Tiyeni tiphunzire za mankhwala a cardioversion, njira yowongolera kayendedwe ka mtima mwa kupereka mankhwala.

Kodi nthawi zina mumamva mtima wanu ukugunda mofulumira kwambiri moti mumaopa, kapena kamvekedwe ka kugunda kwa mtima wanu kakuoneka kuti sikukugwirizana? Monga momwe mukuimbira ng'oma, mtima wanu mwadzidzidzi umayamba kugunda mofulumira, pang'onopang'ono, kapena kulumpha kugunda. Lero tikulankhula za chithandizo chapadera chomwe madokotala amagwiritsa ntchito pazochitika zotere. Izi zimatchedwa 'Chemical Cardioversion'. Ngakhale kuti dzinali ndi lovuta pang'ono, tanthauzo lake ndi losavuta.

Mwachidule, kodi Chemical Cardioversion ndi chiyani?

Mankhwala a Cardioversion ndi njira yomwe imagwiritsa ntchito mankhwala kuti ibwezeretse kamvekedwe ka mtima kosazolowereka kukhala kamvekedwe kabwinobwino. Zili ngati apolisi apamsewu akubwera kudzawongolera kuchuluka kwa magalimoto pamsewu ndikuwongolera magalimoto mwadongosolo. Pano, 'apolisi apamsewu' ndi mankhwala omwe dokotalayo akukupatsani.

Kupambana kwa chithandizochi kumadalira zinthu zingapo, monga chomwe chikuyambitsa kugunda kwa mtima kosasinthasintha, nthawi yomwe mwakhala ndi vutoli, komanso mtundu wa mankhwala omwe dokotala wanu amasankha.

Mankhwala operekedwa pa chithandizochi amachita zinthu zingapo makamaka:

• Zimatsegula mitsempha yamagazi pang'ono, zomwe zimapangitsa kuti magazi aziyenda mosavuta.
• Amamasula minofu ya mtima.
• Zimachepetsa mtolo pamtima, ndiko kuti, ntchito ya mtima.
• Imalamulira liwiro la zizindikiro zamagetsi zomwe zimawonetsa mtima kuti ukugunda.

Pamene kamvekedwe ka mtima kasokonekera, sikapompa magazi bwino m'thupi lonse. Maselo athu a muubongo, monga maselo ena onse, amafunikira mpweya. Mpweya umenewu umanyamulidwa ndi magazi. Choncho pamene magazi achepa, zizindikiro monga chizungulire (vertigo), kutopa, kupuma movutikira, ndi kupweteka pachifuwa zimatha kuchitika.

N’chifukwa chiyani tikufunika chithandizochi?

Ngati mtima wanu ukugunda mofulumira kwambiri kapena uli ndi kayimbidwe kosagwirizana, mungafunike mankhwala a mtima. Pali zifukwa zambiri zomwe kayimbidwe ka mtima wanu kangasinthire. Tangoganizirani kuti mnzanu Nimal mwadzidzidzi anayamba kumva chifuwa chake chikugunda. Anapita kwa dokotala ndipo anazindikira kuti matenda oopsa akhudza kayimbidwe ka mtima wake.

Ndipo palinso zifukwa zina zambiri:

• Mankhwala ena omwe mumamwa: Mankhwala ena angayambitse kusintha kwa kamvekedwe ka mtima ngati zotsatira zoyipa.
• Matenda: Matenda a bakiteriya kapena mavairasi amatha kukhudza minofu ya mtima.
• Matenda a Mtima: Matenda a mtima amatha kuwononga magetsi a mtima.
• Kusintha kwa kapangidwe ka mtima: matenda a mtima obadwa nawo kapena kusintha komwe kumachitika pambuyo pake.
• Kutupa kwa m'mapapo: Ichi ndi vuto ladzidzidzi.
• Kulephera kwa Mtima Wotsekeka: Mtima ukafooka ndipo mphamvu yake yopompa magazi imachepa.
• Matenda a m'mapapo: Matenda monga COPD kapena Emphysema.

Ndi mitundu iti ya kugunda kwa mtima yomwe ingachiritsidwe ndi njira iyi?

Mankhwala a cardioversion amagwiritsidwa ntchito pochiza mitundu yosiyanasiyana ya kugunda kwa mtima, kuphatikizapo:

Kusiyana pakati pa Electrical Cardioversion ndi izi

Mwina mwawonapo izi m'mafilimu, komwe zimagwedeza pachifuwa kuti mtima uyambirenso kugwira ntchito. Zimatchedwa 'Electrical Cardioversion.' Zimaphatikizapo kutumiza mphamvu yamagetsi yolamulidwa kumtima kuti 'ikhazikitsenso' magetsi. Chemical Cardioversion imaphatikizapo kupereka mankhwala kuti achite zomwezo.

Dokotala wanu adzakukonzerani chithandizo chabwino kwambiri malinga ndi vuto lanu. Mwachitsanzo, ngati kuthamanga kwa magazi kwanu kuli kochepa kwambiri, dokotala wanu angasankhe kuchita opaleshoni yamagetsi ya mtima.

Kodi chimachitika ndi chiyani musanalandire chithandizo ndipo tiyenera kukonzekera bwanji?

Dokotala wanu adzakupatsani malangizo ena musanalandire chithandizochi. Ndikofunikira kwambiri kuwatsatira bwino.

1. Kupewa chakudya ndi zakumwa: Mudzapemphedwa kuti mupewe kudya kapena kumwa chilichonse kwa maola pafupifupi 8 musanalandire chithandizo.

2. Yang'anani Magazi Oundana: Ngati mtima wanu wakhala wosakhazikika kwa masiku opitilira awiri, pali mwayi woti magazi oundana pang'ono angapangidwe mkati mwa mtima wanu. Ngati kugunda kwa mtima wanu kwabwerera mwakale mwadzidzidzi mutalandira chithandizochi, ngati magazi oundanawo atuluka ndikukakamira mumtsempha wamagazi muubongo wanu, zingayambitse matenda oopsa monga sitiroko. Kuti muwone ngati pali chiopsezo chimenecho, dokotala wanu angakupempheni kuti muyesedwe mwapadera chotchedwa Transesophageal Echocardiogram (TEE) . Izi zimaphatikizapo kuyika chubu chaching'ono pakhosi panu ndikuyang'ana bwino kumbuyo kwa mtima wanu kuti muwone ngati pali magazi oundana.

3. Mankhwala Oletsa Kuundana kwa Magazi: Kuti muchepetse chiopsezo cha magazi kuundana omwe atchulidwa pamwambapa, mudzapemphedwa kuyamba kumwa mankhwala ochepetsa magazi pafupifupi milungu itatu musanalandire chithandizo. Muyenera kupitiriza kumwa mankhwalawa kwa milungu inayi mutatha kulandira chithandizo.

4. Uzani dokotala wanu za mankhwala onse omwe mumamwa: Ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa dokotala, mavitamini, ndi mankhwala azitsamba. Mankhwala ena angagwirizane ndi mankhwala operekedwa pa chithandizochi.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Izi si zomwe mungachite kunyumba. Mudzaloledwa kuchipatala ndipo mudzapatsidwa chithandizochi moyang'aniridwa nthawi zonse.

• Malo: Mudzaloledwa ku chipinda cha odwala odwala kwambiri (ICU) cha chipatala kapena chipinda chofanana nacho komwe mungayang'aniridwe bwino. Musadandaule, izi ndi za chitetezo chanu. Chifukwa muyenera kuyang'aniridwa mosamala kuti muwone ngati mtima wanu wasintha mukapatsidwa mankhwala.
• Kuwunika: Mzere wa IV (cannula) udzayikidwa m'dzanja lanu ndipo chowunikira chidzalumikizidwa nacho. Izi zidzawunika nthawi zonse ECG (ntchito zamagetsi za mtima), kuthamanga kwa magazi, ndi kuchuluka kwa mpweya.
• Momwe mungaperekere mankhwala:Mudzapatsidwa mankhwalawo ngati piritsi loti mumwe pakamwa kapena mwachindunji mumtsempha kudzera mu mzere wa IV m'dzanja lanu. Nthawi zina, ngati mlingo woyamba sukugwira ntchito, mungapatsidwe mlingo wina.
• Chitetezo: Madokotala ndi anamwino ali nanu pomwepo. Alinso ndi zida monga defibrillator pafupi ngati pali vuto lina lililonse losazolowereka. Chifukwa chake muli pamalo otetezeka kwambiri.

Ndi mankhwala ati omwe amagwiritsidwa ntchito pa izi?

Mankhwala omwe dokotala wanu akukupatsani adzadalira mtundu wa kugunda kwa mtima komwe simukumva bwino. Ena mwa mankhwalawa amagwiritsidwa ntchito pochiza kuthamanga kwa magazi komanso kulephera kwa mtima.

Nazi mitundu ikuluikulu ya mankhwala omwe amagwiritsidwa ntchito:

• Adenosine
• Amiodarone
• Procainamide
• Ibutilide
• Beta-blockers - mwachitsanzo Metoprolol
• Zoletsa njira za calcium - mwachitsanzo Diltiazem
• Flecainide
• Propafenone

Mankhwala aliwonsewa amagwira ntchito mosiyana, kotero dokotala wanu yekha ndi amene angasankhe mankhwala omwe ali abwino kwa inu.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Mukalandira mankhwalawo ndipo kugunda kwa mtima wanu kubwereranso mwakale, mutha kusungidwa kuchipatala kwa maola ena 24 mpaka 48 kuti muwonetsetse kuti zonse zili bwino. Mukatero, mutha kupita kunyumba.

Kodi zoopsa ndi ubwino wa chithandizochi ndi ziti?

Monga chithandizo chilichonse chamankhwala, pali ubwino ndi zoopsa zake. Dokotala wanu angakulimbikitseni chithandizochi pokhapokha ngati ubwino wake ukuposa zoopsa zake.

Kodi ndi liti pamene muyenera kupita kwa dokotala mwachangu?

Mukapita kunyumba mutalandira chithandizo, ndikofunikira kwambiri kudziwa zizindikiro zilizonse zachilendo. Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo kapena imbani 1990.

• Kugunda kwa mtima
• Chizungulire chachikulu
• Ngati maso anu ayamba kukhala abuluu ndipo mukumva mutu wopepuka (Kuwala)
• Kufooka
• Kutuluka thukuta kwambiri mwadzidzidzi (Kutuluka thukuta kwambiri)
• Matenda a ziwengo monga ziphuphu ndi kuyabwa
• Kupweteka pachifuwa
• Kuvuta kupuma

Musanalandire chithandizo komanso mutatha kumwa mankhwala, imwani mankhwala onse omwe dokotala wanu wakupatsani molondola komanso panthawi yake. Ngati mukukayikira momwe mungamwere mankhwala anu, funsani dokotala wanu kachiwiri kuti akuthandizeni kumvetsetsa.