Kodi mtima wanu umagunda mofulumira mwadzidzidzi? Tiyeni tiphunzire za (Junctional Tachycardia) iyi!

Kodi inuyo kapena wina m'banja mwanu, makamaka mwana wamng'ono, mudayamba mwamvapo kugunda kwa mtima mwadzidzidzi komanso kofulumira kwambiri? Kapena mudachita mantha pang'ono dokotala atakuuzani dzina lakuti `(Junctional Tachycardia)`? Musadandaule. Uwu ndi vuto losowa, koma mukangolimvetsa mosavuta, mudzamva bwino kwambiri. Tiyeni tikambirane mwatsatanetsatane lero.

Kodi `(Junctional Tachycardia)` ndi chiyani? Mwachidule...

Mwachidule, `(Junctional Tachycardia)` ndi mkhalidwe womwe kamvekedwe ka mtima wathu, ndiko kuti, kamvekedwe ka mtima wathu, kamasiyana pang'ono, ndipo kumachitika mofulumira. Kunena zoona, chomwe chimachitika apa ndichakuti kugunda kwa mtima sikuyambira pamalo oyenera, koma kumayambira pamalo ena ndikuyamba kuthamanga mofulumira.

Tangoganizirani, mtima wathu uli ndi dongosolo lamagetsi. Ichi ndi chomwe chimapatsa mtima chizindikiro choti ugwire pa nthawi yoyenera. Nthawi zambiri, chizindikirochi chimayambira pamalo ang'onoang'ono otchedwa `(Sinoatrial node)` pamwamba pa mtima. Chili ngati switch yayikulu m'nyumba mwathu. Kuchokera pamenepo, uthenga wamagetsi umadutsa mumtima ndipo umapangitsa minofu ya mtima kugwedezeka ndikugunda. Timatcha izi `(Normal Sinus Rhythm)`.

Komabe, nthawi zina ngati chinachake chikachitika ku `(Sinoatrial node)` iyi, siigwira ntchito bwino. Monga momwe wosewera wolowa m'malo mwa seweroli pamene wosewera wamkulu akudwala, malo ena mumtima, ndiko kuti, `(Atrioventricular node)` yomwe ili pakati pa zipinda zapamwamba ndi zapansi za mtima (izi zitha kutchedwanso "cholumikizirana" cha mtima), imatenga udindo woyambitsa kugunda kwa mtima. Mwanjira imeneyi, mtima ukugunda mofulumira kuyambira pa cholumikizirana cha mtima umatchedwa `(Junctional Tachycardia)`.

Kawirikawiri, tikakhala pa mpumulo, mtima wathu umagunda pakati pa nthawi 60 ndi 100 pamphindi. Komabe, mwa munthu amene ali ndi ``Junctional Tachycardia``, mtima umagunda nthawi zoposa 100 pamphindi, nthawi zina mofulumira kwambiri.

Kodi mitundu ikuluikulu ya `(Junctional Tachycardia)` ndi iti?

Kusakhazikika kwa kayendedwe ka mtima kumeneku kungachitike m'njira ziwiri zazikulu.

1. Choyamba kapena Congenital (Junctional Tachycardia)

Uwu ndi mtundu wosowa kwambiri. Ana ena amatha kukhala ndi vutoli akangobadwa. Ngati izi zitachitika, zipinda zapansi ('ventricles') za mtima wa mwana zimatha kugunda mofulumira kwambiri, pafupifupi nthawi 200 mpaka 250 pamphindi. Uwu ndi vuto lalikulu kwambiri.

2. Matenda achiwiri kapena a pambuyo pa opaleshoni (Junctional Tachycardia)

Mtundu uwu ndi wofala kwambiri. Ungathe kuchitika, makamaka kwa ana aang'ono omwe ali ndi vuto la mtima lobadwa nalo atachitidwa opaleshoni kuti akonze vutolo. Mwachitsanzo, makanda ena omwe amachitidwa opaleshoni kuti akonze vuto la mtima lotchedwa Tetralogy of Fallot akhoza kukhala ndi vutoli. Lingathe kuchitika pakati pa 5% ndi 11% ya ana omwe amachitidwa opaleshoni.

Kodi `(Junctional Tachycardia)` ndi `(SVT)`?

Inde, `(Junctional Tachycardia)` ndi mtundu wa `(SVT)`. `(SVT)` imayimira `(Supraventricular Tachycardia)`. Ndiko kuti, kugunda kwa mtima mwachangu komwe kumayambira m'zipinda zapamwamba za mtima (pamwamba pa `Ventricles`).

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a Junctional Tachycardia ndi osowa kwambiri mwa akuluakulu. Komabe, amapezeka kwambiri mwa makanda ndi ana aang'ono. Monga tanenera kale, amatha kuchitika chifukwa cha chifukwa chobadwa nacho (chomwe sichimachitika kawirikawiri) kapena pambuyo pa opaleshoni ya mtima.

Kodi zizindikiro zake ndi ziti? Kodi timazizindikira bwanji?

Nthawi zina vutoli likhoza kukhalapo popanda zizindikiro zilizonse. Koma ngati zizindikirozo ziwonekera, zitha kuphatikizapo:

• Kugunda kwa mtima : Kungamveke ngati wina akuthamanga m'chifuwa mwanu, kapena ngati mtima wanu ukudumphadumpha.
• Chizungulire : Mungamve chizungulire komanso kuvutika kuyima.
• Kukomoka : Mungataye mwadzidzidzi chidziwitso ndikugwa.
• Kumva kutopa kwambiri : Mungamve kutopa kwambiri moti simungathe kuchita chilichonse.

Ngati zizindikirozi zikupezeka, makamaka kwa mwana wamng'ono, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi zifukwa za `(Junctional Tachycardia)` ndi ziti?

Pali zifukwa zingapo zomwe zingasokoneze ``Sinoatrial node`` mumtima mwathu kuti tipange ma signal amagetsi moyenera. Ichi ndichifukwa chake ``Junctional Tachycardia`` imachitika.

Mwachitsanzo, vutoli lingachitike chifukwa cha poizoni wa mankhwala otchedwa `(Digoxin)` (maina a `Cardoxin®` kapena `Digitek®`).

Nazi zifukwa zina zingapo:

• Myocarditis : Kutupa kwa minofu ya mtima.
• Matenda a mtima .
• Kusintha ma valavu a mtima kapena opaleshoni ina ya mtima.
• Matenda a mtima obadwa nawo : Ichi ndi chifukwa chosowa.
• Kuchotsa catheter ndi njira ina yothandizira matenda ena a mtima.
• Matenda a Lyme .

Kodi mungazindikire bwanji `(Junctional Tachycardia)`?

Mayeso akuluakulu ozindikira vutoli ndi `(Electrocardiogram - ECG)`. Izi zimalemba momwe magetsi a mtima amagwirira ntchito. Munthu amene ali ndi `(Junctional Tachycardia)` adzakhala ndi ``P wave`` yosowa mu ``ECG``. `P wave`` iyi ndi chizindikiro chakuti mtima ukuyamba kugunda kuchokera ku `(Sinoatrial node).``

Kuwonjezera pa ECG, dokotala wanu adzalemba mbiri yanu yonse ya matenda. Akhozanso kuyitanitsa mayeso ena, monga kuyezetsa magazi ndi echocardiogram, yomwe ndi ultrasound ya mtima.

Kodi imachiritsidwa bwanji?

Chithandizo chimadalira chomwe chayambitsa vutoli komanso zizindikiro zanu. Ngati vuto la mtima linayamba mutachita opaleshoni ya mtima, dokotala wanu akhoza:

• Kukonza kusalinganika kwa ma electrolyte m'thupi.
• Yang'anani ngati muli ndi malungo ndipo ngati alipo, muwachiritse.
• Kulemba mankhwala ochepetsa kugunda kwa mtima.

Pali mankhwala ena:

• Mankhwala ochepetsa kugunda kwa mtima kapena kuubwezeretsa ku kayimbidwe kabwinobwino, monga `(Amiodarone)` (maina a `Cordarone®` kapena `Pacerone®`), angaperekedwe.
• Njira zochiritsira zotchedwa `(Catheter ablation)` kapena `(Cryoablation)` ndi zina mwa izo. Mu izi, catheter imayikidwa m'dera la mtima lomwe limayambitsa zizindikiro zamagetsi zosakhazikika ndikuwononga dera limenelo. `(Cryoablation)` ndi njira yomwe imagwiritsa ntchito kuzizira kwambiri.
• Kuthamanga kwambiri kwa mtima: Kuyesa kubwezeretsa kamvekedwe ka mtima pogwiritsa ntchito chipangizo chakunja, monga chopangira mtima.

Kodi pali zovuta zilizonse pa chithandizochi?

Pambuyo pa chithandizo cha `(Catheter ablation)`, nthawi zina kamvekedwe kachilendo kameneka kamatha kubwereranso. Komanso, ndi `(Catheter ablation)` mwa akuluakulu, pamakhala chiopsezo cha `(Atrioventricular block)` (ndiko kuti, kutsekeka kwa kondakitala wotsatira yemwe amanyamula chizindikiro chamagetsi pambuyo pa `(Sinoatrial node)`). Chifukwa chiopsezochi ndi chochepa, madokotala nthawi zina amagwiritsa ntchito njira ya `(Cryoablation)`. Ngati chithandizo cha `(Ablation)` sichikuyenda bwino pambuyo pa nthawi ziwiri, mungafunikenso kuikidwa `(Pacemaker)` (chipangizo chaching'ono chomwe chimalamulira kugunda kwa mtima).

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire kuchokera ku mankhwala awa?

Kawirikawiri, mukatha kuchotsa catheter, mutha kupita kunyumba ndikuyambiranso ntchito zanu zachizolowezi nthawi yomweyo. Komabe, mungafunike kudikira masiku angapo musanachite ntchito zovuta. Dokotala wanu adzakupatsani malangizo enieni pankhaniyi.

Kodi chiopsezo cha `(Junctional Tachycardia)` chingachepe?

Madokotala angachepetse chiopsezo chotenga Junctional Tachycardia popereka mankhwala enaake asanayambe opaleshoni kapena panthawi ya opaleshoni. Mwachitsanzo:

• `(Magnesium)`
• `(Propranolol)` (mayina a `Inderal®XL` kapena `InnoPran®XL`)
• (Dexmedetomidine)` (Nthawi zina izi zimagwiritsidwa ntchito pa opaleshoni ya mtima pa ana aang'ono)

Kodi munthu amene ali ndi vuto la `(Junctional Tachycardia)` angayembekezere chiyani?

Mukapeza chomwe chimayambitsa vuto la rhythm iyi ndikuchiritsidwa, zizindikirozo zidzachepa pang'onopang'ono. Komabe, muyenera kukhala m'chipatala mpaka vuto lanu la ``Junctional Tachycardia`` litakula.

Zotsatira zake (`Outlook`) zimasiyana malinga ndi mtundu wa matendawa.

• Choyamba kapena Congenital (Junctional Tachycardia)Vutoli ndi lovuta kuchiza. Lingayambitsenso matenda aakulu monga `(Heart failure)` (kulephera kwa mtima), `(Complete heart block)` (kutsekeka kwathunthu kwa zizindikiro zamagetsi za mtima), ndi `(Ventricular fibrillation)` (kugunda kosalamulirika kwa zipinda zapansi za mtima). Ngati silinalandire chithandizo, pali mwayi wa 9% wa imfa. Komabe, ngati kamvekedwe kameneka kayamba pambuyo pa miyezi isanu ndi umodzi yoyambirira ya moyo, zotsatira zake zimakhala zabwino kwambiri.
• Matenda a Secondary kapena Postoperative Junctional Tachycardia nthawi zambiri amapezeka patatha masiku awiri kapena atatu opaleshoni itatha, koma nthawi zambiri amatha mkati mwa sabata imodzi. Angayambitse kuthamanga kwa magazi, chizungulire, komanso kutaya chikumbumtima.

Ndiyenera kupita kwa dokotala liti?

Muyenera kuonana ndi dokotala wanu kuti akakuwoneninso pakatha milungu iwiri mutachoka kuchipatala. Muyeneranso kupitiriza kulandira chithandizo cha vuto lomwe linayambitsa junctional tachycardia.

Kodi ndiyenera kupita ku chipinda chodzidzimutsa liti (ER)?

Ngati mwakhala mukuchotsa catheter, funsani dokotala nthawi yomweyo ngati mwapeza zizindikiro zotsatirazi pamalo omwe mwaikapo catheter (nthawi zambiri m'chifuwa):

• Ngati mwadzidzidzi yatupa.
• Ngati kutuluka magazi sikutha ngakhale mutakanikiza ndikugwira.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukazindikira kuti inu kapena mwana wanu ali ndi vutoli, n'zachibadwa kukhala ndi mafunso ambiri. Musaope kufunsa dokotala wanu za zinthu izi:

• Kodi mwana wanga/ineyo ndili ndi mtundu wanji wa Junctional Tachycardia?
• Kodi chithandizo chabwino kwambiri cha vuto langa ndi chiti?
• Kodi pali mwayi woti ana anga ena nawonso adzadwala matendawa?

Ngati mwana wanu ali ndi Junctional Tachycardia, funsani dokotala wanu za zizindikirozo ndipo mumvetse. Kenako, ngati chinthu chonga ichi chikachitikanso, mutha kuzindikira mwachangu. Musaope kufunsa mafunso okhudza chithandizo chomwe mwana wanu akulandira komanso zoopsa zomwe zingachitike. Kudziwa zonsezi kudzakuthandizani kupanga zisankho zabwino kwambiri pa moyo wa mwana wanu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Musachite mantha mukamva dzina lakuti `(Junctional Tachycardia)`. Ili ndi vuto ndi kayimbidwe ka mtima, koma:

• Izi zitha kuzindikirika. Izi zitha kuzindikirika kudzera mu mayeso monga `ECG`.
• Pali mankhwala. Kutengera ndi chomwe chimayambitsa, imatha kuthetsedwa ndi mankhwala kapena njira monga ``(Ablation)```.
• Mtundu umene umachitika, makamaka pambuyo pa opaleshoni, nthawi zambiri umakhala wa kanthawi kochepa. Udzakhala bwino pakapita masiku ochepa.
• Lankhulani momasuka ndi dokotala wanu. Lankhulani ndi dokotala wanu za mafunso anu onse ndi mantha anu ndipo mukhale omasuka.

Chofunika kwambiri ndi kukumbukira kuti simuli nokha. Madokotala ndi ogwira ntchito zachipatala nthawi zonse amakhala okonzeka kukuthandizani.

Ndikufunira inu ndi banja lanu thanzi labwino!

Kugunda kwa Mtima , Matenda a Mtima, Tachycardia, Matenda a Mtima a Ana, ECG, Opaleshoni ya Mtima, Tachycardia Yolumikizana