Mwoyo wako unorova nekukurumidzawo here? Izvi zvinogona kunge zviri Multifocal Atrial Tachycardia (MAT) here?

Dzimwe nguva unonzwa sekuti moyo wako uri kurova zvekupenga here? Kana kuti unonzwa chimwe chinhu chinoshamisa, sekurema muchipfuva chako? Usavhunduke, usakurumidza kufunga kuti zvese izvi zviri kuitika nekuda kwechimwe chinhu chakakomba. Zvisinei, dzimwe nguva zviratidzo izvi zvinogona kuva chiratidzo chechirwere chinonzi Multifocal Atrial Tachycardia (MAT) , chatichataura nezvacho nhasi. Saka, ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi multifocal atrial tachycardia (MAT)?

Zvichitaurwa zviri nyore, multifocal atrial tachycardia (MAT) chirwere chinoitika kana masaini emagetsi anobva mumakamuri maviri epamusoro emwoyo wako, anonzi atria, akagadzirwa nenzira isina kurongeka, kubva kunzvimbo dzakasiyana. Funga nezvazvo sekunge "nzvimbo dzemashoko emagetsi" mumakamuri aya epamusoro emoyo wako dzinotanga kushanda panguva imwe chete. Izvi zvinoita kuti mwoyo wako urove nekukurumidza uye zvisina kurongeka . Kazhinji, kurova kwemoyo wako kunodarika kurova zana paminiti, asi mune dzimwe nguva, kunogona kusvika kurova zana nemakumi mashanu paminiti muMAT. Inonziwo Chaotic Atrial Tachycardia , zvinoreva "chaotic atrial tachycardia."

Ndeupi musiyano uripo pakati peMAT neAtrial Fibrillation?

Matambudziko ese aya maitiro emwoyo asina kujairika anoitika mumakamuri epamusoro emoyo, iyo atria. Kutaura zvazviri, dzimwe nguva munhu ane MAT anogona kuonekwa zvisirizvo seane atrial fibrillation . Zvisinei, chiremba anogona kuona mutsauko pakati pezviviri izvi nekutarisa mhedzisiro yeElectrocardiogram (EKG) . Anonyanya kutarisa 'mafungu eP' paEKG, ayo anonyorwa kana atria yemoyo yabatana. Zviviri izvi zvinosiyaniswa nemaitiro azvo.

Zvakakosha kuti, inenge hafu yevanhu vane MAT vanogona kuzopedzisira vava ne atrial fibrillation kana atrial flutter.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

MAT inowanzoonekwa kakawanda muvanhu vakuru, kazhinji vane makore angangoita makumi manomwe ekuberekwa . Zvisinei, zvakakosha kuyeuka kuti inogonawo kuitika kuvana vadiki. Kazhinji, vanhu vane MAT ndevaya vanorwara zvakanyanya panguva iyoyo. Izvi zvinoreva kuti MAT inowanzoitika nekuda kwekuwedzera kwechimwe chirwere pane kana munhu ane hutano akaerekana awana MAT.

Ichi chirwere chemwoyo chisingawanzoitiki . MAT inowanikwa muzvirwere zvemwoyo zvisingasviki 1% (arrhythmias).

Chii chinoitika kumuviri wako kubva kuMAT?

Funga nezvemoyo wako sepombi yemvura. Inopomba ropa mumuviri wako wese. Inoita basa rayo nemazvo chete kana ikarova nekumhanya kwakakodzera uye mutinhimira wakakodzera.

Zvisinei, mumamiriro ezvinhu akaita seMAT, mwoyo unorova nekukurumidza., makamuri mana emwoyo haawani nguva yakakwana yekuzara neropa. Ropa risina okisijeni rinofamba nepakati pemoyo kuenda kumapapu, rotora okisijeni, rozodzokera kumoyo kuti ripombwe mumuviri wese. Nekuti nguva iri pakati pekurova kwemoyo uku ipfupi, huwandu hweropa rinozadza makamuri emwoyo panguva imwe chete hushoma pane hwakajairika. Izvi zvinoreva kuti huwandu hweropa rinoenda kumasero emuviri wako nekurova kwemoyo kwega kwega hushomawo . Izvi zvinogona kukonzera kuti muviri wako usawane okisijeni nezvinovaka muviri zvaunoda.

Ndezvipi zviratidzo zveMAT?

Vanhu vazhinji havaone zviratidzo zvakananga nekuda kweMAT. Zvisinei, unogona kunge uine zviratidzo zvezvimwe zvirwere zvinogona kunge zvakakonzera MAT.

Zvisinei, dzimwe nguva MAT inogona kukonzera zviratidzo zvakaita seizvi:

• Kurwadziwa kwechipfuva kana kuomarara
• Kurova kwemoyo (kunzwa sekuti moyo wako uri kurova nekukurumidza)
• Kushaya mweya
• Kufenda, kurasikirwa nepfungwa

Ndezvipi zvikonzero zveMAT?

Ruzhinji rwevanhu vane MAT (pakati pe60% ne85%) vane zvirwere zvine chekuita nemapapu . Pazvirwere izvi , Chronic Obstructive Pulmonary Disease (COPD) ndiyo inonyanya kukonzera. Fungidzira, vamwe vanhu vane kukosora kusingaperi, kufemera, nezvimwe zvakadaro.

Zvimwe zvikonzero zvinogona kunzi:

• Kutadza kufema
• Utachiona hwakakomba
• Chirwere chetsinga yeropa
• Kukundikana kwemoyo
• Kuderera kwe potassium, magnesium kana sodium mumuviri
• Kenza
• Chirwere cheshuga (chirwere cheshuga)
• Ndiri kuvhiyiwa zvakanyanya
• Kukundikana kweitsvo
• Kuputika kwemapapu (izvi hazviwanzoitiki)
• Chirwere chevharuvhu yemwoyo (izvi hazviwanzoitikiwo)

Zvichitaurwa zviri nyore, chero chirwere chakakomba chinoisa kumanikidzwa kukuru uye kunetseka pamuviri chinogona kukonzera MAT.

Ndingaziva sei kana ndine MAT?

Vanachiremba vanowanzoongorora chirwere cheMAT vachishandisa bvunzo yeElectrocardiogram (EKG) . Pamwe wakaona zvidhindo zvidiki zviri pachipfuva chako nemaoko zvinoyera mashandiro emagetsi emwoyo wako. Ndizvo zvinoonekwa. Patani iri paEKG ndeyeMAT.

Ndezvipi zvimwe zviedzo zvinoitwa kuti paonekwe kuti une MAT?

Kuti uongorore MAT nemazvo, bvunzo yeEKG yakakwana .

Zvisinei, kana wangoonekwa uine MAT, chiremba wako anogona kuraira kuongororwa kwakawanda kuti aone chirwere chiri kukonzera MAT. Izvi zvinogona kusanganisira:

• X-ray yechipfuva
• Kuongororwa kweropa - Semuenzaniso, kutarisa huwandu hwemunyu mumuviri uye kana paine hutachiona.
• Kashoma, kuongororwa kwemoyo ne ultrasound, kureva echocardiogram .

Ndezvipi zvirongwa zvekurapa MAT?

Kazhinji, vanhu vane MAT vanofanira kurapwa chirwere chakakonzera MAT . Semuenzaniso, kana uine hutachiona hwakakomba hwemapapu uye ukaita MAT, vanachiremba vanotanga vaedza kurapa hutachiona ihwohwo. Kana chirwere chakakomba charapwa, MAT inowanzo pera yoga.

Kana uine chirwere cheMAT, ungangove watove muchipatara nekuda kwechirwere chakakomba, chakadai sekushaya kufema zvakanaka. Vanachiremba vanozopa kurapwa kwakakodzera kwechirwere ichocho.

Zvisinei, dzimwe nguva kurapwa kunogona kudiwa kudzora kurova kwemoyo. Izvi zvinogona kusanganisira zvinotevera:

• MaBeta-blockers, akadai semetoprolol (Lopressor® kana Toprol®XL), anoshanda nekudzora kurova kwemoyo.
• Kupa magnesium nepotassium salts kana dzisina kukwana mumuviri.
• Mishonga inovhara calcium channel , yakaita severapamil (Verelan® kana Calan®) kana diltiazem (Diltzac® kana Cardizem®), inobatsirawo kudzora kurova kwemoyo.

Kashoma, kureva kuti, kana mamwe marapirwo asingakwanise kudzora, marapirwo akadai seAV node ablation (kudzima chikamu chenzira yemagetsi yemoyo) uye pacemaker (mudziyo wakaiswa kuti urambe uchiita kurova kwemoyo nguva dzose) anogona kushandiswa.

Pane migumisiro yakaipa here yekurapwa kwacho?

Mimwe mishonga inopiwa yeMAT inogona kukonzera migumisiro yakaipa yakaita se:

• Dzungu
• Musoro
• Dumbu rakagumbuka, sekusvotwa (Dumbu rakagumbuka)
• Manyoka
• Kuzvimba

Kana uine chimwe chezvizvi, udza chiremba wako. Anogona kuchinja dosi kana kunyora mumwe mushonga.

Ungaderedza sei njodzi yekubatwa neMAT?

Chikonzero chikuru cheMAT kuwedzera kwemamwe matambudziko ehutano, kunyanya chirwere chemapapu kana chirwere chemwoyo. Saka, kana uchikwanisa kudzora chirwere chako chemapapu (chakadai seCOPD, asthma) kana chirwere chemwoyo zvakanaka , kureva kuti, kana ukatora mishonga yako sezvakarairwa nachiremba wako nenguva uye ukaongororwa nguva nenguva, unogona kuderedza njodzi yako yekubatwa neMAT.

Chii chinoitika kumunhu ane MAT? Remangwana rakaita sei?

Uchakwanisa kudzokera kumba kubva kuchipatara mushure mekunge chirwere chakakonzera MAT charapwa zvinobudirira. Chirwere chacho, MAT, chinowanzopera kana chikonzero chacho charapwa.

Zvisinei, fungidziro yekuti munhu ane MAT achava nechirwere ichi inotsamira pakuoma kwechirwere chacho kwete paMAT pachayo.Nekuti zvirwere zvinokonzera MAT (zvakadai sekukundikana kwemapapu, hutachiona hwakanyanya) dzimwe nguva zvinogona kuisa hupenyu panjodzi, pakati pe30% ne60% yevanhu vane MAT vanofa panguva yekugara kwavo muchipatara. Yeuka, kufa uku kazhinji hakubvi kuMAT pachayo, asi kunokonzerwa nechirwere chakaikonzera.

Ndinozvitarisira sei?

Kana uine MAT uye chirwere chiripo chakarapwa, chiremba wako anogona kukukurudzira kuti urambe uchitora beta-blockers kana calcium channel blockers kwenguva yakati. Zvisinei, izvi zvinoitika chete kune vanhu vanosvika 25% vane MAT.

Chinhu chinonyanya kukosha ndechekutevera mirairo yachiremba wako nemazvo. Zvakakosha kuenda kumakiriniki pamazuva akarongwa uye kutora mishonga yako nemazvo.

Ndinofanira kuona chiremba riini? Mibvunzo ipi yandinofanira kubvunza?

Uchafanirwa kupihwa nguva yekutevera chirwere chakakonzera kuti uve neMAT. Kana chiri chirwere chenguva refu (semuenzaniso, COPD), uchafanirwa kuona chiremba wako nguva nenguva kuti uve nechokwadi chekuti chiri kudzorwa zvakanaka.

Usazeza kubvunza chiremba wako mibvunzo yakaita seiyi:

• "Chiremba, ndinofanira kutora mushonga uyu wandakanyorerwa kwenguva yakareba sei?"
• "Ungatsanangura zvishoma nezveramangwana rangu here, tichitarisa mamiriro angu ezvinhu?"
• "Ndingawana chirwere ichi cheMAT zvakare here?"

Vanhu vazhinji vane MAT havana zviratidzo, saka zvinogona kushamisa kuziva kuti vane chirwere ichi. Zvisinei, chinhu chakakosha ndechekuti chiremba wako arape chirwere chiripo (kazhinji chirwere chemapapu) chiri kukonzera kurova kwemoyo kusina kujairika. Tevedzera mirairo yachiremba wako, uye iva nechokwadi chekubvunza mibvunzo kana paine chausinganzwisise. Sezvo mamiriro ako ari nani, kurova kwemoyo kusina kujairika kuchawedzerawo.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka heino nzira iri nyore yekurangarira zvatataura nezvazvo:

• MAT chirwere chinorova mwoyo nekukurumidza uye zvisina kurongeka nekuda kwemagetsi asingashande zvakanaka anobva kumusoro kwemoyo.
• Izvi zvinowanzoitika kuvanhu vane zvimwe zvirwere zvakakomba, kunyanya zvirwere zvemapapu (zvakaita seCOPD).
• Vanhu vazhinji havana zviratidzo zveMAT, asi vanogona kunge vaine zviratidzo zvechirwere chiripo.
• MAT inoongororwa nemazvo kuburikidza neEKG.
• Kurapa kwacho kunonyanya kunangana nechirwere chakakonzera MAT. Zvadaro MAT ichawedzerawo kunaka.
• Dzimwe nguva mishonga (Beta-blockers, Calcium channel blockers) inogona kupihwa kudzora kurova kwemoyo.
• Kuoma kweMAT kunotsanangurwa nechirwere chakakonzera.
• Zvakakosha kutevedzera mazano echiremba nemazvo uye kuenda kunoongororwa nguva nenguva.

Kana iwe kana mumwe munhu waunoziva aine dambudziko rakadai, usatya kuona chiremba wowana mazano. Kana rikakurumidza kuongororwa uye kurapwa, zviri nani.

` Kurova kwemoyo, chirwere chemwoyo, tachycardia, MAT, chirwere chemapapu, EKG, matambudziko ekufema