Dzimwe nguva unonzwa sekuti moyo wako unosvetuka-svetuka here? Kana kuti unonzwa sekuti shiri iri kurova mapapiro ayo muchipfuva chako, kana kuti moyo wako uri kurova zvakanyanya zvekuti uri kusvetuka-svetuka? Vanhu vazhinji vakasangana neizvi. Kazhinji, hazvina basa kuti uzvidye mwoyo nazvo. Mukurapa, chirwere ichi chinonzi Premature Ventricular Contractions, kana kuti PVC muchidimbu. Saka nhasi, ngatitaurei nezveizvi, kuti chii chinoitika, uye zvatinofanira kuziva nezvazvo.
Zvichitaurwa zviri nyore, maPVC aya chii?
Zvakanaka, kuti tinzwisise izvi, ngatitangei tatarisa mashandiro anoita mwoyo yedu. Fungidzira kuti mwoyo yedu yakaita seimba ine sisitimu diki yemagetsi. Kana imba iyi yawana magetsi panguva chaiyo chete ndipo panogona kushanda magetsi nemafeni zvakanaka. Mwoyo yedu ine sisitimu yemagetsi yakafanana.
Kazhinji, mu atrium yekurudyi pamusoro pemoyo, pane boka diki remasero rinonzi sinoatrial node kana kuti SA node. Iyi ndiyo 'master switch' yemoyo wedu. Chiratidzo chekutanga chemagetsi chinoudza moyo kuti urove chinotangira pano. Chiratidzo ichi chinozofamba mumoyo wese choenda kumakamuri maviri makuru ari pasi pemoyo, maventricles. Kana chiratidzo ichi chagamuchirwa, tsandanyama yemoyo inogumira zvakanaka uye inopomba ropa mumuviri. Iyi ndiyo nzira yakajairika.
Asi muPVC, chimwe chinhu chakasiyana zvishoma. Panzvimbo pechiratidzo chemagetsi chinotanga kurova kwemoyo kubva ku'main switch' (SA node), chinongoerekana chatanga kubva mukamuri repasi remoyo `(ventricle). Zvakafanana nekubatidza mwenje mune imwe imba panzvimbo pemain switch mumba. Izvi zvinoita kuti rhythm yemoyo ive isina kunaka. Nekuda kwekurova uku kwakawedzerwa, kurova kwemoyo kunotevera kwakajairika kunonoka. Ndipo patinonzwa sekunge 'tarasikirwa nekurova kwemoyo'. Kurova kunotevera kunogona kunzwa kwakasimba zvishoma.
Kazhinji, PVCs hadzina kuipa zvakanyanya. Vanhu vane hutano hunosvika 75% vakambosangana nadzo pane imwe nguva muhupenyu hwavo. Asi kana dzikaitika kakawanda, zvakakosha kutaura nachiremba.
Vanachiremba vanogona kushandisa mamwe mazita echirwere ichi, saka yeukai mazita aya:
- Matambudziko emudumbu asati asvika
- Extrasystoles yeVentricular
- Kurova kweventricle nguva isati yakwana
Ndiani ari panjodzi huru yekugadzira PVC?
Kunyangwe chero munhu achigona kuwana PVCs, vamwe vanhu vari panjodzi huru.
- Kune vanhu vakuru.
- Kune avo vane chirwere chemwoyo.
- Kune avo vane BP yakakwira (Hypertension).
- Kune avo vakamborwara nemoyo.
- Kune avo vane chirwere chemwoyo.
- Kune vanhu vane hypertrophic cardiomyopathy.
Ndezvipi zviratidzo zvePVC? Tinonzwa sei?
Chinhu chinoshamisa ndechekuti vanhu vazhinji vane PVCs uye havaone zviratidzo. Zvingangoitika netsaona kana chiremba wako akaita EKG yechimwe chinhu. Asi kana paine zviratidzo, zvinowanzoita seizvi:
| Chiratidzo | Zvinonzwa sei |
|---|---|
| Kurova Kwemwoyo | Moyo unorova zvisinganzwisisike mukati mechipfuva. Unonzwa sekuti moyo 'uri kusvetuka', 'kukunguruka', 'kusvetuka'. |
| Chipfuva chichibhururuka (kubhururuka) | Unganzwa seshiri iri kurova mapapiro ayo muchipfuva chako. |
| Kurova mumutsipa | Vamwe vanhu vanogona kunzwa kurova kwemoyo kwakanyanya kuburikidza netsinga dziri mumutsipa wavo. |
| Dzungu/Kusagadzikana musoro | Kana maPVC akawanda akaitika akatevedzana, unganzwa sekunge uri kurasikirwa nepfungwa kana kunzwa dzungu nekuda kwekuderera kweropa kuenda kuuropi. |
| Kushaya mweya | Izvi zvinonyanya kuonekwa kana maPVC akaonekwa mumunhu ane chimwe chirwere chemwoyo. |
Kunzwa uku kwakafanana kune wese munhu here?
Kwete. Vamwe vanhu vanogona kuva nemazana ePVC pazuva vasinganzwe chero chinhu. Vamwe vanogona kuva nekamwe kana kaviri pazuva uye vanonzwa zvakanyanya. Zvinosiyana kubva pamunhu kusvika pamunhu.
Sei tichiwana maPVC? Ndezvipi zvinokonzera?
Pane dzimwe nguva apo chikonzero chaicho chePVC hachiwanikwe. Zvisinei, zvinhu izvi zvinogona kukonzera kana kuwedzera PVC.
- Kushushikana uye Kunetseka: Patinenge takaneta kana kutya, muviri wedu unoburitsa hormone inonzi adrenaline. Izvi zvinogona kukurudzira hurongwa hwemagetsi hwemoyo uye kukonzera PVC.
- Caffeine neDoro: Caffeine nedoro, zvinowanikwa muzvinhu zvakaita sekofi, tii, chokoreti, nezvimwe zvinwiwa zvisina kudhakwa, zvinogona kukonzera kurova kwemoyo zvisina kurongeka.
- Kusawirirana kweElectrolyte: Potassium nemagnesium zvicherwa zvakakosha pakushanda zvakanaka kwezviratidzo zvemagetsi mumuviri wedu. Kuderera kweizvi kunogona kukonzera maPVC.
- Chirwere chemwoyo: Sezvambotaurwa, PVC dzinogona kukonzerwa nemamiriro ezvinhu akadai sechirwere chemwoyo, BP, uye chirwere chemwoyo.
- Zvimwe zvirwere: Izvi zvinogonawo kukonzerwa nemamiriro ezvinhu akadai se hyperthyroidism uye anemia.
- Mimwe mishonga: Mimwe mishonga inotorwa yezvirwere zvakaita seasthma inogonawo kukonzera maPVC.
Unoona sei izvi, Chiremba?
Kana uine zviratidzo izvi, chiremba wako achatanga akubvunza nezvezviratidzo zvako uye nhoroondo yezveutano hwemhuri yako. Zvadaro vachateerera mwoyo wako ne stethoscope. Pamusoro pezvo, vanogona kuita bvunzo idzi.
- Electrocardiogram (EKG/ECG): Iyi ndiyo bvunzo iri nyore. Masensa madiki akafanana nesticker anoiswa pachipfuva chako, maoko, nemakumbo uye anorekodha mashandiro emagetsi emwoyo wako kwemaminitsi akati wandei. Izvi zvinogona kuratidza zvakajeka chero maPVC aripo.
- Holter Monitor: Dzimwe nguva maPVC haawanzo kuuya. Kana achingouya kashoma pazuva, EKG yenguva dzose ingasazotorwa. Muzviitiko zvakadaro, chiremba wako achaita kuti upfeke muchina mudiki kwemaawa makumi maviri nemana kana makumi mana nemasere. Izvi zvicharamba zvichinyora kurova kwemoyo wako. Zvakafanana nekuchengeta dhayari remoyo wako.
- Kuongororwa Kwepfungwa Dzemwoyo: Kuongororwa kweEKG kunoitwa paunenge uchifamba uri patreadmill. Izvi zvinobatsira kuona kana PVC dzichiwedzera kana kudzikira panguva yekurovedza muviri.
- Echocardiogram: Uku kuongorora kwemoyo ne ultrasound. Kunogona kutarisa zvinhu zvakawanda, zvakaita semaumbirwo emwoyo, saizi yemakamuri, mashandiro emavharuvhu, uye kuti anopomba ropa zvakanaka sei. Izvi zvakakosha kuti uzive kana paine chimwe chirwere chemwoyo chiri pasi pePVCs.
- Kuongororwa Kweropa: Kuongororwa kweropa kunogona kuitwa kuti kuonekwe mazinga epotassium nemagnesium mumuviri, mazinga ehormone yethyroid, uye kana paine anemia.
MaPVC anoda kurapwa here?
Ichi ndicho chinhu chinonyanya kukosha. Kana munhu ane hutano hwakanaka asina chimwe chirwere chemwoyo aine PVCs kashoma, hapana kurapwa kunodiwa. Chiremba wako achakuudza kuti uchinje mararamiro ako.
Zvisinei, kurapwa kunogona kudiwa muzviitiko zvakaita seizvi:
- Kana zviratidzo zvako zvichikanganisa hupenyu hwako hwezuva nezuva.
- Kana huwandu hwePVC pazuva hwakanyanya (semuenzaniso, kupfuura 15% yekurova kwemoyo wese iPVC).
- Kana kugona kwemoyo kupomba ropa (ejection fraction) kwakadzikira nekuda kwePVCs.
- Kana paine chimwe chirwere chemwoyo chakakomba chiri pasi pemaPVC.
Zvinotevera zvinogona kushandiswa senzira yekurapa:
| Nzira yekurapa | Tsananguro |
|---|---|
| Kuchinja kwemararamiro | Kurega caffeine, doro, uye kusvuta. Kudzora kushushikana (kufungisisa, yoga, nezvimwewo). Kurara zvakakwana. |
| Mishonga | Mishonga yakaita se beta-blockers kana calcium channel blockers inogona kudzora kurova kwemoyo. Dzimwe nguva mishonga yekurwisa arrhythmic inogonawo kupihwa. |
| Kubviswa kweCatheter | Kurapa uku kunoshandiswa kana uine huwandu hwakawanda hwePVC husingakwanise kudzorwa nemishonga. Muizvi, chubhu diki (catheter) inopfuudzwa nemutsinga iri mudumbu mako ichienda kumoyo wako, masero chaiwo ari kukonzera maPVC anoonekwa, uye radiofrequency inoshandiswa kuparadza masero iwayo. Uku kurapa kunoshanda zvikuru. |
Ndinofanira kunetseka nezvemaPVC here? Ndirini pandinofanira kurapwa nekukurumidza?
Kazhinji, PVC chete haisi emergency. Zvisinei, kana uine PVC nezviratidzo izvi pamwe chete, enda kuchipatara (ETU) nekukurumidza.
- Kurwadziwa kwakanyanya pachipfuva
- Kuomerwa zvakanyanya kufema
- Dzungu rakakomba kana kupera simba (syncope)
- Kuvhiringidzika kwepfungwa
Zviratidzo izvi zvinoratidza kuti pane chimwe chinhu chakakomba kupfuura PVC chingave chiri kuitika. Saka usamirira kwenguva yakareba.
Yeuka, PVC chirwere chinowanzoitika. Hachiwanzo kukonzera kukuvara kwenguva refu kumunhu ane moyo wakanaka. Zvisinei, kana zvikaramba zviripo kana zvikanyanya, zvinogona kutungamira kuchirwere chinonzi cardiomyopathy, chinova kupera simba kwetsandanyama yemwoyo. Ndosaka zvichikosha kutsvaga rubatsiro rwechiremba kana uine zviratidzo.
Mharidzo Yekuenda Nayo Kumba
- Kubata kwemoyo nguva isati yakwana (PVCs) chirwere chinowanzoitika apo mutinhimira wemoyo unochinja zvishoma. Kazhinji, izvi hazvisi zvakakomba.
- Kunzwa sekuti 'kurova kwemoyo' uye 'kubhururuka kwechifuva' ndizvo zviratidzo zvinonyanya kuitika. Zvisinei, vanhu vazhinji havaratidzi zviratidzo.
- Zvinhu zvakaita sekushushikana, caffeine, uye doro zvinogona kuwedzera PVCs. Kudzivisa izvi kunogona kubatsira.
- Kana ukaona zviratidzo izvi kakawanda, kana kuti uchinetseka nazvo, iva nechokwadi chekuona chiremba wako.
- Kana zviratidzo zvakaita sekurwadziwa pachipfuva zvakanyanya kana kurasikirwa nepfungwa zvichiperekedzwa nePVC, idambudziko. Enda kuchipatara nekukasika.
- Vanhu vane moyo ine hutano havawanzodi kurapwa. Kana zvichidikanwa, kune mishonga inoshanda zvikuru iripo.
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