Kodi mtima wanu nthawi zina umagwira kwambiri? Tiyeni tiphunzire za (Premature Junctional Contraction)!

Kodi munayamba mwamvapo ngati mtima wanu wadumpha mwadzidzidzi, kapena mwadzidzidzi munayamba kugunda kwambiri? Kapena munamva ngati chifuwa chanu chikugunda? Nthawi zina timaganiza kuti izi ndi zinthu zosayembekezereka, koma nthawi zina pangakhale chifukwa chaching'ono chachipatala kumbuyo kwa izi. Lero tikambirana za kugunda kotereku mumtima, komwe kumatchedwa `(Premature Junctional Contraction)` kapena PJC.

Kodi ichi (Premature Junctional Contraction) n'chiyani? Tiyeni timvetse mosavuta?

Mwachidule, `(Premature Junctional Contraction)` ndi kugunda kwa mtima kowonjezera komwe kumachitika nthawi isanakwane . Izi zimayambira pamalo apadera mumtima, omwe timawatcha `(Atrioventricular junction)` kapena AV junction. Tangoganizirani, mtima wathu uli ndi zipinda ziwiri pamwamba, zomwe timatcha atria. Pali zipinda zina ziwiri pansi, zomwe timatcha ventricles. Pakati pa atria ndi ventricles, kuti tinene zoona, AV junction iyi ili pakati pa mtima. Apa ndi pomwe kugunda kowonjezera kumeneku kumayambira.

PJC kwenikweni ndi `(Arrhythmia)`, zomwe zikutanthauza kusakhazikika kwa kayimbidwe ka mtima . Nthawi zambiri, mtima wathu umagunda pa kayimbidwe kena. Chifukwa cha izi ndi kachitidwe kakang'ono kamagetsi mumtima. Zizindikiro zamagetsi izi zimauza mtima kuti "gunda tsopano, gunda tsopano". Komabe, ngati china chake chasokoneza zizindikiro zamagetsi izi, ndiye kuti kugunda kwa mtima kumakhala kosakhazikika. Ndicho chimene timachitcha `(Arrhythmia)`. Ndiye kugunda kwa mtima kungakhale motere:

• Zingakhale zosakhazikika: ndiko kuti, kugunda kumadumphadumpha, kugunda kowonjezera kumachitika, kapena kugundako sikufanana.
• Zitha kukhala pang'onopang'ono kwambiri: timazitcha kuti ``Bradycardia''.
• Imatha kugunda mofulumira kwambiri: izi zimatchedwa `(Tachycardia)`.

PJC ndi m'gulu lomwe limabwera ndi chikwapu chowonjezera chimenecho.

Ndani amene ali ndi mwayi waukulu wokhala ndi matenda a Premature Junctional Contractions?

Kawirikawiri, PJC imapezeka mwa anthu omwe ali kale ndi vuto la mtima (kulephera kwa mtima) kapena matenda ena a mtima. Komabe, nthawi zina PJC imapezekanso mwa anthu omwe ali ndi mtima wathanzi popanda matenda aliwonse . Chifukwa chake, n'zovuta kunena mosapita m'mbali kuti izi zimachitika mwa anthu ena okha.

Kodi izi (Premature Junctional Contractions) ndizofala bwanji?

PJC kwenikweni ndi vuto losazolowereka poyerekeza ndi mitundu ina ya kugunda kwa mtima kowonjezera. Mwachitsanzo, `(Premature Atrial Contractions - PACs)` kapena `(Premature Ventricular Contractions - PVCs)` ndizofala pang'ono kuposa PJC. Pakati pa matenda a mtima, `(Atrial fibrillation - Afib)` ndiye vuto lofala kwambiri.

Kodi izi (Premature Junctional Contraction) zimandikhudza bwanji?

Tangoganizirani, mumapeza imodzi kapena ziwiri mwa izi mwachisawawa. Ndiye mwina sizingakhale vuto lalikulu . Mwina simudzazindikira.

Koma, PJC iyiNgati zimachitika kawirikawiri, mosalekeza, ndiye kuti muyenera kuda nkhawa pang'ono. Chifukwa, PJC ikachitika pafupipafupi, imatha kukhala vuto lotchedwa `(Junctional tachycardia)`. Izi zikutanthauza kuti, vuto lomwe mtima umagunda mofulumira , kuyambira pa AV junction yomwe tatchula kale. `(Junctional tachycardia)` nthawi zina ingafunike chithandizo . Mwachitsanzo, mankhwala angaperekedwe kuti achepetse kugunda kwa mtima ndikubwezeretsa kugunda kwa mtima kukhala kwabwinobwino.

Kodi zimayambitsa kutsekeka kwa ziwalo za m'mimba msanga ndi ziti?

Pali zinthu zingapo zomwe zingayambitse PJC. Tiyeni tiwone zazikulu:

• Kuopsa kwa Digitalis: Digitalis (monga Digoxin, Digitoxin) ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena a mtima monga kulephera kwa mtima ndi kusakhazikika kwa mtima. Ngati mumwa mankhwala ochulukirapo, kapena ngati thupi lanu silingathe kuwagwiritsa ntchito bwino, mutha kukhala ndi vuto lotchedwa digitalis toxicity. Ichi ndi chifukwa chachikulu cha PJC.
• Kugwiritsa ntchito caffeine: Kumwa kwambiri caffeine, yomwe imapezeka mu khofi, tiyi, ndi zakumwa zina zopatsa mphamvu.
• Matenda a mitsempha ya mtima: Kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Kumwa mowa: Monga china chilichonse, kumwa mowa wambiri sikwabwino.
• Kusalinganika kwa ma electrolyte: Kusalinganika kwa ma electrolyte m'thupi, monga sodium ndi potaziyamu.
• Hypoxemia: Kuchepa kwa mpweya m'magazi.
• Kulephera kwa mtima: Kulephera kwa mtima kupopa magazi bwino.
• Kusuta kapena kugwiritsa ntchito zinthu zopangidwa ndi fodya.

PJC ikhoza kuchitika chifukwa cha chimodzi kapena zingapo mwa zifukwa izi.

Kodi zizindikiro za (Premature Junctional Contraction) ndi ziti?

Ngati muli ndi matenda a PJC nthawi zambiri, simungaone zizindikiro zilizonse . Komabe, ngati muli ndi matenda a PJC pafupipafupi, mungakumane ndi zotsatirazi:

• Kutopa: Kungomva kutopa komanso wopanda moyo.
• Kusamva bwino: Kumva chizungulire kapena kukomoka.
• Kugunda kwa mtima: Kumva kugunda kwa mtima mofulumira, kugunda, kapena kugunda pachifuwa.

Kumbukirani, zizindikiro izi sizimapezeka kwa aliyense. Anthu ena sangakhale nazo.

Kodi mungazindikire bwanji (Premature Junctional Contractions)?

Mukauza dokotala za zizindikiro zanu, choyamba adzakufunsani za zizindikirozo kenako adzakuyesani thupi. Angafunsenso za:

• Mbiri yanu ya thanzi: Zinthu monga matenda omwe mudadwalapo kale, kaya pali aliyense m'banja mwanu amene ali ndi matenda a mtima.
• Kodi mumamwa mankhwala ati?Mankhwala a matenda ena, ngakhale mavitamini.
• Moyo wanu: Zinthu monga ngati mumasuta fodya, mumamwa mowa, komanso kuchuluka kwa khofi yomwe mumamwa.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira Kusakhazikika kwa Mitsempha Yolumikizana?

Ngati dokotala wanu akukayikira kuti muli ndi vuto la mtima losakhazikika, nthawi zambiri amakulamulani kuti mupimidwe ndi electrocardiogram (EKG) . Iyi ndi njira yosavuta komanso yopanda ululu. Amayika timitengo tating'ono (electrodes) pachifuwa panu ndikulemba momwe mtima wanu umagwirira ntchito, womwe ndi kugunda kwa mtima wanu.

Mukayang'ana zotsatira za EKG, mutha kuwona PJC ngati kugunda pang'ono kowonjezera pakati pa kugunda kwanu kwabwinobwino kwa mtima. Komabe, nthawi zina, PJC iyi imatha "kubisika" mkati mwa kugunda kwabwinobwino kwa mtima. Ngati EKG siikumveka bwino, dokotala wanu angakulangizeni mayeso ena. Mwachitsanzo:

• Echocardiogram: Izi zili ngati ultrasound scan ya mtima. Imatha kuwona mawonekedwe ndi ntchito ya mtima.
• Kuyesa kupsinjika maganizo: Izi zimayesa momwe mtima wanu umagwirira ntchito mukamachita masewera olimbitsa thupi (monga kuthamanga pa treadmill).
• Kuyesa tebulo lopendekeka: Kugunda kwa mtima wanu ndi kuthamanga kwa magazi zimayesedwa mukagona pabedi lapadera ndipo bedi limapendekeka mosiyanasiyana. Izi ndizofunikira kwa anthu omwe akukomoka.

Kodi madokotala amachizira bwanji matenda a premature Junctional Contractions?

Pochiza PJC, madokotala amayamba ayang'ana chomwe chimayambitsa vutoli . Kuchiza vuto limenelo kungathandize kubwezeretsa kugunda kwa mtima kwabwinobwino. Ndondomeko yanu ya chithandizo ingaphatikizepo:

• Ngati mukugwiritsa ntchito digitalis pakali pano, ganizirani kuchepetsa kapena kuonjezera mlingo .
• Kupereka mankhwala ena ochizira vuto la ``(Digitalis toxicity)``.
• Kuchiza matenda monga kulephera kwa mtima kapena matenda a mitsempha ya mtima ndi mankhwala .
• Kusintha kwa moyo: Zinthu monga kusiya kusuta fodya, kuchepetsa kumwa mowa kapena kumwa caffeine.

Chofunika kwambiri ndikutsatira malangizo a dokotala.

Kodi Kutsekeka kwa Mitsempha Yolumikizana Kumayambiriro kwa Nthawi Kungathe Kupewedwa?

Sizingakhale zotheka nthawi zonse kupewa matenda a PJC. Komabe, kutsatira moyo wathanzi komanso kuonana ndi dokotala nthawi zonse kungathandize kuti mtima wanu ukhale wathanzi. Dokotala wanu angakulangizeni izi:

• Chepetsani kumwa mowa kapena siyani kumwa: Amuna sayenera kumwa mowa woposa kawiri patsiku. Akazi sayenera kumwa mowa woposa kamodzi patsiku.
• Kuchepetsa kuchuluka kwa caffeine komwe mumapeza kuchokera ku zinthu monga khofi ndi zakumwa zopatsa mphamvu.
• Osasuta fodya kapena kugwiritsa ntchito zinthu zopangidwa ndi fodya.Ngati mwachita kale, siyani.
• Kudya zakudya zabwino zokhala ndi zipatso, ndiwo zamasamba, nyemba, ndi tirigu wonse.
• Kuchita masewera olimbitsa thupi nthawi zonse monga kuyenda.
• Kuthetsa kupsinjika maganizo .
• Kumwa mankhwala monga momwe mwalangizidwira kuti muchepetse matenda ena.

Kodi Kutsekeka kwa Mitsempha Yosakwana Nthawi Yaitali Kumatenga Nthawi Yaitali Bwanji?

Ngati chifukwa chenichenicho chathandizidwa bwino, PJC ikhoza kuchira kapena kutha kwathunthu , kutengera momwe mulili komanso momwe mwayankhira chithandizocho.

Kodi pali zotsatirapo zilizonse za nthawi yayitali za Premature Junctional Contractions?

Kawirikawiri, PJC siimayambitsa kuwonongeka kwa mtima . Komabe, ngati PJC imayamba chifukwa cha vuto lina la mtima, muyenera kuonana ndi dokotala kuti mtima wanu ukhale wathanzi. Kuchita zimenezi kungathandize kupewa kapena kuchepetsa zotsatira za matenda a mtima kwa nthawi yayitali.

Kodi ndi liti pamene muyenera kupeza upangiri wa dokotala ngati muli ndi (Premature Junctional Contractions)?

Ngati zizindikiro zanu zisintha kapena zikuipiraipira, onetsetsani kuti mwaonana ndi dokotala wanu . Komanso, ngati muwona zizindikiro zilizonse za "kulephera kwa mtima", uzani dokotala wanu nthawi yomweyo. Zizindikiro izi zikuphatikizapo:

• Kukhala ndi chifuwa chouma komanso chopweteka .
• Kukomoka .
• Kumva kutopa kapena kufooka mukamachita masewera olimbitsa thupi kapena kuchita chilichonse.
• Kupuma movutikira (dyspnea)
• Kutupa m'mabondo, miyendo kapena m'mimba .

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za `(Premature Junctional Contraction)` tsopano.

Kupweteka kwa msana nthawi zambiri si vuto lalikulu . Nthawi zina, chomwe muyenera kuchita ndikupita kwa dokotala kuti akakuwoneni.

Komabe, ngati chifukwa cha PJC ndi vuto lina la mtima, dokotala wanu angakulangizeni chithandizo choyenera komanso chothandiza. Anthu ambiri omwe ali ndi PJC amakhala ndi moyo wathanzi komanso wokangalika . Choncho, musachite mantha mosafunikira. Koma ngati muli ndi zizindikiro, musaiwale kufunafuna upangiri wa dokotala. Thanzi labwino kwa inu!

Kuchepa kwa Migwirizano Yogwirizana Nthawi Isanafike, Kugunda kwa Mtima, Kugunda kwa Mtima, Kusakhazikika kwa Mtima, Kulumikizana kwa Magazi, Matenda a Mtima, Matenda a Mtima, EKG