Hanyoyi na dawo da bugun zuciya na zuciya: cardioversion na lantarki

By Cristiano Antonino On Feb 20, 2023

Electrical cardioversion, CVE, hanya ce ta warkewa da ake amfani da ita don dawo da bugun zuciya na yau da kullun a cikin marasa lafiya da ke fama da fibrillation na atrial, flutter ko tachycardia kuma wanda cardioversion pharmacological bai yi tasiri ba.

Lantarki cardioversion - lokacin da ake bukata

Mafi yawan abin da ke haifar da irin wannan rashin daidaituwa shine cututtukan zuciya; wani lokaci majiyyaci yakan gane canjin, amma sau da yawa kawai yana lura da sakamakonsa, kamar bugun zuciya, rauni, dizziness, suma da asthenia.

Yawan bugun zuciya da waɗannan arrhythmias ke haifarwa yana lalata tsokar zuciya kamar yadda, idan ya dage, yana haifar da raguwar aikin kwangila da raguwa a cikin juzu'in fitarwa; wani juzu'i na fitarwa wanda ke ba mu damar tantance tasirin aikin famfo na zuciya kuma yana da kyau mai nuna alamar rashin ƙarfi na zuciya.

A cikin yanayin fibrillation, rashin raguwa a cikin atria yana haifar da mummunan zagayawa na jini a cikin cavities na zuciya, kuma a cikin arrhythmias wanda ya wuce fiye da sa'o'i 48, thrombi na iya samuwa a wasu sassa na atrium; thrombi wanda zai iya gutsuttsura da watsewa a cikin jijiyoyin jini bayan sake dawowar kwangilar atrial, haifar da bugun jini da/ko embolisms.

Daidaitaccen anamnesis akan lokacin fara bayyanar cututtuka yana taka muhimmiyar rawa akan maganin da za a karɓa; idan fiye da sa'o'i 48 sun wuce daga farkon bayyanar cututtuka, wajibi ne a gudanar da wani lokaci na maganin rigakafi a karshen wanda za'a iya gudanar da aikin motsa jiki na lantarki cikin aminci, don haka rage haɗarin zuciya-embolic.

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Akwai nau'i biyu na cardioversion, lantarki cardioversion da pharmacological cardioversion

Cardioversion na lantarki yana amfani da girgiza wutar lantarki da aka yi ta defibrillator kuma ana watsa shi ga majiyyaci ta hanyar na'urorin lantarki da aka shafa a kirji.

Pharmacological cardioversion, a daya bangaren, ya shafi gudanar da takamaiman anti-arrhythmic kwayoyi.

Cardioversion yawanci magani ne da aka tsara, wanda ke faruwa a cibiyar asibiti, amma ba tare da asibiti ba.

A gaskiya ma, a ƙarshen jiyya, idan komai ya tafi daidai, an riga an sallami mai haƙuri kuma ya koma gida.

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Ana iya jure bugun zuciya na lantarki gabaɗaya har ma da tsofaffi marasa lafiya kuma ba shi da haɗari

Ba a hana shi a cikin marasa lafiya tare da na'urorin bugun zuciya ko na'urorin da za a iya dasa su ba.

Contraindications suna da alaka da cikakken maganin sa barci da ake bukata na waje lantarki cardioversion, domin ya kare mai haƙuri zafi da kuma ji na lantarki girgiza zuciya.

Haɗarin hanya ba su da ƙanƙanta da rikitarwa masu wuya; yana iya haifar da konewar fata a wurin da ake amfani da na'urorin lantarki a yanayin bugun jini na waje da kuma rage hawan jini na wucin gadi.

Ƙauyen zuciya mara kyau na iya faruwa bayan jiyya.

Idan thrombi ya kasance a cikin hagu na atrium na zuciya, za su iya rabuwa da motsawa zuwa wasu gundumomi bayan girgiza, haifar da embolism.

A saboda wannan dalili, lantarki cardioversion an riga an yi amfani da transesophageal echocardiogram da far tare da anticoagulant kwayoyi.

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Yin Lantarki Cardioversion

Jadawalin cardioversion na lantarki hanya ce da ke buƙatar shiga Asibitin Rana.

Kafin yin cardioversion na lantarki, likitan zuciyar ya sanar da mai haƙuri game da hanya kuma ya fara shirye-shiryen bayan sanya hannu kan izinin da aka sanar.

Don kauce wa ɓacin rai da ke haifar da fitarwa na lantarki, za a yi tada hankali mai zurfi tare da masu amfani da hypnoinducers, kuma a wasu lokuta, da aka ba da amfani da takamaiman kwayoyi, za a kira likitan anesthetist a ciki.

Cardioversion na lantarki ya haɗa da isar da girgizar lantarki tare da defibrillator ta hanyar faranti guda biyu na ƙarfe da aka sanya akan ƙirjin mai haƙuri; waɗannan faranti suna a matsayi: subclavear dama - hagu apical ko antero-baya.

Da zarar an kafa sedation, likitan zuciya, yana daidaita kansa bisa ga nauyin mai haƙuri, zai zaɓi makamashin da ya dace kuma ya daidaita isar da girgiza tare da yanayin electrocardiogram; Dole ne a yi girgizar a kan kololuwar R domin idan ya faru a kan igiyar T zai iya haifar da farawar arrhythmias mara kyau.

Bayan tabbatar da mahimman sigogi, likita ya ci gaba don isar da girgiza; idan ba a maido da rhythm ta girgiza ta farko ba, ana iya maimaita girgiza har uku ta hanyar ƙara joules a hankali.

Wutar wutar lantarki yana haifar da ƙanƙara kai tsaye na sel myocardial ta hanyar sake saita da'irori mara kyau, yana ba da damar maido da rhythm na sinus.

Mayar da bugun zuciya na al'ada yana faruwa a cikin 75-90% na lokuta a farkon farkon fibrillation na kwanan nan da 90-100% a lokuta na flutter arrhythmia.

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Tada majiyyaci ta hanyar lura da mahimman sigoginsa

Samun kwanciyar hankali bayan bugun zuciya na lantarki baya buƙatar kowane taka tsantsan na musamman kuma zaku iya komawa ayyukanku na yau da kullun bayan sa'o'i 24, sai dai idan likitanku ya nuna in ba haka ba.

Wajibi ne a bi ka'idodin kulawa da aka tsara a hankali, zama magungunan anticoagulant da, idan ya cancanta, magungunan anti-arrhythmic.

Don guje wa sake dawowa, yana da amfani a rungumi salon rayuwa mai kyau: rage damuwa gwargwadon yiwuwar, kawar da shan taba da barasa, da kuma kula da motsa jiki na yau da kullum.