Ingaba intliziyo yakho ayibetha ngendlela engaqhelekanga? Masithethe ngeSick Sinus Syndrome!

Ngaba wakha waziva ngathi intliziyo yakho ibetha ngendlela engavumelekanga? Ngamanye amaxesha ibetha ngokukhawuleza kakhulu, kwaye ngamanye amaxesha ibetha ngokukhawuleza kakhulu. Ukuba unale mvakalelo ingaqhelekanga, okanye ukuba umntu osondeleyo kuwe unale ngxaki, kubalulekile ukuba uqaphele le meko sithetha ngayo namhlanje, ebizwa ngokuba yiSick Sinus Syndrome. Ungakhathazeki, masithethe ngayo ngokulula.

Ngamafutshane, yintoni iSick Sinus Syndrome?

Cinga ngentliziyo yethu njengeqela lomculo. Ukuze eli qela libe nesingqisho esifanelekileyo, oko kukuthi, ukwenza intliziyo ibethe ngokufanelekileyo, kukho 'i-pacemaker' encinci yendalo. Kwizonyango, sibiza oku ngokuthi yi-sinoatrial node, okanye 'i-SA node'. Ukuchaneka, olu luphawu oluphambili lombane oluxelela intliziyo ukuba "ibethe ngoku."

Ngoku, kule meko ibizwa ngokuba yi-'Sick Sinus Syndrome', okwenzekayo kukuba i-pacemaker yendalo yentliziyo, i-'SA node', iyeke ukusebenza kakuhle. Ayikwazi ukugcina isigqi silungile. Oku kunokubangelwa zizinto ezimbalwa:

• Isantya sentliziyo esicothayo kakhulu: Oku kubizwa ngokuba yi-"bradycardia". Isantya sentliziyo sicotha kakhulu kunesiqhelo.
• Ukutshintshana phakathi kokukhawuleza nokucotha: Ngamanye amaxesha intliziyo ibetha ngokukhawuleza kakhulu, ize ngequbuliso iqale ukubetha kancinci kwakhona. Oku kukwabizwa ngokuba yi-"tachy-brady syndrome".
• Ukubetha kwentliziyo kuyema okomzuzwana: Ngamanye amaxesha i-SA node inokuyeka ukuthumela naziphi na iimpawu kangangemizuzwana emithathu. Oku sikubiza ngokuba yi-sinus pause okanye ukubanjwa. Ngeli xesha, elinye icandelo lentliziyo lizama ukuthumela uphawu. Kodwa ukuba oko akusebenzi, ungaphelelwa ngamandla uze ulahlekelwe zingqondo.

Le meko ayiqhelekanga kangako, kodwa amathuba okuba ivele ayanda njengoko iminyaka ikhula.

Zithini iimpawu zale meko?

Kwiimeko ezininzi, kusenokungabikho zimpawu kwizigaba zokuqala zesi sifo. Nangona kunjalo, ukuba iimpawu zivela ngenxa yesantya sentliziyo esiphantsi okanye esiphezulu, zinokubonakala ngolu hlobo:

Kutheni le meko isenzeka?

Ngamanye amaxesha akunakwenzeka ukufumana isizathu soku, kodwa kukho izizathu ezimbalwa ezaziwayo.

• Ukwaluphala (isizathu esiqhelekileyo): Njengoko sikhula, njengayo yonke into emzimbeni wethu, inkqubo yokubonisa umbane yentliziyo kunye ne-SA node zinokuba buthathaka kancinci kancinci.
• Utyando lwentliziyo: I-SA node inokonakala ngexesha lotyando lwentliziyo.
• Amayeza athile: Amayeza athile oxinzelelo lwegazi oluphezulu, ukubetha kwentliziyo okungahambelaniyo (i-arrhythmias) (umz., ii-beta-blockers, ii-calcium channel blockers) zinokubangela le meko.
• Ezinye iimeko zonyango:Oku kunokubangelwa zizinto ezifana nesifo sentliziyo, ubuthathaka bemisipha yentliziyo (cardiomyopathy), kunye neemeko ezenzeka emva kokuhlaselwa yintliziyo.
• Ezinye izifo ezichaphazela umzimba: Izifo ezifana ne-`(Sarcoidosis)` kunye ne-`(amyloidosis)` nazo zinokuchaphazela intliziyo.
• Iingxaki zokuzalwa: Abanye abantu banokuzalwa benezi ntlobo zeengxaki zentliziyo.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Usenokuba sengozini enkulu kancinci yokuhlaselwa yile meko ukuba:

• Ukuba uneminyaka engaphezu kwama-70 ubudala.
• Ukuba ukhe watyandwa intliziyo ngaphambili.
• Ukuba usebenzisa amayeza athile, njengoko besitshilo ngaphambili.
• Ukuba unesifo seswekile okanye uxinzelelo lwegazi oluphezulu.
• Ukuba ukhe waba nezinye izifo ezifana nomkhuhlane wamathambo.
• Ukuba kukho iimpembelelo zemfuza.

Ngaba umngcipheko awunakuncitshiswa?

Asinakulawula izinto ezifana ne-genes kunye nokwaluphala. Kodwa kukho izinto esinokuzenza. Eyona nto ibalulekileyo kukunyamekela intliziyo yakho kakuhle. Ukuba uneengxaki ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, zilawule ngokufanelekileyo. Thetha nogqirha wakho rhoqo kwaye ubuze ngeengozi zamayeza owaselayo.

Yenziwa njani le nto yokuxilonga?

Xa usiya kugqirha, uza kuqala akuphulaphule iimpawu zakho aze emva koko akuhlole ngokwasemzimbeni. Ukuqinisekisa le meko, kufuneka kubekho unxibelelwano olucacileyo phakathi kweempawu zakho kunye nokubetha kwentliziyo okucothayo (bradycardia).

Ugqirha angenza iimvavanyo ezininzi koku:

• I-ECG (i-Electrocardiogram): Oku kuvavanya ukusebenza kombane kwentliziyo.
• Uvavanyo lwegazi: Jonga ezinye izizathu, ezinje ngokungalingani kweeminerali (ii-electrolytes) emzimbeni.
• Isixhobo sokujonga izinga lentliziyo: Usenokunikwa isixhobo esincinci oza kusinxiba ekhaya iiyure ezingama-24 nangaphezulu. Oku kuya kurekhoda izinga lentliziyo yakho imini yonke.
• Uphononongo lwe-Electrophysiology (uphononongo lwe-EP): Kwezinye iimeko, uvavanyo olukhethekileyo olujonga iindlela zombane zentliziyo lunokwenziwa esibhedlele.

Zithini iindlela zonyango? Ngaba yinto ekufuneka uyoyike?

Akukho nto ibalulekileyo yokuxhalaba. Kukho unyango olufanelekileyo loku. Unyango luxhomekeke ekubeni uneempawu okanye awunazo.

• Ukuba awunazo iimpawu: Ukuba awunazo iimpawu, mhlawumbi awudingi naluphi na unyango. Ugqirha wakho uza kukujonga.
• Ukuba kubangelwa ngamayeza:Ukuba unobangela wale meko ngamayeza owasebenzisayo, ugqirha wakho unokukwazi ukutshintsha amayeza okanye ukunciphisa umthamo.
• Ukuba kukho iimpawu: Ukuba kukho iimpawu ezifana nesiyezi kunye nokudinwa kakhulu, unyango oluqhelekileyo kukufakelwa isixhobo sokuncedisa umgudu ongapheliyo.

Yintoni le pacemaker?

Esi sisixhobo esincinci kakhulu, esisebenza ngebhetri. Sifakwa ngotyando phantsi kwesikhumba sesifuba sakho ngokusebenzisa umngxuma omncinci kakhulu. Sihlala sijonga izinga lentliziyo yakho. Ukuba izinga lentliziyo yakho likhawuleza kakhulu, i-pacemaker ithumela isignali yombane encinci ukunceda intliziyo yakho ibethe ngokuqhelekileyo. Oku kunokunceda phantse ukuphelisa iimpawu zakho kwaye kukuvumele ukuba uphile ubomi obuqhelekileyo.

Ndifanele ndimbone nini ugqirha?

Ukuba unayo nayiphi na kwezi mpawu, funa ingcebiso kagqirha ngokukhawuleza.

• Ukuba uziva ubuthathaka kwaye ulahlekelwa zingqondo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Le yinto engafanele irhoxiswe.
• Ukuba uneempawu esizikhankanyileyo ngaphambili (isiyezi, iintlungu zesifuba, ubunzima bokuphefumla), bona ugqirha wakho ngoko nangoko.
• Ukuba sele ufake i-pacemaker kwaye ucinga ukuba kukho ingxaki ngayo (umz. ukudumba, iintlungu kwindawo yokufaka i-implant, okanye ukubuya kweempawu zakudala), thetha nogqirha wakho.

Kukwangumbono olungileyo ukubuza ugqirha wakho le mibuzo:

• Ucinga ukuba yintoni ebangela le meko kum?
• Ngaba ndiza kuyidinga i-pacemaker?
• Ukuba ndine-pacemaker, kufuneka ndihlolwe kangaphi?

Le meko idla ngokuba mandundu ngokuhamba kwexesha. Kungoko ke, kubaluleke kakhulu ukubona ugqirha ngexesha elicwangcisiweyo ukuze ahlolwe. Ngale ndlela, naluphi na utshintsho lunokubonwa ngokukhawuleza kwaye unyango olufunekayo lunokunikwa.