Mwoyo wedu ipombi inoshamisa zvechokwadi, isingamire, handiti? Kubva pazuva ratinozvarwa kusvika pazuva ratinofa, nhengo diki iyi inopomba ropa mumuviri wedu wese pasina kukundikana. Asi waiziva here kuti kuti pombi iyi ishande zvakanaka, ine sisitimu yayo yemagetsi? Ehe, kungofanana nesisitimu ye'wiring' mudzimba dzedu. Zviratidzo zvidiki zvinobva musisitimu iyi yemagetsi ndizvo zvinoudza moyo kuti "rova izvozvi." Zvese izvi zvinoitika nenzira yakarongeka, yenguva dzose. Zvisinei, dzimwe nguva, zvikanganiso zvidiki zvinogona kuitika musisitimu iyi yemagetsi. Ndipo panotanga kurova kwemoyo pano neapo, kumhanya, kana kudzikira. Panguva dzakadai, tinoda rubatsiro rwemumwe munhu ane ruzivo rwakadzama musisitimu iyi yemagetsi, pane chirembawo zvake. Ndizvo zvatinodaidza kuti Electrophysiologist .
Zvichitaurwa zviri nyore, ndiani uyu nyanzvi yeElectrophysiology?
Fungidzira kuti pane dambudziko guru newaya dzemagetsi mumba mako, mwenje uri kuvhurwa nekudzima, uye kune mashort circuits mune dzimwe nzvimbo. Panguva iyoyo, hausi kutaura nenyanzvi yemagetsi, asi nenyanzvi yemagetsi inonyatsoziva izvi. Ndizvo zvazviri. Nyanzvi yemagetsi inyanzvi muhurongwa hwemagetsi hwemoyo.
Ivo vanachiremba vemwoyo, asi hunyanzvi hwavo huri muhurongwa hwemagetsi hunodzora kumhanya kwemoyo. Hurongwa uhwu hwemagetsi ndihwo hunoita kuti mwoyo yedu irove, hunodzora kumhanya kwayo, uye hurambe huchirova nguva dzose. Kana paine dambudziko pane izvi, nyanzvi yeElectrophysiologist iripo kuti ione kuti riri kupi chaizvo, dambudziko nderei, uye kurapa.
Tinodaidzawo vana vanoongorora mashandiro emagetsi evana vanorapa matambudziko emwoyo muvana vadiki nevachiri kuyaruka.
Ndeupi musiyano uripo pakati pechiremba wemwoyo nenyanzvi yemagetsi?
Apa ndipo panowanzo vhiringika vanhu vazhinji. Saka ngatinzwisisei izvi zviri nyore.
- Chiremba wemwoyo chiremba ane hunyanzvi muzvirwere zvese zvine chekuita nemoyo. Semuenzaniso, anorapa zvirwere zvakawanda, zvakaita seBP, kurwara nemoyo, matambudziko evharuvhu yemwoyo, uye kutadza kushanda kwemoyo. Akafanana ne'Chiremba Mukuru' wemoyo.
- Nyanzvi yemagetsi inyanzvi yemwoyo, asi iye akadzidziswa zvakanyanya muchikamu chimwe chete chemwoyo, icho chiri system yemagetsi uye rhythm yemoyo .
Zvichitaurwa zviri nyore, nyanzvi yezvemagetsi (Electrophysiologist) inyanzvi yezvemwoyo. Asi havasi nyanzvi yezvemwoyo (Cardiologist) vese inyanzvi yezvemagetsi (Electrophysiologist). Zvakafanana nekuti havasi vese vanoziva nezvemotokari vane hunyanzvi mubhokisi remagiya.
Kana uine kurova kwemoyo kusina kurongeka (arrhythmia), chiremba wemwoyo wako anogona kukutumira kuna electrophysiologist.
Matambudziko api anorapwa nenyanzvi ye electrophysiologist?
Nyanzvi idzi dzinorapa zvirwere zvakasiyana-siyana zvinokonzerwa nekusashanda zvakanaka kwemagetsi emwoyo. Kunyange zvazvo zvimwe zvacho zvisiri zvakakomba, zvimwe zvinogona kuisa hupenyu panjodzi. Saka, hunyanzvi hweElectrophysiologist hunokosha kuti usiyanise izvi uye upe kurapwa kwakakodzera.
Tafura iri pazasi inoratidza mamwe ematambudziko makuru ehutano uye tsananguro dzawo dziri nyore.
| Zita reChimiro | Tsananguro iri nyore |
|---|---|
| Kupera kweAtrial (AFib) | Makamuri epamusoro emwoyo (atria) anorova nekukurumidza uye zvisina kurongeka, sekunge ari kudedera. Izvi zvinogona kutungamira kuzvirwere zvakaita sestroke. |
| Kufamba-famba kweAtrial | Zvakafanana neAFIB, asi pano makamuri epamusoro emoyo anorova nekukurumidza, asi kakawanda. |
| Supraventricular Tachycardia (SVT) | Kurova kwemoyo kunokurumidza zvikuru kunotanga kumusoro kwemoyo uye kunouya kamwe kamwe uye kunobva kwamira nekukurumidza. |
| Tachycardia yeVentricular (VT) | Kurova kwemoyo kunokurumidza uye kunogona kuva nengozi kunotangira mumakamuri epasi (ventricles) emwoyo. |
| Kupera kwemhepo mutsinga (VFib) | Chirwere chinotyisidzira hupenyu apo makamuri epasi emwoyo anodedera zvisingadzoreki, zvichikonzera kumira kwemwoyo kamwe kamwe. |
| Kuvharika kweMwoyo | Kuvharika kana kunonoka kwemagetsi emoyo anofamba kubva mumakamuri epamusoro kuenda kumakamuri epasi. Izvi zvinogona kukonzera kuti mwoyo urove zvishoma nezvishoma. |
| Chirwere cheSinus Syndrome | Kusashanda zvakanaka kwe sinus node, iyo inova ndiyo inokonzera kurova kwemoyo. Izvi zvinogona kukonzera kuti mwoyo urove nekukurumidza kana kuti zvishoma nezvishoma. |
Sei uchitumirwa kuna Electrophysiologist?
Kazhinji, chiremba wemhuri yako kana chiremba wemwoyo wako achakutumira kuna electrophysiologist. Panogona kunge paine zvikonzero zvakawanda zveizvi.
- Kana ukaona kuti kurova kwemoyo wako kuri kukurumidza kupfuura zvakajairwa (Tachycardia) kana kuti kunonoka kupfuura zvakajairwa (Bradycardia) .
- Kana bvunzo yeECG ikaratidza kuti kurova kwemoyo wako hakuna kurongeka .
- Kana uchigara uchifenda kana kuti uchingoerekana wafa , tarisa kuti chikonzero chacho chiri dambudziko here nemagetsi emoyo.
- Kana mumwe munhu mumhuri yako aine nhoroondo yekufa kamwe kamwe kwemoyo, tarisa kuti uone kana uri panjodzi.
Fungidzira, paunoenda kunoona chiremba wako, anotarisa ECG obva ati, "Pane kakusarongeka mumoyo mako, ngationgororei izvi zvakare tokuratidzai nyanzvi inoziva nezvazvo." Ndipo paunotumirwa kuElectrophysiologist.
Vanachiremba ava vanoongorora sei?
Kuti azive kuti chii chiri kunetsa pamagetsi emwoyo, nyanzvi yemagetsi inoshandisa nzira dzakasiyana-siyana dzekuongorora. Dzakawanda dzeizvi bvunzo dziri nyore, dzisingapindi muropa.
| Zita reMuedzo | Unoitei neizvi? |
|---|---|
| Electrocardiogram (EKG/ECG) | Iyi ndiyo bvunzo iri nyore. Masensa, akadai semastika, anobatanidzwa pachipfuva chako, maoko nemakumbo, uye mashandiro emagetsi emwoyo wako anorekodhwa panguva iyoyo. |
| Holter Monitor | Uyu muchina mudiki. Uchakumbirwa kuupfeka kwemaawa angangoita makumi maviri nemana kana makumi mana nemasere. Ucharamba uchinyora kurova kwemoyo wako sezvaunoita mabasa ako ezuva nezuva. |
| Mutariri weZviitiko | Zvakafanana neHolter monitor, asi inogona kupfekwa kwemazuva kana mavhiki. Kana ukanzwa zviratidzo, unogona kudzvanya bhatani wonyora kurova kwemoyo wako panguva iyoyo. |
| Echocardiogram (Echo) | Izvi zvakafanana ne ultrasound scan yemoyo. Inogona kutarisa chimiro chemoyo, mavharuvhu, uye mashandiro emoyo. |
| Kuedzwa kweTafura Yakanamirwa | Kuongororwa kwevanhu vanowanzofenda. Unoiswa pamubhedha uye BP yako nekurova kwemoyo zvinotariswa sezvo mubhedha uchitenderedzwa zvishoma nezvishoma wakamira. |
| Chidzidzo cheElectrophysiology (Chidzidzo cheEP) | Iyi ndiyo bvunzo yakadzama. Waya dzakapfava (catheters) dzinopfuudzwa nemutsinga iri mugumbo kana ruoko dzichipinda mumoyo, zvichigadzira mepu yemagetsi emoyo kuti ione nzvimbo chaiyo yedambudziko. |
Ndezvipi zviratidzo zvandinofanira kuona chiremba wemagetsi kuti ndione?
Kana uine chimwe chezviratidzo zvinotevera kana kupfuura, zvakakosha kutaura nachiremba wako nezvazvo. Achakutumira kuna electrophysiologist kana zvichidikanwa.
- Kurova Kwemwoyo:Kurova kwemoyo ndiko kwatinoti kunzwa kwemoyo wedu uchirova. Kunogona kunzwa sekunge moyo wedu uri kumhanya muchipfuva chedu, sekunge unorova nekukurumidza womira, kana sekunge unosvetuka kurova.
- Kushaya mweya: Kunzwa sekunge unonetseka kufema kunyangwe paine zvinhu zvidiki.
- Kurwadziwa kana kusagadzikana pachipfuva: Kunzwa kubatwa kana kudzvinyirirwa pachipfuva.
- Dzungu kana Kufenda: Dambudziko iri rinogona kubva pakunzwa musoro wakareruka paunongoerekana wamira kusvika pakurasikirwa nepfungwa.
- Kuneta: Kunzwa kuneta zvakanyanya nguva dzese pasina chikonzero chakajeka.
Nekuti zviratidzo izvi zvinowanzofanana, hunyanzvi hwenyanzvi ye electrophysiologist hunokosha kuti vaone kuti dambudziko racho nderei chaizvo.
Matambudziko emwoyo anorapwa sei?
Chinhu chakanaka ndechekuti nhasi uno kune mishonga inoshanda zvikuru yematambudziko mazhinji emwoyo. Kana nyanzvi yemagetsi yangoongorora mamiriro ako ezvinhu nemazvo, vachakurudzira kurapwa kwakakodzera iwe.
| Nzira yekurapa | Chii chinoitika neizvi? |
|---|---|
| Mishonga | Mapiritsi anodzora kurova kwemoyo, kunonotsa kumhanya, kana kudzivirira kuumbwa kweropa. |
| Kubviswa kweCatheter | Ongororo yeEP yakawana kuti nzvimbo yemoyo iri kutumira masaini emagetsi asiri iwo inogadzirwa nekushandisa simba rakadai se radiofrequency kugadzira vanga diki. Ipapo masaini asiri iwo anomira kuuya. Uku kurapa kunobudirira ne90%. |
| Chinopa simba remoyo | Mudziyo mudiki wemagetsi unobatsira vanhu vane kurova kwemoyo kunonoka kuti varambe vachifamba zvakanaka. Unoiswa pasi peganda nekuvhiyiwa. |
| Chinobvisa Kuora Kwemwoyo Chinoiswa Mukati (ICD) | Izvi zvakafanana nepacemaker, asi chinoshamisa pane iyi ndechekuti inogona kuona kurova kwemoyo nekukurumidza (senge VT kana VFib) kunogona kuisa hupenyu panjodzi, uye inokonzeresa kuvhunduka kwemoyo nemagetsi kuti udzoke pakare. |
| Kuchinja kwemwoyo | Kana paine dambudziko, kuvhunduka kwemagetsi kunoitika nekuisa 'machira' kunze kwechipfuva kuti kurova kwemoyo kudzorere nekukurumidza uye kusina kurongeka. |
Kana uchida kuona Electrophysiologist, usatya. Ivo inyanzvi dzakadzidziswa zvakanyanya mubasa iri uye vakazvipira kuvandudza hupenyu hwako. Taura navo nezvemibvunzo kana zvinokunetsa. Wana kunzwisisa kwakajeka kwemamiriro ako uye kurapwa.
Mharidzo Yekuenda Nayo Kumba
- Nyanzvi yemagetsi inyanzvi yemwoyo inyanzvi mukuongorora mashandiro emagetsi emwoyo uye rhythm yemwoyo.
- Kana uine zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kunonoka, kusina kurongeka, kana kufenda nguva nenguva, zvinogona kunge zviri chiratidzo chekusashanda zvakanaka kwemagetsi emoyo.
- Usaregeredza zviratidzo zvakaita seizvi. Iva nechokwadi chekutaura nachiremba wako nezvazvo.
- Nhasi, kune mishonga inoshanda zvikuru yekurova kwemoyo zvisina kurongeka (arrhythmias), kubva pamishonga kusvika pakubvisa ropa uye pacemakers.
- Usatya kusangana na electrophysiologist. Varipo kuti vakubatsire. Teerera mibvunzo yako uye iva nechokwadi chekuti wanzwisisa zvese zvakajeka.
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