Ingaba intliziyo yakho ibetha kancinci? Masifunde ngeSinus Bradycardia.

Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha kancinci? Okanye uziva nje ukubetha kwentliziyo yakho kwaye kuphantsi kunokuba bekulindelwe? Ungakhathazeki. Oku akusoloko kuyingxaki enkulu. Isenokuba yimeko ebizwa ngokuba yiSinus Bradycardia . Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Yintoni iSinus Bradycardia?

Ngamafutshane, i-sinus bradycardia kuxa isantya sentliziyo yakho siphantsi kunokuba bekulindelwe. Oku sikubiza ngokuba yiyo xa intliziyo yomntu omdala ibetha ngaphantsi kwezihlandlo ezingama-60 ngomzuzu, kodwa yonke imisebenzi yentliziyo iqhelekile.

Khumbula, ngamanye amaxesha oku kungaba luphawu lwesifo sentliziyo. Kodwa ungamangaliswa, ngamanye amaxesha kunokuba luphawu lokuba ukwimeko entle yomzimba , ingakumbi ukuba uzilolonga rhoqo.

Abantu abaninzi abanale meko abanazo iimpawu. Nangona kunjalo, ukuba kukho iimpawu, esona sizathu kukuba intliziyo ibetha kancinci, ayikwazi ukupompa igazi elaneleyo emzimbeni wonke.

Kutheni oku kubizwa ngokuba yi "Sinus Bradycardia"?

Eli gama lenziwe ngamacandelo amabini. Igama elithi "Bradycardia" livela kulwimi lwesiGrike. Igama elithi "Bradys" lithetha "ukucotha" kwaye elithi "kardia" lithetha "intliziyo." Emva koko igama elithi "Sinus" lithetha ukuba ukubetha kwentliziyo kulawulwa sisigqi se-sinus .

Ngoku, khangela, yonke intliziyo yethu iqala ngeeseli ezininzi ezisebenzayo ngombane phezulu kwentliziyo yethu. Le yi -sinoatrial node (SA node) , okanye i-sinus node. Le yi -pacemaker yendalo yentliziyo yethu. Kulapho kuvela khona isignali yombane ebangela ukuba intliziyo ibethe. Ngoko ke, "isingqisho se-sinus" sithetha ukuba isantya sentliziyo yakho silawulwa yile sinus node, kwaye oko kuqhelekile. Emva koko, i-sinus bradycardia ithetha ukuba intliziyo ibetha ngesingqisho se-sinus, kodwa ngesantya esicothayo.

Ngubani ochaphazeleka kakhulu yile meko?

I-Sinus bradycardia ixhaphake kakhulu kubantu abadala, ingakumbi abo baneminyaka engaphezu kwama-65 ubudala. Oku kungenxa yokuba isantya sentliziyo siyacotha ngokwendalo njengoko sikhula. Ayixhaphakanga kangako kubantwana abancinci, kodwa inokubangelwa yimeko yokuzalwa.

Kwakhona, njengoko bekutshiwo ngaphambili, i-sinus bradycardia ixhaphakile nakubantu abenza umthambo rhoqo kwaye bakwimeko entle yomzimba. Ukuzilolonga rhoqo kuvuselela umthambo wethu we-vagus.Inempembelelo entle. Le mithambo-luvo iqhagamshelwe ngqo engqondweni, kwaye iyinxalenye yenkqubo yethu yemithambo-luvo ezimeleyo. Okukhona imithambo-luvo ye-vagus isebenza ngcono, kokukhona isantya sentliziyo yakho yokuphumla siphantsi.

Ixhaphake kangakanani le meko?

I-sinus bradycardia eneempawu ichaphazela malunga nomntu omnye kubantu abadala abangama-600 abaneminyaka engaphezu kwama-65 ubudala. Nangona kunjalo, abantu abaninzi abanale meko abanazo iimpawu, ingakumbi kuba ixhaphakile kubantu abenza umthambo rhoqo. Ke ngoko, inani lokwenyani labantu abanale meko linokuba phezulu kakhulu.

Le meko ichaphazela njani umzimba wam?

Ekubeni uninzi lwabantu lungenazo iimpawu ezivela kwi-sinus bradycardia, idla ngokuba yimeko engenabungozi . Abanye abantu abazi nokuba izinga lentliziyo yabo lingaphantsi kwama-60 ngomzuzu de bajonge nje ukubetha kwentliziyo yabo.

Nangona kunjalo, kwabo baneempawu, i-sinus bradycardia luphawu lokuba umzimba awumpompi igazi ngokwaneleyo. Oku kuthetha ukuba ingqondo kunye nezinye iindawo zomzimba azifumani ioksijini eyaneleyo. Oku kunqongophala kweoksijini yeyona nto ibangela ezi mpawu.

Ziziphi iimpawu zeSinus Bradycardia?

Abantu abaninzi, ingakumbi abo basempilweni emzimbeni, abanazo iimpawu ze-sinus bradycardia kuba iintliziyo zabo zisebenza kakuhle.

Nangona kunjalo, kwabanye, iimpawu zeSinus Bradycardia zingabandakanya:

• Ukuphefumla nzima - Ukuziva ngathi uza kuphelelwa ngamandla xa uzibhokoxa kancinci.
• Intlungu yesifuba (i-angina) - Intlungu yokucinezela, ukucinezela esifubeni.
• Ukudinwa - Ukuziva udiniwe kangangokuba awukwazi kwenza nto.
• Ukubetha kwentliziyo - Ukuziva intliziyo yakho ibetha kakubi (ngaphandle kokujonga ukubetha kwentliziyo).
• Iingxaki zememori .
• Ukudideka - Ukungakwazi ukuqonda okwenzekayo.
• Ubunzima bokugxila .
• Ukuba nesiyezi, ukuba nentloko ekhaphukhaphu kunye nokuquleka (iSyncope) .
• Ukucaphuka, ukuphazamiseka okanye olunye utshintsho lobuntu .

Ziziphi izizathu eziphambili zale meko?

Kukho izizathu ezininzi ezinokubangela iSinus Bradycardia. Makhe sijonge ukuba zeziphi:

• Ukunqongophala kwe-Electrolyte: Ukungafumani ii-electrolyte ezaneleyo ezifana ne-calcium, i-magnesium, kunye ne-potassium, ezibalulekileyo emzimbeni wethu, kunokuchaphazela izinga lokubetha kwentliziyo.
• I-Anorexia nervosa: Le yingxaki yokutya. Oku kunokuba ngunobangela we-sinus bradycardia.
• Ukudumba: Iimeko ezinje ngokudumba kwengaphakathi lentliziyo ( endocarditis ), ukudumba kwemisipha yentliziyo ( myocarditis ), okanye ukudumba kwengxowa egubungela intliziyo ( pericarditis ).
• Iintsholongwane: Iintsholongwane ezibangela i-strep throat, ukuba azinyangwanga kakuhle, zingonakalisa intliziyo, ingakumbi iivalvu zentliziyo.
• Umkhuhlane werheumatic kunye nesifo sentliziyo esibangelwa yirheumatic: Usulelo lwebhaktheriya, olufana nomphimbo obuhlungu, olunganyangwa ixesha elide lunokukhokelela kumkhuhlane werheumatic. Oku kunokukhokelela kwisifo sentliziyo esibangelwa yirheumatic kwiminyaka kamva.
• Isifo seLyme: Esi sisifo sebhaktheriya esisasazeka ziincukuthu. Ukuba asinyangwanga kakuhle, sinokuchaphazela intliziyo.
• Isifo sikaChagas: Njengesifo sikaLyme, esi sisifo esibangelwa yiparasite edluliselwa zizinambuzane ezifunxa igazi (iincukuthu ezincancisayo).
• Isifo se-sick sinus: Oku kwenzeka xa i-sinoatrial node (SA node), i-pacemaker yendalo yentliziyo, ingasebenzi kakuhle. Oku kuthetha ukuba imiqondiso yombane efunekayo ukubangela ukuba iindawo ezahlukeneyo zentliziyo zinciphe ngexesha elifanelekileyo ayiveliswanga kakuhle.
• Ukuvimba kwentliziyo: Eli ligama eliqhelekileyo lokuvaleka kwenkqubo yombane yentliziyo. Oku kuvaleka kuyayicothisa okanye kuyimise imiqondiso yombane ekuhambeni.
• Amayeza: Amanye amayeza, anjenge-beta-blockers, i-calcium-channel-blockers, amayeza okulawula isingqisho sentliziyo, amayeza okudambisa iintlungu, i-lithium, kunye neziyobisi ezidambisa uxinzelelo, kunye neziyobisi ezifana ne-cannabis/marijuana, nazo zinokubangela oku.
• Utyando lwentliziyo: I-Sinus bradycardia inokubangelwa lutyando lokunyanga iimeko zentliziyo zokuzalwa, ukulungiswa kweevalvu, kunye nokutshintshwa kweevalvu.
• Unyango ngemitha: Le meko inokwenzeka njengesiphumo esingesihle sonyango ngemitha kwizifo ezinje ngomhlaza, nto leyo ebangela umonakalo entliziyweni.

Ezinye izizathu ezinokubakho:

• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• Isifo semithambo yentliziyo
• I-Duchenne muscular dystrophy
• I-Lupus
• Irheumatoid arthritis
• I-Scleroderma
• Ukwenzakala/ukwenzakala
• Ubushushu bomzimba obuphantsi (iHypothermia)
• I-Hypothyroidism
• Ukuphelelwa ngamandla kokulala
• Uxinzelelo lwegazi oluphezulu engqondweni - Uxinzelelo oluphezulu engqondweni olubangelwa sisizathu esifana nokudumba okanye ukopha kwengqondo.

Ngaba iSinus Bradycardia iyasulela?

Hayi, i-sinus bradycardia ayisuleli. Nangona kunjalo, ezinye izifo ezinokubangela le meko, ezifana ne-strep throat, zinosulela.

Ifunyaniswa njani le nto?

Ugqirha, odla ngokuba ngugqirha wosapho lwakho, unokuxilonga i-sinus bradycardia esebenzisa indibaniselwano yovavanyo kunye neenkqubo.

Luhlobo luni lovavanyo oluqhutywayo?

Oku akunakufunyanwa ngovavanyo lomzimba lodwa. Uvavanyo olubalulekileyo lokuxilonga olu luvavanyo lwe-ECG (ECG okanye i-EKG - Electrocardiogram) . Oku kungenxa yokuba kungokuhlalutya umsebenzi wombane wentliziyo kuphela apho sinokufumanisa ngokuchanekileyo ukuba isingqisho sentliziyo siqhelekile na.

Ngexesha lovavanyo lwe-ECG, ii-electrode ezincinci zifakwa esifubeni sakho kwaye zirekhode umsebenzi wombane wentliziyo yakho njengamaza ephepheni okanye kwisikrini. Oogqirha bajonga la maza ukuze babone ukuba kukho into engalunganga kwinkqubo yombane yentliziyo yakho. Ukuba isantya sentliziyo yakho siphantsi kodwa siqhelekile, oko kwanele ukuba ugqirha axilonge i-sinus bradycardia.

Nangona kunjalo, ukuba uneempawu zeSinus Bradycardia, kubaluleke kakhulu ukufumanisa ukuba yintoni ebangela oko. Kunokwenziwa ezinye iimvavanyo ezininzi ukuze kufunyanwe unobangela.

• Amanqanaba e-Electrolyte: Ilinganisa ubungakanani be-electrolytes egazini lakho, ingakumbi i-calcium kunye ne-magnesium.
• Amanqanaba ehomoni ye-thyroid: I-Hypothyroidism inokuba yimbangela ye-sinus bradycardia.
• I-Troponin: Iiseli zemisipha yentliziyo ziqulathe iproteni ekhethekileyo ebizwa ngokuba yi-troponin. Xa ezi seli zonakele, i-troponin ikhutshwa egazini. Olu luphawu oluphambili olusetyenziswa ngoogqirha ukufumanisa isifo sentliziyo.
• Isivivinyo seTyhefu: Uvavanyo olujonga igazi lakho ukuba alinazo na izinto ezinobungozi. Oku kunokuchonga amayeza (amayeza kagqirha okanye athengiswa ngaphandle kwemvume kagqirha) anokubangela i-sinus bradycardia, kunye nezinye izinto eziyingozi entliziyweni.

Ezinye iimvavanyo zinokunceda ekufumaneni unobangela wemeko yakho. Nangona kunjalo, ugqirha wakho uya kuba ngumntu ofanelekileyo ukukuxelela ukuba zeziphi iimvavanyo ozifunayo. Uza kukuchazela nendlela ezenziwa ngayo ezi vavanyo kunye nesizathu sokuba zifuneka.

Inyangwa njani iSinus Bradycardia? Ngaba inganyangeka?

Ngokwesiqhelo, awudingi unyango lwe-sinus bradycardia ukuba awunazo naziphi na iimpawu.Asikokukhathazeka oku, ingakumbi ukuba usempilweni kwaye uqeqesha rhoqo.

Nangona kunjalo, kukho iindlela ezimbini eziphambili zokunyanga abo baneempawu:

1. Amayeza

2. Izixhobo ezisebenzisa amandla ombane ukuvuselela izihlunu zentliziyo ngokwenziwa (ezibizwa ngokuba zii-pacemakers ).

Isantya sombane

Xa i-pacemaker yendalo yentliziyo yakho, i-sinoatrial node (SA node), iyeka ukusebenza kakuhle, kukho iindlela zokwenziwa zokufumana iziphumo ezifanayo. I-pacemakers esisigxina zizixhobo ezinokufakwa yingcali yentliziyo okanye ugqirha wotyando esifubeni sakho. Zizisa umbane wombane ukunceda intliziyo yakho ibethe kakuhle. Ezi zixhobo zinokuhlala iminyaka engaphezu kweshumi.

Kwezinye iimeko, kukho indlela yexesha elifutshane esebenza ngomgaqo ofanayo. Ibizwa ngokuba yi -temporary pacing . Oku kusebenzisa isixhobo esithumela i-electrical impulses emzimbeni nge-pad enamathele eluswini okanye ucingo lwexeshana olufakwa entliziyweni. Oku kudla ngokwenziwa ngelixa ulinde ukuba kufakwe i-pacemaker esisigxina, nokuba uyayidinga.

Kukwakho nezixhobo ezintsha ezibizwa ngokuba yi-leadless pacemakers . Ezi zinokufakwa nge-catheter. Kule nkqubo, ugqirha wakho wenza utyando oluncinci phezu komthambo wegazi omkhulu ethangeni lakho aze afake i-catheter kuwo. Emva koko, isixhobo esifana netyhubhu sifakwa nge-blood vessel ukuya entliziyweni yakho, apho i-pacemaker (elingana ne-capsule enkulu ye-multivitamin) ifakwe ngqo kwi-ventricle yasekunene yentliziyo yakho.

Amayeza

Ngokuxhomekeke kwisizathu se-sinus bradycardia, ingakumbi ukuba isizathu sesokwexeshana, amayeza angasetyenziswa. Amayeza anjenge -atropine anikwa ngemithambo (IV) okanye afakwe kwi-injection anokunyusa izinga lentliziyo ixesha elifutshane.

Zithini iingxaki kunye neziphumo ebezingalindelekanga zebradycardia okanye unyango lwayo?

Ugqirha wakho angakunika ingcebiso engcono malunga nemiphumo emibi enokubakho yalo naluphi na unyango, amayeza, okanye inkqubo ye-sinus bradycardia yakho. I-Sinus bradycardia ayisoloko ibangela iingxaki ngaphandle kokuba inzima ngokwaneleyo ukuba ibangele iimpawu. Nangona kunjalo, umngcipheko weengxaki uyanda ukuba unyango lulibaziseka.

Ndingazilawula njani iimpawu ukuba andizinyamekeli?

Ekubeni kufuneka i-ECG ukuze kufunyanwe iSinus Bradycardia, musa ukucinga ukuba unayo ngokusekelwe kwiimpawu zakho zodwa. Kungcono ukubona ugqirha ukuba uneempawu zeSinus Bradycardia. Banokuyixilonga imeko baze bafumanise ukuba imbi ngokwaneleyo na ukuba ingadinga unyango.

Ndiza kuziva bhetele nini emva konyango?

Uza kuqala ukuziva ungcono emva nje kokuba ufumene unyango oluphumelelayo lweSinus Bradycardia (amayeza okanye isantya sexeshana). Ukuba ufuna i-pacemaker esisigxina, uza kuqala ukuziva ungcono emva kotyando (ingakumbi ngexesha lokuchacha emva kotyando). Uninzi lwabantu luyachacha kwiiveki ezimbalwa emva kotyando ukuze lufake i-pacemaker.

Nokuba ufumana unyango olunjani na, ugqirha wakho angakuxelela ngcono ukuba kuza kuthatha ixesha elingakanani ukuba uphile kwaye ulindele ntoni, kuba uza kuyiqwalasela imeko yakho kunye nemvelaphi yakho.

Ngaba ndingayithintela okanye ndiyinciphise ingozi ye-bradycardia?

Ubukhulu becala, iSinus Bradycardia ayinakuthintelwa. Onokukwenza kukuziphepha iimeko ezinokubangela ukuba ivele. Oko kuthetha ukuba:

• Kuphephe ukusebenzisa iziyobisi.
• Funa unyango ngokukhawuleza xa usulelo luvela.
• Ukuba unengxaki yokutya, funa unyango lwazo.

Ndimele ndilindele ntoni ukuba ndinayo le meko?

Uninzi lwabantu abaneSinus Bradycardia abanazo iimpawu, kwaye ayinampembelelo ingako ebomini bakho. Nangona kunjalo, ukuba unazo iimpawu, ukuxilongwa nonyango kwangethuba kunokwenza umahluko omkhulu kwindlela esi sifo esikuchaphazela ngayo.

I-bradycardia ihlala ixesha elingakanani?

I-Sinus bradycardia inokuba yingxaki yexesha elifutshane, ingakumbi ukuba ibangelwa ngamayeza (amayeza kagqirha okanye amayeza asetyenziswa kwiziyobisi) okanye ezinye izizathu zexeshana. Nangona kunjalo, ukuba ibangelwa zezinye iimeko zonyango, ingakumbi ezo zizalwa nazo okanye ezizuzwe ngabazali, idla ngokuba yingxaki yobomi bonke. Kwiimeko ezinjalo, amayeza emihla ngemihla okanye i-pacemaker inokufuneka ukulawula iimpawu kunye neengxaki ezinxulumene nazo.

Ndingazinyamekela njani?

Ukuba ugqirha wakho ukufumanise uneSinus Bradycardia kwaye uneempawu, bona ugqirha wakho njengoko kucetyisiwe, kwaye uthathe amayeza akho njengoko kumiselwe. Ukuba une-pacemaker, kufuneka ubonane nogqirha wakho njengoko kucetyisiwe ukuqinisekisa ukuba isebenza kakuhle (uninzi lwe-pacemakers ngoku lunokuhlolwa kusetyenziswa ubuchwepheshe obungenazingcingo, nto leyo eyenza oku kungabi buhlungu kwaye kube lula).

Ndifanele ndimbone nini ugqirha wam okanye ndifune ingcebiso kagqirha?

Nokuba une-sinus bradycardia engenazimpawu, kungcono ukuba wenze uhlolo lomzimba lonyaka . Olu tyelelo lonyaka lunokunceda ekuchongeni iingxaki ezintsha kunye neempawu ngaphambi kokuba zivele.

Ukuba une-sinus bradycardia eneempawu, ukuba iimpawu zakho zitshintsha kakhulu, okanye ukuba iimpawu zakho ziqala ukuchaphazela ubomi bakho bemihla ngemihla nomsebenzi, bona ugqirha wakho.

Ndingaya nini kwigumbi likaxakeka esibhedlele?

Ezinye zeempawu ze-sinus bradycardia ziyafana nezezinye izifo zentliziyo ezinzima, ngoko ke kungcono ukuya esibhedlele ukuba ufumana ezi mpawu:

• Intlungu yesifuba (i-Angina)
• Ubunzima bokuphefumla (ukuphelelwa ngamandla)
• Ukudinwa, ukuba nentloko ekhaphukhaphu, okanye ukuphelelwa ngamandla (i-syncope)

I-Sinus bradycardia yimeko onokuthi ungayazi nokuba unayo. Abantu abaninzi abanazo iimpawu. Nangona kunjalo, ukuba unayo, ugqirha wakho angakunceda ufumanise ukuba yintoni ebangela oko kwaye ingaba yinto ebangela ukukhathazeka ngayo. Ngethamsanqa, kwanabo bafuna unyango, le meko idla ngokulawulwa kakuhle, kwaye ayinampembelelo ingako kubomi bakho bemihla ngemihla.

Umyalezo Wokuya Ekhaya

Kulungile, ngoku uyaqonda ngcono into ebesithetha ngayo namhlanje, iSinus Bradycardia. Khumbula:

• I-Sinus bradycardia kuxa intliziyo ibetha kancinci kunesiqhelo, kodwa isingqisho sentliziyo siqhelekile.
• Abantu abaninzi, ingakumbi abo baqhelisela kakuhle umzimba, abanazo naziphi na iimpawu .
• Ukuba uneempawu, kubalulekile ukufumana unobangela kwaye ufumane unyango. Ukuba uneempawu ezifana nesiyezi, iintlungu zesifuba, okanye ubunzima bokuphefumla , ngokuqinisekileyo kuya kufuneka ubone ugqirha .
• Unyango luyahluka ngokuxhomekeke kwisizathu. Ngamanye amaxesha amayeza okanye i-pacemaker inokufuneka.
• Musa ukoyika! Le yimeko elawulekayo kwiimeko ezininzi. Eyona nto ibalulekileyo kukulandela iingcebiso zonyango ezifanelekileyo.

Ukuba uneminye imibuzo malunga noku, ungabi nantloni uze ubuze ugqirha wakho. Hlala usempilweni!

I- Sinus bradycardia, isantya sentliziyo, isantya sentliziyo esicothayo, i-pacemaker, i-ECG, iimpawu zentliziyo, impilo yentliziyo