Magungunan tachycardia ventricular (RMVT) mai mahimmanci na ainihi wani nau'i ne wanda ba a sani ba na tachycardia ventricular wanda ke tsammanin ya faru a cikin matasa waɗanda zukatansu ke da sauran al'ada. Wannan ya bambanta da irin nau'in tachycardia na ventricular, wadda aka fi gani a cikin tsofaffi waɗanda ke fama da cututtuka na zuciya ko rashin zuciya .
Hanyoyin cututtuka na RMVT
RMVT yakan haifar da sau da yawa, taƙaitaccen abu, wanda ba a daɗaɗa shi "tarar" tachycardia na ventricular, ko da yake yana da mahimmanci ga mutanen da ke da wannan yanayin don samun karin lokaci /
Mafi yawan bayyanar cututtuka da RMVT ta lalacewa sune sanannun lalacewa da rashin hankali . Mafi wuya, syncope (asarar sani) na iya faruwa. Abin farin cikin, haɗarin ƙwaƙwalwar zuciya da mutuwar kwatsam tare da RMVT ya nuna rashin lafiya.
Za'a iya haifar da tachycardia na ventricular da ke hade da RMVT ta yanayi inda ake ɗaukaka adrenalin. Saboda haka, mutanen da ke cikin RMVT suna iya samun bayyanar cututtuka da motsa jiki (musamman, a lokacin kwanakin wanzuwa nan da nan bayan motsa jiki), ko a lokacin lokutan damuwa mai tsanani. A gaskiya ma, gwajin gwagwarmaya - wanda zai haifar da arrhythmia - shine hanyar da za a iya magance RMVT.
Wanene ke samun RMVT?
RMVT an gani kusan a cikin mutanen da ke da shekaru 40 ko 45, kuma yana da alama ya zama shahararren a 'yan wasa. Wasu masana sunyi zancen cewa mutane da yawa da ba 'yan wasan da aka haife su ba tare da haɓaka ga RMVT kawai ba zasu haifar da matakan matakan da ake bukata a wasu lokuta don jawo wadannan maganganu ba.
Yayinda wata hanyar kwayar halitta ta kasance alama, wannan ba a tabbatar ba.
Biyan RMVT
Ana iya yin jiyya na RMVT ko dai tare da aikin likita ko tare da farfadowa . Masu ƙarancin wuta ba su da kyau a cikin RMVT, tun da hadarin mutuwa mutuwa ba ta da ƙasa.
Abin farin, RMVT za'a iya sarrafawa sau da yawa tare da mai kwakwalwa mai laushi (verapamil) ko kuma tare da beta blockers (irin su propranolol) - magungunan da suke samar da ƙananan sakamako masu illa.
Idan wadannan kwayoyi ba su samar da isasshen maganin tachycardia na ventricular ba, za a iya amfani da kwayoyi masu amfani da ƙwayoyin ƙwayoyin cuta mai mahimmanci, duk da cewa wadannan kwayoyi suna haifar da rashin yawan gaske.
A mafi yawan marasa lafiya tare da RMVT, ƙwararrun tachycardia na samo asali ne a cikin wani yanki mai mahimmanci a cikin ɓangaren sama na hannun dama na ventricle, a ƙarƙashin ɗan kwandon kwakwalwa. A cikin marasa lafiya da ke ɗauke da RMVT, arrhythmia ya fito ne daga irin wannan wuri a cikin ventricle na hagu - wato, a ƙasa da bawul na aortic.
A kowane hali, gaskiyar cewa tushen asalin arrhythmia za a iya raba shi zuwa wani wuri da ke sa RMVT zai yiwu a farfadowa. Ablation mai nasara na RMVT za'a iya cimmawa a fiye da 90% na marasa lafiya da wannan yanayin.
Da aka ba waɗannan zaɓuɓɓukan magani, mafi yawan masana za su yi ƙoƙarin yin ƙoƙarin magance wani mai haƙuri tare da RMVT ta amfani da verapamil da / ko beta blocker. Idan wannan ba ya ci nasara ba, ana maimaita farfadowa ta hanyar zama na gaba. Wata hanyar ko ɗaya, tare da kyakkyawan kulawa da maganganun da aka haɗa da RMVT za'a iya sarrafawa ko kuma an soke su.
Kalma Daga
RMVT wani nau'i ne na irin tachycardia na ventricular da aka gani a cikin matasa masu lafiya - musamman a 'yan wasa.
Duk da yake hadarin mutuwa daga RMVT ya zama kamar ƙananan ƙananan, wannan arrhythmia zai iya rushe rayuwar mutum. Abin farin ciki, tare da maganin da ya dace ya iya sarrafawa ko shafe ta.
> Sources :.
> Fogoros RN, Mandrola JM. Ablation na PVCs da Ventricular Tachycardia. A: Fogoros 'Test Electrophysiologic, 6th, John Wiley &' Ya'yansa, Oxford, 2017.
> Klein LS, Shih HT, Hackett FK, et al. Rahoton Rediyon Radiofrequency Ablation na Tachycardia Ventricular A marasa lafiya ba tare da cututtukan zuciya ba. Yanayin 1992; 85: 1666.
> Prystowsky EN, Padanilam BJ, Joshi S, et al. Arrhythmias na Ventricular A Cikin Gashin Cutar Ciki. Journal of the American College of Cardiology 2012; 59: 1733-1744.