Ko kurova kwemoyo wako kwakanyanya here? Ngatitaurei nezveBradycardia!

Wakambonzwa kurova kwemoyo wako uchifunga here kuti, "Wow, izvozvo zvinononoka chaizvo"? Kana kuti wakambonzwa 'kurova kwemoyo kwakaderera' kubva pawachi yako yekuchenjera here? Pamwe wakangonzwa dzungu uye mumwe munhu akati, "Kurova kwemoyo wangu kuri kunonoka zvishoma." Kurova kwemoyo uku ndiko kwatiri kutaura nezvako nhasi, chirwere chinonzi ``Bradycardia'' mukurapa.

Zvichitaurwa zviri nyore, chii chinonzi Bradycardia?

Bradycardia, kana kuti bradyarrhythmia, inguva apo mwoyo wako unorova zvishoma pane makumi matanhatu paminiti paunenge wakazorora, kureva kuti, paunenge wakamira wakamira, usingamhanye kana kusvetuka. Kurova kwemoyo kwemunhu mukuru ane hutano kunowanzova pakati pemakumi matanhatu nezana paminiti. Saka kana kuri pasi pemakumi matanhatu, tinoti kurova kwemoyo kunononoka, kana kuti bradycardia.

Asi chinonyanya kukosha pano ndechekuti pese painorova mwoyo pasi pe60, hachisi chirwere kana chimwe chinhu chekutya. Funga nezvemunhu anoita maekisesaizi zvakanaka uye anotamba mitambo. Tinovadaidza kuti `(vatambi)`. Nekuti moyo yavo yakajaira kushanda zvakanaka, vanogona kupomba huwandu hweropa hunodiwa nemuviri kamwe chete. Saka, kunyangwe moyo yavo ikarova nekukurumidza, hapana dambudziko kumuviri. Zvakare, zvakajairika kuti kurova kwemoyo kudzikire zvishoma kunyangwe patinenge takarara zvakanaka. Izvi zvinonziwo `(sinus bradycardia)`. Izvi zvinoreva kuti moyo unorova zvakasikwa, pasina dambudziko muhurongwa hwemagetsi hwemoyo.

Ndezvipi zviratidzo zvemunhu ane bradycardia?

Vanhu vazhinji, kunyanya vatambi vambotaurwa, vane mwoyo yakaderera uye havaratidzi zviratidzo. Havana matambudziko. Asi dzimwe nguva, kunyangwe pasina zviratidzo, panogona kunge paine chikonzero chekurapwa mukati memuviri.

Asi kana kurova kwemoyo kukadzikira, zvichireva kuti mwoyo haugone kupomba ropa rakakwana rine okisijeni mumuviri, zvimwe zviratidzo zvinogona kuoneka. Izvi ndizvo zviratidzo:

Zvakakosha: Kana uchiziva kuti kurova kwemoyo wako kwakaderera uye une chimwe chezviratidzo izvi, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika.

Sei kurova kwemoyo kuchidzikira seizvi? (Zvikonzero)

Mwoyo hausi bhora renyama chete. Une sisitimu yemagetsi yakaoma kwazvo mukati mawo. Masaini emagetsi aya ndiwo anoita kuti moyo urove nerhythm. Chikonzero chikuru chebradycardia ndechekuti kana paine dambudziko nesisitimu yemagetsi iyi. Zvakafanana nepaya internet mumba medu inononoka, kana kuti TV inorasikirwa nesignali.

Pane nyaya mbiri huru dzinokanganisa izvi:

1. Kusashanda zvakanaka kweSinus node: Mwoyo une chikamu chinoshanda semuchina wepacemaker wechisikigo. Chinonzi sinus node. Chinopa chiratidzo kumoyo kuti urove nekukurumidza. Kana sinus iyi isingashande zvakanaka, kurova kwemoyo kunoderera.

2. Kuvhara kwemoyo: Apa ndipo apo masaini emagetsi anobva mumakamuri epamusoro emoyo (atria) asingafambi zvakanaka kuenda kumakamuri epasi (mitra). Izvi zvinogadzira rudzi rwe 'kuvharira kwetraffic' munzira yechiratidzo.

Zvakanaka, ngationei zvimwe zvikonzero zvinoita kuti magetsi aya avhiringidzwe.

• Kukwegura: Mushure memakore makumi manomwe, magetsi emoyo anogona kupera simba zvishoma.
• Zvimwe zvirwere:
• Chirwere chemwoyo: Zvinhu zvakaita sekurwara nemoyo kare, cardiomyopathy, uye chirwere chemwoyo chekuzvarwa nacho.
• Gwara remudumbu risingashande zvakanaka: Kana hormone iyi yadzikira, kurova kwemoyo, sezvimwe zvinhu zvese mumuviri, kunodzikira.
• Kusawirirana kwema electrolyte: Izvi zvinogona kuitika kana paine kuwedzera kana kudzikira kwema electrolyte, akadai se potassium, muropa.
• Kusagona kufema zvakanaka panguva yekurara: Dambudziko iri, apo kufema kunomira panguva yekurara, rinogona kukonzera kurova kwemoyo kunononoka.
• Utachiona: Humwe utachiona, hwakadai sechirwere cheLyme nechirwere cheChagas, hunogona kukanganisa tsandanyama dzemwoyo uye kukonzera chirwere ichi.
• Zvimwe zvirwere: Zvirwere zvinokonzera kuzvimba mumuviri, zvakaita se rheumatoid arthritis ne lupus.
• Mimwe mishonga: Mishonga yakaita se "beta-blockers" uye "calcium channel blockers" yeBP yakakwira, mishonga yemamwe matambudziko emwoyo, uye mishonga yemamwe matambudziko epfungwa zvinogonawo kukonzera kurova kwemoyo kunonoka semhedzisiro.
• Kuvhiyiwa kwemoyo: Dambudziko iri rinogona kuitika sedambudziko mushure mekuvhiyiwa kwemoyo.

Chiremba anowana sei izvi?

Paunoenda kunoona chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako zvakadzama. Iye achakubvunza zvinhu zvakaita sekuti wava nenguva yakareba sei uine matambudziko aya, kuti ave nenguva yakareba sei achiitika, uye kuti akanyanya kuipa riini (semuenzaniso, paunorovedza muviri, paunochinja nzvimbo). Saka, kana uchikwanisa, zvinogona kubatsira zvikuru kunyora zvinhu izvi mubhuku rekunyorera.

Zvadaro uchaongororwa uye, kana zvichidikanwa, ucharairwa kuti uite bvunzo dzakawanda dzakadai se:

• ECG (Electrocardiogram): Iyi ndiyo bvunzo inonyanya kukosha. Inoratidza mashandiro emagetsi emwoyo wako kwenguva inosvika miniti imwe chete. Zvisinei, kana usingakwanise kuita izvi paunenge uine zviratidzo, dambudziko racho rinogona kusanyorwa paECG.
• Kutarisa Kwekufamba Netsoka: Izvi zvakafanana nemuchina mudiki weECG waunoenda nawo kumba. Unosungirirwa mumuviri wako kwemaawa makumi maviri nemana, makumi mana nemasere, kana kutopfuura. Unogara uchinyora kurova kwemoyo wako paunenge uchiita mabasa ako ezuva nezuva.
• Kuongororwa kweropa: Tarisa zvinhu zvakaita sehuwandu hwemunyu mumuviri uye huwandu hwemahormone ethyroid.
• Echocardiogram: Uku kuskena kwemoyo. Kunobatsira kuona zvinhu zvakaita semaumbirwo emwoyo uye mashandiro emavharuvhu.
• Kuongororwa kwekushushikana kwemuviri: ECG inotorwa paunenge uchirovedza muviri kuti uone kuti mwoyo wako unoita sei kana washungurudzika.
• Kudzidza nezvekurara: Bvunzo iyi inogona kukurudzirwa kana uchifungidzira kuti une chirwere chesleep apnea.

Ndezvipi zvirongwa zvekurapa Bradycardia?

Kurapwa kunoenderana nechikonzero chekurova kwemoyo wako kunonoka uye kuti kuri kukanganisa sei muviri wako.

1. Kuchinja mishonga: Kana chirwere ichi chichikonzerwa nemushonga wauri kutora wechimwe chirwere, chiremba wako anogona kuderedza muyero kana kunyora mumwe mushonga. Usamborega kana kuchinja mishonga wega.

2. Kurapa chirwere chiripo: Kana chiri dambudziko re thyroid, mushonga unogona kupihwa kuti uchirirape, uye kana chiri kusawirirana kwemunyu, kuchigadzirisa kunogona kurapa chirwere chacho zvachose.

3. Mishonga yekukurumidzira: Kana zviratidzo zvikawedzera uye woendeswa kuchipatara, mishonga yakaita seatropine inopihwa kuburikidza neIV ( saline ) kuti iwedzere kurova kwemoyo nekukurumidza.

4. Chinopa Simba Remoyo Risingaperi: Kana sisitimu yemagetsi yemoyo ikasashanda zvakanaka zvachose nekuda kwekukwegura kana chimwe chikonzero chisingarapiki, mhinduro yakanakisisa ndeyekuisa chinopa simba remoyo. Ichi chishandiso chidiki chakafanana nebhatiri. Chinoiswa pasi peganda rechipfuva kuburikidza nekuvhiyiwa kudiki. Pose panoderera kurova kwemoyo pasi pedanho raunoda, chishandiso ichi chinotumira chiratidzo chidiki chemagetsi kuti chidzorere rhythm yemoyo.

Unofanira kuona chiremba riini? Inguva ipi inodiwa kuti munhu aonekwe?

Pasinei nekuti une bradycardia here kana kuti kwete, zvakanaka kuti munhu wese aende kunoongororwa nachiremba kanenge kamwe chete pagore. Izvi zvinogona kubatsira kuona mamwe matambudziko zviratidzo zvisati zvaonekwa.

Zvisinei, mune zvinotevera, unofanira kutsvaga rubatsiro rwechiremba nekukasika . Kana zvichibvira, enda zvakananga kuEmergency Treatment Unit (ETU) yechipatara.