Cardioversion

Cardioversion hanya ce don dawo da bugun zuciya mara kyau ga al'ada.

Za'a iya yin Cardioversion ta amfani da wutar lantarki ko tare da ƙwayoyi.

WUTA AKAN WUTAR LANTARKI

Ana yin jujjuyawar lantarki tare da na'urar da ke ba da wutar lantarki ga zuciya don canza yanayin zuwa al'ada. Ana kiran na'urar da defibrillator.

Ana iya isar da girgizar daga cikin wata na'urar a waje da ake kira defibrillator na waje. Ana samun waɗannan a cikin ɗakunan gaggawa, motar daukar marasa lafiya, ko wasu wuraren taruwar jama'a kamar filayen jirgin sama.

• Ana sanya facin lantarki a kirji da bayanta. An haɗa facin zuwa defibrillator. Ko kuma, ana sanya paddles da aka haɗe zuwa na'urorin kai tsaye akan kirji.
• An kunna defibrillator kuma an kawo wutar lantarki zuwa zuciyarka.
• Wannan girgizar a takaice tana dakatar da duk wani aikin lantarki na zuciya. Sannan yana bada damar bugun zuciya na yau da kullun ya dawo.
• Wasu lokuta ana buƙatar damuwa fiye da ɗaya, ko damuwa tare da ƙarfin kuzari.

Ana amfani da defibrillator na waje don magance cututtukan zuciya mara kyau (arrhythmia) wanda ke haifar da durkushewa da kamawar zuciya. Misalan su ne tachycardia da kuma ventricular fibrillation.

Ana iya amfani da waɗannan nau'ikan na'urori don magance raɗaɗɗiyar al'adar da ba ta da haɗari, matsaloli irin su fibrillation na atrial.

• Wasu mutane na iya buƙatar fara sikanin jini tukunna don hana ƙananan ƙanƙan jini.
• Za a ba ku magani don taimaka muku shakatawa kafin aikin.
• Bayan aikin, ana iya ba ku magunguna don hana daskarewar jini ko don taimakawa hana arrhythmia daga dawowa.

Abun da za'a iya dasawa a zuciya-defibrillator (ICD) shine na'urar da aka sanya a cikin jikinka. An fi amfani da ita galibi ga mutanen da ke cikin haɗarin mutuwa kwatsam saboda aikin zuciyarsu ba shi da kyau, ko kuma sun sami bugun zuciya mai haɗari a da.

• An dasa ICD a ƙasan fatar kirjinka na sama ko ciki.
• An haɗa wayoyi waɗanda ke shiga ko kusa da zuciya.
• Idan na’urar ta gano bugun zuciya mai hatsari, sai ta aika da girgizar lantarki zuwa zuciyar don sauya yanayin ya koma yadda yake.

GYARAN HULDA DA AMFANI DA MAGUNGUNA

Ana iya yin Cardioversion ta amfani da ƙwayoyi waɗanda ake ɗauka ta bakinsu ko kuma a bayar ta hanyar layi (IV). Zai iya ɗauka daga mintina da yawa zuwa kwanaki don wannan maganin ya yi aiki. Ana yin wannan maganin sau da yawa yayin cikin asibiti inda za'a kula da yanayin zuciyar ku.

Ana iya yin Cardioversion ta amfani da ƙwayoyi a wajen asibiti. Wannan magani galibi ana amfani dashi ga mutanen da suke da fibrillation na atrial wanda ke zuwa da zuwa. Koyaya, kuna buƙatar kulawa ta hanyar likitan zuciya.

Za a iya ba ku magungunan rage jini don hana daskarewar jini daga yin ku da barin zuciya (wanda na iya haifar da shanyewar jiki).

CIGABA

Rikitarwa na canzawar zuciya ba abu bane, amma na iya haɗawa da:

• Maganin rashin lafiyan daga magungunan da aka yi amfani da su
• Jinin jini wanda zai iya haifar da bugun jini ko wata cuta ta jikin mutum
• Bruising, konewa, ko zafi inda aka yi amfani da wayoyin
• Eningaruwar arrhythmia

Mutanen da suke yin jujjuyawar waje na iya gigicewa idan ba ayi aikin yadda ya kamata ba. Wannan na iya haifar da matsaloli na zuciya, zafi, har ma da mutuwa.

Heartwayar zuciya mara kyau - canzawar zuciya; Bradycardia - juyawar zuciya; Tachycardia - juyawar zuciya; Fibrillation - juyawar zuciya; Arrhythmia - juyawar zuciya; Kamun zuciya - juyawar zuciya; Defibrillator - juyawar zuciya; Magungunan shan magani na Pharmacologic

• Gyarawa mai juyawa-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. Dokar 2017 AHA / ACC / HRS don kula da marasa lafiya tare da cututtukan zuciya da hana rigakafin mutuwar zuciya: kwatankwacin zartarwa: rahoto na Kwalejin Kwalejin Zuciya ta Amurka / Heartungiyar Heartungiyar Heartungiyar Zuciya ta Amurka game da Sharuɗɗan Ayyukan Clinical da Rungiyar Rhythm Society. Bugun Zuciya. 2018; 15 (10): e190-e252. PMID: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, 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; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Far don cututtukan zuciya na zuciya. 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 36.

Minczak BM, Laub GW. Defibrillation da juyawar zuciya. A cikin: Roberts JR, Custalow CB, Thomsen TW, eds. Hanyoyin Clinical na Roberts da Hedges a cikin Magungunan gaggawa da Kulawa Mai Girma. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 12.

Myerburg RJ. Kusanci da kamuwa da bugun zuciya da cututtukan zuciya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 57.

Santucci PA, Wilber DJ. Hanyoyin tsoma baki na Electrophysiologic da tiyata. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 60.