Kumangidwa kwamtima

Kumangidwa kwamtima kumachitika mtima ukaleka kugunda mwadzidzidzi. Izi zikachitika, magazi amapita muubongo ndipo thupi lonse limayimiranso. Kumangidwa kwamtima ndi vuto lazachipatala. Ngati sanalandire chithandizo mphindi zochepa, kumangidwa kwamtima nthawi zambiri kumayambitsa imfa.

Pomwe anthu ena amatchula matenda amtima ngati kumangidwa kwamtima, sizinthu zomwezo. Matenda a mtima amachitika pamene mtsempha wotsekedwa umatseka magazi kupita kumtima. Matenda a mtima akhoza kuwononga mtima, koma sizimayambitsa imfa. Komabe, matenda a mtima nthawi zina amatha kuyambitsa mtima.

Kumangidwa kwa mtima kumayambitsidwa ndi vuto lamagetsi amtima, monga:

• Ventricular fibrillation (VF) - VF ikamachitika, zipinda zapansi zomwe zimaponyera mtima mmalo mokamenya pafupipafupi. Mtima sungapope magazi, zomwe zimabweretsa kumangidwa kwamtima. Izi zitha kuchitika popanda chifukwa chilichonse kapena chifukwa cha chikhalidwe china.
• Mtima block - Izi zimachitika mbendera yamagetsi ikamachedwa kapena kuyimitsidwa ikamadutsa mumtima.

Mavuto omwe angayambitse kumangidwa kwa mtima ndi awa:

• Matenda a mtima (CHD) - CHD imatha kutseka mitsempha mumtima mwanu, motero magazi sangathe kuyenda bwino. Popita nthawi, izi zimatha kuyika mtima wanu pamavuto amagetsi ndi zamagetsi.
• Matenda a mtima - Matenda amtima asanafike amatha kupanga minofu yotupa yomwe ingayambitse VF ndikumangidwa kwamtima.
• Mavuto amtima, monga matenda obadwa nawo a mtima, mavuto a valavu yamtima, mavuto amtundu wamtima, komanso kukulitsa mtima kumathandizanso kumangidwa kwamtima.
• Magawo osazolowereka a potaziyamu kapena magnesium - Mcherewu umathandizira makina amagetsi amtima wanu kugwira ntchito. Mulingo wokwera kapena wotsika kwambiri ungayambitse kumangidwa kwamtima.
• Kupsinjika kwakuthupi - Chilichonse chomwe chimayambitsa kupsinjika kwakukulu mthupi lanu chimatha kubweretsa kumangidwa kwamtima. Izi zingaphatikizepo kupwetekedwa mtima, kugwedezeka kwamagetsi, kapena kutaya magazi kwambiri.
• Mankhwala osangalatsa - Kugwiritsa ntchito mankhwala ena, monga cocaine kapena amphetamines, kumawonjezeranso mwayi wanu womangidwa ndi mtima.
• Mankhwala - Mankhwala ena atha kukulitsa kuthekera kwa kusinthasintha kwamtima.

Anthu ambiri SAKHALA ndi zisonyezo zakumangidwa kwamtima mpaka zitachitika. Zizindikiro zimaphatikizapo:

• Mwadzidzidzi kutaya chidziwitso; munthu adzagwa pansi kapena kugwa pansi atakhala
• Palibe kugunda
• Palibe kupuma

Nthawi zina, mungaone zizindikilo zina pafupifupi ola limodzi musanamangidwe mtima. Izi zingaphatikizepo:

• Mtima wothamanga
• Chizungulire
• Kupuma pang'ono
• Nseru kapena kusanza
• Kupweteka pachifuwa

Kumangidwa kwamtima kumachitika mwachangu kwambiri, palibe nthawi yoyezetsa. Ngati munthu apulumuka, mayeso ambiri amachitika pambuyo pake kuti athandize kudziwa chomwe chidapangitsa kumangidwa kwamtima. Izi zingaphatikizepo:

• Kuyezetsa magazi kuti muwone michere yomwe imatha kuwonetsa ngati mwadwala mtima. Dokotala wanu amathanso kugwiritsa ntchito kuyesa magazi kuti muwone kuchuluka kwa mchere, mahomoni, ndi mankhwala m'thupi lanu.
• Electrocardiogram (ECG) kuti muyese zamagetsi pamtima panu. ECG imatha kuwonetsa ngati mtima wanu wawonongeka kuchokera ku CHD kapena matenda amtima.
• Echocardiogram kuwonetsa ngati mtima wanu wawonongeka ndikupeza mitundu ina yamatenda amtima (monga mavuto am'mimba kapena mavavu).
• Cardiac MRI imathandizira wothandizira zaumoyo wanu kuwona zithunzi mwatsatanetsatane za mtima wanu ndi mitsempha yamagazi.
• Kafukufuku wa Intracardiac electrophysiology (EPS) kuti muwone momwe zizindikiritso zamagetsi za mtima wanu zikugwira ntchito bwino. EPS imagwiritsidwa ntchito poyang'ana kugunda kwamtima kapena zingwe za mtima.
• Catheterization yamtima imakupatsani omwe akukuthandizani kuwona ngati mitsempha yanu ndi yocheperako kapena yotsekedwa
• Kafukufuku wa Electrophysiologic kuti awunikire momwe amayendetsera.

Wothandizira anu amathanso kuyesa mayeso ena, kutengera mbiri yaumoyo wanu komanso zotsatira za mayesowa.

Kumangidwa kwamtima kumafuna chithandizo chadzidzidzi nthawi yomweyo kuti mtima uyambenso.

• Kubwezeretsanso mtima (CPR) - Izi nthawi zambiri zimakhala njira yoyamba yothandizira kumangidwa kwamtima. Zitha kuchitidwa ndi aliyense amene adaphunzitsidwa mu CPR. Itha kuthandizira kuti mpweya uziyenda m'thupi mpaka chisamaliro chadzidzidzi chifike.
• Kusokoneza bongo - Imeneyi ndi chithandizo chofunikira kwambiri chomangidwa ndi mtima. Amagwiritsidwa ntchito pogwiritsa ntchito chipangizo chachipatala chomwe chimagwedeza magetsi pamtima. Kugwedezeka kumatha kukhudza mtima mobwerezabwereza. Tinyumba tating'onoting'ono tomwe timanyamula nthawi zambiri timapezeka m'malo opezeka anthu wamba kuti anthu azigwiritsa ntchito mwadzidzidzi ndi anthu omwe aphunzitsidwa kuzigwiritsa ntchito. Mankhwalawa amathandiza kwambiri mukamapereka kwa mphindi zochepa.

Ngati mupulumuka kumangidwa kwamtima, mudzalandiridwa kuchipatala kuti mukalandire chithandizo. Kutengera zomwe zidakupangitsani kuti mumangidwe pamtima, mungafunike mankhwala ena, njira, kapena opaleshoni.

Mutha kukhala ndi kachipangizo kakang'ono, kotchedwa implantable cardioverter-defibrillator (ICD) yoyikidwa pansi pa khungu lanu pafupi ndi chifuwa chanu. ICD imayang'anitsitsa kugunda kwa mtima wanu ndipo imapangitsa mtima wanu kugwedezeka pamagetsi ikazindikira kugunda kwamtima kosazolowereka.

Anthu ambiri SAPulumuka kumangidwa kwamtima. Ngati mwamangidwa ndi mtima, muli pachiwopsezo chachikulu chokhala ndi wina. Muyenera kugwira ntchito limodzi ndi madokotala kuti muchepetse chiopsezo.

Kumangidwa kwamtima kumatha kuyambitsa mavuto ena azaumoyo kuphatikiza:

• Kuvulala kwa ubongo
• Mavuto amtima
• Zinthu zam'mapapo
• Matenda

Mungafunike chisamaliro chosalekeza ndi chithandizo kuti muthane ndi zovuta zina.

Imbani wothandizira wanu kapena 911 kapena nambala yachangu yakomweko ngati muli ndi:

• Kupweteka pachifuwa
• Kupuma pang'ono

Njira yabwino yodzitetezera kumangidwe kwa mtima ndikuteteza mtima wanu. Ngati muli ndi CHD kapena vuto lina la mtima, funsani omwe akukuthandizani momwe mungachepetsere chiopsezo chanu chomangidwa ndi mtima.

Kumangidwa kwadzidzidzi kwamtima; SCA; Kumangidwa kwamtima; Kuzungulira kumangidwa; Arrhythmia - kumangidwa kwamtima; Fibrillation - kumangidwa kwamtima; Mtima block - kumangidwa kwamtima

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.

Myerburg RJ, Goldberger JJ. Kumangidwa kwamtima ndi kufa kwadzidzidzi kwamtima. 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 42.