Wakambonzwa here kuti moyo wako wakatanga kurova nekukurumidza pasina chikonzero? Ipfungwa isingafadzi, inoperekedzwa nekunzwa kuremerwa, kusungwa muchipfuva, uye dzungu. Dzimwe nguva izvi zvinogona kuva zvakajairika. Zvisinei, dzimwe nguva zvinogona kuva chiratidzo chechirwere chemwoyo chakakomba, dzimwe nguva chinotyisidzira hupenyu chinonzi Ventricular Tachycardia (VT kana V-tach) . Nhasi, tichataura nezvazvo nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Ventricular Tachycardia (VT)?
Zvakanaka, ngatitangei tatarisa kuti chii ichi. Mwoyo wedu une makamuri makuru mana. Makamuri maviri epamusoro nemakamuri maviri epasi. Kazhinji, moyo une hutano unotanga kurova nechiratidzo chemagetsi chinobva kumakamuri epamusoro.
Asi muchirwere ichi chinonzi Ventricular Tachycardia (VT), kurova kwemoyo kunotanga mumakamuri maviri epasi emwoyo, anonzi maventricles . Dambudziko riripo pano nderekuti kurova kwemoyo kunotanga nenzira iyi kunokurumidza zvikuru . Mwoyo unowanzo tanga kurova nekumhanya kweanodarika kurova zana paminiti.
Funga nezvazvo sepombi yemvura. Inopomba ropa mumuviri wese. Kana moyo uchirova zvakanaka, zvakafanana nebhazi rinomhanya nenguva. Rinopa vanhu nguva yakakwana yekukwira nekuburuka. Izvi zvinoreva kuti makamuri emwoyo ane nguva yakakwana yekuzadza neropa uye kupomba ropa rakazara mumuviri.
Asi muVT, zvakaita sebhazi iri riri kumhanya risingamire pachiteshi. Mwoyo unorova nekukurumidza zvekuti makamuri haawani nguva yekuzadza ropa nemazvo. Saka muviri haugone kupomba huwandu hweropa neokisijeni hwaunoda. Ndosaka BP ichidzikira kamwe kamwe. Iyi ndiyo njodzi yechirwere ichi.
VT inogara kwemasekonzi mashoma ingasakuvadza zvakanyanya. Asi kana chirwere ichi chikagara kwemasekonzi anopfuura makumi matatu , chirwere chakakomba zvikuru. Chinoda kurapwa nekukasika. Nekuti izvi zvinogona kuchinja kuva chimwe chirwere chine njodzi chinonzi `Ventricular Fibrillation`, uye kunyange rufu runogona kuitika nekuda kwekumira kwemwoyo kamwe kamwe.
Ndezvipi zviratidzo zvechirwere ichi?
Kana moyo usingakwanise kupomba ropa rakakwana mumuviri, nhengo dzedu nemasero hazviwani mweya wazvinoda. Ndipo panotanga kuoneka zviratidzo izvi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurwadziwa kwechipfuva | Kunzwa kubatwa kana kumanikidzwa muchipfuva nekuda kwekuti tsandanyama yemoyo haisi kuwana oxygen yakakwana. |
| Kushaya mweya | Kunzwa kuneta uye kuneta nekuda kwekushaya okisijeni mumuviri. |
| Kurova kwemwoyo | Kunzwa kuti moyo uri kurova zvine ruzha, nekukurumidza, kana nenzira isingawanzoitiki. Vamwe vanhu vanotonzwa izvi mumutsipa wavo. |
| Dzungu / Kusagadzikana musoro | Kunzwa dzungu uye kuva nemaziso ebhuruu nekuda kwekushaya ropa neokisijeni yakakwana kuuropi. |
| Kufenda / Kufenda | Chiratidzo chakakomba chinoitika kana BP yadzikira zvakanyanya, zvichikonzera kusashanda zvakanaka kweropa rinoenda kuuropi. |
Ndezvipi zvikonzero zveVentricular Tachycardia (VT)?
Pane zvikonzero zvakawanda zvinogona kukonzera VT. Dzimwe nguva, hapana chikonzero chaicho chinogona kuwanikwa. Zvisinei, chikonzero chinowanzoonekwa chirwere chinonzi ischemic heart disease . Izvi zvinoreva kuti tsinga dzemwoyo dzinopa ropa kumoyo dzinovharwa nemafuta akachengetwa (atherosclerosis), zvichitadzisa tsandanyama dzemwoyo kugamuchira ropa neokisijeni yadzinoda.
| Chikonzero | Chii chinoitika neizvi? |
|---|---|
| Kumira kurova kwemoyo | Mavanga emhasuru yemwoyo anokonzerwa nekurwara kwemoyo kwakamboitika anogona kukanganisa mashandiro emagetsi emoyo. |
| Cardiomyopathy | Kushanda kwemoyo kunogona kukanganisa kushanda kwemoyo nekuda kwekushaya simba, kukora, kana kukura kwetsandanyama yemoyo. |
| Chirwere chevharuvhu yemwoyo | Dambudziko iri rinogona kuitika kana mavharuvhu emwoyo asingashande zvakanaka, zvichiita kuti mwoyo ushande nesimba. |
| Kusawirirana kwema electrolyte | Kuderera kana kuwedzera kwehuwandu hwema electrolytes mumuviri akadai se potassium ne magnesium kunogona kukanganisa mashandiro emagetsi emwoyo. |
| Mimwe mishonga | Mimwe mishonga inoshandiswa kudzora kurova kwemoyo (antiarrhythmics) dzimwe nguva inogona kukonzera VT semhedzisiro. |
| Zvinokurudzira | Kushandiswa kwemishonga yakaita secocaine kana methamphetamine kunogona kukanganisa mwoyo. |
| Zvimwe zvirwere zvemajini | VT inogonawo kukonzerwa nezvimwe zvirwere zvekuzvarwa nazvo, zvakaita se long QT syndrome. |
Njodzi iyi inogona kuderedzwa here?
Ehe, kazhinji, kudzora zvirwere zvemwoyo zvinokonzera VT kunogona kuderedza njodzi iyi. Zvichitaurwa zviri nyore, kuchengetedza moyo wako uine hutano ndicho chinhu chakakosha.
Heano zvimwe zvinhu zvaunogona kuita nezvazvo:
- Kudya kwakanaka: Dzorera kudya kusina mafuta nemunyu, uye kudya miriwo yakawanda, michero, nemiriwo.
- Kurovedza muviri nguva dzose:Taura nachiremba wako uye tevera hurongwa hwekurovedza muviri hunokunakira.
- Kuchengetedza huremu hwakanaka: Edza kuchengetedza huremu hwakanaka hunoenderana nehurefu hwako.
- Dzivisa kusvuta: Kana ukasvuta, rega zvachose. Ichi ndicho chimwe chezvinobatsira zvikuru pamoyo.
- Kutora mishonga nemazvo: Kana uine zvirwere zvakaita seBP yakakwira kana cholesterol yakakwira, tora mishonga yawakanyorerwa nachiremba wako panguva chaiyo.
Vanachiremba vanozviwana sei izvi?
Kana uchifunga kuti une zviratidzo zveVT, chiremba wako achatanga akubvunza nezvezviratidzo zvako, kana paine munhu mumhuri mako ane chirwere chemwoyo, uye nhoroondo yako yehutano. Zvadaro vachaongorora muviri wako uye voongorora kurova kwemwoyo wako.
Muedzo mukuru wekuongorora chirwere ichi iECG (Electrocardiogram) .
Izvi zvinoitwa nekunyora mashandiro emagetsi emwoyo wako. Nekutarisa chidimbu ichi cheECG, chiremba wako anogona kuona zviri nyore chero kusarongeka kuri mumoyo wako, kunyanya maitiro ane chekuita neVT.
Pamusoro pezvo, bvunzo dzakawanda dzinogona kurairwa kuti dzione chikonzero uye kunzwisisa kuoma kwechirwere ichi.
- Chinoongorora Chiitiko Chemwoyo: Ichi chishandiso chidiki chaunogona kuenda nacho kumba wochipfeka. Chinogona kurekodha kurova kwemoyo wako kana uine zviratidzo.
- Kuongororwa Kwepfungwa: ECG inotorwa paunenge uchirovedza muviri (uchimhanya uri patreadmill) kuti uone kuti mwoyo wako unoshanda sei kana uine stress.
- Echocardiogram: Uku kuongorora mwoyo. Kunobatsira kunzwisisa kukura, chimiro, mashandiro emhasuru, uye mamiriro emavharuvhu.
- Chidzidzo cheElectrophysiology (EPS): Iyi bvunzo yakaoma zvishoma. Waya dzakapfava (catheters) dzinopinzwa mumoyo uye sisitimu yemagetsi yemoyo inodzidzwa yese.
- Coronary Angiogram: Kuongororwa kweropa mutsinga dzinopa ropa kumoyo.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nezviratidzo zvako, kuti VT yako yagara kwenguva yakareba sei, uye chirwere chiri kukonzera izvozvo.
Kurapwa kwekukurumidzira
Kana VT ikatora masekondi anopfuura makumi matatu kana kuti ukaona zviratidzo zvakakomba (kurwadziwa muchipfuva, kurasikirwa nepfungwa), idambudziko rehutano.
- Kuchinja kwemoyo: Izvi zvinosanganisira kuvhunduka nemagetsi kuti kurova kwemoyo kurege kurongeka uye kuedza kuidzosera ku rhythm yakajairika.
- CPR (Cardiopulmonary Resuscitation): Nzira yekuedza kutangazve moyo wemurwere kana wamira.
- Mishonga inopinzwa mutsinga:Mishonga yakaita seAmiodarone kana Procainamide inopihwa netsinga (IV) kuyedza kudzora kurova kwemoyo.
Kana iwe kana mumwe munhu waunoziva aine zviratidzo zvakaita sekurwadziwa pachipfuva, kuoma kufema zvakanyanya, kana kupera simba, fonera 1990 nekukasika kana kuenda kuchipatara chiri pedyo cheEmergency Treatment Unit (ETU). Usanonoka.
Kurapwa kwenguva refu
Mushure mekunge dambudziko ragadziriswa, kurapwa kwenguva refu kunodiwa kudzivirira kuti dambudziko racho risadzokorore.
- Mishonga: Mishonga yakaita se beta-blockers inogona kuderedza kurova kwemoyo uye kudzivirira VT. Mimwe mishonga inogona kubatsira kuchengetedza kurova kwemoyo kwakajairika. Mishonga iyi inogona kuva nemigumisiro yakaipa, saka taura nachiremba wako nezvazvo.
- Mudziyo weICD (Implantable Cardioverter-Defibrillator): Uyu wakaita semuchengetedzi wehupenyu hwemoyo. Mudziyo mudiki unoiswa pasi peganda rechipfuva. Unogara uchitarisa mutinhimira wemoyo. Kana mutinhimira une njodzi wakaita seVT ukaitika, mudziyo uyu unongoerekana waita shock diki yemagetsi kuti mwoyo udzokere pakare.
- Kubviswa kwemwoyo: Uku kumwe kurapwa kwakakosha. Chidzidzo che electrophysiology (EPS) chinoshandiswa kuona nzvimbo chaiyo yeVT mumoyo. Zvadaro, uchishandisa catheter yakakosha, mamwe masero ari panzvimbo iyoyo anoparadzwa nekupisa kana kutonhora kwakanyanya. Izvi zvakafanana nekugadzirisa waya yemagetsi isina kunaka. Kune vamwe vanhu, kurapwa uku kunogona kutorapa VT zvachose.
Mharidzo Yekuenda Nayo Kumba
- Ventricular Tachycardia (VT) mutinhimira wemwoyo unokurumidza uye wakakomba unotangira mumakamuri epasi emwoyo.
- Marwadzo epachipfuva, dzungu, kushaya mweya, uye kurasikirwa nepfungwa ndizvo zviratidzo zvikuru. Izvi hazvifanirwe kuregeredzwa.
- Kazhinji chikonzero chikuru ndechekurwara nemoyo kwakamboitika kana chimwe chirwere chemwoyo.
- Kune mishonga inoshanda zvikuru yakadai semishonga, zvishandiso zveICD, uye kubvisa mwoyo.
- Kana uine chirwere ichi, tevera mirairo yachiremba wako nemazvo. Zvakakosha kuenda kukiriniki nenguva uye kutora mishonga yako sezvakarairwa.
- Nekugara uine mararamiro ane hutano, unogona kuchengetedza mwoyo wako uye kuderedza njodzi yekurwara nezvirwere zvakaita seizvi.
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