Wasu lokuta magungunan zuciya na zuciya za a iya haifar dashi daga irin rashin jigilar hankalin lantarki daga wani wuri a cikin zuciya. Lokacin da waɗannan nau'o'in mahaukaci suka faru a hanzari, tachycardia (saurin zuciya) yana faruwa. Tachycardias da aka lalacewa ta hanyar kwatsam maras amfani da wutar lantarki suna kira "tachycardias ta atomatik."
Dalilin
Kalmar tachycardia tana nufin ƙananan zuciya fiye da 100 dari a minti daya.
Akwai sharuɗɗa guda uku na tachycardia:
- Tachycardia ta al'ada (ko sinchy tachycardia) wani abu ne na al'ada wanda yafi yawan mu a kowace rana. Yana faruwa ne saboda kuskuren sinus ya ƙaddamar da ƙimar da yake haifar da tasirin wutar lantarki saboda amsawa ko wahala. (Akwai, duk da haka, irin nau'in tachycardia sinus, wanda ake kira sinus tachycardia, ko IST .)
- Tachycardia mai reentrant wani cututtukan zuciya ne wanda ke haifar da haɗin wutar lantarki a wani wuri a cikin zuciyar da ke haifar da wata hanya ta yiwu. Tachycardias na farawa sun fara da ƙarewa ba zato ba tsammani ba tare da wani dalili ba, kuma mafi sau da yawa yakan faru a cikin mutane waɗanda ba su da lafiya sosai.
- Tachycardias na atomatik ba sa ƙunsar maɓallin lantarki marar kyau amma a maimakon haka, ana haifar da ƙananan ƙarancin wutar lantarki daga wani wuri dabam da ɓangaren sinus. Wadannan rukuni suna ganin sau da yawa a cikin mutanen da basu da lafiya.
Halaye
A cikin tachycardias atomatik, kwayoyin halitta a wasu wurare a cikin zuciya suna fara samar da kawunansu na lantarki fiye da sinadarin sinus, ta haka ne ke daukar nauyin zuciya da samar da tachycardia.
Tachycardias na atomatik iya zama ko dai supraventricular (wanda ake kira "tachycardia atomatik", wanda ke nufin cewa sassan da ake "firgita" ta atomatik suna cikin cikin atria), ko ventricular ("ventricular tachycardia," wanda ke da alamun wutar lantarki suna zuwa daga ventricles).
Bugu da ƙari, tachycardia mai haɓaka ta atomatik zai iya faruwa yayin da halayen haɗuwar suka kusa kusa da kodin AV , wanda yake kusa da "jingina" na atria da ventricles).
Idan ya bambanta da tachycardias na reentrant, ana iya ganin tachycardia ta atomatik a cikin mutanen da ke fama da rashin lafiya. Wannan shi ne saboda daban-daban nau'i na rashin lafiya zai iya haifar da yanayin da ake bukata don zuciya don samar da ƙarancin wutar lantarki.
Musamman magungunan ta atomatik yakan kasance a cikin mutanen da ke fama da mummunar cutar huhu (irin su tayi na huhu ko kuma ciwon huhu), ƙananan ƙananan ƙwayar cuta (cututtukan zuciya) , ko kuma mutanen da ke da mummunan cututtuka a yanayin su - kamar jini oxygen low matakan, matsananciyar potassium ko magnesium jini, ko matakan babban adrenalin.
A sakamakon haka, ana iya ganin tachycardia ta atomatik a marasa lafiya marasa lafiya a cikin asibiti, musamman a mutanen da basu da lafiya don kasancewa a cikin kulawa na kulawa mai tsanani.
Akwai wasu banbanci ga wannan tsari na yau da kullum, duk da haka. Wata yanayin da ake kira dabarar tachycardia ta atomatik (wanda ake kira "tactopic atrial tachycardia") zai iya faruwa a yara, in ba haka ba mutane lafiya. Ba kamar ƙwararrun tachycardia ba, wanda wannan yanayin ya kasance mai ci gaba maimakon rikici kuma zai iya haifar da rashin gazawar zuciya tachycardia.
Irin wannan mahimmanci na atomatik a tachycardia mai yawanci ana bi da shi tare da farfadowa .
Jiyya
Gaba ɗaya, magani mai mahimmanci don tachycardia ta atomatik shine gano da sake warware matsalar matsalar lafiya. Da zarar yanayin kwakwalwa, yanayin kwakwalwa, ko kuma halayen ƙwayar cuta, an farfado, arrhythmia ya tafi. Saboda haka, a kusan dukkanin lokuta, magani don takaddama ta atomatik shine a hanzarta magance matsalar kiwon lafiya wanda ke samar da ita.
Yawancin lokaci, lokacin da mutumin da ke da tachycardia ta atomatik ya isa lafiya don barin asibiti, an riga an warware maganin arrhythmia.
Babu dalilin yin la'akari da amfani da magungunan antiarrhythmic na yau da kullum, ko wani lokacin da ake amfani dasu don magance cututtuka na zuciya cardiac arrhythmias. Tsayar da duk wani ƙararrawar ƙararraki wani abu ne na karɓar duk matakan da zai yiwu don hana sake dawowa matsalar matsalar lafiya wadda ta haifar da arrhythmia a farkon wuri.
Kalma Daga
Tachycardias na atomatik suna haifar da ƙananan tsarawar motsi na lantarki daga wani wuri cikin zuciya. Ana iya tunanin su a matsayin cututtukan zuciya na zuciya saboda wani "wulakanci" na kwayoyin zuciya, yawanci saboda sakamakon mummunar yanayin lafiya. Gaba ɗaya, waɗannan arrhythmias sun tafi lokacin da aka magance yanayin likita mai kyau, kuma ba a bugun maganin antiarrhythmic mai tsawo ba.
> Sources:
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> Fogoros RN, Mandrola JM. Abubuwa masu haɗari masu tausayi. A: Fogoros 'Test Electrophysiologic, 6th, John Wiley &' Ya'yansa, Oxford, 2017.
> Moore JP, Patel PA, Shannon KM, et al. Maganin Kwashirwa Daga Cikin Gida A Cikin Kwayar Harkokin Hoto na Tachycardia-Cardiomyopathy. Zuciya Zuciya 2014; 11: 1163.
> Poutiainen AM, Koistinen MJ, Airaksinen KE, et al. Tsaruma da Tsakanin Tsarin Tsarin Hanya na Tachycardia. Eur Heart J 1999; 20: 694.