Kana iwe uine mwoyo usingawanzoiti, danho rokutanga mukurapa nderechiremba wako kuti aone kuti ndechipi chirongwa cherhythmia. Kuongorora zviratidzo zvemwoyo zvinogona kunge zvisiri nyore, dhiyabhorosi zvakaoma, kana pane imwe nzvimbo pakati. Kuita kuti kuongororwa kuri nyore kana iwe uine chirwere chisingaperi kana chichigadzikana-saka inongova nyaya yekunyora electrocardiogram (ECG) nekunyora kuvepo uye rudzi rweurhythmia uri kuitika.
Zvinosuruvarisa, kazhinji chimiro chechimiro chechimiro chinonzi episodic mumasikirwo-vanouya uye vanoenda vasina kunyeverwa. Muzviitiko izvi, zviratidzo zvako zvinogona kuitika sezvikamu zvepakati, zvinowanzogara kwemaminitsi mashomanana, saka kunyora zvisingagoneki 12-yechipiri ECG hazvikwanisi kuratidza rhythmia, uye kuwedzerwa kuongorora kunokosha. Asi mutemo unoramba uri wakafanana: kuongorora chirwere chemwoyo, arrhythmia pachayo inoda "kutorwa" pane imwe mhando yemwoyo rhythm kurekodi.
Labs uye Miedzo
Kana chiremba wako achifunga kuti unenge uine chironga chemwoyo, mubvunzo wokutanga ndewokuti izvo arrhythmias zvinogona kunge zvichityisidzira upenyu. Kana iwe wakanga uine utero husina kutsanangurwa, uhu hunotyisa , kana kuti wakanga uine syncope (kurasikirwa kwekuziva) -inonyanya kana iwe une chirwere chepfungwa chinenge chiri pasi-chiremba wako angangotarisa kuti iwe unogona kugadzirisa chirwere chinotyisa, chakadai se ventricular tachycardia kana mwoyo block .
Kana zvakadaro, unofanira kunge uchiiswa muchipatara pameso ekutsvaga mwoyo kusvikira unonyatsoongorora unogona kuitwa uye, kana zvichidiwa, mushonga unoshanda unotangwa.
History Medical and Exam Exam
Kana chiremba wako achiona zviratidzo zvako kuti haisi upenyu hunotyisidzira, iye angangotanga nekuongorora mumuviri uye kuongorora kwezviratidzo zvako uye zvichiita mamiriro ezvinhu angave ari kukonzera arhythmia.
Somuenzaniso, kana iye akangoshuva kuti une chirwere chetachiona kana chirwere chemwoyo chinokonzera urhythmia, unogona kuongororwa nemamiriro aya. Uyezve, iwe unogona kunge uine chekuita chepfungwa chekuongorora seyakadai se electrocardiogram kana echocardiogram.
Electrocardiogram
Zvimwe zvinoratidza zviratidzo zvegurmimia zvakadai sokuputika, kuneta zvishoma, kana kuneta, kunonoka kwenguva refu, hazvigone kuratidza hupenyu hunotyisa chirongwa chekuongorora uye kushandiswa kwemoyo kunogona kushandiswa. Kazhinji, izvi zvinoitwa nekuedza kutora electrocardiogram (ECG) panguva yechiitiko chezviratidzo. NeEGG inokosha, iwe une electrodes yakabatana nechifuva chako iyo inonyora basa remagetsi yemwoyo wako, kusanganisira nguva uye kwenguva yakareba sei kupikisa kwemwoyo kwako kuchiitika. Zvinogona kuve zvakakodzera kushandisa ECG inotakura iwe unogona kupfeka paunenge uchienda kune zvaunogara uchiita.
Holter Monitor
Kana zviratidzo zvako zvichiitika zuva rega rega kana zuva rega rega, sarudzo yakanakisisa yekuziva chikonzero chacho inogona kunge iri kushandisa Hatch monitor, kadhi yeEECG inotakura inoramba ichinyora moyo wako rhythm kwemaawa 24-48 yenguva. Iwe unogona kubvunzwa kuchengeta diary yakanyatsocherechedza, uchicherechedza nguva chaiyo iyo zvikamu zvezviratidzo zvinowanikwa. Iyo diary inogona kuenzaniswa neyo rhythm inoratidzira kuratidzira kana zviratidzo zvinosanganiswa nemaridyrmia.
Event Monitor
Kana zviratidzo zvako zvikaitika zvishoma pane zuva rimwe nerimwe kana mazuva mashomanana kana kuti zvikaitika nokukurumidza zvikuru, chisarudzo chakanaka chingava chiitiko chekucherechedza, rumwe rudzi rweEECG inotakura. Iwe unoisungira iyo mumuviri wako paunenge uine zviratidzo uye shandisa bhodhi kuti unyore basa remagetsi emwoyo yako munguva iyoyo.
Patch Monitors
Imwe nzira kana zviratidzo zvako zvikaitika zvishoma nezvishoma ipaki inotarisa yakadai sechikwata cheZio, chidimbu chekurekora kwenguva refu chinogona kuchengeta kusvika kumavhiki maviri ezvinyorwa zvekutsvaga kwemwoyo wako uye zvinyatsoona uye kunyora chero chironga chemwoyo chinogona kuve .
Panewowo SEEQ MT system, iyo inogona kutora uye kuongorora kwemazuva makumi matatu. Kukanganisa kwepatch vatariri ndevokuti vanogona kutengesa sezvo vasingadzoki zvakare uye zvinogona kutora nguva yakawedzerwa kuwana zvigumisiro zvenyu, asi zviri nyore, kusagadzikana kwemvura, nyore kushandisa, uye kunakidzwa.
Echocardiogram
Imwe nyanzvi yemhando yakasiyana-siyana inoratidzika kuti haina simba risina simba rinoshandiswa kutarisa ukuru uye chimiro chemoyo wako, uyewo kuti inorwadza sei. Iwe unogona kuva echocardiogram paunenge uri kushandisa kana uchiri kuzorora.
Implantable Loop Recorder
Kana zviratidzo zvako zvisinganyanyi kuitika, pane zvinyorwa zvinyorwa zvinyorwa zvinyorwa zvinogona kushandiswa kwemakore matatu kuti urambe uchinyora mwoyo wako rhythm uye utore arrhythmias iyo shoma-nguva yekuona moyo inogona kushaya. Ichi chigadzirwa chakaiswa pasi peganda rako muchipfuva chako uye chinogona kubatsira zvikuru kana iwe uine chirongwa chekurohwa kuti chii chakakonzera.
Inodudzira ECG
Chinangwa chekurekora mwoyo wako rwiyo munguva yezviratidzo ndeyekuedza kuratidzira zviratidzo zvako nekunyora kweEGG yako panguva iyo zviratidzo zviri kuitika. Zvinotarisirwa, kuita kuti kuongororwa, zviratidzo zvinotanga apo arramthmia inoita, uye sarudza apo arrimmia inogumira. Kana chiito chakadaro chichionekwa, zvinenge zvakava nechokwadi kuti arrhythmia iri kubudisa zviratidzo.
Kazhinji, zvisinei, vanhu vacharondedzera zviratidzo dzimwe nguva apo mwoyo rhythm inoratidza kuva yakakwana; kana kuchitarisana, arrimmia icharehwa panguva apo pasina zviratidzo zviripo. Pasi pemamiriro ezvinhu aya, zvinenge zvichiitika kuti zviratidzo zvauri kuona hazviiti nekuda kwechirongwa chechirongwa, uye chiremba wako anofanira kutanga kutarisa zvimwe zvinotsanangurwa zvezviratidzo zvako.
Kana chiremba wako asingagoni kuwana arhythmia zvachose pamutambo wekuongorora-moyo, asi uchiri kukanganisa iwe une imwe, angaedza kuedza mumwe achishandisa chimwe chezviedzo izvi:
Kushungurudzika Muedzo
Sezvo mamwe magarthmia ari kukurudzira kana kuwedzerwa zvakanyanya kuburikidza nekurovedza muviri kana kuedza, chiremba wako anogona kuita kuongororwa kwepfungwa , kuongorora mwoyo wako paunenge uchishanda pane bhasikoro rinomira kana treadmill. Kana pane chikonzero nei iwe usingakwanise kuishandisa, iwe unogona kupiwa mushonga unofadza mwoyo panzvimbo.
Tilt Table Test
Kana iwe wakanga uchinge uchinetseka, chiremba wako angada kuedza kutarisa tafura . Paunenge uchivata pasi patafura, basa rako remoyo uye kuwedzerwa kweropa zvinoongororwa. Iwe unogonawo kupiwa mutsara unobata (IV) kana uchida mishonga. Tafura yacho inoshandiswa kuitira kuti ione sezvamunosimuka apo chiremba wako anotarisa chero kuchinja kweropa rako uye / kana basa remoyo.
Electrophysiology Study (EPS)
Kana thy arrmthmia ishoma kana kuti chiremba wako ane nguva yakaoma kuitsvaga kana kufunga kuti ingangodaro inopisa upenyu, iye anogona kuita electrophysiology study (EPS), chirongwa chakakosha checatheterization umo magetsi emagetsi anokwana (mafashoni, masimbi akaomeswa nesimbi magetsi emagetsi) anowanikwa mumoyo mako kuitira kuti adzidze chirwere chemagetsi emagetsi.
Zvaunotarisira: Kana chiremba wako akakuratidza iwe EPS, iwe uchaunzwa ku electrophysiology laboratory (imwe nyanzvi ye laboratory catheterization) paunorara pasi patafura yekuongorora. Iwe uchagoverwa anesthesia yemunharaunda, uye zvichida unyoro wechechi, uye ipapo catheter electrode ichaiswa mune imwe kana akawanda emidziyo yako yeropa. Iko catheters inosungirirwa kana kuburikidza nekambani kadiki kana kuti netsvimbo-tsvimbo, kazhinji mumaoko ako, kugomera, kana mutsipa. Kazhinji kazhinji kathetta mbiri kana matatu dzinoshandiswa, uye dzinogona kuiswa kubva kune imwe nzvimbo. Kushandisa fluoroscopy, iyo yakafanana ne-x-ray, catheters inopfuurira kuburikidza nemidziyo yeropa uye yakagadzirirwa munzvimbo dzakasiyana mukati memwoyo wako.
Kana imwe nguva yakagadzirirwa zvakakodzera, catheter ye electrode inoshandiswa kuita mabasa maviri makuru: kunyora zviratidzo zvemagetsi zvakagadzirwa nemoyo wako uye kufambisa mwoyo wako. Pacing inogadzirwa nokutumira zviduku zvemagetsi kuburikidza necatheter electrode. Nokunyora nekufambisa kubva panzvimbo dzakakosha mukati memwoyo wako, maitiro mazhinji emaridythmias emwoyo anogona kudzidziswa zvizere. Kana nzira yacho yapera, catheter (s) inobviswa. Kushambadzira kunodzorwa nekuisa kudzvinyirira panzvimbo ye catheterization kwemaminitsi makumi matatu nemakumi matanhatu.
Zvinoita: An EPS inogona kubatsira kuongorora mabhidhicardias ose (slow slow arrhythmias) uye tachycardias (nokukurumidza mwoyo arrhythmias). Tachycardias inoongororwa nekushandisa nzira dzakagadziridzwa dzakagadziriswa kuti dzitadze tachycardia. Kana tachycardias inogona kugadziriswa panguva yeEPS, zvino nokudzidza zviratidzo zvemagetsi zvakanyorwa kubva kumakateti e electrode, chikonzero chaiyo che tachycardia chinowanzozivikanwa. Kana izvi zvaitika, chirwere chakakodzera chinowanzojeka.
Kusarudza Kurapa: Pane nzira shomanana EPS inogona kukubatsira iwe nachiremba wako kuita zvisarudzo zveutano. Mishonga inogona kuongororwa maererano nemigumisiro yeEPS inosanganisira:
- Kuiswa kwechigadziro chemuviri: Kana EPS ichisimbisa kuvepo kwebradycardia inokosha, chigadziro che pacemaker chisingagumi chinowanzoiswa munguva pfupi, panguva imwecheteyo.
- Ablation: Kana supraventricular tachycardia (SVT) -uye mamwe maitiro e-ventricular tachycardia (VT) -akawanikwa, kubuda kwemafirimu kunowanzorapwa. Nzira yekugadzirisa inowanzoitwa panguva imwecheteyo, pakarepo inotevera EPS.
- Kuiswa kwezvinokonzerwa nemudziyo unogadziriswa: Kana mafambiro eV VT uye / kana ventricular fibrillation (VF) anozivikanwa panguva yeEPS, kazhinji kacho kushandiswa kunogadziriswa kunogadziriswa ndiko kurapa kusarudzwa. Izvi zvinogona kuwanzoiswa mu laboratori ye EP, pakarepo inotevera EPS. Mumakore apfuura, EPS yakashandiswa kuzivisa zvakanakisisa zvinorwisa zvirongwa zvevarwere vane VT kana VF, asi nhasi inozivikanwa kuti hapana anti-arrhythmic mishonga inobudirira seyo inogadziriswa defibrillator mukudzivirira kufa kwechimbichimbi kubva kune aya arrhythmias.
Ngozi: Ngozi dzinogona kuva neEPS dzakafanana neyekushaya catheterization yemwoyo. Aya maitiro haasi akachengeteka, asi nekuda kwekuvhiringidza nzira dzinosanganisira moyo, zvinetso zvakawanda zvinokwanisika. Iwe haufaniri kuva neEPS kunze kwekunge kune mukana wakajeka wekuti ruzivo rwakagadzirirwa kubva pane urongwa huchava hwekubatsira zvikuru.
Zvinetso zviduku zvinosanganisira kubuda ropa pamusana wekanyorwa kuiswa, kushungurudzika kwepfungwa kwemwoyo kunokonzerwa ne catheter inogumbura mwoyo wemusana, uye kuchinja kwenguva pfupi muropa reropa. Zvimwe zvinetso zvakakosha zvinosanganisira kukanganiswa kwepfungwa yemwoyo inokonzera chirwere chinopisa upenyu chinonzi tamponade yemwoyo , kubuda ropa rose, kana, nokuti zvinogona kuurayisa zvirongwa zvinokonzerwa, kusungwa kwemwoyo. Ngozi yekufa panguva yeEPS inopfuura 1 mu1000.
> Sources:
> American Heart Association. Miedzo Yakajairika yeArrhythmia. Yakavandudzwa musi waDecember 21, 2016.
> Fung E, Järvelin MR, Doshi RN, et al. Electrocardiographic Patch Devices uye Contemporary Wireless Cardiac Monitoring. Miganhu muPhysiology . 2015; 6: 149. doi: 10.3389 / fphys.2015.00149.
> Levy S. Arrhythmia Mutungamiri weChita Chiremba Mukuru. Kusvika pari zvino. Yakapedzwa musi waApril 17, 2017.
> Mayo Clinic Staff. Heart Arrhythmias. Mayo Clinic. Yakapedzwa musi waDecember 27, 2017.