Jiyya na iya zamawa tsakanin cikin nau'o'in SVT
Ƙananan tachycardia (SVT) wani nau'i ne na arrhythmias na zuciya mai saurin zuciya wanda ya samo asali a cikin ɗakunan daji na zuciya. ("Supraventricular" yana nufin "sama da ventricles.")
Akwai nau'o'in SVT daban-daban, amma ga mutumin da yake da SVT dukansu suna jin irin wannan. Suna samar da kayan kwantar da hankula, kuma sau da yawa suna haskakawa, kuma yayin da basu kusa da barazanar rayuwa ba, duk wani nau'in SVT zai iya zama da wuya a yi haƙuri.
Duk da yake bayyanar cututtuka da iri daban-daban na SVT sun kasance kama da juna, idan yazo da magani akwai wasu bambance-bambance. Don haka a lokacin da likita ke kula da mutum tare da SVT, yana da muhimmanci mu gane irin irin SVT shi ne. SVTs an rarraba cikin manyan harsuna guda biyu: "reentrant" da "SVT" atomatik.
Reentrant SVT
Yawancin mutanen da ke da SVT an haife su da haɗin lantarki a zuciyarsu. Wadannan haɗin haɗin suna samar da wutar lantarki.
A wasu sharuɗɗa, ƙwaƙwalwar wutar lantarki na iya zama "ƙuƙuwa" a cikin wannan kewayawa, yana tawaya a kusa da shi har yanzu. Tare da kowane ɓangaren, an kirkiro sabon zuciya, samar da tachycardia . Irin wannan tachycardia wanda aka haɓaka ta waɗannan haɗin kai ana kiransa tachycardia.
Siffofin SVTs masu sifofi Mafi yawan
Sunan da aka ba su daban-daban na SVT mai karɓa na iya zama rikice, amma maɓallin ita ce sunayen sun nuna inda ake haɗin haɗin da ke ciki.
Mafi yawan nau'ikan SVT an lasafta a nan. Danna kan haɗin don karanta game da halaye na musamman na kowane nau'i:
- Ƙungiyar tachycardia mai ƙaura, ko AVNRT , wanda ke haifar da kusan 60% na dukkan SVTs.
- Magungunan tachycardia mai karɓar marasa lafiya, ko AVRT , irin SVT wanda ya haɗa da Wolff-Parkinson-White Syndrome (WPW) . AVRT sa game da kashi 30% na dukkan SVTs.
- Sinus nodal reentrant tachycardia , ko SNRT, haifar da kasa da 5% na SVTs.
- Tashin tachycardia, ko IART, wanda ke haifar da ƙasa da 5% na SVTs.
Yayin da zaɓuɓɓukan maganin duk waɗannan nau'o'in SVT masu sakonni sun haɗa da hanyoyin da za a cirewa da magunguna, "mafi kyawun" magani ya dogara ne da babban nau'in takamaiman nau'in.
Tachycardias atomatik
Ɗaya daga cikin SVT ba ta haifar da karin haɗin lantarki a cikin zuciya ba. Irin wannan SVT ana kiransa "SVT na atomatik."
Yawancin lokaci, ƙirar zuciya tana sarrafawa ta hanyar motsi na lantarki wanda "ɓaɓɓan zuciya" ke ciki, wanda ke cikin kuskuren sinus .
Amma a SVT na atomatik, sel a wasu wurare a cikin atria suna fara samar da nasarorin kansu na lantarki, da sauri fiye da kullun sinus, ta haka ne ke karɓar nauyin zuciya da kuma samar da SVT ta atomatik.
SVTs na atomatik sunfi yawa fiye da na SVTs. Yawancin lokaci yakan faru ne kawai a cikin mutanen da ke fama da rashin lafiyar likita - musamman cututtuka na huhu, rashin tsauraran jini, ko wasu cututtuka masu yawa da suka isa don buƙatar kulawar asibiti mai tsanani.
SVTs na atomatik suna da wuyar magance ta kai tsaye, tun da babu wani haɗin lantarki wanda za'a iya raguwa, kuma tun da magungunan antiarrhythmic basu yi aiki sosai ba wajen kawar da waɗannan arrhythmias.
Saboda haka ainihin maganin SVT na atomatik wata hanya ce ta hanyar kai tsaye, wato, magance ƙwayar lafiya. Kusan yawancin lokaci, da zarar mai haƙuri da SVT ta atomatik ya samo asali don a cire shi daga magungunan kulawa mai kulawa, arrhythmia zai bace.
Ɗaya daban-daban na SVT ta atomatik ba saboda rashin lafiya ba ne kuma yana da tsayayyar kasancewa na yau da kullum da kuma wuyar gudanarwa. Wannan shi ne matsala tachycardia (IST) mara dacewa, wanda ya dace da tattaunawar kansa .
Lura: Yayinda fibrillation ta keɓaɓɓe ta zama nau'i na SVT, an dauke shi a cikin wani nau'i na kansa. Karanta a nan game da fibrillation .
Sources
Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. Dokokin ACC / AHA / ESC don kula da marasa lafiya da karfin maganin arraƙiyanci - Rahoto na musamman: Rahoton Cibiyar Kasuwancin Kwayoyin Kasuwancin Amirka da Ƙungiyar Ayyuka ta Ƙungiyar Amurkan Amurka game da Sharuɗɗan Ɗaukaka da Ƙungiyar Ƙungiyar Harkokin Kiwon Lafiyar Kwararrun Kasuwanci (Kwamitin Rubutun zuwa Shirya Harkokin Jagora don Gudanar da marasa lafiya tare da Arrhythmias na Ƙwararrawa). Tsarin 2003; 108: 1871.