Kodi kugunda kwa mtima wanu kukukwera kwambiri? Tiyeni tikambirane za Bradycardia!

Kodi munayamba mwamvapo kugunda kwa mtima wanu ndi kuganiza kuti, "Wow, zimenezo ndi zochedwa kwambiri"? Kapena munayamba mwalandirapo chidziwitso cha 'kugunda kwa mtima kochepa' kuchokera ku wotchi yanu yanzeru? Mwina mwangomva chizungulire ndipo wina anati, "Kugunda kwa mtima wanga ndi kochedwa pang'ono." Kugunda kwa mtima pang'onopang'ono kumeneku ndiko komwe tikukamba lero, matenda otchedwa ``Bradycardia'' m'mawu azachipatala.

Mwachidule, Bradycardia ndi chiyani?

Bradycardia, kapena bradyarrhythmia, ndi pamene mtima wanu ukugunda zosakwana nthawi 60 pa mphindi mukakhala mukupuma, kutanthauza kuti, mukamangoyima, osathamanga kapena kulumpha. Kugunda kwa mtima kwa munthu wamkulu wathanzi kumakhala pakati pa 60 ndi 100 pa mphindi. Choncho pamene kuli kochepera 60, timatcha kugunda kwa mtima pang'onopang'ono, kapena bradycardia.

Koma chofunika kwambiri apa ndichakuti nthawi iliyonse kugunda kwa mtima kukatsika pansi pa 60, si matenda kapena chinthu choopa. Taganizirani za munthu amene amachita masewera olimbitsa thupi bwino komanso amachita masewera. Timawatcha `(othamanga)`. Chifukwa chakuti mitima yawo yazolowera kugwira ntchito bwino kwambiri, imatha kupopa magazi omwe thupi limafunikira pakugunda kamodzi. Chifukwa chake, ngakhale mitima yawo ikugunda mofulumira, palibe vuto lililonse kwa thupi. Komanso, ndikwachibadwa kuti kugunda kwa mtima kuchepe pang'ono ngakhale titagona bwino. Izi zimatchedwanso `(sinus bradycardia)`. Izi zikutanthauza kuti mtima umagunda mwachibadwa, popanda vuto lililonse mu dongosolo lamagetsi la mtima.

Kodi zizindikiro za munthu amene ali ndi bradycardia ndi ziti?

Anthu ambiri, makamaka othamanga omwe tawatchula kale, amakhala ndi kugunda kochepa kwa mtima ndipo samakhala ndi zizindikiro zilizonse. Samakhala ndi vuto lililonse. Koma nthawi zina, ngakhale palibe zizindikiro, pakhoza kukhala chifukwa chothandizira mkati.

Koma pamene kugunda kwa mtima kutsika, zomwe zikutanthauza kuti mtima sungapope magazi okwanira okosijeni kupita ku thupi, zizindikiro zina zingawonekere. Izi ndi zizindikiro:

Chofunika: Ngati mukudziwa kuti kugunda kwa mtima wanu kuli kotsika ndipo muli ndi zizindikiro izi, ndikofunikira kupeza upangiri wa dokotala nthawi yomweyo.

N’chifukwa chiyani kugunda kwa mtima kumachepa chonchi? (Zifukwa)

Mtima si mpira wa nyama yokha. Uli ndi makina amagetsi ovuta kwambiri mkati mwake. Zizindikiro zamagetsi izi ndi zomwe zimapangitsa mtima kugunda motsatizana. Chifukwa chachikulu cha bradycardia ndi pamene pali vuto ndi makina amagetsi awa. Zili ngati intaneti m'nyumba mwathu ikakhala yocheperako, kapena TV itataya chizindikiro.

Pali nkhani ziwiri zazikulu zomwe zimakhudza izi:

1. Kusagwira bwino ntchito kwa nthiti ya sinus: Mtima uli ndi gawo lomwe limagwira ntchito ngati chida chachilengedwe chothandizira pacemaker. Umatchedwa nthiti ya sinus. Umapereka chizindikiro kwa mtima kuti ugwire pa liwiro linalake. Nthiti iyi ikapanda kugwira ntchito bwino, kugunda kwa mtima kumachepa.

2. Kutsekeka kwa mtima: Apa ndi pamene zizindikiro zamagetsi zochokera ku zipinda zapamwamba za mtima (atria) sizikuyenda bwino kupita ku zipinda zapansi (mitra). Izi zimapangitsa mtundu wa 'kutsekeka kwa magalimoto' panjira ya zizindikiro.

Chabwino, tsopano tiyeni tiwone zifukwa zina zomwe magetsi awa angasokonezeke.

• Kukalamba: Munthu akakwanitsa zaka 70, mphamvu zamagetsi za mtima zimatha kufooka pang'ono.
• Matenda ena:
• Matenda a mtima: Zinthu monga matenda a mtima omwe adachitika kale, matenda a mtima, ndi matenda a mtima obadwa nawo.
• ‍ ‍ `(Underactive thyroid)`: .
• Kusalingana kwa ma electrolyte: Vutoli lingachitike ngati pali kuwonjezeka kapena kuchepa kwa ma electrolyte, monga potaziyamu, m'magazi.
• Kulephera kupuma mokwanira: Vutoli, lomwe limachititsa kuti kupuma kusiye pamene munthu akugona, lingayambitse kugunda kwa mtima pang'onopang'ono.
• Matenda: Matenda ena monga matenda a Lyme ndi matenda a Chagas, amatha kukhudza minofu ya mtima ndikuyambitsa vutoli.
• Matenda ena: Matenda omwe amayambitsa kutupa m'thupi, monga nyamakazi ndi lupus.
• : `(beta-blockers)`, `(calcium channel blockers)` , , .
• Opaleshoni ya mtima: Vutoli likhoza kuchitika ngati vuto pambuyo pa opaleshoni ya mtima.

Kodi dokotala amapeza bwanji izi?

Mukapita kukaonana ndi dokotala, choyamba adzakufunsani za zizindikiro zanu mwatsatanetsatane. Adzakufunsani zinthu monga nthawi yomwe mwakhala ndi mavutowa, nthawi yomwe akhala akuchitikira, komanso nthawi yomwe akuipiraipira (monga nthawi yomwe mumachita masewera olimbitsa thupi, nthawi yomwe mumasintha malo). Chifukwa chake, ngati mungathe, zingakhale zothandiza kwambiri kulemba zinthuzi m'buku.

Kenako mudzayesedwa ndipo, ngati kuli kofunikira, mudzalamulidwa kuti muyesedwe mayeso angapo monga:

• ECG (Electrocardiogram): Iyi ndi njira yofunika kwambiri yoyezera. Imawonetsa momwe magetsi a mtima wanu amagwirira ntchito kwa mphindi imodzi. Komabe, ngati simungathe kuchita izi pamene muli ndi zizindikiro, vutoli silingalembedwe pa ECG.
• Kuwunika Koyenda: Izi zili ngati makina ang'onoang'ono a ECG omwe mumatenga kunyumba. Amalumikizidwa ndi thupi lanu kwa maola 24, 48, kapena kuposerapo. Amalemba nthawi zonse kugunda kwa mtima wanu pamene mukuchita ntchito zanu za tsiku ndi tsiku.
• Kuyezetsa magazi: Yang'anani zinthu monga kuchuluka kwa mchere m'thupi ndi kuchuluka kwa mahomoni a chithokomiro.
• Echocardiogram: Ichi ndi 'kujambula' mtima. Chimathandiza kuona zinthu monga kapangidwe ka mtima ndi ntchito ya ma valve.
• Kuyesa kupsinjika maganizo: ECG imatengedwa pamene mukuchita masewera olimbitsa thupi kuti muwone momwe mtima wanu umayankhira kupsinjika maganizo.
• Kuphunzira za kugona: Mayeso awa angakulimbikitseni ngati mukuganiza kuti muli ndi vuto la kupuma movutikira.

Kodi mankhwala a Bradycardia ndi ati?

Chithandizo chimadalira chifukwa cha kugunda kwa mtima wanu pang'onopang'ono komanso momwe chikukhudzira thupi lanu.

1. Kusintha mankhwala: Ngati vutoli layamba chifukwa cha mankhwala omwe mukumwa chifukwa cha matenda ena, dokotala wanu akhoza kuchepetsa mlingo kapena kukupatsani mankhwala ena. Musasiye kapena kusintha mankhwala nokha.

2. Kuchiza vuto lomwe limayambitsa vuto: Ngati ndi vuto la chithokomiro, mankhwala angaperekedwe kuti achiritse, ndipo ngati ndi kusalinganika kwa mchere, kukonza vutoli kungachiritse vutoli kwathunthu.

3. Mankhwala adzidzidzi: Ngati zizindikiro zikuipiraipira ndipo mwagonekedwa m'chipatala, mankhwala monga atropine amaperekedwa kudzera mu IV ( saline ) kuti awonjezere kugunda kwa mtima nthawi yomweyo.

4. Chothandizira Pacemaker Chokhazikika: Ngati magetsi a mtima afooka kwamuyaya chifukwa cha ukalamba kapena chifukwa china chosachiritsika, njira yabwino ndiyo kuyika chothandizira pacemaker. Ichi ndi chipangizo chaching'ono chofanana ndi batire. Chimayikidwa pansi pa khungu la chifuwa kudzera mu opaleshoni yaying'ono. Nthawi iliyonse kugunda kwa mtima kukatsika pansi pa mulingo womwe mukufuna, chipangizochi chimatumiza chizindikiro chamagetsi chaching'ono kuti chibwezeretse kamvekedwe ka mtima.

Kodi muyenera kupita kwa dokotala liti? Kodi nthawi yadzidzidzi ndi iti?

Kaya muli ndi bradycardia kapena ayi, ndi bwino kuti aliyense azipita kukayezetsa kuchipatala kamodzi pachaka. Zingathandize kuzindikira mavuto ena zizindikiro zisanawonekere.

Komabe, pazochitika zotsatirazi, muyenera kupeza chithandizo chamankhwala mwachangu . Ngati n'kotheka, pitani mwachindunji ku Chipatala cha Emergency Treatment Unit (ETU) .