Arrhythmia

Arrhythmia waa erey ballaadhan oo ka kooban noocyo badan oo xanuunada laxanka wadnaha ah. Laxanka dabeeciga ah ee wadnaha waxaa gacanta ku haya nidaam adag oo kicin koronto oo asal ahaan ka soo jeeda qanjirada sinoatrial (SA), oo inta badan loo yaqaan wadnaha wadnaha ee dabiiciga ah. Wadnaha caafimaadka qaba, calaamadaha korantada ee isku xidha foosha wadnaha waxay maraan wadooyin khaas ah, iyagoo hubinaya garaaca wadnaha oo joogto ah oo joogto ah. Si kastaba ha ahaatee, calaamadahan korantada waxaa laga yaabaa inay carqaladeeyaan shakhsiyaadka qaba arrhythmia, taasoo u horseedda mid joogto ah, degdeg ah, ama gaabis ah. heerka wadnaha.

Noocyada Arrhythmia

Arrhythmia waxaa loo kala saari karaa dhowr qaybood oo kala duwan, mid walbana wuxuu leeyahay astaamo u gaar ah iyo cawaaqibta ka dhalan karta:

• Fibrillation Atrial (AFIb): AFib waa nooca ugu badan ee arrhythmia, oo lagu kala saaro garaaca wadnaha degdega ah oo aan joogto ahayn qolalka sare ee wadnaha (atria). Waxay kordhin kartaa khatarta ah garaaca iyo dhibaatooyinka kale ee wadnaha iyo xididada.
• Tachycardia Ventricular (VT): Xaaladdan waxaa ka mid ah garaaca wadnaha degdega ah ee ka soo baxa qolalka hoose ee wadnaha (ventricles). VT waxay noqon kartaa mid nafta halis gelisa haddaan si habboon loo maamulin.
• Bradycardia: Noocan ah arrhythmia waxaa lagu kala saaraa garaaca wadnaha oo gaabis ah, oo inta badan ka hooseeya 60 garaac daqiiqaddii. Bradycardia waxay keeni kartaa daal, dawakhaad, iyo, xaaladaha daran, miyir beelid.
• Foosha hore ee Ventricular (PVCs): Kuwani waa garaaca wadnaha dheeriga ah ee ka soo baxa xididada waxaana loo dareema garaaca wadnaha "la booday" ama "gariir".
• Supraventricular Tachycardia (SVT): Xaaladdani waxay ku lug leedahay garaaca wadnaha degdega ah kaas oo ka soo baxa korka xididada, inta badan qolalka sare ee wadnaha.

Calaamadaha digniinta iyo Calaamadaha garaaca Wadnaha ee Wadnaha

Calaamadaha digniinta ugu caansan iyo calaamadaha garaaca wadnaha ee arrhythmic waxaa ka mid ah:

• Wadnaha ama dareenka wadnaha "gariiraya" ama "tartanka".
• Xanuunka laabta ama raaxo la'aan, gaar ahaan inta lagu jiro dhaqdhaqaaqa jirka
• Neefsasho gaabis ah
• Dawakh ama madax wejiga
• Suuxditaan ama suuxdin dhow
• Daal ama daciifnimo
• garaaca wadnaha oo aan joogto ahayn ama la boodo 
• Dareen qallafsan ama xumaan soo socota

Sababaha iyo Khatarta Arrhythmia

Arimo kala duwan, labadaba hidde-side iyo deegaanba, waxay sababi karaan arrhythmia. Qaar ka mid ah sababaha ugu caansan iyo arrimaha khatarta ah ee arrhythmia waxaa ka mid ah:

• Xaaladaha wadnaha qaab dhismeedka: Xaaladaha wadnaha, sida cudurrada halbowlaha wadnaha, cilladaha wadnaha wadnaha, cilladaha wadnaha ee lagu dhasho, waxay carqaladeyn karaan nidaamka korontada ee wadnaha waxayna u horseedi karaan arrhythmia.
• Isku-dheellitir la'aanta korantada: Degenaansho la'aanta electrolytes, sida potassium, sodium, iyo calcium, waxay saameyn kartaa calaamadaha korantada ee wadnaha waxayna gacan ka geystaan ​​horumarinta arrhythmia.
• Arrimaha hab-nololeedka: Caadooyinka sida xad-dhaafka ah khamriga qaadashada, isticmaalka caffeine, stress, iyo la'aanta dhaqdhaqaaqa jirka waxay kordhin kartaa halista arrhythmia.
• Xaaladaha caafimaad ee hoose: Xaaladaha sida thyroid cillado, macaanka, Iyo xibin gal, hurdo Waxay la xidhiidhay suurtogalnimada korodhka ah ee kobcinta arrhythmia.
• Daawooyinka: Daawooyinka qaarkood, oo ay ku jiraan qaar dhakhtar qoray daroogada iyo kaabista kabista ah ee aan farmashiyaha laga iibsan karin, waxay keeni karaan inay kiciyaan ama ka sii daraan arrhythmia.
• Genetics: Xaaladaha qaarkood, arrhythmia waxay yeelan kartaa qayb hidde-side ah, oo leh isbeddello hidde-side gaar ah oo kordhinaya u nuglaanshaha shakhsi ahaaneed ee xaaladda.

Dhibaatooyinka Arrhythmia

Qaar ka mid ah dhibaatooyinka ugu caansan ee la xidhiidha arrhythmia waxaa ka mid ah:

• Stroke: Atrial fibrillation, nooca ugu badan ee arrhythmia, waxay kordhin kartaa halista istaroogga ilaa shan jeer.
• Wadnaha oo istaaga: Wadnaha oo raaga ama daran waxay daciifin kartaa muruqa wadnaha waxayna wiiqi kartaa awoodeeda inuu si wax ku ool ah u shubo dhiiga, taasoo u horseedda horumarka wadna xanuunka.
• Wadne istaag degdeg ah: Xaaladaha qaarkood, noocyada qaar ee arrhythmia, sida tachycardia ventricular ama fibrillation ventricular, waxay kicin karaan si lama filaan ah wadnaha istagay, xaalad naf-gooyo ah oo u baahan faragelin caafimaad oo degdeg ah.
• Hoos u dhaca tayada nolosha: Calaamadaha la xidhiidha wadna xanuunka, sida garaaca wadnaha, dawakhaad, iyo daal, waxay si weyn u saamayn karaan hawl maalmeedka qofka iyo guud ahaan tayada nolosha.
• Khatarta sii kordheysa ee isbitaal dhigista: Shakhsiyaadka qaba arrhythmia aan la xakameynin ama daran waxay u baahan karaan cusbitaalo joogto ah, taas oo u horseedi karta dhibaatooyin caafimaad oo dheeraad ah iyo kharashka daryeelka caafimaadka oo kordha.

Ogaanshaha Arrhythmia

Dhakhtarku waxa uu isticmaali karaa hababka soo socda si uu u ogaado xanuunka arrhythmia:

• Electrocardiogram (ECG ama EKG): Baadhitaankani waxa uu diiwaangeliyaa dhaqdhaqaaqa korantada ee wadnaha, isaga oo caawinaya in la aqoonsado nooca iyo qaabka arrhythmia.
• Korjoogteynta Holter: Qalab la qaadan karo oo xidhan 24 ilaa 48 saacadood oo si joogto ah u diiwaangeliya dhaqdhaqaaqa korantada ee wadnaha, kaas oo gacan ka geysan kara in la ogaado wadnaxanuunyo kala go'a.
• Tijaabada cadaadiska: Baaritaankani waxa uu qiimeeyaa shaqada wadnaha inta lagu jiro dhaqdhaqaaqa jirka, kaas oo kaa caawin kara in la aqoonsado arrhythmias inta lagu jiro jimicsiga.
• Echocardiogram: Tijaabada sawir-qaadistan waxay abuurtaa muuqaal muuqaal ah oo wadnaha ah, kaas oo gacan ka geysan kara in la aqoonsado arrimaha qaabdhismeedka hoose ee laga yaabo inay gacan ka geystaan ​​arrhythmia.

Sidee loo daaweeyaa Arrhythmia?

Daawaynta arrhythmia waxay ku xidhan tahay nooca, darnaanta, iyo sababta hoose. Ikhtiyaarada daawaynta waxaa ka mid ah:

• Daawooyinka: Daawooyinka qaarkood, sida dawooyinka ka hortagga arrhythmic, beta-blockers, ama kaalshiyamka kaalshiyamka, waxay kaa caawin karaan nidaaminta garaaca wadnaha iyo xakamaynta calaamadaha arrhythmia.
• Wadnaha: Habkani wuxuu isticmaalaa shoog koronto ama dawooyin si loo soo celiyo laxanka wadnaha.
• Ablation: Farsamadan ugu yar waxay isticmaashaa kulayl ama tamar qabow si ay u burburiso meelaha gaarka ah ee wadnaha ee keena wadna xanuunka.
• Aaladaha la tallaali karo: Xaaladaha qaarkood, qalab-sameeyaha ama wadnaha-qaadista-defibrillator (ICD) ayaa laga yaabaa inay lagama maarmaan u tahay inay gacan ka geysato nidaaminta garaaca wadnaha.
• Isbeddellada hab-nololeedka: Qaadashada qaab nololeed caafimaad leh, sida ilaalinta cunto dheellitiran, jimicsi joogto ah, iyo maaraynta walbahaarka, waxay kaa caawin kartaa ka-hortagga ama maaraynta arrhythmia.

Ka Hortagga

Kuwa soo socda waa qaar ka mid ah tillaabooyinka yareyn kara khatarta ah inay kugu dhacdo arrhythmia ama maaraynta xaaladaha jira:

• Ilaali qaab nololeed caafimaad leh: Cunista cunto ku habboon wadnaha, jimicsi joogto ah, iyo gaaritaanka iyo ilaalinta caafimaadka miisaanka waxay maareyn kartaa oo ay yarayn kartaa khatarta ah inay kugu dhacdo wadna xanuun.
• Maaree xaaladaha caafimaad ee hoose: Xaaladaha habdhiska sida dhiig karka, sonkorowga, ama cilladaha tayroodh waxay gacan ka geysan karaan horumarinta arrhythmia.
• Ka fogow waxyaabaha kiciya: Walxaha qaarkood, sida kafeyn, nikotiinka, ama aalkolada, waxay kicin karaan ama ka sii dari karaan dhacdooyinka arrhythmia.
• Maaree walaaca: Cadaadiska muddada dheer wuxuu gacan ka geysan karaa horumarinta arrhythmia, markaa waa lagama maarmaan in la helo habab caafimaad leh oo lagu maareeyo walbahaarka, sida fekerka, yoga, ama farsamooyinka kale ee nasashada.
• Baaritaannada joogtada ah: Baaritaannada joogtada ah ee dhakhtarkaaga ayaa kaa caawin kara in la ogaado lana socdo isbeddel kasta oo ku yimaada caafimaadka wadnaha, taas oo u oggolaanaysa faragelin hore iyo daaweyn haddii loo baahdo.

FAQs

1. Waa maxay sababta ugu weyn ee wadna xanuunka?

Sababaha ugu horreeya ee garaaca wadnaha aan caadiga ahayn waa:

• Xaaladaha wadnaha iyo xididada hoose, sida cudurada halbowlaha wadnaha, dhibaatooyinka waalka wadnaha, ama lagu dhasho cilladaha wadnaha
• Isku dheelitir la'aanta elektrolytka jirka, sida potassium ama sodium
• Daawooyinka qaarkood ama kaabista
• Cadaadiska, walwalka, ama arrimo kale oo shucuur ah
• Isticmaalka xad dhaafka ah ee kiciyeyaasha, sida caffeine ama nicotine
• Xaalado caafimaad qaarkood, sida cilladaha tayroodhka ama apnea hurdada

2. Arrhythmia ma halis baa?

Darnaanta arrhythmia aad ayey u kala duwanaan kartaa. Qaar ka mid ah noocyada arrhythmia, sida fibrillada atrial ama tachycardia ventricular, waxay noqon karaan kuwo halis ah waxayna kordhin karaan khatarta dhibaatooyinka, sida garaaca ama wadne xanuun. Si kastaba ha ahaatee, noocyada kale ee arrhythmia, sida foosha ventricular-ka ee degdega ah (PVCs), ayaa laga yaabaa inay noqdaan kuwo aan waxyeello lahayn oo aan u baahnayn daaweyn degdeg ah.

3. Arrhythmia ma la daweyn karaa? 

Haa, arrhythmias badan ayaa la daweyn karaa. PSVT waa mid ka mid ah arrhythmias ugu caansan waana la daweyn karaa. Samaynta daraasadda EP iyo helitaanka wareegga aan caadiga ahayn ee u horseedaya arrhythmia waxaa lagu samayn karaa habraac yar oo faafa (sida angiography) ka dibna bukaanku waa ka madax bannaan yahay daawaynta cimriga dheer.

4. Waa maxay daawaynta guriga ee arrhythmia?

Inkastoo aysan jirin dawooyin gaar ah oo guriga ah oo daweyn kara arrhythmia, waxaa jira isbedel qaab nololeed iyo habab dabiici ah oo kaa caawin kara maaraynta xaaladda:

• Yaraynta walwalka iyo walbahaarka iyada oo loo marayo farsamooyinka nasashada, sida neefsashada qoto dheer, fekerka, ama yoga
• Joogteynta qorshe cunto caafimaad leh oo qani ku ah miraha, khudaarta, iyo badarka oo dhan
• Joogista fuuqbaxa iyo hubinta dheelitirka elektrolytka saxda ah
• Xakamaynta qaadashada kiciyeyaasha, sida caffeine, nicotine, ama aalkolada
• Samaynta jimicsi joogto ah, sida uu oggolaaday dhakhtarku
• Helitaanka nasasho ku filan  

5. Maxaan cuni karin/ cabbi karin xaaladdan?

Talooyinka gaarka ah ee cuntada ee loogu talagalay shakhsiyaadka qaba arrhythmia way kala duwanaan karaan waxayna ku xiran yihiin sababta hoose iyo nooca arrhythmia:

• Xakamaynta ama ka fogaanshaha kiciyeyaasha, sida caffeine, nicotine, iyo aalkolada, sababtoo ah waxay kicin karaan ama ka sii dari karaan dhacdooyinka arrhythmia
• Diirada saar cunto isku dheeli tiran adigoo diiradda saaraya dhammaan cuntooyinka aan la farsamayn
• Ka fogaanshaha xad dhaafka ah sodium qaadashada, maadaama ay u horseedi karto xajin dareere ah oo ka sii dari karta noocyada qaarkood ee arrhythmia
• Xaddidaadda isticmaalka cuntooyinka ay ku badan yihiin dufanka buuxa ama dufanka trans, maadaama ay gacan ka geysan karaan horumarinta xaaladaha wadnaha ee hoose.
• Xaqiijinta fuuq-bax ku filan iyo dheellitirka elektrolytka saxda ah, maadaama dheellitir la'aanta ay gacan ka geysan karto arrhythmia

Dr. Ashutosh Kumar

MD (BHU), DM (PGI), FACC (USA), FHRS (USA), FESC (EURO), FSCAI (USA), PDCC (EP), CCDS (IBHRE, USA), CEPS (IBHRE, USA)
Isbitaalada CARE, Bhubaneswar, Isbitaalada CARE, HITEC City, Hyderabad

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+ 91 40-68106529