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Tachycardia Supraventricular

Pfupiso

Supraventricular tachycardia (SVT) rudzi rwemhepo isina kururama yemoyo, inonziwo arrhythmia. Iyo kurova kwemoyo kunokurumidza kwazvo kana kusina kururama kunokanganisa makamuri epamusoro emoyo. SVT inonziwo paroxysmal supraventricular tachycardia.

Moyo unowanzo kurova kanenge ka60 kusvika ku100 muminiti. Panguva yeSVT, moyo unorova kanenge ka150 kusvika ku220 muminiti. Dzimwe nguva unorova nekukurumidza kana zvishoma.

Vanhu vakawanda vane supraventricular tachycardia havadi kurapwa. Kana yakurudzirwa, kurapwa kunogona kusanganisira zviito kana kufamba kwakakosha, mishonga, nzira yemoyo, kana chishandiso chekudzora kurova kwemoyo.

Supraventricular tachycardia (SVT) inowira muzvikwata zvitatu zvikuru:

  • Atrioventricular nodal reentrant tachycardia (AVNRT). Uyu ndiwo rudzi runowanzoitika rwe supraventricular tachycardia.
  • Atrioventricular reciprocating tachycardia (AVRT). Uyu ndiwo rudzi rwechipiri runowanzoitika rwe supraventricular tachycardia. Inowanzoonekwa muvanhu vaduku.
  • Atrial tachycardia. Rudzi urwu rweSVT runowanzoonekwa muvanhu vane chirwere chemwoyo. Atrial tachycardia haisanganisi AV node.

Mamwe marudzi e supraventricular tachycardia anosanganisira:

  • Sinus nodal reentrant tachycardia (SNRT).
  • Inappropriate sinus tachycardia (IST).
  • Multifocal atrial tachycardia (MAT).
  • Junctional ectopic tachycardia (JET).
  • Nonparoxysmal junctional tachycardia (NPJT).
Zviratidzo

Chiratidzo chikuru che supraventricular tachycardia (SVT) ndeyekurova kwemoyo nekukurumidza kwazvo kunogona kutorwa kwemaminitsi mashoma kusvika kumazuva mashoma. Mwoyo unorova kanopfuura 100 paminiti. Kazhinji panguva ye SVT, mwoyo unorova kanopfuura 150 kusvika ku220 paminiti. Kurova kwemoyo nekukurumidza kunogona kuuya nekukurumidza kuenda. Zviratidzo zve supraventricular tachycardia zvinogona kusanganisira: Kunzwa kurova kana kufamba kwemoyo muchipfuva, kunonzi palpitations. Kunzwa kurova mumutsipa. Kurwadziwa kwepfupa. Kufa kana kusvika pedyo nekufa. Kushaya simba kana kuzvidza. Kushomeka kwemhepo. Kupererwa neperspiration. Kushaya simba kana kuneta kwazvo. Vamwe vanhu vane SVT havaoni zviratidzo. Muvana vaduku nevana vaduku kwazvo, zviratidzo zve SVT zvinogona kunge zvisina kunaka. Zviratidzo zvinogona kusanganisira kupererwa neperspiration, kudya zvisina kunaka, kuchinja kwemavara eganda uye kurova kwemoyo nekukurumidza. Kana mwana wako mudiki kana mwana ane chero chezviratidzo izvi, taura nachiremba. Supraventricular tachycardia (SVT) kazhinji haina ngozi kunze kwekunge uine kukuvara kwemoyo kana mamiriro emwoyo. Asi kana SVT yakakomba, kurova kwemoyo kusina kunaka kunogona kukonzera kuti basa rose remwoyo rimira kamwe kamwe. Izvi zvinonzi sudden cardiac arrest. Fonera chiremba kana uine kurova kwemoyo nekukurumidza kekutanga kana kurova kwemoyo kusina kunaka kuchitora nguva yakareba kupfuura masekondi mashoma. Zviratidzo zve SVT zvinogona kuwirirana nechirwere chakakomba chehutano. Dana 911 kana nhamba yako yekukurumidzira yemuno kana uine kurova kwemoyo nekukurumidza kunotora nguva yakareba kupfuura maminitsi mashoma kana kurova kwemoyo nekukurumidza kuchitika nezviratidzo izvi: Kurwadziwa kwepfupa. Kuzvidza. Kushomeka kwemhepo. Kushaya simba.

Nguva yekunoona chiremba

Supraventricular tachycardia (SVT) kazhinji haina njodzi yekufa kunze kwekunge uine kukuvara kwemoyo kana chirwere chemwoyo chimwe. Asi kana SVT yakakomba, kurova kwemoyo kusingaenzani kunogona kukonzera kuti basa rose remwoyo rimira kamwe kamwe. Izvi zvinonzi sudden cardiac arrest. Fonera nyanzvi yehutano kana uine kurova kwemoyo kukurumidza kwazvo kekutanga kana kurova kwemoyo kusingaenzani kuchipfuura mamwe masekondi. Zviratidzo zveSVT zvinogona kuwirirana nechirwere chakakomba chehutano. Fonera 911 kana nhamba yako yekukurumidzira yemunharaunda kana uine kurova kwemoyo kukurumidza kwazvo kunopfuura maminitsi mashoma kana kurova kwemoyo kukurumidza kuchitika neaya maratidzo: - Kurwadziwa kwepfupa. - Kuwedzera. - Kushomeka kwekufema. - Kushaya simba.

Zvinokonzera

Supraventricular tachycardia (SVT) inokonzerwa nekukanganisa kwekutaurirana kwemwoyo. Zviratidzo zvemagetsi mumwoyo zvinodzora kurova kwemwoyo.

MuSVT, kuchinja mukutaurirana kwemwoyo kunokonzera kuti kurova kwemwoyo kutange nokukurumidza mukamuri dzemwoyo dziri kumusoro. Kana izvi zvikaitika, kurova kwemwoyo kunokurumidza. Mwoyo haugoni kuzadzwa neropa zvakakwana. Zviratidzo zvakadai sekusagadzikana kana kuzvinzwa musoro zvinogona kuitika.

Mukurova kwemwoyo kwakajairwa, boka diki reseru pa sinus node rinotumira chiratidzo chemagetsi. Chiratidzo ichocho chinobva chafamba neatriya kuenda ku atrioventricular (AV) node wobva wapfuura mu ventricles, zvichiita kuti zvibvise ropa.

Supraventricular tachycardia (SVT) kurova kwemwoyo kunokurumidza kana kusina kururama. Inoitika kana kukanganisa kwekutaurirana kwemagetsi mumwoyo kuchikonzera akati wandei kurova kwemwoyo nokukurumidza mumakamuri emwoyo ari kumusoro.

Kunzwisisa chikonzero che supraventricular tachycardia (SVT), zvinogona kubatsira kuziva kuti mwoyo unoshanda sei kazhinji.

Mwoyo une makamuri mana:

  • Makamuri maviri ari kumusoro anonzi atria.
  • Makamuri maviri ari pasi anonzi ventricles.

Mukati mekamuri yemwoyo iri kumusoro kurudyi kune boka reseru rinonzi sinus node. Sinus node inogadzira zviratidzo zvinoita kuti kurova kwemwoyo kutange.

Zviratidzo zvinofamba kumakamuri emwoyo ari kumusoro. Zvadaro zviratidzo zvinosvika kune boka reseru rinonzi AV node, uko kazhinji zvinononoka. Zviratidzo zvinoenda kumakamuri emwoyo ari pasi.

Mumwoyo une hutano, iyi nzira yekutaurirana kwemwoyo kazhinji inoenda zvakanaka. Mwoyo kazhinji unorova kanenge ka60 kusvika ku100 muminiti paanorara. Asi muSVT, mwoyo unorova nekukurumidza kupfuura kurova ka100 muminiti. Mwoyo unogona kurova ka150 kusvika ku220 muminiti.

Zvinhu zvinokonzera njodzi

Supraventricular tachycardia (SVT) ndiyo rudzi runonyanya kuitika rwe arrhythmia muvana vaduku nevana. Inowanzoitikawo kazhinji muvakadzi, kunyanya panguva yekuzvitakura.

Zvirwere zvehutano kana kurapwa kunogona kuwedzera njodzi ye supraventricular tachycardia zvinosanganisira:

  • Coronary artery disease, chirwere chevavharo hwemoyo nezvimwe zvirwere zvemoyo.
  • Kukundikana kwemoyo.
  • Dambudziko remoyo riripo kubva pakuzvarwa, rinonziwo congenital heart defect.
  • Kuoperetishoni kwemoyo kare.
  • Dambudziko rekuroora rinonzi obstructive sleep apnea.
  • Chirwere chethroid.
  • Chikosha chisina kudzorwa.
  • Mishonga yakati wandei, kusanganisira iyo inoshandiswa kurapa asthma, allergies uye zvirwere.

Zvimwe zvinhu zvinogona kuwedzera njodzi ye SVT zvinosanganisira:

  • Kuneta kwepfungwa.
  • Caffeine yakawanda.
  • Kushandisa doro zvakanyanya, izvo zvinotsanangurwa se14 kana kupfuura zvinwiwa pavhiki kune varume ne7 kana kupfuura zvinwiwa pavhiki kune vakadzi.
  • Kusvuta uye kushandisa nicotine.
  • Mishonga inokurudzira, kusanganisira cocaine nemethamphetamine.
Matambudziko

Kana mwoyo uchikwakuka nekukurumidza kwazvo, ungasakwanisa kutumira ropa rakakwana kumusoro. Somugumisiro, nhengo nedumbu zvingasakwanisa kuwana oksijeni yakakwana.

Nekufamba kwenguva, kurwiswa kwenguva dzose kwe supraventricular tachycardia (SVT) kusina kurapwa kunogona kusimbisa mwoyo uye kukonzera kupera kwemwoyo. Izvi zvinonyanya kuitika kune vanhu vane zvimwe zvirwere.

Kurwiswa kwakasimba kwe SVT kunogona kukonzera kupera pfungwa kana kurasikirwa kamwe kamwe kwebasa rese remwoyo, kunonzi sudden cardiac arrest.

Kudzivirira

Kushanduka kwemafambisirwo ehupenyu kwakafanana kunoita kuti supraventricular tachycardia (SVT) iongororwe kunogonawo kubatsira kudzivirira. Edza mazano aya.

  • Tevedza mararamiro ane hutano hwemoyo. Kudya kudya kwakakwana, usaite fodya, ita zvekutambisa nguva dzose uye ona kuti unodzora sei kushushikana.
  • Usashandise caffeine yakawanda. Dzivisa caffeine yakawanda. Kune vanhu vakawanda vane supraventricular tachycardia, caffeine shoma haina kukonzera zviitiko zve SVT.
  • Shandisa mishonga nekuchenjerera. Mimwe mishonga, kusanganisira iyo inotenga pasina chinyorwa, inogona kuva nemakemikari anokonzera SVT.
Kuongorora

Kuongororwa kunoita kuti zvikwanise kuona tachycardia ye supraventricular (SVT) kunogona kusanganisira:

  • Kuongororwa kweropa. Muenzaniso weropa unorambwa kuti uone zvimwe zvinokonzera kurova kwemoyo nekukurumidza, sekusagadzikana kwetayiroyidi.
  • Electrocardiogram (ECG kana EKG). Kuongororwa uku kunokurumidza kunotarisa kurova kwemoyo. Zvinamato zvinonamatira, zvinonzi electrodes, zvinonamatirwa pachipfuva uye dzimwe nguva pazvibhakera kana makumbo. ECG inoratidza kuti moyo uri kurova nekukurumidza sei kana kuti nekureruka sei. Zvimwe zvinhu zvemunhu, senge smartwatches, zvinogona kuita ECGs. Bvunza timu yako yekutarisira kana izvi zviri sarudzo kwauri.
  • Holter monitor. Iyi kifaa cheECG chinofambiswa chinoshandiswa kwemazuva 1 kusvika ku2 kuti chinyore mabasa emoyo panguva yemabasa ezuva nezuva. Inogona kuona kurova kwemoyo kusina kujairika kunowanikwa panguva yeECG yakajairika.
  • Event recorder. Iyi kifaa yakafanana neHolter monitor, asi inonyora chete panguva dzakatarwa kwemaminitsi mashoma panguva imwe chete. Kazhinji inopfekwa kwemazuva anenge 30. Kazhinji unodzvanya bhatani kana uchiona zviratidzo. Zvimwe zvikwata zvinonyora otomatiki kana kurova kwemoyo kusina kujairika kuitika.
  • Implantable loop recorder. Iyi kifaa inonyora kurova kwemoyo nguva dzose kweanopfuura makore matatu. Inonziwo cardiac event recorder. Inoratidza kuti moyo uri kurova sei panguva yemabasa ezuva nezuva.
  • Echocardiogram. Mafungu ekuita anoshandiswa kugadzira mifananidzo yemoyo uri kurova. Kuongororwa uku kunogona kuratidza kuti ropa rinoyerera sei mumoyo nemavharuvhu emoyo.

Kuongororwa kwakasiyana kunogona kuitwa kuti kuoneke SVT kunosanganisira:

  • Kuongororwa kwekuita kwemuviri. Kuita kwemuviri kunogona kutanga kana kuipa supraventricular tachycardia. Panguva yekuongororwa kwekumanikidza, kazhinji unoita maekisesaizhi pane treadmill kana bhasikoro rakamira apo mabasa emoyo ari kuongororwa. Kana usingakwanisi kuita maekisesaizi, unogona kupiwa mushonga unowedzera kuwanda kwemoyo sekufanana nekuita maekisesaizi. Dzimwe nguva echocardiogram inoitirwa panguva yekuongororwa kwekumanikidza.
  • Electrophysiological (EP) kudzidza. Kuongororwa uku kunobatsira kuratidza kuti mafungu emoyo asina kunaka anotanga kupi mumoyo. Kudzidza kweEP kunonyanya kushandiswa kuona marudzi akati wandei e tachycardia uye kurova kwemoyo kusina kujairika.

Panguva yekuongororwa uku, chiremba anotungamira chubhu imwe kana kupfuura dzakasununguka kuburikidza nechombo cheropa, kazhinji muhudyu, kuenda kunzvimbo dzakasiyana-siyana mumoyo. Zvinhu zvinonzwa pazvikomo zvemachubhu zvinonyora mafungu emagetsi emoyo.

Electrophysiological (EP) kudzidza. Kuongororwa uku kunobatsira kuratidza kuti mafungu emoyo asina kunaka anotanga kupi mumoyo. Kudzidza kweEP kunonyanya kushandiswa kuona marudzi akati wandei e tachycardia uye kurova kwemoyo kusina kujairika.

Panguva yekuongororwa uku, chiremba anotungamira chubhu imwe kana kupfuura dzakasununguka kuburikidza nechombo cheropa, kazhinji muhudyu, kuenda kunzvimbo dzakasiyana-siyana mumoyo. Zvinhu zvinonzwa pazvikomo zvemachubhu zvinonyora mafungu emagetsi emoyo.

Kurapa

Vanhu vakawanda vane supraventricular tachycardia (SVT) havadi kurapwa. Kana kurova kwemoyo kwakanyanya kukurumidza kuchitika kazhinji kana kuchitora nguva yakareba, timu yako yekutarisira inogona kukurudzira kurapwa.

Kurapwa kweSVT kunogona kusanganisira:

  • Vagal maneuvers. Zviito zviri nyore asi zvakakosha senge kukosora, kuomesa semunenge muchibudisa tsvina kana kuisa ice pack pachiso zvinogona kubatsira kudzikisa kumhanya kwemoyo. Aya maitiro anoita kuti nerve ye vagus iite basa, iyo inobatsira kudzora kurova kwemoyo.
  • Mishonga. Kana SVT ichitika kazhinji, mishonga inogona kupiwa kudzora kumhanya kwemoyo kana kugadzirisa rhythm yemoyo. Zvakakosha kwazvo kutora mushonga chaizvo sezvakarayirwa kuti udzivise matambudziko.
  • Cardioversion. Mapadle kana mapachi pachifuva anotumira ma shocks anogadzirisa rhythm yemoyo. Kurapwa uku kunowanzo shandiswa kana pane chikonzero chekukurumidza kurapwa kana vagal maneuvers nemishonga isina kushanda. Zvinokwanisikawo kuita cardioversion nemishonga.
  • Catheter ablation. Mukurapwa uku, chiremba anopinda neimwe kana dzakawanda tubes diki, dzakasununguka dzinonzi catheters kuburikidza neropa, kazhinji mu groin. Sensors dziri pamusoro pe catheter dzinoshandisa kupisa kana chando simba kugadzira mavara madiki mumoyo. Maara acho anovhara zviratidzo zvisina kunaka zvemoyo zvinokonzera kurova kwemoyo kusina kunaka.
  • Pacemaker. Zvishoma, chishandiso chidiki chinonzi pacemaker chinodiwa kubatsira moyo kurova. Inokurudzira moyo sezvinodiwa kuti irambe ichirova zvakanaka. Pacemaker inochengetwa pasi peganda pedyo ne collarbone mukuvhiya duku. Matambo anobatanidza chishandiso nemoyo.

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