Kupindira kunogona kuitwa pane imwe nzvimbo yekunze, cardioversion yemagetsi inobatsira kudzorera kugadzikana kwemwoyo kune vanhu vanotambura nedzimwe arrhythmias. Chiito ichi chinoitika sei uye ndeipi miganhu yacho?

Electrical cardioversion (CVE) inzira yakapusa yekurapa inodzoreredza moyo wakajairika muvanhu vane mutinhimira usiri wenguva dzose (arrhythmia) unoramba uripo kunyangwe kurapa kwakaringana kwezvinodhaka. Inonziwo kushandiswa kwe "direct current" kana "DC current" yemagetsi cardioversion. Electrical cardioversion yakafanana nedefibrillation, asi inoshandisa magetsi mashoma.

chimbichimbi

Electrical cardioversion is a absolute life-saving emergency emergency kuitira kumisa kusingatsigirwe ventricular fibrillation kana ventricular tachycardia inokonzera kusungwa kwemoyo. Kupona uye mhedzisiro yekusungwa kwemoyo wakadaro zvinoenderana nekuti cardioversion inokurumidza sei. Munzvimbo dzevanhu vose, muzvipatara, uyewo muzvikamu zvekukurumidzira (vanodzima moto, ambulensi mabasa, nezvimwewo), semi-automatic defibrillators (DSA) inoita kuti zvibvirire kuderedza kunonoka.

Kunze kwechimbichimbi

Zvino inyaya yekurapa dambudziko kuti ripere. Chisarudzo chekuzadzisa kushamiswa kwemagetsi kwakadaro kune munhu wose.

Mazhinji emagetsi cardioversions anonangwa kune vanhu vane kurwadziwa:

• Kuenderera mberi kweatrial fibrillation. Atrial fibrillation haityisi hupenyu hwemurwere, asi inogona kukanganisa kupomba kwemoyo uye kukonzeresa kurova kusingaite kana kukurumidza;
• Rhythm kukanganisa mumakamuri epamusoro (atria) yemoyo. 

Electrical cardioversion inoitwa munzvimbo yechipatara. Iyi inzira yakafanorongwa. Kurapa kunoitwa pachipatara chekunze uye munhu anofanira kunge achitsanya uye asingabvumirwe kutyaira mushure mekuongororwa.

Heano matanho:

• Mukoti anoisa zvigamba zvihombe zvakati wandei zvinonzi maelectrodes pambabvu yemurwere kana chimwe pachipfuva uye chimwe kumusana. Iyo electrodes ichabatanidzwa kune cardioversion device (defibrillator) uchishandisa waya. Iyo defibrillator ichanyora kurova kwemoyo mukati mekuita;
• Chiyero chakafanotemerwa chesimba kana simba remagetsi rinotakurwa nemagetsi kuburikidza nemuviri, kumoyo;
• Pamberi pekuvhundutsa kusati kwaendeswa, muchidimbu general anesthesia inoitwa kuitira kuti urege kunzwa kurwadziwa kunokonzerwa nekuputika paganda rechipfuva;
• Kubuda kwesimba uku kunoita kuti mwoyo usvetuke, unovhiringa atrium fibrillation, uye kudzoreredza mutinhimira wemwoyo wenguva dzose.

Kudzokororwa kwemagetsi emagetsi mumunhu mumwe chete kunogoneka uye hakuisi chero njodzi. Nekune rimwe divi, kuita zvekuvhunduka kwakawanda kungave chiratidzo chekuti kuchengetwa kwevarwere vekunze hakuna kukwana uye kuti mamwe matanho anodiwa kuti azvidzivirire.

Kune vanhu vazhinji, yemagetsi cardioversion ndiyo inokurumidza uye inoshanda nzira yeku:

• Kurapa zviratidzo zvinosangana nearrhythmia (palpitations pakuzorora kana pakushanda, kupfupika kwekufema pakushanda, kana kunyange kukundikana kwemoyo kana angina). Iyi kudzoka kune sinus rhythm haisi "chisungo" kunze kwekuti cardioversion inongogadzirirwa kubvisa zviratidzo izvi;
• Kudzoreredza rhythm yemoyo nguva dzose;
• Kumisa chero arrhythmia inoenderera. 

Chiyero chekubudirira chakaderera kana arrhythmia yakwegura. Pasinei nekubudirira kwekuvhundutsa kunowanikwa, zvinokwanisika kudzokorora nzira nokuti magetsi cardioversion inongodzorera chete rhythm yakajairika uye haina basa rekudzivirira maererano nekukwanisa kudzokorora. Ichi ndicho chikonzero chekuwedzera antiarrhythmic mushonga kurapwa kuchiwanzodikanwa uye kunovimbisa zvakanyanya sezvinobvira basa iri rekudzivirira kudzokazve. 

Radiofrequency kana cryotherapy ablation inogona kutariswa, asi ichakurukurwa zvichienderana nemunhu uye chirwere chemoyo wavo.

Nokudaro, nguva yekugadzikana kweiyo rhythm yakajairika inobva kune iyo inobva kune imwe neimwe, maererano nenjodzi dzekudzokazve.

Matambudziko kubva kumagetsi ecardioversion haawanzo uye vanachiremba vanogona kutora matanho ekudzikisa.

Magwamba eropa akadzingwa

Electrical cardioversion inogona kukonzera kuvhara kweropa kune dzimwe nzvimbo dzemuviri uye izvi zvinogona kutungamirira kumatambudziko anotyisa. Kuti udzivise dambudziko iri, anticoagulant therapy inorayirwa mavhiki matatu isati yaitwa uye echocardiography cheki inogonawo kuitwa. Kana iyi anticoagulation isingagutsi, nzira yacho inogona kumbomiswa.

Abnormal heart beat

Munguva kana mushure mekuita, vamwe vanhu vanokonzera mamwe matambudziko nemwoyo rhythm. Icho chinetso chisingawanzoitiki kuti, kana chikaitika, kazhinji hachioneki kusvika maminetsi mashomanana mushure memagetsi emagetsi. Kuti ugadzirise dambudziko racho, chiremba wako anogona kukupa mumwe mushonga kana kuvhunduka.     

Ganda rinotsva

Pakaiswa ma electrode, vamwe vanhu vanogona kunge vaine ganda rinotsva. Vakadzi vane pamuviri vanogona kuita cardioversion. Zvinongokurudzirwa kutarisa kurova kwemwoyo wemwana panguva yekuita.