Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho iyabetha? Okanye uziva ngathi intaka ibetha amaphiko ayo esifubeni sakho, okanye intliziyo yakho ibetha ngamandla kangangokuba itsiba-tsiba? Abantu abaninzi baye bahlangabezana noku. Uninzi lwexesha, akukho nto ifanele ikhathazeke ngayo. Ngokwezonyango, le meko ibizwa ngokuba yiPremature Ventricular Contractions, okanye iiPVC ngamafutshane. Ke namhlanje, masithethe ngokuba zeziphi ezi PVC, kutheni zenzeka, kunye nento ekufuneka siyazi ngazo.
Ngamafutshane, zithini ezi PVC?
Kulungile, ukuze sikuqonde oku, masiqale sijonge indlela intliziyo yethu esebenza ngayo. Khawuthelekelele ukuba intliziyo yethu ifana nendlu enenkqubo yombane encinci. Kuphela xa le ndlu ifumana umbane ngexesha elifanelekileyo apho izibane kunye neefeni zisebenza ngokufanelekileyo. Intliziyo yethu ikwanayo nenkqubo yombane efanayo.
Ngokwesiqhelo, kwi-atrium yasekunene phezulu kwentliziyo, kukho iqela elincinci leeseli ezibizwa ngokuba yi-sinoatrial node okanye i-SA node. Le 'yi-master switch' yentliziyo yethu. Isignali yokuqala yombane exelela intliziyo ukuba ibethe iqala apha. Le signali emva koko ihamba kuyo yonke intliziyo ize iye kwiigumbi ezimbini eziphambili ezantsi kwentliziyo, ii-ventricles. Xa le signali ifunyenwe, imisipha yentliziyo iyafinyela ngokufanelekileyo kwaye ipompe igazi emzimbeni. Le yinkqubo eqhelekileyo.
Kodwa kwi-PVC, kukho into eyahlukileyo kancinci. Endaweni yesignali yombane eqala ukubetha kwentliziyo kwi-'main switch' (i-SA node), iqala ngequbuliso kwigumbi elisezantsi lentliziyo `(ventricle). Kufana nokukhanyisa isibane kwigumbi elahlukileyo endaweni yokuvula i-main switch endlwini. Oku kubangela ukuba isigqi sentliziyo siphazamiseke kancinci. Ngenxa yesi sigqi esongezelelweyo, ukubetha kwentliziyo okuqhelekileyo okulandelayo kusemva kwexesha. Kulapho siziva ngathi 'siphoswe yi-beat'. Ukubetha okulandelayo kunokuvakala kunamandla kancinci.
Uninzi lwexesha, ii-PVC azibalulekanga kangako. Malunga nama-75% abantu abasempilweni baye bazibona ngaxesha lithile ebomini babo. Kodwa ukuba ziyenzeka rhoqo, kubalulekile ukuthetha nogqirha.
Oogqirha banokusebenzisa amanye amagama kwesi sifo, ngoko khumbula la magama:
- Iicomplexes ze-ventricular zangaphambi kwexesha
- Ii-extrasystoles ze-Ventricular
- Ukubetha kwe-Ventricular ngaphambi kwexesha
Ngubani osengozini enkulu yokuphuhlisa ii-PVC?
Nangona nabani na enokufumana ii-PVC, abanye abantu basengozini enkulu. Ngokukodwa:
- Kwabantu abadala.
- Kwabo banesifo sentliziyo.
- Kwabo bane-high blood pressure (i-Hypertension).
- Kwabo bakha bahlaselwa yintliziyo ngaphambili.
- Kwabo banesifo sentliziyo.
- Kubantu abane-hypertrophic cardiomyopathy.
Zithini iimpawu zePVC? Siziva njani?
Into emangalisayo kukuba abantu abaninzi bane-PVC kwaye abanazo naziphi na iimpawu. Kusenokuba yingozi xa ugqirha wakho esenza i-EKG kwenye into. Kodwa ukuba kukho iimpawu, zihlala zibonakala ngolu hlobo:
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Ukubetha Kwentliziyo | Intliziyo ibetha ngendlela engaqhelekanga ngaphakathi esifubeni. Ivakala ngathi intliziyo 'iyatsiba', 'iyaqengqeleka', 'iyatsiba'. |
| Ukuphaphazela kwesifuba (ukuphaphazela) | Usenokuziva ngathi intaka iqhwaba amaphiko ayo esifubeni sakho. |
| Ukubetheka entanyeni | Abanye abantu banokuziva ukubetha kwentliziyo okungaphezulu ngamandla ngemithambo entanyeni yabo. |
| Isiyezi/Intloko ebuthathaka | Ukuba ii-PVC ezininzi zenzeka zilandelelana, ungaziva ngathi ulahlekelwa zingqondo okanye uzive unesizungu ngenxa yokuncipha kancinci kokuhamba kwegazi ukuya engqondweni. |
| Ukuqhawukelwa ngumphefumlo | Oku kubonakala kakhulu xa ii-PVC zenzeka kumntu osele enesinye isifo sentliziyo. |
Ingaba le mvakalelo iyafana nakubo bonke abantu?
Hayi. Abanye abantu banokuba namakhulu ee-PVC ngosuku kodwa bangaziboni nto. Abanye banokuba nanye okanye ezimbini ngosuku baze bazibone kakhulu. Ziyahluka kumntu nomntu.
Kutheni sifumana ii-PVC? Zithini izizathu?
Kukho amaxesha apho unobangela othile wee-PVC ungafumaneki. Nangona kunjalo, ezi zinto zinokubangela okanye zonyuse ii-PVC.
- Uxinzelelo kunye nokuxhalaba: Xa sixinezelekile okanye sisoyika, umzimba wethu uvelisa ihomoni ebizwa ngokuba yi-adrenaline. Oku kunokuvuselela inkqubo yokubonisa umbane yentliziyo kwaye kubangele ii-PVC.
- I-Caffeine kunye notywala: I-Caffeine kunye notywala, obufumaneka kwizinto ezifana nekofu, iti, itshokholethi, kunye nezinye iziselo ezibandayo, bunokubangela ukubetha kwentliziyo okungaqhelekanga.
- Ukungalingani kwe-Electrolyte: I-Potassium kunye ne-magnesium ziminerali ezibalulekileyo ekusebenzeni kakuhle kwemiqondiso yombane emzimbeni wethu. Amanqanaba aphantsi kwezi zinto anokubangela ii-PVC.
- Isifo sentliziyo: Njengoko bekutshiwo ngaphambili, ii-PVC zinokubangelwa zizifo ezifana nokuhlaselwa yintliziyo, uxinzelelo lwegazi oluphezulu, kunye nesifo semithambo yegazi emithanjeni yegazi.
- Ezinye iimeko zonyango: Ezi zinokubangelwa zizifo ezifana ne-hyperthyroidism kunye ne-anemia.
- Amayeza athile: Amanye amayeza asetyenziswa kwiimeko ezifana ne-asthma anokubangela ii-PVC.
Uyifumana njani le nto, Gqirha?
Ukuba unale mpawu, ugqirha wakho uza kuqala akubuze ngeempawu zakho kunye nembali yezonyango zosapho lwakho. Emva koko baza kumamela intliziyo yakho nge-stethoscope. Ukongeza, banokwenza olu vavanyo.
- I-Electrocardiogram (EKG/ECG): Olu lolona vavanyo lulula. Iisensa ezincinci ezifana nezitikha zifakwa esifubeni sakho, ezingalweni, nasemilenzeni kwaye zirekhoda umsebenzi wombane wentliziyo yakho imizuzu eliqela. Oku kungabonisa ngokucacileyo naziphi na ii-PVC ezikhoyo.
- I-Holter Monitor: Ngamanye amaxesha ii-PVC azihlali zifika. Ukuba ziza izihlandlo ezimbalwa ngemini, i-EKG eqhelekileyo isenokungazifumani. Kwiimeko ezinjalo, ugqirha wakho uya kukucela ukuba unxibe umatshini omncinci iiyure ezingama-24 okanye ezingama-48. Oku kuya kurekhoda rhoqo isigqi sentliziyo yakho. Kufana nokugcina idayari yentliziyo yakho.
- Uvavanyo loxinzelelo lwentliziyo: I-EKG yenziwa ngelixa uhamba kwi-treadmill. Oku kunceda ukubona ukuba ii-PVC ziyanda okanye ziyancipha na ngexesha lokuzilolonga.
- I-Echocardiogram: Olu luvavanyo lwe-ultrasound lwentliziyo. Lunokujonga izinto ezininzi, njengolwakhiwo lwentliziyo, ubungakanani bamagumbi, indlela ezisebenza ngayo iivalvu, kunye nendlela ezimpompa ngayo igazi. Oku kubaluleke kakhulu ukufumanisa ukuba kukho enye ingxaki yentliziyo engaphantsi kwee-PVC.
- Uvavanyo lweGazi: Uvavanyo lwegazi lunokwenziwa ukujonga amanqanaba e-potassium kunye ne-magnesium emzimbeni, amanqanaba e-thyroid hormone, kunye nokuba ngaba kukho i-anemia.
Ngaba ii-PVC zifuna unyango?
Le yeyona nto ibalulekileyo. Ukuba umntu ophilileyo ongenaso esinye isifo sentliziyo une-PVC rhoqo, akukho nyango lufunekayo. Ugqirha wakho uza kukuxelela ukuba wenze utshintsho oluncinci kwindlela ophila ngayo.
Nangona kunjalo, unyango lunokufuneka kwiimeko ezifana nezi:
- Ukuba iimpawu zakho ziyaphazamisana nobomi bakho bemihla ngemihla.
- Ukuba inani lee-PVC ngosuku liphezulu kakhulu (umzekelo, ngaphezu kwe-15% yazo zonke izingqisho zentliziyo zii-PVC).
- Ukuba amandla entliziyo okupompa igazi (inxalenye yokukhupha igazi) anciphile ngenxa yee-PVC.
- Ukuba kukho esinye isifo sentliziyo esinzulu esingaphantsi kwee-PVC.
Ezi zilandelayo zingasetyenziswa njengonyango:
| Indlela yonyango | Inkcazo |
|---|---|
| Utshintsho kwindlela yokuphila | Ukuyeka i-caffeine, utywala, nokutshaya. Ukulawula uxinzelelo (ukucamngca, i-yoga, njl.njl.). Ukulala ngokwaneleyo. |
| Amayeza | Amayeza anjenge-beta-blockers okanye i-calcium channel blockers anokulawula isantya sentliziyo. Ngamanye amaxesha amayeza okulwa nokuphazamiseka kwentliziyo anokunikwa. |
| Ukususwa kweCatheter | Olu nyango lusetyenziswa ukuba unenani elikhulu lee-PVC ezingenakulawulwa ngamayeza. Kule nto, ityhubhu encinci (i-catheter) idluliselwa ngemithambo esesinqeni sakho iye entliziyweni yakho, iiseli ezithile ezibangela ii-PVC ziyachongwa, kwaye i-radiofrequency isetyenziselwa ukutshabalalisa ezo seli. Olu lunyango olusebenzayo kakhulu. |
Ngaba kufuneka ndikhathazeke ngee-PVC? Ndingaludinga nini unyango olungxamisekileyo?
Ngokwesiqhelo, ii-PVC zodwa aziyongxaki. Nangona kunjalo, ukuba une-PVC kunye nezi mpawu zidibene, yiya kwicandelo lezonyango elingxamisekileyo (ETU) ngokukhawuleza.
- Intlungu ebuhlungu esifubeni
- Ubunzima obukhulu bokuphefumla
- Ukudinwa okanye ukuphelelwa ngamandla (syncope)
- I-Delirium
Ezi mpawu zibonisa ukuba kukho into enzulu ngaphezu kwee-PVC. Ngoko ke musa ukulinda ixesha elide.
Khumbula, ii-PVC zizinto eziqhelekileyo. Azifane zibangele umonakalo wexesha elide kumntu onentliziyo ephilileyo. Nangona kunjalo, ukuba ziyaqhubeka okanye ziba nzima, zinokukhokelela kwimeko ebizwa ngokuba yi-cardiomyopathy, ebangela ukuba izihlunu zentliziyo zibe buthathaka. Yingakho kubalulekile ukufuna ingcebiso kagqirha ukuba uneempawu.
Umyalezo Wokuya Ekhaya
- Ukuqaqanjelwa kwemithambo yegazi ngaphambi kwexesha (iiPVC) zizinto eziqhelekileyo apho isingqisho sentliziyo sitshintsha kancinci. Uninzi lwexesha, oku akuyonto imbi kangako.
- Iimvakalelo ezifana 'nokubetha kwentliziyo' kunye 'nokubhabha kwesifuba' zezona mpawu zixhaphakileyo. Nangona kunjalo, abantu abaninzi abanazo naziphi na iimpawu.
- Izinto ezinje ngoxinzelelo, i-caffeine, kunye notywala zinokunyusa ii-PVC. Ukuphepha ezi zinto kunokunceda.
- Ukuba ufumana ezi mpawu rhoqo, okanye ukuba ukhathazekile ngazo, qiniseka ukuba ubona ugqirha wakho.
- Ukuba iimpawu ezifana neentlungu eziqatha esifubeni okanye ukulahlekelwa yingqondo zihamba neePVC, yingxamiseko leyo. Yiya esibhedlele ngokukhawuleza.
- Abantu abaneentliziyo eziphilileyo abadingi unyango rhoqo. Ukuba kuyimfuneko, kukho unyango olusebenzayo kakhulu olufumanekayo.
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