Kodi mumamva ngati mtima wanu ukuthamanga mwadzidzidzi, kapena kulumpha kugunda? Mwina mumaona kumva kwachilendo pachifuwa panu, limodzi ndi kusasangalala pang'ono. Izi ndi zizindikiro zomwe simuyenera kunyalanyaza. Lero, ku Nirogi Lanka, tiyeni tifufuze chifukwa chimodzi chomwe chingayambitse vutoli: vuto lotchedwa Bigeminy .
Kodi Bigeminy ndi chiyani?
Mwachidule, Bigeminy ndi kusokonezeka pang'ono kwa kayimbidwe kabwino ka mtima wanu. Mu mkhalidwe uwu, kugunda kwa mtima kwachiwiri kulikonse kumakhala kugunda kowonjezera komwe kumachitika msanga kuposa momwe mumayembekezera—chochitika chotchedwa kugwedezeka kwa msanga . Kayimbidwe kanu kamatsatira njira: kugunda kwabwinobwino, kutsatiridwa ndi kugunda kowonjezera, kenako kugunda kwina kwabwinobwino, kutsatiridwa ndi kugunda kwina kowonjezera, ndi zina zotero.
Taganizirani izi motere: mtima wanu nthawi zambiri umayendetsedwa ndi zizindikiro zamagetsi kuchokera kudera limodzi la "pacemaker", mofanana ndi woyimba ng'oma wotsogolera yemwe akuyendetsa bwino gulu la nyimbo. Mu Bigeminy, chizindikiro chamagetsi chimayamba kuchokera mbali ina ya mtima , ndikusokoneza mawonekedwe okhazikika amenewo. Zili ngati woyimba ng'oma wachiwiri, ataima kwinakwake m'munda, akuyamba kumenya ng'oma yake mosinthana ndi woyimba ng'oma wotsogolera, kusokoneza kayimbidwe kake.
Kodi pali mitundu yosiyanasiyana ya Bigeminy?
Inde, Bigeminy ingachokere m'mbali zosiyanasiyana za mtima, zomwe zimapangitsa kuti pakhale magulu awiri akuluakulu:
1. Atrial Bigeminy: Izi zimachitika m'zipinda zapamwamba za mtima, zomwe zimadziwika kuti atria. Apa, kugunda kowonjezera kumachitika ngati kukomoka kwa atrial msanga .
2. Ventricular Bigeminy: Izi zimachitika m'zipinda zapansi za mtima, m'ma ventricles. Pankhaniyi, kugunda kowonjezera kumadziwika kuti ndi kukomoka kwa ventricle msanga .
Kodi zizindikiro za Bigeminy ndi ziti?
Si aliyense amene amakumana ndi zizindikiro; ena akhoza kukhala ndi matenda a Bigeminy osazindikira. Komabe, ngati zizindikirozo zichitika, mungazindikire:
- Kupweteka pachifuwa kapena kumva ngati pali kutsekeka.
- Kugunda kwa mtima (Kuzindikira mtima ) - kumva kuti mtima wanu ukudumphadumpha kapena kugunda mwadzidzidzi.
- Chizungulire kapena mutu wopepuka.
- Nthawi zina kukomoka .
- Kupuma mofulumira kapena mozama (Hyperventilation).
- Kutopa kosalekeza kapena kutopa.
Kumbukirani: Ngati mukukumana ndi zizindikiro izi, ndikofunikira kukaonana ndi dokotala mwachangu.
Kodi n’chiyani chimayambitsa matenda a Bigeminy?
Kuchuluka kwa magazi m'thupi kumachitika chifukwa cha kusakhazikika kwa magetsi m'mtima. Zinthu zingapo zomwe zimayambitsa izi zingayambitse izi, monga:
- Mbiri ya matenda a mtima .
- Kuthamanga kwa magazi ( kuthamanga kwa magazi ).
- Anemia (kuchepa kwa hemoglobin kapena kuchepa kwa magazi ).
- Matenda a chithokomiro ( hyperthyroidism ) .
- Matenda a mtima , matenda omwe minofu ya mtima imafooka.
- Kutsika kwa valavu ya Mitral , vuto lomwe limakhala ndi valavu imodzi ya mtima.
Mwachidule, kupatula zizindikiro zochokera ku chipangizo chachilengedwe chothandizira mtima wanu, maselo ena a mtima angayambe kutumiza zizindikiro zosaloledwa, kapena pakhoza kukhala kutsekeka kwa njira zachizolowezi za magetsi.
Ndani ali pachiwopsezo chachikulu cha matenda a Bigeminy?
Zinthu zina zokhudzana ndi moyo ndi mikhalidwe zimawonjezera chiopsezo chanu chokhala ndi matenda a Bigeminy:
- Matenda a mitsempha ya mtima .
- Kulephera kwa mtima .
- Kumwa kwambiri caffeine(tiyi, khofi, zakumwa zopatsa mphamvu).
- Kumwa mowa.
- Kugwiritsa ntchito zinthu zopangidwa ndi fodya .
- Nkhawa kapena kupsinjika maganizo kosatha.
- Kusalinganika kwa ma electrolyte m'thupi (monga kuchuluka kwa sodium kapena potaziyamu).
- Kusowa tulo.
Zambiri mwa zinthuzi zili m'manja mwanu. Tidzakambirana za momwe mungachitire izi m'nkhani ina mtsogolo.
Kodi Bigeminy ingayambitse mavuto?
Inde, nthawi zina, Bigeminy yosatha ingayambitse kufooka kwa minofu ya mtima, matenda otchedwa cardiomyopathy . Komabe, pali nkhani yabwino: ngati Bigeminy yachiritsidwa bwino—monga, kudzera mu njira yotchedwa catheter ablation —cardiomyopathy nthawi zambiri imakula kwambiri.
Kodi matenda a Bigeminy amawapeza bwanji?
Mukapita kwa dokotala, amayamba kumvetsera mtima wanu pogwiritsa ntchito stethoscope. Ngati azindikira kusintha kwa kugunda kwabwinobwino ndi kugunda kwina, angakayikire Bigeminy ndipo angakulimbikitseni kuti muyesedwenso kuti mutsimikizire.
Ndi mayeso ati omwe amachitidwa?
Mayeso odziwika bwino okhudza matenda ndi awa:
- Electrocardiogram (EKG): Iyi ndi njira yoyamba yoyezera momwe mtima umagwirira ntchito ndipo nthawi zambiri imatha kuzindikira Bigeminy.
- Chowunikira cha Holter: Chipangizo chonyamulika cha EKG chomwe chimavalidwa kwa maola 24 mpaka 48 kuti chijambule zomwe mtima wanu ukuchita tsiku ndi tsiku, chifukwa Bigeminy sangawonekere pa EKG yaifupi komanso yosasinthasintha.
- Kuyezetsa magazi : Kumagwiritsidwa ntchito poyesa kuchuluka kwa ma electrolyte ndi mahomoni a chithokomiro, chifukwa kusalingana kungayambitse vutoli.
- Echocardiogram: "Kujambula" mtima wanu pogwiritsa ntchito ultrasound kuti muwone kukula kwake, mawonekedwe ake, momwe valavu yake imagwirira ntchito, komanso thanzi la minofu yake.
- Kuyesa kupsinjika maganizo: Kuwunika momwe mtima wanu umachitira ndi masewera olimbitsa thupi, nthawi zambiri mukamayenda pa treadmill.
Kodi aliyense amene ali ndi Bigeminy amafunika chithandizo?
Izi ndizofunikira kwambiri: ngati EKG yanu ikuwonetsa Bigeminy koma mulibe zizindikiro, mwina simukufunika chithandizo china chilichonse. Komabe, ngati muli ndi zizindikiro, chithandizo ndi chofunikira.
Kodi Bigeminy imachiritsidwa bwanji?
Ngati muli ndi zizindikiro, dokotala wanu angakulembereni mankhwala owongolera kugunda kwa mtima wanu. Ngati zizindikiro zikupitirira kapena ngati muli ndi matenda a mtima, mungatumizidwe ku opaleshoni yapadera yotchedwa catheter ablation . Ngati mukumva kupweteka pachifuwa kapena kuvutika kwambiri, chonde funani thandizo lachipatala mwamsanga (911 kapena nambala yanu yadzidzidzi yapafupi) nthawi yomweyo.
Cholinga chachikulu cha mankhwala a Bigeminy ndikuchepetsa kugunda kwa mtima wanu. Komabe, kumbukirani kuti mankhwala nthawi zina sangachotseretu vutoli kapena zizindikiro zonse zokhudzana nalo. Kwa iwo omwe sapeza mpumulo kudzera mu mankhwala, njira yotchedwa catheter ablation nthawi zambiri imalimbikitsidwa, yomwe imadziwika kuti ndi 75% kapena kuposerapo.
Mankhwala Odziwika Bwino ndi Njira Zochiritsira
Njira zochiritsira zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo:
- Beta-blockers: Kuthandiza kuchepetsa kugunda kwa mtima ndi kugunda kwa mtima.
- Zoletsa njira ya potaziyamu: Monga amiodarone (Cordarone® kapena Pacerone®).
- Zoletsa njira za calcium: Kuthandizira kugwira ntchito bwino kwa mtima.
- Kuchotsa catheter: Njira yochepetsera kufalikira kwa ma electrolysis pamene chubu chopyapyala komanso chosinthasintha chimalowetsedwa mumtima mwanu kuti chizimitse madera omwe amayambitsa zizindikiro zamagetsi zosakhazikika.
Kodi pali zotsatirapo kapena zovuta zomwe zingachitike?
Ngakhale kuti mankhwala onse ali ndi zotsatirapo zake, nthawi zambiri amatha kuthetsedwa akayerekeza ndi ubwino wa mankhwala. Ngati muli ndi nkhawa, chonde lankhulani ndi dokotala wanu. Zotsatirapo zoyipa za mankhwala a Bigeminy ndi izi:
- Chizungulire
- Kusadzikuza
- Kutopa
- Mimba yopweteka
- Mutu
Mavuto omwe amabwera chifukwa cha kuchotsedwa kwa catheter ndi osowa, koma monga momwe zimakhalira ndi njira ina iliyonse, pali zoopsa zazing'ono zomwe muyenera kudziwa, kuphatikizapo:
- Matenda
- Kutuluka magazi
- Kuvulala kwa mitsempha yamagazi kapena minofu ya mtima
- Magazi amaundana
- Stroke
Nthawi Yobwezeretsa
Kuchira kwathunthu pambuyo pochotsa catheter kungatenge milungu ingapo. Nthawi zambiri munthu amakumana ndi zochitika zazing'ono za Bigeminy panthawi yochira.
Momwe Mungachepetsere Chiwopsezo cha Bigeminy
Mukhoza kuchepetsa kwambiri chiopsezo chanu cha matenda a Bigeminy mwa kuyang'anira zinthu zina zomwe zimakukhudzani pa moyo wanu. Ganizirani njira zotsatirazi:
- Kuchepetsa kuthamanga kwa magazi moyenera.
- Chepetsani kapena pewani kumwa caffeine , kuphatikizapo tiyi ndi khofi.
- Kuletsa kumwa mowa kapena kusiya kumwa mowa .
- Onetsetsani kuti mumagona mokwanira komanso mopumula usiku uliwonse.
- Sinthani nkhawa pogwiritsa ntchito njira monga kusinkhasinkha kapena yoga.
- Siyani kugwiritsa ntchito fodya wonse (ndudu, ndi zina zotero) kotheratu.
Kusintha kwa moyo kumeneku kungawoneke ngati kochepa, koma kungakhudze kwambiri thanzi lanu la mtima kwa nthawi yayitali.
Nanga bwanji ngati ndili ndi Bigeminy?
Ngati muli ndi zizindikiro (simuli ndi zizindikiro), simungafunike chithandizo chilichonse ndipo mutha kukhala moyo wabwinobwino. Komabe, ngati zizindikirozo zilipo, dokotala wanu angakulangizeni kuti mupewe caffeine ndi mowa, kukupatsani mankhwala, kapena kukambirana za kuthekera kochotsa catheter.
Chiyembekezo
Kaonedwe kanu ka nthawi yayitali kamadalira thanzi lanu lonse la mtima komanso zinthu zomwe zili pachiwopsezo. Kwa anthu omwe ali ndi matenda ena a mtima, Bigeminy ikhoza kukhala chizindikiro cha chiopsezo chowonjezeka; komabe, kwa iwo omwe ali ndi mtima wathanzi, chiopsezo sichikhala chachikulu kwambiri kuposa anthu onse. Ngati muli ndi Bigeminy yopanda zizindikiro, kaonedwe kanu nthawi zambiri kamakhala kabwino kwambiri. Palibe chifukwa chodera nkhawa kwambiri.
Kudzisamalira Nokha
Kuti mupeze zotsatira zabwino kwambiri, tsatirani malangizo a dokotala wanu mosamala. Pitirizani kugwiritsa ntchito mankhwala omwe mwapatsidwa ndipo pitirizani kuchita zinthu zomwe zimathandiza kuti mtima wanu ukhale wathanzi:
- Imwani mankhwala monga momwe mwalangizidwira.
- Samalani zakudya zanu: Chepetsani caffeine, zakudya zamafuta, ndi shuga wochuluka.
- Siyani kusuta: Izi ndizofunikira kwambiri kuti mtima ubwererenso.
- Kumwa mowa pang'ono.
- Kuchita masewera olimbitsa thupi nthawi zonse: Nthawi zonse funsani dokotala wanu musanayambe njira yatsopano yolimbitsa thupi.
- Konzani nthawi yopuma ndi kugona.
- Sinthani kupsinjika maganizo: Chitani zinthu zosangalatsa, kuyanjana ndi anthu, kapena kuchita zinthu zoganizira ena.
Kodi muyenera kupita kwa dokotala liti?
Pitani ku misonkhano yanu yonse yowunikira nthawi zonse. Lumikizanani ndi dokotala wanu nthawi yomweyo ngati:
- Mumaona zizindikiro zatsopano kapena ngati zizindikiro zomwe zilipo zasintha.
- Zizindikiro zanu zimakula kwambiri .
- Mumakumana ndi zotsatirapo zoyipa kuchokera ku mankhwala anu.
- Ngati mukumva kupweteka pachifuwa, kupuma movutikira, kapena kukomoka, imbani 911 kapena pitani ku dipatimenti yapafupi yothandiza anthu ovulala mwadzidzidzi nthawi yomweyo.
Mafunso oti mufunse dokotala wanu
Pa ulendo wanu wotsatira, mungafune kufunsa kuti:
- Kodi ndiyenera kuchepetsa kumwa caffeine mpaka liti?
- Kodi ndimafunika nthawi zingati kuti ndikakumane ndi dokotala wowonjezera?
- Kodi mungandipatse njira zinazake zochepetsera nkhawa yanga?
- Kodi pali zinthu kapena mapulogalamu oti andithandize kusiya kusuta fodya?
- Kodi ndi bwino kuchita masewera olimbitsa thupi mwachizolowezi?
- Ndi kusintha kotani kwa zakudya komwe kuli kofunika kwambiri kwa ine?
Chidziwitso Chomaliza
Kupeza matenda a Bigeminy kungakhale kovuta, koma ndi vuto lotha kuthetsedwa. Kumbukirani kuti anthu ambiri omwe alibe zizindikiro safuna chithandizo konse. Gwirani ntchito limodzi ndi gulu lanu la chisamaliro ku Nirogi Lanka , pita ku nthawi yanu yokumana ndi dokotala, ndipo tsatirani dongosolo lanu la chithandizo. Kuika patsogolo thanzi la mtima wanu ndiye gawo lofunika kwambiri lomwe mungachite.
