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

Kodi munayamba mwamvapo mtima wanu ukugunda mofulumira popanda chifukwa, kapena munamvapo kugwedezeka kwachilendo ngati gulugufe pachifuwa panu? Kusintha kwa mitundu iyi ya kugunda kwa mtima (kugunda kwa mtima kosasinthasintha) nthawi zina kumakhala chinthu chodetsa nkhawa. Lero, tikambirana za chithandizo chapadera chomwe madokotala amagwiritsa ntchito pochiza mitundu iyi ya kugunda kwa mtima kosasinthasintha.

Mwachidule, kodi Chemical Cardioversion ndi chiyani?

Mwachidule, chemical cardioversion ndi kugwiritsa ntchito mankhwala kuti mtima wanu ubwerere ku kayimbidwe kabwinobwino kapena kachilendo ka rhythm. Kupambana kwa chithandizochi kumadalira chifukwa cha kugunda kwa mtima kwanu kosasinthasintha, nthawi yomwe kwakhalapo, komanso mtundu wa mankhwala omwe dokotala wanu amasankha.

Timatchanso kuti Pharmacologic Cardioversion. Mankhwala omwe amaperekedwa panthawi ya chithandizochi amachita zinthu zingapo zazikulu:

• Zimamasula mitsempha yanu yamagazi.
• Amapereka mpumulo ku minofu ya mtima.
• Amachepetsa ntchito pamtima.
• Imalamulira liwiro limene zizindikiro zamagetsi zimauza mtima kugunda.

Pamene kayimbidwe ka mtima kamakhala kosasinthasintha, sikapopa magazi okwanira m'thupi lonse. Selo lililonse m'thupi lathu, makamaka ubongo, limafuna mpweya wokwanira kuchokera m'magazi nthawi zonse. Pamene kuyenda kwa magazi kwasokonekera motere, mutha kukhala ndi zizindikiro monga chizungulire, kutopa, kupuma movutikira, ndi kupweteka pachifuwa .

Chifukwa chiyani mankhwalawa amagwiritsidwa ntchito ndipo ndi matenda ati?

Ngati kugunda kwa mtima kwanu kuli kofulumira kwambiri kapena kosasinthasintha, mungafunike mankhwala a mtima. Pali zifukwa zingapo zomwe kugunda kwa mtima wanu kungakhale kosasinthasintha.

• Mankhwala ena omwe mumagwiritsa ntchito
• Matenda opatsirana monga chibayo
• Matenda amtima
• Kusintha kwa kapangidwe ka mtima
• Kutsekeka kwa m'mapapo
• Kulephera kwa mtima kotsekeka
• Matenda a m'mapapo monga COPD kapena Emphysema

Mankhwala a Cardioversion amagwiritsidwa ntchito makamaka pochiza matenda otsatirawa osakhazikika a mtima:

Kodi chimachitika ndi chiyani musanalandire chithandizo?

Dokotala wanu adzasankha chithandizo chomwe chili choyenera kwa inu (mankhwala kapena opaleshoni ya mtima yamagetsi). Ngati kuthamanga kwa magazi anu kuli kotsika kwambiri, dokotala wanu angasankhe opaleshoni ya mtima yamagetsi.

• Chakudya ndi Chakumwa: Mudzalangizidwa kuti musadye kapena kumwa kwa maola pafupifupi 8 musanalandire chithandizochi.
• Mayeso: Ngati muli ndi vuto la mtima losakhazikika (atrial arrhythmia) kwa masiku opitilira awiri, dokotala wanu angachite mayeso otchedwa Transesophageal Echocardiogram (TEE) . Izi ndi kuyesa magazi kuundana mkati mwa mtima. Izi zingayambitse sitiroko ngati magazi kuundana atuluka panthawi ya chithandizo.
• Mankhwala: Pafupifupi mankhwala aliwonse omwe mumamwa, kuphatikizapo mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, komanso mankhwala a ku Sinhala.Muyenera kuuza dokotala wanu. Mungapemphedwenso kuti muyambe kumwa mankhwala oletsa magazi kuundana milungu itatu musanalandire chithandizo kuti muchepetse chiopsezo cha magazi kuundana.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Chithandizochi nthawi zambiri chimachitikira m'chipinda chosamalira odwala kwambiri (ICU) cha chipatala kapena m'chipinda chapadera chomwe chaperekedwa. Izi zili choncho chifukwa pali chiopsezo chochepa cha mitundu ina ya kugunda kwa mtima kosakhazikika mukapatsidwa mankhwala, kotero muyenera kuyang'aniridwa mosamala.

Pakadali pano simuli nokha. Madokotala ndi anamwino ali nanu, akuyang'anira kuthamanga kwa magazi ndi kugunda kwa mtima wanu (ECG). Zipangizo zonse zofunika (monga defibrillator) zili zokonzeka pakagwa ngozi.

Mankhwalawa amaperekedwa kwa inu ngati piritsi lomwe mumameza kapena kudzera mu IV mumtsempha womwe uli m'dzanja lanu . Nthawi zina, ngati mlingo woyamba wa mankhwala sukugwira ntchito, mlingo wina ukhoza kuperekedwa.

Mankhwala omwe amagwiritsidwa ntchito kwambiri

Mtundu wa mankhwala omwe mupatsidwa umasiyana malinga ndi matenda anu. Ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Amiodarone (Cordarone®)
• Procainamide
• Ibutilide
• Flecainide
• Propafenone (Rythmol®)
• Sotalol (Betapace®)
• Ma beta-blockers monga metoprolol (Lopressor®)
• Mankhwala oletsa njira za calcium monga diltiazem (Cardizem®)
• Adenosine (Adenocard®)

Kodi ubwino ndi kuipa kwa chithandizochi ndi kotani?

Mungathe kusungidwa kuchipatala kuti mukayang'aniridwe kwa maola 24 mpaka 48 mutalandira chithandizo. Anthu ena angamve kutopa pang'ono kapena kusasangalala ndi mankhwalawa.

Ubwino:

• Kugunda kwa mtima kumatha kubwezeretsedwanso ku kayimbidwe kabwinobwino.
• Zizindikiro monga chizungulire ndi kutopa zimachepa.
• Ingagwiritsidwe ntchito ngati njira ina m'malo mwa magetsi a mtima.

Zoopsa ndi Zovuta:

• Kuyamba kwa kugunda kwa mtima kosakhazikika kapena kuipiraipira kwa mtima womwe ulipo kale.
• Magazi oundana amatha kusweka n’kuyambitsa sitiroko .
• Zotsatirapo zoyipa monga nseru ndi kutopa.
• Mankhwala ena angatenge miyezi ingapo kuti agwire ntchito.
• Ngati chithandizochi sichikuyenda bwino, mungafunike kugwiritsa ntchito njira zina monga electroconvulsive therapy kapena catheter ablation.
• Mankhwala sagwira ntchito mofanana kwa aliyense. Nthawi zina, chiŵerengero cha kupambana kwa nthawi yayitali chimakhala pafupifupi 50%.

Kodi muyenera kufunafuna upangiri wa dokotala nthawi yomweyo liti?

Ngati mukukumana ndi zizindikiro zosazolowereka izi mutadwala matenda a mtima, pitani ku chipatala chapafupi cha Emergency Department (ETU) nthawi yomweyo:Kapena imbani ambulansi pa 1990. Musatenge izi mopepuka.

• Kugunda kwa mtima
• Chizungulire chachikulu
• Kusadzikuza
• Kufooka kwa thupi
• Kutuluka thukuta mwadzidzidzi
• Kupweteka pachifuwa
• Kuvuta kupuma
• Zizindikiro za ziwengo monga ming'oma

Imwani mankhwala onse omwe dokotala wanu wakupatsani, musanayambe komanso mutalandira chithandizo, nthawi yake komanso nthawi yake. Ngati muli ndi mafunso aliwonse, musaope kufunsa dokotala wanu.