Ngaba intliziyo yakho ngamanye amaxesha iyabetha ngakumbi? Masifunde nge (Premature Junctional Contraction)!

Hayi bo, wakha waziva ngathi intliziyo yakho ibetha ngequbuliso, okanye ngequbuliso yaqala ukubetha kakhulu? Okanye wakha waziva ngathi isifuba sakho siyabetha kakhulu? Ngamanye amaxesha sicinga ukuba ezi zizinto nje ezingacwangciswanga, kodwa ngamanye amaxesha kunokubakho isizathu esincinci sezonyango emva koku. Namhlanje siza kuthetha ngokubetha okunjalo okungaphezulu entliziyweni, okubizwa ngokuba yi-`(Premature Junctional Contraction)` okanye i-PJC.

Yintoni le (iPremature Junctional Contraction)? Masiyiqonde ngokulula?

Ngamafutshane, `(Premature Junctional Contraction)` kukubetha kwentliziyo okongezelelweyo okwenzeka ngaphambi kwexesha elicwangcisiweyo . Oku kuqala kwindawo ekhethekileyo entliziyweni, esiyibiza ngokuba yi`(Atrioventricular junction)` okanye i-AV junction. Khawuthelekelele, intliziyo yethu inamagumbi amabini phezulu, esiyibiza ngokuba yi-atria. Kukho amanye amagumbi amabini ngaphantsi, esiwabiza ngokuba zii-ventricles. Phakathi kwala ma-atria kunye nee-ventricles, ukuba ngokuchanekileyo, le AV junction ikwimbindi wentliziyo. Kulapho kuqala khona olu beat olongezelelweyo, lwasekuqaleni.

I-PJC ngokwenene yi-`(Arrhythmia)`, nto leyo ethetha ukungahambelani kwesingqisho sentliziyo . Ngokwesiqhelo, intliziyo yethu ibetha ngesingqisho esithile. Isizathu sale nto yinkqubo encinci yesignali yombane entliziyweni ngokwayo. Ezi signali zombane zixelela intliziyo ukuba "ibethe ngoku, ibethe ngoku". Nangona kunjalo, ukuba kukho into ephazamisana nezi signali zombane, ukubetha kwentliziyo kuba yinto engahambelaniyo. Yiloo nto siyibiza ngokuba yi-`(Arrhythmia)`. Emva koko ukubetha kwentliziyo kungaba ngolu hlobo:

• Isenokuba yinto engacwangciswanga: oko kukuthi, isingqi siyatsitywa, kubekho isingqi esongezelelweyo, okanye isingqi asifani.
• Ingacotha kakhulu: siyibiza ngokuba yi-"Bradycardia".
• Ingoyisa ngokukhawuleza kakhulu: oku kubizwa ngokuba yi-`(Tachycardia)`.

I-PJC ikwicandelo eliza nolo hluzo olongezelelweyo.

Ngubani onokuthi abe ne-Premature Junctional Contractions?

I-PJC idla ngokubakho kubantu abasele benesimo sentliziyo (ukusilela kwentliziyo) okanye esinye isifo sentliziyo. Nangona kunjalo, ngamanye amaxesha i-PJC inokubakho nakubantu abaneentliziyo eziphilileyo ezingenaso nasiphi na isifo . Ngenxa yoko, kunzima ukutsho ngaphandle kwengxaki ukuba oku kwenzeka kubantu abathile kuphela.

Ziqheleke kangakanani ezi (Premature Junctional Contractions)?

I-PJC ngokwenene yimeko engaqhelekanga kunezinye iintlobo zentliziyo eyongezelelekileyo. Umzekelo, `(Premature Atrial Contractions - PACs)` okanye `(Premature Ventricular Contractions - PVCs)` zixhaphake kancinci kune-PJC. Phakathi kweengxaki zesingqisho sentliziyo, `(Atrial fibrillation - Afib)` yeyona meko ixhaphakileyo.

Oku (Premature Junctional Contraction) kundichaphazela njani?

Khawucinge nje, ufumana i-PJC enye okanye ezimbini kuphela rhoqo. Ngoko ke kusenokwenzeka ukuba ayingongxaki inkulu . Mhlawumbi awuyi kuyiqaphela loo nto.

Kodwa, le PJCUkuba kwenzeka rhoqo, rhoqo, kufuneka ukhathazeke kancinci. Kuba, xa i-PJC isenzeka rhoqo, ingaguquka ibe yimeko ebizwa ngokuba yi-`(Junctional tachycardia)`. Oko kukuthi, imeko apho intliziyo ibetha ngokukhawuleza , iqala kwi-AV junction esiyikhankanyileyo ngaphambili. `(Junctional tachycardia)` ngamanye amaxesha inokufuna unyango . Umzekelo, amayeza anokunikwa ukulawula isantya sentliziyo kwaye ayibuyisele kwisigqi esiqhelekileyo.

Zithini izizathu ze-Premature Junctional Contractions?

Kukho izinto ezininzi ezinokubangela i-PJC. Makhe sijonge ezona ziphambili:

• Ubuthi beDigitoxin: I-Digitoxin (umz. iDigoxin, iDigitoxin) liyeza elisetyenziselwa ukunyanga izifo ezithile zentliziyo ezifana nokusilela kwentliziyo kunye nokungasebenzi kakuhle kwentliziyo. Ukuba uthatha eli yeza kakhulu, okanye ukuba umzimba wakho awukwazi ukuliphatha kakuhle, unokuba nesifo esibizwa ngokuba yi-digitalis toxicity. Le yimbangela enkulu ye-PJC.
• Ukusetyenziswa kwecaffeine: Ukutya kakhulu icaffeine, efumaneka kwikofu, iti, nakwezinye iziselo ezinika amandla.
• Isifo semithambo yegazi: Ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
• Ukusela utywala: Njengayo nayiphi na into, ukusela utywala obuninzi akulunganga.
• Ukungalingani kwe-electrolyte: Ukungalingani kwe-electrolyte emzimbeni, njenge-sodium kunye ne-potassium.
• I-Hypoxemia: Ukwehla kwamanqanaba eoksijini egazini.
• Ukusilela kwentliziyo: Intliziyo ayikwazi ukupompa igazi ngokufanelekileyo.
• Ukutshaya okanye ukusebenzisa iimveliso zecuba.

I-PJC inokwenzeka ngenxa yesinye okanye ngaphezulu kwezi zizathu.

Zithini iimpawu ze (Premature Junctional Contraction)?

Ukuba awufumani PJC rhoqo, usenokungabi nazo naziphi na iimpawu . Nangona kunjalo, ukuba une PJC rhoqo, unokufumana oku kulandelayo:

• Ukudinwa: Ukuziva nje udiniwe kwaye ungenabomi.
• Ukuqaqamba kwentloko: Ukuziva unesiyezi okanye ukuphelelwa ngamandla.
• Ukubetha kwentliziyo ngokukhawuleza: Ukuziva ukubetha kwentliziyo ngokukhawuleza, ngokugquma, okanye ngokugquma esifubeni.

Khumbula, ezi mpawu azibonakali kuye wonke umntu. Abanye abantu basenokungabi nazo.

Indlela yokuqaphela (ii-Premature Junctional Contractions)?

Xa uxelela ugqirha ngeempawu zakho, uza kuqala akubuze ngazo aze emva koko enze uvavanyo lomzimba. Basenokubuza malunga noku:

• Imbali yakho yempilo: Izinto ezifana nezifo zangaphambili, nokuba kukho nabani na kusapho lwakho onesifo sentliziyo.
• Ingaba uthatha awaphi amayeza?Amayeza ezinye izifo, kwaneevithamini.
• Indlela ophila ngayo: Izinto ezinje ngokuba uyatshaya, usela utywala, kunye nokuba usela ikofu engakanani na.

Zeziphi iimvavanyo ezisetyenziswayo ukuxilonga ii-Premature Junctional Contractions?

Ukuba ugqirha wakho ukrokrela ukuba une-arrhythmia, badla ngokuyalela i-electrocardiogram (EKG) . Olu luvavanyo olulula nolungenabuhlungu. Babeka izitikha ezincinci (ii-electrodes) esifubeni sakho baze barekhode umsebenzi wombane wentliziyo yakho, okuyintliziyo yakho.

Xa ujonga iziphumo ze-EKG, ungabona i-PJC njengokubetha okuncinci okongezelelweyo phakathi kwentliziyo yakho eqhelekileyo. Nangona kunjalo, ngamanye amaxesha, le PJC inokuthi "ifihlwe" ngaphakathi kwentliziyo eqhelekileyo. Ukuba i-EKG ayicacanga, ugqirha wakho unokucebisa ezinye iimvavanyo. Umzekelo:

• I-Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ingajonga imilo kunye nomsebenzi wentliziyo.
• Uvavanyo loxinzelelo: Olu vavanyo luvavanya indlela intliziyo yakho esebenza ngayo xa uzilolonga (njengokubaleka kwi-treadmill).
• Uvavanyo lwetafile yokuthambeka: Isantya sentliziyo yakho kunye noxinzelelo lwegazi ziyajongwa xa ulele ebhedini ekhethekileyo kwaye ibhedi ithambekile kwiikona ezahlukeneyo. Oku kubalulekile kubantu abanengxaki yokuwa.

Oogqirha banyanga njani ii-Premature Junctional Contractions?

Xa benyanga i-PJC, oogqirha baqala bajonge unobangela oyintloko . Ukunyanga loo nobangela kunokunceda ukubuyisela isigqi sentliziyo esiqhelekileyo. Isicwangciso sakho sonyango singabandakanya:

• Ukuba okwangoku usebenzisa i-digitalis, cinga ngokunciphisa okanye ukwandisa umthamo .
• Ukunika amanye amayeza okunyanga imeko ethi ``(i-Digitalis toxicity)``.
• Ukunyanga izifo ezinje ngokusilela kwentliziyo okanye isifo semithambo yegazi yentliziyo ngamayeza .
• Utshintsho kwindlela yokuphila: Izinto ezifana nokuyeka ukutshaya, ukunciphisa utywala okanye ukusebenzisa i-caffeine.

Eyona nto ibalulekileyo kukulandela iingcebiso zonyango.

Ngaba ukuQondana kwangaphambi kwexesha kungathintelwa?

Kusenokungabi lula ukuthintela ngokupheleleyo i-PJC. Nangona kunjalo, ukulandela indlela yokuphila enempilo nokubona ugqirha wakho rhoqo kunokunceda ukugcina intliziyo yakho isempilweni. Ugqirha wakho unokucebisa oku kulandelayo:

• Nciphisa okanye uyeke ukusela utywala: Amadoda akufuneki asele ngaphezulu kweziselo ezibini ngosuku. Abafazi akufuneki basele ngaphezu kwesinye ngosuku.
• Ukunciphisa ubuninzi be-caffeine oyifumana kwizinto ezifana nekofu kunye neziselo ezinika amandla.
• Ukungatshayi okanye ukusebenzisa iimveliso zecuba.Ukuba sele ukwenzile oko, yeka ngokuqinisekileyo.
• Ukutya ukutya okunempilo okutyebileyo kwiziqhamo, imifuno, iimbotyi kunye neenkozo ezipheleleyo.
• Ukuzilolonga rhoqo njengokuhamba.
• Ukulawula uxinezeleko .
• Ukuthatha amayeza njengoko kuyalelwe ukuze kulawulwe ezinye iimeko zempilo.

Ihlala ixesha elingakanani i-Premature Junctional Contractions?

Ukuba unobangela oyintloko unyangwa ngokufanelekileyo, i-PJC isenokuphucuka okanye inyamalale ngokupheleleyo , kuxhomekeke kwimeko yakho kunye nendlela osabela ngayo kunyango.

Ngaba kukho naziphi na iziphumo zexesha elide ze-Premature Junctional Contractions?

Amaxesha amaninzi, i-PJC ayibangeli monakalo entliziyweni . Nangona kunjalo, ukuba i-PJC ibangelwa yenye imeko yentliziyo, kufuneka ubone ugqirha wakho ukuze ugcine intliziyo yakho isempilweni. Ukwenza njalo kunokunceda ukuthintela okanye ukunciphisa iziphumo zesifo sentliziyo ezihlala ixesha elide.

Ufanele ufune nini ingcebiso kagqirha ukuba une (Premature Junctional Contractions)?

Ukuba iimpawu zakho ziyatshintsha okanye ziya zisiba mandundu, qiniseka ukuba ubona ugqirha wakho . Kwakhona, ukuba ubona naziphi na iimpawu "zokusilela kwentliziyo", xelela ugqirha wakho ngoko nangoko. Ezi mpawu ziquka:

• Ukuba nokukhwehlela okomileyo nokuqhekeka .
• Ukuquleka .
• Ukudinwa okanye ubuthathaka xa usenza umthambo okanye usenza nawuphi na umsebenzi.
• Ukuphefumla nzima (dyspnea)
• Ukudumba emaqatheni, emilenzeni okanye esiswini .

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kaloku, sithethe kakhulu nge-`(Premature Junctional Contraction)` ngoku.

Ukuqaqanjelwa kwamalungu omzimba ngaphambi kwexesha akusoloko kuyinto embi kakhulu . Ngamanye amaxesha, okufuneka ukwenze kukutyelela ugqirha wakho ukuze akuhlole.

Nangona kunjalo, ukuba unobangela we-PJC sisifo sentliziyo esinye, ugqirha wakho uya kucebisa unyango olufanelekileyo nolusebenzayo. Uninzi lwabantu abane-PJC baphila ubomi obusempilweni nobusebenzayo . Ngoko ke, musa ukoyika ngokungeyomfuneko. Kodwa ukuba uneempawu, ungalibali ukufuna iingcebiso zonyango. Impilo entle kuwe!

Ukuqunjelwa Kwamalungu Ngaphambi Kwexesha, Ukubetha Kwentliziyo, Isingqisho Sentliziyo, Ukungasebenzi Kwentliziyo, Ukudibana Kwemithambo Yentliziyo, Isifo Sentliziyo, I-EKG