Cudurka neef-qabadka ee "Ventricular carachardia" waa xummad wadnaha oo degdeg ah oo asal ahaan ka soo baxa garaaca wadnaha. Mararka qaarkood, dadku waxay u dulqaataan daaweynta dhirikada (ventrovirus) oo leh calaamado yar yar. Haseyeeshe, sida caadiga ah arrin-taani waxay soo saartaa is-baddashad weyn, madax- wareer daran, isku-dhafnaan (miyir beelid), ama xitaa wadno-qabasho iyo dhimasho deg-deg ah.
Calaamadahan waxaa ka mid ah sababtoo ah taakulo-gardaro-xanuun (trichycardia) ayaa carqaladeeya awoodda wadnaha si loo taabto si waxtar leh.
Ficilka bam-celinta ee wadnaha ayaa ka sii daraya inta lagu gudajirayo daaweynta qalabixinta laba sababood. Marka hore, heerka garaaca wadnaha inta lagu gudajiro qalabka isdifaaca waxaa laga yaabaa inuu noqdo mid deg deg ah (badanaa, ka weyn 180 ama 200 garaaca daqiiqadii) si loo yareeyo waxtarka wadnaha. Second, tachycardia xannibmuhu waxay burburin kartaa qandho caadi ah, si habeysan, iskuxirid murqaha muruqa wadnaha. Labadan arrimood ee wada jirka ah waxay badanaa sameeyaan qalabka daaweynta lugta ah ee qalabixinta gaar ahaan khatarta wadnaha.
Maxaa keena Tachycardia Ventricular?
Waqtiga intiisa badan, taakawidhikada dhuunta ayaa xoojinaysa natiijada ka iman karta xanuunka wadnaha oo hoosta ka soo gaarta dhaawaca muruqa neefsiga - badanaaba, cudurka wadnaha (coronary artery disease) (CAD) ama wadnaha oo aan shaqeynin . Murqaha wadnaha oo daciif ah iyo murugo ayaa u muuqda in uu soo saaro wareegyo yar oo koronto oo ku jira muruqa wadnaha, xawaaraha kaas oo sababi kara " tachycardia ". Markaa badi waqtiga taakulo-gardarrada ayaa ah nooc ka mid ah taakulo-mareenada .
Xaqiiqdii, khatarta ah in la soo saaro qalabka daaweynta xinjirta ayaa lagu saadaaliyay xaddiga dhaawaca soo gaaray muruqa neefsiga - dhaawaca ka sii badan, khatarta uu ku dhici karo arrinkiisa.
Habka ugu fiican ee lagu qiyaaso qiyaasta dhaawaca muruqyada wadnaha waa in la cabbiro jajabyada xuubka bidix ee bidix.
Hoosudhaca jajabka ee jajabyada , khatarta ugu badan ee muruqyada iyo khatarta sare ee khatarta qaadista daaweynta taakulada.
Inta badan sida caadiga ah, tachycardia ayaa lagu arki karaa dadka dhalinyarada ah ee u muuqda kuwo caafimaad qaba oo aan lahayn CAD ama wadnaha oo aan shaqeynin. Waqtiga ugu badan ee arimahaani waxay sababaan dhibaatooyin dhalasho iyo mid hidde ah, oo ay ka mid yihiin:
- Cudurka muddada dheer ee QT
- Isku-qabsashada dhirta "monomorphic tachycardia" (RMVT)
- Cudurka wadnaha ee xididada dhiig-mareenka (ARVC)
- catecholamine-sensitive polymorphic tachycardia (CPVT)
- Cudurka Brugada
Sidee loo daaweeyaa Tachycardia Ventricular?
Xaaladaha degdega ah ee joogtada ah (oo ah, dheeraaday) taakawidhiyada faafa ee caadiga ah ayaa badanaa ah xaalado caafimaad oo degdeg ah. Haddii la xiro wadnaha wadnaha, markaa waa in si deg-deg ah loo qaadaa tallaabooyinka dib-u-kicinta wadnaha (CPR).
Haddii qofku ku adkeysto taakulo-gardaro-xanuun maskaxda ah waa feejignaan oo soo-jeedo oo haddii kale ay xasilloonaato, ka dibna waxaa la qaadi karaa tallaabooyin dheeraad ah oo ula kac ah. Tusaale ahaan, arrinjinta waxaa badanaa la joojin karaa iyada oo la keeno daawooyinka xididka, sida lidocaine. Ama bukaanku waa la quudin karaa waxaana la siin karaa shoog koronto si uu u joojiyo arfaxanka, habka loo yaqaan "cardioversion."
Kadib markii ay dhacdo ba'an oo ah xanuunka qalliinka wadnaha iyo xididdada wadnaha ayaa istaagay, wadna garaaca wadnaha oo caadi ah, dhibaatadu waxay ka hortagtaa xaaladaha mustaqbalka. Tani waa tallaabo muhiim ah tan iyo markii uu qofku yeeshay episodesaal xanuun joojiye ah oo joogta ah, khatarta ah in uu mar kale dhaco sanadka soo socda ama labaduba waa mid aad u sarreeya - marxaladaha soo noqnoqda waxay noqon karaan nolol halis ah.
Tallaabada ugu horreysa ee ka hortagga celinta cudurrada faafa ee soo noqnoqda ayaa ah inay si buuxda u qiimeeyaan oo u daweeyaan cudurka wadnaha ee hoosta ka ah. Kiisaska intooda badan, tani macnaheedu waa in la isticmaalo daaweynta habboon ee CAD ama wadnaha wadnaha (ama labadaba).
Nasiib darro, xitaa haddii daaweynta cudurada wadnaha ee hooseeya, khatarta ah in gawaarida loo yaqaan 'tachycardia' ayaa caadi ahaan sareysa, sidaa daraadeed, sidaas daraadeed, khatarta ah in la xiro wadnaha wadnaha iyo geerida lama filaanka ah - sidaas awgeed tallaabooyin kale ayaa loo baahan yahay in la qaado.
Marmarka qaarkood daawooyinka antiarrhythmic ayaa ka caawin kara kahortagga tachycardia ku soo noqnoqonaysa fayruuska, laakiin nasiib daro, daroogooyinkaas badanaa si fiican uma shaqeeyaan. Mararka qaarkood, wareegga wareegga ee soo saarista tarjumida tarjumida ayaa lagu xakameyn karaa kadibna la duubi karaa , laakiin marka la eego bukaanka badankooda leh dhakhtarka supraventricular taachycardias ) waa tan marka laga reebo xeerka.
Sababahan dartood, waa in si weyn loo tixgeliyaa dadka nabarada lagu naafeyn karo ee loo yaqaan 'impibrillable implants' dadka badankood ee ka badbaaday cudurrada taakulada ee joogtada ah.
Ilaha:
Zipes, DP, Camm, AJ, Borggrefe, M, et al. ACC / AHA / ESC 2006 Tilmaamaha Maareynta Bukaanka Qalabka Cadaadiska ah iyo Ka Hortagga Dhimashada Wadnaha Dareemka-Soo koobista Warbixinta Warbixinta Kuliyada Bukaanka ee Wadnaha ee Wadnaha / American Heart Association Task Force iyo Guddiga Yurub ee Wadnaha Wadnaha ee Tilmaamaha Tababarka (Qorista Guddiga Horumarinta Tilmaamaha Maareynta Bukaanka leh Dhexdhexaadinta Ventricis iyo Ka Hortagga Dhimashada Wadnaha Dareenka ah). J Am Coll Cardiol 2006; 48: 1064.