Kugunda kwa mtima

Palpitations ndikumverera kapena kumverera komwe mtima wanu ukugunda kapena kuthamanga. Amatha kumveka pachifuwa, pakhosi, kapena m'khosi.

Mutha ku:

• Khalani ndi kuzindikira kosasangalatsa kwa kugunda kwanu
• Mumve ngati mtima wanu udumpha kapena kuyimitsa kumenyedwa

Nyimbo ya mtima imatha kukhala yachibadwa kapena yachilendo mukamagunda.

Nthawi zambiri mtima umagunda 60 mpaka 100 pamphindi. Mlingowu ungatsike pansi pamenyedwe 60 pamphindi mwa anthu omwe amachita masewera olimbitsa thupi pafupipafupi kapena kumwa mankhwala omwe amachepetsa mtima.

Ngati kugunda kwa mtima kwanu kuli kothamanga (kugunda kopitilira 100 pamphindi), izi zimatchedwa tachycardia. Kugunda kwa mtima pang'ono kuposa 60 kumatchedwa bradycardia. Nthawi zina kugunda kwamtima kwina chifukwa chongomveka kumadziwika kuti extrasystole.

Kuphwanya sikumakhala kovuta nthawi zambiri. Zoyimira zomwe zimayimira kusinthasintha kwamtima (arrhythmia) zitha kukhala zowopsa kwambiri.

Zinthu zotsatirazi zimakupangitsani kukhala ndi mtima wosazolowereka:

• Matenda amtima odziwika panthawi yomwe ma palpitations amayamba
• Zowopsa pachiwopsezo cha matenda amtima
• Valavu yamtima yachilendo
• Kusowa kwamagetsi m'magazi anu - mwachitsanzo, potaziyamu wochepa

Kugunda kwamtima kumatha chifukwa cha:

• Kuda nkhawa, kupsinjika, mantha, kapena mantha
• Kafeini kudya
• Cocaine kapena mankhwala osokoneza bongo
• Mankhwala otetezera, monga phenylephrine kapena pseudoephedrine
• Mapiritsi azakudya
• Chitani masewera olimbitsa thupi
• Malungo
• Kudya kwa chikonga

Komabe, kupweteka kwina kumachitika chifukwa cha mtima wosakhazikika, womwe ungayambitsidwe ndi:

• Matenda a mtima
• Valavu yamtima yosazolowereka, monga mitral valve prolapse
• Mulingo wosazolowereka wa potaziyamu
• Mankhwala ena, kuphatikiza omwe amagwiritsidwa ntchito pochizira mphumu, kuthamanga kwa magazi, kapena mavuto amtima
• Chithokomiro chopitilira muyeso
• Mpweya wotsika wa magazi m'magazi anu

Zomwe mungachite kuti muchepetse kugunda kwamagulu ndi monga:

• Chepetsani kumwa caffeine ndi nikotini. Izi nthawi zambiri zimachepetsa kugunda kwa mtima.
• Phunzirani kuchepetsa nkhawa komanso nkhawa. Izi zitha kuthandiza kupewa kugundika ndikuthandizani kuti muzitha kuwongolera bwino zikachitika.
• Yesani kupumula kwambiri kapena kupuma.
• Yesetsani yoga, kusinkhasinkha, kapena tai chi.
• Muzichita masewera olimbitsa thupi nthawi zonse.
• Osasuta.

Pomwe vuto lalikulu laletsedwa ndi omwe amakupatsani, yesetsani kuti musamayang'ane kwambiri kugunda kwa mtima. Izi zitha kubweretsa nkhawa. Komabe, funsani omwe akukuthandizani mukawona kuwonjezeka kwadzidzidzi kapena kusintha kwa iwo.

Ngati simunakhudzidwepo ndi mtima, onani omwe akukuthandizani.

Imbani 911 kapena nambala yadzidzidzi yakomweko ngati muli:

• Kutaya tcheru (chidziwitso)
• Kupweteka pachifuwa
• Kupuma pang'ono
• Thukuta losazolowereka
• Chizungulire kapena kupepuka

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Nthawi zambiri mumamva kugunda kwamtima (kupitilira 6 pamphindi kapena kubwera m'magulu atatu kapena kupitilira apo).
• Muli ndi zoopsa za matenda a mtima, monga cholesterol, shuga, kapena kuthamanga kwa magazi.
• Muli ndi kugunda kwamtima kwatsopano kapena kosiyana.
• Kutengeka kwanu kumamenyedwa kuposa 100 pamphindi (osachita masewera olimbitsa thupi, kuda nkhawa, kapena kutentha thupi).
• Muli ndi zizindikiro zofananira, monga kupweteka pachifuwa, kupuma movutikira, kukomoka, kapena kutaya chidziwitso.
  

Omwe amakupatsirani mayeso adzakufunsani ndikufunsani mafunso okhudza mbiri yanu yazachipatala.

Mutha kufunsidwa:

• Mukumva kuti mwadumpha kapena kuyimitsidwa kumenyedwa?
• Kodi kugunda kwa mtima kwanu kumachedwetsa kapena kuthamanga mukamagunda?
• Kodi mumamva kuti mukuthamanga, kuthamanga, kapena kukuphethirani?
• Kodi pali chizolowezi chokhazikika kapena chosasinthasintha pakumverera kwachilendo kwachilendo?
• Kodi kugundana kudayamba kapena kutha mwadzidzidzi?
• Kodi palpitations zimachitika liti? Poyankha zikumbutso za zoopsa? Mukamagona ndi kupumula? Mukasintha thupi lanu? Mukakhala ndi nkhawa?
• Kodi muli ndi zizindikiro zina?

Pulogalamu ya electrocardiogram itha kuchitidwa.

Mukapita kuchipinda chadzidzidzi, mudzalumikizidwa ndi chowunikira cha mtima. Komabe, anthu ambiri omwe ali ndi vuto lopunduka safunika kupita kuchipatala kuti akalandire chithandizo.

Ngati wothandizira wanu akupeza kuti muli ndi vuto la mtima, mayesero ena atha kuchitidwa. Izi zingaphatikizepo:

• Holter polojekiti kwa maola 24, kapena kuwunika kwamtima wina kwa milungu iwiri kapena kupitilira apo
• Zojambulajambula
• Phunziro la Electrophysiology (EPS)
• Zowonera Coronary

Kugunda kwamtima; Kugunda kwamtima kosasintha; Kupindika; Mtima ukugunda kapena kuthamanga

• Zipinda zamtima
• Kugunda kwa mtima
• Yoga

Fang JC, O'Gara PT. Mbiri ndi kuwunika kwakuthupi: njira yozikira umboni. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 10.

Miller JM, Tomaselli GF, Zipes DP. Kuzindikira kwamatenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli, GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 35.

Olgin JE. Njira kwa wodwalayo amaganiziridwa arrhythmia. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 56.