Kodi ndi ofunika bwanji, ndipo muyenera kuchita chiyani pa iwo?
Pakati pa mitundu yambiri ya mtima wa arrhythmias , ndi ochepa chabe omwe adayambitsa chisokonezo ndi chisokonezo pakati pa madokotala ndi odwala ngati maopaleshoni am'mawa asanakhalepo (PVCs, yotchedwa premature ventricular contractions). M'mabungwe osiyanasiyana a madokotala, komanso pa zochitika zosiyanasiyana m'mbiri, mapepala a PVC akhala akuwoneka ngati akuphwanya imfa, kapena kuti zovuta zonse zomwe sizifuna kusamala.
Yankho lolondola ndilo pakati pa ziwirizi. Kuti timvetsetse tanthauzo la ma PVC, tifunikira kuti tiwone zomwe iwo ali, zomwe amatanthawuza ponena za kulandira chithandizo chamankhwala, momwe ayenera kufufuza, ndi momwe ayenera kuchitiridwa.
Mwachidule
PVC ndi mphamvu yowonjezera ya magetsi yomwe imachokera ku chimodzi mwa ziwalo za mtima. Chifukwa chakuti kutengeka kwapaderaku kumawoneka musanayambe kuwomba mtima mtima wamba, mwayiwu umatchedwa "msinkhu."
Ma PVC amapezeka mwa kuwawona pa electocardiogram . PVC ndizofala. Pafupifupi mmodzi mwa anthu 20 omwe ali ndi kachilombo kawiri adzakhala ndi PVC imodzi pamphindi wa ECG wamphindi awiri, ndipo peresenti yapamwamba kwambiri idzakhala ndi PVC pa maola 24 owonetsetsa Holter .
Anthu ena adzakhala ndi zigawo zambiri za PVC motsatira. Ngati pali ma PVC atatu, mndandandawu umatchedwa kuti nonric sustainable tachycardia (NSVT) .
Zizindikiro
Anthu ambiri okhala ndi PVC alibe zizindikiro. Iwo samangomva iwo basi. Komabe, anthu ochepa omwe ali ndi PVCs adzalandira mapiritsi - chidziwitso chachilendo cha kumenya mtima. Zilondazi nthawi zambiri zimatchulidwa kuti "zida zowonongeka" kapena "mtima wodwala." Kwa anthu ena, zizindikirozi zingakhale zovuta kulekerera.
Kaya mukuzindikira zizindikiro za PVC yanu zikugwirizana ndi zinthu zambiri. Anthu ena amakhala mwachibadwa ndi zochitika zosazolowereka zomwe zimachitika m'ziwalo zawo, kuphatikizapo PVCs. Ena amakhala osadziŵa za PVC zawo patsiku pamene akugwira ntchito ndi osokonezeka, koma mwadzidzidzi amayamba kuwamva akamachoka usiku komanso zovuta zakunja zimachotsedwa. Koma mwatsoka, anthu ambiri omwe ali ndi PVC sawamva konse.
Kufunika
Ma PVC ali ndi chidziwitso cha zamankhwala pokhapokha kuti akhoza kupanga zizindikiro. Kwa zaka zambiri, chidwi chachikulu cha PVC ndi lingaliro lakuti akhoza kuonjezera chiopsezo cha munthu kuti aphedwe mwadzidzidzi ndi kumangidwa kwa mtima . Kwa zaka zambiri, amakhulupirira kuti kupezeka kwa PVC kunawopsa kwambiri. Umboni waposachedwapa wanena kuti ma PVC okha sangapangitse chiopsezo cha imfa mwadzidzidzi (ngati kulibe), komanso kuti mgwirizano pakati pa PVCs ndi imfa yadzidzidzi ikhoza kukhala yosalunjika.
Mwachindunji, zimachitika kuti anthu omwe nthawi zambiri amapita ku PVC amakhala ndi mwayi wambiri, kapena kuti akhale ndi zaka zochepa, matenda aakulu a mtima. Ndipo popeza kuti anthu omwe ali ndi matenda a mtima kwambiri amakhala ndi chiopsezo chachikulu chofa mwadzidzidzi, PVCs imayanjanitsidwa ndi chiopsezo chomwecho (kaya ayi kapena mapepala a PVC okhawo amachititsa kuti chiopsezo chiwonjezeke).
Choncho ma PVC angagwirizane ndi chiwopsezo cha mtima , komabe mwina sichoncho chomwe chimayambitsa chiopsezo chimenecho.
Kudziwa
Kufotokozera, chidziwitso chachikulu chachipatala cha PVC ndi chakuti akhoza kukhala ndi chiopsezo cha matenda a mtima. Kotero ngati muli ndi PVC, dokotala wanu ayenera kuyesa mtima, kuyang'ana matenda osadziwika omwe sadziwa, komanso kuwona momwe mungapewere matenda a mtima m'tsogolomu.
Mtima womwe umakhala nawo nthawi zambiri umagwirizanitsidwa ndi PVCs umaphatikizapo matenda amtundu wa matenda (CAD) ndi mtima wosalimba chifukwa cha kuchepa kwa mtima . PVC amadziwikanso ndi hypertrophic cardiomyopathy , komanso ndi matenda a valve .
Kawirikawiri, echocardiogram ndi njira yabwino yosonyezera zambiri za matendawa, ngakhale kuti dokotala wanu angayesetsenso kuyesayesa kuti aone ngati ali ndi vuto la CAD.
Kuwonjezera pamenepo, inu ndi dokotala muyenera kupita kuunika koyambitsa matenda, kuphatikizapo kuyeza zakudya zanu, kulemetsa, mbiri ya fodya, zizoloŵezi zochita masewera olimbitsa thupi, cholesterol ndi magulu a triglyceride , kuthamanga kwa magazi komanso kuchepetsa magazi.
Mkhalidwe wa Mavuto
Zomwe timaphunzira lero zimasonyeza kuti ma PVC okha sakhala oopsa. Ndipotu, kafukufuku wasonyeza kuti kuletsa PVC ndi mankhwala osokoneza bongo sikungowonjezera pangozi yakufa, koma makamaka (malingana ndi mankhwala omwe amagwiritsidwa ntchito), kungapangitse ngoziyi.
Funsoli, komabe, silinakhazikitsidwe. Kuphunzira kwa 2015 kunasonyeza kusonkhana pakati pa kukhalapo kwa PVCs ndi kuwonjezeka kwa mtima kulephera kwa zaka khumi. Kodi ma PVC okhawo akuchita chinachake kuti apangitse mtima kulephera, kapena kodi ndi chabe chizindikiro chakuti vuto lalikulu la minofu la mtima lingakhalepo? Kufufuzanso kwina kuli kofunika kuti mudziwe izi.
Panthawi imeneyi, ndizochepa kawirikawiri ndizofunika kuti mankhwala azitsatira, kapena zoyenera, kuyesa kupondereza PVC ndi mankhwala.
Kuchiza
Popeza kuti ma PVC okha saganiziridwa kuti ndi owopsa kwambiri, siziyenera kudabwitsa kuti kuchiza PVC sikumayendetsa bwino. Ndipotu madokotala nthawi zambiri amakhumudwa kwambiri ndi zomwe akuyenera kuchita pamene wodwala wawo ali ndi PVC, makamaka pamene ma PVC ali ndi zizindikiro zambiri.
Kawirikawiri, chithandizo cha PVC chimapanga kuchita zinthu ziwiri. Cholinga choyamba ndi chofunika kwambiri ndi kuchepetsa chiopsezo chachikulu cha matenda a mtima, mwina kuphatikizapo chiopsezo cha imfa yadzidzidzi. Cholinga chachiwiri, ndichimodzimodzi, ndiko kuchepetsa zizindikiro (ngati zilipo) zomwe zimayambitsidwa ndi PVCs. Izi ndi zolinga ziwiri zosiyana, ndipo monga madotolo ndi odwala amasankha zokhudzana ndi kuchiza PVCs, malingaliro onsewa akuyenera kuwongolera pawokha. Mutha kuwerenga zambiri apa za mankhwala a PVCs.
Mawu Ochokera
Ma PVC amavomereza, ngakhale pakati pa anthu omwe ali ndi thanzi labwino. Komabe, ma PVC angayambitse zizindikiro, ndipo angasonyeze kuti mtundu wina wa matenda osagwirizana ndi mtima ulipo. Choncho, kupeza PVCs, makamaka, kumayambitsa kuwunika kwa mtima.
> Zotsatira:
> Madona JW, Dewland TA, Vittinghoff E, et al. Ectopy yowonjezeka ngati Yopanda Mtima Wopanda Imfa ndi Imfa. J Am Col Cardiol 2015; 66: 101-109.
> Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. Malangizo a ESC a 2015 Otsogolera Odwala ndi Ventricular Arrhythmias ndi Kupewa Imfa Yachimwibwi Yodzidzimutsa: Task Force for Management of Odwala ndi Ventricular Arrhythmias ndi Kupewa Kwadzidzidzi Imfa ya Cardiac Death of the European Society of Cardiology (ESC). Ovomerezedwa ndi: Association for European Pediatric and Congenital Cardiology (AEPC). Mtima; 36: 2793.
> Lamba J, Redfearn DP, Michael KA, et al. Kuperekera kwa Catheter Ablation kwa Chithandizo cha Kupatsirana Kwachidwi Kwambiri Kumayambiriro kwa Ventricular Kuchokera ku Right Ventricular Outflow Tsamba: Kusanthula Mwachidule ndi Kusanthula Meta. Pacing Clin Electrophysiol 2014; 37:73.