Maofesi am'mbuyomu, kapena ma PVC, ndiwo amodzi mwa magulu a mtima wambiri . Mwatsoka, chiwerengero chawo chachipatala - choncho chithandizo chawo - chimakhala chosokoneza madokotala ambiri ndi odwala.
Ngati muli ndi PVC, mankhwala anu ayenera kudalira yankho la mafunso awiri:
Choyamba, kodi muli ndi matenda a mtima?
Ndipo chachiwiri, zizindikiro zomwe amapanga ndi PVC ndi zotani?
Ma PVC sakhala oopsa. Ngakhale kuti chiwerengero cha PVC chimalumikizana ndi chiopsezo chowonjezeka cha kufa, chiopsezo choterechi chimakhala chachikulu chifukwa cha kukhalapo kwa matenda a mtima ndi ziwopsezo za matenda a mtima . Ma PVC okha, amaganiza kuti ndi oopsa.
Cholinga Choyamba cha Chithandizo - kuchepetsa Kuopsa kwa Mtima
Chifukwa chakuti PVC nthawi zambiri zimagwirizanitsa ndi matenda a mtima, dokotala wanu ayenera kuyesa kufufuza mtima pamene ayamba kuwapeza.
Ngati zikutanthauza kuti muli ndi matenda a mtima, chithandizo chokwanira cha thupi lanu nthawi zambiri chidzathetsa kapena kuchepetsa mafupipafupi a PVCs. Izi ndizoona makamaka ngati muli ndi matenda a mitsempha (CAD) kapena mtima wosalimba .
Mwa anthu ena omwe sapezeka, nthawi zambiri PVCs imaganiza kuti ndizoyambitsa matenda a mtima (zofooketsa mtima).
Choncho, ngati matenda osadziwika bwino amapezeka pamaso pafupipafupi PVCs, zingakhale zothandiza kuchiza matenda a PVC kuti awone ngati matendawa amakula bwino.
Ngati dokotala wanu atapeza mtima wanu kukhala wathanzi, ndicho chinthu chabwino kwambiri. Komabe, PVCs imayanjananso ndi zifukwa zingapo zoopsya kwa CAD, makamaka kuwonjezera pa matenda .
Kotero inu ndi dokotala wanu muyenera kufufuza bwinobwino zoopsa zanu zonse za mtima ndi kuyamba pulogalamu yowawa kuti muwalamulire. Kuwonjezera pa kuchepetsa chiopsezo chanu cha CAD, khama lanu likhoza kuchepetsa kwambiri PVC yanu.
Cholinga Chachiwiri Chochiza Chitetezo - kuchepetsa Zizindikiro
Mwamwayi, anthu ambiri omwe ali ndi PVC samawamasulira. Komabe, ena amazindikira kuti ma PVC ndi mapiritsi , omwe amawamasulira kuti "kupumphuka" kapena "kugwedeza" omwe amatha kukhala okhumudwitsa kwambiri.
Choncho, kuwonjezera pa kuyesa matenda a mtima, nthawi zina nkofunika kulingalira kuchita zina zokhudza ma PVC okha, kuti athe kuchepetsa zizindikiro.
Chithandizo cha PVC chikanakhala chophweka ngati titakhala ndi mankhwala osokoneza bongo (mankhwala omwe amachititsa kuti thupi likhale la mtima) zomwe zinali zomasuka komanso zothandiza pochotsa PVCs. Tsoka ilo, izi siziri choncho. Choncho kusankha kuti muwachiritse matenda a PVC, ndi momwe mungawachitire, nthawi zambiri zimakhala zovuta kuposa momwe mungaganizire.
Ngati ma PVC anu sakuyambitsa matenda, kapena ngati mapiritsiwa sakukuvutitsani, chinthu chabwino kwambiri choti muchite ndichowasiya okha.
Komabe, ngati PVC yanu ikuwongolera zokwanira kuti musokoneze moyo wanu, ndiye kuti inu ndi dokotala muyenera kukambirana zomwe mungachite kuti mupeze mankhwala a PVC.
Choyamba, muyenera kuyesa kuchotsa caffeine ku zakudya zanu. Kwa anthu omwe amamvetsetsa, kafeine ikhoza kuwonjezereka mafupipafupi a PVCs. Chinthu chomwecho chimayambira pa fodya ndi mowa - kuchotsani izi kuchokera ku zakudya zanu.
Palinso umboni wakuti kuchita masewera olimbitsa thupi nthawi zonse kungachepetseko. Kotero ngati mwakhala mukukhalapo, funsani dokotala wanu za kuyamba pulogalamu yochita masewera olimbitsa thupi.
Ngati mwasintha mtundu wa zamoyozi ndikukhalabe ovutika ndi zizindikiro za PVC, inu ndi dokotala wanu mungafunike kuganizira za mayeso a mankhwala osokoneza bongo.
Ngati mumasankha mankhwala ozunguza bongo, nthawi zambiri ndibwino kuyamba ndi mayesero a beta-mankhwala osokoneza ubongo wa adrenaline. Ophwanya Beta sali othandiza ngati mankhwala owona kuti ali "owona" pofuna kuthetsa PVCs, koma nthawi zambiri amakhala otetezeka ndipo nthawi zambiri amalekerera. Ngakhale kuti akhoza kuchepetsa ma PVC okha, beta blockers amagwira ntchito bwino pochepetsa zizindikiro za PVCs.
Mankhwala osokoneza bongo amphamvu kwambiri nthawi zambiri amakhala othandiza popondereza PVCs. Komabe, mankhwalawa amawopsa kwambiri. Mmodzi mwa iwo ndi chizoloŵezi choyambitsa "proarrhythmia" - ndiko kwenikweni, kuyambitsa arrhythmias zomwe zingakhale zoopsa kwambiri kuposa PVCs. Proarrhythmia makamaka mwa anthu omwe ali ndi matenda a mtima, koma akhoza kuchitika kwa wina aliyense. Kuwonjezera apo, mankhwala osokoneza bongo amadziwika okha omwe amachititsa kuti mankhwalawa akhale pakati poizoni kwambiri.
Pomalizira, odwala omwe ali ndi vuto la PVC ali osokoneza kwambiri komanso sangathe kutetezedwa ndi kusintha kwa moyo kapena mankhwala osokoneza bongo, zingakhale zotheka kwa electrophysiologist kuti awachitire ndi mankhwala opatsirana pogwiritsa ntchito mapulogalamu a magetsi pamalo omwe amapanga PVCs, catheter ya mtima.
Mawu Ochokera
Chifukwa chakuti ma PVC sakhala oopsa, kupweteka kumagwiritsidwe ntchito pa chithandizo chawo chiyenera kukhazikitsidwa kwathunthu pa momwe PVCs imasokonezera moyo wanu. Ngakhale kuti ndi mwayi kuti ma PVC amakhala ndi zizindikiro zochepa zokha, izi sizikuthandiza kwambiri ngati ndinu mmodzi mwa anthu osayenerera omwe PVCs ili ndi vuto lalikulu. Pankhaniyi muyenera kupeza dokotala wodziwa bwino komanso wachifundo amene angakuthandizeni kupitiliza njira zonse zothandizira ndikukonzekera njira yomwe mukuyenera.
> Zotsatira:
> Yokokawa M, Good E, Crawford T, et al. Kubwezeretsa Kuchokera Kwambiri Kuchokera Kwambiri Kuchokera Pambuyo Powonjezera kwa Mavuto Ovuta Kwambiri Akumapeto kwa Ventricular Complexes. Mtima; 10: 172.
> Ziphika, DP, Camm, AJ, Borggrefe, M, et al. ACC / AHA / ESC 2006 Malangizo Othandizira Odwala Odwala ndi Amphepete mwa Arrhythmias ndi Kupewa Kachimwimika Imfa Yachimwene-Imfa Yachidule A Lipoti la American College of Cardiology / American Heart Association Task Force ndi European Society ya Komiti Yokonza Maphunziro (Kulemba Komiti Yowonjezera Malangizo Othandizira Odwala Odwala ndi Ventricular Arrhythmias ndi Kupewa Imfa ya Mtima Wachimwibwi). J Am Coll Cardiol 2006; 48: 1064.
> Zuchinali P, Ribeiro PA, Pimentel M, et al. Zotsatira za Caffeine pa Zowonjezera Arrhythmia: Kusanthula Mwadongosolo ndi Kusanthula Meta za Maphunziro Ofufuza ndi Ophunzira. Europace 2016; 18: 257.