Ingaba intliziyo yakho ibetha ngokukhawuleza ngequbuliso? Masithethe nge-Ventricular Tachycardia!

Ngaba ngamanye amaxesha ukhe uzive ngathi intliziyo yakho ibetha ngokukhawuleza, ibetha ngamandla? Usenokuva nesifuba sakho sibetha ngamandla, uzive uphelelwa ngumphefumlo, okanye uzive unesizungu. Ukuba ukhe waba nalo mava, okanye ukuba ukhe weva ngomntu omaziyo ohlangabezana nalo, kubalulekile ukuba uqaphele imeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yiVentricular Tachycardia.

Yintoni kanye kanye le ntliziyo ibetha ngokukhawuleza (iVentricular Tachycardia)?

Ngamafutshane, `(Ventricular Tachycardia)` kuxa intliziyo yakho ibetha ngesantya esingaphezulu kwe-120 ngomzuzu. Kodwa into ekhethekileyo ngale nto kukuba olu kubetha kwentliziyo ngokukhawuleza aluqali kwinkqubo yesignali yombane eqhelekileyo yentliziyo. Ngokwesiqhelo, intliziyo yethu kufuneka iqale ukubetha kwisignali yombane evela kwindawo ebizwa ngokuba yi`(Sinoatrial Node)`, esebenza njengeswitshi phezulu kwentliziyo. Kodwa kwi`(Ventricular Tachycardia)`, olu kubetha kwentliziyo luqala kumagumbi amabini aphambili ezantsi kwentliziyo, oko kukuthi, iiventricles . Le yingxaki eyenzekayo kuba into ethile idlula indlela eqhelekileyo yombane yentliziyo.

Xa sihlala siphumle, iintliziyo zethu zibetha phakathi kwama-60 ukuya kwi-100 amaxesha ngomzuzu, akunjalo? Khawucinge ngoko kwenzekayo xa eli nani linyuka ngequbuliso liye kutsho kwi-120! Xa intliziyo ibetha ngokukhawuleza kangaka, ezi zinto ziphambili zenzeka:

• Uxinzelelo lwakho lwegazi lunokwehla ngequbuliso.
• Intliziyo ayinalo ixesha elaneleyo lokuzalisa amagumbi ngegazi ngokufanelekileyo ize ilipompe libuyele emzimbeni. Ngenxa yoko , amanye amalungu omzimba, ingakumbi ingqondo kunye namalungu omzimba, awafumani ioksijini ayidingayo.
• Ngenxa yezi zizathu, uqala ukuba neempawu ezahlukeneyo.

Ingaba le yimeko enzima ngokwenene?

Ewe, le yimeko embi kakhulu, kwaye ifuna unyango olukhawulezileyo. Ukuba le ntliziyo ibetha ngokukhawuleza ebizwa ngokuba yi-`(Ventricular Tachycardia)` ihlala imizuzwana engaphezu kwama-30 (siyibiza ngokuba yi-`sustained Ventricular Tachycardia`), ingaqhubekela kwimeko embi ngakumbi ebizwa ngokuba yi-`(Ventricular Fibrillation)`. Ukuba oko kuyenzeka, kukho ithuba lokuma kwentliziyo ngequbuliso kwanokufa. Ngoko ke le ayisiyonto ifanele ithathwe lula.

Yintoni umahluko phakathi kwe-`(Ventricular Tachycardia)` kunye ne-`(Ventricular Fibrillation)`?

Zombini zikhawuleza ngendlela engaqhelekanga. Nangona kunjalo, i-"Ventricular Fibrillation" yimeko embi kakhulu nesongela ubomi kune-"Ventricular Tachycardia".

Khawuthelekelele, kwi-`(Ventricular Tachycardia)` intliziyo ibetha ngokukhawuleza, kodwa ipompa igazi elithile emzimbeni. Kodwa ngenxa yeso santya, umzimba awufumani igazi elaneleyo.

Kodwa kwi-`(Ventricular Fibrillation)`, endaweni yokuba ibethe kakuhle, izihlunu zentliziyo ziyashukuma nje. Emva koko intliziyo ayipompeli igazi emzimbeni konke konke. Oku kunokukhokelela ekufeni kwentliziyo ngequbuliso.Inokwenzeka loo nto.

Ngaba i-Ventricular Tachycardia ingaphola yodwa ?

Ewe, kwezinye iimeko oku kungathatha imizuzwana embalwa kwaye isingqisho sentliziyo sinokubuyela esiqhelweni. Kwiimeko ezinjalo, akuyi kubakho monakalo mkhulu. Kodwa asinakulindela ukuba oko kwenzeke ngalo lonke ixesha.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? - Izinto ezinobungozi

Kukho izinto ezithile ezinokubangela umngcipheko ezinokuchaphazela uphuhliso lwe-`(Ventricular Tachycardia)`. Ukuba unazo ezi zinto, unamathuba amaninzi okufumana le meko kunezinye:

• Ukuba ukhe wanesifo sentliziyo ngaphambili.
• Ukuba kukho umntu kusapho lwakho oye waba neengxaki zesingqisho sentliziyo (oko kukuthi, ikhonkco elidluliselwa kwilifa).
• Ukuba unesifo semithambo yegazi yentliziyo .
• Ukuba unesifo esibizwa ngokuba yi-"Myocarditis" , esikukuvuvukala kwemisipha yentliziyo.
• Ukuba unesifo sentliziyo .
• Ukuba intliziyo ikhulisiwe, oko kuthetha ukuba une -cardiomyopathy .
• Ukuba unesifo sentliziyo .
• Ukuba ukhe wahlaselwa yintliziyo ngaphambili (`Myocardial Infarction`) okanye ukuba ukhe watyandwa intliziyo.
• Ukuba kukho ukungalingani okukhulu kwii -electrolytes zomzimba, oko kukuthi, iityuwa (ezifana ne-potassium kunye ne-magnesium).
• Ukuba usebenzisa iziyobisi ezithile ezivuselela ingqondo (umzekelo, i-cocaine, i-methamphetamine).

I-Ventricular Tachycardia iyichaphazela njani umzimba wam?

Xa `(Ventricular Tachycardia)` isenzeka, intliziyo yakho ibetha ngokukhawuleza kangangokuba amagumbi entliziyo awafumani xesha laneleyo lokuzaliswa ligazi ngaphambi kokubetha okulandelayo. Khawuthelekelele ibhasi ima kwindawo yokumisa ixesha elifutshane kakhulu. Emva koko ayingabo bonke abantu abafumana ixesha lokungena ebhasini, abanye bashiyeke endleleni. Yiloo nto eyenzekayo nalapha. Xa intliziyo ingenalo ixesha elaneleyo lokuzaliswa ligazi, inani legazi elimpontshwayo emzimbeni wonke liyancipha. Emva koko iiseli kunye nezicubu zomzimba zifumana ioksijini kunye nezondlo ezincinci.

Zithini iimpawu zoku?

Iimpawu ze-`(Ventricular Tachycardia)` zinokwahluka kumntu nomntu. Abanye abantu basenokungabi nazo naziphi na iimpawu. Kodwa ezi zezona mpawu zixhaphakileyo. Ukuba ufumana naziphi na kwezi mpawu, kufuneka uye kwigumbi likaxakeka ngoko nangoko. Oku kunokukhokelela ekumisweni kwentliziyo kwanokufa.

• Intlungu yesifuba okanye ukuxinana.
• Ubunzima bokuphefumla.
• Ukuva intliziyo ibetha ngokukhawuleza, ukuva isifuba sibetha ngamandla (`Iintlungu zokubetha kwentliziyo/ukubetha kwentliziyo ngokukhawuleza`).
• Ukuba nesiyezi, ukuba nentloko ebuhlungu, okanye ukuquleka.

Eyona nto ibalulekileyo kukungazeyiki ezi mpawu. Nangona zisenokubonakala ngathi zincinci, zinokuba yingozi ebomini.

Kutheni le nto `(Ventricular Tachycardia)` isenzeka?

Kulungile, ngoku masibone ukuba kutheni oku kusenzeka. Xa kuvela imiqondiso yombane engaqhelekanga kumagumbi asezantsi entliziyo yakho, abizwa ngokuba zii-ventricles, loo miqondiso iyangqubana nemiqondiso evela kwi-node ye-sinoatrial, elawula isigqi esiqhelekileyo sentliziyo. Oku kubangela ukuba intliziyo ibethe ngokungalawulekiyo kwaye ikhawuleze kakhulu. Esi santya asivumeli amagumbi entliziyo ukuba azaliswe ligazi.

Uninzi lwabantu abane-Ventricular Tachycardia banesinye isifo sentliziyo esingaphantsi. Ezona zizathu ziphambili zezi:

• Isifo semithambo yentliziyo.
• Ukumelwa yintliziyo.
• I-Myocarditis .
• Ukwanda kwentliziyo (Cardiomyopathy) .
• Isifo sevalvu yentliziyo .
• Utyando lwentliziyo lwangaphambili.
• Izicwili zentliziyo ezibangelwa kukuhlaselwa yintliziyo ngaphambili (`Myocardial Infarction`) .
• Ezinye izifo ezifana ne -`(Sarcoidosis)` .
• Ezinye iimeko ezizuzwe njengelifa .

Kukho ezinye izizathu ezingahambelaniyo nentliziyo, kodwa ezinokubangela `(Ventricular Tachycardia)`:

• Amanye amayeza .
• Ukungalingani kwee -electrolytes emzimbeni (ezi ziiminerali ezilawula isigqi sentliziyo).
• Ukutya i-caffeine okanye utywala kakhulu.
• Ukusetyenziswa kweziyobisi ezingekho mthethweni (`iziyobisi zokuzonwabisa`) .
• Ngamanye amaxesha inokubangwa kukuzilolonga kakhulu .

Ngamanye amaxesha kusenokungabi lula ukufumana isizathu sale nto.

Yintoni esona sizathu sixhaphakileyo?

Eyona nto ixhaphakileyo yiVentricular Tachycardia sisifo sentliziyo esibizwa ngokuba yi-ischemic heart disease . Oku kukwabizwa ngokuba sisifo sentliziyo okanye isifo semithambo yegazi. Ngamafutshane, izihlunu zentliziyo azifumani igazi neoksijini eyaneleyo ngenxa yokuvaleka kwemithambo yegazi. Oku kuvaleka kuhlala kubangelwa yi -atherosclerosis .

Ungayiqaphela njani i-`(Ventricular Tachycardia)`?

Ukuze uqiniseke ukuba unayo (i-Ventricular Tachycardia)`, ugqirha wakho uza kwenza ezi zinto zilandelayo:

• Baza kuthetha nawe ngokweenkcukacha ngeempawu zakho.
• Kuza kwenziwa uvavanyo lomzimba, kuquka ukujonga izinga lokubetha kwentliziyo yakho.
• Iqokelela ulwazi malunga nembali yakho yezonyango .
• Iyalela ukuba kwenziwe iimvavanyo ezininzi ezifunekayo.

Zeziphi iimvavanyo ezenziwayo koku?

Uvavanyo oluphambili nolusetyenziswa kakhulu ukufumanisa i-Ventricular Tachycardia yi -electrocardiogram (ECG/EKG) . Olu vavanyo lurekhoda umsebenzi wombane wentliziyo yakho.

Ukongeza, ezinye iimvavanyo zingenziwa, ezinje:

• Isixhobo sokubona iHolter: Esi sisixhobo esincinci esirekhoda rhoqo isingqisho sentliziyo yakho kangangeeyure ezingama-24 okanye ezingama-48.
• Uphononongo lwe-Electrophysiology (EPS): Oku kuquka ukudlulisa ucingo oluncinci entliziyweni nokuhlola inkqubo yombane yentliziyo nzulu.
• Umhloli weziganeko zentliziyo: Oku kufana nomhloli weHolter, kodwa ungazivula ngokwakho kwaye urekhode ukubetha kwentliziyo yakho xa uneempawu.
• Uvavanyo loxinzelelo lweTreadmill: Olu vavanyo luvavanya indlela intliziyo yakho esabela ngayo xa uzilolonga (baleka kwi-treadmill).
• I-Echocardiogram: Olu luvavanyo lwe-ultrasound lwentliziyo. Lunokujonga ulwakhiwo kunye nomsebenzi wentliziyo.
• Uvavanyo lwegazi: Jonga izinto ezifana namanqanaba e-electrolyte kunye nee-enzymes zentliziyo.

Iphathwa njani i-Ventricular Tachycardia?

Ukuba uneempawu, okanye ukuba une-Ventricular Tachycardia kangangemizuzwana engaphezu kwama-30 nokuba awunazo iimpawu, ngokuqinisekileyo uyaludinga unyango.

Xa unyanga oku, eyona nto iphambili kunyango lwesifo esibangele le meko. Olu nyango lunokuphucula ukubetha kwentliziyo okungaqhelekanga kwaye luthintele ukuba kungabuyi.

Unyango olungxamisekileyo lwe-Ventricular Tachycardia lulandelayo:

• I-CPR (Cardiopulmonary Resuscitation): Inkqubo yoncedo lokuqala yokusindisa ubomi ukuba intliziyo ayisayi kubetha.
• Ukulungiswa kwe-Electrical defibrillation: Intliziyo inikwa umbane ukuze kuzanywe ukuyibuyisela kwisantya esiqhelekileyo.
• Amayeza e-IV: Lawula izinga lokubetha kwentliziyo.

Kwiimeko ezingezizo ezingxamisekileyo, unyango oluqhelekileyo zezi:

• I-Radiofrequency Catheter Ablation (RCA): Kule meko, kufunyanwa indawo echanekileyo yesingqisho sentliziyo esingaqhelekanga, kwaye i-catheter (ityhubhu encinci) isetyenziselwa ukutshabalalisa izicubu kuloo ndawo ngombane.
• I-ICD (ICD) efakelwa kwi-Cardioverter: Esi sisixhobo esincinci esifakelwa ngotyando phantsi kwesikhumba kufutshane nentliziyo. Sihlala sijonga isingqisho sentliziyo yakho. Ukuba kuvela i-ventricular tachycardia, isixhobo siyayibhaqa size ngoko nangoko sithumele isignali yombane ukubuyisela intliziyo kwisingqisho esiqhelekileyo.
• Amayeza: Amayeza anikwa ukunciphisa isantya sentliziyo nokugcina isigqi esiqhelekileyo. Nangona kunjalo, amanye amayeza anokuba nemiphumo emibi. Ugqirha wakho uza kukuchazela oku.

Ngaba kukho naziphi na iingxaki kunyango?

Ukususwa kwe-catheter kwi-ventricular tachycardia ngokubanzi kukhuselekile kwaye kuyasebenza. Nangona kunjalo, ezinye iingxaki zinokwenzeka rhoqo. Ezi ziquka:

• Ukonakala kwentliziyo okanye imithambo yegazi.
• Amahlwili egazi.
• Ukopha.
• Usulelo .

Kuthatha ixesha elingakanani ukuchacha emva konyango?

Emva kokwenza i-`(Ventricular Tachycardia Ablation)`, kuya kufuneka uhlale esibhedlele ubuncinane ubusuku obunye. Ngokwesiqhelo ungabuyela kwimisebenzi eqhelekileyo kwiintsuku ezimbalwa emva kokuphuma esibhedlele. Nangona kunjalo , akukhuthazwa ukuba wenze nantoni na enzima okanye enzima ubuncinane iintsuku ezintathu, okanye ude ugqirha wakho akuxelele ukuba wenze njalo.

Ndingayinciphisa njani le ngozi?

Ngokuphepha izifo zentliziyo ezibangela i-Ventricular Tachycardia, unganciphisa umngcipheko wokuba nale meko.

Ungenza ezi zinto ukuze uzikhusele kwisifo semithambo yegazi yentliziyo, eyona nto ixhaphakileyo yile:

• Yitya ukutya okunempilo okunamafutha aphantsi, okunetyuwa encinci .
• Zilolonge rhoqo.
• Gcina ubunzima bakho busempilweni.
• Yeka ngokupheleleyo ukusebenzisa zonke iimveliso zecuba.
• Sela amayeza achazwe ngugqirha wakho oxinzelelweyo oxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu kanye kanye.

Kuza kwenzeka ntoni ukuba ndine-`(Ventricular Tachycardia)`? (Ingqikelelo)

Ingqikelelo yakho ixhomekeke ekubeni i-Ventricular Tachycardia yakho imbi kangakanani na kwaye nokuba unezinye iingxaki zentliziyo. Le meko inokuba mandundu, ingakumbi ukuba i-ventricle yasekhohlo yentliziyo yakho ayisebenzi kakuhle. Kodwa ngonyango olufanelekileyo, uninzi lwabantu lunokuphila ubomi obuqhelekileyo.

Ngaba i-Ventricular Tachycardia inganyangeka ngokupheleleyo?

Oku kuxhomekeke kwisizathu esiyintloko. Kwabanye abantu, iRadiofrequency Catheter Ablation inokunyanga ngokupheleleyo esi sigqi singaqhelekanga, kwaye akukho nyango lufunekayo. Izixhobo ezibizwa ngokuba yi-Implantable Cardioverter Defibrillators (ICDs) aziyinyangi le nto, kodwa zisebenza kakhulu ekuncedeni ukubuyisela intliziyo kwisigqi esiqhelekileyo ngokuhambisa ukubetha okukhawulezayo okanye ukothuka kwiimeko ezisongela ubomi zeVentricular Tachycardia.

Ndingazinyamekela njani?

Njengomntu one-`(Ventricular Tachycardia)`, kufuneka wenze ezi zinto ukuze uzinyamekele:

• Landela ukutya okunempilo kwentliziyo kunye nesicwangciso sokuzilolonga esicetyiswa liqela lakho lezonyango.
• Yeka ukusebenzisa iimveliso zecuba.
• Qhubeka usela amayeza ugqirha wakho akunike wona njengoko eyalelwe, ngaphandle kokuwasebenzisa.

Ndifanele ndimbone nini ugqirha wam?

Kubaluleke kakhulu ukubona ugqirha wakho rhoqo ukuze kwenziwe uvavanyo olulandelayo. Ugqirha wakho uya kufuna oku kulandelayo:

• Jonga ukuba unjani.
• Qinisekisa ukuba unyango lwakho lusebenza kakuhle.
• Thetha ngazo naziphi na iimpawu ezintsha onazo okanye utshintsho kwindlela oziva ngayo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ufumana naziphi na kwezi mpawu, fowunela ku-1990 (ukuba useSri Lanka) ngoko nangoko, okanye uye kwigumbi likaxakeka ngoko nangoko:

• Iintlungu zesifuba.
• Ukuquleka.
• Ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga.

Musa ukuqhuba wedwa ngexesha elinje. Cela uncedo ngokukhawuleza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, ungathandabuzi ukubuza imibuzo efana nale. Kubaluleke kakhulu ukuba uyiqonde kakuhle imeko yakho.

• Kufuneka ndize kangaphi ukuze ndifumane uvavanyo "lokulandelela"?
• Ngaba ndiza kuyidinga i-ICD?
• Ngaba kuya kufuneka ndiphinde ndifake i-catheter ablation?
• Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?

Ukuqaphela ukubetha kwentliziyo yakho kunye nendlela oziva ngayo kunokukunceda ufumane unyango xa ulufuna. Unyango lwangethuba lwe-Ventricular Tachycardia lubaluleke kakhulu. Ngoko ke, ukuba wena okanye umntu omthandayo ufuna uncedo, musa ukulubekela ecaleni. Nokuba uphumile esibhedlele, landela imiyalelo kagqirha ngqo. Sela amayeza njengoko kuyalelwe. Ziqhelise indlela yokuphila enempilo. Ingakumbi ukuba unesixhobo sonyango esifakelweyo njengonyango, yiya kuvavanyo lwe-`(ulandelelwano)` ngaphandle kokuphosa.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Ventricular Tachycardia yintliziyo ekhawulezayo nengaqhelekanga eqala kwigumbi elisezantsi lentliziyo. Le inokuba yimeko enzima, ngoko ke musa ukuyityeshela le mpawu. Ukuba ufumana iintlungu esifubeni, ubunzima bokuphefumla, isiyezi, okanye ukuquleka , funa uncedo lonyango ngokukhawuleza.

Ngethamsanqa, kukho unyango olusebenzayo kwesi simo. Amayeza, i-catheter ablation, kunye nezixhobo ze-ICD zinokunceda ukulawula imeko. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho kwaye uphile ubomi obusempilweni. Emva koko ungaphila kakuhle nale meko.

Isantya sentliziyo , isifo sentliziyo, i-tachycardia, ukuminxeka kwentliziyo ngesiquphe, isingqisho sentliziyo, unyango lwentliziyo, i-ICD