Ingabe Inhliziyo Yakho Ishaya Kancane Kakhulu? Umhlahlandlela Olula We-Bradycardia

Wake wazizwa unekhanda elibuhlungu, uphelelwa umoya, noma umane ukhathele ngaphandle kwesizathu esibonakalayo? Lokhu kungaba izimpawu zokuthi inhliziyo yakho ishaya kancane kakhulu. Namuhla, sizokhuluma ngalesi simo, esaziwa ngokuthi i-bradycardia . Ungakhathazeki—ukuqonda okwenzekayo emzimbeni wakho kuyisinyathelo sokuqala esibaluleke kakhulu.

Iyini ngempela i-Bradycardia?

Kalula nje, i-bradycardia yenzeka lapho izinga lokushaya kwenhliziyo yakho lehla ngaphansi kwama-beats angu-60 ngomzuzu. Nakuba lokhu kuphansi kunezinga lokushaya kwenhliziyo elivamile lokuphumula, akusiyo njalo inkinga yezokwelapha. Kodwa-ke, uma inhliziyo yakho ishaya kancane kangangokuthi ayikwazi ukupompa igazi elanele elinomoya-mpilo ebuchosheni bakho nakwezinye izitho ezibalulekile, kungaholela ezinkingeni.

Kubalulekile ukukhumbula: lokhu akulona njalo ingozi. Kubantu abakhuthele ngokomzimba noma abasubathi abaqeqeshwe, ukushaya kwenhliziyo okuhamba kancane kuvame ukuba uphawu lwenhliziyo esebenza kahle kakhulu. Ngenxa yokuthi imisipha yenhliziyo yabo inamandla kakhulu, ingagcina ukugeleza kwegazi okufanele ngisho nangesigqi esiphansi, okungabangeli monakalo nhlobo.

Uyini umehluko phakathi kwe-bradycardia ne-tachycardia?

Kungenzeka ukuthi uke wezwa igama elithi tachycardia . Lezi zimo ezimbili ziyaphikisana.

• I-Bradycardia ivela emagameni esiGreki athi "bradys" (okusho ukuthi uhamba kancane) kanye nelithi "kardia" (okusho inhliziyo). Ngokwezwi nezwi lisho ukuthi "inhliziyo ehamba kancane."
• I-Tachycardia isebenzisa igama lesiGreki elithi "tachys" (elisho ukushesha). Libhekisela enhliziyweni eshaya ngokushesha okukhulu.

Njengoba ubona, umehluko oyinhloko isigqi—i-bradycardia ihamba kancane, kanti i-tachycardia ishesha.

Ubani othinteka kakhulu?

Nakuba i-bradycardia ingathinta noma ubani, ivame kakhulu kubantu abangaphezu kweminyaka engu-65. Njengoba sikhula, izinga lokushaya kwenhliziyo yethu yemvelo livame ukwehla kancane. Nakuba lingavamile kubantu abasebasha nasezinganeni, ngezinye izikhathi lingenzeka ngenxa yezimo zofuzo noma izinkinga zempilo eziyisisekelo.

Izimo ezithile zezokwelapha, imithi, ukulimala esifubeni, ukuntuleka kokudla okunempilo, kanye nezinkinga zokudla nakho kungandisa amathuba okuthola i-bradycardia.

Kuvamile kangakanani?

I-Bradycardia ivame kakhulu ezimweni ezithile:

• Kubantu abadala abangaphezu kweminyaka engama-65: Ucwaningo lusikisela ukuthi cishe umuntu oyedwa kubantu abadala abangama-600 uba ne-bradycardia enezimpawu. Kodwa-ke, abaningi bangase babe nayo ngaphandle kokubonisa izimpawu. Kuvamile futhi ukuthi izinga lokushaya kwenhliziyo lehle kakhulu ngenkathi ulele.
• Kubantu abakhuthele: Labo abavivinya umzimba njalo banamazinga aphezulu okuqina kwenhliziyo nemithambo yegazi . Izinhliziyo zabo zisebenza kahle kangangokuthi akudingeki bashaye kaningi ukuze bahlangabezane nezidingo zomzimba. Lokhu ngokuvamile akunangozi.

Ingabe i-Bradycardia iyi-Arrhythmia?

Yebo, i-bradycardia uhlobo lwe -arrhythmia , olubhekisela esigqini senhliziyo esingavamile. Isilinganiso senhliziyo esivamile somuntu omdala ngokuvamile siphakathi kwama-beats angu-60 no-100 ngomzuzu.

Uma inhliziyo isebenza kahle, siyibiza ngokuthi “isigqi se-sinus.” Uma inhliziyo yakho ishaya ngendlela evamile kodwa ngesivinini esiphansi, ibizwa ngokuthi “i-sinus bradycardia.” Lokhu ngokuvamile akunangozi, ikakhulukazi kubantu abakhuthele, njengoba inhliziyo isasebenza kahle.

Lokhu kuthinta kanjani umzimba wakho?

Uma une-bradycardia, inhliziyo yakho ishaya kancane kunomuntu omdala ojwayelekile. Lokhu kuba ukukhathazeka lapho inhliziyo yakho ingakwazi ukupompa igazi elanele elinomoya-mpilo ukuze kuhlangatshezwane nezidingo zomzimba wakho. Lokhu kungathinta impilo yakho iyonke, ikakhulukazi kuthinta ubuchopho bakho kanye nenhliziyo uqobo.

Ziyini izimpawu?

Abantu abaningi abane-bradycardia abakaze babe nezimpawu. Kodwa-ke, uma ukuphuma kwenhliziyo kunganele, ungase uqaphele:

• Ukuphelelwa umoya .
• Ubuhlungu besifuba noma umuzwa wokuqina (i-angina).
• Ukukhathala okungapheli noma ukuntuleka kwamandla.
• Umuzwa wenhliziyo yakho ishaya ngamandla noma ishaya kancane (ukushaya kwenhliziyo).
• Izinkinga zenkumbulo noma "inkungu yobuchopho."
• Ubunzima bokugxilisa ingqondo.
• Ukuzungeza, ukuba nekhanda elikhanyayo, noma ukuquleka (i-syncope).
• Ukucasuka noma ukushintsha kwemizwelo.

Yini ebangela lokhu?

Izimbangela ezivamile zifaka:

• Ukungalingani kwama-electrolyte: Ukuntuleka kwe-calcium, i-magnesium, noma i-potassium kungathinta izimpawu zenhliziyo.
• I-Anorexia nervosa: Lesi simo sivame ukuholela ekushayeni kwenhliziyo okuhamba kancane.
• Ukuvuvukala: Izimo ezifana ne-endocarditis, i-myocarditis, noma i-pericarditis.
• Ukutheleleka: Ukutheleleka komphimbo okungelashwanga noma izifo ezithile ezifana nesifo seLyme noma isifo seChagas.
• I-sinus syndrome ebuhlungu: Lapho i-pacemaker yemvelo yenhliziyo (i-SA node) ingasebenzi kahle.
• Ukuvinjwa kwenhliziyo: Ukuphazamiseka kwezindlela zikagesi zenhliziyo.
• Imithi: Ama-Beta-blockers, ama-calcium-channel blockers, noma amanye ama-antidepressants.
• Ukuhlinzwa kwenhliziyo: Izinqubo zangaphambilini zokulungisa amaphutha okuzalwa nawo noma ukulungiswa kwevalvu.
• Ukwelashwa ngemisebe: Ngezinye izikhathi kungathinta izicubu zenhliziyo ngokuhamba kwesikhathi.

Kutholakala kanjani?

Udokotela angakwazi ukuxilonga i-bradycardia ngokwenza ukuhlolwa ngokomzimba, ukulalela inhliziyo yakho, nokusebenzisa amathuluzi okuxilonga.

Ukuhlolwa okuvamile:

• Ukuhlolwa komzimba
• I-Electrocardiogram (ECG noma EKG)
• Ukuhlolwa kwelebhu (ukuhlola amazinga e-electrolyte, ukusebenza kwe-thyroid, noma izimpawu zenhliziyo njenge-troponin).

Iphathwa kanjani i-Bradycardia?

Uma ungenazo izimpawu, cishe ngeke udinge ukwelashwa. Kodwa-ke, uma kukhona izimpawu, i-bradycardia cishe ingelapheka njalo, futhi ezimweni eziningi, ingalawuleka ngokuphelele.

Ukwelashwa kufaka phakathi imithi namadivayisi ezokwelapha afana ne- pacemaker , okungaqinisekisa ukuthi inhliziyo yakho igcina isigqi esiqinile nesinempilo isikhathi eside.