Paroxysmal Supraventricular Tachycardia (PSVT)

Zvemukati

• Ndezvipi zvinokonzeresa paroxysmal supraventricular tachycardia?
• Ndezvipi zviratidzo zveparoxysmal supraventricular tachycardia?
• Paroxysmal supraventricular tachycardia inoonekwa sei?
• Paroxysmal supraventricular tachycardia inorapwa sei?
• Ndeipi iyo tarisiro yeparoxysmal supraventricular tachycardia?
• Mhando: Q&A
• Mubvunzo:
• A:

Chii chinonzi paroxysmal supraventricular tachycardia?

Zvikamu zvekukurumidza-kupfuura-zvakajairwa moyo chiyero zvinoratidza paroxysmal supraventricular tachycardia (PSVT). PSVT iri mhando yakajairika yemhando yemoyo isina kujairika. Zvinogona kuitika chero zera uye mune vanhu vasina mamwe mamiriro emwoyo.

Iyo yemoyo sinus node inowanzo kutumira masaini emagetsi kuudza iyo moyo mhasuru nguva yekubatana. MuPSVT, nzira isina kujairika yemagetsi inokonzeresa moyo kurova nekukurumidza kupfuura zvakajairwa. Zvikamu zvekukurumidza moyo kurovera zvinogona kugara kubva maminetsi mashoma kusvika kumaawa akati wandei. Munhu ane PSVT anogona kuve nemoyo wekukwira zvakakwirira se250 kurova paminiti (bpm). Chiyero chakajairwa chiri pakati pe60 ne100 bpm.

PSVT inogona kukonzera kusagadzikana zviratidzo, asi hazviwanzo kutyisidzira hupenyu. Vanhu vazhinji havadi kurapwa kwenguva refu kwePSVT. Kune mishonga uye maitiro angave anodikanwa mune dzimwe nguva, kunyanya apo PSVT inopindira nemoyo basa.

Izwi rekuti "paroxysmal" rinoreva kuti zvinongoitika nguva nenguva.

Ndezvipi zvinokonzeresa paroxysmal supraventricular tachycardia?

PSVT inobata anenge mumwe chete muvana 2 500 voga voga. Iyo ndiyo inowanzoitika zvisina kujairika moyo mutinhimira muvacheche nevacheche. Wolff-Parkinson-White syndrome (WPW) ndiyo yakajairika mhando yePSVT muvana nevacheche.

PSVT inowanzoitika kune vanhu vakuru vari pasi pemakore makumi matanhatu nemashanu. Vakuru vanopfuura makore makumi matanhatu nemashanu vanowanzove neatrial fibrillation (AFib).

Mumoyo wakajairika, iyo sinus node inotungamira magetsi emagetsi kuburikidza neimwe nzira. Izvi zvinodzora kuwanda kwekurova kwemoyo wako. Imwe nzira yekuwedzera, inowanzo kuve mune supraventricular tachycardia, inogona kutungamira kune isina kujairika kurova kwemoyo kwePSVT.

Kune mimwe mishonga inoita kuti PSVT inyanye. Semuenzaniso, kana ikatorwa muhombe madhizaini, moyo wemishonga digitalis (digoxin) inogona kutungamira kuzvikamu zvePSVT. Zviito zvinotevera zvinogona zvakare kuwedzera njodzi yako yekuve nechikamu chePSVT:

• kumedza caffeine
• kunwisa doro
• kusvuta
• kushandisa zvinodhaka zvisiri pamutemo
• kutora mamwe mishonga yekukanganiswa uye yekukosora

Ndezvipi zviratidzo zveparoxysmal supraventricular tachycardia?

Zviratidzo zvePSVT zvakafanana nezviratidzo zvekushushikana uye zvinogona kusanganisira:

• kurova kwemoyo
• kukurumidza kupomba
• kunzwa kwekusunga kana kurwadziwa mubhokisi
• kushushikana
• mweya wekufema

Muzviitiko zvakakomba, PSVT inogona kukonzera dzungu uye kunyangwe kufenda nekuda kwekushomeka kweropa kuyerera kuenda kuuropi.

Dzimwe nguva, munhu anoona zviratidzo zvePSVT anogona kuvhiringidza mamiriro pamwe nekurwadziwa kwemoyo. Izvi zvinonyanya kuitika kana iri yavo yekutanga PSVT episode. Kana kurwadziwa kwako muchipfuva kwakakomba iwe unofanirwa kugara uchienda kuchimbichimbi kamuri yekuyedzwa.

Paroxysmal supraventricular tachycardia inoonekwa sei?

Kana iwe uine chiitiko chekutsanya kwemoyo panguva yekuongororwa, chiremba wako anozokwanisa kuyera moyo wako rate. Kana iri yakakwira kwazvo, vanogona kufungidzira PSVT.

Kuti uongorore PSVT, chiremba wako acharaira electrocardiogram (EKG). Uku ndiko kutsvaga kwemagetsi kwemoyo. Inogona kubatsira kuona kuti ndeupi rudzi rwechinetso cherhythm urikukonzera kukurumidza kwemoyo wako PSVT inongova imwe yezvikonzero zvakawanda zvekurovera moyo zvisina kujairika. Chiremba wako anogona zvakare kuraira echocardiogram, kana ultrasound yemoyo, kuyera saizi, kufamba, uye chimiro chemoyo wako.

Kana iwe uine isina kujairika moyo mutinhimira kana chiyero, chiremba wako anogona kukuendesa iwe kune nyanzvi iyo iri nyanzvi mumatambudziko emagetsi emoyo. Ivo vanozivikanwa sema electrophysiologists kana EP cardiologists. Ivo vanogona kuita electrophysiology kudzidza (EPS). Izvi zvinosanganisa tambo dzemuchina kuburikidza nemutsinga mukati meguruva rako uye kumusoro mumoyo mako. Izvi zvinobvumira chiremba wako kuti aongorore rwiyo rwemwoyo wako nekutarisa nzira dzemagetsi dzemwoyo wako.

Chiremba wako anogona zvakare kuongorora kuwanda kwemoyo wako kwenguva yakati. Mune ino kesi, iwe unogona kupfeka iyo Holter yekutarisa kwemaawa makumi maviri nemana kana kupfuura. Munguva iyoyo, iwe unenge uine ma sensors akasungirirwa pachipfuva chako uye uchapfeka diki diki inorekodha kurova kwemoyo wako. Chiremba wako anoongorora marekodhi kuti aone kana iwe uine PSVT kana imwewo mhando yemaitiro asina kujairika.

Paroxysmal supraventricular tachycardia inorapwa sei?

Iwe unogona kusada kurapwa kana zviratidzo zvako zviri zvishoma kana kana iwe uchingova nezvikamu zvekukurumidza kwemoyo kurovera pane dzimwe nguva. Kurapa kunogona kudikanwa kana iwe uine mamiriro ari pasi achikonzera iyo PSVT kana zvimwe zvakakomba zviratidzo sekutadza kwemoyo kana kupfuura.

Kana iwe uine kukurumidza kurovera kwemoyo asi zviratidzo zvako zvisina kunyanyisa, chiremba wako anogona kukuratidza hunyanzvi hwekudzorera kurova kwemoyo wako kune zvakajairwa. Inonzi iyo Valsalva maneuver. Inosanganisira kuvhara muromo wako nekupina mhino dzako uchiedza kuburitsa mweya nekumenya sekunge uri kuedza kuita ura. Iwe unofanirwa kuita izvi wakagara uye uchikotama muviri wako kumberi.

Iwe unogona kuita maneuver iyi kumba. Inogona kushanda kusvika makumi mashanu muzana yenguva. Iwe unogona zvakare kuyedza kukosora wakagara uye wakakotamira kumberi. Kupwanya mvura yechando kumeso kwako ndeimwe nzira yekubatsira kudzikisa kurova kwemoyo wako.

Kurapa kwePSVT kunosanganisira mishonga, senge kana flecainide kana propafenone, kubatsira kudzora kurova kwemoyo wako. Maitiro anonzi radiofrequency catheter ablation inzira yakajairika yekugadzirisa PSVT zvachose. Inoitwa nenzira imwechete seEPS. Iyo inobvumidza chiremba wako kushandisa maelekodhi kudzikisira iyo magetsi nzira iyo iri kukonzera iyo PSVT.

Kana PSVT yako ikasapindura kune kumwe kurapwa, chiremba wako anogona kuvhiya achiisa pacemaker muchipfuva chako kuti utonge kurova kwemoyo wako.

Ndeipi iyo tarisiro yeparoxysmal supraventricular tachycardia?

PSVT haisi kutyisidzira hupenyu. Zvisinei, kana iwe uine mamiriro ezvinhu emwoyo, PSVT inogona kuwedzera mungozi yako yekugadzirisa mwoyo kusakundikana, angina, kana mamwe maitiro asina kujairika. Rangarira kuti maonero ako anoenderana nehutano hwako hwese uye sarudzo dziripo dzekurapa.

Mhando: Q&A

Mubvunzo:

Kune here akasiyana marudzi eparoxysmal supraventricular tachycardia?

A:

Rudzi rwePSVT munhu anaro rwakavakirwa panzira yemagetsi inoikonzera. Kune maviri makuru mhando. Imwe yakavakirwa munzira mbiri dzinokwikwidza dzemagetsi. Imwe yacho yakavakirwa pane imwe nzira inobatanidza iyo atrium (chikamu chepamusoro chemoyo) kune ventricle (chikamu chepazasi chemoyo).

Iyo yemakwikwi yemagetsi nzira ndiyo inowanzo kuwanikwa muPSVT. Iyo mhando inokonzerwa neimwe yekuwedzera nzira pakati peatrium uye ventricle zvishoma kazhinji inokonzeresa PSVT uye inowanzo sanganisirwa neWolff-Parkinson-White syndrome (WPW).

PSVT ndeimwe yemhando dzakawanda dzekukurumidza-kupfuura-zvakajairwa moyo mitengo inozivikanwa seye supraventricular tachycardias (SVT). Kunze kwePSVT, iyo SVT mitinhimira zvakare inosanganisira akasiyana siyana akasiyana asina kujairika atrial moyo kurova. Mamwe acho anosanganisira atrial flutter, atrial fibrillation (AFib), uye multifocal atrial tachycardia (MAT). Mhando yePSVT yauinayo hainyanyo kukanganisa kurapwa kwako kana maonero.