Masifunde ngemeko eyingozi kakhulu apho intliziyo inokuma ngequbuliso (i-Ventricular Fibrillation)?

Khawucinge nje, umntu obuncokola naye kamnandi ngequbuliso uwela phantsi engaqondi. Kubonakala ngathi akaphefumli. Sicinga ntoni ngexesha elinje? Abantu abaninzi bayoyika kwaye baxhalabe. Namhlanje sithetha ngesifo sentliziyo esiyingozi kakhulu esinokubangela oku. Le yiVentricular Fibrillation, okanye i-V-fib ngamafutshane.

Yintoni kanye kanye i-Ventricular Fibrillation (V-fib)?

Ngamafutshane, i-V-fib yi-arrhythmia ebulalayo eyenzeka entliziyweni. Intliziyo yethu ineegumbi ezine eziphambili. Iigumbi ezimbini eziphezulu kunye neegumbi ezimbini ezisezantsi. Iigumbi ezimbini ezisezantsi zibizwa ngokuba yi-"ventricles". Ezi gumbi zimbini zenza umsebenzi ophambili wokupompa igazi emzimbeni.

Ngokwesiqhelo, la magumbi mabini ayafinyela aze akhule ngendlela ecwangcisiweyo ukuze kupompe igazi. Kodwa kwi-V-fib, la magumbi mabini ayayeka ukupompa kakuhle aze aqale ukungcangcazela. Njengeqhekeza lejeli. Ngoko ke kwenzeka ntoni emva koko? Igazi alipompelwa emzimbeni wonke, ingakumbi engqondweni.

Umntu unokulahlekelwa zingqondo kwimizuzwana embalwa emva kokuba ukuhamba kwegazi kuyekile. Le meko ibizwa ngokuba yi -cardiac arrest . Ukuba unyango olungxamisekileyo alufumaneki, ukufa kunokwenzeka kwimizuzu embalwa. Le yimeko enzulu kakhulu.

Ziziphi iimpawu ezibonakala ngaphambi kokuba oku kwenzeke?

Uninzi lwexesha, i-V-fib iyenzeka ngaphandle kwesilumkiso . Nangona kunjalo, abanye abantu banokubonisa iimpawu ezithile ngaphambi nje kokuba imeko ivele. Ukuzazi ezi zinto kunokukunika ithuba lokuthatha inyathelo kwangethuba.

Kwimizuzwana okanye imizuzu embalwa emva kokubonakalisa ezi mpawu, umntu unokulahlekelwa zingqondo aze awe phantsi. Xa oku kusenzeka, umntu akayi kuphendula xa ethetha okanye echukumisa. Asenokuyeka nokuphefumla okanye abonakale ngathi uyasokola ukuphefumla.

Zithini izizathu ze-V-fib?

Eyona nto ibangela le meko iyingozi kukuhlaselwa yintliziyo. Oko kukuthi, ukuvaleka ngequbuliso komthambo ohambisa igazi entliziyweni (ischemia). Kodwa kukho nezinye izinto ezininzi ezinokuchaphazela oku.

• Ukuhlaselwa yintliziyo: Le yeyona nto ixhaphakileyo nebangela ingxaki.
• Izifo ezitshintsha ulwakhiwo lwentliziyo: Iimeko ezifana ne-cardiomyopathy, ebangela ukuba izihlunu zentliziyo zibe buthathaka.
• Ezinye iingxaki zesingqisho sentliziyo: I-V-fib inokubangelwa nazizinye iingxaki zesingqisho sentliziyo (arrhythmias).
• Isifo sentliziyo esizalwa naso: Ezinye zeemeko zemfuza, ezifana ne-Brugada syndrome.
• Utyando lwentliziyo: Le ngozi inokwenzeka emva kotyando lwentliziyo.
• Amayeza athile: Le meko inokwenzeka njengesiphumo esingesihle samayeza athile.
• Ukusetyenziswa kweziyobisi: Ukusetyenziswa kweziyobisi ezifana ne-cocaine kunye ne-methamphetamine.
• Ukungalingani kwetyuwa emzimbeni: Amanqanaba aphantsi okanye aphezulu e-potassium okanye i-magnesium egazini.
• Umothuko wombane: Ukudlula kombane osebenza ngamandla aphezulu emzimbeni.
• Ukubetheka ngamandla esifubeni: Imeko ebizwa ngokuba yi-``Commotio cordis`` eyenzeka xa into efana nebhola ibetha esifubeni ngokukhawuleza ngelixa kudlalwa imidlalo.

Oku kusongela ubomi! Iphathwa njani?

Le yeyona nxalenye ibalulekileyo. I-V-fib yingxamiseko yezonyango. Ukuba umntu akakho zingqondweni aze awe ngolu hlobo, yonke imizuzwana ibalulekile. Isenzo sakho esikhawulezileyo singasindisa ubomi.

Ingaba ufuna ntoni?

1. Hlala uzolile kwaye ucele uncedo: Okokuqala, ungoyiki. Fowunela inkonzo ye-ambulensi ka-1990 (Suvaseriya) ngoko nangoko okanye wazise iYunithi yoNyango oluNgxamisekileyo (ETU) ngesibhedlele esikufutshane.

2. Qalisa i-CPR: Musa ukulinda nje ukuba kufike i-ambulensi okanye i-AED. Ukuba uyazi indlela yokwenza i-CPR (Cardiopulmonary Resuscitation), qalisa ukucinezela isifuba ngoko nangoko. Oku kunceda ukugcina ukuhamba kwegazi ukuya engqondweni nakwamanye amalungu omzimba.

3. Sebenzisa i-AED: I-AED (i-Automated External Defibrillator) sisixhobo esizisa umbane ukuze kubuyiselwe umsebenzi wombane wentliziyo. Ezi matshini ngoku ziyafumaneka kwiindawo ezininzi zikawonke-wonke (kwizikhululo zeenqwelo-moya, kwiindawo zokuthenga ezinkulu). Akukho lwazi lwezonyango olufunekayo ukuze uzisebenzise. Wakuba uvule umatshini, ungalandela imiyalelo ekumatshini. I-V-fib yi-shockable arrhythmia. Ukuba i-AED isetyenziswa kwimizuzu emi-3 yokuqala emva kwesiganeko, amathuba okusindisa ubomi aphezulu ukuya kuthi ga kwi-95%.

Emva kokuziswa esibhedlele, oogqirha bayaqinisekisa imeko ye-V-fib ngovavanyo lwe-"EKG". Emva koko, kwenziwa ezinye iimvavanyo ezininzi ukuze kufunyanwe unobangela, ezinje ngovavanyo lwegazi, i-"echocardiogram", kunye ne-"cardiac MRI".

Ukuba usinda kwi-V-fib, kwenzeka ntoni emva koko?

Ukuba umntu uyasinda kwimeko eyingozi efana nale, yinto entle kakhulu. Nangona kunjalo, kukho umngcipheko wokuba le meko ibuyele umva. Ke ngoko, oogqirha bayayifumana imbangela baze banike unyango oluhlala ixesha elide ngokufanelekileyo.

• Amayeza: Amayeza anjenge-"Amayeza okulwa nokubetha kwentliziyo" anikwa ukulawula isingqisho sentliziyo.
• Isixhobo esinokufakwa kwi-V-fib: Abantu abaninzi abasinda kwi-V-fib banesixhobo esincinci esibizwa ngokuba yi-Implantable Cardioverter Defibrillator (ICD) esifakwe phantsi kwesikhumba sesifuba. Oku kufana nomlondolozi wobomi bentliziyo. Ukuba isingqisho sentliziyo siba singaqhelekanga kwakhona, esi sixhobo siyasibona size sivelise ngokuzenzekelayo umbane ukuze sibuyisele isingqisho sentliziyo.

Kwezinye iimeko, unyango olufana "nokususa igazi" olutshabalalisa iindawo entliziyweni ezibangela imiqondiso yombane engalunganga lungasetyenziswa.

Ngaba i-V-fib kunye ne-Heart Attack ziyafana?

Hayi. Le yinto abantu abaninzi abadideka ngayo.

• Uhlaselo lwentliziyo: Le "yingxaki yomthambo." Oku kuthetha ukuba umthambo wegazi ohambisa igazi entliziyweni uvalwe yinto efana ne-cholesterol. Oku konakalisa izihlunu zentliziyo.
• I-Fibrillation yeVentricular (V-fib):Le "yingxaki yombane." Oko kukuthi, isingqisho sentliziyo siyaphazamiseka ngenxa yesiphene kwinkqubo yokubonisa umbane yentliziyo.

Kodwa khumbula, i-V-fib inokubangelwa kukuhlaselwa yintliziyo. Oko kuthetha ukuba ukuhlaselwa yintliziyo yeyona nto iphambili ebangela i-V-fib.

Enye imeko enxulumene noku ibizwa ngokuba yi-'Ventricular Tachycardia'. Kulapho amagumbi asezantsi entliziyo '(ventricles)' eqala ukubetha ngokukhawuleza. Oku kungaba yi-V-fib. Zombini ezi ziimeko ezisongela ubomi.

Singazikhusela njani kule meko iyingozi?

Ekubeni eyona nto ibangela i-V-fib sisifo sentliziyo, eyona ndlela ilungileyo yokuzikhusela kukunciphisa umngcipheko wokuba nesifo sentliziyo. Oko kuthetha ukugcina intliziyo yakho isempilweni. Zininzi izinto onokuzenza ukunceda.

• Ukutya okunempilo kwentliziyo: Yitya ioyile encinci, ityuwa, neswekile, kodwa yitya imifuno, iziqhamo, kunye nemifuno emininzi.
• Ukuzilolonga rhoqo: Ukwenza into efana nokuhamba, ukubaleka, okanye ukudada ubuncinane imizuzu engama-30 ngosuku.
• Ukulawula uxinzelelo lwegazi oluphezulu, i-cholesterol, kunye nesifo seswekile: Ukuba unezi zifo, landela imiyalelo kagqirha wakho kunye namayeza ngokuchanekileyo.
• Ukulawula uxinzelelo: Zolisa ingqondo yakho ngezinto ezifana neyoga nokucamngca.
• Ukugcina ubunzima obusempilweni: Kubaluleke kakhulu ukugcina ubunzima obufanele ubude bakho.
• Ukuphepha ukutshaya notywala.

Ukuba kukho umntu kusapho lwakho oye wanesifo sentliziyo okanye wafa ngequbuliso, thetha nogqirha wakho ngaso. Kusenokufuneka wenze uvavanyo olukhethekileyo.