Ngaba wakha waziva ngathi intliziyo yakho yaqala ukubetha ngokukhawuleza ngaphandle kwesizathu? Yimvakalelo engathandekiyo kakhulu, ehamba nomvakalelo wobunzima, ukuqina esifubeni sakho, kunye nesiyezi. Ngamanye amaxesha oku kunokuba yinto eqhelekileyo. Nangona kunjalo, ngamanye amaxesha kunokuba luphawu lwesifo sentliziyo esinzulu, ngamanye amaxesha esisongela ubomi esibizwa ngokuba yiVentricular Tachycardia (VT okanye V-tach) . Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni i-Ventricular Tachycardia (VT)?
Kulungile, masiqale sijonge ukuba yintoni le. Intliziyo yethu ineegumbi ezine eziphambili. Iigumbi ezimbini eziphezulu kunye neegumbi ezimbini ezisezantsi. Ngokwesiqhelo, intliziyo ephilileyo iqala ukubetha ngombane ovela kwiigumbi eziphezulu.
Kodwa kule meko ibizwa ngokuba yiVentricular Tachycardia (VT), ukubetha kwentliziyo kuqala kumagumbi amabini asezantsi entliziyo, abizwa ngokuba ziiventricles . Ingxaki apha kukuba ukubetha kwentliziyo okuqala ngolu hlobo kukhawuleza kakhulu . Intliziyo idla ngokuqala ukubetha ngesantya esingaphezulu kwe-100 beats ngomzuzu.
Cinga ngayo njengepompo yamanzi. Ipompa igazi emzimbeni wonke. Xa intliziyo ibetha ngokuqhelekileyo, ifana nebhasi ehamba ngexesha. Inika abantu ixesha elaneleyo lokukhwela nokuphuma. Oko kuthetha ukuba amagumbi entliziyo anexesha elaneleyo lokuzalisa igazi nokupompa igazi elipheleleyo emzimbeni.
Kodwa kwi-VT, kufana nale bhasi ihamba ngesantya esiphezulu ingakhange ime kwindawo yokumisa. Intliziyo ibetha ngokukhawuleza kangangokuba amagumbi awafumani xesha lokuzalisa igazi ngokufanelekileyo. Ngoko ke umzimba awukwazi ukupompa igazi kunye neoksijini oyifunayo. Yiyo loo nto uxinzelelo lwegazi lwehla ngequbuliso. Le yingozi yale meko.
I-VT ehlala imizuzwana embalwa isenokungabangeli monakalo mkhulu. Kodwa ukuba le meko ihlala imizuzwana engaphezu kwama-30 , yimeko embi kakhulu. Ifuna unyango olukhawulezileyo. Kuba oku kungajika kube yenye imeko eyingozi ebizwa ngokuba yi-'Ventricular Fibrillation', kwaye nokufa kunokuvela ngenxa yokuma kwentliziyo ngequbuliso.
Zithini iimpawu zale meko?
Xa intliziyo ingakwazi ukupompa igazi elaneleyo emzimbeni, amalungu ethu kunye neeseli azifumani ioksijini eziyidingayo. Kulapho ke ezi mpawu ziqala ukubonakala khona.
| Uphawu | Ingcaciso elula |
|---|---|
| Iintlungu zesifuba | Ukuziva uxinezelekile okanye uxinzelelo esifubeni ngenxa yokuba izihlunu zentliziyo azifumani ioksijini eyaneleyo. |
| Ukuqhawukelwa ngumphefumlo | Ukudinwa nokudinwa ngenxa yokunqongophala kweoksijini emzimbeni. |
| Ukubetha kwentliziyo | Ukuziva ngathi intliziyo ibetha kakhulu, ngokukhawuleza, okanye ngendlela engaqhelekanga. Abanye abantu bade bazive ezintanyeni zabo. |
| Isiyezi/ Ubudenge | Ukuziva unesizungu kwaye unamehlo aluhlaza okwesibhakabhaka ngenxa yokungoneli kwegazi kunye neoksijini engqondweni. |
| Ukuquleka / Ukuquleka | Uphawu olubi oluvela xa uxinzelelo lwegazi luphantsi kakhulu, nto leyo ebangela ukuba igazi lingahambi kakuhle engqondweni. |
Zithini izizathu ze-Ventricular Tachycardia (VT)?
Kukho izizathu ezininzi ezinokubangela i-VT. Ngamanye amaxesha, akukho sizathu sithile sifumanekayo. Nangona kunjalo, esona sizathu siqhelekileyo yimeko ebizwa ngokuba sisifo sentliziyo esibangelwa yi-ischemic . Oku kuthetha ukuba imithambo yentliziyo ehambisa igazi entliziyweni ivalwe yi-fatty deposits (atherosclerosis), nto leyo ethintela izihlunu zentliziyo ekufumaneni igazi kunye neoksijini eziyidingayo.
| Unobangela | Kwenzeka ntoni ngale nto? |
|---|---|
| Ukuhlaselwa yintliziyo | Ukuvaleka kwemisipha yentliziyo ngenxa yokuhlaselwa yintliziyo kwangaphambili kunokuphazamisa inkqubo yokuhambisa umbane yentliziyo. |
| I-Cardiomyopathy | Ukusebenza kwentliziyo kunokuphazamiseka ngenxa yokuba buthathaka, ukuqina, okanye ukwanda kwemisipha yentliziyo. |
| Isifo sevalvu yentliziyo | Le meko inokwenzeka xa iivalvu zentliziyo zingasebenzi kakuhle, nto leyo ebangela ukuba intliziyo isebenze nzima. |
| Ukungalingani kwe-electrolyte | Ukwehla okanye ukunyuka kwamanqanaba e-electrolytes emzimbeni njenge-potassium kunye ne-magnesium kunokuchaphazela umsebenzi wombane wentliziyo. |
| Amanye amayeza | Amanye amayeza asetyenziselwa ukulawula isingqisho sentliziyo (i-antiarrhythmics) ngamanye amaxesha anokubangela i-VT njengesiphumo esingesihle. |
| Izinto ezikhuthazayo | Ukusetyenziswa kweziyobisi ezifana necocaine okanye i-methamphetamine kunokuchaphazela kakubi intliziyo. |
| Ezinye iimeko zemfuza | I-VT inokubangelwa zizifo ezithile ezidluliselwa kwilifa, ezifana ne-long QT syndrome. |
Ngaba le ngozi ingancitshiswa?
Ewe, kwiimeko ezininzi, ukulawula iimeko zentliziyo ezibangela i-VT kunokunciphisa le ngozi. Ngamafutshane, ukugcina intliziyo yakho isempilweni yeyona nto ibalulekileyo.
Nazi ezinye izinto onokuzenza ngayo:
- Ukutya okunempilo: Zama ukutya ukutya okunamafutha aphantsi netyuwa encinci, kunye nemifuno emininzi, iziqhamo kunye nemifuno eluhlaza.
- Ukuzilolonga rhoqo:Thetha nogqirha wakho uze ulandele isicwangciso sokuzilolonga esikufaneleyo.
- Ukugcina ubunzima obusempilweni: Zama ukugcina ubunzima obusempilweni obuhambelana nobude bakho.
- Kuphephe ukutshaya: Ukuba uyatshaya, yeka ngokupheleleyo. Le yenye yezona nzuzo zinkulu kwintliziyo.
- Ukusela amayeza ngokuchanekileyo: Ukuba uneemeko ezifana noxinzelelo lwegazi oluphezulu okanye i-cholesterol ephezulu, thatha amayeza owanikwe ngugqirha wakho ngexesha elifanelekileyo.
Oogqirha bayifumana njani le nto?
Ukuba ucinga ukuba uneempawu ze-VT, ugqirha wakho uza kuqala akubuze ngeempawu zakho, nokuba kukho nabani na kusapho lwakho onesifo sentliziyo, kunye nembali yakho yezonyango. Emva koko baza kwenza uvavanyo lomzimba baze bajonge izinga lokubetha kwentliziyo yakho.
Uvavanyo oluphambili lokufumanisa le meko ngokuqinisekileyo yi- ECG (i-Electrocardiogram) .
Oku kwenziwa ngokurekhoda umsebenzi wombane wentliziyo yakho. Ngokujonga le strip ye-ECG, ugqirha wakho unokuchonga ngokulula naziphi na iingxaki kwisingqisho sentliziyo yakho, ingakumbi iipatheni ezinxulumene ne-VT.
Ukongeza, uvavanyo olongezelelweyo lunokufuneka ukuze kuchongwe unobangela nokuqonda ubunzulu bemeko.
- Isixhobo sokuJonga iMicimbi yeNtliziyo: Esi sisixhobo esincinci onokusithatha uye naso ekhaya usinxibe. Sinokurekhoda isingqisho sentliziyo yakho xa uneempawu.
- Uvavanyo loxinzelelo: I-ECG ithathwa ngelixa uzilolonga (ubaleka kwi-treadmill) ukuze kubonwe ukuba intliziyo yakho isebenza njani xa uxinezelekile.
- I-Echocardiogram: Olu luvavanyo lwentliziyo. Lunceda ukuqonda ngcono ubukhulu, imilo, ukusebenza kwemisipha, kunye nemeko yeevalvu.
- Uphononongo lwe-Electrophysiology (EPS): Olu luvavanyo oluntsonkothileyo kancinci. Iintambo ezincinci (ii-catheters) zidluliselwa entliziyweni kwaye inkqubo yombane yentliziyo ifundwa ngokupheleleyo.
- I-Coronary Angiogram: Uvavanyo lokujonga ukuvaleka kwemithambo yegazi ehambisa igazi entliziyweni.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kwiimpawu zakho, ixesha elide kangakanani i-VT yakho ikhona, kunye nemeko yezempilo ebangela oko.
Unyango olungxamisekileyo
Ukuba i-VT ihlala imizuzwana engaphezu kwama-30 okanye ufumana iimpawu eziqatha (iintlungu zesifuba, ukulahlekelwa zingqondo), yingxamiseko yezonyango.
- I-Cardioversion: Oku kuquka ukwenza i-electric shock ukuze kumiswe ukubetha kwentliziyo okungaqhelekanga kwaye kuzanywe ukuyibuyisela kwisigqi esiqhelekileyo.
- I-CPR (Ukuvuselelwa Kwentliziyo): Indlela yokuzama ukuqalisa kwakhona intliziyo yesigulana ukuba iyekile ukusebenza.
- Amayeza afakwa kwimithambo yegazi:Amayeza anjenge-Amiodarone okanye i-Procainamide anikwa ngemithambo yegazi (IV) ukuzama ukulawula isantya sentliziyo.
Ukuba wena okanye umntu omaziyo uneempawu ezifana neentlungu esifubeni, ubunzima obukhulu bokuphefumla, okanye ukuphelelwa ngamandla, fowunela u-1990 ngoko nangoko okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane. Musa ukulibazisa.
Unyango lwexesha elide
Emva kokuba imeko engxamisekileyo ilawulwa, unyango olude luyafuneka ukuthintela ukuba imeko ingaphindi ivele.
- Amayeza: Amayeza afana ne-beta-blockers anokunciphisa isantya sentliziyo aze athintele i-VT. Amanye amayeza anokunceda ukugcina isigqi sentliziyo sisebenza kakuhle. La mayeza anokuba nemiphumo emibi, ngoko ke thetha nogqirha wakho ngawo.
- Isixhobo se-ICD (Implantable Cardioverter-Defibrillator): Esi sisixhobo esifana nomlondolozi wobomi bentliziyo. Sisixhobo esincinci esifakwe phantsi kwesikhumba sesifuba. Sihlala sijonga isigqi sentliziyo. Ukuba kwenzeka isigqi esiyingozi njenge-VT, esi sixhobo ngokuzenzekelayo senza umbane omncinci ukubuyisela intliziyo kwimeko yesiqhelo.
- Ukususwa kwentliziyo: Olu lolunye unyango olukhethekileyo. Uphononongo lwe-electrophysiology (EPS) lusetyenziselwa ukuchonga indawo echanekileyo ye-VT entliziyweni. Emva koko, kusetyenziswa i-catheter ekhethekileyo, ezinye zeeseli ezikuloo ndawo zitshatyalaliswa bubushushu okanye ngumkhuhlane omkhulu. Oku kufana nokulungisa ucingo lombane olungasebenzi kakuhle. Kwabanye abantu, olu nyango lunokunyanga ngokupheleleyo i-VT.
Umyalezo Wokuya Ekhaya
- I-Ventricular Tachycardia (VT) sisingqisho sentliziyo esikhawulezayo nesinzulu esiqala kwigumbi elisezantsi lentliziyo.
- Iintlungu zesifuba, isiyezi, ukuphefumla kancinci, kunye nokulahlekelwa zingqondo zezona mpawu ziphambili. Ezi mpawu azifanele zityeshelwe.
- Idla ngokuba yimbangela ephambili kukuhlaselwa yintliziyo ngaphambili okanye esinye isifo sentliziyo.
- Kukho unyango olusebenzayo kakhulu olufana namayeza, izixhobo ze-ICD, kunye ne-ablation yentliziyo.
- Ukuba unale meko, landela imiyalelo kagqirha wakho ngokuchanekileyo. Kubaluleke kakhulu ukuya kwiikliniki ngexesha kwaye uthathe amayeza akho njengoko kumiselwe.
- Ngokulandela indlela yokuphila esempilweni, unokukhusela intliziyo yakho kwaye unciphise umngcipheko wokufumana izifo ezifana nezi.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho