Namhlanje siza kuthetha nge-Pulseless Ventricular Tachycardia, imeko eyingozi apho intliziyo ibetha ngokukhawuleza kangangokuba akunakwenzeka ukuba uve ukubetha kwentliziyo!

Ngaba wakha weva okanye wambona umntu ewa ngequbuliso engazi nto? Mhlawumbi ebambe isifuba sakhe? Kubonakala ngathi unengxaki yokuphefumla. Ngelo xesha, sicinga ukuba unesifo sentliziyo, akunjalo? Ewe, kunokwenzeka. Kodwa namhlanje siza kuthetha ngemeko engxamisekileyo nesongela ubomi. Oko kukuthi, intliziyo ibetha ngokukhawuleza kangangokuba akunakwenzeka ukuba uve ukubetha kwentliziyo, imeko ebizwa ngokuba yi-"Pulseless Ventricular Tachycardia" njengoko oogqirha beyibiza njalo. Nangona igama lisenokuvakala linzima kancinci, kulula kakhulu ukuliqonda.

Ngoko ke, yintoni le ntliziyo ibetha ngokukhawuleza ngaphandle kwe-pulse? (Pulseless Ventricular Tachycardia)

Ngamafutshane, intliziyo yakho ineegumbi ezine eziphambili. Iigumbi ezimbini ezincinci phezulu zibizwa ngokuba yi-atria. Iigumbi ezimbini ezinkulu neziqinileyo ezisezantsi zibizwa ngokuba zii-ventricles. Ezi ventricles zisebenza njengeempompo eziphambili zentliziyo. Ngalo lonke ixesha intliziyo ibetha, ezi ventricles ziyafinyela kwaye zipompe igazi emzimbeni wonke nakwimiphunga. Kubaluleke kakhulu, akunjalo?

Khawucinge nje, kwenzeka ntoni ukuba la ma-ventricle aqala ukubetha ngesantya esimangalisayo, ngaphezulu kwe-100 beats ngomzuzu, mhlawumbi i-200-300? Kufana nomatshini. Xa oko kusenzeka, loo magumbi awanalo ixesha lokuzalisa igazi ngokufanelekileyo. Aphinda anciphe ngaphambi kokuba azale. Kwenzeka ntoni ke ngoko? Igazi aliphampelwa emzimbeni. Xa igazi liyeka ukuhamba, asikwazi nokuva ukubetha kwentliziyo. Yiloo nto siyibiza ngokuba yi-pulseless ventricular tachycardia. I-Tachycardia kuxa intliziyo ibetha ngokukhawuleza kakhulu.

Le yimeko eyingozi kakhulu. Kuba, xa igazi lingasahambi emzimbeni, amalungu ethu awafumani ioksijini nesondlo. Ngenxa yoko , amalungu omzimba asenokungasebenzi ngokukhawuleza ('ukusilela kwamalungu'), intliziyo isenokungasebenzi ngokupheleleyo ('ukusilela kwentliziyo'), kwaye intliziyo inokuma ngequbuliso ('ukuma kwentliziyo ngequbuliso'). Oku kufana nomlo phakathi kobomi nokufa.

Olu kubetha kwentliziyo ngokukhawuleza lunokuba yinto enye okanye i-polymorphic. Oogqirha banokukufumanisa oku kuphela ngovavanyo lwe-ECG.

Ngaba i-Ventricular Tachycardia isoloko iyinto engenamaza?

Hayi, akwenzeki njalo rhoqo. I-Ventricular tachycardia yimeko apho ii-ventricles zentliziyo zibetha ngokukhawuleza kune-100 beats ngomzuzu. Ngokwesiqhelo, intliziyo yomntu ophilileyo ibetha phakathi kwe-60 kunye ne-100 beats ngomzuzu xa ephumle.

Ubunzima bale ``(Ventricular Tachycardia)`` bumiselwa zizinto ezininzi:

• Hayi indlela intliziyo ebetha ngayo ngokukhawuleza.
• Olu kubetha kwentliziyo ngokukhawuleza luza kuhlala ixesha elingakanani?
• Le meko yenzeka kangaphi?

I-Ventricular Tachycardia idla ngokunyangeka. Nangona kunjalo, ukuba ayilawulwa, okanye ukuba yenzeka kumntu onezinye iingxaki zentliziyo, inokuba mandundu ize ikhule ibe yi-Pulseless Ventricular Tachycardia.

Ixhaphake kangakanani le meko?

Enyanisweni, esi asisosifo esichaphazela wonke umntu. Kodwa, siyazi ukuba kwilizwe elifana neMelika, abantu abamalunga nama-350,000 bayafa minyaka le ngenxa yokufa ngesiquphe kwentliziyo, ingakumbi abo baneminyaka engaphezu kwama-35 ubudala? Uninzi lwaloo kufa lubangelwa kukungasebenzi kakuhle kwentliziyo kwimithambo yegazi (ventricular arrhythmias). Ngoko ke, oku akuyonto inokuthatyathwa lula.

Kwenzeka njani ukuba ukubetha kwentliziyo okukhawulezayo kungabikho kubetha kwentliziyo?

Intliziyo yethu ibetha sisebenzisa inkqubo entsonkothileyo yeempembelelo zombane. Njengenkqubo yocingo endlwini, ezi mpembelelo zombane zihamba entliziyweni ngendlela ethile, zibangela ukuba amalungu entliziyo anciphe ngendlela ecwangcisiweyo.

Khawucinge nje, kuthekani ukuba kukho into ehamba kakubi endleleni yezi mpawu zombane, okanye ukuba isibonakaliso esitsha siqala kwindawo engafanelekanga? Kulapho intliziyo iqala ukubetha ngamandla nangokungaqhelekanga. `(Pulseless Ventricular Tachycardia)` ibangelwa sisiphene kwinkqubo yokubonisa umbane.

Zithini izizathu zoku?

Zininzi izizathu zokuba inkqubo yombane yentliziyo inokuphazamiseka. Ngokuqhelekileyo, unobangela oyintloko zezinye izifo zentliziyo ezakhiweyo. Ezinye zazo zezi:

• Isifo sentliziyo seValvular: Iingxaki ngeevalvu ezisebenza njengeengcango entliziyweni.
• I-Cardiomyopathy: Isifo apho izihlunu zentliziyo ziba buthathaka okanye ziqine.
• Isifo semithambo yentliziyo: Ukuncitshiswa okanye ukuvaleka kwemithambo yentliziyo ehambisa igazi entliziyweni.
• Uhlaselo lwentliziyo (`i-myocardial infarction`): Oku kwenzeka xa inxalenye yentliziyo yonakele.
• Ukusilela kwentliziyo: Imeko apho intliziyo ingakwazi ukupompa igazi ngokufanelekileyo.

Ukongeza kwezi, kunokubakho nezinye izizathu:

• Izifo zemfuza ezichaphazela isigqi sentliziyo: Umzekelo, iimeko ezifana ne-`Long QT syndrome` kunye ne-`Brugada syndrome`.
• Amayeza athile: Umzekelo, i-erythromycin yokubulala iintsholongwane okanye iintlungu ezifana ne-methadone. Ezi zinokuchaphazela ukusebenza kombane kwentliziyo.
• Ukungalingani kwe-electrolyte emzimbeni: Ukonyuka okanye ukuncipha kobuninzi beetyuwa emzimbeni wethu, njenge-sodium kunye ne-potassium, kunokuchaphazela ukusebenza kwentliziyo.

Zithini iimpawu zale meko?

Xa umntu ene-"Pulseless Ventricular Tachycardia", oko kukuthi, xa intliziyo ibetha ngokukhawuleza ngaphandle kwe-pulse, loo mntu:

• Ukuba ngumntu ongazi nto.
• Akaphenduli nantoni na (`Akaphenduli`).
• Ngaphandle kokubetha kwentliziyo.

Eli lelona nqanaba liyingozi kakhulu. Nangona kunjalo, ngaphambi kokuba kufikelelwe kweli nqanaba, xa intliziyo iqala ukubetha ngokukhawuleza (iVentricular Tachycardia), iimpawu ezifana nezi zinokuvela:

• Intlungu yesifuba okanye ukuxinana.
• Isiyezi.
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza kwaye isifuba sakho siyabetha ngamandla (`Iintliziyo ziyabetha ngamandla`).
• Ukuziva ukhaphukhaphu kwaye uphelelwe ngamandla (`Ukungabi nantloko incinci`).
• Ukuqhawukelwa ngumphefumlo.

Ukuba wena okanye umntu omaziyo unale mpawu, musa ukuzityeshela. Kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza.

Uyixilonga njani le nto? (`Uxilongo`)

Enyanisweni, `(Pulseless Ventricular Tachycardia)` yingxamiseko yezonyango. Ke ngoko, akukho xesha lihlala likho lokwenza uxilongo oluchanekileyo ngaphambi kokuba umntu asiwe esibhedlele. Ukuba umntu ulahlekelwa yingqondo ngequbuliso, kwaye akukho pulse xa ujonga ukuba ukubetha kwentliziyo kunjani, kufuneka utsalele umnxeba inkonzo ye-ambulensi ka-1990 ngoko nangoko kwaye, ukuba kunokwenzeka, uqale `CPR (Cardiopulmonary Resuscitation).` Oku kuthetha ukucinezela isifuba kunye nokuphefumla ngomlomo.

Emva kokuziswa esibhedlele, oogqirha benza i-ECG kunye nezinye iimvavanyo ukuqinisekisa le meko.

Zithini iindlela zonyango zoku?

Ukuba olu hlobo longxamiseko lwenzeka ngaphandle kwesibhedlele, into yokuqala ekufuneka yenziwe kukwenza i-CPR ngabasebenzi be-ambulensi okanye umntu oqeqeshiweyo. Ukongeza:

• Ukungasebenzi kakuhle kwentliziyo: Mhlawumbi ukhe wakubona kwiimuvi, apho ubetha khona isifuba. Yiyo loo nto ithintela ukubetha kwentliziyo okungaqhelekanga kwaye izame ukuyenza ibethe ngendlela eqhelekileyo kwakhona.
• Ioksijini eyongezelelweyo: Yandisa amanqanaba eoksijini egazini.
• Ukunika amayeza: Amayeza anikwa ukonyusa uxinzelelo lwegazi nokulawula isantya sentliziyo.

Injongo ephambili kukubuyisela intliziyo esiqhelweni ngokukhawuleza. Emva koko, umzimba uvavanywa ukuba akukho monakalo ubangelwe yimeko engxamisekileyo. Ukuthintela umonakalo, ingakumbi engqondweni, ngamanye amaxesha kusetyenziswa i-hypothermia yonyango. Ukuba oku kungenxa yokuhlaselwa yintliziyo, oku kuyanyangwa ngokukhawuleza.

Kwabanye abantu, oogqirha bacebisa isixhobo esincinci esibizwa ngokuba yi-Implantable Cardioverter Defibrillator (ICD) esifakwe phantsi kolusu ukuze sijonge izinga lentliziyo yabo, kwaye ukuba kuyimfuneko, silungise isingqisho ngokukhupha umothuko wombane. Le ICD ifana nomlondolozi wobomi bentliziyo. Ijonga isingqisho sentliziyo iiyure ezingama-24 ngosuku, iintsuku ezisixhenxe ngeveki, kwaye ukuba ifumanisa ingxaki, inika umothuko ukuze iyilungise. Izifundo zifumanise ukuba ezi zixhobo zisebenza kakhulu ekunciphiseni ukufa kwentliziyo ngequbuliso.

Sizikhusela njani kule meko iyingozi? (Ukuthintela)

Eyona nto ingcono onokuyenza kukuzama ukuthintela oku ukuba kungenzeki ngaphambi kokuba kwenzeke. Ukulandela indlela yokuphila enempilo yentliziyo kunokukunceda ekukhuseleni kwizifo ezininzi zentliziyo. Nazi ezinye zezinto onokuzenza ukunceda:

• Ukutya okunempilo: Ukutya ukutya okunetyuwa encinci, ioyile encinci, iswekile encinci, kunye ne-cholesterol encinci, kunye neziqhamo ezininzi kunye nemifuno.
• Ukulawula uxinzelelo: Gcina ingqondo yakho ikhululekile ngezinto ezifana nokucamngca kunye nezinto ozithandayo.
• Ukuzilolonga rhoqo: Into efana nokuhamba, ukubaleka, okanye ukudada ubuncinane imizuzu engama-30 ngosuku.
• Ukunciphisa utywala kunye nokusetyenziswa kakhulu kwe-caffeine.
• Ukugcina ubunzima bomzimba busempilweni.
• Ukuba unezifo ezifana noxinzelelo lwegazi kunye nesifo seswekile, zilawule kakuhle.
• Ukuzikhwebula ngokupheleleyo ekutshayeni nasekusebenziseni icuba.

Ungayithintela njani le nto ukuba sele unesifo sentliziyo?

Ukuba sele unesifo sentliziyo, ungoyiki. Eyona nto ibalulekileyo kukulandela isicwangciso sonyango sikagqirha wakho ngokuchanekileyo. Thatha amayeza akho ngexesha, kwaye ubone ugqirha wakho rhoqo ukuze uhlolwe. Ukwenza ezi zinto ngokuchanekileyo kunokunciphisa umngcipheko wokuba isifo sentliziyo yakho sibe sibi kwaye sibe yingozi efana ne-`(Pulseless Ventricular Tachycardia)`.

Ithini ingqikelelo yomntu onesi sifo? (Ingqikelelo)

Enyanisweni, i-prognosis ixhomekeke ekubeni kuthatha ixesha elingakanani ukuba intliziyo iyeke ukubetha kwaye ukubetha kwentliziyo kubuye. Ukuba kudlule imizuzu engaphezu kwe-15 emva kwexesha, ithuba lokusinda lingancitshiswa liye kwi-5%. Oko kuthetha ukuba umzuzwana ngamnye uxabisekile. Yiyo loo nto sithi, ukuba umntu uwile engaqondi, thatha inyathelo ngoko nangoko.

Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku? (Iingxaki)

Ukuba intliziyo iyayeka ukubetha kwaye igazi eliya engqondweni linqanyulwe kangangemizuzu engaphezu kwemi-3-5, ukonakala kwengqondo okungapheliyo kunokwenzeka. Ukongeza, ezinye iingxaki ezisongela ubomi zinokwenzeka. Ezi ziquka:

• Ukumelwa yintliziyo.
• Okunye ukungasebenzi kakuhle kwamalungu omzimba (`Ukungasebenzi kakuhle kwamalungu omzimba`) - njengezintso nesibindi.
• Uxinzelelo lokuphefumla.
• Amahlwili egazi emzimbeni wonke.

Iqela lakho lezonyango liza kwenza konke okusemandleni alo ukunciphisa ezi ngxaki kwaye likuncede uphile ngokukhawuleza.

Ufanele uye nini kugqirha?

Iimpawu ze-`(Ventricular Tachycardia)` oxelelwe ngazo ngaphambili, zezi:

• Iintlungu zesifuba
• Isiyezi
• Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza
• Ukuziva udiniwe kwaye uphelelwe ngamandla
• Ubunzima bokuphefumla

Ukuba ufumana into efana nale, musa ukuyityeshela. Funa ingcebiso kagqirha ngoko nangoko. Kuba inokuba luphawu lwemeko eyingozi ebizwa ngokuba yi-`(Pulseless Ventricular Tachycardia)`.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

`(I-Pulseless Ventricular Tachycardia)` yimeko embi kakhulu, esongela ubomi. Ifuna unyango olukhawulezileyo. Nangona amathuba okuchacha esezantsi, yimeko enokuthintelwa.

Eyona nto ibalulekileyo kukulandela indlela yokuphila enempilo yentliziyo. Ukuba unesifo sentliziyo, landela icebiso likagqirha wakho kwaye uhlolwe rhoqo. Ukuba unemibuzo okanye amathandabuzo malunga nempilo yentliziyo yakho, ungoyiki ukuthetha nogqirha wakho. Nguye okhokelayo kuwe.

Ngoko ke, masizinyamekele iintliziyo zethu. Masihlale siphilile!

"I-Pulseless Ventricular Tachycardia, Intliziyo ebetha ngamandla, Intliziyo ebetha ngokukhawuleza, Intliziyo ebetha ngamandla, Ukuma kwentliziyo ngequbuliso, I-CPR, I-Defibrillation, Isifo sentliziyo