Wakambonzwa moyo wako uchirova nekukurumidza pasina chikonzero here, kana kunzwa kushamisika kuchiita semashavishavi muchipfuva chako? Kuchinja uku kwemoyo (kushaya moyo kwakajairika) dzimwe nguva chinhu chekufunga nezvacho. Nhasi, tichataura nezvekurapa kwakakosha kunoshandiswa navanachiremba kurapa kurova kwemoyo kwakadai kusina kurongeka.
Zvichitaurwa zviri nyore, chii chinonzi Chemical Cardioversion?
Muchidimbu, makemikari emwoyo kushandiswa kwemishonga yekudzosa mwoyo wako kumhanya kusingawanzoitiki kana kuti kurira kusingawanzoitiki kune kurira kwakajairika. Kubudirira kwekurapwa uku kunoenderana nechikonzero chekurova kwemoyo kwako kusina kurongeka, kuti kwagara kwenguva yakareba sei, uye rudzi rwemushonga waunosarudza nachiremba.
Tinodaidzawo kuti Pharmacologic Cardioversion. Mishonga inopiwa panguva yekurapwa uku inoita zvinhu zvikuru zvakati wandei:
- Inozorodza tsinga dzeropa rako.
- Inozorodza tsandanyama dzemwoyo.
- Inoderedza basa remoyo.
- Inodzora kumhanya kunoita masaini emagetsi kuudza moyo kuti urove.
Funga nezvemwoyo wedu seimba ine circuit yemagetsi yakaoma. Ine switch huru, iyo mukurapa yatinodaidza kuti sinoatrial node. Chiratidzo chemagetsi chinoita kuti moyo urove chinotangira ipapo. Zvadaro chiratidzo ichocho chinofamba nepakati pemakamuri epamusoro emoyo (Atria) uye chinosvika pane imwe nzvimbo (Atrioventricular node). Pakupedzisira, chiratidzo ichi chinosvika kumakamuri epasi emoyo (Ventricles). Kana paine chikanganiso munzira iyi yechiratidzo, rhythm yemoyo inogona kukanganiswa.
Kana mwoyo usingashande zvakanaka, haupombi ropa rakakwana mumuviri wese. Sero rega rega mumuviri wedu, kunyanya uropi, rinoda okisijeni kubva muropa nguva dzose. Kana kufamba kweropa kukakanganiswa nenzira iyi, unogona kuona zviratidzo zvakaita sedzungu, kuneta, kufema zvishoma, uye kurwadziwa pachipfuva .
Sei mushonga uyu uchishandiswa uye ndeapi marwere?
Kana kurova kwemoyo wako kuchikurumidza kana kuti kusina kurongeka, ungangoda makemikari emwoyo. Pane zvikonzero zvakawanda zvinoita kuti kurova kwemoyo wako kusarongeka.
- Mimwe yemishonga yaunoshandisa
- Zvirwere zvinotapukira zvakaita sepneumonia
- Kumira kurova kwemoyo
- Kuchinja kwemaumbirwo emwoyo
- Kubatanidzwa kwemapapu
- Kukundikana kwemoyo kwakakombama
- Zvirwere zvemapapu zvakaita seCOPD kana Emphysema
Chemical Cardioversion inonyanya kushandiswa kurapa zvirwere zvinotevera zvemwoyo zvisina kujairika:
| Zita rechirwere (Izwi reChirungu) | Tsananguro iri nyore |
|---|---|
| Kupera kweAtrial (Afib) | Atrial fibrillation chirwere umo makamuri epamusoro emoyo anorova nekukurumidza uye zvisina kurongeka. Ichi ndicho chirwere chekurova kwemoyo chisina kurongeka chinowanzoitika. |
| Kufamba-famba kweAtrial | Makamuri epamusoro emoyo airova nekukurumidza asi kakawanda kupfuura panguva yefibrillation. |
| Supraventricular Tachycardia (SVT) | Kurova kwemoyo kunokurumidza zvikuru kunotangira pamusoro pemakamuri epasi emwoyo. |
| Tachycardia yeVentricular (VT) | Kurova kwemoyo nekukurumidza kunotanga mumakamuri epasi emwoyo. Izvi zvinogona dzimwe nguva kuva nengozi. |
Chii chinoitika usati warapwa?
Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira (mushonga kana kuti electrical cardioversion). Kana BP yako yakaderera zvikuru, chiremba wako anogona kusarudza electrical cardioversion.
- Zvekudya Nezvinwiwa: Uchakurudzirwa kurega kudya kana kunwa kwemaawa masere usati watanga kurapwa.
- Miedzo: Kana uine kurova kwemoyo kusina kurongeka (atrial arrhythmia) kwemazuva anopfuura maviri, chiremba wako anogona kuita bvunzo inonzi Transesophageal Echocardiogram (TEE) . Izvi zvinoitirwa kutarisa kana ropa rakagwamba mumoyo. Izvi zvinogona kukonzera sitiroko kana gwamba racho rikabuda panguva yekurapwa.
- Mushonga: Mushonga wese waunotora, kusanganisira mishonga inotengeswa muchipatara, mavhitamini, uye kunyange mishonga yeSinhala.Unofanira kuudza chiremba wako. Unogonawo kukumbirwa kuti utange kutora mishonga inorwisa ropa mavhiki matatu usati warapwa kuti uderedze njodzi yekugwamba kweropa.
Chii chinoitika panguva yekurapwa?
Kurapa uku kunowanzoitirwa mukamuri rekuchengetwa kwakanyanya (ICU) rechipatara kana mukamuri rakagadzirirwa. Izvi zvinokonzerwa nekuti pane njodzi diki yekurohwa kwemoyo kwakasiyana-siyana kana mushonga wacho wapihwa, saka unofanirwa kutariswa zvakanyanya.
Hausi wega panguva ino. Vanachiremba nevanamukoti vari padivi pako, vachigara vachiongorora BP yako nekurova kwemoyo (ECG). Midziyo yese inodiwa (yakadai se defibrillator) yakagadzirira kana paine emergency.
Mushonga uyu unopihwa sepiritsi raunomedza kana kuti neIV mutsinga iri muruoko rwako . Dzimwe nguva, kana mushonga wekutanga usingashande, unogona kupihwa mumwe mushonga.
Mishonga inowanzoshandiswa
Rudzi rwemishonga yaunopiwa ruchasiyana zvichienderana nemamiriro ako ezvinhu. Mimwe yemishonga inonyanya kushandiswa ndeiyi:
- Amiodarone (Cordarone®)
- Procainamide
- Ibutilide
- Flecainide
- Propafenone (Rythmol®)
- Sotalol (Betapace®)
- Mishonga inodzivisa marwadzo yakaita semetoprolol (Lopressor®)
- Zvinodzivirira calcium channel zvakaita se diltiazem (Cardizem®)
- Adenosine (Adenocard®)
Ndezvipi zvakanakira nezvakaipa zvekurapa?
Unogona kuchengetwa muchipatara kuti utariswe kwemaawa makumi maviri nemana kusvika makumi mana nemasere mushure mekurapwa. Vamwe vanhu vanogona kunzwa kuneta kana kusagadzikana nemishonga iyi.
Zvakanakira:
- Kurova kwemoyo kunogona kudzoserwa pakuita zvakanaka.
- Zviratidzo zvakaita sedzungu uye kuneta zvinoderera.
- Inogona kushandiswa senzira yekurapa cardioversion yemagetsi.
Njodzi Nematambudziko:
- Kutanga kwekurova kwemoyo kutsva kusina kurongeka kana kuipa kwekurova kwemoyo kuripo.
- Kugwamba kweropa kunogona kutsemuka uye kukonzera sitiroko .
- Migumisiro yakaipa yakadai sekusvotwa uye kuneta.
- Mimwe mishonga inogona kutora mwedzi yakati wandei kuti ishande.
- Kana kurapwa uku kukasabudirira, ungangoda kushandisa dzimwe nzira dzekurapa dzakadai se electroconvulsive therapy kana catheter ablation.
- Mishonga haishande zvakaenzana kune wese munhu. Dzimwe nguva, mwero wekubudirira kwenguva refu unenge 50%.
Unofanira kutsvaga rubatsiro rwechiremba nekukasika rini?
Kana ukaona chimwe chezviratidzo zvinotevera zvisingawanzoitiki mushure mekurwara nechirwere chemwoyo, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika:Kana kufonera amburenzi muna 1990. Usatore izvi sezvisina basa.
- Kurova kwemoyo
- Dzungu rakakomba
- Kusava nemusoro
- Kupera simba kwemuviri
- Kudikitira kamwe kamwe
- Kurwadziwa kwechipfuva
- Kuoma kufema
- Zviratidzo zveAllergy zvakaita semakonzo
Inwa mishonga yese yawakanyorerwa nachiremba, usati warapwa uye wapedza kurapwa, panguva chaiyo uye panguva chaiyo. Kana uine mibvunzo, usatya kubvunza chiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Kurapa kwemwoyo nemakemikari kunoshandisa mishonga yekudzoreredza kurova kwemoyo kusina kurongeka.
- Chiremba wako chete ndiye anogona kusarudza kana kurapwa uku kwakakunakira.
- Izvi zvinoitwa muchipatara, pasi pekutarisirwa kwakasimba kwechiremba, saka hapana chikonzero chekutya.
- Kunyangwe izvi zvichipa mabhenefiti akawanda, zvinogonawo kukonzera njodzi nemigumisiro.
- Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, dzungu rakakomba, kana kuoma kufema mushure mekurapwa, enda kuchipatara nekukurumidza kuEmergency Department (ETU).
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