Ngaba nawe ukhe waziva intliziyo ibetha ngamandla? Masithethe nge-tachycardia!

Ngaba wakha wayiva intliziyo yakho ibetha ngokukhawuleza xa wawunovalo kakhulu okanye udiniwe kakhulu? Kuqhelekile. Kodwa ukuba, ngaphandle kwesizathu, intliziyo yakho ibetha ngokukhawuleza nangona umile nje, ukuba ivakala ngathi kukho isandi esitsho ngaphakathi esifubeni sakho, isenokuba yinto ekufuneka uyixhalabele. Namhlanje siza kuthetha ngemeko enjalo yokubetha kwentliziyo ngokukhawuleza, ebizwa ngokuba yi -tachycardia .

Yintoni i-tachycardia? Masiyiqonde ngokulula!

Ngamafutshane, i-tachycardia kuxa intliziyo yakho ibetha ngokukhawuleza kunesiqhelo xa uphumle. Ngokwesiqhelo, xa siphumle, izinga lentliziyo yethu kufuneka libe phakathi kwama-60 kunye nama-100 ngomzuzu. Nangona kunjalo, kwimeko ye-tachycardia, eli nani liyanda liye kuma-beats angaphezu kwe-100 ngomzuzu. Olu kubetha kwentliziyo ngokukhawuleza lunokuhlala ukusuka kwimizuzwana embalwa ukuya kwiiyure ezininzi.

Khawucinge ngento eyenzekayo xa intliziyo ibetha ngokukhawuleza kangaka. Intliziyo ayinalo nexesha lokuzalisa igazi ngokufanelekileyo, kuba ukubetha kwayo kukhawuleza kakhulu. Emva koko ezinye iiseli emzimbeni wethu azifumani igazi kunye neoksijini eziyidingayo. Oku kunokuba yingozi kancinci , kuba umzimba wethu wonke uxhomekeke kwigazi eliphuma entliziyweni.

Ziziphi iintlobo eziphambili ze-tachycardia?

I-Tachycardia inokuvela ngeendlela ezininzi. Ezinye iintlobo zinokwenzeka rhoqo, kwaye zinokuba yingozi ngakumbi. Ezinye iintlobo ze-tachycardia zisenokungabangeli monakalo mkhulu, ngelixa ezinye zinokubangela umonakalo ophakathi ukuya kowoyikekayo. Ngugqirha kuphela onokukuxelela ngqo ukuba loluphi uhlobo lwe-tachycardia onayo kunye nendlela yokuyilawula.

Intliziyo yethu ineegumbi ezine eziphambili. I-Tachycardia inokwenzeka nakweyiphi na kwezi gumbi. Isizathu soku kukuba kukho ingxaki ngemiqondiso yombane entliziyweni.

Kukho iintlobo ezimbini eziphambili ze-tachycardia:

1. I-Supraventricular tachycardias (SVTs) : Ezi ziqala kumagumbi aphezulu entliziyo, i-atria. Imizekelo ibandakanya i-atrial fibrillation kunye nokuqunjelwa kwe-atrial ngaphambi kwexesha .

2. I-Ventricular tachycardias : Ezi ziqala kumagumbi asezantsi entliziyo, abizwa ngokuba yi-ventricles. Imizekelo ibandakanya i-ventricular fibrillation kunye ne-torsades de pointes . Ezi zihlala ziimeko ezifuna inkxalabo ethile .

Zeziphi iimpawu ezibonakaliswa ngumntu one-tachycardia?

Abanye abantu bane-tachycardia kwaye ababonisi zimpawu. Kodwa abanye banokufumana iimpawu eziqala kwezincinci ukuya kwezinzima, ezinzulu . Jonga ukuba unayo nayiphi na kwezi:

• Ukubetha kwentliziyo (ukuziva ngathi isifuba sakho siyabetha)
• Ukuphelelwa ngamandla (ukuziva ngathi uyafuthaniseka, kunzima ukuphefumla )
• Intlungu yesifuba okanye ukuqina kwesifuba
• Ukuziva ukubetha kwentliziyo ngendlela engaqhelekanga (ukuziva ngathi isingqi sentliziyo sitshintshile, ngathi sibetha ngequbuliso - `Ukubetha kwentliziyo`)
• Isiyezi
• Ukuqaqamba kwentloko (ukuziva unentloko ekhaphukhaphu, uphelelwa ngamandla)
• Ukulahlekelwa yinkumbulo (i-amnesia)
• Isicaphucaphu (ukuziva ngathi uhlanza)
• Ndiziva ndidiniwe kakhulu (ndidiniwe kakhulu ukuba ndingenza nantoni na)

Ukuba ufumana enye okanye ngaphezulu kwezi mpawu rhoqo, kubaluleke kakhulu ukufuna ingcebiso kagqirha.

Kutheni le nto i-tachycardia yenzeka? Zithini izizathu?

Intliziyo yethu isebenza ngokwemiqondiso yombane evela kwindawo ekhethekileyo entliziyweni ebizwa ngokuba yi-sinoatrial (SA) node . Ezi miqondiso zilawula ukuba intliziyo kufuneka ibethe kangaphi. Umzekelo, xa utyhwatyhwa ngequbuliso, okanye uvakalelwa kakhulu, okanye uxhalabile, okanye xa uzilolonga, intliziyo inyusa izinga lokuthumela ezi miqondiso ixesha elifutshane. Oku kubizwa ngokuba yi -sinus tachycardia . Oku kudla ngokunyamalala xa uzolile okanye uphumle. Akuyongxaki inkulu.

Nangona kunjalo, ukusebenzisa iziyobisi, ukusebenzisa icuba, ukusebenzisa i-caffeine okanye utywala kakhulu kunokubangela ukunyuka kwesantya sentliziyo.

Ukongeza, kukho ezinye izizathu ezinokubangela i-tachycardia:

• Uxinzelelo
• Ukuphelelwa ngamanzi emzimbeni
• Igazi elonyukayo
• Ezinye izifo zentliziyo, umzekelo isifo semithambo yegazi yentliziyo
• Iswekile yegazi ephantsi
• Ukukhulelwa
• I-anemia (ukungabikho kwegazi emzimbeni)

Ziziphi izinto ezinokubangela umngcipheko we-tachycardia?

Abanye abantu basengozini enkulu yokuba ne-tachycardia. Nazi ezinye izinto ezinokuchaphazela oku:

• Ukuba kukho umntu kusapho one-tachycardia (Imbali yosapho ye-tachycardia)
• Ukutyeba kakhulu
• Isifo seswekile (iDiabetes Mellitus)`
• Izifo zezintso okanye zemiphunga
• Iingxaki ze-thyroid ezinganyangwanga
• EzinyeAmayeza , umzekelo, amayeza okulwa nokuphazamiseka kwentliziyo kunye namayeza okudakumba

Ziziphi iingxaki ezinokubakho ngenxa yale meko?

Ukuba akunyangelwanga kakuhle, ezinye iintlobo ze-tachycardia zinokubangela ukuba izintso zakho, isibindi, okanye intliziyo yakho ziyeke ukusebenza . I-Tachycardia inokubangela neemeko ezifana nezi:

• Amahlwili egazi - Ukuba la manzi aya engqondweni, anokubangela isifo sohlangothi.
• Istroke
• Ukuhlaselwa yintliziyo
• Ukubuthathaka kwemisipha yentliziyo (iCardiomyopathy)
• Ukubanjwa kwentliziyo ngequbuliso

Ngoko ke, ukuba uneempawu ze-tachycardia, musa ukuzityeshela. Kungcono ufune iingcebiso zonyango ngokukhawuleza.

Ungayixilonga njani i-tachycardia? (Ukuxilongwa)

Xa ubona ugqirha, uza kukubuza ngembali yakho yezonyango aze akuhlole ngokwasemzimbeni . Ukongeza, banokuyalela ezinye iimvavanyo, ezifana nezi:

• I-Electrocardiogram (EKG) : Oku kuvavanya ukusebenza kombane kwentliziyo.
• Isixhobo sokubona unyawo lweHolter okanye esinye isixhobo sokubona unyawo esinxitywayo : Esi sinxitywa usuku olunye okanye ezimbini kwaye sirekhoda umsebenzi wentliziyo ngelo xesha.
• Uvavanyo lwetafile yokuthambeka : Olu vavanyo luvavanya indlela isantya sentliziyo yakho kunye noxinzelelo lwegazi olutshintsha ngayo njengoko utshintsha indawo ohlala kuyo.
• Uvavanyo loxinzelelo : Olu vavanyo luvavanya indlela intliziyo esabela ngayo xa isenza umthambo.
• Uvavanyo lwe-Electrophysiology (uphononongo lwe-EP) : Uvavanyo olukhethekileyo lokuchonga iingxaki kwinkqubo yombane yentliziyo.
• I-Echocardiogram : Uvavanyo lwe-ultrasound lwentliziyo. Lujonga ulwakhiwo kunye nomsebenzi wentliziyo.
• Uvavanyo lwegazi : Jonga izinto ezifana neengxaki ze-thyroid kunye ne-anemia.
• Uvavanyo lwemfuza : Jonga izizathu zemfuza.
• Ukuthathwa kwemifanekiso yentliziyo : Kufana ne-MRI.

Ziziphi iindlela zonyango lwe-tachycardia?

I-Tachycardia inyangwa kakhulu ngeenkqubo kunye namayeza . Unyango luxhomekeke kuhlobo lwe-tachycardia onayo kunye nesizathu sayo.

Iindlela zonyango:

• Iindlela zokusebenzisa isinqe : Ngamanye amaxesha ugqirha wakho uya kukufundisa ezi zinto. Ezi ziindlela ezilula ezinokukunceda ukulawula isantya sentliziyo yakho kancinci.
• I-Ablation : Inkqubo etshabalalisa iindawo zentliziyo ezibangela imiqondiso yombane engahambelaniyo.
• I-Cardioversion: Intliziyo inikwa umothuko wombane ukuze kubuyiselwe isigqi sentliziyo esiqhelekileyo.
• I-Implantable cardiac defibrillator (ICD) : Sisixhobo esibona kwaye silungise izingqisho zentliziyo ezisongela ubomi ngokukhupha umbane.
• I-Pacemaker : Isixhobo esinceda ukulawula ukubetha kwentliziyo.
• Ukuvalwa kwe-atrial appendage ngasekhohlo : Oku kwenzelwa ukuthintela ukuqhekeka kwegazi kubantu abane-atrial fibrillation.

Iintlobo zamayeza:

• Ii-Beta-blockers
• Izithinteli zemijelo yecalcium
• Izithinteli zePotassium channel
• Izithinteli zetshaneli yesodiyam
• Amayeza okulwa nokubetha kwentliziyo
• Izinto zokunciphisa igazi okanye izinto ezithintela ukugabha kwegazi (ingakumbi kwabo bane-atrial fibrillation)

Kwezinye iimeko ezingxamisekileyo, i-CPR (Cardiopulmonary Resuscitation) inokuba yimfuneko.

Yintoni eyenzeka kumntu one-tachycardia?

Amava akho aya kuxhomekeka kuhlobo lwe-tachycardia onayo. Isenokuba luphawu olungenabungozi, okanye ingaba yimeko esongela ubomi, efana ne-ventricular tachycardia okanye i-fibrillation. Amayeza kunye nolunye unyango lunokukunceda ukulawula ukubetha kwentliziyo yakho ngokukhawuleza.

Ukuze ubone ukuba amayeza akho asebenza kakuhle na, kunokufuneka unxibe i -Holter monitor okanye uvavanyo lwe-electrophysiology .

Ihlala ixesha elingakanani i-tachycardia? Ngaba inganyangeka?

Ukuba une-sinus tachycardia, iimpawu zakho ziya kuphela xa uxinzelelo okanye ixhala eliyibangeleyo liphelile. Kodwa uninzi lwezinye iintlobo ze-tachycardia zifuna amayeza okanye unyango ukuthintela ukubetha kwentliziyo okukhawulezayo kunye nezinye iimpawu ukuba zingabuyi.

I-tachycardia esongela ubomi ayiphucuki ngokwayo. Kufuneka ulandele indlela yokuphila enempilo, usele amayeza akho ngokufanelekileyo, kwaye ngamanye amaxesha wenze inkqubo yonyango efana ne-ablation.

Nangona amayeza engenakuyinyanga ngokupheleleyo i-tachycardia, anokunceda ukulawula isantya sentliziyo . Unyango lwe-ablation lunokubonelela ngesisombululo sexesha elide, kwaye ngamanye amaxesha lunyango, kwiintlobo ezithile ze-tachycardia.

Ndingayinyamekela njani impilo yentliziyo yam?

Ukuba ugqirha wakho ukufundisile iindlela zokulawula i-vagal maneuvers, unokukwazi ukulawula i-tachycardia yakho ukuya kwinqanaba elithile.

Ukongeza, qaphela ezi zinto:

• Lawula iimeko ezifana noxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu .
• Sela amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo.
• Nciphisa iziselo ezine- caffeine kunye notywala . (Nciphisa inani leekomityi zekofu kunye neti oziselayo ngosuku.)
• Yeka ukusebenzisa iimveliso zecuba ngokupheleleyo.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Yitya ukutya okunempilo kwentliziyo (ungabi naoyile ingako, ityuwa engako, neswekile engako, kwaye ungabi neziqhamo nemifuno eninzi).
• Lawula uxinzelelo. (Izinto ezifana nokucamngca, i-yoga, kunye nezinto ozithandayo zinokunceda.)

Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwiSebe leeNgxamiseko (ETU) ?

Wakuba ufunyaniswe une-tachycardia, uza kuba nexesha lokubonana nogqirha wakho rhoqo . Nangona kunjalo, ukuba amayeza akho akaniki ncedo lwaneleyo, okanye ukuba ubonakalisa iimpawu ezintsha, yazisa ugqirha wakho ngoko nangoko.

Kwimeko enjalo, yiya kwigumbi likaxakeka (ETU) ngoko nangoko:

• Ukuba unengxaki yokuphefumla
• Ukuba uziva intliziyo yakho ibetha ngamandla (ibetha ngamandla)
• Ukuba unentlungu esifubeni
• Ukuba uziva unesizungu okanye unentloko ebuhlungu

Kwakhona, ukuba umntu uquleka ngequbuliso okanye ulahlekelwa zingqondo ngenxa ye-ventricular fibrillation, funa uncedo lwezonyango ngokukhawuleza. I-CPR kufuneka yenziwe ide ifike i-ambulensi ukuze isindise ubomi bakhe.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba ndinohlobo oluyingozi lwe-tachycardia?
• Luhlobo luni lonyango olundicebisayo?
• Ingakanani izinga lempumelelo yakho kunyango lwe-ablation yentliziyo?
• Ingaba intsapho yam isengozini yokuba ne-tachycardia?

Okokugqibela, umyalezo oya ekhaya

Xa uziva intliziyo yakho ibetha ngokukhawuleza, kuyinto eqhelekileyo ukuyeka oko ukwenzayo uzibuze ukuba kwenzeka ntoni. Iimpawu ze-tachycardia zinokuqala kwi-tachycardia encinci ukuya kwi-stage enkulu, kuxhomekeke kuhlobo lwe-tachycardia onayo. Qiniseka ukuba, ukuba uneempawu, thetha nogqirha wakho. Uza kukuxelela ukuba kukho into omele uyixhalabele.

Eyona nto ibalulekileyo kukuthatha amayeza achazwe ngugqirha wakho, ingakumbi amayeza entliziyo, kanye njengoko echazwe ngugqirha wakho. Musa ukuyeka ukuwathatha ngaphandle kwemvume kagqirha wakho. Kwakhona, qiniseka ukuba ulandela amaxesha akho entlanganiso rhoqo.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Iintliziyo eziphilileyo kubo bonke!

I- Tachycardia, ukubetha kwentliziyo, isifo sentliziyo, ukubetha kwentliziyo, iintlungu zesifuba, ukuphefumla okufutshane, impilo yentliziyo