Ingaba intliziyo yakho nayo ibetha ngokukhawuleza? Ngaba oku kungaba yi-Multifocal Atrial Tachycardia (MAT)?

Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngokungathi iyaphambana? Okanye uziva into engaqhelekanga, njengobunzima esifubeni sakho? Musa ukoyika, ungakhawulezi ucinge ukuba konke oku kwenzeka ngenxa yento enzulu. Nangona kunjalo, ngamanye amaxesha ezi mpawu zinokuba luphawu lwemeko ebizwa ngokuba yiMultifocal Atrial Tachycardia (MAT) , esiza kuthetha ngayo namhlanje. Ngoko ke, masithethe ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-multifocal atrial tachycardia (MAT)?

Ngamafutshane, i-multifocal atrial tachycardia (MAT) yimeko eyenzeka xa imiqondiso yombane evela kumagumbi amabini aphezulu entliziyo yakho, ebizwa ngokuba yi-atria, iveliswa ngendlela engalawulekiyo, ivela kwiindawo ezahlukeneyo. Cinga ngayo ngokungathi "iziko ezininzi zomyalezo wombane" kwezi gumbi ziphezulu zentliziyo yakho ziqala ukusebenza ngaxeshanye. Oku kubangela ukuba intliziyo yakho ibethe ngokukhawuleza nangokungaqhelekanga . Ngokwesiqhelo, izinga lentliziyo yakho lingaphezulu kwe-100 beats ngomzuzu, kodwa kwezinye iimeko, linokufikelela kwi-150 beats ngomzuzu kwi-MAT. Ikwabizwa ngokuba yi -Chaotic Atrial Tachycardia , oko kuthetha "chaotic atrial tachycardia."

Yintoni umahluko phakathi kwe-MAT kunye ne-Atrial Fibrillation?

Zombini ezi meko zizingqisho zentliziyo ezingaqhelekanga ezenzeka kumagumbi aphezulu entliziyo, i-atria. Enyanisweni, ngamanye amaxesha umntu one-MAT unokufunyanwa ngempazamo njengone -atrial fibrillation . Nangona kunjalo, ugqirha unokwazi ukubona umahluko phakathi kwezi zimbini ngokujonga iziphumo zakho ze-Electrocardiogram (EKG) . Ngokuyintloko zijonga 'amaza e-P' kwi-EKG, arekhodwa xa i-atria yentliziyo iqina. Ezi zimbini zahlukile ngepateni yazo.

Okubalulekileyo kukuba, malunga nesiqingatha sabantu abane-MAT banokuthi kamva babe ne -atrial fibrillation okanye i-atrial flutter.

Ngubani ochaphazeleka kakhulu yile meko?

I-MAT idla ngokubonakala kakhulu kubantu abadala, idla ngokuba malunga neminyaka engama-70 ubudala . Nangona kunjalo, kubalulekile ukukhumbula ukuba inokwenzeka nakubantwana abancinci. Ngokuqhelekileyo, abantu abane-MAT ngabo bagula kakhulu ngelo xesha. Oku kuthetha ukuba i-MAT inokwenzeka kakhulu ngenxa yokwanda kwesinye isifo kunokuba umntu ophilileyo afumane i-MAT ngequbuliso.

Esi sisifo esingaqhelekanga kakhulu sentliziyo . I-MAT ibonakala ngaphantsi kwe-1% yazo zonke iingxaki zentliziyo (i-arrhythmias).

Kwenzeka ntoni emzimbeni wakho emva kweMAT?

Cinga ngentliziyo yakho njengempompo yamanzi. Ipompa igazi emzimbeni wakho wonke. Yenza umsebenzi wayo ngokufanelekileyo kuphela ukuba ibetha ngesantya esifanelekileyo nesingqisho.

Nangona kunjalo, kwimeko efana neMAT, intliziyo ibetha ngokukhawuleza kakhulu., amagumbi amane entliziyo awafumani xesha laneleyo lokuzaliswa ligazi. Igazi elingenaoksijini lihamba entliziyweni liye emiphungeni, lithathe ioksijini, lize libuyele entliziyweni ukuze limpompelwe emzimbeni wonke. Ngenxa yokuba ixesha eliphakathi kwezi ntliziyo lifutshane kakhulu, inani legazi elizalisa amagumbi entliziyo ngexesha elinye lingaphantsi kunesiqhelo. Oko kuthetha ukuba inani legazi eliya kwiiseli zomzimba wakho ngentliziyo nganye nalo lincinci . Oku kunokubangela ukuba umzimba wakho ungafumani ioksijini kunye nezondlo ozifunayo.

Zithini iimpawu zeMAT?

Uninzi lwabantu alunazo naziphi na iimpawu ezithile ngenxa ye-MAT. Nangona kunjalo, usenokuba neempawu zezinye iimeko zempilo ezinokuba zibangele i-MAT.

Nangona kunjalo, ngamanye amaxesha i-MAT inokubangela iimpawu ezifana nezi:

• Intlungu yesifuba okanye ukuxinana
• Ukubetha kwentliziyo (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza)
• Ukuqhawukelwa ngumphefumlo
• Ukuquleka, ukulahlekelwa zingqondo

Zithini izizathu zeMAT?

Uninzi lwabantu abane-MAT (phakathi kwama-60% nama-85%) baneengxaki ezinxulumene nemiphunga . Kwezi , i-Chronic Obstructive Pulmonary Disease (COPD) yeyona nto ibangela oku. Khawucinge nje, abanye abantu banokukhwehlela okungapheliyo, ukuphefumla, nezinto ezinjalo.

Ezinye izizathu zingabizwa ngokuba:

• Ukungaphumeleli kokuphefumla
• Usulelo oluqatha
• Isifo semithambo yentliziyo
• Ukumelwa yintliziyo
• Amanqanaba aphantsi e-potassium, i-magnesium okanye i-sodium emzimbeni
• Umhlaza
• Isifo Seswekile (iDiabetes Mellitus)
• Ndisenza utyando olukhulu
• Ukungasebenzi kakuhle kwezintso
• I-Pulmonary embolism (oku kunqabile kancinci)
• Isifo sevalvu yentliziyo (naso esi sinqabile)

Ngamafutshane, nasiphi na isifo esinzima esibeka uxinzelelo olukhulu emzimbeni sinokubangela i-MAT.

Ndingafumanisa njani ukuba ndine-MAT?

Oogqirha badla ngokuxilonga i-MAT ngovavanyo lwe -Electrocardiogram (EKG) . Mhlawumbi sele uzibonile ezo zincamathelisi zincinci esifubeni nasezingalweni zakho ezilinganisa umsebenzi wombane wentliziyo yakho. Yile ndlela exilongwa ngayo. Ipateni kwi-EKG ixhomekeke kwi-MAT.

Zeziphi ezinye iimvavanyo ezenziwayo ukuze kufunyaniswe i-MAT?

Ukuze kuchongwe ngokuchanekileyo i-MAT, uvavanyo lwe-EKG lwanele .

Nangona kunjalo, wakuba ufunyaniswe une-MAT, ugqirha wakho unokuyalela iimvavanyo ezongezelelweyo ukuze kufunyanwe imeko yezonyango ebangela oko. Oku kungabandakanya:

• I-X-reyi yesifuba
• Uvavanyo lwegazi - Umzekelo, ukujonga amanqanaba etyuwa emzimbeni kunye nokuba kukho naziphi na izifo.
• Kunqabile kakhulu, i-ultrasound yentliziyo, oko kukuthi, i- echocardiogram .

Ziziphi iindlela zonyango ze-MAT?

Ixesha elininzi, abantu abane-MAT kufuneka banyangwe ngenxa yemeko ebangela i-MAT . Umzekelo, ukuba unosulelo olukhulu lwemiphunga kwaye ube ne-MAT, oogqirha baya kuqala bazame ukunyanga olo sulelo. Nje ukuba imeko engaphantsi inyangwe, i-MAT idla ngokuzilungisa yodwa.

Ukuba une-MAT, usenokuba sele ulaliswe esibhedlele ngenxa yemeko enzima, efana nokuphazamiseka kokuphefumla. Oogqirha baya kubonelela ngonyango olufunekayo kuloo meko.

Nangona kunjalo, ngamanye amaxesha unyango lunokufuneka ukulawula isantya sentliziyo. Oku kungabandakanya oku kulandelayo:

• Ii-Beta-blockers, ezifana ne-metoprolol (Lopressor® okanye iToprol®XL), zisebenza ngokulawula izinga lokubetha kwentliziyo.
• Ukubonelela ngetyuwa ye-magnesium kunye ne-potassium ukuba ayinazo izinto ezaneleyo emzimbeni.
• Ii-calcium channel blockers , ezifana ne-verapamil (iVerelan® okanye iCalan®) okanye i-diltiazem (iDiltzac® okanye iCardizem®), nazo zinceda ekulawuleni izinga lokubetha kwentliziyo.

Kunqabile kakhulu, oko kukuthi, ukuba ezinye iindlela zonyango azikwazi ukuyilawula, unyango olufana nokususwa kwe-AV node (ukucima inxalenye yendlela yombane yentliziyo) kunye ne-pacemaker (isixhobo esifakelwe ukugcina ukubetha kwentliziyo rhoqo) lunokusetyenziswa.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Amanye amayeza anikwa i-MAT anokubangela iziphumo ebezingalindelekanga ezifana nezi:

• Isiyezi
• Intloko ebuhlungu
• Isisu esibuhlungu, njengesicaphucaphu (Isisu esibuhlungu)
• Urhudo
• Ukuqhinwa

Ukuba unayo nayiphi na kwezi zinto, xelela ugqirha wakho. Usenokukwazi ukutshintsha umthamo okanye akunike elinye iyeza.

Ungayinciphisa njani ingozi yokuba ne-MAT?

Eyona nto ibangela i-MAT kukuba mandundu kwezinye iimeko zonyango, ingakumbi isifo semiphunga okanye isifo sentliziyo. Ngoko ke, ukuba ungakwazi ukulawula isifo sakho semiphunga (esifana ne-COPD, i-asthma) okanye isifo sentliziyo kakuhle , oko kukuthi, ukuba uthatha amayeza akho njengoko ugqirha wakho emyalele ngexesha kwaye ufumana uhlolo rhoqo, unganciphisa umngcipheko wakho wokuba ne-MAT.

Kwenzeka ntoni kumntu one-MAT? Ikamva linjani?

Uza kukwazi ukuya ekhaya uvela esibhedlele emva kokuba imeko engundoqo ebangele i-MAT inyangiwe ngempumelelo. Le meko ngokwayo, i-MAT, idla ngokuphela xa unobangela oyintloko unyangwa.

Nangona kunjalo, uqikelelo lomntu one-MAT lumiselwa bubunzima bemeko yezonyango esisiseko endaweni ye-MAT ngokwayo.Ngenxa yokuba iimeko ezibangela i-MAT (ezifana nokungasebenzi kakuhle kwemiphunga, usulelo oluqatha) ngamanye amaxesha zinokuba yingozi ebomini, phakathi kwama-30% nama-60% abantu abane-MAT bayafa ngexesha lokuhlala esibhedlele. Khumbula, oku kufa akusoloko kungenxa ye-MAT ngokwayo, kodwa kungenxa yesifo esibalulekileyo, esibi esibangele loo nto.

Ndingazinyamekela njani?

Ukuba une-MAT kwaye imeko engundoqo iye yanyangwa, ugqirha wakho unokucebisa ukuba uqhubeke nokusebenzisa ii-beta-blockers okanye ii-calcium channel blockers okwethutyana. Nangona kunjalo, oku kwenzeka kuphela malunga ne-25% yabantu abane-MAT.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Kubaluleke kakhulu ukuya kwiikliniki ngemihla ebekiweyo kwaye uthathe amayeza akho ngokuchanekileyo.

Ndifanele ndimbone nini ugqirha? Zeziphi imibuzo endifanele ndizibuze zona?

Kuya kufuneka ube ne-aphoyintimenti yokulandelela imeko ebangele ukuba ube ne-MAT. Ukuba yimeko yexesha elide (umzekelo, i-COPD), kuya kufuneka ubone ugqirha wakho rhoqo ukuqinisekisa ukuba ilawulwa kakuhle.

Musa ukuthandabuza ukubuza ugqirha wakho imibuzo efana nale:

• "Gqirha, kufuneka ndithathe eli yeza ndilinikwe ixesha elingakanani?"
• "Ungandichazela kancinci ngekamva lam, xa ucinga ngemeko endikuyo?"
• "Ndingayifumana le meko ye-MAT kwakhona?"

Abantu abaninzi abane-MAT abanazo iimpawu, ngoko ke kunokumangalisa ukwazi ukuba banale meko. Nangona kunjalo, eyona nto ibalulekileyo kukuba ugqirha wakho anyange imeko engaphantsi (edla ngokuba sisifo semiphunga) ebangela ukubetha kwentliziyo okungaqhelekanga. Landela imiyalelo kagqirha wakho, kwaye uqiniseke ukuba ubuza imibuzo ukuba kukho into ongayiqondiyo. Njengoko imeko yakho engaphantsi iphucuka, ukubetha kwentliziyo okungaqhelekanga kuya kuphucuka.

Umyalezo Wokuya Ekhaya

Kulungile, nantsi indlela elula yokukhumbula oko sithethe ngako:

• I-MAT yimeko apho intliziyo ibetha ngokukhawuleza nangokungacwangciswanga ngenxa yemiqondiso yombane engacacanga evela kwiindawo eziphezulu zentliziyo.
• Oku kwenzeka rhoqo kubantu abanezinye izifo ezinzulu, ingakumbi izifo zemiphunga (ezifana ne-COPD).
• Abantu abaninzi abanazo iimpawu ezithile ze-MAT, kodwa basenokuba neempawu zesifo esisisiseko.
• I-MAT ixilongwa ngokuchanekileyo nge-EKG.
• Olu nyango lujolise kakhulu kwisifo esibangele i-MAT. Emva koko i-MAT nayo iya kuphucuka kakhulu.
• Ngamanye amaxesha amayeza (iiBeta-blockers, iiCalcium channel blockers) anokunikwa ukulawula isantya sentliziyo.
• Ubunzima beMAT bumiselwa sisifo esibangele oko.
• Kubaluleke kakhulu ukulandela iingcebiso zonyango ngokuchanekileyo kwaye uye kuvavanyo olucwangcisiweyo.

Ukuba wena okanye umntu omaziyo unengxaki efana nale, ungoyiki ukubona ugqirha aze afumane ingcebiso. Okukhona ifunyaniswa ngokukhawuleza kwaye inyangwa, kokukhona kungcono.

Ukubetha kwentliziyo , isifo sentliziyo, i-tachycardia, i-MAT, isifo semiphunga, i-EKG, ubunzima bokuphefumla