Ngaba ulala ngequbuliso? Oku kusenokuba yiStokes-Adams Syndrome!

Ngaba ngamanye amaxesha ukhe uphelelwe ngamandla ngequbuliso ngaphandle kwesizathu, ulahlekelwe ziingqondo uze uwele phantsi? Okanye ngaba oku kwenzeke kumntu omaziyo? Mhlawumbi ubuyela kwiingqondo emva kwexesha elithile. Ukuba ukhe waba namava anjalo, asinto ifanele ithathwe lula. Isizathu sale nto sisenokuba yimeko ebangelwa kukungalungelelani kwesingqisho sentliziyo yakho, oko kukuthi, indlela intliziyo yakho ebetha ngayo. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yiStokes-Adams Syndrome .

Yintoni iStokes-Adams Syndrome?

Ngamafutshane, iStokes-Adams Syndrome kukulahlekelwa yingqondo ngequbuliso, okwethutyana okubangelwa kukungasebenzi kakuhle kwesantya sentliziyo, okubangela ukwehla ngequbuliso, okukhulu kubungakanani begazi elimpontshelwa yintliziyo ukuya emzimbeni (`i-cardiac output`). Ngamanye amaxesha ibizwa ngokuba yi -`cardiac syncope` . Ulahlekelwa yingqondo kuba ingqondo yakho ayifumani igazi elaneleyo elineoksijini. Cinga ngayo njengebhalbhu yesibane ecimayo xa isibane sicima.

Le meko inokwenzeka kakhulu kubantu abaneengxaki ezithile zentliziyo. Kwakhona, inokuba yingozi ebomini kwabanye abantu. Kungoko ke, kubaluleke kakhulu ukuqaphela oku.

Ixhaphake kangakanani le meko?

Izifundo zibonisa ukuba malunga nama-34% abantu abalahlekelwa zingqondo abaneminyaka engama-65 nangaphezulu banesifo sentliziyo. Kwezi meko zentliziyo, ukubetha kwentliziyo okungaqhelekanga zezona zibangela zixhaphakileyo.

Zithini iimpawu zoku?

Isifo sikaStokes-Adams sinokuba neempawu ezininzi. Masibone ukuba zeziphi:

• Ukuwa ngequbuliso kunye nokulahlekelwa zingqondo (ukutyhafa): Oku kunokwenzeka, ingakumbi ngexesha lokuzilolonga okanye xa ulele ngomqolo.
• Ulusu oluphaphathekileyo xa ulahlekelwa zingqondo: Kusenokubonakala ngathi ulahlekelwe ligazi elincinci.
• Ububomvu besikhumba emva kokubuyela ezingqondweni: Oku kunokwenzeka xa ukujikeleza kwegazi kubuyele esiqhelweni.
• Imeko yokuxhuzula: Ngamanye amaxesha amalungu omzimba asenokushukuma aze angcangcazele. Yiyo loo nto abanye abantu besenokucinga oku njengokuxhuzula (`isifo sokuwa`).
• Ukubetha kwentliziyo: Oku kunokuvakala ngathi kukho umntu obetha iingoma esifubeni sakho.

Oogqirha babiza ezi ziqendu zifutshane zokungazi nto njengohlaselo lukaStokes-Adams .

Yintoni ebangela iStokes-Adams syndrome?

Kukho izizathu eziphambili ezininzi ezichaphazela le meko. Nazi:

• Ukuvaleka ngokupheleleyo okanye okungaphelelanga kokudluliselwa kwesignali yombane phakathi kwe-atria kunye nee-ventricles zentliziyo (`i-Atrioventricular heart block`): Ingxaki yemiyalezo yombane edlula ukusuka kumagumbi aphezulu entliziyo (i-atria) ukuya kumagumbi asezantsi (ii-ventricles). Njengocingo olukwipali yokukhanya oluphazanyiswayo.
• I-tachycardia yemithambo yegazi:Amagumbi (iiseli) zentliziyo aqala ukubetha ngokukhawuleza nangokungalawulekiyo.
• I-Ventricular fibrillation: Le yimeko apho amagumbi asezantsi entliziyo (amagumbi e-ventricular) aqhaqhazela aze abethe ngendlela engaqhelekanga. Le yimeko eyingozi kakhulu.
• I-Bradycardia: Isantya sentliziyo esicothayo kakhulu kunesiqhelo.
• Amaxesha amaninzi, amagumbi asezantsi entliziyo ayeka ngequbuliso ukubetha (`Paroxysmal ventricular standing`): Oku kwenzeka rhoqo.

Kungenxa yezizathu ezinje ukuba ukusebenza kwentliziyo kuyehla ngequbuliso kwaye ukuhamba kwegazi ukuya ebuchotsheni kuyehla.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Kukho izinto ezininzi ezinokubangela umngcipheko kwisifo sikaStokes-Adams:

• Ukuba ngaphezu kweminyaka engama-60 ubudala: Kuba utshintsho oluthile luyenzeka entliziyweni njengoko sikhula.
• Ukuvaleka kweendlela ezithwala imiqondiso yombane entliziyweni (`i-Bundle branch block`).
• Sele ndinesifo sentliziyo.
• Ukuba nembali yosapho yesifo sentliziyo okanye ukuphazamiseka kwentliziyo: Ezinye izifo zentliziyo zinokufunyanwa njengelifa.

Zithini iingxaki zale meko?

Ezinye zeengxaki zesingqisho sentliziyo ezibangela isifo seStokes-Adams zinokubangela nokuma kwentliziyo ngequbuliso . Oku kuthetha ukuba intliziyo iyeka ukubetha ngequbuliso. Kwakhona, abantu abanale meko banokulimala kakhulu xa belahlekelwa zingqondo baze bawe. Hayi indlela ebuhlungu ngayo ukubetheka entloko okanye ukwaphuka ilungu lomzimba, akunjalo? Akunjalo kuphela, kodwa ukuba into efana nale iyenzeka ngelixa uqhuba, kukho umngcipheko omkhulu wengozi yemoto . Usenokungakwazi ukuya emsebenzini iintsuku ezininzi ngenxa yeempawu.

Kubalulekile: Ukuba abanyangwa, abantu abane-Stokes-Adams syndrome banamathuba amabini ukuya kwamane okuba sengozini yemoto kunabo baqhelekileyo. Ke ngoko, ukuba unale mpawu, kufuneka uthethe nogqirha, ufake i-pacemaker ukuba kuyimfuneko, kwaye uphephe ukuqhuba imoto de i-seizure iyeke ngokupheleleyo.

Ifunyanwa njani isifo iStokes-Adams?

Ukuba unale mpawu, xa ubona ugqirha, baya kukubuza malunga noku:

• Iinkcukacha ezifana nendlela owayifumana ngayo le meko, ixesha elide ikhona, kunye nokuba kwenzeke ntoni ngelo xesha.
• Malunga nezinye izifo onazo kunye namayeza owasebenzisayo.

Emva koko ugqirha uza kwenza ezi zinto:

• Baza kwenza uvavanyo lomzimba baze bajonge izinga lokubetha kwentliziyo yakho kunye nesingqisho sayo.
• Uxinzelelo lwakho lwegazi luya kulinganiswa.
• Ukuba kuyimfuneko, baya ku-odola uvavanyo olukhethekileyo olunxulumene nentliziyo .

Zeziphi iimvavanyo ezenziwayo koku?

Kukho iimvavanyo ezininzi ezisetyenziswa ngoogqirha ukuze baxilonge ngokuchanekileyo isifo sikaStokes-Adams:

• I-Electrocardiogram (`I-Electrocardiogram - EKG`):Oku kuvavanya ukusebenza kombane kwentliziyo. Oku kubaluleke kakhulu ekufumaneni iingxaki kwisigqi sentliziyo.
• Uvavanyo lwegazi: Olu vavanyo lunceda ekujongeni izinto ezifana namanqanaba etyuwa kunye neehomoni ze-thyroid emzimbeni.
• Uvavanyo lwetafile ethambekileyo: Uvavanyo apho ulala ebhedini ekhethekileyo uze ushukunyiswe ukusuka kwelinye icala ukuya kwelinye ukuze kubonwe ukuba izinga lentliziyo yakho kunye noxinzelelo lwegazi luyatshintsha na. Oku kusetyenziselwa ukufumanisa ukuba intliziyo yakho ibetha njani.
• Uphononongo lwe-electrophysiological: Olu luvavanyo oluntsonkothileyo kancinci. Iintambo ezincinci zidluliselwa entliziyweni ukuze zihlolisise ngokusondeleyo ukusebenza kwenkqubo yombane yentliziyo.
• Ukuphululwa kwe-carotid sinus: Ukuphululwa okuthambileyo kwe-carotid sinus entanyeni ukujonga isantya sentliziyo. Oku kwenziwa ngononophelo olukhulu kwaye kwenziwa ngugqirha kuphela.

Iphathwa njani le nto?

Unyango oluphambili lwe-Stokes-Adams syndrome kukufakelwa kwe- pacemaker . Oku kubaluleke kakhulu ukuba imeko ibangelwa kukubetha kwentliziyo okucothayo (bradycardia) okanye ukuvaleka kwemiqondiso yombane yentliziyo (heart block).

Isixhobo sokuncedisa umgudu wentliziyo (pacemaker) sexesha elifutshane ngamanye amaxesha sinokusetyenziswa ukulawula iimpawu de kufakwe isixhobo sokuncedisa umgudu wentliziyo esisisigxina .

Ngesixhobo sokuncedisa i-pacemaker esisisigxina, ezi zinto ziyenzeka:

• Igcina intliziyo yakho ibetha ngesingqi esiqhelekileyo.
• Ithintela amathuba okubanjwa kwentliziyo.
• Iya kukuthintela ekufumaneni i-acne.

Cinga ngale ndlela: i-pacemaker ifana nekhompyutha encinci enceda intliziyo. Ihlala ijonga isigqi sentliziyo kwaye ithumela isignali yombane encinci entliziyweni ukuze iyincede ibethe kakuhle xa kuyimfuneko.

Ngaba kukho naziphi na iingxaki okanye iziphumo ebezingalindelekanga zonyango?

Ngamanye amaxesha, iingxaki ezinje ngezi zinokuvela xa kufakwa i-pacemaker yexeshana:

• Isixhobo asisebenzi kakuhle.
• Usulelo.
• Kunqabile, umonakalo wentliziyo.

Ii-pacemakers ezisisigxina zinokuphelelwa ziibhetri, okanye ezinye izinto zisenokungasebenzi kakuhle. Kodwa ungakhathazeki, ugqirha angazitshintsha ezo nxalenye okanye atshintshe yonke i-pacemaker.

Kuthatha ixesha elingakanani ukuchacha kolu nyango?

Emva kokuba ufake i-pacemaker, uya kukwazi ukuya ekhaya ngaloo mini okanye ngosuku olulandelayo. Ngokuxhomekeke kumsebenzi wakho, usenokungakwazi ukuya emsebenzini kangangeveki. Kungathatha malunga neeveki ezine ukuze uphile ngokupheleleyo.

Ndingayinciphisa njani le ngozi?

Ukuze unciphise umngcipheko wokuba neempawu ezingaqhelekanga zesingqisho sentliziyo ezibangela isifo seStokes-Adams, kufuneka uyinyamekele kakuhle intliziyo yakho. Ungenza oku kulandelayo:

• Ukuzilolonga rhoqo: Into efana nokuhamba ubuncinane imizuzu engama-30 ngosuku ilungile.
• Yitya ukutya okunempilo kwentliziyo okunamafutha amaninzi netyuwa encinci: Yitya imifuno, iziqhamo kunye nemifuno eluhlaza ngakumbi.
• Ukunciphisa uxinzelelo: Izinto ezifana nokucamngca nokuphumla zinokunceda.
• Ukunciphisa ukusetyenziswa kotywala.
• Ukuphepha ngokupheleleyo iimveliso zecuba.
• Lala kakuhle ubusuku ngabunye.

Ezi zinto zinokukunceda ugcine impilo yakho iyonke, kunye nempilo yentliziyo yakho.

Kuza kwenzeka ntoni ukuba ndine-Stokes-Adams syndrome?

Isifo sikaStokes-Adams sinokubangela ukuphazamiseka okukhulu kubomi bakho bemihla ngemihla. Kukwakho nomngcipheko wokwenzakala ukuba ulahlekelwa zingqondo uze uwe. Ke ngoko, ngokuqinisekileyo uyaludinga unyango lokuthintela ezi zixhuzula ukuba zingenzeki kwaye uthintele ukufa ngequbuliso ngenxa yokuphazamiseka kwentliziyo.

Iyintoni imbonakalo yesifo sikaStokes-Adams?

Ukuba une-pacemaker, amathuba akho okuba uphinde uhlaselwe yiStokes-Adams yi-5% okanye ngaphantsi. Ingakwandisa nobomi bakho. Ukuba ayinyangwa, izinga lokufa liphakathi kwe-20% kunye ne-30%, ngoko ke musa ukuyithatha lula le nto.

Ndingazinyamekela njani?

Eyona nto ibalulekileyo kukulawula isifo sentliziyo esikubangele ukuba ube neStokes-Adams syndrome. Kwakhona, qiniseka ukuba i-pacemaker yakho isebenza kakuhle. Sela amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha.

Ndifanele ndimbone nini ugqirha wam?

Qiniseka ukuba uyazigcina zonke iintlanganiso zokulandelela ugqirha wakho akunike zona. Oku kwenzelwa ukuba ajonge ukuba i-pacemaker yakho isebenza kakuhle na. Ukuba uvakalelwa kukuba kukho ingxaki nge-pacemaker yakho ngexesha leentlanganiso zakho zokulandelela, xelela ugqirha wakho ngoko nangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• "Kufuneka ndize kangaphi ukuze ndihlolwe i-pacemaker yam?"
• "Ingaba izalamane zam nazo zisengozini yokuhlaselwa lolu hlobo lokuphazamiseka kwesantya sentliziyo?"
• "Kuza kufuneka nditshintshe i-pacemaker yam okanye ibhetri yayo nini?"

Ngenxa yokuba iimpawu zeStokes-Adams syndrome ngamanye amaxesha zinokufana nokuxhuzula (isifo sokuwa), kubalulekile ukufumana uxilongo olufanelekileyo. Ukuba ucinga ukuba iimpawu zakho zibangelwa yingxaki yentliziyo, ungoyiki ukuthetha nogqirha wakho ngayo. Ugqirha wakho angakunceda ufumanise ukuba yeyiphi imeko onayo. Emva koko ungaqala unyango ngokuzithemba.

Umyalezo Wokuya Ekhaya

Isifo iStokes-Adams sisifo apho umntu alahlekelwa zingqondo ngequbuliso ngenxa yengxaki yesingqisho sentliziyo. Sinokuba sibi kakhulu, kodwa sinokulawulwa ngempumelelo ngokuxilongwa nonyango olufanelekileyo, olufana ne-pacemaker. Ukuba uneempawu ezifana nesiyezi ngequbuliso okanye iintlungu zesifuba, funa ingcebiso kagqirha ngaphandle kokulibazisa. Ukunyamekela intliziyo yakho kufana nokunyamekela ubomi bakho.

Isifo sikaStokes-Adams, iStokes-Adams Syndrome, iCardiac Syncope, iHeartbeat Irregularities, iFainting, iPacemaker, iHeart Disease, iEKG, iPalpitations, iHeart Health