Mwoyo wako unorova zvinoshamisa here? Ngatitaurei nezvekusagadzikana kwemutinhimira wemoyo (Arrhythmia)!

Usazvidya moyo, wakambonzwa here kuti kurova kwemoyo wako kwakawedzera kamwe kamwe, kana kuti kwairova nekukurumidza, dzimwe nguva sekunge kwairova nenzira isinganzwisisike? Ichi chinhu chinoitika kuvanhu vazhinji. Nhasi tichataura nezvekurova kwemoyo uku kusina kurongeka, kunonzi arrhythmia . Izvi dzimwe nguva zvinonzi dysrhythmia .

Zvichitaurwa zviri nyore, chii chinonzi arrhythmia?

Kusagadzikana kwemoyo (arrhythmia) kuchinja kwemutinhimira, kana kuti maitiro emoyo wako. Funga nezvazvo nenzira iyi: moyo wedu wakafanana nemuimbi ane hunyanzvi, unofanirwa kurova nemutinhimira wakajairika. Asi dzimwe nguva mutinhimira uyu unobuda pasina chikonzero. Ndipo patinoudaidza kuti kusagadzikana kwemoyo. Unogona kutanga munzvimbo dzakasiyana dzemoyo. Dzimwe nguva moyo unorova nekukurumidza, dzimwe nguva zvishoma nezvishoma, kana pasina kurongeka.

Kazhinji, mwoyo wedu unoshanda nenzira yakarongeka uye yakarongeka. Nekuti, moyo uyu ndiwo unopa muviri wedu wese ropa, uchipa chikafu neokisijeni. Saka, kana paine dambudziko muzvikamu zvakasiyana zvemoyo, kana muropa rinopombwa nemoyo, rwiyo urwu rwakajairika runogona kukanganiswa. Ndosaka kuva nerwiyo rwekurova kwemoyo rwakajairika kwakakosha zvikuru .

Dambudziko iri remwoyo (arrhythmia) rakakomba zvakadii?

Kutaura zvazviri, haasi ese ma arrhythmia ane njodzi. Kune mamwe marudzi asingakuvadzi uye asingade kurapwa. Zvisinei, kune mamwe anogona kukonzera kurwara kwemoyo kana kumira kwemoyo . Mazhinji ma arrhythmias ari pakati peizvi zviviri. Chiremba chete ndiye anogona kukuudza chaizvo kuti rudzii rwe arrhythmia yaunayo uye kana ichida kurapwa. Saka, kana uine kusava nechokwadi, zvakanaka kutsvaga mazano echiremba.

Ndedzipi mhando huru dze arrhythmia?

Vanachiremba vanoisa arrhythmias mumapoka zvichienderana nekuti inotangira papi mumoyo.

• Supraventricular Arrhythmias: Izvi zvinotangira mumakamuri epamusoro emwoyo wako, anonzi atria . "Supraventricular" zvinoreva pamusoro pemakamuri epasi emwoyo, anonzi maventricles .
• Ventricular Arrhythmias: Izvi zvinotangira mumakamuri epasi emwoyo, kureva, atria.
• Kurongeka kwemwoyo (Bradyarrhythmias) uye kurongeka kwenhengo dzemuviri (junctional rhythms): Izvi zvinogona kuitika nekuda kwematambudziko ari muhurongwa hwemagetsi hwemoyo, akadai se sinoatrial (SA) node , atrioventricular (AV) node , kana His-Purkinje network .

Zvichitaurwa zviri nyore, kune mhando mbiri dzezvirwere zvemwoyo: izvo zvinotanga muzvikamu zvepamusoro zvemoyo uye izvo zvinotanga muzvikamu zvepasi. Pamusoro pezvo, kunewo zvikanganiso zvinosanganisira kurova kwemoyo zvishoma nezvishoma.

Dambudziko iri rakajairika zvakadii?

Pasi rose, zvinofungidzirwa kuti pakati pe1.5% ne5% yevanhu vane arrhythmia. Zvisinei, zvakaoma kutaura kuti vangani chaizvo vane arrhythmia, sezvo vamwe vanhu vasingaratidzi zviratidzo. Munyika dzakadai seUnited States, rudzi rwe arrhythmia runonzi atrial fibrillation ndirwo rwakanyanya kuwanda.

Ndezvipi zviratidzo zvatinonzwa?

Munhu ane arrhythmia anogona kuona zviratidzo zvakaita se:

• Kurova Kwemwoyo: Kunogona kunzwa sekunge ngoma iri kurova mukati mechipfuva, kana kuti mwoyo wamira kamwe kamwe, kana kuti kunogona kunzwa sekunge uri kurova nekukurumidza.
• Dzungu kana kuti musoro wakapfava.
• Zvikamu Zvinopera Simba.
• Kushaya Mweya: Zvinoita sekunge unonetseka kufema kunyangwe uchishanda nesimba.
• Kusagadzikana kana kurwadziwa pachipfuva.
• Kushaya simba kana kuneta.

Dzimwe nguva, chirwere chemwoyo chinogona "kunyarara," zvichireva kuti hachikonzeri zviratidzo. Ndosaka zvichikosha kuti ugare uchiongororwa nachiremba.

Sei izvi zvichiitika? Ndezvipi zvinokonzera kusagadzikana kwepfungwa?

Kune zvikonzero zvakasiyana-siyana zvinokonzera kusagadzikana kwepfungwa. Zvimwe zvacho ndeizvi:

• Chirwere chemwoyo: Izvi zvinoreva kuvharika kwetsinga dzinopa ropa kumoyo.
• Nyama inotsamwisa mumoyo mako: Izvi zvinogona kukonzerwa nezvikonzero zvemajini kana zvinhu zvinokura muhupenyu hwako gare gare.
• Kukwira kweropa.
• Kuchinja kwetsandanyama dzemwoyo (Cardiomyopathy).
• Matambudziko evharuvhu yemoyo.
• Kusawirirana kwema electrolyte muropa rako: Uku kuchinja kwehuwandu hwemunyu senge sodium ne potassium.
• Kukuvara Nechirwere Chemwoyo.
• Kuporeswa mushure mekuvhiyiwa kwemoyo.
• Zvimwe zvirwere.

Kazhinji, arrhythmias inokonzerwa nedambudziko retsinga dzeropa, mavharuvhu, kana tsandanyama dzemwoyo.

Ndezvipi zvinhu zvinokonzera arrhythmia?

Zvinhu izvi zvinogona kuwedzera njodzi ye arrhythmia:

• Kushandisa zvigadzirwa zvefodya.
• Kunwa doro.
• Kunwa zvinwiwa nezvikafu zvine caffeine: Zvinhu zvakaita setii, kofi, nezvimwe zvinwiwa zvisina doro.
• Kutora mishonga inosimbisa muviri: Zvinhu zvakaita semishonga inotonhora uye mishonga yemishonga.
• Kuva neBP yakakwira.
• Body Mass Index (BMI) inodarika 30.
• Kuva neshuga yakakwira muropa: Sechirwere cheshuga.
• Kutadza kufema zvakanaka pakurara.

Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?

Kana arrhythmias ikasarapwa nemazvo, matambudziko akadai se:

• Kushaya simba kwetsandanyama dzemwoyo (Cardiomyopathy).
• Kusungwa kwemwoyo.
• Kurohwa: Kukanganiswa kweropa rinoenda kuuropi.

Kusagadzikana kwemwoyo uku kunoonekwa sei?

Chiremba anogona kutarisa kurova kwemoyo wako uye kuteerera moyo wako kuti aone kurova kwemoyo kusina kurongeka.

Mushure mekuteerera zviratidzo zvako uye kuita bvunzo yemuviri, chiremba wako anogona kuraira mimwe miedzo yekusimbisa kuvapo kwe arrhythmia uye kuwana chikonzero. Dzimwe nguva unogona kutumirwa kuna electrophysiologist , chiremba wemwoyo ane kudzidziswa kwakakosha muzvirwere zvemoyo.

Ndedzipi mhando dzebvunzo dzinoitwa?

Miedzo inotevera inogona kuitwa kuti uongorore kurova kwemoyo kusina kurongeka uye zvimwe zvirwere zvine chekuita nazvo:

• Electrocardiogram (ECG kana EKG): Iyi inorekodha mashandiro emagetsi emwoyo.
• Kuongororwa kweropa: Tarisa huwandu hwe electrolytes mumuviri wako, kana kuti tarisa dambudziko remajini.
• MaAmbulatory Monitors: Aya madiki madiki aunopfeka kwemazuva mashoma. Anorekodha kurova kwemoyo wako paunenge uchiita mabasa ako emazuva ese. Muenzaniso iHolter Monitor .
• Kuyedzwa kweStress: Izvi zvinoedza mashandiro emoyo panguva yekurovedza muviri.
• Echocardiogram: Kuyedzwa kwemafungu enzwi emoyo. Kunogona kutarisa chimiro, saizi, uye mashandiro emoyo.
• Kuongororwa kwemoyo: Kuongororwa kwemoyo kunoongorora kuvharika kwetsinga dzemwoyo.
• Chidzidzo cheElectrophysiology (EPS): Muedzo unotarisa zvakadzama mashandiro emagetsi emwoyo.
• Kuedza Kutenderedza Tafura: Kuedza kunoitwa pavanhu vanonzwa dzungu vakamira.
• Kuongororwa kweCT (Computed Tomography - CT scan).
• MRI yeMwoyo (MRI yeMwoyo - Magnetic Resonance Imaging).

Kurwara kwemwoyo kunorapwa sei?

Kurapwa kunoenderana nerudzi rwechirwere chemwoyo chaunacho uye kuoma kwacho. Mune zvimwe zviitiko, hapana kurapwa kunodiwa. Sarudzo dzekurapa zvirwere zvemoyo dzinosanganisira:

• Mishonga.
• Kuchinja mararamiro.
• Mishonga.
• Zvishandiso.
• Kuvhiyiwa.

1. Mishonga

Kune mhando dzakawanda dzemishonga yekurapa arrhythmias. Nekuti havasi vese vakafanana, ungangoda kuedza mhando dzakasiyana dzemishonga kuti uwane mushonga wakakunakira. Zvimwe zvacho zvinosanganisira:

• Mishonga inoderedza rhythm: Iyi inobatsira kudzorera rhythm kurhythm yakajairika (Sinus Rhythm) kana kudzivirira kuitika kwearrhythmia.
• Mishonga inodzora kurova kwemoyo wako.
• Mishonga inorwisa ropa kuti rivhare kana kuti rivhare ropa: Semuenzaniso , Warfarin kana Aspirin . Iyi mishonga inoderedza njodzi yekugwamba kweropa.
• Mishonga inorapa zvirwere zvine chekuita nazvo zvinogona kukonzera kurova kwemoyo zvisina kujairika.

Zvakakosha kuziva zvinhu izvi:

• Mazita emishonga yaunonwa.
• Sei uri kutora mushonga iwoyo?
• Kangani uye panguva ipi yekutora mushonga.
• Ndezvipi migumisiro yemishonga yako?

2. Kuchinja Kwemararamiro

Kuchinja kuri nyore mararamiro ako kunogona kubatsira ne arrhythmias. Zvimwe zvacho zvinosanganisira:

• Kudzora BP uye huwandu hweshuga muropa.
• Kudzivisa kushandiswa kwefodya.
• Kuderedza kunwa doro.
• Kudzivisa caffeine nezvimwe zvinokurudzira muviri.
• Kuramba uine huremu hwakanaka.

3. Mishonga

Pamusoro pemishonga, vamwe vanhu vangada mamwe marapirwo ekurapa kana kumisa kutenderera kwemoyo kusina kurongeka. Chiremba wako achasarudza kuti ndeipi mishonga yakakunakira uye achakurukura newe zvakanakira nezvakaipa zvemishonga iyi.

• Kuchinja kwemoyo: Kurohwa nemagetsi kunoitwa kuti mwoyo uwirirane uye kudzoreredza rhythm yakajairika.
• Kubviswa kweCatheter: Catheter inoshandiswa kuendesa simba remagetsi rinotenderera zvakanyanya kunzvimbo diki yenyama mumoyo, "ichibvisa" nzira isina kujairika yerhythm. Maitiro aya anogona kurapa marudzi mazhinji eSVT (Supraventricular Tachycardia) , Atrial Flutter , Atrial Fibrillation, nezvimweTachycardias dzeAtrial neVentricular dzinogona kurapwa.
• Kubviswa kwetsinga dzemapapu: Ukuwo rudzi rwekubvisa tsinga dzemapapu. Mhete dzemavanga dzinogadzirwa kuti dziparadzanise nzvimbo dzinogona kunge dzichikonzera atrial fibrillation . Izvi zvinogona kubatsira vanhu vane atrial fibrillation inogara ichiitika, paroxysmal, kana kuti inogara iripo.

4. Zvishandiso

Pakuvhiyiwa kunoitwa nachiremba wemwoyo murabhoritari ye electrophysiology, mimwe michina inogona kuiswa. Midziyo inoshandiswa kurapa chirwere chemwoyo ndeiyi:

• Permanent Pacemaker: Mudziyo uyu unotumira ma "electrical impulses" kutsandanyama yemoyo, zvichibatsira kuchengetedza kurova kwemoyo kwakajairika uye kudzivirira mwoyo kurova zvishoma nezvishoma.
• Implantable Cardioverter Defibrillator (ICD): Mudziyo uyu unogara uchitarisa rhythm yemoyo wako. Kana ukaona rhythm yemoyo inokurumidza uye isina kujairika, unorova tsandanyama yemoyo kuti uibatsire kuidzorera kurhythm yakajairika. Mudziyo uyu unorapa rhythm mbiri dzemoyo dzinotyisidzira hupenyu dzinonzi Ventricular Tachycardia neVentricular Fibrillation .
• MaBiventricular (BV) Pacemakers uye Defibrillators: Anonziwo Cardiac Resynchronization Therapy (CRT) , zvishandiso izvi zvinobatsira kuwiriranisa makumbo eventricle yako yekuruboshwe. Pamusoro pematambo (tambo diki) anoenda kurudyi rwemoyo, kunewo tambo inoenda kuruboshwe. Izvi zvinogona kudiwa kune vanhu vane chirwere chemwoyo uye makumbo eventricle yekuruboshwe asina kurongeka.

5. Kuvhiyiwa

Vanhu vane arrhythmia vangada kuvhiyiwa kwemoyo nekuda kwezvikonzero zvinotevera:

• Rapa chirwere chemwoyo chingave chiri kukonzera kusagadzikana kwemoyo. Semuenzaniso, kuvhiyiwa kwevharuvhu kana kuvhiyiwa kweropa neropa .
• Maitiro eMaze: Izvi zvinogona kushandiswa kurapa atrial fibrillation iyo isingagoni kudzorwa nemishonga kana kurapwa kusiri kwekuvhiyiwa.
• Muzvimwe zviitiko, chiremba anogona kuisa mawaya madiki (waya diki) mumoyo mako achishandisa nzira dzisinganyanyi kupindira kana kuvhiya.

Pane migumisiro yakaipa uye matambudziko ekurapwa here?

Migumisiro nematambudziko zvinosiyana zvichienderana nekurapwa. Zvimwe zvacho zvinosanganisira:

• Mishonga yeArrhythmia:
• Kusawirirana kwemuviri
• Dzungu
• Musoro
• Kubuda ropa
• Dumbu rakagumbuka
• Kuchinja kwemwoyo:
• Kuumbwa kweropa rakagwamba
• Mavanga eganda
• Mapundu eganda
• Kubviswa kweCatheter:
• Kubuda ropa
• Kugwamba kweropa
• Kurohwa
• Utachiona
• Kukuvara kwetsinga kana nyama yemoyo
• Kubviswa kweTsitsi reMapupa:
• Kurwara nedhayi (kana ikashandiswa)
• Utachiona
• Kukuvara kwemoyo wako, gumbo kana tsinga
• Kurohwa
• Zvishandiso:
• Kusashanda zvakanaka kwemudziyo
• Utachiona
• Kubuda ropa
• Mapapu akadonha
• Kuvhiyiwa:
• Kubuda ropa
• Utachiona
• Kurohwa
• Kumira kurova kwemoyo
• Kudiwa kwepacemaker

Zvinotora nguva yakareba sei kuti munhu anzwe zviri nani mushure mekurapwa?

Zvinogona kutora nguva kuti uwane mushonga wakakodzera uye chiyero che arrhythmia yako. Zvichienderana nemaitiro kana kuvhiyiwa, kupora kunogona kutora mavhiki kana mwedzi. Kana uine maitiro akadai seCatheter Ablation kana Pulmonary Vein Isolation , unogona kuramba uine arrhythmia kwemavhiki akati wandei paunenge uchipora. Chiremba wako achakuudza zvekutarisira zvichienderana nemamiriro ako chaiwo.

Nzira yekuderedza njodzi ye arrhythmia?

Unogona kuita zvinhu izvi kuderedza njodzi yekusagadzikana kwemoyo:

• Rega kushandisa zvigadzirwa zvefodya.
• Deredza kunwa doro.
• Deredza kana kurega kunwa caffeine. Vamwe vanhu vanonzwa caffeine zvakanyanya. Vanogona kuona zviratidzo zvakawanda kana vakanwa zvinhu zvine caffeine (tii, kofi, cola, mimwe mishonga inotengeswa kunze kwechitoro chemumba).
• Usatore mishonga inosimudzira muviri. Chenjerera mishonga inosimudzira muviri iri mumishonga yekukosora nedzihwa pamwe chete nemishonga yemishonga kana yekudya. Mimwe yemishonga iyi inogona kunge iine zvinhu zvinogona kukonzera kurova kwemoyo zvisina kurongeka. Verenga zviri papepa uye bvunza chiremba wako kuti mushonga upi wakakunakira.
• Dzora BP yakakwira.
• Edza kuchengetedza huremu hwakanaka.
• Dzora huwandu hweshuga muropa rako.
• Tsvaga mushonga wekushaya hope.
• Dzivisa mabasa anoita seanokonzera kusagadzikana kwepfungwa.

Chii chandinofanira kutarisira kana ndine arrhythmia?

Zvichienderana nerudzi rwechirwere chemwoyo chaunacho, unogona kunge uine zviratidzo zvishoma kana zvakakomba, kana kuti ungasave nezviratidzo zvachose. Ungasada kurapwa, asi vamwe vanhu vangada mishonga kana kuvhiyiwa. Nekurapwa kwezvirwere zvemoyo, vanhu vazhinji vanogona kurarama hupenyu hwakazara. Vamwe vanhu vane arrhythmias dzakakomba vanogona kubatwa nemwoyo , uye vanogona kurarama kana kusararama.

Kugara kwenguva yakareba sei chirwere ichi kwakakoshawo. Kugara kwenguva refu kwemwoyo kusingakuvadzi kunouya uye kunopera zvichienderana nechikonzero chacho. Zvisinei, vanhu vane mamwe marudzi ekurwadziwa kwemoyo - kunyanya avo vari panjodzi yekumira kwemoyo - vangada kurapwa kwehupenyu hwavo hwese.

Ndinozvitarisira sei?

Kana uine chirwere chemwoyo chinobata mwoyo, zvinogona kubatsira kuziva mashandisirwo ekurova kwemoyo . Kurova kwemoyo ndiko kurova kwemoyo wako, uko kunova ndiko kurova kwemoyo wako paminiti. Kurova kwemoyo kunosiyana kubva pamunhu nemunhu. Kurova kwemoyo wako kunononoka paunenge wakazorora uye kunowedzera paunenge uchirovedza muviri. Kurova kwemoyo kwakajairika (kana wakazorora) kuri pakati pekurova makumi matanhatu kusvika zana paminiti. Kana uine fitness tracker kana smartwatch , unogona kuishandisa kutarisa kurova kwemoyo wako.

Zvakakoshawo kuve nechokwadi chekuti mhuri yako neshamwari vanoziva maitiro ekuziva zviratidzo zve arrhythmia yako. Uchanzwa zviri nani kana vakadzidza maitiro ekuita CPR (Cardiopulmonary Resuscitation) .

Ndezvipi zvinhu zvausingakwanise kudya kana kunwa uine chirwere ichi?

Kana uine arrhythmia, unofanira kuderedza kunwa doro necaffeine, izvo zvinogona kukonzera arrhythmia.

Ndinofanira kuona chiremba wangu rini?

Iye achakuudza kuti unofanira kuona chiremba wako kangani. Kana zviratidzo zvako zvichiwedzera kuipa kana kuti zvichiwedzera kuipa pakati pekusangana, taura nachiremba wako .

Unofanira kugara uchiona chiremba nekuda kwezvinhu izvi:

• Tarisa kana kurapwa kwako kwe arrhythmia kuri kushanda.
• Gadzirira mushonga wako nemazvo.
• Ona kuti michina yakaiswa mumuviri inoshanda sei.
• Iva nechokwadi chekuti une hutano hwakanaka uye hauna mamwe matambudziko ehutano.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Tsvaga rubatsiro rwechiremba nekukasika kana uine chimwe chezvizvi:

• Kunetseka kufema.
• Kurwadziwa kwechipfuva.
• Dzungu.
• Zvikamu zvekufenda.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Mimwe mibvunzo yaungada kubvunza chiremba wako:

• Rudzii rwe arrhythmia rwandinarwo?
• Ndinoda kurapwa here?
• Ndeipi nzira yakanakisisa yekurapa?
• Chii chandinofanira kuita kuti ndichengetedze mudziyo wangu?

Kune nzira dzakawanda dzinogona kurova mwoyo wako zvisina kurongeka. Dzimwe dzenzira idzi dzekurova kwemoyo zvisina kurongeka, dzinonzi arrhythmias, hadzikonzeri zviratidzo. Zvakakosha kuona chiremba wako kana uine zviratidzo zvakaita sekuneta zvakanyanya kana kurwadziwa pachipfuva. Chiremba wako anogona kukubatsira kusarudza nzira dzakanakisa dzekurapa, asi unogona zvakare kuzvibatsira nekuchinja mararamiro ako.

Pakupedzisira, zvinhu zvekurangarira

Kurova kwemoyo zvisina kurongeka, kana kuti arrhythmia, kungasave kwakakomba kune vamwe vanhu, asi kunogona kuisa hupenyu hwevamwe panjodzi. Saka, kana uine chipfuva chakabatikana, uchinetseka kufema, kana dzungu kakawanda, iva nechokwadi chekutsvaga mazano kuna chiremba. Kana zvikaonekwa nekukurumidza uye zvikarapwa nemazvo, vanhu vazhinji vanogona kurarama hupenyu hwakajairika. Usavhunduke, chinhu chakakosha ndechekuziva.

Kurova kwemoyo , Kusagadzikana kwemoyo, Chirwere chemwoyo, Marwadzo echipfuva, ECG, Kurapwa kwemoyo, Kusarongeka kwekurova kwemoyo