Ciwon sinus na rashin lafiya

A yadda aka saba, bugun zuciya na farawa ne a wani yanki a cikin manyan ɗakunan zuciya (atria). Wannan yankin zuciyar zuciya ce. Ana kiran shi mahaukacin sinoatrial, sinus node ko SA node. Matsayinta shine kiyaye zuciya bugawa akoda yaushe.

Ciwon sinus na rashin lafiya rukuni ne na matsalolin zafin zuciya saboda matsaloli tare da kumburi na sinus, kamar su:

• Bugun bugun zuciya ya yi jinkiri, ana kiransa sinus bradycardia
• Bugun zuciya ya tsaya ko tsayawa, wanda ake kira ɗan dakatarwar sinus ko kamuwa da sinus
• Aukuwa na saurin bugun zuciya
• Hyarƙwarar zuciya mai saurin canzawa tare da saurin zuciya mai sauri, wanda ake kira bradycardia-tachycardia ko "tachy-brady syndrome"

Ciwon sinus na rashin lafiya galibi yana faruwa ne a cikin mutanen da suka girmi shekaru 50. Sau da yawa saboda rauni mai kama da tabo ga hanyoyin lantarki a cikin ƙwayar tsokawar zuciya.

A cikin yara, tiyatar zuciya a ɗakunan sama babban sanadin cututtukan sinus ne.

Cututtukan zuciya na zuciya, cutar hawan jini, da cututtukan bawul na aortic da mitral na iya faruwa tare da ciwo na sinus na rashin lafiya. Koyaya, waɗannan cututtukan na iya zama ba su da alaƙa da ciwo.

Ciwon sinus na rashin lafiya baƙon abu bane, amma ba kasada bane. Wannan shine mafi mahimmanci dalilin da yasa mutane suke buƙatar a dasa kayan bugun zuciya. Sinus bradycardia yana faruwa sau da yawa fiye da sauran nau'in yanayin.

Tachycardias (saurin zuciya) wanda ke farawa a cikin ɗakunan sama na zuciya na iya zama ɓangare na ciwo. Wadannan sun hada da fibrillation na atrial, atrial flutter, atrial tachycardia. Lokaci na saurin saurin zuciya yawanci yana biye da saurin bugun zuciya sosai. Lokacin da akwai lokuta na saurin zuciya da sauri (rhythms) yanayin sau da yawa za'a kira shi tachy-brady syndrome.

Wasu magunguna na iya haifar da rikicewar rikicewar zuciya, musamman ma lokacin da allurai suka yi yawa. Waɗannan sun haɗa da dijital, masu toshe tashar calcium, beta-blockers, da antiarrhythmics.

Yawancin lokaci, babu alamun bayyanar.

Kwayar cutar da ke faruwa na iya yin kama da ta sauran cuta.

Kwayar cutar na iya haɗawa da:

• Ciwon kirji ko angina
• Rikicewa ko wasu canje-canje a cikin halin tunani
• Sumewa ko kusan suma
• Gajiya
• Dizziness ko lightheadedness
• Jin azancin bugun zuciya (bugun zuciya)
• Breatharancin numfashi, mai yiwuwa ne kawai tare da motsa jiki kamar tafiya

Zuciyar zuciya na iya zama mai saurin gaske a kowane lokaci. Ruwan jini na iya zama al'ada ko ƙasa.

Ciwon cututtukan sinus na iya haifar da alamun rashin nasarar zuciya don farawa ko muni. Ana bincikar cututtukan ƙwayar cuta lokacin da alamun ya faru ne kawai a yayin yanayin arrhythmia. Koyaya, mahaɗin yana da wuyar tabbatarwa.

ECG na iya nuna rashin dacewar zuciya da ke da alaƙa da wannan ciwo.

Holter ko masu lura da kari na tsawon lokaci kayan aiki ne masu inganci don bincikar cututtukan sinus. Suna iya ɗaukar saurin jinkirin zuciya da jinkiri na dogon lokaci, tare da ɓangarorin atrial tachycardias. Ire-iren masu sanya idanu sun hada da masu lura da abubuwan da suka faru, rakoda masu madaukai, da wayar salula.

Nazarin ilimin kimiyyar cikin jiki (EPS) gwaji ne takamaimai na wannan cuta. Koyaya, ba koyaushe ake buƙata ba kuma maiyuwa bazai tabbatar da asalin cutar ba.

A wasu lokuta, ana lura da bugun zuciyar mutum yayin tafiya ko motsa jiki don ganin ya karu sosai.

Kila ba ku buƙatar magani idan ba ku da alamun bayyanar. Mai ba ku kiwon lafiya zai sake nazarin magungunan da kuka sha don tabbatar da cewa ba sa cutar da ku. Kada ka daina shan ko ɗaya daga cikin magungunan ka sai dai in mai ba da sabis ya gaya maka ka yi hakan.

Kuna iya buƙatar dasa bugun zuciya na dindindin idan alamun ku suna da alaƙa da bradycardia (jinkirin bugun zuciya).

Za'a iya bi da saurin zuciya (tachycardia) da magani. Wani lokaci, ana amfani da hanyar da ake kira cirewar yanayin yanayin rediyo don warkar da tachycardia.

A wasu lokuta, ana amfani da magungunan da ake amfani da su don sarrafa lokutan saurin bugun zuciya tare da amfani da na'urar bugun zuciya, wacce ke kiyaye lokaci na saurin bugun zuciya.

Ciwon yana ci gaba sau da yawa. Wannan yana nufin yana kara lalacewa akan lokaci a mafi yawan lokuta.

Hangen nesa na da kyau ga mutanen da aka dasa kayan bugun zuciya mai ɗorewa.

Matsaloli na iya haɗawa da:

• Angina
• Rage karfin motsa jiki
• Suma (syncope)
• Faduwa ko rauni da ya faru sakamakon suma
• Ajiyar zuciya
• Matalauta zuciya yin famfo

Kira mai ba ku sabis idan kuna da:

• Haskewar kai
• Sumewa
• Matsaloli
• Sauran alamun cutar

Kula da zuciyarka ta hanyar cin abinci mai kyau da motsa jiki na iya hana nau'o'in cututtukan zuciya da yawa.

Kuna iya buƙatar guje wa wasu nau'ikan magunguna. Yawancin lokuta, yanayin ba abin hanawa bane.

Ciwon Bradycardia-tachycardia; Sinus node dysfunction; Saurin zuciya - sinus na rashin lafiya; Ciwon Tachy-brady; Sinus ɗan hutu - rashin lafiya sinus; Sinus kama - rashin lafiya sinus

• Mai bugun zuciya - fitarwa

• Mai daukar ciki

Olgin JE, Zipes DP. Bradyarrhythmias da toshe hanya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald na Ciwon Zuciya: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: sura 40.

Zimetbaum P. raarfin ƙwaƙwalwar zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 58.