Kodi Mtima Wanu Ukugunda Pang'onopang'ono Kwambiri? Buku Losavuta la Bradycardia

Kodi munayamba mwamvapo mutu wopepuka, kupuma movutikira, kapena kungotopa popanda chifukwa chomveka? Izi zitha kukhala zizindikiro zoti mtima wanu ukugunda pang'onopang'ono. Lero, tikambirana za vutoli, lotchedwa bradycardia . Musadandaule—kumvetsa zomwe zikuchitika m'thupi lanu ndiye gawo loyamba lofunika kwambiri.

Kodi Bradycardia ndi chiyani kwenikweni?

Mwachidule, bradycardia imachitika pamene kugunda kwa mtima wanu kumatsika pansi pa 60 pa mphindi. Ngakhale kuti izi zimakhala zochepa kuposa kugunda kwa mtima komwe kumagona nthawi zonse, nthawi zina si vuto lachipatala. Komabe, ngati mtima wanu ukugunda pang'onopang'ono kwambiri moti sungapope magazi okwanira okosijeni kupita ku ubongo wanu ndi ziwalo zina zofunika, zingayambitse mavuto.

Ndikofunika kukumbukira: izi sizili zoopsa nthawi zonse. Kwa anthu ochita masewera olimbitsa thupi kapena othamanga ophunzitsidwa bwino, kugunda kwa mtima pang'onopang'ono nthawi zambiri kumakhala chizindikiro cha mtima wogwira ntchito bwino kwambiri. Chifukwa minofu ya mtima wawo ndi yamphamvu kwambiri, imatha kusunga magazi bwino ngakhale atathamanga pang'ono, zomwe sizingavulaze konse.

Kodi kusiyana pakati pa Bradycardia ndi Tachycardia ndi kotani?

Mwina munamvapo mawu akuti tachycardia . Matenda awiriwa ndi otsutsana.

• Bradycardia imachokera ku mawu achigiriki akuti "bradys" (kutanthauza pang'onopang'ono) ndi "kardia" (kutanthauza mtima). Kwenikweni amatanthauza "mtima wochedwa."
• Tachycardia imagwiritsa ntchito mawu achigiriki akuti "tachys" (kutanthauza mofulumira). Amatanthauza mtima womwe ukugunda mofulumira kwambiri.

Monga mukuonera, kusiyana kwakukulu ndi kayimbidwe ka mtima—bradycardia imachedwa, pomwe tachycardia imafulumira.

Ndani amene amakhudzidwa kwambiri?

Ngakhale kuti bradycardia ingakhudze aliyense, imapezeka kwambiri mwa anthu azaka zopitirira 65. Pamene tikukalamba, kugunda kwa mtima kwathu mwachibadwa nthawi zambiri kumachepa pang'ono. Ngakhale kuti sikofala kwambiri kwa achinyamata ndi ana, nthawi zina imayamba chifukwa cha matenda enaake kapena matenda enaake.

Matenda ena, mankhwala, kuvulala pachifuwa, kusowa zakudya m'thupi, ndi matenda okhudzana ndi kudya zingapangitsenso kuti munthu akhale ndi bradycardia.

Kodi ndi yofala bwanji?

Bradycardia ndi yofala kwambiri m'malo enaake:

• Mwa akuluakulu opitirira zaka 65: Kafukufuku akusonyeza kuti pafupifupi munthu m'modzi mwa akuluakulu 600 amakhala ndi bradycardia yodziwika bwino. Komabe, ambiri angakhale nayo popanda kusonyeza zizindikiro. Ndizachilendonso kuti kugunda kwa mtima kuchepe kwambiri akagona.
• Mwa anthu ochita masewera olimbitsa thupi: Anthu omwe amachita masewera olimbitsa thupi nthawi zonse amakhala ndi thanzi labwino la mtima . Mitima yawo imagwira ntchito bwino kwambiri kotero kuti safunika kugunda pafupipafupi kuti akwaniritse zosowa za thupi. Izi nthawi zambiri sizivulaza.

Kodi Bradycardia ndi Arrhythmia?

Inde, bradycardia ndi mtundu wa arrhythmia , womwe umatanthauza kugunda kwa mtima kosazolowereka. Kugunda kwa mtima kwa munthu wamkulu nthawi zambiri kumakhala pakati pa 60 ndi 100 beats pa mphindi imodzi.

Mtima ukagwira ntchito bwino, timautcha kuti "sinus rhythm." Ngati mtima wanu ukugunda mokhazikika koma pang'onopang'ono, umatchedwa "sinus bradycardia." Izi nthawi zambiri sizili bwino, makamaka kwa anthu ochita masewera olimbitsa thupi, chifukwa mtima ukugwirabe ntchito yake bwino.

Kodi izi zimakhudza bwanji thupi lanu?

Ngati muli ndi bradycardia, mtima wanu umagunda pang'onopang'ono kuposa munthu wamkulu. Izi zimakhala nkhawa pamene mtima wanu sungapope magazi okwanira okosijeni kuti ukwaniritse zosowa za thupi lanu. Izi zingakhudze thanzi lanu lonse, makamaka ubongo wanu ndi mtima womwewo.

Kodi zizindikiro zake ndi ziti?

Anthu ambiri omwe ali ndi bradycardia samakhala ndi zizindikiro. Komabe, ngati mphamvu ya mtima si yokwanira, mungazindikire izi:

• Kupuma movutikira .
• Kupweteka pachifuwa kapena kumva kupsinjika (angina).
• Kutopa kosatha kapena kusowa mphamvu.
• Kumva ngati mtima wanu ukugunda kapena kudumphadumpha (kugunda kwa mtima).
• Mavuto okumbukira kapena "chifunga cha ubongo."
• Kuvuta kuyika maganizo pa chinthu.
• Chizungulire, mutu wopepuka, kapena kukomoka (syncope).
• Kukwiya kapena kusintha kwa maganizo.

N’chiyani chimayambitsa zimenezi?

Zomwe zimayambitsa matendawa ndi izi:

• Kusalingana kwa ma electrolyte: Kusowa kwa calcium, magnesium, kapena potaziyamu kungakhudze zizindikiro za mtima.
• Anorexia nervosa: Matendawa nthawi zambiri amachititsa kuti mtima uchepe.
• Kutupa: Matenda monga endocarditis, myocarditis, kapena pericarditis.
• Matenda: Matenda a pakhosi osachiritsidwa kapena matenda enaake monga matenda a Lyme kapena matenda a Chagas.
• Matenda a sinus opweteka: Pamene pacemaker yachibadwa ya mtima (SA node) yalephera kugwira ntchito.
• Kutsekeka kwa mtima: Kusokonezeka kwa njira zamagetsi za mtima.
• Mankhwala: Beta-blockers, calcium-channel blockers, kapena mankhwala ena oletsa kuvutika maganizo.
• Opaleshoni ya mtima: Njira zakale zokonzera zolakwika zobadwa nazo kapena kukonza ma valvu.
• Chithandizo cha radiation: Nthawi zina chingakhudze minofu ya mtima pakapita nthawi.

Kodi matendawa amawapeza bwanji?

Dokotala akhoza kuzindikira bradycardia mwa kuchita mayeso akuthupi, kumvetsera mtima wanu, komanso kugwiritsa ntchito zida zodziwira matenda.

Mayeso ofala:

• Kuyezetsa thupi
• Electrocardiogram (ECG kapena EKG)
• Mayeso a labu (kuti aone kuchuluka kwa ma electrolyte, ntchito ya chithokomiro, kapena zizindikiro za mtima monga troponin).

Kodi Bradycardia imachiritsidwa bwanji?

Ngati mulibe zizindikiro, mwina simungafunike chithandizo. Komabe, ngati zizindikirozo zilipo, bradycardia nthawi zambiri imatha kuchiritsidwa, ndipo nthawi zambiri imatha kuchiritsidwa mokwanira.

Mankhwalawa akuphatikizapo mankhwala ndi zipangizo zachipatala monga pacemaker , zomwe zingathandize kuti mtima wanu ukhale ndi kamvekedwe kokhazikika komanso kathanzi kwa nthawi yayitali.