Wadnaha garaacista ilmo galeenka

Wadna garaacista ilmo galeenka waa isbeddelo ku dhaca garaaca wadnaha oo haddii kale caadi ah. Isbeddeladani waxay keenaan wadno garaac dheeraad ah ama laga booday. Badanaa sabab cad looma helo isbedeladan. Waa wax caadi ah.

Labada nooc ee garaaca wadnaha ee loo yaqaan 'ectopic heart beats' waa:

• Foosha-dhiciska ventricular premature (PVC)
• Foosha degdega ah ee foosha (PAC)

Garaaca wadnaha ilmo galeenka waxaa mararka qaarkood lagu arkaa:

• Isbedelada dhiiga, sida heerka potassium oo hooseeya (hypokalemia)
• Hoos u dhaca ku yimaada dhiiga wadnaha
• Marka wadnuhu weynaado ama qaab ahaan aan caadi ahayn

Garaaca Ectopic waxaa sababi kara ama uga sii dari kara sigaar cabista, isticmaalka aalkolada, kafeega, daawooyinka kiciya, iyo daroogooyinka dariiqyada qaarkood.

Wadna garaacista ilmo galeenka waa ku yar yihiin carruurta aan lahayn cudurada wadnaha taas oo joogtay dhalashadii (congenital). Inta badan garaaca wadnaha dheeriga ah ee carruurta waa PACs. Kuwani badiyaa waa kuwo aan fiicnayn.

Dadka qaangaarka ah, garaaca wadnaha ectopic waa wax caadi ah. Badanaa waxay u sabab yihiin PACs ama PVCs. Bixiyaha xanaanada caafimaadkaaga waa inuu fiiriyaa sababta markii ay soo noqnoqdaan. Daaweyntu waxay ku wajahan tahay astaamaha iyo sababta keentay.

Calaamadaha waxaa ka mid ah:

• Dareemida garaaca wadnahaaga (wadna garaac)
• Waxaad dareemeysaa sida wadnahaagu u istaagay ama uu uga booday garaac
• Dareemida marmar, garaac xoog leh

Xusuusin: Ma jiri karaan astaamo.

Baadhitaanka jirka ayaa laga yaabaa inuu muujiyo garaaca wadnaha oo marmar dhaca. Haddii garaaca wadnaha ectopic AAN badanaa dhicin, adeeg bixiyahaaga waxaa laga yaabaa inuusan helin inta lagu jiro baaritaanka jirka.

Cadaadiska dhiiggu badanaa waa caadi.

ECG ayaa la samayn doonaa. Badanaa, baaritaan dheeri ah looma baahna marka ECG-gaagu caadi yahay astaamuhuna ma ahan kuwo daran ama walwal badan.

Haddii dhakhtarkaagu doonayo inuu wax badan ka ogaado laxanka wadnahaaga, waxay dalban karaan:

• Kormeere aad xirto oo diiwaan geliya oo keydisaa garaaca wadnahaaga 24 illaa 48 saacadood (Holter Monitor)
• Qalab wax lagu duubo oo aad xirato, oo duubto garaaca wadnahaaga markasta oo aad dareento garaacid laga booday

Echocardiogram ayaa la dalban karaa haddii dhakhtarkaagu ka shakiyo dhibaatooyinka cabirka ama dhismaha wadnahaaga inay sabab u yihiin.

Kuwa soo socda ayaa laga yaabaa inay gacan ka geystaan ​​yareynta garaaca wadnaha ectopic ee dadka qaarkood:

• Xaddididda kafeega, aalkolada, iyo tubaakada
• Jimicsi joogto ah oo loogu talagalay dadka aan firfircooneyn

Qaar badan oo garaaca wadnaha ilmo galeenka ah uma baahna in la daaweeyo. Xaaladda waxaa la daaweynayaa oo keliya haddii astaamahaagu ay daran yihiin ama haddii garaaca dheeriga ahi uu dhaco marar badan.

Sababta wadne garaaca, haddii la helo, waxay u baahan kartaa sidoo kale in la daweeyo.

Xaaladaha qaarkood, wadnaha garaaca wadnaha ilmagaleenka ayaa laga yaabaa inuu macnaheedu yahay inaad halis weyn ugu jirto halisteeda wadnaha oo aan caadi ahayn, sida ventricular tachycardia

Wac adeeg bixiyahaaga haddii:

• Waxaad sii dareemaysaa dareenka wadnahaaga oo garaacaya ama tartamaya (wadna garaac).
• Aad isku aragto wadno xanuun wadnaha xanuun ah ama astaamo kale.
• Waxaad qabtaa xaaladan calaamadahaaguna way kasii darayaan ama kuma hagaagayaan daaweynta.

PVB (garaaca wadnaha oo dhicis ah); Garaac dhicis ah; PVC (isku-dhafka ventricular premature / foosha); Extrasystole; Fool-dhicis supraventricular foosha; PAC; Fool dhicis ah Wadne garaac aan caadi ahayn

• Wadnaha - qaybta dhexe
• Wadnaha - aragtida hore
• Qalabka korontada (ECG)

Fang JC, O'Gara PT. Taariikhda iyo baaritaanka jireed: qaab daliil ku saleysan. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buug-tilmaameedka Daaweynta Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 10.

Olgin JE. U dhowaanshaha bukaanka ee looga shaki qabo arrhythmias. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 56.