Arrhythmia

Kugunda kwamtima nthawi zonse kumachitika chifukwa cha zizindikiro zamagetsi zamkati zomwe zimapangitsa kuti mtima ukhale wolimba ndi kumasuka. Dongosolo lamagetsi lamkati ili limayang'anira kayimbidwe ndi kugunda kwa mtima wathu. Mphamvu yamagetsi imeneyo ikasokonekera, mtima wanu ukhoza kugunda mofulumira kwambiri, pang’onopang’ono kapena mosakhazikika.

Kusakhazikika kwa mtima kumeneku kumatchedwa Arrhythmia, yomwe imatha kuchokera ku kugunda kwamtima kochepa komwe kumatha kukhala kukhumudwitsa mtima wothamanga komwe kungayambitse kuwononga mtima kwanthawi yayitali kapena kuyika moyo pachiswe.

Kusokonezeka kwa kagayidwe ka mtima kumeneku kumatha kuchitika chifukwa cha ukalamba, kuthamanga kwa magazi , matenda a mtima, kulephera kwa mtima, matenda a chithokomiro ndi mapapo, ndi zina zotero. Zizindikiro zodziwika bwino ndi monga kugunda mofulumira, kuvutika kupuma, chizungulire, kusadziwa kapena imfa yadzidzidzi.

Chithandizo cha arrhythmia nthawi zambiri chimatha kuwongolera kapena kuthetsa kugunda kwamtima mwachangu, pang'onopang'ono kapena kosakhazikika. Kuonjezera apo, chifukwa chakuti zovuta za mtima arrhythmias nthawi zambiri zimakhala zovuta kwambiri - kapena zimayambitsidwa - ndi mtima wofooka kapena wowonongeka, mungathe kuchepetsa chiopsezo cha arrhythmia mwa kukhala ndi moyo wathanzi.

Mitundu ya Arrhythmias

Pali mitundu yosiyanasiyana ya Arrhythmias. Madokotala amagawa kwambiri ma arrhythmias osati molingana ndi liwiro la kugunda kwa mtima, komanso molingana ndi chipinda chamtima (atria kapena ventricles) momwe amayambira: Mitundu ya arrhythmias ndi:

Tachycardia

Izi zikutanthawuza kugunda kwa mtima mofulumira - kupumula kwa mtima kugunda kupitirira 100 pa mphindi.

1. i) Tachycardia mu atria(tachycardia yochokera ku atria) ikuphatikizapo:
2. a) Fibrillation yoyeserera: Ndi kugunda kwamtima kofulumira chifukwa cha chisokonezo chamagetsi mu atria. Atrial fibrillation ndi arrhythmia yofala kwambiri mwa anthu okalamba. Zimalumikizidwa ndi chiwopsezo chowonjezereka cha imfa ndipo zimatha kubweretsa zovuta monga Chilonda.
3. b) Atrial flutter: Mofanana ndi fibrillation ya atrial, flutter ya atrial imakhalanso yothamanga kwambiri chifukwa cha chisokonezo chamagetsi. Koma, mu atrium flutter, kugunda kwa mtima kumakhala ndi mphamvu zambiri zamagetsi zamagetsi ndipo zimakhala zokonzeka kwambiri poyerekeza ndi fibrillation ya atrial. Atrial flutter imathanso kuyambitsa sitiroko ndi zovuta zina zazikulu
4. c) Supraventricular tachycardia: Awa ndi mawu otakata omwe amaphatikizapo mitundu yambiri ya arrhythmia yomwe imayambira pamwamba pa ventricles (supraventricular) mu atria. Kutalika kumasiyana ndipo nthawi zambiri kumalumikizidwa ndi kugunda kwamtima mwadzidzidzi.
5. ii) Tachycardia mu ventricles(tachycardia yochokera ku ventricles) imaphatikizapo:
6. a) Maginito tachycardia (VT): Maginito tachycardia ndi kugunda kwa mtima kwachangu, kokhazikika, komwe kumayamba chifukwa cha ma siginecha achilendo amagetsi m'mitsempha ya mtima. Izi ndizowopsa ndipo zimafunikira chithandizo chanthawi yomweyo.
7. b) Ventricular fibrillation: Ventricular fibrillation ndi mkhalidwe umene, ma ventricles amagunda mofulumira kwambiri kotero kuti sangathe kupopa magazi kumtima, motero kumabweretsa imfa yadzidzidzi. Ndikofala kwambiri mwa anthu omwe ali ndi mitima yofooka koma amathanso kukhudza omwe ali ndi mitima yabwino omwe angakhale ndi vuto la mtima monga chibadwa. Kutalika kwa QT Syndrome ndi Brugada Syndrome.

Kugunda kwamtima msanga

Nthawi zambiri, kugunda kwamtima msanga kumakhala ngati kugunda kophonya kapena kudumpha. Kawirikawiri, zimakhala zopanda vuto koma ngati zibwerezedwa kawirikawiri zimatha kukhala zosokoneza chifukwa cha zizindikiro zafupipafupi komanso / kapena zingayambitse kufooka kwa mtima.

Bradycardia

Bradycardia ndi chikhalidwe chomwe chimatanthawuza kugunda kwa mtima pang'onopang'ono komwe kumachepetsa kugunda kwa mtima kwa mphindi 60 pa mphindi imodzi panthawi yopuma. Ngati mukugunda kwapang'onopang'ono ndipo ngati mtima sukupopa magazi okwanira, mungakhale ndi imodzi mwa ma bradycardia awa, kuphatikizapo:

1. i) Kuwonongeka kwa node ya sinus: Munthawi imeneyi, sinus node (pacemaker wamba ya mtima wathu), imapanga magetsi pang'onopang'ono zomwe zimapangitsa kugunda kwa mtima pansi pa 60 pa mphindi imodzi. Ngati vutoli limayambitsa zizindikiro monga chizungulire, kufooka, kutaya chidziwitso kapena kutopa, ndiye kuti chithandizo chikufunika.
2. ii) Njira Yoyendetsera: Uku ndi kugunda kwa mtima pang'onopang'ono komwe kumachitika chifukwa cha chipika chamayendedwe a mtima nthawi zambiri m'mitsempha kapena pafupi ndi nodi ya AV (atrioventricular).

Arrhythmia imatha kuchitika ngakhale mtima utakhala wathanzi kapena ungakhale chifukwa cha:

• Kuvulala kwa a matenda amtima kapena matenda a mtima mwina akuchitika pakali pano
• Njira yochiritsira pambuyo pa opaleshoni ya mtima wanu
• High kuthamanga kwa magazi
• shuga
• kupanikizika
• kusuta
• Kugonana ndi mpweya
• Kumwa mowa kwambiri kapena caffeine
• Kusintha kwa minofu ya mtima kapena kapangidwe ka mtima (monga kuchokera ku cardiomyopathy)
• Matenda a mtimamonga kutsekeka kwa mitsempha yapamtima (coronary artery disease)
• Ma electrolyte olakwika monga sodium kapena potaziyamu m'magazi
• Hyperthyroidism (chithokomiro chogwira ntchito kwambiri) kapena Hypothyroidism (chithokomiro chosagwira ntchito bwino)
• Mankhwala ena ndi zowonjezera kuphatikiza OTC (over-the-counter) ziwengo ndi mankhwala ozizira
• Zina zowonjezera zakudya
• Kugwiritsa ntchito mankhwala osokoneza bongo
• chibadwa

Arrhythmias sangakhale ndi zizindikiro zooneka kapena zizindikiro. Kwenikweni, dokotala wanu angapeze kuti muli ndi arrhythmia musanadzizindikiritse nokha, pakuyezetsa. Ndipo, zizindikiro zowoneka ndi zizindikiro sizikutanthauza kuti mukuvutika ndi vuto lalikulu. Komabe, zizindikiro zowoneka za arrhythmia ndizo:

• Kupweteka pachifuwa
• Kukwapula
• Kukomoka kapena pafupi kukomoka
• Kugunda kwa mtima pang'ono (bradycardia)
• Kuthamanga kwa mtima (tachycardia)
• Kuthamanga m'chifuwa
• Kupuma pang'ono
• Giddiness kapena kumutu

Muyenera Kudziwa

Ndikofunika kukhala ndi moyo wathanzi kuti muchepetse chiopsezo cha arrhythmias kapena matenda ena amtima. Idyani zakudya zopatsa thanzi, limbitsani zolimbitsa thupi zanu, siyani kusuta, khalani ndi thupi labwino, ndipo pewani kapena kuchepetsa kumwa mowa ndi caffeine kuti muteteze matenda a mtima. Chepetsani kupsinjika, chifukwa kupsinjika kwambiri ndi mkwiyo zingayambitse vuto la kugunda kwa mtima. Komanso, gwiritsani ntchito mankhwala ogulitsika mosamala, chifukwa mankhwala ena a chimfine ndi chifuwa, kuphatikizapo mankhwala a ziwengo, ali ndi zolimbikitsa zomwe zingayambitse kugunda kwa mtima mofulumira.