Wakambonzwa here sekuti moyo wako uri kurova nekukurumidza, kana kuti zvishoma nezvishoma, kana kuti pamwe kusvetuka kurova pasina kurova? Zvakajairika kunzwa kutya zvishoma kana uchinzwa chimwe chinhu chakadai. Vanhu vazhinji vakambosangana nechiitiko ichi pane imwe nguva muhupenyu hwavo. Mukurapa, tinoti kusajairika mumutinhimira wemoyo 'Arrhythmia' (zvinonzi 'arrhythmia'). Saka usatya, nhasi tichataura nezvezvinhu zvese nenzira iri nyore yaunogona kunzwisisa.
Chii chinonzi arrhythmia chaiyo?
Zvichitaurwa zviri nyore, arrhythmia kurova kwemoyo kusina kurongeka. Izvi zvinonziwo 'dysrhythmia'.
Fungidzira kuti mwoyo wedu wakaita semutambi wengoma ari mubhendi. Rwiyo rwacho runonzwika zvakanaka chete kana akaridza ngoma nerwiyo rwakakodzera uye nekumhanya kwakakodzera. Ndizvo zvakaitawo mwoyo wedu. Unofanira kurova nemutinhimira wakakodzera, wakarongeka. Ndipo chete paunogona kupomba ropa rakawanda reokisijeni mumuviri wese.
Kana paine arrhythmia, mutinhimira uyu unokanganiswa.
- Pamwe moyo uri kurova nekukurumidza zvikuru .
- Pamwe moyo unorova zvishoma nezvishoma .
- Kana kuti inogona kutambwa zvisina kurongeka , pasina kana kurova kamwe chete.
Mamiriro aya anogona kutanga munzvimbo dzakasiyana dzemoyo.
Ichi chirwere chakakomba chekutya here?
Zvinowanzoitika kuti mubvunzo uyu uuye mupfungwa dzako. Kune mhando dzakawanda dze arrhythmia. Dzimwe mhando hadzina njodzi uye hadzidi kurapwa. Zvisinei, dzimwe dzakakomba zvikuru. Dzinogona kutokonzera kumisa kwemwoyo kamwe kamwe. Kunewo mhando dzakasiyana dze arrhythmia dzinowira pakati peizvi zviviri zvakanyanyisa.
Chinhu chakakosha ndechekuti chiremba wako chete ndiye anogona kukuudza rudzi rwechirwere che arrhythmia chaunacho, kana chichida kurapwa, uye zvekuita kana zvichidikanwa. Saka, zvakakosha kutsvaga mazano echiremba pane kuzviongorora wega.
Ndedzipi mhando huru dze arrhythmia?
Vanachiremba vanoisa arrhythmias muzvikamu zvichienderana nekuti inotangira papi mumoyo. Ngatizvitaurei zviri nyore. Moyo une makamuri makuru mana, maviri kumusoro uye maviri pasi.
| Rudzi rwe arrhythmia | Zvichitaurwa zviri nyore... |
|---|---|
| Kusagadzikana kwemwoyo (Supraventricular Arrhythmias) | Izvi zvinotangira mumakamuri epamusoro emwoyo (atria) . 'Supraventricular' zvinoreva 'pamusoro pemakamuri epasi'. |
| Kusagadzikana kwemwoyo (Ventricular Arrhythmias) | Izvi zvinotangira mumakamuri epasi (ventricles) emwoyo. |
| Bradyarrhythmias | Izvi zvinokonzerwa nematambudziko emagetsi emoyo, zvichiita kuti mwoyo urove zvishoma nezvishoma . Izvi zvinogona kukonzerwa nematambudziko epacemaker yemoyo (SA node) kana nepanzira dzinotakura masaini (senge AV node). |
Atrial Fibrillation ndiyo mhando ye arrhythmia inowanikwa zvakanyanya muSri Lanka nepasi rese. Ndeyerudzi rweSupraventricular.
Ndezvipi zviratidzo zvinoonekwa nemunhu ane arrhythmia?
Vamwe vanhu vanogona kuva ne arrhythmia vasina zviratidzo. Tinoti izvi i "arrhythmia yakanyarara". Zvisinei, kana zviratidzo zvikaitika, zvinogona kusanganisira:
| Chiratidzo | Zvinonzwa sei |
|---|---|
| Kurova Kwemwoyo | Kunzwa moyo wako uchirova zvakasimba, chipfuva chako chichirova, chipfuva chako chichisvetuka. |
| Dzungu kana kuti musoro mutete | Dzungu kana kuti vertigo . |
| Zvikamu zvekufenda | Kamwe kamwe ndakarasika pfungwa ndodonha. |
| Kushaya mweya | Kunzwa kushaya mweya, sekunge kana uchikwira masitepisi. |
| Kusagadzikana pachipfuva | Kunzwa kurwadziwa kana kusagadzikana, sekunge chipfuva chakabatirira. |
| Kushaya simba kana kuneta | Kunzwa kuneta zvakanyanya uye kusisina hupenyu pasina chikonzero. |
Sei izvi zvichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Zvakaoma kuziva chikonzero chimwe chete che arrhythmia. Kune zvikonzero zvakawanda zvinogona kunge zviripo. Ngatitarisei zvikonzero zvikuru nezvinhu zvinogona kukonzera njodzi.
Zvinokonzera arrhythmia
- Chirwere chetsinga dzemwoyo ( kuvharika kwetsinga dzeropa dzemwoyo )
- Kukwira kweropa
- Kuchinja kwetsandanyama dzemwoyo (`Cardiomyopathy`)
- Matambudziko evharuvhu yemwoyo
- Kukuvara kubva pakurohwa nemoyo kare
- Kusawirirana kwema electrolyte muropa
- Maitiro ekupora mushure mekuvhiyiwa kwemoyo
- Zvimwe zvirwere (semuenzaniso, matambudziko e thyroid)
Zvinhu zvinowedzera njodzi
- Kushandiswa kwefodya (kusvuta)
- Kunwa doro zvakanyanya
- Kunwa zvinwiwa zvine caffeine zvakanyanya (tii, kofi, cola)
- Kushandisa mishonga inosimudzira muviri, senge mimwe mishonga inotonhora
- Kukwira kweropa
- Kurema kwakanyanya (BMI inodarika 30)
- Chirwere cheshuga kana huwandu hweshuga muropa
- Kunzwa ngonono uye kufema usina kurara zvakanaka
Ndezvipi zvinogona kukonzera matambudziko makuru kana zvikasarapwa?
Kana zvikasarapwa nemazvo, mamwe marudzi e arrhythmia anogona kukonzera matambudziko akakomba.
- Kushaya simba kwetsandanyama yemwoyo (`Cardiomyopathy`): Kana mwoyo ukarova zvisina kurongeka kwenguva yakareba, tsandanyama yemoyo inogona kupera simba uye kugona kwayo kupomba ropa kunogona kudzikira.
- Kumira kwemoyo: Kumwe kusagadzikana kwakanyanya kwemoyo kunogona kukonzera kuti mwoyo umire kurova kamwe kamwe.
- Kurohwa: Mune mamwe ma arrhythmias, akadai se atrial fibrillation, mavanga eropa anogona kuumbwa mumoyo. Kana mavanga aya eropa achienda kuuropi uye akavhara tsinga yeropa, anogona kukonzera kuoma mitezo.
Chiremba anoona sei izvi?
Paunoenda kunoona chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako uye achakuongorora. Vanogona kutarisa kurova kwemoyo wako uye kuteerera moyo wako ne stethoscope kuti vaone kana kurova kwemoyo kusina kurongeka.
Mushure meizvozvo, bvunzo dzakasiyana-siyana dzinogona kurairwa kuti dzisimbise chirwere uye kuwana chikonzero.
| Bvunzo | Zviri nyore... |
|---|---|
| ECG (Electrocardiogram) | Muedzo unonyora mashandiro emagetsi emwoyo. Uyu ndiwo muyedzo wakanyanya kushandiswa kuona kusagadzikana kwemoyo. |
| Kuongororwa kweropa | Tarisa zvinhu zvakaita sehuwandu hwemunyu mumuviri uye mahormone ethyroid. |
| MaAmbulatory Monitors (semuenzaniso, Holter monitor) | Kamuchina kadiki kanoiswa mumuviri wako kuti kagare kachirekodha kurova kwemoyo wako kwemaawa makumi maviri nemana kana kupfuura. |
| Echocardiogram (Echo) | Kuongororwa kwemoyo. Izvi zvinogona kutarisa zvinhu zvakaita sehukuru, chimiro, uye mashandiro emavharuvhu emoyo. |
| Kuedzwa Kwekushushikana | Kutora ECG paunenge uchirovedza muviri (uchifamba patreadmill). Izvi zvinobatsira kuona kusagadzikana kwemoyo kunoitika panguva yekurovedza muviri. |
| Chidzidzo cheElectrophysiology (EPS) | Bvunzo yakasarudzika inodzidza masisitimu emagetsi emwoyo zvakadzama. |
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nerudzi rwe arrhythmia yaunayo uye kuoma kwayo. Dzimwe nguva hapana kurapwa kunodiwa. Kana uchida kurapwa, pane nzira dzakasiyana siyana.
1. Mishonga
Kune mhando dzakasiyana dzemishonga. Haisi mishonga yese yakafanana. Chiremba wako achakubatsira kuwana mushonga wakakodzera uye mwero wakakodzera.
- Mishonga inoderedza kusagadzikana kwepfungwa: Mishonga inopiwa kudzorera rhythm isina kurongeka (sinus rhythm) kana kudzivirira kuitika kwe arrhythmia.
- Mishonga inodzora kurova kwemoyo: Mishonga inopiwa kudzora kurova kwemoyo nekukurumidza.
- Mishonga inorwisa ropa kuti rivhare ropa: Mishonga inopiwa kuderedza njodzi yekugwamba kweropa (semuenzaniso warfarin, aspirin).
2. Kuchinja Kwemararamiro
Izvi zvakakosha zvikuru.
- Kudzora BP nechirwere cheshuga.
- Kurega kusvuta zvachose.
- Kuderedza kunwa doro.
- Deredza kana kurega kushandisa caffeine nezvimwe zvinokurudzira muviri.
- Kuramba uine huremu hwakanaka.
3. Kurapa Kwakananga
- Kuchinja kwemoyo: Kupa moyo simba remagetsi rinodzorwa kuti udzorere kumhanya kwemoyo kwakajairika.
- Kubviswa kweCatheter: Chubhu yakatetepa (catheter) inopfuudzwa nemutsinga iri mugumbo kana ruoko ichienda kumoyo uye chikamu chidiki chenyama yemoyo chinokonzera arrhythmia chinomiswa nesimba remagetsi rinokwira nekukurumidza.
4. Zvishandiso zvinopfekwa pamuviri
- Permanent Pacemaker: Mudziyo unopiwa vanhu vane kurova kwemoyo kunonoka (bradycardia). Unotumira masaini madiki emagetsi kuti kurova kwemoyo kurambe kuri padanho rakajairika.
- Implantable Cardioverter Defibrillator (ICD): Ichi chishandiso chinogara chichiongorora rhythm yemoyo. Kana chikaona rhythm inokurumidza uye isina kujairika (ventricular tachycardia/fibrillation) iyo inogona kuisa hupenyu panjodzi, chinoita kuti mwoyo uvhunduke kuti udzorere rhythm.
5. Kuvhiyiwa
Mune zvimwe zviitiko, kuvhiyiwa kungadiwa kurapa chirwere chemwoyo chiripo (chirwere chemavharuvhu, tsinga dzakavharika) chiri kukonzera kusagadzikana kwemoyo. Maitiro eMaze kuvhiyiwa kwakanangana neatrial fibrillation.
Ndinofanira kuona chiremba riini? Ndinofanira kuenda kuETU nguvai?
Kana uine arrhythmia, zvakakosha kuenda kukiriniki nenguva uye kunoona chiremba wako sezvakataurwa. Zvisinei, dzimwe nguva unofanira kutsvaga rubatsiro rwechiremba nekukurumidza.
Fonera chiremba wako kana zviratidzo zvako (semuenzaniso, kurwadziwa pachipfuva, dzungu) zviri kuwedzera kana kuti zviri kuitika kakawanda, pane kumirira kusvika zuva raunowanzoenda kukiriniki.
Mamiriro ezvinhu apo unofanira kuenda kuEmergency Treatment Unit (ETU) nekukasika:
Kana ukaona chimwe chezviratidzo zvinotevera, usapedza nguva uye enda kuETU (Emergency Treatment Unit) yechipatara chiri pedyo newe nekukurumidza.
- Kuomerwa zvakanyanya kufema
- Kurwadziwa kwechipfuva
- Dzungu rakakomba
- Kufenda
Mharidzo Yekuenda Nayo Kumba
- Arrhythmia chirwere chemwoyo chisingaenderane nemamiriro ezvinhu. Izvi hazvisi nguva dzose zvakakomba, asi dzimwe mhando dzinogona kuva nengozi.
- Kana uine zviratidzo zvakaita sekurwadziwa pachipfuva, dzungu, kuoma kufema, kana kurasikirwa nepfungwa, iva nechokwadi chekuona chiremba.
- Kuchinja mararamiro ari nyore (kurega kusvuta, kuderedza doro, uye kudzora huremu) kunogona kubatsira zvikuru kudzora kusagadzikana kwepfungwa.
- Kana wakanyorerwa mushonga, usamborega kuutora kana kuchinja mwero wemushonga usina kurairwa nachiremba wako.
- Kana paine dambudziko (kurwadziwa kwechipfuva kwakanyanya, kunetseka kufema, kurasikirwa nepfungwa), enda kuETU nekukasika.
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