Kodi mtima wanu umagunda modabwitsa nthawi zina? Tiyeni tikambirane za Bigeminy!

Kodi nthawi zina mumamva ngati mtima wanu ukugunda mofulumira mwadzidzidzi, kapena ngati ukugunda mofulumira? Chinachake chachilendo pachifuwa panu, mwina ndi ululu pang'ono. Si bwino kunyalanyaza zinthu ngati izi. Lero, tiyeni tikambirane za chifukwa chimodzi chomwe chingayambitse izi, chomwe ndi vuto lotchedwa `(Bigeminy)`.

Kodi `(Bigeminy)` ndi chiyani?

Mwachidule, `(Bigeminy)` ndi kusakhazikika pang'ono mu kayimbidwe ka mtima wathu, ndiko kuti, mu kayimbidwe. Mu izi, kugunda kwa mtima kwachiwiri kulikonse kumabwera ngati kugunda kowonjezera kusanayambe kugunda kwabwinobwino, kapena `(kuchepa kwa mtima msanga)`. Izi zikutanthauza kugunda kamodzi kwabwinobwino, kenako kugunda kowonjezera, kachiwiri kugunda kwabwinobwino, kenako kugunda kowonjezera... Umu ndi momwe zimakhalira. Taganizirani motere. Kawirikawiri, chizindikiro chamagetsi chimachokera pamalo amodzi mumtima mwathu ndipo chimapangitsa mtima kugunda bwino. Monga momwe woyimba ng'oma wamkulu wa gulu la ng'oma amagunda mu kayimbidwe kamodzi. Kenako chizindikirochi chimayenda kuchokera pamwamba pa mtima kupita pansi ndipo mtima umagunda mwadongosolo. Koma mu `(Bigeminy)`, chizindikiro china chamagetsi chimayamba kuchokera pamalo osiyana mumtima, kusokoneza kachitidwe kabwinobwino. Izi zimachitika kugunda kwa mtima kwachiwiri kulikonse. Zili ngati woyimba ng'oma wotsogolera atagunda ng'oma, woyimba ng'oma wina kwinakwake pabwalo amagunda ng'oma yake, ndipo amasinthasintha kugunda kwachiwiri kulikonse.

Kodi pali mitundu ya `(Bigeminy)`?

Inde, mkhalidwe uwu wa `(Bigeminy)` ungayambe m'mbali zosiyanasiyana za mtima. Chifukwa chake, pali mitundu iwiri ikuluikulu. 1. Atrial Bigeminy `(Atrial Bigeminy)`: Izi zimachitika m'zipinda ziwiri zapamwamba za mtima, ndiko kuti, atria. Apa, kugunda kwa mtima kowonjezerako kumabwera mu mawonekedwe a `(kuchepa kwa mtima koyambirira)`. 2. Ventricular Bigeminy `(Ventricular Bigeminy)`: Izi zimachitika m'zipinda ziwiri zapansi za mtima, ndiko kuti, ventricles. Apa, kugunda kwa mtima kowonjezerako kumabwera mu mawonekedwe a `(kuchepa kwa mtima koyambirira)`.

Kodi zizindikiro za `(Bigeminy)` ndi ziti?

Si aliyense amene ali ndi zizindikiro. Anthu ena sangazindikire chilichonse ngakhale atakhala ndi "Bigeminy". Komabe, kwa iwo omwe ali ndi zizindikiro, izi zitha kuchitika:

• Kumva kupweteka kapena kufinya pachifuwa .
• Kugunda kwa mtima - Kumva ngati mtima wanu ukudumphadumpha, kapena kugunda mofulumira kwambiri mwadzidzidzi.
• Kumva chizungulire .
• Nthawi zina pangakhale kukomoka.
• Kupuma movutikira ndi kupuma mofulumira komanso mozama.
• Kumva kutopa komanso kutopa.

Kumbukirani, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kukaonana ndi dokotala.

N’chifukwa chiyani `(Bigeminy)` imeneyi imachitika? Kodi zimayambitsa chiyani?

Kuchuluka kwa shuga m'magazi kumachitika chifukwa cha mavuto omwe mtima umatumiza ma signal. Pali zinthu zingapo zomwe zingayambitse izi. Mwachitsanzo:

• Ngati munadwalapo matenda a mtima kale.
• Ngati muli ndi kuthamanga kwa magazi (timanena kuti kuthamanga kwa magazi ndi kwakukulu kwambiri).
• Anemia ( kuchepa kwa hemoglobin m'magazi ).
• Kuwonjezeka kwa ntchito ya chithokomiro ( Hyperthyroidism ) .
• Matenda a mtima ndi matenda omwe amafooketsa minofu ya mtima.
• Kutsika kwa valvu ya Mitral ndi vuto la valvu ya mtima.

Mwachidule, kuwonjezera pa zizindikiro zochokera ku chipangizo chachilengedwe chothandizira mtima, maselo ena mumtima amatha kupatsa mtima chizindikiro choti ugwire. Kapena, pakhoza kukhala kutsekeka kwa njira zachizolowezi zomwe zimanyamula zizindikirozo kupita kumtima.

Ndani ali pachiwopsezo chachikulu cha matenda a "Bigeminy"?

Pali zinthu zina zomwe zimawonjezera chiopsezo cha ``Bigeminy''. Tiyeni tiwone zomwe zili:

• Matenda a mitsempha ya mtima .
• Kulephera kwa mtima .
• Kugwiritsa ntchito kwambiri caffeine (yomwe imapezeka mu tiyi, khofi, ndi zakumwa zina).
• Kugwiritsa ntchito mowa .
• Kugwiritsa ntchito zinthu za fodya (monga ndudu).
• Nkhawa .
• Kuchuluka kwa ma electrolyte m'thupi (monga sodium ndi potaziyamu) kumawonjezeka kapena kutsika kupitirira mulingo woyenera.
• Kusagona mokwanira.

Zina mwa zinthuzi tingathe kuzilamulira, sichoncho? Tidzakambirana za zimenezo mtsogolo.

Kodi Bigeminy ingayambitse mavuto ena?

Inde, nthawi zina `(Bigeminy)` ingayambitse kufooka kwa minofu ya mtima. Timatcha vutoli `(Cardiomyopathy)` . Koma pali nkhani yabwino. Ngati `(Bigeminy)` yachiritsidwa bwino, mwachitsanzo ndi chithandizo chotchedwa `(catheter ablation)` , vuto la `(Cardiomyopathy)` lingathenso kuchiritsidwa.

Kodi mungazindikire bwanji `(Bigeminy)`? (Kuzindikira)

Mukapita kukaonana ndi dokotala, choyamba adzamvetsera mtima wanu ndi stethoscope. Ngati mumva kugunda kwabwinobwino ndi kowonjezera, dokotalayo angakayikire vuto la ``Bigeminy''. Kenako adzalamula kuti ayesedwe kuti atsimikizire.

Ndi mayeso amtundu wanji omwe amachitidwa?

Mayeso otsatirawa nthawi zambiri amalamulidwa:

• Electrocardiogram (EKG):Iyi ndi njira yaikulu yoyesera yomwe imayang'ana ntchito yamagetsi ya mtima. Nthawi zambiri imatha kuzindikira ``Bigeminy''.
• Chowunikira cha Holter: Ichi chili ngati makina ang'onoang'ono a EKG. Chimavalidwa m'thupi lanu kwa maola 24 mpaka 48 ndipo chimalemba kugunda kwa mtima wanu panthawiyo. Ngati mulibe bigeminy nthawi zonse, sichingawonekere pa EKG yachizolowezi.
• Kuyezetsa magazi : Izi zimachitika kuti ziwone ngati pali ma electrolyte ambiri komanso kuchuluka kwa mahomoni a chithokomiro, chifukwa kusintha kwa izi kungakhudzenso vutoli.
• Echocardiogram: Izi zitha kuyang'ana zinthu monga mawonekedwe, kukula, ntchito ya ma valve, ndi ntchito ya minofu ya mtima. Zili ngati kujambula mtima.
• Kuyesa kupsinjika maganizo: Izi zikuphatikizapo kuthamanga pa treadmill ndikuyang'ana momwe kugunda kwa mtima wanu kumasinthira panthawi yochita masewera olimbitsa thupi.

Kodi aliyense amafunika chithandizo cha ``Bigeminy''?

Nayi mfundo yofunika. Ngati EKG yanu ikuwonetsa kuti muli ndi matenda a Bigeminy, koma mulibe zizindikiro zilizonse, mwina simungafunike chithandizo chapadera. Komabe, omwe ali ndi zizindikiro amafunika chithandizo.

Kodi `(Bigeminy)` imachiritsidwa bwanji?

Ngati muli ndi zizindikiro za `(Bigeminy)`, madokotala amatha kukuthandizani ndi mankhwala. Nthawi zina, ngati zizindikirozo zikugwirizana ndi `(Cardiomyopathy)` yomwe yatchulidwa kale, chithandizo chapadera chotchedwa `(catheter ablation)` chingakhale chofunikira. Chiyembekezo chachikulu cha mankhwala omwe amaperekedwa pa `(Bigeminy)` ndikuchepetsa kugunda kwa mtima. Komabe, mankhwala awa nthawi zonse sangaletse kwathunthu vuto la `(Bigeminy)` kapena kuthetsa zizindikiro. Chithandizo chotchedwa `(catheter ablation)` chimachitikira anthu omwe sapeza mpumulo kuchokera ku mankhwala. Kupambana kwa chithandizochi ndi 75% kapena kuposerapo.

Mankhwala/mankhwala enaake omwe amagwiritsidwa ntchito

Mankhwala otsatirawa amagwiritsidwa ntchito ngati chithandizo:

• Beta-blockers
• Mankhwala oletsa njira ya potaziyamu - mwachitsanzo, mankhwala otchedwa amiodarone (Cordarone® kapena Pacerone®).
• Zoletsa njira za calcium
• Kuchotsa catheter - Izi zimaphatikizapo kulowetsa chubu chopyapyala mumtima ndikuletsa malo omwe zizindikiro zamagetsi zowonjezera zimachokera.

Kodi pali zotsatirapo/zovuta zilizonse za chithandizochi?

Mankhwala aliwonse akhoza kukhala ndi zotsatirapo zina. Komabe, poyerekeza ndi ubwino wa mankhwala, zotsatirapo zake nthawi zambiri sizimakhala zazikulu kwambiri. Ngati muli ndi nkhawa iliyonse, lankhulani ndi dokotala wanu. Zina mwa zotsatirapo zake zomwe zingakhalepo chifukwa cha mankhwala a `(Bigeminy)` ndi awa:

• Chizungulire
• Kumva mutu wopepuka (Kuwala)
• Kutopa
• Mimba yopweteka
• Mutu

Mavuto akatha kuchotsa catheter ndi osowa kwambiri. Komabe, nthawi zina zotsatirazi zingachitike:

• Matenda
• Kutuluka magazi
• Kuwonongeka kwa mtsempha wamagazi kapena minofu ya mtima
• Magazi amaundana
• Stroke

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Zingatenge milungu ingapo kuti munthu achire bwino atachotsa catheter. Panthawiyi, pakhoza kukhala "bigeminy" pang'ono.

Kodi mungachepetse bwanji chiopsezo cha `(Bigeminy)`?

Tikhoza kuchepetsa chiopsezo chathu chokhala ndi ``Bigeminy`` mwa kusintha zina mwa zinthu zoopsa zomwe tingathe kuzilamulira. Onani ngati mungathe kuchita izi:

• Ngati muli ndi kuthamanga kwa magazi, chepetsani kuthamanga kwa magazi.
• Pewani kumwa caffeine wambiri. Chepetsani zinthu monga tiyi ndi khofi.
• Chepetsani kumwa mowa , kapena siyani kumwa mowa wonse.
• Gonani mokwanira usiku uliwonse.
• Pezani njira zothetsera nkhawa . Zinthu monga kusinkhasinkha ndi yoga zingathandize.
• Pewani fodya konse (ndudu, bidis).

Ngakhale kuti kusintha kumeneku ndi kochepa pa moyo wanu, kungakhudze kwambiri thanzi la mtima wanu.

Kodi chimachitika n’chiyani ngati pali `(Bigeminy)`?

Ngati mulibe zizindikiro, palibe zambiri zomwe mungachite. Mutha kukhala moyo wabwinobwino. Komabe, ngati muli ndi zizindikiro, dokotala wanu adzakuuzani kuti mupewe zinthu monga caffeine, mankhwala osokoneza bongo, ndi mowa. Akhoza kukupatsani mankhwala. Anthu ena angafunikenso kutsukidwa ndi catheter.

Kodi thanzi la anthu omwe ali ndi `(Bigeminy)` lili bwanji? (Outlook)

Thanzi la anthu omwe ali ndi `(Bigeminy)` lamtsogolo limadalira ngati ali ndi matenda ena a mtima ndi zinthu zina zoopsa. Kwa anthu omwe ali ndi matenda ena a mtima, `(Bigeminy)` ndi chizindikiro chakuti chiopsezo cha imfa chingawonjezeke pang'ono. Koma kwa ena, ndiko kuti, anthu omwe alibe matenda ena a mtima, chiopsezo cha imfa sichili chachikulu kuposa cha munthu wamba. Kwa anthu omwe ali ndi `(Bigeminy)` opanda zizindikiro, chiyembekezo chili bwino kwambiri. Palibe chodetsa nkhawa nacho.

Kodi ndimadzisamalira bwanji?

Kuti mupeze zotsatira zabwino, tsatirani malangizo a dokotala wanu molondola. Mungafunike kuchepetsa kumwa caffeine ndikupeza njira zochepetsera nkhawa. Ngati mukumwa mankhwala olembedwa ndi dokotala, imwani monga momwe mwalangizidwira pa botolo.

• Imwani mankhwala anu pa nthawi yake monga momwe dokotala wanenera.
• Samalani ndi zomwe mumadya ndi kumwa. Chepetsani kumwa caffeine, zakudya zamafuta, ndi maswiti momwe mungathere.
• Ngati mukusuta, muyenera kusiya.
• Chepetsani kumwa mowa.
• Kuchita masewera olimbitsa thupi. Koma yambani ndi kufunsa dokotala wanu kuti ndi masewera olimbitsa thupi ati omwe ali oyenera kwa inu.
• Kupuma mokwanira ndi kugona mokwanira n'kofunika kwambiri.
• Chepetsani nkhawa. Zinthu monga kulankhula ndi anzanu, kuchita zinthu zosangalatsa, komanso kusinkhasinkha zingathandize.

Kodi ndiyenera kupita kwa dokotala liti?

Ndikofunikira kusunga nthawi yanu yokumana ndi dokotala. Komabe, pitani kwa dokotala nthawi yomweyo ngati:

• Ngati muyamba zizindikiro zatsopano , kapena ngati zizindikiro zanu zasintha.
• Ngati zizindikiro zanu zikuipiraipira .
• Ngati mankhwala omwe mukumwa akubweretsa zotsatirapo zoyipa .
• Ngati mukumva kupweteka kwambiri pachifuwa, kupuma movutikira, kapena ngati mukutaya chikumbumtima , pitani kuchipatala nthawi yomweyo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, ndi bwino kufunsa mafunso ngati awa:

• Kodi ndiyenera kuchepetsa kumwa caffeine yochuluka bwanji?
• Kodi ndiyenera kubwera kangati kudzakumana ndi dokotala wotsatira?
• Kodi mungandipatse njira zochepetsera nkhawa yanga?
• Kodi munganditumizire pulogalamu yomwe ingandithandize kusiya kugwiritsa ntchito fodya?
• Kodi ndingachite masewera olimbitsa thupi bwino ndi vutoli?
• Ndi kusintha kotani komwe ndiyenera kuchita pa zakudya zanga?

Pomaliza, chinthu chofunika kwambiri

Mungamve nkhawa pang'ono dokotala wanu akakuuzani kuti muli ndi kugunda kwina mumtima mwanu, kapena "Bigeminy". Zimenezo n'zachibadwa. Koma kumbukirani, anthu ambiri omwe ali ndi "Bigeminy" omwe alibe zizindikiro safuna chithandizo. Lankhulani ndi dokotala wanu ngati mukufuna chithandizo cha "Bigeminy". Sungani nthawi yanu yokumana ndi dokotala ndipo imwani mankhwala aliwonse omwe mwapatsidwa. Ndikofunikira kusamalira mtima wanu.

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