Cardioversion

Cardioversion bu usoro iji mee ka obi na adighi nma laghachi na nkịtị.

Cardioversion nwere ike iji ihe otiti eletrik ma obu ogwu.

AKWARKWỌ AKWECTKWỌ

A na-eme ka ịmegharị eletriki eletriki na ngwaọrụ nke na-ewepụ ihe ọkụkụ eletrik na obi iji gbanwee ụda ahụ laghachi na nkịtị. A na-akpọ ngwaọrụ ahụ defibrillator.

Enwere ike wepụta ujo site na ngwaọrụ dị n'èzí ahụ a na-akpọ defibrillator mpụga. A na-ahụ ndị a n'ime ụlọ mberede, ihe mberede, ma ọ bụ ụfọdụ ebe ọha na eze dịka ọdụ ụgbọelu.

• A na-etinye patch electrode na obi na azụ. Ejikọtara patch ahụ na defibrillator. Ma ọ bụ, paddles agbakwunyere na ngwaọrụ ndị ahụ na-etinye ozugbo na igbe.
• A na-eme ka defibrillator rụọ ọrụ ma tinye ụda eletrik na obi gị.
• Ihe ijuanya a na-akwụsị ọrụ eletriki nke obi nwa oge. Mgbe ahụ, ọ na - ekwe ka ụda obi nkịtị laghachi.
• Mgbe ụfọdụ, a na-achọ ihe karịrị otu ujọ, ma ọ bụ nkụda nwere ume ka elu.

A na-eji defibrillator mpụga na-agwọ ọrịa rhythms obi na-adịghị mma (arrhythmia) nke na-akpata ọdịda na njide ejiri obi. Ihe omuma atu bu ventricular tachycardia na ventricular fibrillation.

A pụkwara iji otu ngwaọrụ ndị a na-agwọ usoro egwu dị egwu dị egwu, nsogbu ndị dị ka atr fibrillation.

• Peoplefọdụ ndị mmadụ nwere ike ịmalite ịmalite ịmịnye ọbara tupu oge eruo iji gbochie obere mkpụkọ ọbara.
• A ga-enye gị ọgwụ iji nyere gị aka izu ike tupu usoro ahụ.
• Emechaa usoro ahụ, enwere ike ịnye gị ọgwụ iji gbochie mkpụkọ ọbara ma ọ bụ iji nyere aka gbochie arrhythmia ịlaghachi.

Ihe a na-etinye obi na-arụ ọrụ na-defibrillator (ICD) bụ ngwaọrụ etinyebere n'ime ahụ gị. A na-ejikarị ya ndị mmadụ nke nwere ike ịnwụ ọnwụ mberede n'ihi na ọrụ obi ha dara ogbenye, ma ọ bụ na ha enweela egwu egwu dị egwu tupu.

• A kụnyere ICD n'okpuru akpụkpọ ahụ nke igbe obi gị ma ọ bụ afọ gị.
• A na-etinye wires ndị na-abanye ma ọ bụ n'akụkụ obi.
• Ọ bụrụ na ngwaọrụ ahụ achọpụta obi mgbawa dị egwu, ọ na-eziga ihe ọkụ eletrik na obi iji gbanwee ụda ahụ laghachi na nkịtị.

ARLỌ EGO NA-EJI ọgwụ

Cardioversion nwere ike iji ọgwụ eji ewere ọnụ ma ọ bụ nye site na eriri intravenous (IV). O nwere ike were ọtụtụ minit ruo ụbọchị ka ọgwụgwọ a rụọ ọrụ. A na-eme ọgwụgwọ a oge mgbe ị nọ n'ụlọ ọgwụ ebe a ga-enyocha ụda obi gị.

Cardioversion na-eji ọgwụ ọjọọ eme ihe n'èzí ụlọ ọgwụ. A na-ejikarị ọgwụgwọ a eme ihe maka ndị nwere ụbụrụ na-abịa ma na-aga. Agbanyeghị, ọ ga - adị mkpa ka onye na - ahụ maka ọrịa ga - esochi gị anya.

Enwere ike inye gị ọgwụ na-eme ka ọbara ghara igbochi mkpụkọ ọbara ịmalite na ịhapụ obi (nke nwere ike ibute ọrịa strok).

Nsogbu

Nsogbu nke ịmegharị obi abụghị ihe ọhụrụ, mana nwere ike ịgụnye:

• Ọrịa na-arịa ọrịa site na ọgwụ eji
• Ọbara ọbara nwere ike ịkpata ọrịa strok ma ọ bụ mmebi ahụ ndị ọzọ
• Bruising, ọkụ, ma ọ bụ ihe mgbu ebe electrodes na-eji
• Na-akawanye njọ nke arrhythmia

Ndị mmadụ na-eme mpụgharị obi nwere ike ịnwụ ma ọ bụrụ na emeghị usoro ahụ nke ọma. Nke a nwere ike ibute nsogbu nke obi, mgbu na ọbụnadị ọnwụ.

Ọrịa na - adịghị mma - cardioversion; Bradycardia - kaadị mkpụrụ ndụ; Tachycardia - kaadị mkpụrụ ndụ; Fibrillation - kaadị mkpụrụ ndụ; Arrhythmia - kaadị mkpụrụ ndụ; Mgbu obi obi - imeghari obi; Defibrillator - kaadị mkpụrụ obi; Mgbanwe ọgwụ nke pharmacologic

• Akụrụngwa akụrụngwa-defibrillator

Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. Ntuziaka 2017 AHA / ACC / HRS maka njikwa nke ndị ọrịa nwere arrhythmias ventricular na mgbochi nke ọnwụ obi mberede: nchịkọta nchịkọta: akụkọ nke American College of Cardiology / American Heart Association Task Force on Clinical Guidelines and the Heart Rhythm Society. Uda Obi. Na-enweghị nsogbu. 2018; 15 (10): e190-e252. PMID: 29097320 pubmed.ncbi.nlm.nih.gov/29097320/.

Epstein AE, DiMarco JP, Ellenbogen KA, et al. Nchịkọta 2012 ACCF / AHA / HRS gbakwunyere na ntuziaka ACCF / AHA / HRS 2008 maka usoro ọgwụgwọ nke ngwaọrụ nke ọrịa ọrịa obi: akụkọ nke American College of Cardiology Foundation / American Heart Association Task Force on Guides Guides and the Heart Rhythm Otu. J Am Coll Cardiol. Ọrịa. 2013; 61 (3): e6-e75. PMID: 23265327 www.ncbi.nlm.nih.gov/pubmed/23265327.

Miller JM, Tomaselli GF, Zipes DP. Usoro ọgwụgwọ maka ọrịa obi arrhythmias. Na: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Ọrịa Obi Braunwald: Akwụkwọ ọgụgụ nke Ọgwụ Ọrịa Cardiovascular. Nke 11. Philadelphia, PA: Elsevier; 2019: isi 36.

Minczak BM, Laub GW. Defibrillation na kaadị mkpụrụ obi. Na: Roberts JR, Custalow CB, Thomsen TW, eds. Usoro ọgwụgwọ Clinical nke Roberts na Hedges na Medicine Mberede na Nnukwu Nlekọta. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 12.

Myerburg RJ. Robịaru nso na njide ejiri obi na arrhythmias na-eyi ndụ egwu. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 57.

Santucci PA, Wilber DJ. Usoro ọgwụgwọ Electrophysiologic na ịwa ahụ. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 60.