Ingaba intliziyo yakho ibetha ngokukhawuleza ngequbuliso? Masifunde ngale (Atrial Flutter)!

Ngaba ngamanye amaxesha uziva ngathi isifuba sakho sibetha ngokukhawuleza kakhulu, kodwa ngesingqi esifanayo? Kufana nedrama ebetha ngokukhawuleza, kodwa ngesingqi esiqhelekileyo. Oku kunokwenzeka ngamanye amaxesha xa uxhalabile okanye usoyika. Nangona kunjalo, ukuba oku kwenzeka rhoqo, okanye ukuba kuhamba nezinye iimpawu, kunokuba luphawu lwesifo sentliziyo esibizwa ngokuba yi-`(Atrial Flutter)`. Makhe sijonge ukuba yintoni, kutheni isenzeka, kunye nento onokuyenza ngayo.

Yintoni i-`(Atrial Flutter)`? Ngamafutshane nje...

Ngamafutshane, `(Atrial Flutter)` yimeko apho amagumbi amabini aphezulu entliziyo yethu, i-`atria`, aqala ukubetha ngokukhawuleza, kodwa ngendlela efanayo, ngendlela ethile. Oogqirha bakubiza oku ngokuba sisingqisho sentliziyo esingaqhelekanga (`supraventricular arrhythmia`) esiqala kwiindawo eziphezulu zentliziyo.

Cinga nje, xa sihleli nje sithule, siphumle, iintliziyo zethu zibetha phakathi kwamaxesha angama-60 ukuya kwali-100 ngomzuzu. Elo lizinga lentliziyo ephilileyo. Kodwa kumntu one-"Atrial Flutter", iindawo eziphezulu zentliziyo, i-atria, zinokubetha ngokukhawuleza kangangezihlandlo ezingama-250 ukuya kuma-350 ngomzuzu! Ungacinga ngeso santya? Xa i-atria ibetha ngokukhawuleza kangaka, amagumbi amabini asezantsi entliziyo, i-"ventricles", nawo kufuneka abethe ngokukhawuleza. Ngamanye amaxesha izihlandlo ezili-150 ngomzuzu okanye nangaphezulu.

Eyona sizathu siphambili soku kukungasebenzi kakuhle kwemiqondiso yombane yentliziyo. Intliziyo yethu ibetha sisebenzisa inkqubo yemiqondiso esebenza njengemiyalezo yombane. Oku kwenzeka xa kukho ingxaki okanye ukungasebenzi kakuhle kwezi miqondiso.

Ngaba kukho iintlobo ze-`(Atrial Flutter)`?

Ewe, kukho iintlobo ezininzi eziphambili ze-`(Atrial Flutter)`. Ugqirha angayibona ngqo ukuba loluphi uhlobo ngokujonga i-`(ECG)` yakho, oko kukuthi, igrafu yovavanyo olulinganisa ukusebenza kwentliziyo.

• `I-Atrial Flutter eqhelekileyo` (le yeyona ntlobo ixhaphakileyo): Kule, imiqondiso yombane engaqhelekanga ihamba ngendlela echasene newotshi (ngokuchasene newotshi, njengewotshi) ngaphakathi kwe-atrium yasekunene yentliziyo.
• `I-Reverse Typical Atrial Flutter`: Kule nto, imiqondiso yombane ihamba ngesangqa esijikelezayo (ngokwewotshi) ngaphakathi kwe-atrium yasekunene.
• I-Atypical Atrial Flutter (oku akuvamile kangako, ingakumbi ukuba awuzange wenze utyando lwentliziyo ngaphambili okanye i-ablation, etshabalalisa ezinye zezicwili zentliziyo): Kule meko, imiqondiso yombane engaqhelekanga inokwenzeka kwi-atrium esekhohlo okanye ekunene. Ngamanye amaxesha, ezi miqondiso zinokuhambahamba kwizicubu ezibangelwa lutyando lwentliziyo.

Zithini iimpawu ze-`(Atrial Flutter)`?

Kuyamangalisa indlela abanye abantu abane-Atrial Flutter ababonisi zimpawu ngayo . Nangona kunjalo, abantu abaninzi banokufumana enye okanye ngaphezulu kwezi zilandelayo:

• Ukuphelelwa ngamandla: Ukuziva ufuthanisekile okanye ubunzima bokuphefumla.
• Ukudinwa: Ukuziva ujikeleza kwaye kunzima ukuma.
• Ukudinwa emzimbeni: Ukuziva udiniwe kakhulu kwaye ungakwazi ukwenza nantoni na.
• Ukubetha kwentliziyo: Ukuziva intliziyo yakho ibetha ngamandla nangokukhawuleza ngaphakathi esifubeni sakho. Abanye abantu banokuziva oku entanyeni okanye emqaleni.
• I-pulse ekhawulezayo: Ukuba uziva i-pulse yakho, iya kukhawuleza kakhulu.
• Intlungu yesifuba okanye ukuxinana: Kusenokuvakala ngathi isifuba sakho siyancipha, okanye kunokuvakala kubuhlungu.
• Ukuziva ngathi uza kufa isiqaqa (ukuphelelwa ngamandla): Ngequbuliso amehlo akho ajika abe luhlaza okwesibhakabhaka, uze uzive ngathi uza kufa isiqaqa.
• Ukuba neentloko ezikhaphukhaphu : Ukuziva ngathi uneentloko ezikhaphukhaphu kwaye ungakwazi ukuqhubeka unyathela phantsi.

Ezi mpawu zinokwahluka kumntu nomntu. Kwabanye abantu, ziyafika zihambe, ngoxa kwabanye, zisenokuba njalo.

Kutheni le nto `(Atrial Flutter)` isenzeka? Zithini izizathu?

Njengoko besitshilo ngaphambili, esona sizathu soku kukuba imiqondiso yombane kwi-atria yentliziyo iveliswa ngokukhawuleza kakhulu kwaye rhoqo. Yiyo loo nto i-atria iqala ukufinyela kakhulu. Kukho izizathu ezahlukeneyo ezinokubangela oku:

• Ukuphazamiseka kwevalvu yentliziyo: Xa iivalvu entliziyweni zingavali okanye zingavuli kakuhle.
• Iimeko zentliziyo ezizalwa nazo: Abanye abantu bazalwa beneziphene ezithile zentliziyo.
• Isifo semithambo yegazi: Ukuncitshiswa okanye ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Ukusilela kwentliziyo: Imeko apho intliziyo ingakwaziyo ukupompa igazi elaneleyo emzimbeni.
• Uxinzelelo lwegazi oluphezulu: Uxinzelelo lwegazi oluphezulu.
• I-thyroid esebenza kakhulu (i-Hyperthyroidism): Ukukhupha iihomoni ze-thyroid ngokugqithisileyo.
• Izifo zemiphunga: Umzekelo, i-COPD.
• Utyando lwentliziyo lwakutshanje.

Ngubani osengozini enkulu yokuba ne-"Atrial Flutter"?

Umngcipheko wokuba ne-"Atrial Flutter" uyanda ngokuhamba kweminyaka. Kukwafunyaniswe ukuba amadoda anamathuba amaninzi okufumana le meko kunabafazi.

Ukongeza, ezinye iimeko zempilo kunye nemikhwa nazo zinokunyusa le ngozi:

• Ukuba unezinye izifo zentliziyo (umz. ukungasebenzi kwentliziyo, isifo sevalvu).
• Igazi elonyukayo.
• Ukungasebenzi kakuhle kwe-thyroid (ingakumbi i-hyperthyroidism).
• Isifo Seswekile (`Isifo Seswekile`).
• Izifo zemiphunga (umz. Isifo seMiphunga esingapheliyo - `COPD`, `Pulmonary Embolism`).
• Ukusetyenziswa kotywala ngokugqithisileyo (`Ingxaki yokusebenzisa utywala`).
• Ukuphazamiseka kokulala.
• Ukutyeba kakhulu.

Ziziphi iingxaki ezinokubakho ngenxa ye-`(Atrial Flutter)`?

Xa une-`(Atrial Flutter)`, intliziyo yakho ayisebenzi kakuhle. Cinga ngayo njengomgca wokudibanisa umzimba kumzi-mveliso. Igazi liphuma kwelinye igumbi liye kwelinye ngaphambi kokuba liphume entliziyweni.

Kodwa xa une-`(Atrial Flutter)`, kufana nokuba indawo yokuqala yokusebenza kule 'assembly line' isebenza ngokukhawuleza kakhulu. Ngenxa yokuba i-atria yentliziyo ibetha ngokukhawuleza, ayinalo ixesha lokuzalisa igazi ngokufanelekileyo. Kwakhona, lonke igazi elikwi-atria alinalo ixesha lokuya kwigumbi elisezantsi (`ventricles`). Ngenxa yoko , umzimba awufumani igazi elaneleyo.

Oku kunokubangela iingxaki ezimbini eziphambili:

1. Umngcipheko wokuqhekeka kwegazi kunye nokuhlaselwa sistroke okanye ukuhlaselwa yintliziyo: Ngenxa yokuba kungekho xesha laneleyo lokuba lonke igazi liphume kwi-atria, elinye igazi lihlala kwi-atria. Eli gazi lihlala kwindawo enye linokuba ngamahlwili egazi. Ukuba la mahlwili egazi aya engqondweni, anokubangela ukukhubazeka, kwaye ukuba abambeke kwimithambo yentliziyo, anokubangela ukuhlaselwa yintliziyo. Le yeyona ngxaki iyingozi kakhulu ye-`(Atrial Flutter)`.

2. I-Cardiomyopathy kunye nokusilela kwentliziyo: Xa intliziyo iqhubeka nokubetha ngokukhawuleza, izihlunu zentliziyo zinokudinwa kwaye zibe buthathaka. Kwakhona, amagumbi asezantsi entliziyo awanalo ixesha lokuzalisa ngokufanelekileyo, ngoko ke inani legazi elimpontshwa yintliziyo liyancipha. Ukuba oku kuyaqhubeka, intliziyo inokungena kwimeko yokusilela kwentliziyo.

Eyona nto ibalulekileyo: I-Atrial Flutter ayisiyonto ithathwa lula. Ukuba ayinyangwa kakuhle, inokukhokelela kwiingxaki ezinkulu.

Ungayixilonga njani i-atrial flutter?

Ukuba uneempawu ezichazwe apha ngasentla, ugqirha unokukuhlola aze, ukuba kuyimfuneko, enze ezinye zezi vavanyo zilandelayo:

• I-Electrocardiogram (ECG okanye EKG): Olu lolona vavanyo lubalulekileyo. Lurekhoda umsebenzi wombane wentliziyo yakho. Ukuba une-atrial flutter, imigca kwigrafu iya kuvela kwipateni ethile , njengepateni ye-sawtooth okanye ipateni ye-picket fence .
• `I-Echocardiogram` (I-Echo): Oku kufana nokuskena kwentliziyo. Kunokujonga ukuba akukho mahlwili egazi kwi-atria yentliziyo. Kunokujonga imeko yeevalvu zentliziyo kunye nokusebenza kwemisipha yentliziyo, phakathi kwezinye izinto.
• Uvavanyo lwegazi: Olu vavanyo lunceda ukujonga ukuba i-thyroid gland isebenza kakhulu na, ukungalingani kwee-electrolytes egazini, okanye ezinye iingxaki.
• Uvavanyo lokusebenza kweMiphunga: Olu lwenziwa ukuze kubonwe ukuba imiphunga isebenza kakuhle kangakanani na, njengoko ezinye izifo zemiphunga zinokuchaphazela isigqi sentliziyo.
• ``Imonitha yeHolter'' okanye ``Imonitha yeziganeko'':Ngamanye amaxesha xa usiya kugqirha, ukubetha kwentliziyo okukhawulezayo kunokuphela. Ukuba oko kuyenzeka, ungacelwa ukuba unxibe isixhobo esincinci esirekhoda ukubetha kwentliziyo yakho kangangeentsuku ezimbalwa.

Ziziphi iindlela zonyango ze-`(Atrial Flutter)`?

Xa unyanga i-atrial flutter, into yokuqala ekufuneka yenziwe kunyango lwemeko ebangela loo nto. Umzekelo, ukuba kukho ingxaki ye-thyroid, iyanyangwa. Ukongeza, kukho unyango oluthile lwe-atrial flutter. Oku kungabandakanya amayeza kunye neenkqubo.

Abantu abaninzi banokuyilawula le meko ngamayeza. Njengakweminye imithi, kukho iziphumo ebezingalindelekanga, kodwa iingozi zihlala zincinci xa kuthelekiswa neenzuzo. Ukuba amayeza awasebenzi, ugqirha wakho unokucebisa ezinye iindlela.

Amayeza

Iindidi eziphambili zamayeza anikwayo kwi-`(Atrial Flutter)` zezi:

• Amayeza okunciphisa izinga lentliziyo: La aquka amayeza abizwa ngokuba yi-"Calcium channel blockers" kunye ne-"Beta-blockers." La mayeza asebenza ngokulawula izinga lokubetha kwentliziyo.
• Amayeza okulwa nokubetha kwentliziyo: La mayeza azama ukumisa isigqi sentliziyo esikhawulezayo nesingaqhelekanga aze asibuyisele kwisigqi esiqhelekileyo.
• Izithinteli zokwaphuka kwegazi okanye izithinteli zegazi: Oku kubaluleke kakhulu. La mayeza anikwa ukuthintela ukuba amahlwili egazi akhankanyiweyo angabikho aze abangele izinto ezifana nokungakwazi ukuqina kwegazi.

Iinkqubo zonyango

Ukuba amayeza odwa awanelanga, ungenza nezinto ezinje:

• Ukuguqulwa kwentliziyo: Oku kuquka ukubuyisela ngequbuliso izinga lentliziyo kwisimo esiqhelekileyo, nokuba ngamayeza okanye ngokunika umbane omncinci esifubeni. Oku kwenziwa phantsi kwe-anesthesia, ukuze ungaziva ntlungu.
• Ukususwa kweCatheter: Olu lonyango oluntsonkothileyo kancinci. Kule meko, kufakwa ityhubhu encinci (i-catheter) ngemithambo yegazi ekhokelela entliziyweni, ifumane indawo encinci yezicubu entliziyweni ebangela imiqondiso yombane engaqhelekanga, ize iyitshabalalise kusetyenziswa i-radiofrequency okanye i-cryoablation. Oku kuyayekisa imiqondiso engaqhelekanga.
• Uhlengahlengiso lwePacemaker okanye i-ICD (ICD) ye-ICD: Ukuba sele unesixhobo esinjalo esifakwe entliziyweni yakho, ungazama ukulawula i-atrial flutter ngokutshintsha useto lwayo.

Ngaba kukho naziphi na iingxaki kunyango?

Kunqabile kakhulu ukuba kubekho iingxaki ezincinci ezivela kunyango olufana ``(Catheter Ablation)```. Umzekelo:

• Usulelo
• Ukopha
• Ukonakala komthambo wegazi
• Amahlwili egazi
• Istroke (inqabile kakhulu)

Nangona kunjalo, ezi ngozi zihlala ziphantsi kakhulu. Ugqirha wakho uza kukuchazela kakuhle oku.

Lusebenza kangakanani olu nyango?

• `Intliziyo eguqukayo`: Oku kunezinga lempumelelo eliphakathi kwama-70% nama-90%. Oko kuthetha ukuba abantu abangama-70-90 kwabayi-100 baya kubuyela kwisimo sabo sesiqhelo.
• Ukususwa kweCatheter: Kwabanye abantu, umngcipheko wokuba i-atrial flutter ibuyele emva kokususwa kwe-catheter ungaphantsi kwe-5%. Nangona kunjalo, eli zinga lempumelelo linokwahluka ngokuxhomekeke kuhlobo lwe-atrial flutter kunye nemeko yesigulana. Kwiimeko ezinzima ezifana ne-atrial flutter engaqhelekanga, izinga lempumelelo linokuba phezulu ukuya kwi-70%.

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Emva kokususwa kwesisu, kufuneka ulumke kancinci kwiveki yokuqala. Uza kuxelelwa ukuba ungenzi nto efana nokuphakamisa iintsimbi okanye ukuqhuba kangangeveki. Emva koko, ungabuyela kancinci kwimisebenzi eqhelekileyo.

Ngaba i-Atrial Flutter ingathintelwa?

Ezinye izinto ezinobungozi, ezinje ngobudala, azinakulawulwa. Nangona kunjalo, izinto ezinje ngokunciphisa ukusetyenziswa kotywala zinokunceda ekunciphiseni lo mngcipheko. Kubalulekile nokufumana unyango olufanelekileyo lwezonyango kwezinye iimeko zonyango ezinokubangela ukushukuma kwe-atrial (ezifana noxinzelelo lwegazi oluphezulu, isifo seswekile, kunye neengxaki ze-thyroid).

Yintoni endimele ndiyilindele ukuba ndine-`(Atrial Flutter)`?

I-Atrial Flutter yimeko edla ngokuba nzima ukuyinyanga ngokupheleleyo kwaye inomngcipheko omkhulu weengxaki ezifana nestroke, ngoko ke kuya kufuneka ubone ugqirha wakho ukuze ufumane amadinga okulandela ubomi bakho bonke. Kubalulekile ukuba ungaphoswa ngala madinga, njengoko i-Atrial Flutter inokuthi iphinde ibuye. Oku kunokukhokelela ekulalisweni rhoqo esibhedlele kwabanye abantu.

Ndingazinyamekela njani?

• Eyona nto ibalulekileyo kukugcina amadinga akho okulandela kunye nogqirha wakho. Unyaka ngamnye, ugqirha wakho uya kuvavanya umngcipheko wakho westroke, ethathela ingqalelo ezinye iimeko zakho zempilo. Ukuba umngcipheko wakho uphezulu, unokucelwa ukuba uqhubeke nokuthatha amayeza okunciphisa igazi.
• Thatha amayeza amiselweyo ngexesha elifanelekileyo.
• Yenza utshintsho olusempilweni kwindlela ophila ngayo (umz., yeka ukutshaya, yeka utywala, yitya ukutya okunempilo, yenza umthambo).

Ndifanele ndimbone nini ugqirha wam?

Ufanele ubonane nogqirha wakho ngamaxesha athile. Okwangoku, ukuba une-allergy reaction kuyo nayiphi na imithi oyinikwayo, okanye ukuba iimpawu zakho ziyatshintsha, ziyanda, okanye ukuba ubonakalisa iimpawu ezintsha, bonana nogqirha wakho ngoko nangoko.

Ndingaya nini kwigumbi likaxakeka (ER)?

Ukuba isantya sentliziyo yakho sidlula i-150 beats ngomzuzu (onokuthi uzive ngokujonga i-pulse yakho) ngelixa uphumle, kufuneka ufune uncedo lwezonyango ngokukhawuleza, kwaye ukuba kuyimfuneko, uye kwigumbi likaxakeka. Kwakhona, ukuba ufumana iintlungu eziqatha esifubeni, ubunzima obukhulu bokuphefumla, okanye ukuphelelwa zingqondo, ngokuqinisekileyo kufuneka uye esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Usenokubuza imibuzo efana nale xa udibana nogqirha:

• Ingaba ndine-`(Atrial Flutter)` okanye olunye uhlobo lwesifo sentliziyo?
• Yeyiphi indlela engcono yonyango kum? Zithini izinto ezilungileyo nezingalunganga?
• Ingakanani ingozi yam yokuba nestroke? Ndingenza ntoni ukuze ndiyinciphise?
• Ziziphi iimpawu ekufuneka ndizixhalabele ngakumbi?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?

Ingaba i-`(Atrial Flutter)` iyingozi?

I-Atrial Flutter ayisiyongxaki esongela ubomi, kodwa yingxaki enzulu. Njengoko besitshilo ngaphambili, ukuba ayinyangwa, inokukhokelela kwiingxaki ezisongela ubomi, ezifana nestroke, ukuhlaselwa yintliziyo, okanye ukungasebenzi kakuhle kwentliziyo.

Kuqhelekile ukuba uzive ungakhululekanga xa isantya sentliziyo yakho siphezulu kakhulu. Kodwa ungakhathazeki, ugqirha wakho angakunika unyango olufanelekileyo lwe-`(Atrial Flutter)`. Olu nyango lunokunciphisa umngcipheko wokufumana ezi ngxaki ziyingozi. Yiyo loo nto kubaluleke kakhulu ukugcina idinga lakho nogqirha wakho kwaye ulandele imiyalelo yakhe. Ugqirha wakho uya kukunceda ukhethe unyango olufanelekileyo kwimeko yakho.

Ngoko ke, zeziphi izinto esifanele sizikhumbule kweli bali?

• Ukuphaphazela kwentliziyo yimeko apho amagumbi aphezulu entliziyo ebetha ngokukhawuleza kakhulu, kodwa ngendlela ethile.
• Iimpawu zingabandakanya ubunzima bokuphefumla, isiyezi, kunye nokuqina kwesifuba. Abanye abantu basenokungabi nazo kwaphela iimpawu.
• Eyona nto iyingozi kakhulu kukwenzeka kwamahlwili egazi aze abangele izinto ezifana nestroke .
• Oku kunokubonwa lula nge-ECG.
• Kukho unyango olufana namayeza kunye ``(Ablation)''.
• Kwanasemva konyango, kubaluleke kakhulu ukubona ugqirha ukuze alandelelwe ubomi bakho bonke.
• Ukuba izinga lentliziyo yakho yokuphumla lingaphezulu kwe-150 beats ngomzuzu, funa ingcebiso kagqirha ngoko nangoko.

Ukuba uneminye imibuzo malunga noku, ungoyiki ukuthetha nogqirha wakho. Uza kukuchazela yonke into kakuhle.

Ukuphaphazela kwe - Atrial, Ukubetha kwentliziyo, Isifo sentliziyo, i-ECG, i-Atrium, iiSeli, ukukhubazeka, Ukubetha kwentliziyo, Ukusilela kwentliziyo, ukuSuswa kweCatheter