Mwoyo wako uri kurova zvishoma nezvishoma here? Ngatitaurei nezve bradyarrhythmia!

Dzimwe nguva unonzwa sekuti moyo wako uri kurova zvishoma nezvishoma here? Kana kuti unonzwa kuneta, dzungu, uye pamwe uchitonetseka kufema here? Izvi zvinogona kunge zvichikonzerwa nekuti kurova kwemoyo wako kuri kunonoka, zvichireva kuti kurova kwemoyo wako kuri kuderera. Nhasi tichataura nezvechirwere chakadai, icho mukurapa chinonzi bradyarrhythmia.

Chii chinonzi Bradyarrhythmia?

Zvichitaurwa zviri nyore, bradyarrhythmia kurova kwemoyo kusina kurongeka, zvichireva kuti moyo wako unorova zvishoma nezvishoma. Kazhinji, moyo wemunhu mukuru ane hutano hwakanaka unorova pakati pe60 ne100 paminiti kana akazorora. Zvisinei, munhu ane bradyarrhythmia ane kurova kwemoyo kunononoka kupfuura 60 paminiti.

Zvino ungave uchifunga kuti, "Oh, saka moyo wangu uri kurova nekukurumidza, ichirwere here ichocho?" Hazvisi zvakadaro nguva dzose. Vane hutano hwakanaka, vechidiki, vatambi, vanoita maekisesaizi akanaka, vane kurova kwemoyo kunonoka zvishoma. Ichi chiratidzo chehutano hwavo. Uye kunyangwe patinenge takarara, kurova kwemoyo yedu kunoderera zvishoma. Izvozvo zvakajairika.

Zvisinei, bradyarrhythmia chirwere apo mutinhimira wemoyo unononoka uye usingashande zvakanaka nekuda kwechirwere, chirwere chemwoyo, kana kuti kutadza kushanda zvakanaka kwemagetsi emwoyo . Ndizvo zvatinofanira kufunga nezvazvo.

Ndeupi musiyano uripo pakati peBradycardia neBradyarrhythmia?

Mazwi maviri aya anonzwika zvakafanana zvishoma, handiti? Ose ari maviri anotaura nezvekuderera kwekurova kwemoyo.

• Bradycardia ingori kurova kwemoyo kwekuzorora kuri pasi pekurova makumi matanhatu paminiti. Izvi zvinogona kuitika kunyange kune vanhu vane hutano hwakanaka, sezvambotaurwa.
• Bradyarrhythmia chirwere chinotapudza kurova kwemoyo nekuda kwekushaya rhythm (arrhythmia) . Izvi zvinoreva kuti, nekuda kwechimwe dambudziko, rhythm yemoyo inokanganiswa, zvichikonzera kurova kwemoyo kunononoka.

Unonzwisisa musiyano here? Pane musiyano pakati pekurova kwemoyo kunonoka nekumhanya kwemoyo kunonoka nekuda kwedambudziko rerhythm.

Ndedzipi mhando huru dzebradyarrhythmia?

Bradyarrhythmia inogona kuuya nenzira dzakasiyana-siyana. Kureva kuti, kune mhando dzakasiyana-siyana zvichienderana nematambudziko emwoyo anokonzera. Rudzi rumwe nerumwe runokonzera kurova kwemoyo zvishoma nezvishoma. Ngatitarisei mhando huru.

1. Kusashanda zvakanaka kwe sinus node

Izvi dzimwe nguva zvinonzi sick sinus syndrome . Wakambonzwa here kuti moyo une pacemaker yechisikigo? Inonzi sinoatrial node kana kuti SA node.Kungofanana neswichi yemwenje mumba medu, chiratidzo chemagetsi chinoita kuti mwoyo urove chinotanga pano. Saka kana sinus node iyi isingashande zvakanaka, kana isingakwanise kutumira zviratidzo zvemagetsi zvakanaka, kurova kwemoyo kunoderera.

• Zvimwe zvirwere, zvakaita se hypothyroidism, zvinogona kukanganisa mashandiro e sinus node iyi.
• Kana kuti chirwere ichi chinogona kuitika sezvaunokura. Dzimwe nguva, chikonzero chacho hachiwanikwe.

2. Kuvharika kwemoyo

Zvakafanana nekuzara kwemotokari mumugwagwa. Kana paine chipingamupinyi munzira yezviratidzo zvemagetsi zvemoyo, zviratidzo izvozvo hazvifambe zvakanaka. Kuvharika uku kunogona kukonzera kuti zviratidzo zvemagetsi zvimire zvachose, zviderere, kana kutosvetuka kurova. Izvi zvinonzi heart block .

3. Bradycardia/tachycardia syndrome

Izvi zvakaoma zvishoma. Chinoitika pano ndechekuti moyo dzimwe nguva unorova zvishoma nezvishoma (bradycardia) uye dzimwe nguva nekukurumidza (tachycardia) nekuda kwekusashanda zvakanaka kwe sinus node. Izvi zvinoreva kuti moyo unorova zvishoma nezvishoma uye nekukurumidza. Chirwere chinonzi atrial fibrillation (AFib) muenzaniso werudzi urwu rwechirwere.

Sei bradyarrhythmia ichikura? Ndezvipi zvinokonzera?

Kazhinji, matambudziko akadai emwoyo, kusanganisira bradyarrhythmia, anokonzerwa nechirwere chemwoyo kana kukuvara kwemoyo. Ngatitarisei zvimwe zvezvikonzero zvikuru:

• Kuchinja kwemagetsi emwoyo nekukwegura: Kungofanana nemuchina, zvikanganiso zvidiki zvinoitika pakukura kwawo.
• Chirwere chetsinga dzeropa: Izvi zvinoreva kuvharika kwetsinga dzinopa ropa kumoyo.
• Zvikanganiso zvemwoyo.
• Mimwe mishonga inoshandiswa pakurapa chirwere chemwoyo: Semuenzaniso, mishonga yakaita se beta-blockers .
• Kusawirirana mukushanda kwemuviri: Sezvambotaurwa, kudzikira kwebasa re thyroid (Hypothyroidism) .
• Njodzi kana kukuvara kwemoyo: Semuenzaniso, nekuda kwechirwere chemwoyo.

Ndezvipi zviratidzo zvemunhu ane bradyarrhythmia?

Chii chinoitika kana mwoyo uchirova zvishoma nezvishoma? Huwandu hweropa neokisijeni zvinosvika mumuviri wese, kunyanya uropi, zvinoderera. Ndizvo zvinokonzera zviratidzo izvi.

Funga nezvazvo, kana ukaderedza pombi yemvura, inononoka kuzadza tangi. Kana moyo uchirova zvishoma nezvishoma, unopomba ropa shoma mumuviri wese.

Ona kana uchinzwawo zvinhu izvi:

• Dzungu.
• Kashoma, kufenda (syncope).
• Kunzwa kuneta nguva dzese (Kuneta).
• Kutadza kufema zvakanaka, kunzwa sekunge uri kudzipwa (kushaya mweya).
• Kushaya simba.

Kana uine chimwe chezviratidzo izvi kana kupfuura, kunyanya kana zvikaitika kakawanda, unofanira kuona chiremba.

Chiremba anonyatsoongorora sei bradyarrhythmia?

Kana ukaona chiremba, anotanga akubvunza nezvezviratidzo zvako uye ozoongorora muviri wako. Kuti uone kana uine dambudziko rekurova kwemoyo, kurova kwemoyo wako kuchayerwa uye kutariswa. Izvi zvinogona kusanganisira imwe kana kupfuura yemiedzo inotevera:

• Kuongororwa kweECG (Electrocardiography - EKG/ECG): Iyi ndiyo bvunzo yekutanga inowanzoitwa. Inonyora mashandiro emagetsi emwoyo. Iyi bvunzo isingarwadzi inogona kuitwa mumaminitsi mashoma.
• ECG yemaawa makumi maviri nemana kana makumi mana nemasere (Portable ECG device): Dzimwe nguva, dambudziko remoyo ringasaonekwa panguva yaunoshanyira chiremba. Saka, ungakumbirwa kupfeka mudziyo mudiki (senge Holter monitor) kwemaawa makumi maviri nemana kana makumi mana nemasere. Izvi zvinogona kuramba zvichirekodha moyo wako paunenge uchiita mabasa ako ezuva nezuva.
• Kuedzwa kwekumanikidzwa kwekurovedza muviri: Muedzo uyu, unomanikidzwa kumhanya kana kufamba patreadmill, zvichiwedzera kurova kwemoyo wako, uye wobva waona kuti moyo wako unochinja sei panguva iyoyo.
• Echocardiography (Echo): Izvi zvakafanana nekuongororwa kwemoyo. Zvinogona kutarisa zvinhu zvakaita semavharuvhu emoyo, kuti makamuri anopomba sei ropa, uye chimiro chemoyo.
• Kuongororwa kweElectrophysiologic (EP): Iyi bvunzo yakaoma zvikuru. Inobatsira kuwana zvakadzama kuti mashandiro emagetsi emwoyo ari kushanda sei.

Miedzo iyi ndiyo inobatsira chiremba kuona kana uine bradyarrhythmia, kana zvakadaro, rudzii rwechirwere ichi, uye chikonzero chacho ndechei.

Bradyarrhythmia inorapwa sei? Inorapwa sei?

Musazvinetse, kune nzira dzekurapa chirwere ichi. Kurapa kwacho kunoenderana nechikonzero chebradyarrhythmia uye kuti yakanyanya sei.

• Kurapa chirwere chiripo: Dzimwe nguva izvi zvinokonzerwa nechimwe chirwere. Semuenzaniso, kana chiri nekuda kwekusashanda zvakanaka kwegland re thyroid (hypothyroidism) , kurapa ikoko kunogona kubatsira kurova kwemoyo kudzokera kune zvakajairika.
• Kuisirwa kwepacemaker: Kana bradyarrhythmia ichikonzerwa nekuchinja kwemagetsi emoyo, chiremba wako anogona kukurudzira pacemaker.Chinogadzirisa mwoyo (pacemaker) chingakurudzirwa. Ichi chishandiso chidiki chemagetsi chinotumira masaini emagetsi kumoyo, chichibatsira kuti urove zvakanaka uye ugare zvakanaka. Zvakafanana nechinhu chinobatsira chekunze kana chinodzora mwoyo chikatadza kushanda.

Chii chatingaita kudzivirira bradyarrhythmia iyi?

Kunyange zvazvo zvisingagone kudzivirirwa zvachose, pane zvatinogona kuita kuderedza njodzi yacho.

• Kuwana kurapwa kwakakodzera kwezvirwere zviri pasi peganda: Semuenzaniso, zvakakosha kudzora zvinhu zvakaita sematambudziko ethyroid, BP, uye chirwere cheshuga.
• Kuchengetedza moyo wako uine hutano: Ichi ndicho chinhu chakakosha.
• Tevedzera kudya kwakanaka: Idya chikafu chine mafuta mashoma, munyu, uye shuga shoma, uye chine michero nemiriwo yakawanda.
• Deredza kunwa doro: Zvakanaka kuderedza doro zvakanyanya sezvinobvira.
• Ramba uine huremu hwakanaka: Ramba uine huremu hwakakodzera kureba kwako.
• Iva nemuviri unoshanda: Kufamba netsoka uye kurovedza muviri kwemaminitsi makumi matatu pazuva zvakanaka kwazvo.
• Dzivisa kusvuta uye kushandisa zvigadzirwa zvefodya zvachose.

Nekutevera matanho aya, unogona kuzvidzivirira kubva ku bradyarrhythmia chete, asiwo kubva kune zvimwe zvirwere zvakawanda.

Utano hwemunhu ane Bradyarrhythmia hwakaita sei? (Kufungidzira)

Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kana ukasarapwa, bradyarrhythmia inogona kukonzera matambudziko makuru ehutano. Inogonawo kukonzera tsaona nekuda kwezvinhu zvakaita sedzungu uye kufenda.

Zvisinei, kana ukarapwa zvakanaka, unogona kudzorera kurova kwemoyo wako, kuderedza njodzi yematambudziko, uye kurarama hupenyu hwakajairika. Ndosaka zvichikosha kuona chiremba nekukurumidza kana uine zviratidzo.

Ndinofanira kuona chiremba nguvai?

Kana uine chimwe chezviratidzo zviri pazasi, unofanira kutaura nachiremba nezvazvo:

• Kurwadziwa pachipfuva kana kusagadzikana.
• Kutadza kufema zvakanaka.
• Dzungu kana kufenda.
• Kufenda.
• Kana uchinzwa kuneta zvakanyanya.

Kana chimwe cheizvi chikaitika kakawanda, iva nechokwadi chekutsvaga rubatsiro rwechiremba.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana ukaona chiremba, unogona kubvunza mibvunzo yakaita seiyi kuti unzwisise mamiriro ako ezvinhu zvakajeka:

• Ndingaziva sei kana kurova kwemoyo wangu kwakaderera zvechokwadi?
• Kurova kwemoyo wangu kwakaderera zvakakwana here zvekukonzera matambudziko ehutano?
• Ndinofanira kutora mishonga here kuti ndideredze dambudziko iri rekurova kwemoyo?
• Ndichada pacemaker kuti ndidzorere rhythm yemoyo wangu here?

Zvakakosha kubvunza mibvunzo yakaita seiyi uye kunzwisisa zviri nani mamiriro ako ezvinhu.

Saka, ngatirangarirei zvatakataura nezvazvo sepfupiso (Mharidzo Yekuenda Kumba)

Bradyarrhythmia kurova kwemoyo kusina kurongeka, zvichireva kuti moyo unorova kasingasviki makumi matanhatu paminiti. Izvi zvinogona kukonzerwa nezvinhu zvakawanda, zvinosanganisira zera, chirwere chemwoyo, uye mimwe mishonga. Zviratidzo zvinogona kusanganisira dzungu, kuneta, uye kushaya mweya.

Chinhu chakanakisa chekuita padambudziko iri ndechekuongororwa kwakakodzera kwechiremba, kutsvaga chikonzero, uye kurapwa kwakakodzera (senge mishonga kana pacemaker). Ipapo unogona kudzorera kurova kwemoyo wako uye kurarama hupenyu hune hutano. Saka, kana uine zviratidzo zvakaita seizvi, usatya kuona chiremba. Ipapo unogona kuziva zvese nemazvo uye kuita zvinodiwa.

` Kurova kwemoyo, kurova kwemoyo zvishoma nezvishoma, bradyarrhythmia, bradycardia, rhythm yemoyo, pacemaker, dzungu