Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokukhawuleza ngequbuliso, okanye ivakalelwa kukuba iye yema ndaweni ithile, okanye ibetha ngendlela engaqhelekanga? Le yinto eyenzeka kubantu abaninzi. Oku sikubiza ngokuba yintliziyo engaqhelekanga, okanye ngokwezonyango, i-arrhythmia . Ngoko ke namhlanje siza kuthetha ngamayeza anikwa ukulawula ezi ntliziyo zingaqhelekanga, oko kukuthi, i-Antiarrhythmics.
Ngamafutshane, zithini ezi Antiarrhythmics?
I-Antiarrhythmics ngamayeza anikwa ukuthintela nokunyanga i-arrhythmias, eziba kukubetha kwentliziyo okukhawulezayo ngokungaqhelekanga okanye okungahambelaniyo. Cinga ngentliziyo yakho njengenjini encinci esebenza ngenkqubo yombane encinci. Xa kukho into engahambi kakuhle kule nkqubo yombane, intliziyo yakho iqala ukubetha ngokukhawuleza kakhulu, ngokukhawuleza kakhulu, okanye ngokungahambelaniyo.
Amayeza okulwa ne-arrhythmic asebenza ngokulungisa le mpazamo yenkqubo yombane kunye nokubuyisela isigqi sentliziyo kwisingqi esiqhelekileyo. La mayeza asetyenziselwa ukunyanga iimeko ezibangela ukubetha kwentliziyo okungahambelaniyo, njenge -Atrial Fibrillation , i-Atrial Flutter , i-Ventricular Tachycardia , kunye ne -Ventricular Fibrillation .
Lisebenza njani eli yeza?
La mayeza asebenza ngeendlela ezimbini eziphambili:
1. Iyayithintela imiqondiso yombane engeyomfuneko neyongezelelweyo entliziyweni.
2. Ilawula isantya semiqondiso yombane ehamba ngesantya esingaqhelekanga kwizicubu zentliziyo.
Uninzi lwala mayeza athathwa ngomlomo njengeepilisi zexesha elide. Nangona kunjalo, kwezinye iimeko ezingxamisekileyo, ukuba imeko yesigulana imbi kakhulu okanye ukuba amayeza omlomo awanakwenzeka, anokunikwa ngemithambo yegazi (IV).
Ziziphi iindlela zonyango zokubetha kwentliziyo okungahambelaniyo?
Kukho iindlela ezahlukeneyo zonyango lokubetha kwentliziyo okungahambelaniyo.
- Amayeza
- Utshintsho kwindlela yokuphila
- Izixhobo zonyango ezifakelweyo
- Utyando
Ugqirha wakho uza kukhetha unyango olungcono kuwe ngokusekelwe kuhlobo lwe-arrhythmia onayo kunye nobunzima bayo. Ngokubanzi, ugqirha wakho unokukunika amayeza okulwa ne-arrhythmia kwezi meko zilandelayo:
- Ukuba isifo asinakulawulwa ngokutshintsha indlela yokuphila kuphela.
- Ukuba le meko iphazamisana nemisebenzi yakho yemihla ngemihla.
- Oku kukubeka emngciphekweni weengxaki ezisongela ubomi ezifana nokusilela kwentliziyo , ukuminxeka kwentliziyo , okanye istroke .
Ziziphi iintlobo zamayeza okulwa nokubetha kwentliziyo?
La mayeza ahlulwe abe ziindidi ezine eziphambili. Masibone ukuba zeziphi.
| Udidi lwamayeza (Udidi) | Ingaba isebenza kanjani | Imizekelo |
|---|---|---|
| Iklasi I: Iibhloko zeSodium Channel | Ithintela i-sodium ukuba ingangeni kwiiseli zentliziyo. Oku kunciphisa isantya esihamba ngaso imiqondiso yombane entliziyweni. | IDisopyramide, iFlecainide, iMexiletine, iPropafenone, iQuinidine |
| Iklasi yesiBini: iiBlokhi zeBeta | Ithintela iihomoni ezifana ne-adrenaline kwaye inciphisa isantya sentliziyo. | I-Atenolol, iBisoprolol, iMetoprolol, iPropranolol, iNadolol |
| Iklasi yesi-3: Ii-Potassium Channel Blockers | Ithintela i-potassium ukuba ingangeni kwiiseli zentliziyo. Oku kulawula isantya semiqondiso yombane yentliziyo. | Amiodarone, Dofetilide, Dronedarone, Sotalol |
| Iklasi IV: Iibhloko zeCalcium Channel | Ivala imijelo yecalcium kwimisipha yentliziyo, inciphisa isantya sentliziyo kunye namandla okuxinana kwentliziyo. | IDiltiazem, iVerapamil |
| Ezinye ii-Antiarrhythmics | ||
| I-Adenosine | Iyanciphisa okanye ithintele isantya esihamba ngaso imiqondiso yombane phakathi kwamagumbi aphezulu nasezantsi entliziyo. | |
| I-Digoxin | Iyanciphisa isantya sentliziyo kwaye inyuse amandla entliziyo okufinyela. | |
Eyona nto ibalulekileyo kukuba ugqirha wakho akhethe eyona ifanelekileyo kuwe kula mayeza. Akuyonto ilungileyo ukusebenzisa la mayeza wedwa.
Zithini iingenelo kunye neengozi zala mayeza?
Ukusebenzisa la mayeza kunokunciphisa kakhulu ukungakhululeki okuzivayo. Umzekelo:
- Iintlungu zesifuba
- Ukudinwa okanye ukuziva ukhathazekile
- Ukuphelisa ubugcisa
- Ukubetha kwentliziyo
- Ubunzima bokuphefumla
Nangona kunjalo, kukho iingozi ngala mayeza. Umngcipheko ophambili kukuba la mayeza ngamanye amaxesha anokubangela ezinye iintlobo zokuphazamiseka kwentliziyo. Yiyo loo nto ukujonga ngokusondeleyo ngugqirha kubalulekile xa usebenzisa la mayeza. Ugqirha wakho, mhlawumbi ingcali yentliziyo okanye ingcali ye-electrophysiology, uya kukujonga rhoqo. Ukuba kukho naziphi na iingxaki, baya kutshintsha umthamo wamayeza okanye bacebise amanye amayeza.
Ngaba ukuthatha amayeza amaninzi (ukugqithisa) kuyingozi?
Ewe, ngokuqinisekileyo kuyingozi. Kubaluleke kakhulu ukusela la mayeza njengoko ugqirha wakho ekuyalele. Ukusela amayeza amaninzi kunokukhokelela kwezi meko zilandelayo zinzima:
- Isifo sengqondo esixhalabisayo
- Ukonakala kwezicubu zentliziyo
- Ukubanjwa kokuphefumla
- Ukulala ungazi ukuba kwenzeka ntoni kufutshane nawe (Ukuphumla)
- Ukuxhuzula
- I-Coma
Ukuba ukrokrela ukuba umntu usele amayeza amaninzi kakhulu, mse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Njengayo nayiphi na iyeza, la mayeza anokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo. Ezinye zeziphumo ebezingalindelekanga eziqhelekileyo zezi:
- Ukuqhinwa
- Isiyezi
- Ukoma okugqithisileyo
- Utshintsho lolusu (umz., ukuba bomvu, ukoma)
- Intloko ebuhlungu
- Isicaphucaphu
- Ukukhala ezindlebeni (i-Tinnitus)
- Uvelwano elangeni
- Ukudumba (ukudumba okubangelwa kukuqokelelana kolwelo emzimbeni)
- Ubunzima bokuchama
- Utshintsho lombono
- Ukwanda kwesifuba
Ngaba kufuneka ndilumke xa ndisebenzisa ezi zinto kunye namanye amayeza?
Ewe, ngokuqinisekileyo. Amayeza okulwa nokubetha kwentliziyo anokusebenzisana namanye amayeza. Ngoko ke, xelela ugqirha wakho ngayo yonke into oyithathayo. Oko kuquka:
- Amayeza asetyenziswa ngugqirha kwezinye izifo
- Amayeza athengiswa ngaphandle kwemvume kagqirha
- Iintlobo zekhrimu ezifakwa eluswini
- Ii-inhalers
- Iivithamini, iiminerali, iimveliso zemifuno, okanye naziphi na ezinye izongezo.
Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza.
Umyalezo Wokuya Ekhaya
- Imithi yokulwa nokubetha kwentliziyo (antiarrhythmias) ngamayeza anikwa ukulawula ukubetha kwentliziyo okungaqhelekanga (arrhythmias).
- La mayeza kufuneka athathwe njengoko kumiselwe ngugqirha, ngokwemilinganiselo emiselweyo, nangexesha elimiselweyo.
- Ngelixa usela la mayeza, kubaluleke kakhulu ukuba uhlale unxibelelana nogqirha wakho rhoqo kwaye uye kwiikliniki ngemihla emiselweyo.
- Musa ukuyeka ukuthatha amayeza akho okanye utshintshe umthamo nangasiphi na isizathu ngaphandle kokubuza ugqirha wakho.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi kunye nezongezo ozithathayo.
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