Tachycardia na Ventricular wani mai karfin zuciya ne wanda ya samo asali a cikin zuciya ta ventricles. Wasu lokuta, mutane suna yarda da tachycardia ventricular tare da kawai alamun bayyanar. Amma mafi yawanci wannan arrhythmia yana haifar da ƙananan lalacewa , haske mai haske mai tsanani, syncope (asarar hankali), ko ma kama zuciya da kuma mutuwar kwatsam.
Wadannan bayyanar cututtuka na faruwa ne saboda ƙwararrakin tachycardia ya rushe hankalin zuciya don yin famfo yadda ya kamata.
Ayyukan aikin motsawa na zuciya sukan kara muni yayin da tachycardia na ventricular na dalilai guda biyu. Na farko, zuciyar zuciya a lokacin da tachycardia na ventricular zai iya zama m isa (sau da yawa, fiye da 180 ko 200 dari a minti daya) don rage girman zuciya. Abu na biyu, kwakwalwa tachycardia na ventricular zai iya rushe al'ada, tsari, haɓakaccen haɗin zuciya. Wadannan dalilai guda biyu sukan sabawa tachycardia ventricular musamman magungunan cardiac arrhythmia.
Mene ne ke haifar da Tachycardia na Ventricular?
Yawancin lokaci, tachycardia na ventricular ya taso ne saboda sakamakon mummunan zuciya na zuciya wanda yake haifar da lalacewa ga tsoka mai kwakwalwa - mafi yawancin, cututtukan cututtuka na zuciya (CAD) ko rashin nasara zuciya . Rashin daji da ƙwayar ƙwayar ƙwayar zuciya tana kokarin samar da kananan lantarki a cikin ƙwayar zuciya, abubuwan da zasu iya haifar da " tachycardias na reentrant ." Saboda haka mafi yawan lokutan ventricular tachycardia shine irin tachycardia mai reentrant .
A gaskiya ma, haɗarin ƙaddamar da tachycardia na ventricular ya dace da yawan lalacewar da ƙwayar ventricular ke ci gaba - yawan lalacewar, mafi girma hadarin arrhythmia.
Hanyar mafi kyau wajen kimanta adadin ƙwayar tsoka da ƙwayar tsoka shine auna ma'aunin haɗin gwaninta na hagu.
Ƙananan ƙananan haɓaka , yawancin lalacewar tsoka kuma mafi girman haɗari na ciwon tachycardia ventricular.
Mafi yawan ƙananan, magungunan tachycardia na ventricular zai iya faruwa a cikin samari waɗanda ke da alaƙa da lafiya kuma basu da CAD ko rashin nasara na zuciya. Yawancin lokutan wadannan rudani suna haifar da wasu matsala ko kwayoyin halitta, ciki har da:
- Long QT ciwo
- Nachycardia mai kwakwalwa na ƙwararriyar ƙwararrun (RMVT)
- Arrhythmogenic dama ventricular cardiomyopathy (ARVC)
- Catecholamine-sensitive polymorphic ventricular tachycardia (CPVT)
- Brugada ciwo
Ta yaya ake kula da Tachycardia na Ventricular?
Kasashe mai mahimmanci na cigaba (wato, tsawon lokaci) kwakwalwa tachycardia ventricular ne sau da yawa gaggawa gaggawa. Idan an kama shi a zuciya, to dole ne a dauki matakan gaggawa na kwakwalwa ta hanyar Ciop (CPR).
Idan mutumin da yake cike da tachycardia na ventricular shi ne faɗakarwa kuma ya farke kuma in ba haka ba, to, za a iya daukar matakai mafi kyau. Alal misali, ana iya kare arrhythmia ta hanyar yada magunguna, irin su lidocaine. Ko kuma masu haƙuri za su iya zama masu raguwa kuma sun ba da wutar lantarki don dakatar da arrhythmia, hanyar da ake kira "cardioversion."
Bayan da aka dakatar da wani ɓangare na ɓangaren ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwayar zuciya wanda aka mayar da ita zuwa al'ada, matsala ta hana hana ci gaba. Wannan wani muhimmin mataki ne tun lokacin da mutum ya sami wani ɓangare na ciwon tachycardia na ventricular, rashin yiwuwar samun wani batu a cikin shekara ta gaba ko biyu su ne maɗaukaki - kuma duk wani lokaci na faruwa zai iya zama barazanar rai.
Mataki na farko da ya hana magungunan tachycardia mai mahimmanci shi ne cikakken nazari da kuma magance cutar ta zuciya. A mafi yawan lokuta, wannan yana nufin amfani da maganin mafi kyau ga CAD ko ƙuntata zuciya (ko duka biyu).
Abin takaici, har ma tare da jiyya mai kyau na cututtukan zuciya, hadarin ciwon tachycardia mai yawan gaske ya kasance mai girma, saboda haka, haka lamarin ya faru da kamawar zuciya da mutuwar kwatsam - don haka ana bukatar wasu matakai.
Wasu lokuta magungunan antiarrhythmic zasu iya taimakawa wajen kare yawancin tachycardia na ventricular, amma rashin alheri, wadannan kwayoyi ba sa aiki sosai. Wasu lokuta, ana iya tsara maɓallin sakonni wanda ke samar da tachycardia na ventricular za a iya aikawa ta lantarki sa'an nan kuma ya rabu da shi , amma (a bambancin bambanci ga mafi yawan marasa lafiya tare da magungunan supraventricular tachycardias ) wannan shine banda maimakon mulkin.
Saboda wadannan dalilai, dole ne a yi la'akari da yawan masu cin mutunci da za a iya yin amfani da su don yin amfani da su a cikin wani abu na ciwon tachycardia.
Sources:
Zipes, DP, Camm, AJ, Borggrefe, M, et al. ACC / AHA / ESC 2006 Taimakawa don Gudanar da marasa lafiya tare da Arrhythmias na Ƙwararrun Ƙari da Rigakafin Mutuwar Cardiac na Mutuwar Rahoton Rahoton Cibiyar Kwalejin Kwayoyin Nahiyar Amirka da Ƙungiyar Ayyuka ta Ƙungiyar Amurkan Amurka da Ƙungiyar Harkokin Kasuwanci na Turai game da Sharuɗan Ɗaukakawa (Rubutun Kwamitin ya ci gaba da Jagora don Gudanar da marasa lafiya tare da Arrhythmias Ventricular da Rigakafin Mutuwar Cardiac Mutu). J Am Coll Cardiol 2006; 48: 1064.