Dzimwe nguva unonzwa moyo wako uchirova nekukurumidza zvekuti unonzwa kutya, kana kuti kurova kwemoyo wako kunoita sekunge hakuna kurongeka here? Kungofanana nepaunoridza ngoma, moyo wako unotanga kurova nekukurumidza, zvishoma nezvishoma, kana kusvetuka kurova. Nhasi tiri kutaura nezvekurapa kwakakosha kunoshandiswa navanachiremba muzviitiko zvakadaro. Izvi zvinonzi 'Chemical Cardioversion'. Kunyangwe zita racho rakaoma zvishoma, zvinoreva izvi zviri nyore kwazvo.
Zvichitaurwa zviri nyore, chii chinonzi Chemical Cardioversion?
Kurovedzwa kwemwoyo nemakemikari inzira inoshandisa mishonga yekudzoreredza kumhanya kwemoyo kusina kujairika kuti kuenderane nekufamba kwenguva. Zvakafanana nemapurisa emumugwagwa ari kuuya kuzodzora kuzara kwemotokari mumugwagwa uye achitungamira mota nenzira yakarongeka. Pano, 'mapurisa emumugwagwa' ndiwo mushonga waunopihwa nachiremba.
Kubudirira kwekurapwa uku kunoenderana nezvinhu zvakati wandei, zvakaita sekuti chii chiri kukonzera kurova kwemoyo kusina kurongeka, kuti wava nenguva yakareba sei uine chirwere ichi, uye kuti chiremba wako anosarudza rudzii rwemushonga.
Mishonga inopihwa pakurapa uku inoita zvinhu zvikuru zvakati wandei:
- Inovhura mitsipa yeropa zvishoma, zvichiita kuti ropa rifambe zviri nyore.
- Inozorodza tsandanyama dzemwoyo.
- Zvinoderedza mutoro pamoyo, kureva kuti, mutoro wemoyo.
- Inodzora kumhanya kwemasaini emagetsi anoratidza kuti mwoyo urove.
Kazhinji, kurova kwemoyo wedu kunotanga nenzira yakarongeka. Chiratidzo ichi chemagetsi chinotangwa nechinhu chemoyo chinonzi sinoatrial node. Chiratidzo ichi chinobva chafamba nepakati pezvikamu zvemoyo nenzira yakarongeka, zvichiita kuti mwoyo uzvimbike zvakanaka uye upombe ropa. Kana paine dambudziko nemafambiro ezviratidzo izvi, rhythm yemoyo inova isina kujairika.
Kana mwoyo usingashande zvakanaka, haupombi ropa zvakanaka mumuviri wese. Masero edu europi, semamwe masero ese, anoda okisijeni. Okisijeni iyi inotakurwa neropa. Saka kana ropa rikayerera zvishoma, zviratidzo zvakaita sedzungu (vertigo), kuneta, kufema zvishoma, uye kurwadziwa pachipfuva zvinogona kuitika.
Sei tichida kurapwa uku?
Kana mwoyo wako uchirova nekukurumidza kana kuti uine mutinhimira usina kurongeka, ungangoda makemikari emwoyo. Pane zvikonzero zvakawanda zvinoita kuti mutinhimira wemoyo wako usarongeka. Fungidzira shamwari yako Nimal akatanga kunzwa chipfuva chake chichirova. Paakaenda kuna chiremba ndipo paakazoziva kuti hutachiona hwakakomba hwakakanganisa mutinhimira wemoyo wake.
Uye kune zvimwe zvikonzero zvakawanda:
- Mimwe mishonga yaunotora: Mimwe mishonga inogona kukonzera shanduko mumoyo semhedzisiro.
- Utachiona: Utachiona hwemabhakitiriya kana hwemavhairasi hunogona kukanganisa tsandanyama dzemwoyo.
- Kurwara neMwoyo: Kurwara nemoyo kunogona kukanganisa mashandiro emagetsi emwoyo.
- Kuchinja kwemaumbirwo emwoyo: chirwere chemwoyo chekuzvarwa nacho kana shanduko dzinozoitika gare gare.
- Kukuvadzwa kwemapapu: Izvi zvinokonzeresa emergency.
- Kukundikana kwemoyo mudumbu: Kana mwoyo ukatanga kushaya simba uye kugona kwawo kupomba ropa kuchiderera.
- Zvirwere zvemapapu: Zvirwere zvakaita seCOPD kana Emphysema.
Ndeapi marudzi emitinhimira yemoyo anogona kurapwa nenzira iyi?
Mishonga yemwoyo inoshandiswa kurapa mhando dzakasiyana dzematambudziko emwoyo, kusanganisira:
| Zita rekuti kurova kwemoyo kusina kujairika (Zita rekuti Arrhythmia) | Tsananguro iri nyore |
|---|---|
| Kupera kweAtrial (Afib) | Chirwere chinowanzoitika apo makamuri epamusoro emwoyo (atria) anorova nekukurumidza uye zvisina kurongeka. |
| Kufamba-famba kweAtrial | Makamuri epamusoro emoyo airova nekukurumidza, asi muchimiro chakarongeka kupfuura muAfib. |
| Supraventricular Tachycardia (SVT) | Kurova kwemoyo kunokurumidza zvikuru kunotangira kumusoro kwemoyo. |
| Tachycardia yeVentricular (VT) | Kurova kwemoyo nekukurumidza kunotanga mumakamuri epasi (ventricles) emwoyo. Izvi zvinogona kuva zvakakomba. |
Musiyano uripo pakati peElectrical Cardioversion neizvi
Pamwe wakambozviona mumafirimu, apo vanorova chipfuva kuti mwoyo utangezve kushanda. Zvinonzi 'Electrical Cardioversion.' Zvinosanganisira kutumira kurohwa nemagetsi kumoyo kuti 'udzose' sisitimu yemagetsi. Chemical Cardioversion inosanganisira kupa mishonga yekuita zvimwe chetezvo.
Chiremba wako ndiye achasarudza kurapwa kwakanakira iwe zvichienderana nemamiriro ako ezvinhu. Semuenzaniso, kana BP yako yakaderera zvakanyanya, chiremba wako anogona kusarudza kuita electrical cardioversion.
Chii chinoitika tisati tatanga kurapwa uye tinofanira kugadzirira sei?
Chiremba wako achakupa mamwe mirairo usati watanga kurapwa. Zvakakosha kuti uitevere nemazvo.
1. Kudzivisa kudya nekunwa: Uchakumbirwa kuti usadye kana kunwa chero chinhu kwemaawa masere usati watanga kurapwa.
2. Tarisa Mavhandiro Eropa: Kana mwoyo wako wagara usina kurongeka kwemazuva anopfuura maviri, pane mukana wekuti mavhandiro madiki eropa anogona kuumbwa mukati memoyo wako. Kana kurova kwemoyo wako kwakangoerekana kwadzoka pakare mushure mekurapwa uku, kana vhandiro racho rikabvaruka ronamatira mutsinga yeropa muuropi hwako, zvinogona kukonzera chirwere chakakomba senge sitiroko. Kuti utarise njodzi iyoyo, chiremba wako anogona kukukumbira kuti uitwe scan inonzi Transesophageal Echocardiogram (TEE) . Izvi zvinosanganisira kuisa chubhu diki pasi pehuro pako wotarisa zvakajeka kumashure kwemoyo wako kuti uone kana paine mavhandiro eropa.
3. Mishonga Inorwisa Kubuda Kweropa: Kuti uderedze njodzi yekugwamba kweropa kwataurwa pamusoro apa, uchakumbirwa kuti utange kutora mishonga inodzikisa ropa mavhiki matatu usati warapwa. Uchafanira kuramba uchitora mishonga iyi kwemavhiki mana mushure mekurapwa.
4. Udza chiremba wako nezvemishonga yese yaunotora: Zvakakosha kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga inonyaradza marwadzo, mavitamini, uye mishonga yemishonga. Mimwe mishonga inogona kupindirana nemishonga inopihwa pakurapa uku.
Chii chinoitika panguva yekurapwa?
Izvi hazvigoneke kuitwa uri kumba. Uchapinda muchipatara wopiwa kurapwa uku uchitarisirwa nguva dzose.
- Nzvimbo: Uchapinda muchipatara chevarwere vane chirwere chemwoyo (ICU) kana muwadhi yakafanana newe kwaunogona kutariswa zvakanyanya. Usazvidya moyo, izvi ndezvekuchengetedza kwako. Nekuti unofanirwa kutariswa zvakanyanya kuti uone shanduko dziri kuitika mumoyo mako paunopihwa mushonga.
- Kutarisa: Mutsetse weIV (cannula) uchaiswa muruoko rwako uye monitor ichabatanidzwa kwairi. Izvi zvicharamba zvichitarisa ECG (basa remagetsi remwoyo), BP, uye mwero weokisijeni.
- Maitiro ekupa mushonga:Uchapihwa mushonga uyu sepiritsi rekunwa nemuromo kana kuti zvakananga mutsinga kuburikidza nemutsara wemutsinga uri muruoko rwako. Dzimwe nguva, kana mushonga wekutanga usingashande, unogona kupihwa mumwe mushonga.
- Kuchengetedzeka: Vanachiremba nevashandi vekuchengeta varwere varipo newe. Vanewo michina yakaita se defibrillator iri pedyo kana paine imwe rhythm isina kujairika. Saka uri munzvimbo yakachengeteka zvikuru.
Mishonga ipi inoshandiswa pakuita izvi?
Mushonga waunopihwa nachiremba unoenderana nerudzi rwemwoyo wauinawo usingashande zvakanaka. Mimwe yemishonga iyi inoshandiswa kurapa BP yakakwira uye kushaya simba kwemoyo.
Heano mamwe emhando huru dzemishonga inoshandiswa:
- Adenosine
- Amiodarone
- Procainamide
- Ibutilide
- Beta-blockers - semuenzaniso Metoprolol
- Zvinodzivirira calcium channel - semuenzaniso Diltiazem
- Flecainide
- Propafenone
Mishonga iyi imwe neimwe inoshanda zvakasiyana, saka chiremba wako chete ndiye anogona kusarudza mushonga wakakunakira.
Chii chinoitika mushure mekurapwa?
Mushure mekunge mushonga wapihwa uye kurova kwemoyo wako kwadzoka pakare, unogona kuchengetwa muchipatara kwemamwe maawa makumi maviri nemana kusvika makumi mana nemasere uchitariswa kuti uve nechokwadi chekuti zvese zvagadzikana. Mushure meizvozvo, unogona kuenda kumba.
Vanhu vazhinji vanoti vanonzwa kuneta uye kusagadzikana nemishonga yavanopiwa. Izvi zvakajairika, asi kana muchinzwa kusagadzikana kwakanyanya, ndapota taurirai chiremba wenyu.
Ndezvipi njodzi uye mabhenefiti ekurapwa uku?
Kufanana nedzimwe nzira dzekurapa, kune zvakanakira nenjodzi. Chiremba wako anongokurudzira kurapwa uku chete kana zvakanakira zvichipfuura njodzi.
| Zvakanakira | Njodzi/Matambudziko |
|---|---|
| Kukwanisa kudzosa kurova kwemoyo padanho renguva dzose. | Rwiyo rutsva rusina kujairikaZvinogona kuitika kana kuipa zvakanyanya. |
| Kuderera kwezviratidzo zvakaita sedzungu, kuneta, uye kufema zvishoma nezvishoma. | Pane mukana mudiki wekuti ropa ribude richibva raita sitiroko (izvi zvinogona kuderedzwa nekushandisa mishonga inobvisa ropa). |
| Imwe nzira yekurapa cardioversion yemagetsi (nzira yekupa shock). | Migumisiro yakaipa yakadai sekusvotwa uye kuneta inogona kuitika. |
| Mimwe mishonga inogona kutora mwedzi yakati wandei kuti ishande. | |
| Kana kurapwa kukasabudirira , mamwe marapirwo akadai seElectrical Cardioversion kana Catheter Ablation anogona kudiwa. |
Ndirini paunofanira kuona chiremba nekukurumidza?
Paunodzokera kumba mushure mekurapwa, zvakakosha kuti uzive chero zviratidzo zvisingawanzoitiki. Kana ukaona chimwe chezviratidzo zviri pazasi, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika kana kufonera 1990.
- Kurova kwemoyo
- Dzungu rakakomba
- Kana maziso ako akaita bhuruu uye uchinzwa musoro wakajeka (Lightheadedness)
- Kushaya simba
- Kudikitira zvakanyanya kamwe kamwe (Sweatiness)
- Kurwara kwezvirwere zvakaita sekuputika uye kurutsa
- Kurwadziwa kwechipfuva
- Kuoma kufema
Usati warapwa uye wapedza, tora mishonga yese yawakanyorerwa nachiremba wako panguva chaiyo uye nemazvo. Kana usina chokwadi nezvekuti ungatora sei mushonga wako, bvunza chiremba wako zvakare kuti akutsanangurire.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwemwoyo nemakemikari kunoshandiswa nemishonga kudzorera kurova kwemoyo kuti kuite sezvakajairika.
- Izvi zvinoitirwa kuti uve nechokwadi chekuti wakachengeteka, muchipatara, uchitarisirwa nachiremba nguva dzose.
- Usati warapwa, zvakakosha kuzivisa chiremba wako nezvemishonga yese yauri kutora, kusanganisira mavhitamini nemishonga yeAyurvedic.
- Sezvinoitwa nemishonga yese, kune dzimwe njodzi, asi chiremba wako ari kukupa mushonga uyu nekuti mabhenefiti acho anopfuura njodzi dzacho.
- Mushure mekurapwa, zvakakosha zvikuru kutora mishonga, kunyanya mishonga inobvisa ropa rakawanda, sezvakarairwa.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukaona zviratidzo zvekukurumidzira zvakaita sekurwadziwa muchipfuva, kuoma kufema, kana dzungu rakasimba.
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