Uma udidekile, ingabe inhliziyo yakho iqale ukushaya ngokushesha okukhulu, njengokungathi iyagijima? Noma uzizwa into engavamile, njengokuthuthumela esifubeni sakho? Kunabantu abaningi abaye babhekana nalokhu. Igama lezokwelapha lalokhu yi-Atrial Tachycardia. Ungesabi uma uzwa igama. Lesi ngokuvamile akusona isimo esiyingozi. Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.
Kalula nje, iyini i-Atrial Tachycardia?
Inhliziyo yethu ifana nendlu encane enamakamelo amane. Amakamelo amabili aphezulu namakamelo amabili aphansi. Sibiza la makamelo amabili aphezulu ngokuthi i-atria. Ngokuvamile, inhliziyo yethu inohlelo lukagesi. Inhliziyo ishaya ngendlela ehlelekile ngokwezimpawu ezivela kulolu hlelo.
I-Atrial Tachycardia yilapho amakamelo amabili aphezulu enhliziyo, i-atria, eqala ukushaya ngokushesha okukhulu kunokujwayelekile. Inhliziyo, evame ukushaya izikhathi ezingu-60-100 ngomzuzu, manje ingashaya ngokushesha izikhathi ezingu-100 kuya ku-250 ngomzuzu. Cabanga ngaleso sivinini! Lokhu kuyinto engajwayelekile yokushaya kwenhliziyo, okubizwa ngokuthi "i-arrhythmia" kwezokwelapha. Lesi yisimo esibizwa ngokuthi "i-SVT - i-supraventricular tachycardia".
Kodwa into ebalulekile ukuthi, lokhu akuyingozi ezimweni eziningi. Ngokwelashwa okuhle, kungalawulwa, futhi ngezinye izikhathi kwelapheke ngokuphelele. Ingozi yalesi simo iyanda kancane ngokukhula.
Ingabe zikhona izinhlobo eziyinhloko zalesi simo?
Yebo, lokhu kungenzeka ngezindlela ezimbili eziyinhloko. Kuhle ukwazi, Dokotela, ngoba kungenzeka ukuthi usebenzisa la magama.
| Uhlobo | Kuchazwe kalula |
|---|---|
| Uhlobo Lokungenela Okungena Kabusha | Lokhu kwenzeka lapho izimpawu zikagesi zenhliziyo zingahambi ziqonde, kodwa kunalokho zizungeza isilonda enhliziyweni. Kufana nemoto ehambahamba endaweni ezungezile ngoba umgwaqo uvaliwe. Lokhu kubangela inhliziyo ukuba ishaye ngokushesha nangokushesha. |
| Uhlobo Lokugxila | Lokhu kwenzeka lapho indawo eyodwa, ethize (ukugxila) enhliziyweni iqala ukukhipha izimpawu zikagesi ezingavamile nezisheshayo. Lokhu ngokuvamile akulona ingozi, kodwa uma kuqhubeka isikhathi eside, kungabangela izinkinga. |
Kwabanye abantu, lolu hlobo lwe-"Focal" lungenzeka ezindaweni ezingaphezu kweyodwa. Lokhu kubizwa ngokuthi uhlobo lwe-"Multifocal". Uma kunjalo, ukwelashwa kungaba nzima kancane, ngoba inkinga ayiqali endaweni eyodwa.
Yiziphi izimpawu ongase uzibone?
Ngezinye izikhathi lesi simo singafika sidlule ngaphandle kwezimpawu. Kodwa-ke, abantu abaningi bahlangabezana nezimpawu ezithile. Lezi zimpawu zingafana nezezinye izifo zenhliziyo ezingathi sína, ngakho-ke kungcono ukuzazi futhi ubone udokotela ngokushesha okukhulu.
| Ngobani? | Izimpawu Ezivamile |
|---|---|
| Kwabantu abadala |
|
| Kwabantwana abancane kanye nezingane ezincane |
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Okubaluleke kakhulu: Uma unesinye noma ngaphezulu salezi zimpawu, ungacabangi ukuthi yi-Atrial Tachycardia. Kodwa-ke, ungakuthathi kalula futhi qiniseka ukuthi uthintana nodokotela wakho ukuze uthole iseluleko.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Kulungile, manje ake sibone ukuthi kungani la makamelo aphezulu enhliziyo eqala ukushaya ngokuzumayo. Kungaba nezizathu ezintathu eziyinhloko zalokhu.
1. Ukuzenzakalela
Kalula nje, kukhona isikhungo esiyinhloko esilawula izinga lenhliziyo yethu. Kodwa ngezinye izikhathi, elinye iseli noma iqembu lamaseli enhliziyweni liba "yisikhulu" bese liqala ukuthumela izimpawu zikagesi ezisheshayo ngaphandle kokulalela isikhungo esiyinhloko. Lokhu kungabangelwa ukungalingani emazingeni e -sodium, potassium, kanye ne-calcium emzimbeni.
2. Umsebenzi oqalisiwe
Lokhu kwenzeka lapho ukungalingani kwamakhemikhali emaseli emisipha yenhliziyo kuwenza akhuthale futhi akhiphe izimpawu zikagesi ezingadingekile ngesikhathi okufanele. Kufana ne-alamu ekhala ngesikhathi esingafanele.
3. Ukungena kabusha
Uma kukhona ukuphazamiseka endleleni yezimpawu zikagesi zenhliziyo, njengesibazi esivela ekuhlinzweni kwangaphambilini, izimpawu zikagesi ngeke zihambe ngqo phakathi kokuvinjelwa kunalokho zizoqala ukujikeleza. Ngale ndlela, izimpawu zikagesi ziyabhajwa ku-loop futhi ziqhubeke nokuvuselela inhliziyo, okwenza inhliziyo ishaye ngokushesha.
Izinto ezandisa ingozi yalesi simo
Nakuba lesi simo singase senzeke kunoma ubani, ezinye izinto zandisa ingozi.
- Isifo senhliziyo esivele sikhona
- Njengoba ngike ngaba nokuhlaselwa yinhliziyo ngaphambilini
- Izifo ezihlobene namaphaphu
- Ukungalingani kwe-electrolyte emzimbeni
- Ukuphuza ngokweqile
- Izimo ezahlukahlukene ezithelelanayo
- Ukwehla kwamazinga omoya-mpilo emzimbeni
- Imiphumela enobuthi yemithi ethile efana ne-`(Digoxin)`
- Ukusetshenziswa ngokweqile kwe-caffeine (itiye, ikhofi) nezinye izinto ezivuselelayo
Ezinye zalezi zici eziyingozi zingalawulwa ngezinga elithile, isibonelo ngokunciphisa ukusetshenziswa kotshwala ne-caffeine, ukudla ukudla okunomsoco, kanye nokuzivocavoca umzimba.
Ukuthola kanjani lokhu, Dokotela?
Uma ususitshelile ngezimpawu zakho, udokotela uzokuxilonga futhi, uma besola lesi simo, bazokudlulisela ezivivinyweni eziningana.
- Ukuhlolwa komzimba: Uma udokotela ebeka i-stethoscope enhliziyweni yakho futhi elalele, ungase uzwe ukushaya kwenhliziyo okusheshayo.
- I-ECG (i-Electrocardiogram): Lolu uhlobo lokuhlola olulula kakhulu nolulula kakhulu. Izinzwa ezifana nezitikha zinamathiselwe esifubeni sakho, ezingalweni nasemilenzeni ukuze ziqophe umsebenzi kagesi wenhliziyo yakho.
- I-Holter Monitor: Ngezinye izikhathi lokhu kushaya kwenhliziyo okusheshayo akwenzeki ngaso sonke isikhathi. Ngakho udokotela angase angaziboni lapho ekuxilonga. Kulesi simo, uzonikezwa umshini omncane we-ECG ongawugqoka usuku olulodwa noma ezimbili noma ngisho nesonto. Uqopha ukusebenza kwenhliziyo yakho usuku lonke.
- Ucwaningo lwe-Electrophysiology: Lolu vivinyo oluyinkimbinkimbi kancane. Lwenziwa esibhedlela. Kudluliselwa ipayipi elincane ngemithambo yegazi enhliziyweni, bese kuthathwa imephu yesistimu kagesi yenhliziyo ukuze kutholakale ukuthi inkinga ikuphi ngempela.
- I-Implantable Loop Recorder: Uma unezimpawu ezenzeka njalo ezinyangeni ezimbalwa, idivayisi encane efakwa ngaphansi kwesikhumba ingasetshenziswa ukuqapha izinga lokushaya kwenhliziyo yakho izinyanga, mhlawumbe iminyaka.
Yiziphi izindlela zokwelapha?
Kunezindlela zokwelapha ezinhle zalokhu. Udokotela wakho uzokhetha ukwelashwa okukufanele kakhulu kuye ngesimo sakho, uhlobo lwezimpawu zakho, kanye nembangela.
| Indlela yokwelapha | Kwenzekani? |
|---|---|
| Imithi |
|
| Ukwelashwa kokukhipha isisu | Lokhu kuyindlela yokwelapha ephumelela kakhulu. Kuhilela ukukhubaza ingxenye encane kakhulu yenhliziyo ekhiqiza izimpawu zikagesi ezingalungile.
|
Ingabe lokhu kungelapheka ngokuphelele?
Esikhathini esiningi, yebo! Ikakhulukazi kulabo abanohlobo lwe-``Focal```, ukwelashwa kwe-``(Catheter ablation)`` kunesilinganiso esiphakeme kakhulu sokwelapha . Ngezinye izikhathi, uma kubangelwa esinye isimo sezokwelapha, ukushaya kwenhliziyo okusheshayo kungase kuphele lapho leso simo selashwa.
Uma lesi simo singenazimpawu futhi senzeka isikhashana nje, udokotela wakho angase anqume ukukubheka ngaphandle kokwelashwa.
Kufanele ubonane nini nodokotela?
Lena yingxenye ebaluleke kakhulu. Uma unezinye zezimpawu ezishiwo ngenhla, uma ziqhubeka, uma ziba zimbi kakhulu, noma uma ziphazamisa impilo yakho yansuku zonke, ungachithi sikhathi bese ubona udokotela wakho.
Uma uzwa ubuhlungu besifuba obungazelelwe, obukhulu, ukuphelelwa umoya okukhulu, ukuquleka okungachazeki noma isiyezi esinzima, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Lokhu kungaba izimpawu zesimo esibucayi.
Ungabuza nodokotela wakho imibuzo efana nale:
- Uhlobo luni lwe-Atrial Tachycardia enginalo?
- Yikuphi ukwelashwa okungcono kakhulu kimi?
- Kufanele ngimbone kangaki udokotela?
Ingabe lesi simo siyingozi?
Njengoba kushiwo ngaphambili, uma lesi simo senzeka isikhashana bese sinyamalala, asibhekwa njengengozi. Kodwa-ke, uma lokhu kushaya kwenhliziyo okusheshayo kuqhubeka isikhathi eside, kungenza buthaka imisipha yenhliziyo. Sikubiza ngokuthi `(Cardiomyopathy)`. Uma lokhu kungelashwa, kungaholela ezimweni ezimbi kakhulu ezifana `(ukwehluleka kwenhliziyo)` esikhathini esizayo.
Yingakho sithi, uma unezimpawu, funa iseluleko sezokwelapha ngokushesha okukhulu. Ngokwelashwa okusheshayo, ungaphila kahle ngaphandle kokulimala kwesikhathi eside.
Kuvamile ukuthi noma ubani azizwe esaba futhi ekhathazekile lapho ezwa ngenkinga yenhliziyo efana nale. Kodwa khumbula, lesi yisimo esingalawulwa futhi selapheke. Khuluma nodokotela wakho ngokukhululekile ngalokhu. Uzolalela konke ukwesaba kwakho nokungabaza kwakho. Khona-ke uzoba namandla amakhulu okuphila ngempumelelo nalesi simo.
Umlayezo Wokuya Nawe Ekhaya
- I-atrial tachycardia yilapho amakamelo aphezulu enhliziyo (i-atria) eshaya ngokushesha kunokujwayelekile.
- Lesi akusona isimo esiyingozi ezimweni eziningi, kodwa kufanele nakanjani uhlolwe udokotela.
- Izimpawu ezifana nokushaya kwenhliziyo okusheshayo, isiyezi, ubuhlungu besifuba, kanye nobunzima bokuphefumula zingase zibe khona.
- Kunezindlela zokwelapha eziphumelela kakhulu kulokhu, njengemithi kanye nokuhlanza . Kwezinye izimo, kungaze kwelapheke ngokuphelele.
- Unganciphisa ingozi ngokunciphisa izinto ezifana ne-caffeine notshwala nangokuphila impilo enempilo.
- Uma uhlangabezana nanoma yiziphi izimpawu eziphuthumayo njengobuhlungu obukhulu besifuba noma ukuquleka, iya e -ETU (Emergency Treatment Unit) ngokushesha.
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