Yaya muhimmancin su, kuma me ya kamata ka yi game da su?
Daga cikin nau'o'in cututtukan zuciya na zuciya da yawa , ƙananan sun halicci ƙyama da rikicewa a tsakanin likitoci da marasa lafiya kamar yadda ƙananan ƙwararrun ƙwayoyin cuta ke ciki (PVCs, wanda ake kira ƙaddarar ƙwayoyin ventricular). A wasu ofisoshin likitoci, kuma a wurare daban-daban a cikin tarihin, an dauke PVCs a matsayin masu tsaikowa na mutuwa, ko kuma abin da ya kamata ya zama abin ƙyama.
Amsar da ya dace shi ne wani wuri tsakanin waɗannan matakan biyu. Don fahimtar muhimmancin PVCs, muna bukatar mu sake nazarin abin da suke, abin da suke nufi a game da bayanin likita, yadda za'a kamata a gwada su, da yadda za a bi da su.
Bayani
Kwancen PVC wani karin motsin wutar lantarki ne wanda ke tashi daga daya daga cikin ventricles na zuciya. Saboda wannan karin motsi ya bayyana a gaban kullin zuciya na gaba yana da zarafi ya faru, an kira shi "wanda bai kai ba."
Ana gano kwayoyin cutar ta PVCs ta wurin lura da su a kan wani zaɓaɓɓe . PVCs ne na kowa. Kusan ɗaya daga cikin mutane 20 na al'ada za su sami akalla PVC guda biyu a kan tsakanin ECG guda biyu, kuma yawancin da ya fi girma zai sami PVCs a kan sa ido 24-hour na Holter .
Wasu mutane za su sami sifofin da dama PVCs a jere. Idan akwai fiye da PVC guda uku a jere, ana kiran ɓangaren mai kwakwalwa tachycardia ventricular (NSVT) .
Cutar cututtuka
Yawancin mutanen da ke da PVCs ba su da alamun bayyanar. Su kawai ba su ji su ba. Duk da haka, ƙananan ƙananan mutanen da ke dauke da kwayoyin cutar PVC za su fahimci lalacewa - wani sabon abu na saninsa na zuciya. Wadannan maganganun ana kiran su a matsayin "ƙuƙwalwa" ko "zuciya mai laushi". A wasu mutane, wadannan bayyanar cututtuka na iya zama da wuya a jure.
Ko ko a'a ba ku lura da bayyanar cututtuka daga PVCs na da alaka da dalilai masu yawa. Wasu mutane kawai suna da matukar damuwa ga duk wani abu mai ban mamaki wanda ke faruwa a cikin gabobin ciki, ciki har da PVCs. Sauran suna jin dadi sosai game da PVCs a ranar da suke aiki da damuwa, amma ba zato ba tsammani sun fara jin su lokacin da suka yi ritaya don dare kuma an kawar da su. Amma sa'a, yawancin mutane da PVCs ba su ji dasu ba.
Alamar
PVCs na da mahimmancin kiwon lafiya daga gaskiyar cewa zasu iya samar da alamun bayyanar. A cikin shekaru, babban damuwa game da PVCs shine ra'ayin cewa zasu iya kara yawan haɗarin mutum don mutuwar kisa daga kamacciyar zuciya . Shekaru da yawa, an yi imani da cewa kasancewar PVCs yana da girman haɗari. Shaidun da suka gabata sun nuna cewa PVCs kansu bazai ƙara haɗarin mutuwa ta mutuwa ba (idan a kowane lokaci), kuma cewa ƙungiyar tsakanin PVCs da mutuwa ta kwatsam na iya zama mai kai tsaye.
Musamman, shi ya nuna cewa mutanen da ke da PVCs masu yawa suna iya samun, ko kuma su ci gaba a cikin 'yan shekarun nan, muhimmancin cututtukan zuciya. Kuma tun da mutanen da ke fama da cututtukan zuciya suna da mummunar haɗari na mutuwa ta kwatsam, to, PVCs suna hade da irin wannan hadarin (ko kamfanonin PVC da kansu suke haifar da haɗari).
Sabili da haka PVCs na iya haɗuwa da haɗarin ƙwayar zuciya , amma tabbas ba ainihin dalilin wannan ƙari ba.
Sanin asali
Don sake gwadawa, muhimmin mahimmancin likita na PVCs shine cewa zasu iya haɗuwa da ƙari ƙwayar cutar zuciya. Don haka idan kana da PVCs, likitanku ya kamata ya gwada lafiyar zuciya, neman cutar cututtukan da ba a sani ba, da kuma tantance yiwuwar cutar ciwon zuciya a nan gaba.
Kwayoyin cututtukan zuciya da yawa sun haɗa da PVC sun haɗa da cututtukan cututtuka na zuciya (CAD) da kuma rashin tausayi na zuciya saboda mummunan cardiomyopathy . PVCs kuma an fi gani da hypertrophic cardiomyopathy , kuma tare da zuciya valve cuta .
Bugu da ƙari, adreshin ƙwayar murya mai kyau shine hanya mai kyau don allon don yawancin wadannan yanayin zuciya, kodayake likitanku na iya so a gwada gwajin thallium ta gwaji don dubawa mafi tsanani ga CAD.
Bugu da ƙari, ku da likitanku suyi ta hanyar kalubalen hadarin haɗari tare da yin la'akari da abincinku, nauyin nauyi, tarihin shan taba, halaye na aikin motsa jiki, cholesterol da kuma triglyceride matakan, karfin jini da kuma binciken glucose na jini.
Risk Level
Mafi kyawun bayani da muke da shi a yau yana nuna cewa PVCs ba su da haɗari sosai. A gaskiya ma, nazarin ya nuna cewa kawar da PVCs tare da kwayoyin antiarrhythmic ba wai kawai ya kasa rage haɗarin mutuwa ba, amma a gaskiya (dangane da abin da ake amfani da shi), na iya ƙara haɗarin.
Wannan tambaya, duk da haka, har yanzu ba a warware shi ba. Binciken da aka yi a shekara ta 2015 ya nuna wata ƙungiya tsakanin kasancewar PVCs da ci gaba da ci gaban zuciya a kan shekaru 10. Shin PVCs suna yin wani abu ne don haifar da rashin zuciya, ko kuwa sun kasance alamar cewa matsala ta tsohuwar zuciya zata iya kasancewa? Karin bincike zai zama wajibi ne a gane wannan.
A wannan batu, kawai yana da wuya ya zama dole, ko ma kyawawa, don ƙoƙarin kashe PVCs tare da magani.
Jiyya
Tun da an yi tunanin cewa PVCs ba su da mawuyacin haɗari, ba kamata ya zama mamaki cewa yin maganin PVCs ba gaba ɗaya ba ne. A gaskiya ma, likitocin sau da yawa sukan damu game da abin da ya kamata a yi a lokacin daya daga cikin marasa lafiya na da PVCs, musamman idan waɗannan PVCs suna samar da alamun bayyanar.
Kullum, lura da PVCs yana nufin yin abubuwa biyu. Abu na farko da mahimmanci shi ne ya rage yawan haɗari na tasowa daga cututtuka na zuciya, wanda zai iya haɗuwa da hadarin mutuwar kwatsam. Manufar na biyu, ba shakka, shine don rage bayyanar cututtuka (idan wani) ana haifar da PVCs. Wadannan nau'ukan biyu ne daban-daban, kuma kamar yadda likitoci da marasa lafiya suka yanke shawarar game da magance PVCs, kowannensu ya kamata a magance dukkanin wajan maganin. Kuna iya karanta ƙarin a nan game da maganin PVCs.
Kalma Daga
Kwayoyin PVCs suna da mahimmanci, har ma a tsakanin mutanen da suke da lafiya. Duk da haka, PVCs na iya haifar da bayyanar cututtuka, kuma suna iya nuna cewa wasu nau'i na cututtukan zuciya ba a bayyana ba. Sabili da haka, gano PVCs ya kamata, a kalla, jawo hankali akan ƙwaƙwalwar ƙwayar zuciya.
> Sources:
> Duk JW, Dewland TA, Vittinghoff E, et al. Ƙungiyar Zamanin Ƙasa a matsayin Kwararren Zuciyar Zuciya da Mutuwa. J Am Col Cardiol 2015; 66: 101-109.
> Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. 2015 ESC Sharuɗɗa don Gudanar da marasa lafiya tare da Ƙwararrun Ƙwararrun Ƙwararrun Cututtuka da Rigakafin Mutuwar Cardiac Mutu: Ƙungiyar Ƙungiyar Kula da marasa lafiya da ƙwararruwar Ventricular Arrhythmias da Rigakafin Mutuwar Cardiac Mutuwar Ƙungiyar Harkokin Kasuwancin Turai (ESC). An amincewa da: Ƙungiyar Harkokin Yara da Harkokin Kwafi na Yamma da Aiki (AEPC). Eur Heart J 2015; 36: 2793.
> Lamba J, Redfearn DP, Michael KA, et al. Rahoton Rediyo Radiofrequency Ablation don maganin Idiopathic ƙaddarar ƙwararrun ƙwararrun ƙwararrun asali daga asali daga ƙirar fitarwa na ƙananan ƙwararren ƙwayar cuta: Tsarin Ɗaukakawa da Meta-bincike. Pacing Clin Electrophysiol 2014; 37:73.