Nchiyani Chimawachititsa Iwo Ndipo Kodi Ayenera Kuchitidwa Motani?
Kugonjetsa mtima kumatanthauza kuzindikira kosazolowereka kwa mtima. Anthu omwe amatha kupitilira maulendo nthawi zambiri amawafotokozera ngati "akudumpha" pamtima, pamtima nthawi zonse zomwe zimakhala zolimba kwambiri, kapena mofulumira komanso / kapena mosavuta.
Chizindikiro cha kugwedeza ndi chofala kwambiri, ndipo chimakhudza anthu ambiri pa nthawi ina m'miyoyo yawo. Ngakhale anthu ambiri omwe ali ndi phokoso amatha kunyalanyaza iwo, ena amawapeza akusokoneza kwambiri kapena akuwopsya, ndipo nthawi zambiri amadandaula kuti ali pafupi kufa nthawi iliyonse.
Mwamwayi, chowonadi n'chakuti mapulaneti ambiri sagwidwa ndi mavuto owopsa kapena owopsya mtima. Komabe, mapiritsi amatha kuwonetsa chiwalo choopsa cha mtima, choncho aliyense amene ali ndi vutoli ayenera kuwauza dokotala wawo. Ndipo ndi udindo wa dokotala kutenga chizindikiro ichi mozama.
Mukawauza dokotala kuti muli ndi vutoli, ayenera kutenga njira zoyenera kuti adziwe chomwe chimayambitsa vuto lanu, ndiyeno kuti akupatseni malangizo abwino kwambiri othandizira.
Ndi mitundu yanji ya Arrhythmias Yobala Palpitations?
Anthu ambiri okhala ndi mapiritsi amakhala ndi mtundu wina wa mtima wamagetsi. Pafupifupi chimango chilichonse chimayambitsa mapulaneti, koma zomwe zimayambitsa matendawa ndi mapulaneti osakanizidwa nthawi yayitali (PACs) , maofesi a PVCs asanakwane (epVCs) , ma episodes of acry fibrillation ndi episodes of tachcarcardia (SVT) .
Komabe, nthawi zina kupitako kumatha kuyambitsa makopu oopsa kwambiri, monga ventricular tachycardia . Zowopsya zoopsa za moyo zimapezeka mwa anthu omwe ali ndi matenda a mtima, kotero ndikofunikira kudziwa chomwe chimayambitsa matenda a mtima, kapena omwe ali ndi zifukwa zoopsa za matenda a mtima (monga mbiri ya banja matenda a mtima, kusuta, cholesterol chokwanira , kukhala woposa kunenepa, kapena kukhala moyo wamoyo ).
Sikuti anthu onse omwe amawalemba mapulogalamu ali ndi mtima wamaganizo, komabe. Zizindikiro zomwezo zimayambitsidwa ndi vuto la minofu kapena mitsempha ya m'mimba, monga gasi.
Momwe Mapiritsi Akuyenera Kuwerengera
Ngati muli ndi palpitations, dokotala wanu woyamba ntchito ndi kupeza ngati palpitations amayamba ndi mtima chikhalidwe chosokoneza, ndi kuzindikira arrhythmia amene akupereka chizindikiro.
Izi ziyenera kukhala zosavuta kuchita, kotero n'zosadabwitsa kuti madokotala ambiri amaoneka kuti ali ndi vuto ndi izo. "Chinyengo" poyambitsa matendawa ndi kungolemba electrocardiogram (ECG) panthawi yomwe zizindikirozo zikuchitika. Izi zikutanthauza kuti mapiritsi amayenera "kutengedwa" pa ECG. Ndizo - sizomwe zimagwiritsa ntchito sayansi. Mwatsoka, njira yopanga matenda oyenerera nthawi zambiri imakhala yovuta kwambiri kuposa momwe iyenera kukhalira.
Musalole Kulakwitsa Koku Kukuchitikirani
Madokotala kawirikawiri amapanga zolakwa ziwiri poyesa kudziwa chomwe chimayambitsa matenda:
- Kawirikawiri amalephera kulembetsa arrhythmia yomwe imayambitsa zizindikiro.
- Kaŵirikaŵiri amakhulupirira kuti mapiritsiwa amakhala ndi arrhythmia omwe kwenikweni sakuwachititsa.
Mphungu 1: Dokotala adzalangiza ECG (yomwe imalemba mwambo wa mtima kwa masekondi 12 okha) kapena kufufuza kufufuza kwa nthawi yoperewera.
Izi zikachitika, nthawi zambiri zimakhala zovuta kuti phokoso kapena arrhythmia zisadzawonedwe panthawi yowunika. Zikatero madokotala akhala akudziwika kuti sakanatha kuganiza kuti mapiritsiwa sali ogwirizana ndi arrhythmia. Choipa kwambiri, dokotala akhoza kumuuza wodwalayo kuti zizindikirozo "ziri zonse mmutu mwanu." Kunena zoona, kugwedeza kwa dokotala kunali kosakwanira.
Pofuna kupeza chithandizo chodziwika bwino, kujambulidwa ndi kujambula kwa ECG kuyenera kuchitika nthawi yomweyo. Ngati palpitations imachitika pokhapokha, makamaka ngati samachitika tsiku lililonse, m'malo mochita ECG kapena kuyang'anira maola ola limodzi kapena oposa 48 (nthawi yambiri yomwe amagwiritsidwa ntchito ndi maphunzirowa ), kujambula kwa nthawi yaitali kumayenera kugwiritsidwa ntchito.
Njira zowonongeka zilipo zomwe zingathe kulemba nyimbo ya mtima kwa milungu ingapo - kapena miyezi - panthawi imodzi. Mfundo ndiyi, kuti titsimikizire kuti zolembazo ziyenera kupitilirabe ngakhale zitatha nthawi yaitali kuti "tigwire" chochitika.
Mphungu 2: Dokotala adzawona arrhythmia panthawi yomwe silingagwirizane ndi mapiritsi, ndipo amachititsa kuti chigamulocho chikhazikitsidwe. Izi ndi zolakwika. Pofuna kudziwa kuti a arrhythmia ndi omwe amachititsa kuti palpitations, chigamulo ndi zizindikiro ziyenera kuchitika nthawi yomweyo.
Popeza madokotala nthawi zambiri amapanga zolakwa ziwirizi, ndizofunika kuti muzikumbukira lamulo losavuta ngati muli ndi malingaliro: Kuti mupeze chithandizo choyenera, ECG iyenera kulembedwa panthaŵi yomwe mapiritsi akuchitika. Ngati dokotala akuganiza kuti kubwezera kwathunthu kwatha, izi ziyenera kukuthandizani kuti muzitha kuyendetsa bwino ntchito yanu kudzera mu zikumbutso zabwino, chinyengo, zopempha, kulingalira kolungama kapena chilichonse chimene chimafunika.
Kuchiza Palpitations
Kuyenera kulandira mapiritsi kumadalira kwathunthu komwe arrmthmia ikuwatsogolera. Matenda a mtima amasiyana nthawi zambiri amafuna njira zosiyana zothandizira.
Zilonda zambiri zimayambitsidwa ndi arrhythmias omwe ali "oopsa" - osati moyo wowopsya, kapena kuopseza thanzi lanu. Pazochitikazi, nthawi zambiri palpitations ikhoza kukhala "ochiritsidwa" mokwanira ndi chilimbikitso chosavuta, chifukwa nthawi zambiri mantha amachititsa mtima kutengapo, m'malo mogwedeza okha, omwe amachititsa kuti zizindikirozo zisamalire.
Ngati arrhythmia yomwe imayambitsa matendawa ingakhale yowopsa kwa moyo kapena thanzi, ndiye kuti arrhythmia yokhayo iyenera kuthandizidwa. Ngati mutha kukhala ndi imodzi mwa ma arrhythmias, muyenera kuphunzira zonse zomwe mungathe, komanso za njira zomwe mungasankhe. Werengani apa za ziwalo za mtima zakuda .
> Zotsatira:
> Crawford MH, Bernstein SJ, Deedwania PC, ndi al. ACC / AHA Malangizo a Electrocardiography Ambulatory: Summary Executive and Recommendations. Lipoti la American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Komiti Yowonongeka Malangizo Othandizira Ma Electrocardiography). Kuyendayenda 1999; 100: 886.
> Mayou R, Sprigings D, Birkhead J, Price J. Zochitika za Odwala Kupereka kuchipatala cha Cardiac ndi Palpitation. QJM 2003; 96: 115.
> Zimetbaum, P, Josephson, ME. Kuwunika kwa Odwala ndi Palpitations. N Engl J Med 1998; 338: 1369.