Kodi munayamba mwamvapo ngati mtima wanu ukugunda mofulumira kwambiri, kapena ngati waima pamalo amodzi, kapena ngati ukugunda molakwika? Izi ndi zomwe zimachitikira anthu ambiri. Timatcha izi kuti kugunda kwa mtima kosakhazikika, kapena m'mawu azachipatala, arrhythmia . Kotero lero tikambirana za mankhwala omwe amaperekedwa kuti athetse kugunda kwa mtima kosakhazikika kumeneku, kutanthauza, mankhwala oletsa kupweteka kwa mtima.
Mwachidule, kodi ma antiarrhythmic awa ndi chiyani?
Mankhwala oletsa kupweteka kwa mtima ndi mankhwala omwe amaperekedwa kuti ateteze ndi kuchiza matenda a mtima osakhazikika, omwe ndi kuthamanga kwa mtima kosakhazikika kapena kosakhazikika. Ganizirani mtima wanu ngati injini yaying'ono yomwe imagwira ntchito kudzera mu dongosolo laling'ono lamagetsi. Ngati china chake chalakwika ndi dongosolo lamagetsi ili, mtima wanu umayamba kugunda mofulumira kwambiri, mofulumira kwambiri, kapena mosakhazikika.
Mankhwala oletsa kupweteka kwa mtima amagwira ntchito pokonza vuto la magetsi ndikubwezeretsa kamvekedwe ka mtima kukhala kabwinobwino. Mankhwalawa amagwiritsidwa ntchito pochiza matenda omwe amayambitsa kugunda kwa mtima kosakhazikika, monga Atrial Fibrillation , Atrial Flutter , Ventricular Tachycardia , ndi Ventricular Fibrillation .
Kodi mankhwalawa amagwira ntchito bwanji?
Mankhwalawa amagwira ntchito m'njira ziwiri zazikulu:
1. Zimaletsa zizindikiro zamagetsi zosafunikira komanso zowonjezera kuchokera mumtima.
2. Imalamulira liwiro la zizindikiro zamagetsi zomwe zimayenda mofulumira kwambiri kudzera mu minofu ya mtima.
Mankhwala ambiriwa amamwedwa pakamwa kuti agwiritsidwe ntchito kwa nthawi yayitali. Komabe, nthawi zina zadzidzidzi, ngati vuto la wodwalayo ndi lalikulu kapena ngati mankhwala akumwa sangatheke, amatha kuperekedwa kudzera m'mitsempha (IV).
Kodi mankhwala a kugunda kwa mtima kosasinthasintha ndi ati?
Pali njira zingapo zochizira kugunda kwa mtima kosakhazikika.
- Mankhwala
- Kusintha kwa moyo
- Zipangizo zachipatala zobzalidwa
- Opaleshoni
Dokotala wanu adzakusankhirani chithandizo chabwino kwambiri kutengera mtundu wa arrhythmia yomwe muli nayo komanso kuopsa kwake. Kawirikawiri, dokotala wanu angapereke mankhwala oletsa arrhythmia m'mikhalidwe iyi:
- Ngati matendawa sangathe kuthetsedwa ndi kusintha moyo kokha.
- Ngati vutoli likusokoneza zochita zanu za tsiku ndi tsiku.
- Izi zimakuika pachiwopsezo cha mavuto omwe angakuphe monga kulephera kwa mtima , kulephera kwa mtima , kapena sitiroko .
Kodi mitundu iti ya mankhwala oletsa kupweteka kwa mtima (antiarrhythmic) ndi iti?
Mankhwalawa amagawidwa m'magulu akuluakulu anayi. Tiyeni tiwone kuti ndi ati.
| Gulu la mankhwala (Gulu) | Momwe imagwirira ntchito | Zitsanzo |
|---|---|---|
| Kalasi Yoyamba: Zoletsa za Sodium Channel | Zimaletsa sodium kulowa m'maselo a mtima. Izi zimachepetsa liwiro lomwe zizindikiro zamagetsi zimayendera mumtima. | Disopyramide, Flecainide, Mexiletine, Propafenone, Quinidine |
| Kalasi Yachiwiri: Oletsa Beta | Zimaletsa mahomoni monga adrenaline ndipo zimachepetsa kugunda kwa mtima. | Mankhwalawa ndi Atenolol, Bisoprolol, Metoprolol, Propranolol, ndi Nadolol. |
| Kalasi Yachitatu: Zoletsa Potassium Channel | Zimaletsa potaziyamu kulowa m'maselo a mtima. Izi zimalamulira liwiro la zizindikiro zamagetsi za mtima. | Amiodarone, Dofetilide, Dronedarone, Sotalol |
| Gulu Lachinayi: Zoletsa za Calcium Channel | Imatseka njira za calcium mu minofu ya mtima, kuchepetsa kugunda kwa mtima ndi mphamvu ya kupsinjika kwa mtima. | Diltiazem, Verapamil |
| Mankhwala ena oletsa kupweteka kwa mtima | ||
| Adenosine | Zimachedwetsa kapena kuletsa liwiro limene zizindikiro zamagetsi zimayendera pakati pa zipinda zapamwamba ndi zapansi pa mtima. | |
| Digoxin | Zimachedwetsa kugunda kwa mtima ndipo zimawonjezera mphamvu ya mtima yoti ugwire ntchito. | |
Chofunika kwambiri ndichakuti dokotala wanu asankhe yoyenera kwambiri kwa inu kuchokera ku mankhwala awa. Sikoyenera kugwiritsa ntchito mankhwala awa nokha.
Kodi ubwino ndi zoopsa za mankhwalawa ndi ziti?
Kugwiritsa ntchito mankhwala awa kungathandize kuchepetsa ululu womwe mumamva. Mwachitsanzo:
- Kupweteka pachifuwa
- Chizungulire kapena kumva mutu wopepuka
- Kuthetsa zaluso
- Kugunda kwa mtima
- Kuvuta kupuma
Komabe, pali zoopsa ndi mankhwalawa. Choopsa chachikulu ndichakuti mankhwalawa nthawi zina angayambitse matenda ena a mtima. Ichi ndichifukwa chake kuyang'aniridwa mosamala ndi dokotala ndikofunikira mukamagwiritsa ntchito mankhwalawa. Dokotala wanu, mwina katswiri wa mtima kapena katswiri wa zamagetsi, adzakuyang'anirani nthawi zonse. Ngati pali vuto lililonse, adzasintha mlingo wa mankhwalawo kapena kulangiza mankhwala ena.
Kodi kumwa mankhwala ochulukirapo (kupitirira muyeso) n'koopsa?
Inde, ndizoopsa kwambiri. Ndikofunikira kwambiri kumwa mankhwala awa monga momwe dokotala wanu wanenera. Kumwa mankhwala ambiri kungayambitse matenda akuluakulu awa:
- Matenda amisala
- Kuwonongeka kwa minofu ya mtima
- Kuima kwa Kupuma
- Kugona osadziwa zomwe zikuchitika mozungulira inu (Kugona movutikira)
- Kugwidwa ndi khunyu
- Chikomokere
Ngati mukukayikira kuti wina wamwa mankhwala ochulukirapo, pitani nawo ku Chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo.
Kodi pali zotsatirapo zilizonse?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Si aliyense amene amalandira. Zina mwa zotsatira zoyipa zomwe zimapezeka nthawi zambiri ndi izi:
- Kudzimbidwa
- Chizungulire
- Ludzu lopitirira muyeso
- Kusintha kwa khungu (monga kufiira, kuuma)
- Mutu
- Kusanza
- Kulira m'makutu (tinnitus)
- Kuzindikira kuwala kwa dzuwa
- Edema (kutupa komwe kumachitika chifukwa cha kuchulukana kwa madzi m'thupi)
- Kuvuta kukodza
- Kusintha kwa masomphenya
- Kuchuluka kwa mphumu
Kodi ndiyenera kusamala ndikamamwa mankhwalawa pamodzi ndi mankhwala ena?
Inde, ndithudi. Mankhwala oletsa kupweteka kwa mtima amatha kuyanjana ndi mankhwala ena. Choncho, uzani dokotala wanu zonse zomwe mukumwa. Izi zikuphatikizapo:
- Mankhwala olembedwa ndi dokotala wa matenda ena
- Mankhwala ogulitsidwa kunja kwa sitolo
- Mitundu ya mafuta odzola omwe amapakidwa pakhungu
- Zopumira
- Mavitamini, mchere, zinthu zochokera ku zitsamba, kapena zowonjezera zina zilizonse.
Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
Uthenga Wopita Nawo Kunyumba
- Mankhwala oletsa kupweteka kwa mtima (antiarrhythmias) ndi mankhwala omwe amaperekedwa kuti achepetse kugunda kwa mtima kosakhazikika (arrhythmias).
- Mankhwalawa ayenera kumwedwa monga momwe dokotala wanenera, mu mlingo wovomerezeka, komanso panthawi yovomerezeka.
- Mukamamwa mankhwalawa, ndikofunikira kwambiri kuti muzilankhulana ndi dokotala nthawi zonse komanso kuti muzipita kuzipatala pa masiku omwe mwakonza.
- Musasiye kumwa mankhwala anu kapena kusintha mlingo pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Uzani dokotala wanu za mankhwala ena onse ndi zowonjezera zomwe mukumwa.
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