Pane dambudziko guru here nekufamba kwemoyo? Ngatitaurei nezve Ventricular Arrhythmia.

Wakambonzwa sekuti moyo wako uri kurova nekukurumidza here kana kuti waisvetuka kurova? Vanhu vazhinji vakambosangana neizvi. Asi dzimwe nguva izvi hazvisi zvakajairika uye zvinogona kuva chiratidzo chedambudziko guru ne rhythmia yemoyo wako. Semuenzaniso, tinodana ventricular arrhythmias shanduko dze rhythmia dzinoitika mumakamuri epasi emwoyo. Kunyange zvazvo zvimwe zvacho zvisingakuvadzi, zvimwe zvinogona kuisa hupenyu panjodzi.

Izvi zvinokanganisa sei mashandiro emoyo?

Zvichitaurwa zviri nyore, mwoyo wako wakaita sepombi ine simba ine makamuri mana. Makamuri maviri madiki ari pamusoro anonzi atria, uye makamuri maviri makuru, ane simba ari pasi anonzi ventricles.

Ventricular yekurudyi inopomba ropa kuenda kumapapu kuti riwane okisijeni. Zvadaro ropa rine okisijeni rinodzokera kumoyo, uko rinopombwa kuenda kune mumwe muviri wese kuburikidza neventricular yekurudyi. Saka unogona kuona kuti ventricular mbiri dzepasi dzine basa rekupomba ropa mumuviri wese .

Saka kana paine kukanganiswa kwerhythm yenguva dzose yemasero aya, zvinogona kuva nemigumisiro yakaipa.

• Kuvhunduka kwemwoyo: Ichi chirwere chekuti mwoyo haugone kupomba ropa rakakwana, zvichiita kuti nhengo dzemuviri dzishaye okisijeni yadzinoda.
• Kumira kwemwoyo kamwe kamwe: Apa ndipo apo mwoyo unomira kurova kamwe kamwe pasina yambiro .

Ndeapi marudzi makuru eVentricular Arrhythmia?

Kune mhando nhatu huru dzechirwere ichi. Ngatitaurei nezvadzo imwe neimwe.

1. Kurova kwemoyo kwakanyanya (Preventricular Contractions - PVCs)

Izvi ndizvo zvinonzwa se "kurovera kwakanyanya" mumoyo. Kazhinji hazvina njodzi . Vanhu vazhinji vanosangana nechimwe chinhu chakadai pane imwe nguva muhupenyu hwavo. Zvisinei, kana uine chirwere chinochinja chimiro chemoyo wako, kana kuti uine izvi zvirovera zvakanyanya (PVC) kakawanda kana kwenguva yakareba, inyaya yekunetseka.

2. Ventricular Tachycardia (VT)

Apa ndipo panotanga kurova makamuri epasi emwoyo, kana kuti atria, nekukurumidza. Izvi zvinokonzerwa nekukanganisika kwemagetsi emoyo. Mune zvimwe zviitiko, chirwere ichi che 'Ventricular Tachycardia' (VT) chinogona kuwedzera kuipa uye kuita chirwere chine njodzi che 'Ventricular Fibrillation', chatichakurukura chinotevera.

Vanachiremba vanopatsanura rudzi urwu rweVT mune mamwe marudzi akati wandei:

• Kwenguva pfupi here kana kuti kwenguva refu? (Kugara kwenguva refu kana kuti kusingagari kwenguva refu):Kana kurova kwemoyo uku nekukurumidza kukaramba kuripo kwemasekondi anopfuura makumi matatu, kunonzi `Sustained VT`. Kunyangwe kukamira kwemasekondi asingasviki makumi matatu, kana kukakonzera chirwere chakaita se`Cardiogenic shock`, kunowirawo muchikamu ichi.
• Maitiro eECG: Vanachiremba vanogona kutarisa mashandiro emagetsi emwoyo wako nekuyedza kunonzi `Electrocardiography (ECG kana EKG).` Mukuyedza uku, masensa akati wandei anonamirwa pachipfuva chako uye maitiro emafungu emagetsi anobva pamoyo wako anonyorwa. Mumoyo une hutano, maitiro aya emafungu anonzi `Sinus rhythm.` Mumamiriro akaita seVT, maitiro aya anochinja. Vanachiremba vanogona kudzidza maitiro aya akachinja kuti vaone kuti dambudziko nderei chaizvo.

3. Kupfapfaidza kweV-fib muVhini (V-fib)

Ichi ndicho chine njodzi zvikuru pane izvi uye chinoda kurapwa nekukurumidza . Chinoitika pano ndechekuti pachinzvimbo chekupomba zvakanaka, makamuri epasi emwoyo anongodedera uye anobhururuka. Nekuti haapindi zvakanaka uye anopomba ropa, kuyerera kweropa mumuviri kunenge kwamira zvachose. Izvi zvinonzi 'kumira kwemwoyo kamwe kamwe', uko mwoyo unomira kamwe kamwe. Nekuti ropa hariende kuuropi, unorasikirwa nepfungwa mukati memasekonzi mashoma uye unodonha. Kana kuyerera kweropa kukasadzoserwa mukati memaminitsi mashoma, izvi zvinouraya.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvinosiyana zvichienderana nerudzi rwechirwere. Zvimwe, sePVC, zvinogona kunge zvisina zviratidzo zvachose. Ngatinyatsoongororai zviratidzo zvinowanzoonekwa mumhando mbiri huru dzechirwere ichi.

Chii chingave chiri kukonzera izvi?

Panogona kuva nezvikonzero zvakasiyana-siyana zvinoita kuti mamiriro ezvinhu aya aitike.

Zvinokonzera Ventricular Tachycardia (VT)

• Kupera simba kana kukora kwetsandanyama yemoyo (Cardiomyopathy)
• Chirwere chemwoyo (kunyanya zvirwere zvinochinja chimiro chemwoyo)
• Matambudziko emwoyo ekuzvarwa nawo
• Kusawirirana kwema electrolyte mumuviri
• Kumira kurova kwemoyo
• Kukundikana kwemoyo
• Zvirwere zvemwoyo zvinozvimba
• Mushure mekuvhiyiwa kwemoyo
• Zvirwere zvevharuvhu yemoyo
• Kushaikwa kweokisijeni mumuviri
• Mimwe mishonga

Zvinokonzera Kuputika Kwemhepo Mukati Memuviri (V-fib)

• Kurohwa zvakasimba pachipfuva (semuenzaniso, kurohwa nebhora riri kumhanya)
• Kupera simba kana kukora kwetsandanyama yemoyo (Cardiomyopathy)
• Chirwere chemwoyo chekuzvarwa nacho
• Kubviswa kwemagetsi
• Kumira kurova kwemoyo
• Mushure mekuvhiyiwa kwemoyo
• Mimwe mishonga
• Tachycardia yeVentricular Isingadzoreki

Ndiani angangonyanya kuva nechirwere ichi?

Ventricular Arrhythmia inonyanya kuitika kuvanhu vane chirwere chemwoyo chakambovapo. Nokudaro, njodzi yacho inowedzera nekukura. Njodzi iyi yakanyanya kuwanda kuvanhu vane zvirwere zvinochinja chimiro kana chimiro chemwoyo.

Mamwe marudzi asina njodzi anogona kuitika kuvanhu vezera ripi zvaro. Asi marudzi ane njodzi, akadai se 'Sustained VT', anowanzoonekwa nevanhu vane chirwere chemwoyo. Asi dzimwe nguva, anogona kuitika kune vanhu vasina zviratidzo uye vasingazive kuti vane chirwere chemwoyo.

Chiremba anowana sei izvi?

Paunoenda kunoona chiremba, anotanga akubvunza mibvunzo, obvunza nezvezviratidzo zvako, uye onyora nhoroondo yezveutano hwako. Wobva akuongorora. Izvi zvinoreva kuteerera mwoyo wako uye kuongorora BP yako.

Ndedzipi mhando dzebvunzo dzinoitwa?

Muedzo mukuru unoshandiswa kuongorora chirwere ichi iECG (Electrocardiography) . Takambotaura nezvazvo kare. Muizvi, mashandiro emagetsi emoyo akanyorwa semafungu, uye chiremba anoongorora kuti aone kuti pane zvinhu zvipi zvisina kumira zvakanaka.

Asi dzimwe nguva rhythm iyi isina kujairika haiwanzovapo. Muzviitiko zvakadaro, inogona kusaonekwa neECG yenguva dzose. Muzviitiko zvakadaro, chiremba wako anogona kukupa mudziyo waunogona kupfeka kwezuva rimwe kana kupfuura.

• Mamonita eHolter:Ichi chishandiso chinowanzova nehukuru hwefoni. Chine waya dzakabatana nemasensa aunopfeka pachipfuva chako. Chinogara chichirekodha kurova kwemoyo wako kwemaawa makumi maviri nemana kana makumi mana nemasere.
• Mamonita ekufamba-famba: Aya akafanana nemonita yeHolter, asi anogona kupfekwa kwenguva yakareba, dzimwe nguva kusvika mazuva makumi matatu. Mamwe marudzi anouya nebhatani raunodzvanya kana uchinzwa chiratidzo. Mamwe anongoerekana aitika, achinyora mutinhimira usina kujairika kana wangoonekwa.

Ndezvipi zvinorapwa izvi?

Kana chirwere ichi chichigona kurapwa zvizere zvinoenderana nechikonzero chacho. Dzimwe nguva chikonzero chacho chinogona kurapwa uye kurapwa. Zvisinei, kana chakakonzerwa nechirwere chisingaperi, senge chirwere chekuzvarwa nacho, chinowanzova chakaoma kurapa. Kana zvakadaro, chinangwa chekurapa ndechekugadzirisa chirwere ichi uye kuderedza kukanganisa kwacho muhupenyu hwako.

Kurapwa kwekukurumidzira

• CPR (Cardiopulmonary Resuscitation): Kana mwoyo wemunhu wamira uye pasina kurova kwemoyo, CPR inofanira kutanga nekukasika. Izvi zvinoreva kuchengetedza kutenderera kweropa nenzira yekugadzira nekudzvanya chipfuva. Hazvina kunaka kumisa CPR kusvika amburenzi yasvika kana muchina we `AED` waunzwa woshandiswa.
• Automated External Defibrillator (AED): Ichi chishandiso chinoongorora rhythm yemoyo wemunhu uye, kana zvichidikanwa, chinoita kuti rhythm yemoyo idzorerwe. Rhythm dzese dze`VT` ne`V-fib` dzinogona kugadziriswa ne rhythm yemagetsi nenzira iyi.
• Mishonga: Kune mishonga yakakosha inopiwa kudzora kurova kwemoyo.

Kurapa kusiri kwekukurumidzira

• Kubvisa ropa: Izvi zvinosanganisira kuisa chubhu yakatetepa, senge cannula, mumoyo uye kushandisa kupisa kwakanyanya kana kutonhora kwakanyanya kudzivirira chikamu chidiki chemoyo chiri kukonzera zviratidzo zvemagetsi zvisingawanzoitiki. Izvi zvinomisa rhythm isingawanzoitiki.
• Implantable Cardioverter Defibrillator (ICD): Ichi chishandiso chidiki chinoiswa pasi peganda rechipfuva. Chinogona kuunza otomatiki shock yemagetsi kuti chidzorere kurova kwemoyo kwakajairika kana chikaona kurova kwemoyo kusina kurongeka.
• Mishonga: Kune mishonga inogona kupihwa kudzora rhythm kwenguva refu. Zvisinei, iyi haishande zvakaenzana kune wese munhu, uye mimwe migumisiro inogona kuitika. Saka, unofanira kutaura nachiremba wako kuti asarudze mushonga wakakodzera iwe.

Chii chinoitika mushure mekurapwa? Chii chaungaita?

Chinhu chinonyanya kukosha chaunofanira kuita kutevedzera mirairo yachiremba wako nemazvo . Zvakakosha kutora mishonga yako sezvawakarairwa uye kuenda kukiriniki pamazuva akarongwa.

Nguva yekupora mushure mekurapwa inosiyana zvichienderana nekurapwa kwawakaitwa. Kana wakabviswa ropa kana kuti wakaiswa muICD, unotanga kunzwa zviri nani mukati memazuva mashoma. Nemishonga, uchaona mutsauko mumavhiki mashoma anotevera. Mafambiro echirwere ichi mune ramangwana anosiyana zvikuru zvichienderana nechirwere chako. Chiremba ari kukurapa anogona kukutsanangurira izvi zviri nani.

Mamiriro ezvinhu aya anogona kudzivirirwa here?

Nekuti mhando idzi dze arrhythmias dzinowanzoitika dzisingatarisirwi, hazvisi nyore kudzivirira, kunyanya kana uine chirwere chemwoyo chawakazvarwa nacho.

Zvisinei, tinogona kuderedza njodzi yedu yekubatwa nechirwere ichi nenzira isina kunanga nekuderedza njodzi yezvimwe zvirwere (zvakaita sechirwere chemwoyo, BP) zvinogona kukonzera chirwere ichi. Kuti uite izvi:

• Rega kusvuta (kusanganisira fodya, vaping) zvachose.
• Idya chikafu chakakwana chakakurudzirwa nachiremba wako.
• Ramba uchiita maekisesaizi emuviri sezvinobvira.
• Ramba uine huremu hwakanaka .
• Dzora kunwa kwako doro .

Ndinofanira kuona chiremba riini? Ndinofanira kuenda kuETU riini?

Kana ukaona shanduko muzviratidzo zvako, kana kuti zvikatanga kukanganisa hupenyu hwako hwezuva nezuva, ona chiremba wako. Zvakare, kunyangwe usina zviratidzo, zvakakosha kuona chiremba kanenge kamwe chete pagore kuti aongororwe muviri wako kuti aone zvirwere nekukurumidza.

Kana ukaona chimwe chezviratidzo zvikuru zvinotevera, enda kuchipatara kuEmergency Department (ETU) nekukasika.

• Kurwadziwa kwakanyanya pachipfuva (Angina)
• Kuoma kufema
• Kurasikirwa nepfungwa kana kunzwa kuda kupera simba (dzungu)

Ventricular Arrhythmia inogona kusiyana zvikuru kubva kumunhu kuenda kumunhu, saka nzira yakanakisisa yekunzwisisa nekugadzirisa hutano hwako ndeyekutsvaga mazano echiremba kana uchifungidzira kuti une zviratidzo izvi.