Matenda a Paroxysmal Supraventricular Tachycardia (PSVT)

Zamkati

• Kodi ndi chiopsezo chotani cha paroxysmal supraventricular tachycardia?
• Zizindikiro za paroxysmal supraventricular tachycardia ndi ziti?
• Kodi matenda a paroxysmal supraventricular tachycardia amapezeka bwanji?
• Kodi paroxysmal supraventricular tachycardia imachiritsidwa bwanji?
• Kodi malingaliro a paroxysmal supraventricular tachycardia ndiotani?
• Mitundu: Q&A
• Funso:
• Yankho:

Kodi paroxysmal supraventricular tachycardia ndi chiyani?

Magawo othamanga mwachangu kuposa mwachibadwa amakhala ndi paroxysmal supraventricular tachycardia (PSVT). PSVT ndimtundu wofala wamtima. Zitha kuchitika nthawi iliyonse komanso mwa anthu omwe alibe mitima ina.

Nthenda yamkati yamtima imatumiza zizindikiritso zamagetsi kuti zikauze minofu yamtima nthawi yoti igwirizane. Mu PSVT, njira yamagetsi yachilendo imapangitsa mtima kugunda mwachangu kuposa zachilendo. Magawo othamanga kwambiri amatha kuchokera mphindi zochepa mpaka maola angapo. Munthu yemwe ali ndi PSVT amatha kugunda pamtima mpaka kufika kumagunda 250 pamphindi (bpm). Mulingo wabwinobwino uli pakati pa 60 ndi 100 bpm.

PSVT ingayambitse zizindikiro zosasangalatsa, koma nthawi zambiri sizowopsa. Anthu ambiri safuna chithandizo chanthawi yayitali cha PSVT. Pali mankhwala ndi njira zomwe zingakhale zofunikira nthawi zina, makamaka pomwe PSVT imalepheretsa kugwira ntchito kwa mtima.

Mawu oti "paroxysmal" amatanthauza kuti zimangochitika nthawi ndi nthawi.

Kodi ndi chiopsezo chotani cha paroxysmal supraventricular tachycardia?

PSVT imakhudza pafupifupi 1 mwa ana 2,500. Ndiwo mchitidwe wosadziwika bwino wamtima wakhanda ndi makanda. Matenda a Wolff-Parkinson-White (WPW) ndiye mtundu wofala kwambiri wa PSVT mwa ana ndi makanda.

PSVT imafala kwambiri kwa anthu azaka zosakwana 65. Akuluakulu azaka zopitilira 65 amakhala ndi vuto la atrial fibrillation (AFib).

Mumtima wabwinobwino, sinus node imayendetsa magetsi pama njira ina. Izi zimayendetsa kuchuluka kwa kugunda kwamtima kwanu. Njira yowonjezerapo, yomwe nthawi zambiri imapezeka mu supraventricular tachycardia, imatha kubweretsa kugunda kwamphamvu kwambiri kwa PSVT.

Pali mankhwala ena omwe amachititsa kuti PSVT ikhale yotheka kwambiri. Mwachitsanzo, akamamwa kwambiri, mankhwala amtima wa digito (digoxin) amatha kuyambitsa magawo a PSVT. Zochita zotsatirazi zitha kukulitsanso mwayi wanu wokhala ndi gawo la PSVT:

• kumeza tiyi kapena khofi
• kumwa mowa
• kusuta
• kugwiritsa ntchito mankhwala osokoneza bongo
• kumwa mankhwala ena osagwirizana ndi chifuwa

Zizindikiro za paroxysmal supraventricular tachycardia ndi ziti?

Zizindikiro za PSVT zimafanana ndi zizindikilo za nkhawa ndipo zimatha kuphatikiza:

• kugunda kwa mtima
• kugunda kofulumira
• kumva kukakamira kapena kupweteka pachifuwa
• nkhawa
• kupuma movutikira

Pazochitika zowopsa kwambiri, PSVT imatha kuyambitsa chizungulire komanso kukomoka chifukwa chakusayenda bwino kwa magazi kubongo.

Nthawi zina, munthu yemwe ali ndi zizindikiro za PSVT amatha kusokoneza vutoli ndi matenda amtima. Izi ndizowona makamaka ngati ndi gawo lawo loyamba la PSVT. Ngati kupweteka kwa chifuwa chanu kuli kovuta muyenera kupita kuchipatala kuti mukayesedwe.

Kodi matenda a paroxysmal supraventricular tachycardia amapezeka bwanji?

Ngati muli ndi gawo logunda kwamtima panthawi yoyezetsa, dokotala wanu azitha kuyeza kugunda kwa mtima wanu. Ngati ndipamwamba kwambiri, akhoza kukayikira PSVT.

Kuti mupeze PSVT, dokotala wanu adzaitanitsa electrocardiogram (EKG). Uku ndikutsata kwamagetsi pamtima. Ikhoza kukuthandizani kudziwa mtundu wamvuto womwe umapangitsa kugunda kwamtima kwanu. PSVT ndi chimodzi mwazomwe zimayambitsa kugunda kwamtima mwachangu. Dokotala wanu amathanso kuyitanitsa echocardiogram, kapena ultrasound ya mtima, kuti awone kukula, mayendedwe, ndi kapangidwe ka mtima wanu.

Ngati muli ndi vuto la mtima kapena kuthamanga, dokotala wanu akhoza kukutumizirani kwa katswiri yemwe ndi katswiri pamavuto amagetsi amtima. Amadziwika kuti ma electrophysiologists kapena EP cardiologists. Atha kuchita kafukufuku wamagetsi (EPS). Izi ziphatikizira kulumikiza mawaya kudzera mumitsempha yanu ndikubwera mumtima mwanu. Izi zidzalola dokotala wanu kuti azindikire kugunda kwa mtima wanu mwa kuyang'ana njira zamagetsi za mtima wanu.

Dokotala wanu amathanso kuwunika kugunda kwa mtima wanu kwakanthawi. Poterepa, mutha kuvala chowunika cha Holter kwa maola 24 kapena kupitilira apo. Munthawi imeneyo, mudzakhala ndi masensa ophatikizidwa pachifuwa chanu ndipo mudzavala kachipangizo kakang'ono kamene kamalemba kugunda kwa mtima wanu. Dokotala wanu adzayesa zojambulazo kuti adziwe ngati muli ndi PSVT kapena mtundu wina wamtundu wosazolowereka.

Kodi paroxysmal supraventricular tachycardia imachiritsidwa bwanji?

Mwina simusowa chithandizo ngati matenda anu ali ochepa kapena ngati mungokhala ndi magawo othamanga mtima nthawi zina. Chithandizo chitha kukhala chofunikira ngati muli ndi vuto lomwe limayambitsa PSVT kapena zizindikilo zowopsa monga kulephera kwamtima kapena kutha.

Ngati muli ndi kugunda kwamtima mwachangu koma zisonyezo zanu sizowopsa, dokotala wanu akhoza kukuwonetsani njira zobwezeretsera kugunda kwa mtima wanu kukhala wabwinobwino. Amatchedwa kuyendetsa kwa Valsalva. Zimaphatikizira kutseka pakamwa pako ndi kutsina mphuno ukamayesera kutulutsa ndi kupukuta ngati kuti ukuyesera kutulutsa matumbo. Muyenera kuchita izi mutakhala pansi ndikupinda thupi lanu patsogolo.

Mutha kuyendetsa njirayi kunyumba. Itha kugwira ntchito mpaka 50 peresenti ya nthawiyo. Muthanso kuyesa kutsokomola mutakhala pansi ndikuweramira patsogolo. Kuwaza madzi oundana pankhope panu ndi njira ina yothandizira kutsitsa kugunda kwa mtima wanu.

Chithandizo cha PSVT chimaphatikizapo mankhwala, monga kapena flecainide kapena propafenone, othandizira kuwongolera kugunda kwa mtima wanu. Njira yotchedwa radiofrequency catheter ablation ndi njira yodziwika yokonzera PSVT kwamuyaya. Zimachitidwa mofanana ndi EPS. Amalola dokotala wanu kugwiritsa ntchito maelekitirodi kuti alepheretse njira yamagetsi yomwe imapangitsa PSVT.

Ngati PSVT yanu siyiyankha mankhwala ena, dokotala wanu atha kuyika pacemaker pachifuwa kuti aziyendetsa kugunda kwa mtima wanu.

Kodi malingaliro a paroxysmal supraventricular tachycardia ndiotani?

PSVT siyowopseza moyo. Komabe, ngati muli ndi vuto la mtima, PSVT imatha kuwonjezera chiopsezo chanu chokhala ndi mtima wosalimba, angina, kapena nyimbo zina zachilendo. Kumbukirani kuti malingaliro anu amatengera thanzi lanu komanso chithandizo chomwe mungapeze.

Mitundu: Q&A

Funso:

Kodi pali mitundu yosiyanasiyana ya paroxysmal supraventricular tachycardia?

Yankho:

Mtundu wa PSVT womwe munthu ali nawo umadalira njira yamagetsi yomwe imayambitsa. Pali mitundu iwiri ikuluikulu. Imodzi idakhazikitsidwa panjira ziwiri zamagetsi zopikisana. Zina zimachokera panjira ina yomwe imalumikiza atrium (gawo lokwera la mtima) ndi ventricle (gawo lakumunsi la mtima).

Njira yamagetsi yotsutsana ndi yomwe imapezeka kwambiri mu PSVT. Mtundu womwe umayambitsidwa ndi njira ina pakati pa atrium ndi ventricle sizimayambitsa PSVT ndipo nthawi zambiri umalumikizidwa ndi Wolff-Parkinson-White syndrome (WPW).

PSVT ndi imodzi mwamitundu yothamanga kwambiri kuposa yachibadwa mitima yotchedwa supraventricular tachycardias (SVT). Kupatula PSVT, nyimbo za SVT zimaphatikizaponso kugunda kwamitima kosiyanasiyana kosiyanasiyana. Zina mwazinthuzi zimaphatikizapo flutter atrial, atrial fibrillation (AFib), ndi multifocal atrial tachycardia (MAT). Mtundu wa PSVT womwe muli nawo sikuti umakhudza chithandizo kapena malingaliro anu.