Fibananan fibrillation
Villricular fibrillation (VF) mummunan haɗari ne na zuciya (arrhythmia) wanda ke barazanar rai.
Zuciya tana harba jini zuwa huhu, kwakwalwa, da sauran gabobi. Idan bugawar zuciya ta katse, koda na secondsan daƙiƙa kaɗan, zai iya haifar da suma (syncope) ko kamawar zuciya.
Fibrillation shine juyawa ko juyawar ƙwayoyin tsoka (fibrils). Lokacin da yake faruwa a ƙananan ɗakunan zuciya, ana kiran sa VF. A lokacin VF, ba a tsinkayar jini daga zuciya. Sakamakon mutuwar zuciya kwatsam.
Babban sanadin VF shine bugun zuciya. Koyaya, VF na iya faruwa duk lokacin da tsokar zuciya ba ta samun isashshen oxygen. Yanayin da zai iya haifar da VF sun haɗa da:
- Hatsarin wutar lantarki ko rauni ga zuciya
- Ciwon zuciya ko angina
- Ciwon zuciya wanda yake kasancewa yayin haihuwa (haifuwa)
- Cututtukan tsoka na zuciya wanda tsokar zuciya ta yi rauni kuma ta miƙe ko ta yi kauri
- Yin tiyatar zuciya
- Kwatsam mutuwar zuciya (commotio cordis); galibi yakan faru ne a cikin yan wasan da suka sami rauni kwatsam ga yankin kai tsaye kan zuciya
- Magunguna
- Matsayi mai yawa ko mara ƙarfi sosai a cikin jini
Mutane da yawa tare da VF ba su da tarihin cututtukan zuciya. Koyaya, galibi suna da abubuwan haɗarin cututtukan zuciya, kamar shan sigari, hawan jini, da ciwon sukari.
Mutumin da ya sami labarin VF zai iya faɗuwa kwatsam ko ya kasance a sume. Wannan na faruwa ne saboda kwakwalwa da tsokoki basa karbar jini daga zuciya.
Wadannan alamun na iya faruwa a tsakanin mintoci zuwa awa 1 kafin rugujewar:
- Ciwon kirji
- Dizziness
- Ciwan
- Saurin bugun zuciya ko rashin tsari (bugun zuciya)
- Rashin numfashi
Mai sa ido a zuciya zai nuna hargitsi na zuciya mara tsari ("m").
Za'a yi gwaje-gwaje don neman dalilin VF.
VF shine gaggawa na gaggawa. Dole ne a bi da shi nan da nan don ceton ran mutum.
Kira 911 ko lambar gaggawa na gida don taimako idan mutumin da ke fama da cutar VF ya faɗi a gida ko kuma ya kasance a sume.
- Yayin jiran taimako, sanya kan mutum da wuyansa daidai da sauran jikin don taimakawa sauƙaƙa numfashi. Fara CPR ta hanyar yin matse kirji a tsakiyar kirjin ("a matsa sosai a matsa da sauri"). Ya kamata a gabatar da matsa lamba a kan farashin 100 zuwa sau 120 a minti daya. Ya kamata a yi matsi zuwa zurfin aƙalla inci 2 (inci 5) amma bai fi inci 2 ¼ (inci 6) ba.
- Ci gaba da yin hakan har sai mutumin ya fadaka ko taimako ya iso.
Ana kula da VF ta hanyar isar da saurin lantarki ta cikin kirji. Ana yin shi ta amfani da na'urar da ake kira defibrillator na waje. Girgiza wutar lantarki nan da nan zai iya dawo da bugun zuciya zuwa yanayi na yau da kullun, kuma ya kamata a yi shi da sauri-wuri. Yawancin wuraren jama'a yanzu suna da waɗannan injunan.
Za a iya ba da magunguna don sarrafa bugun zuciya da aikin zuciya.
Abun da za'a iya dasawa a cikin zuciya (ICD) na'urar ne da za'a iya dasa shi a bangon kirjin mutanen da suke cikin haɗarin wannan mummunan larurar ICD tana gano ƙwayar zuciya mai haɗari kuma da sauri ta aika da damuwa don gyara ta. Kyakkyawan ra'ayi ne ga dangi da abokai na mutanen da suka kamu da cutar VF da cututtukan zuciya suyi kwas ɗin CPR. Ana samun kwasa-kwasan CPR ta hanyar Red Cross ta Amurka, asibitoci, ko Heartungiyar Zuciya ta Amurka.
VF zai haifar da mutuwa a cikin minutesan mintoci kaɗan sai dai in an yi saurin bi da shi da kyau. Ko da hakan ne, rayuwa na dogon lokaci ga mutanen da ke rayuwa ta hanyar harin VF a wajen asibitin ba shi da ƙasa.
Mutanen da suka rayu daga VF na iya kasancewa cikin hayyacinsu ko kuma suna da ƙwaƙwalwa na dogon lokaci ko wata cuta ta jikinsu.
VF; Fibrillation - mai kwakwalwa; Arrhythmia - VF; Heartwayar zuciya mara kyau - VF; Kamun zuciya - VF; Defibrillator - VF; Cardioversion - VF; Defibrillate - VF
- Gyarawa mai jujjuyawar zuciya - fitarwa
- Zuciya - sashi ta tsakiya
- Zuciya - gaban gani
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 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.
Kleinman ME, Goldberger ZD, Rea T, et al. Ungiyar Heartungiyar Zuciya ta Amurka ta 2017 ta mai da hankali kan tallafi na rayuwar manya da ingancin farfadowa na zuciya: ɗaukakawa ga ƙa'idodin Heartungiyar Americanungiyar Zuciya ta Amurka don farfado da ƙwaƙwalwar ƙwaƙwalwa da kuma kulawar zuciya da jijiyoyin gaggawa Kewaya. 2018; 137 (1): e7-e13. PMID: 29114008 pubmed.ncbi.nlm.nih.gov/29114008/.
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.
Olgin JE, Tomaselli GF, Zipes DP. Hywararriyar iska. 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.