Tiyeni tiphunzire za vuto loopsa kwambiri lomwe mtima ungasiye mwadzidzidzi (Ventricular Fibrillation)?

Tangoganizirani, munthu amene munkacheza naye bwino mwadzidzidzi wagwa pansi osadziwa kalikonse. Zikuoneka kuti sakupuma nkomwe. Kodi timaganiza chiyani panthawi ngati iyi? Anthu ambiri amachita mantha komanso kuda nkhawa. Lero tikulankhula za matenda oopsa a mtima omwe angayambitse izi. Ichi ndi Ventricular Fibrillation, kapena V-fib mwachidule.

Kodi Ventricular Fibrillation (V-fib) kwenikweni ndi chiyani?

Mwachidule, V-fib ndi matenda oopsa a mtima omwe amapezeka mumtima. Mtima wathu uli ndi zipinda zazikulu zinayi. Zipinda ziwiri zapamwamba ndi ziwiri zapansi. Zipinda ziwiri zapansi zimatchedwa ``ventricles``. Zipinda ziwirizi zimagwira ntchito yayikulu yopopera magazi kupita ku thupi.

Kawirikawiri, zipinda ziwirizi zimapindika ndikukulirakulira mwadongosolo kuti zipope magazi. Koma mu V-fib, zipinda ziwirizi zimasiya kupopa magazi bwino ndipo zimayamba kugwedezeka. Ngati chidutswa cha jelly. Ndiye chimachitika ndi chiyani? Magazi sapopedwa kupita ku thupi lonse, makamaka ubongo.

Munthu akhoza kutaya chidziwitso pakangopita masekondi ochepa magazi atasiya kuyenda bwino. Vutoli limatchedwa kulephera kwa mtima . Ngati chithandizo chadzidzidzi sichilandiridwa, imfa imatha kuchitika pakangopita mphindi zochepa. Ili ndi vuto lalikulu kwambiri.

Ndi zizindikiro ziti zomwe zimaonekera izi zisanachitike?

Nthawi zambiri, V-fib imachitika popanda chenjezo lililonse. Komabe, anthu ena angasonyeze zizindikiro zina nthawi yochepa vutoli lisanachitike. Kuzindikira izi kungakupatseni mwayi wochitapo kanthu msanga.

Pakangopita masekondi kapena mphindi zochepa kuchokera pamene munthu wasonyeza zizindikirozi, akhoza kutaya chikumbumtima n’kugwa pansi. Izi zikachitika, munthuyo sangayankhe akalankhula kapena kukhudza. Angasiyenso kupuma kapena kuoneka ngati akuvutika kupuma.

Kodi zifukwa za V-fib ndi ziti?

Chifukwa chachikulu cha vutoli ndi matenda a mtima. Izi zikutanthauza kutsekeka kwadzidzidzi kwa mtsempha wamagazi womwe umapita kumtima (ischemia). Koma pali zinthu zina zambiri zomwe zingakhudze izi.

• Matenda a mtima: Ichi ndiye chifukwa chofala kwambiri komanso chotsogolera.
• Matenda omwe amasintha kapangidwe ka mtima: Matenda monga matenda a mtima, omwe amafooketsa minofu ya mtima.
• Matenda ena a mtima: V-fib ingayambitsenso mavuto ena a mtima (arrhythmias).
• Matenda a mtima obadwa nawo: Matenda ena a majini, monga Brugada syndrome.
• Opaleshoni ya mtima: Chiwopsezo ichi chingachitike pambuyo pa opaleshoni ya mtima.
• Mankhwala ena: Matendawa angachitike chifukwa cha mankhwala ena.
• Kugwiritsa ntchito mankhwala osokoneza bongo: Kugwiritsa ntchito mankhwala osokoneza bongo monga cocaine ndi methamphetamine.
• Kusalingana kwa mchere m'thupi: Kuchepa kapena kuchuluka kwa potaziyamu kapena magnesium m'magazi.
• Kugwedezeka kwa magetsi: Kudutsa kwa mphamvu yamagetsi yamagetsi yamphamvu m'thupi.
• Kuvulala kwambiri pachifuwa: Matenda otchedwa ``Commotio cordis`` omwe amapezeka pamene chinthu chonga mpira chikugunda pachifuwa mwachangu pamene mukusewera masewera.

Izi ndi zoopsa! Kodi zimachiritsidwa bwanji?

Iyi ndi gawo lofunika kwambiri. V-fib ndi vuto lachipatala. Ngati wina wakomoka ndipo wagwa motere, sekondi iliyonse ndi yofunika. Kuchitapo kanthu mwachangu kungapulumutse moyo.

Kodi mukufuna kutani?

1. Khalani chete ndikupempha thandizo: Choyamba, musachite mantha. Imbani nthawi yomweyo ambulansi ya 1990 (Suvaseriya) kapena dziwitsani Emergency Treatment Unit (ETU) za chipatala chapafupi.

2. Yambani CPR: Musamangoyembekezera kuti ambulansi ifike kapena AED ifike. Ngati mukudziwa momwe mungachitire CPR (Cardiopulmonary Resuscitation), yambani kukanikiza pachifuwa nthawi yomweyo. Izi zimathandiza kuti magazi aziyenda bwino kupita ku ubongo ndi ziwalo zina.

3. Gwiritsani ntchito AED: AED (Automated External Defibrillator) ndi chipangizo chomwe chimapereka mphamvu zamagetsi kuti chibwezeretse mphamvu zamagetsi za mtima. Makinawa tsopano akupezeka m'malo ambiri opezeka anthu ambiri (mabwalo a ndege, m'masitolo akuluakulu). Palibe chidziwitso chachipatala chomwe chikufunika kuti mugwiritse ntchito. Mukayatsa makinawo, mutha kutsatira malangizo omwe ali pamakinawo. V-fib ndi vuto la kugunda kwa mtima lomwe lingawopsyezeke. Ngati AED igwiritsidwa ntchito mkati mwa mphindi zitatu zoyambirira kuchokera pamene ngoziyo yachitika, mwayi wopulumutsa moyo ndi wokwera kufika pa 95%.

Atabweretsedwa kuchipatala, madokotala amatsimikiza vuto la V-fib ndi mayeso a ``EKG```. Kenako, mayeso ena ambiri amachitidwa kuti apeze chomwe chimayambitsa, monga mayeso a magazi, ``echocardiogram``, ndi ``cardiac MRI```.

Ngati mutapulumuka V-fib, nchiyani chimachitika pambuyo pake?

Ngati munthu wapulumuka vuto loopsa ngati ili, ndi chinthu chabwino kwambiri. Komabe, pali chiopsezo chakuti vutoli libwerezenso. Chifukwa chake, madokotala amapeza chomwe chimayambitsa vutoli ndikulemba chithandizo cha nthawi yayitali moyenerera.

• Mankhwala: Mankhwala monga ``mankhwala oletsa kupweteka kwa mtima'' amaperekedwa kuti azitha kulamulira kayendedwe ka mtima.
• Chipangizo chopachikidwa: Anthu ambiri omwe amapulumuka V-fib ali ndi chipangizo chaching'ono chotchedwa Implantable Cardioverter Defibrillator (ICD) chomwe chimayikidwa pansi pa khungu la chifuwa. Izi zili ngati chosungira moyo cha mtima. Ngati kayimbidwe ka mtima kasinthanso, chipangizochi chimazindikira ndipo chimangoyambitsa kugwedezeka kwamagetsi kuti abwezeretse kayimbidwe ka mtima.

Nthawi zina, mankhwala monga "ablation" omwe amawononga madera amtima omwe amayambitsa zizindikiro zamagetsi zolakwika angagwiritsidwenso ntchito.

Kodi V-fib ndi Heart Attack ndi chinthu chimodzi?

Ayi. Ichi ndi chinthu chomwe anthu ambiri amasokonezeka nacho.

• Matenda a Mtima: Ili ndi "vuto la mitsempha yamagazi." Izi zikutanthauza kuti mtsempha wamagazi womwe umapatsa magazi kumtima umatsekedwa ndi chinthu monga cholesterol. Izi zimawononga minofu ya mtima.
• Kutsekeka kwa Mitsempha ya M'magazi (V-fib):Ili ndi "vuto lamagetsi." Izi zikutanthauza kuti, kayimbidwe ka mtima kamasokonekera chifukwa cha vuto la dongosolo lamagetsi la mtima.

Koma kumbukirani, V-fib ingayambitsidwe ndi matenda a mtima. Izi zikutanthauza kuti matenda a mtima ndiye chifukwa chachikulu cha V-fib.

Vuto lina lokhudzana ndi izi limatchedwa `Ventricular Tachycardia`. Apa ndi pamene zipinda zapansi za mtima `(ventricles)` zimayamba kugunda mofulumira kwambiri. Izi zimathanso kukhala V-fib. Zonsezi ndi matenda oopsa kwambiri.

Kodi tingadziteteze bwanji ku vuto loopsa ili?

Popeza chifukwa chachikulu cha V-fib ndi matenda a mtima, chitetezo chabwino kwambiri ndikuchepetsa chiopsezo chanu chokhala ndi matenda a mtima. Izi zikutanthauza kukhala ndi mtima wathanzi. Pali zinthu zambiri zomwe mungachite kuti muthandize.

• Zakudya zabwino pamtima: Idyani mafuta ochepa, mchere, ndi shuga, komanso idyani ndiwo zamasamba, zipatso, ndi zitsamba zambiri.
• Kuchita masewera olimbitsa thupi nthawi zonse: Kuchita zinthu monga kuyenda, kuthamanga, kapena kusambira kwa mphindi zosachepera 30 patsiku.
• Kulamulira kuthamanga kwa magazi, cholesterol, ndi matenda a shuga: Ngati muli ndi matenda amenewa, tsatirani malangizo ndi mankhwala a dokotala wanu molondola.
• Kuthetsa kupsinjika maganizo: Khazikitsani mtima wanu pogwiritsa ntchito zinthu monga yoga ndi kusinkhasinkha.
• Kusunga kulemera koyenera: Ndikofunikira kwambiri kusunga kulemera koyenera kutalika kwanu.
• Kupewa kusuta fodya ndi mowa.

Ngati wina m'banja mwanu ali ndi mbiri ya matenda a mtima kapena imfa yadzidzidzi, lankhulani ndi dokotala wanu za izi. Mungafunike kuyesedwa mwapadera.