Arthmthmias a mtima akhoza kupanga zizindikiro zosiyanasiyana, kuchokera ku zofooka (kapena ngakhalebe) kuopseza moyo. Zizindikirozi zikhoza kugawidwa mu gulu la "zizindikiro" zomwe ziyenera kuti dokotala aziwoneka moyenera chifukwa cha matenda a mtima monga chifukwa chomwe chimayambitsanso ndi "zina" zizindikiro zomwe zingatheke chifukwa cha matenda ena.
Zizindikiro Zakale
Anthu ambiri omwe amapezeka ndi matenda a mtima amadzadabwa kuti sanapeze zizindikiro. Komabe, ndizomveka kuti nthawi zambiri mtima wamakhalidwe a mtima sungabweretse zizindikiro zirizonse. Izi ndizofunikira makamaka pamaganizo omwe amachititsa kuti "mtima wochuluka" umenyedwe-maofesi a pulezidenti asanakwane (PACs) ndi maofesi a PVCs asanakwane.
Ena angapezeke ndi zizindikiro izi zachikale.
Palpitations
Palpitations ndi kuzindikira kosazolowereka kwa mtima. Nthawi zambiri amamva ngati akudumphadumpha kapena amasiya, kupwetekedwa mtima komwe kumakhala kolimba kwambiri kapena kupweteka, zizindikiro zapansi kapena "kuthawa" pamtima, kapena kugunda kwa mtima kumene kumawoneka kukhala kosasintha m'malo mokhazikika.
Palpitations imakhudza anthu osiyana m'njira zosiyanasiyana. Anthu ena samawapeza iwo akukhumudwitsa makamaka, pamene ena amawapeza iwo akuwopsya kwambiri ndi oopsya.
Pafupifupi chiwalo chilichonse cha mtima chimatha kupanga mapiritsi, kuphatikizapo mitundu yambiri ya bradycardia (yochedwa mtima) ndi tachycardia (miyeso ya mtima yofulumira), PACs ndi PVCs, kapena magulu a mtima .
Lightheadedness
Ngati mtima wamkatiwu umateteza mtima kuthamanga mwazi mokwanira kuti upewe zosowa za thupi, zigawo za kumutu zimatha.
Pamene arrhythmia ikuwonetsa mutu, zimakhala zosavuta kuti mutero, kapena pamene mukuchita chinachake chogwira ntchito. Kupumula kapena kugona kumapangitsa kuti izi zikhale bwino.
Lightheadedness ndi chizindikiro chofala chomwe chimakhala ndi zifukwa zambiri kuwonjezera pa arrhythmias. Koma pamene arrhythmia imatulutsa mutu, ndi chizindikiro chakuti arrhythmia yokha ikhoza kukhala yoopsa, ndipo ingayambitse mavuto aakulu kwambiri monga syncope kapena ngakhale kumangidwa kwa mtima.
Chifukwa chakuti mutu wautali ukhoza kukhala chizindikiro cha vuto lomwe lingakhale loopsa, ichi ndi chizindikiro chimene sichiyenera kunyalanyazidwa, koma nthawi zonse chiyenera kuyesedwa ndi dokotala.
Syncope
Syncope , kapena kutayika kwadzidzidzi, ndi vuto lomwe anthu ambiri amatha kukhala nalo (lomwe liri ngati mutu wautali), ndipo ambiri mwa iwo ali abwino kwambiri. Koma pamene syncope imayambitsa matenda a mtima, ndicho chizindikiro chabwino kuti arrhythmia yokha ndi yoopsa kwambiri. Kawirikawiri amatanthauza kuti arrhythmia ikulepheretsa ubongo kulandira mpweya wokwanira kuti ukhale ndi chidziwitso.
Ma episodes a syncope amatha chifukwa cha bradycardia (ngati chiwerengero cha mtima chichedwa pang'onopang'ono), kapena tachycardia (ngati chiwerengero cha mtima chili mofulumira). Ngati chiwerengero choterechi chikapitirirabe kupitirira masekondi angapo (zomwe ndizokwanira kupanga syncope), kumangidwa kwa mtima kungapangidwe.
Pachifukwa ichi, nthawi ya syncope yosadziwika nthawi zonse imafuna kafukufuku wathunthu wa zachipatala, kufotokozera chifukwa chomwe chimayambitsa. Chigamulo chilichonse chomwe chachititsa syncope chiyenera kuganiziridwa kuti chikhoza kupha moyo ndipo chiyenera kuchitiridwa nkhanza.
Kumangidwa kwa mtima
Kumangidwa kwa mtima kumakhalapo pamene chizolowezi cholimba cha mtima chimalepheretsa kutuluka kwa magazi kupita ku ubongo kwa nthawi yaitali. Kusiyanitsa pakati pa arrhythmia yomwe imapangitsa syncope ndi imodzi yomwe imapangitsa kuti kumangidwa kwa mtima kumangokhala nthawi yayitali yomwe arrhythmia ikupitirirabe.
Ngakhale bradycardia yoopsa ikhoza kumangirira mtima, nthawi zambiri vutoli limapangidwa ndi ventricular fibrillation kapena ventricular tachycardia .
Kumangidwa kwa mtima kumapangitsa kuti imfa ifulumire (ndipo imayambitsa imfa yadzidzidzi), kupatula ngati arrhythmia ikatha paokha, kapena kubwezeretsedwa kwa thupi kumaperekedwa mkati mwa mphindi zochepa chabe.
Aliyense amene apulumuka kupsinjika kwa mtima ayenera kuonedwa kuti ali pachiopsezo chachikulu chakumangidwa kwa mtima wam'tsogolo ndipo ayenera kulandira chithandizo chamaganizo ndi chopambana. Ambiri mwa anthuwa adzakhala oyenerera kwambiri kuti awonongeke.
Zizindikiro Zina
Kuphatikiza pa zizindikiro izi zapamwamba, zizindikiro za mtima zimapanganso zizindikiro zochepa zowonjezera, zomwe sizingatheke kuchiza dokotala poyang'ana chigamulo chokha.
Zambiri mwazizindikiro zina zimagwirizana ndi arrhythmia zomwe zimapangitsa kuti chibale chichepetse mphamvu ya kupopera magazi ku ziwalo za thupi. Zizindikirozi zimakhala zovuta kwambiri pamene munthu ali woongoka kapena wodzipereka; ndi anthu omwe ali ndi matenda ena kuwonjezera pa arrhythmia, monga mtima wosagwirizana , matenda a shuga , mavuto a m'mapapo, kapena matenda a mitsempha .
Zizindikiro izi zikuphatikizapo:
- Kufooka kwachibadwa
- Kusokonezeka
- Dyspnea (kupuma pang'ono)
- Zovuta zolimbitsa thupi
- Kupweteka pachifuwa
Nthawi Yomwe Muwone Dokotala
Chimodzi mwa zizindikiro izi ziyenera kuyendera dokotala. Chinthu choyipa kwambiri kapena syncope chosadziwika chiyenera kuyesedwa mwamsanga, ndipo chimavomereza kuyitana kwa 911.
Ngakhale magayimu ambiri a mtima amakhala ofanana ndipo nthawi zambiri amakhala oopsa, ena ndi owopsa ndipo amafunika kuchiritsidwa. Izi zikutanthauza kuti ndizofunika kuti dokotala wanu adziwe ngati arrhythmia ikupangitsa zizindikiro zanu, ndipo ngati zili choncho, ndi chiani chomwe chimayambitsa vutoli, komanso kuti ndi chowawa bwanji kuchilandira.
> Zotsatira:
> Kenny RA, Brignole M, Dan GA, et al. Syncope Unit: Zokwanira ndi Zofunikira - European Heart Rhythm Association Position Statement Kuvomerezedwa ndi Mtima Rhythm Society. Europace 2015; 17: 1325.
> Schreiber D, Sattar A, Drigalla D, Higgins S. Ambulatory Cardiac Kuwunika kwa Dipatimenti Yoopsa ya Odzidzimutsa Odwala Amene Angathe Kukhala ndi Mtima Wopanda Magetsi. Kumadzulo; 15: 194.