Ngaba intliziyo yakho ibetha ngendlela engaqhelekanga ngamanye amaxesha? Masithethe ngeBigeminy!

Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngokukhawuleza ngequbuliso, okanye ngathi ibetha ngokukhawuleza? Kukho into engaqhelekanga esifubeni sakho, mhlawumbi enentlungu encinci. Akulunganga ukungazinaki izinto ezinje. Namhlanje, masithethe ngenye into enokubangela oku, yimeko ebizwa ngokuba yi-`(Bigeminy)`.

Yintoni `(iBigeminy)`?

Ngamafutshane, `(Bigeminy)` kukungahambelani okuncinci kwisandi sentliziyo yethu, oko kukuthi, kwisandi. Kule nto, ukubetha kwentliziyo nganye yesibini kuza njengokubetha okongezelelweyo ngaphambi kokubetha okuqhelekileyo, okanye `(ukuqiniswa kwangaphambi kwexesha)`. Oko kukuthi, ukubetha okuqhelekileyo okukodwa, emva koko kube kukubetha okongezelelweyo, kwakhona ukubetha okuqhelekileyo, emva koko kube kukubetha okongezelelweyo... Yile ndlela ehamba ngayo. Cinga ngayo ngolu hlobo. Ngokwesiqhelo, isignali yombane ivela kwindawo enye entliziyweni yethu kwaye yenza intliziyo ibethe ngokufanelekileyo. Njengomdubuli oyintloko weqela ledrama ibetha ngesingqi esinye. Emva koko esi signali sihamba ukusuka phezulu kwentliziyo ukuya ezantsi kwaye intliziyo ibetha ngendlela ecwangcisiweyo. Kodwa `(Bigeminy)`, esinye isignali yombane siqala kwindawo eyahlukileyo entliziyweni, siphazamisa loo patheni iqhelekileyo. Oku kwenzeka rhoqo emva kokubetha kwentliziyo yesibini. Kufana emva kokuba umdubuli okhokelayo ebethe idrama, omnye umdubuli kwenye indawo ebaleni ubetha idrama yakhe, kwaye batshintshana ngokubetha rhoqo emva kokubetha.

Ngaba kukho iintlobo ze-`(Bigeminy)`?

Ewe, le meko `(Bigeminy)` inokuqala kwiindawo ezahlukeneyo zentliziyo. Ngoko ke, kukho iintlobo ezimbini eziphambili. 1. I-Atrial Bigeminy `(Atrial Bigeminy)`: Oku kwenzeka kumagumbi amabini aphezulu entliziyo, oko kukuthi, i-atria. Apha, ezo ntliziyo zingaphezulu ziza ngohlobo `(ukucuthwa kwe-atrial ngaphambi kwexesha)`. 2. I-Ventricular Bigeminy `(Ventricular Bigeminy)`: Oku kwenzeka kumagumbi amabini asezantsi entliziyo, oko kukuthi, ii-ventricles. Apha, ukubetha kwentliziyo okungaphezulu kuza ngohlobo `(ukucuthwa kwe-ventricular ngaphambi kwexesha)`.

Zithini iimpawu ze-`(Bigeminy)`?

Ayingabo bonke abantu abaneempawu. Abanye abantu basenokungaziboni nantoni na nokuba "baneBigiminy". Nangona kunjalo, kwabo baneempawu, ezi zinokwenzeka:

• Ukuva intlungu okanye ukuxinana esifubeni .
• Ukubetha kwentliziyo - Ukuziva ngathi intliziyo yakho iyatsiba, okanye ngequbuliso ibetha ngokukhawuleza kakhulu.
• Ndiziva ndinesizungu .
• Ngamanye amaxesha kunokubakho ukuquleka.
• Ukuphefumla ngamandla kukuphefumula ngokukhawuleza nangokunzulu.
• Ukuziva udiniwe kwaye udiniwe.

Khumbula, ukuba unale mpawu, kubaluleke kakhulu ukubona ugqirha.

Kutheni le nto `(I-Bigeminy)` isenzeka? Zithini izizathu?

I-Bigeminy ibangelwa ziingxaki kwindlela intliziyo ethumela ngayo imiqondiso yombane. Kukho iimeko ezininzi ezinokubangela oku. Umzekelo:

• Ukuba ukhe wahlaselwa yintliziyo ngaphambili.
• Ukuba unesifo segazi esiphezulu (sithi uxinzelelo luphezulu kakhulu).
• I-anemia ( i-hemoglobin ephantsi egazini ).
• Ukwanda komsebenzi we-thyroid gland ( i-Hyperthyroidism ) .
• I-cardiomyopathy sisifo esenza buthathaka izihlunu zentliziyo.
• I-Mitral valve prolapse yingxaki kwi-valve yentliziyo.

Ngamafutshane, ukongeza kwimiqondiso evela kwi-pacemaker yendalo yentliziyo, ezinye iiseli entliziyweni ngokwazo zinokunika intliziyo imiqondiso yokubetha. Okanye, kunokubakho ukuvaleka kwendlela eqhelekileyo ethwala imiqondiso eya entliziyweni.

Ngubani osengozini enkulu yokuba ne-"Bigeminy"?

Kukho izinto ezithile ezonyusa umngcipheko we-"Bigeminy". Makhe sijonge ukuba zeziphi:

• Isifo semithambo yegazi ye-coronary .
• Ukumelwa yintliziyo .
• Ukusetyenziswa kakhulu kwe -caffeine (efumaneka kwiti, kwikofu, nakwezinye iziselo).
• Ukusetyenziswa kotywala .
• Ukusetyenziswa kweemveliso zecuba (ezifana neecuba).
• Ixhala .
• Amanqanaba e-electrolyte emzimbeni (njenge-sodium kunye ne-potassium) ayanda okanye anciphe ngaphaya kwenqanaba elifanelekileyo.
• Ukungalali ngokwaneleyo.

Ezinye zezi zinto sinokuzilawula, akunjalo? Siza kuthetha ngazo kamva.

Ngaba iBigeminy ingabangela ezinye iingxaki?

Ewe, ngamanye amaxesha i-`(Bigeminy)` inokubangela ukuba izihlunu zentliziyo zibe buthathaka. Siyibiza loo meko ngokuthi `(Cardiomyopathy)` . Kodwa kukho iindaba ezimnandi. Ukuba i-`(Bigeminy)` inyangwa ngempumelelo, umzekelo ngonyango olubizwa ngokuba yi -`(catheter ablation)` , imeko ye-`(Cardiomyopathy)` nayo inokunyangeka.

Ungayixilonga njani i-`(Bigeminy)`? (Uxilongo)

Xa usiya kugqirha, uza kuqala akuphulaphule intliziyo yakho nge-stethoscope. Ukuba uva ukubetha okuqhelekileyo nokubetha okungaphezulu, ugqirha unokurhanela imeko ethi "Bigeminy". Emva koko uza kuyalela iimvavanyo ezithile ukuze ziqinisekiswe.

Luhlobo luni lovavanyo oluqhutywayo?

Ezi zilingo zilandelayo zihlala zi-odolwa:

• I-Electrocardiogram (EKG):Olu lolona vavanyo luphambili olujonga umsebenzi wombane wentliziyo. Lunokuchonga ``iBigeminy''.
• Isixhobo sokubona iHolter: Oku kufana nomatshini omncinci we-EKG. Sinxitywa emzimbeni wakho iiyure ezingama-24 ukuya kuma-48 kwaye sirekhoda izinga lentliziyo yakho ngelo xesha. Ukuba awunayo i-bigeminy ngalo lonke ixesha, isenokungabonwa kwi-EKG eqhelekileyo.
• Uvavanyo lwegazi : Olu lwenziwa ukujonga izinto ezifana namanqanaba e-electrolyte kunye namanqanaba e-thyroid hormone, njengoko utshintsho kwezi zinto lunokuchaphazela nale meko.
• I-Echocardiogram: Oku kungajonga izinto ezifana nokuma, ubungakanani, umsebenzi weevalvu, kunye nomsebenzi wemisipha yentliziyo. Kufana nokuskena kwentliziyo.
• Uvavanyo loxinzelelo: Oku kuquka ukubaleka kwi-treadmill nokujonga indlela isantya sentliziyo yakho esitshintsha ngayo ngexesha lokuzilolonga.

Ngaba wonke umntu uyalufuna unyango lwe-"Bigeminy"?

Nantsi into ebalulekileyo. Ukuba i-EKG yakho ibonisa ukuba une-Bigeminy, kodwa awunazo iimpawu, mhlawumbi awuyi kufuna naluphi na unyango olukhethekileyo. Nangona kunjalo, abo baneempawu ngokuqinisekileyo bayalufuna unyango.

Iphathwa njani i-`(Bigeminy)`?

Ukuba uneempawu ze-`(Bigeminy)`, oogqirha banokukunyanga ngamayeza. Ngamanye amaxesha, ukuba iimpawu zihamba kunye ne-`(Cardiomyopathy)` ekhankanyiweyo ngaphambili, unyango olukhethekileyo olubizwa ngokuba yi -`(catheter ablation)` lunokufuneka. Ithemba eliphambili lamayeza anikwayo kwi-`(Bigeminy)` kukunciphisa isantya sentliziyo. Nangona kunjalo, la mayeza asenokungasoloko eyimisa ngokupheleleyo imeko ye-`(Bigeminy)` okanye ayiphelise yonke loo mpawu. Unyango olubizwa ngokuba yi-`(catheter ablation)` lwenzelwa abo bangafumani ncedo kumayeza. Izinga lempumelelo yolu nyango liyi-75% nangaphezulu.

Amayeza/unyango oluthile olusetyenzisiweyo

Ezi zilandelayo zisetyenziswa njengonyango:

• Ii-Beta-blockers
• Izithinteli zePotassium channel - umzekelo, iyeza elibizwa ngokuba yi-amiodarone (Cordarone® okanye iPacerone®).
• Izithinteli zemijelo yecalcium
• Ukususwa kwe-catheter - Oku kuquka ukungenisa umbhobho omncinci entliziyweni kunye nokucima indawo apho kuvela khona imiqondiso yombane eyongezelelweyo.

Ngaba kukho naziphi na iziphumo/iingxaki zonyango?

Naliphi na iyeza linokuba nemiphumo emibi. Nangona kunjalo, xa kuthelekiswa neenzuzo zeyeza, iziphumo ebezingalindelekanga azisoloko zimbi kakhulu. Ukuba uneengxaki, thetha nogqirha wakho. Ezinye zeziphumo ebezingalindelekanga zamayeza e-`(Bigeminy)` zezi:

• Isiyezi
• Ukuziva unentloko ekhaphukhaphu (intloko ekhaphukhaphu)
• Ukudinwa
• Isisu esimoshakele
• Intloko ebuhlungu

Iingxaki emva kokususwa kwe-catheter azixhaphakanga. Nangona kunjalo, ngamanye amaxesha oku kulandelayo kunokwenzeka:

• Usulelo
• Ukopha
• Ukonakala komthambo wegazi okanye kwizicubu zentliziyo
• Amahlwili egazi
• Istroke

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Kungathatha iiveki ezininzi ukuba ziphiliswe ngokupheleleyo emva kokususwa kwe-catheter. Ngeli xesha, kunokubakho inani elincinci le-"bigeminy".

Ungayinciphisa njani ingozi ye-`(Bigeminy)`?

Singawunciphisa umngcipheko wethu wokuba ne-"Bigeminy" ngokutshintsha ezinye zezinto ezinokubangela umngcipheko esinokuzilawula. Jonga ukuba ungenza ezi zinto na:

• Ukuba une- high blood pressure, yilawule.
• Kuphephe ukutya i-caffeine eninzi. Nciphisa izinto ezifana neti nekofu.
• Nciphisa ukusetyenziswa kotywala , okanye uyeke ngokupheleleyo.
• Lala kakuhle ubusuku ngabunye.
• Fumana iindlela zokulawula ixhala . Izinto ezifana nokucamngca kunye neyoga zinokunceda.
• Ziphephe ngokupheleleyo iimveliso zecuba (iicuba, i-bidis).

Nangona ezi ziinguqu ezincinci kwindlela ophila ngayo, zinokuba nefuthe elikhulu kwimpilo yentliziyo yakho.

Kwenzeka ntoni ukuba kukho `(iBigeminy)`?

Ukuba awunazo iimpawu, akukho nto ingako onokuyenza. Ungaphila ubomi obuqhelekileyo. Nangona kunjalo, ukuba uneempawu, ugqirha wakho uya kukuxelela ukuba uziphephe izinto ezifana ne-caffeine, iziyobisi kunye notywala. Banokukunika amayeza. Abanye abantu banokufuna i-catheter ablation.

Injani imeko yempilo yabantu abane-`(Bigeminy)`? (Outlook)

Impilo yexesha elizayo yabantu abane-`(Bigeminy)` ixhomekeke ekubeni banazo na ezinye izifo zentliziyo kunye nezinye izinto ezinobungozi. Kubantu abanezinye izifo zentliziyo, i-`(Bigeminy)` luphawu lokuba umngcipheko wokufa unokwanda kancinci. Kodwa kwabanye, oko kukuthi, abantu abangenazo ezinye izifo zentliziyo, umngcipheko wokufa awukho phezulu kunowomntu oqhelekileyo. Kubantu abane-`(Bigeminy)` abangenazo iimpawu, umbono ulungile kakhulu. Akukho nto inokubangela ixhala ngayo.

Ndingazinyamekela njani?

Ukuze ufumane iziphumo ezilungileyo, landela imiyalelo kagqirha wakho ngokuchanekileyo. Kusenokufuneka unciphise i-caffeine kwaye ufumane iindlela zokunciphisa uxinzelelo. Ukuba uthatha amayeza aceliweyo, thatha kanye njengoko kuyalelwe ebhotileni.

• Thatha amayeza akho ngexesha njengoko ugqirha emyalele.
• Lumka ngento oyityayo noyiselayo. Nciphisa i-caffeine, ukutya okunamafutha, kunye neelekese kangangoko unako.
• Ukuba uyatshaya, kufuneka uyeke.
• Nciphisa ukusetyenziswa kotywala.
• Ukuzilolonga. Kodwa qala ngokubuza ugqirha wakho ukuba zeziphi izilolonga ezifanelekileyo kuwe.
• Ukuphumla nokulala ngokwaneleyo kubalulekile.
• Nciphisa uxinezeleko. Izinto ezinje ngokuthetha nabahlobo, ukwenza into oyithandayo, kunye nokucamngca zinokunceda.

Ndifanele ndimbone nini ugqirha?

Kubalulekile ukugcina amadinga akho rhoqo. Nangona kunjalo, bonana nogqirha wakho ngokukhawuleza ukuba:

• Ukuba ubonakalisa iimpawu ezintsha , okanye ukuba iimpawu zakho ziyatshintsha.
• Ukuba iimpawu zakho ziya zisiba mandundu .
• Ukuba amayeza owasebenzisayo abangela iziphumo ebezingalindelekanga ezimbi .
• Ukuba ufumana iintlungu eziqatha esifubeni, ubunzima bokuphefumla, okanye uzive ngathi ulahlekelwa zingqondo , yiya esibhedlele ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha?

Xa undwendwela ugqirha, kungcono ukubuza imibuzo efana nale:

• Ndifanele ndinciphise i-caffeine engakanani?
• Kufuneka ndize kangaphi kwixesha lokulandela?
• Ungandicebisa iindlela zokunciphisa uxinzelelo lwam?
• Ungandithumela kwinkqubo eza kundinceda ndiyeke ukusebenzisa iimveliso zecuba?
• Ndingakwazi na ukuzilolonga ngokwesiqhelo xa ndinesi simo?
• Zeziphi iinguqu endifanele ndizenze kwindlela enditya ngayo?

Okokugqibela, eyona nto ibalulekileyo

Ungaziva uxhalabile kancinci xa ugqirha wakho ekuxelela ukuba unezibetho ezingaphezulu entliziyweni yakho, okanye "iBigeminy". Yinto eqhelekileyo leyo. Kodwa khumbula, abantu abaninzi abane "Bigeminy" abangenazo iimpawu abadingi nyango. Thetha nogqirha wakho malunga nokuba uyalufuna na unyango lwe "Bigeminy". Gcina amadinga akho kwaye uthabathe nawaphi na amayeza amiselweyo. Kubalulekile ukunyamekela intliziyo yakho.

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