Xa udidekile, ngaba intliziyo yakho iqale ukubetha ngokukhawuleza nangokukhawuleza, ngokungathi iyabetha ngamandla? Okanye uziva into engaqhelekanga, njengokuqhaqhazela esifubeni sakho? Baninzi abantu abaye bahlangabezana nale meko. Igama lezonyango lale nto yi-Atrial Tachycardia. Musa ukoyika xa usiva igama. Esi asisosimo siyingozi. Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, yintoni i-Atrial Tachycardia?
Intliziyo yethu ifana nendlu encinci enamagumbi amane. Amagumbi amabini aphezulu namagumbi amabini asezantsi. La magumbi mabini aphezulu siwabiza ngokuba yi-atria. Ngokwesiqhelo, intliziyo yethu inenkqubo yombane. Intliziyo ibetha ngendlela ehlelekileyo ngokwemiqondiso evela kule nkqubo.
I-Atrial Tachycardia kuxa amagumbi amabini aphezulu entliziyo, i-atria, eqala ukubetha ngokukhawuleza kakhulu kunesiqhelo. Intliziyo, edla ngokubetha amaxesha angama-60-100 ngomzuzu, ngoku inokubetha ngokukhawuleza amaxesha ali-100 ukuya kuma-250 ngomzuzu. Khawuthelekelele elo santya! Oku kukungaqheleki kwentliziyo, okubizwa ngokuba yi-"arrhythmia" kwezonyango. Le yimeko ebizwa ngokuba yi-"SVT - supraventricular tachycardia".
Kodwa into ebalulekileyo kukuba, oku akuyongozi kwiimeko ezininzi. Ngonyango olufanelekileyo, kunokulawulwa, kwaye ngamanye amaxesha kunyangeke ngokupheleleyo. Umngcipheko wale meko uyanda kancinci xa ukhula.
Ngaba kukho iintlobo eziphambili zale meko?
Ewe, oku kunokwenzeka ngeendlela ezimbini eziphambili. Kulungile ukwazi, Gqirha, kuba kusenokwenzeka ukuba usebenzisa la magama.
| Uhlobo | Icacisiwe ngokulula |
|---|---|
| Uhlobo lokuVula | Kulapho imiqondiso yombane yentliziyo ingahambi ngqo, kodwa endaweni yoko ijikeleza isilonda entliziyweni. Kufana nemoto ejikeleza i-roundabout kuba indlela ivaliwe. Oku kubangela ukuba intliziyo ibethe ngokukhawuleza nangokukhawuleza. |
| Uhlobo lweFocal | Oku kwenzeka xa indawo ethile (egxile) entliziyweni iqala ukukhupha imiqondiso yombane engaqhelekanga nekhawulezayo. Oku akusoloko kuyingozi, kodwa ukuba kuqhubeka ixesha elide, kunokubangela iingxaki. |
Kwabanye abantu, olu hlobo lwe-"Focal" lunokwenzeka kwiindawo ezingaphezu kwesinye. Oku kubizwa ngokuba luhlobo lwe-"Multifocal". Kwimeko enjalo, unyango lunokuba nzima ngakumbi, kuba ingxaki ayiqali kwindawo enye.
Ziziphi iimpawu onokuzifumana?
Ngamanye amaxesha le meko inokuthi ifike iphele ngaphandle kweempawu. Nangona kunjalo, abantu abaninzi bazifumana ezinye iimpawu. Ezi mpawu zinokufana nezezinye izifo zentliziyo ezinzulu, ngoko ke kungcono ukuba uzazi uze ubone ugqirha ngokukhawuleza.
| Yekabani? | Iimpawu Eziqhelekileyo |
|---|---|
| Kwabantu abadala |
|
| Kwiintsana nabantwana abancinci |
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Okubaluleke kakhulu: Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukucinga ukuba yi-Atrial Tachycardia. Nangona kunjalo, musa ukuyithatha lula kwaye ngokuqinisekileyo qhagamshelana nogqirha wakho ukuze akunike ingcebiso.
Kutheni oku kusenzeka? Zithini izizathu?
Kulungile, ngoku makhe sibone ukuba kutheni la magumbi aphezulu entliziyo eqala ukubetha ngokungathi aphambene. Kusenokuba kukho izizathu ezintathu eziphambili zoku.
1. Ukuzenzekela
Ngamafutshane, kukho iziko eliphambili elilawula isantya sentliziyo yethu. Kodwa ngamanye amaxesha, elinye iseli okanye iqela leeseli entliziyweni liba "ngumphathi" kwaye liqale ukuthumela imiqondiso yombane ekhawulezayo ngaphandle kokumamela iziko eliphambili. Oku kunokubangelwa kukungalingani kwamanqanaba esodium, potassium, kunye necalcium emzimbeni.
2. Umsebenzi oqalisiweyo
Oku kwenzeka xa ukungalingani kweekhemikhali kwiiseli zemisipha yentliziyo kubangela ukuba zivuseleleke kwaye zikhuphe imiqondiso yombane engeyomfuneko ngexesha elifanelekileyo. Kufana ne-alamu ekhala ngexesha elingafanelekanga.
3. Ukungena kwakhona
Ukuba kukho isithintelo kwindlela yemiqondiso yombane yentliziyo, njengesilonda esivela kutyando lwangaphambili, imiqondiso yombane ayizukuhamba ngqo kuloo ngxaki kodwa endaweni yoko iya kuqala ukuyijikeleza. Ngale ndlela, imiqondiso yombane iyanamathela kwiluphu ize iqhubeke nokuvuselela intliziyo, nto leyo ebangela ukuba intliziyo ibethe ngokukhawuleza.
Izinto ezonyusa umngcipheko wale meko
Nangona le meko inokwenzeka nakubani na, ezinye izinto ziyandisa umngcipheko.
- Isifo sentliziyo esele sikhona
- Ukuba ndikhe ndahlaselwa yintliziyo ngaphambili
- Izifo ezinxulumene nemiphunga
- Ukungalingani kwe-electrolyte emzimbeni
- Ukusela utywala ngokugqithisileyo
- Iimeko ezahlukeneyo zosulelo
- Ukuncipha kwamanqanaba eoksijini emzimbeni
- Iziphumo ezinobungozi zezinye iziyobisi ezifana ne-`(Digoxin)`
- Ukusetyenziswa kakhulu kwe-caffeine (iti, ikofu) kunye nezinye izinto ezikhuthazayo
Ezinye zezi zinto zinobungozi zinokulawulwa ngandlela ithile, umzekelo ngokunciphisa ukusetyenziswa kotywala ne-caffeine, ukutya ukutya okunesondlo, kunye nokuzilolonga.
Uyifumana njani le nto, Gqirha?
Wakuba usixelele ngeempawu zakho, ugqirha uza kukuhlola, kwaye ukuba bayakurhanela ukuba le meko imbi, baza kukuthumela kwiimvavanyo ezininzi.
- Uvavanyo lomzimba: Xa ugqirha ebeka i-stethoscope entliziyweni yakho aze amamele, usenokuva ukubetha kwentliziyo ngokukhawuleza.
- I-ECG (i-Electrocardiogram): Olu lolona vavanyo lulula nolulula. Iisensa ezifana nezitikha zincamatheliswe esifubeni sakho, ezingalweni nasemilenzeni ukuze zirekhode umsebenzi wombane wentliziyo yakho.
- I-Holter Monitor: Ngamanye amaxesha ezi ntliziyo zikhawuleza azenzeki rhoqo. Ngoko ke ugqirha usenokungaziboni xa ekuxilonga. Kwimeko enjalo, uza kunikwa umatshini omncinci we-ECG onokuwunxiba usuku olunye okanye ezimbini okanye iveki yonke. Urekhoda umsebenzi wentliziyo yakho imini yonke.
- Uphononongo lwe-Electrophysiology: Olu luvavanyo oluntsonkothileyo kancinci. Lwenziwa esibhedlele. Kudluliselwa ityhubhu encinci ngemithambo yegazi iye entliziyweni, kwaye kuthathwa imephu yenkqubo yombane yentliziyo ukuze kufunyaniswe ukuba ingxaki iphi kanye kanye.
- I-Implantable Loop Recorder: Ukuba uneempawu ezibakho rhoqo emva kweenyanga ezimbalwa, isixhobo esincinci esifakwe phantsi kwesikhumba singasetyenziselwa ukujonga izinga lokubetha kwentliziyo yakho kangangeenyanga, mhlawumbi iminyaka.
Zithini iindlela zonyango?
Kukho unyango olufanelekileyo loku. Ugqirha wakho uza kukhetha unyango olufanele wena ngokusekwe kwimeko yakho, uhlobo lweempawu zakho, kunye nesizathu.
| Indlela yonyango | Kwenzekani? |
|---|---|
| Amayeza |
|
| Unyango lokukhupha isisu | Olu lunyango olusebenzayo kakhulu. Lubandakanya ukucima inxalenye encinci kakhulu yentliziyo evelisa imiqondiso yombane engafanelekanga.
|
Ngaba oku kunganyangwa ngokupheleleyo?
Ixesha elininzi, ewe! Ingakumbi kwabo bane-"Focal" yohlobo, unyango lwe-"(Catheter ablation)" lunezinga eliphezulu lokunyanga . Ngamanye amaxesha, ukuba lubangelwa yenye imeko yezonyango, ukubetha kwentliziyo okukhawulezayo kunokuphela xa loo meko inyangwa.
Ukuba le meko ayinazimpawu kwaye iyenzeka okwethutyana nje, ugqirha wakho unokugqiba ekubeni akujonge ngaphandle konyango.
Ufanele uye nini kugqirha?
Le yeyona nxalenye ibalulekileyo. Ukuba unezinye zeempawu ezikhankanyiweyo apha ngasentla, ukuba ziyaqhubeka, ukuba ziya zisiba mandundu, okanye ukuba ziphazamisana nobomi bakho bemihla ngemihla, musa ukuchitha ixesha uye kubona ugqirha wakho.
Ukuba ufumana iintlungu zesifuba eziqatha ngequbuliso, ukuphefumla okunzima, ukuquleka okungachazekiyo okanye isiyezi esinzima, yiya kwiSebe lezeMpilo elikufutshane (ETU) ngokukhawuleza. Ezi zisenokuba ziimpawu zesimo esibi.
Ungabuza ugqirha wakho imibuzo efana nale:
- Luhlobo luni lwe-Atrial Tachycardia endinalo?
- Loluphi unyango olungcono kum?
- Ndifanele ndimbone ugqirha kangaphi?
Ingaba le meko iyingozi?
Njengoko bekutshiwo ngaphambili, ukuba le meko yenzeka okwethutyana ize iphele, ayithathwa njengeyingozi. Nangona kunjalo, ukuba le ntliziyo ibetha ngokukhawuleza iqhubeka ixesha elide, ingenza buthathaka izihlunu zentliziyo. Siyibiza ngokuba yi-'(Cardiomyopathy)'. Ukuba oku akunyangeki, kunokukhokelela kwiimeko ezinzulu ezifana ne-'(Heart failure)' kwixesha elizayo.
Yiyo loo nto sithi, ukuba uneempawu, funa ingcebiso kagqirha ngokukhawuleza. Ngonyango olukhawulezileyo, ungaphila ubomi obulungileyo ngaphandle komonakalo wexesha elide.
Kuqhelekile ukuba nabani na azive esoyika kwaye exhalabile xa esiva ngengxaki yentliziyo efana nale. Kodwa khumbula, le yimeko enokuthi ilawulwe kwaye inyangeke. Thetha ngokukhululekileyo nogqirha wakho ngale nto. Uza kumamela zonke izinto ezikuxhalabisayo kunye namathandabuzo akho. Emva koko uya kuba namandla amakhulu okuphila ngempumelelo nale meko.
Umyalezo Wokuya Ekhaya
- I-Atrial tachycardia kuxa amagumbi aphezulu entliziyo (i-atria) ebetha ngokukhawuleza kunesiqhelo.
- Le ayisiyongozi kwiimeko ezininzi, kodwa ngokuqinisekileyo kufuneka uhlolwe ngugqirha.
- Iimpawu ezinje ngentliziyo ekhawulezayo, isiyezi, iintlungu zesifuba, kunye nobunzima bokuphefumla zinokubakho.
- Kukho unyango olusebenzayo kakhulu koku, olufana namayeza kunye nokukhupha isisu . Kwezinye iimeko, lunokunyangeka ngokupheleleyo.
- Ungawunciphisa umngcipheko ngokunciphisa izinto ezifana ne-caffeine kunye notywala kunye nokuphila ubomi obusempilweni.
- Ukuba ufumana naziphi na iimpawu zongxamiseko ezifana neentlungu eziqatha esifubeni okanye ukuquleka, yiya kwi -ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko.
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