Kushushikana

Cardioversion inzira yekuunza isina kujairika moyo rhythm kudzoka pane zvakajairwa.

Cardioversion inogona kuitwa uchishandisa kushamisika kwemagetsi kana nemishonga.

Magetsi MUDZIMAI

Kuchinja kwemagetsi kunoitwa nemudziyo unopa kuvhunduka kwemagetsi kumoyo kuti uchinje mutinhimira udzokere pane zvakajairwa. Chigadzirwa chinonzi defibrillator.

Kuvhunduka kunogona kununurwa kubva kune chishandiso kunze kwemuviri chinonzi chekunze defibrillator. Izvi zvinowanikwa mumakamuri ekukurumidzira, maamburenzi, kana dzimwe nzvimbo dzeruzhinji dzakadai nendege.

• Electrode zvigamba zvakaiswa pachipfuva uye kumashure. Iwo matinji akasunganidzwa kune defibrillator. Kana, mapaddle akasungirirwa pamidziyo anoiswa akananga pachipfuva.
• Iyo defibrillator inogoneswa uye kuvhunduka kwemagetsi kunoendeswa kumoyo wako.
• Kuvhunduka uku kunomisa muchidimbu zviitiko zvese zvemagetsi zvemwoyo. Ipapo inobvumira iyo yakajairwa moyo mutinhimira kudzoka.
• Dzimwe nguva kunodarika kamwe chete kuvhunduka, kana kuvhunduka nesimba rakakwira kunodiwa.

Yekunze defibrillator inoshandiswa kurapa zvisina kujairika moyo mutinhimira (arrhythmia) iyo inokonzeresa kudonha uye kusungwa kwemoyo. Mienzaniso ndeye ventricular tachycardia uye ventricular fibrillation.

Izvozvi zvishandiso zvinogona zvakare kushandiswa kurapa zvine njodzi zvisina kujairika mutinhimira, matambudziko senge atrial fibrillation.

• Vamwe vanhu vangangoda kutanga vatete veropa zvisati zvaitika kudzivirira kuwanda kweropa.
• Iwe unozopihwa mushonga wekukubatsira kuzorora usati waitwa.
• Mushure mekuita, iwe unogona kupihwa mishonga yekudzivirira kuwonda kweropa kana kubatsira kudzivirira iyo arrhythmia kuti isadzoke.

Chinhu chinodyarwa cardioverter-defibrillator (ICD) mudziyo unoiswa mukati memuviri wako. Iyo inowanzo shandiswa muvanhu vari panjodzi yekufa kamwe kamwe nekuti moyo yavo inoshanda irombo, kana kuti vakave nenjodzi dzemwoyo zvine njodzi kare.

• Iyo ICD inoiswa pasi peganda repachipfuva chako chepamusoro kana dumbu.
• Tambo dzakabatanidzwa dzinoenda mukati kana padyo nemoyo.
• Kana mudziyo ukaona kurova kwemoyo kune njodzi, inotumira kushamisika kwemagetsi kumoyo kuti ichinje mutinhimira kuti udzokere pane zvakajairwa.

KUTSVAGA KUSHANDISA ZVINODHAKA

Cardioversion inogona kuitwa uchishandisa mishonga inotorwa nemuromo kana kupihwa kuburikidza neiyo intravenous line (IV). Zvinogona kutora kubva pamaminetsi akati wandei kusvika mazuva kuti kurapwa uku kushande. Iyi kurapwa inowanzoitwa iwe uri muchipatara uko mwoyo wako mutinhimira uchaongororwa.

Cardioversion kushandisa zvinodhaka zvinogona kuitwa kunze kwechipatara. Iyi kurapwa inowanzo shandiswa kune vanhu vane atrial fibrillation iyo inouya uye inoenda. Nekudaro, iwe unozofanirwa kunyatsoteedzerwa-kumusoro nachiremba wemoyo.

Iwe unogona kupihwa ropa rekuonda mishonga yekudzivirira ropa kuwumbana kubva mukuumba nekusiya moyo (izvo zvinogona kukonzera sitiroko).

ZVINOKONZESA

Zvinetso zve cardioversion zvakajairika, asi zvinogona kusanganisira:

• Allergic reaction kubva kumishonga yakashandiswa
• Ropa clots rinogona kukonzera sitiroko kana imwe nhengo kukuvara
• Kupwanya, kupisa, kana kurwadziwa kwaishandiswa ma electrode
• Kuwedzera kweiyo arrhythmia

Vanhu vanoita zvekunze kushaya moyo vanogona kuvhunduka kana maitiro asina kuitwa nemazvo. Izvi zvinogona kukonzera matambudziko emutsindo wemoyo, kurwadziwa, uye kunyangwe kufa.

Abnormal moyo mutinhimira - cardioversion; Bradycardia - cardioversion; Tachycardia - kushaya moyo; Fibrillation - kushaya moyo; Arrhythmia - cardioversion; Cardiac kusungwa - cardioversion; Defibrillator - cardioversion; Pharmacologic cardioversion

• Inodyara cardioverter-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, uye al. 2017 AHA / ACC / HRS nhungamiro ye manejimendi yevarwere vane ventricular arrhythmias uye kudzivirira kwekuerekana kufa kwemoyo: Executive pfupiso: mushumo weAmerican 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/.

Epstein AE, DiMarco JP, Ellenbogen KA, uye al. 2012 ACCF / AHA / HRS yakatarisana neyakagadziriswa inosanganisirwa muAccF / AHA / HRS 2008 nhungamiro yecomputer-based Therapic yemoyo mutinhimira wakaipa: mushumo weAmerican College yeCardiology Foundation / American Heart Association Task Force pane Dzidzirai Mirayiridzo uye Mwoyo Rhythm. Society. J Ndiri Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Therapy yemoyo 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 36.

Minczak BM, Laub GW. Defibrillation uye cardioversion. Mune: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts uye Hedges 'Clinical Maitiro muEmergency Medicine uye Acute Kuchengeta. 7th ed. Philadelphia, PA: Elsevier; 2019: chits. 12.

Myerburg RJ. Maitiro ekusungwa kwemoyo uye anotyisidzira hupenyu arrhythmias. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 57.

Santucci PA, Wilber DJ. Electrophysiologic kupindira maitiro uye kuvhiya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 60.