Zizindikiro zazikulu 11 za mtima wamtima

Zamkati

• Ndani ali pachiwopsezo chachikulu cha arrhythmia
• Momwe matendawa amapangidwira
• Kuyesa kuti mupeze arrhythmia
• Momwe mankhwalawa amachitikira
• Momwe mungapewere mtima wamtima

Zizindikiro za mtima wamtima zimaphatikizapo kumverera kwa mtima ukugunda kapena kuthamanga ndipo kumatha kuchitika mwa anthu omwe ali ndi mtima wathanzi kapena omwe ali ndi matenda amtima kale, monga kuthamanga kwa magazi kapena mtima kulephera.

Arrhythmia imatha kuchitika msinkhu uliwonse, koma imafala kwambiri kwa okalamba ndipo nthawi zambiri, imadziwika pamayeso wamba osati ndi zizindikilo. Komabe, nthawi zina zizindikiro za kugundana zimatha kutsagana ndikumva kufooka, chizungulire, kufooka, kupuma movutikira, kupweteka pachifuwa, pallor kapena thukuta lozizira, mwachitsanzo, kuwonetsa mavuto akuchuluka kwamtima.

Mukakumana ndi zizindikilo zilizonse zomwe zimakupangitsani kukayikira za arrhythmia, ndikofunikira kupeza chithandizo chamankhwala mwachangu kapena kupita kuchipatala chapafupi. Kuphatikiza apo, ndikofunikira kufunsa katswiri wa zamankhwala kuti amutsatire ndi chithandizo choyenera kwambiri, kupewa zovuta.

Zizindikiro zazikulu zomwe zitha kuwonetsa mtima wamtima ndi:

1. Kugunda kwamtima;
2. Mtima kuthamanga kapena wosakwiya;
3. Kupweteka pachifuwa;
4. Kupuma pang'ono;
5. Kumva kwa chotupa pakhosi;
6. Kutopa;
7. Kumva kufooka;
8. Chizungulire kapena kukomoka;
9. Malaise;
10. Nkhawa;
11. Thukuta lozizira.

Ngati muli ndi izi, muyenera kupita kuchipatala mwachangu kapena kuchipatala chapafupi.

Onani zina zomwe zingasonyeze mavuto amtima.

Ndani ali pachiwopsezo chachikulu cha arrhythmia

Cardiac arrhythmia imatha kuchitika popanda chifukwa kapena chifukwa chaukalamba, mwachitsanzo. Komabe, zinthu zina zitha kuonjezera chiopsezo chokhala ndi mtima wamtima komanso kuphatikiza:

• Matenda amtima monga atherosclerosis, infarction kapena mtima kulephera;
• Atachitidwapo opaleshoni ya mtima kale;
• Kuthamanga;
• Matenda obadwa mumtima;
• Mavuto a chithokomiro, monga hyperthyroidism;
• Matenda ashuga, makamaka akakhala osalamulirika, omwe shuga amakhala m'magazi nthawi zonse;
• Kugonana;
• Kusagwirizana kwamakina m'magazi monga kusintha kwa potaziyamu, sodium, magnesium ndi calcium;
• Kugwiritsa ntchito mankhwala monga digitalis kapena salbutamol kapena mankhwala a chimfine omwe ali ndi phenylephrine, mwachitsanzo;
• Matenda a Chagas;
• Kusowa magazi;
• Kusuta;
• Kumwa mowa kwambiri.

Kuphatikiza apo, kumwa kwambiri mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo, monga cocaine kapena amphetamines, kumatha kusintha kugunda kwa mtima ndikuwonjezera chiopsezo cha mtima wamtima.

Momwe matendawa amapangidwira

Kuzindikira kwa mtima wama arrhythmia kumapangidwa ndi katswiri wamtima yemwe amawunika mbiri yazaumoyo ndi zizindikilo zake, komanso mwayi wogwiritsa ntchito mankhwala kapena mankhwala osokoneza bongo.

Kuyesa kuti mupeze arrhythmia

Kuphatikiza pa kuwunika kwa zamankhwala, mayeso ena a labotale omwe ndi ofunikira kutsimikizira kuti ali ndi vutoli ndikudziwitsanso chomwe chimayambitsa arrhythmia amathanso kulamulidwa:

• Electrocardiogram;
• Kuyesa kwa Laborator monga kuchuluka kwa magazi, kuchuluka kwa magazi a magnesium, calcium, sodium ndi potaziyamu;
• Kuyesa milingo ya troponin yamagazi kuti muwone kupindika kwa mtima;
• Mayeso a chithokomiro;
• Chitani zolimbitsa thupi;
• 24-maola holter.

Mayesero ena omwe angayitanidwe ndi echocardiography, mtima wamagnetic resonance kapena scintigraphy ya nyukiliya, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha arrhythmia chimadalira pazizindikiro, kuuma kwake komanso chiwopsezo cha zovuta za arrhythmia. Nthawi zambiri, pamavuto ochepa, chithandizo chitha kukhala chitsogozo chosavuta, kusintha kwa moyo, kutsata kwanthawi ndi nthawi mankhwala, kapena kusiya mankhwala omwe achititsa kuti arrhythmia.

Milandu yovuta kwambiri yamatenda amtima, chithandizo chitha kuchitidwa ndi mankhwala omwe adalangizidwa ndi dokotala kapena opaleshoni, mwachitsanzo. Onani zambiri zamankhwala amtundu wama mtima.

Momwe mungapewere mtima wamtima

Zosintha zina pamoyo zingathandize kupewa kukula kwa mtima wamankhwala monga:

• Pangani chakudya choyenera komanso choyenera;
• Yesetsani kuchita masewera olimbitsa thupi nthawi zonse;
• Kuchepetsa thupi pakakhala kunenepa kwambiri kapena kunenepa kwambiri;
• Pewani kusuta;
• Kuchepetsa kumwa mowa;
• Pewani kugwiritsa ntchito mankhwala omwe ali ndi zotsekemera zamtima, monga phenylephrine.

Kuphatikiza apo, ndikofunikira kupewa zinthu zomwe zingayambitse kupsinjika ndi nkhawa, kupewa chiopsezo cha mtima wamtima kapena mavuto ena amtima. Onani malangizo othandizira kuchepetsa nkhawa.

Wathu Podcast, Dr. Ricardo Alckmin akufotokozera kukayikira kwakukulu pamatenda amtima: