Mwoyo wako unorova zvakanyanya here dzimwe nguva? Ngatidzidzei nezve (Premature Junctional Contraction)!

Maiwe, wakambonzwa here kuti moyo wako wakangoerekana wasvetuka, kana kuti wakatanga kurova zvakanyanya? Kana kuti wakanzwa here kuti chipfuva chako chaive chichirova? Dzimwe nguva tinofunga kuti izvi zvinhu zvisina kurongeka, asi dzimwe nguva pangave nechikonzero chidiki chekurapa chiri shure kweizvi. Nhasi tichataura nezvekurova kwakanyanya mumoyo, kunonzi `(Premature Junctional Contraction)` kana PJC.

Chii ichi (Premature Junctional Contraction)? Ngatinzwisise zviri nyore?

Zvichitaurwa zviri nyore, `(Premature Junctional Contraction)` ikurova kwemoyo kwekuwedzera kunoitika nguva isati yasvika . Izvi zvinotanga panzvimbo yakakosha mumoyo, yatinodaidza kuti `(Atrioventricular junction)` kana kuti AV junction. Fungidzira, moyo wedu une makamuri maviri kumusoro, yatinodaidza kuti atria. Kune mamwe makamuri maviri pasi, atinodaidza kuti ventricles. Pakati peatria neventricles, kutaura chokwadi, iyi AV junction iri pakati pemoyo. Ndipo panotangira kurova uku kwekutanga.

PJC chaizvoizvo i'(Arrhythmia)', zvinoreva kusarongeka kwemutinhimira wemwoyo . Kazhinji, mwoyo wedu unorova pamutinhimira chaiwo. Chikonzero cheizvi isystem diki yemagetsi iri mumoyo pachawo. Masaini aya emagetsi anoudza moyo kuti "rova izvozvi, rova ​​izvozvi". Zvisinei, kana chimwe chinhu chikakanganisa masaini aya emagetsi, ipapo kurova kwemoyo kunova kusarongeka. Ndizvo zvatinodaidza kuti '(Arrhythmia)'. Ipapo kurova kwemoyo kunogona kunge kwakaita seizvi:

• Zvinogona kunge zvisina kurongeka: kureva kuti, kurova kunosiiwa, kurova kwekuwedzera kunoitika, kana kuti kurova hakuna kufanana.
• Zvinogona kunonoka zvikuru: tinozvidaidza kuti ``Bradycardia''.
• Inogona kurova nekukurumidza zvikuru: izvi zvinonzi `(Tachycardia)`.

PJC iri muchikamu chinouya nekuwedzera kwekukanda.

Ndiani ane mukana mukuru wekuva nePremature Junctional Contractions?

Kazhinji, PJC inowanikwa muvanhu vane chirwere chemwoyo (kukundikana kwemoyo) kana chimwe chirwere chemwoyo. Zvisinei, dzimwe nguva PJC inogonawo kuitika kune vanhu vane moyo ine hutano isina chirwere . Saka, zvakaoma kutaura pasina mubvunzo kuti izvi zvinoitika chete kune vamwe vanhu.

Izvi (Premature Junctional Contractions) zvakajairika sei?

PJC chirwere chisingawanzoitiki pane dzimwe mhando dzekurova kwemoyo zvakanyanya. Semuenzaniso, `(Premature Atrial Contractions - PACs)` kana `(Premature Ventricular Contractions - PVCs)` zvakajairika zvishoma pane PJC. Pakati pezvirwere zvemoyo, `(Atrial fibrillation - Afib)` ndicho chirwere chinowanzoitika.

Izvi (Premature Junctional Contraction) zvinondikanganisa sei?

Fungidzira, unowana imwe kana mbiri dzePJC idzi kashoma. Saka zvingasava dambudziko guru . Pamwe hauzotombozvioni.

Asi, iyi PJCKana zvikaitika kakawanda, nguva dzose, saka unofanira kunetseka zvishoma. Nekuti, kana PJC ikaitika kakawanda, inogona kuchinja kuita chirwere chinonzi `(Junctional tachycardia)`. Kureva kuti, chirwere umo moyo unorova nekukurumidza , kutanga kubva paAV junction yatakambotaura. `(Junctional tachycardia)` dzimwe nguva ingada kurapwa . Semuenzaniso, mishonga inogona kupihwa kudzora kurova kwemoyo uye kuidzosera padanho rakajairika.

Ndezvipi zvinokonzera marwadzo epamuviri asati asvika nguva?

Pane zvinhu zvakawanda zvinogona kukonzera PJC. Ngatitarisei zvinhu zvikuru:

• Chepfu yeDigitoxin: Digitalis (semuenzaniso Digoxin, Digitoxin) mushonga unoshandiswa kurapa mamwe matambudziko emwoyo akadai sekushaya simba kwemoyo uye kusagadzikana kwemoyo. Kana ukatora mushonga uyu wakawandisa, kana kuti muviri wako usingakwanise kuubata nemazvo, unogona kuva nechirwere chinonzi digitalis toxicity. Ichi ndicho chikonzero chikuru chePJC.
• Kushandisa caffeine zvakanyanya: Kunwa caffeine zvakanyanya, inowanikwa mukofi, tii, nezvimwe zvinwiwa zvinopa simba.
• Chirwere chetsinga dzeropa: Kuvharika kwetsinga dzinopa ropa kumoyo.
• Kunwa doro: Kufanana nechero chinhu chipi zvacho, kunwa doro rakawandisa hakuna kunaka.
• Kusawirirana kwemaelectrolyte: Kusawirirana kwemaelectrolyte emuviri, akadai sesodium nepotassium.
• Hypoxemia: Kuderera kwehuwandu hweokisijeni muropa.
• Kutadza kushanda kwemoyo: Mwoyo haugone kupomba ropa zvakanaka.
• Kusvuta kana kushandisa zvigadzirwa zvefodya.

PJC inogona kuitika nekuda kwechimwe kana zvimwe zvezvikonzero izvi.

Ndezvipi zviratidzo zve (Premature Junctional Contraction)?

Kana usingawanzova nePJC, ungasaona zviratidzo . Zvisinei, kana uine PJC kakawanda, unogona kusangana nezvinotevera:

• Kuneta: Kungonzwa kuneta uye kusisina hupenyu.
• Kusanzwa zvakanaka: Kunzwa dzungu kana kufenda.
• Kurova kwemoyo: Kunzwa kurova kwemoyo nekukurumidza, kurova, kana kurova kwemoyo muchipfuva.

Yeuka, zviratidzo izvi hazvionekwi nemunhu wese. Vamwe vanhu vanogona kunge vasina kana chimwe chazvo.

Nzira yekuziva sei (Premature Junctional Contractions)?

Kana ukaudza chiremba nezvezviratidzo zvako, vanotanga vakubvunza nezvazvo vobva vaita bvunzo yemuviri. Vanogonawo kubvunza nezve:

• Nhoroondo yehutano hwako: Zvinhu zvakaita sezvirwere zvekare, kana paine munhu mumhuri mako ane chirwere chemwoyo.
• Mishonga ipi yaunotora?Mishonga yezvimwe zvirwere, kunyangwe mavitamini.
• Mararamiro ako: Zvinhu zvakaita sekunge unosvuta fodya, unonwa doro, uye kuti unonwa kofi yakawanda sei.

Ndezvipi zviedzo zvinoshandiswa kuongorora Premature Junctional Contractions?

Kana chiremba wako achifungidzira kuti une arrhythmia, vanowanzo kuraira electrocardiogram (EKG) . Iyi bvunzo iri nyore, isingarwadzi. Vanoisa zvidhindo zvidiki (electrodes) pachipfuva chako uye vanonyora mashandiro emagetsi emwoyo wako, anova kurova kwemoyo wako.

Paunotarisa mhedzisiro yeEKG, unogona kuona PJC sekurova kudiki pakati pekurova kwemoyo kwako kwakajairika. Zvisinei, dzimwe nguva, PJC iyi inogona "kuvanzwa" mukati mekurova kwemoyo kwakajairika. Kana EKG isina kujeka, chiremba wako anogona kukurudzira mimwe miedzo. Semuenzaniso:

• Echocardiogram: Izvi zvakafanana neultrasound scan yemoyo. Inogona kutarisa chimiro uye mashandiro emoyo.
• Kuyedzwa kwekushushikana: Izvi zvinoedza mashandiro anoita mwoyo wako paunenge uchirovedza muviri (sekumhanya uri patreadmill).
• Kuongororwa kwetafura yekutsvedza: Kurova kwemoyo wako neBP zvinoongororwa paunenge wakarara pamubhedha wakasarudzika uye mubhedha wakatsvedza nemativi akasiyana. Izvi zvakakosha kune vanhu vari kunzwa kufenda.

Vanachiremba vanorapa sei Premature Junctional Contractions?

Pakurapa PJC, vanachiremba vanotanga vatarisa chikonzero chacho . Kurapa chikonzero ichocho kunogona kubatsira kudzorera kurova kwemoyo kwakajairika. Chirongwa chako chekurapa chingasanganisira:

• Kana uri kutora digitalis parizvino, funga nezvekuderedza kana kuwedzera dosage .
• Kupa mimwe mishonga yekurapa chirwere chinonzi "(Digitalis toxicity)``.
• Kurapa zvirwere zvakaita sekushaya simba kwemoyo kana chirwere chetsinga yeropa nemishonga .
• Kuchinja mararamiro: Zvinhu zvakaita sekurega kusvuta, kuderedza doro kana kunwa caffeine.

Chinhu chinonyanya kukosha kutevedzera mazano echiremba.

Kubatana Kwenhengo Dzemuviri Pamberi Penguva Yekubereka Kunogona Kudzivirirwa Here?

Zvingasava nyore nguva dzose kudzivirira chirwere chePJC zvachose . Zvisinei, kutevedzera mararamiro ane hutano uye kuona chiremba wako nguva dzose kunogona kubatsira kuchengetedza moyo wako uine hutano. Chiremba wako anogona kukurudzira zvinotevera:

• Deredza kana kurega kunwa doro: Varume havafaniri kunwa doro rinodarika maviri pazuva. Vakadzi havafaniri kunwa doro rinodarika rimwe chete pazuva.
• Kuderedza huwandu hwecaffeine yaunowana kubva muzvinhu zvakaita sekofi nezvinwiwa zvinopa simba.
• Kusasvuta kana kushandisa zvigadzirwa zvefodya.Kana watozviita, rega zvachose.
• Kudya chikafu chine hutano chakapfuma mumichero, miriwo, nyemba, uye zviyo zvakakwana.
• Kurovedza muviri nguva dzose sekufamba netsoka.
• Kugadzirisa kushushikana .
• Kutora mishonga sezvakarairwa kuti ubatsire pakurapa mamwe matambudziko ehutano.

Kubatana kwenhengo dzemuviri dzisati dzatanga (Premature Junctional Contractions) kunogara kwenguva yakareba sei?

Kana chikonzero chacho chikarapwa nemazvo, PJC inogona kuvandudzika kana kunyangarika zvachose , zvichienderana nemamiriro ako ezvinhu uye maitiro ako ekurapwa.

Pane migumisiro yenguva refu yePremature Junctional Contractions here?

Kashoma, PJC haikonzeri kukuvara kwemoyo . Zvisinei, kana PJC ikakonzerwa nechimwe chirwere chemwoyo, unofanira kuona chiremba wako kuti moyo wako ugare wakagwinya. Kuita izvi kunogona kubatsira kudzivirira kana kuderedza migumisiro yenguva refu yechirwere chemwoyo.

Unofanira kutsvaga rubatsiro rwechiremba riini kana uine (Premature Junctional Contractions)?

Kana zviratidzo zvako zvikachinja kana kuti zvikanyanya kuipa, iva nechokwadi chekuona chiremba wako . Zvakare, kana ukaona zviratidzo zve "kukundikana kwemoyo", taurira chiremba wako nekukasika. Zviratidzo izvi zvinosanganisira:

• Kukosora kwakaoma uye kunorwadza .
• Kufenda .
• Kunzwa kuneta kana kushaya simba paunenge uchirovedza muviri kana kuita chero chii zvacho.
• Kushaya mweya (dyspnea)
• Kuzvimba muzvitsitsinho, makumbo kana dumbu .

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, tataura zvakawanda nezve `(Premature Junctional Contraction)` ikozvino.

Kurwadziwa kwenhengo dzemuviri dzisati dzakura kazhinji hakusi chirwere chakakomba . Dzimwe nguva, chaunongoda kuita kungoshanyira chiremba wako kuti anoongororwa.

Zvisinei, kana chikonzero chePJC chiri chimwe chirwere chemwoyo, chiremba wako anokurudzira kurapwa kwakakodzera uye kunoshanda. Vanhu vazhinji vane PJC vanorarama hupenyu hune hutano uye hunoshanda . Saka, usatya zvisina kufanira. Asi kana uine zviratidzo, usakanganwa kutsvaga mazano echiremba. Hutano hwakanaka kwauri!

Kubata kwenhengo dzemuviri dzisati dzakura, Kurova kwemoyo, Kurira kwemoyo, Kusagadzikana kwemoyo, Kubatana kwemoyo, Kubatana kweAV, Chirwere chemoyo, EKG