Ngaba wakha waziva ngathi isifuba sakho saqala ukubetheka ngequbuliso ngaphandle kwesizathu? Okanye uzive ungaqhelekanga ngathi intliziyo yakho yema yaze yaqala kwakhona? Kwabanye abantu, oku kuvakala ngathi isingqisho sentliziyo yakho siyaphazamiseka. Ngokwezonyango, ezi meko sizibiza ngokuba yi-irregular heartbeats, okanye 'arrhythmias'. Nangona oku kuqhelekile kubantu abaninzi, ngamanye amaxesha kunokuba yinto enzulu. Ke ngoko, kukho uhlobo oluthile lwamayeza olunikwa ngoogqirha ukubuyisela esi singqisho sentliziyo. Yiloo nto siza kuthetha ngayo kweli nqaku namhlanje, ngokulula nangendlela onokuyiqonda.
Okokuqala, masibone ukuba yintoni le ntliziyo ingaqhelekanga (i-arrhythmia).
Ukuze sikuqonde oku, kufuneka siqale sazi kancinci ngendlela intliziyo esebenza ngayo. Khawuthelekelele ukuba intliziyo yakho yimpompo esebenza ngenkqubo yombane encinci. Le nkqubo yombane yiyo enika izihlunu zentliziyo imiqondiso yokuba zinciphe, oko kukuthi, zinciphe. Xa intliziyo inciphe kwaye ikhula ngale ndlela, igazi liphonswa emzimbeni wonke. Oku sikubiza ngokuba kukubetha kwentliziyo. Ngoko ke, kwenzeka ntoni ukuba kukho ingxaki okanye ukungasebenzi kakuhle kwenkqubo yombane endikhankanyileyo? Emva koko isingqisho sokubetha kwentliziyo siyaphazamiseka. Oko kuthetha ukuba:
- Isantya sentliziyo sinokunyuka kakhulu. (Oku sikubiza ngokuba yiTachycardia)
- Isantya sentliziyo sinokuba sicotha kakhulu (oku kubizwa ngokuba yi-bradycardia).
- Intliziyo inokubetha ngokungacwangciswanga, ngaphandle kwesingqisho.
Sidla ngokubiza nayiphi na imeko enjalo
ngokuba yi-arrhythmia .
I-Atrial Fibrillation ,
i-Atrial Flutter , kunye
ne-Ventricular Tachycardia zezinye zezona ntlobo zixhaphakileyo zezi meko zingaqhelekanga.
Ngoko ke zithini ezi zinto ezichasene ne-arrhythmics?
Ngamafutshane, amayeza alwa nokubetha kwentliziyo ngamayeza anikwa ukulawula, ukuthintela, kunye nokunyanga iingxaki zesingqisho sentliziyo ezikhankanyiweyo apha ngasentla. La mayeza ikakhulu alungisa isiphene kwinkqubo yombane yentliziyo kwaye abuyisele intliziyo kwisingqisho esiqhelekileyo nesisempilweni. La mayeza ikakhulu asebenza ngeendlela ezimbini: 1. Ayekisa iimpawu zombane ezingaqhelekanga, ezongezelelweyo ezenziwa entliziyweni. 2. Athintela okanye alawula iimpawu zombane ezikhawulezayo ngokungaqhelekanga ukuba zingahambi kwizicubu zentliziyo. Rhoqo, la mayeza anikwa ngugqirha wakho njengeepilisi onokuzithatha yonke imihla. Nangona kunjalo, kwezinye iimeko ezingxamisekileyo, ukuba isigulana asikwazi ukusela iipilisi okanye ukuba imeko imbi kakhulu, anikwa namayeza e-intravenous (IV).
Asebenza njani la mayeza? Makhe sibone.
La mayeza alwa nokubetha kwentliziyo awafani. Ahlulwe abe ngamacandelo aliqela aphambili ngokusekwe kwindlela asebenza ngayo. Ugqirha wakho uza kukhetha iyeza elifanelekileyo kuwe ngokusekwe kuhlobo lokungaqheleki onalo kunye nesizathu salo. Makhe sijonge ukuba zeziphi ezi ntlobo ziphambili kunye nendlela ezisebenza ngayo.
| Udidi lweziyobisi | Indlela esebenza ngayo ilula. | Eminye imizekelo |
|---|
| Iklasi I - iiBlockers zeSodium Channel | Iyayithintela i-sodium ukuba ingangeni kwiiseli zentliziyo. Oku kunciphisa isantya esihamba ngaso imiqondiso yombane entliziyweni. | I-Disopyramide, iFlecainide, iPropafenone, iQuinidine |
| Iklasi yesiBini - iiBlokhi zeBeta | Ithintela imiphumo yeehomoni ezifana ne-adrenaline, inciphisa isantya sentliziyo kwaye inciphise uxinzelelo entliziyweni. | I-Atenolol, iBisoprolol, iMetoprolol, iPropranolol |
| Iklasi yesi-3 - Ii-Potassium Channel Blockers | Ilawula ukukhululwa kwe-potassium kwiiseli zentliziyo. Oku kuzinzisa inkqubo yokubonisa umbane yentliziyo. | Amiodarone, Sotalol, Dofetilide |
| Iklasi IV - Iibhloko zeCalcium Channel | Ithintela i-calcium ekungeneni kwiiseli zemisipha yentliziyo. Oku kunciphisa isantya kunye namandla okuxinana kwentliziyo. | IDiltiazem, iVerapamil |
| Ezinye ii-Antiarrhythmics | Kukho nezinye iziyobisi ezingangeni kolu didi kodwa zenza umsebenzi ofanayo. I-Adenosine iyayimisa imiqondiso yombane yentliziyo okomzuzwana ize iyiqalise kwakhona. I-Digoxin iyayicothisa isantya sentliziyo. | I-Adenosine, iDigoxin |
Zithini iingenelo zokusebenzisa eli yeza?
Ukuba une-arrhythmia, la mayeza anokunciphisa kakhulu ukungakhululeki okuvayo. Anokunceda ekuthinteleni iingxaki ezinkulu ezinokubakho ngenxa yesi simo. Iimpawu eziphambili ezilawulwa ngala mayeza zezi:
Xa ezi mpawu zilawulwa, ubomi bakho bemihla ngemihla buba lula kakhulu. La mayeza anceda ekunciphiseni umngcipheko weemeko ezinzima ezifana
nokusilela kwentliziyo ,
ukuminxeka kwentliziyo, kunye
nokubetha kwentliziyo .
Masiqaphele neengozi kunye nemiphumo emibi, akunjalo?
Njengayo nayiphi na imithi, la mayeza alwa nokubetha kwentliziyo anokuba neengozi ezithile kunye nemiphumo emibi. Kubaluleke kakhulu ukukwazi oku.
Eyona nto ibalulekileyo kukuba la mayeza ngamanye amaxesha anokubangela iintlobo ezintsha zokuphazamiseka kwesantya sentliziyo . Oko kukuthi, ukuthatha amayeza okulungisa i-arrhythmia kunokubangela enye. Ke ngoko, kubalulekile ukuwasebenzisa phantsi kweliso likagqirha, kwidosi emiselweyo, nangexesha elimiselweyo.
Ugqirha wakho kunye nogqirha wentliziyo baya kukujonga rhoqo. Ukuba ufumanisa naziphi na iimpawu ezintsha, banokugqiba ekubeni batshintshe umthamo wamayeza akho okanye bakutshintshele kwenye iyeza.
Iziphumo ebezingalindelekanga eziqhele ukubonwa:
Abanye abantu banokufumana iziphumo ebezingalindelekanga ezifana nezi xa bethatha eli yeza:
Ukuba ufumana naziphi na kwezi mpawu, xelela ugqirha wakho ngoko nangoko.
Ukugqithisa
Ungaze uthathe amayeza angaphezu kwalawo amiselwe ngugqirha wakho . Ukusela amayeza amaninzi kunokuba yingozi kakhulu. Ukusela amayeza amaninzi kunokubangela izifo ezinzulu ezifana nezi:
- Ukudideka
- Ukonakala kwezicubu zentliziyo
- Ukubanjwa kokuphefumla
- Ukuthomalalisa
- Ukuxhuzula
- Ukuwela kwi-coma
Ukuba wena okanye umntu omaziyo usele kakhulu eli yeza,
yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele esikufutshane ngoko nangoko . Ukuze ufumane ulwazi oluthe kratya, ungatsalela umnxeba
iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo.
Ngaba kukho iingxaki ngamanye amayeza? (Ukusebenzisana kwamayeza)
Ewe, ngokuqinisekileyo. La mayeza alwa nokubetha kwentliziyo anokusebenzisana namanye amayeza owasebenzisayo aze abangele iingxaki. Ngoko ke, ngaphambi kokuba ugqirha wakho akunike eli yeza, kubalulekile ukuba umxelele ngayo
yonke into oyithathayo. Oku kuquka:
- Amayeza ezinye izifo
- Iikhrimu zokhathalelo lolusu
- Ii-inhalers
- Amayeza athengiswa ngaphandle kwemvume kagqirha
- Iivithamini, iiminerali, izongezo zesondlo
- I-Ayurveda okanye amayeza emifuno njl.
Ukuba ugqirha wakho uyazi zonke iiyeza ozisebenzisayo, unokukunika ezona zikhuselekileyo kuwe. Kwakhona, ukuba ukhulelwe okanye uceba ukukhulelwa, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza.
Kufuneka ndithathe eli yeza ixesha elingakanani?
Amaxesha amaninzi la mayeza kufuneka athathwe ixesha elide. Ngamanye amaxesha, kunokufuneka athathwe ubomi bakho bonke. Kufuneka uqhubeke uwathatha njengoko ugqirha wakho ekuxelela, lo gama nje amayeza esebenza kwaye ungenazo naziphi na iziphumo ebezingalindelekanga.
Musa ukuyeka ukusebenzisa la mayeza okanye utshintshe umthamo nangasiphi na isizathu ngaphandle kokubonisana nogqirha wakho. Ukwenza njalo kunokubangela ukuba ukubetha kwentliziyo yakho okungaqhelekanga kube nzima ngakumbi.
Umyalezo Wokuya Ekhaya
- Imithi yokulwa nokubetha kwentliziyo (antiarrhythmics) luhlobo oluthile lwamayeza alawula ukubetha kwentliziyo okungaqhelekanga.
- Kukho iintlobo ezininzi zala mayeza, kwaye ugqirha wakho uya kukhetha elona lifanelekileyo kwimeko yakho.
- Sela amayeza ngokwedosi emiselweyo nangexesha elimiselweyo njengoko ugqirha wakho ekuyalele. Ungaze wandise okanye wehlise idosi okanye uyeke ukuwasebenzisa nangaliphi na ixesha.
- Xelela ugqirha wakho malunga namanye amayeza, iivithamini, kunye namayeza e-Ayurvedic owasebenzisayo.
- Ukuba ufumana iimpawu ezintsha okanye iziphumo ebezingalindelekanga ngelixa usebenzisa eli yeza, yazisa ugqirha wakho ngoko nangoko.
- Kubaluleke kakhulu ukuya kuvavanyo lwezonyango ngexesha.
I-Antiarrhythmics, I-Heartbeat, i-Arrhythmia, i-Chest Beat, i-Heart Rhythm, ii-Beta blockers, iSifo seNtliziyo, i-Atrial Fibrillation, inqaku lezonyango leSinhala
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho