Izinto ekufuneka uzazi malunga nokubetha kwentliziyo kwabasetyhini!

Ngaba wakha wazibuza ukuba intliziyo yakho ibetha ngokukhawuleza kangakanani xa umile nje? Ngamanye amaxesha ivakala ngathi ibetha ngokukhawuleza kakhulu, kwaye ngamanye amaxesha ivakala icotha kakhulu. Kubaluleke kakhulu ukuba abafazi bazi isantya sentliziyo yabo, kuba isantya sentliziyo yethu sinokuhluka kancinci kunesamadoda.

Ingakanani isantya sentliziyo esiqhelekileyo somfazi?

Isantya sentliziyo somfazi omdala siphakathi kwama-78 nama-82 ngomzuzu. Kodwa into esiyithatha njenge "uluhlu oluqhelekileyo" iphakathi kwama-60 nama-100 ngomzuzu. Eli xabiso linokwahluka kumntu nomntu. Zininzi izinto ezichaphazela oku, kuquka iihomoni zakho, umthambo owenzayo, kunye nendlela ophila ngayo .

Ngokubanzi, abafazi banezinga eliphezulu lentliziyo kunamadoda. Isantya sentliziyo esiqhelekileyo kwindoda endala siphakathi kwe-70 kunye ne-72 beats ngomzuzu.

Kutheni amazinga entliziyo yamadoda nabafazi ahlukile?

Kukho isizathu esilula kakhulu. Ngokwesiqhelo, ngexesha lokufikisa , intliziyo yenkwenkwe iba nkulu nge-15% ukuya kwi-30% kunentliziyo yentombazana. Oku kukhula kobukhulu bentliziyo kwenzeka njengoko umzimba ukhula.

Khawucinge ngoku, xa intliziyo yakho ibetha kube kanye, loo mqobo yiyo epompa igazi emzimbeni wakho wonke. Iintliziyo zabasetyhini zihlala zincinci kancinci kuneentliziyo zamadoda, ngoko ke ukuze upompe igazi elifanayo emzimbeni wakho wonke, intliziyo yakho kufuneka ibethe rhoqo. Yiyo loo nto isantya sentliziyo yethu siphezulu kancinci. Uyabona?

Yeyiphi isantya sentliziyo esiyingozi kumfazi?

Ukuba isantya sentliziyo yakho yokuphumla sihlala singaphezulu kwe-100 beats ngomzuzu, nokuba awuzilolongi, isenokuba yimeko enzima . Kuya kufuneka ubone ugqirha ngoko nangoko, ingakumbi ukuba uneempawu ezifana nesiyezi kunye nokuphazamiseka kwengqondo .

Ngokufanayo, isantya sentliziyo esihla ngaphantsi kwe-60 beats ngomzuzu ngamanye amaxesha sinokuba yingxaki. Ingakumbi ukuba uziva unesiyezi, unentloko ebuhlungu, okanye udiniwe kakhulu. Nangona kunjalo, kuqhelekile ukuba abantu abakhutheleyo, njengabagijimi, babe nesantya sentliziyo kwiminyaka yoo-40 noo-50 ngomzuzu. Akukho nto ifanele ixhalabe ngayo.

Iihormone zichaphazela njani izinga lentliziyo?

Uphando lufumanise ukuba ngaphambi kokuba ukuyeka ukuya exesheni , oko kukuthi, ngaphambi kokuba ukuyeka ukuya exesheni kuyeke ngokupheleleyo, abafazi basebenza kakuhle kwentliziyo kunamadoda aneminyaka efanayo. Nangona kunjalo, emva kokuya exesheni, lo mahluko awubonakali kangako. Abaphandi bakholelwa ukuba oku kusenokunxulunyaniswa nehomoni i-estrogen kunye nempilo yentliziyo.

Ikuchaphazela njani i-perimenopause kunye ne-menopause?

Ngaphambi kokuba abasetyhini badlule kwixesha eliphakathi kokuya exesheni kunye nokuya exesheni, baphumelela ngakumbi xa bejamelene nezinye iingxaki zentliziyo (xa kuthelekiswa namadoda aneminyaka efanayo). Umzekelo:

• I-Aortic stenosis : Oku kukuncipha kwevalvu yomthambo oyintloko wentliziyo.
• Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani : Ukungaphumeleli kwentliziyo.
• Uxinzelelo lwegazi oluphezulu (iHypertension) .
• I-hypertrophic cardiomyopathy .

Nangona kunjalo, iziphumo zezi meko zifana kakhulu kwabasetyhini abasele beyekile ukuya exesheni kunye namadoda aneminyaka efanayo.

Ngaba unyango lokutshintshwa kwamahomoni (HRT) luyayiphucula impilo yentliziyo?

Abaphandi abakafumani ukuba unyango lokutshintshwa kweehomoni (HRT) lunyango olusebenzayo lokuphucula ukusebenza kwentliziyo kubasetyhini abasele beyekile ukuya exesheni. Akubonakali ngathi luyayinciphisa ingozi yeengxamiseko zentliziyo. Nangona kunjalo, i-HRT inokunceda ukulawula iimpawu zokuya exesheni, ezinje ngokubetheka kwentliziyo, ubushushu obuphezulu, okanye ukubila ebusuku .

Ngaba umjikelo wakho wokuya exesheni wenyanga uyayichaphazela isantya sentliziyo yakho?

Ewe, ngokuqinisekileyo. Amanqanaba akho eehomoni ayatshintsha kulo lonke ixesha lakho lokuya exesheni ngenyanga. Ngokwesiqhelo, izinga lentliziyo yakho liyanda kancinci ngexesha lokuvuthwa kweqanda kunye neveki emva koko (isigaba se-luteal). Inganga yentliziyo yakho iyancipha kancinci kwiintsuku ezikhokelela kwixesha lakho kunye neveki emva koko (isigaba se-follicular). Oku kuqhelekile.

Kwenzeka ntoni kwisantya sentliziyo ngexesha lokukhulelwa?

Isantya sentliziyo esiqhelekileyo sabasetyhini abakhulelweyo siphezulu kuneso sabasetyhini abangakhulelwanga. Xa ukhulelwe, intliziyo yakho kufuneka isebenze nzima ukupompa igazi esibelekweni sakho . Ubungakanani begazi elimpompelwa yintliziyo yakho buyanda ngama-30% ukuya kuma-50%. Ke ngoko, isantya sentliziyo yakho esiqhelekileyo sinyuka siye kuma-90 ngomzuzu ngexesha lokukhulelwa. Kwakhona, xa uzilolonga ngexesha lokukhulelwa, isantya sentliziyo yakho sinyuka ngaphezu kwesiqhelo.

Kuqhelekile ukuba ne- minor heart arrhythmias ngexesha lokukhulelwa. Umzekelo, malunga nomnye kubafazi ababini abakhulelweyo baya kuba nengxaki ebizwa ngokuba yi- premature atrial contractions . Ezi arrhythmias azifane zibangele iingxaki kwaye zihlala ziphela ngaphandle konyango. Nangona kunjalo, ii-arrhythmias ezinzulu ngakumbi, ezifana ne -diastolic heart murmurs, zinokufuna unyango.

Zeziphi iingxaki zesingqisho sentliziyo (ii-arrhythmias) ezixhaphakileyo ezichaphazela abafazi?

Ezinye iingxaki zesingqisho sentliziyo (i-arrhythmias) kunye neemeko ezichaphazela izinga lokubetha kwentliziyo zixhaphake kakhulu kwabasetyhini. Ezinye zazo zezi:

• I-Atrial tachycardia : Ukubetha kwentliziyo okungaqhelekanga nokukhawulezayo kwigumbi eliphezulu lentliziyo (atria).
• I-Atrioventricular nodal reentry tachycardia (AVNRT) : Ukubetha kwentliziyo okukhawulezayo rhoqo.
• I-Long QT syndrome (LQTS) : Imeko apho isignali yombane ithatha ixesha elide kunesiqhelo ukuthunyelwa ngamagumbi asezantsi (ii-ventricles) zentliziyo ize itshajwe kwakhona.
• I-Postural orthostatic tachycardia syndrome (i-POTS) : Imeko ebangela isiyezi kunye nokubetha kwentliziyo ngokukhawuleza xa umi ulele.
• Ukubanjwa kwentshukumo yombane engenamaphazamiso (i-PEA) : Olu luhlobo lohlaselo lwentliziyo. Okwenzekayo apha kukuba nangona kukho isignali yombane eqhelekileyo esuka entliziyweni, intliziyo ayibethi, ngoko ke akukho kubetha kwentliziyo.
• I-Right ventricular outflow tract (RVOT) ventricular arrhythmias (VAs) : Ingxaki yesingqisho sentliziyo apho ii-ventricles zentliziyo zitsiba isingqi endaweni yokumpompa ngokufanelekileyo.
• Isifo se-sinus esibuhlungu : Ingxaki yesingqisho sentliziyo eyenzeka xa i-sinoatrial (SA) node, ethumela isignali yombane ukuqala ukubetha kwentliziyo nganye, ingasebenzi kakuhle.

Zeziphi iingxaki zesingqisho sentliziyo ezingabachaphazeli kangako abafazi?

Kwakhona, abafazi abanamathuba amaninzi okufumana iingxaki ezithile zesingqisho sentliziyo kunye neemeko ezichaphazela izinga lokubetha kwentliziyo. Imizekelo:

• I-Atrial fibrillation (Afib) : Isingqisho sentliziyo esingahambelaniyo esiqala kumagumbi aphezulu entliziyo (atria). (Okungakumbi ngale nto ngezantsi)
• I-Fascicular ventricular tachycardia (FVT) : Imeko apho intliziyo ibetha ngokukhawuleza, equka imixokelelwane yeefayibha (iifascicles) ezithwala imiqondiso yombane entliziyweni.
• Ukufa kwentliziyo ngequbuliso : Ingxamiseko yezonyango ebangelwa kukulahlekelwa yintliziyo ngequbuliso.
• I-Ventricular fibrillation : Isingqisho sentliziyo esingahambelaniyo esichaphazela amagumbi asezantsi (ii-ventricles) entliziyo.
• Isifo sikaWolff-Parkinson-White (WPW) : Imeko eyenzeka xa kukho indlela engaphezulu, engahambelaniyo kwinkqubo yesignali yombane yentliziyo. Oku kunokubangela ukuba intliziyo ibethe ngokukhawuleza ngendlela engaqhelekanga.

Ngaba i-atrial fibrillation (Afib) ichaphazela amadoda nabafazi ngokwahlukileyo?

I-Atrial fibrillation (Afib)Le meko yokubetha kwentliziyo okungaqhelekanga ixhaphake kakhulu kumadoda kunabasetyhini. Nangona kunjalo, xa abafazi befumana le meko, banokufumana iimpawu ezahlukeneyo . Umzekelo:

• Ukuxhalaba rhoqo
• Ukubetha kwentliziyo

Ukongeza, abafazi banamathuba amaninzi okuba nezinye izifo kunye ne-Afib. Ezi ziquka:

• Ukusilela kwentliziyo kunye neqhezu eliqhelekileyo lokukhupha igazi .
• Uxinzelelo lwegazi oluphezulu (iHypertension) .
• Isifo sevalvu .

Zifunyaniswa njani iingxaki zesingqisho sentliziyo (iiArrhythmias)?

Ukuba ukrokrela ukuba unesifo sentliziyo, ungathunyelwa kwi -electrophysiologist , ingcali yentliziyo egxile kwizifo zentliziyo.

Ugqirha wakho angasebenzisa iimvavanyo ezininzi kunye nezixhobo ukuxilonga isifo sentliziyo. Ezinye zazo ziquka:

• Isixhobo sokujonga esihambahambayo : Ezi zizixhobo ezinxitywa emzimbeni. Zirekhoda izinga lentliziyo yakho kangangeentsuku okanye iiveki. Oku kunokunceda ekufumaneni izingqisho zentliziyo ezingaqhelekanga ezingalindelekanga. Cinga ngako, ngamanye amaxesha uziva uphilile eofisini kagqirha, kodwa uziva intliziyo yakho ibetha ekhaya. Oku kuluncedo kakhulu ngamaxesha anje.
• Uvavanyo loxinzelelo lokuzivocavoca : Uvavanyo olulinganisa indlela intliziyo yakho esabela ngayo xa unyusa umsebenzi wakho. Ngokwesiqhelo, ucelwa ukuba uhambe kwi- treadmill okanye ukhwele ibhayisekile yokuzilolonga ngelixa uqhagamshelwe kumatshini orekhoda umsebenzi wombane wentliziyo yakho.
• I-Electrocardiogram (EKG/ECG) : Ugqirha angayalela i- EKG ukuba irekhode umsebenzi wombane wentliziyo yakho. Kule meko, kubekwa amaqhekeza amancinci (ii-electrode) esifubeni sakho. Umatshini we-EKG ubonisa imiqondiso yombane yentliziyo yakho njengegrafu.
• Uphononongo lwe-Electrophysiology (EP) : Ukuba ugqirha wakho ufuna ulwazi oluthe kratya emva kovavanyo lwe-EKG okanye uxinzelelo, unokufuna ukuba nesifundo se-EP. Kule meko, kufakwa iityhubhu ezincinci, ezingenanto (ii-catheters) ngemithambo yegazi emqolo wakho. Besebenzisa ezi catheters, oogqirha banokujonga ukusebenza kwentliziyo yakho.
• Uvavanyo lwetafile ethambekileyo: Esi sixhobo sibonisa indlela iindawo ezahlukeneyo zomzimba ezichaphazela ngayo izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nesingqisho sentliziyo. Ulala kwitafile yokuthambekela eqhutywa yinjini kwaye uqhagamshelwe kumatshini we-EKG. Njengoko itafile ihamba kwiindawo ezahlukeneyo, i-EKG irekhoda umsebenzi wombane wentliziyo yakho.

Zinyangwa njani iingxaki zesingqisho sentliziyo?

Ngokwesiqhelo, unyango lwesifo sentliziyo lunokuquka:

• Amayeza : Ugqirha wakho unokukunika amayeza okulawula isigqi sentliziyo yakho okanye ukunciphisa umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi . Ngenxa yokuba abafazi banexesha elide le-QT kunamadoda, amanye amayeza andisa ixesha le-QT (umz., i-sotalol, i-dofetilide, i-amiodarone ) asenokungafaneleki rhoqo.
• Utshintsho kwindlela yokuphila : Ezinye iingxaki zinokuncitshiswa ngokutshintsha indlela yokuphila, njengokunciphisa i-caffeine okanye utywala . Ukuyeka ukutshaya kunokunceda ekulawuleni iingxaki.
• I-Electrical cardioversion : Ngelixa ulele, umothuko wombane uthunyelwa eludongeni lwesifuba sakho. Oku kunokubuyisela isigqi sentliziyo esiqhelekileyo. Oku kunokuba luncedo kwizigulana ezingakwaziyo ukufikelela kwisantya sentliziyo esiqhelekileyo ngamayeza odwa. Ikwasetyenziswa njengenkqubo yokusindisa ubomi kwizigulana ezine-ventricular arrhythmias ezinokukhokelela ekumisweni kwentliziyo ngequbuliso.
• Ukususwa kwekhathetha : Ugqirha ufaka ikhathetha entliziyweni yakho aze athumele amandla ashushu okanye abandayo ngayo. Oku kudala amanxeba amancinci kwizicubu zentliziyo abangela ukungaqheleki, ngaloo ndlela ethintela iimpembelelo zombane ezingaqhelekanga.
• Izixhobo zombane : Ungazuza kwisixhobo esincinci esifakwe phantsi kwesikhumba sakho. Ezi zixhobo zinokubona okanye zinyange izingqisho zentliziyo ezingaqhelekanga. Abanye abantu bane -pacemakers . Ezi zithumela ii-pulses ezincinci zombane ezilawula isantya sentliziyo. Abanye bazuza kwi -implantable cardioverter-defibrillators (ICDs) . Ezi zibona izingqisho zentliziyo ezingaqhelekanga kwaye zithumela amandla entliziyweni ukubuyisela ukubetha kwentliziyo okuqhelekileyo.
• Utyando : Ukuba akukho nyango lunokulawula ukubetha kwentliziyo yakho, ugqirha wakho unokucebisa utyando. Olona khetho luqhelekileyo yinkqubo ye-maze . Kule nkqubo, ugqirha wentliziyo wenza i-maze yamanxeba kwizicubu zentliziyo yakho ukuthintela imiqondiso yombane engaqhelekanga.

Ngoko ke, sithini isigidimi esifuna ukusithatha ekhaya kweli bali?

Ukuba ngequbuliso uziva intliziyo yakho ibetha ngokukhawuleza xa uphumle emva komsebenzi, usenokuba noloyiko oluncinci, akunjalo? Okanye mhlawumbi uqaphele ukuba izinga lentliziyo lokuphumla lomnye wabahlobo bakho abangamadoda lihlala liphantsi kunelakho.

Khumbula, kuqhelekile ukuba abafazi babe nesantya sentliziyo esiphezulu kancinci kunamadoda. Oku kubonakala ngathi kuphenjelelwa ziihomoni.

Nangona kunjalo, ukuba izinga lentliziyo yakho yokuphumla lihlala lingaphezulu kwe-100 ngomzuzu , ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kwakhona, ukuba izinga lentliziyo yakho lihlala lingaphantsi kwe-60 ngomzuzu, ingakumbi ukuba awukhuthazi kakhulu kwezemidlalo okanye ekuzilolongeni, xelela ugqirha wakho ngaloo nto. Ukunyamekela intliziyo yakho kubaluleke kakhulu!

Isantya sentliziyo, impilo yabasetyhini, intliziyo, iihomoni, ukuya exesheni, ukukhulelwa, i-arrhythmia