Inonyanya Kuwirirana Rudzi rweCardiac Arrhythmia
Kutanga kushandiswa kweatrial, kana kuti PACs, "kuwedzera" kwepfungwa dzinomuka mukati meatria yemwoyo. PACs ndiyo yakasiyana-siyana yakasiyana-siyana yemagodhi arrhythmia . Kutaura zvazviri, PACs dzakawanda zvokuti vanhu vazhinji vanozove nazvo pane dzimwe nguva.
The Normal Heart Rhythm
Iyo yakagadzirwa nemwoyo yakagadzikana inotungamirirwa nechinyorwa chiduku chinonzi sinus node, iyo iri pedyo nepamusoro pemwoyo yakarurama atrium.
Node ye sinus inoumba chiratidzo chegetsi chinotanga kushaya mwoyo uye chinodzora chiyero chemwoyo.
Kazhinji, node ye "sinus" inokonzera "kusununguka" mafungiro aya emagetsi pakati pe50 ne90 pane imwe nguva pazororo. Apo mwoyo wemunhu rhythm iri kutungamirirwa nehutachiona chechivi mumutambo uyu wakajairika, vanachiremba vanowanzoidzaidza kuti "chimiro chechimiro chetsika."
Chii Chinokonzera PAC?
PACs dzinokurumidza (kureva, nguva isati yasvika) mafungiro emagetsi anokonzerwa mukati memwoyo weAria, asi kwete kubva munharaunda ye sinus. PACs inopedzisira ichivhiringidza sinus rhythm yakajairika nekuisa "kuwedzera" kwemwoyo. Nemhaka yokuti PAC inokwanisa "kugadzirisa" nhengo ye sinus, kazhinji kazhinji pfupi pfupi mushure mokunge mwoyo unotevera unowanikwa. Saka maPAC anowanzoonekwa se "kuruka" mumoyo.
Kana wakamboudzwa kuti une PACs, unogona kuva nechokwadi chokuti iwe uri muzhinji. Anenge munhu wose anezvo.
Mune rumwe ruzivo rwevanhu vanopfuura 1700 vane utano hwakanaka, 99% vaiva nePAC imwe chete mumaawa makumi maviri nemasere ekutarisa mwoyo.
Zvakakosha Ndezvipi?
PAC dzinowanzove nehuwandu hwehutano hushoma, uye dzinoonekwa (zvakakodzera) nevechiremba vakawanda sekusiyana kwe "zvakajairika."
Zvisinei, mumakore achangobva kupfuura, vanachiremba vakadzidza kuti PACs inogona kuva yakakosha kune vanhu vane zvikamu zvehutachiona hwehutachiona .
Mune vamwe vanhu vane atrial fibrillation, PAC inofungidzirwa kuti inotanga zvikamu zvechirongwa ichi. Nokuda kwechikonzero ichi, dzimwe nzira dzekubhadhara dzinoshandiswa pakurapa friction friria inotarisirwa kubvisa PACs.
Zvisinei, zvinoramba zvichiri chokwadi kuti muhuwandu hwevanhu vane, PAC hadzina hunozivikanwa hwehutano hwehutano uye haisati yambozivikanwa ngozi.
Zviratidzo NePACs
Nenzira inofadza (vachifunga kuti yakanyanya kufanana), mumuzhinji rwevanhu PACs hadzikonzeri zviratidzo zvachose.
Kunyange zvakadaro, vamwe vanhu vachabatwa nemapapa , mune izvo zviitiko ivo vanowanzotsanangura "kusvetuka" kunzwa, kana kurohwa kwemoyo kusinganzwisisiki. Kuwana palpitations nePACs zvinowanzoitika mushure mekudhakwa doro, fodya, caffeine, kana mishonga ine zvinokurudzira.
Kurapa PACs
Kunze kwekuti PAC dzomunhu dzichifungidzirwa kuti dziri kukonzera zvikamu zvehutachiona hwehutachiona, zvinenge zvisingamboiti "zvakafanira" kuti zvirape.
Zvisinei, pane dzimwe nguva munhu achawana marapiti asingagoneki kubva kuPACs, uye kurapa kuchava kunoda. Nzira yakanakisisa yekurapa PAC ndeyokudzivisa zvinhu (doro, caffeine, fodya, nezvimwewo) zvinoratidzika kuti zviratidzo zvinowedzera.
Kazhinji, iyo PACs inokanganisa hupenyu hwomunhu zvokuti zvingakosha kuedza kuvadzivisa.
Beta blockers inogona kubatsira kuderedza zviratidzo zvePAC mune vamwe vanhu, uye inowanzotaurirwa sechinhu chekutanga apo kurapwa kunonzi kudikanwa. Antiarrhythmic zvinodhaka zvinogona kubudirira mukuderedza PACs, asi mishonga iyi inowanzova yakanyanyisa uye haina kukurudzirwa yePACs kunze kwekuti ichikonzera zvirwere zvakanyanya uye zvisingaregi.
Kubvisa nzvimbo dzeAria dziri kubudisa PACs zvino zvigoneka, asi nzira iyi yekurapa inoparadza uye inoisa mungozi yezvinetso zvakakomba.
Ablating PACs inogara ichichengetwa kune avo varwere umo maPACs ari kukonzera zvirwere zvakanyanya zvikuru, zvakadai seanrialrifrillation.
Shoko Rinobva
PACs zvakajairika, uye dzinogara dziine simba-saka kunze kwekunge pane chikonzero chakanakisisa chekuita zvakasadaro, nekurapa kwakanakisisa ndiko kuvasiya ivo voga.
Saka kana uine PACs iri kubudisa mapapiro, iwe unoda kuva nehurukuro refu nechiremba wako usati wabvumirana kune chero mushonga unotyisa kupfuura mararamiro ehupenyu.
> Sources:
> Brooks AG, Rangnekar G, Ganesan AN, et al. Zviratidzo zveEctopic Zvinoshamwaridzana Zvinosanganiswa neParoxysmal uye Inopfurikidza Fibrillation yeAria: Uchapupu hweKushandura Basa. Heart Rhythm 2012; 9: 1367.
> Chong BH, Pong V, Lam KF, et al. Kakawanda Pamberi peAtrial Complexes Chifanotanga Kuitika Kwitsva kweAtrial Fibrillation uye Zvakaipa Mwoyo Yezviitiko. Europace 2012; 14: 942.
> Conen D, Adam M, Roche F, et al. Kupera kwepakutanga kweAtrial muGeneral Population: Frequency uye Risk Factors. Circulation 2012; 126: 2302.