Ingabe inhliziyo yakho ishaya ngendlela exakile ngezinye izikhathi? Ake sixoxe ngeBigeminy!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngokushesha ngokuzumayo, noma sengathi ishaya ngokushesha? Kukhona into engavamile esifubeni sakho, mhlawumbe enobuhlungu obuncane. Akukuhle ukungazinaki izinto ezinjengalezi. Namuhla, ake sixoxe ngesizathu esisodwa esingaba khona salokhu, okuyisimo esibizwa ngokuthi `(Bigeminy)`.

Kuyini `(i-Bigeminy)`?

Kalula nje, i-`(Bigeminy)` iyiphutha elincane esigqini senhliziyo yethu, okungukuthi, esigqini. Kulokhu, ukushaya kwenhliziyo kwesibili ngakunye kuza njengokushaya okwengeziwe ngaphambi kokushaya okuvamile, noma `(ukufinyela kwangaphambi kwesikhathi)`. Okusho ukuthi, ukushaya okukodwa okuvamile, bese kuba ukushaya okwengeziwe, futhi ukushaya okuvamile, bese kuba ukushaya okwengeziwe... Yileyo ndlela ehamba ngayo. Cabanga ngakho kanje. Ngokuvamile, isignali kagesi ivela endaweni eyodwa enhliziyweni yethu futhi yenza inhliziyo ishaye kahle. Njengoba nje umshayi wedrama oyinhloko weqembu lesigubhu eshaya ngesigqi esisodwa. Bese lesi signali sihamba sisuka phezulu kwenhliziyo siye phansi bese inhliziyo ishaya ngendlela ehlelekile. Kodwa ku-`(Bigeminy)`, esinye isignali kagesi siqala endaweni ehlukile enhliziyweni, siphazamise leyo ndlela evamile. Lokhu kwenzeka njalo ngemva kokushaya kwenhliziyo kwesibili. Kufana nokuthi ngemva kokuba umshayi wedrama oholayo eshaya isigubhu, omunye umshayi wedrama kwenye indawo enkundleni ushaya isigubhu sakhe, futhi bayashintshana ngokushaya njalo ukushaya kwesibili.

Ingabe kukhona izinhlobo ze-`(Bigeminy)`?

Yebo, lesi simo `(Bigeminy)` singaqala ezingxenyeni ezahlukene zenhliziyo. Ngakho-ke, kunezinhlobo ezimbili eziyinhloko. 1. I-Atrial Bigeminy `(Atrial Bigeminy)`: Lokhu kwenzeka emakamelweni amabili aphezulu enhliziyo, okungukuthi, i-atria. Lapha, lezo zinhliziyo ezengeziwe ziza ngesimo `(izinsi ...

Ziyini izimpawu ze-`(Bigeminy)`?

Akuwona wonke umuntu onezimpawu. Abanye abantu bangase bangaboni lutho ngisho noma benayo "i-Bigeminy". Kodwa-ke, kulabo abanezimpawu, lokhu kungenzeka:

• Ukuzwa ubuhlungu noma ukuqina esifubeni .
• Ukushaya kwenhliziyo - Ukuzizwa sengathi inhliziyo yakho iyagxumagxuma, noma ngokuzumayo ishaya ngokushesha okukhulu.
• Ukuzizwa unesizungu .
• Ngezinye izikhathi kungase kube nokuquleka.
• Ukuphefumula ngamandla kuwukuphefumula okusheshayo nokujulile.
• Ukuzizwa ukhathele futhi ukhathele.

Khumbula, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela.

Kungani lokhu `(I-Bigeminy)` kwenzeka? Ziyini izimbangela?

I-Bigeminy ibangelwa izinkinga ngendlela inhliziyo ethumela ngayo izimpawu zikagesi. Kunezimo eziningana ezingabangela lokhu. Isibonelo:

• Uma uke waba nokuhlaselwa yinhliziyo ngaphambilini.
• Uma une -high blood pressure (sithi i-high blood pressure iphezulu kakhulu).
• I-anemia ( i-hemoglobin ephansi egazini ).
• Ukwanda komsebenzi we-thyroid gland ( i-Hyperthyroidism ) .
• I-cardiomyopathy yisifo esenza imisipha yenhliziyo ibe buthaka.
• Ukwehla kwe-valve ye-Mitral kuyinkinga nge-valve yenhliziyo.

Kalula nje, ngaphezu kwezibonakaliso ezivela kumshini wenhliziyo wemvelo, amanye amangqamuzana enhliziyweni ngokwawo anganika inhliziyo isignali yokushaya. Noma, kungase kube nokuvinjelwa okuthile ezindleleni ezivamile ezithwala izimpawu ziye enhliziyweni.

Ubani osengozini enkulu yokuthola "i-Bigeminy"?

Kunezinto ezithile ezandisa ingozi ye-"Bigeminy". Ake sibheke ukuthi ziyini:

• Isifo semithambo yegazi ye-coronary .
• Ukwehluleka kwenhliziyo .
• Ukusetshenziswa ngokweqile kwe -caffeine (etholakala etiyeni, ekhofini, nakwezinye iziphuzo).
• Ukusetshenziswa kotshwala .
• Ukusetshenziswa kwemikhiqizo kagwayi (njengogwayi).
• Ukukhathazeka .
• Amazinga e-electrolyte emzimbeni (njenge-sodium ne-potassium) ayanda noma anciphe ngaphezu kwezinga elifanele.
• Ukungalali ngokwanele.

Ezinye zalezi zinto singazilawula, akunjalo? Sizoxoxa ngalokho kamuva.

Ingabe i-Bigeminy ingabangela ezinye izinkinga?

Yebo, ngezinye izikhathi `(Bigeminy)` ingabangela ukuba imisipha yenhliziyo ibe buthaka. Leso simo sisibiza ngokuthi `(Cardiomyopathy)` . Kodwa kunezindaba ezinhle. Uma `(Bigeminy)` iphathwa ngempumelelo, isibonelo ngokwelashwa okubizwa ngokuthi `(catheter ablation)` , isimo `(Cardiomyopathy)` singelapheka.

Ungayithola kanjani i-`(Bigeminy)`? (Ukuxilongwa)

Uma uya kudokotela, uzoqala alalele inhliziyo yakho nge-stethoscope. Uma uzwa ukushintshana kokushaya okuvamile nokwengeziwe, udokotela angase asole isimo esithi "Bigeminy". Uzobe eseyala ukuhlolwa okuthile ukuze kuqinisekiswe.

Hlobo luni lokuhlolwa okwenziwayo?

Ukuhlolwa okulandelayo kuvame uku-oda:

• I-Electrocardiogram (EKG):Lesi yisilingo esiyinhloko esibheka umsebenzi kagesi wenhliziyo. Sivame ukuhlonza "i-Bigeminy".
• I-Holter monitor: Lokhu kufana nomshini omncane we-EKG. Kugqokwa emzimbeni wakho amahora angama-24 kuya kwangu-48 futhi kuqopha izinga lokushaya kwenhliziyo yakho phakathi naleso sikhathi. Uma ungenayo i-bigeminy ngaso sonke isikhathi, kungenzeka ingatholakali ku-EKG evamile.
• Ukuhlolwa kwegazi : Lokhu kwenziwa ukuhlola izinto ezifana namazinga e-electrolyte kanye namazinga e-thyroid hormone, njengoba izinguquko kulokhu zingathinta nalesi simo.
• I-Echocardiogram: Lokhu kungabheka izinto ezifana nokuma, usayizi, umsebenzi wama-valve, kanye nomsebenzi wemisipha yenhliziyo. Kufana nokuskena kwenhliziyo.
• Ukuhlolwa kokucindezeleka: Lokhu kuhilela ukugijima ku-treadmill nokubheka ukuthi izinga lokushaya kwenhliziyo yakho lishintsha kanjani ngesikhathi sokuzivocavoca.

Ingabe wonke umuntu udinga ukwelashwa kwe-"Bigeminy"?

Nansi into ebalulekile. Uma i-EKG yakho ibonisa ukuthi une-Bigeminy, kodwa ungenazo izimpawu, cishe ngeke udinge ukwelashwa okukhethekile. Kodwa-ke, labo abanazo izimpawu badinga ukwelashwa nakanjani.

Iphathwa kanjani i-`(Bigeminy)`?

Uma unezimpawu ze-`(Bigeminy)`, odokotela bangakusiza ngemithi. Ngezinye izikhathi, uma izimpawu zihambisana ne-`(Cardiomyopathy)` okukhulunywe ngayo ngaphambilini, ukwelashwa okukhethekile okubizwa ngokuthi `(catheter ablation)` kungadingeka. Ithemba eliyinhloko lomuthi onikezwayo we-`(Bigeminy)` ukwehlisa izinga lokushaya kwenhliziyo. Kodwa-ke, le mithi ingase ingamisi ngokuphelele isimo se-`(Bigeminy)` noma iqede izimpawu. Ukwelashwa okubizwa ngokuthi `(catheter ablation)` kwenzelwa labo abangatholi impumuzo emithini. Izinga lempumelelo lalokhu kwelashwa lingu-75% noma ngaphezulu.

Imithi/ukwelashwa okuthile okusetshenzisiwe

Lokhu okulandelayo kusetshenziswa njengokwelashwa:

• Ama-Beta-blocker
• Ama-Potassium channel blockers - isibonelo, umuthi obizwa ngokuthi i-amiodarone (Cordarone® noma i-Pacerone®).
• Izithiyo zesiteshi se-calcium
• Ukususwa kwe-catheter - Lokhu kuhilela ukudlulisa ipayipi elincane enhliziyweni nokukhubaza indawo lapho kuvela khona izimpawu zikagesi ezengeziwe.

Ingabe kukhona imiphumela emibi/izinkinga zokwelashwa?

Noma yimuphi umuthi ungaba nemiphumela emibi. Kodwa-ke, uma uqhathaniswa nezinzuzo zomuthi, imiphumela emibi ngokuvamile ayibi mibi kakhulu. Uma unemibuzo, khuluma nodokotela wakho. Eminye yemiphumela emibi engaba khona yemithi ye-`(Bigeminy)` yile:

• Isiyezi
• Ukuzizwa unekhanda elikhanyayo (ikhanda elikhanyayo)
• Ukukhathala
• Isisu esibuhlungu
• Ubuhlungu bekhanda

Izinkinga ngemva kokususwa kwe-catheter azivamile. Kodwa-ke, ngezinye izikhathi okulandelayo kungenzeka:

• Ukutheleleka
• Ukopha
• Ukulimala emthanjeni wegazi noma esicutshini senhliziyo
• Amahlule egazi
• Isifo sohlangothi

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Kungathatha amasonto ambalwa ukuphulukiswa ngokuphelele ngemva kokususwa kwe-catheter. Phakathi nalesi sikhathi, kungase kube khona inani elincane le-"bigeminy".

Ungayinciphisa kanjani ingozi ye-`(Bigeminy)`?

Singanciphisa ingozi yethu yokuthola i-"Bigeminy" ngokushintsha ezinye zezinto eziyingozi esingazilawula. Bona ukuthi ungakwenza yini lokhu:

• Uma unomfutho wegazi ophakeme, lawula.
• Gwema ukudla i-caffeine ngokweqile. Nciphisa izinto ezifana netiye nekhofi.
• Nciphisa ukusetshenziswa kotshwala , noma uyeke ngokuphelele.
• Lala kahle njalo ebusuku.
• Thola izindlela zokulawula ukukhathazeka . Izinto ezifana nokuzindla kanye ne-yoga zingasiza.
• Gwema ngokuphelele imikhiqizo kagwayi (ugwayi, ama-bidis).

Nakuba lezi ziyizinguquko ezincane zendlela yokuphila, zingaba nomthelela omkhulu empilweni yenhliziyo yakho.

Kwenzekani uma kukhona `(i-Bigeminy)`?

Uma ungenazo izimpawu, akukho okuningi ongakwenza. Ungaphila impilo evamile. Kodwa-ke, uma unezimpawu, udokotela wakho uzokutshela ukuthi ugweme izinto ezifana ne-caffeine, izidakamizwa, notshwala. Bangase bakunike imithi. Abanye abantu bangadinga nokususwa kwe-catheter.

Siyini isimo sempilo sabantu abane-`(Bigeminy)`? (Outlook)

Impilo yesikhathi esizayo yabantu abane-`(Bigeminy)` incike ekutheni banezinye izifo zenhliziyo nezinye izinto eziyingozi. Kubantu abanezinye izifo zenhliziyo, i-`(Bigeminy)` iyisibonakaliso sokuthi ingozi yokufa inganda kancane. Kodwa kwabanye, okungukuthi, abantu abangenazo ezinye izifo zenhliziyo, ingozi yokufa ayiphakeme kunomuntu ojwayelekile. Kubantu abane-`(Bigeminy)` abangenazo izimpawu, isimo sengqondo sihle kakhulu. Akukho okufanele ukhathazeke ngakho.

Ngizinakekela kanjani?

Ukuze uthole imiphumela emihle kakhulu, landela imiyalelo kadokotela wakho ngqo. Kungase kudingeke unciphise i-caffeine bese uthola izindlela zokunciphisa ukucindezeleka. Uma uthatha imithi oyinikezwe ngudokotela, yithathe njengoba nje kuqondiswe ebhodleleni.

• Thatha imithi yakho ngesikhathi njengoba udokotela ekuyalele.
• Qaphela ukuthi udlani futhi uphuzani. Nciphisa i-caffeine, ukudla okunamafutha, kanye namaswidi ngangokunokwenzeka.
• Uma ubhema, kufanele uyeke.
• Nciphisa ukusetshenziswa kotshwala.
• Ukuzivocavoca. Kodwa qala ngokubuza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele.
• Ukuphumula nokulala okufanele kubalulekile.
• Nciphisa ukucindezeleka. Izinto ezifana nokukhuluma nabangani, ukuzibandakanya nomsebenzi wokuzilibazisa, nokuzindla kungasiza.

Kufanele ngimbone nini udokotela?

Kubalulekile ukugcina ama-aphoyintimenti akho avamile. Kodwa-ke, bona udokotela wakho ngokushesha uma:

• Uma uba nezimpawu ezintsha , noma uma izimpawu zakho zishintsha.
• Uma izimpawu zakho ziba zimbi kakhulu .
• Uma umuthi owuthathayo udala imiphumela emibi .
• Uma uzwa ubuhlungu obukhulu esifubeni, ubunzima bokuphefumula, noma uzizwa sengathi ulahlekelwa ingqondo , hamba esibhedlela ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uvakashela udokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingakanani i-caffeine okufanele ngiyinciphise?
• Kukangaki ngidinga ukuza ngezikhathi zokulandelela?
• Ungangincoma izindlela zokunciphisa ukucindezeleka kwami?
• Ungangithumela ohlelweni oluzongisiza ngiyeke ukusebenzisa imikhiqizo kagwayi?
• Ngingakwazi yini ukuzivocavoca ngendlela evamile ngalesi simo?
• Yiziphi izinguquko okufanele ngizenze ekudleni kwami?

Okokugcina, into ebaluleke kakhulu

Ungase uzizwe ukhathazekile kancane lapho udokotela wakho ekutshela ukuthi unezinhlungu ezengeziwe enhliziyweni yakho, noma "i-Bigeminy". Lokho kuvamile. Kodwa khumbula, abantu abaningi abane-"Bigeminy" abangenazo izimpawu abadingi ukwelashwa. Khuluma nodokotela wakho mayelana nokuthi udinga ukwelashwa "kwe-Bigeminy". Gcina ama-aphoyintimenti akho futhi uphuze noma yimiphi imithi oyinikezwe udokotela. Kubalulekile ukunakekela inhliziyo yakho.

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