Mwana wako paanenge achitamba kana kurara, wakambonzwa here kuti kurova kwemoyo wake kamwe kamwe kunoita sekunge kuri kukurumidza zvikuru? Kana kuti dzimwe nguva kunoita sekunge kuri kurova nekukurumidza? Pamwe kana akura zvishoma, achakuudza kuti, "Amai, chipfuva changu chiri kurova nekukurumidza" kana kuti "Zvinonzwa sekunge kune ngoma iri kurova muchipfuva changu." Zvakajairika kuti amai kana baba vanzwe kutya zvishoma pavanonzwa kana kuona chimwe chinhu chakadai. Asi musazvidya mwoyo, kazhinji izvi hazvina kuipa. Nhasi tiri kutaura nezvekuchinja uku mumoyo kunoitika muvana, inova chirwere chinonzi arrhythmia mukurapa.
Zvichitaurwa zviri nyore, chii chinonzi arrhythmia?
Kusagadzikana kwemoyo, kana tichizvitaura, kuchinja kwemoyo yedu kwakajairika. Izvi zvinogona kuitika kuvanhu vakuru pamwe nevana vadiki.
Pane zvinhu zvakati wandei zvinogona kuitika pano:
- Mwoyo wemwana wako uri kurova nekukurumidza kupfuura zvakajairika .
- Moyo unorova nekukurumidza kupfuura zvakajairika .
- Zvinonzwa sekunge kurova kwemoyo kuri kupindira munzira .
- Kuva nekurova kwemoyo kwakanyanya .
Kazhinji, chirwere ichi hachidi kurapwa kwakakosha. Zvisinei, mune dzimwe nguva, chinogona kunge chakakomba. Saka, zvakakosha kuziva izvi.
Mwoyo yedu inoshanda sei? Tsananguro pfupi
Tisati tanzwisisa kuti arrhythmia chii, ngatimbotarisai kuti mwoyo wedu unoshanda sei kuti urambe uchirira. Funga nezvemoyo se "injini diki". Une sisitimu yemagetsi yakakosha. Izvi ndizvo zvinodzora kumhanya kwemoyo uye kumhanya kwemoyo.
Kungofanana nehurongwa hwemagetsi mumba, izvi zvinoshandawo nhanho nhanho:
1. Chiratidzo chekutanga: Kurova kwemoyo kwega kwega kunotanga nechiratidzo chemagetsi chinobva muboka diki remasero ari kumusoro kurudyi kwemoyo. Tinodaidza izvi kuti ``Sinoatrial node`` kana ``SA node``. Iyi ndiyo 'pacemaker' yechisikigo yemoyo.
2. Dzimba dzepamusoro dzinoita maburi: Chiratidzo ichi chemagetsi chinoita kuti makamuri maviri epamusoro emwoyo ('Atria') azvimbike, zvichipomba ropa mumakamuri maviri epasi ('Ventricles').
3. Chiratidzo chinodzikira: Chiratidzo ichi chinozoenda kune rimwe boka remasero. Chinonzi ``Atrioventricular node`` kana ``AV node``. Izvi zvakafanana ne``waya`` inotakura magetsi kubva kumusoro kuenda pasi.
4. Makamuri epasi anogumira: AV node inotumira imwe chiratidzo kumakamuri maviri epasi emwoyo (ventricles). Kana makamuri maviri epasi agamuchira chiratidzo ichocho, anogumira, achipomba ropa kubva mumoyo kuenda kune mumwe muviri wese.
5. Zorora wotangazve: Pakupedzisira, makamuri maviri anozorora, uye kurova kwemoyo kunotanga nechiratidzo chemagetsi chinotevera.
Kana izvi zvikaitika nemazvo, moyo unorova nekurova kwakajairika uye rhythm. Asi kana paine nyonganyonga kana dambudziko chero kupi zvako muhurongwa hwemagetsi uhwu, ipapo arrhythmia inoitika.
Kurwara kwemwoyo (arrhythmia) kwakajairika sei pakati pevana?
Kutaura zvazviri, arrhythmia inowanikwa zvikuru muvana uye kazhinji haina njodzi . Izvi zvinoreva kuti hapana chekunetseka nacho. Asi sezvatakambotaura, kashoma, chirwere ichi chinogona kuva chakakomba kana kutouraya. Ndosaka zvichikosha kuziva zviratidzo.
Ndeapi marudzi e arrhythmias anoitika muvana?
Kune mhando dzakasiyana dze arrhythmia dzinoitika muvakuru nevana. Ngatingozvironga mumapoka.
| Rudzi rwe arrhythmia | Zvichitaurwa zviri nyore... |
|---|---|
| Mhando dzinotangira mumakamuri epamusoro emoyo (Atria) | |
| Supraventricular Tachycardia (SVT) | Iyi ndiyo mhando inonyanya kuonekwa muvana. Kurova kwemoyo kunokurumidza kukurumidza. Inotanga sekunge switch yemwenje yabatidzwa, yozomira kamwe kamwe. Inogonawo kukonzerwa nematambudziko ekuzvarwa nawo akadai seWolff-Parkinson-White syndrome . |
| Kufamba-famba kweAtrial | Kunyangwe moyo uchirova nekukurumidza mune izvi, pane maitiro uye kurongeka kwazviri. |
| Kupera kweAtrial | Mwoyo unorova nekukurumidza uye zvisina kurongeka, nenzira isina kurongeka. Zvisinei, izvi hazviwanzoitiki kuvana. |
| Kubata Kwemwoyo Pamberi Penguva Yakakodzera (PACs) | Kurova kwemoyo nguva isati yakwana. Izvi zvinoita sekunge 'kurova kwakanyanya' kana kuti 'kupotsa'. |
| Mhando dzinotangira mumakamuri epasi emoyo (ventricles) | |
| Kuvharwa Kwemhepo Yemukati Memuviri Nguva Isati Yakwana (PVCs) | Izvi zvakafanana nezviripo kare, asi kurova uku kwekuwedzera kunotangira mumakamuri epasi emoyo. |
| Ventricular Tachycardia (V-tach) | Chirwere ichi chakakomba. Mwoyo unorova nekukurumidza zvakanyanya nekuda kwemagetsi anobva mumakamuri epasi emwoyo. |
| Kupera kwemhepo mutsinga | Ichi chirwere chine njodzi zvikuru. Panzvimbo pekuti ropa ridzikire uye ripombe zvakanaka, makamuri epasi emwoyo anodedera. |
| Mamwe marudzi | |
| Bradycardia | Izvi zvinoreva kuti kurova kwemoyo kunokurumidza kupfuura zvakajairwa. Kana mwana asina zvimwe zviratidzo, izvi hazviwanzo kuva nengozi. |
| Kuvharika kweMwoyo | Kunonoka kana kuvharika zvachose kwechiratidzo chemagetsi chinofamba kubva kumusoro kusvika pasi pemoyo. |
Saka chii chinonzi Sinus Arrhythmia?
Ungatya kunzwa izwi iri. Asi `Sinus Arrhythmia` hachisi chirwere chepfungwa. Idambudziko rakajairika uye rine hutano rinoonekwa muvana.
Apa ndipo apo kurova kwemoyo wemwana kunowedzera zvishoma paanofema uye kunoderera zvishoma paanoburitsa mweya. Ichi chiratidzo chehutano hwakanaka hwemwoyo. Hazvidi kurapwa.
Ndezvipi zviratidzo zve arrhythmia mumwana?
Zviratidzo zvinogona kusiyana zvikuru zvichienderana nerudzi rwe arrhythmia yemwana. Vamwe vana vanogona kusaratidza zviratidzo zvachose. Zviratidzo zvakajairika zvinosanganisira:
- Kunzwa kurwadziwa muchipfuva kana kusagadzikana.
- Dzungu , musoro mutete, kana kufenda (syncope).
- Kushaya mweya kana kuoma kufema (dyspnea).
- Kunzwa kuneta zvakanyanya kana kushaya simba.
- Kurova kwemoyo (palpitations) kunzwa kwemoyo uchirova nekukurumidza . Kunogona kunzwa semashavishavi ari kubhururuka muchipfuva, sekuvhurika kwemusuwo, kana seruzha rwemoyo uchirova zvine ruzha.
Mwana mudiki anganzwisisa sei zvinhu izvi?
Mwana achangoberekwa kana mwana mudiki asingagoni kutaura haazonzwisisi zvinhu izvi. Saka ziva zviratidzo izvi mumwana akadaro:
* Kuoma kana kusada kunwa mukaka .
* Kugara uchingonzwa kusagadzikana kana kuchema pasina chikonzero.
* Kuchinja kwemaitiro ekufema.
* Ruvara rweganda runochinja (bhuruu kana kuti rakachenuruka).
Kashoma, chiratidzo chekutanga chingave pfari, kufenda, kana kufa kamwe kamwe nemwoyo.
Chii chinokonzera arrhythmia muvana?
Kazhinji, vana vane zvirwere zvakaita seSVT havana mamwe matambudziko emoyo yavo. Zvisinei, kune zvimwe zvinhu zvinogona kukonzera mamwe marudzi e arrhythmia.
- Chirwere chemwoyo chekuzvarwa nacho .
- Zvirwere zvakaita secardiomyopathy , izvo zvinoita kuti tsandanyama dzemwoyo dzikure uye dzikure.
- Zvirwere zvemajini , semuenzaniso, chirwere chenguva refu cheQT.
- Fivha, kupera mvura mumuviri, kushushikana, kushaya hope, kana zvirwere zvemuviri zvinozvimba.
- Zvirwere zvemavhairasi kana mabhakitiriya.
- Kusawirirana kwema electrolyte mumuviri (semuenzaniso potassium, sodium).
- Mimwe mishonga , kunyanya iyo inopiwa vana vari mumakamuri ekuchengetwa kwevarwere vane chirwere chakakomba.
Chiremba anoongorora sei chirwere ichi?
Kazhinji, chiremba anoona izvi panguva yekuongororwa nguva dzose kana paanenge achirapa chimwe chirwere. Kana uine zvinokunetsa nezvezviratidzo zvemwana wako, iva nechokwadi chekutaura nachiremba wako nezvazvo.
Chiremba achabvunza nezvenhoroondo yemwana nemhuri yake, oteerera mwoyo wemwana, uye okurudzira kuongororwa kwakawanda kwakadai kana zvichidikanwa.
| Bvunzo | Zvichitaurwa zviri nyore, unoitei neizvi? |
|---|---|
| Kuongororwa kweropa | Vanoongorora kana paine hutachiona, kusawirirana kwemunyu, kana shanduko dzemakemikari mumuviri. |
| Echocardiogram (Echo) | Izvi zvakafanana nekuongorora moyo. Zvinoshandisa mafungu eruzha kuti zvionekwe nemagadzirirwo emoyo nekushanda kwawo zvakadzama. |
| Kuongororwa kweElectrocardiogram (ECG) | Iyi bvunzo iri nyore kwazvo, isingarwadzi. Zvidhindo zvidiki zvinoiswa pachipfuva chemwana uye mashandiro emagetsi emwoyo anonyorwa. |
| Holter Monitor | Izvi zvakafanana ne '24-hour ECG'. Mwana anokumbirwa kupfeka kamuchina kadiki uye kugara ari panzvimbo yake yakajairika mukati mezuva rose. Izvi zvinomubvumira kuona kuti moyo wake unochinja sei mukati mezuva rose. |
| Chidzidzo cheElectrophysiologic (EPS) | Iyi bvunzo yakagadzirwa nenyanzvi. Pombi yakatetepa inopfuudzwa nemutsinga yeropa iri mugumbo kana ruoko ichienda kumoyo, uye chiremba anowana kuti chiratidzo chemagetsi chisina kujairika chiri kubva kupi. |
Kurwara kwemwoyo kunorapwa sei?
Mamwe ma arrhythmia haadi kurapwa. Chiremba achati tarisa mamiriro emwana kwenguva yakati.
Mune zvimwe zviitiko, chirwere chiri kukonzera kusagadzikana kwemoyo chinorapwa. Semuenzaniso, kana chiri nekuda kwehutachiona, mishonga inorwisa mabhakitiriya inopihwa. Kana kuri kusaenzana kwemunyu mumuviri, mushonga unopihwa kuti ugadziriswe.
Vamwe vana vanogona kupihwa mapiritsi akadai se `beta-blockers` kana `calcium channel blockers` kudzora kurova kwemoyo wavo.
Muzviitiko zvakakomba zvishoma, seizviMaitiro chaiwo angadikanwa:
- Kubvisa: Muizvi, masero madiki ari mumoyo ari kukonzera kusagadzikana kwemoyo anoparadzwa nekushandisa kupisa kana simba rinopisa zvakanyanya.
- Kuvhiyiwa kwemwoyo: Iyi inzira inodzoreredza kumhanya kwemoyo nekupa moyo kuvhunduka kwemagetsi kwakarongeka.
- Mudziyo Wakaiswa: Mudziyo, wakaita sepacemaker kana kuti implantable cardioverter defibrillator (ICD), unoiswa pasi peganda kuti udzore rhythm yemoyo.
Pane zvinhu zvaunogona kuita kumba kana zviratidzo zvikaitika here?
Ehe. Kunyanya kana paine kurova kwemoyo nekukurumidza seSVT, pane zvimwe zvinhu zviri nyore zvaunogona kuedza usati waenda kuna chiremba. Zvakanaka kubvunza chiremba wako kuti akupe mazano usati waita izvi.
- Kuedza kukosora zvine simba kana kubvisa pahuro.
- Kuisa jira rechando kana jira rakanyikwa mumvura inotonhora pachiso chemwana.
- Kufamba kweValsalva: Izvi zvinosanganisira kudzvanya mhino yemwana, kuvhara muromo wake, uye kuedza kufema. Zvakafanana nekufuridza bharumu. Izvi zvinogona kuwedzera kumanikidzwa mukati mechipfuva uye kubatsira kurova kwemoyo kudzokera kune zvakajairika.
Zvakakosha: Kana mwana wako achidzipwa, achirwadziwa zvakanyanya pachipfuva, kana kuti achinetseka kufema, usaedze zvinhu izvi uye enda naye kuchipatara chiri pedyo neEmergency Department (ETU) .
Mamiriro ezvinhu aya achakukanganisa sei kwenguva refu?
Uyu ndiwo mubvunzo mukuru uri mupfungwa dzemubereki wese: ramangwana remwana ane arrhythmia richave ripi?
- Mashoko akanaka ndeekuti mhando zhinji dze arrhythmias muvana hadzina njodzi uye hadzikonzeri matambudziko ehutano kwenguva refu.
- Vamwe vana vanokura vachikura vachikunda dambudziko iri pavanenge vachikura .
- Vamwe vanoramba vaine chirwere ichi, asi vanogona kurarama hupenyu hwakajairika vasina kurapwa.
- Kunyangwe vana vane arrhythmias dzakakomba vanogona kurapwa zvinobudirira .
Kashoma, kana ikasarapwa , chirwere chakakomba chemwoyo (arrhythmia) chinogona kukonzera kuumbwa kweropa (izvo zvinogona kukonzera sitiroko kana zvikaenda kuuropi), kutadza kushanda kwemoyo, kana mamwe matambudziko. Ndosaka zvichikosha kutsvaga mazano echiremba pane kuregeredza zviratidzo.
Mharidzo Yekuenda Nayo Kumba
- Kusarongeka kwemoyo (arrhythmia) muvana chirwere chinowanzoitika uye kazhinji hachikuvadzi, saka musavhunduka.
- Kana mwana wako aine zviratidzo zvakaita sekurwadziwa pachipfuva, dzungu, kufenda, kana kurova kwemoyo kusina kujairika, usazviregeredza. Edza kuona chiremba.
- 'Sinus Arrhythmia' chirwere chakajairika uye chine hutano umo kurova kwemoyo kunochinja nekufema. Hachisi chirwere.
- Kunyangwe zvirwere zvakakomba zvinogona kurapwa zvakanaka kana munhu akaongororwa uye akarapwa.
- Kana muine mibvunzo kana kusava nechokwadi nezvechirwere chemwana wenyu, bvunzai chiremba wenyu kuti akutsanangurirei.
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