Xarumaha barmaamijka ee hore, ama PVCs, ayaa ka mid ah kuwa ugu badan ee wadnaha ku dhaca wadnaha . Nasiib darro, muhiimada ay leedahay caafimaadka - iyo marka daaweyntooda - badanaa ayaa ka dhaga-adeega dhakhaatiir iyo bukaano badan.
Haddii aad leedahay PVC, daaweyntaadu waxay ku xiran tahay jawaabta laba su'aalood:
Marka hore, miyaad qabtaa cudurka wadnaha ee hoose?
Iyo labaad, sidee ayay u yihiin calaamadaha ay soo bandhigeen PVC-yada?
Qodobka PVC-ga ayaa aad u khatar ah. Inkasta oo xisaabta PVC-ga ay la xiriirto khatarta sii kordheysa ee dhimashada, khatarta sii kordheysa waxay ugu wacan tahay jiritaanka wadno-xanuunka wadnaha iyo khatarta cudurada wadnaha . Qeybaha PVC-ga, guud ahaan, waxaa loo maleynayaa in ay si weyn u macaamilaan.
Ujeeddada Daaweynta Hore - Yaree Khatarta Wadnaha
Sababtoo ah PVCs badanaa waxay la xiriiraan cudurrada wadnaha ee hoosta ka ah, dhakhtarkaagu waa inuu sameeyaa qiimeyn wadnaha ah markuu isagu ama iyadu marka hore ogaado.
Haddii ay soo baxdo in aad qabtid cudurka wadnaha, daaweyn ku filan oo ku saabsan xaaladdaada wadnaha wuxuu badanaaba ka tirtiri doonaa ama yareyn doonaa inta jeer ee PVC-yada. Tani waxay si gaar ah run u tahay haddii aad qabtid cudur halbowlaha ah (CAD) ama wadnaha oo aan shaqeynin .
Qaar ka mid ah shakhsiyaadka naadirka ah, PVC-yada aadka u badan ayaa haatan loo maleynayaa inay mas'uul ka yihiin soo saarista wadnaha ( wadnaha oo daciif ah).
Sidaa darteed, haddii aan la ogaan karin kiniiniga wadatashiga ee aan la ogaan karin marka ay joogaan PVC-yada aadka u badan, waxaa laga yaabaa inay caawinto daaweynta PVC-yada si loo arko haddii daaweynta wadnaha iyo xididada ay fiicnayd.
Haddii uu dhakhtarkaagu dareemo inuu caafimaad qabo, taasi waa wax aad u fiican. Si kastaba ha ahaatee, PVCs waxay sidoo kale la xiriiraan dhowr arrimood oo halis ah CAD, gaar ahaan dhiig-karka .
Sidaas awgeed adiga iyo dhakhtarkaagu waa inay sameeyaan qiimeyn buuxda oo ku saabsan dhammaan khatarta cudurada wadnaha waxayna bilaabayaan barnaamijka gardarrada ah si loo xakameeyo. Marka lagu daro dhimista khatartaada CAD, dadaalkan waxaa laga yaabaa inuu si fiican u yareeyo PVC-gaaga.
Ujeeddada Daaweeynta Labaad - Yaree Calaamadaha
Nasiib wanaag, dadka badankooda leh PVC-yada "ma dareemayaan" iyaga oo dhan. Si kastaba ha noqotee, qaar waxay u arkaan in ay PVC-yahiin ay yihiin wax is-baddal ah , kuwaas oo inta badan ku tilmaamaan "boodbood" ama "looding" taas oo ka duwanaan karta wax-u-jiidashada si aad u dhib badan.
Marka, marka laga reebo samaynta qiimaynta cudurada wadnaha, mararka qaarkood waa lagama maarmaan in la tixgeliyo wax ka qabashada PVCs naftooda, si loo yareeyo calaamadaha.
Daaweynta PVCs waxay noqon laheyd mid fudud haddii aan haysanno daawooyinka antiarrhythmic (daawooyinka loo daweeyo qalabka wadnaha) ee labadoodaba ammaan iyo waxtar leh markii laga takhaluso PVCs. Nasiib darro, tani ma aha kiiska. Markaa go'aaminta in daaweynta PVCs, iyo sida loo daaweeyo, badanaa way ka adag tahay inta aad ka fekerayso.
Haddii aaladahaaga PVC-ga aysan keenin calaamadaha, ama haddii uu is-baddesho aanad dhib kuugu ahayn, waxa ugu fiican ee la sameeyo waa caadi ahaan inay iska tagaan iyaga.
Si kastaba ha noqotee, haddii PVC-yadaada ay sababaan is-baddal ku filan oo wax u dhimaya noloshaada, markaa adiga iyo dhakhtarkaagu waa inay ka doodaan doorashooyinka daaweynta PVC-ga.
Ugu horreyn, waa inaad isku daydaa inaad ka joojiso kaafeynta cuntadaada. Dadka dareenka leh, kafeyinka ayaa kordhin kara inta jeer ee PVC-yada. Isla arrimahan ayaa u socda badeecooyinka tubaakada iyo aalkolada - iyaga oo ka takhalusi kara cuntadaada.
Waxaa sidoo kale jira caddayn in jimicsi joogto ah ay hoos u dhigi karto garaaca. Sidaa darteed haddii aad uur leedahay, la hadal dhakhtarkaaga bilowga barnaamijka jimicsiga.
Haddii aad samaysay noocyada noocyada isbeddelka hab-nololeedyada oo wali la dhibto calaamadaha PVC-yada, adiga iyo dhakhtarkaagu waxaa laga yaabaa inaad doonaysid inaad tixgelisid tijaabo daaweynta daawada.
Haddii aad doorato daaweynta dawooyinka, caadi ahaan waa fikrad fiican inaad bilowdo tijaabo beta-blockers - daawooyinka ku adkaada saameynta adrenaline. Beta-blockers ma aha mid waxtar leh sida "dhabta ah" muqaadaraadka daawada ka hortagga ah ee lagu tirtirayo PVC-yada, laakiin guud ahaan waa ammaan waana caadi ahaan si u dulqaadan. Iyadoo laga yaabo in ay hoos u dhigaan PVC-yada naftooda, beta-blockers waxay ka shaqeeyaan sidii loo yareeyn lahaa calaamadaha PVC-yada.
Daawooyinka ka soo horjeeda antiarrhythmic inta badan ayaa si macquul ah waxtar u leh marka la xakameynayo PVCs. Si kastaba ha noqotee, daroogooyinkaasi waxay u nugul yahiin dhibaatooyin waaweyn. Madaxda iyaga ka mid ah ayaa u nugul inay keenaan "proarrhythmia" - taas oo ah, dhab ahaantii waxay dhalisay arrhythmias oo laga yaabo inay ka khatar badan yihiin PVC-yada. Proarrhythmia waxay si gaar ah ugu badan tahay dadka qaba wadno-xanuunka wadnaha, laakiin waxay ku dhici kartaa qof kasta. Waxaa intaa dheer, daroogo kasta oo antiarrhythmic ah wuxuu leeyahay profile gaar ah sunta taas oo ka dhigaysa fasalka this ee daroogada ka mid ah ugu sunta daawada loo isticmaalo.
Ugu dambeyntii, bukaanka ay PVC-yadu aad u dhib yar yihiin oo aan si ammaan ah loola dhaqmi karin isbeddelka hab-nololeedka ama daroogooyinka, waxaa laga yaabaa in suurtagal ah in dhakhtarka farsameedka uu daaweynayo daaweynta abortiska- korontada oo khariidad ku sameeynaya goobta soo saarta PVC-ga, kalkaaliyaha wadnaha.
Ereyga
Sababtoo ah PVCyadooda badanaaba maaha kuwo khatar ah, gardarrada ayaa lagu dabaqay daaweyntooda ay tahay inay ku saleysan tahay inta ay le'eg tahay PVC-yada ay carqaladeeyaan noloshaada. Inkasta oo ay nasiib u leedahay in PVCs-yadu caadiyan ay muujiyaan calaamado yaryar, xaqiiqadu maaha mid aad u badan haddii aad tahay mid ka mid ah nasiib daro kuwaas oo PVC-yada ay aad u dhib badan yihiin. Xaaladdan waxaad u baahan doontaa inaad heshid dhakhtar aqoon leh oo qiiro leh oo kaa caawin kara inaad marayso dhammaan doorashooyinka daweynta iyo inaad sameysid istaraatiijin kugu haboon.
> Ilo:
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> Zuchinali P, Ribeiro PA, Pimentel M, iyo al. Saameynta Caffeine oo ku saabsan Arthritis Ventricia: Dib u eegis nidaamsan iyo falanqayn farsamooyin ah oo ku saabsan Daraasadaha Cilmi-baarista iyo Daaweynta. Europace 2016; 18: 257.