Created at:1/13/2025
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Cardioversion inzira yekurapa inobatsira kudzorera rhythm yemoyo wako yakajairika kana ichirova zvisina kujairika kana nekukurumidza. Funga nezvazvo se "reset" yakapfava yemoyo wako, yakafanana nekutangazve komputa iri kumhanya zvishoma nezvishoma. Iyi kurapwa kwakachengeteka, kwakagadzwa zvakanaka kunogona kukurumidza kuunza zororo kana uri kusangana nematambudziko emoyo.
Moyo wako une sisitimu yawo yemagetsi inodzora marova awo. Dzimwe nguva iyi sisitimu inokanganiswa, zvichikonzera kuti moyo wako urove nenzira isina kujairika inonzi arrhythmia. Cardioversion inoshanda nekupa shock yemagetsi inodzorwa kana kushandisa mishonga kubatsira moyo wako kuyeuka rhythm yayo yakakodzera zvakare.
Cardioversion inzira inogadzirisa rhythm yemoyo isina kujairika nekudzorera maitiro emagetsi emoyo wako echisikigo. Kune mhando mbiri huru: electrical cardioversion, inoshandisa shock yemagetsi pfupi, uye chemical cardioversion, inoshandisa mishonga.
Munguva ye electrical cardioversion, vanachiremba vanoisa mapaddles akakosha kana mapatches pachipfuva chako iwe uri pasi pechiedza sedation. Chishandiso chinobva chatumira pulse yemagetsi inokurumidza, inodzorwa kumoyo wako. Iyi pulse inokanganisa zviratidzo zvemagetsi zvinokonzera kurova kwemoyo wako kusina kujairika uye inobvumira pacemaker yemoyo wako yechisikigo kutora kutonga zvakare.
Chemical cardioversion inoshanda zvakasiyana asi inowana chinangwa chimwe chete. Chiremba wako anokupa mishonga kuburikidza neIV kana nemuromo inobatsira kudzora basa remagetsi remoyo wako. Iyi nzira inotora nguva refu kupfuura electrical cardioversion asi inogona kushanda zvakanyanya kune mamwe marudzi ematambudziko erhythm.
Cardioversion inokurudzirwa kana uine matambudziko emoyo asingapinduri kune dzimwe nzira dzekurapa kana ari kukonzera zviratidzo zvinonetsa. Chikonzero chakajairika ndeye atrial fibrillation, uko makamuri epamusoro emoyo wako anorova nenzira isina kurongeka panzvimbo yekurongeka.
Unogona kuda cardioversion kana uri kusangana nezviratidzo zvakaita sekurwadziwa muchipfuva, kufema nekukurumidza, dzungu, kana kuneta zvakanyanya nekuda kwekurova kwemoyo wako kusina kurongeka. Zviratidzo izvi zvinoitika nekuti moyo wako hausi kupomba ropa zvakanaka kana uchirova zvisina kurongeka.
Chiremba wako anogona zvakare kukurudzira cardioversion kune mamwe matambudziko erhythm akadai se atrial flutter, uko moyo wako unokurumidza kurova nenzira yakajairika, kana mamwe marudzi e ventricular tachycardia. Dzimwe nguva cardioversion inoitiswa sechirongwa chakarongeka, nepo dzimwe nguva ichidiwa nekukurumidza kana zviratidzo zvako zvakanyanya.
Maitiro acho anobatsira zvikuru kune vanhu vane matambudziko emoyo matsva kana anoitika muzvikamu. Kana wanga uine rhythms isina kurongeka kwenguva yakareba, cardioversion inogona kushanda, asi chiremba wako achada kuongorora mamiriro ako chaiwo zvakanyatso.
Maitiro e cardioversion anowanzoitika muchipatara kana kiriniki yekunze kwaunozotariswa zvakanyanya panguva yese yacho. Uchaunganishwa kumichina inotevera rhythm yemoyo wako, BP, uye mazinga eokisijeni usati, panguva, uye mushure mekuita.
Kune electrical cardioversion, uchagamuchira mushonga kuburikidza neIV kuti akubatsire kuzorora uye kurara zvishoma panguva yacho. Paunenge wakasununguka, chiremba wako achaisa electrode pads pachipfuva chako uye dzimwe nguva kumusana kwako. Muchina we cardioversion unozobva wapa imwe kana akawanda mapfupi emagetsi emagetsi kuti agadzirise rhythm yemoyo wako.
Kuvhunduka chaiko kunotora chikamu chidiki chechipiri, uye hauzonzwe nekuda kwekurara. Chikwata chako chekurapa chichatarisa rhythm yemoyo wako nekukasira mushure mekuvhunduka kwega kwega kuti uone kana rhythm yako yakajairika yadzoka. Kana kuvhunduka kwekutanga kusina kushanda, chiremba wako angayedza zvakare nehuwandu hwesimba rakakwira zvishoma.
Chemical cardioversion inotevera nguva yakasiyana. Uchapihwa mishonga kuburikidza neIV, uye chikwata chako chekurapa chichakutarisa kwemaawa akati wandei sezvo zvinodhaka zvichishanda kudzorera rhythm yako yakajairika. Iyi nzira inononoka asi inotora nguva yakareba, dzimwe nguva maawa akati wandei kuti uone mhedzisiro yakazara.
Kugadzirira cardioversion kunosanganisira matanho akati wandei akakosha kuti uve nechokwadi chekuti maitiro acho anoenda zvakanaka uye zvakachengeteka. Chiremba wako achakupa mirairo chaiyo zvichienderana nemamiriro ako ega, asi pane zvimwe zvekugadzirira zvaunozofanira kutevera.
Iwe unowanzo fanirwa kumira kudya nekumwa kwemaawa angangoita 6-8 usati waita maitiro, kunyanya kana uine electrical cardioversion nekuzorodzwa. Iyi chenjedzo inobatsira kudzivirira matambudziko kana iwe uchida kurutsa uchizorodzwa.
Chiremba wako angachinja mishonga yako usati waita maitiro. Kana iwe uchitora zvinoderedza ropa, iwe unowanzo fanirwa kuramba uchizvitora kana kuzvitanga mavhiki akati wandei cardioversion isati yaitwa kuderedza njodzi yako yeropa. Usambomira kana kuchinja mishonga yako usina kutaura nechikwata chako chehutano kutanga.
Unofanira kuronga kuti mumwe munhu akutyire kumba mushure memaitiro, sezvo kurara kunogona kukuita kuti urove kwemaawa akati wandei. Zvakare zvinobatsira kupfeka mbatya dzakanaka, dzakasununguka uye kubvisa chero zvishongo, kunyanya zvishongo kana mhete dzinogona kukanganisa nzvimbo ye electrode.
Chiremba wako anogona kuraira mamwe maedzo asati maitwa basa racho, sekuti echocardiogram kuti aongorore chimiro chemoyo wako kana basa reropa kuti ave nechokwadi chekuti muviri wako wakagadzirira kurapwa. Maedzo aya anobatsira timu yako yezvokurapa kuronga nzira yakachengeteka yechimiro chako chaihwo.
Mhedzisiro yeCardioversion inowanzo kuyerwa nekuti rhythm yemoyo wako inodzoka kune yakajairika uye inoramba yakadaro. Kubudirira kunowanzo tsanangurwa sekubudirira uye kuchengetedza rhythm yemoyo yakajairika inonzi sinus rhythm kwemaawa makumi maviri nemana mushure mekuvhiyiwa.
Pakarepo mushure me cardioversion, timu yako yezvokurapa ichatarisa rhythm yemoyo wako pane electrocardiogram (EKG) kuti ione kana maitiro acho akashanda. Cardioversion inobudirira icharatidza rhythm yemoyo yakajairika ine mwero wakajairika, kazhinji pakati pe60-100 beats paminiti.
Chiremba wako achatarisawo kuti unonzwa sei mushure mekuvhiyiwa. Vanhu vazhinji vanoona kuvandudzwa nekukasira muzviratidzo zvakaita sekufema, kusagadzikana muchipfuva, kana kuneta kana rhythm yemoyo yavo yajairika. Zvisinei, vamwe vanhu vanonzwa vaneta kwezuva kana maviri sezvo muviri wavo uchigadzirisa kuchinja kwerhythm.
Kubudirira kwenguva refu kunoyerwa pamavhiki nemwedzi. Chiremba wako achaita nguva dzekutevera kuti atarise rhythm yemoyo wako uye anogona kuraira kupfeka heart monitor kwenguva yakati rebei kuti atarise kuti moyo wako unochengetedza sei rhythm yayo yakajairika.
Zvakakosha kunzwisisa kuti cardioversion haiporesi mamiriro ari pasi akakonzera rhythm yako isina kujairika. Maitiro acho anogadzirisa rhythm yemoyo wako, asi unogona kuda kurapwa kunoenderera mberi nemishonga kana mamwe marapirwo kudzivirira dambudziko rerhythm kubva pakudzoka.
Kuchengeta rhythm yako yemoyo yakajairika mushure me cardioversion kazhinji kunoda kutarisirwa kunoenderera mberi uye kugadzirisa mararamiro. Chiremba wako anogona kunyorera mishonga kuti ibatsire kuchengeta moyo wako mu rhythm yayo yakajairika uye kudzivirira zviitiko zverhythm isina kujairika mune ramangwana.
Kutora mishonga yako sezvakarairwa zvakananga kwakakosha kubudirira kwenguva refu. Izvi zvinogona kusanganisira mishonga ye antiarrhythmic kuchengeta rhythm yako yemoyo, zvinoderedza ropa kudzivirira magwamba, uye mishonga yekudzora mwero wemoyo wako. Mushonga wega wega unoita basa rakatarwa mukuchengeta moyo wako uine hutano.
Kushandura mararamiro kunogona kuvandudza zvakanyanya mikana yako yekugara mu rhythm yakajairika. Kurovedza muviri nguva dzose, sezvakatenderwa nachiremba wako, kunobatsira kusimbisa moyo wako uye kuvandudza hutano hwako hwese hwemwoyo. Kubata kushushikana kuburikidza nehunyanzvi hwekuzorora, kurara kwakakwana, uye nzira dzine hutano dzekugadzirisa dzinotsigirawo kugadzikana kwerhythm yemoyo.
Kudzivisa zvinokonzeresa zvinogona kukonzera kuti rhythm yako isina kujairika idzoke kwakakosha zvakaenzana. Zvinokonzera zvakajairika zvinosanganisira kunwa doro zvakanyanya, caffeine, mamwe mishonga, uye kushushikana kukuru. Chiremba wako anogona kukubatsira kuziva zvinokukonzera uye kugadzira nzira dzekuzvidzivirira.
Misa yekuongorora nguva dzose inobvumira timu yako yehutano kuti iongorore kufambira mberi kwako uye kugadzirisa chirongwa chako chekurapa sezvinodiwa. Usazeza kubata chiremba wako kana ukaona zviratidzo zvichidzoka kana uine zvinokunetsa nezve rhythm yako yemoyo.
Mhedzisiro yakanakisa ye cardioversion ndeyekuita uye kuchengeta rhythm yemoyo yakajairika inokutendera kuti unzwe zvakanaka uye utore chikamu muzviitiko zvako zvemazuva ese pasina zviratidzo. Kubudirira kunosiyana zvichienderana nerudzi rwechinetso cherhythm raunaro uye kuti wagara uine nguva yakareba sei.
Pamusoro pe atrial fibrillation, cardioversion inobudirira pakarepo mune angangoita 90% yezviitiko, zvichireva kuti rhythm yemoyo wako inodzoka kune yakajairika zvakananga mushure mekuita. Zvisinei, kuchengetedza rhythm iyoyo yakajairika kwenguva refu kunonetsa, nevanhu vanenge 50-60% vachigara mu rhythm yakajairika kwegore rimwe.
Mhedzisiro yakanaka inowanzoitika muvanhu vakave nemarhythm asina kujairika kwenguva pfupi, vane makamuri emoyo madiki, uye vasina chirwere chemoyo chakakosha. Vanhu vanochengetedza mararamiro ane hutano uye vanotora mishonga yavo nguva dzose vanowanzoitawo mhedzisiro iri nani kwenguva refu.
Kunyange kana rhythm yako ikazove isina kujairika zvakare, cardioversion inogona kudzokororwa zvakabudirira. Vanhu vazhinji vanopinda muchiitiko kakawanda mumakore sechikamu chekurapa kwavo rhythm yemoyo.
Zvimwe zvinhu zvinogona kuwedzera mukana wekuti cardioversion haishande kana kuti rhythm yako isina kujairika ichadzoka munguva pfupi mushure mekuita. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira iwe nachiremba wako kuita sarudzo dzine ruzivo nezvekurapa kwako.
Kureba kwenguva yawakave ne rhythm isina kujairika ndechimwe chezvinhu zvakakosha. Kana wanga uri mu atrial fibrillation kwemakore anopfuura rimwe, cardioversion haina kukwanisa kubudirira kwenguva refu. Izvi zvinoitika nekuti tsandanyama yemoyo wako inochinja nekufamba kwenguva kana ichirova zvisina kujairika.
Saizi yemakamuri emoyo wako inokanganisawo mitengo yekubudirira. Vanhu vane atria yakakura (makamuri epamusoro emoyo) vanowanzoita kuti rhythm yavo isina kujairika idzoke mushure mecardioversion. Kuwedzera uku kunowanzoitika nekufamba kwenguva apo moyo unoshanda zvakaoma nekuda kwekurira kusina kujairika.
Zvirwere zve mwoyo zvinogona kuita kuti cardioversion isashande zvakanaka. Izvi zvinosanganisira matambudziko emavharuvhu emwoyo, chirwere che coronary artery, kukundikana kwemwoyo, kana cardiomyopathy. Chiremba wako achatarisa zvirwere izvi uye anogona kukurudzira kuvirapa zvisati zvaitika kana panguva imwe chete ne cardioversion.
Zvimwe zvirwere zvinogona kukanganisa kubudirira kwe cardioversion zvinosanganisira thyroid disorders, sleep apnea, high blood pressure, uye obesity. Kubata zvirwere izvi zvakanaka zvisati zvaitika cardioversion kunogona kuvandudza mikana yako yekubudirira.
Zera pacharo harisi chipingamupinyi ku cardioversion, asi vanhu vakuru vangave vaine mamwe mamiriro ehutano anokanganisa kubudirira kwechirongwa ichi. Chiremba wako achatarisa hutano hwako hwese panzvimbo yezera rako chete paanokurudzira kurapwa.
Ose ari maviri electrical uye chemical cardioversion anogona kushanda, asi sarudzo yakanakisa inoenderana nemamiriro ako chaiwo, rudzi rwe rhythm problem yaunayo, uye hutano hwako hwese. Chiremba wako achakurudzira nzira inogona kushanda zvakachengeteka kwauri.
Electrical cardioversion inowanzo shanda zvakanyanya uye inoshanda nekukurumidza kupfuura chemical cardioversion. Inobudirira kudzorera rhythm yakajairika muvanhu vanenge 90% vane atrial fibrillation uye inotora maminitsi mashoma kuti ipedze. Izvi zvinoita kuti ive sarudzo yakanaka kana uchida mhedzisiro nekukurumidza kana mishonga isina kushanda.
Chemical cardioversion inogona kufarirwa kana uine mamwe mamiriro ehutano anoita kuti sedation ive njodzi, kana kana rhythm yako isina kujairika ichangobva kutanga uye inogona kupindura zvakanaka kumishonga. Inoshandiswawo dzimwe nguva senzira yekutanga muvanhu vadiki, vane hutano hwakanaka vane atrial fibrillation ichangobva kutanga.
Nzira yekupora inosiyana pakati pemaitiro maviri aya. Mushure me electrical cardioversion, unozoda nguva yekupora kubva mukurara, asi maitiro acho anopera nekukurumidza. Chemical cardioversion inotora nguva refu asi haidi kurara, saka unogona kuenda kumba nekukurumidza kana rhythm yako yagadzirika.
Chiremba wako achafunga nezvezvinhu zvakaita se zera rako, mamwe mamiriro ehutano, mishonga yaunotora, uye kuti wagara uine rhythm isina kugadzikana kwenguva yakareba sei paanokurudzira kuti rudzii rwe cardioversion rwakanakira iwe.
Cardioversion kazhinji inzira yakachengeteka, asi semamwe marapirwo echiremba, inotakura njodzi. Kunzwisisa izvi zvingaitika zvinokubatsira kuti uite sarudzo ine ruzivo nezvekurapwa kwako uye kuziva zvekutarisa mushure.
Chinetso chakanyanya asi chisingawanzoitiki ndeye sitiroko, iyo inogona kuitika kana ropa rikaumbwa mumoyo mako uye richienda kuuropi hwako. Iyi njodzi ndiyo inokonzera kuti chiremba wako anowanzo kuraira zvinoderedza ropa pamberi uye mushure mekuita. Njodzi yesitiroko yakaderera kwazvo kana matanho akakodzera achitorwa.
Kutsamwa kweganda kana kupisa panzvimbo dze electrode kunogona kuitika ne electrical cardioversion, asi izvi zvinowanzo kuve zvidiki uye zvinopora nekukurumidza. Chikwata chako chehutano chinoshandisa magels akakosha uye matekiniki ekuderedza njodzi iyi. Vamwe vanhu vanonzwa kutsvuka kwenguva pfupi kana kurwadziwa kudiki kwakaiswa ma electrodes.
Kusagadzikana kwenguva pfupi kwe rhythm kunogona kuitika pakarepo mushure me cardioversion sezvo moyo wako uchichinjira ku rhythm yayo itsva. Izvi zvinowanzo gadzirisa zvoga mukati memaawa mashoma, asi timu yako yezvokurapa ichakutarisa zvakanyanya kuti ive nechokwadi chekuti rhythm yemoyo wako inoramba yakagadzikana.
Vamwe vanhu vanonzwa kudonha kwenguva pfupi mukumanikidzwa kweropa panguva yekuita, ndosaka uchizotarwa nguva dzose. Chikwata chako chehutano chakagadzirira kurapa izvi kana zvikaitika, uye kazhinji hachikonzeri matambudziko anogara kwenguva refu.
Matambudziko ekuyeuka kana kuvhiringidzika zvinogona kuitika mushure me electrical cardioversion nekuda kwekurara, asi izvi zvinokanganisa zvinongogara kwenguva pfupi uye zvinowanzoenda mukati memaawa mashoma. Kuva nemunhu anowanikwa kukutyaira kumba uye kugara newe kwakakosha nechikonzero ichi.
Kazhinji, cardioversion inogona kukonzera matambudziko akakomba erhythm, asi timu yako yezvokurapa yakashongedzerwa kubata izvi zviitiko nekukasira. Maitiro acho anoitwa munzvimbo inodzorwa nemidziyo yekukurumidzira inowanikwa.
Unofanira kubata chiremba wako nekukasira kana ukaona kurwadziwa muchipfuva, kufema kwakaoma, dzungu, kana kufenda mushure me cardioversion. Zviratidzo izvi zvinogona kuratidza kuti rhythm yemoyo wako yakava isina kujairika zvakare kana kuti mamwe matambudziko akaitika.
Fonera mupi wako wehutano kana ukaona moyo wako uchirova zvisina kujairika kana ukanzwa sekuti moyo wako uri kumhanya, uchisvetuka beats, kana kufamba. Izvi zvinonzwa zvinogona kureva kuti rhythm yako isina kujairika yakadzoka, uye kupindira kwekutanga kunogona kubatsira kudzorera rhythm yakajairika nyore nyore.
Tsvaga kutarisirwa kwekurapa nekukasira kana ukaona zviratidzo zve stroke, kusanganisira kusimba kamwe kamwe kune rimwe divi remuviri wako, matambudziko ekutaura, kurwadziwa kwemusoro kwakanyanya kamwe kamwe, kana shanduko dzekuona. Kunyange zvazvo stroke mushure me cardioversion isingawanzoitiki, zvakakosha kuziva izvi zviratidzo zvekuyambira.
Unofanirawo kubata chiremba wako kana uine kuzvimba kusingajairiki mumakumbo ako kana zvitsitsinho, sezvo izvi zvingaratidza kukundikana kwemoyo kana mamwe matambudziko. Saizvozvowo, kana ukanzwa kuneta zvakanyanya kupfuura zvakajairika kana uine matambudziko ekufema panguva yezviitiko zvakajairika, izvi zvinogona kuva zviratidzo zvekuti moyo wako haushandi zvakanaka sezvaunofanira.
Usazeza kusvika kana uine zvinokunetsa pamusoro pemishonga yako kana kana uri kusangana nemigumisiro inokunetsa. Timu yako yehutano inoda kuona kuti unonzwa wakasununguka uye kuti kurapwa kwako kuri kushanda nemazvo.
Rongedza misangano yako yekutevera sezvinokurudzirwa, kunyangwe ukanzwa zvakanaka. Kuongorora nguva dzose kunobatsira kubata chero matambudziko nekukurumidza uye kunobvumira chiremba wako kugadzirisa chirongwa chako chekurapa kana zvichidikanwa.
Hongu, cardioversion inobatsira zvikuru kune atrial fibrillation uye inowanzoita kurapwa kwekutanga vanachiremba vanokurudzira kune iyi mamiriro. Inobudirira kudzorera rhythm yemoyo yakajairika mune vanenge 90% yevanhu vane atrial fibrillation, kunyangwe kuchengetedza rhythm iyoyo kwenguva refu kunoda manejimendi ari kuenderera mberi.
Cardioversion inoshanda zvakanaka kune vanhu vachangobva kuwana atrial fibrillation kana avo vane zviitiko zvinouya nekufamba. Kunyangwe rhythm yako yakajairika isingagare zvachose, cardioversion inogona kupa zororo rakakura rezviratidzo uye inogona kudzokororwa kana zvichidikanwa.
Cardioversion inogadzirisa rhythm yemoyo wako asi haiporesi mamiriro ari pasi ayo anokonzera atrial fibrillation. Vanhu vazhinji vanochengetedza rhythm yakajairika kwemwedzi kana makore mushure me cardioversion, kunyanya kana vachitora mishonga uye vachiita shanduko yehupenyu sezvinokurudzirwa nachiremba wavo.
Maitiro acho anogona kudzokororwa kana rhythm yako isina kujairika ikadzoka, uye vanhu vazhinji vanopinda cardioversion kakawanda sechikamu chekuchengetedza kwavo kwenguva refu rhythm yemoyo. Chiremba wako achakubatsira kugadzira chirongwa chakazara chekuchengetedza hutano hwemoyo wako kupfuura maitiro e cardioversion chete.
Electrical cardioversion inoshanda nekukurumidza, ne rhythm yemoyo yevanhu vazhinji ichidzokera kune yakajairika mukati memasekonzi emaitiro. Iwe uchamuka kubva mukuzorodzwa ne rhythm yemoyo yakajairika kana maitiro acho akabudirira.
Chemical cardioversion inotora nguva refu, kazhinji maawa akati wandei kuti uone mhedzisiro yakazara. Chikwata chako chekurapa chichakutarisa panguva ino kuti chitevere kufambira mberi kwako uye chive nechokwadi chekuti mishonga iri kushanda zvakachengeteka uye nemazvo.
Haugone kuzvityairira kumba mushure meelectrical cardioversion nekuti sedation inogona kukanganisa kutonga kwako uye nguva yekupindura kwemaawa akati wandei. Unozoda mumwe munhu kuti akutyairire kumba uye unofanira kudzivisa kutyaira kusvika zuva rinotevera kana kusvika wanzwa zvakajeka zvachose.
Mushure mechemical cardioversion, unogona kukwanisa kuzvityairira kumba kana usina kugamuchira mishonga inozorodza, asi chiremba wako achakupa mirairo chaiyo zvichienderana nemamiriro ako ega uye manzwiro ako.
Vanhu vazhinji vanofanira kuramba vachitora zvinoderedza ropa kwemavhiki akati wandei mushure mecardioversion, uye vazhinji vanovada kwenguva refu kudzivirira sitiroko. Chiremba wako achasarudza kuti unoda mishonga iyi kwenguva yakareba sei zvichienderana nezvinhu zvako zvekutyisidzira sitiroko.
Kunyange kana rhythm yemoyo wako ichiramba yakajairika mushure mecardioversion, unogona kunge uchida zvinoderedza ropa kana uine zvimwe zvinhu zvekutyisidzira sitiroko, zvakadai sekuchembera kupfuura makore makumi matanhatu nemashanu, chirwere cheshuga, high blood pressure, kana sitiroko yapfuura. Chiremba wako achaongorora njodzi yako yega uye achakurudzira nzira yakanakisa kwauri.