Lero tikambirana za Pulseless Ventricular Tachycardia, vuto loopsa lomwe mtima umagunda mofulumira kwambiri moti sizingatheke kumva kugunda kwa mtima!

Kodi munamvapo kapena kuona munthu wina akugwa mwadzidzidzi osadziwa? Mwina akugwira pachifuwa pake? Zikuoneka kuti akuvutika kupuma. Panthawiyo, tikuganiza kuti akudwala matenda a mtima, sichoncho? Inde, zitha kuchitika. Koma lero tikambirana za vuto lofunika kwambiri komanso loopsa kwambiri. Ndiko kuti, mtima ukugunda mofulumira kwambiri kotero kuti sizingatheke kumva kugunda kwa mtima, vuto lotchedwa ``Pulseless Ventricular Tachycardia'' monga momwe madokotala amalitchulira. Ngakhale dzinalo lingamveke lovuta pang'ono, ndi losavuta kulimvetsa.

Ndiye, kodi kugunda kwa mtima kothamanga kumeneku popanda kugunda kwa mtima ndi chiyani? (Pulseless Ventricular Tachycardia)

Mwachidule, mtima wanu uli ndi zipinda zinayi zazikulu. Zipinda ziwiri zazing'ono pamwamba zimatchedwa atria. Zipinda ziwiri zazikulu, zolimba pansi zimatchedwa ventricles. Ma ventricles awa amagwira ntchito ngati mapampu akuluakulu a mtima. Nthawi iliyonse mtima ukagunda, ma ventricles awa amakokana ndikupompa magazi m'thupi lonse ndi m'mapapo. Chofunika kwambiri, eti?

Tangoganizani, chimachitika ndi chiyani ngati ma ventricle awa ayamba kugunda mofulumira kwambiri, kupitirira 100 pa mphindi, mwina 200-300? Zili ngati makina. Zikatero, zipinda zimenezo sizimakhala ndi nthawi yodzaza ndi magazi bwino. Zimapindikanso zisanadzaze. Ndiye chimachitika ndi chiyani? Magazi sakupopedwa m'thupi lonse. Magazi akasiya kuyenda, sitingamve ngakhale kugunda kwa mtima. Ndicho chimene timachitcha kuti pulseless ventricular tachycardia. Tachycardia ndi pamene mtima ukugunda mofulumira kwambiri.

Izi ndi zoopsa kwambiri. Chifukwa, magazi akasiya kuyenda kupita m'thupi, ziwalo zathu sizilandira mpweya ndi zakudya. Chifukwa chake , ziwalo za thupi zimatha kusagwira ntchito mwachangu ('kulephera kwa ziwalo'), mtima ukhoza kusagwira ntchito konse ('kulephera kwa mtima'), ndipo mtima ukhoza kuima mwadzidzidzi ('kulephera kwa mtima mwadzidzidzi'). Izi zili ngati nkhondo pakati pa moyo ndi imfa.

Kugunda kwa mtima mofulumira kumeneku kungakhale kofanana kapena kofanana. Madokotala amatha kudziwa izi pokhapokha ndi mayeso a ECG.

Kodi ventricle tachycardia nthawi zonse imakhala vuto lopanda kugunda kwa mtima?

Ayi, sizimachitika nthawi zonse choncho. Kuthamanga kwa mtima (ventricular tachycardia) ndi vuto lililonse limene ma ventricles a mtima amagunda mofulumira kuposa kugunda 100 pamphindi. Kawirikawiri, mtima wa munthu wathanzi umagunda pakati pa kugunda 60 ndi 100 pamphindi akapuma.

Kuopsa kwa ``(Ventricular Tachycardia)`` iyi kumatsimikiziridwa ndi zinthu zingapo:

• Mtima umagunda mofulumira bwanji.
• Kodi kugunda kwa mtima mwachangu kumeneku kudzakhala kwa nthawi yayitali bwanji?
• Kodi vutoli limachitika kangati?

Ventricular Tachycardia nthawi zambiri imatha kuchiritsidwa. Komabe, ngati siikulamuliridwa, kapena ngati ichitika kwa munthu amene ali ndi matenda ena a mtima, ikhoza kuipiraipira ndikukhala Pulseless Ventricular Tachycardia.

Kodi vutoli ndi lofala bwanji?

Kwenikweni, iyi si matenda omwe amakhudza aliyense. Koma, kodi tikudziwa kuti m'dziko ngati America, anthu pafupifupi 350,000 amafa chaka chilichonse chifukwa cha imfa yadzidzidzi ya mtima, makamaka omwe ali ndi zaka zoposa 35? Imfa zambirizi zimachitika chifukwa cha kugunda kwa mtima kosazolowereka m'ma ventricles (ventricular arrhythmias). Chifukwa chake, ichi si chinthu chomwe chingaganizidwe mopepuka.

Kodi kugunda kwa mtima mofulumira kumeneku kumachitika bwanji popanda kugunda kwa mtima?

Mtima wathu ukugunda pogwiritsa ntchito njira yovuta kwambiri ya ma impulse amagetsi. Mofanana ndi mawaya amagetsi m'nyumba, ma impulse amagetsi awa amayenda mumtima mwanjira inayake, zomwe zimapangitsa kuti ziwalo za mtima zidumphe mwadongosolo.

Tangoganizirani, bwanji ngati chinachake chalakwika panjira ya zizindikiro zamagetsi izi, kapena ngati chizindikiro chatsopano chayamba pamalo olakwika? Pamenepo ndi pomwe mtima umayamba kugunda mofulumira komanso mosakhazikika. `(Pulseless Ventricular Tachycardia)` imayamba chifukwa cha vuto mu dongosolo la zizindikiro zamagetsi.

Kodi zifukwa zake ndi ziti?

Pali zifukwa zambiri zomwe magetsi a mtima angasokonezeke. Nthawi zambiri, chifukwa chachikulu ndi matenda ena a mtima. Zina mwa izi ndi izi:

• Matenda a mtima otchedwa valvular: Mavuto a ma valve omwe amagwira ntchito ngati zitseko mumtima.
• Matenda a mtima: Matenda omwe minofu ya mtima imafooka kapena kukhuthala.
• Matenda a mitsempha ya mtima: Kuchepa kapena kutsekeka kwa mitsempha ya mtima yomwe imapereka magazi kumtima.
• Matenda a mtima (`myocardial infarction`): Apa ndi pamene gawo la mtima lawonongeka.
• Kulephera kwa mtima: Matenda omwe mtima umalephera kupompa magazi bwino.

Kuwonjezera pa izi, pakhoza kukhala zifukwa zina:

• Matenda a majini omwe amakhudza kayendedwe ka mtima: Mwachitsanzo, matenda monga `Long QT syndrome` ndi `Brugada syndrome`.
• Mankhwala ena: Mwachitsanzo, mankhwala opha tizilombo toyambitsa matenda otchedwa erythromycin kapena mankhwala ochepetsa ululu monga methadone. Izi zingakhudze ntchito yamagetsi ya mtima.
• Kusalinganika kwa ma electrolyte m'thupi: Kuwonjezeka kapena kuchepa kwa kuchuluka kwa mchere m'thupi lathu, monga sodium ndi potaziyamu, kungakhudze momwe mtima umagwirira ntchito.

Kodi zizindikiro za vutoli ndi ziti?

Munthu akakhala ndi "Pulseless Ventricular Tachycardia", kutanthauza kuti mtima ukugunda mofulumira popanda kugunda kwa mtima, munthu ameneyo:

• Kusazindikira.
• Sayankha chilichonse (`Osayankha`).
• Popanda kugunda kwa mtima.

Iyi ndi gawo loopsa kwambiri. Komabe, musanafike gawoli, pamene mtima umayamba kugunda mofulumira (Ventricular Tachycardia), zizindikiro ngati izi zingachitike:

• Kupweteka pachifuwa kapena kulimba.
• Chizungulire.
• Kumva ngati mtima wanu ukugunda mofulumira ndipo chifuwa chanu chikugunda (`kugunda kwa mtima`).
• Kumva mutu wopepuka komanso kukomoka (`Lightheadedness`).
• Kupuma movutikira.

Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, musanyalanyaze. Ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi mumazindikira bwanji izi? (`Kuzindikira`)

Ndipotu, `(Pulseless Ventricular Tachycardia)` ndi 'zadzidzidzi zachipatala'. Chifukwa chake, nthawi zina sipamakhala nthawi yoti munthu adziwe bwino asanatengere munthu kuchipatala. Ngati wina wataya mwadzidzidzi chikumbumtima, ndipo palibe kugunda kwa mtima pamene akuyang'ana kugunda kwa mtima, muyenera kuyimbira foni nthawi yomweyo ku ambulansi ya 1990 ndipo, ngati n'kotheka, yambani `CPR (Cardiopulmonary Resuscitation).` Izi zikutanthauza kukanikiza pachifuwa ndikupereka mpweya pakamwa ndi pakamwa.

Atabweretsedwa kuchipatala, madokotala amachita ECG ndi mayeso ena kuti atsimikizire vutoli.

Kodi mankhwala ochizira izi ndi otani?

Ngati ngozi yamtunduwu ichitika kunja kwa chipatala, choyamba kuchita ndikuchita CPR ndi ogwira ntchito ku ambulansi kapena munthu wophunzitsidwa.

• Kutsegula mtima (defibrillation): Mwina mwawonapo m'mafilimu, momwe mumagwedeza chifuwa. Ndicho chimene chimaletsa kugunda kwa mtima kosakhazikika ndikuyesera kuti chiyambenso kugunda bwino.
• Mpweya wowonjezera: Wonjezerani kuchuluka kwa mpweya m'magazi.
• Kupereka mankhwala: Mankhwala amaperekedwa kuti awonjezere kuthamanga kwa magazi ndikuwongolera kugunda kwa mtima.

Cholinga chachikulu ndichakuti mtima uyambenso kugunda bwino mwamsanga. Kenako, thupi limayesedwa ngati lawonongeka chifukwa cha ngozi. Pofuna kupewa kuwonongeka, makamaka ku ubongo, nthawi zina amagwiritsidwa ntchito mankhwala ochepetsa kutentha thupi. Ngati izi zikuchitika chifukwa cha matenda a mtima, izi zimathandizidwanso mwachangu.

Kwa anthu ena, madokotala amalimbikitsa chipangizo chaching'ono chotchedwa Implantable Cardioverter Defibrillator (ICD) chomwe chimayikidwa pansi pa khungu kuti chiziyang'anira kugunda kwa mtima wawo, ndipo ngati pakufunika, chiziwongolera kugunda kwa mtima mwa kugwedeza kwamagetsi. ICD iyi ili ngati chosungira moyo cha mtima. Imayang'anira kugunda kwa mtima maola 24 pa tsiku, masiku 7 pa sabata, ndipo ngati yapeza vuto, imabweretsa kugunda kwa mtima kuti ikonze. Kafukufuku wapeza kuti zipangizozi zimathandiza kwambiri kuchepetsa imfa yadzidzidzi ya mtima.

Kodi tingadziteteze bwanji ku ngozi imeneyi? (Kupewa)

Chinthu chabwino kwambiri chomwe mungachite ndikuyesetsa kupewa izi zisanachitike. Kukhala ndi moyo wathanzi kungakuthandizeni kuteteza matenda ambiri a mtima. Nazi zina zomwe mungachite kuti muthandize:

• Zakudya zabwino: Kudya zakudya zokhala ndi mchere wochepa, mafuta ochepa, shuga wambiri, ndi cholesterol yochepa, komanso zipatso ndi ndiwo zamasamba zambiri.
• Kuthetsa kupsinjika maganizo: Khalani omasuka mu zinthu monga kusinkhasinkha ndi zosangalatsa.
• Kuchita masewera olimbitsa thupi nthawi zonse: Zinthu monga kuyenda, kuthamanga, kapena kusambira kwa mphindi zosachepera 30 patsiku.
• Kuchepetsa kumwa mowa ndi kumwa caffeine wambiri.
• Kusunga thupi labwino.
• Ngati muli ndi matenda monga kuthamanga kwa magazi ndi matenda a shuga, samalani bwino.
• Kupewa kusuta fodya ndi kugwiritsa ntchito fodya konse.

Kodi mungapewe bwanji izi ngati muli kale ndi matenda a mtima?

Ngati muli kale ndi matenda a mtima, musachite mantha. Chofunika kwambiri ndikutsatira ndondomeko ya chithandizo ya dokotala wanu molondola. Imwani mankhwala anu pa nthawi yake, ndipo pitani kwa dokotala wanu nthawi zonse kuti mukayezedwe. Kuchita zinthu izi moyenera kungachepetse chiopsezo cha matenda anu a mtima kukulirakulira ndikukhala ndi vuto loopsa monga `(Pulseless Ventricular Tachycardia)`.

Kodi munthu amene ali ndi vutoli ayenera kutani? (Malangizo)

Ndipotu, nthawi yomwe mtima umayima kugunda imatsimikiziridwa ndi nthawi yomwe mtima umasiya kugunda komanso kugunda kwa mtima kubwerera. Ngati mwachedwa mphindi zoposa 15, mwayi wopulumuka ukhoza kuchepetsedwa kufika pa 5%. Izi zikutanthauza kuti sekondi iliyonse ndi yamtengo wapatali. Ichi ndichifukwa chake timati, ngati wina wagwa chikomokere, chitanipo kanthu nthawi yomweyo.

Kodi zotsatirapo zake zingakhale zotani? (Zovuta)

Ngati mtima wasiya kugunda ndipo magazi opita ku ubongo atsekedwa kwa mphindi zoposa 3-5, ubongo ukhoza kuwonongeka kosatha. Kuphatikiza apo, mavuto ena omwe angawopseze moyo angachitike. Izi zikuphatikizapo:

• Kulephera kwa mtima.
• Kulephera kwina kwa ziwalo (`Kulephera kwa ziwalo`) - monga impso ndi chiwindi.
• Kuvutika kupuma.
• Magazi amaundana thupi lonse.

Gulu lanu lachipatala lidzachita zonse zomwe lingathe kuti lichepetse mavutowa ndikukuthandizani kuti muchire mwachangu.

Kodi muyenera kupita kwa dokotala liti?

Zizindikiro za `(Ventricular Tachycardia)` zomwe mudauzidwa kale, ndizo:

• Kupweteka pachifuwa
• Chizungulire
• Kumva ngati mtima wako ukugunda mofulumira
• Kumva mutu wopepuka komanso kukomoka
• Kuvuta kupuma

Ngati mukukumana ndi vuto ngati ili, musanyalanyaze. Funsani dokotala nthawi yomweyo. Chifukwa likhoza kukhala chizindikiro cha vuto loopsa lotchedwa `(Pulseless Ventricular Tachycardia)`.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

`(Pulseless Ventricular Tachycardia)` ndi vuto lalikulu kwambiri, lomwe limayambitsa imfa. Limafuna chithandizo chadzidzidzi mwachangu. Ngakhale kuti mwayi wochira ndi wochepa, ndi vuto lomwe lingathe kupewedwa.

Chofunika kwambiri ndikutsatira moyo wathanzi wa mtima. Ngati muli ndi matenda aliwonse a mtima, tsatirani malangizo a dokotala wanu ndipo pitani kuchipatala nthawi zonse. Ngati muli ndi mafunso kapena kukayikira za thanzi la mtima wanu, musaope kulankhula ndi dokotala wanu. Iye ndiye mtsogoleri wanu wabwino kwambiri.

Choncho, tiyeni tonse tisamalire mitima yathu. Tiyeni tikhale ndi thanzi labwino!

'Kuthamanga kwa mtima kosagwira mtima, Kugunda kwa mtima mwachangu, Kugunda kwa mtima kosagwira mtima, Kuyima kwa mtima mwadzidzidzi, CPR, Defibrillation, Matenda a mtima