Achananan tachycardia

Ventricular tachycardia (VT) bugun zuciya ne mai sauri wanda ke farawa a ƙananan ɗakunan zuciya (ventricles).

VT ne bugun bugun jini fiye da 100 a kowane minti, tare da aƙalla bugun zuciya mara tsari 3 a jere.

Yanayin na iya bunkasa azaman farkon ko ƙarshen rikicewar bugun zuciya. Hakanan yana iya faruwa a cikin mutane tare da:

• Ciwon zuciya
• Ajiyar zuciya
• Yin tiyatar zuciya
• Ciwon ciki
• Ciwon zuciya na rashin lafiya

VT na iya faruwa ba tare da cututtukan zuciya ba.

Tissueananan rauni zai iya samuwa a cikin tsokar ranakun kwana, watanni, ko shekaru bayan ciwon zuciya. Wannan na iya haifar da tachycardia ta ventricular.

VT kuma ana iya haifar dashi ta:

• Magungunan anti-arrhythmic (ana amfani dasu don magance raunin zuciya mara kyau)
• Canje-canje a cikin ilmin sunadarai na jini (kamar ƙananan matakin potassium)
• Canje-canje a cikin pH (acid-base)
• Rashin isashshen oxygen

"Torsade de pointes" wani nau'i ne na VT. Sau da yawa yana faruwa ne saboda cututtukan zuciya na haihuwa ko amfani da wasu magunguna.

Kuna iya samun alamun bayyanar idan bugun zuciya yayin wani abu na VT yana da sauri sosai ko kuma ya daɗe fiye da secondsan daƙiƙoƙi. Kwayar cutar na iya haɗawa da:

• Ciwan kirji (angina)
• Suma (syncope)
• Fuskantar kai ko jiri
• Jin azancin bugun zuciya (bugun zuciya)
• Rashin numfashi

Bayyanar cututtuka na iya farawa da tsayawa ba zato ba tsammani. A wasu lokuta, babu alamun bayyanar.

Mai ba da sabis na kiwon lafiya zai nemi:

• Rashin bugun jini
• Rashin hankali
• Al'ada ko ƙananan jini
• Gudun bugun jini

Gwajin da za'a iya amfani dashi don gano tachycardia na ventricular sun hada da:

• Holter saka idanu
• ECG
• Nazarin ilimin electrophysiology na intracardiac (EPS)
• Kulawa na motsa jiki tare da rikodin madauki ko na'urar

Hakanan kuna iya samun magungunan jini da sauran gwaje-gwaje.

Magani ya danganta da alamomin, da kuma irin cututtukan zuciya.

Idan wani mai cutar VT yana cikin damuwa, zasu iya buƙatar:

• CPR
• Cardioversion (wutar lantarki)
• Magunguna (kamar lidocaine, procainamide, sotalol, ko amiodarone) ana bayarwa ta jijiya

Bayan wani labarin VT, ana ɗaukar matakai don ci gaba da aukuwa.

• Magungunan da aka sha ta bakin za a iya buƙatar magani na dogon lokaci. Koyaya, waɗannan kwayoyi na iya samun mummunan sakamako. Ana amfani dasu sau da yawa kamar yadda ake haɓaka wasu jiyya.
• Za a iya yin aikin lalata ƙwayoyin zuciya wanda ke haifar da bugun zuciya mara kyau (wanda ake kira cirewa).
• Za'a iya ba da shawarar mai ba da izini mai jujjuyawar zuciya (ICD). Na'ura ce da aka dasa wacce ke gano duk wata barazanar rai, saurin bugun zuciya. Wannan bugun zuciya mara kyau an kira shi arrhythmia. Idan hakan ta faru, ICD da sauri yakan tura girgizar lantarki zuwa zuciya don canza yanayin zuwa yadda yake. Wannan shi ake kira defibrillation.

Sakamakon ya dogara da yanayin zuciya da bayyanar cututtuka.

Achananan tachycardia na iya haifar da bayyanar cututtuka ga wasu mutane. Koyaya, yana iya mutuwa. Babban dalili ne na saurin mutuwar zuciya.

Jeka dakin gaggawa ko kira lambar gaggawa na cikin gida (kamar su 911) idan kana da sauri, bugun jini mara kyau, suma, ko ciwon kirji. Duk waɗannan na iya zama alamun tachycardia na ventricular.

A wasu lokuta, ba za a iya hana cutar ba. A wasu lokuta, ana iya kiyaye shi ta magance matsalolin zuciya da guje wa wasu magunguna.

Hadadden tachycardia; V tach; Tachycardia - mai kwakwalwa

• Gyarawa mai jujjuyawar zuciya - fitarwa

• Gyarawa mai juyawa-defibrillator
• Gyarawar zuciya mai dasawa

Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. Sharuɗɗan AHA / ACC / HRS na 2017 don kula da marasa lafiya tare da cututtukan zuciya da hana rigakafin mutuwar zuciya ba zato ba tsammani: rahoto na Collegeungiyar Kwalejin Cardiology ta Amurka / Heartungiyar Associationungiyar Heartungiyar Zuciya ta Amurka game da ka'idojin aikin asibiti da kuma Rungiyar Zuciya ta Zuciya [gyaran da aka buga ya bayyana a J Am Coll Cardiol. 2018; 72 (14): 1760]. J Am Coll Cardiol. 2018; 72 (14): 1677-1749. PMID: 29097294 pubmed.ncbi.nlm.nih.gov/29097294/.

Epstein EF, DiMarco JP, Ellenbogen KA, Estes NA 3rd, et al.2012 ACCF / AHA / HRS mayar da hankali sabuntawa da aka sanya a cikin ka'idojin ACCF / AHA / HRS 2008 don maganin tushen kayan aiki na cututtukan cututtukan zuciya: rahoto na Kwalejin Kwalejin Cardiology ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka a kan Ka'idodin Ayyuka da Zuciyar Zuciya Al'umma. J Am Coll Cardiol. 2013; 661 (3): e6-75. PMID: 23265327 pubmed.ncbi.nlm.nih.gov/23265327/.

Garan H. Magungunan Ventricular arrhythmias. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 59.

Olgin JE, Tomaselli GF, Zipes DP. Rananan Arrhythmias. 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: babi na 39.