Mwoyo wako unorova nekukurumidza here? Ngatidzidzei nezve (Junctional Tachycardia) iyi!

Iwe kana mumwe munhu mumhuri yako, kunyanya mwana mudiki, makambosangana nekurova kwemoyo kamwe kamwe, kusingafungidzike here? Kana kuti makatya here apo chiremba akakuudzai zita rekuti `(Junctional Tachycardia)`? Musazvidya mwoyo. Ichi chirwere chisingawanzoitiki, asi kana machinzwisisa zviri nyore, muchanzwa zororo guru. Ngatitaurei nezvazvo zvakadzama nhasi.

Chii chinonzi `(Junctional Tachycardia)`? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, `(Junctional Tachycardia)` inyaya yekuti mutinhimira wemwoyo wedu, kureva kuti, maitiro ekurova kwemoyo wedu, wakasiyana zvishoma, uye unoitika nekukurumidza. Kutaura chokwadi, chinoitika pano ndechekuti kurova kwemoyo hakutangi kubva panzvimbo chaiyo, asi kunotangira kubva panzvimbo yakasiyana uye kunotanga kumhanya nekukurumidza.

Fungidzira, mwoyo wedu une sisitimu yemagetsi. Izvi ndizvo zvinopa moyo chiratidzo chekurova panguva yakakodzera. Kazhinji, chiratidzo ichi chinotangira panzvimbo diki inonzi `(Sinoatrial node)` iri pamusoro pemoyo. Zvakafanana neswitch huru mumba medu. Kubva ipapo, meseji yemagetsi inofamba mumoyo wese uye inoita kuti tsandanyama yemoyo igumbuke uye irove. Tinoidaidza kuti `(Normal Sinus Rhythm)`.

Zvisinei, dzimwe nguva kana chimwe chinhu chikaitika kune iyi `(Sinoatrial node)`, haigone kushanda nemazvo. Kungofanana nemutambi anotsiva mumutambo apo mutambi mukuru ari kurwara, imwe nzvimbo mumoyo, kureva `(Atrioventricular node)` iri pakati pemakamuri epamusoro neapasi emoyo (iyi inogonawo kunzi "jointion" yemoyo), inotora mutoro wekutanga kurova kwemoyo. Nenzira iyi, moyo unorova nekukurumidza uchitanga kubva pajoinho remoyo unonzi `(Junctional Tachycardia)`.

Kazhinji, patinenge takazorora, mwoyo yedu inorova pakati pe60 ne100 paminiti. Zvisinei, kune munhu ane ``Junctional Tachycardia``, moyo unorova kanopfuura zana paminiti, dzimwe nguva nekukurumidza zvikuru.

Ndedzipi mhando huru dze `(Junctional Tachycardia)`?

Kusarongeka kwemutinhimira wemoyo uku kunogona kuitika nenzira mbiri huru.

1. Chikamu chekutanga kana chekuzvarwa nacho (Junctional Tachycardia)

Iyi ndiyo mhando isingawanzoitiki. Vamwe vacheche vanogona kuva nechirwere ichi pakuzvarwa. Kana izvi zvikaitika, makamuri epasi ('ventricles') emwoyo wemwana anogona kurova nekukurumidza zvikuru, kanenge ka200 kusvika ku250 paminiti. Ichi chirwere chakakomba zvikuru.

2. Chikamu chechipiri kana kuti mushure mekuvhiyiwa (Junctional Tachycardia)

Rudzi urwu ndirwo rwakajairika. Runogona kuitika, kunyanya kuvana vadiki vane dambudziko remwoyo ravakaberekwa naro mushure mekuvhiyiwa kuti rigadziriswe. Semuenzaniso, vamwe vacheche vanovhiyiwa kuti vagadzirise dambudziko remwoyo rinonzi Tetralogy of Fallot vanogona kuva nedambudziko iri. Rinogona kuitika pakati pe5% ne11% yevana vanovhiyiwa.

Ko `(Junctional Tachycardia)` i`(SVT)` here?

Ehe, `(Junctional Tachycardia)` rudzi rwe`(SVT)`. `(SVT)` inomirira `(Supraventricular Tachycardia)`. Kureva kuti, kurova kwemoyo nekukurumidza kunotanga mumakamuri epamusoro emoyo (pamusoro pe`Ventricles`).

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Kurwara kwemwoyo (Junctional Tachycardia) hakuwanzoitiki muvanhu vakuru. Zvisinei, kunowanzoitika muvacheche nevana vadiki. Sezvambotaurwa, kunogona kuitika nekuda kwechikonzero chekuzvarwa nacho (chisingawanzoitiki) kana mushure mekuvhiyiwa kwemoyo.

Zviratidzo zvacho chii? Tinozviziva sei?

Dzimwe nguva chirwere ichi chinogona kuitika pasina zviratidzo. Asi kana zviratidzo zvikaonekwa, zvinogona kusanganisira:

• Kurova kwemoyo nepfungwa : Zvinogona kuita sekuti mumwe munhu ari kumhanya muchipfuva chako, kana kuti moyo wako uri kumhanya kamwe chete kana kaviri.
• Dzungu : Unganzwa dzungu uye uchinetseka kumira.
• Kufenda : Unogona kurasikirwa nepfungwa kamwe kamwe wodonha.
• Kunzwa kuneta zvakanyanya : Unganzwa kuneta zvekuti haugone kuita chero chinhu.

Kana zviratidzo izvi zvikaonekwa, kunyanya kumwana mudiki, zvakakosha zvikuru kutsvaga rubatsiro rwechiremba nekukasika.

Ndezvipi zvikonzero zve `(Junctional Tachycardia)`?

Pane zvikonzero zvakawanda zvinogona kukanganisa ``Sinoatrial node`` mumoyo medu kuti tigadzire masaini emagetsi nemazvo. Ndosaka ``Junctional Tachycardia`` ichiitika.

Semuenzaniso, chirwere ichi chinogona kuitika nekuda kwechepfu yemushonga `(Digoxin)` (mazita emhando `Cardoxin®` kana `Digitek®`).

Heano zvimwe zvikonzero zvishoma:

• Myocarditis : Kuzvimba kwetsandanyama yemwoyo.
• Kurwara nemoyo .
• Kutsiva mavharuvhu emwoyo kana kumwe kuvhiyiwa kwemoyo.
• Chirwere chemwoyo chekuzvarwa nacho : Ichi chikonzero chisingawanzoitiki.
• Kubvisa catheter inzira yekurapa imwe chirwere chemwoyo.
• Chirwere cheLyme .

Nzira yekuziva `(Junctional Tachycardia)`?

Muedzo mukuru wekuongorora chirwere ichi ndewe `(Electrocardiogram - ECG)`. Iyi inorekodha mashandiro emagetsi emwoyo. Munhu ane `(Junctional Tachycardia)` anenge aine `P wave`` isipo kubva ku `ECG``. Iyi `P wave`` chiratidzo chekuti moyo unotanga kurova kubva ku `(Sinoatrial node).``

Pamusoro peECG, chiremba wako achanyora nhoroondo yako yese yezvekurapa. Anogonawo kuraira mimwe miedzo, yakadai sekuongororwa kweropa uye echocardiogram, inova ultrasound yemoyo.

Inorapwa sei?

Kurapwa kunoenderana nechikonzero chechirwere uye zviratidzo zvako. Kana kurova kwemoyo kwakatanga mushure mekuvhiyiwa kwemoyo, chiremba wako anogona:

• Kugadzirisa kusawirirana kwema electrolyte mumuviri.
• Tarisa kana uine fivha, uye kana zvakadaro, irape.
• Kunyora mishonga yekuderedza kurova kwemoyo.

Kune mamwe marapirwo:

• Mishonga inoderedza kurova kwemoyo kana kuidzosera ku rhythm yakajairika, yakaita se `(Amiodarone)` (mazita emhando `Cordarone®` kana `Pacerone®`), inogona kupihwa.
• Nzira dzekurapa dzinonzi `(Catheter ablation)` kana `(Cryoablation)` ndidzo. Muizvi, catheter inopinzwa munzvimbo yemoyo iyo iri kukonzera masaini emagetsi asina kurongeka uye inoparadza nzvimbo iyoyo. `(Cryoablation)` inzira inoshandisa kutonhora kwakanyanya.
• Kufambisa mwoyo zvakanyanya: Kuedza kudzoreredza kumhanya kwemoyo kuti kuenderane nemamiriro ezvinhu uchishandisa mudziyo wekunze, wakaita semuchina wekubatsira kufema.

Pane matambudziko aripo here pakurapwa?

Mushure mekurapwa kwe `(Catheter ablation)`, dzimwe nguva rhythm iyi isina kujairika inogona kudzoka. Zvakare, ne `(Catheter ablation)` muvanhu vakuru, pane njodzi ye `(Atrioventricular block)` (ndiko kuti, kuvharika kwemuchina unotevera unotakura chiratidzo chemagetsi mushure me `(Sinoatrial node)`). Nekuti njodzi iyi yakaderera, vanachiremba dzimwe nguva vanoshandisa nzira ye `(Cryoablation)`. Kana kurapwa kwe `(Ablation)` kukasabudirira mushure menguva dzinenge mbiri, ungangodawo kuiswa `(Pacemaker)` (mudziyo mudiki unodzora kurova kwemoyo).

Zvinotora nguva yakareba sei kuti upore kubva mukurapwa uku?

Kazhinji, mushure mekubviswa kwecatheter, unogona kudzokera kumba wotangazve mabasa ako enguva dzose ipapo ipapo. Zvisinei, ungangoda kumirira kwemazuva mashoma usati waita chero mabasa anorema. Chiremba wako achakupa mirairo chaiyo nezveizvi.

Njodzi ye `(Junctional Tachycardia)` inogona kuderedzwa here?

Vanachiremba vanogona kuderedza njodzi yekubatwa neJunctional Tachycardia nekupa mimwe mishonga vasati vavhiyiwa kana panguva yekuvhiyiwa. Semuenzaniso:

• `(Magnesium)`
• `(Propranolol)` (mazita emhando `Inderal®XL` kana `InnoPran®XL`)
• `(Dexmedetomidine)` (Iyi dzimwe nguva inoshandiswa panguva yekuvhiyiwa kwemwoyo pavana vadiki)

Chii chingatarisirwa nemunhu ane `(Junctional Tachycardia)`?

Kana chikonzero chechirwere ichi chisina kujairika chawanikwa uye charapwa, zviratidzo zvichavandudzika zvishoma nezvishoma. Zvisinei, uchafanira kugara muchipatara kusvika mamiriro ako e "Junctional Tachycardia" ava nani.

Mhedzisiro (`Outlook`) yechirwere ichi inosiyana kubva parudzi kusvika parudzi.

• Chikamu chekutanga kana chekuzvarwa nacho (Junctional Tachycardia)Dambudziko iri rakaoma kurapa. Rinogonawo kukonzera zvirwere zvakakomba zvakaita se `(Heart failure)` (heart failure), `(Complete heart block)` (kuvharika kwakazara kwemagetsi emoyo), uye `(Ventricular fibrillation)` (kurova kusingadzoreki kwemakamuri epasi emwoyo). Kana rikasarapwa, pane mukana we9% wekufa. Zvisinei, kana rwiyo urwu rukatanga mushure memwedzi mitanhatu yekutanga yehupenyu, mhedzisiro yacho inova nani zvikuru.
• Kurwara kwechipiri kana kuti mushure mekuvhiyiwa kunowanzoitika mazuva maviri kusvika matatu mushure mekuvhiyiwa, asi kazhinji kunopera mukati mevhiki. Kunogona kukonzera BP yakaderera, dzungu, uye kurasikirwa nepfungwa.

Ndinofanira kuona chiremba rini?

Unofanira kuona chiremba wako kuti akuone mushure memavhiki maviri mushure mekunge wadzokera kumba kubva kuchipatara. Unofanirawo kuramba uchirapwa chirwere chakakonzera junctional tachycardia.

Ndinofanira kuenda kuchipatara panguva ipi (ER)?

Kana wakambobviswa catheter, tsvaga rubatsiro rwechiremba nekukasika kana ukaona chimwe chezviratidzo zvinotevera panzvimbo yakaiswa catheter (kazhinji pahudyu):

• Kana ikangoerekana yazvimba.
• Kana kubuda ropa kusingamire kunyangwe mushure mekudzvanya nekukubata.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana ukaona kuti iwe kana mwana wako ane chirwere ichi, zvakajairika kuva nemibvunzo yakawanda. Usatya kubvunza chiremba wako nezvezvinhu izvi:

• Mwana wangu/ini wangu ane rudzii rweJunctional Tachycardia?
• Ndeipi nzira yakanakisisa yekurapa chirwere changu?
• Pane mukana here wekuti vamwe vana vangu vachavawo nechirwere ichi?

Kana mwana wako aine Junctional Tachycardia, bvunza chiremba wako nezvezviratidzo zvacho wozvinzwisisa. Kana chimwe chinhu chakadai chikaitika zvakare, unogona kuzviona nekukurumidza. Usatya kubvunza mibvunzo nezvekurapa kuri kuitwa mwana wako uye njodzi dziripo. Kuziva zvese izvi kuchakubatsira kuita sarudzo dzakanakisa dzehutano hwemwana wako.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Usatya kana ukanzwa zita rekuti `(Junctional Tachycardia)`. Iri idambudziko nemutinhimira wemoyo, asi:

• Izvi zvinogona kuonekwa. Izvi zvinogona kuonekwa kuburikidza nemiedzo yakaita se `ECG`.
• Kune mishonga. Zvichienderana nechikonzero, inogona kudzorwa nemishonga kana nzira dzakadai sekuti ``(Ablation)```.
• Rudzi rwechirwere runoitika, kunyanya mushure mekuvhiyiwa, runowanzova rwenguva pfupi. Ruchapora mumazuva mashoma.
• Taura nachiremba wako pachena. Taura nachiremba wako nezvemibvunzo yako yese nezvaunotya uye unzwe wakasununguka.

Chinhu chinonyanya kukosha ndechekuyeuka kuti hausi wega. Vanachiremba nevashandi vehutano vanogara vakagadzirira kukubatsira.

Tinokushuvira iwe nemhuri yako hutano hwakanaka!

Kurova kwemoyo , Chirwere chemwoyo, Tachycardia, Chirwere chemwoyo chevana, ECG, Kuvhiyiwa kwemwoyo, Junctional Tachycardia