Ngaba wakha waqaphela, okanye wabona, intliziyo yakho ibetha ngokukhawuleza ngequbuliso? Ngamanye amaxesha oku kunokuba yinto eqhelekileyo, kodwa ngamanye amaxesha kunokuba yimbangela yokukhathazeka. Namhlanje siza kuthetha ngemeko ebizwa ngokuba
yiMonomorphic Ventricular Tachycardia , apho isantya sentliziyo sinyuka ngokungaqhelekanga. Nangona igama lide kancinci, masiligcine lilula.
Yintoni iMonomorphic Ventricular Tachycardia?
Ngamafutshane, oku kukubetha kwentliziyo okungahambelaniyo, okanye
i-arrhythmia . Kulapho amagumbi asezantsi entliziyo yakho, abizwa ngokuba
zii-ventricles , eqala ukubetha ngesantya esiyingozi kakhulu. Ngokuxhomekeke kwindlela kwaye nini oku kwenzeka, kunokuba yingxaki eyingozi, esongela ubomi. Khawuthelekelele, le meko ye-
Ventricular Tachycardia (VT) , inokuba nzima ngakumbi kwaye iguquke ibe yi-arrhythmia ebulalayo ebizwa ngokuba yi-
Ventricular Fibrillation (V-fib) . Ukuba oko kuyenzeka, intliziyo ingayeka. Ukuba ukunye nomntu aze ngequbuliso angabi nangqondo kwaye angabi na-pulse,
kubaluleke kakhulu ukufowunela u-911 ngoko nangoko (okanye inombolo yongxamiseko efanelekileyo), uqalise ngokukhawuleza i-CPR (Cardiopulmonary Resuscitation), kwaye ufumane i-AED (Automated External Defibrillator) ukuba umntu ukufutshane. Ukuba awazi ukuba ungenza njani i-CPR , abantu abasabela ngexesha likaxakeka badla ngokuqeqeshwa ukuba bakufundise indlela yokwenza i-CPR ngefowuni. Ukuba ukwindawo kawonke-wonke, izakhiwo ezininzi kunye namaziko ane -AEDs . Ezi zizixhobo ezixabisekileyo ezinokusindisa ubomi ngamaxesha anje.
Lithetha ukuthini igama lale meko?
Igama elithi "monomorphic ventricular tachycardia" lahlulwahlulwa libe ngamacandelo alo kwaye lithetha oku:
- I-Mono (i-Mono-) : Inye.
- -morphic : imilo.
- I-Ventricular : Iqhagamshela kwiindawo ezisezantsi zentliziyo yakho, ii-ventricles zasekhohlo nasekunene.
- Tachy- : Ngokukhawuleza.
- -intliziyo : intliziyo .
Oko kukuthi,
i-ventricular tachycardia (VT) yimeko apho amagumbi asezantsi entliziyo yakho ebetha ngokukhawuleza, kodwa angapompi igazi ngokufanelekileyo. Oku kudla ngokubangelwa ziisekethe zombane ezingaqhelekanga kwimisipha ye-ventricular. Igama elithi "monomorphic" livela kwindlela esi rhythm sentliziyo
esirekhodwa ngayo kwi-electrocardiogram (ECG).Enye – esiyibiza ngokuba yi
-ECG okanye
i-EKG – isekelwe kwindlela ebonakala ngayo. Kwi-monomorphic
VT , onke amaza kwi-
ECG abukeka ngendlela efanayo, efana. Malunga nama-70% ezigulane ze
-VT zinalolu hlobo lwe-monomorphic. I
-ECG ilinganisa umsebenzi wombane wentliziyo isebenzisa ii-sensors ezininzi, ezibizwa ngokuba
zii-electrodes (ngesiqhelo ezili-12), ezinamathele eluswini lwesifuba sakho. Ezi electrodes zibamba umsebenzi wombane kwaye ziwubonise njengothotho lwamaza ephepheni okanye kwisikrini. I-Monomorphic
VT ithetha ukuba onke la maza abukeka ngendlela efanayo.
Kukho iintlobo ezimbini eziphambili ze-monomorphic VT:
Kukho iintlobo ezimbini eziphambili zale meko:
- Ayixhathisi : Olu hlobo lwe-monomorphic VT luhlala ixesha elingaphezu kwezihlandlo ezintathu zilandelelana, kodwa lungaphantsi kwemizuzwana engama-30. Nangona kunjalo, lunokwenzeka ngokuphindaphindiweyo. Xa oku kusenzeka, kunokuba nzima ukukuqonda.
- Ihlala ixesha elide : Le yi-monomorphic VT ehlala ixesha elingaphezu kwemizuzwana engama-30, okanye ifuna unyango oluthile ukubuyisela intliziyo kwisigqi sayo esiqhelekileyo.
Yintoni umahluko phakathi kwe-monomorphic ventricular tachycardia kunye ne-polymorphic ventricular tachycardia?
I-Polymorphic Ventricular Tachycardia yimeko efana ne-monomorphic
VT , kodwa inomahluko omkhulu. Igama elithi "Polymorphic" lithetha "iimo ezahlukeneyo." Kwi-
ECG , amaza e-polymorphic
VT atshintsha ukusuka kwesinye isigqi ukuya kwesinye. Oku kuthetha ukuba umsebenzi wombane wentliziyo yakho awuguquguquki ngakumbi kunakwi-monomorphic
VT .
Ngubani ochaphazeleka kakhulu yile meko?
I-ventricular tachycardia ixhaphake kakhulu
kumadoda . Ichaphazela abantu abadala, ngakumbi abantu abadala, kunye nabo banesifo sentliziyo, ingakumbi abo bane-
ejection fraction enciphileyo. Inokwenzeka nakubantwana, kodwa ayiqhelekanga kakhulu. Ihlala isenzeka kubantu
abanezifo zentliziyo ezikhoyo ekuzalweni. Kwakhona, iimeko ezibangela
i-ventricular tachycardia , njenge-
Brugada syndrome okanye
i-arrhythmogenic right ventricular cardiomyopathy, zinokufunyanwa njengelifa.
Ixhaphake kangakanani le meko?
E-United States kuphela
, i-ventricular tachycardia kunye ne-arrhythmia ehambelana nayo ebizwa ngokuba yi
-ventricular fibrillation ibangela ukufa kwabantu abamalunga nama-300,000 ngonyaka.
Le meko ichaphazela njani umzimba wam?
I-monomorphic ventricular tachycardia idla ngokubangelwa yingxaki kwinkqubo yombane yentliziyo yakho. Le ngxaki ibangela ukuba ii-ventricles zibethe ngokukhawuleza kangangokuba azinalo ixesha lokuzalisa igazi ngaphambi kokuba ziphinde zibethe. Ii-ventricles nazo zinokubetha ngexesha elingafanelekanga, nto leyo ebangela ukuba zilahlekelwe sisigqi sazo ngamagumbi aphezulu entliziyo.
I-ventricular tachycardia inokuba mandundu kwaye ibe
yi-ventricular fibrillation (V-fib) . Le yimeko apho amagumbi asezantsi entliziyo engenakuzalisa ngegazi, kodwa imbi ngakumbi. Kwi
-V-fib , ii-ventricles azibethi kakuhle, kodwa endaweni yoko ziyangcangcazela nje. Ngenxa yokuba intliziyo ayipompi igazi ngokufanelekileyo,
i-ventricular fibrillation inokukhokelela ngokulula kwi-
cardiogenic shock okanye
i-cardiac attack ngequbuliso . Oku kuthetha ukuba intliziyo yakho ayinakupompi igazi elaneleyo ukuhlangabezana neemfuno zomzimba wakho.
I-Ventricular tachycardia ngamanye amaxesha inokuya ngqo kwi-heart attack ngaphandle kokungena kwi
-V-fib .
Ukuma kwentliziyo ngequbuliso yimeko enokubangela ukufa kwimizuzu embalwa ukuba
i-CPR ayinikwanga ngoko nangoko (edla ngokubizwa ngokuba yi
-Sudden Cardiac Death ukuba isigulane asinakusindiswa).
Ziziphi iimpawu ze-monomorphic ventricular tachycardia?
Abanye abantu banokuba ne-monomorphic
VT kodwa bangabi nazimpawu. Ukuba akukho zimpawu,
i-VT idla ngokuba yeyomzuzwana kwaye ayibi mbi kakhulu. Iimpawu ze-monomorphic
VT ziquka:
- I-pulse ekhawulezayo (okanye ukungabikho kwe-pulse) : Kwi -VT eguquguqukayo, izinga lentliziyo yakho lidla ngokuba phakathi kwe-140 kunye ne-180 beats ngomzuzu (amaxabiso aphezulu adla ngokuba mandundu, kwaye kunokwenzeka ukuba ube neempawu). Kwezinye iimeko, unokulahlekelwa yi-pulse yakho ngokupheleleyo, oko kuthetha ukuba unesifo sentliziyo.
- Ukubetha kwentliziyo : Le yimvakalelo engathandekiyo yentliziyo yakho ibetha ngaphandle kokuziva ukubetha kwentliziyo. Ingavakala ngathi intliziyo yakho iyabetha ngamandla, iyabetha ngamandla, iyatsiba, okanye iyabhabha.
- Intlungu yesifuba (i-Angina) : Oku kwenzeka xa intliziyo yakho ingafumani igazi elaneleyo.
- Ukuba nesiyezi okanye ukuba nentloko ebuthathaka : Oku kwenzeka xa intliziyo yakho ingapompi igazi elaneleyo ukubonelela ingqondo ngeoksijini eyidingayo.
- I-Syncope : Oku kunokwenzeka emva kokuba nesiyezi xa i-VT inzima. Isenokuba kukulahlekelwa ngokupheleleyo yingqondo okanye imeko eqhubekayo ye-near-syncope.
- Ukuphelelwa ngamandla: Umzimba wakho awunayo ioksijini ngenxa yokujikeleza kwegazi okungahambi kakuhle, nto leyo eyenza kube nzima ukuphefumla .
Yintoni ebangela i-monomorphic ventricular tachycardia?
I-Monomorphic
VT inokubangelwa zizizathu ezahlukeneyo. Ezinye zazo ziquka:
- Isifo sentliziyo esibangelwa yi-Ischemic : I-Ischemia, ebangela ukuncipha kokuhamba kwegazi, inokuphazamisa inkqubo yombane yentliziyo yakho kwaye ibangele i-monomorphic VT .
- I-Cardiomyopathy : Abantu abaneentliziyo ezibuthathaka nezinamanxeba (ngenxa yezizathu ezahlukeneyo, umzekelo, ischemia) banokuba neesekethe zombane ezingaqhelekanga ezinokukhokelela kwi -VT .
- Iingxaki zentliziyo ezingapheliyo : Iimeko eziphazamisa inkqubo yombane yentliziyo yakho zinokuvela zodwa, okanye zinokubakho ukususela ekuzalweni. Umzekelo wale nto yiBrugada syndrome .
- Iingxaki zentliziyo : Inkqubo yombane yentliziyo yakho ixhomekeke kwimilo yentliziyo yakho. Xa loo milo itshintsha, umgama ohanjwa ngumbane unganda okanye unciphe. Olu tshintsho lunokubangela ukuba ixesha lamanyathelo ahlukeneyo kwintliziyo yakho lingahambelani, nto leyo ebangela i-monomorphic VT . Unokuba neemeko zentliziyo ozalwa nazo, ezinye zazo ozizuza njengelifa kubazali bakho.
- Ukungalingani kwe-electrolyte : Oku kwenzeka xa umzimba wakho uneminerali ezininzi kakhulu (okanye zinganele) ekufuneka iiseli zentliziyo yakho zisebenze kakuhle.
- Amayeza kunye neziyobisi : Amayeza asetyenziswa ngugqirha (afana ne -digitalis ) kunye neziyobisi (ezifana ne -methamphetamine okanye i-cocaine ) zinokubangela i-monomorphic VT .
- I-Myocarditis : Oku kukudumba kwemisipha yentliziyo. Kunokubangelwa zizizathu ezahlukeneyo, kuquka usulelo.
- Ezinye iimeko : Iimeko ezifana ne -cardiac amyloidosis , i-lupus, okanye i-rheumatoid arthritis nazo zinokubangela i-monomorphic VT .
Ingaba oku kuyasulela?
I-Monomorphic
VT ayisuleli, ngoko ke ayisasazeki ukusuka komnye umntu ukuya komnye. Nangona kunjalo, ezinye zeemeko ezibangela oku zizinto ezibangelwa yimfuza. Oku kuthetha ukuba abantwana banokuyifumana njengelifa kubazali babo. Ingabangelwa kukudumba okubangelwa zizifo, ezinokuthi ngamanye amaxesha zibe zezosulela.
Ifunyanwa njani i-monomorphic ventricular tachycardia?
Ukuze kufunyaniswe i-monomorphic
VT , kufuneka kwenziwe uvavanyo
lwe-ECG esibhedlele. Ugqirha angalusebenzisa olu vavanyo
ukuzeLe meko ingachongwa nge-waveform eyibonisayo. Eyona ndlela yokuchonga i-monomorphic
VT kukusebenzisa i-
ECG . Oku kungenxa yokuba yindlela yodwa yokubona i-waveform efanayo yomsebenzi wombane wentliziyo. Ukuba une
-monomorphic VT engaguqukiyo , oko kuthetha ukuba iyafika ize ihambe, kuya kufuneka wenze uvavanyo olusebenzisa imigaqo efanayo ne
-ECG , kodwa aludingi ukuba uhlale esibhedlele. Ezi zibizwa ngokuba
zii-ambulatory monitors . Ezi zizixhobo ezinokurekhoda idatha
ye-ECG ixesha elide. Ungazithatha uziyise ekhaya uzinxibe kangangeentsuku okanye iiveki, kuxhomekeke kuhlobo lwe-monitor.
Inyangwa njani i-monomorphic ventricular tachycardia? Ngaba inganyangeka?
Ukuba awunayo
i-ventricular tachycardia eqhubekayo kwaye awunazo naziphi na iimpawu, usenokungadingi unyango lwe
-ventricular tachycardia . Nangona kunjalo, ugqirha wakho uhlala ekucebisa ukuba uqaphele iimpawu zokuba le meko inokuba yingxaki kuwe. Ngenxa yokuba
i-ventricular tachycardia eqhubekayo inokukhokelela ekuhlaselweni yintliziyo (nokuba ngokuthe ngqo okanye ngokujika ibe yi
-V-fib ), kubalulekile ukubuyisela intliziyo yakho kwisigqi esiqhelekileyo. Oku kunokufuna unyango olunye okanye ngaphezulu, ukusuka kumayeza ukuya kutyando. Ngokuxhomekeke kwisizathu se-monomorphic
VT , idla ngokuphathwa, kodwa ayinakuphiliswa rhoqo. Nokuba imeko yakho inokuphiliswa okanye ayinyangwa rhoqo kuxhomekeke kwisizathu esiyintloko.
Ngawaphi amayeza kunye nonyango olusetyenziswa kwi-monomorphic ventricular tachycardia?
Unyango lwe-monomorphic
VT ludla ngokuquka enye okanye ezingaphezulu kwezi zilandelayo:
- Amayeza : Amayeza okulwa ne-arrhythmia anokunciphisa kakhulu umngcipheko weengxaki kunye nokufa ngenxa ye -ventricular tachycardia . Amanye amayeza anokunceda intliziyo yakho ibuyele kwisigqi sayo esiqhelekileyo. Amanye ala mayeza anikwa wena esibhedlele kuphela, kuba anikwa ngqo emzimbeni wakho ngomgca we-intravenous (IV) okanye ngenaliti. Amanye amayeza onokuwathatha yonke imihla njengeepilisi.
- Ukulungiswa kombane : Oku kuquka ukusebenzisa umbane "ukushukumisa" intliziyo yakho ukuba ihambe ngendlela eqhelekileyo. Oku kudla ngokugcinwa xa imeko yakho iyonke ingazinzanga, umzekelo, xa uxinzelelo lwegazi lwakho luphantsi kakhulu ngenxa ye -ventricular tachycardia .
- Ukucinezelwa kwesifuba : Ezi ziindlela ezifanayo ezisetyenziswa kwi -CPR . Oku kuqhele ukwenziwa ngoko nangoko ukuba unesifo sentliziyo ngenxa ye -ventricular tachycardia . Ukuba une-pulse, ezi azifuneki.
- Ioksijini, ukufakwa kwetyhubhu, kunye nokuphefumla : Ukukunika ioksijini eyongezelelweyo (njengokusebenzisa ityhubhu engaphantsi kwempumlo yakho) kunokunceda ukunciphisa uxinzelelo entliziyweni yakho. Ukuba imeko yakho ayizinzanga kangangokuba awukwazi ukuphefumla, kunokufuneka ufakwe ityhubhu . Oku kuquka ukufaka ityhubhu entanyeni yakho nakwi-windpipe yakho. Le tube iqhagamshelwe kumatshini obizwa ngokuba yi-ventilator , owenzela umsebenzi wokuphefumla.
- Ii-ICDs ze-ICDs ezifakelwayo : Ukuba une -VT eguquguqukayo, izixhobo ezifakelwayo zinokukukhusela ekuhlaselweni yintliziyo. I-ICD sisixhobo esinokufakwa ngugqirha esifubeni sakho size siqhagamshele entliziyweni yakho ngeentambo (ezibizwa ngokuba zii-leads ). I- ICD inokubhaqa i-arrhythmia kwaye inike umothuko omncinci wombane ukubuyisela intliziyo yakho kwisingqi esiqhelekileyo.
- Ukususwa kwezicubu : Kwezinye iimeko, ababoneleli ngeenkonzo zempilo banokwenza izicubu ezibomvu entliziyweni yakho ukuze baphule imijikelezo yombane ebangela i-monomorphic VT . Le nkqubo ibizwa ngokuba yi-ablation . Oku kungenziwa ngotyando okanye nge-catheter. Nge-catheter, umboneleli wezempilo ufaka isixhobo esifana netyhubhu kumthambo wegazi omkhulu (ngesiqhelo omnye osethangeni lakho eliphezulu) aze asikhokelele entliziyweni yakho. Xa sele esentliziyweni, basebenzisa ubushushu obuchanekileyo okanye amandla abandayo kakhulu ukwenza inxeba eliqhekeza imijikelezo yombane engalunganga.
Iingxaki/iziphumo ebezingalindelekanga zonyango
Iingxaki kunye nemiphumo emibi onokuyiva kwezi ndlela zonyango inokwahluka kakhulu. Ugqirha wakho ngumntu ongcono ukukuxelela into enokwenzeka kwimeko yakho, njengoko enokuthathela ingqalelo unyango olufunayo (okanye osele ulufumene), imbali yakho yempilo, kunye nazo naziphi na iimeko ezithile.
Ndingazinyamekela njani/ndizilawula njani iimpawu?
Ngenxa yokuba i
-ECG iyimfuneko ukuze kufunyanwe i-monomorphic
VT , awunakwazi ukuba unayo ngaphandle kokufuna ingcebiso kagqirha. Oko kuthetha ukuba awunakuyinyanga wedwa ngaphandle kokubona ugqirha.
Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?
Abantu abaninzi baqala ukuziva bebhetele emva konyango, ingakumbi ukuba unyango lunciphisa izinga lentliziyo yabo kwaye lubuyisele intliziyo yabo kwisigqi esiqhelekileyo. Kwezinye iimeko, unokufuna unyango olongezelelweyo okanye utyando ngaphambi kokuba uzive ungcono. Ukuba udinga utyando, usenokungaziva uphilile ngokupheleleyo de kube emva kwenkqubo. Ugqirha wakho ngumntu ongcono onokuthetha naye malunga nokuba ixesha lakho lokuchacha liza kuba njani kwaye ingaba kukho nantoni na onokuyenza ukukunceda uphile ngokukhawuleza.
Ndingayinciphisa na ingozi yokuba oku kwenzeke okanye ndiyithintele ngokupheleleyo?
Uninzi lwexesha, i-monomorphic
VTYingxaki engenakucingeleka. Oku kuthetha ukuba ayinakuthintelwa. Eyona ndlela yokuyithintela kukuphepha iimeko okanye imisebenzi ekwenza ube namathuba amaninzi okuyifumana. Umzekelo woku kukuphepha ukusebenzisa iziyobisi ezifana ne
-methamphetamine okanye
i-cocaine . Ukuba unenye imeko ebangela i-monomorphic
VT , unokukwazi ukunciphisa umngcipheko wakho
we-VT ngokuyiphepha okanye ukuyilibazisa loo meko. Nangona kunjalo, oku akunakwenzeka rhoqo. Ukuba i-monomorphic
VT ibangelwa yimeko ezuzwe njengelifa okanye yokuzalwa, ayinakuthintelwa.
Ukuba ndinayo le meko, ndimele ndilindele ntoni?
Ukuba awunazo iimpawu ze-monomorphic
VT , usenokungadingi nyango. Ukuba uneempawu ze-monomorphic
VT , udinga
unyango olukhawulezileyo . Oku kungenxa yokuba
i-ventricular tachycardia inokukhokelela kwisifo sentliziyo (nokuba ngoko nangoko okanye ngokujika ibe yi
-V-fib ).
Ihlala ixesha elingakanani i-monomorphic VT?
Le meko inokuba mfutshane kakhulu, ihlale imizuzwana embalwa ngexesha, okanye ihlale imizuzu embalwa. Nangona kunjalo, le meko iyingozi, ngoko akufanele uyivumele iqhubeke. Yiyo loo nto unyango olungxamisekileyo lubaluleke kakhulu ukuthintela iingxaki okanye ukufa.
Iyintoni ikamva lale meko?
I-tachycardia ye-ventricular engaguqukiyo , ingakumbi ukuba ayinazimpawu, ayisoloko iyingozi. Ukuba ukhe
waphathwa yi-monomorphic VT , ingakumbi ukuba ineempawu, udinga unyango olungxamisekileyo. Ngaphandle kolo nyango, intliziyo yakho inokuba ne-arrhythmia embi okanye iyeke ngokupheleleyo.
Ndingazinyamekela njani?
Ugqirha wakho ngumntu ongcono kakhulu ukukukhokela kwinto onokuyenza ukuze uzinyamekele emva kokuba ufunyaniswe une-monomorphic
VT . Ngokubanzi, kufuneka wenze ezi zinto:
- Sela amayeza akho njengoko kuyalelwe . Oku kubaluleke kakhulu, kuba amayeza anokunceda ukuthintela isigqi sentliziyo yakho ukuba singatshintshi sibe yi-monomorphic VT . Akufanele uyeke ukuthatha amayeza akho ngaphandle kokuthetha nogqirha wakho. Ukuba unemibuzo malunga nokuthatha okanye ukugcina amayeza akho, thetha nogqirha wakho okanye ikhemisti ukuze ufumane ulwazi oluthe kratya.
- Bona ugqirha wakho njengoko kucetyisiwe . Unyango olulandelayo kunye nokundwendwela ugqirha kubaluleke kakhulu ukuthintela iingxaki okanye ezinye iingxaki ezibangelwa yile meko.
Ndifanele ndimbone nini ugqirha wam?
Kufuneka ubonane nogqirha wakho rhoqo njengoko kucetyisiwe. Kufuneka ubonane nogqirha wakho ukuba uqala ukuba neempawu, okanye ukuba iimpawu zakho ziyatshintsha kwaye ziqala ukuphazamisa ubomi bakho. Kwakhona, buza ugqirha wakho ngazo naziphi na ezinye iimpawu okanye iimpawu ezilumkisayo ezinokufuna ukuba utsalele umnxeba iofisi kagqirha wakho okanye ufune unyango.
Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?
Ukuba uneempawu ze-monomorphic
VT , kufuneka uye kwigumbi likaxakeka esibhedlele. Oku kungenxa yokuba iimpawu zale meko zifana kakhulu nezo zibonwa kwezinye iimeko eziyingozi, ezifana
nokuhlaselwa yintliziyo okanye
i-pulmonary embolism . Iimpawu ekufuneka uziqaphele ziquka:
- Intlungu yesifuba ( angina ).
- Ukuva intliziyo yakho ibetha ngamandla.
- Ubunzima bokuphefumla.
- Ukuba nesiyezi okanye ukuziva ukhathazekile.
- Ukuphupha.
Okokugqibela, umyalezo oya ekhaya:
I-monomorphic ventricular tachycardia yimeko enokuba yingozi. Ukuba uneempawu zale meko, kubalulekile ukufuna unyango ngokukhawuleza. Okukhona ufuna unyango ngokukhawuleza, kokukhona kunokwenzeka ukuba umboneleli wakho wezempilo akwazi ukuxilonga nokunyanga imeko yakho ngaphambi kokuba ibe mandundu. Nangona le meko ingenakuphiliswa rhoqo, idla ngokunyangeka ukuze ukwazi ukubuyela ebomini bakho nakwimisebenzi oyithandayo kakhulu.
Eyona nto ibalulekileyo kukuhlala uzolile kwaye ulandele imiyalelo kagqirha wakho. I-heart palpitations, i-tachycardia, i-arrhythmia, i-ECG, isifo sentliziyo, i-ventricular fibrillation, ukurhoxa kwentliziyo ngequbuliso
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