Ingaba intliziyo yakho ibetha kancinci? Masithethe nge-bradyarrhythmia!

Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha kancinci? Okanye ngaba ngequbuliso uzive udiniwe, unesiyezi, mhlawumbi unengxaki yokuphefumla? Oku kusenokuba kungenxa yokuba isingqisho sentliziyo yakho sihamba kancinci, nto leyo ethetha ukuba isantya sentliziyo yakho siyehla. Namhlanje siza kuthetha ngemeko enjalo, ebizwa ngokuba yi-bradyarrhythmia kwezonyango.

Yintoni kanye kanye iBradyarrhythmia?

Ngamafutshane, i-bradyarrhythmia kukubetha kwentliziyo okungahambelaniyo, oko kuthetha ukuba intliziyo yakho ibetha kancinci kakhulu. Ngokwesiqhelo, intliziyo yomntu omdala osempilweni ibetha phakathi kwamaxesha angama-60 ukuya kwali-100 ngomzuzu xa ephumle. Nangona kunjalo, umntu one-bradyarrhythmia unesantya sentliziyo esihamba kancinci kune-60 ngomzuzu.

Ngoku usenokuba ucinga, "Owu, intliziyo yam ibetha ngokukhawuleza kangaka, ingaba sisifo eso?" Akunjalo rhoqo. Abantu abasempilweni, abaselula, abadlali bezemidlalo, abazilolonga kakuhle, ngokwendalo banesantya sentliziyo esiphantsi kancinci. Luphawu lwempilo yabo. Kwaye nokuba silele, isantya sentliziyo yethu siyehla kancinci. Yinto eqhelekileyo leyo.

Nangona kunjalo, i-bradyarrhythmia yimeko apho isingqisho sentliziyo singahambelani kwaye sicotha ngenxa yemeko yempilo, isifo sentliziyo, okanye isiphene kwinkqubo yombane yentliziyo . Yiloo nto kufuneka sixhalabele ngayo.

Yintoni umahluko phakathi kweBradyarrhythmia kunye neBradycardia?

La magama mabini avakala efana kancinci, akunjalo? Omabini abhekisa ekucotheni kwesantya sentliziyo.

• I-Bradycardia yintliziyo ephumlayo ebetha ngaphantsi kwama-60 ngomzuzu. Oku kunokwenzeka nakubantu abasempilweni, njengoko bekutshiwo ngaphambili.
• I-Bradyarrhythmia yimeko apho isantya sentliziyo siyehla ngenxa yentliziyo engaqhelekanga (i-arrhythmia) . Oko kukuthi, ngenxa yengxaki ethile, isingqisho sentliziyo siyaphazamiseka, nto leyo ebangela ukuba intliziyo ibethe kancinci.

Uyawuqonda umahluko? Kukho umahluko phakathi kwesantya sentliziyo esicothayo kunye nesantya sentliziyo esicothayo ngenxa yengxaki yesingqisho.

Ziziphi iintlobo eziphambili ze-bradyarrhythmia?

I-Bradyarrhythmia inokuza ngeendlela ezahlukeneyo. Oko kukuthi, kukho iintlobo ezahlukeneyo kuxhomekeke kwiingxaki zentliziyo ezibangela oko. Uhlobo ngalunye lubangela ukuba intliziyo ibethe kancinci. Makhe sijonge iintlobo eziphambili.

1. Ukungasebenzi kakuhle kwe-sinus node

Oku ngamanye amaxesha kuthiwa yi -sick sinus syndrome . Ngaba ukhe weva ukuba intliziyo ine-pacemaker yendalo? Ibizwa ngokuba yi-sinoatrial node okanye i-SA node.Oko kukuthi, njengeswitshi yokukhanyisa endlwini yethu, isignali yombane eyenza ukubetha kwentliziyo iqala apha. Ngoko ke ukuba le sinus node ayisebenzi kakuhle, ukuba ayikwazi ukuthumela iimpawu zombane ngokufanelekileyo, isantya sentliziyo siyehla.

• Ezinye izifo, ezifana ne -hypothyroidism, zinokuphazamisa ukusebenza kwale sinus node.
• Okanye le meko ingenzeka njengoko ukhula. Ngamanye amaxesha, unobangela awufumaneki.

2. Ukuvimba kwentliziyo

Kufana nokuxinana kwezithuthi endleleni. Ukuba kukho isithintelo kwindlela yemiqondiso yombane yentliziyo, loo miqondiso ayihambi kakuhle. Olu thintelo lunokubangela ukuba imiqondiso yombane ime ngokupheleleyo, yehlise isantya, okanye ide itsibe isingqisho. Oku kubizwa ngokuba yi -heart block .

3. Isifo seBradycardia/tachycardia

Oku kunzima kancinci. Okwenzekayo apha kukuba intliziyo ngamanye amaxesha ibetha kancinci kakhulu (bradycardia) kwaye ngamanye amaxesha ibetha ngokukhawuleza kakhulu (tachycardia) ngenxa yokungasebenzi kakuhle kwi-sinus node. Oku kuthetha ukuba intliziyo ibetha kancinci kancinci kwaye ngokukhawuleza. Imeko ebizwa ngokuba yi -atrial fibrillation (AFib) ngumzekelo wolu hlobo lwesifo.

Kutheni i-bradyarrhythmia ikhula? Zithini izizathu?

Uninzi lwexesha, ezi ntlobo zeengxaki zesingqisho sentliziyo, kuquka i-bradyarrhythmia, zibangelwa sisifo sentliziyo okanye umonakalo entliziyweni. Makhe sijonge ezinye zezizathu eziphambili:

• Utshintsho kwinkqubo yombane yentliziyo ngokukhula: Njengomatshini, iimpazamo ezincinci ziyenzeka njengoko zikhula.
• Isifo semithambo yegazi: Oku kuthetha ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Iziphene zentliziyo.
• Amayeza athile asetyenziselwa isifo sentliziyo: Umzekelo, amayeza afana ne -beta-blockers .
• Ukungalingani kwindlela umzimba osebenza ngayo: Njengoko bekutshiwo ngaphambili, ukwehla komsebenzi we-thyroid (Hypothyroidism) .
• Iingozi okanye umonakalo entliziyweni: Umzekelo, ngenxa yokuhlaselwa yintliziyo.

Zithini iimpawu zomntu oneBradyarrhythmia?

Kwenzeka ntoni xa intliziyo ibetha kancinci? Ubungakanani begazi kunye neoksijini efikelela emzimbeni wonke, ingakumbi ingqondo, buyancipha. Yiyo loo nto ebangela ezi mpawu.

Cinga ngale nto, ukuba uyayicothisa isantya sempompo yamanzi, iya kuyicothisa isantya sokuzaliswa kwetanki. Xa intliziyo ibetha kancinci, ipompa igazi elincinci emzimbeni wonke.

Jonga ukuba nawe uziva ezi zinto:

• Isiyezi.
• Kunqabile, ukuquleka (i-syncope).
• Ukuziva udiniwe ngalo lonke ixesha (Ukudinwa).
• Ubunzima bokuphefumla, ukuziva ngathi uyafuthaniseka (ukuphelelwa ngumoya).
• Ubuthathaka.

Ukuba unenye okanye ngaphezulu kwezi mpawu, ingakumbi ukuba zivela rhoqo, ngokuqinisekileyo kufuneka ubone ugqirha.

Ugqirha ufumanisa njani ngokuchanekileyo i-bradyarrhythmia?

Xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho aze emva koko enze uvavanyo lomzimba. Ukufumanisa ukuba unengxaki yesingqisho sentliziyo, izinga lentliziyo yakho liza kulinganiswa kwaye lijongwe. Oku kungabandakanya olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Uvavanyo lwe-ECG (i-Electrocardiography - EKG/ECG): Olu luvavanyo lokuqala oluqhutywayo. Lurekhoda umsebenzi wombane wentliziyo. Luvavanyo olungenabuhlungu olunokwenziwa kwimizuzu embalwa.
• I-ECG yeeyure ezingama-24 okanye ezingama-48 (Isixhobo se-ECG esiphathwayo): Ngamanye amaxesha, ingxaki yesingqisho sentliziyo isenokungabonakali ngexesha lokutyelela kwakho ugqirha. Ke ngoko, unokucelwa ukuba unxibe isixhobo esincinci (njengesixhobo sokubona iHolter) iiyure ezingama-24 okanye ezingama-48. Oku kunokurekhoda isingqisho sentliziyo yakho rhoqo ngelixa usenza imisebenzi yakho yemihla ngemihla.
• Uvavanyo loxinzelelo lomzimba: Kolu vavanyo, wenziwa ukuba ubaleke okanye uhambe kwi-treadmill, unyusa izinga lokubetha kwentliziyo yakho, uze emva koko ujonge indlela esitshintsha ngayo isingqisho sentliziyo yakho ngelo xesha.
• I-Echocardiography (Echo): Oku kufana nokuskena kwentliziyo. Kunokujonga izinto ezifana neevalvu zentliziyo, indlela amagumbi ampompa ngayo igazi, kunye nokuma kwentliziyo.
• Uvavanyo lwe-Electrophysiologic (uphononongo lwe-EP): Olu luvavanyo oluntsonkothileyo ngakumbi. Lunceda ekufumaneni ngokweenkcukacha indlela esebenza ngayo inkqubo yombane yentliziyo.

Ezi mvavanyo zezona zinceda ugqirha ukuba afumanise ukuba une-bradyarrhythmia, ukuba kunjalo, loluphi uhlobo lwayo, kwaye yintoni unobangela.

Iphathwa njani iBradyarrhythmia? Iphathwa njani?

Ungakhathazeki, kukho unyango lwale meko. Unyango luxhomekeke kwisizathu se-bradyarrhythmia kunye nokuba inzima kangakanani.

• Ukunyanga imeko engundoqo: Ngamanye amaxesha oku kubangelwa yenye imeko. Umzekelo, ukuba kungenxa yendlala ye-thyroid engasebenzi kakuhle (i-hypothyroidism) , unyango olunjalo lunokunceda isantya sentliziyo sibuyele kwisiqhelo.
• Ukufakelwa kwe-pacemaker: Ukuba i-bradyarrhythmia ibangelwa lutshintsho kwinkqubo yombane yentliziyo, ugqirha wakho unokucebisa i-pacemaker.Kungacetyiswa isixhobo sokunceda intliziyo ukuba iphefumle. Esi sisixhobo esincinci se-elektroniki esithumela imiqondiso yombane entliziyweni, siyincede ukuba ibethe ngesantya esizinzileyo nesisempilweni. Kufana nomncedisi wangaphandle xa isixhobo sokunceda intliziyo singasebenzi.

Yintoni esinokuyenza ukuthintela le bradyarrhythmia?

Nangona ingenakuthintelwa ngokupheleleyo, kukho izinto esinokuzenza ukunciphisa umngcipheko.

• Ukufumana unyango olufanelekileyo kwiimeko zempilo ezingabonakaliyo: Umzekelo, kubalulekile ukulawula izinto ezifana neengxaki ze-thyroid, uxinzelelo lwegazi oluphezulu, kunye nesifo seswekile.
• Ukugcina intliziyo yakho iphilile: Le yeyona nto ibalulekileyo.
• Landela ukutya okunempilo: Yitya ukutya okunamafutha aphantsi, ityuwa, neswekile, kwaye utye iziqhamo nemifuno eninzi.
• Nciphisa ukusetyenziswa kotywala: Kungcono ukunciphisa utywala kangangoko kunokwenzeka.
• Gcina ubunzima obusempilweni: Gcina ubunzima obufanele ubude bakho.
• Yiba nomdla womzimba: Ukuhambahamba nokuzilolonga ubuncinane imizuzu engama-30 ngosuku kulungile kakhulu.
• Kuphephe ukutshaya nokusebenzisa iimveliso zecuba ngokupheleleyo.

Ngokulandela la manyathelo, ungazikhusela kungekuphela nje kwi-bradyarrhythmia, kodwa nakwezinye izifo ezininzi.

Injani imeko yempilo yomntu oneBradyarrhythmia? (Ingqikelelo)

Lo ngumbuzo abantu abaninzi abawubuzayo. Ukuba awunyangwa, i-bradyarrhythmia inokubangela iingxaki zempilo ezinzulu. Inokubangela neengozi ezibangelwa zizinto ezifana nesiyezi kunye nokuquleka.

Nangona kunjalo, ngonyango olufanelekileyo, unokubuyisela isigqi sentliziyo yakho, unciphise umngcipheko weengxaki, kwaye uphile ubomi obuqhelekileyo. Yiyo loo nto kubalulekile ukubona ugqirha ngokukhawuleza ukuba uneempawu.

Ndifanele ndibonane nogqirha nini?

Ukuba unayo nayiphi na kwezi mpawu zingezantsi, ngokuqinisekileyo kuya kufuneka uthethe nogqirha ngayo:

• Intlungu yesifuba okanye ukungakhululeki.
• Ubunzima bokuphefumla.
• Ukudinwa okanye ukuquleka.
• Ukuquleka.
• Ukuba uziva udiniwe kakhulu.

Ukuba kukho nayiphi na kwezi eyenzeka rhoqo, qiniseka ukuba ucela ingcebiso kugqirha.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha, ungabuza imibuzo efana nale ukuze uqonde kakuhle imeko yakho:

• Ndingazi njani ukuba isantya sentliziyo yam siphantsi ngokwenene?
• Ingaba isantya sentliziyo yam siphantsi ngokwaneleyo ukuba singadala iingxaki zempilo?
• Ngaba kufuneka ndithathe amayeza okulawula le ngxaki yesingqisho sentliziyo?
• Ngaba ndiza kuyidinga i-pacemaker ukuze ndibuyisele isigqi sentliziyo yam?

Kubaluleke kakhulu ukubuza imibuzo efana nale ukuze uqonde ngcono imeko yakho.

Ngoko ke, masikhumbule oko besithetha ngako njengesishwankathelo (Umyalezo Wokubuyela Ekhaya)

I-Bradyarrhythmia kukubetha kwentliziyo okungahambelaniyo, oko kuthetha ukuba intliziyo ibetha ngaphantsi kwezihlandlo ezingama-60 ngomzuzu. Oku kunokubangelwa zizinto ezininzi, kuquka ubudala, isifo sentliziyo, kunye namayeza athile. Iimpawu zingabandakanya isiyezi, ukudinwa, kunye nokuphelelwa ngumphefumlo.

Eyona nto ingcono onokuyenza kule meko kukwenza uvavanyo olufanelekileyo lwezonyango, ufumane unobangela, kwaye ufumane unyango olufunekayo (njengonyango okanye i-pacemaker). Emva koko unokubuyisela isigqi sentliziyo yakho kwaye uphile ubomi obusempilweni. Ke ngoko, ukuba uneempawu ezinje, ungoyiki ukubona ugqirha. Emva koko unokwazi yonke into ngokufanelekileyo kwaye wenze oko kuyimfuneko.

Ukubetha kwentliziyo , ukubetha kwentliziyo okucothayo, i-bradyarrhythmia, i-bradycardia, isingqisho sentliziyo, i-pacemaker, isiyezi