Kodi mtima wanu umagunda mofulumira mwadzidzidzi? Tiyeni tikambirane za Ventricular Tachycardia!

Kodi nthawi zina mumamva ngati mtima wanu ukugunda mofulumira kwambiri, kugunda? Mungamve ngakhale chifuwa chanu chikugunda, kupuma pang'ono, kapena kumva chizungulire. Ngati mwakumanapo ndi izi, kapena ngati mwamvapo za munthu amene mumamudziwa amene wakumanapo ndi izi, ndikofunikira kuti mudziwe za vuto lomwe tikambirane lero, lotchedwa Ventricular Tachycardia.

Kodi kugunda kwa mtima mofulumira kumeneku (Ventricular Tachycardia) n'chiyani kwenikweni?

Mwachidule, `(Ventricular Tachycardia)` ndi pamene mtima wanu ukugunda pa liwiro loposa 120 pa mphindi. Koma chinthu chapadera pa izi ndichakuti kugunda kwa mtima mofulumira kumeneku sikuyambira pa dongosolo lamagetsi la mtima. Nthawi zambiri, mtima wathu uyenera kuyamba kugunda kuchokera ku chizindikiro chamagetsi chochokera kumalo otchedwa `(Sinoatrial Node)`, chomwe chimagwira ntchito ngati switch pamwamba pa mtima. Koma mu `(Ventricular Tachycardia)`, kugunda kwa mtima kumeneku kumayambira m'zipinda ziwiri zazikulu pansi pa mtima, ndiko kuti, ma ventricles . Ili ndi vuto lomwe limachitika chifukwa china chake chimapitirira njira yamagetsi yamtima.

Tikakhala opumula nthawi zambiri, mitima yathu ikugunda pakati pa nthawi 60 ndi 100 pamphindi, sichoncho? Ndiye taganizirani zomwe zimachitika pamene chiwerengerochi chikukwera mwadzidzidzi kufika pa 120! Mtima ukagunda mofulumira chonchi, zinthu zazikulu izi zimachitika:

• Kuthamanga kwa magazi anu kungachepe mwadzidzidzi.
• Mtima ulibe nthawi yokwanira yodzaza bwino zipinda ndi magazi ndikuupompa kubwerera ku thupi. Zotsatira zake , ziwalo zina za thupi, makamaka ubongo ndi miyendo, sizilandira mpweya womwe zimafunikira.
• Pachifukwa ichi, mumayamba kukumana ndi zizindikiro zosiyanasiyana.

Kodi izi ndi nkhani yaikuludi?

Inde, vutoli ndi lalikulu kwambiri, ndipo limafuna chithandizo chamankhwala mwachangu. Ngati kugunda kwa mtima kofulumira kumeneku kotchedwa `(Ventricular Tachycardia)` kumatenga masekondi opitilira 30 (timatcha kuti `sustained Ventricular Tachycardia`), kumatha kupita ku vuto lalikulu kwambiri lotchedwa `(Ventricular Fibrillation)`. Ngati zimenezo zitachitika, pali kuthekera kwa kuima kwadzidzidzi kwa mtima komanso ngakhale kufa. Choncho ichi si chinthu choyenera kuonedwa mopepuka.

Kodi kusiyana pakati pa `(Ventricular Tachycardia)` ndi `(Ventricular Fibrillation)` ndi kotani?

Zonsezi ndi kugunda kwa mtima mofulumira kwambiri. Komabe, ``Ventricular Fibrillation'' ndi vuto lalikulu komanso loopsa kuposa ``Ventricular Tachycardia''.

Tangoganizirani, mu `(Ventricular Tachycardia)` mtima ukugunda mofulumira, koma umapopera magazi ena kupita m'thupi. Koma chifukwa cha liwiro limenelo, thupi sililandira magazi okwanira.

Koma mu `(Ventricular Fibrillation)`, m'malo mogunda bwino, minofu ya mtima imangogwedezeka. Kenako mtima supompa magazi kupita m'thupi konse. Izi zingayambitse imfa yadzidzidzi ya mtima.Zitha kuchitika.

Kodi Ventricular Tachycardia ingathe kuchira yokha ?

Inde, nthawi zina izi zitha kutenga masekondi ochepa okha ndipo kugunda kwa mtima kungabwerere mwakale. Pazochitika zotere, sipadzakhala kuwonongeka kwakukulu. Koma sitingayembekezere kuti zimenezo zidzachitika nthawi zonse.

Ndani amene ali ndi mwayi waukulu wopeza izi? - Zinthu zomwe zingakubweretsereni mavuto

Pali zinthu zina zomwe zingakhudze kukula kwa `(Ventricular Tachycardia)`. Ngati muli ndi zinthu izi, muli ndi mwayi waukulu wopeza vutoli kuposa zina:

• Ngati mudadwalapo matenda a mtima kale.
• Ngati wina m'banja mwanu wakhala ndi vuto la mtima (ndiko kuti, cholowa).
• Ngati muli ndi matenda a mtima .
• Ngati muli ndi vuto lotchedwa ``Myocarditis'' , lomwe ndi kutupa kwa minofu ya mtima.
• Ngati muli ndi vuto la mtima .
• Ngati mtima wakula, zikutanthauza kuti muli ndi matenda a mtima .
• Ngati muli ndi matenda a mtima .
• Ngati mudadwalapo matenda a mtima (`Myocardial Infarction`) kapena ngati mudachitidwapo opaleshoni ya mtima.
• Ngati pali kusalinganika kwakukulu kwa ma electrolyte m'thupi, ndiko kuti, mchere (monga potaziyamu ndi magnesium).
• Ngati mugwiritsa ntchito mankhwala enaake opatsa mphamvu (monga cocaine, methamphetamine).

Kodi Ventricular Tachycardia imakhudza bwanji thupi langa?

Pamene `(Ventricular Tachycardia)` ichitika, mtima wanu umagunda mofulumira kwambiri kotero kuti zipinda za mtima sizipeza nthawi yokwanira yodzaza ndi magazi musanayambe kugunda kwina. Tangoganizirani basi yomwe imayima pamalo oimikapo kwa kanthawi kochepa kwambiri. Kenako si aliyense amene amapeza nthawi yokwera basi, ndipo ena amatsala pamsewu. Ndicho chimene chimachitika pano. Pamene mtima ulibe nthawi yokwanira yodzaza ndi magazi, kuchuluka kwa magazi omwe amapopedwa m'thupi lonse kumachepa. Kenako maselo ndi minofu ya thupi imapeza mpweya ndi zakudya zochepa.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro za `(Ventricular Tachycardia)` zimatha kusiyana malinga ndi munthu. Anthu ena sangakhale ndi zizindikiro zilizonse. Koma izi ndi zizindikiro zodziwika bwino. Ngati mukukumana ndi zizindikiro izi, muyenera kupita kuchipatala nthawi yomweyo. Izi zingayambitse kulephera kwa mtima komanso imfa.

• Kupweteka pachifuwa kapena kulimba.
• Kuvuta kupuma.
• Kumva mtima ukugunda mofulumira, kumva chifuwa chikugunda (`Palpitations/rapid pulse`).
• Chizungulire, mutu wopepuka, kapena kukomoka.

Chofunika kwambiri ndi kusanyalanyaza zizindikirozi. Ngakhale zingawoneke ngati zazing'ono, zitha kukhala zoopsa pa moyo.

Nchifukwa chiyani `(Ventricular Tachycardia)` iyi imachitika?

Chabwino, tsopano tiyeni tiwone chifukwa chake izi zimachitika. Zizindikiro zamagetsi zosazolowereka zikachitika m'zipinda zapansi pa mtima wanu, zotchedwa ma ventricles, zizindikirozo zimatsutsana ndi zizindikiro zochokera ku node ya sinoatrial, yomwe imalamulira kayendedwe kabwinobwino ka mtima. Izi zimapangitsa mtima kugunda mopanda kulamulirika komanso mwachangu kwambiri. Liwiro limeneli sililola zipinda za mtima kudzaza ndi magazi.

Anthu ambiri omwe ali ndi Ventricular Tachycardia ali ndi vuto lina la mtima. Zomwe zimayambitsa matenda ndi izi:

• Matenda a Mitsempha ya Mtima.
• Kulephera kwa mtima.
• Matenda a mtima .
• Kukulitsa mtima (Cardiomyopathy) .
• Matenda a mtima .
• Opaleshoni ya mtima yapitayi.
• Zilonda mumtima chifukwa cha matenda a mtima omwe adadwalapo kale (`Myocardial Infarction`) .
• Matenda ena monga `(Sarcoidosis)` .
• Mikhalidwe ina yobadwa nayo .

Pali zifukwa zina zomwe sizikugwirizana ndi mtima, koma zingayambitse `(Ventricular Tachycardia)`:

• Mankhwala ena.
• Kusalinganika kwa ma electrolyte m'thupi (izi ndi mchere womwe umalamulira kayimbidwe ka mtima).
• Kumwa mowa wambiri kapena kumwa caffeine .
• Kugwiritsa ntchito mankhwala osokoneza bongo (`mankhwala osangalatsa`) .
• Nthawi zina zingakhalenso chifukwa cha kuchita masewera olimbitsa thupi mopitirira muyeso .

Nthawi zina sizingatheke kupeza chifukwa cha izi.

Kodi chifukwa chofala kwambiri ndi chiti?

Chomwe chimayambitsa matenda a Ventricular Tachycardia ndi matenda a mtima otchedwa ischemic . Izi zimatchedwanso matenda a mtima kapena matenda a mitsempha ya mtima. Mwachidule, minofu ya mtima silandira magazi ndi mpweya wokwanira chifukwa cha kutsekeka kwa mitsempha ya mtima. Kutsekeka kumeneku nthawi zambiri kumachitika chifukwa cha atherosclerosis .

Kodi mungazindikire bwanji `(Ventricular Tachycardia)`?

Kuti mudziwe ngati muli ndi `(Ventricular Tachycardia)`, dokotala wanu adzachita zinthu izi:

• Adzakuuzani mwatsatanetsatane za zizindikiro zanu.
• Kuyezetsa thupi kudzachitika, kuphatikizapo kuyang'ana kugunda kwa mtima wanu.
• Amasonkhanitsa zambiri zokhudza mbiri yanu yachipatala .
• Imalamula kuti mayeso angapo ofunikira achitike.

Ndi mayeso ati omwe amachitidwa pa izi?

Chiyeso chachikulu komanso chogwiritsidwa ntchito kwambiri pozindikira Ventricular Tachycardia ndi electrocardiogram (ECG/EKG) . Ichi chimalemba momwe magetsi a mtima wanu amagwirira ntchito.

Kuphatikiza apo, mayeso ena akhoza kuchitika, monga:

• Chowunikira cha Holter: Ichi ndi chipangizo chaching'ono chomwe chimalemba kugunda kwa mtima wanu nthawi zonse kwa maola 24 kapena 48.
• Kafukufuku wa Electrophysiology (EPS): Izi zimaphatikizapo kulowetsa waya woonda mumtima ndikuwunika mozama dongosolo lamagetsi la mtima.
• Chowunikira zochitika za mtima: Ichi chikufanana ndi chowunikira cha Holter, koma mutha kuchiyambitsa nokha ndikulemba kugunda kwa mtima wanu mukakhala ndi zizindikiro.
• Kuyesa kupsinjika kwa Treadmill: Izi zimayesa momwe mtima wanu umayankhira mukamachita masewera olimbitsa thupi (thamangani pa treadmill).
• Echocardiogram: Iyi ndi ultrasound scan ya mtima. Imatha kuwona kapangidwe ndi ntchito ya mtima.
• Kuyezetsa magazi: Yang'anani zinthu monga kuchuluka kwa ma electrolyte ndi ma enzyme a mtima.

Kodi Ventricle Tachycardia imachiritsidwa bwanji?

Ngati muli ndi zizindikiro, kapena ngati muli ndi Ventricular Tachycardia kwa masekondi opitilira 30 ngakhale mulibe zizindikiro, mukufunikira chithandizo.

Pochiza izi, chinthu chachikulu ndikuchiza matenda omwe amayambitsa vutoli. Mankhwalawa amatha kukonza kugunda kwa mtima kosazolowereka ndikuletsa kuti kusabwererenso.

Chithandizo chadzidzidzi cha ventricular tachycardia ndi:

• CPR (Cardiopulmonary Resuscitation): Chithandizo choyamba chopulumutsa moyo ngati mtima wasiya kugunda.
• Kutsegula kwa magetsi: Kugwedezeka kwa magetsi kumaperekedwa ku mtima kuti ayesere kuubwezeretsa ku kayimbidwe kabwinobwino.
• Mankhwala a IV: Kuwongolera kugunda kwa mtima.

Mu milandu yopanda ngozi, chithandizo chanthawi zonse ndi:

• Kutulutsa kwa Catheter ya Radiofrequency (RCA): Mu izi, malo enieni a kugunda kwa mtima kosazolowereka amapezeka, ndipo catheter (chubu chopyapyala) imagwiritsidwa ntchito kuwononga minofu pamalopo ndi magetsi.
• Chotsukira Moyo Chosalowa M'thupi Chotchedwa Implantable Cardioverter-Defibrillator (ICD): Ichi ndi chipangizo chaching'ono chomwe chimayikidwa opaleshoni pansi pa khungu pafupi ndi mtima. Chimayang'anira nthawi zonse kayendedwe ka mtima wanu. Ngati tachycardia ya ventricular ichitika, chipangizocho chimazindikira ndipo nthawi yomweyo chimatumiza chizindikiro chamagetsi kuti chibwezeretse mtima ku kayendedwe kabwinobwino.
• Mankhwala: Mankhwala amaperekedwa kuti achepetse kugunda kwa mtima ndikusunga kamvekedwe kabwinobwino. Komabe, mankhwala ena amatha kukhala ndi zotsatirapo zoyipa. Dokotala wanu adzakufotokozerani izi.

Kodi pali zovuta zilizonse pa chithandizochi?

Kuchotsa catheter ya ventricular tachycardia nthawi zambiri kumakhala kotetezeka komanso kothandiza. Komabe, mavuto ena amatha kuchitika kawirikawiri. Izi zikuphatikizapo:

• Kuwonongeka kwa mtima wanu kapena mitsempha yamagazi.
• Magazi amaundana.
• Kutuluka magazi.
• Matenda .

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire pambuyo pa chithandizo?

Mukamaliza `(Ventricular Tachycardia Ablation)`, muyenera kukhala m'chipatala kwa usiku umodzi. Nthawi zambiri mukhoza kubwerera ku zochita zanu zachizolowezi pasanathe masiku angapo mutatuluka m'chipatala. Komabe , sikoyenera kuchita chilichonse cholemera kapena chovuta kwa masiku osachepera atatu, kapena mpaka dokotala wanu atakuuzani kuti muchite zimenezo.

Kodi ndingachepetse bwanji chiopsezochi?

Mwa kupewa matenda a mtima omwe amayambitsa Ventricular Tachycardia, mutha kuchepetsa chiopsezo chotenga vutoli.

Mukhoza kuchita izi kuti mudziteteze ku matenda a mitsempha ya mtima, chifukwa chofala kwambiri cha izi:

• Idyani zakudya zabwino zopanda mafuta ambiri komanso mchere wambiri .
• Kuchita masewera olimbitsa thupi nthawi zambiri.
• Khalani ndi kulemera koyenera.
• Siyani kugwiritsa ntchito fodya wonse.
• Imwani mankhwala omwe dokotala wanu wakupatsani a kuthamanga kwa magazi ndi cholesterol yokwera monga momwe mwalangizidwira.

Kodi chimachitika ndi chiyani ngati ndili ndi `(Ventricular Tachycardia)`? (Zomwe zimachitika nthawi zambiri)

Matenda anu amadalira momwe Ventricular Tachycardia yanu ilili yoopsa komanso ngati muli ndi matenda ena a mtima. Matendawa akhoza kukhala oopsa, makamaka ngati ventricle yakumanzere ya mtima wanu sikugwira ntchito bwino. Koma ndi chithandizo choyenera, anthu ambiri amatha kukhala ndi moyo wabwinobwino.

Kodi Ventricular Tachycardia ingachiritsidwe kwathunthu?

Izi zimadalira chomwe chimayambitsa vutoli. Kwa anthu ena, Radiofrequency Catheter Ablation imatha kuchiritsa kwathunthu kamvekedwe kachilendo aka, ndipo palibe chithandizo china chofunikira. Zipangizo zotchedwa Implantable Cardioverter Defibrillators (ICDs) sizichiritsa izi, koma zimathandiza kwambiri pobwezeretsa mtima ku kamvekedwe kabwinobwino mwa kupereka kugunda mwachangu kapena kugwedezeka pamilandu yomwe ingawopseze moyo ya Ventricular Tachycardia.

Kodi ndimadzisamalira bwanji?

Monga munthu amene ali ndi `(Ventricular Tachycardia)`, muyenera kuchita zinthu izi kuti mudzisamalire:

• Tsatirani zakudya zabwino komanso masewera olimbitsa thupi zomwe gulu lanu lachipatala lakupatsani.
• Siyani kugwiritsa ntchito zinthu zopangidwa ndi fodya.
• Pitirizani kumwa mankhwala omwe dokotala wanu wakulemberani monga momwe mwalangizidwira, osadumpha mlingo uliwonse.

Ndiyenera kupita kwa dokotala liti?

Ndikofunikira kwambiri kukaonana ndi dokotala wanu nthawi zonse kuti akakuyezeninso. Dokotala wanu angafune:

• Onani momwe mulili.
• Onetsetsani kuti chithandizo chanu chikugwira ntchito bwino.
• Kambiranani za zizindikiro zatsopano zomwe muli nazo kapena kusintha kwa momwe mukumvera.

Kodi ndiyenera kupita ku Chipinda Chothandizira Anthu Odwala Mwadzidzidzi (ETU) liti?

Ngati mukukumana ndi zizindikiro izi, imbani 1990 (ngati muli ku Sri Lanka) nthawi yomweyo, kapena pitani kuchipatala chadzidzidzi nthawi yomweyo:

• Kupweteka pachifuwa.
• Kukomoka.
• Kugunda kwa mtima mofulumira komanso kosazolowereka.

Musayendetse galimoto nokha panthawi ngati iyi. Pemphani thandizo mwamsanga.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kukaonana ndi dokotala, musazengereze kufunsa mafunso ngati awa. Ndikofunikira kwambiri kuti mumvetse bwino za matenda anu.

• Kodi ndiyenera kubwera kangati kuti ndikachite mayeso otsatira?
• Kodi ndikufunika ICD?
• Kodi ndiyenera kuchotsedwanso catheter?
• Ndi kusintha kotani komwe ndiyenera kusintha pa moyo wanga?

Kudziwa kugunda kwa mtima wanu komanso momwe mukumvera kungakuthandizeni kupeza chithandizo mukachifuna. Chithandizo choyambirira cha Ventricular Tachycardia n'chofunika kwambiri. Chifukwa chake ngati inu kapena wokondedwa wanu mukufuna thandizo, musazengereze. Ngakhale mutatuluka kuchipatala, tsatirani malangizo a dokotala molondola. Imwani mankhwalawo monga momwe mwalangizidwira. Khalani ndi moyo wathanzi. Makamaka ngati muli ndi chipangizo chachipatala chomwe chayikidwa ngati chithandizo, pitani ku mayeso a `(otsatira)` popanda kuphonya kalikonse.

Pomaliza, zinthu zoti muzikumbukira

Ventricular Tachycardia ndi kugunda kwa mtima kofulumira komanso kosazolowereka komwe kumayambira m'zipinda zapansi pa mtima. Izi zitha kukhala vuto lalikulu, choncho musanyalanyaze zizindikiro zake. Ngati mukumva kupweteka pachifuwa, kupuma movutikira, chizungulire, kapena kukomoka , pitani kuchipatala nthawi yomweyo.

Mwamwayi, pali njira zothandiza zochizira vutoli. Mankhwala, catheter ablation, ndi zipangizo za ICD zingathandize kuwongolera vutoli. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu ndikukhala ndi moyo wathanzi. Mukatero mutha kukhala bwino ndi vutoli.

Kuthamanga kwa mtima , matenda a mtima, tachycardia, kulephera kwa mtima mwadzidzidzi, kugunda kwa mtima, chithandizo cha mtima, ICD