Ingabe isigqi senhliziyo yakho asijwayelekile? Ake sifunde nge-Atrial Arrhythmia!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngokushesha kunokujwayelekile? Noma ingabe ukushaya kwenhliziyo yakho kubonakala kungajwayelekile? Mhlawumbe uzizwa into engavamile, ukuqina esifubeni sakho? Lokhu kungase kungabi yinoma yiziphi izimpawu. Namuhla, sizokhuluma ngesimo esithile esihlobene nesigqi senhliziyo esingabangela lezi zimpawu.

Kuyini i-Atrial Arrhythmia?

Kalula nje, i-atrial arrhythmia ukushaya kwenhliziyo okungajwayelekile. Lokhu kwenzeka lapho amakamelo aphezulu enhliziyo (abizwa ngokuthi i-atria ) engasebenzi ngokuvumelana namakamelo aphansi ( ama-ventricle ). Cabanga ngakho njengelungu ngalinye lebhendi elidlala ngazwi linye. Kwenzekani-ke? Inhliziyo iqala ukushaya ngokushesha kakhulu noma kancane kakhulu. Lokhu kubangela ukuthi igazi ligeleze kabi emzimbeni wonke, okusho ukuthi ukujikeleza kwegazi kuyaphazamiseka .

Yiziphi izinhlobo eziyinhloko ze-arrhythmia ye-atrial?

Kunezinhlobo eziningi ezahlukene zalesi simo. Kungase kube nomehluko omncane phakathi kwazo. Ake sibheke ezinye zezinhlobo eziyinhloko.

1. I-Atrial Fibrillation (i-Afib)

Lolu uhlobo oluvame kakhulu lwe-arrhythmia. Ku -Afib , amakamelo aphezulu enhliziyo (i-atria) ashaya ngokushesha okukhulu, ngokungajwayelekile, futhi ngaphandle kokuhleleka. Ngamanye amazwi, ayanyakaza nje. Uma lokhu kungelashwa kahle, kungaholela ezimweni eziyingozi njenge-stroke .

2. Indlela Yokunweba I-Tachycardia / I-Bypass Tract Tachycardia

Lokhu kwenzeka lapho kudalwa indlela kagesi eyengeziwe phakathi kwamakamelo aphezulu (i-atria) namakamelo aphansi (ama-ventricles) enhliziyo. Ngokuvamile, izimpawu zikagesi zihamba ngalokho okubizwa ngokuthi i-AV node . Kodwa-ke, uma izimpawu zikagesi zihamba ngokushesha kakhulu kule ndlela eyengeziwe, inhliziyo ishaya ngokushesha kakhulu. I-Wolff-Parkinson-White syndrome iyisibonelo esihle salokhu.

3. Ukuphaphazela Kwe-Atrial

Lokhu kwenzeka lapho izimpawu zikagesi emakamelweni aphezulu enhliziyo (i-atria) ziba ngokushesha kakhulu. Lokhu kubangela ukuthi i-atria ishaye ngokushesha kakhulu. Lesi simo singase senzeke kanye nokuhlaselwa yinhliziyo, ukwehluleka kwenhliziyo, kanye nokukhubazeka kwesakhiwo senhliziyo.

4. I-Atrial Tachycardia (AT)

I-Tachycardia ukushaya kwenhliziyo okusheshayo. Ku -AT , isignali kagesi iqala endaweni engafanele emakamelweni aphezulu enhliziyo (i-atria), okubangela ukuba inhliziyo ishaye ngokushesha.

5. I-AV Nodal Re-entrant Tachycardia (AVNRT)

Lokhu kwenzeka uma kunezindlela ezingaphezu kweyodwa zokuthi amasignali kagesi adlule ku -node ye-AV . I-AVNRT iyi-I-Paroxysmal Supraventricular Tachycardia (PSVT) yisimo lapho inhliziyo ishaya khona ngokushesha kodwa ngokungajwayelekile. Ingavela ngokuzumayo bese iphela ngokushesha okufanayo.

6. Ukuncishiswa Kwe-Atrial Ngaphambi Kwesikhathi (ama-PAC)

Lokhu kwenzeka lapho inhliziyo ishaya ngaphambi kwesikhathi, okusho ukuthi ishaya ngaphambi kwesikhathi. Lokhu ngokuvamile akunangozi futhi akudingi ukwelashwa .

Ivame kangakanani i-atrial arrhythmia?

Ukuphazamiseka kwesigqi senhliziyo empeleni kuvame kakhulu kunalokho ongakucabanga . Izigidi zabantu emhlabeni jikelele zihlushwa uhlobo oluthile lwe-arrhythmia. Okuvame kakhulu kulokhu yi -atrial fibrillation (Afib), esikhulume ngayo ngaphambilini. Lezo zinguquko ezincane, ezingenabungozi ekushayeni kwenhliziyo, noma ama-PAC (Premature Atrial Contractions) , yinto cishe sonke esizoyizwa ngesikhathi esithile empilweni yethu.

Kungani kwenzeka lokhu kuphazamiseka kwe-atrial?

Imbangela eyinhloko yalesi simo izimpawu zikagesi ezingavamile eziqala emakamelweni aphezulu enhliziyo (i-atria). Lezi zimpawu ezingavamile zingaba yifa (okusho ukuthi othile emndenini wakho unazo futhi nawe ungazithola), noma zingabangelwa ezinye izinkinga zempilo noma isifo senhliziyo.

Ngenxa yezinkinga zempilo kanye nesifo senhliziyo:

• I-anemia , okusho ukuntuleka kwamaseli abomvu egazi.
• I-cardiomyopathy yisifo semisipha yenhliziyo.
• Isifo Sikashukela (i-Diabetes Mellitus) .
• Ukulimala kwenhliziyo okubangelwa ukuhlaselwa yinhliziyo noma ukuhlaselwa yinhliziyo kwangaphambilini.
• Isifo senhliziyo , isifo semithambo yenhliziyo (CAD) , kanye nokwehluleka kwenhliziyo .
• Umfutho wegazi ophezulu (i-Hypertension) .
• Izifo ezihlobene namaphaphu, isibonelo , i-Chronic Obstructive Pulmonary Disease (COPD) .
• Izinkinga zesakhiwo senhliziyo, isibonelo, isifo se-valve yenhliziyo.
• Izinkinga ze-thyroid, ikakhulukazi i-hyperthyroidism .

Ngenxa yezizathu zendlela yokuphila:

Lezi zinto zingandisa ingozi ye-atrial arrhythmia:

• Ukuphelelwa amanzi emzimbeni .
• Iziphuzo nokudla okuqukethe i-caffeine (njengetiye nekhofi).
• Abanye abantu bangase babe nokushaya kwenhliziyo ngemva kokudla ukudla okunamafutha amaningi, ushukela, noma ama-carbohydrate.
• Imithi ethile, isibonelo , i-pseudoephedrine, etholakala kweminye imithi yomkhuhlane.
• Ukuphuza utshwala ngokweqile .
• Ukukhuluphala ngokweqile kanye nokukhuluphala ngokweqile.
• Ukucindezeleka okukhulu nokukhathazeka .
• Izinguquko zama-hormone, isibonelo ngesikhathi sokunqamuka kokuya esikhathini noma ngesikhathi sokukhulelwa. Ukushaya kwenhliziyo ngesikhathi sokukhulelwa kuvamile kakhulu futhi ngokuvamile akunangozi.
• Ukubhema nokusebenzisa imikhiqizo kagwayi .

Wazi kanjani ukuthi une-Atrial Arrhythmia? Ziyini izimpawu?

Ngezinye izikhathi lesi simo singaba khona ngaphandle kwezimpawu. Kodwa-ke, nansi ezinye zezimpawu ezivame kakhulu:

• Kuzwakala sengathi inhliziyo yakho ishaya ngokushesha okukhulu kodwa ngesigqi esisodwa . Isifuba sakho siyashaya, njengokungathi usanda kugijima.
• Ukushaya kwenhliziyo okungajwayelekile . Kungase kuzwakale sengathi inhliziyo yakho yeqa ukushaya, yayeka ukushaya, ishaya ngokushesha ngokuzumayo, noma ishaya kancane.
• Ubuhlungu besifuba , ukungakhululeki, noma ukuqina.
• Ukuphelelwa umoya .
• Ukuzizwa udidekile noma udidekile.
• Ukuquleka / i-syncope .
• Ukukhathala okukhulu , umuzwa wokuphelelwa yimpilo.
• Ukuzwa ukushaya ngamandla esifubeni, emphinjeni, noma entanyeni (ukushaya kwenhliziyo) .
• Ukuvuvukala (ukuvuvukala) kwezitho zomzimba, ikakhulukazi imilenze, amaqakala, nezinyawo .

Odokotela bakuthola kanjani lesi simo?

Ngemva kokulalela izimpawu zakho nokulalela inhliziyo yakho, udokotela wakho uzoqala akucele ukuhlolwa kwegazi . Lokhu kuvame ukubalwa kwegazi okuphelele (i-CBC) . Lokhu kuhlola i-anemia, ukuntuleka kwamavithamini, noma izinkinga ze-thyroid.

Ngemuva kwalokho, ukuhlolwa okulandelayo okuzodingeka ukwenze i-electrocardiogram (EKG noma i-ECG) . Lokhu kuhilela ukunamathisela uchungechunge lwezinzwa esikhumbeni sakho ukuze kuqoshwe umsebenzi kagesi wenhliziyo yakho, noma ukushaya kwenhliziyo. Lokhu kungenziwa ehhovisi likadokotela futhi kuthatha cishe imizuzu eyi-15.

Ake sithi ubungenalo ukushaya kwenhliziyo okungajwayelekile lapho uya kudokotela. Ukube bekunjalo, bekungeke kuqoshwe ku-EKG. Esimweni esinjalo, udokotela angakucela ukuthi usebenzise i- ambulatory monitor , isibonelo , i-Holter monitor . Lena idivayisi encane, ephathekayo. Kufanele uyigqoke cishe isonto lonke. Phakathi nalesi sikhathi, ukushaya kwenhliziyo yakho nanoma yikuphi ukungahambi kahle kuzoqoshwa kuyo.

Yiziphi izindlela zokwelapha i-arrhythmia ye-atrial?

Uma kutholakala ukuthi une-arrhythmia, uzothunyelwa kudokotela wenhliziyo.Ukwelashwa kunqunywa ngokusekelwe empilweni yakho iyonke kanye nohlobo lwe-arrhythmia.

Izinguquko endleleni yokuphila kanye nemikhuba yokudla:

Izinhlobo eziningi ze-arrhythmia zingalawulwa ngalezi zinguquko ezilula:

• Yeka noma unciphise utshwala, i-caffeine, kanye nemithi ethile (isib., imithi ebandayo equkethe i-pseudoephedrine).
• Phuza amanzi amaningi ukuze uvimbele ukuphelelwa amanzi emzimbeni.
• Ukucela usizo lokunciphisa ukucindezeleka nokukhathazeka, ukuzijwayeza izivivinyo zokuphumula kanye namasu okuphefumula ngokujulile .
• Uma ukhuluphele kakhulu, ukwehlisa isisindo nokugcina isisindo esinempilo kubalulekile .
• Yeka ngokuphelele ukubhema nokusebenzisa imikhiqizo kagwayi .

Ukwelashwa kwezokwelapha:

Ezinye izinhlobo ze-arrhythmia zidinga ukwelashwa kwezokwelapha ngaphezu kokushintsha indlela yokuphila. Uma unezinhlobo ezingaphezu kweyodwa ze-arrhythmia, ungadinga ukwelashwa okungaphezu kokukodwa. Nazi ezinye zezindlela zokwelapha eziyinhloko:

• Ukususwa kwe-Catheter: Lokhu akukubi njengokuhlinzwa. Kubhubhisa ingxenye encane yezicubu enhliziyweni ethumela izimpawu zikagesi ezingajwayelekile. Lokhu kumisa isigqi esingajwayelekile.
• Amadivayisi: Ngezinye izikhathi idivayisi efana ne -implantable cardioverter-defibrillator (ICD) , i-subcutaneous ICD, noma i-pacemaker kungadingeka ifakwe enhliziyweni ukuze kulawulwe isigqi senhliziyo.
• I-Electrical Cardioversion: Lokhu kuhilela ukunikeza inhliziyo ukushaqeka okuphephile (ukuqhuma) kwenhliziyo, ukuvimba isigqi esingajwayelekile bese kusibuyisela esigqini esijwayelekile.
• Imithi: Kunemithi enikezwa ukugcina isigqi senhliziyo sijwayelekile noma ukuvimbela ukungalingani (imithi ye-arrhythmia). Futhi, abantu abane- Afib banganikwa imithi yokunciphisa igazi ukuze banciphise ingozi yokushaywa yisifo sohlangothi.

Unganciphisa kanjani ingozi ye-atrial arrhythmia?

Kungase kungenzeki ukuvimbela lokhu ngokuphelele, kodwa singanciphisa ingozi yethu ngokuhlala siphilile futhi senze izinqumo ezihlakaniphile.

• Ukulandela ukudla okunempilo kwenhliziyo .
• Vivinya umzimba kahle futhi uhlale umatasa .
• Uma ukhuluphele kakhulu, ukwehlisa isisindo nokugcina isisindo esinempilo kubalulekile .
• Uma unomfutho wegazi ophakeme (umfutho wegazi ophakeme), yilawule .
• Ukulawula amazinga e-cholesterol .
• Khuluma nodokotela wakho bese wenza uhlelo lokuyeka ukubhema nokusebenzisa imikhiqizo kagwayi.

Uma unesifo senhliziyo noma ezinye izinkinga zempilo ezandisa ingozi yakho yalesi sifo sokungaqini kahle kwenhliziyo, khuluma nodokotela wakho ngaso. Uzochaza ukuthi yiziphi ezinye izinyathelo ongazithatha.

Uyini umbono womuntu one-Atrial Arrhythmia? (I-Outlook)

Lokhu kuncike ezintweni eziningana. Uhlobo lwe-arrhythmia onayo kanye nempilo yakho iyonke konke kungadlala indima. Abantu abaningi bangalawula izimpawu zabo ngokushintsha indlela yokuphila kanye nokudla. Ukwelashwa kwe-arrhythmia ye-atrial kungakusiza ukuthi uphile impilo enempilo iyonke . Into ebaluleke kakhulu ukubona udokotela wakho njalo ukuze uhlole impilo yenhliziyo yakho futhi usebenzisane naye ukuze uhlale uphilile.

Kufanele ubonane nini nodokotela mayelana nesifo se-atrial arrhythmia?

Uma unenkinga mayelana nokushaya kwenhliziyo yakho, noma uma unezinye zezimpawu esixoxe ngazo, qiniseka ukuthi ubona udokotela . Uma usuvele wazi ukuthi une-atrial arrhythmia, bona udokotela wakho wenhliziyo njalo.

Izimpawu ezidinga ukunakekelwa okusheshayo:

Uma unalezi zimpawu , funa iseluleko sezokwelapha ngokushesha :

- Ubuhlungu besifuba .

- Ukuphelelwa yithemba njalo .

- Ukukhathala noma ukukhathala okungazelelwe noma okungachazeki .

- Ukuvuvukala emilenzeni, ezinyaweni noma emaqakaleni .

- Ukuphefumula kunzima .

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-atrial arrhythmia ngezinye izikhathi ingaholela ezinkingeni ezinkulu zempilo, njenge-stroke. Kodwa izindaba ezinhle ukuthi lesi simo singalawulwa kahle ngokwelashwa okufanele kanye nokushintsha indlela yokuphila .

Uma unezimpawu ze-arrhythmia, ikakhulukazi uma unomlando wesifo senhliziyo noma isimo sempilo esifana nomfutho wegazi ophakeme, ungalibali ukubona udokotela . Ngokulandela ukudla okunempilo kwenhliziyo nokuhlala usebenza, unganciphisa ingozi yakho ye-arrhythmia futhi ulondoloze impilo engcono iyonke . Khumbula, inhliziyo yakho iyimpahla yakho eyigugu kakhulu!

Ukuphazamiseka kwe - atrial, ukuphazamiseka kwesigqi senhliziyo, ukushaya kwenhliziyo, isifo senhliziyo, i-atrial fibrillation, impilo yenhliziyo, ukushaya kwenhliziyo okungajwayelekile