Dzimwe nguva unonzwa sekuti moyo wako uri kurova nepamwero wakasiyana here kana kuti nenzira yakasiyana? Zvinhu izvi zvinogona kukonzerwa nekuchinja kwemagetsi emoyo. Ndipo patinofanira kuona nyanzvi yemagetsi , chiremba ane hunyanzvi mukushanda kwemagetsi emoyo. Tingataura nezveizvi zvakadzama here?
Saka ndiani uyu (Electrophysiologist)? Anoita sei?
Zvichitaurwa zviri nyore, "Electrophysiologist" inyanzvi yemwoyo ine ruzivo rwakadzama nezve "system yemagetsi" yemoyo wako. Unoziva, moyo wedu unorova uye unopomba ropa mumuviri wese nekuda kwesystem iyi yemagetsi. Zvakafanana ne "current" iri mumba. Mwoyo unoshanda zvakanaka chete kana zviratidzo zvemagetsi izvi "signals dzemagetsi" zvikafamba nepakati pemoyo nenzira yakakodzera uye yakarongeka.
Zvisinei, dzimwe nguva kana paine dambudziko nezviratidzo zvemagetsi izvi, zvakaita sekushaya kwemoyo kwakashata (arrhythmia) , ungangoda kuona nyanzvi ye electrophysiologist. Iye anogona kuona zviri kuitika mumoyo mako uye ozvirapa. Nyanzvi dzinorapa matambudziko emwoyo muvana vadiki, vakaita sevacheche nevana vadiki, dzinonzi vana electrophysiologists.
Saka, chinonyanya kuitwa nachiremba uyu we `(Electrophysiologist)` ndechekuongorora nekurapa matambudziko ane `(conduction system)` yemwoyo wako. Kureva kuti, anotsvaga zvikonzero zvinoita kuti mwoyo wako urove zvisina kurongeka, nei masaini emagetsi ari mumoyo mako asingafambe nenzira yakajairika. Kune mamwe marudzi e`(Arrhythmia)`, asina njodzi zvakanyanya, kungoti kushungurudza kudiki. Asi mamwe acho anogona kutyisidzira hupenyu . `(Cardiac Electrophysiologist)` anogona kuona musiyano pakati pezviviri izvi.
Vachaona kuti chii chiri kukonzera dambudziko rako remagetsi uye kuti riri kutangira papi. Kana vangoziva chikonzero chaicho, vanogona kurirapa. Semuenzaniso, nekurapwa kwakadai sekuti `(Catheter Ablation)`, kurapwa kwacho kunobudirira ne90% . Nekuda kweizvi, vanachiremba ve`(Electrophysiologist)` vakakwanisa kuvandudza hupenyu hwevanhu vazhinji vavanorapa.
Ndeupi musiyano uripo pakati pechiremba wemwoyo nenyanzvi yemagetsi?
Iri idambudziko rinowanzo sangana nevanhu vazhinji. "Electrophysiologist" inyanzvi yemwoyo yakadzidziswa zvakanyanya . Nyanzvi yemwoyo inorapa zvirwere zvakasiyana-siyana zvinoitika mumoyo. Asi "Electrophysiologist" inyanzvi muhurongwa hwemagetsi emoyo, hunodzora rhythm yemoyo wako.Izvi zvinoreva kuti anyatsoongorora nyaya iyi yemagetsi uye awana ruzivo.
Ndedzipi mhando dzezvirwere zvinorapwa nenyanzvi yemagetsi?
Nyanzvi yemagetsi inorapa zvirwere zvakasiyana-siyana zvemwoyo zvine chekuita nemutinhimira wemwoyo. Zvizhinji zvezvirwere izvi zvinosanganisira kurova kwemoyo zvisina kurongeka kana kurova kwemoyo nekukurumidza . Zvimwe zvirwere zvinogona kuva nengozi kupfuura zvimwe. Heano mamwe ematambudziko emutinhimira wemoyo:
- Atrial Fibrillation : Mumamiriro ezvinhu aya, makamuri epamusoro emoyo (atria) anoita seanodedera panzvimbo pekurova zvakanaka.
- Kufamba-famba kweAtrial : Uku kurova kunokurumidza uye kusina kurongeka muatria.
- Atrial Tachycardia : Kurova kwemoyo nekukurumidza kunotanga mu atria.
- Kuvharika kwemoyo : Moyo unorova nekukurumidza nekuti masaini emagetsi ari mumoyo haasi kufamba zvakanaka.
- Wolff-Parkinson-White Syndrome : Ichi chirwere apo mwoyo une nzira yemagetsi yakawandisa, iyo inogona kukonzera kuti mwoyo urove nekukurumidza.
- Kupera simba kwetsinga dzemumwoyo : Ichi chirwere chine njodzi huru. Makamuri epasi (masero) emwoyo anodedera asingarove zvakanaka. Kurapwa nekukasika kunodiwa.
- Ventricular Tachycardia : Kurova kwemoyo nekukurumidza kunotanga mumaventricles. Izvi zvinogonawo kuva nengozi.
- Supraventricular Tachycardia (SVT) : Boka rekurova kwemoyo nekukurumidza kunotangira pamusoro pemaventricle.
- Kubata kweAtrial Pamberi Penguva (PACs) : Kurova kwekuwedzera, kwekutanga kubva kuatria.
- Kubata Kwemhepo Pamberi Penguva Yakwana (PVCs) : Kurova kwemhepo nekukurumidza kunobva mumidziyo yeropa.
- Sick Sinus Syndrome : Kusashanda zvakanaka kwechinhu chinogadzira mwoyo chinopa simba.
- Long QT Syndrome : Kusagadzikana kwemoyo kunogona kuitika nekuti magetsi emoyo anotora nguva yakareba kuti adzokere pakare.
Sei ndiri kutumirwa kuna Electrophysiologist?
Kana chiremba wako achifungidzira kuti pane dambudziko nemagetsi emwoyo wako, anogona kukutumira kuna electrophysiologist. Semuenzaniso, kana moyo wako uchirova nekukurumidza kupfuura zvakajairika, kana nekukurumidza zvikuru, kana ukarova zvisina kurongeka.Ungave uchienda kunoona "Cardiac Electrophysiologist". Funga nezvazvo, dzimwe nguva unonzwa sekunge chipfuva chako chiri kurova, kana kuti unonzwa dzungu, kana kuti unonzwa sekunge uri kurasikirwa nepfungwa. Zvinhu izvi zvinogonawo kukonzerwa nedambudziko rekurova kwemoyo wako.
Ndedzipi mhando dzebvunzo dzinoitwa nenyanzvi ye electrophysiologist?
Nyanzvi ye electrophysiologist inogona kuita bvunzo dzakasiyana-siyana kuti ibatsire kuona chikonzero chedambudziko rako. Dzimwe dzebvunzo idzi dzinosanganisira kurekodha rhythm, uye dzimwe dzinosanganisira kufungidzira moyo. Mimwe yebvunzo idzi haisi yekupinda mumuviri . Mimwe ingangoda kuti kanula diki (IV) iiswe mutsinga iri muruoko rwako. Mimwe yebvunzo idzi inosanganisira:
- Chidzidzo cheElectrophysiology (EPS) : Izvi zvinosanganisira kuisa waya dzakatetepa (catheters) mumoyo kuti dziongorore mashandiro emagetsi emoyo zvakadzama.
- Kuedza Kutsvedza Tafura : Izvi zvinoitirwa kuona kana uchinzwa kupera simba paunomira.
- Electrocardiogram (ECG/EKG) : Muedzo uri nyore unonyora mashandiro emagetsi emwoyo.
- Holter Monitor : Mudziyo mudiki unogona kuramba uchirekodha kurova kwemoyo wako kwemaawa makumi maviri nemana kana makumi mana nemasere.
- Chinoongorora Chiitiko : Mudziyo unokubvumidza kurekodha kana uine zviratidzo. Izvi zvinofanirwa kushandiswa kwemazuva mashoma kana mavhiki.
- Kuongororwa kwemoyo neTransthoracic Echocardiogram (TTE) : Kuongororwa kwemoyo neultrasound.
- Transesophageal Echocardiogram (TEE) : Iyi zvakare bvunzo ye echo, asi muongororo iyi, chubhu diki inopfuudzwa nepagurokuro kuti iwane mifananidzo yakajeka yemoyo.
- Kuongororwa kweCT neComputed Tomography : Kuongororwa kweCT kunogona kuburitsa mifananidzo yakadzama yemoyo.
- MRI yemoyo : Kuwana mifananidzo yemoyo uchishandisa Magnetic Resonance Imaging.
Ndinofanira kuona chiremba wemagetsi rini?
Zvakanaka kuona Cardiac Electrophysiologist kana uine zviratidzo zvinotevera:
- Kushaya mweya
- Kurwadziwa kwechipfuva
- Kurova kwemoyo - Izvi zvinoreva kuti unogona kunzwa chipfuva chako chichirova, dzimwe nguva zvisingaite.
Fungidzira, kunyangwe wakangomira, unonzwa sekunge uri kunetseka kufema, chipfuva chako chinonzwa chakaoma, kana kuti moyo wako unotanga kurova kamwe kamwe. Panguva dzakadai, unofanira kutsvaga rubatsiro rwechiremba.
Matambudziko mazhinji emwoyo ane zviratidzo zvakafanana, saka hunyanzvi hwenyanzvi yemagetsi hunokosha kuti uzive kuti ndeapi marudzi emoyo usina kujairika aunawo.
Unoda here kutumirwa kunoona nyanzvi ye electrophysiologist?
Zvingangoita kuti hongu. Ungangoda kutumirwa kune nyanzvi yemagetsi. Kunyangwe kambani yako yeinishuwarenzi isingade kutumirwa kune nyanzvi, chiremba wemhuri yako kana imwe nyanzvi inowanzo kukutumira kune nyanzvi yemagetsi kana vachifungidzira kuti une dambudziko remwoyo.
Chii chaunofanira kutarisira paunoenda kunoona nyanzvi ye electrophysiologist?
Kutanga, nyanzvi yezvemagetsi ichakubvunza nezvenhoroondo yako yezvekurapa uye ichakurukura zviratidzo zvako zvazvino. Vachada runyorwa rwemishonga yese yauri kutora, kusanganisira mishonga inotengeswa kunze kwemutemo. Nyanzvi yezvemagetsi yemwoyo inogona kukwanisa kuita bvunzo nekukurumidza, senge ECG, ipapo ipapo, kana kukutumira kumba nemudziyo, wakaita semuchina wekutarisa zviitiko, unorekodha kurova kwemoyo wako kwemazuva akati wandei.
Kana wakamboongororwa izvi, nyanzvi ye electrophysiologist inogona kuita mimwe miedzo kuti ikubatsire kuongorora chirwere. Mushure mekuongororwa, nyanzvi ye electrophysiologist inogona kutanga kurapwa. Dzimwe nguva, kurapwa kunogona kupiwa panguva imwe chete. Kurapa kunogona kusanganisira mishonga kana kuiswa kwemudziyo.
Vanachiremba vanorapa sei matambudziko emwoyo?
Nyanzvi yemagetsi inogona kuongorora dambudziko rako uye kuona mushonga wakanakira iwe. Zvingave zviri nyore sekutanga mushonga mutsva. Vamwe vangada mudziyo unobatsira kuchengetedza moyo wavo uchirova zvakanaka. Heano mamwe emishonga mikuru:
- Mishonga : Iyi inogona kupihwa kwauri zuva nezuva, kana kupihwa netsinga (IV) kana paine dambudziko.
- Zvishandiso zvinopa simba : Izvi zvinoshandisa ma "electrical impulses" kugadzirisa dambudziko riri mu "electrical system" yemoyo. Zvinowanzo shandiswa kune vanhu vane kurova kwemoyo kusina kurongeka.
- Mishonga yekudzikisa BP (ICDs) inoiswa muzvidyarwa : Idzi dzinobatsira kumisa njodzi yekurohwa kwemoyo nekurova mwoyo wako nemagetsi kana uchida.
- Kuchinja kwemoyo : Izvi zvinosanganisira kurovera moyo wako nemagetsi uchishandisa mudziyo wekunze kuti kurova kwemoyo wako kudzokere pakare.
- Kubviswa kweCatheter: Muizvi, chiremba anogadzira mavanga madiki munzira dzinofamba zviratidzo zvemagetsi zvisina kurongeka mukati memoyo. Izvi zvinomisa zviratidzo zvisina kurongeka kufamba uye zvinomisa mafambiro emwoyo asina kurongeka. Uku kurapa kunoshanda zvikuru.
Rudzii rwekudzidziswa runoitwa nenyanzvi yemagetsi?
Izvi zvakanakawo kuziva. "Electrophysiologist" inyanzvi yakadzidziswa zvakanyanya . Mushure mekupedza chikoro chekurapa, vanoita kudzidzira mu "General Internal Medicine". Zvadaro vanoita kudzidziswa mu "Cardiovascular Disease", uye gore rimwe kana maviri ekudzidziswa kwakakosha mu "Clinical Cardiac Electrophysiology." Saka unogona kuona kuti vakazvipira sei kuva nyanzvi mune izvi? Saka unogona kuvimba navo.
Vanachiremba ve electrophysiologist vanoshanda kupi?
Nyanzvi dzezvemagetsi (electrophysiologists) dzinowanzo shanda muchipatara nevamwe vanachiremba vemwoyo. Dzinoshandawo muzvipatara. Labhoritari yakasarudzika kwavanoita bvunzo inonzi labhoritari yezvemagetsi (electrophysiology) kana labhoritari yeEP. Dzimwe nguva inonzi labhoritari yekurapa catheterization kana labhoritari yeCath.
Pakupedzisira, zvinhu zvishoma zvekuyeuchidza
Kana uchigara uchifenda, uchirwadziwa pachipfuva, kana kuti uchishaya mweya, ungangoda kuona nyanzvi yezvemagetsi kuti uzive chiri kukonzera izvi. Kana usina chokwadi nezvekuongororwa kana kurapwa kwavachakupa, usatya kubvunza mibvunzo . Chiremba achakutsanangurira zvese.
Yeuka, kuona nyanzvi kungave chiitiko chitsva kwauri. Asi vanachiremba ve "Electrophysiologist" inyanzvi mukunzwisisa nekurapa matambudziko emwoyo. Saka unogona kuvimba navo kuti vanotarisira hutano hwemwoyo wako. Usanetseke, mazhinji ematambudziko aya anogona kudzorwa nekurapwa kwakakodzera.
` Mutsindo wemwoyo, nyanzvi yemagetsi, kurova kwemoyo, chirwere chemwoyo, pacemaker, catheter ablation, ECG, system yemagetsi yemwoyo, arrhythmia, nyanzvi yemwoyo











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