Kodi mumamvanso kugunda kwa mtima? Tiyeni tikambirane za tachycardia!

Kodi munayamba mwamvapo mtima wanu ukugunda mofulumira pamene munali ndi mantha kwambiri kapena kutopa kwambiri? Ndizabwinobwino. Koma ngati, popanda chifukwa, mtima wanu ukugunda mofulumira ngakhale mutangoyima, ngati mukumva ngati phokoso logunda kuchokera m'chifuwa mwanu, mwina ndi chinthu chodetsa nkhawa nacho. Lero tikambirana za vuto la kugunda kwa mtima mofulumira, lomwe limatchedwa tachycardia .

Kodi tachycardia ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, tachycardia ndi pamene mtima wanu ukugunda mofulumira kuposa mwachizolowezi mukapuma. Kawirikawiri, tikapuma, kugunda kwa mtima wathu kuyenera kukhala pakati pa 60 ndi 100 pa mphindi. Komabe, pankhani ya tachycardia, chiwerengerochi chimawonjezeka kufika pa kugunda kopitilira 100 pa mphindi. Kugunda kwa mtima kofulumira kumeneku kumatha kukhala kuyambira masekondi angapo mpaka maola angapo.

Tangoganizirani zomwe zimachitika mtima ukagunda mofulumira kwambiri. Mtima sukhala ndi nthawi yodzaza ndi magazi moyenera, chifukwa kugunda kwake kumathamanga kwambiri. Kenako maselo ena m'thupi lathu salandira magazi ndi mpweya womwe amafunikira. Izi zitha kukhala zoopsa pang'ono , chifukwa thupi lathu lonse limadalira magazi ochokera mumtima.

Kodi mitundu ikuluikulu ya tachycardia ndi iti?

Tachycardia imabwera m'njira zosiyanasiyana. Mitundu ina imachitika pafupipafupi, ndipo ingakhale yoopsa kwambiri. Mitundu ina ya tachycardia ingayambitse mavuto ambiri, pomwe ina ingayambitse kuwonongeka pang'ono mpaka kwakukulu. Dokotala yekha ndi amene angakuuzeni mtundu weniweni wa tachycardia yomwe muli nayo komanso momwe mungathanirane nayo.

Mtima wathu uli ndi zipinda zinayi zazikulu. Tachycardia ikhoza kuchitika m'zipinda zilizonsezi. Chifukwa chake ndi chakuti pali vuto ndi zizindikiro zamagetsi mumtima.

Pali mitundu iwiri ikuluikulu ya tachycardia:

1. Supraventricular tachycardias (SVTs) : Izi zimayambira m'zipinda zapamwamba za mtima, atria. Zitsanzo zikuphatikizapo atrial fibrillation ndi atrial contractions isanafike nthawi yake .

2. Kuthamanga kwa magazi m'mitsempha : Izi zimayambira m'zipinda zapansi pa mtima, zotchedwa ma ventricles. Zitsanzo zikuphatikizapo ventricular fibrillation ndi torsades de pointes . Izi nthawi zambiri zimakhala matenda omwe amafunika kusamala .

Kodi munthu amene ali ndi tachycardia amasonyeza zizindikiro ziti?

Anthu ena ali ndi tachycardia ndipo sasonyeza zizindikiro zilizonse. Koma ena amatha kukhala ndi zizindikiro kuyambira zofatsa mpaka zazikulu, zazikulu . Onani ngati mwakumana ndi chilichonse mwa izi:

• Kugunda kwa mtima (kumva ngati chifuwa chanu chikugunda)
• Kupuma movutikira (kumva ngati ukupuma movutikira, kuvutika kupuma )
• Kupweteka pachifuwa kapena kulimba pachifuwa
• Kumva kugunda kwa mtima kosasinthasintha (kumva ngati kayimbidwe ka mtima kasintha, ngati kuti kakugunda mwadzidzidzi - `kugunda kwa mtima`)
• Chizungulire
• Kufooka mutu (kumva kufooka mutu, kukomoka)
• Kutaya kukumbukira (kumbuyo)
• Kumva ngati kusanza (kumva ngati kusanza)
• Kumva kutopa kwambiri (kutopa kwambiri moti sindingathe kuchita chilichonse)

Ngati mumakhala ndi chimodzi kapena zingapo mwa zizindikirozi pafupipafupi, ndikofunikira kwambiri kufunafuna upangiri wa dokotala.

Nchifukwa chiyani tachycardia iyi imachitika? Kodi zimayambitsa chiyani?

Mtima wathu nthawi zambiri umagwira ntchito motsatira zizindikiro zamagetsi zochokera kumalo apadera mumtima otchedwa sinoatrial (SA) node . Zizindikirozi zimalamulira nthawi yomwe mtima uyenera kugunda. Mwachitsanzo, mukachita mantha mwadzidzidzi, kapena mukumva chisoni kwambiri, kapena mukamachita masewera olimbitsa thupi, mtima umawonjezera liwiro lotumiza zizindikirozi kwa kanthawi kochepa. Izi zimatchedwa sinus tachycardia . Izi nthawi zambiri zimatha mukatonthozedwa kapena kupuma. Si vuto lalikulu.

Komabe, kugwiritsa ntchito mankhwala osokoneza bongo, kusuta fodya, kumwa caffeine wambiri kapena kumwa mowa kungayambitsenso kugunda kwa mtima.

Kuphatikiza apo, pali zifukwa zina zomwe zingayambitse tachycardia:

• Kupsinjika maganizo
• Kusowa madzi m'thupi
• Kuthamanga kwa magazi
• Matenda ena a mtima, mwachitsanzo matenda a mitsempha ya mtima
• Shuga wochepa m'magazi
• Mimba
• Kuchepa kwa magazi m'thupi (kuchepa kwa magazi m'thupi)

Kodi ndi zinthu ziti zomwe zimayambitsa tachycardia?

Anthu ena ali pachiwopsezo chachikulu chotenga tachycardia. Nazi zinthu zina zomwe zingakhudze izi:

• Ngati wina m'banjamo ali ndi tachycardia (Mbiri ya banja la tachycardia)
• Kunenepa kwambiri
• Matenda a Shuga (Diabetes Mellitus)
• Matenda a impso kapena mapapo
• Mavuto a chithokomiro osachiritsidwa
• EnaMankhwala , mwachitsanzo, oletsa kupweteka kwa mtima ndi oletsa kupsinjika maganizo

Kodi mavuto omwe angakhalepo chifukwa cha vutoli ndi ati?

Ngati simulandira chithandizo choyenera, mitundu ina ya tachycardia ingayambitse impso, chiwindi, kapena mtima wanu kulephera kugwira ntchito . Tachycardia ingayambitsenso matenda monga:

• Magazi oundana - Ngati izi zipita ku ubongo, zingayambitse sitiroko.
• Stroke
• Matenda amtima
• Kufooka kwa minofu ya mtima (Cardiomyopathy)
• Kugwa kwa mtima mwadzidzidzi

Choncho, ngati muli ndi zizindikiro za tachycardia, musanyalanyaze. Ndi bwino kupita kuchipatala nthawi yomweyo.

Kodi mungazindikire bwanji tachycardia? (Kuzindikira)

Mukapita kwa dokotala, adzakufunsani za mbiri yanu yachipatala ndikukuyesani . Kuphatikiza apo, angakupatseni mayeso ena, monga:

• Electrocardiogram (EKG) : Izi zimayesa ntchito yamagetsi ya mtima.
• Chowunikira cha Holter kapena chowunikira china chovalidwa : Ichi chimavalidwa kwa tsiku limodzi kapena awiri ndipo chimalemba zomwe mtima ukuchita panthawiyo.
• Kuyesa tebulo lopendekeka : Izi zimayesa momwe kugunda kwa mtima wanu ndi kuthamanga kwa magazi zimasinthira pamene mukusintha malo anu.
• Kuyesa kupsinjika maganizo : Izi zimayesa momwe mtima umayankhira kuchita masewera olimbitsa thupi.
• Mayeso a Electrophysiology (kafukufuku wa EP) : Mayeso apadera ozindikira mavuto amagetsi a mtima.
• Echocardiogram : Kuyesa kwa ultrasound kwa mtima. Kumaona kapangidwe ndi ntchito ya mtima.
• Kuyezetsa magazi : Kufufuza zinthu monga matenda a chithokomiro ndi kuchepa kwa magazi m'thupi.
• Mayeso a majini : Yang'anani zomwe zimayambitsa matenda a chibadwa.
• Kujambula zithunzi za mtima : Zofanana ndi MRI.

Kodi mankhwala a tachycardia ndi ati?

Matenda a tachycardia amachiritsidwa makamaka ndi njira ndi mankhwala . Chithandizo chimadalira mtundu wa tachycardia yomwe muli nayo komanso chomwe chimayambitsa.

Njira zochizira:

• Mayendedwe a m'mimba : Nthawi zina dokotala wanu amakuphunzitsani izi. Izi ndi njira zosavuta zomwe zingathandize kuchepetsa kugunda kwa mtima wanu pang'ono.
• Kuchotsa : Njira yowononga madera a mtima omwe amayambitsa zizindikiro zamagetsi zosakhazikika.
• Kusinthasintha kwa mtima: Kugwedezeka kwa magetsi kumaperekedwa ku mtima kuti kubwezeretse kayendedwe ka mtima kabwinobwino.
• Chotsukira mtima choyimitsidwa (ICD) : Chipangizo chomwe chimazindikira ndikukonza kayimbidwe ka mtima komwe kamayambitsa ngozi mwa kugwetsa magetsi.
• Chothandizira pacemaker : Chipangizo chomwe chimathandiza kulamulira kugunda kwa mtima.
• Kutseka kwa gawo la atrium kumanzere : Izi zimachitika kuti magazi asaundane mwa anthu omwe ali ndi atrial fibrillation.

Mitundu ya mankhwala:

• Beta-blockers
• Zoletsa njira za calcium
• Zoletsa njira za potaziyamu
• Zoletsa njira za sodium
• Mankhwala oletsa kupweteka kwa mtima
• Mankhwala ochepetsa magazi kapena oletsa magazi kuundana (makamaka kwa iwo omwe ali ndi vuto la atrial fibrillation)

Pazidzidzidzi zina, CPR (Cardiopulmonary Resuscitation) ingakhale yofunikira.

Kodi munthu amene ali ndi tachycardia amakumana ndi chiyani?

Zomwe mukukumana nazo zidzadalira mtundu wa tachycardia yomwe muli nayo. Ikhoza kukhala chizindikiro chopanda vuto lililonse, kapena ikhoza kukhala vuto lomwe lingawononge moyo wanu, monga tachycardia ya m'mimba kapena fibrillation. Mankhwala ndi mankhwala ena angathandize kuchepetsa kugunda kwa mtima kwanu mofulumira.

Kuti muwone ngati mankhwala anu akugwira ntchito bwino, mungafunike kuvala chowunikira cha Holter kapena kuyezetsa electrophysiology .

Kodi tachycardia imatenga nthawi yayitali bwanji? Kodi imatha kuchiritsidwa?

Ngati muli ndi sinus tachycardia, zizindikiro zanu zimatha nthawi yomweyo nkhawa kapena nkhawa zomwe zinayambitsa matendawa zitatha. Koma mitundu ina yambiri ya tachycardia imafuna mankhwala kapena chithandizo kuti kugunda kwa mtima mwachangu komanso zizindikiro zina zisabwererenso.

Tachycardia yomwe imayambitsa matenda oopsa siichira yokha. Muyenera kutsatira moyo wathanzi, kumwa mankhwala moyenera, ndipo nthawi zina mumachita njira yothandizira monga ablation.

Ngakhale kuti mankhwala sangachiritse tachycardia kwathunthu, angathandize kuwongolera kugunda kwa mtima . Chithandizo cha ablation chingapereke yankho la nthawi yayitali, ndipo nthawi zina chimachiritsa mitundu ina ya tachycardia.

Kodi ndingasamalire bwanji thanzi la mtima wanga?

Ngati dokotala wanu wakuphunzitsani njira zochizira matenda a m'mimba, mungathe kulamulira tachycardia yanu pang'ono.

Komanso, dziwani zinthu izi:

• Lamulirani matenda monga kuthamanga kwa magazi ndi cholesterol yambiri .
• Imwani mankhwala omwe dokotala wanu wakupatsani molondola komanso panthawi yake.
• Chepetsani zakumwa zokhala ndi caffeine ndi mowa . (Chepetsani kuchuluka kwa makapu a khofi ndi tiyi omwe mumamwa patsiku.)
• Siyani kugwiritsa ntchito fodya kwathunthu.
• Khalani ndi kulemera koyenera komwe kungakuyenerereni.
• Idyani zakudya zopatsa thanzi la mtima (mulibe mafuta ambiri, mchere wambiri, ndi shuga wambiri, komanso musakhale ndi zipatso ndi ndiwo zamasamba zambiri).
• Sinthani kupsinjika maganizo. (Zinthu monga kusinkhasinkha, yoga, ndi zosangalatsa zingathandize.)

Kodi ndiyenera kupita liti kwa dokotala? Kodi ndiyenera kupita liti ku Dipatimenti Yothandiza Anthu Odwala Mwadzidzidzi (ETU) ?

Mukapezeka ndi tachycardia, mudzakhala ndi nthawi yokumana ndi dokotala nthawi zonse . Komabe, ngati mankhwala anu sakukupatsani mpumulo wokwanira, kapena ngati mukuyamba zizindikiro zatsopano, dziwitsani dokotala wanu nthawi yomweyo.

Pankhaniyi, pitani ku chipinda chadzidzidzi (ETU) nthawi yomweyo:

• Ngati mukuvutika kupuma
• Ngati mukumva mtima wanu ukugunda (kugunda)
• Ngati muli ndi ululu pachifuwa
• Ngati mukumva chizungulire kapena mutu wopepuka

Komanso, ngati wina wagwa mwadzidzidzi kapena kutaya chidziwitso chifukwa cha ventricular fibrillation, funani thandizo lachipatala nthawi yomweyo. CPR iyenera kuchitidwa mpaka ambulansi itafika kuti ipulumutse miyoyo yawo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mungathe kufunsa dokotala wanu mafunso monga:

• Kodi ndili ndi mtundu woopsa wa tachycardia?
• Kodi mukundilangiza chithandizo chamtundu wanji?
• Kodi chiŵerengero chanu cha kupambana pa chithandizo cha mtima chochotsa mtima ndi chotani?
• Kodi banja langa lili pachiwopsezo chotenga matenda a tachycardia?

Pomaliza, uthenga wopita nawo kunyumba

Mukamva mtima wanu ukugunda mofulumira, ndi zachilendo kusiya zomwe mukuchita ndikudabwa zomwe zikuchitika. Zizindikiro za tachycardia zimatha kukhala zofatsa mpaka zazikulu, kutengera mtundu wa tachycardia yomwe muli nayo. Dziwani kuti ngati muli ndi zizindikiro, lankhulani ndi dokotala wanu. Iye adzakuuzani ngati pali chilichonse chodetsa nkhawa.

Chofunika kwambiri ndikumwa mankhwala omwe dokotala wanu wakupatsani, makamaka mankhwala a mtima, monga momwe walangizidwira. Musasiye kumwa popanda chilolezo cha dokotala wanu. Komanso, onetsetsani kuti mukutsatira nthawi zonse zomwe mwakumana nazo.

Ndikukhulupirira kuti izi zikuthandizani. Mitima yathanzi kwa onse!

Tachycardia , kugunda kwa mtima, matenda a mtima, kugunda kwa mtima, kupweteka pachifuwa, kupuma movutikira, thanzi la mtima