Paroxysmal supraventricular tachycardia (PSVT)

Paroxysmal supraventricular tachycardia (PSVT) lokuta ne na saurin bugun zuciya wanda ke farawa a cikin wani ɓangare na zuciya sama da ƙasan. "Paroxysmal" na nufin daga lokaci zuwa lokaci.

A yadda aka saba, ɗakunan zuciya (atria da ventricles) suna kwangila cikin daidaitaccen tsari.

• Ana haifar da kwangilar ne ta hanyar siginar lantarki da ke farawa a wani yanki na zuciya da ake kira sinoatrial node (wanda kuma ake kira sinus node ko SA node).
• Sigin ɗin yana motsawa ta cikin ɗakunan zuciya na sama (atria) kuma yana gaya wa atria tayi kwanciya.
• Bayan wannan, siginar tana motsawa cikin zuciya kuma tana gaya wa ƙananan ɗakunan (ƙwararrun) su yi kwangila.

Saurin bugun zuciya daga PSVT na iya farawa tare da abubuwan da ke faruwa a yankuna na zuciya sama da ƙananan ɗakuna (ventricles).

Akwai takamaiman takamaiman abubuwan da ke haifar da PSVT. Zai iya haɓaka lokacin da allurai na maganin zuciya, dijital, suka yi yawa. Hakanan yana iya faruwa tare da yanayin da aka sani da ciwo na Wolff-Parkinson-White, wanda galibi ana ganinsa ga matasa da jarirai.

Wadannan suna kara haɗarin ku ga PSVT:

• Yin amfani da barasa
• Amfani da maganin kafeyin
• Amfani da miyagun ƙwayoyi
• Shan taba

Kwayar cutar galibi tana farawa da tsayawa ba zato ba tsammani. Suna iya wucewa na fewan mintoci ko awanni da yawa. Kwayar cutar na iya haɗawa da:

• Tashin hankali
• Matsan kirji
• Palpitations (abin jin daɗin jin bugun zuciya), sau da yawa tare da rashin tsari ko saurin gudu (tsere)
• Gudun bugun jini
• Rashin numfashi

Sauran alamun da zasu iya faruwa tare da wannan yanayin sun haɗa da:

• Dizziness
• Sumewa

Gwajin jiki yayin aikin PSVT zai nuna saurin bugun zuciya. Hakanan yana iya nuna bugun jini mai ƙarfi a cikin wuya.

Bugun zuciya na iya wucewa sama da 100, har ma sama da doke 250 a minti daya (bpm). A cikin yara, bugun zuciya yakan zama mai girma sosai. Zai yiwu a sami alamun rashin zagayawar jini irin su ciwon kai. Tsakanin sassan PSVT, bugun zuciya ya zama na al'ada (60 zuwa 100 bpm).

ECG yayin bayyanar cututtuka yana nuna PSVT. Za'a iya buƙatar nazarin ilimin ilimin halittu (EPS) don cikakken ganewar asali da kuma samun mafi kyawun magani.

Saboda PSVT yana zuwa kuma yana tafiya, don tantance shi mutane na iya buƙatar sanya saka idanu na 24-Holter. Na dogon lokaci, ana iya amfani da wani kaset na na'urar rikodin kari.

PSVT da ke faruwa sau ɗaya kawai a wani lokaci na iya buƙatar magani idan ba ku da alamomi ko wasu matsalolin zuciya.

Kuna iya gwada waɗannan dabaru masu zuwa don katse bugun zuciya mai sauri yayin wani abu na PSVT:

• Valsalva motsa jiki. Don yin wannan, ka riƙe numfashi da damuwa, kamar dai kana ƙoƙarin yin motsi ne.
• Tari yayin zama tare da lankwasa jikinka gaba.
• Fesa ruwan kankara a fuskarka

Ya kamata ku guji shan sigari, maganin kafeyin, barasa, da kuma haramtattun kwayoyi.

Maganin gaggawa don rage bugun zuciya zuwa al'ada zai iya haɗawa da:

• Cardioarfafa wutar lantarki, amfani da wutar lantarki
• Magunguna ta jijiya

Maganin dogon lokaci ga mutanen da ke maimaita abubuwan PSVT, ko kuma waɗanda ke da cututtukan zuciya, na iya haɗawa da:

• Rushewar zuciya, hanyar da ake amfani da ita don lalata ƙananan yankuna a cikin zuciyarku wanda ke iya haifar da bugun zuciya mai sauri (a halin yanzu maganin zaɓin mafi yawan PSVTs)
• Magungunan yau da kullun don hana maimaita abubuwan
• Masu shiryawa don kawar da bugun zuciya mai sauri (a wasu lokuta ana iya amfani da su ga yara tare da PSVT waɗanda ba su amsa wani magani ba)
• Yin aikin tiyata don canza hanyoyin cikin zuciya wanda ke aika siginonin lantarki (ana iya bada shawarar hakan a wasu yanayi ga mutanen da suke buƙatar sauran tiyatar zuciya)

PSVT gaba ɗaya baya barazanar rai. Idan wasu cututtukan zuciya sun kasance, zai iya haifar da gazawar zuciya ko angina.

Kira mai ba da sabis na kiwon lafiya idan:

• Kuna da jin cewa zuciyar ku tana bugawa da sauri kuma alamun ba sa ƙare da kansu cikin fewan mintoci kaɗan.
• Kuna da tarihin PSVT kuma wani abin da ya faru baya tafiya tare da motsa Valsalva ko ta tari.
• Kuna da wasu alamun bayyanar tare da saurin bugun zuciya.
• Kwayar cutar tana dawowa sau da yawa.
• Sabbin alamun ci gaba.

Yana da mahimmanci a tuntuɓi mai ba da sabis idan har da sauran matsalolin zuciya.

PSVT; Supraventricular tachycardia; Heartwayar zuciya mara kyau - PSVT; Arrhythmia - PSVT; Saurin bugun zuciya - PSVT; Saurin bugun zuciya - PSVT

• Gudanar da tsarin zuciya
• Mai kulawa da zuciya Holter

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