Kawirikawiri Mtundu wa Cardiac Arrhythmia
Zakale zam'mbuyo zam'nthaka, kapena PACs, ndi "zowonjezereka" zamtima zomwe zimachitika mkati mwa atria ya mtima. PAC ndi mitundu yambiri ya mtima ya arrhythmia . Ndipotu, PAC ndizofala kwambiri moti anthu ambiri amakhala nazo nthawi zina.
The Normal Mtima Rhythm
Chizoloŵezi chodziwika bwino cha mtima chimayang'aniridwa ndi kamangidwe kakang'ono kamene kamatchedwa node ya sinus, yomwe ili pafupi ndi pamwamba pa mtima wa atrium.
Nkhungu ya sinus imapanga chizindikiro cha magetsi chomwe chimayambitsa kugunda kwa mtima ndikuyesa kuyima kwa mtima.
Kawirikawiri, chiwerengero cha sinus "chimasokoneza" zotsatirazi zamagetsi pakati pa 50 ndi 90 pa mphindi pa mpumulo. Pamene mtima wa munthu ukulamulidwa ndi nthenda ya sinus mwachizoloŵezichi, madokotala nthawi zambiri amachitcha kuti "sinus rhythm".
Nchiyani chimayambitsa PACs?
Ma PAC ali oyambirira (ndiko kuti, asanakhalepo) magetsi omwe amapangidwa mkati mwa atria ya mtima, koma osati kuchokera ku nthenda ya sinus. PACs imasokoneza chizoloŵezi chachiyero cha uchimo mwa kuika "mtima" wochuluka. Chifukwa chakuti PAC ikhoza "kukhazikitsanso" nthenda ya sinus, kaŵirikaŵiri imakhala pause pang'ono kuti mtima wotsatira ukupezeka. Choncho ma PAC amawoneka ngati "kudumpha" mu mtima.
Ngati mwauzidwa kuti muli ndi PACs, mukhoza kutsimikiza kuti ndinu ambiri. Pafupifupi aliyense ali nawo.
Mu kafukufuku wina wa anthu oposa 1700 odwala, 99% anali ndi PAC imodzi mwa maola 24 a kuyang'anira mtima.
Kodi PAC Ndi Zofunika Motani?
Ma PAC ambiri ali ndi zofunikira kwambiri zachipatala, ndipo amawoneka (moyenera) ndi madokotala ambiri monga kusiyana kwa "zachibadwa."
Komabe, m'zaka zaposachedwapa, madokotala adziŵa kuti PACs ikhoza kukhala yofunikira kwa anthu omwe ali ndi zizindikiro za matenda a atrial fibrillation .
Kwa anthu ena okhala ndi mafinya a atrial, ma PAC amalingalira kuti amachititsa magawo a arrhythmia. Pachifukwa ichi, njira zina zomwe zimagwiritsidwa ntchito pochiza matenda opatsirana pogwiritsa ntchito mankhwalawa zimayesetsa kuthetsa PACs.
Komabe, ziri zowona kuti mwa anthu ambiri omwe ali nawo, ma PAC alibe chidziwitso cha zachipatala chodziwikiratu ndipo samayambitsa chidziŵitso chodziŵika.
Zizindikiro ndi PACs
Mwamwayi (kulingalira kuti ali wamba), mwa anthu ambiri PACs sizimayambitsa zizindikiro zirizonse.
Komabe, anthu ena adzalumikizidwa, ndipo nthawi zambiri amatha kufotokozera "kuthamanga" maganizo, kapena kumenya mtima mwamphamvu kwambiri. Kupeza phokoso ndi ma PAC kumakhala kovuta kwambiri pambuyo poledzera mowa, fodya, caffeine, kapena mankhwala omwe ali ndi zochititsa chidwi.
Kuchiza PACs
Pokhapokha ngati anthu a PAC akuganiziridwa kuti akuyambitsa zizindikiro za mafilimu a atrial, ndizosafunikira konse kuti ziwathandize.
Komabe, nthawi zina munthu amatha kupeza zovuta zomwe sangathe kuzichotsa ku PAC, ndipo chithandizo chidzakhala chofunika. Njira yabwino yothandizira PAC ndi kupewa zinthu (mowa, caffeine, fodya, ndi zina zotero) zomwe zimawoneka kuti zimapangitsa kuti zizindikiro zikhale zovuta kwambiri.
Kawirikawiri, ma PAC amakhala osokoneza kwambiri pa moyo wa munthu kuti zingakhale zoyenera kuzitsutsa.
Olemba Beta angathandize kuchepetsa zizindikiro za PACs mwa anthu ena, ndipo kawirikawiri amalangizidwa ngati sitepe yoyamba pamene mankhwala akuyesedwa oyenera. Mankhwala osokoneza bongo angakhale othandiza kuchepetsa PACs, koma mankhwalawa nthawi zambiri amakhala oopsa ndipo savomerezeka ku PAC pokhapokha ngati akuchititsa zizindikiro zoopsa komanso zosatsutsika.
Kuchotsa malo a atria omwe akupanga PACs tsopano ndi kotheka, koma mtundu uwu wa mankhwala ndi wowopsya ndipo umayambitsa mavuto aakulu.
Mafuta a PAC amakhala osungidwa nthawi zonse kwa odwala omwe PACs akuyambitsa magetsi akuluakulu, monga kupha tizilombo toyambitsa matenda.
Mawu Ochokera
PAC ndizofala kwambiri, ndipo nthawi zonse zimakhala zopanda pake - choncho pokhapokha pali chifukwa chabwino chochitira zinthu, ndiye kuti njira yabwino kwambiri yothandizira ndi kuwasiya okha.
Choncho ngati muli ndi ma PAC omwe akuthandizira, mungakambirane ndi dokotala wanu nthawi yaitali musanavomereze kuti mankhwala aliwonse amatsutsana kwambiri kusiyana ndi kusintha kwa moyo wanu.
> Zotsatira:
> Brooks AG, Rangnekar G, Ganesan AN, ndi al. Makhalidwe a Ectopic Oyambitsa Ogwirizana ndi Paroxysmal ndi Osaleka Matenda Athawa: Umboni wa Ntchito Yosintha. Mtima; 9: 1367.
> Chong BH, Pong V, Lam KF, ndi al. Zizoloŵezi Zowonongeka Zakale Zakale Zilengezeratu Kuchitika Kwatsopano kwa Mafungo a Atrial ndi Zochitika Zoipa Zamtima. Europace 2012; 14: 942.
> Conen D, Adam M, Roche F, et al. Kusiyanitsa kwapachiyambi kwa Atrial mu General Population: Frequency ndi Risk Factors. Kuthamanga kwa 2012; 126: 2302.