Ese hari igihe wumva umutima wawe utera cyane, cyangwa urimo gusimbuka? Wenda ubona ikintu kidasanzwe mu gituza cyawe, giherekejwe no kubabara gake. Ibi ni ibimenyetso udakwiye kwirengagiza. Uyu munsi, muri Nirogi Lanka, reka turebere hamwe impamvu imwe ishobora gutera iki kibazo: indwara izwi nka Bigeminy .
Bigeminy ni iki?
Muri make, Bigeminy ni uguhagarika gato umutima wawe utera neza. Muri iki kibazo, buri segonda y'umutima iba ari ugutera cyane kurusha uko byari byitezwe—ikintu cyitwa guhagarara mbere y'igihe . Umuvuduko wawe ukurikiza icyerekezo: gutera gusanzwe, gukurikirwa n'umuvuduko w'inyongera, hanyuma indi mivuduko isanzwe, gukurikirwa n'indi mivuduko yiyongereye, n'ibindi.
Tekereza kuri ubu buryo: umutima wawe ubusanzwe ugenzurwa n'ibimenyetso by'amashanyarazi bituruka mu gace kamwe ka "pacemaker", nk'uko umucuranzi w'ingoma akurikirana umuvuduko uhamye w'itsinda ry'abaririmbyi. Muri Bigeminy, ikimenyetso cy'amashanyarazi gitangira giturutse mu gice gitandukanye cy'umutima , kigahagarika uwo muvuduko uhamye. Ni nk'aho umucuranzi wa kabiri, uhagaze ahandi mu kibuga, atangira gukubita ingoma ye asimburana n'umucuranzi w'ingoma, bigahungabanya umuvuduko.
Ese hari ubwoko butandukanye bwa Bigeminy?
Yego, Bigeminy ishobora guturuka mu bice bitandukanye by'umutima, biganisha ku byiciro bibiri by'ibanze:
1. Atrial Bigeminy: Ibi biba mu cyumba cyo hejuru cy'umutima, kizwi nka atria. Aha, ibi bitero by'inyongera bibaho nko kugabanuka kwa atria imburagihe .
2. Ubwinshi bw'imitsi yo mu nda: Ibi biba mu byumba byo hasi by'umutima, ari byo byitwa ventricles. Muri iki gihe, imitsi yo mu nda ifatwa nk'imitsi yo mu nda itaragera .
Ni ibihe bimenyetso bya Bigeminy?
Si buri wese ugira ibimenyetso; bamwe bashobora kugira Bigeminy batabizi. Ariko, niba ibimenyetso bigaragaye, ushobora kubona:
- Kubabara mu gituza cyangwa kumva ufunze.
- Umutima utera cyane ( Umutima umenya neza) - kumva ko umutima wawe urimo gusimbuka cyangwa gutera cyane mu buryo butunguranye.
- Kuzungera cyangwa kugira umutwe ukeye.
- Hari igihe umuntu acika intege .
- Guhumeka vuba cyangwa mu buryo bwimbitse (Hyperventilation).
- Umunaniro uhoraho cyangwa umunaniro uhoraho.
Ibuka: Niba ubonye ibi bimenyetso, ni ngombwa kugisha inama muganga vuba.
Ni iki gitera Bigeminy?
Bigeminy iterwa n'ihindagurika ry'amajwi y'umutima. Hari ibintu byinshi bishobora gutera ibi, urugero:
- Amateka y'indwara y'umutima .
- Umuvuduko w'amaraso ukabije ( umuvuduko w'amaraso ).
- Anemia (hemoglobine nkeya cyangwa umubare muto w'amaraso ).
- Indwara ya tiroyide ikora cyane ( Hyperthyroidism ) .
- Indwara y'umutima , aho imitsi y'umutima icika intege.
- Kugwa kwa valve ya Mitral , ikibazo kiri kuri imwe mu valve z'umutima.
Muri make, uretse ibimenyetso bituruka ku cyuma gipima umutima wawe, izindi selile z'umutima zishobora gutangira kohereza ibimenyetso bitabifitiye uburenganzira, cyangwa hakagira imbogamizi mu nzira zisanzwe z'amashanyarazi.
Ni nde uri mu kaga gakomeye ko kwandura Bigeminy?
Ibintu bimwe na bimwe mu mibereho n'imimerere byongera ibyago byo kurwara indwara ya Bigeminy:
- Indwara y'imitsi itera umutima .
- Kunanirwa k'umutima .
- Kunywa kafeyine cyane(icyayi, ikawa, ibinyobwa bitanga imbaraga).
- Kunywa inzoga .
- Gukoresha ibikomoka ku itabi .
- Guhangayika cyangwa guhangayika igihe kirekire.
- Kutagera ku rugero rwiza mu mubiri w’umuntu (nk’urugero rwa sodium cyangwa potasiyumu).
- Kubura ibitotsi.
Ibyinshi muri ibi bintu biri mu maboko yawe. Tuzaganira ku kubikemura mu nkuru itaha.
Ese Bigeminy ishobora guteza ingorane?
Yego, rimwe na rimwe, Bigeminy ihoraho ishobora gutuma imitsi y'umutima icika intege, indwara yitwa cardiomyopathy . Ariko hari inkuru nziza: iyo Bigeminy ivuwe neza—urugero, binyuze mu buryo bwitwa catheter ablation —cardiomyopathy ikunze kuba nziza cyane.
Bigeminy ipimwa ite?
Iyo ugiye kwa muganga, bazabanza gutega amatwi umutima wawe bakoresheje stethoscope. Iyo babonye imiterere y'ihindagurika ry'ibyiciro bisanzwe n'ibyiciro by'inyongera, bashobora gukeka Bigeminy maze bakakugira inama yo gukomeza gupima kugira ngo byemezwe.
Ni ibihe bizamini bikorwa?
Ibizamini bisanzwe byo gusuzuma indwara birimo:
- Electrocardiogram (EKG): Iki ni cyo gipimo cy'ibanze cyo gusuzuma imikorere y'amashanyarazi y'umutima kandi akenshi gishobora kumenya Bigeminy.
- Holter monitor: Agakoresho ko mu mutwe gashobora kwambarwa amasaha 24 kugeza kuri 48 kugira ngo gafate amajwi y'umutima wawe mu gihe cy'akazi kawe ka buri munsi, kuko Bigeminy ishobora kutagaragara kuri EKG ngufi kandi idahinduka.
- Ibipimo by'amaraso : Bikoreshwa mu gusuzuma urugero rwa electrolyte n'urugero rwa hormone ya tiroyide, kuko ubusumbane bushobora gutera iyi ndwara.
- Echocardiogram: "Scan" y'umutima wawe ya ultrasound kugira ngo urebe ingano yawo, imiterere yawo, imikorere y'uturemangingo tw'amaraso, n'ubuzima bw'imitsi yawo.
- Ikizamini cy'imihangayiko: Gusuzuma uko umutima wawe witwara iyo ukoze imyitozo ngororamubiri, akenshi iyo ugenda ku igare ryo gutemberamo.
Ese abantu bose bafite Bigeminy bakeneye kuvurwa?
Ibi ni ingenzi cyane: niba EKG yawe igaragaza Bigeminy ariko nta bimenyetso ufite, birashoboka ko udakeneye kuvurwa byihariye. Ariko, niba ufite ibimenyetso, kuvurwa ni ngombwa rwose.
Bigeminy ivurwa ite?
Niba ufite ibimenyetso, muganga wawe ashobora kukwandikira imiti igena imigendekere y'umutima wawe. Mu gihe ibimenyetso bikomeje cyangwa niba ufite indwara y'umutima, ushobora koherezwa mu buvuzi bwihariye buzwi nka catheter ablation . Niba wumva ububabare mu gatuza cyangwa ufite ikibazo gikomeye, nyamuneka shaka ubufasha bwihutirwa (911 cyangwa nimero y'ubutabazi yo mu gace utuyemo) vuba.
Intego y'ibanze y'imiti ya Bigeminy ni ukugenzura umuvuduko w'umutima wawe. Ariko, ibuka ko imiti ishobora kutakuraho burundu indwara cyangwa ibimenyetso byose biyitera. Ku bantu batabona ubutabazi binyuze mu miti, akenshi basabwa gukoresha uburyo buzwi nka catheter ablation , bufite igipimo cya 75% cyangwa kirenga.
Imiti Isanzwe n'Uburyo Bwo Kuvura
Uburyo busanzwe bwo kuvura burimo:
- Beta-blockers: Ifasha mu gucunga umuvuduko w'umutima no gutera umuvuduko.
- Ibikoresho bifunga umuyoboro wa potasiyumu: Nka amiodarone (Cordarone® cyangwa Pacerone®).
- Ibikoresho bifunga imiyoboro ya kalisiyumu: Bifasha umutima gukora neza.
- Gukoresha catheter: Uburyo bworoshye cyane aho umuyoboro muto kandi woroshye ugezwa mu mutima wawe kugira ngo uhagarike ahantu runaka hatera ibimenyetso by'amashanyarazi bidasobanutse neza.
Ese hari ingaruka mbi zishobora kubaho cyangwa ingorane zishobora kubaho?
Nubwo imiti yose ishobora gutera ingaruka mbi, muri rusange irashobora gukemuka iyo ipimwe ugereranyije n'inyungu zo kuvura. Niba ufite impungenge, nyamuneka vugana na muganga wawe. Ingaruka mbi zisanzwe ku miti ya Bigeminy zirimo:
- Kuzungera
- Ubuhanga bworoshye
- Umunaniro
- Inda ibabaye
- Kuribwa umutwe
Ingorane ziterwa no guterwa catheter ni gake cyane, ariko nkuko bigenda ku buryo ubwo ari bwo bwose, hari ingaruka ntoya ugomba kumenya, harimo:
- Kwandura
- Kuva amaraso
- Gukomereka ku mitsi y'amaraso cyangwa ingingo z'umutima
- Amaraso apfutse
- Igisebe cy'imitsi
Igihe cyo kugarura ubuzima
Gukira neza nyuma yo gukuramo catheter bishobora gufata ibyumweru byinshi. Ni ibisanzwe ko muri iki gihe cyo gukira hakomeza kubaho ibihe bito bya Bigeminy.
Uburyo bwo kugabanya ibyago byo kurwara indwara ya Bigeminy
Ushobora kugabanya cyane ibyago byo kurwara indwara ya Bigeminy ukoresheje uburyo bumwe na bumwe bwo kubaho. Tekereza ku ntambwe zikurikira:
- Gucunga umuvuduko w'amaraso ukabije neza.
- Gabanya cyangwa wirinde kafeyine , harimo icyayi na kawa.
- Kugabanya cyangwa kureka kunywa inzoga .
- Menya neza ko uryama neza kandi uruhuka buri joro.
- Gucunga imihangayiko ukoresheje uburyo bwo gutekereza cyane cyangwa yoga.
- Hagarika burundu gukoresha ibintu byose by'itabi (itabi, nibindi).
Uku guhindura imibereho bishobora gusa n'aho ari bito, ariko bishobora kugira ingaruka zikomeye ku buzima bw'umutima wawe igihe kirekire.
Bite se niba mfite Bigeminy?
Niba udafite ibimenyetso (udafite ibimenyetso), ushobora kudakenera ubufasha bwihariye kandi ushobora kubaho ubuzima busanzwe. Ariko, niba ibimenyetso bihari, muganga wawe ashobora kukugira inama yo kwirinda kafeyine na inzoga, kukwandikira imiti, cyangwa kuganira ku buryo bwo gukuramo catheter.
Ishusho
Uko uhagaze igihe kirekire biterwa n'ubuzima bwawe muri rusange bw'umutima n'ibindi bintu bishobora gutera ibyago. Ku bantu bafite izindi ndwara z'umutima, Bigeminy ishobora kuba ikimenyetso cy'uko ibyago byiyongera; icyakora, ku bafite imitima myiza, ibyago ntabwo biri hejuru cyane ugereranyije n'abaturage muri rusange. Niba ufite Bigeminy idatanga ibimenyetso, uko uhagaze muri rusange ni byiza cyane. Nta mpamvu yo kugira ubwoba bukabije.
Kwiyitaho
Kugira ngo ugere ku musaruro mwiza, kurikiza amabwiriza ya muganga wawe. Komeza gukurikiza imiti wandikiwe kandi ukomeze gahunda nziza y'umutima:
- Fata imiti neza neza nk'uko byategetswe.
- Witondere indyo yawe: Gabanya kafeyine, ibiryo bifite amavuta, n'isukari nyinshi.
- Reka kunywa itabi: Ibi ni ingenzi cyane kugira ngo umutima ukire.
- Kunywa inzoga mu rugero.
- Siporo buri gihe: Buri gihe banza uganire na muganga wawe mbere yo gutangira gahunda nshya yo gukora siporo.
- Shyira imbere kuruhuka no gusinzira.
- Gucunga imihangayiko: Jya mu bikorwa byo kwishimisha, gusabana n'abandi, cyangwa kwitonda.
Ni ryari ukwiye kujya kwa muganga?
Jya mu nama zawe zose zisanzwe zo gukurikirana. Vugana n'umuganga wawe ako kanya niba:
- Ubona ibimenyetso bishya cyangwa niba ibimenyetso bihari byarahindutse.
- Ibimenyetso byawe birarushaho kwiyongera .
- Ugira ingaruka mbi zikomoka ku miti yawe.
- Niba ubabara mu gatuza, uhumeka nabi, cyangwa ukumva ufite intege nke, hamagara 911 cyangwa ujye mu biro byita ku butabazi bwihuse biri hafi yawe.
Ibibazo byo kubaza muganga wawe
Mu ruzinduko rwawe rutaha, ushobora kubaza uti:
- Ni ku rugero rungana iki ngomba kugabanya caffeine nkoresha?
- Ni kangahe nkeneye gahunda zo gukurikirana?
- Ese ushobora kungira inama ku buryo bwihariye bwo gucunga imihangayiko yanjye?
- Ese hari uburyo cyangwa gahunda zo kumfasha kureka itabi?
- Ese ni byiza kuri njye gukora imyitozo ngororamubiri nk'uko bisanzwe?
- Ni izihe mpinduka zihariye mu mirire zigira akamaro cyane kuri njye?
Inyandiko ya nyuma
Gusuzuma indwara ya Bigeminy bishobora gutuma umuntu yumva aremerewe cyane, ariko ni ikibazo gishobora gukemuka. Wibuke ko abantu benshi badafite ibimenyetso badakeneye kuvurwa na gato. Korana bya hafi n'itsinda ryawe ryita ku buzima rya Nirogi Lanka , witabire gahunda zawe, kandi ukurikize gahunda yawe yo kuvura. Gushyira imbere ubuzima bw'umutima wawe ni yo ntambwe y'ingenzi ushobora gutera.
