Kodi mtima wanu umagunda modabwitsa nthawi zina? Tiyeni tikambirane za Premature Ventricular Contractions (PVCs)!

Kodi munayamba mwamvapo ngati mtima wanu ukugunda modabwitsa, ngati kuti ukudumphadumpha, kapena ngati kuti ukugunda mwadzidzidzi pachifuwa panu? Anthu ena amati mtima wanu "ukuuluka." Anthu ambiri akumanapo ndi izi. Lero, tikambirana za chifukwa chimodzi chomwe chingayambitse izi, matenda otchedwa Premature Ventricular Contractions (PVCs) . Musadandaule, tiyeni tizisunga zinthu mosavuta.

Ndiye, kodi ma Premature Ventricular Contractions (PVCs) awa ndi ati?

Mwachidule, Kusinthasintha kwa Mitsempha ya Mtima (PVCs) ndi kusakhazikika kwa kugunda kwa mtima. Makamaka, kumachitika pamene chizindikiro chamagetsi chomwe chimayambitsa kugunda kwa mtima sichichokera pamalo abwinobwino, koma kuchokera ku chimodzi mwa zipinda ziwiri zapansi pa mtima (zotchedwa ventricles ). Kawirikawiri, chizindikiro chamagetsi chomwe chimayambitsa kugunda kwa mtima chimayambira ku chipinda chakumanja cha mtima ( atrium ).

Ma PVC awa si vuto lalikulu nthawi zonse. Komabe, ngati apitirira kwa miyezi kapena zaka, amatha kufooketsa minofu ya mtima. Izi zimatchedwa Cardiomyopathy . Nthawi zambiri, ma PVC awa amatha kuchiritsidwa ndi mankhwala kapena mankhwala ang'onoang'ono.

Anthu ena amatchanso vutoli kuti "pre ventricle contractions." Madokotala amathanso kulitcha ndi mayina awa:

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

Kodi zizindikiro zamagetsi za mtima zimalamulira bwanji kugunda kwa mtima?

Kugunda kwa mtima kwathu kumayendetsedwa ndi makina amagetsi odabwitsa kwambiri. Nthawi zambiri, gulu la maselo mu atrium yakumanja, pamwamba pa mtima wanu, lotchedwa sinoatrial node (SA node) , limatumiza chizindikiro choyamba chamagetsi cha kugunda kwa mtima. Chizindikiro ichi chimayenda mumtima wonse ndikupita ku zipinda zakumanzere ndi zakumanja (ventricles) pansi pa mtima. Pamenepo ndi pamene mtima umalandira lamulo loti ugwire, kapena kugunda.

Koma, pankhani ya ma PVC, chizindikiro choyambachi chimayamba m'chipinda chapansi cha mtima (ventricle). Kenako, momwe chizindikirocho chimayendera mumtima chimasintha, zomwe zimapangitsa kuti kugunda kwa mtima kusasinthasintha. Nthawi zina, mukakhala ndi PVC, mungamve ngati mtima wanu "ukudumphadumpha."

Ndani amene ali ndi mwayi waukulu wopanga ma PVC? Kodi ndi ofala bwanji?

Ma PVC amatha kuchitika kwa aliyense. Komabe, amapezeka kwambiri kwa okalamba komanso anthu omwe ali ndi matenda a mtima. Mulinso pachiwopsezo chachikulu cha ma PVC ngati muli ndi vuto lililonse mwa izi:

• Kulephera kwa mtima
• Kuthamanga kwa magazi ( BP )
• Ngati mudadwalapo matenda a mtima kale
• Hypertrophic cardiomyopathy

Ma PVC ndi ofala kwambiri kuposa momwe mungaganizire.Kafukufuku wasonyeza kuti pafupifupi 75% ya anthu onse ali ndi vutoli.

Kodi tiyenera kuda nkhawa ndi ma PVC awa? Kodi izi ndi zoopsa?

Anthu ambiri alibe zizindikiro kapena mavuto azaumoyo chifukwa cha PVC. Komabe, ngati muli ndi zizindikiro, onetsetsani kuti mwawonana ndi dokotala . Mungafunike chithandizo, makamaka kuti mupewe matenda a mtima monga cardiomyopathy .

Ma PVC nthawi zambiri saika moyo pachiswe. Komabe, ngati apitirirabe kuchitika kwa nthawi yayitali, amatha kuwononga minofu ya mtima wanu.

Kodi zizindikiro za Premature Ventricular Contractions (PVCs) ndi ziti?

Anthu ambiri saona zizindikiro za PVC. Koma ngati muwona zizindikiro, nthawi zambiri zimakhala zochepa. Mwachitsanzo:

• Chizungulire
• Kumva kukomoka, pafupi kukomoka
• Kugunda kwa mtima
• Kumva kupsinjika kwa mitsempha ya khosi

Ngati muli ndi matenda ena a mtima, mwina mwakhala mukuvutika kupuma ( kupuma movutikira ) chifukwa cha PVC. Komanso, pamene kuchuluka kwa ma PVC kumawonjezeka, mungazindikire zizindikiro zambiri.

Kodi zimamveka bwanji pamene PVC ikuchitika?

Anthu ambiri amanena kuti PVC ndi chizungulire, kugwedezeka, kapena kumva ngati munthu wadumphadumpha . Koma mwina simungamve chilichonse. Ndipotu, anthu ambiri samva ngakhale PVC.

Kodi n’chiyani chimayambitsa PVC?

Pali zifukwa zambiri zomwe PVC ingapangidwire. Zina mwa izo ndi izi:

• Kusalinganika kwa ma electrolyte m'thupi, mwachitsanzo, kuchuluka kochepa kwa potaziyamu kapena magnesium .
• Kutsekeka kwa mtima
• Kulephera kwa mtima
• Kuwonjezeka kwa adrenaline m'thupi - Izi zitha kukhala chifukwa cha nkhawa kapena kupsinjika maganizo .
• Kuchepa kwa magazi kupita kumtima, mwachitsanzo, ngati pali matenda a mitsempha ya mtima .

Kodi ma PVC (Premature Ventricular Contractions) amapezedwa bwanji?

Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu, mbiri yanu ya thanzi, ndikukupimani thupi. Angamvetserenso kugunda kwa mtima wanu pogwiritsa ntchito stethoscope kuti aone ngati pali vuto lililonse.

Mayeso oyamba omwe nthawi zambiri amachitidwa ndi electrocardiogram (EKG).Yesani. EKG imayesa kugunda kwa mtima wanu ndikuyesa zizindikiro zamagetsi mumtima mwanu. EKG nthawi zambiri ingathandize dokotala wanu kuwona ngati muli ndi vuto la arrhythmia, kapena kugunda kwina.

Nthawi zina, mungapemphedwe kuti muvale chowunikira cha Holter kapena chipangizo china chomwe chimayang'anira momwe mtima wanu ukuyendera kwa masiku angapo. Izi zingathandize kuzindikira ngakhale ma PVC osowa kwambiri poyesa kugunda kwa mtima wanu ndi kamvekedwe kake.

Ndi mayeso ati omwe amachitidwa kuti apeze zomwe zimayambitsa PVC?

Ngati mumakhala ndi ma PVC pafupipafupi kapena mwakhala nawo kwa nthawi yayitali, dokotala wanu angakulangizeni mayeso ena owonjezera. Mayesowa amagwiritsidwa ntchito pofufuza matenda ena a mtima omwe angayambitse ma PVC anu. Mutha kukhala ndi mayeso monga awa:

• Kuyezetsa magazi - Izi zimayesa kuchuluka kwa potaziyamu ndi mahomoni a chithokomiro.
• Kuyezetsa kupsinjika kwa mtima - kumayesa kugunda kwa mtima wanu ndi kuyenda kwa magazi kudzera m'mitsempha ya mtima wanu pamene mukuchita masewera olimbitsa thupi.
• MRI ya mtima kapena CT scan - Izi zimayang'ana kapangidwe, ntchito, ndi kayendedwe ka magazi a mtima.
• Coronary angiogram - Kuyeza komwe kumawonetsa mitsempha yamagazi mumtima. Izi zimathandiza kuzindikira kusayenda bwino kwa magazi, mitsempha yamagazi yotsekedwa kapena yopapatiza.
• Echocardiogram ( Echocardiogram / Echo ) - Izi zimawunika momwe mtima umagwirira ntchito, momwe ma valve amagwirira ntchito, komanso momwe magazi amayendera m'zipinda zamtima.
• Kafukufuku wa Electrophysiology - Izi zimasanthula momwe magetsi amagwirira ntchito mumtima.

Kodi ma PVC (Premature Ventricular Contractions) amachiritsidwa bwanji?

Anthu omwe nthawi zambiri amakhala ndi ma PVC sangafunike chithandizo chilichonse. Kuchiza vuto la mtima lomwe limayambitsa matendawa kungachepetse kuchuluka kwa ma PVC. Mwachitsanzo, mungafunike kumwa mankhwala kuti muchepetse kuthamanga kwa magazi kapena kuchepetsa kugunda kwa mtima wanu. Mankhwalawa angachepetsenso kuchuluka kwa ma PVC.

Nthawi zina, dokotala wanu angakupatseni mankhwala enaake a PVC. Chithandizo chamtunduwu chikufunika kokha pa PVC ngati muli ndi kugunda kwa mtima kosasinthasintha pafupipafupi ndipo muli pachiwopsezo chowononga minofu ya mtima wanu. Chithandizochi chingaphatikizepo:

• Njira yochotsera catheter : Iyi ndi njira yochepetsera kufalikira kwa magazi, yopanda opaleshoni yomwe imaphatikizapo kuzindikira ndikuwononga gawo la mtima lomwe limayambitsa kugunda kwa mtima kosakhazikika.
• Mankhwala: Mwachitsanzo, mankhwala oletsa kupweteka kwa mtima kuti achepetse kugunda kwa mtima kosakhazikika, kapena ma beta-blockers kapena ma calcium channel blockers kuti achepetse kuthamanga kwa magazi.Monga mankhwala.

Kodi ma PVC (Premature Ventricular Contractions) angapewedwe?

Palibe njira yopewera kwathunthu ma PVC. Komabe, kuchita izi kungathandize kwambiri kuti mtima wanu wonse ukhale wathanzi:

• Khalani ndi kulemera koyenera komwe kukugwirizana ndi kutalika kwanu, jenda, komanso mtundu wa thupi lanu.
• Siyani kusuta fodya kotheratu ndipo chepetsani zinthu monga mowa ndi caffeine.
• Idyani chakudya chopatsa thanzi komanso chopatsa thanzi chokhala ndi zipatso, ndiwo zamasamba, ndi tirigu wonse.
• Kuchita masewera olimbitsa thupi nthawi zonse - Izi zikuphatikizapo kuchita masewera olimbitsa thupi , kuchita masewera olimbitsa thupi, komanso kutambasula thupi.
• Kusunga cholesterol yabwino komanso kuthamanga kwa magazi.
• Kugwiritsa ntchito njira zabwino zothanirana ndi nkhawa ndi kupsinjika maganizo - mwachitsanzo, kulankhula ndi munthu kapena kusinkhasinkha.
• Gonani maola osachepera asanu ndi awiri usiku.

Ndingadziwe bwanji ngati ndili pachiwopsezo chopanga PVC?

Zinthu zingapo zingakulitse chiopsezo chanu chokhala ndi PVC. Zina mwa izo ndi izi:

• Atapezeka ndi matenda ena a mtima, kuphatikizapo matenda a mtima obadwa nawo .
• Kukhala ndi mbiri ya banja la munthu amene ali ndi vuto la mtima wosakhazikika (arrhythmia ).
• Ngati munakhalapo ndi vuto la mtima kale.

Kodi chiyembekezo cha malo a PVC ndi chiyani?

Kawirikawiri, chiyembekezo cha anthu omwe ali ndi PVC chili bwino. Anthu ambiri sali pachiwopsezo chotenga mavuto azaumoyo chifukwa cha izi.

Komabe, ngati muli ndi mavuto ena azaumoyo, kapena munadwalapo matenda a mtima m'mbuyomu, chiopsezo chanu cha mavuto azaumoyo, zomwe zikutanthauza kuti moyo wanu ufupikitsidwa, chingawonjezekenso.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi ma PVC, kapena mukuganiza kuti mungakhale nawo, ndi bwino kufunsa dokotala wanu mafunso awa:

• Kodi chifukwa chachikulu chomwe chimapangitsa kuti ndikhale ndi ma PVC awa ndi chiyani?
• Kodi zizindikirozi zingayambitsidwe ndi matenda ena?
• Kodi ndiyenera kupimidwa kuti ndione ngati ndili ndi matenda enaake a mtima?
• Ndi mayeso ati omwe ndiyenera kuchita kuti ndizindikire ma PVC?
• Kodi ndikufunika chithandizo cha PVC?
• Kodi zizindikiro za PVC zikuipiraipira ndi ziti?
• Kodi ma PVC amatha kwathunthu atalandira chithandizo?

Kodi muyenera kupita ku Chipinda cha Zadzidzidzi liti?

Ma PVC nthawi zambiri si adzidzidzi. Komabe, ngati muli ndi zizindikiro izi pamodzi ndi ma PVC, imbani 911 nthawi yomweyo (ku Sri Lanka, imbani 1990 Suwaseriya Ambulance Service) kapena pitani ku chipinda chapafupi chadzidzidzi:

• Chizungulire kapena kukomoka ( Syncope ) / kutaya chidziwitso
• Kupepuka mutu - (kumva kupepuka mutu)
• Ululu pachifuwa, pakhosi, nsagwada, kapena m'manja
• Kuvuta kupuma ( Kulephera kupuma bwino )
• Kusokonezeka maganizo

Chofunika: Kodi PVC ingayambitse imfa yadzidzidzi?

Ngati muli ndi matenda a mtima omwe ali mkati mwanu, kapena ngati ma PVC ayamba m'malo ena a mtima, ma PVC amatha kuwonjezera chiopsezo chanu cha imfa yadzidzidzi ya mtima. Komabe, kwa anthu ambiri, ma PVC ndi vuto lopanda vuto ndipo satsogolera ku imfa yadzidzidzi.

Kodi matenda ena angayambitse zizindikiro zofanana ndi za PVC?

Inde. Zizindikiro monga kugunda kwa mtima ndi kulimba kwa chifuwa zimathanso kuchitika chifukwa cha matenda ena. Mwachitsanzo:

• Kuchepa kwa magazi m'thupi (kuchepa kwa maselo ofiira a magazi)
• Matenda a nkhawa kapena mantha
• Hyperthyroidism (chithokomiro chogwira ntchito mopitirira muyeso)
• Hypoglycemia (shuga wotsika m'magazi)
• Kusalinganika kwa ma electrolyte

Uthenga Womaliza Wopita Nawo Kunyumba

Kugunda kwa Mitsempha Yothamanga Pasadakhale (PVCs) ndi kugunda kwa mtima kosakhazikika. Kumachitika pamene chizindikiro chamagetsi chomwe chimapangitsa mtima kugunda chikuyamba m'zipinda zapansi pa mtima m'malo mwa m'zipinda zapamwamba. PVC nthawi zambiri imamveka ngati kugunda kosaloledwa, kapena kugwedezeka kapena kugwedezeka pachifuwa. Komabe, anthu ambiri samakhala ndi zizindikiro zilizonse.

Ma PVC si owopsa kwa anthu ambiri. Komabe, ngati muli ndi matenda ena, makamaka matenda a mtima, muli pachiwopsezo chachikulu chotenga mavuto chifukwa cha ma PVC. Ngati muli ndi nkhawa kapena nkhawa zilizonse, ndi bwino kufunafuna upangiri wa dokotala. Kenako mutha kupeza mayeso ofunikira ndikulandira chithandizo choyenera. Musaiwale kuti kukhala ndi moyo wathanzi ndikofunikira kwambiri pa thanzi la mtima.

Kuchepa kwa Mitsempha ya M'mimba Mwamsanga, PVCs, Kugunda kwa Mtima, Kugunda kwa Mtima Kosakhazikika, Matenda a Mtima, Zizindikiro Zamagetsi za Mtima, Maselo, Atria, EKG, Zizindikiro za Matenda a Mtima