Ngaba kukho ingxaki enkulu ngesingqisho sentliziyo? Masithethe ngeVentricular Arrhythmia.

Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye itsiba isingqi? Abantu abaninzi baye bahlangabezana noku. Kodwa ngamanye amaxesha oku akuqhelekanga kwaye kunokuba luphawu lwengxaki enkulu ngesingqisho sentliziyo yakho. Umzekelo, sibiza ii-ventricular arrhythmias njengotshintsho lwesingqisho olwenzeka kumagumbi asezantsi entliziyo. Nangona ezinye zezi zingenabungozi, ezinye iintlobo zinokuba yingozi ebomini.

Oku kuyichaphazela njani indlela intliziyo esebenza ngayo?

Ngamafutshane, intliziyo yakho ifana nepompo enamandla enamagumbi amane. Amagumbi amabini amancinci aphezulu abizwa ngokuba yi-atria, kwaye amagumbi amabini amakhulu, anamandla asezantsi abizwa ngokuba yi-ventricles.

I-ventricle yasekunene ipompa igazi liye emiphungeni ukuze ifumane ioksijini. Emva koko igazi elineoksijini libuyela entliziyweni, apho liphonswa khona liye kuwo wonke umzimba nge-ventricle yasekhohlo. Ngoko ungabona ukuba ii-ventricle ezimbini ezisezantsi zinoxanduva lokupompa igazi kuwo wonke umzimba .

Ngoko ke ukuba kukho ukuphazamiseka kwesingqisho esiqhelekileyo sezi seli, kunokuba nemiphumo emibi kakhulu.

• Umothuko wentliziyo: Le yimeko apho intliziyo ingakwaziyo ukupompa igazi elaneleyo, nto leyo ebangela ukuba amalungu omzimba angabi nayo ioksijini ayidingayo.
• Ukuma kwentliziyo ngequbuliso: Oku kuxa intliziyo iyeka ukubetha ngequbuliso ngaphandle kwesilumkiso .

Ziziphi iintlobo eziphambili ze-Ventricular Arrhythmia?

Kukho iintlobo ezintathu eziphambili zale meko. Masithethe ngazo nganye nganye.

1. Ukubetha kwentliziyo okongezelelekileyo (Ii-Preventricular Contractions - ii-PVC)

Ezi zizinto ezivakala ngathi "yi-extra beat" entliziyweni. Zihlala zingenabungozi . Uninzi lwabantu luhlangabezana nento efana nale ngaxa lithile ebomini babo. Nangona kunjalo, ukuba sele unemeko etshintsha ukuma kwentliziyo yakho, okanye ukuba unazo ezi extra beats (PVCs) rhoqo okanye ixesha elide, yingxaki leyo.

2. I-Ventricular Tachycardia (VT)

Kulapho amagumbi asezantsi entliziyo, okanye i-atria, eqala ukubetha ngesantya esingenakucingelwa. Oku kubangelwa sisiphene kwinkqubo yombane yentliziyo. Kwezinye iimeko, le meko ye-'Ventricular Tachycardia' (VT) inokuba mandundu ngakumbi ize iguqukele kwimeko eyingozi ye-'Ventricular Fibrillation', esiza kuyixoxa ngokulandelayo.

Oogqirha bahlula olu hlobo lwe-VT kwezinye iintlobo ezininzi:

• Ixesha elifutshane okanye elide? (Ehlala ixesha elide xa ithelekiswa nengahlali ixesha elide):Ukuba olu kubetha kwentliziyo ngokukhawuleza luqhubeka ngaphezu kwemizuzwana engama-30, lubizwa ngokuba yi-'Sustained VT'. Nokuba luyema ngaphantsi kwemizuzwana engama-30, ukuba lubangela imeko efana ne-'Cardiogenic shock', nalo luwela kolu didi.
• Ipateni ye-ECG: Oogqirha banokujonga umsebenzi wombane wentliziyo yakho ngovavanyo olubizwa ngokuba yi-`Electrocardiography (ECG okanye EKG).` Kolu vavanyo, iisensa ezininzi zincamathiselwe esifubeni sakho kwaye iphethini yamaza ombane avela entliziyweni yakho iyarekhodwa. Kwintliziyo ephilileyo, le patheni yamaza ibizwa ngokuba yi-`Sinus rhythm`. Kwimeko efana ne-VT, le patheni iyatshintsha. Oogqirha banokuyifunda le patheni itshintshileyo ukuze bafumane ukuba yintoni kanye kanye ingxaki.

3. I-Ventricular Fibrillation (i-V-fib)

Le yeyona iyingozi kakhulu kwezi kwaye ifuna unyango olungxamisekileyo . Okwenzekayo apha kukuba endaweni yokumpompa ngokufanelekileyo, amagumbi asezantsi entliziyo ayaqhaqhazela aze ashukume. Ngenxa yokuba awanciphisi kakuhle kwaye ampompe igazi, ukuhamba kwegazi emzimbeni phantse kuyema ngokupheleleyo. Oku kubizwa ngokuba yi-'Sudden cardiac arrest', apho intliziyo iyema ngequbuliso. Ngenxa yokuba igazi aliphumi liye ebuchotsheni, ulahlekelwa zingqondo kwimizuzwana embalwa kwaye uyawa. Ukuba ukuhamba kwegazi akubuyi kwimizuzu embalwa, oku kuyabulala.

Zingaba yintoni iimpawu zale meko?

Iimpawu ziyahluka ngokuxhomekeke kuhlobo. Ezinye, njengee-PVC, zisenokungabi nazo iimpawu konke konke. Makhe sijonge ngokusondeleyo iimpawu eziqhelekileyo zeentlobo ezimbini eziphambili.

Yintoni enokubangela oku?

Kunokubakho izizathu ezahlukeneyo zokuba ezi meko zenzeke.

Izizathu ze-Ventricular Tachycardia (VT)

• Ukubuthathaka okanye ukuqina kwemisipha yentliziyo (iCardiomyopathy)
• Isifo sentliziyo (ingakumbi izifo ezitshintsha imilo yentliziyo)
• Iimeko zentliziyo zokuzalwa
• Ukungalingani kwe-electrolyte emzimbeni
• Ukuhlaselwa yintliziyo
• Ukumelwa yintliziyo
• Iimeko zokudumba kwentliziyo
• Emva kotyando lwentliziyo
• Izifo zevalvu yentliziyo
• Ukungabikho kweoksijini emzimbeni
• Amanye amayeza

Izizathu ze-Ventricular Fibrillation (V-fib)

• Ukubetheka ngamandla esifubeni (umz., ukubethwa yibhola ebaleka ngesantya esiphezulu)
• Ukubuthathaka okanye ukuqina kwemisipha yentliziyo (iCardiomyopathy)
• Isifo sentliziyo esizalwa naso
• Umbane
• Ukuhlaselwa yintliziyo
• Emva kotyando lwentliziyo
• Amanye amayeza
• I-Ventricular Tachycardia engalawulwayo

Ngubani onokuthi abe nale meko?

I-Ventricular Arrhythmia ixhaphake kakhulu kubantu abanesifo sentliziyo esele sikhona. Ngoko ke, umngcipheko uyanda ngokwendalo xa abantu bekhula. Lo mngcipheko uphezulu ngakumbi kubantu abanezifo ezitshintsha ulwakhiwo okanye ukuma kwentliziyo.

Ezinye iintlobo ezingenabungozi zinokwenzeka nakubantu banoma yiphi na iminyaka. Kodwa iintlobo eziyingozi ngakumbi, ezifana ne-'Sustained VT', zixhaphake kakhulu kubantu abanesifo sentliziyo esingaphantsi. Kodwa ngamanye amaxesha, zinokwenzeka nakubantu abangenazo iimpawu kwaye abazi ukuba banesifo sentliziyo.

Ugqirha uyifumana njani le nto?

Xa usiya kugqirha, uza kuqala akubuze imibuzo, akubuze ngeempawu zakho, aze abhale imbali yezonyango. Emva koko uza kukuhlola. Oko kuthetha ukumamela intliziyo yakho aze ahlole uxinzelelo lwakho lwegazi.

Luhlobo luni lovavanyo oluqhutywayo?

Uvavanyo oluphambili olusetyenziswayo ukufumanisa le meko yi -ECG (i-Electrocardiography) . Sele sithethe ngayo ngaphambili. Kule nto, umsebenzi wombane wentliziyo urekhodwa njengephethini yamaza, kwaye ugqirha uyayihlalutya ukuze abone ukuba zeziphi iingxaki ezikhoyo.

Kodwa ngamanye amaxesha esi sigqi singaqhelekanga asisoloko sikhona. Kwimeko ezinjalo, sisenokungabonwa yi-ECG eqhelekileyo. Kwimeko ezinjalo, ugqirha wakho angakunika isixhobo onokusinxiba usuku olunye okanye ngaphezulu.

• Iimonitha zeHolter:Esi sisixhobo esidla ngokuba sikhulu njengefowuni. Sineentambo ezinamathele kwiisensa ozinxiba esifubeni sakho. Sirekhoda rhoqo isingqisho sentliziyo yakho kangangeeyure ezingama-24 okanye ezingama-48.
• Iimonitha ezijikelezayo: Ezi zifana nemonitha yeHolter, kodwa zinokunxitywa ixesha elide, ngamanye amaxesha ukuya kuthi ga kwiintsuku ezingama-30. Ezinye iintlobo ziza neqhosha olicofayo xa uziva uphawu. Ezinye ziyazenzekela, zirekhoda isigqi esingaqhelekanga kwangoko nje ukuba sibonwe.

Zithini iindlela zonyango zoku?

Ukuba le meko inokunyangeka ngokupheleleyo kuxhomekeke kwisizathu. Ngamanye amaxesha unobangela unokunyangeka kwaye unyangeke. Nangona kunjalo, ukuba ibangelwa sisifo esinganyangekiyo, njengemeko yokuzalwa, idla ngokuba nzima ukunyanga. Kwimeko enjalo, injongo yonyango kukulawula esi sifo nokunciphisa impembelelo yaso ebomini bakho.

Unyango olungxamisekileyo

• I-CPR (Ukuvuselelwa Kwentliziyo): Ukuba intliziyo yomntu iye yema kwaye akukho kubetha kwentliziyo, i-CPR kufuneka iqalwe ngoko nangoko. Oku kuthetha ukugcina ukujikeleza kwegazi ngokwenziwa ngokucinezela isifuba. Akuyongcinga ilungileyo ukuyeka i-CPR de kufike i-ambulensi okanye umatshini we-'AED' uze usetyenziswe.
• I-Automated External Defibrillator (AED): Esi sisixhobo esihlalutya isingqisho sentliziyo yomntu, kwaye ukuba kuyimfuneko, sinikezela ngoxinzelelo lombane (`shock`) ukubuyisela isingqisho sentliziyo. Zombini izingqisho ze-`VT` kunye ne-`V-fib` zinokulungiswa ngoxinzelelo lombane ngale ndlela.
• Amayeza: Kukho amayeza akhethekileyo anikwa ukulawula isingqisho sentliziyo.

Unyango olungelulo olungxamisekileyo

• Ukukhupha: Oku kuquka ukufaka umbhobho omncinci, njenge-cannula, entliziyweni nokusebenzisa ubushushu obugqithisileyo okanye ukubanda kakhulu ukuvala inxalenye encinci kakhulu yentliziyo ebangela imiqondiso yombane engaqhelekanga. Oku kuyayekisa ukwenzeka kwesingqisho esingaqhelekanga.
• I-ICD (ICD) efakelwa kwi-ICD: Esi sisixhobo esincinci esifakelwa phantsi kwesikhumba sesifuba. Sinokubangela ukubetheka kombane ngokuzenzekelayo ukubuyisela isigqi sentliziyo esiqhelekileyo xa sibona ukubetha kwentliziyo okungaqhelekanga okuyingozi.
• Amayeza: Kukho amayeza anokunikwa ukulawula isigqi sexesha elide. Nangona kunjalo, la mayeza awasebenzi ngokulinganayo kuye wonke umntu, kwaye ezinye iziphumo ebezingalindelekanga zinokubakho. Ke ngoko, kufuneka uthethe nogqirha wakho ukuze ukhethe unyango olukufaneleyo.

Kwenzeka ntoni emva konyango? Yintoni onokuyenza?

Eyona nto ibalulekileyo ekufuneka uyenze kukulandela imiyalelo kagqirha wakho ngokuchanekileyo . Kubaluleke kakhulu ukusela amayeza akho njengoko kuchaziwe kwaye uye kwiikliniki ngemihla ebekiweyo.

Ixesha lokuchacha emva konyango liyahluka ngokuxhomekeke kunyango. Ukuba une-ablation okanye i-ICD, uya kuqala ukuziva ungcono kwiintsuku ezimbalwa. Ngamayeza, uya kubona umahluko kwiiveki ezimbalwa. Inkqubela yexesha elizayo yale meko iyahluka kakhulu ngokuxhomekeke kwimeko yakho. Ugqirha okunyangayo unokukuchazela ngcono oku.

Ngaba le meko ingathintelwa?

Ngenxa yokuba olu hlobo lwe-arrhythmias ludla ngokuvela ngequbuliso, akulula ukuluthintela, ingakumbi ukuba unesifo sentliziyo esizalwa naso.

Nangona kunjalo, singayinciphisa ngokungangqalanga ingozi yethu yokuba nale meko ngokunciphisa umngcipheko wezinye izifo (ezifana nesifo sentliziyo, uxinzelelo lwegazi oluphezulu) ezinokukhokelela kule meko. Ukwenza oku:

• Yeka ukutshaya (kuquka icuba, ukutshaya i-vaping) ngokupheleleyo.
• Yitya ukutya okunesondlo okucetyiswa ngugqirha wakho.
• Hlala usebenza kakhulu emzimbeni kangangoko unako.
• Gcina ubunzima bakho busempilweni .
• Lawula indlela osela ngayo utywala .

Ndifanele ndimbone nini ugqirha? Ndifanele ndiye nini kwi-ETU?

Ukuba ubona utshintsho kwiimpawu zakho, okanye ukuba ziqala ukuphazamisa ubomi bakho bemihla ngemihla, bona ugqirha wakho. Kwakhona, nokuba awunazo iimpawu, kubalulekile ukubona ugqirha ubuncinane kanye ngonyaka ukuze uhlolwe ngokupheleleyo ukuze kufunyanwe izifo kwangethuba.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo ezinzulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngokukhawuleza ngaphandle kokulibazisa.

• Intlungu ebuhlungu esifubeni (i-Angina)
• Ubunzima bokuphefumla
• Ukulahlekelwa zingqondo ngokungachazekiyo okanye ukuziva uphelelwa ngamandla rhoqo (isiyezi)

I-Ventricular Arrhythmia inokwahluka kakhulu kumntu nomntu, ngoko ke eyona ndlela ilungileyo yokuqonda nokulawula impilo yakho kukufuna iingcebiso zonyango ukuba ukrokrela ukuba unale mpawu.