Wasu marasa lafiya tare da ciwon zuciya na iya samun ci gaba mai ban mamaki a cikin bayyanar cututtuka, ƙananan asibiti, da kuma rage haɗarin mutuwa tare da wani ɗan gajere na musamman wanda ake kira siginar resynchronization (CRT). Idan an gano ku tare da ciwon zuciya, ya kamata ku yi magana da likita game da yiwuwar amfani da CRT.
Yadda CRT ke aiki
CRT tana amfani da fasaha na kwakwalwa na zuciya don sake daidaita aikin da ke da hannun dama da hagu na ventricles a cikin marasa lafiya da aka zaba tare da ciwon zuciya saboda rashin tausayi.
Kusan ɗaya daga cikin mutane uku tare da ciwon zuciya yana da mummunan abu a cikin tsarin kula da wutar lantarki da ake kira sashin layi na sashin jiki (LBBB) (ko wani bambancin LBBB da ake kira "jinkirin intraventricular conduction jinkiri"). da kuma hagu na ventricles don bugawa daga synch.Da wasu kalmomi, maimakon bugawa guda lokaci biyu ventricles ta doke dan kadan daga lokaci, daya bayan daya.A wannan asynchrony ya rage karfin aikin zuciya a marasa lafiya da rashin zuciya, kuma ya sa bayyanar cututtuka na zuciya rauni mafi muni.
CRT tana amfani da na'urar da ke da ƙwarewa mai mahimmanci wanda yake iya daidaita dukkanin ventricles da kansa. Wannan ya bambanta da magungunan kwalliya, wanda kawai yake kokarin kawai ventricle.
Ta hanyar dacewa da lokacin da yake tafiyar da wadannan kamfanonin biyu, CRT zai iya yin amfani da su ta hanyar cin zarafi don haka ventricles suna kwangila a lokaci guda maimakon maimakon lokaci.
Yayin da aka haɓaka aikin na biyu ventricles, wannan zai iya ƙaruwa cikin zuciya, kuma adadin aikin da ake bukata don zuciya don zub da jini ya rage.
Amfani da CRT
Yawancin gwaji na asibiti sun gwada tasiri da kuma kare lafiyar CRT a cikin marasa lafiya da ciwon zuciya da damun reshe.
Wani bincike-bincike da ke kallon 14 daga cikin wadannan gwaje-gwaje da suka hada da marasa lafiya 4420 tare da cikewar zuciya sun tabbatar da cewa, a cikin marasa lafiya wanda aka zaɓa, CRT inganta ingantacciyar alama da ƙarfin aiki, rage yawan asibiti, kuma rage mace-mace.
Binciken ya nuna cewa CRT zai iya inganta duka jiki da aiki na zuciya, don rage girman girman ventricle na hagu, don haka inganta haɓakar haɓakar hagu na ventricular hagu.
Rarraba na CRT
CRT shi ne mai sintiri, saboda haka yana dauke da irin wannan rikitarwa da za ka ga tare da wani mai ɗaukar hoto, ciki har da ƙananan haɗari da kamuwa da cuta, lalata zuciya ko jini, da zub da jini. Bugu da ƙari, ƙarin haɗari yana da hannu wajen sanya gwanin tafiya wanda zai iya haɓaka ventricle hagu. A cikin daya daga cikin marasa lafiya 20, haɓaka ventricular hagu ba za a iya cika ba kuma ba za'a iya amfani da CRT ba.
Wace Mutum da Ya Yi Kyau Ya Kamata Ya kamata a Kamata Cikin CRT?
Dokokin da suka dace sun bada shawarar cewa a duba CRT ga marasa lafiya da rashin zuciya na zuciya wanda yake samar da alamun bayyanar cututtuka, waɗanda suke da haɗin motsi na hagu na hagu na 0.35 ko ƙananan, kuma sun bar shinge reshe.
Hakanan, mafi yawan marasa lafiya da suka cika wadannan ka'idoji na CRT zasu cika ka'idodin dila-dallantaka ( ICD ).
Saboda haka na'urar da CRT ta fi kowa amfani da shi a maganin asibiti shine haɗin ICD-CRT.
Kalma Daga
Idan kuna da kullun zuciya wanda yake iyakance ikon ku na aiki akai-akai, kuma kun rigaya ya karbi maganin likita don ƙin zuciya , ya kamata ku tattauna yiwuwar CRT tare da likitan ku. Kwararka zai taimaka maka sanin ko kai dan takarar kirki ne na wannan farfasa kuma ko CRT ya dace a gare ka.
> Sources:
> Burkhardt, JD, Wilkoff, BL. Tsarin ilimin likita mai cin hanci da cututtuka da maganin ciwon zuciya na zuciya: aikawa hanyoyin kwantar da hankali don ƙin zuciya. Yanayi 2007; 115: 2208.
> McAlister FA, Eziktar J, Hooton N, et al. Kwayar cutar ta Cardiac ga marasa lafiya tare da hagu na ventricular systolic dysfunction: nazari na yau da kullum. JAMA 2007; 297: 2502.
> Yancy CW, Jessup M, Bozkurt B, et al. 2013 ACCF / Manufar AHA don kula da rashin tausayi na zuciya: Jagora na musamman: Rahoton Cibiyar Harkokin Kasuwancin Amirka da Cibiyar Harkokin Kasuwancin Amirka game da ka'idoji. Yanayin 2013; 128: 1810.