Sashin ciwon sikila yakan faru yayin da kuskuren sinus ya zama ƙwayar cututtukan da zai iya haifar da bradycardia (jinkirin zuciya) wanda yake haifar da alamar cututtuka. Mutane da ke fama da rashin lafiya na sinus suna buƙatar magani tare da mai ɗaurin rai na ƙarshe don taimakawa bayyanar cututtuka.
Baya ga symptomatic bradycardia, rashin lafiya cuta sinus kuma sau da yawa tare da episodes of filastillation , wanda zai iya bukatar ƙarin magani.
Sashin ciwon sikila shine rashin lafiyar tsofaffi, kuma mafi yawancin mutane a cikin shekaru saba'in.
Mene ne ke haifar da ciwo mai tsanani?
Dalili mafi mahimmanci na rashin ciwo na sinus na rashin lafiya shine maganin fibrosis mai shekaru wanda zai shafi nau'in nauyin sinus (maɓallin tsari a cikin dama wanda yake haifar da ƙwaƙwalwar motsin zuciya). "Fibrosis" na nufin cewa an maye gurbin nama na al'ada ta hanyar nau'i mai tsabta. Lokacin da fibrosis ke shafar kuskuren sinus, bradycardia zai iya haifar. Kuma idan aka haifar da matsala tare da kuskuren sinus, an kira shi "sinus bradycardia".
Hakazalika, fibrosis mai shekaru da ke shafar kuskuren sinus zai iya rinjayar tsokawar ƙirar kanta. Wannan jituwa a cikin fibrosis yana kaiwa zuwa ga fibrillation wanda ke shawo kan cutar rashin lafiya.
Bugu da ƙari kuma, wannan fibrosis zai iya rinjayar kodin AV . Idan haka ne, za a iya haɗa da sinus bradycardia tare da ɓangarorin zuciya .
Saboda haka a cikin ciwon rashin lafiya na rashin lafiya wanda zai iya zama abu biyu da ke haifar da bradycardia - sinus bradycardia, da kuma ɓoye zuciya.
A wasu lokuta wasu yanayi na kiwon lafiya zai iya rinjayar nauyin sinus, samar da sinus bradycardia. Waɗannan sharuɗɗa sun haɗa da:
- Amyloidosis
- sarcoidosis
- Cutar cutar Chagas
- hypothyroidism
- ciwon zuciya
Duk da haka, fibrosis da ke haɗaka da tsufa shi ne mafi yawan sanadin ciwon rashin lafiya na sinus.
Wadanne cututtuka suna haɗuwa da cutar ciwo mai tsanani?
Mafi shahararren alamar cututtuka yawanci sune saboda jinkirin zuciya, kuma sun haɗa da:
- sauƙi mai saukowa
- lightheadedness
- syncope
- dyspnea
- rikicewa
A wasu mutane da ciwon rashin lafiya na sinus, waɗannan bayyanar cututtuka zasu faru ne kawai lokacin da suke ƙoƙari suyi aiki, kuma za su ji daɗin lafiya yayin da suke hutawa. A cikin waɗannan lokuta matsala mafi girma shine rashin iyawa don ƙarfafa zuciya daidai lokacin aiki, yanayin da ake kira " chronotropic rashin fahimta ."
Ciwon Cutar Cutar Cutar Cutar da Cutar Cutar da Cutar Cutar
Mutanen da ke fama da cututtuka na sinus waɗanda ke da nau'o'in wariyar launin fata zasu iya shawo kan bayyanar cututtuka da sinus bradycardia ya haifar, sannan kuma suna iya samun alamun bayyanar tachycardia (azabar zuciya), musamman maƙalara . Mutanen da ke da sifofin jinkirin zuciya da azumi suna cewa suna da ciwon zuciya na bradycardia-tachycardia, ko " brady-tachy syndrome ".
Mafi bayyanar cututtuka da aka haɗa da cutar brady-tachy shine syncope. Rashin ƙwarewa yana faruwa sau da yawa bayan an yi wani ɓangare na fibrillation wanda ya yi nasara a hankali, yana haifar da dakatarwa a cikin zuciya.
Wannan hutawa na tsawon lokaci yana faruwa ne saboda, a yayin da kullin sinus ya riga ya "rashin lafiya," wani ɓangare na fibrillation na ketare ya sa har ma ya ƙara hana aikinsa.
Saboda haka, lokacin da fibrillation ya yi tsai da hanzari, kuskuren zunubi zai iya buƙatar sauƙi kaɗan don "farka" kuma zai fara samar da tasirin wutar lantarki. A lokacin wannan lokaci, babu kullun zuciya a kowane lokaci don 10 ko fiye seconds - yana haifar da haske mai haske, ko syncope.
Yaya Yaya Cutar Cutar Cutar Cutar Ciki ta Cutar ta Cutar?
Bincike da ciwon rashin lafiya na sinus ba yawanci ba ne. Sakamakon ganewa daidai shine mafi kyau sosai a yayin da mutumin da yake gunaguni na bayyanar cututtuka yana samuwa yana da babban sinus bradycardia a kan electrocardiogram (ECG) . Ana gano alamar "brady-tachy" iri-iri na rashin lafiya na sinus a yayin da aka gano wani mai ciwo da cutar ƙwayar sinus wanda yana da samfurori na fibrillation.
Saboda fibrosis wanda ke haifar da cutar cutar sinus wani lokaci yana rinjayar kodin AV, mutanen da ke fama da cututtuka na brady-tachy kuma suna da ƙwaƙwalwar zuciya, sabili da haka, a cikin kwanciyar hankali lokacin da suke cikin fibrillation. Saboda haka, a duk lokacin da aka gano mutumin da ke da alamar ƙwaƙwalwa don samun jinƙan zuciya (in ba tare da magani ba don rage jinkirin zuciya), ya kamata ya ba likita mai karfi cewa ƙwayar cutar rashin lafiya ce.
Doctors za su iya yin ganewar asali na chronotropic rashin fahimta kawai ta hanyar lura da zuciyar zuciya a lokacin motsa jiki - misali, yayin gwajin gwaji . Saboda yanayin da ba shi da kyau shi ne yanayin da ya dace a cikin tsofaffi kuma yana da kyau sosai (tare da mai saurin karɓa), yana da muhimmanci ga tsofaffi waɗanda ke fama da wahala tare da yin aiki mai kyau ko matsakaici don tabbatar da likitoci suyi dacewa.
Ta yaya ake cutar da cutar ciwon sikila?
Kusan dukkan mutanen da ke fama da ciwon rashin lafiya na sinus ya kamata a bi da su tare da mai wanzuwa.
Mai maganin bugun zuciya yana da mahimmanci ga mutanen da suke da ciwo na sinus da ciwon zuciya, don dalilai biyu. Na farko, waɗannan mutane suna da mummunar haɗari na fuskantar syncope (daga waɗannan dakatarwar lokaci lokacin da fibrillation ya ƙare). Kuma na biyu, yawancin kwayoyi da ake amfani da su don magance fibrillation - beta blockers , mashiyoyin mai lakabi , da kuma kwayoyin antiarrhythmic - na iya sa sinadarin cutar sinus mafi tsanani. Yin amfani da na'urar bugun zuciya zai hana syncope, kuma zai ba da damar likita ya bi da fibrillation mai tsanani fiye da aminci.
Kalma Daga
A cikin ciwon rashin lafiya na rashin lafiya, cututtuka na kuskuren sinus yana haifar da ƙarancin bradycardia don kai ga bayyanar cututtuka - mafi yawanci, sauƙi mai sauƙi ko lightheadedness. Wannan yanayin kuma yana iya kasancewa tare da fibrillation wanda ya dace, wanda, a hade tare da cutar ƙwayar cutar sinus, yana iya yin jigilar syncope. Ciwon sikila na rashin lafiya yana bi da shi tare da mai ɗaukar mikiya mai dindindin.
> Sources
> Epstein AE, DiMarco JP, Ellenbogen KA, et al. ACC / AHA / HRS 2008 Sharuɗɗa don Farfesa na Kwayoyin Cardiac Rhythm Abnormalities: Rahoton Cibiyar Kasuwancin Kasuwancin Amirka / Ƙungiyar Ayyukan Ƙungiyar Ƙungiyar Amirkancin Amurka akan Ka'idojin Ɗabi'a (Kwamitin Rubuta don Gyara Harshen ACC / AHA / NASPE 2002 Jagoran Jagoran Samun Jagora na Cardiac Pacemakers da Antiarrhythmia Devices): haɓaka tare da haɗin gwiwar Ƙungiyar Amurka don Tashin Tashin Ƙasa da Ƙungiyar Turare na Thoracic. Yanayi na 2008; 117: e350.
> Fogoros RN, Mandrola JM. Nazarin Electrophysiology a cikin Bincike na Bradycardia: Wakili na SA, da Kodayyar AV, da tsarin Sa-Purkinje. A cikin: Fogoros 'Test Electrophysiologic, Edition na shida. Wiley Blackwell, 2017.
> Josephson, ME. Zubar Ayyukan Sinus. A cikin: Kwayar Kwayar Kwayar Kwayar Cutar Gida: Dabaru da Bayanai, 4th, Lippincott, Williams, & Wilkins, Philadelphia 2008. p.69-92.