Ngaba wakha waziva ngathi intliziyo yakho ibetha ngequbuliso, okanye itsiba isingqi? Mhlawumbi ubona imvakalelo engaqhelekanga esifubeni sakho, ehamba nokungonwabi okuncinci. Ezi ziimpawu ekufuneka ungaze uzityeshele. Namhlanje, eNirogi Lanka, makhe sihlolisise enye imbangela enokubakho: imeko eyaziwa ngokuba yiBigeminy .
Yintoni iBigeminy?
Ngamafutshane, iBigeminy kukuphazamiseka okuncinci kwisigqi sentliziyo yakho esiqhelekileyo. Kule meko, ukubetha kwentliziyo nganye yesibini kukubetha okongezelelweyo okufika ngaphambi kwexesha elilindelweyo—into ebizwa ngokuba yi- premature contraction . Isingqisho sakho silandela iphethini: isingqisho esiqhelekileyo, silandelwe sisingqisho esongezelelweyo, size esinye isingqisho esiqhelekileyo, silandelwe sesinye isingqisho esongezelelweyo, njalo njalo.
Cinga ngale ndlela: intliziyo yakho idla ngokulawulwa ziimpawu zombane ezivela kwindawo enye "ye-pacemaker", njenge-lead drummer egcina isingqisho esizinzileyo sebhendi. KwiBigeminy, isignali yombane iqala ukusuka kwindawo eyahlukileyo yentliziyo , iphazamisa loo patheni izinzileyo. Kufana nokuba i-dumber yesibini, emi kwenye indawo ebaleni, iqala ukubetha i-gum yayo ngokutshintshana ne-lead drummer, iphazamisa isingqisho.
Ngaba kukho iintlobo ezahlukeneyo zeBigeminy?
Ewe, iBigeminy inokuvela kwiindawo ezahlukeneyo zentliziyo, nto leyo ekhokelela kwiindidi ezimbini eziphambili:
1. I-Atrial Bigeminy: Oku kwenzeka kwiindawo eziphezulu zentliziyo, ezaziwa ngokuba yi-atria. Apha, ukubetha okongezelelweyo kwenzeka njenge- atrial contractions yangaphambi kwexesha .
2. I-Ventricular Bigeminy: Oku kwenzeka kwiindawo ezisezantsi zentliziyo, ii-ventricles. Kwimeko enjalo, ukubetha okungaphezulu kuchongwa njengokuqunjelwa kwe-ventricular ngaphambi kwexesha .
Zithini iimpawu zeBigeminy?
Ayingabo bonke abantu abafumana iimpawu; abanye banokuba neBigeminy bengaqondanga. Nangona kunjalo, ukuba iimpawu ziyenzeka, ungaphawula:
- Intlungu yesifuba okanye ukuziva uxinezelekile.
- Ukubetha kwentliziyo (Ukuqonda kwentliziyo ) – ukuziva ngathi intliziyo yakho iyatsiba okanye ibetha ngequbuliso.
- Ukuba nesiyezi okanye ukuba nentloko ebuthathaka.
- Ukuquleka ngamanye amaxesha.
- Ukuphefumla ngokukhawuleza okanye nzulu (Hyperventilation).
- Ukudinwa okanye ukudinwa okungapheliyo.
Khumbula: Ukuba ufumana ezi mpawu, kubalulekile ukubonana nogqirha ngokukhawuleza.
Yintoni ebangela iBigeminy?
Ubunzima obukhulu bubangelwa kukungasebenzi kakuhle kwemiqondiso yombane yentliziyo. Iimeko ezininzi ezingaphantsi zinokubangela oku, ezinje:
- Imbali yokuhlaselwa yintliziyo .
- Uxinzelelo lwegazi oluphezulu ( uxinzelelo lwegazi ).
- I-anemia (i-hemoglobin ephantsi okanye inani eliphantsi legazi ).
- I-thyroid gland esebenza kakhulu ( i-Hyperthyroidism ) .
- I-Cardiomyopathy , isifo apho izihlunu zentliziyo zibuthathaka.
- Ukuhla kwevalvu ye-Mitral , ingxaki kwenye yeevalvu zentliziyo.
Ngamafutshane, ngaphandle kwemiqondiso evela kwi-pacemaker yendalo yentliziyo yakho, ezinye iiseli zentliziyo zisenokuqala ukuthumela imiyalezo engagunyaziswanga, okanye kunokubakho ukuphazamiseka kwiindlela eziqhelekileyo zombane.
Ngubani osengozini enkulu yeBigeminy?
Izinto ezithile kunye neemeko zendlela yokuphila zonyusa umngcipheko wakho wokufumana iBigeminy:
- Isifo semithambo yegazi ye-coronary .
- Ukumelwa yintliziyo .
- Ukusetyenziswa kakhulu kwe -caffeine(iti, ikofu, iziselo ezinika amandla).
- Ukusela utywala .
- Ukusetyenziswa kweemveliso zecuba .
- Ukuxhalaba okanye uxinzelelo olungapheliyo.
- Ukungalingani kwii -electrolytes zomzimba (ezifana namanqanaba esodium okanye i-potassium).
- Ukungalali ngokwaneleyo.
Uninzi lwezi zinto luphantsi kolawulo lwakho. Siza kuxoxa ngokulawula ezi zinto kwinqaku elizayo.
Ngaba iBigeminy ingakhokelela kwiingxaki?
Ewe, kwezinye iimeko, iBigeminy engapheliyo inokukhokelela ekubeni buthathaka kwemisipha yentliziyo, imeko ebizwa ngokuba yicardiomyopathy . Nangona kunjalo, kukho iindaba ezimnandi: ukuba iBigeminy inyangwa ngempumelelo—umzekelo, ngenkqubo ebizwa ngokuba yi-catheter ablation —i-cardiomyopathy idla ngokuphucuka kakhulu.
Ifunyaniswa njani iBigeminy?
Xa undwendwela ugqirha, baza kuqala bamamele intliziyo yakho nge-stethoscope. Ukuba bafumanisa indlela etshintshanayo yokubetha okuqhelekileyo kunye nokubetha okongezelelweyo, banokumrhanela uBigeminy baze bacebise uvavanyo olongezelelweyo ukuqinisekisa.
Zeziphi iimvavanyo ezenziwayo?
Uvavanyo oluqhelekileyo lokuxilonga luquka:
- I-Electrocardiogram (EKG): Olu luvavanyo oluphambili lokuvavanya umsebenzi wombane wentliziyo kwaye lunokuchonga iBigeminy.
- Isixhobo se-Holter monitor: Isixhobo se-EKG esiphathwayo esinxitywa iiyure ezingama-24 ukuya kuma-48 ukurekhoda umsebenzi wentliziyo yakho ngexesha lomsebenzi wakho wemihla ngemihla, njengoko iBigeminy isenokungabonakali kwi-EKG emfutshane, engashukumiyo.
- Uvavanyo lwegazi : Lusetyenziselwa ukujonga amanqanaba e-electrolyte kunye namanqanaba e-thyroid hormone, njengoko ukungalingani kunokubangela le meko.
- I-Echocardiogram: "Iskeni" ye-ultrasound yentliziyo yakho ukuze ubone ubungakanani bayo, imilo, ukusebenza kwevalvu, kunye nempilo yemisipha.
- Uvavanyo loxinzelelo: Ukuvavanya indlela intliziyo yakho esabela ngayo xa usebenza nzima, ngesiqhelo xa uhamba kwi-treadmill.
Ngaba wonke umntu oneBigeminy ufuna unyango?
Oku kubalulekile: ukuba i-EKG yakho ibonisa iBigeminy kodwa awunazo iimpawu, kusenokwenzeka ukuba awudingi naluphi na unyango oluthile. Nangona kunjalo, ukuba uneempawu, unyango ngokuqinisekileyo luyimfuneko.
Iphathwa njani iBigeminy?
Ukuba uneempawu, ugqirha wakho unokukunika amayeza okulawula isingqisho sentliziyo yakho. Kwimeko apho iimpawu ziqhubeka khona okanye ukuba une-cardiomyopathy enxulumene nayo, ungathunyelwa kwinkqubo ekhethekileyo eyaziwa ngokuba yi -catheter ablation . Ukuba uziva iintlungu zesifuba okanye uxinzelelo olukhulu, nceda ufune uncedo lonyango olungxamisekileyo (911 okanye inombolo yakho yongxamiseko yasekuhlaleni) ngoko nangoko.
Injongo ephambili yamayeza eBigeminy kukulawula izinga lentliziyo yakho. Nangona kunjalo, khumbula ukuba amayeza asenokungawuphelisi ngokupheleleyo lo mbandela okanye zonke iimpawu ezinxulumene nawo. Kwabo bangafumani ncedo ngamayeza, inkqubo eyaziwa ngokuba yi -catheter ablation idla ngokucetyiswa, enezinga lempumelelo eliyi-75% nangaphezulu.
Amayeza Aqhelekileyo kunye Neendlela Zonyango
Iindlela zonyango eziqhelekileyo ziquka:
- Ii-Beta-blockers: Ukunceda ukulawula isingqisho sentliziyo kunye nesantya sayo.
- Izithinteli zePotassium channel: Ezifana ne-amiodarone (Cordarone® okanye iPacerone®).
- Izithinteli zeCalcium channel: Ukuxhasa ukusebenza kwentliziyo okuzinzileyo.
- Ukususwa kwekhathetha: Inkqubo engangenisi mandla apho ityhubhu encinci neguquguqukayo iqondiswa entliziyweni yakho ukuze icime iindawo ezithile ezibangela imiqondiso yombane engaqhelekanga.
Ngaba kukho iziphumo ebezingalindelekanga okanye iingxaki ezinokubakho?
Nangona onke amayeza enokuba nemiphumo emibi, ngokubanzi ayalawuleka xa elinganiswa neengenelo zonyango. Ukuba uneengxaki, nceda uthethe nogqirha wakho. Iziphumo ebezingalindelekanga eziqhelekileyo zamayeza eBigeminy ziquka:
- Isiyezi
- Ubukrelekrele
- Ukudinwa
- Isisu esimoshakele
- Intloko ebuhlungu
Iingxaki ezivela ekukhutshweni kwe-catheter azixhaphakanga, kodwa njengakweyiphi na inkqubo, kukho iingozi ezincinci ekufuneka uzazi, kuquka:
- Usulelo
- Ukopha
- Ukulimala kwemithambo yegazi okanye kwizicubu zentliziyo
- Amahlwili egazi
- Istroke
Ixesha lokuBuyisa
Ukuchacha ngokupheleleyo emva kokususwa kwe-catheter kungathatha iiveki ezininzi. Kuqhelekile ukuba kubekho iziqendu ezincinci zeBigeminy ngeli xesha lokuphiliswa.
Indlela Yokunciphisa Umngcipheko We-Bigeminy
Ungawunciphisa kakhulu umngcipheko wakho weBigeminy ngokulawula izinto ezithile zendlela yokuphila. Cinga ngala manyathelo alandelayo:
- Lawula uxinzelelo lwegazi oluphezulu ngokufanelekileyo.
- Nciphisa okanye uphephe i-caffeine , kuquka iti nekofu.
- Nciphisa okanye uyeke ukusebenzisa utywala .
- Qinisekisa ukuba ulala ngokwaneleyo, uphumle ubusuku ngabunye.
- Lawula ixhala ngokusebenzisa iindlela ezifana nokucamngca okanye i-yoga.
- Yeka ukusebenzisa zonke iimveliso zecuba (iicuba, njl.njl.) ngokupheleleyo.
Olu hlengahlengiso lwendlela yokuphila lunokubonakala luncinci, kodwa lunokuba nefuthe elikhulu kwimpilo yentliziyo yakho yexesha elide.
Kuthekani ukuba ndineBigeminy?
Ukuba awunazo iimpawu (awunazo iimpawu), usenokungadingi naluphi na ungenelelo oluthile kwaye ungaphila ubomi obuqhelekileyo. Nangona kunjalo, ukuba kukho iimpawu, ugqirha wakho unokukucebisa ukuba ungayisebenzisi i-caffeine kunye notywala, ubhale amayeza, okanye uxoxe ngokuba kunokwenzeka ukuba ukhuphe i-catheter.
Imbonakalo
Imbono yakho yexesha elide ixhomekeke kwimpilo yakho iyonke yentliziyo kunye nezinto ezinobungozi ezikhoyo. Kubantu abanezinye iingxaki zentliziyo, iBigeminy inokusebenza njengophawu lomngcipheko okhulayo; nangona kunjalo, kwabo banentliziyo ephilileyo, umngcipheko awuphezulu kakhulu kunabantu ngokubanzi. Ukuba uneBigeminy engenazimpawu, imeko yakho intle ngokubanzi. Akukho mfuneko yokoyika ngokungafanelekanga.
Ukuzikhathalela
Ukuze ufumane iziphumo ezilungileyo, landela ngokungqongqo ulwalathiso lukagqirha wakho. Hlala ulandela amayeza owanikiweyo kwaye ugcine inkqubo enempilo yentliziyo:
- Sela amayeza kanye njengoko uyalelwe.
- Lumka kwindlela otya ngayo: Nciphisa i-caffeine, ukutya okunamafutha, kunye neswekile egqithisileyo.
- Yeka ukutshaya: Oku kubalulekile ekubuyiseleni intliziyo.
- Utywala obuphakathi.
- Zilolonge rhoqo: Soloko uqhagamshelana nogqirha wakho ngaphambi kokuba uqalise naluphi na uhlobo olutsha lokuzivocavoca umzimba.
- Beka phambili ukuphumla nokulala.
- Lawula uxinzelelo: Zibandakanye kwizinto ozithandayo, ukuhlalisana nabanye abantu, okanye iindlela zokuzilolonga.
Ufanele uye nini kugqirha?
Yiya kuzo zonke iintlanganiso zakho zokulandelela rhoqo. Nxibelelana nomboneleli wakho wezempilo ngoko nangoko ukuba:
- Ubona iimpawu ezintsha okanye ukuba iimpawu ezikhoyo ziyatshintsha.
- Iimpawu zakho ziya ziba mandundu .
- Ufumana iziphumo ebezingalindelekanga ezingathandekiyo ezivela kumayeza akho.
- Ukuba ufumana iintlungu esifubeni, ukuphefumla okufutshane, okanye uzive ubuthathaka, fowunela u-911 okanye uye kwicandelo lezonyango ezingxamisekileyo elikufutshane ngoko nangoko.
Imibuzo omele uyibuze ugqirha wakho
Kutyelelo lwakho olulandelayo, ungabuza oku:
- Ndifanele ndinciphise kangakanani ukutya i-caffeine?
- Kukangaphi ndifuna amaxesha okulandela emva kwexesha elithile?
- Ngaba ungacebisa iindlela ezithile zokulawula uxinzelelo lwam?
- Ngaba kukho izixhobo okanye iinkqubo zokundinceda ndiyeke icuba?
- Ingaba kukhuselekile kum ukuzilolonga ngokuqhelekileyo?
- Zeziphi iinguqu ezithile zokutya ezibaluleke kakhulu kum?
Inqaku lokugqibela
Ukufumana isifo seBigeminy kunokuvakala kunzima, kodwa yimeko elawulekayo. Khumbula ukuba abantu abaninzi abangenazo iimpawu abafuni unyango konke konke. Sebenzisana ngokusondeleyo neqela lakho lokhathalelo laseNirogi Lanka , yiya kuma-aphoyintimenti akho, kwaye ulandele isicwangciso sakho sonyango. Ukubeka impilo yentliziyo yakho phambili yeyona nyathelo libalulekileyo onokulithatha.
