Ngaba ngamanye amaxesha uziva ngathi
intliziyo yakho ibetha ngokukhawuleza, ngamanye amaxesha iyabetha? Okanye uzive udiniwe okanye unesizungu ngaphandle kwesizathu? Ezi ngamanye amaxesha zinokuba zizinto eziqhelekileyo. Nangona kunjalo, ngamanye amaxesha zinokuba ziimpawu zengxaki ekusebenzeni kwentliziyo yethu. Namhlanje sithetha ngenye yezi meko, iSick Sinus Syndrome (SSS). Ungakhathazeki, masiqonde oku ngokulula.
Ngamafutshane, yintoni iSick Sinus Syndrome (SSS)?
Cinga ngentliziyo yakho njengejenereyitha ekhayeni lakho. Le jenereyitha ithumela imiqondiso yombane kuyo yonke intliziyo ukuze ibethe ngokufanelekileyo. Siyibiza le jenereyitha yendalo entliziyweni yethu ngokuthi yi-sinus node. Le yi
-pacemaker yendalo yentliziyo.
I-Sick Sinus Syndrome (SSS) yimeko apho i-pacemaker yendalo yentliziyo, i-sinus node, ingasebenzi ngokufanelekileyo. Emva koko isingqisho sentliziyo siba singaqhelekanga. Ngamanye amaxesha sibetha ngokukhawuleza kakhulu, ngamanye amaxesha sibetha ngokukhawuleza kakhulu, kwaye ngamanye amaxesha siyeka ukubetha okomzuzwana. Iintlobo ezahlukeneyo zentliziyo engaqhelekanga (arrhythmias) zinokwenzeka.
Ziziphi iintlobo eziphambili ze-SSS?
Le meko ayizi ngohlobo olunye kuphela. Kukho iintlobo ezininzi eziphambili ezisekelwe kutshintsho kwisantya sentliziyo. Makhe sijonge ukuba ziyintoni na.
| Uhlobo lwe-SSS | Ingcaciso elula |
|---|
| I-Sinus Bradycardia | Oku kuthetha ukuba isantya sentliziyo sihamba kancinci kakhulu kunesiqhelo (ngaphantsi kwe-60 beats ngomzuzu). Oku kuqhelekile kubadlali abazilolonga kakuhle. Kodwa kwabanye, intliziyo isenokungakwazi ukupompa ioksijini eyaneleyo emzimbeni xa ibetha ngokukhawuleza kangaka. |
| I-Bradycardia-Tachycardia | Le yimeko edidayo kakhulu. Okwenzekayo apha kukuba isantya sentliziyo siyehla ngequbuliso size siphinde sikhawuleze ngequbuliso . Kufana nokukhanya okukhazimlayo. |
| Ukubanjwa/Ukumiswa kweSinus | Okwenzekayo apha kukuba i-pacemaker yendalo yentliziyo iyeka ukusebenza okomzuzwana . Oko kukuthi, ukubetha kwentliziyo enye okanye ngaphezulu kuyanqatshwa. |
| Ukungasebenzi kakuhle kweChronotropic | Oku kunzima kancinci. Ngamafutshane, isantya sentliziyo yakho sinokuba sesiqhelekileyo xa uphumle. Kodwa xa uzilolonga, njengaxa wenza umthambo onzima njengokunyuka izinyuko, isantya sentliziyo yakho asinyuki kangangoko kufanele . |
Kutheni le meko isenzeka?
Kunzima ukuchonga unobangela omnye we-SSS. Ngamanye amaxesha, unobangela awufumaneki. Kodwa kukho izizathu ezimbalwa eziqhelekileyo:
- Ukwaluphala : Njengoko sikhula, izicwili zentliziyo, njengezinye iindawo zomzimba wethu, ziyabuthathaka. Le yeyona nto iphambili.
- Isifo sentliziyo : Ukuba ukhe wahlaselwa yintliziyo ngaphambili, okanye ukuba intliziyo yakho yonakele ziimeko ezifana noxinzelelo lwegazi oluphezulu okanye isifo semithambo yegazi emithanjeni yegazi .
- Utyando lwentliziyo : Izicwili ezikhula emva kotyando lwentliziyo zingonakalisa i -sinus node.
- Amayeza athile: Amanye amayeza, anjenge-beta-blockers kunye ne-calcium channel blockers yoxinzelelo lwegazi oluphezulu, anokunciphisa isantya sentliziyo .
- Ezinye iimeko zonyango: Ukuphelelwa ngamandla xa umntu elele, iingxaki ze-thyroid, kunye nezinye izifo ezibangelwa kukudumba nazo zinokubangela le meko.
- Izizathu zofuzo: Kunqabile kakhulu, i-SSS inokubangelwa lutshintsho lwemfuza oludluliselwa kwizizukulwana ngezizukulwana.
Zithini iimpawu zoku?
Uninzi lwabantu abane-SSS
abanazo naziphi na iimpawu . Okanye iimpawu zisenokuba zingabonakali kangangokuba azibonakali. Nangona kunjalo, ukuba iimpawu ziyenzeka, zingabandakanya:
- Ukudinwa
- IsiyeziOkanye uzive ukhaphukhaphu
- Ukuquleka
- Ubunzima bokuphefumla, ukuphefumla nzima (Ukuziva uphelelwe ngumphefumlo)
- Intlungu yesifuba okanye ukungakhululeki
- Ukulahlekelwa yinkumbulo, ukudideka
- Ukubetha kwentliziyo okucothayo kakhulu
- Ukubetha kwentliziyo
Kubalulekile: Ukuba unenye okanye ngaphezulu kwezi mpawu, nceda ungazityesheli. Qiniseka ukuba ubona ugqirha wakho ukuze akunike icebiso. Mhlawumbi ukutshintsha elinye lamayeza owasebenzisayo kungayisombulula ingxaki.
Uyifumana njani le nto, Gqirha?
Ugqirha wakho uza kuqala akubuze ngeempawu zakho. Ngenxa yokuba iimpawu ze-SSS zifana nezezinye izifo, kunokufuneka uvavanyo oluninzi ukuze kwenziwe uxilongo oluchanekileyo.
- I-Electrocardiogram (ECG): Olu lolona vavanyo lulula. Umsebenzi wombane wentliziyo yakho urekhodwa njengegrafu yomgca. Ungacelwa ukuba wenze i-ECG ngelixa uzilolonga (uVavanyo lweTreadmill).
- I-Holter Monitor: I-ECG ibonisa kuphela izinga lentliziyo yakho ngelo xesha. Kodwa utshintsho kwisantya se-SSS lwenzeka ngamanye amaxesha. Ngoko ke umatshini omncinci onamathele emzimbeni wakho uhlala urekhoda izinga lentliziyo yakho malunga neeyure ezingama-24 okanye ezingama-48.
- Ukujonga Iziganeko: Ukuba ujonga iHolter akafumani utshintsho lwesigqi, ujonga isiganeko unokunikwa onokusetyenziswa iiveki ezininzi.
- Uphononongo lwe-Electrophysiology (EPS): Olu luvavanyo olukhethekileyo olubandakanya ukudlulisa iingcingo ezincinci nzulu entliziyweni, ukumapha iindlela zombane zentliziyo, kunye nokuchonga indawo echanekileyo yengxaki.
Wenza ntoni njengonyango?
Unyango luxhomekeke kuhlobo lwe-SSS onayo, ubukhali beempawu zakho, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo.
| Indlela yonyango | Inkcazo |
|---|
| Ukutshintsha amayeza | Ukuba ingxaki ibangelwa liyeza olisebenzisayo, ungayisombulula ingxaki ngokuthetha nogqirha wakho uze utshintshe iyeza okanye unciphise umthamo walo. |
| Ukufakelwa kwe-pacemaker | Abantu abaninzi abane-SSS ekugqibeleni bafuna i-pacemaker. Esi sisixhobo esincinci kakhulu. Sifakwa phantsi kolusu, ngaphantsi nje kwe-collarbone, ngexesha lotyando oluncinci kakhulu. Sibona xa isantya sentliziyo sicotha kakhulu kwaye sithumela imiqondiso yombane entliziyweni ukuze ihlale ibetha ngesantya esifanelekileyo. |
| Izinto Zokunciphisa Igazi | Ekubeni umngcipheko wokuqhekeka kwegazi entliziyweni uphezulu kwiimeko ezifana neBradycardia-Tachycardia, la mayeza anokunikwa ukuthintela iimeko ezifana nestroke. |
| Unyango lokukhupha isisu | Lawula izingqisho zentliziyo ezikhawulezayo, fumana indawo apho kukho khona imiqondiso yombane engaqhelekanga entliziyweni, kwaye usebenzise unyango olukhethekileyo oluzicimayo. |
Umyalezo Wokuya Ekhaya
- I-Sick Sinus Syndrome (SSS) yintliziyo engaqhelekanga ebangelwa yi-pacemaker yendalo yentliziyo (i-sinus node) engasebenzi kakuhle.
- Iimpawu ezinje ngesiyezi, ukudinwa kakhulu, kunye nokungalali zinokubakho. Nangona kunjalo, abantu abaninzi basenokungabi nazo kwaphela iimpawu.
- Ukuba unale mpawu, ungoyiki okanye ungayihoyi, kwaye ngokuqinisekileyo bonana nogqirha wakho.
- Kukho unyango (ii-pacemakers, amayeza). Ugqirha wakho uya kugqiba unyango olufanela imeko yakho.
- Kubaluleke kakhulu ukugcina intliziyo yakho isempilweni ngokuphepha ukutshaya, ukulawula i-cholesterol kunye noxinzelelo lwegazi, ukutya ukutya okunempilo, kunye nokuzilolonga.
I-Sick Sinus Syndrome, i-SSS, isantya sentliziyo, isingqisho sentliziyo, i-pacemaker, isiyezi, i-bradycardia, i-tachycardia, isifo sentliziyo, isifo sentliziyo, i-pacemaker, i-arrhythmia, iintlungu zesifuba
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