Tachycardia Ye Ventricle

Mukushaya we ventricular tachycardia, simba remagetsi risingaperi munzvimbo dziri pasi pemoyo kunoita kuti moyo urove nekukurumidza. Ventricular tachycardia rudzi rwekurova kwemoyo kusina kururama, kunonzi arrhythmia. Inotanga munzvimbo dziri pasi pemoyo, inonzi ventricles. Iyi mamiriro ezvinhu inogona kunziwo V-tach kana VT. Moyo unogara uchikurumidza unorova kanenge ka60 kusvika ku100 muminiti paunenge wakadzikama. Mu ventricular tachycardia, moyo unorova nekukurumidza, kazhinji anopfuura 100 kana kupfuura kurova muminiti. Dzimwe nguva kurova kwemoyo nekukurumidza kunoita kuti makamuri emoyo asazadze neropa zvakakwana. Moyo ungasakwanise kuburitsa ropa rakakwana kumusoro. Kana izvi zvikaitika, unogona kunzwa kushaya mweya kana kusagadzikana. Vamwe vanhu vanorasikirwa nepfungwa. Zviitiko zve ventricular tachycardia zvinogona kunge zviri pfupi uye zvichigara kwemasekondi mashoma pasina kukuvadza. Asi zviitiko zvinopfuura masekondi mashoma, zvinonzi sustained V-tach, zvinogona kutyisidzira hupenyu. Dzimwe nguva ventricular tachycardia inogona kuita kuti basa rose remoyo rimira. Iyi nyaya inonzi sudden cardiac arrest. Kurapwa kwe ventricular tachycardia kunosanganisira mishonga, kurova kwemoyo, chishandiso chemoyo, uye nzira kana kuvhiya. Ventricular arrhythmias inogona kuitika mumoto une hutano uye usina hutano. Zvatinoreva neizvi ndechekuti kune varwere vakawanda varipo vasina chirwere chemoyo kunze kwekukanganisa kwemasimba avo ekumativi emoyo wavo, kana ventricles, izvo zvinogona kuita kuti moyo ubude pachirongwa. Izvi zvinogona kuoneka sekuwedzera kwekurova kwenguva nenguva kunogona kuonekwa sekurova kwakarasika, kana sekuunganidzwa kukurumidza kwekurova kuri kuitika zvese muchirongwa, kunonzi ventricular tachycardia. Muzviitiko zvisingawanzoitika, kana moyo uri muhutano, izvi zvinogona chaizvoizvo kuita rhythm inotyisa, kunyange zvakadaro izvo zvisingawanzoitika kana pasina chirwere chemoyo chinogona kuve chikonzero. Zvino, mune vamwe varwere, zvisinei, vanogona kuva nemoyo usina kunaka nezvikonzero zvimwe. Kune zvikonzero zvakasiyana-siyana zvinoita kuti moyo uve usina kunaka, sekunge wakambova nekurwisa kwemoyo kare, kana uine rudzi rwekukanganisa kwemajini raungave wakawana kubva kuna amai vako kana baba vako. Ungave uine chirwere chekuzvimba kwemoyo, sekunge sarcoidosis kana myocarditis. Aya marudzi ese akasiyana-siyana anogona kuita kuti kuve nekusagadzikana kwemasimba munzvimbo iri pasi pemoyo, asi dzimwe nguva, kana vanhu vane zvatinodaidza kuti substrate, kana kukanganisa kwezvakagadzirwa nemoyo, izvi zvinogona kutungamira ku ventricular arrhythmias. Uye muvarwere ava, aya ventricular arrhythmias anogona kutyisidzira hupenyu. Patinoona aya arrhythmias achitika, zvisinei, tinofanira kutora nzira yakarongeka yekuongorora kwavo nekurapwa kwavo. Saka ndinorevei neizvi? Patinokurukura kuongorora, tiri kutarisa kuona, Kune chimwe chikonzero chakaitika here? Kwakanga kune mushonga wakamiswa, kwakanga kune kukanganisa muma electrolytes ako, kana zvawakatora nezvikonzero zvimwe, sekunge mishonga yemiti inowanikwa pasina chitupa, izvo zvingave zvakakonzera kuti uve neaya arrhythmias, uye zvechokwadi zvinogona kuenda kana tisingaiti chimwe chinhu? Tiriwo kuedza kuona kuti arrhythmia yakakura sei. Chinhu chinotyisidzira hupenyu here, kana kuti kwete, nekuti haisi yese inotyisa. Uye ipapo patinokurukura kurapwa, tiri kutarisa nzvimbo mbiri huru. Muvarwere vasina ventricular arrhythmias inotyisa, tiri kutarisa kurapa kuvandudza hupenyu, kana zviratidzo, nekuti vamwe varwere vanogona kuva nezviratidzo zvakasiyana-siyana zvinokonzerwa neaya arrhythmias, kusanganisira kunzwa kwekurova kwakarasika kana kurova kwemoyo nekukurumidza, kana kunyange kusagadzikana. Asi vamwe vanogona kungonzwa kuneta. Asi ipapo, boka rimwe ratinonetseka naro ndivo avo aya arrhythmias anogona kunge ari kufa. Mumashoko mamwe, anogona kutungamira kufa kamwe kamwe. Muvarwere ava, tinoda kuisa njodzi kuti tione kuti aya arrhythmias anotyisa here, uye tingadzivirira sei varwere ava kuti varege kufa kamwe kamwe. Kuti tidzivise arrhythmias kuti irege kuitika, kune nzira mbiri huru dzekurapa. Kana tisingakwanisi kuwana chimwe chikonzero chinogona kuchinjwa, tinogona kukupa mishonga, uye kune mishonga yakasiyana-siyana yatinogona kushandisa. Aya mishonga anonzi anti-arrhythmic drugs, uye anowanzobudirira muvarwere vanosvika 50% kusvika ku60%. Zvisinei, inogona kuva nemigumisiro, uye mune vamwe varwere inogona chaizvoizvo kuita arrhythmias yakawanda, uye dzimwe nguva arrhythmias inotyisa inogona kutungamira kufa kamwe kamwe, zvakare. Chero bedzi varwere vachiongororwa zvakakwana uye kutanga kwemishonga kuchitangwa zvakakwana, zvisinei, mukana weizvi wakaderera kwazvo. Ndatenda nekubatanidza neni nhasi kudzidza zvakawanda nezve ventricular tachycardia. Mumufananidzo unotevera, ndichaenda zvakadzama pane zvinosanganisirwa mune ablation procedure.

'Kana mwoyo uchikwakuka nekukurumidza kwazvo, ungasakwanisa kutumira ropa rakakwana kumuviri wose. Saka nhengo nedzvinyana zvingasakwanisa kuwana oksijeni yakakwana. Zviratidzo zve ventricular tachycardia zvinokonzerwa nekushaikwa kweoksijeni. Zvingasanganisira: Kurwadziwa kwepfupa, kunonzi angina. Kuwedzera musoro. Kurova kwemwoyo kunonzwika, kunonzi palpitations. Kuora musoro. Kushomeka kwemhepo. Ventricular tachycardia inogona kuva dambudziko rekurapa kunyange kana zviratidzo zvako zviri zviduku. Ventricular tachycardia, dzimwe nguva inonzi V-tach kana VT, inoganhurirwa maererano nekuti nguva yakareba sei chiitiko chinogara. Nonsustained V-tach inozvimisa pachayo mukati memasekondi makumi matatu. Zviitiko zvipfupi zvingasakonzera chero zviratidzo. Sustained V-tach inogara kwenguva inopfuura masekondi makumi matatu. Rudzi urwu rwe ventricular tachycardia runogona kukonzera matambudziko ezveutano akakomba. Zviratidzo zve sustained V-tach zvingasanganisira: Kuenda pasi. Kurasikirwa nekuziva. Kufa kwemwoyo kana kufa kamwe kamwe. Zvinhu zvakawanda zvakasiyana zvinogona kukonzera ventricular tachycardia, dzimwe nguva inonzi V-tach kana VT. Zvakakosha kuwana chirwere nekukurumidza, chakanyatsojeka uye kurapwa kwakakodzera. Kunyange kana uine mwoyo unogara zvakanaka, unofanira kuwana rubatsiro rwekurapa nekukurumidza kana uine zviratidzo zve V-tach. Ita musangano wekutarisa hutano kana uchifunga kuti une kurova kwemwoyo kwasinganzwisisiki. Dzimwe nguva, kurapwa kwekukurumidza kana kwekukurumidza kunodiwa. Fonera 911 kana nhamba yako yekukurumidza yekukurumidza yezviratidzo izvi: Kurwadziwa kwepfupa kunogara kwenguva inopfuura maminitsi mashoma. Kunetseka kufema. Kuenda pasi. Kushomeka kwemhepo.'

Zvinhu zvakawanda zvakasiyana zvinogona kukonzera ventricular tachycardia, dzimwe nguva inonzi V-tach kana VT. Zvakakosha kuwana kurapwa nekukurumidza, kwakanyatsojeka uye kwakakodzera. Kunyangwe kana uine moyo unogara zvakanaka, unofanira kuwana rubatsiro rwekurapa nekukurumidza kana uine zviratidzo zve V-tach. Rongai nguva yekutarisa utano kana uchifunga kuti une kurova kwemoyo kwasingagari. Dzimwe nguva, kurapwa kwekukurumidza kana kwekukurumidza kunodiwa. Fonera 911 kana nhamba yako yekukurumidza yekukurumidza yezviratidzo izvi: - Kurwadziwa kwepfupa kunopfuura maminitsi mashoma. - Kunetseka kufema. - Kuenda. - Kushomeka kwekufema. Nyorera mahara, uye gamuchira zvemwoyo uye zvemwoyo zvinokanganisa, pamwe chete nehunhu hwehutano hwemoyo. ErrorSelect nzvimbo

Ventricular tachycardia inokonzerwa nekukanganisa kwekutaura kwemwoyo kunokonzera kuti mwoyo urove nekukurumidza mukamuri dzemwoyo dziri pasi. Makamuri emwoyo ari pasi anonzi ventricles. Kuwanda kwemwoyo hakubvumiri ventricles kuzadza nekumanikidza kuti ibvise ropa rakakwana kumusoro.

Zvinhu zvakawanda zvinogona kukonzera kana kutungamira kumatambudziko ekutumira kwemwoyo uye kukonzera ventricular tachycardia. Izvi zvinosanganisira:

• Kurwisa kwemwoyo kwakapfuura.
• Chero mamiriro emwoyo akakonzera kukuvara kwemamiriro emwoyo, anonzi chirwere chetsinga yemwoyo.
• Kuyerera kwakaipa kweropa kumhasuru yemwoyo nekuda kwechirwere che coronary artery.
• Matambudziko emwoyo aripo kuberekwa, kusanganisira long QT syndrome.
• Kushanduka kwemazinga emamiminerari emuviri anonzi electrolytes. Izvi zvinosanganisira potassium, sodium, calcium uye magnesium.
• Migumisiro yemishonga.
• Kushandisa zvinokurudzira senge cocaine kana methamphetamine.

Dzimwe nguva, chikonzero chaicho che ventricular tachycardia hachigone kuzivikanwa. Izvi zvinonzi idiopathic ventricular tachycardia.

Mukurova kwemwoyo kwakajairwa, boka diki resero pa sinus node rinotumira chiratidzo chemagetsi. Chiratidzo chinobva chafamba kuburikidza ne atria kuenda ku atrioventricular (AV) node uye wobva wapfuura mu ventricles, zvichiita kuti zvibatanidze uye zvibvise ropa.

Kunzwisisa zviri nani chikonzero che ventricular tachycardia, zvinogona kubatsira kuziva kuti mwoyo unoshanda sei.

Mwoyo wakajairwa une makamuri mana.

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

Sisitimu yemagetsi yemwoyo inodzora kurova kwemwoyo. Zviratidzo zvemagetsi zvemoyo zvinovamba mune boka resero pamusoro pemwoyo rinonzi sinus node. Zvinopfuura ne nzira iri pakati pemakamuri emwoyo ari pamusoro neari pasi inonzi atrioventricular (AV) node. Kuenda kwezviratidzo kunokonzera kuti mwoyo udzvinye uye ubvise ropa.

Mwoyo une hutano, iyi nzira yekutumira kwemwoyo kazhinji inoenda zvakanaka, zvichiguma nekurova kwemwoyo kwenguva yekuzorora kwe 60 kusvika ku 100 beats muminiti.

Asi zvimwe zvinhu zvinogona kuchinja maitiro ezviratidzo zvemagetsi zvinofamba nemwoyo. Mu ventricular tachycardia, kukanganisa kwekutaura kwemagetsi mumakamuri emwoyo ari pasi kunokonzera kuti mwoyo urove 100 kana kupfuura nguva muminiti.

Chero mamiriro anoisawo mutoro pamwoyo kana kukuvadza tishu yemwoyo anogona kuwedzera njodzi ye ventricular tachycardia. Kushandura mararamiro sekudya kwakanaka uye kusafuta kunogona kuderedza njodzi. Zvakakoshawo kuwana kurapwa kwakakodzera kana uine chero rimwe remamiriro ezvinhu anotevera nemaitiro:

• Hosha yemwoyo.
• Migumisiro yemishonga.
• Kushanduka kukuru mumazinga emamiminerari emuviri, kunonzi electrolyte imbalances.
• Nhoroondo yekushandisa zvinodhaka zvinokurudzira senge cocaine kana methamphetamine.

Nhoroondo yemhuri ye tachycardia kana mamwe matambudziko ehutano hwemwoyo inoitawo kuti munhu ave nechokwadi chekuwana ventricular tachycardia.

Zvinetso zve ventricular tachycardia zvinoenderana ne:

• Kukurumidza kwemoyo kurova.
• Kwenguva yakareba mwoyo unokurumidza kurova.
• Kana paine mamwe mamiriro emwoyo.

Chinetso chinotyisa hupenyu che V-tach ndeye ventricular fibrillation, inonziwo V-fib. V-fib inogona kukonzera kuti basa rese remwoyo rimira kamwe kamwe, rinonzi sudden cardiac arrest. Kurapwa kwekukurumidza kunodiwa kudzivirira rufu. V-fib inowanzoitika kune vanhu vane chirwere chemwoyo kana kurohwa kwemwoyo kare. Dzimwe nguva inoitika kune avo vane ma potassium akawanda kana mashoma kana mamwe marudzi ekuchinja kwemaminerari emuviri.

Mamwe matambudziko anogona kuitika e ventricular tachycardia anosanganisira:

• Kupera simba kakawanda kana kusaziva.
• Kukundikana kwemwoyo.
• Rufu rwakatonyanya nekuda kwe cardiac arrest.

Kudzivirira tachycardia ye ventricle kunotanga nekugara uchichengeta mwoyo uri mumamiriro akanaka. Kana uine chirwere chemwoyo, ita bvunzo dzehutano nguva dzose uye utevedzere chirongwa chako chekurapa. Tora mishonga yose sezvakarayirwa. Tora matanho anotevera kuchengetedza mwoyo uri utano. American Heart Association inokurudzira matanho aya masere: - Idya kudya kwakaringana, kwakakwana zvinovaka muviri. Idya kudya kwakanaka kwakaderera munyu uye mafuta akaomarara uye kwakapfuma mumichero, miriwo uye zviyo zvizere. - Ita zvekutambisa nguva dzose. Edza kuita zvekutambisa kwemaminitsi anenge 30 pazuva rakawanda. Bvunza timu yako yekuchengetedza hutano kuti ndeapi maekisesaizi akachengeteka kwauri. - Chengeta uremu hwakanaka. Kuwanda kwemuviri kunowedzera njodzi yechirwere chemwoyo. Taura nechikwata chako chekuchengetedza hutano kuti uise zvinangwa zvakakodzera zvehuwandu hwemuviri (BMI) neuremu. - Tarisa kushushikana. Kushushikana kunogona kuita kuti mwoyo urove nekukurumidza. Kuwedzera kuita zvekutambisa, kuita zvepfungwa uye kubatana nevamwe mumapoka ekutsigira ndimimwe mienzaniso yekuderedza uye kudzora kushushikana. - Deredza doro. Kana ukasarudza kunwa doro, ita izvozvo zvine mwero. Kune vakuru vane hutano, izvozvo zvinoreva kusvika kumudziyo mumwe chete pazuva revakadzi uye kusvika kumidziyo miviri pazuva kune varume. - Rega kusvuta. Kana uchisvuta uye usingakwanisi kusiya wega, taura nachiremba nezvemazano anogona kukubatsira kusiya. - Ita tsika dzakanaka dzekurara. Kurara kusina kunaka kunogona kuwedzera njodzi yechirwere chemwoyo nezvimwe zvirwere zvehutano zvenguva refu. Vakuru vanofanira kuenzanisa kuwana maawa 7 kusvika ku9 ekurara zuva nezuva. Enda kunorara uye mukumuka panguva imwe chete zuva rega rega, kusanganisira pakupera kwevhiki. Kana uine dambudziko pakurara, taura nachiremba nezvemazano anogona kubatsira. Zvimwe zvinoshanduka muhupenyu zvinogona zvakare kubatsira kuchengetedza hutano hwemwoyo uye zvinogona kudzivirira kurova kwemwoyo kusina kujairika: - Deredza caffeine. Caffeine inonyaradza. Inogona kuita kuti mwoyo urove nekukurumidza. - Usashandise zvinodhaka zvisiri pamutemo. Zvinodhaka zvinokurudzira senge cocaine nemethamphetamine zvinogona kuwedzera kurova kwemwoyo. Kana uchida rubatsiro rwekusiya, taura nechikwata chako chekuchengetedza hutano nezve chirongwa chakakodzera kwauri. - Tarisa zvinosanganisirwa mumishonga. Mimwe mishonga inotonhora uye yekukosora inotenga pasina chinyorwa ine zvinokurudzira zvinogona kuwedzera kurova kwemwoyo. Nguva dzose taura nechikwata chako chekuchengetedza hutano nezvemishonga yose yaunotora. - Enda ku bvunzo dzehutano dzakatarwa. Ita bvunzo dzemuviri nguva dzose uye uudze chero zviratidzo zvitsva kuchikwata chako chekuchengetedza hutano.

Kutarisa kwakakwana kwemuviri, nhoroondo yezvokurapa uye bvunzo zvinodikanwa pakuzivisa tachycardia ye ventricle.

Tachycardia ye ventricle dzimwe nguva inoda kurapwa kwekukurumidza kwezvokurapa uye inogona kuziviswa muchipatara. Apo zvichibvira, nyanzvi yehutano inogona kukubvunza iwe kana mhuri yako mibvunzo pamusoro pezviratidzo, tsika dzehupenyu uye nhoroondo yezvokurapa.

Electrocardiogram (ECG kana EKG) ibvunzo yekurekodha zviratidzo zvemagetsi mumoyo. Inoratidza kuti moyo uri kurova sei. Mapachi anobata anonzi electrodes anoiswa pachipfuva uye dzimwe nguva pazvibhakera kana makumbo. Matambo anobatanidza mapachi ku komputa, iyo inodhinda kana kuratidza mhinduro.

Holter monitor chishandiso chidiki, chinopfekwa chinorekodha nguva dzose rhythm yemoyo kwezuva rimwe kana kupfuura. Nyanzvi yehutano inogona kuongorora data yakawanikwa pachishandiso chekurekodha kuti ione kana kurova kwemoyo kwasinganzwisisiki, kunonzi arrhythmia, kwawanikwa.

Wearable cardiac event monitor inogona kushandiswa kuzivisa tachycardia. Rudzi urwu rwechishandiso cheECG chinopfekwa chinorekodha basa remwoyo chete panguva yezviitiko zvekurova kwemoyo kwasinganzwisisiki, kunonzi arrhythmias.

Bvunzo dzinotorwa kuti dziongorore moyo uye dzisimbise kuziviswa kwe tachycardia ye ventricle, inonziwo V-tach kana VT. Mhinduro dzebvunzo dzinogonawo kubatsira kuona kana dambudziko rimwe rehutano riri kukonzera V-tach.

• Electrocardiogram (ECG kana EKG). Iyi ndiyo bvunzo inonyanya kuzivikanwa yekuzivisa tachycardia. ECG inoratidza kuti moyo uri kurova sei. Masenisa madiki, anonzi electrodes, anobatanidzwa pachipfuva uye dzimwe nguva pazvibhakera nemakumbo. Matambo anobatanidza masenisa ku komputa, iyo inodhinda kana kuratidza mhinduro. Bvunzo inogona kubatsira kuona rudzi rwe tachycardia.
• Holter monitor. Kana ECG yakajairwa isina kupa ruzivo rwakakwana, timu yako yekutarisira inogona kukukumbira kuti upfeke monitor yemoyo pamba. Holter monitor chishandiso chidiki cheECG. Chinopfekwa kwezuva rimwe kana kupfuura kuti chirekodire basa remoyo panguva yemabasa ezuva nezuva. Zvimwe zvigadzirwa zvemunhu, senge smartwatches, zvinopa ECG monitoring inotakurika. Bvunza timu yako yekutarisira kana iri sarudzo kwauri.
• Implantable loop recorder. Chishandiso chidiki ichi chinorekodha kurova kwemoyo nguva dzose kweanopfuura makore matatu. Chinonziwo cardiac event recorder. Chishandiso chinotaurira timu yako yekutarisira kuti moyo wako unorova sei panguva yemabasa ezuva nezuva. Chinoiswa pasi peganda rechipfuva panguva yekurapa duku.

Panguva yebvunzo yekumanikidza muviri, masenisa anonzi electrodes anoiswa pachipfuva uye dzimwe nguva pazvibhakera nemakumbo. Masenisa anorekodha ruzivo pamusoro pekurova kwemoyo. Nyanzvi yehutano inotarisa moyo apo munhu ari kufamba pane treadmill kana achikwira bhasikoro risingafambi.

Bvunzo dzekuona dzinogona kubatsira timu yako yekutarisira kuongorora chimiro chemwoyo wako. Bvunzo dzekuona moyo dzinoshandiswa kuzivisa tachycardia ye ventricle dzinosanganisira:

• Chest X-ray. Chest X-ray inoratidza mamiriro emoyo nemapapu.
• Echocardiogram. Bvunzo iyi ndiyo ultrasound yemoyo. Inoshandisa mafungu ekuita pikicha yemoyo uri kurova. Inogona kuratidza nzvimbo dzekukwira kwesero rakaipa uye matambudziko emavharuvhu emoyo.
• Exercise stress test. Iyi haisi bvunzo yekuona, asi inogona kuitwa panguva yebvunzo yekuona inonzi echocardiogram. Bvunzo kazhinji inosanganisira kufamba pane treadmill kana kukwira bhasikoro risingafambi apo nyanzvi yekutarisira iri kutarisa kurova kwemoyo. Marudzi akati wandei e tachycardia anokurudzirwa kana kuipa nekumanikidza muviri. Kana usingakwanisi kuita zvemuviri, unogona kuwana mushonga unokanganisa kurova kwemoyo sekumanikidza muviri.
• Cardiac magnetic resonance imaging (MRI). Bvunzo iyi inogadzira mifananidzo yakamira kana inofamba yekukwira kweropa kuburikidza nemoyo. Kazhinji inoitirwa kuona chikonzero che tachycardia ye ventricle kana ventricular fibrillation.
• Cardiac computerized tomography (CT). CT scans inosanganisa mifananidzo yakawanda ye X-ray kuti ipe maonero akawanda enharaunda iri kudzidzwa. CT scan yemoyo, inonzi cardiac CT scan, inogona kuitwa kuti iwane chikonzero che tachycardia ye ventricle.
• Coronary angiogram. Coronary angiogram inoitirwa kuongorora ropa rakafukidzwa kana rakamanikidzwa mumoyo. Inoshandisa dye uye X-rays chaiyo kuratidza mukati me coronary arteries. Bvunzo iyi inogona kuitwa kuti itarise kugovera kweropa kwemoyo kune vanhu vane tachycardia ye ventricle kana ventricular fibrillation.

Tarisai kuti sei heart MRI, inonziwo cardiac MRI, inoshandiswa kuona moyo.

Bvunzo dzimwe dzinotorwa kuti dzisimbisise tachycardia uye chikonzero chayo uye kuti dzidzidze kuti inotungamira sei kune dzimwe nyaya dzehutano. Bvunzo idzi dzinosanganisira:

• Electrophysiological (EP) study. EP study ibvunzo yakatevedzana inobatsira kugadzira mepu yakadzama kwazvo yekuti zviratidzo zvinofamba sei pakati pekurova kwemoyo kwega kwega. Inogona kuitwa kuti iisimbisise tachycardia kana kuti iwane kuti kuri kupi mumoyo kunokanganisa kunotanga. Kazhinji inoitirwa kuzivisa kurova kwemoyo kwasinganzwisisiki. Dokota anopinda chubhu imwe kana dzakawanda dzakatetepa, dzakasununguka mudziya reropa uye anodzitungamira kumoyo. Masenisa ari pamigumo yemachubhu anotumira zviratidzo zvemagetsi kumoyo uye anorekodha basa remagetsi remwoyo.