Kana wakamboonekwa kuti une chironga chemutima , kurapa kunobva pane zvauri uye kuti zvakakomba sei. Kana zvisina kukonzera zviratidzo zvikuru uye iwe hausi pangozi yekuwedzera kuwedzera arthmthia kana kusagadzikana, iwe haufaniri kudikanwa chero kurapwa. Zvisinei, kana zviratidzo zvako zvakaoma uye / kana chiremba wako ane hanya kuti urongwa hwako hunogona kuchinja huchiita chimwe chinhu chinotadza, iye anogona kukurudzira kurapa kunokodzera zvido zvako.
Zvinyorwa
Muzvizhinji, kune zvikonzero zviviri chiremba wako angada kukuisa pamishonga yemukati wemaridymia. Chokutanga, chirongwa chinogona kunge chichikuita kuti uve nezviratidzo, zvakadai seplpitations kana kuchena , uye kurapa kungave kwakakosha kubvisa zviratidzo izvozvo. Kana, chechipiri, chirongwa chacho chinogona kukonzera kukuvadza kana kutyisidzira kuzviita.
Antiarrhythmic Drugs
Antiarrhythmic zvinodhaka mishonga inoshandura magetsi emagetsi emwoyo, uye nokuita saizvozvo, shandura nzira iyo mhepo yako yemagetsi inopararira mukati memwoyo wako. Sezvo tachycardias (arrhythmias inokonzera kukurumidza kwepfungwa yemwoyo) inowanzobatana nokusakanganiswa kwechiratidzo chemagetsi, zvinodhaka zvinoshandura chiratidzo chemagetsi emwoyo wako zvinowanzovandudza iyo arrhythmias. Antiarrhythmic mishonga inowanzobudirira, kana kuti zvishoma nezvishoma inoshanda, mukurapa marudzi akawanda e tachycardias.
Zvinosuruvarisa, mishonga inopesana neboka seboka rinowanzokonzera kuwandisa kwemigumisiro yemigumisiro yemhando imwe kana imwe, uye sechigumisiro, zvinogona kuva zvakaoma kutora.
Chirwere chimwe nechimwe chinopesana nemishonga chinokonzerwa nehuwandu hwehutsinye, uye zvisati zvarondedzera chero ipi zvayo yemishonga iyi, zvinokosha kuti chiremba wako anotsanangura zvakanyatsonaka zvinetso zvinogona kuitika nemishonga yakasarudzwa.
Zvisinei, kune rimwe dambudziko rakaipa iro rinowanzoonekwa nezvose zvinodhaka remishonga: Dzimwe nguva madhiragi aya anoita kuti urongwa huve hwakaipa pane huri nani.
Ichi chinonzi antiarrhythmic zvinodhaka-chinonzi proarrhythmia-inoshanduka kuti ive inzvimbo yemhando yezvinodhaka zvinoshandura chiratidzo chemagetsi emwoyo. Zvinyorwa zvishoma, kana iwe uchiita chimwe chinhu kuti uchinje nzira iyo magetsi emagetsi anopararira mukati memwoyo, zvinoita kuti kuchinja kuchaita kuti tachycardia iwedzere, kana kuti inogona kuita kuti iwedzere.
Inowanzoshandiswa zvinodhaka zvinosanganisira Cordarone kana Pacerone (amiodarone), Betapace (sotalol), Rhythmol (propafenone), uye Multaq ( dronedarone ). Amiodarone ndiyo inonyanya kushandisa antiarrhythmic mishonga uye hainawo zvishoma kuti iite proarrhymia kupfuura mamwe madhiragi. Zvinosuruvarisa, mamwe mhando dzezvinodhaka zvinowanikwa neamidodarone , zvakadai sepapupa kana chiropa, zvinogona kunyanya kuipa, uye ichi chinodhaka chinofanira kungoshandiswa chete, sezvose zvinodhaka zvinodhaka, kana zvakakodzera.
Chinonyanya kukosha ndechekuti vanachiremba vari-uye vanofanirwa kunge vasingadi kuisa zvinorwarisa zvinodhaka. Iyi mishonga inofanirwa kushandiswa chete kana chirongwa cherhythmia chiri kubudisa zviratidzo zvakanyanya kana kuti chiri kutyisidzira utano hwemwoyo yenyu.
AV Nodal Kudzivisa Zvinodhaka
Mishonga inonzi AV nodal inogadzirisa zvinodhaka- beta blockers , calcium channel blockers , uye digoxin-basa nekudzikisa simba remagetsi emwoyo apo inopfuura nepakati peAV node panzira iyo kubva kuAria kusvika kune mabhiriki.
Izvi zvinogadzira AV nodal blocking drugs zvinonyanya kukosha mukurapa zvinyorwa zvepamusoro tachycardias (SVT). Mamwe maitiro eSVT, kunyanya AV nodal reentrant tachycardia uye tachycardias inokonzerwa nepepass tracts, inoda kuti node yeV AV iite motopi yemagetsi zvakanaka, uye kana iyo node yeAV inogona kuitwa kuti iite zviratidzo zvegetsi zvishoma zvishoma, SVT inongomira.
Kana iri SVT inozivikanwa seAriric fibrillation , AV nhengo dzeAV dzinodzivisa kudzivisa hazviregi kuronga, asi dzinotadzisa mwoyo wako kutora kubvisa zviratidzo. Kutaura zvazviri, kudzora moyo wako wekurwisa neAV nodal zvinodzivirira zvinodhaka kazhinji ndiyo nzira yakanakisisa yekugadzirisa inrial fibrillation .
Mienzaniso ye beta blockers inosanganisira Sectral (acebutolol), Tenormin (atenolol), Zebeta (bisoprolol), Lopressor kana Toprol-XL (metoprolol), Corgard (nadolol), Bystolic (nebivolol), uye Inderal LA kana InnoPran XL (propranolol). Izvi zvinogona kukonzera migumisiro yechirwere yakadai sekuora mwoyo, kupera kwemwoyo, kuneta, Raynaud's syndrome, kusagadzikana kwepabonde, kuperevedza kwemhepo, uye kuputika kwemhepo.
Zvimwe chete calcium channel blockers inobatsira kurapa arrhythmias, kusanganisira Cardizem kana Tiazac (diltiazem), uye Calan kana Verelan (verapamil). Zvimwe zvinokonzerwa nemigumisiro zvinosanganisira kuvhunika tsoka, kubatwa, kubuda, uye kuderera kweropa.
Anticoagulants
Kana iwe uri pangozi yekuvandudza ropa, iyo inogona kutungamirira kune chirwere, chiremba wako anogona kupa anticoagulant (ropa rakaonda) . Iyi mishonga inochengetedza ropa rako kuti rirege kubvisa uye rinomisa mavharo aunenge uine kare kubva pakukura, kunyange zvazvo asingakwanisi kuderedza ukuru hwemaawa anenge aripo. Kana iwe wakanga uine chirwere chepuroke kana iwe uine hutachiona hweropa, kune chiitiko chakanaka chiremba wako achakuisa pane anticoagulant. Zvose zvinokonzerwa neanticoagulants dzinosanganisira kuputika, gesi, chirwere, kusuruvara, kurutsa, uye kwete kunzwa nzara.
Zvinodhaka Zvinoderedza Dambudziko Rokukurumidza Kushanda Kwemakumbo
Mishonga mashomanana inofungidzirwa kuti inoderedza dambudziko rekumanikidzwa kwemwoyo kamwe, zvichida nekuderedza dambudziko re ventricular tachycardia kana ventricular fibrillation , the arrhythmias inoita kuti mwoyo usungwe . Kutsvakurudza kunoratidza kuti beta blockers inoratidzika kuderedza ngozi yekusungwa kwemwoyo kamwe kamwe nekudzivisa kuitika kweAdrenaline pamusana wemwoyo, nokudaro kuderedza mikana yekuita zvirongwa zvinouraya. Vose varwere vakaponeswa nehutano hwemwoyo kana avo vane mwoyo yekukundikana vanofanira kutora beta blockers.
Zvimwe zvinodhaka izvo chiremba wako angakupa kana iwe uri pangozi yekusungwa kwemhepo kamwe kamwe kunosanganisira angiotensin-kuchinja enzyme (ACE) inhibitors , calcium channel blockers, uye antiarrhythmic drug amiodarone.
Implantable Devices
Mamwe maitiro e arrhythmias angada chigadziriswa chinogadziriswa kuti ubatsire kudzora rwiyo rwemoyo wako.
Pacemaker
Kana chido chako chemoyo chichinonoka kana kuti chisina kukwana, chiremba wako anogona kukurudzira pacemaker , chinhu chinoshandiswa nebhetri chinoita kuti mwoyo wako urove panguva yakasimba, nguva dzose. Yakaiswa pasi peganda rako pedyo nekorolabhoni yako, kwainobva yasanganiswa netambo kumoyo wako. Iyo pacemaker inoita kuti magetsi ape magetsi anobatsira mwoyo wako kuti urove kazhinji, kudzivirira arrhythmias.
Implantable Cardioverter Defibrillator (ICD)
Kana iwe wakamboerekana wakasungwa nemwoyo, wakawanikwa uine ventricular tachycardia kana ventricular fibrillation, kana iwe uri pangozi yekukura imwe yeiyi arrhythmias, chiremba wako anogona kukurudzira kuti inogadziriswa cardioverter defibrillator (ICD) . Izvi zvinogona kudzivirira kufa kwechimbichimbi kubva kumusungwa wemwoyo, ndicho chikonzero chikuru chavanoshandiswa. Kungofanana ne pacemaker, ICD inoshandiswa nebheteri uye inowanikwa pasi peganda rako pedyo nekorlarbone yako. Waya ane magetsi pamagariro anobatanidzwa pamwoyo wako uye ICD inoongorora mwoyo wako nguva dzose. Kusiyana ne pacemaker, ICD inokanganisa iyo iyo inotarisa rwiyo rwusina kujairika, kutumira kushungurudza kana kurapa kwepfungwa kumwoyo wako kuti uiite zvakare kune yakarongeka. Sezvo ICDs isingadziviri magarthmias, iwe uchazofanira kutora mishonga pamwe chete.
Kuvhiya uye Nzira Dzakadzika-Dzofambiswa
Iko kune maitiro anokosha kana kuvhiyiwa kunogona kushandiswa kugadzirisa urhythmia yako. Zvakare, kurapwa uku kunoenderana nemhando uye kuoma kwerhythmia.
Ablation
Dzimwe arrhythmias dzinokonzerwa nokusakanganiswa kwepasi mukati memagetsi emwoyo. Muzviitiko izvi, chirongwa chekubvumira chinogona kukanganisa kushanda kwemagetsi. Izvo zvinoshandiswa zvinogona kushandiswa senzira yekurapa kana iwe usingakwanisi kutsungirira mishonga kana kuti haisi kushanda. Chinangwa chekuita izvi kazhinji ndechokubvisa armimia zvachose.
Nepo nzira yekugadzirisa zvinhu inogona kuitwa muimba yekushanda panguva yekuvhiya kwemoyo wakazaruka , nenzira yakakurumbira yekubvumira inogadziriswa panguva yepamusoro yehutachiona hwechirwere chepfungwa chinonzi electrophysiology study (EPS).
Izvi zvidzidzo zvinoitwa nemoyo we electrophysiologists-cardiologists ane ruzivo rwakakosha mukurapa kwechirongwa chemwoyo. EPS inogona kuitwa senzira yekuongororwa kana zvichikosha kukonzera zvakanyanyisa nzira yekugadzirisa urongwa hwako uye kazhinji kusarudza kana chirongwa chekubvisa chinenge chichizogona kurapa arrhythmia. Nhasi, dzakawanda electrophysiology zvidzidzo zvinobatanidza chirwere chekuongorora nekugadzirisa nzira.
Munguva yekugadziriswa kwemapurisa, catheters yakasanangurwa nemagetsi emagetsi anoiswa panzvimbo dzakasiyana-siyana mukati memwoyo wako, uye iyo yose yemagetsi yemagetsi inoongororwa uye yakarongwa. Kana imwe nzvimbo isingazivikanwi inowanikwa iyo inokonzera kugadzira arhythmia, chinangwa che catheter chinotungamirirwa kune ichocho chisingawanzoitiki, uye kubvumira kunoitwa kuburikidza ne catheter. Izvo zvinoshandiswa zvinopedzisira kuburikidza nokutumira imwe simba rega kuburikidza ne catheter (kupisa kwemazuva, simba rinotonhora, kana simba remhepo) kuitira kukuvadza (ablate) mhuka pamucheto we catheter. Izvi zvinogadzira chigadziro mumugwagwa wegesi unoita kuti urongwa hwako huvepo.
Mumakore achangobva kupfuura, maitiro ekugadzirisa matanho ave akafambira mberi, uye anowanzoshandisa mapurogiramu akasiyana-siyana emapuraneti ekushandisa mapurogiramu anoshandisa zvose zviri zviviri-D uye mapikicha emagetsi kuti ataure nzvimbo yakakodzera yekubvisa. Zvinowanzotora maawa mashomanana uye iwe unoda zuva kana maviri yekupora nguva muchipatara.
Ablation inoshanda 60 kubva kune makumi mapfumbamwe kubva muzana yenguva yevanhu vane zvirongwa zvekutambudza zvakanyanya seyetrial fibrillation, atrial tachycardia, uye ventricular tachycardia. Kune vanhu vane supraventricular tachycardias, kubudirira kwezvikamu kune 90 muzana kusvika 95 muzana.
Cardioversion
Kune mamwe maitiro e arrhythmias akafanana neyetrial fibrillation uye ventricular fibrillation, cardioversion inogona kunge iri kurapa. Mune nzira iyi, mwoyo wako unotya magetsi nemapadles kana mapepa pamapfupa ako kubva kune unodzivirira. Kuvhiringidzika kunogona kumanikidza mwoyo wako kuti udzokere zvakare mumhanzi wakagadzirwa.
Nzira yeNzira
Kana iwe usiri kupindura kune dzimwe mishonga ye arrhythmias kana iwe uri kuita chirwere chemoyo kune chimwe chikonzero, chiremba wako angakurudzira nzira yeby maze . Izvi zvinosanganisira kuita zvinonzwisiswa mumucheto wepamusoro wemwoyo wako (theria) iyo inopera uye inodzivirira mafungiro emagetsi kubva pakugadzira arrhythmia kubvira apo mafungiro asingakwanisi kupfuura nemucheka mutsvuku.
Coronary Bypass
Mune zviitiko zvehutachiona hutachiona hwehutano huri kukonzera kuronga kwako, chiremba wako anogona kukurudzira chirongwa chekodonary , icho chinogona kuvandudza ropa rinopa mwoyo wako.
Mishonga yeMusha uye Upenyu
Kuita mararamiro ehupenyu kunogona kubatsira kuchengetedza mwoyo wako huve hutano uye kuderedza dambudziko rako rekushaiwa chirwere chemoyo.
Idya Mwoyo-Utano Hwakanaka
Iva nechokwadi chokuti kudya kwako kwakazadzwa nemhando dzakasiyana-siyana dzezviyo, michero, nemiriwo uye kuti yakaderera mumunyu, cholesterol, uye mafuta. Shandisa mukaka usina mafuta kana kuti usina mafuta uye udye nyama dzakashata, huku, uye hove.
Ramba Uchifamba
Kudzidzira muviri kunodzivirira mwoyo wako. Edza kuwana mamwe mazuva ose kana kuisa chinangwa chekuwedzera basa rako uye kushanda kwariri.
Tarisa Kuremera Kwako
Kunyanya kuwandisa kana kuwedzera kunowedzera dambudziko rako rehutano hwemoyo nokuti uri kushanda moyo wako zvakaoma. Kudya kudya kwakanaka uye kuwedzerwa muviri wako kunogona kukubatsira kuti uwane uye uchengete hutano hwakanaka.
Bvisa Chimiro Chekusvuta
Kana iwe uri kusvuta, shanda kubvisa. Ichi ndicho chisarudzo chinoporesa chaunogona kuita nokuda kwemuviri wako wose, kwete kutaura moyo wako.
Chengetedza Utano Hweutano Hwakanaka uye Cholesterol Nhamba
Shandisai mararamiro aunoita pamusoro apa uye ita nechokwadi chekutora mishonga ipi zvayo yawakagadzirirwa kuti uwedzere ropa uye / kana cholesterol.
Shandisa Kushungurudzika Kwako
Kushungurudzika kunogona kuita kuti zvirhythmias, Iva nechokwadi chekutora nguva yekuita zvinhu zvaunofarira. Dzidza dzimwe nzira dzokuzorodza. Shingairira kushungurudza kwenyu nemishonga.
Nhamba Doro
Chiremba wako angasadi kuti iwe unwe doro sezvo zvingaita kuti mwoyo wako urove nokukurumidza, asi kana ukadaro, iva nechokwadi kuti uri kuzviita mumwero. Utano hwakawandisa hwehudha hunokwira kune rimwe doro pazuva kwevakadzi nevarume vanopfuura makore makumi matanhatu nemasere uye kusvika zviviri zvezvinwiwa pazuva nokuda kwevarume pasi pe65.
Chengetedza Zvaunosarudza
Kunyange kana iwe uchinzwa zvakanaka, iva nechokwadi chokuti unochengetedza chiremba wako kusarudzwa uye zvose zvekutevera kwako. Tora mishonga yako sezvinorayirwa uye rega chiremba wako azive kana iwe une zviratidzo kana kuti kunetseka nemigumisiro.
Mishonga Inobatsira Inobatsira (CAM)
Kune dzimwe nzira dzokurapa dzinogona kubatsira kubata zvirongwa zvemaitiro kana kushungurudzika kunogona kuita kuti vawedzere. Izvi zvinosanganisira:
Vagal Maneuvers
Kana iwe une supraventricular tachycardia, maitiro akareruka anozivikanwa seve vagal mafambiro angakubatsira kuidzikisa pasi kana kutorega. Izvi zvinoshandiswa kuburikidza nekubata vagus nerve, iyo inodzora moyo wako, uye inosanganisira:
- Gagging
- Kuchema
- Dunking chiso chako mumvura yechando
- Kubata mweya wako paunenge uchiedza kunyanyisa kubudisa
- Kuisa minwe yako pamawere ako uye nekunyorova pasi
Taura nachiremba wako pamusoro pekushandisa vagal kufamba sezvo zvisingasviki kurapa kwakanaka kwauri.
Acupuncture
Kunyange zvazvo kutsvakurudza kwakawanda kuchidikanwa, zvidzidzo zvakaratidza kuti kurapa kunogona kuva kurapa kwakachengeteka uye kunobatsira kune dzimwe arrhythmias, kunyanya paroxysmal supraventricular tachycardia, ventricular kupera nguva isati yasvika, tachycardia sinus, uye friday fibrillation. Uyezve, kubvongodza kune zvishoma zvengozi, saka izvi zvingava zvakakodzera kuedza.
Kushungurudzika Kwekuderedza Kurapa
Sezvo kushungurudzika chinhu chinogona kuita kuti urongwa hwako huwedzere, iwe ungave uri kuedza kuderedza kuwanda kwekutambudzika unonzwa. Heano dzimwe nzira dzokubatsira:
- Yoga
- Kufungisisa
- Nzira dzekudzikama dzakadai sokufema kwakadzika, kufambira mberi kwemisumbu kunonoka, uye kuonekwa
> Sources:
> American Heart Association. Mishonga yeArrhythmia. Yashandurwa muna September 2016.
> Bohnen M, Stevenson WG, Tedrow UB, et al. Nharaunda uye Predictors Matambudziko Makuru Kubva kuKesatani Catheter Ablation Kuitira Cardiac Arrhythmias. Heart Rhythm . November 2011; 8 (11): 1661-6. doi: 10.1016 / j.hrthm.2011.05.017.
> Li Y, Barajas-Martinez H, Li B, et al. Kuenzanisa Kubudirira kweApupuncture uye Antiarrhythmic Zvinodhaka zvekudzivirira kweCardiac Arrhythmias: Ongororo Yakarongeka uye Meta-Kuongorora kweRandomized Controled Trials. Miganhu muPhysiology . 2017; 8: 358. doi: 10.3389 / fphys.2017.00358.
> Mayo Clinic Staff. Moyo Arrhythmia. Mayo Clinic. Yakapedzwa musi waDecember 27, 2017.
> Mitchell LB. Kuratidzwa kweAnormal Heart Rhythms. Merck Manual: Consumer Version.