Kutaya mtima

Kutaya mtima ndi njira yobweretsera kuchepa kwa mtima wabwinobwino.

Kutaya mtima kumatha kuchitika pogwiritsa ntchito magetsi kapena ndi mankhwala osokoneza bongo.

KUSINTHA KWA Magetsi

Kutaya mtima kwamagetsi kumachitika ndi chida chomwe chimagwedeza magetsi pamtima kuti musinthe mayendedwe kukhala abwinobwino. Chipangizocho chimatchedwa defibrillator.

Kudandaula kumatha kuperekedwa kuchokera ku chida kunja kwa thupi lotchedwa defibrillator yakunja. Izi zimapezeka muzipinda zadzidzidzi, maambulansi, kapena m'malo ena aboma monga ma eyapoti.

• Zilonda zama electrode zimayikidwa pachifuwa ndi kumbuyo. Zilondazo zimagwirizanitsidwa ndi defibrillator. Kapenanso, zikwangwani zomata ndi zida zimayikidwa pachifuwa.
• The defibrillator imayambitsidwa ndipo kugwedezeka kwamagetsi kumaperekedwa mumtima mwanu.
• Kudandaula kumeneku kumayimitsa zonse zamagetsi zamtima. Kenako imalola kuti muyeso wabwinobwino wamtima ubwererenso.
• Nthawi zina pamafunika kugwedezeka kopitilira kamodzi, kapena kugwedezeka mwamphamvu kwambiri.

Defibrillator yakunja imagwiritsidwa ntchito pochiza ntimitima yachilendo (arrhythmia) yomwe imayambitsa kugwa komanso kumangidwa kwamtima. Zitsanzo ndi ma ventricular tachycardia ndi ventricular fibrillation.

Zipangizo zomwezi zitha kugwiritsidwanso ntchito kuthana ndi zovuta zosadziwika bwino, mavuto monga atril fibrillation.

• Anthu ena angafunike kuyamba kuwonda magazi asanateteze magazi ochepa.
• Mupatsidwa mankhwala okuthandizani kupumula musanachitike.
• Pambuyo pa njirayi, mutha kupatsidwa mankhwala oletsa kuundana kwamagazi kapena kuthandizira kuti arrhythmia isabwerere.

An implantable cardioverter-defibrillator (ICD) ndichida chomwe chimayikidwa mkati mwathupi lanu. Amagwiritsidwa ntchito kwambiri kwa anthu omwe ali pachiwopsezo chofa mwadzidzidzi chifukwa mtima wawo umakhala wosauka kwambiri, kapena adakhalapo ndi mtima wowopsa kale.

• ICD imayikidwa pansi pa khungu la chifuwa chanu chapamwamba kapena pamimba.
• Mawaya amamangiriridwa omwe amalowa mkati kapena pafupi ndi mtima.
• Ngati chipangizocho chizindikira kugunda kwa mtima koopsa, chimatumiza kugunda kwamagetsi pamtima kuti musinthe mayendedwe kukhala abwinobwino.

CARDIOVERSION Pogwiritsa ntchito mankhwala osokoneza bongo

Kutulutsa mtima kumatha kuchitika pogwiritsa ntchito mankhwala omwe amatengedwa pakamwa kapena kuperekedwa kudzera mu mzere wolowa mkati (IV). Zitha kutenga kuchokera pamphindi zingapo mpaka masiku kuti mankhwalawa agwire ntchito. Mankhwalawa nthawi zambiri amachitika mukakhala mchipatala momwe mungayang'anire mtima wanu.

Kugwiritsa ntchito mankhwala osokoneza bongo kumatha kuchitika kunja kwa chipatala. Mankhwalawa amagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi matenda a atrial omwe amabwera ndikumapita. Komabe, muyenera kutsatira mosamalitsa ndi katswiri wa zamatenda.

Mutha kupatsidwa mankhwala ochepetsa magazi kuti magazi asagundane ndikupanga mtima (zomwe zingayambitse sitiroko).

ZOCHITIKA

Zovuta zamatenda amtima sizachilendo, koma zimatha kuphatikiza:

• Thupi lawo siligwirizana mankhwala ntchito
• Kuundana kwamagazi komwe kumatha kuyambitsa sitiroko kapena ziwalo zina
• Kulakwitsa, kuwotcha, kapena kupweteka komwe ma elekitirodi amagwiritsidwa ntchito
• Kukulitsa kwa arrhythmia

Anthu omwe amachita zakuthupi zakunja amatha kudabwitsidwa ngati njirayi singachitike moyenera. Izi zitha kuyambitsa mavuto a nyimbo, kupweteka, ngakhale kufa.

Mitundu yachilendo ya mtima - mtima; Bradycardia - mtima; Tachycardia - mtima; Fibrillation - mtima; Arrhythmia - mtima; Kumangidwa kwamtima - mtima; Makina osokoneza bongo - kusintha kwamtima; Pharmacologic mtima

• Chokhazika mtima chosintha mtima

Al-Khatib SM, Stevenson WG, Ackerman MJ, ndi al. Malangizo a 2017 AHA / ACC / HRS oyang'anira odwala omwe ali ndi ma ventricular arrhythmias komanso kupewa kufa kwamwadzidzidzi kwa mtima: chidule chachikulu: lipoti la American College of Cardiology / American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Mtima Nyimbo. 2018; 15 (10): e190-e252. PMID: 29097320 adatulutsidwa.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, ndi al. 2012 ACCF / AHA / HRS idasinthiratu zomwe zidaphatikizidwa ndi malangizo a ACCF / AHA / HRS 2008 pazithandizo zochokera pazida zamatenda amtima: lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Sosaiti. J Ndine Coll Cardiol. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Thandizo la arrhythmias yamtima. 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 36.

Minczak BM, Laub GW. Kukhazikika ndi kusintha kwa mtima. Mu: Roberts JR, Custalow CB, Thomsen TW, olemba., Eds. Ndondomeko Zachipatala za Roberts ndi Hedges mu Emergency Medicine ndi Acute Care. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 12.

Myerburg RJ. Njira yakumangidwa kwamtima ndi ziwopsezo zopha moyo. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 57.

Santucci PA, DJ wa Wilber. Njira zopangira ma electrophysiologic ndi opaleshoni. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 60.