Kodi mtima wanu ukugunda mofulumira? Kodi izi zingakhale Multifocal Atrial Tachycardia (MAT)?

Kodi nthawi zina mumamva ngati mtima wanu ukugunda ngati wamisala? Kapena mumamva chinthu chachilendo, ngati kulemera pachifuwa panu? Musachite mantha, musafulumire kuganiza kuti zonsezi zikuchitika chifukwa cha chinthu chachikulu. Komabe, nthawi zina zizindikirozi zimatha kukhala chizindikiro cha matenda otchedwa Multifocal Atrial Tachycardia (MAT) , omwe tikambirana lero. Chifukwa chake, tiyeni tikambirane za izi mosavuta, mwanjira yomwe mungamvetse.

Kodi tachycardia ya multifocal atrial (MAT) ndi chiyani?

Mwachidule, multifocal atrial tachycardia (MAT) ndi vuto lomwe limachitika pamene zizindikiro zamagetsi zochokera m'zipinda ziwiri zapamwamba za mtima wanu, zotchedwa atria, zimapangidwa mwanjira yosokonezeka, kuchokera m'malo osiyanasiyana. Taganizirani ngati kuti "malo ambiri olumikizirana mauthenga amagetsi" m'zipinda zapamwamba za mtima wanu ayamba kugwira ntchito nthawi imodzi. Izi zimapangitsa mtima wanu kugunda mofulumira kwambiri komanso mosasinthasintha . Kawirikawiri, kugunda kwa mtima wanu kumakhala kopitirira 100 pa mphindi, koma nthawi zina, kumatha kufika 150 pa mphindi mu MAT. Imatchedwanso Chaotic Atrial Tachycardia , kutanthauza "chaotic atrial tachycardia."

Kodi kusiyana pakati pa MAT ndi Atrial Fibrillation ndi kotani?

Matenda onsewa ndi kugunda kwa mtima kosazolowereka komwe kumachitika m'zipinda zapamwamba za mtima, atria. Ndipotu, nthawi zina munthu amene ali ndi MAT angadziwike molakwika kuti ali ndi atrial fibrillation . Komabe, dokotala amatha kudziwa kusiyana pakati pa awiriwa poyang'ana zotsatira za Electrocardiogram (EKG) . Amayang'ana makamaka 'mafunde a P' pa EKG, omwe amalembedwa atria ya mtima ikagundana. Awiriwa amasiyanitsidwa ndi mawonekedwe awo.

Chofunika kwambiri n'chakuti, pafupifupi theka la anthu omwe ali ndi MAT pambuyo pake amatha kukhala ndi vuto la atrial fibrillation kapena atrial flutter.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a MAT nthawi zambiri amapezeka mwa okalamba, nthawi zambiri azaka pafupifupi 70. Komabe, ndikofunikira kukumbukira kuti amathanso kuchitika mwa ana aang'ono. Nthawi zambiri, anthu omwe ali ndi matenda a MAT ndi omwe amadwala kwambiri panthawiyo. Izi zikutanthauza kuti matenda a MAT amapezeka chifukwa cha kukulirakulira kwa matenda ena kuposa ngati munthu wathanzi mwadzidzidzi adwala matenda a MAT.

Imeneyi ndi vuto la mtima lomwe silimapezeka kawirikawiri . MAT imapezeka m'mavuto osakwana 1% a mtima (arrhythmias).

Kodi chimachitika ndi chiyani ndi thupi lanu kuchokera ku MAT?

Ganizirani mtima wanu ngati pampu yamadzi. Umapopa magazi m'thupi lonse. Umangogwira ntchito yake bwino ngati ukugunda pa liwiro loyenera komanso kamvekedwe koyenera.

Komabe, mu mkhalidwe ngati wa MAT, mtima umagunda mofulumira kwambiri., zipinda zinayi za mtima sizipeza nthawi yokwanira yodzaza ndi magazi. Magazi omwe alibe mpweya wabwino amayenda mumtima kupita ku mapapo, amatenga mpweya, kenako n’kubwerera kumtima kuti akapope thupi lonse. Chifukwa nthawi pakati pa kugunda kwa mtima kumeneku ndi yochepa kwambiri, kuchuluka kwa magazi komwe kumadzaza zipinda za mtima nthawi imodzi kumakhala kochepa kuposa kwachibadwa. Izi zikutanthauza kuti kuchuluka kwa magazi komwe kumapita ku maselo a thupi lanu ndi kugunda kulikonse kwa mtima nakonso kumakhala kochepa . Izi zingapangitse thupi lanu kusalandira mpweya ndi zakudya zomwe limafunikira.

Kodi zizindikiro za MAT ndi ziti?

Anthu ambiri saona zizindikiro zilizonse chifukwa cha MAT. Komabe, mungakhale ndi zizindikiro za matenda ena omwe mwina amayambitsa MAT.

Komabe, nthawi zina MAT ingayambitse zizindikiro monga izi:

• Kupweteka pachifuwa kapena kulimba
• Kugunda kwa mtima (kumva ngati mtima wanu ukugunda mofulumira)
• Kupuma movutikira
• Kukomoka, kutaya chidziwitso

Kodi zifukwa za MAT ndi ziti?

Anthu ambiri omwe ali ndi matenda a MAT (pakati pa 60% ndi 85%) ali ndi matenda okhudzana ndi mapapo . Mwa awa , matenda oletsa kupuma (COPD) ndi omwe amachititsa kwambiri. Tangoganizirani, anthu ena amakhala ndi chifuwa chosatha, kupuma movutikira, ndi zina zotero.

Zifukwa zina zitha kutchedwa:

• Kulephera kupuma
• Matenda oopsa
• Matenda a mitsempha ya mtima
• Kulephera kwa mtima
• Kuchepa kwa potaziyamu, magnesium kapena sodium m'thupi
• Khansa
• Matenda a Shuga (Diabetes Mellitus)
• Akuchitidwa opaleshoni yaikulu
• Kulephera kwa impso
• Kutupa kwa m'mapapo (izi sizichitika kawirikawiri)
• Matenda a valavu ya mtima (izi ndizosowanso)

Mwachidule, matenda aliwonse aakulu omwe amaika thupi kupsinjika kwakukulu ndi kupsinjika maganizo amatha kuyambitsa MAT.

Kodi ndingadziwe bwanji ngati ndili ndi MAT?

Madokotala nthawi zambiri amazindikira matenda a MAT pogwiritsa ntchito Electrocardiogram (EKG) . Mwina mwawonapo tizithunzi tating'ono pachifuwa ndi m'manja zomwe zimayesa momwe magetsi a mtima wanu amagwirira ntchito. Umu ndi momwe zimadziwira. Kapangidwe ka EKG ndi ka MAT.

Ndi mayeso ena ati omwe amachitidwa kuti adziwe matenda a MAT?

Kuti mupeze matenda a MAT molondola, mayeso a EKG ndi okwanira .

Komabe, mukapezeka ndi matenda a MAT, dokotala wanu angakupatseni mayeso ena kuti apeze vuto lomwe likuyambitsa matendawa. Izi zingaphatikizepo:

• X-ray pachifuwa
• Kuyezetsa magazi - Mwachitsanzo, kuti aone ngati mchere uli m'thupi komanso ngati pali matenda aliwonse.
• Kawirikawiri, ultrasound ya mtima, ndiko kuti, echocardiogram .

Kodi mankhwala a MAT ndi otani?

Nthawi zambiri, anthu omwe ali ndi MAT amafunika kuthandizidwa chifukwa cha vuto lomwe linayambitsa MAT . Mwachitsanzo, ngati muli ndi matenda oopsa m'mapapo ndipo mukuyamba MAT, madokotala amayesa kaye kuchiza matendawa. Vutoli likangochiritsidwa, MAT nthawi zambiri imatha yokha.

Ngati muli ndi matenda a MAT, mwina muli kale m'chipatala chifukwa cha matenda aakulu, monga kupuma movutikira. Madokotala adzakupatsani chithandizo chofunikira pa vutoli.

Komabe, nthawi zina chithandizo chingafunike kuti muchepetse kugunda kwa mtima. Izi zingaphatikizepo izi:

• Ma beta-blockers, monga metoprolol (Lopressor® kapena Toprol®XL), amagwira ntchito polamulira kugunda kwa mtima.
• Kupereka mchere wa magnesium ndi potaziyamu ngati uli wochepa m'thupi.
• Mankhwala oletsa calcium channel , monga verapamil (Verelan® kapena Calan®) kapena diltiazem (Diltzac® kapena Cardizem®), amathandizanso kuwongolera kugunda kwa mtima.

Kawirikawiri, ngati njira zina zothandizira sizingathe kuzilamulira, njira monga kuletsa gawo la njira yamagetsi ya mtima ( AV node ablation ) ndi pacemaker (chipangizo choyikidwa kuti chizisunga kugunda kwa mtima nthawi zonse) zingagwiritsidwe ntchito.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Mankhwala ena operekedwa a MAT angayambitse zotsatirapo zina monga:

• Chizungulire
• Mutu
• M'mimba movutikira, monga nseru (M'mimba movutikira)
• Kutsegula m'mimba
• Kudzimbidwa

Ngati muli ndi chilichonse mwa izi, uzani dokotala wanu. Iye akhoza kusintha mlingo kapena kukupatsani mankhwala ena.

Kodi mungachepetse bwanji chiopsezo chokhala ndi MAT?

Chifukwa chachikulu cha MAT ndi kukulirakulira kwa matenda ena, makamaka matenda a m'mapapo kapena matenda a mtima. Chifukwa chake, ngati mutha kuwongolera bwino matenda anu a m'mapapo (monga COPD, mphumu) kapena matenda a mtima , ndiye kuti, ngati mumwa mankhwala anu monga momwe dokotala wanu wanenera panthawi yake ndikupita kukayezetsa nthawi zonse, mutha kuchepetsa chiopsezo chanu chokhala ndi MAT.

Kodi n’chiyani chimachitika kwa munthu amene ali ndi matenda a MAT? Kodi tsogolo lake ndi lotani?

Mudzatha kupita kunyumba kuchokera kuchipatala mutalandira chithandizo chabwino cha matenda omwe adayambitsa MAT. Matendawa, MAT, nthawi zambiri amatha pamene chithandizo cha matendawa chachitika.

Komabe, nthawi yoti munthu amene ali ndi matenda a MAT adziwike imadalira kuopsa kwa matenda omwe ali nawo osati MAT yokha.Chifukwa matenda omwe amayambitsa MAT (monga kulephera kwa mapapo, matenda oopsa) nthawi zina amatha kukhala pachiwopsezo, pakati pa 30% ndi 60% ya anthu omwe ali ndi MAT amafa ali kuchipatala. Kumbukirani, imfa izi nthawi zambiri sizimachitika chifukwa cha MAT yokha, koma chifukwa cha matenda oopsa omwe adayambitsa.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi MAT ndipo vuto lomwe likuyambitsa matendawa lachiritsidwa, dokotala wanu angakulangizeni kuti mupitirize kumwa mankhwala oletsa beta-blockers kapena calcium channel blockers kwa kanthawi. Komabe, izi zimachitika kwa anthu pafupifupi 25% okha omwe ali ndi MAT.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Ndikofunikira kwambiri kupita kuzipatala pa masiku omwe akonzedwa ndikumwa mankhwala anu moyenera.

Ndiyenera kupita kwa dokotala liti? Ndifunse mafunso ati?

Muyenera kukhala ndi nthawi yokumana ndi dokotala nthawi zonse kuti mudziwe ngati muli ndi vuto la MAT. Ngati ndi vuto la nthawi yayitali (monga COPD), muyenera kuonana ndi dokotala nthawi zonse kuti muwonetsetse kuti likulamuliridwa bwino.

Musazengereze kufunsa dokotala wanu mafunso monga awa:

• "Dokotala, ndiyenera kumwa mankhwala awa omwe ndidapatsidwa kwa nthawi yayitali bwanji?"
• "Kodi mungandifotokozere pang'ono za tsogolo langa, poganizira za momwe zinthu zilili?"
• "Kodi ndingapezenso vuto la MAT?"

Anthu ambiri omwe ali ndi MAT alibe zizindikiro, kotero zingakhale zodabwitsa kudziwa kuti ali ndi vutoli. Komabe, chofunika kwambiri ndi chakuti dokotala wanu azitha kuchiza vuto lomwe limayambitsa kugunda kwa mtima kosazolowereka (nthawi zambiri matenda a m'mapapo) omwe amayambitsa kugunda kwa mtima kosazolowereka. Tsatirani malangizo a dokotala wanu, ndipo onetsetsani kuti mwafunsa mafunso ngati pali chilichonse chomwe simukumvetsa. Pamene vuto lanu likukulirakulira, kugunda kwa mtima kosazolowereka kudzakulanso.

Uthenga Wopita Nawo Kunyumba

Chabwino, nayi njira yosavuta yokumbukira zomwe takambirana:

• MAT ndi vuto limene mtima umagunda mofulumira komanso mosakhazikika chifukwa cha zizindikiro zamagetsi zosakhazikika zomwe zimachokera kumtunda kwa mtima.
• Izi nthawi zambiri zimachitika mwa anthu omwe ali ndi matenda ena akuluakulu, makamaka matenda a m'mapapo (monga COPD).
• Anthu ambiri alibe zizindikiro zenizeni za MAT, koma akhoza kukhala ndi zizindikiro za matenda omwe amayambitsa matendawa.
• MAT imayesedwa molondola ndi EKG.
• Chithandizochi chimayang'ana kwambiri matenda omwe amayambitsa MAT. Kenako MAT idzasinthanso kwambiri.
• Nthawi zina mankhwala (Beta-blockers, Calcium channel blockers) angaperekedwe kuti achepetse kugunda kwa mtima.
• Kuopsa kwa MAT kumatsimikiziridwa ndi matenda omwe adayambitsa.
• Ndikofunikira kwambiri kutsatira malangizo a dokotala molondola ndikupita kukayezetsa nthawi yomwe mwakonzekera.

Ngati inu kapena munthu amene mumamudziwa ali ndi vuto ngati ili, musaope kupita kwa dokotala kuti akalandire upangiri. Likapezeka msanga ndi kuchiritsidwa, zimakhala bwino.

Kugunda kwa mtima , matenda a mtima, tachycardia, MAT, matenda a m'mapapo, EKG, kupuma movutikira