Arrhythmias

Iyo arrhythmia iko kusagadzikana kweiyo yemoyo (kurovera) kana yemwoyo mutinhimira. Mwoyo unogona kurova zvakanyanya (tachycardia), inononoka (bradycardia), kana zvisina kujairika.

Iyo arrhythmia inogona kunge isina kukuvadza, chiratidzo cheamwe matambudziko emoyo, kana kukurumidza kukurumidza kune hutano hwako.

Kazhinji, moyo wako unoshanda sepombi inounza ropa mumapapu nemuviri wese.

Kubatsira izvi kuti zviitike, moyo wako une sisitimu yemagetsi inova nechokwadi chekuti inobvumirana (inosvina) nenzira yakarongeka.

• Iko kushushikana kwemagetsi kunoratidzira moyo wako kubvumirano kunotanga munzvimbo yemoyo inonzi iyo sinoatrial node (inonziwo sinus node kana SA node). Iyi ndiyo moyo wako wepanyama pacemaker.
• Iyo chiratidzo chinosiya SA node uye ichifamba kuburikidza nemoyo ichiteedzera nzira yemagetsi.
• Mameseji akasiyana etsinga anoratidza moyo wako kuti urove zvishoma nezvishoma kana nekukurumidza.

Arrhythmias inokonzerwa nezvinetso nemoyo wemagetsi conduction system.

• Zviratidzo zvisina kujairika (zvekuwedzera) zvinogona kuitika.
• Zviratidzo zvemagetsi zvinogona kuvharwa kana kunonoka.
• Zviratidzo zvemagetsi zvinofamba munzira nyowani kana dzakasiyana kuburikidza nemoyo.

Zvimwe zvezvikonzero zvinowanzoitika zvekurova kwemoyo zvisina kujairika ndezvi:

• Izvo zvisina kujairika mazinga e potassium kana zvimwe zvinhu mumuviri
• Kurwadziwa kwemoyo, kana mhasuru yemoyo yakakuvadzwa kubva pakurwara kwemoyo kwakapfuura
• Chirwere chemwoyo chiripo pakuzvarwa (kuberekwa)
• Kukundikana kwemoyo kana moyo wakawedzerwa
• Yakawandisa thyroid gland

Arrhythmias inogona zvakare kukonzerwa nezvimwe zvinhu kana zvinodhaka, zvinosanganisira:

• Doro kana zvinodhaka zvinodhaka
• Mimwe mishonga
• Kusvuta fodya (nicotine)

Mimwe yeakajairika asina kujairika moyo mutserendende ndeaya:

• Atrial fibrillation kana flutter
• Atrioventricular nodal reentry tachycardia (AVNRT)
• Mwoyo block kana atrioventricular block
• Multifocal atrial tachycardia
• Paroxysmal supraventricular tachycardia
• Kurwara sinus syndrome
• Ventricular fibrillation kana ventricular tachycardia
• Wolff-Parkinson-White chirwere

Paunenge uine arrhythmia, kurova kwako kunogona kunge kuri:

• Kunonoka (bradycardia)
• Kukurumidza (tachycardia)
• Zvisina kujairika, zvisina kukwana, pamwe nekuwedzera kana kusvetuka kurova

Iyo arrhythmia inogona kunge iripo nguva dzese kana inogona kuuya yoenda. Unogona kana kusanzwa zviratidzo kana arrhythmia iripo. Kana, iwe unogona kungoona zviratidzo kana iwe uchinge uchishingaira.

Zviratidzo zvinogona kuve zvakapfava, kana kuti zvinogona kuve zvakanyanya kana kutyisidzira hupenyu.

Zviratidzo zvakajairika zvinogona kuitika kana arrhythmia iripo inogona kusanganisira:

• Kurwadziwa pachifuva
• Kufenda
• Kuchena musoro, dzungu
• Ruvara
• Palpitations (kunzwa moyo wako uchirova nekukurumidza kana zvisina kujairika)
• Kufema kwekufema
• Kudikitira

Mutapi wezvehutano anoteerera kumoyo wako ne stethoscope uye anonzwa kurova kwako. Ropa rako rinogona kunge rakaderera kana rakajairika kana kunyangwe rakakwira nekuda kwekusagadzikana.

ECG ndiyo ichave bvunzo yekutanga kuitwa.

Midziyo yekutarisa yemoyo inowanzo shandiswa kuzivisa iro dambudziko rehythm, senge:

• Holter yekutarisa (kwaunopfeka chishandiso chinorekodha uye chinochengeta moyo wako mutinhimira kwemaawa makumi maviri nemana kana anopfuura)
• Chiitiko chekutarisa kana chirekodhi chiuno (chakapfekwa kwemavhiki maviri kana kupfuura, kwaunonyora moyo wako mutinhimira paunonzwa mutinhimira usina kujairika
• Dzimwe sarudzo dzenguva refu dzekutarisa

Echocardiogram inomborayirwa kuongorora saizi kana chimiro chemoyo wako.

Muzviitiko zvakasarudzwa, coronary angiography inogona kuitwa kuti uone kuti ropa rinoyerera sei kuburikidza nemidziyo mumoyo mako.

Chiyero chakakosha, chinonzi electrophysiology kudzidza (EPS), dzimwe nguva chinoitwa kuti unyatsotarisisa sisitimu yemagetsi yemoyo.

Kana arrhythmia iri yakakomba, iwe ungangoda kurapwa nekukurumidza kuti udzore yakajairwa mutinhimira. Izvi zvinogona kusanganisira:

• Kurapa kwemagetsi (defibrillation kana cardioversion)
• Kuisa wepfupi-wenguva moyo pacemaker
• Mishonga inopihwa kuburikidza netsinga kana nemuromo

Dzimwe nguva, kurapwa kuri nani kune angina kana kushaya moyo kunoderedza mukana wako wekuve nehurrhmia.

Mishonga inonzi anti-arrhythmic zvinodhaka zvinogona kushandiswa:

• Kudzivirira arrhythmia kuti irege kuitika zvakare
• Kuchengeta kurova kwemoyo wako kubva mukumhanya zvakanyanya kana kunonoka

Mimwe yemishonga iyi inogona kuve nemhedzisiro. Tora ivo sekurairwa nemupi wako. Usarege kutora mushonga kana kushandura iyo dose usati watanga kutaura kune wako mupi.

Mimwe mishonga yekudzivirira kana kubata isina kujairika moyo miitiro inosanganisira:

• Kubvisa moyo, kunoshandiswa kunongedza nzvimbo dziri mumoyo mako dzinogona kunge dzichikonzera matambudziko emwoyo wako
• Iyo inosimudzirwa cardioverter defibrillator, yakaiswa mukati mevanhu vari panjodzi huru yekufa kamwe kamwe kwemoyo
• Permanent pacemaker, chishandiso chinonzwa kana moyo wako uchirova zvishoma nezvishoma. Inotumira chiratidzo kumoyo wako chinoita kuti moyo wako urove panguva chaiyo.

Mhedzisiro yacho inoenderana nezvinhu zvinoverengeka:

• Mhando ye arrhythmia yauinayo.
• Kunyangwe iwe uine coronary artery chirwere, kutadza kwemoyo, kana valvular chirwere chemoyo.

Fonera mupiki wako kana:

• Iwe unovandudza chero ezviratidzo zveinogona arrhythmia.
• Wakaonekwa uine arrhythmia uye zviratidzo zvako zvichitowedzera kana USIYE kuvandudza nemushonga.

Kutora matanho ekudzivirira coronary arteri chirwere kunogona kudzikisira mukana wako wekuvandudza arrhythmia.

Abnormal moyo mutinhimira; Bradycardia; Tachycardia; Fibrillation

• Atrial fibrillation - kubuda
• Mwoyo pacemaker - kubuda
• Kutora warfarin (Coumadin, Jantoven) - chii chekubvunza chiremba wako

• Mwoyo - chikamu kuburikidza nepakati
• Moyo - pamberi pekutarisa
• Kazhinji moyo mutinhimira
• Bradycardia
• Ventricular tachycardia
• Atrioventricular block - Kutevera kweECG
• Kuitisa system yemoyo

Al-Khatib SM, Stevenson WG, Ackerman MJ, uye al. 2017 AHA / ACC / HRS nhungamiro ye manejimendi yevarwere vane ventricular arrhythmias uye kudzivirira kwekufa kamwe kamwe kwemoyo: Executive pfupiso: Chirevo cheAmerican College yeCardiology / American Heart Association Task Force paKiriniki Yekudzidzira Maitiro uye iyo Mwoyo Rhythm Society. Mwoyo Rhythm. 2018; 15 (10): e190-e252. PMID: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

Olgin JE. Kusvika kumurwere nekufungidzirwa arrhythmia. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 56.

Tomaselli GF, Rubart M, Zipes DP. Maitiro emoyo 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: chitsuwa 34.

Tracy CM, Epstein AE, Darbar D, uye al. 2012 ACCF / AHA / HRS yakatarisana nekudzidziswa kwe2008 nhungamiro yecomputer-based Therapy yeaka cardiac rhythm kusagadzikana: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Maitiro Ekudzidzira. J Ndiri Coll Cardiol. 2012; 60 (14): 1297-1313. PMID: 22975230 pubmed.ncbi.nlm.nih.gov/22975230/.