Ko dzimwe nguva mutinhimira wemoyo wako unofamba nenzira dzisinganzwisisike here? Ngatitaurei nezve Idioventricular Rhythm!

Dzimwe nguva unonzwa sekuti pane chimwe chinhu chakasiyana zvishoma nezvemarovero anoita mwoyo wako? Pamwe inokurumidza zvishoma, kana kuti inonzwa sekuti iri kurova nenzira isinganzwisisike? Usazvidya moyo, kazhinji aya haasi matambudziko akakomba. Zvisinei, zvakakosha kuti uzive nezvechirwere ichi chatiri kuzotaura nezvacho nhasi, chinonzi `Idioventricular Rhythm`.

Chii chinonzi `Idioventricular Rhythm`? Ngatizvinzwisise zviri nyore!

Zvichitaurwa zviri nyore, "Idioventricular Rhythm" irwiyo rwemwoyo umo makamuri epasi emwoyo wako, "ventricles" , anorova zvishoma nezvishoma kupfuura zvakajairwa. Funga nezvazvo, makamuri epamusoro emwoyo wedu (iyo "atria") ndipo panowanikwa "pacemaker yechisikigo", kana kuti "node inoyerera isina kusimba." Kana pacemaker iyi isiri kushanda zvakanaka, masero ari muchikamu chezasi chemoyo anofunga kuti, "Zvakanaka, ngatiite kuti mwoyo urove." Asi, vanogona kungoita kuti urove zvishoma nezvishoma.

Kazhinji, mu "Idioventricular Rhythm" iyi, moyo unorova kasingasviki makumi mashanu paminiti .

Zvisinei, pane mumwe musiyano mudiki, unonzi `Accelerated Idioventricular Rhythm (AIVR).` Ipapo kurova kwemoyo kuri pakati pe50 ne110 kurova paminiti. Izvi zvakasiyana nemamiriro ezvinhu anonzi `Ventricular Tachycardia` (Ventricular Tachycardia), apo moyo unorova nekukurumidza (kupfuura kurova kwe100 paminiti), handiti?

Izvi hazvifanirwe kuvhiringidzwa nezvimwe zvinetso zvemoyo, handiti?

Ehe, kune zvimwe zvirwere zvakawanda zvine chekuita nemoyo. Saka, iyi 'Idioventricular Rhythm' inogona kuvhiringidzwa neimwe. Ndiyo 'Junctional Rhythm'.

• Idioventricular Rhythm: Izvi zvinotangira mumakamuri epasi emwoyo, maventricles.
• Kurongeka kwenhengo: Izvi zvinotanga panobatana makamuri epamusoro neepasi emwoyo (ane chekuita neAV node).

Waona musiyano here? Kunyangwe zvazvo mimhanzi yese ichitangira panzvimbo isiriyo mumoyo, nzvimbo mbiri dzekutanga dzakasiyana.

Ndiani angangonyanya kukanganiswa nemamiriro ezvinhu aya?

Kunyangwe chero munhu achigona kuva nechirwere chinonzi ``Idioventricular Rhythm,'' vamwe vanhu vane mukana mukuru wekuva nacho. Izvi ndeizvi:

• Vanhu vane moyo wakavharika zvachose kana kuti wakakomba.
• Vanhu vane matambudziko nechinhu chinogadzirisa mwoyo, zvakaita sekuti `sinus arrest` kana kuti `sinoatrial nodal block`.
• Vanhu vakambova ne "chirwere chemwoyo".
• Vanhu vanoshandisa mimwe mishonga (kunyanya iya yezvirwere zvemwoyo) uye mishonga isingabvumirwe.
• Kashoma, zvinogonawo kuitika kuvanhu vane matambudziko emwoyo ekuzvarwa nawo.

Accelerated Idioventricular Rhythm (AIVR) dzimwe nguva inogona kuitika muvatambi vane hutano hwakanaka. Zvisinei, inowanzoonekwa muvanhu vane zvimwe zvirwere zvemwoyo, zvakaita se:

• Ischemic cardiomyopathy (ICM) idambudziko rinokonzeresa kusasimba kwetsandanyama yemoyo nekuda kwekuvharika kwetsinga dzeropa dzinopa moyo.
• `Chirwere chemwoyo chinonzi rheumatic` (kukuvara kwemavharuvhu emwoyo mushure mehutachiona hwepahuro).
• Dilated cardiomyopathy (dilated cardiomyopathy - tsandanyama yemwoyo inoshaya simba uye inokura).
• `Acute coronary syndromes` (acute coronary syndromes - kukanganiswa kamwe kamwe kweropa rinoenda kumoyo).
• `Acute myocarditis` (kuzvimba/kuzvimba kwetsandanyama yemwoyo).

Zviratidzo zvacho ndezvipi? Kana kuti hapana chaunonzwa zvachose here?

Heino chokwadi chinoshamisa! Kazhinji, vanhu vane `Idioventricular Rhythm` havaoni zviratidzo . Ehe, ichokwadi. Fungidzira, vamwe vanhu havatombozivi kuti vane chirwere ichi, uye chinowanikwa netsaona kana vakaitirwa `ECG` chimwe chinhu.

Zvisinei, vamwe vanhu vanogona kutanga zviratidzo. Kana zvakadaro, vanogona kusangana ne:

• Kuneta: Ungangonzwa kuneta.
• Dzungu: Unganzwa sekunge musoro wako uri kutenderera uye unganzwa sekunge uri kurasikirwa nepfungwa dzako.
• Kufenda/Kurasikirwa nepfungwa: Vamwe vanhu vanogona kurasikirwa nepfungwa kamwe kamwe vodonha. Ichi chiratidzo chakakomba.
• Kurova kwemoyo: Unganzwa moyo wako uchirova nekukurumidza, sekunge uri kurova zvine simba mukati mechipfuva chako.

Yeuka kuti zviratidzo izvi hazviitike kune wese munhu. Zvisinei, kana ukasangana nezviratidzo izvi kakawanda, zvakanaka kuti uone chiremba.

Sei `Accelerated Idioventricular Rhythm (AIVR)` iyi ichiitika? Ndezvipi zvikonzero?

Pane zvikonzero zvakawanda zve `Accelerated Idioventricular Rhythm (AIVR)` zvatakambotaura nezvazvo, inova mamiriro ezvinhu apo moyo unorova nepamusana pe50-110 beats paminiti. Izvi ndeizvi:

• Myocarditis (kuzvimba kwetsandanyama yemwoyo).
• Mushure mekurwara nemoyo.
• Mamwe marudzi e `cardiomyopathies` (cardiomyopathy - chirwere chetsandanyama dzemwoyo).
• Mushure mekumutswazve (semuenzaniso, mushure mekurwara nemoyo, kana wamutswazve ne `CPR`).
• potassium yakawanda kwazvo mumuviri.
• Huturu hunokonzerwa nekutora mushonga wemwoyo wakawandisa `Digoxin (Digitek® kana Cardoxin®)`.

Chiremba anowana sei izvi?

Kana uine zviratidzo izvi, kana chimwe chikonzero, paunoona chiremba, ndiye anotanga akuongorora zvakakwana ('bvunzo yemuviri'). Ipapo iye achakubvunza nezvenhoroondo yako yezvekurapa uye nhoroondo yemhuri.

Pamusoro pezvo, bvunzo dzinotevera dzinogona kuitwa kuti uone kana chirwere ichi che 'Idioventricular Rhythm' chiripo:

• Electrocardiogram (ECG/EKG): Iyi ndiyo bvunzo inonyanya kukosha. Inonyora mashandiro emagetsi emwoyo. MuIdioventricular Rhythm, ECG inoratidza kuti makamuri epasi emwoyo ari kurova nerhythm yakajairwa, asi makamuri epamusoro (atria) haana kurongeka kana kuti haasipo.
• `Holter monitor`: Uyu wakaita semuchina mudiki we`ECG`. Asi unofanira kuupfeka kwemaawa makumi maviri nemana kana makumi mana nemasere. Unogona kutarisa kuti moyo wako unochinja sei paunenge uchiita mabasa ako ezuva nezuva. Dzimwe nguva, mafambiro aya asingawanzoonekwi munguva pfupi inotora kuti uwane `ECG`.

Mishonga yacho ndeyei? Izvi zvinotofanira kutyiwa here?

Heino mashoko akanaka! Kune vanhu vazhinji, chirwere chinonzi ``Idioventricular Rhythm'' hachina njodzi (``isina njodzi``) uye hachidi kurapwa kwakakosha. Kazhinji, chinongopera chega.

Zvisinei, kana chiremba wako akasarudza kurapa chirwere ichi, kazhinji kacho chinoitika nekurapa dambudziko guru rakakonzera chirwere ichi. Semuenzaniso:

• Kana chirwere ichi chakakonzerwa nemushonga, rega kana kuchinja mushonga iwoyo.
• Kana paine dambudziko nekushanda kwemoyo (semuenzaniso heart block), rapa.

Zvino, kana `Accelerated Idioventricular Rhythm (AIVR)` ikaramba iripo, uye BP yako iri kudererawo, saka chiremba anogona kuita zvinotevera kuti adzorere kurova kwemoyo kwakajairika:

• Kupa mishonga yakaita seAtropine (Atreza® kana Sal-Tropine®)` kana `isoproterenol`.
• Kushandisa mudziyo wakakosha (semuenzaniso, pacemaker yenguva pfupi) kudzoreredza kurira kwemakamuri epamusoro emwoyo.

Chii chatingaita kuti tideredze njodzi iyi?

Kunyange zvazvo Idioventricular Rhythm isingakuvadzi muzviitiko zvakawanda, njodzi yekubatwa nemamiriro ezvinhu akadaro inogona kuderedzwa zvishoma nekutora matanho ekuchengetedza moyo yedu ine hutano.

• Rovedza muviri nguva dzose uye idya chikafu chine hutano pamoyo (mafuta mashoma, munyu, uye shuga shoma, michero nemiriwo yakawanda).
• Edza kuchengetedza huwandu hwe electrolytes mumuviri wako (kunyanya potassium) hwakaenzana . Kudya kwakaringana kwakakosha pakuita izvi.

Chii chinoitika kana uine `Idioventricular Rhythm`? Chii chaunotarisira?

Zvakare, kune vanhu vazhinji, ichi hachisi chirwere chine njodzi uye chinopera pasina kurapwa. Zvisinei, kana uchigara uchirova mwoyo uye kurova kwemoyo uku kukaramba kuripo pasina kudzokera kune zvakajairika, unofanira kutsvaga rubatsiro rwechiremba.

Unofanira kutsvaga mazano ekurapa rini?

Kazhinji, haufanirwe kuita chero chinhu chakakosha che 'Idioventricular Rhythm'. Chinongopera chega. Zvisinei, kana chirwere ichi chikasapora chega uye ukaona zviratidzo zvakaita sekufenda, enda kuna chiremba nekukasika.

Chinonyanya kukosha: Kana uchifunga kuti une zviratidzo zve "Heart Attack" (semuenzaniso kurwadziwa kwakanyanya pakati pechipfuva, kunetseka kufema, kurutsa, kudikitira zvakanyanya), fonera 1990 nekukasika wofonera amburenzi!

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana chiremba wako akakuudza kuti une "Idioventricular Rhythm", zvakanaka kubvunza mibvunzo iyi:

• "Chiremba, mungandiudza here kuti chii chiri kukonzera `Idioventricular Rhythm` yangu?"
• "Kana ndichida kurapwa kweizvi, ndeipi nzira yakanakisisa yekurapa?"

Kunyange hazvo `Idioventricular Rhythm` isingawanzova dambudziko guru, mamwe maitiro emwoyo asina kujairika anogona kuva nengozi. Saka, kana ukanzwa kurova kwemoyo kusinganzwisisike, kana ukasangana nezvinhu zvakaita sedzungu, enda kuna chiremba nekukurumidza. Kana chiremba wako akakuudza kuti utange kana kurega kutora chero mushonga, tevera mirairo iyoyo nemazvo. Zvakare, zvakakosha kuenda kunoongororwa 'kwekutevera' pamazuva akarongwa.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, ngatikuyeuchidzei muchidimbu zvimwe zvinhu zvakakosha kubva pane zvatataura nezvazvo:

• Idioventricular Rhythm mutinhimira wemoyo unotangira mumakamuri epasi (masero) emwoyo uye unowanzo nonoka.
• Kazhinji, ichi hachisi chirwere chine njodzi. Vanhu vazhinji havatomboratidzi zviratidzo.
• Zvisinei, kana chirwere ichi chikaramba chiine zviratidzo zvakaita sekusvotwa , unofanira kutsvaga rubatsiro rwechiremba.
• Kurapwa kunowanzo gadzirisa dambudziko riripo rakakonzera chirwere ichi, uye dzimwe nguva kunogona kugadziriswa nemishonga.
• Gara uchitevedzera mirairo yachiremba wako uye enda kunoongororwa kwakarongwa.

Zvakakosha zvikuru kuchengetedza moyo wako. Ndinovimba ruzivo urwu ruchakubatsira!

Rhythm yeIdioventricular , mutinhimira wemwoyo, kurova kwemoyo kunonoka, Rhythm yeIdioventricular Inokurumidza, zviratidzo zvechirwere chemwoyo, ECG, Holter monitor