Kodi kugunda kwa mtima wanu kumachepanso? ​​Tiyeni tiphunzire za Sinus Bradycardia.

Kodi nthawi zina mumamva ngati mtima wanu ukugunda pang'onopang'ono? Kapena mumangomva kugunda kwa mtima wanu ndipo kumakhala kotsika kuposa momwe mumayembekezera? Musadandaule. Izi sizili vuto lalikulu nthawi zonse. Ikhoza kukhala matenda otchedwa Sinus Bradycardia . Lero, tikambirana za izi m'njira yosavuta yomwe mungamvetse.

Kodi Sinus Bradycardia ndi chiyani?

Mwachidule, sinus bradycardia ndi pamene kugunda kwa mtima wanu kumakhala kocheperako kuposa momwe mumayembekezera. Izi ndi zomwe timatcha pamene mtima wa munthu wamkulu ukugunda kosakwana nthawi 60 pa mphindi, koma ntchito yonse ya mtima imakhala yachibadwa.

Kumbukirani, nthawi zina izi zingakhale chizindikiro cha matenda a mtima. Koma musadabwe, nthawi zina zingakhalenso chizindikiro chakuti muli ndi thanzi labwino , makamaka ngati mumachita masewera olimbitsa thupi nthawi zonse.

Anthu ambiri omwe ali ndi vutoli saona zizindikiro zilizonse. Komabe, ngati zizindikirozo zachitika, chifukwa chachikulu ndichakuti mtima ukugunda pang'onopang'ono, osatha kupopera magazi okwanira kupita ku thupi lonse.

Nchifukwa chiyani izi zimatchedwa "Sinus Bradycardia"?

Dzinali limapangidwa ndi magawo awiri. Mawu oti "Bradycardia" amachokera ku Chigiriki. "Bradys" amatanthauza "pang'onopang'ono" ndipo "kardia" amatanthauza "mtima." Kenako "Sinus" amatanthauza kuti kugunda kwa mtima kumayendetsedwa ndi kayendedwe ka sinus .

Tsopano, taonani, kugunda kulikonse kwa mtima wathu kumayamba ndi maselo ambiri ogwira ntchito zamagetsi pamwamba pa mtima wathu. Apa ndi pomwe timatcha sinoatrial node (SA node) , kapena sinus node. Iyi ndi pacemaker yachilengedwe ya mtima wathu. Apa ndi pomwe chizindikiro chamagetsi chomwe chimapangitsa mtima kugunda chimapangidwa. Chifukwa chake, "sinus rhythm" chimatanthauza kuti kugunda kwa mtima wanu kumayendetsedwa ndi sinus node iyi, ndipo ndi zachilendo. Kenako, sinus bradycardia imatanthauza kuti mtima ukugunda mu sinus rhythm, koma pang'onopang'ono.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Sinus bradycardia imapezeka kwambiri mwa okalamba, makamaka omwe ali ndi zaka zoposa 65. Izi zili choncho chifukwa kugunda kwa mtima kumachepa mwachibadwa tikamakalamba. Sizimachitika kawirikawiri mwa ana aang'ono, koma zimatha kuchitika chifukwa cha vuto lobadwa nalo.

Komanso, monga tanenera kale, sinus bradycardia imapezekanso ngakhale kwa anthu omwe amachita masewera olimbitsa thupi nthawi zonse ndipo ali ndi thanzi labwino. Kuchita masewera olimbitsa thupi nthawi zonse kumalimbikitsa mitsempha yathu ya vagus.Ili ndi zotsatira zabwino. Mitsempha iyi imalumikizidwa mwachindunji ndi ubongo, ndipo ndi gawo la dongosolo lathu la mitsempha lodziyimira payokha. Mitsempha ya vagus ikamagwira ntchito bwino, kugunda kwa mtima wanu kopumula kumachepa.

Kodi vutoli ndi lofala bwanji?

Matenda a sinus bradycardia amakhudza munthu m'modzi mwa akuluakulu 600 azaka zopitilira 65. Komabe, anthu ambiri omwe ali ndi vutoli sakumana ndi zizindikiro, makamaka chifukwa nthawi zambiri anthu omwe amachita masewera olimbitsa thupi nthawi zonse amakhala ndi vutoli. Chifukwa chake, chiwerengero chenicheni cha anthu omwe ali ndi vutoli chikhoza kukhala chokwera kwambiri.

Kodi vutoli limakhudza bwanji thupi langa?

Popeza anthu ambiri saona zizindikiro zilizonse kuchokera ku sinus bradycardia, nthawi zambiri ndi vuto labwino . Anthu ena sadziwa ngakhale kuti kugunda kwa mtima wawo kuli pansi pa 60 kugunda pamphindi mpaka atangoyang'ana kugunda kwa mtima wawo.

Komabe, kwa iwo omwe ali ndi zizindikiro, sinus bradycardia ndi chizindikiro chakuti thupi silikupopa magazi okwanira. Izi zikutanthauza kuti ubongo ndi ziwalo zina za thupi sizikupeza mpweya wokwanira. Kusowa kwa mpweya kumeneku ndiye chifukwa chachikulu cha zizindikirozo.

Kodi zizindikiro za Sinus Bradycardia ndi ziti?

Anthu ambiri, makamaka omwe ali ndi thanzi labwino, saona zizindikiro zilizonse za sinus bradycardia chifukwa mitima yawo imagwira ntchito bwino kwambiri.

Komabe, kwa ena, zizindikiro za Sinus Bradycardia zingaphatikizepo:

• Kupuma movutikira - Kumva ngati ukomoka ukachita khama pang'ono.
• Kupweteka pachifuwa (angina) - Kupweteka kofinya, kufinya pachifuwa.
• Kutopa - Kumva kutopa kwambiri moti simungathe kuchita chilichonse.
• Kugunda kwa mtima - Kumva mtima wako ukugunda movutikira (popanda kuyang'ana kugunda kwa mtima).
• Mavuto okumbukira .
• Kusokonezeka - Kusatha kumvetsa zomwe zikuchitika.
• Kuvuta kuyika chidwi .
• Chizungulire, mutu wopepuka komanso kukomoka (Syncope) .
• Kukwiya, kusokonezeka maganizo kapena kusintha kwina kwa umunthu .

Kodi zifukwa zazikulu zomwe zapangitsa vutoli ndi ziti?

Pali zifukwa zingapo zomwe zingayambitse matenda a Sinus Bradycardia. Tiyeni tiwone zomwe zimayambitsa:

• Kusowa kwa Electrolyte: Kusapeza ma electrolyte okwanira monga calcium, magnesium, ndi potaziyamu, zomwe ndizofunikira m'thupi lathu, kungakhudze kugunda kwa mtima.
• Anorexia nervosa: Ichi ndi vuto la kudya. Izi zithanso kukhala chifukwa cha sinus bradycardia.
• Kutupa: Matenda monga kutupa kwa mkati mwa mtima ( endocarditis ), kutupa kwa minofu ya mtima ( myocarditis ), kapena kutupa kwa thumba lomwe limaphimba mtima ( pericarditis ).
• Matenda: Mabakiteriya omwe amayambitsa strep throat, ngati sanalandire chithandizo choyenera, amatha kuwononga mtima, makamaka ma valve a mtima.
• Matenda a nyamakazi ndi matenda a mtima: Matenda a bakiteriya, monga strep throat, omwe sakhala ochiritsidwa kwa nthawi yayitali angayambitse matenda a nyamakazi. Izi zingayambitse matenda a mtima a nyamakazi patatha zaka zambiri.
• Matenda a Lyme: Uwu ndi matenda a bakiteriya omwe amafalikira ndi nkhupakupa. Ngati sanalandire chithandizo choyenera, angakhudze mtima.
• Matenda a Chagas: Monga matenda a Lyme, uwu ndi matenda omwe amayamba chifukwa cha tizilombo toyamwa magazi (tizilombo topsompsonana).
• Matenda a sinus opweteka: Apa ndi pamene node ya sinoatrial (SA node), yomwe ndi chida chachilengedwe chothandizira mtima, sigwira ntchito bwino. Izi zikutanthauza kuti zizindikiro zamagetsi zomwe zimafunika kuti ziwalo zosiyanasiyana za mtima zichepetse panthawi yoyenera sizipangidwa bwino.
• Kutsekeka kwa mtima: Ili ndi dzina lodziwika bwino la kutsekeka kwa magetsi mumtima. Kutsekeka kumeneku kumachedwetsa kapena kuletsa chizindikiro cha magetsi kuyenda.
• Mankhwala: Mankhwala ena, monga beta-blockers, calcium-channel-blockers, mankhwala oletsa kugunda kwa mtima, mankhwala ochepetsa ululu, lithiamu, ndi mankhwala ochepetsa nkhawa, komanso mankhwala monga chamba/chamba, angayambitsenso izi.
• Opaleshoni ya mtima: Sinus bradycardia ingayambitsenso opaleshoni yochiza matenda a mtima obadwa nawo, kukonza ma valve, ndi kusintha ma valve.
• Chithandizo cha radiation: Vutoli likhoza kuchitika ngati zotsatira zoyipa za chithandizo cha radiation pa matenda monga khansa, zomwe zimayambitsa kuwonongeka kwa mtima.

Zina zomwe zingayambitse izi:

• Matenda amtima
• Kulephera kwa mtima
• Matenda a mitsempha ya mtima
• Kulephera kwa minofu ya Duchenne
• Lupus
• Matenda a nyamakazi
• Scleroderma
• Kuvulala/kuvulala
• Kutentha kochepa kwa thupi (Hypothermia)
• Hypothyroidism
• Kupuma movutikira
• Kuthamanga kwa magazi m'mutu - Kuthamanga kwa magazi m'mutu chifukwa cha kutupa kwa ubongo kapena kutuluka magazi.

Kodi Sinus Bradycardia ndi yopatsirana?

Ayi, sinus bradycardia si yopatsirana. Komabe, matenda ena omwe angayambitse vutoli, monga strep throat, amatha kupatsirana.

Kodi izi zimazindikirika bwanji ?

Dokotala, nthawi zambiri dokotala wa banja lanu, amatha kuzindikira matenda a sinus bradycardia pogwiritsa ntchito mayeso ndi njira zosiyanasiyana.

Ndi mayeso amtundu wanji omwe amachitidwa?

Izi sizingadziwike ndi mayeso okha. Mayeso ofunikira kwambiri kuti azindikire izi ndi mayeso a ECG (ECG kapena EKG - Electrocardiogram) . Izi zili choncho chifukwa ndi pongofufuza momwe magetsi a mtima amagwirira ntchito ndi pomwe tingathe kudziwa molondola ngati kugunda kwa mtima kuli bwino.

Pa nthawi yoyezetsa ECG, ma electrode ang'onoang'ono amaikidwa pachifuwa chanu ndipo amalemba momwe magetsi a mtima wanu amagwirira ntchito ngati mafunde papepala kapena pazenera. Madokotala amawona mafunde awa kuti awone ngati pali vuto lililonse ndi magetsi a mtima wanu. Ngati kugunda kwa mtima wanu kuli pang'onopang'ono koma mwanjira ina kuli bwino, ndizokwanira kuti dokotala adziwe matenda a sinus bradycardia.

Komabe, ngati muli ndi zizindikiro za Sinus Bradycardia, ndikofunikira kwambiri kudziwa chomwe chikuyambitsa. Mayeso ena angapo angachitike kuti adziwe chomwe chikuyambitsa.

• Milingo ya Electrolyte: Imayesa kuchuluka kwa ma electrolyte m'magazi anu, makamaka calcium ndi magnesium.
• Kuchuluka kwa mahomoni a chithokomiro: Hypothyroidism ingakhalenso chifukwa cha sinus bradycardia.
• Troponin: Maselo a minofu ya mtima ali ndi puloteni yapadera yotchedwa troponin. Maselo amenewa akawonongeka, troponin amatulutsidwa m'magazi. Ichi ndi chizindikiro chofunikira chomwe madokotala amagwiritsa ntchito pozindikira matenda a mtima.
• Kuwunika za poizoni m'magazi: Kuwunika komwe kumayesa magazi anu kuti awone ngati pali zinthu zoopsa. Izi zitha kuzindikira mankhwala (omwe amaperekedwa ndi dokotala kapena omwe amagulitsidwa pamtengo wotsika) omwe angayambitse sinus bradycardia, komanso zinthu zina zomwe zimavulaza mtima.

Mayeso ena angathandizenso kudziwa chomwe chikuyambitsa vuto lanu. Komabe, dokotala wanu ndiye munthu wabwino kwambiri wokuuzani mayeso omwe mukufunikira. Iye adzakufotokozeraninso momwe mayeso amachitikira komanso chifukwa chake akufunika.

Kodi matenda a Sinus Bradycardia amachiritsidwa bwanji? Kodi angachiritsidwe?

Kawirikawiri, simukusowa chithandizo cha sinus bradycardia ngati mulibe zizindikiro zilizonse.Izi sizinthu zodetsa nkhawa, makamaka ngati muli ndi thanzi labwino komanso mumachita masewera olimbitsa thupi nthawi zonse.

Komabe, pali njira ziwiri zazikulu zothandizira anthu omwe ali ndi zizindikiro:

1. Mankhwala

2. Zipangizo zomwe zimagwiritsa ntchito mphamvu zamagetsi kuti zilimbikitse minofu ya mtima (yomwe nthawi zambiri imatchedwa pacemakers ).

Kuyenda kwa magetsi

Pamene choyezera mtima mwachibadwa, sinoatrial node (SA node), chasiya kugwira ntchito bwino, pali njira zopangira kuti mupeze zotsatira zomwezo. Choyezera mtima chokhazikika ndi zipangizo zomwe dokotala wa mtima kapena dokotala wa opaleshoni angaike pachifuwa panu. Zimapereka mphamvu yamagetsi kuti zithandize mtima wanu kugunda bwino. Zipangizozi zimatha kukhalapo kwa zaka zoposa khumi.

Nthawi zina, pali njira yaifupi yomwe imagwira ntchito mofanana. Imatchedwa temporary pacing . Izi zimagwiritsa ntchito chipangizo chomwe chimatumiza mphamvu zamagetsi ku thupi kudzera mu pad yomwe imalumikizidwa pakhungu kapena waya waifupi womwe umalowetsedwa mumtima. Izi nthawi zambiri zimachitika mukuyembekezera kuti pacemaker yokhazikika iikidwe, ngakhale mutayifuna.

Palinso zipangizo zatsopano zotchedwa leadless pacemakers . Izi zitha kuikidwa kudzera mu catheter. Mu njirayi, dokotala wanu amapanga kudula pang'ono pa mtsempha waukulu wamagazi mu ntchafu yanu ndikuyika catheter kudzeramo. Kenako, chipangizo chonga chubu chimalumikizidwa kudzera mu mtsempha wamagazi kupita kumtima kwanu, komwe pacemaker (yomwe ili pafupifupi kukula kwa kapisozi yayikulu ya multivitamin) imayikidwa mwachindunji mu ventricle yakumanja ya mtima wanu.

Mankhwala

Kutengera ndi chomwe chimayambitsa sinus bradycardia, makamaka ngati chomwe chimayambitsa ndi chakanthawi, mankhwala angagwiritsidwe ntchito. Mankhwala monga atropine operekedwa kudzera m'mitsempha (IV) kapena jekeseni amatha kuwonjezera kugunda kwa mtima kwa kanthawi kochepa.

Kodi mavuto ndi zotsatirapo zake za bradycardia kapena chithandizo chake ndi ziti?

Dokotala wanu angakulangizeni bwino za zotsatirapo zomwe zingachitike chifukwa cha chithandizo chilichonse, mankhwala, kapena njira yochizira matenda a sinus bradycardia. Sinus bradycardia nthawi zambiri simayambitsa mavuto pokhapokha ngati ndi aakulu mokwanira kuti achititse zizindikiro. Komabe, chiopsezo cha mavuto chimawonjezeka ngati chithandizo chachedwa.

Kodi ndingathe bwanji kuthana ndi zizindikiro ngati sindidzisamalira ndekha?

Popeza ECG imafunika kuti munthu adziwe matenda a Sinus Bradycardia, musaganize kuti muli ndi matendawa kutengera zizindikiro zanu zokha. Ndi bwino kupita kwa dokotala ngati muli ndi zizindikiro za Sinus Bradycardia. Angathe kuzindikira vutoli ndikuwona ngati ndi lalikulu mokwanira kuti lifunike chithandizo.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Mudzayamba kumva bwino mutangolandira chithandizo chabwino cha Sinus Bradycardia (mankhwala kapena kuyenda kwakanthawi). Ngati mukufuna pacemaker yokhazikika, mudzayamba kumva bwino mutatha opaleshoni (makamaka ndi nthawi yochira mutatha opaleshoni). Anthu ambiri amachira patatha milungu ingapo mutatha opaleshoni kuti aike pacemaker.

Kaya mulandire chithandizo chotani, dokotala wanu angakuuzeni bwino nthawi yomwe idzakutengereni kuti muchire komanso zomwe mungayembekezere, chifukwa adzaganizira za momwe mulili komanso mbiri yanu.

Kodi ndingapewe kapena kuchepetsa chiopsezo cha bradycardia?

Kawirikawiri, matenda a Sinus Bradycardia sangapeweke. Chomwe mungachite ndikuyesera kupewa zinthu zomwe zingachititse kuti izi zichitike mosavuta. Izi zikutanthauza:

• Pewani kugwiritsa ntchito mankhwala osokoneza bongo.
• Fufuzani chithandizo mwamsanga matenda akangoyamba.
• Ngati muli ndi vuto la kudya, funani chithandizo.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi vutoli?

Anthu ambiri omwe ali ndi Sinus Bradycardia alibe zizindikiro, ndipo sizikhudza kwambiri moyo wanu. Komabe, ngati muli ndi zizindikiro, kupezeka ndi kulandira chithandizo msanga kungapangitse kusiyana kwakukulu pa momwe vutoli limakukhudzirani.

Kodi bradycardia imatenga nthawi yayitali bwanji?

Sinus bradycardia ikhoza kukhala vuto la kanthawi kochepa, makamaka ngati limayamba chifukwa cha mankhwala (mankhwala ochokera kwa dokotala kapena mankhwala osokoneza bongo) kapena zifukwa zina zakanthawi. Komabe, ngati limayamba chifukwa cha matenda ena, makamaka omwe amabadwa nawo kapena obadwa nawo kuchokera kwa makolo, nthawi zambiri limakhala vuto la moyo wonse. Zikatero, mankhwala a tsiku ndi tsiku kapena pacemaker angafunike kuti athetse zizindikiro ndi mavuto ena okhudzana nazo.

Kodi ndimadzisamalira bwanji?

Ngati dokotala wanu wakupezani ndi Sinus Bradycardia ndipo muli ndi zizindikiro, onani dokotala wanu monga momwe mwalangizidwira, ndipo imwani mankhwala anu monga mwalangizidwira. Ngati muli ndi pacemaker, muyenera kuwona dokotala wanu monga momwe mwalangizidwira kuti muwonetsetse kuti ikugwira ntchito bwino (pacemaker ambiri tsopano akhoza kufufuzidwa pogwiritsa ntchito ukadaulo wopanda zingwe, zomwe zimapangitsa kuti izi zikhale zosavuta komanso zosavuta).

Kodi ndiyenera kupita liti kwa dokotala wanga kapena kufunafuna upangiri wa dokotala?

Ngakhale mutakhala ndi vuto la sinus bradycardia, ndi bwino kuchita opaleshoni ya thupi chaka chilichonse . Kupita kuchipatala chaka chilichonse kungathandize kuzindikira mavuto ndi zizindikiro zatsopano asanayambe.

Ngati muli ndi zizindikiro za sinus bradycardia, ngati zizindikiro zanu zasintha kwambiri, kapena ngati zizindikiro zanu zayamba kukhudza moyo wanu watsiku ndi tsiku ndi ntchito yanu, onani dokotala wanu.

Kodi ndiyenera kupita ku chipinda chadzidzidzi chachipatala liti?

Zizindikiro zina za sinus bradycardia zimafanana ndi za matenda ena akuluakulu a mtima, choncho ndi bwino kupita kuchipatala ngati mukukumana ndi zizindikiro izi:

• Kupweteka pachifuwa (Angina)
• Kuvuta kupuma (kupuma movutikira)
• Chizungulire, mutu wopepuka, kapena kukomoka (syncope)

Sinus bradycardia ndi matenda omwe simungadziwe kuti muli nawo. Anthu ambiri alibe zizindikiro zilizonse. Komabe, ngati muli nawo, dokotala wanu angakuthandizeni kudziwa chomwe chikuyambitsa matendawa komanso ngati ndi chinthu chodetsa nkhawa. Mwamwayi, ngakhale kwa iwo omwe akufunika chithandizo, vutoli nthawi zambiri limayendetsedwa bwino, ndipo silikhudza kwambiri moyo wanu watsiku ndi tsiku.

Uthenga Wopita Nawo Kunyumba

Chabwino, tsopano mwamvetsa bwino zomwe takambirana lero, Sinus Bradycardia. Kumbukirani:

• Sinus bradycardia ndi pamene mtima ukugunda pang'onopang'ono kuposa mwachizolowezi, koma kayimbidwe ka mtima ndi kabwinobwino.
• Anthu ambiri, makamaka omwe amachita masewera olimbitsa thupi bwino, saona zizindikiro zilizonse .
• Ngati muli ndi zizindikiro, ndikofunikira kupeza chomwe chikuyambitsa vutoli ndikupeza chithandizo. Ngati muli ndi zizindikiro monga chizungulire, kupweteka pachifuwa, kapena kupuma movutikira , muyenera kuonana ndi dokotala .
• Chithandizo chimasiyana malinga ndi chomwe chimayambitsa vutoli. Nthawi zina pangafunike mankhwala kapena pacemaker.
• Musachite mantha! Nthawi zambiri vutoli ndi losavuta kulithetsa. Chofunika kwambiri ndikutsatira malangizo oyenera a dokotala.

Ngati muli ndi mafunso ena okhudza izi, musachite manyazi ndipo funsani dokotala wanu. Khalani ndi thanzi labwino!

Sinus bradycardia, kugunda kwa mtima, kugunda kwa mtima pang'onopang'ono, pacemaker, ECG, zizindikiro za mtima, thanzi la mtima