Mwoyo block

Mwoyo block idambudziko mumasaini emagetsi mumoyo.

Kazhinji, kurova kwemoyo kunotanga mune imwe nzvimbo mumakamuri epamusoro emoyo (atria). Iyi nharaunda ndiyo yemoyo pacemaker. Zviratidzo zvemagetsi zvinoenda kumakamuri epazasi emoyo (ventricles). Izvi zvinoita kuti moyo urove wakadzikama uye wenguva dzose.

Heart block inoitika kana chiratidzo chemagetsi chadzikira kana kusasvika kumakamuri epazasi emoyo. Mwoyo wako unogona kurova zvishoma, kana kuti ungasvetuka kurova. Heart block inogona kugadzirisa yega, kana inogona kunge iri yechigarire uye inoda kurapwa.

Kune madhigirii matatu emoyo block. Chekutanga-degree moyo bhata ndiyo yakapfava mhando uye yechitatu-degree ndiyo yakanyanya kuomarara.

Chekutanga-degree moyo block:

• Kazhinji ane zviratidzo kana kukonzera matambudziko

Chechipiri-degree moyo block:

• Simba remagetsi rinogona kusasvika kumakamuri epazasi emoyo.
• Mwoyo unogona kupotsa kurova kana kurova uye ungave unononoka uye usina kujairika.
• Unogona kunzwa dzungu, kupera simba, kana kuva nezvimwe zviratidzo.
• Izvi zvinogona kuve zvakakomba mune dzimwe nguva.

Chechitatu-degree moyo block:

• Chiratidzo chemagetsi hachiendi kumakamuri epazasi emoyo. Muchiitiko ichi, makamuri epasi akarova zvishoma zvishoma, uye emakamuri ekumusoro neepasi haarove zvakateedzana (rimwe mushure meimwe) sezvavanowanzoita.
• Moyo unotadza kupomba ropa rakakwana kumuviri. Izvi zvinogona kutungamira mukufenda uye kufema kwekufema.
• Iyi ndiyo emergency inoda rubatsiro rwekurapa ipapo ipapo.

Heart block inogona kukonzerwa ne:

• Zvimwe zvinokanganisa mishonga. Heart block inokwanisa kuve divi mhedzisiro ye digitalis, beta-blockers, calcium chiteshi blockers, uye mimwe mishonga.
• Kurwadziwa kwemoyo kunokanganisa sisitimu yemagetsi mumoyo.
• Zvirwere zvemoyo, senge chirwere chemoyo wemagetsi uye sarcoidosis yemoyo.
• Zvimwe hutachiona, senge chirwere cheLyme.
• Kuvhiya kwemoyo.

Unogona kunge uine moyo wakavharika nekuti iwe wakaberekwa nawo. Iwe uri munjodzi yeizvi kana:

• Une moyo wakaremara.
• Amai vako vane chirwere chemuviri, chakadai se lupus.

Vamwe vanhu vakajairika, vanozove neyekutanga degree block kunyanya pazororo kana pakurara. Izvi zvinowanzoitika kune vechidiki vane hutano.

Taura nemupi wako wezvehutano nezve zviratidzo zvako. Zviratidzo zvinogona kuve zvakasiyana kune yekutanga, yechipiri, uye chechitatu-degree moyo bhata.

Iwe unogona kunge usina chero zviratidzo zvekutanga-degree moyo bhata. Iwe unogona kusaziva kuti une moyo block kusvika yaratidza pabvunzo inonzi electrocardiogram (ECG).

Kana iwe uine wechipiri-degree kana wechitatu-degree moyo bhata, zviratidzo zvinogona kusanganisira:

• Kurwadziwa pachifuva.
• Dzungu.
• Kunzwa kupera simba kana kufenda.
• Kuneta.
• Mwoyo palpitations - Palpitations ndeye apo moyo wako unonzwa kunge uri kurova, kurova zvisina kujairika, kana kumhanya.

Wako mupi angangodaro akutume iwe kuna chiremba wemwoyo (cardiologist) kuti uongorore kana kuwedzere kuongorora moyo block.

Nyanzvi yemoyo ichataura newe nezvenhoroondo yako yekurapa uye mishonga yauri kutora. Nyanzvi yemoyo ichaita zvakare:

• Ita bvunzo yakakwana yemuviri. Iye mupi anozokutarisa kuti uone zviratidzo zvekutadza kwemoyo, senge kuzvimba makumbo netsoka.
• Ita bvunzo yeECG kuti utarise zviratidzo zvemagetsi mumoyo mako.
• Iwe ungangoda kupfeka cheki yemoyo kwemaawa makumi maviri nemana kusvika makumi mana kana makumi mana kuti utarise magetsi emagetsi mumoyo mako.

Mushonga wekuvharwa kwemoyo zvinoenderana nerudzi rwemoyo bhata rauinaro uye chikonzero.

Kana iwe usina zviratidzo zvakakomba uye uine mhando yakapfava yemoyo block, ungangoda ku:

• Gara uchiongorora nemupi wako.
• Dzidza maitiro ekutarisa kushaya kwako.
• Ziva zviratidzo zvako uye uzive nguva yekufonera mupiki wako kana zviratidzo zvachinja.

Kana iwe uine wechipiri- kana wechitatu-degree moyo bhata, iwe ungangoda pacemaker kubatsira moyo wako kurova nguva dzose.

• Pacemaker idiki pane dhiketi remakadhi uye inogona kunge iri diki sewachi yechiuno. Inoiswa mukati meganda pachifuva chako. Inopa zviratidzo zvemagetsi kuti moyo wako urove pachiyero uye mutinhimira.
• Rudzi rutsva rwe pacemaker idiki kwazvo (ingangoita saizi mbiri kusvika kumatatu mapiritsi-mapiritsi)
• Dzimwe nguva, kana bharaki remwoyo rinotarisirwa kugadzirisa muzuva kana zvakadaro, pacemaker yenguva pfupi inozoshandiswa. Rudzi urwu rwechigadzirwa haruna kuiswa mumuviri. Panzvimbo pezvo waya inogona kuiswa kuburikidza netsinga uye yakanangiswa kumoyo uye yakabatana neacemaker. A pacemaker yenguva pfupi inogona zvakare kushandiswa mune yechimbichimbi pasati pacemaker yechigarire inogona kuiswa. Vanhu vane pacemaker kwenguva pfupi vanoongororwa munzvimbo yevanotarisirwa zvakanyanya muchipatara.
• Heart block inokonzerwa nekurwadziwa kwemoyo kana kuvhiyiwa kwemoyo kunogona kuenda sezvaunopora.
• Kana mushonga urikukonzera moyo block, kushandura mishonga kunogona kugadzirisa dambudziko. Usamise kana kushandura nzira yaunotora chero mushonga kunze kwekunge mupi wako akakuudza kuti udaro.

Nekugara uchiongorora uye kurapwa, iwe unofanirwa kukwanisa kuenderana nezvakawanda zvawakajaira zviitiko.

Heart block inogona kuwedzera njodzi ye:

• Mamwe marudzi emoyo mutinhimira matambudziko (arrhythmias), senge atrial fibrillation. Taura nemupi wako nezvezviratidzo zveimwe arrhythmias.
• Kumira kurova kwemoyo.

Kana iwe uine pacemaker, haugone kuve padhuze neakasimba magineti minda. Iwe unofanirwa kuzivisa vanhu kuti iwe une pacemaker.

• Usapfuure nepachiteshi chenguva dzose panhandare yendege, mudare redzimhosva, kana imwe nzvimbo inoda kuti vanhu vafambe kuburikidza nekuongororwa kwekuchengetedza. Udza vashandi vekuchengetedza iwe une pacemaker uye bvunza imwe yemhando yekuchengetedza kuchengetedzwa.
• Usatore MRI usingatauri wehunyanzvi hweMRI nezve pacemaker yako.

Fonera mupiki wako kana iwe uchinzwa:

• Dzungu
• Vasina simba
• Kufenda
• Kumhanya kurova kwemoyo
• Yakasvetuka kurova kwemoyo
• Kurwadziwa pachifuva

Fonera mupiki wako kana iwe uine zviratidzo zvekutadza kwemoyo:

• Kushaya simba
• Makumbo akazvimba, makumbo, kana tsoka
• Inzwa kupera mweya

AV Block; Arrhythmia; Chekutanga-degree moyo block; Chechipiri-degree moyo block; Mobitz mhando 1; Wenckebach's block; Mobitz mhando II; Chechitatu-degree moyo block; Pacemaker - moyo block

Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, et al. 2018 ACC / AHA / HRS nhungamiro pakuongorora uye manejimendi evarwere vane bradycardia uye yemoyo conduction kunonoka. Kutenderera. 2018: CIR0000000000000628. PMID: 30586772 www.ncbi.nlm.nih.gov/pubmed/30586772.

Olgin JE, Zipes DP. Bradyarrhythmias uye atrioventricular block. 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 40.

Swerdlow CD, Wang PJ, Zipes DP. Pacemaker uye inodyara cardioverter-defibrillators. 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 41.