Kodi nthawi zina kugunda kwa mtima wanu kumapita m'njira zachilendo? Tiyeni tikambirane za Idioventricular Rhythm!

Kodi nthawi zina mumamva ngati pali china chake chosiyana pang'ono ndi momwe mtima wanu umagunda? Mwina ndi wothamanga kwambiri, kapena umamva ngati ukugunda mwanjira yachilendo kwambiri? Musadandaule, nthawi zambiri izi sizovuta zazikulu. Komabe, ndikofunikira kuti mudziwe za vuto ili lomwe tikambirana lero, lotchedwa `Idioventricular Rhythm`.

Kodi `Idioventricular Rhythm` ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, ``Idioventricular Rhythm`` ndi rhythm ya mtima momwe zipinda zapansi za mtima wanu, ``ventricles`` , zimagunda pang'onopang'ono kuposa masiku onse. Taganizirani izi, zipinda zapamwamba za mtima wathu (``atria``) ndi komwe kuli ``natural pacemaker``, kapena ``sinoatrial node``. Ngati pacemaker iyi sikugwira ntchito bwino, maselo omwe ali pansi pa mtima amaganiza kuti, "Chabwino, tiyeni tigunde mtima." Koma, amangogunda pang'ono pang'ono.

Kawirikawiri, mu "Idioventricular Rhythm" iyi, mtima umagunda zosakwana nthawi 50 pamphindi .

Komabe, pali kusiyana kwina kochepa, kumatchedwa `Accelerated Idioventricular Rhythm (AIVR).` Kenako kugunda kwa mtima kumakhala pakati pa 50 ndi 110 beats pa mphindi. Izi ndi zosiyana ndi vuto lotchedwa `Ventricular Tachycardia` (Ventricular Tachycardia), komwe mtima umagunda mofulumira (kupitirira 100 beats pa mphindi), sichoncho?

Izi siziyenera kusokonezedwa ndi mavuto ena a mtima, eti?

Inde, pali matenda ena ambiri okhudzana ndi kugunda kwa mtima. Chifukwa chake, 'Idioventricular Rhythm' iyi ikhoza kusokonezedwa ndi ina. Imeneyo ndi 'Junctional Rhythm'.

• Idioventricular Rhythm: Izi zimayambira m'zipinda zapansi pa mtima, m'ma ventricles.
• Kugundana kwa Magulu: Izi zimayambira pamalo olumikizirana pakati pa zipinda zapamwamba ndi zapansi pa mtima (zogwirizana ndi node ya AV).

Kodi mwaona kusiyana? Ngakhale kuti nyimbo zonse ziwiri zimayambira pamalo olakwika mumtima, malo awiri oyambira ndi osiyana.

Ndani amene angakhudzidwe kwambiri ndi vutoli?

Ngakhale kuti aliyense akhoza kukhala ndi vuto lotchedwa ``Idioventricular Rhythm,'' anthu ena ali ndi mwayi waukulu wopeza vutoli.

• Anthu omwe ali ndi vuto la mtima lotsekeka kapena lalikulu.
• Anthu omwe ali ndi vuto la pacemaker yachilengedwe ya mtima, monga `sinus arrest` kapena `sinoatrial nodal block`.
• Anthu omwe adadwalapo "mtima".
• Anthu omwe amagwiritsa ntchito mankhwala enaake (makamaka omwe amachitsa matenda a mtima) ndi mankhwala osaloledwa.
• Kawirikawiri, zimatha kuchitikanso kwa anthu omwe ali ndi vuto la mtima lobadwa nalo.

Nthawi zina Accelerated Idioventricular Rhythm (AIVR) imapezeka mwa othamanga athanzi. Komabe, nthawi zambiri imapezeka mwa anthu omwe ali ndi matenda ena a mtima, monga:

• Ischemic cardiomyopathy (ICM) ndi kufooka kwa minofu ya mtima chifukwa cha kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi kumtima.
• `Matenda a mtima otupa mafupa` (kuwonongeka kwa ma valve a mtima pambuyo pa matenda a pakhosi).
• Kuchuluka kwa mtima (dilated cardiomyopathy - minofu ya mtima imafooka ndikukulitsidwa).
• `Acute coronary syndromes` (acute coronary syndromes - kusokonezeka mwadzidzidzi kwa magazi kupita kumtima).
• `Acute myocarditis` (kutupa/kutupa kwa minofu ya mtima).

Kodi zizindikiro zake ndi ziti? Kapena simukumva kalikonse?

Apa pali mfundo yodabwitsa! Nthawi zambiri, anthu omwe ali ndi `Idioventricular Rhythm` samakhala ndi zizindikiro zilizonse . Inde, ndi zoona. Tangoganizirani, anthu ena sadziwa ngakhale kuti ali ndi vutoli, ndipo limapezeka mwangozi akachitidwa `ECG` chifukwa cha chinthu china.

Komabe, anthu ena akhoza kukhala ndi zizindikiro. Ngati atatero, akhoza kukhala ndi izi:

• Kutopa: Mwina mukumva kutopa.
• Chizungulire: Mungamve ngati mutu wanu ukuzungulira ndipo mungamve ngati mukutaya mphamvu.
• Kukomoka/Kutaya chidziwitso: Anthu ena angataye chidziwitso mwadzidzidzi ndikugwa. Ichi ndi chizindikiro choopsa kwambiri.
• Kugunda kwa mtima: Mungamve mtima wanu ukugunda mofulumira, ngati kuti ukugunda mwamphamvu m'chifuwa mwanu.

Kumbukirani kuti si aliyense amene amakumana ndi zizindikiro zimenezi. Komabe, ngati mumaziona pafupipafupi, ndi bwino kupita kwa dokotala.

N’chifukwa chiyani `Accelerated Idioventricular Rhythm (AIVR)` iyi imachitika? Kodi zimayambitsa chiyani?

Pali zifukwa zingapo zomwe zimayambitsa `Accelerated Idioventricular Rhythm (AIVR)` zomwe tidakambirana kale, zomwe ndi vuto lomwe mtima umagunda pa liwiro la pakati pa 50-110 beats pa mphindi. Izi ndi izi:

• Myocarditis (kutupa kwa minofu ya mtima).
• Pambuyo pa matenda a mtima.
• Mitundu ina ya `cardiomyopathies` (cardiomyopathy - matenda a minofu ya mtima).
• Pambuyo pobwezeretsa mphamvu (mwachitsanzo, pambuyo pa matenda a mtima, pamene mwatsitsimutsidwa ndi `CPR`).
• Mulingo wochuluka kwambiri wa electrolyte potassium m'thupi.
• Kuopsa kwa poizoni komwe kumachitika chifukwa chogwiritsa ntchito kwambiri mankhwala a mtima otchedwa `Digoxin (Digitek® kapena Cardoxin®)`.

Kodi dokotala amapeza bwanji izi?

Ngati muli ndi zizindikiro izi, kapena pazifukwa zina zilizonse, mukapita kwa dokotala, choyamba adzakuyesani bwino ('kuyesa thupi'). Kenako adzakufunsani za mbiri yanu yachipatala ndi mbiri ya banja lanu.

Kuphatikiza apo, mayeso otsatirawa akhoza kuchitidwa kuti adziwe ngati vuto la `Idioventricular Rhythm` lilipo:

• Electrocardiogram (ECG/EKG): Iyi ndi njira yofunika kwambiri yoyezera mtima. Imalemba momwe magetsi a mtima amagwirira ntchito. Mu Idioventricular Rhythm, ECG imasonyeza kuti zipinda zapansi pa mtima zikugunda motsatizana, koma zipinda zapamwamba (atria) sizikuyenda bwino kapena sizili bwino.
• `Chowunikira cha Holter`: Ichi chili ngati makina ang'onoang'ono a `ECG`. Koma muyenera kuvala kwa maola 24 kapena 48. Chingathe kuwona momwe kugunda kwa mtima wanu kumasinthira pamene mukuchita ntchito zanu za tsiku ndi tsiku. Nthawi zina, kugunda kwachilendo kumeneku sikungawonekere panthawi yochepa yomwe imatenga kuti mupeze `ECG`.

Kodi mankhwala ake ndi otani? Kodi ichi ndi chinthu choopetsadi?

Nkhani yabwino ndi iyi! Kwa anthu ambiri, vuto lotchedwa ``Idioventricular Rhythm'' si loopsa (``loipa``) ndipo silifuna chithandizo chapadera. Nthawi zambiri, limangotha ​​lokha.

Komabe, ngati dokotala wanu asankha kuchiza vutoli, nthawi zambiri limakhala pochiza vuto lalikulu lomwe linayambitsa vutoli. Mwachitsanzo:

• Ngati vutoli layamba chifukwa cha mankhwala, siyani kapena sinthani mankhwalawo.
• Ngati pali vuto ndi momwe mtima umagwirira ntchito (monga kutsekeka kwa mtima), chitani.

Tsopano, ngati `Accelerated Idioventricular Rhythm (AIVR)` ikupitirira, ndipo kuthamanga kwa magazi anu kukutsikanso, ndiye kuti dokotala angachite izi kuti abwezeretse kayendedwe ka mtima kabwinobwino:

• Kupereka mankhwala monga `Atropine (Atreza® kapena Sal-Tropine®)` kapena `isoproterenol`.
• Kugwiritsa ntchito chipangizo chapadera (monga chothandizira pacemaker kwakanthawi) kuti abwezeretse kayendedwe ka zipinda zapamwamba za mtima.

Kodi tingatani kuti tichepetse chiopsezochi?

Ngakhale kuti Idioventricular Rhythm si yoopsa nthawi zambiri, chiopsezo chokhala ndi matenda otere chingachepe pang'ono mwa kuchitapo kanthu kuti mitima yathu ikhale yathanzi.

• Kuchita masewera olimbitsa thupi nthawi zonse ndi kudya zakudya zopatsa thanzi (zochepa mafuta, mchere, ndi shuga, zipatso ndi ndiwo zamasamba zambiri).
• Yesetsani kusunga milingo ya electrolyte m'thupi lanu (makamaka potaziyamu) ili bwino . Zakudya zoyenera ndizofunikira pa izi.

Kodi chimachitika ndi chiyani ngati muli ndi `Idioventricular Rhythm`? Kodi mungayembekezere chiyani?

Apanso, kwa anthu ambiri, vutoli si loopsa ndipo limatha popanda chithandizo. Komabe, ngati mukumva kugunda kwa mtima pafupipafupi ndipo kamvekedwe kake kachilendo kakupitirirabe osabwerera mwakale, muyenera kupita kuchipatala.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Nthawi zambiri, simuyenera kuchita chilichonse chapadera pa `Idioventricular Rhythm`. Imatha yokha. Komabe, ngati vutoli silikuchira lokha ndipo mukumva zizindikiro monga kukomoka, pitani kwa dokotala nthawi yomweyo.

Chofunika kwambiri: Ngati mukuganiza kuti muli ndi zizindikiro za `Mtima` (monga kupweteka kwambiri pakati pa chifuwa, kupuma movutikira, kusanza, thukuta kwambiri), imbani 1990 nthawi yomweyo ndipo imbani ambulansi!

Kodi ndi mafunso otani ofunika kufunsa dokotala?

Ngati dokotala wanu akukuuzani kuti muli ndi "Idioventricular Rhythm", ndi bwino kufunsa mafunso awa:

• "Dokotala, kodi mungandiuze chomwe chikuyambitsa 'Idioventricular Rhythm' yanga?"
• "Ngati ndikufuna chithandizo cha izi, ndi chithandizo chiti chabwino kwambiri kwa ine?"

Ngakhale kuti `Idioventricular Rhythm` nthawi zambiri si vuto lalikulu, mayendedwe ena osazolowereka a mtima akhoza kukhala oopsa. Chifukwa chake, ngati mukumva kugunda kwa mtima kwachilendo, ngati mukumva zinthu monga chizungulire, pitani kwa dokotala nthawi yomweyo. Ngati dokotala wanu akukuuzani kuti muyambe kapena musiye kumwa mankhwala aliwonse, tsatirani malangizo amenewo molondola. Komanso, ndikofunikira kwambiri kupita kukayezetsa `zotsatira` pa masiku omwe akonzedwa.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikukumbutseni mwachidule mfundo zofunika kuchokera pa zomwe takambirana:

• Idioventricular Rhythm ndi kayimbidwe ka mtima komwe kamayambira m'zipinda zapansi (maselo) a mtima ndipo nthawi zambiri kumakhala kochedwa.
• Nthawi zambiri, izi si vuto loopsa, ndipo anthu ambiri sasonyeza zizindikiro.
• Komabe, ngati vutoli likupitirira ndi zizindikiro monga nseru , muyeneradi kufunafuna upangiri wa dokotala.
• Chithandizo nthawi zambiri chimathetsa vuto lomwe linayambitsa vutoli, ndipo nthawi zina chimatha kuthetsedwa ndi mankhwala.
• Nthawi zonse tsatirani malangizo a dokotala wanu ndipo pitani kukaonana ndi dokotala nthawi zonse.

Ndikofunikira kwambiri kusamalira mtima wanu. Ndikukhulupirira kuti izi zikuthandizani!

` Idioventricular Rhythm, kugunda kwa mtima, kugunda kwa mtima pang'onopang'ono, kugunda kwa mtima kofulumira, zizindikiro za matenda a mtima, ECG, Holter monitor