Kodi munayamba mwamvapo ngati mtima wanu ukugunda mofulumira kapena mofulumira kuposa masiku onse? Kodi munayamba mwamvapo ngati chinachake chikuzungulira pachifuwa chanu ndipo mumavutika kupuma? Lero tikambirana za chithandizo chapadera chomwe madokotala amagwiritsa ntchito kubwezeretsa kagwiridwe kabwino ka mtima (arrhythmias) pazochitika ngati izi. Izi zimatchedwa cardioversion.
Mwachidule, kodi Cardioversion ndi chiyani?
Kusinthasintha kwa mtima ndi njira yachipatala yomwe madokotala amachita kuti abwezeretse kayimbidwe ka mtima wanu kosasinthasintha, kapena kayimbidwe. Taganizirani izi ngati kukonzanso chida choimbira chomwe chataya kayimbidwe kake. Izi zitha kuchitika m'njira ziwiri. Choyamba ndi kugwiritsa ntchito chipangizo chamagetsi. China ndi kukupatsani mankhwala. Pazidzidzidzi zina, monga vuto lotchedwa ventricular arrhythmia, chithandizochi chingapulumutse moyo wanu. Nthawi zina, chimachitidwa kuti mupewe mavuto amtsogolo.
Kodi mitundu ikuluikulu ya chithandizo cha mtima ndi iti?
Monga tanenera kale, izi zimachitika m'njira ziwiri zazikulu. Tiyeni timvetse bwino.
| Mtundu wa chithandizo | Momwe imagwirira ntchito |
|---|---|
| Kusinthasintha kwa Mtima kwa Magetsi | Izi zimaphatikizapo kupereka mphamvu zamagetsi yolamulidwa (shock) pachifuwa panu pogwiritsa ntchito chipangizo chapadera chotchedwa defibrillator . Izi zimachitika kudzera m'mapepala awiri apadera (electrode patches) omwe amaikidwa pachifuwa ndi kumbuyo kwanu. Izi zimachitika mukagona, kuti musamve kupweteka kulikonse. Kwa anthu omwe ali pachiwopsezo chachikulu cha mavuto oopsa a mtima, chipangizo chaching'ono chotchedwa Implantable Cardioverter-Defibrillator (ICD) chingagwiritsidwenso ntchito. |
| Kudzera mu mankhwala (Chemical Cardioversion) | Izi zikuphatikizapo kukupatsani mankhwala monga piritsi lomwe mumameza kapena kudzera mu IV yomwe imaperekedwa mumtsempha womwe uli m'dzanja lanu. Mankhwalawa angatenge mphindi, maola, kapena masiku kuti agwire ntchito. Chithandizochi nthawi zambiri chimachitikira kuchipatala chifukwa ntchito ya mtima wanu iyenera kuyang'aniridwa. Ngati mukumwa mankhwala anu kunyumba, ndikofunikira kukhala pafupi ndi dokotala wanu. |
Kodi matenda a mtima amagwiritsidwa ntchito pa matenda otani?
Mankhwalawa amagwiritsidwa ntchito pokonza kayimbidwe ka mtima kofulumira kapena kosasinthasintha. Zina mwa izi ndi izi:
- Matenda a mtima otchedwa Atrial Fibrillation ndi Atrial Flutter: Awa ndi matenda awiri omwe amachiritsidwa kwambiri ndi matenda a mtima.
- Tachycardia ya Atrial
- Tachycardia ya Ventricular
- Kutsekeka kwa Mitsempha ya M'magazi: Ichi ndi vuto ladzidzidzi komanso loopsa kwambiri.
Nchifukwa chiyani ndikufunika chithandizo cha matenda a mtima?
Kuti mtima wanu upompe magazi okwanira m'thupi lanu, uyenera kukhala ndi kugunda koyenera komanso kamvekedwe koyenera. Pamene kugunda kwa mtima wanu kusasinthasintha, mungakumane ndi zizindikiro monga:
- Chifuwa changa mwadzidzidzi chikumva ngati chikugunda kwambiri, ngati kuti ndikumenyedwa ndi chindapusa.
- Kuvuta kupuma.
- Kusamva bwino pachifuwa kapena kupweteka.
- Kumva chizungulire kapena kutopa kwambiri.
Zizindikirozi zikutanthauza kuti mtima wanu sukupereka magazi okwanira m'thupi lanu. Ngakhale simunazindikire zizindikirozi, ngati simunalandire chithandizo, muli pachiwopsezo chachikulu chotenga matenda oopsa monga matenda a mtima kapena sitiroko mtsogolo.
Kodi mumakonzekera bwanji tsiku la chithandizo?
Gulu lanu lachipatala lidzakupatsani malangizo atsatanetsatane pankhaniyi, koma pali zinthu zina zofunika kukumbukira.
Tsiku lisanafike ndi m'mawa wa chithandizo
- Kuyendetsa Galimoto: Simudzatha kuyendetsa galimoto kwa maola 24 mutalandira chithandizo. Chifukwa chake, ndikofunikira kuti mukhale ndi munthu woti akuyendetseni kunyumba.
- Chakudya ndi Chakumwa: Idyani bwino usiku womwe usanalandire chithandizo. Komabe, musadye, kumwa, kapena kutafuna chilichonse pambuyo pa pakati pausiku usiku womwewo. Izi zikuphatikizapo madzi, chingamu, kapena mints. Komanso, samalani kuti musameze madzi mukamatsuka mano anu.
- Mankhwala: Ngati mukumwa mankhwala oletsa magazi kuundana (ochepetsa magazi) kapena mankhwala a shuga, onetsetsani kuti mwafunsa dokotala wanu momwe mungawamwere tsiku lomwe mwalandira chithandizo. Imwani mankhwala ena odziwika bwino monga mwachizolowezi ndi madzi pang'ono, pokhapokha ngati dokotala wanu atakuuzani kuti musamwe.
Kodi muyenera kuchita chiyani mukafika kuchipatala?
- Zovala:Bwerani mutavala zovala zabwino zomwe zimakhala zosavuta kuvala ndi kuvula. Mudzafunika kuvala diresi la kuchipatala panthawi ya chithandizo chanu.
- Ukhondo: Musamavale zodzoladzola kapena zopaka misomali. Komanso, musagwiritse ntchito deodorant, ufa, kapena kirimu pachifuwa kapena kumbuyo kwanu. Izi zitha kusokoneza ma glue omwe amagwiritsidwa ntchito pochiza.
- Zamtengo Wapatali: Siyani zodzikongoletsera zonse, mawotchi, ndi zinthu zamtengo wapatali kunyumba, kuphatikizapo mphete zaukwati.
Kodi chimachitika ndi chiyani panthawi ya chithandizo komanso pambuyo pake?
Kukonzekera musanalandire chithandizo
Mudzaikidwa pabedi ndipo mzere wa IV (mzere wa m'mitsempha) udzalowetsedwa mumtsempha womwe uli m'dzanja lanu. Apa ndi pomwe mudzalandira mankhwala ndi madzi ofunikira panthawi ya chithandizo. Kenako, ma EKG pads ndi ma Cardioversion pads adzayikidwa pachifuwa ndi kumbuyo kwanu. Ngati pali tsitsi lililonse m'malo amenewo, adzachotsedwa.
Mungafunikenso kuyesedwa kotchedwa Transesophageal Echocardiogram (TEE) musanayambe kuchitidwa opaleshoni ya mtima. Izi zimaphatikizapo kuyika pakhosi panu dzanzi ndikuyika chubu chopyapyala pakhosi panu kuti mujambule zithunzi za mtima wanu kuti muwone ngati magazi amaundana, zomwe zingakhale zoopsa ngati zituluka panthawi ya chithandizo.
Kodi ndadzuka?
Ayi. Mumapatsidwa mankhwala kudzera mu IV ndipo mumagona. Choncho simukumva chilichonse, palibe ululu.
Pa nthawi ya chithandizo
Mukakhala mukugona, dokotala wanu amagwiritsa ntchito makina osinthira mtima kuti apereke mphamvu zamagetsi (shock) ku mtima wanu kudzera mu mapadi. Mphamvu imeneyi imaletsa kayimbidwe ka magetsi kosasinthasintha ndipo imalola kuti kayimbidwe kake kabwererenso ku kayimbidwe kabwinobwino. Izi zingafunike kuchitidwa kangapo kuti mubwezeretse kayimbidwe kake.
| Zinthu ndi zida zoti muziyang'anira panthawi ya chithandizo | |
|---|---|
| Chipangizo | Ntchito |
| Chothandizira mtima / Defibrillator | Kupereka mphamvu zamagetsi ku mtima. |
| Electrocardiogram (ECG/EKG) | Kuyang'anira nthawi zonse ntchito yamagetsi ya mtima. |
| Chowunikira Kuthamanga kwa Magazi | Yesani kuthamanga kwa magazi anu. |
| Oximeter | Kuyeza kuchuluka kwa mpweya m'magazi pogwiritsa ntchito kachidutswa kakang'ono kolumikizidwa ku chala. |
Pambuyo pa chithandizo
Mukamaliza kulandira chithandizo, mudzadzuka. Mudzamva tulo chifukwa cha mankhwala omwe mwapatsidwa. Chifuwa chanu chingamve kupweteka pang'ono komanso dzanzi kwa masiku angapo. Ngati dokotala wanu avomereza, mutha kugwiritsa ntchito kirimu ya `Hydrocortisone` pa izi. Mukadzuka mokwanira, dokotala wanu adzakulankhulani za zotsatira zake komanso dongosolo lanu la chithandizo chamtsogolo.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali ubwino komanso zoopsa zina zazing'ono.
- Ubwino: Ubwino waukulu ndi kusintha kwa kugunda kwa mtima, kuchepetsa zizindikiro, komanso kupopa mtima bwino.
- Zoopsa: Mavuto ndi osowa, koma amatha kuphatikizapo kufiira komwe ma pads amalumikizidwa pakhungu, kuvulala komwe kunayikidwa IV, magazi kuundana mumtima omwe amatuluka ndikuyambitsa sitiroko (izi ndi zomwe mayeso a TEE amachitidwa kuti apewe), kuipiraipira kwa kugunda kwa mtima, kapena kusamva bwino kwa mankhwala.
Nthawi zambiri mukhoza kupita kunyumba tsiku lomwelo. Koma simuyenera kuyendetsa galimoto kwa maola 24. Mukhoza kudya ndi kumwa bwino mukatha kulandira chithandizo. Lankhulani ndi dokotala wanu kuti mudziwe nthawi yomwe mungabwerere kuntchito.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha mtima ndi chothandiza kwambiri komanso chotetezeka chomwe chimagwiritsidwa ntchito pokonza kugunda kwa mtima kosakhazikika.
- Izi zimachitika mwa kukugonetsani tulo tofa nato, kukupatsani mphamvu zamagetsi zolamuliridwa, kapena kugwiritsa ntchito mankhwala. Simudzamva kupweteka kulikonse.
- Tsatirani malangizo a dokotala wanu mosamala musanalandire chithandizo, makamaka pankhani ya chakudya, chakumwa, ndi mankhwala ochepetsa magazi.
- Popeza simungathe kuyendetsa galimoto kwa maola 24 mutatha kulandira chithandizo, ndikofunikira kukhala ndi munthu woti akutengereni kunyumba.
- Ngati muli ndi zizindikiro monga kuuma pachifuwa, kuvutika kupuma, kapena chizungulire, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
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