Thandizo lomwe lingathe kuchitidwa pachipatala, cardioversion yamagetsi imathandiza kubwezeretsa kugunda kwa mtima kwa anthu omwe akudwala matenda enaake. Kodi izi zimachitika bwanji ndipo malire ake ndi otani?

Electrical cardioversion (CVE) ndi njira yophweka yachipatala yomwe imabwezeretsanso kuthamanga kwa mtima kwa anthu omwe ali ndi vuto lachilendo (arrhythmia) lomwe limapitirirabe ngakhale kuti ali ndi mankhwala abwino kwambiri. Amatchedwanso ntchito "mwachindunji panopa" kapena "DC panopa" kwa magetsi cardioversion. Cardioversion yamagetsi ndi yofanana ndi defibrillation, koma imagwiritsa ntchito magetsi ochepa.

Emergency

Electrical cardioversion ndi njira yopulumutsira moyo wadzidzidzi kuti athetse vuto la ventricular fibrillation kapena ventricular tachycardia yomwe imayambitsa kumangidwa kwa mtima. Kupulumuka ndi zotsatira za kumangidwa kwa mtima koteroko kumadalira momwe cardioversion imapangidwira mwamsanga. M'malo opezeka anthu ambiri, m'zipatala, komanso m'magulu owopsa (ozimitsa moto, ma ambulansi, ndi zina zotero), ma semi-automatic defibrillators (DSA) amathandizira kuchepetsa kuchedwa.

Kunja kwadzidzidzi

Ndiye ndi funso la kuchiza vuto kuti lithe. Chisankho chokwaniritsa kugwedezeka kwamagetsi koteroko ndi kwa aliyense.

Ma cardioversions ambiri amagetsi amayang'ana anthu omwe ali ndi ululu:

• Kuchuluka kwa fibrillation ya atria. Fibrillation ya Atrial sikuwopseza moyo wa wodwalayo, koma imatha kusokoneza mphamvu yopopa ya mtima ndikupangitsa kugunda kosakhazikika kapena kothamanga kwambiri;
• Kusokonezeka kwa kayimbidwe m'zipinda zapamwamba (atria) za mtima. 

Cardioversion yamagetsi imachitika m'chipatala. Iyi ndi ndondomeko yokonzedweratu. The mankhwala ikuchitika pa outpatient maziko ndi munthu ayenera kusala kudya ndi osaloledwa kuyendetsa pambuyo kufufuza.

Nayi njira:

• Namwino amaika zigamba zazikulu zingapo zotchedwa maelekitirodi panthiti ya wodwalayo kapena chimodzi pachifuwa ndi china kumbuyo. Ma electrodes adzalumikizidwa ku chipangizo cha cardioversion (defibrillator) pogwiritsa ntchito mawaya. The defibrillator adzalemba kugunda kwa mtima mu ndondomeko yonse;
• Kuchuluka kodziwikiratu kwa mphamvu kapena mphamvu zamagetsi zimatengedwa ndi maelekitirodi kudzera m'thupi, kupita kumtima;
• Kugwedezeka kusanachitike, opaleshoni yachidule ya anesthesia imachitidwa kuti musamve kupweteka komwe kumayambitsa pakhungu la chifuwa;
• Kutuluka kwa mphamvu kumeneku kumapangitsa mtima kudumphadumpha, kumasokoneza kugunda kwa mtima, ndiponso kumapangitsanso kuti mtima ukhale wabwino.

Kubwereza kwa kugwedezeka kwa magetsi mwa munthu yemweyo n'kotheka ndipo sikumayambitsa chiopsezo chilichonse. Kumbali ina, kugwiritsa ntchito zododometsa zingapo kungakhale chizindikiro chakuti chisamaliro chakunja sichokwanira ndipo njira zina zofunika kuzipewa.

Kwa anthu ambiri, cardioversion yamagetsi ndiyo yachangu komanso yothandiza kwambiri:

• Kuchiza zizindikiro zogwirizana ndi arrhythmia (palpitations panthawi yopuma kapena molimbika, kupuma movutikira, kapena kulephera kwa mtima kapena angina). Kubwerera uku ku sinus rhythm si "udindo" monga momwe cardioversion imapangidwira kuthetsa zizindikiro izi;
• Kubwezeretsanso kayimbidwe ka mtima wokhazikika;
• Kuletsa arrhythmia iliyonse yosalekeza. 

Kupambana kumakhala kochepa ngati arrhythmia ndi yakale. Mosasamala kanthu za mphamvu ya kugwedezeka komwe kunachitika, ndizotheka kubwereza ndondomekoyi chifukwa magetsi a cardioversion amangobwezeretsanso phokoso lachidziwitso ndipo alibe gawo lodzitetezera pokhudzana ndi zomwe zingatheke. Ichi ndichifukwa chake chithandizo chothandizira cha antiarrhythmic nthawi zambiri chimakhala chofunikira ndikuwonetsetsa momwe tingathere ntchitoyi popewa kuyambiranso. 

Ma radiofrequency kapena cryotherapy ablation akhoza kuganiziridwa, koma adzakambidwa malinga ndi munthuyo ndi matenda awo a mtima.

Choncho, nthawi ya kukhazikika kwa rhythm yachibadwa yomwe imachokera ku izo zimadalira aliyense, malinga ndi kuopsa kwa kubwereza.

Zovuta za cardioversion yamagetsi ndizosowa ndipo madokotala amatha kuchitapo kanthu kuti achepetse.

Kutuluka magazi kuundana

Cardioversion yamagetsi ingapangitse kuti magazi aziundana m'madera ena a thupi ndipo izi zingayambitse mavuto aakulu. Pofuna kupewa vutoli, mankhwala a anticoagulant amaperekedwa milungu itatu isanayambe ndondomekoyi komanso kufufuza kwa echocardiography. Ngati anticoagulation iyi sinali yokhutiritsa, njirayi ikhoza kuyimitsidwa.

Kugunda kwa mtima kwachilendo

Panthawi kapena pambuyo pa ndondomekoyi, anthu ena amayambitsa mavuto ena a mtima. Ndizovuta zachilendo kuti, ngati zichitika, nthawi zambiri siziwoneka mpaka mphindi zingapo pambuyo pa cardioversion yamagetsi. Kuti muthetse vutoli, dokotala wanu angakupatseni mankhwala owonjezera kapena zododometsa.     

Khungu limayaka

Kumene ayikidwa ma elekitirodi, anthu ena akhoza kupsa pang'ono pakhungu. Azimayi apakati akhoza kukhala ndi matenda a mtima. Ndi bwino kuwunika kugunda kwa mtima wa mwanayo pa ndondomeko.