Mazana emakemikari ekutanga, kana kuti PVCs, ndeimwe yezvakanyanya kufanana nemagodhiymia . Zvinosuruvarisa, kukosha kwavo kwechiremba - uye naizvozvo kurapa kwavo - kunowanzovhiringidza kuvanachiremba nevarwere vazhinji.
Kana uine PVCs, kurapa kwako kunofanira kuenderana nemhinduro kumibvunzo miviri:
Chokutanga, une chirwere chepfungwa chepfungwa here?
Uye yechipiri, zvirwere zvakanyanya sei zvinobudiswa nePVCs?
PVC ivo pachavo haisi nengozi. Kunyange zvazvo inonzi PVCs inobatanidza nehuwandu hwekufa, iyo ngozi yakawanda inowanzokonzerwa nekuvapo kwepfungwa yepfungwa uye kuisa mungozi yezvirwere zvepfungwa . I-PVCs ivo pachavo, inowanzo, inofungidzirwa kuti inonyanya kuipa.
Chokutanga Kurapa Chinangwa - Kuderedza Mungozi yeCardiac
Nemhaka yokuti PVCs dzinowanzobatanidzwa nechirwere chepfungwa, chirwere chako chinofanira kuita chimiro chemoyo kana iye achangovawana.
Kana zvikaitika kuti iwe une chirwere chemoyo, kurapa kwakakwana kwemuviri wako wepfungwa kunowanzobvisa kana kuderedza kuwandisa kwePVCs. Izvi zvinonyanya kuitika kana iwe uine chirwere chetachiona (CAD) kana kushaya mwoyo .
Mune vamwe vanhu vashoma, kazhinji PVCs zvino inofungidzirwa kuti inokonzera kubudisa mwoyo (mwoyo usina simba musumbu).
Saka, kana kusajekeswa kwemoyo kunowanikwa muhupo hwePVCs kazhinji, zvinogona kubatsira kurapa PVCs kuona kana chirwere chemoyo chinowedzera.
Kana chiremba wako akawana mwoyo wako kuti uve noutano hwakanaka, icho chinhu chakanakisisa. Zvisinei, PVCs inobatanidzawo nehuwandu hwehutano hweCAD, kunyanya kuwedzera kwehutano .
Saka iwe uye chiremba wako unofanira kuongorora zvakakwana zvepfungwa dzako dzose dzenjodzi uye ugoita purogiramu ine utsinye kuti uite pasi pesimba. Mukuwedzera pakuderedza dambudziko rako reCAD, izvi zvingaitawo kuti uwedzere PVCs yako.
Yechipiri Kuchengetedza Chinangwa - Deredza Zviratidzo
Nenzira yakanaka, vanhu vakawanda vane PVCs hava "kunzwa" zvachose. Zvisinei, vamwe vanoona maPVC avo semapapa, avo vanowanzotsanangura se "kuruka" kana kuti "kuputika" kunogona kusiyana nekunyadzisa kunokanganisa zvikuru.
Saka, kunze kwekuita kuongororwa kwechirwere chepfungwa, dzimwe nguva zvinokosha kufunga nezvekuita chimwe chinhu pamusoro pePVCs pachavo, kuitira kuti kuderedza zviratidzo.
Kurapa kwePVCs kwaizova nyore kana tine mishonga inopesana nemishonga (zvinodhaka zvinorapa mwoyo dzemaitiro) izvo zvose zvakachengeteka uye zvinobudirira pakubvisa PVCs. Zvinosuruvarisa, izvi hazvisizvo. Saka kusarudza kana kurapa PVCs, uye kuti ungazviita sei, kazhinji kunonetsa kupfuura iwe unogona kufunga.
Kana maPVC ako asina kukonzera zviratidzo, kana kana mapapiro aunoona haakuvhiringidzi kwauri, chinhu chakanaka chaunofanira kuita kakawanda kuvasiya ivo voga.
Zvisinei, kana maPVC ako ari kukonzera kupindira kwakakwana kukanganisa hupenyu hwako, iwe iwe nachiremba wenyu munofanira kukurukura maitiro ekurapa PVCs.
Kutanga, unofanira kuedza kubvisa caffeine kubva pane zvaunodya. Mune vanhu vanozvibata, caffeine inogona kuwedzera nguva dzePVCs. Chinhu chimwe chete chinoenda kune zvinodhaka newaini - kubvisa izvi kubva pakudya kwako zvakare.
Pane humwewo uchapupu hwokuti nguva dzose kurovedza muviri kunogona kuderedza kupera. Saka kana iwe wakanga uine sedentary, taura nachiremba wako nezvekutanga chirongwa chekuvhiya.
Kana iwe wakaita mararamiro aya emararamiro ehupenyu uye uchiri kunetseka nezviratidzo zvePVCs, iwe nachiremba wako ungada kufunga nezvekuedzwa kwezvinodhaka remishonga.
Kana iwe ukasarudza kurapwa kwemishonga, inowanzova pfungwa yakanaka kutanga nemuedzo we beta blockers - zvinodhaka zvinopesana nemigumisiro yeAdrenaline. Beta blockers haisi yakashanda se "chokwadi" zvinorwisa zvinodhaka zvinodhaka pakuparadza PVCs, asi zvinowanzochengeteka uye kazhinji zvinoregererwa. Kunyange zvazvo zvingaderedza PVCs ivo pachavo, beta blockers inoshanda zviri nani pakuderedza zviratidzo zvePVCs zvichikonzera.
Izvo zvine simba zvinodhaka zvinodhaka zvinowanzotora zvakakwana pakuvhara PVCs. Zvisinei, mishonga iyi inowanzokonzera matambudziko makuru. Mutungamiriri pakati pavo unhu hwekuita "proarrhythmia" - ndiko kuti, chaizvoizvo kukonzera arrhythmias iyo inogona kuva yakanyanya kukuvadza kupfuura PVCs. Proarrhythmia inonyanya kunge iri pavanhu vane chirwere chepfungwa, asi zvinogona kuitika kuna ani zvake. Mukuwedzera, mishonga yega yega inopisa ine tsvina yakaenzana yehuwandu hwehuwandu hunoita kuti boka iri remishonga pakati pezvinonyanyisa zvakashandiswa mukurapa.
Pakupedzisira, mune varwere vane zvirwere zvePVC zvinotambudza zvikuru uye hazvikwanisi kutarisirwa nemaitiro ekuchinja mararamiro kana zvinodhaka, zvinogona kuitika kune electrophysiologist kuti vabate neropa rekubvisa - magetsi mapping nzvimbo iyo iri kubudisa PVCs, uye ichikuvadza kuburikidza nepamusoro cardiac catheter.
Shoko Rinobva
Nemhaka yokuti PVC ivo pachavo haisi nengozi, kushungurudzika kunoshandiswa kuchipatara chavo kunofanira kunge kwakagadzirirwa zvakakwana pahuwandu hwePVCs hunovhiringidza hupenyu hwako. Kunyange zvazvo iine rufaro kuti maPVC anowanzokonzera zviratidzo zvishoma chete, ichocho hachibatsiri zvikuru kana iwe uri mumwe wevashoma vasingatauri vane maPVC anoshungurudza zvikuru. Muchiitiko ichi iwe uchada kuwana chiremba ane ruzivo uye anonzwira tsitsi uyo anogona kukubatsira iwe kuburikidza nekusarudzwa kwese kurapa uye kuronga urongwa hwakakodzera iwe.
> Sources:
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> Zipes, DP, Camm, AJ, Borggrefe, M, et al. ACC / AHA / ESC 2006 Nhungamiro Yekutungamirirwa Kwevarwere Ne Ventricular Arrhythmias uye Kudzivirira Kungoerekana Yakafa Rufu-Mutungamiri Mutevedzeri A Nyaya yeAmerican College of Cardiology / American Heart Association Task Force neEuropean Society of Cardiology Komitungamiri Yekushandisa Maitiro (Kunyora Komiti Ikudziridza Nhungamiro Yekutungamira Vatano Ne Ventricular Arrhythmias uye Kudzivirirwa Kwekufa Kwechirwere Chekufa). J Am Coll Cardiol 2006; 48: 1064.
> Zuchinali P, Ribeiro PA, Pimentel M, et al. Migumisiro yeCaffeine paWorricular Arrhythmia: Ongororo Yakarongeka uye Meta-kuongorora kweUongorori neKunodzidza. Europace 2016; 18: 257.