Ngaba isingqisho sentliziyo yakho ngamanye amaxesha siya ngeendlela ezingaqhelekanga? Masithethe nge-'Idioventricular Rhythm'!

Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into eyahlukileyo kancinci ngendlela intliziyo yakho ebetha ngayo? Mhlawumbi ikhawuleza kakhulu, okanye ivakala ngathi ibetha ngendlela engaqhelekanga? Ungakhathazeki, uninzi lwexesha ezi azizongxaki zinkulu. Nangona kunjalo, kubalulekile ukuba uqaphele le meko siza kuthetha ngayo namhlanje, ebizwa ngokuba yi-'Idioventricular Rhythm'.

Yintoni i-'Idioventricular Rhythm'? Masiyiqonde ngokulula!

Ngamafutshane, i-"Idioventricular Rhythm" sisingqisho sentliziyo apho amagumbi asezantsi entliziyo yakho, i-"ventricles" , ebetha kancinci kunesiqhelo. Cinga ngayo, amagumbi aphezulu entliziyo yethu (i-"atria") kulapho ikhoyo i-"natural pacemaker", okanye ngokuchanekileyo i-"sinoatrial node". Ukuba le pacemaker ayisebenzi kakuhle, iiseli ezikwinxalenye esezantsi yentliziyo zicinga, "Kulungile, masenze intliziyo ibethe." Kodwa, zinokuyenza ibethe kancinci.

Ngokwesiqhelo, kule "Idioventricular Rhythm", intliziyo ibetha ngaphantsi kwezihlandlo ezingama-50 ngomzuzu .

Nangona kunjalo, kukho omnye umahluko omncinci, ubizwa ngokuba yi-'Accelerated Idioventricular Rhythm (AIVR).' Emva koko izinga lentliziyo liphakathi kwe-50 kunye ne-110 beats ngomzuzu. Oku kwahlukile kwimeko ebizwa ngokuba yi-'Ventricular Tachycardia' (Ventricular Tachycardia), apho intliziyo ibetha ngokukhawuleza (ngaphezulu kwe-100 beats ngomzuzu), akunjalo?

Oku akufanele kudideke nezinye iingxaki zesingqisho sentliziyo, akunjalo?

Ewe, kukho ezinye iimeko ezininzi ezinxulumene nesingqisho sentliziyo. Ke ngoko, le 'Idioventricular Rhythm' inokubhidaniswa nenye. Leyo yi 'Junctional Rhythm'.

• I-Idioventricular Rhythm: Oku kuqala kumagumbi asezantsi entliziyo, ii-ventricles.
• I-Junctional Rhythm: Oku kuqala kwindawo edibana kuyo amagumbi aphezulu nasezantsi entliziyo (enxulunyaniswa ne-AV node).

Uwubonile umahluko? Nangona zombini izingqisho ziqala kwindawo engafanelekanga entliziyweni, iindawo ezimbini zokuqala zahlukile.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Nangona nabani na enokuba nesifo esibizwa ngokuba yi-"Idioventricular Rhythm," abanye abantu banokuba naso. Nazi:

• Abantu abane-heart blockage epheleleyo okanye enzima.
• Abantu abaneengxaki ze-pacemaker yendalo yentliziyo, ezifana ne-'sinus arrest' okanye i-'sinoatrial nodal block'.
• Abantu abaye baba nesifo sentliziyo.
• Abantu abasebenzisa amayeza athile (ingakumbi lawo esifo sentliziyo) kunye neziyobisi ezingekho mthethweni.
• Kunqabile kakhulu, oku kunokwenzeka nakubantu abaneengxaki zentliziyo zokuzalwa.

I-Accelerated Idioventricular Rhythm (AIVR) ngamanye amaxesha inokwenzeka kubadlali abasempilweni. Nangona kunjalo, idla ngokubonakala kubantu abanezinye iingxaki zentliziyo, ezinje:

• I-Ischemic cardiomyopathy (ICM) kubuthathaka kwemisipha yentliziyo ngenxa yokuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• `Isifo sentliziyo esibizwa ngokuba yi-rheumatic heart disease` (umonakalo kwiivalvu zentliziyo emva kokosuleleka emqaleni).
• I-cardiomyopathy evulekileyo (i-cardiomyopathy evulekileyo - izihlunu zentliziyo ziba buthathaka kwaye zikhule).
• `Iimpawu zentliziyo ezibukhali` (iimpawu zentliziyo ezibukhali - ukuphazamiseka ngequbuliso kokunikezelwa kwegazi entliziyweni).
• `I-Acute myocarditis` (ukudumba/ukudumba kwemisipha yentliziyo).

Zithini iimpawu? Okanye awuziva nto konke konke?

Nantsi inyani emangalisayo! Uninzi lwexesha, abantu abane-'Idioventricular Rhythm' abanazo naziphi na iimpawu . Ewe, yinyani. Khawucinge nje, abanye abantu abazi nokuba banale meko, kwaye ifunyanwa ngengozi xa besenziwa i-'ECG' kwenye into.

Nangona kunjalo, abanye abantu banokuba neempawu. Ukuba kunjalo, banokufumana oku kulandelayo:

• Ukudinwa: Usenokuziva udiniwe.
• Ukudinwa: Usenokuziva ngathi intloko yakho iyajikeleza kwaye usenokuziva ngathi ulahlekelwa yibhalansi yakho.
• Ukuquleka/Ukulahlekelwa zingqondo: Abanye abantu banokuphelelwa zingqondo ngequbuliso baze bawe. Olu luphawu olubi ngakumbi.
• Ukubetha kwentliziyo: Usenokuziva intliziyo yakho ibetha ngokukhawuleza, ngokungathi ibetha ngamandla esifubeni sakho.

Khumbula, ezi mpawu azibonakali kuwo wonke umntu. Nangona kunjalo, ukuba uzifumana rhoqo ezi mpawu, kungcono ukubona ugqirha.

Kutheni le nto i-`Accelerated Idioventricular Rhythm (AIVR)` isenzeka? Zithini izizathu?

Kukho izizathu ezininzi ezithile ze-'Accelerated Idioventricular Rhythm (AIVR)' esixoxe ngazo ngaphambili, imeko apho intliziyo ibetha ngesantya esiphakathi kwe-50-110 beats ngomzuzu. Nazi:

• I-Myocarditis (ukudumba kwemisipha yentliziyo).
• Emva kokuhlaselwa yintliziyo.
• Ezinye iintlobo ze-'cardiomyopathies' (i-cardiomyopathy - isifo semisipha yentliziyo).
• Emva kokuvuselelwa (umzekelo, emva kokuhlaselwa yintliziyo, xa uvuselelwa nge-`CPR`).
• Inqanaba eliphezulu kakhulu le-electrolyte potassium emzimbeni.
• Ubuthi obubangelwa kukuthatha amayeza entliziyo amaninzi kakhulu `Digoxin (Digitek® okanye iCardoxin®)`.

Ugqirha uyifumana njani le nto?

Ukuba unezi mpawu, okanye ngenxa yesinye isizathu, xa ubona ugqirha, uya kuqala akuhlole kakuhle (`uvavanyo lomzimba`). Emva koko uya kubuza ngembali yakho yezonyango kunye nembali yosapho.

Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukuze kuqinisekiswe ukuba ngaba le meko ye-`Idioventricular Rhythm` ikhona na:

• I-Electrocardiogram (ECG/EKG): Olu lolona vavanyo lubalulekileyo. Lurekhoda umsebenzi wombane wentliziyo. Kwi-Idioventricular Rhythm, i-ECG ibonisa ukuba amagumbi asezantsi entliziyo abetha ngesingqisho esiqhelekileyo, kodwa amagumbi aphezulu (i-atria) akaqhelekanga okanye akakho.
• `Isixhobo sokubona i-Holter`: Oku kufana nomatshini omncinci we-`ECG`. Kodwa kufuneka uwunxibe iiyure ezingama-24 okanye ezingama-48. Ungajonga indlela esitshintsha ngayo isingqisho sentliziyo yakho ngelixa usenza imisebenzi yakho yemihla ngemihla. Ngamanye amaxesha, ezi zingqisho zingaqhelekanga zisenokungabonakali ngexesha elifutshane elithathayo ukufumana i-`ECG`.

Zithini iindlela zonyango? Ngaba le yinto yokoyika ngokwenene?

Nazi iindaba ezimnandi! Kubantu abaninzi, imeko ebizwa ngokuba yi-"Idioventricular Rhythm" ayiyongozi ('inobungozi') kwaye ayifuni naluphi na unyango olukhethekileyo. Kwiimeko ezininzi, iyaziphelela.

Nangona kunjalo, ukuba ugqirha wakho ugqiba ekubeni ayinyange, idla ngokuba kukuyinyanga ingxaki ebangela le meko. Umzekelo:

• Ukuba le meko ibangelwe liyeza, yeka okanye utshintshe elo yeza.
• Ukuba kukho ingxaki ngokusebenza kwentliziyo (umz. i-heart block), yinyange.

Ngoku, ukuba i-`Accelerated Idioventricular Rhythm (AIVR)` iyaqhubeka, kwaye uxinzelelo lwakho lwegazi nalo luyehla, ugqirha angenza oku kulandelayo ukubuyisela isigqi sentliziyo esiqhelekileyo:

• Ukunika amayeza afana ne-`Atropine (Atreza® okanye iSal-Tropine®)` okanye `isoproterenol`.
• Ukusebenzisa isixhobo esikhethekileyo (umz., isixhobo sokuncedisa ukubetha kwentliziyo okwethutyana) ukubuyisela isigqi samagumbi aphezulu entliziyo.

Singenza ntoni ukunciphisa lo mngcipheko?

Nangona i-Idioventricular Rhythm ingenabungozi kwiimeko ezininzi, umngcipheko wokuhlaselwa zizifo ezinjalo unokuncipha kancinci ngokuthatha amanyathelo okugcina iintliziyo zethu ziphilile.

• Zilolonge rhoqo kwaye utye ukutya okunempilo kwentliziyo (ioyile encinci, ityuwa encinci, neswekile encinci, iziqhamo ezininzi kunye nemifuno eninzi).
• Zama ukugcina amanqanaba e-electrolyte emzimbeni wakho (ingakumbi i-potassium) eqhelekileyo . Ukutya okunesondlo kubalulekile koku.

Kwenzeka ntoni ukuba une-'Idioventricular Rhythm'? Yintoni onokuyilindela?

Kwakhona, kubantu abaninzi, le ayisiyongxaki kwaye iya kuphela ngaphandle konyango. Nangona kunjalo, ukuba usoloko uhlaselwa yintliziyo kwaye esi sigqi singaqhelekanga siyaqhubeka singabuyeli esiqhelweni, ngokuqinisekileyo kuya kufuneka ufune uncedo lwezonyango.

Ufanele ufune nini ingcebiso kagqirha?

Kwiimeko ezininzi, akufuneki wenze nantoni na ekhethekileyo kwi-'Idioventricular Rhythm'. Iya kuphela yodwa. Nangona kunjalo, ukuba le meko ayizilungeli ngokwayo kwaye ufumana iimpawu ezifana nokuquleka, bona ugqirha ngokukhawuleza.

Okubaluleke kakhulu: Ukuba ucinga ukuba uneempawu ze-'Heart Attack' (umz. iintlungu eziqatha esifubeni, ubunzima bokuphefumla, ukuhlanza, ukubila okugqithisileyo), fowunela u-1990 ngoko nangoko kwaye ubize i-ambulensi!

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukuba ugqirha wakho ukuxelela ukuba une-"Idioventricular Rhythm", kulungile ukubuza le mibuzo:

• "Gqirha, ungandixelela kanye kanye ukuba yintoni ebangela i-'Idioventricular Rhythm' yam?"
• "Ukuba ndifuna unyango loku, loluphi unyango olungcono kum?"

Nangona i-'Idioventricular Rhythm' idla ngokuba yingxaki enkulu, ezinye izingqisho zentliziyo ezingaqhelekanga zinokuba yingozi. Ke ngoko, ukuba uziva ukubetha kwentliziyo okungaqhelekanga, ukuba ufumana izinto ezifana nesiyezi, bona ugqirha ngaphandle kokulibazisa. Ukuba ugqirha wakho ukuxelela ukuba uqale okanye uyeke ukuthatha naliphi na iyeza, landela loo miyalelo ngokuchanekileyo. Kwakhona, kubaluleke kakhulu ukuya kuvavanyo 'lokulandelela' ngemihla ecwangcisiweyo.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko makhe sikukhumbuze ngokufutshane ngamanqaku abalulekileyo koko sithethe ngako:

• I-Idioventricular Rhythm sisingqisho sentliziyo esiqala kumagumbi asezantsi (iiseli) zentliziyo kwaye sidla ngokucotha.
• Ixesha elininzi, le ayisiyongxaki. Abantu abaninzi ababonisi zimpawu.
• Nangona kunjalo, ukuba le meko iyaqhubeka kunye neempawu ezifana nesicaphucaphu , ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.
• Unyango ludla ngokujongana nemeko ebangela oko, kwaye ngamanye amaxesha lunokulawulwa ngamayeza.
• Hlala ulandela imiyalelo kagqirha wakho kwaye uye kuhlolwa okucwangcisiweyo.

Kubaluleke kakhulu ukunyamekela intliziyo yakho. Ndiyathemba ukuba olu lwazi luza kukunceda!

` I-Idioventricular Rhythm, isingqisho sentliziyo, isantya sentliziyo esicothayo, I-Accelerated Idioventricular Rhythm, iimpawu zesifo sentliziyo, i-ECG, i-Holter monitor