Wakambozvibvunza here kuti moyo wako unorova sei usina zororo, panguva chaiyo, muchimiro chimwe chete? Patinorara, patinoshanda, patinomhanya, nguva yese iyi, mwoyo unenge uchiita basa rawo nemazvo. Chikonzero cheizvi isystem yemagetsi inoshamisa iri mukati memoyo. Kungofanana nesystem yekubatanidza waya mumba, izvi ndizvo zvinopa moyo chiratidzo chekurova, kureva, chiratidzo chemagetsi. Nhasi tichataura nezvesystem iyi yekufambisa magetsi yemoyo.
Chii chinonzi system iyi yemagetsi yemoyo?
Zvichitaurwa zviri nyore, sisitimu yemagetsi yemoyo wako inetwork yakakosha yemasero inodzora kurova kwemoyo. Ine masero etsinga pamwe nemasero emhasuru. Masaini emagetsi anotumirwa nesystem iyi ndiwo anoita kuti moyo uzvimbike wozozorora.
Funga nezvehurongwa hwemagetsi huri mumba medu. Sezvinoita magetsi anoyerera nepawaya kuti abatidze mwenje kana kuti abatidze feni, hurongwa uhwu hwemagetsi huri mumoyo hunotumirawo zviratidzo kutsandanyama dzemwoyo, huchivaudza kuti "yava nguva yekudzikama," uye "yava nguva yekupomba ropa."
Kune mhando mbiri huru dzemasero dzinodzora maitiro aya:
- Masero anofambisa: Aya akafanana ne'waya' dzinotakura masaini emagetsi mumoyo wese.
- Masero emhasuru: Masero aya paanogamuchira chiratidzo chemagetsi, anogumira. Kureva kuti, moyo unorova nekuda kwemasero aya. Sezvinoita girobhu remwenje rinobatidza kana magetsi achifamba nepawaya.
Zviratidzo izvi ndizvo zvinorayira moyo kuti upombe ropa mumuviri wese.
Chii chiri kuitika chaizvo nehurongwa uhwu?
Basa guru remagetsi emoyo nderekutumira chiratidzo chekutanga kurova kwemoyo. Rinodzorawo kuti zvikamu zvakasiyana zvemoyo (makamuri epamusoro neapasi anonzi atria nemaventricles) zvinofanira kudzika uye kuti zvinofanira kuzorora riini.
Maitiro aya ekurwadziwa nekupora anodzorwa nemazvo, ndosaka ropa richiyerera nemumoyo uye kubva ipapo richienda kumuviri wese.
Sisitimu yemagetsi yemwoyo ine hutano inochengetedza kurova kwemoyo kwakaringana uye kwakaringana. Inobatsirawo kukurumidzisa kurova kwemoyo wako kana uchida okisijeni yakawanda neropa, senge paunenge uchirovedza muviri kana kumhanya, uye kudzikisa kumhanya kwawo paunenge wakazorora.
Kurwiswa kwemoyo kunoitika sei, nhanho nhanho
Nekurova kwemoyo kwega kwega, chiratidzo ichi chemagetsi chinofamba nenzira chaiyo mumoyo. Funga nezvazvo sechitima chiri kufamba munzira chaiyo.
1. Kutanga - Jenareta yemoyo: Kutanga, node ye sinoatrial (node yeSA) mumoyo.Chiratidzo chemagetsi chinotanga pachikamu chinonzi. Ichi ndicho "chinogadzirisa mafambiro emoyo" chemwoyo. Zvakafanana neswitch huru mumba.
2. Kudzikira kwekamuri repamusoro: Chiratidzo ichi chemagetsi chinopararira kumakamuri maviri epamusoro emoyo, atria . Zvadaro, makamuri maviri iwayo anodzikira, ropa riri maari richiendeswa kumakamuri epasi emoyo.
3. Robhoti remumugwagwa: Tevere, chiratidzo ichi chinosvika panzvimbo inonzi atrioventricular node (AV node) . Izvi zvakafanana nerobhoti remumugwagwa. Pano, chiratidzo chinononoka nechikamu chesekondi. Chikonzero cheizvi ndechekupa ropa rese riri mumakamuri maviri epamusoro nguva yekudurura mumakamuri epasi.
4. Famba uchitevedza tambo huru: Zvadaro, chiratidzo chinononoka chinofamba chichidzika nemutsinga dzakakosha dzinonzi Bundle of His .
5. Kukwenya kwemakamuri epasi: Pakupedzisira, chiratidzo ichi chinopararira kuburikidza netambo dzetambo diki dzinonzi Purkinje fibers kuenda kumakamuri maviri epasi emwoyo, maventricles . Makamuri maviri aya epasi anobva akwenya zvine simba, achipomba ropa kuenda kumapapu kune rumwe rutivi uye kune rumwe rutivi rwemuviri kune rumwe.
Kana matanho ese aya akabatana, kurova kwemoyo kunenge kwapera. Fungidzira, sisitimu yemagetsi yemoyo wako inotumira zviuru zvezviratidzo izvi pazuva kuti zvikuchengetedze uri mupenyu.
| Chikamu chehurongwa hwemagetsi | Basa racho riri nyore. |
|---|---|
| Node yeSinoatrial (node yeSA) | Chinopa simba remoyo. Chinotumira chiratidzo chemagetsi kuti kurova kwemoyo kutange. |
| Atrioventricular node (AV node) | Chiratidzo chemagetsi chinononoka kwechinguva, zvichipa makamuri epamusoro (atria) nguva yekubuda zvachose. |
| Boka Rake | Chiratidzo chinobva paAV node chakakamurwa kuita matavi maviri uye chinotakurwa kuenda kumakamuri epasi (masero). |
| Mashinda ePurkinje | Chiratidzo chemagetsi chinopararira nekukurumidza pamadziro emakamuri ari pasi, zvichiita kuti aderere. |
Sisitimu iyi inodzorwa sei?
Kurova kwemoyo wako hakusi nguva dzose kwakafanana, handiti? Hakusi kumhanya kwaunowana paunenge uchimhanya uchitsvaga bhazi, asi kumhanya kwaunowana paunenge uchiverenga bhuku. Kumhanya uku kunodzorwa nechikamu chemuviri wako chinonzi Autonomic Nervous System yako. Izvi ndizvo zvinoudza SA node kuti "ishande nekukurumidza" kana "ishande zvishoma nezvishoma."
- Sisitimu yetsinga inonzwira tsitsi: Izvi ndizvo zvinodzora mhinduro ye'kurwa kana kuti kutiza'. Sisitimu iyi inoshanda kana uchinzwa kutya, panguva yekukurumidzira, kana panguva yekurovedza muviri, uye inokurumidza kurova kwemoyo wako.
- Sisitimu yetsinga yeParasympathetic: Izvi zvinodzora mhinduro ye'kuzorora nekugaya'. Paunenge wakarara uye uchizorora, sisitimu iyi inoshanda uye inoita kuti kurova kwemoyo wako kunonoke.
Ndezvipi zvirwere zvinogona kuitika muhurongwa hwemagetsi uhwu?
Dzimwe nguva, panogona kunge paine zvikanganiso muhurongwa hwemagetsi hwemwoyo. Zvadaro, panogona kuitika matambudziko nerhythm yemoyo. Tinowanzodaidza kuti matambudziko aya erhythm yemoyo.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Arrhythmia | Kurova kwemoyo kusina kurongeka. Kunogona kukurumidza, kunonoka, kana kusarongeka. Muenzaniso ndewe (Atrial Fibrillation - Afib). |
| Bhuroko reBazi reBundle | Kukanganiswa kwenzira yechiratidzo kudivi rimwe (kurudyi kana kuruboshwe) kwewaya huru dzinotakura chiratidzo chemagetsi. |
| Kuvharika kweMwoyo | Kutapurirana kwemashoko emagetsi pakati pemakamuri epamusoro (atria) nemakamuri epasi (mitral valves) emwoyo kunokanganiswa kana kumira zvachose. |
| Long QT Syndrome (LQTS) | Makamuri epasi emwoyo anogumira uye anotora nguva yakareba kupfuura yakajairika kuti apore. Izvi zvinogona kukonzera kufenda (syncope) kana kumira kwemwoyo kamwe kamwe. |
| Kuvharwa kweVentricular Nguva isati yakwana | Kurova kwakanyanya, kusati kwasvika nguva kubva mumakamuri epasi emwoyo. Kunogona kunzwa sekunge chipfuva chiri 'kurova' kana kuti sekunge kurova kwakasvetuka. |
| Kusungwa Kwemwoyo | Ichi chikanganiso chakakomba mumagetsi emwoyo. Izvi zvinoita kuti mwoyo umire kurova kamwe kamwe. Ichi chiitiko chakakomba uye chinogona kukonzera rufu kana chikasarapwa nekukasika. |
Zviratidzo zvinogona kukubatsira kuziva kana uine dambudziko rerudzi urwu
Kana paine dambudziko nemagetsi emoyo wako, unogona kusangana nezvimwe zvezviratidzo zvinotevera:
- Kuoma kufema
- Kurwadziwa kwechipfuva
- Kurova kwemoyo (kunzwa sekuti chipfuva chako chiri kurova nekukurumidza)
- Dzungu
- Kurasikirwa nepfungwa kana kufenda
- Kunzwa kuneta zvisinganzwisisike
Chinonyanya kukosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, usazviregeredza. Enda kuna chiremba nekukasika. Kana zviratidzo zvacho zvakanyanya, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Chiremba anogona kuongorora rhythm yemoyo wako neECG (electrocardiogram) . Unogonawo kukumbirwa kupfeka mudziyo mudiki (heart monitor) kuti utarise rhythm yemoyo wako kwemazuva mashoma kana mavhiki. Kune mishonga yekurapa matambudziko aya, akadai semishonga uye kuiswa kwemudziyo wakaita sepacemaker .
Nzira yekuchengetedza sei hurongwa hwemagetsi hwemoyo huine hutano?
Mamwe matambudziko emoyo anogona kukonzerwa nezvinhu zvakaita semajini. Hatigoni kuzvichinja. Zvisinei, kutevedzera mararamiro ane hutano kunogona kubatsira zvikuru mukuchengetedza moyo wako wese uine hutano.
- Ramba uine huremu hwakanaka: Edza kuchengetedza huremu hwakanaka hwemuviri hunoenderana nehurefu hwako.
- Dzivisa kusvuta: Kana ukasvuta, rega ipapo ipapo. Kuva pedyo nevanhu vanosvuta (utsi hwevamwe) kunewo njodzi.
- Tora mushonga wako nemazvo: Tora mushonga wawakanyorerwa nachiremba wezvimwe zvirwere, zvakaita sechirwere cheshuga neBP, nenguva.
- Deredza doro necaffeine: Deredza doro nezvinwiwa zvine caffeine zvakaita sekofi.
- Idya chikafu chinovaka muviri: Idya chikafu chinovaka muviri, chakadai semuriwo, michero, nyemba, uye zviyo zvakakwana.
- Kurovedza muviri: Ita maekisesaizi ane simba kwemaminitsi angangoita 150 pasvondo.
- Dzora kushushikana: Deredza kushushikana kuburikidza nezvinhu zvakaita sekufungisisa, yoga, uye kutaura neshamwari yaunovimba nayo.
Kazhinji tinoziva nezvemagetsi emwoyo chete kana paine chikanganiso chakaitika. Asi iyi nzira isingaonekwe ndiyo inopa moyo simba uye rhythm yaunoda kuti tirambe tiri vapenyu. Nokudaro, kuziva izvi, kuteerera zviratidzo zvataurwa pamusoro apa, uye kurarama hupenyu hune hutano ndizvo zvinobatsira zvikuru pamoyo wako.
Mharidzo Yekuenda Nayo Kumba
- Kurova kwemoyo wako kunodzorwa nehurongwa hwemagetsi hwakakosha (Cardiac Conduction System) huri mukati memoyo.
- Sisitimu iyi ine 'natural pacemaker' (SA node) uye sisitimu ye 'waya' dzinotakura masaini.
- Kana paine zvikanganiso muhurongwa hwemagetsi uhwu, kutadza kushanda zvakanaka kwemoyo (arrhythmias) kunogona kuitika.
- Usaregeredza zviratidzo zvakaita sekuoma kwechipfuva, dzungu, kana kuoma kufema. Enda kuna chiremba wako nekukasika.
- Nekutevera mararamiro ane hutano, unogona kuchengetedza hutano hwese hwemwoyo, kusanganisira magetsi emwoyo wako.
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