Kodi mtima wanu umadumpha mwadzidzidzi kugunda ndipo mukumva ngati wadumpha kugunda? Tiyeni tikambirane za (Premature Atrial Contractions)!

Kodi munayamba mwamvapo ngati mtima wanu wagunda mwadzidzidzi, kapena mwadzidzidzi munamva ngati ukugunda pachifuwa panu? Nthawi zina zimakhala zachilendo kumva mantha pang'ono komanso kuda nkhawa mukamva chonchi. Koma nthawi zambiri, sichoyenera kuopa. Lero, tikambirana za vuto lomwe anthu ambiri amakumana nalo, lomwe ndi Premature Atrial Contractions (PACs).

Kodi ma PAC awa oyambilira a Atrial Contractions (PACs) ndi ati?

Kuti timvetse izi mosavuta, choyamba tiyeni tiwone momwe mtima wathu umagwirira ntchito. Tangoganizani kuti mtima wanu ndi injini yaying'ono, koma yamphamvu kwambiri. Kuti injini iyi igwire ntchito bwino, imafunika kulandira zizindikiro zamagetsi mwadongosolo. M'zipinda ziwiri zapamwamba za mtima wathu (zomwe timazitcha "Atria" m'mawu azachipatala), kumbali yakumanja, pakona yapamwamba, pali malo ang'onoang'ono otchedwa "Sinus node". Ichi ndi chomwe chimagwira ntchito ngati 'pacemaker' yachilengedwe ya mtima. Ndiko kuti, imatumiza zizindikiro zamagetsi mwadongosolo zomwe zimazindikira kamvekedwe ndi liwiro lomwe mtima uyenera kugunda.

Tsopano, ma PAC asanafike nthawi yogwira ntchito ndi vuto laling'ono pa njira yabwinobwino imeneyi. Nthawi zina, chizindikiro chamagetsi chimatumizidwa msanga kuchokera kwinakwake m'chipinda chapamwamba cha mtima, osati kuchokera ku ``Sinus node''. Mawu akuti ''nthawi yogwira ntchito'' amatanthauza ''nthawi yogwira ntchito.'' Chifukwa cha chizindikiro ichi chogwira ntchito msanga, mtima umagunda kamodzi nthawi yake yogwira ntchito isanafike nthawi yake yogwira ntchito.

Tangoganizirani, zomwe zikuchitika apa zikufanana ndi munthu amene akuimba ng'oma pamene akuimba nyimbo zomwezo, koma mwadzidzidzi akuigunda kamodzi kokha popanda nyimbozo.

Mtima ukagunda msanga, umatha kutaya magazi ambiri kuti usadutse mumtima panthawiyo. Choncho kugunda msanga kumeneko nthawi zambiri kumakhala kofooka. Kenako, mtima umatenga nthawi yochepa yopuma kwa masekondi angapo ndipo umagunda bwino nthawi ina. Koma chifukwa cha nthawi yochepa yopuma, mtima umadzaza ndi magazi ambiri pamene kugunda kotsatira kukuchitika. Kotero kugunda kumeneko kumamveka kovuta kuposa nthawi zonse. Kugunda kwakukulu kumeneko ndi komwe timamva ngati "taphonya kugunda" kapena "ngati kugunda pachifuwa."

Kodi zizindikiro za munthu amene ali ndi PACs ndi ziti?

Anthu ena sangakumane ndi zizindikiro zilizonse ngakhale ali ndi PACs. Komabe, ngati ali nazo, zingawoneke motere. Tiyeni tiwone izi m'njira yoti zimveke bwino.

N’chifukwa chiyani tili ndi ma PAC amenewa? Kodi zifukwa zake ndi ziti?

Nthawi zambiri, palibe chifukwa chenicheni cha PACs. Komabe, pali zinthu zingapo zomwe zingayambitse vutoli. Zina mwa izo ndi izi:

• Zinthu zokhudzana ndi moyo:
• Kumwa mowa wambiri wa caffeine: Kumwa zinthu zambiri monga khofi, tiyi, ndi zakumwa zina zoziziritsa kukhosi.
• Kugwiritsa ntchito mowa: Kumwa zakumwa zoledzeretsa.
• Kugwiritsa ntchito zinthu monga fodya: Zinthu monga ndudu ndi zakumwa.
• Kupsinjika maganizo: Kuda nkhawa kwambiri, kupanikizika.
• Kutopa ndi kusowa tulo: Kumva kutopa kwambiri komanso kusagona mokwanira.
• Zifukwa zachipatala:
• Kusalinganika kwa mchere m'thupi:Kuchepa kapena kuwonjezeka kwa ma electrolyte, monga potaziyamu kapena magnesium, m'magazi.
• Mavuto a mtima: Matenda monga kutsekeka kwa mitsempha yamagazi yomwe imapereka magazi kumtima (Coronary Artery Disease) kapena kukhuthala kwa minofu ya mtima (Hypertrophic Cardiomyopathy).
• Kuwonongeka kwa mtima: Chifukwa cha chifukwa monga matenda a mtima omwe adakumana nawo kale.
• Mavuto a chithokomiro: Kusintha kwa kuchuluka kwa mahomoni a chithokomiro.
• Mankhwala ena: Mankhwala ena operekedwa pa matenda a mtima kapena matenda amisala.
• Kugwiritsa ntchito mankhwala osokoneza bongo mosaloledwa.

Ngati mumakhala ndi ma PAC pafupipafupi, dokotala wanu adzayesa kufufuza zifukwa izi.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale kuti ma PAC amatha kuchitika mwa aliyense, anthu ena ali pachiwopsezo chachikulu chotenga matendawa pafupipafupi.

• Anthu ataliatali
• Amayi oyembekezera
• Anthu omwe ali ndi matenda a mtima
• Anthu omwe sachita masewera olimbitsa thupi (omwe sachita masewera olimbitsa thupi)
• Anthu omwe ali ndi kuthamanga kwa magazi (makamaka kuthamanga kwa magazi m'thupi)
• Anthu omwe ali ndi matenda a shuga
• Anthu omwe ali ndi cholesterol yotsika yabwino (HDL)
• Anthu omwe ali ndi matenda osatha oletsa kupuma (COPD)
• Anthu omwe samwa madzi okwanira
• Anthu osuta
• Anthu omwe amamwa caffeine wambiri kapena zinthu zopatsa mphamvu
• Anthu omwe sagona mokwanira komanso omwe ali ndi nkhawa zambiri

Kodi pali zovuta zilizonse zomwe zingachitike ndi ma PAC?

Ma PAC nthawi zambiri sali oopsa. Komabe, ngati munthu ali ndi ma PAC nthawi zambiri , izi zitha kukhala chizindikiro cha vuto lalikulu la mtima lotchedwa `Atrial Fibrillation (Afib)` mtsogolo.

Matenda a mtima otchedwa Atrial Fibrillation (Afib) ndi matenda omwe zipinda zapamwamba za mtima zimagunda mofulumira kwambiri komanso mosakhazikika popanda kulamulira. Izi zingayambitse matenda aakulu monga sitiroko. Ndicho chifukwa chake ndikofunikira kuonana ndi dokotala ngati mukukumana ndi ma PAC ambiri.

Kodi dokotala amazindikira bwanji vutoli?

Ngati mulibe PACs mukapita kwa dokotala, iye sangathe kuzizindikira ndi stethoscope. Chifukwa chake, kutengera zizindikiro zanu, dokotala wanu angakulangizeni mayeso awa.

Kodi ma PAC amachiritsidwa bwanji?

Ichi ndi chinthu chofunika kwambiri: Nthawi zambiri, ma PAC safuna chithandizo chilichonse. Nthawi zambiri amatha okha.

Komabe, ngati zizindikiro zanu zili zoopsa kwambiri, kapena ngati ma PAC amapezeka pafupipafupi, dokotala wanu angasankhe kukuthandizani.

• Kusintha moyo: Ichi ndi chinthu choyamba kuyesa. Anthu ambiri amapeza mpumulo mwa kuchepetsa kumwa caffeine ndi mowa, kusiya kusuta fodya, kugona mokwanira, komanso kuchepetsa nkhawa.
• Mankhwala:
• Beta-blockers: Mankhwala amtunduwu ndi omwe amasankhidwa koyamba. Amachepetsa kugunda kwa mtima ndi mphamvu ya kupweteka kwa mtima, zomwe zimathandiza kuchepetsa zizindikiro.
• Mankhwala oletsa kupweteka kwa mtima: Mankhwala apadera omwe amalamulira kagwiridwe ka mtima. Mankhwalawa nthawi zambiri amaperekedwa pokhapokha ngati beta-blockers sangathe kuwaletsa.
• Kuchotsa catheter:Izi zimachitika kawirikawiri. Pa izi, chubu chopyapyala (catheter) chimalowetsedwa mumtima kudzera m'mimba kapena m'dzanja, ndipo gawo laling'ono kwambiri la mtima lomwe limatulutsa zizindikiro zamagetsi zosazolowereka limawonongeka.

Kodi pali zotsatirapo zilizonse za mankhwalawa?

Inde. Monga momwe zimakhalira ndi chithandizo chilichonse, pali zotsatirapo zina zomwe zingachitike. Ma beta-blockers angayambitse kutopa ndi chizungulire. Mankhwala oletsa kupweteka kwa mtima amakhala ndi zotsatirapo zosiyanasiyana, choncho ayenera kumwedwa moyang'aniridwa ndi dokotala. Ngakhale kuti catheter ablation nthawi zambiri imakhala njira yochepetsera chiopsezo, pali zoopsa zazing'ono kwambiri, monga magazi kuundana ndi kutuluka magazi.

Kodi ndingachite chiyani kuti ndichepetse ma PAC ndikuchepetsa chiopsezo?

Pali zinthu zambiri zomwe mungachite kuti muchepetse ndikulamulira ma PAC anu.

• Kuchita masewera olimbitsa thupi nthawi zonse .
• Chepetsani zakumwa zokhala ndi caffeine monga khofi, tiyi, ndi chokoleti.
• Chepetsani kapena siyani kumwa mowa kwathunthu.
• Ngati mukusuta, siyani.
• Imwani madzi ambiri. Pewani kutaya madzi m'thupi.
• Gonani mokwanira tsiku lililonse.
• Sinthani kupsinjika maganizo. Zinthu monga yoga ndi kusinkhasinkha zingathandize.
• Lamulirani kuthamanga kwa magazi ndi kuchuluka kwa cholesterol.

Kodi ndiyenera kupita kwa dokotala liti?

Kawirikawiri, ngati matenda a PAC achitika nthawi zina, palibe chifukwa chodera nkhawa. Komabe, pankhaniyi, muyenera kuonana ndi dokotala wanu.

• Ngati zizindikiro zanu zikuipiraipira.
• Ngati kuchuluka kwa ma PAC kukuwonjezeka.
• Ngati zizindikirozi zikugwirizana ndi kupweteka pachifuwa, kupuma movutikira, chizungulire, kapena kukomoka, muyenera kupita ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) kuchipatala nthawi yomweyo.
• Ngati muli kale ndi matenda a mtima ndipo muli ndi PACs.

Mafunso ena omwe mungakhale nawonso

Kodi ma PAC ndi Atrial Fibrillation (Afib) ndi chinthu chimodzi?

Ayi. Izi ndi zinthu ziwiri zosiyana. Ma PAC ndi kugunda kwa mtima kamodzi kokha, kosakonzekera. Afib ndi vuto lalikulu lomwe zipinda zapamwamba za mtima zimagunda mosinthasintha komanso mwachangu. Komabe, kukhala ndi ma PAC pafupipafupi kungapangitse kuti munthu adwale Afib.

Kodi ndi chinthu chodetsa nkhawa pamene ma PAC ayamba panthawi ya mimba?

Kawirikawiri sizichitika. Nthawi zambiri ma PAC amapezeka panthawi ya mimba chifukwa cha kusintha kwa mahomoni ndi kuchuluka kwa magazi. Nthawi zambiri, amatha okha ndipo safuna chithandizo. Komabe, ngati mukuda nkhawa ndi izi, lankhulani ndi dokotala wanu.

Kodi kusiyana pakati pa ma PAC ndi ma PVC (Premature Ventricular Contractions) ndi kotani?

Kusiyana kwake ndi komwe chizindikiro chamagetsi chimayamba msanga. Ma PAC amayamba m'zipinda zapamwamba za mtima (Atria) . Ma PVC amayamba m'zipinda zapansi za mtima (Ventricles) . Zizindikiro za zonsezi zimatha kukhala zofanana.