Kodi mtima wanu ukumva ngati ukudumphadumpha kenako nkusiya? Tiyeni tikambirane za Premature Ventricular Contractions (PVCs)

Kodi nthawi zina mumamva ngati mtima wanu ukudumphadumpha? Kapena mumamva ngati mbalame ikugwedeza mapiko ake pachifuwa panu, kapena mtima wanu ukugunda mwamphamvu kwambiri moti ukudumphadumpha mmwamba ndi pansi? Anthu ambiri akumanapo ndi izi. Nthawi zambiri, sichodetsa nkhawa. M'mawu azachipatala, vutoli limatchedwa Premature Ventricular Contractions, kapena mwachidule ma PVC. Chifukwa chake lero, tiyeni tikambirane za ma PVC awa, chifukwa chake amachitika, komanso zomwe tiyenera kudziwa za iwo.

Mwachidule, kodi ma PVC awa ndi chiyani?

Chabwino, kuti timvetse izi, choyamba tiyeni tiwone momwe mtima wathu umagwirira ntchito. Tangoganizani kuti mtima wathu uli ngati nyumba yokhala ndi makina ang'onoang'ono amagetsi. Nyumba iyi ikalandira magetsi panthawi yoyenera, magetsi ndi mafani zimagwirira ntchito bwino. Mtima wathu ulinso ndi makina ofanana amagetsi.

Kawirikawiri, mu atrium yakumanja pamwamba pa mtima, pamakhala gulu laling'ono la maselo otchedwa sinoatrial node kapena SA node. Iyi ndi 'master switch' ya mtima wathu. Chizindikiro choyamba chamagetsi chomwe chimauza mtima kuti umenye chimayambira apa. Chizindikiro ichi chimayenda mumtima wonse ndikupita ku zipinda ziwiri zazikulu pansi pa mtima, ma ventricles. Chizindikiro ichi chikalandiridwa, minofu ya mtima imakokana bwino ndikupompa magazi kupita ku thupi. Iyi ndi njira yachibadwa.

Koma mu PVC, pali chinthu china chosiyana pang'ono. M'malo mwa chizindikiro chamagetsi chomwe chimayambitsa kugunda kwa mtima kuchokera ku 'switch yayikulu' (SA node), mwadzidzidzi chimayamba kuchokera ku chipinda chapansi cha mtima `(ventricle). Zili ngati kuyatsa nyali m'chipinda china m'malo mwa switch yayikulu m'nyumba. Izi zimapangitsa kuti kugunda kwa mtima kusokonezeke pang'ono. Chifukwa cha kugunda kowonjezera kumeneku, kugunda kwa mtima kotsatira kumakhala kochedwa pang'ono. Pamenepo ndi pamene timamva ngati 'taphonya kugunda kwa mtima'. Kugunda kotsatira kungamveke kolimba pang'ono.

Madokotala angagwiritsenso ntchito mayina ena pa vutoli, choncho kumbukirani mayina awa:

• Ma ventricular complexes asanafike nthawi
• Ma extrasystoles a Ventricular
• Kugunda kwa ventricle msanga

Ndani ali pachiwopsezo chachikulu chopanga ma PVC?

Ngakhale aliyense angapeze PVC, anthu ena ali pachiwopsezo chachikulu.

• Kwa anthu okalamba.
• Kwa iwo omwe ali ndi matenda a mtima.
• Kwa iwo omwe ali ndi kuthamanga kwa magazi (BP).
• Kwa iwo omwe adadwalapo matenda a mtima kale.
• Kwa iwo omwe ali ndi vuto la mtima.
• Kwa anthu omwe ali ndi hypertrophic cardiomyopathy.

Kodi zizindikiro za PVC ndi ziti? Kodi timamva chiyani?

Chodabwitsa n'chakuti anthu ambiri ali ndi PVC ndipo saona zizindikiro zilizonse. Zingakhale ngozi dokotala wanu akachita EKG pa chinthu china. Koma ngati pali zizindikiro, nthawi zambiri zimawoneka motere:

Kodi izi ndi zomwe aliyense amamva?

Ayi. Anthu ena akhoza kukhala ndi ma PVC ambirimbiri patsiku koma osamva kalikonse. Ena akhoza kukhala ndi imodzi kapena ziwiri patsiku ndipo amamva kwambiri. Zimasiyana malinga ndi munthu ndi munthu.

N’chifukwa chiyani timapeza ma PVC? Kodi zifukwa zake ndi ziti?

Pali nthawi zina zomwe chifukwa chenicheni cha PVC sichingapezeke. Komabe, zinthuzi zingayambitse kapena kuonjezera PVC.

• Kupsinjika Maganizo ndi Nkhawa: Tikakhala ndi nkhawa kapena mantha, thupi lathu limapanga mahomoni otchedwa adrenaline. Izi zimatha kuyambitsa njira zamagetsi zamagetsi zamtima ndikuyambitsa ma PVC.
• Kafeini ndi Mowa: Kafeini ndi mowa, zomwe zimapezeka mu zinthu monga khofi, tiyi, chokoleti, ndi zakumwa zina zoziziritsa kukhosi, zingayambitse kugunda kwa mtima kosakhazikika.
• Kusalingana kwa Electrolyte: Potaziyamu ndi magnesium ndi mchere wofunikira kwambiri kuti zizindikiro zamagetsi zizigwira ntchito bwino m'thupi lathu. Kuchepa kwa izi kungayambitse ma PVC.
• Matenda a mtima: Monga tanenera kale, ma PVC amatha kuyambitsidwa ndi matenda monga matenda a mtima, kuthamanga kwa magazi, ndi matenda a mitsempha ya mtima.
• Matenda ena: Izi zitha kuchitikanso chifukwa cha matenda monga hyperthyroidism ndi kuchepa kwa magazi m'thupi.
• Mankhwala ena: Mankhwala ena omwe amatengedwa chifukwa cha matenda monga mphumu angayambitsenso ma PVC.

Kodi mwapeza bwanji izi, Dokotala?

Ngati muli ndi zizindikiro izi, dokotala wanu adzakufunsani kaye za zizindikiro zanu komanso mbiri ya matenda a m'banja mwanu. Kenako adzamvetsera mtima wanu pogwiritsa ntchito stethoscope. Kuphatikiza apo, angachite mayesowa.

• Electrocardiogram (EKG/ECG): Iyi ndi njira yoyesera yosavuta kwambiri. Masensa ang'onoang'ono ofanana ndi sticker amaikidwa pachifuwa panu, m'manja, ndi m'miyendo ndipo amalemba momwe magetsi a mtima wanu amagwirira ntchito kwa mphindi zingapo. Izi zitha kuwonetsa bwino ma PVC aliwonse omwe alipo.
• Holter Monitor: Nthawi zina ma PVC samabwera nthawi zonse. Ngati amabwera kangapo patsiku, EKG yokhazikika singawatenge. Pazochitika zotere, dokotala wanu angakupatseni makina ang'onoang'ono kwa maola 24 kapena 48. Izi zidzalemba nthawi zonse kugunda kwa mtima wanu. Zili ngati kusunga dayalo la mtima wanu.
• Kuyezetsa Kupsinjika kwa Mtima: Kuyezetsa EKG kumachitika mukuyenda pa treadmill. Izi zimathandiza kuona ngati ma PVC akuwonjezeka kapena kuchepa panthawi yochita masewera olimbitsa thupi.
• Echocardiogram: Iyi ndi ultrasound scan ya mtima. Imatha kuwona zinthu zambiri, monga kapangidwe ka mtima, kukula kwa zipinda, momwe ma valve amagwirira ntchito, komanso momwe amapopera magazi. Izi ndizofunikira kwambiri kuti mudziwe ngati pali vuto lina la mtima lomwe lili pansi pa PVCs.
• Kuyezetsa Magazi: Kuyezetsa magazi kungachitike kuti muwone kuchuluka kwa potaziyamu ndi magnesium m'thupi, kuchuluka kwa mahomoni a chithokomiro, komanso ngati pali kuchepa kwa magazi m'thupi.

Kodi ma PVC amafunikira chithandizo?

Ichi ndiye chinthu chofunikira kwambiri. Ngati munthu wathanzi wopanda matenda ena a mtima amakhala ndi PVC pafupipafupi, nthawi zambiri safunika chithandizo. Dokotala wanu adzakuuzani kuti musinthe pang'ono moyo wanu.

Komabe, chithandizo chingakhale chofunikira pazochitika ngati izi:

• Ngati zizindikiro zanu zikusokoneza moyo wanu watsiku ndi tsiku.
• Ngati chiwerengero cha ma PVC patsiku chili chachikulu kwambiri (mwachitsanzo, kugunda kwa mtima kopitilira 15% ndi ma PVC).
• Ngati mphamvu ya mtima yopompa magazi (gawo lotulutsa magazi) yachepa chifukwa cha ma PVC.
• Ngati pali vuto lina lalikulu la mtima lomwe lili pansi pa PVCs.

Zotsatirazi zingagwiritsidwe ntchito ngati chithandizo:

Kodi ndiyenera kuda nkhawa ndi PVC? Kodi ndi liti pamene ndikufunika chithandizo chadzidzidzi?

Kawirikawiri, PVC yokha si yadzidzidzi. Komabe, ngati muli ndi PVC ndi zizindikiro izi pamodzi, pitani ku dipatimenti yadzidzidzi ya chipatala (ETU) nthawi yomweyo.

• Kupweteka kwambiri pachifuwa
• Kuvuta kwambiri kupuma
• Chizungulire chachikulu kapena kukomoka (syncope)
• Kusokonezeka maganizo

Zizindikiro izi zikusonyeza kuti pali chinthu china choopsa kuposa PVC chomwe chikuchitika. Choncho musazengereze kuchifufuza.