Kodi arrhythmia yamtima imachiritsidwa? ndizovuta?

Zamkati

• Kodi arrhythmia imakhala yovuta liti?
• Njira zothandizira

Matenda a mtima amachiritsika, koma ayenera kuthandizidwa posachedwa pomwe zidziwitso zoyambirira zikuwoneka kuti zipewe zovuta zomwe zingachitike chifukwa cha matendawa, monga matenda amtima, stroke, cardiogenic shock kapena imfa.

Chithandizo cha mtima wamtima chimadalira kuopsa kwa zizindikilozo, mayanjano kapena ayi ndi matenda ena amtima komanso mtundu wa arrhythmia, womwe ungakhale:

• Benign arrhythmia, momwe kusintha kwa kugunda kwa mtima kumatha kutha mosayembekezereka, ndipo kumatha kuwongoleredwa mosavuta ndi mankhwala omwe akuwonetsedwa ndi adotolo komanso machitidwe azolimbitsa thupi nthawi zonse. Komabe, payenera kukhala kufunsana kwakanthawi ndi katswiri wa zamatenda kuti mayeso a mtima azichita nthawi ndi nthawi kuti aunike zomwe zili mumtima ndikuwona ngati pakufunika kuchitira opaleshoni iliyonse;
• Matenda owopsa, momwe zosinthazo sizimasowa zokha komanso zimaipiraipira ndi kuyeserera kapena kuchita masewera olimbitsa thupi, zomwe zimatha kubweretsa imfa ngati sizichiritsidwa mwachangu komanso m'njira yoyenera.

Arrhythmia imafanana ndi kusintha kwa kugunda kwa mtima, kupangitsa kugunda kwa mtima mwachangu, pang'onopang'ono, kapena kuimitsa mtima, zomwe zimabweretsa zizindikilo monga kutopa, kupweteka pachifuwa, pallor, thukuta lozizira komanso kupuma movutikira. Phunzirani momwe mungadziwire mtima wamtima.

Kodi arrhythmia imakhala yovuta liti?

Nthawi zambiri arrhythmia, palibe chiopsezo chathanzi. Ambiri mwa ma arrhythmias amatha mwadzidzidzi, samatulutsa zizindikilo zochepa, ndikusintha ndimachitidwe ena, monga kuchita masewera olimbitsa thupi, kuonetsetsa kuti mukugona mokwanira, kuchotsa ndudu ndi zakumwa, komanso kupewa kugwiritsa ntchito mphamvu ndi zinthu monga khofi.

Arrhythmia imatha kuonedwa kuti ndi yayikulu kapena yoyipa ikadzuka chifukwa cha kusintha kwa magwiridwe antchito amagetsi pamtima kapena pomwe minofu yamtima imakhudzidwa ndi matenda. Pachifukwa ichi, chifukwa chake ndizovuta kuzipewa, chifukwa chake, pamakhala chiopsezo chachikulu kuti mayimbidwe asinthidwa kwakanthawi, kukulitsa mwayi womangidwa kwamtima, mwachitsanzo.

Kuphatikiza apo, mwa anthu omwe ali ndi matenda a atrial fibrillation, palinso chiopsezo cha kuundana komwe kumatha, komwe kumatha kudzaza ndikufika kuubongo kuyambitsa sitiroko.

Njira zothandizira

Njira zochiritsira zimasiyana malinga ndi zisonyezo, ndipo zotsatirazi ndizofala:

• Kugwedezeka kwamagetsi, mtima wamagetsi kapena kusokoneza: ali ndi ntchito yokonzanso kayendedwe ka mtima mwa mitundu ina ya ma arrhythmias ofulumira, monga momwe amachitira flutter atrial, fibrillation yamatenda ndi tachycardia yamitsempha yamagazi;
• Mankhwala: mankhwala akuluakulu omwe angasonyezedwe ndi katswiri wa matenda a mtima kuti athetsere zizindikiro ndikuwongolera kugunda kwa mtima ndi Propafenone, Sotalol, Dofetilide, Amiodarone ndi Ibutilide;
• Kukhazikitsa pacemaker yokumba: pacemaker ndi chida chokhala ndi batire lokhalitsa lomwe limagwira ntchito yolamulira mtima monga momwe dokotala amakonzera, kuwongolera kugunda kwa mtima ndikulola kuti munthuyo akhale ndi moyo wabwinobwino. Onani chisamaliro chotani ndi pacemaker;
• Cauterization kapena ablation opaleshoni: momwe kuwotchera komwe kumachitika kwambiri komanso komwe kumachitika, komwe kumalepheretsa kapena kulepheretsa ziwopsezo zatsopano. Njirayi imatenga maola ochepa ndipo imafunikira sedation kapena mankhwala oletsa ululu.

Njira zina zofunika zochizira ndi kupewa arrhythmia ndizosintha m'moyo, ndiye kuti, kumwa mowa, mankhwala osokoneza bongo, zakumwa za khofi, tiyi wakuda ndi ndudu ziyenera kupewedwa. Kuphatikiza apo, ndikofunikira kuchita masewera olimbitsa thupi nthawi zonse ndikukhala ndi chakudya chamagulu.

Wathu Podcast, Dr. Ricardo Alckmin, Purezidenti wa Brazilian Society of Cardiology, akuwunikira kukayikira kwakukulu pamatenda amtima: