwa dokotala kangati?

Kodi vutoli ndi loopsa?

Monga tanenera kale, ngati vutoli lichitika kwa kanthawi kochepa ndipo limatha, silimaonedwa kuti ndi loopsa. Komabe, ngati kugunda kwa mtima mofulumira kumeneku kupitirira kwa nthawi yayitali, kumatha kufooketsa minofu ya mtima. Timatcha `(Cardiomyopathy)`. Ngati izi sizichiritsidwa, zingayambitse matenda aakulu monga `(Heart failure)` mtsogolo.

Ndicho chifukwa chake timati, ngati muli ndi zizindikiro, funsani upangiri wa dokotala mwamsanga. Mukalandira chithandizo mwachangu, mutha kukhala ndi moyo wabwino popanda kuwonongeka kwa nthawi yayitali.

Ndizachibadwa kuti aliyense amve mantha komanso nkhawa akamva za vuto la mtima ngati ili. Koma kumbukirani, ili ndi vuto lomwe nthawi zambiri limatha kuthetsedwa ndikuchiritsidwa. Lankhulani momasuka ndi dokotala wanu za izi. Iye adzamvetsera mantha anu onse ndi kukayikira kwanu. Mukatero mudzakhala ndi mphamvu zambiri zokhalira ndi vutoli.