Paroxysmal supraventricular tachycardia (PSVT)

Paroxysmal supraventricular tachycardia (PSVT) zvikamu zveanokurumidza kurova kwemoyo zvinotanga muchikamu chemoyo pamusoro pemhepo. "Paroxysmal" zvinoreva nguva nenguva.

Kazhinji, makamuri emoyo (atria uye ma ventricles) anobvumirana nenzira yakabatana.

• Kupunzika kunokonzerwa nechiratidzo chemagetsi chinotanga munzvimbo yemoyo inonzi sinoatrial node (inonziwo sinus node kana SA node).
• Iyo chiratidzo inofamba kuburikidza neyekumusoro moyo makamuri (iyo atria) uye inotaurira iyo atria kuti ibvumirane.
• Mushure meizvi, chiratidzo chinodzika pasi mumoyo uye chinotaurira makamuri epasi (ma ventricles) kuti vabvumirane.

Iko kukurumidza kwemoyo kurovera kubva kuPSVT kunogona kutanga nezviitiko zvinoitika munzvimbo dzemoyo pamusoro pemakamuri epasi (ventricles).

Kune akatiwandei chaiwo ezvikonzero zvePSVT. Iyo inogona kukura kana doses yemoyo mushonga, digitalis, yakanyanya kukwirira. Izvo zvinogona zvakare kuitika nemamiriro anozivikanwa seWolff-Parkinson-White syndrome, iyo inowanzoonekwa kune vechidiki nevacheche.

Izvi zvinotevera zvinowedzera njodzi yako yePSVT:

• Doro shandisa
• Kafeini kushandisa
• Kushandisa zvinodhaka zvisiri pamutemo
• Kusvuta

Zviratidzo zvinowanzotanga uye kumira pakarepo. Vanogona kugara kwemaminetsi mashoma kana maawa akati wandei. Zviratidzo zvinogona kusanganisira:

• Kufunganya
• Kusunga pachifuva
• Palpitations (kunzwa kwekunzwa kurova kwemoyo), kazhinji iine isina kujairika kana yekumhanyisa mwero (kumhanya)
• Kukurumidza kupisa
• Kufema kwekufema

Zvimwe zviratidzo zvinogona kuitika nemamiriro aya zvinosanganisira:

• Dzungu
• Kufenda

Kuongorora kwepanyama panguva yePSVT episode kunoratidza kukurumidza kwemoyo. Inogona zvakare kuratidza yakasimba pulses mumutsipa.

Iko kurovera kwemoyo kunogona kuve pamusoro pezana, uye kunyangwe anopfuura makumi maviri nemaviri kurova paminiti (bpm). Muvana, kurova kwemoyo kunowanzoita kunge kwakakwira kwazvo. Panogona kuve nezviratidzo zvekushomeka kweropa kutenderera senge husina musoro. Pakati pezvikamu zvePSVT, kurova kwemoyo kwakajairika (60 kusvika 100 bpm).

ECG panguva yezviratidzo inoratidza PSVT. Chidzidzo che electrophysiology (EPS) chingangodikanwa kuti uwane kuongororwa kwakanaka uye kuti uwane kurapwa kwakanyanya.

Nekuti PSVT inouya uye inoenda, kuti iongorore vanhu vangangoda kupfeka 24-awa Holter yekutarisa. Kwenguva yakareba yenguva, imwe tepi yeiyo rhythm kurekodha chishandiso inogona kushandiswa.

PSVT iyo inoitika kamwe chete mune imwe nguva inogona kusada kurapwa kana iwe usina zviratidzo kana zvimwe zvinetso zvemwoyo.

Unogona kuyedza matekinoroji anotevera kukanganisa kukanganisa kwemoyo munguva yechikamu chePSVT:

• Valsalva maneuver. Kuti uite izvi, unobata mweya wako uye kushushikana, sekunge iwe uri kuyedza kuita hutumbu.
• Kukosora pawakagara nemuviri wako wepamusoro wakakotamira kumberi.
• Kusasa mvura yechando kumeso kwako

Iwe unofanirwa kudzivirira kuputa, caffeine, doro, uye zvinodhaka zvinodhaka.

Emergency kurapwa kunonoka kurova kwemoyo kudzokera pane zvakajairwa kunogona kusanganisira:

• Magetsi cardioversion, kushandiswa kwemagetsi kushamisika
• Mishonga kuburikidza netsinga

Kurapa kwenguva refu kune vanhu vakadzokorora zvikamu zvePSVT, kana zvakare vane chirwere chemwoyo, zvinogona kusanganisira:

• Kubvisa moyo, maitiro anoshandiswa kuparadza nzvimbo diki mumoyo mako izvo zvinogona kunge zvichikonzera kukurumidza kwemwoyo (parizvino kurapwa kwesarudzo kune mazhinji maPSVTs)
• Mishonga yemazuva ese yekudzivirira kudzokorora zvikamu
• Vanogadzira pacem kuti vakunde kurova kwemoyo (dzimwe nguva kunogona kushandiswa muvana vane PSVT vasina kupindura chero kumwe kurapwa)
• Kuvhiya kushandura nzira dziri mumoyo dzinotumira magetsi emagetsi (izvi zvinogona kukurudzirwa mune dzimwe nguva kune vanhu vanoda kumwe kuvhiyiwa kwemoyo)

PSVT kazhinji haisi kutyisidzira hupenyu. Kana kumwe kusagadzikana kwemoyo kuripo, kunogona kutungamira kukundikana kwemoyo kutadza kana angina.

Fonera wako mupi wezvehutano kana:

• Iwe unonzwa kuti moyo wako uri kurova nekukurumidza uye zviratidzo hazvipere zvega mumaminetsi mashoma.
• Iwe une nhoroondo yePSVT uye episode haina kuenda neiyo Valsalva maneuver kana nekukosora.
• Iwe une zvimwe zviratidzo nekukurumidza kwemoyo.
• Zviratidzo zvinodzoka kazhinji.
• Zviratidzo zvitsva zvinokura.

Zvinonyanya kukosha kuti ubate mupi wako kana iwe uine mamwe matambudziko emoyo.

PSVT; Supraventricular tachycardia; Isina kujairika moyo mutinhimira - PSVT; Arrhythmia - PSVT; Kukurumidza kurova kwemoyo - PSVT; Kutsanya kwemoyo kurovera - PSVT

• Kuitisa system yemoyo
• Holter moyo kuongorora

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Olgin JE, Zipes DP. Supraventricular arrhythmias. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 37.

Peji RL, Joglar JA, Caldwell MA, et al. 2015 ACC / AHA / HRS nhungamiro yekutungamira kwevakuru varwere vane supraventricular tachycardia: mushumo weAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Nhungamiro uye neiyo Heart Rhythm Society. Kutenderera. 2016; 133 (14); e471-e505. PMID: 26399662 pubmed.ncbi.nlm.nih.gov/26399662/.

Zimetbaum P. Supraventricular yemoyo arrhythmias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 58.