Ngaba intliziyo yakho ibetha ngendlela engaqhelekanga ngamanye amaxesha? Masithethe ngee-Premature Ventricular Contractions (PVCs)!

Ngaba wakha waziva ngathi intliziyo yakho ibetha ngendlela engaqhelekanga, ngokungathi iyatsiba, okanye ngathi ibetha ngequbuliso esifubeni sakho? Abanye abantu bathi kuvakala ngathi intliziyo yakho "iyabhabha." Abantu abaninzi baye bahlangabezana noku. Namhlanje, siza kuthetha ngomnye unobangela woku, imeko ebizwa ngokuba yiPremature Ventricular Contractions (PVCs) . Ungakhathazeki, masiyigcine ilula.

Ngoko ke, zithini ezi Premature Ventricular Contractions (PVCs)?

Ngamafutshane, ii-Premature Ventricular Contractions (PVCs) azilunganga kwintliziyo yakho. Ngokukodwa, zenzeka xa isignali yombane eqala ukubetha kwentliziyo ingaveli kwindawo eqhelekileyo, kodwa ivela kwenye yeegumbi ezimbini ezisezantsi zentliziyo (ezibizwa ngokuba zii- ventricles ). Ngokwesiqhelo, isignali yombane eqala ukubetha kwentliziyo iqala kwigumbi eliphezulu lasekunene lentliziyo ( i-atrium ).

Ezi PVC azisoloko ziyingxaki enkulu. Nangona kunjalo, ukuba ziqhubeka kangangeenyanga okanye iminyaka, zinokwenza buthathaka izihlunu zentliziyo. Oku kubizwa ngokuba yiCardiomyopathy . Kwiimeko ezininzi, ezi PVC zinokunyangwa ngamayeza okanye unyango oluncinci.

Abanye abantu babiza le meko ngokuthi "yi-pre ventricular contractions." Oogqirha banokuyibiza ngala magama:

• Iicomplexes ze-ventricular zangaphambi kwexesha
• Ii-extrasystoles ze-Ventricular
• Ukubetha kwe-Ventricular ngaphambi kwexesha

Imiqondiso yombane yentliziyo ilawula njani ukubetha kwentliziyo?

Ukubetha kwentliziyo yethu kulawulwa yinkqubo yombane emangalisayo kakhulu. Ngokwesiqhelo, iqela leeseli kwi-atrium yasekunene, phezulu kwentliziyo yakho, ebizwa ngokuba yi-sinoatrial node (SA node) , lithumela isignali yokuqala yombane yokubetha kwentliziyo. Esi signali sihamba kuyo yonke intliziyo size siye kwiigumbi zasekhohlo nasekunene (ii-ventricles) ezantsi kwentliziyo. Kulapho intliziyo ifumana khona umyalelo wokuba irhuqe, okanye ibethe.

Kodwa, kwimeko yee-PVC, olu phawu lokuqala luqala kwigumbi elisezantsi lentliziyo (i-ventricle). Emva koko, indlela olu phawu oluhamba ngayo entliziyweni iyatshintsha, nto leyo ebangela ukubetha kwentliziyo okungahambelaniyo. Ngamanye amaxesha, xa une-PVC, unokuziva ngathi intliziyo yakho "iyatsiba isingqi."

Ngubani onokuthi aphuhlise ii-PVC? Zixhaphake kangakanani?

Ii-PVC zinokwenzeka nakubani na. Nangona kunjalo, zixhaphake kakhulu kubantu abadala nakubantu abanesifo sentliziyo. Ukwasengozini enkulu yokufumana ii-PVC ukuba unenye yezi meko zilandelayo:

• Ukumelwa yintliziyo
• Uxinzelelo lwegazi oluphezulu ( i-Hypertension )
• Ukuba ukhe waba nesifo sentliziyo ngaphambili
• I-hypertrophic cardiomyopathy

IiPVC zixhaphake kakhulu kunokuba unokucinga.Uphando lubonise ukuba malunga nama-75% abantu baphila nale meko.

Ngaba kufuneka sikhathazeke ngezi PVC? Ngaba oku kuyingozi?

Uninzi lwabantu alunazo iimpawu okanye iingxaki zempilo ezivela kwi-PVCs. Nangona kunjalo, ukuba uneempawu, qiniseka ukuba ubona ugqirha . Usenokufuna unyango, ingakumbi ukuze kuthintelwe isifo sentliziyo esifana ne -cardiomyopathy .

IiPVC azisoloko zibeka ubomi esichengeni. Nangona kunjalo, ukuba ziyaqhubeka nokuvela ixesha elide, zingonakalisa izihlunu zentliziyo yakho.

Zithini iimpawu ze-Premature Ventricular Contractions (PVCs)?

Uninzi lwabantu alunazo naziphi na iimpawu ze-PVC. Kodwa ukuba ufumana iimpawu, zihlala zincinci. Umzekelo:

• Isiyezi
• Ndiziva ndityhafile, ndisondele ekuphelelweni lithemba
• Ukubetha kwentliziyo
• Ukuziva uxinezelekile entanyeni

Ukuba unezinye iingxaki zentliziyo, kusenokwenzeka ukuba ukhe wafumana ubunzima bokuphefumla ( ukuphelelwa ngamandla ) ngenxa ye-PVC. Kwakhona, njengoko ukuphindaphindeka kwee-PVC kusanda, unokubona iimpawu ezingakumbi.

Kuvakala njani xa kuvela ii-PVC?

Abantu abaninzi bachaza ii-PVC njengokuphaphazela, ukuphaphazela, okanye ukuziva ngathi utsiba isingqi . Kodwa, usenokungaziva nto. Enyanisweni, abantu abaninzi abaziva nokuba yi-PVC.

Yintoni ebangela ii-PVC?

Zininzi izizathu zokuba i-PVC inokwenzeka. Ezinye zazo zezi:

• Ukungalingani kwe-electrolyte emzimbeni, umzekelo, amanqanaba aphantsi e -potassium okanye i-magnesium .
• Imyocardial infarction
• Ukumelwa yintliziyo
• Ukwanda kwamanqanaba e-adrenaline emzimbeni - Oku kunokubangelwa kukuxhalaba okanye uxinezeleko .
• Ukuncipha kokunikezelwa kwegazi entliziyweni, umzekelo, ukuba kukho isifo semithambo yegazi yentliziyo .

Zifunyaniswa njani ii-Premature Ventricular Contractions (PVCs)?

Xa ubona ugqirha, uza kukubuza ngeempawu zakho, imbali yakho yempilo, aze enze uvavanyo lomzimba. Banokumamela ukubetha kwentliziyo yakho nge-stethoscope ukujonga naziphi na iingxaki.

Uvavanyo lokuqala oludla ngokwenziwa yi -electrocardiogram (EKG).Uvavanyo. I-EKG ilinganisa izinga lentliziyo yakho kwaye ihlola imiqondiso yombane entliziyweni yakho. I-EKG inokunceda ugqirha wakho ukuba abone ukuba une-arrhythmia, okanye isigqi esongezelelweyo.

Ngamanye amaxesha, unokucelwa ukuba unxibe isixhobo sokubona ukubetha kwentliziyo iHolter okanye esinye isixhobo esijonga ukusebenza kwentliziyo yakho kangangeentsuku ezimbalwa. Oku kunokunceda ekufumaneni neePVC ezingaqhelekanga ngokulinganisa izinga lokubetha kwentliziyo yakho kunye nesingqisho.

Ziziphi iimvavanyo ezenziwayo ukuze kufunyanwe izizathu ezisisiseko zePVC?

Ukuba une-PVC rhoqo okanye sele ukhe wayenza ixesha elide, ugqirha wakho unokucebisa ezinye iimvavanyo ezongezelelweyo. Ezi vavanyo zisetyenziselwa ukujonga ezinye iimeko zentliziyo ezinokubangela ii-PVC zakho. Usenokuba novavanyo olufana nolu:

• Uvavanyo lwegazi - Olu lujonga amanqanaba akho e-potassium kunye ne-thyroid hormone.
• Uvavanyo loxinzelelo lwentliziyo - lulinganisa izinga lentliziyo yakho kunye nokuhamba kwegazi ngemithambo yegazi yentliziyo yakho ngelixa usenza umthambo.
• I- Cardiac MRI okanye i-CT scan - Ezi zijonga ulwakhiwo, umsebenzi, kunye nokuhamba kwegazi kwentliziyo.
• I-Coronary angiogram - Uvavanyo olubonisa imithambo yegazi entliziyweni. Oku kunceda ekuchongeni ukungahambi kakuhle kwegazi, imithambo yegazi evalekileyo okanye encitshisiweyo.
• I-Echocardiogram ( i-Echocardiogram / i-Echo ) - Oku kuvavanya ngokubonakalayo ukusebenza kwentliziyo, ukusebenza kweevalvu, kunye nendlela igazi elihamba ngayo kwiigumbi zentliziyo.
• Uphononongo lwe -Electrophysiology - Olu phononongo luhlalutya umsebenzi wombane wentliziyo.

Ziphathwa njani ii-Premature Ventricular Contractions (PVCs)?

Abantu abangaqhelekanga ukuba ne-PVCs basenokungadingi naluphi na unyango. Ukunyanga imeko yentliziyo engaphantsi kunokunciphisa ukuphindaphindeka kwe-PVCs. Umzekelo, unokufuna ukuthatha amayeza okunciphisa uxinzelelo lwegazi okanye ukunciphisa izinga lentliziyo yakho. La mayeza anokunciphisa nokuphindaphindeka kwe-PVCs.

Ngamanye amaxesha, ugqirha wakho unokukunika unyango oluthile lwee-PVC. Olu hlobo lonyango lufuneka kuphela kwii-PVC ukuba ubetha rhoqo ngokungangqalanga kwaye usemngciphekweni wokonakalisa izihlunu zentliziyo yakho. Unyango lungabandakanya:

• Inkqubo yokukhupha i-catheter : Le yinkqubo engenabungozi kangako, engeyotyando ebandakanya ukuchonga nokutshabalalisa inxalenye yentliziyo ebangela ukubetha kwentliziyo okungaqhelekanga.
• Amayeza: Umzekelo, amayeza alwa nokubetha kwentliziyo okungaqhelekanga, okanye ii-beta-blockers okanye ii-calcium channel blockers ukuze kuncitshiswe uxinzelelo lwegazi.Njengeyeza.

Ngaba ii-Ventricular Contractions zangaphambi kwexesha (ii-PVC) zinokuthintelwa?

Akukho ndlela yokuthintela ngokupheleleyo ii-PVC. Nangona kunjalo, ukwenza ezi zinto kunokunceda ukugcina impilo yentliziyo yakho ikwimeko entle:

• Gcina ubunzima obusempilweni obuhambelana nobude bakho, isini, kunye nohlobo lomzimba wakho.
• Yeka ngokupheleleyo ukusebenzisa icuba kwaye unciphise izinto ezifana notywala kunye ne-caffeine.
• Yitya ukutya okunempilo, okuneziqhamo, imifuno kunye neenkozo ezipheleleyo, okunesondlo esifanelekileyo.
• Ukuzilolonga rhoqo - Oku kuquka ukuzilolonga nge-aerobic , uqeqesho lokuqinisa umzimba, kunye nokuzolula umzimba.
• Ukugcina amanqanaba e-cholesterol asempilweni kunye noxinzelelo lwegazi.
• Ukusebenzisa iindlela ezisempilweni zokulawula ixhala kunye noxinzelelo - umzekelo, unyango lokuthetha okanye ukucamngca.
• Lala ubuncinane iiyure ezisixhenxe ngobusuku.

Ndingazi njani ukuba ndisemngciphekweni wokwenza ii-PVC?

Zininzi izinto ezinokunyusa umngcipheko wakho wokufumana ii-PVC. Ezinye zazo ziquka:

• Emva kokuba ndifunyaniswe ndinezinye iingxaki zentliziyo, kuquka neziphene zentliziyo endizizeleyo .
• Ukuba nembali yosapho ye-arrhythmia (ukubetha kwentliziyo okungaqhelekanga).
• Ukuba ukhe waba neengxaki zentliziyo ngaphambili.

Injani imeko yeePVC?

Ngokubanzi, imbono yabantu abanee-PVC ilungile. Uninzi lwabantu alukho emngciphekweni wokufumana iingxaki zempilo ngenxa yoku.

Nangona kunjalo, ukuba unezinye iingxaki zempilo, okanye ukhe wahlaselwa sisifo sentliziyo ngaphambili, umngcipheko wakho weengxaki zempilo, oko kuthetha ukuba ubomi bakho bufutshane, unokwanda.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba une-PVC, okanye ucinga ukuba unokuba nazo, kulungile ukubuza ugqirha wakho le mibuzo:

• Yintoni enokubangela ukuba ndibe nezi PVC?
• Ngaba ezi mpawu zibangelwa yenye imeko yempilo?
• Ngaba kufuneka ndenze uvavanyo ukuze kubonwe ukuba ndinesifo sentliziyo esingaphantsi?
• Zeziphi iimvavanyo ekufuneka ndizenze ukuze ndibone ii-PVC?
• Ngaba ndifuna unyango lwee-PVC?
• Ziziphi iimpawu zokuba ii-PVC ziya zisiba mandundu?
• Ngaba ii-PVC ziya kuphela ngokupheleleyo emva konyango?

Ufanele uye nini kwiGumbi loNgxamiseko?

IiPVC azisoloko ziyingxaki. Nangona kunjalo, ukuba unezi mpawu kunye neePVC, fowunela u-911 ngoko nangoko (eSri Lanka, fowunela i-1990 Suwaseriya Ambulance Service) okanye uye kwigumbi likaxakeka elikufutshane:

• Ukudinwa okanye ukuquleka ( iSyncope ) / ukuphelelwa zingqondo
• Ubukrelekrele - (ukuziva ukhaphukhaphu)
• Intlungu esifubeni, entanyeni, emhlathini, okanye ezingalweni
• Ubunzima bokuphefumla ( i-Dyspnea )
• I-Delirium

Kubalulekile: Ngaba i-PVC ingabangela ukufa ngequbuliso?

Ukuba unesifo sentliziyo esingabonakaliyo, okanye ukuba ii-PVC ziqala kwiindawo ezithile zentliziyo, ii-PVC zinokunyusa umngcipheko wakho wokufa ngesiquphe kwentliziyo. Nangona kunjalo, kubantu abaninzi, ii-PVC zizinto ezingenabungozi kwaye azikhokeleli ekufeni ngesiquphe.

Ngaba ezinye iimeko zempilo zingabangela iimpawu ezifana nezePVC?

Ewe. Iimpawu ezifana nokubetha kwentliziyo kunye nokuxinana kwesifuba nazo zinokubangelwa zezinye iimeko zempilo. Umzekelo:

• I-anemia (ukuncipha kweeseli ezibomvu zegazi)
• Iingxaki zokuxhalaba okanye ukuhlaselwa luloyiko
• I-Hyperthyroidism (i-thyroid gland esebenza kakhulu)
• I-Hypoglycemia (iswekile ephantsi egazini)
• Ukungalingani kwe-electrolyte

Umyalezo Wokugqibela Wokuya Ekhaya

Ii-Ventricular Contractions zangaphambi kwexesha (ii-PVC) zi-stroke engacwangciswanga. Zenzeka xa isignali yombane ebangela ukuba intliziyo ibethe iqala kumagumbi asezantsi entliziyo endaweni yokuba iqale kumagumbi aphezulu. I-PVC idla ngokuvakala ngathi kukubetha okutsityiweyo, okanye ukuphaphazela okanye ukuphaphazela esifubeni. Nangona kunjalo, abantu abaninzi abanazo iimpawu.

Ii-PVC aziyingozi kubantu abaninzi. Nangona kunjalo, ukuba unezinye iingxaki zempilo, ingakumbi isifo sentliziyo, usengozini enkulu yokufumana iingxaki ezivela kwii-PVC. Ukuba uneengxaki okanye iingxaki, kungcono ukufuna ingcebiso kagqirha. Emva koko unokufumana uvavanyo olufunekayo kwaye ufumane unyango olufanelekileyo. Ungalibali ukuba ukuphila ubomi obusempilweni kubaluleke kakhulu kwimpilo yentliziyo.

Ukuqiniswa kwemithambo yegazi ngaphambi kwexesha , ii-PVC, ukubetha kwentliziyo, ukubetha kwentliziyo okungaqhelekanga, isifo sentliziyo, iimpawu zombane zentliziyo, iiseli, i-atria, i-EKG, iimpawu zesifo sentliziyo