
superventricular tachycardia

superaventricular tachycardia (aiss. vee. tii.) hriday key oopari bhaag seey utpann honey vaali tej hriday lay key liye ack chhatra shabd haye. yeh tej hriday taal key anya samooh key vipareet haye-ventricular tachycardia, joe hriday key nichale kakshon key bheetar shuru hotaa haye. aiss. vee. tii. key chaar mukhya prakaar hainh alind compan, alind pravaah, peroxismal superaventricular tachycardia (pee. aiss. vee. tii.), aur wolf-parkinson-white syndrome. aiss. vee. tii. key lakshnon mein dill kii dhadkan, behoshi kii bhavna, pasina aanaa, saans kii takleef aur/yaa chhaati mein dard shamil hain.
yeye asamanya lay yaa tou atria yaa atrioventricular node seey shuru hoti hain. way aam taur parr dou tantron mein seey ack key kaaran hotey hainh punah pravesh yaa swachaalitata mein vriddhi. nidan aamtaur parr electrocardiogram (ee. see. jee.), holter monitor yaa event monitor dwara kiya jaataa haye. hyperthyroidism yaa electrolyte asaamaanyataon jaise vishisht antarnihit karanon koo khariz karane key liye rakt pareekshan kiye jaa sakate hain.
ack samanya vishram hriday gati 60 seey 100 beats prati minut haye. 100 seey adhik beats prati minut kii aaraam karane vaali hriday gati koo tachycardia key roop mein paribhaashit kiya jaataa haye. aiss. vee. tii. key ack episode key dauran, dill prati minut lagbhag 150 seey 220 baar dhadakta haye.
vishisht upchaar aiss. vee. tii. key prakaar parr nirbhar kartaa haye aur isamen davaaen, chikitsa prakriyaaen yaa shalya chikitsa shamil hoe sakati haye. vaigal yuddhabhyas, yaa catheter ablation key roop mein jaani jaane vaali ack prakriya, kuchh prakaron mein prabhaavi hoe sakati haye. alind key compan key liye, calcium channel blockers yaa beeta blockers kaa upayog darr niyantran key liye kiya jaa sakata haye, aur chayanit rogiyon koo rakt key patale (anticoagulants) jaise warferrin yaa nae anticoagulants seey laabh hotaa haye. alind compan lagbhag 25 prati 1000 logon koo prabhaavit kartaa haye, peroxismal superventricular tachycardia 2.3 prati 1000, wolf-parkinson-white syndrome 2 prati 1000, aur alind flutter 0.8 prati 1000.
sanket aur lakshan.
sanket aur lakshan achaanak utpann hoe sakate hain aur binaa upchaar key thheek hoe sakate hain. tanaav, vyayam aur bhavna key parinamswarup hriday gati mein samanya yaa shaaririk vriddhi hoe sakati haye, lekin way durlabh mamalon mein aiss. vee. tii. koo badhaa sakate hain. episode kuchh minaton seey ack yaa dou dinon taka chala sakate hain. way kabhi-kabhi ilaaj honey taka baney rahate hain. yadi hriday gati tej hoe jaati haye, tou hriday gati mein kamee aur parinamswarup raktchaap key beach "pump" koo bharane kaa avsar cumm hoe jaataa haye. nimnalikhit lakshan prati minut 150-270 yaa adhik taal kii darr key saath vishisht hainh
hriday kii ataalata key lakshan, jaise kii aiss. vee. tii., shishuon aur chhote bachchon mein unaki samvaad karane kii seemit kshamata key kaaran unakaa aaklan karna adhik kathin hotaa haye. dekhbhal karane vaalon koo bhojan mein ruchi kii kamee, uthali saans lene aur susti parr dhyaan denaa chaahiye. yeye lakshan sookshm hoe sakate hain aur ulti aur/yaa pratikriya mein kamee key saath hoe sakate hain.
pathophysiology.
mukhya pumping kaksh, nilay, atirioventricular node parr ack "getting tantra" dwara atee-aavartak kshetron seey utpann honey vaali atyadhik uchch daron key khilaf (ack nishchit seema taka) sanrakshit haye, joe kewal tej aavegon key ack anupaat koo nilay seey gujarane kii anumati detaa haye. ack sahayak "bipass tract" aeye. vee. node aur isaki suraksha seey butch sakata haye taaki tej darr seedhe nilay mein preshit hoe sakey. iss sthiti mein vishisht nishkarsh hain.
ack janmajaat hriday ghaav, abstein kii visangati, aamtaur parr superventricular tachycardia seey judee hoti haye.
nidan.
aiss. vee. tii. key upprakaron koo aksar unake electrocardiogram (ee. see. jee.) visheshtaon seey alag kiya jaa sakata haye. adhikansh mein ack sankeern kyu. aar. aiss. parisar hotaa haye, halanki, kabhi-kabhi, vidyut chaalan asamanyata ack vistrit kyu. aar. aiss. parisar kaa utpaadan curr sakati haye joe ventricular tachycardia (vee. tii.) kii nakal curr sakati haye. naidaanik setting mein, sankeern aur vyaapak jatil tachycardia (superventricular banaam. ventricular) maulik haye kyonki unakaa ilaaj alag tarah seey kiya jaataa haye. isake alawa, ventricular tachycardia jaldi seey ventricular fibrillation aur mrityu mein apakshay curr sakata haye aur alag vichaar key yogya haye. cumm samanya sthiti mein jisamen ack vyaapak-jatil tachycardia atee-vanchya hoe sakata haye, unake beach antar karane mein sahaayata key liye kaee algorithm taiyar kiye gaye hain. samanya taur parr, sanrachanaatmak hriday roga kaa itihas iss sambhavana koo badhaata haye kii tachycardia mool roop seey nilay haye.
vargeekaran.
nimnalikhit prakaar key atee-adhivrittiya tachycardia koo unake vishisht mool sthal dwara adhik sateek roop seey vargeekrit kiya jaataa haye. jabaki pratyek aiss. vee. tii. key vyaapak vargeekaran seey sambandhit haye, jaba sambhav hoe tou vishisht shabd/nidan koo prathamikta dee jaati haih
cinotrial moolah
alind moolah
atrioventricular moolah
roktham.
ack baar teevra ataalata samaapt hoe jaane key baad, punaravritti koo rokane key liye chala rahey upchaar kaa sanket diyaa jaa sakata haye. haalaanki, jinn logon mein ack alag prakaran haye, yaa kabhi-kabhi aur nyuntam lakshanaatmak prakaran hain, way aamtaur parr avalokan aur spashteekaran key alawa anya upchaar kii aavashyakta naheen rakhate hain.
samanya taur parr, adhik baar yaa aksham karane vaale lakshnon vaale rogiyon koo kissy naa kissy prakaar kii roktham kii aavashyakta hoti haye. beeta-blocker aur verapamil jaise saral aeye. vee. nodal blocking agents key saath-saath anty-ataalata davaaon sahit vibhinn prakaar kii davaaon kaa upayog kiya jaa sakata haye, aamtaur parr achche prabhaav key saath, halanki inn upchaaron key pratikool prabhaavon koo sambhaavit laabhon key khilaf taula jaanaa chaahiye.
radiofrequency ablation ney punah pravesh maarg key kaaran honey vaale tachycardia key upchaar mein kranti laa dee haye. yeh ack cumm jokhim vaali prakriya haye joe asamanya vidyut maargon kaa pataa lagaane aur unhein nasht karane key liye radiofrequency oorjaa dene key liye hriday key ander ack catheter kaa upayog karati haye. ablation koo atyadhik prabhaavi dikhaaya gayaa haih aeye. vee. aine. aar. tii. key mamle mein lagbhag 90 pratishat. aeye. vee. aar. tii. aur vishisht alind mein halchal key saath safalata kii samaan uchch darr praapt kii jaati haye.
cryoablation ack nayaa upchaar haye jisamen seedhe aiv node shamil haye. aeye. vee. node koo shamil karane vaalaa aiss. vee. tii. aksar aeye. vee. node koo ghayal karane kii chhoti (1 pratishat) ghatnaaon key kaaran radiofricuency ablation kaa upayog karane key liye ack virodhabhas haye, phir ack sthaayi pacemaker kii aavashyakta hoti haye. cryoablation nitrus oxide gais dwara supercooled catheter kaa upayog kartaa haye joe ootak koo −10°see (+ 14°aff) taka freeze kartaa haye. yeh radiofrequency ablation key samaan parinam pradaan kartaa haye lekin samaan jokhim naheen rakhta haye. yadi yeh paaya jaataa haye kii galat ootak koo jamaaya jaa rhaa haye, tou ootak key samanya tapman parr lautane aur cumm samay mein kaary karane key saath jamane kii prakriya koo jaldi seey rokaa jaa sakata haye. yadi ootak koo-10 degree celsius taka jamaane key baad vaanchhit parinam praapt hotaa haye, tou ootak koo-73 degree celsius (-99.4 degree fahrenheit) key tapman taka thandaa kiya jaa sakata haye aur ise sthaayi roop seey cumm kiya jaayega.
iss chikitsa ney aeye. vee. aine. aar. tii. (aur aeye. vee. node key karib maargon vaale anya aiss. vee. tii.) key liye upchaar vikalpon mein aur sudhaar kiya haye, apekshaakrit halke lekin abhee bhee pareshan karane vaale lakshnon vaale yuva rogiyon key liye upchaaraatmak kshay key anuprayog koo vyaapak banaaya haye, jinhone pacemaker kii aavashyakta key jokhim koo sweekaar naheen kiya hoga.
upchaar.
adhikansh aiss. vee. tii. jeevan key liye khatarnak honey key bajaay apriya hotey hain, halanki hriday gati bahut tej honey seey una logon key liye samasyagrast hoe sakati haye joe antarnihit ischemic hriday roga seey peedit hain, yaa bujurg hain. episode kaa ilaaj taba kiya jaa sakata haye jaba way valsalva paintarebaazi, adenosine injection yaa goli-inn-pockett key roop mein ack aiv node blocking agent lene seey hotey hain, lekin punaravritti koo rokane yaa cumm karane key liye niyamit dawa kaa bhee upayog kiya jaa sakata haye. jabaki kuchh upchaar vidhiyon koo sabhi aiss. vee. tii. parr lagu kiya jaa sakata haye, kuchh upa-prakaron key ilaaj key liye vishisht upchaar upalabdh hain. parinamswarup prabhaavi upchaar key liye iss baat kaa gyaan aavashyak haye kii ataalata kaise aur kahaan shuru kii jaati haye aur isake prasaar kaa tarika.
teji seey dill kii dhadkan aur sambandhit lakshnon koo niyantrit karane yaa samaapt karane key liye jeevan shally mein parivartan, dawa aur hriday prakriyaon kii aavashyakta hoe sakati haye.
aiss. vee. tii. koo iss aadhar parr vargeekrit kiya jaa sakata haye kii kyaa aiv node lay koo banaae rakhane mein shamil haye. yadi aisaa haye, tou aiv node key madhyam seey chaalan koo dheema karane vaale paintarebaazi ise samaapt curr denge. yadi aisaa naheen haye, tou aeye. vee. nodal blocking yuddhabhyas ise samaapt naheen karenge, lekin parinamswarup aeye. vee. node kaa asthaayi daman abhee bhee antarnihit asamanya lay koo ujagar karane key liye upayogi haye.
superventricular tachycardia key teevra hamalon kaa ilaaj asmolol (i.vee.).
samaaj aur sanskriti.
aiss. vee. tii. key ullekhaniya maamaleh

