Kodi munayamba mwamvetsera kugunda kwa mtima wanu pamene munali chete? Nthawi zina zinkamveka ngati zikugunda mofulumira pang'ono, ndipo nthawi zina zinkamveka ngati zikugunda pang'ono. Makamaka ngati mukumva ngati kugunda kwa mtima wanu kukukwera pang'ono mukapuma mozama, kenako n'kuchepa mukapuma pang'onopang'ono, mwina muli ndi vuto lotchedwa "Sinus Arrhythmia." Koma musachite mantha ndi dzinalo. Chifukwa gawo la "arrhythmia" la dzinalo, lomwe limatanthauza "kugunda kwa mtima kosakhazikika," limapangitsa anthu ambiri kuganiza kuti iyi ndi matenda oopsa. Koma zoona zake n'zosiyana kwambiri. M'nkhaniyi, tikambirana za momwe ililidi, chifukwa chake nthawi zambiri ndi chinthu chabwino, komanso ngati muyenera kuiopa.
Mwachidule, kodi Sinus Arrhythmia ndi chiyani?
Matenda a sinus arrhythmia ndi kusakhazikika kwa kayendedwe ka mtima. Koma sizili ngati matenda ena oopsa a mtima. Mtundu wofala kwambiri komanso wofala kwambiri womwe timawona ndi pamene nthawi yopuma pakati pa kugunda kwa mtima imasintha pang'ono malinga ndi momwe mumapumira.
Ganizirani motere,
- Mukapuma mpweya (Kudzoza): Mtima wanu umathamanga pang'ono.
- Mukatulutsa mpweya (Expiration): Mtima wanu umachepa pang'ono.
Izi zili ngati kuponda pang'onopang'ono pa accelerator ya galimoto kenako nkuisiya. Izi ndi zachibadwa komanso zathanzi . Ndipotu, ichi ndi chizindikiro chabwino chakuti mtima wanu uli ndi thanzi labwino. Zimasonyeza kuti mgwirizano pakati pa mtima wanu ndi dongosolo lanu la mitsempha ukugwira ntchito bwino kwambiri. Choncho ngati dokotala akuona izi pa ECG yanu, sadzadandaula nazo.
Kodi izi zikusiyana bwanji ndi mavuto ena oopsa a mtima?
Anthu ambiri amachita mantha akamva mawu oti "arrhythmia" chifukwa pali matenda ambiri oopsa otchedwa dzina limenelo. Mwachitsanzo, atrial fibrillation. Koma sinus arrhythmia ndi matenda osiyana kwambiri komanso osavulaza. Dokotala amatha kusiyanitsa mosavuta pakati pa sinus arrhythmia ndi matenda ena oopsa poyang'ana ECG yanu.
Tiyeni timvetse kusiyana kumeneku bwino kuchokera pa tebulo ili m'munsimu.
| Mkhalidwe wa kugunda kwa mtima | Mwachidule, ichi ndi chiyani? |
|---|---|
| Sinus Arrhythmia | Kusintha kwabwinobwino komanso kopanda vuto kwa kugunda kwa mtima komwe kumachitika popuma ndi kutuluka. Nthawi zambiri palibe zizindikiro. |
| Kusokonezeka kwa Atrial | Matenda oopsa omwe zipinda zapamwamba za mtima (atria) zimagunda mofulumira kwambiri komanso mosakhazikika. Zizindikiro zake zingakhale kupweteka pachifuwa, kutopa, ndi chizungulire. |
| Kuthamanga kwa Atrial | Vuto lina lalikulu lomwe zipinda zapamwamba za mtima zimagunda mofulumira kwambiri, koma motsatira kamvekedwe kake, limafuna thandizo lachipatala. |
| Bradyarrhythmia | Kugunda kwa mtima pang'onopang'ono kwambiri. Mitundu ina ingafunike chithandizo. |
Mukuona, sichoncho? Ngakhale matenda ena ndi oopsa, okhala ndi zizindikiro ndipo mwina amafunika chithandizo, matenda a sinus arrhythmia si amodzi mwa matendawo.
Ndani amene angaone izi?
Ngakhale kuti zimatha kuchitika mwa anthu azaka zilizonse, zimapezeka kwambiri mwa ana athanzi komanso achinyamata . Ndipotu, madokotala a ana nthawi zambiri amaona izi pa ma ECG a ana.
Izi zili choncho chifukwa chakuti dongosolo la mitsempha lodziyimira palokha la achinyamata ndi ana - dongosolo lomwe limalamulira zinthu zomwe sitingathe kuzilamulira, monga kugunda kwa mtima ndi kupuma - limagwira ntchito kwambiri. Izi zikutanthauza kuti mitsempha yomwe imalamulira kupuma ndi kugunda kwa mtima imakhala yolimba kwambiri ndipo imayankha mwachangu. Ichi ndichifukwa chake mutha kuwona bwino kusiyana kumeneku pa kugunda kwa mtima wawo. Matendawa nthawi zambiri amachepa pang'onopang'ono tikamakula.
Chofunika kwambiri n’chakuti kuona vutoli mwa munthu wachinyamata wathanzi kumatanthauza kuti palibe vuto ndi mtima wake, ndipo ukugwira ntchito bwino.
Kodi ndi zifukwa ziti zomwe zimayambitsa matenda a sinus arrhythmia?
Madokotala amagawa vutoli m'magulu akuluakulu angapo kutengera zomwe zimayambitsa. Tiyeni tiwone zomwe zimayambitsa.
1. Mtundu woyambitsidwa ndi kupuma (Respiratory Sinus Arrhythmia)
Uwu ndi mtundu wofala kwambiri komanso wachibadwa womwe takambirana mpaka pano. Umayambitsidwa ndi kupuma kwanu kokha. Ngati tiyang'ana kwambiri zasayansi zomwe zikuchitika, nthawi pakati pa kugunda kwa mtima kumodzi ndi kumodzi pa ECG imatchedwa PP interval. Kawirikawiri, nthawi iyi iyenera kukhala yofanana. Koma munthu amene ali ndi vutoli akapuma, nthawi pakati pa kugunda kuwiriku ikhoza kukhala yayitali kuposa masekondi 0.16. Dokotala amazindikira izi powona kusiyana kumeneku pa ECG.
2. Mtundu wosakhudzana ndi kupuma (Nonrespiratory Sinus Arrhythmia)
Izi zimachitika kawirikawiri. Ngakhale kuti mtundu uwu wa ECG umafanana ndi mtundu wamba womwe watchulidwa kale, sumachitika chifukwa cha kupuma. Nthawi zambiri umawoneka chifukwa cha vuto lina lobisika.
- Ngozi iliyonse kumutu kapena pakhosi.
- Kumwa mankhwala ena a mtima mopitirira muyeso, monga Digoxin (Digoxin - Digitek®).
- Kupezeka kwa matenda ena a mtima.
Ngakhale kuti izi zitha kuzindikirika ndi ECG, dokotalayo amangofika pa mfundo imeneyi pongoyang'ana mbiri yanu yachipatala ndi zizindikiro zina.
3. Kusakhazikika kwa ventriculophasic Sinus Arrhythmia
Uwu ndi mtundu wapadera komanso wosowa womwe ungadziwike kokha ndi mayeso a ECG. Nthawi zambiri umapezeka mwa anthu omwe ali ndi vuto la momwe zizindikiro zamagetsi za mtima zimayendera, monga AV block ya digiri yachitatu. Izi ndi zovuta pang'ono, kotero dokotala wanu adzakufotokozerani mwa kuyang'ana ECG.
Kodi ndingapeze bwanji izi? Kodi zimafunika chithandizo?
Nthawi zambiri, matenda a sinus arrhythmia amapezeka mwangozi. Dokotala wanu mwina adzazindikira izi panthawi yoyezetsa electrocardiogram (EKG) yomwe mukuchita pazifukwa zina, mwina kuyezetsa kwachipatala nthawi zonse kapena musanachite opaleshoni. Mukudziwa, mayeso omwe amalemba momwe mtima wanu umagwirira ntchito pomata timitengo tating'ono pachifuwa panu, m'manja, ndi m'miyendo, amatchedwa EKG.
Tsopano tiyeni tifike pa funso lofunika kwambiri: Kodi izi zimafuna chithandizo?
Nkhani yabwino ndi yakuti kupuma movutikira kwa sinus arrhythmia, vuto lofala lomwe limagwirizanitsidwa ndi kupuma , silifuna chithandizo chilichonse chifukwa si matenda.
Ngakhale pali mitundu ina iwiri (yosagwiritsa ntchito kupuma ndi ya ventriculophasic), nthawi zambiri siilandira chithandizo mwachindunji. M'malo mwake, madokotala amachiritsa matenda omwe amayambitsa matendawa (monga matenda a mtima kapena kumwa mankhwala mopitirira muyeso).
Kodi izi ndi zoopsa? Kodi ndingathe kupweteka pachifuwa?
Ili ndi funso lalikulu kwambiri lomwe aliyense ali nalo. Tikangoona chinthu chotchedwa "chosakhazikika" pa ECG, timachita mantha.
Koma ayi. Matenda a Sinus Arrhythmia a m'mapapo si matenda ofala kwambiri. Ndipotu, ndi chizindikiro chabwino chakuti mtima wanu uli ndi thanzi labwino, ukusintha bwino momwe zinthu zilili, ndipo ukugwira ntchito bwino. Matendawa sangapewedwe, ndipo palibe chifukwa chowaletsa.
Chinthu china chofunika kudziwa ndi chakuti sinus arrhythmia sichimayambitsa kupweteka pachifuwa. Ngati muli ndi zizindikiro monga kupweteka pachifuwa, kupuma movutikira, kutopa, kapena chizungulire, zitha kukhala zina osati sinus arrhythmia. Chifukwa chake, ngati muli ndi zizindikiro izi, musanyalanyaze. Pitani kwa dokotala nthawi yomweyo.
Kotero, nthawi ina dokotala wanu akadzakuuzani kuti muli ndi vuto la sinus arrhythmia pa ECG yanu, musachite mantha. Mwina ndi nkhani yabwino yokhudza mtima wanu wathanzi.
Uthenga Wopita Nawo Kunyumba
- Sinus arrhythmia ndi kusintha kwa kugunda kwa mtima pamene munthu akupuma. Iyi si matenda nthawi zambiri, koma ndi matenda abwinobwino .
- Izi zimachitika makamaka pakati pa ana ndi achinyamata athanzi , ndipo zimaonedwa ngati chizindikiro chabwino cha mtima wathanzi.
- Matenda a sinus arrhythmia abwinobwino alibe zizindikiro ndipo safuna chithandizo chilichonse .
- Vutoli limapezeka kudzera mu mayeso a EKG . Nthawi zambiri limapezeka mwangozi ngati EKG yachitika pazifukwa zina.
- Ngati mukumva zizindikiro monga kupweteka pachifuwa, kupuma movutikira, kuthamanga kwa mtima, kapena kukomoka, musanyalanyaze chifukwa ndi matenda a sinus arrhythmia. Pitani kwa dokotala nthawi yomweyo .
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