Sindrome Ye Sinus Inorwara

Sindrome ye sinus inorwara rudzi rwechirwere chekumhanya kwemoyo. Inokanganisa pacemaker yemoyo (sinus node), inodzora kurova kwemoyo. Sindrome ye sinus inorwara inokonzera kurova kwemoyo kuri kunonoka, kuzorora (nguva refu pakati pekurova kwemoyo) kana kurova kwemoyo kusina kururama (arrhythmias).

Sindrome ye sinus inorwara haina kujairika. Njodzi yekuiwana inowedzera nekuwedzera kwezera. Vanhu vazhinji vane syndrome ye sinus inorwara pakupedzisira vanoda chishandiso chinodyarwa chinonzi pacemaker kuchengetedza moyo mukumhanya kwakajairwa.

Sindrome ye sinus inorwara inogona kunziwo sinus node dysfunction kana sinus node disease.

Vanhu vakawanda vane sick sinus syndrome havawanzova nezviratidzo zvakawanda kana kuti hazvina. Zviratidzo zvingava zvishoma kana kuti zvichiuya zvichienda—zvichiita kuti zviome kuzvizivisa pakutanga.

Zviratidzo nezviratidzo zve sick sinus syndrome zvinogona kusanganisira:

• Manzwiro emwoyo unorova nekukurumidza, uchikwaku kwaku (palpitations)
• Kurwadziwa pabvudzi kana kusagadzikana
• Kusanzwisisa
• Kuwedzera kana kusava nepfungwa
• Kufa kana kusvika pedyo nekufa
• Kuneta
• Kushomeka kwemhepo
• Kuve nemwoyo unorova zvishoma (bradycardia)

Taura nachiremba wako kana uine chero zviratidzo zvechirwere chesick sinus syndrome. Zvirwere zvizhinji zvemuviri zvinogona kukonzera matambudziko aya. Zvakakosha kuwana kurapwa nekukurumidza uye kwakakwana. Kana uine kurwadziwa kwepfupa kutsva kana kusazivikanwa kana uchifunga kuti uri kurwara nemwoyo, fonera rubatsiro rwekukurumidza zvechiremba pakarepo.

Kuti unzwisise chikonzero chechirwere chesick sinus syndrome, zvinogona kubatsira kuziva kuti moyo unopomba sei kazhinji. Moyo une makamuri mana — maviri ari pamusoro (atria) ne maviri ari pasi (ventricles). Kuchema kwemoyo kazhinji kunotungamirwa ne sinus node, nzvimbo yemasero chaiwo mukamuri yemoyo iri pamusoro kurudyi (right atrium).

Sickness ye sinus syndrome inogona kuitika pazera ripi neripi. Inonyanya kuwanikwa muvanhu vane makore anopfuura makumi manomwe kana kupfuura. Zvinhu zvinokonzera chirwere chemwoyo zvinogona kuwedzera njodzi yesickness ye sinus syndrome. Zvinhu zvinokonzera chirwere chemwoyo zvinosanganisira:

• Kuderera kweropa
• Cholesterol yakakwirira
• Kurema kwemuviri
• Kushaya zvekuita

Zvinetso zvechirwere chesick sinus syndrome zvinosanganisira:

• Atrial fibrillation, rudzi rwekurova kwemoyo kusina kururama (arrhythmia)
• Kukundikana kwemoyo
• Stroke
• Cardiac arrest

Kuti aone chirwere chesick sinus syndrome, mushandi wehutano anoita bvunzo yemuviri uye anobvunza nezve zviratidzo uye nhoroondo yezvokurapa.

Zviratidzo zvechirwere chesick sinus syndrome — zvakadai sekuzvinzwa musoro, kushaya mweya uye kupera simba — zvinoitika chete kana mwoyo uchikwata zvisina kururama. Ungave usina zviratidzo panguva yekuenda kuchipatara.

Kuti aone kana zviratidzo zvine chekuita nematambudziko ane sinus node uye kushanda kwemwoyo, mushandi wehutano angashandisa bvunzo dzinotevera:

Electrocardiogram (ECG kana EKG) ibvunzo iri nyore yekuona kuti mwoyo uri kukwata sei. Sensors (electrodes) dzinoiswa pachipfuva dzinonyora magetsi emwoyo. Zviratidzo izvi zvinoratidzwa semafungu pachiratidziri chekombuta kana printer yakabatana.

Holter monitor inoshandisa electrodes uye chishandiso chekurekodha kuti itarise rhythm yemwoyo kwemaawa 24 kusvika ku72. Mushandi wehutano anogona kudhinda electrocardiogram strip achishandisa data iri pachishandiso chekurekodha kuti aone rhythm yemwoyo panguva iyo monitor yakapfekwa.

Bvunzo iyi, inonziwo EP study, haishandiswi kazhinji kuongorora chirwere chesick sinus syndrome. Zvisinei, inogona kuitwa kuongorora kushanda kwe sinus node uye kuongorora mamwe maitiro emagetsi emwoyo.

Panguva ye electrophysiologic (EP) study, tambo dzakapfava, dzakapfava dzine electrodes dzinoendeswa kuburikidza nemidziyo yeropa kunzvimbo dzakasiyana-siyana mumwoyo. Kana dzakamira, electrodes dzinogona kupeta kupararira kwemagetsi kuburikidza nemwoyo.

• Electrocardiogram (ECG kana EKG). Bvunzo iyi iri nyore inoyerera basa remagetsi remwoyo. Sensors (electrodes) dzinoiswa pachipfuva nemakumbo. Tambo dzinobatanidza sensors kukombuta, iyo inoratidza kana kudhinda mhinduro. Electrocardiogram (ECG) inogona kutaura kuti mwoyo uri kukwata nekukurumidza kana zvishoma. Mushandi wehutano anogona kutsvaga mapatani echiratidzo kuti aone kana chirwere chesick sinus syndrome chiripo.
• Holter monitor. Chishandiso ichi chinofambiswa chinogona kupfekwa kwezuva rimwe kana kupfuura panguva yemabasa ezuva nezuva. Inorekodha otomatiki basa remwoyo kwemaawa 24 kusvika ku72. Munhu anopfeka monitor anogonawo kuchengeta dhairekitori rezviratidzo.
• Event recorder. Chishandiso ichi chinofambiswa chinangwa kupfekwa kwemazuva kusvika ku30 kana kusvika wava nekutambudzika kwemwoyo kana zviratidzo. Kazhinji unodzvanya bhatani kana zviratidzo zvikaitika.
• Mamwe ma monitors. Zvimwe zvigadzirwa zvemunhu, zvakadai semawachi akangwara, zvinopa electrocardiogram monitoring. Bvunza mushandi wako wehutano kana iyi iri sarudzo kwauri.
• Implantable loop recorder. Chishandiso ichi chidiki chinoiswa pasi peganda rechifuva. Inoshandiswa kutarisa nguva refu, nguva refu yebasa remagetsi remwoyo, kunyanya kune vanhu vane zviratidzo zvisingawanzoitika.

Zvinangwa zvekurapa chirwere chesick sinus ndekuderedza kana kubvisa zviratidzo uye kudzora chero mamiriro ekutarisira utano anobatsira.

Kurapa chirwere chesick sinus syndrome kunogona kusanganisira:

Kana usina zviratidzo, mushandi wehutano wako anogona kungokurudzira kuongororwa kwehutano nguva dzose kuti aongorore mamiriro ako. Vanhu vakawanda vane zviratidzo vanofanirwa kuita nzira yekuisira mudziyo kuti achengetedze kurova kwemoyo kwakajairwa (pacemaker).

Mishonga yakawanda, kusanganisira iyo inoshandiswa kurapa kumanikidzwa kwepamusoro ropa kana chirwere chemwoyo, inogona kukanganisa basa re sinus node. Mushandi wehutano wako achaongorora mishonga yaunotora uye anogona kuichinja kana kunyora imwe.

Mishonga inogona kudiwa kudzivirira kana kudzikisira kurova kwemoyo nekukurumidza.

Blood-thinners (anticoagulants), senge warfarin (Jantoven), dabigatran (Pradaxa) kana dzimwe, dzinogona kunyorwa kana chirwere chesick sinus syndrome chakabatanidzwa ne atrial fibrillation kana mamwe marudzi asina kujairika emwoyo akabatana ne stroke.

Vanhu vakawanda vane chirwere chesick sinus syndrome pakupedzisira vanoda mudziyo usingaperi kudzora rhythm yemoyo (pacemaker). Pacemaker ndiyo diki, mudziyo unoshanda nebhatiri unoiswa pasi peganda pedyo ne collarbone panguva yekuvhiya kwakapfava. Pacemaker inokurudzira (paces) moyo sezvinodiwa kuti irambe ichirova zvakajairwa.

Kana zviratidzo zvechirwere chesick sinus syndrome zviri nyoro kana zvisingawanzoitika, sarudzo yekushandisa pacemaker ichaenderana nemhedzisiro ye electrocardiograms (ECGs), hutano hwako hwese uye njodzi yezvinetso zvakakomba.

Rudzi rwe pacemaker yaunoda inotsamira marudzi asina kujairika emwoyo yaunayo. Marudzi e pacemakers anosanganisira:

Kana kumhanya kwemoyo kwako kuchiri kusina kujairika mushure mekuwana pacemaker, unogona kuoda mishonga kana nzira inoshandisa catheter inonzi cardiac ablation kugadzirisa kana kuidzora. Cardiac ablation inoshandisa kupisa kana chando simba kugadzira mavara madiki mumoyo kuti ibloke zviratidzo zvisina kunaka uye kudzorera kurova kwemoyo kwakajairwa. Kazhinji inoitwa uchishandisa mabhuru akapfava, akapfava anonzi catheters anopinda mutsinga kana arteries. Zvishoma, ablation inoitirwa panguva yekuvhiya kwemoyo. Rudzi rwe cardiac ablation rinonzi atrioventricular (AV) node ablation kazhinji rinoshandiswa kudzora kumhanya kwemoyo muvanhu vane pacemakers.

Panguva ye atrioventricular (AV) node ablation, chiremba wemoyo anoshandisa radiofrequency energy kuparadza hukama hwemagetsi pakati pekamuri dzemoyo yepamusoro neyepasi (node), achibvisa magetsi emoyo. Kana node yaparadzwa, chiremba wemoyo anozouisa mudziyo mudiki wekurapa kuchengetedza rhythm yemoyo (pacemaker).

Cardiac ablation inoshandisa kupisa kana chando simba kugadzira mavara madiki mumoyo kuti ibloke zviratidzo zvemagetsi zvisina kujairika uye kudzorera rhythm yemoyo. Tube imwe kana dzakawanda dzakapfava, dzakapfava (catheters) dzinoiswa kuburikidza ne artery, kazhinji mu groin, uye inotungamirwa kumoyo. Sensors pamusoro pe catheters anoshandisa kupisa kana chando simba. Mufananidzo uyu unoratidza ablation catheters ichishandiswa pedyo ne pulmonary veins murudzi rwe cardiac ablation rinonzi pulmonary vein isolation.

• Kuongororwa nguva dzose

• Mishonga

• Nzira dzeCatheter

• Kuita kuvhiya kuisa mudziyo kuchengetedza kurova kwemoyo kwakajairwa (pacemaker)

• Single chamber pacemaker. Rudzi urwu kazhinji runotakura zviratidzo zvemagetsi kuchamhu chepasi chekurudyi chemwoyo (ventricle) yemoyo.

• Dual chamber pacemaker. Rudzi urwu runokurumidza kamuri yepasi yekurudyi (ventricle) uye kamuri yepamusoro yekurudyi (atrium) zvakasiyana. Vanhu vakawanda vane chirwere chesick sinus syndrome vanobatsirwa ne dual-chamber pacemakers.

• Biventricular pacemaker. Biventricular pacing, inonziwo cardiac resynchronization therapy, iri kune vanhu vane chirwere chemwoyo uye matambudziko ekurova kwemoyo. Rudzi urwu rwe pacemaker runokurudzira kamuri mbiri dzepasi (kurudyi nekuruboshwe ventricles) kuti uite kuti moyo urove zvakanyanya.

Zvakakosha kutora matanho ekudzikisa njodzi yekurwara kwemoyo. Edza aya mazano ekudzivirira moyo:

• Idya zvokudya zvine utano. Sarudza zvikamu zvakawanda zvemiriwo isina starch, michero nemagorosi ese uye zvikamu zvishoma zvehove, nyama yakarukwa, nyama yekukara ne dairy.
• Ita zvemuviri uye chengeta uremu hwakanaka. Kuwanda kwemuviri kunowedzera njodzi yekurwara kwemoyo. Kunze kwekunge chiremba wako akakuudza zvimwe, edza kuita kanenge maminitsi makumi matatu ekuita zvemuviri zuva nezuva. Bvunza chiremba wako kuti uremu hwako hunofanira kuva hupi.
• Chengeta ropa rekuwedzera nekolesterol pasi pekutonga. Ita shanduko dzehupenyu uye tora mishonga sezvakarayirwa kudzora kuwedzera kweropa kana cholesterol yakakwira.
• Usafume. Kana iwe uchifuma uye haugone kusiya wega, taura nachiremba wako nezve nzira kana mapurogiramu anokubatsira kubvisa tsika yekufuma.
• Kana iwe uchinywa, ita izvozvo zvine mwero. Kune zvimwe zvirwere zvinokurudzirwa kuti urege kunwa doro zvachose. Bvunza chiremba wako mazano chaiwo ezvirwere zvako. Kana iwe usingakwanisi kudzora kushandiswa kwako kwe doro, taura nachiremba wako nezve purogiramu yekusiya kunwa uye kudzora mamwe maitiro ane chekuita nekushandisa doro.
• Usashandise zvinodhaka zvisiri pamutemo. Taura nachiremba wako nezve purogiramu kana uchida rubatsiro rwekusiya.
• Dzora kushushikana. Kuwedzera kuita zvemuviri, kuita zvepfungwa uye kubatana nevamwe mumapoka ekutsigira ndidzo dzimwe nzira dzekudzikisa kushushikana.
• Enda kutarisirwa kwakatarwa. Ita bvunzo dzemiviri nguva dzose uye uudze chiremba wako chero zviratidzo kana zviratidzo.