Ingabe ngezinye izikhathi uzizwa sengathi awuphefumuli nje, noma ukuthi unesiyezi? Lokhu kungaba ngenxa yokuthi
inhliziyo yakho ishaya kancane kakhulu. Namuhla sizokhuluma ngalesi simo sokushaya kwenhliziyo okuhamba kancane, isimo esibizwa ngokuthi
i-bradycardia . Ungakhathazeki, into ebalulekile ukuqaphela.
Kusho ukuthini lokhu kushaya kwenhliziyo okuhamba kancane? Kuyini `(Bradycardia)`?
Kalula nje, "i-Bradycardia" isho ukuthi inhliziyo yakho ishaya ngaphansi kwezikhathi ezingama-60 ngomzuzu. Lokhu kuhamba kancane kunokujwayelekile. Ngezinye izikhathi lokhu kungaba yingozi, ngoba izinkinga zingavela uma inhliziyo ingakwazi ukupompa igazi elanele emzimbeni. Uma lokhu kwenzeka, ubuchopho nezinye izitho azitholi umoya-mpilo owanele. Kodwa-ke,
akusiyo ingozi ngaso sonke isikhathi. Kungaba yinto evamile futhi ukuthi inhliziyo ishaye kancane, ikakhulukazi kubantu abavivinya umzimba kakhulu futhi abakhuthele ngokomzimba, isibonelo, abadlali abahle. Izinhliziyo zabo zisebenza kahle kakhulu, ngakho-ke banganikeza umzimba inani legazi abalidingayo ngisho nalapho beshaya kakhulu. Ngakho-ke, abanayo imiphumela emibi.
Uyini umehluko phakathi kwe-`(Bradycardia)` kanye ne-`( tachycardia )`?
Kungenzeka ukuthi uke wezwa namagama athi "tachycardia". Lezi yizimo ezimbili eziphikisanayo.
- Igama elithi ``Bradycardia'' livela emagameni amabili esiGreki. Igama elithi ``bradys'' lisho ukuthi "kancane" kanti elithi ``kardia'' lisho ukuthi "inhliziyo." Lisho nje ukuthi "inhliziyo eshaya kancane."
- Kungokufanayo nange-`(Tachycardia)`. Igama elithi "tachys" lisho "okusheshayo" kanye nelithi "kardia" lisho "inhliziyo". Lisho "inhliziyo eshaya ngokushesha".
Manje usuyaqonda, akunjalo? `(bradycardia)` kusho ukushaya kwenhliziyo okuhamba kancane, `(tachycardia)` kusho ukushaya kwenhliziyo okusheshayo.
Ubani othinteka kakhulu yilesi simo?
I-Bradycardia ingenzeka kunoma yimuphi ubudala, kodwa
ivame kakhulu kubantu abangaphezu kweminyaka engu-65. Lokhu kungenxa yokuthi ukushaya kwenhliziyo ngokwemvelo kuyehla kancane njengoba sikhula. Akuvamile kakhulu kubantu abasha nasezinganeni, kodwa kungabangelwa yizimo ezithile zofuzo noma ezinye ezikhona lapho kuzalwa. Ivame kakhulu nakubantu abanezimo ezithile zezokwelapha nalabo abaphuza imithi ethile. Ukulimala esifubeni, izinkinga zokudla okunempilo, kanye nezinye izinkinga zokudla nakho kungabangela i-bradycardia.
Sivame kangakanani lesi simo?
I-Bradycardia iyisimo esivamile emaqenjini athile eminyaka nasezimweni ezithile.
- Phakathi kwalabo abaneminyaka engaphezu kwengu-65 ubudala:Kutholakale ukuthi cishe oyedwa kubantu abadala abangu-600 kuleli qembu leminyaka une-"Bradycardia" ephawulekayo. Lokhu kusho ukuthi abantu abangaphezu kwengxenye yesigidi bahlushwa izimpawu ngenxa yalesi simo. Kodwa-ke, inani labantu abane-"Bradycardia" abangenazo izimpawu lingase libe phezulu kakhulu. Kuvamile ukuthi inhliziyo yehle, ikakhulukazi kubantu asebekhulile, ngesikhathi belele.
- Abantu abazivocavoca njalo futhi abakhuthele ngokomzimba: Abantu abazivocavoca njalo cishe bazoba ne-`(Bradycardia)` ngoba banempilo enhle ngokomzimba . Inhliziyo yabo ipompa igazi kahle kakhulu, ngakho-ke ingahlangabezana nezidingo zomzimba noma ngabe ishaya kancane. Ngakho-ke, i-`(Bradycardia)` ayibathinti nhlobo laba bantu.
Ingabe i-`(Bradycardia)` iyi-`(Arrhythmia)`?
Yebo, `(Bradycardia)` iyi-`(arrhythmia)`, okungukuthi, isigqi esingavamile senhliziyo. Ngoba, inhliziyo ishaya kancane kunokujwayelekile.
Izinga lokushaya kwenhliziyo elijwayelekile lomuntu omdala liphakathi kwama-beats angu-60 no-100 ngomzuzu. Uma inhliziyo ishaya ngokujwayelekile, sikubiza ngokuthi `(sinus rhythm)`. `(Sinus bradycardia)` kusho ukuthi inhliziyo ishaya ngokujwayelekile, kodwa kancane kunokujwayelekile. Isikhathi esiningi `(sinus bradycardia)` iyi-`(arrhythmia)` engenangozi (ikakhulukazi kubantu abakhuthele). Lokho kusho ukuthi noma izinga lokushaya kwenhliziyo liphansi kunalokho obekulindelekile, ngeke libangele noma yimuphi umonakalo. Nakuba `(Bradycardia)` kuyisimo esenzeka sodwa, singavame ukwenzeka nezinye izimo, noma ngenxa yesinye isifo. Ezimweni ezinjalo, `(Bradycardia)` iphathwa njengesibonakaliso kunokuba ibe yisifo esihlukile.
Lesi simo sithinta kanjani umzimba wami?
Uma une-"(Bradycardia)`, inhliziyo yakho ishaya kancane kunesilinganiso senhliziyo yomuntu omdala. Le nkinga ivela lapho inhliziyo yakho ishaya kancane kakhulu ukuze inikeze umzimba wakho umoya-mpilo oyidingayo. Lokhu kuntuleka kwegazi nomoya-mpilo
kungathinta umzimba wakho wonke, ikakhulukazi ubuchopho bakho nenhliziyo. Ziyini izimpawu ze-`(Bradycardia)`?
Abantu abaningi abane-"Bradycardia" ababonisi zimpawu. Lokhu kuyiqiniso ikakhulukazi kulabo abakhuthele ngokomzimba futhi abanenhliziyo enempilo. Kodwa-ke, abantu abanezinhliziyo ezingakwazi ukupompa igazi kahle bangase babe nezimpawu ezilandelayo:
- Ubunzima bokuphefumula .
- Ubuhlungu besifuba noma ukuqina (i-angina).
- Ukuzizwa ukhathele njalo.
- Ukushaya kwenhliziyo (umuzwa ongavamile wokuzwa inhliziyo yakho ishaya ngaphandle kokuyithinta).
- Izinkinga zememori.
- Ukuzizwa udidekile.
- Kunzima ukugxila.
- Isiyezi, ikhanda elikhanyayo, kanye nokulahlekelwa ukwazi (i-syncope).
- Ukucasuka, ukungahlaliseki, noma ezinye izinguquko zobuntu.
Yiziphi izizathu zalesi simo?
Kunezimbangela eziningi ezahlukene ze-"Bradycardia". Nazi ezinye zezimbangela ezivame kakhulu:
- Ukuntuleka kwe-electrolyte: Ukuntuleka kwama-electrolyte njenge-calcium, i-magnesium, ne-potassium kungathinta izinga lokushaya kwenhliziyo.
- I-Anorexia nervosa: Lesi yisifo sengqondo esihlobene nokudla. Lokhu kungabangela ne-bradycardia.
- Ukuvuvukala: Izimo ezinjengokuvuvukala kolwelwesi lwangaphakathi lwenhliziyo (endocarditis), ukuvuvukala kwemisipha yenhliziyo uqobo (myocarditis), noma ukuvuvukala kwesikhwama esivikelayo esizungeze inhliziyo (pericarditis).
- Ukutheleleka: Amagciwane abangela ukutheleleka komphimbo (isb., umphimbo obuhlungu) angalimaza inhliziyo, ikakhulukazi ama-valve enhliziyo, uma engelashwa ngokushesha.
- Umkhuhlane we-rheumatic kanye nesifo senhliziyo esihambisana nokuvuvukala kwamalunga: Uma ukutheleleka ngamagciwane emphinjeni kungelashwa ngokushesha, kungaholela kumkhuhlane we-rheumatic, okungaholela esifweni senhliziyo esihambisana nokuvuvukala kwamalunga eminyakeni eminingi kamuva.
- Isifo se-Lyme: Isifo esibangelwa yibhaktheriya edluliselwa ngamakhizane. Lokhu kungathinta nenhliziyo uma kungelashwa.
- Isifo seChagas: Isifo esibangelwa yi-parasite edluliselwa yizinambuzane ezimunca igazi (izimbungulu eziqabulayo).
- I-sick sinus syndrome: Lesi simo senzeka lapho i-pacemaker yemvelo yenhliziyo, i-sinoatrial (SA) node, ingasebenzi kahle. Lokhu kusho ukuthi izimpawu zikagesi ezidingekayo ukuze kubangele izingxenye ezahlukene zenhliziyo ukuba zinciphe ngesikhathi esifanele azikhiqizwa.
- Ukuvinjwa kwenhliziyo: Igama elivamile lokuvinjwa kwesistimu kagesi yenhliziyo. Lokhu kuvinjwa kuvimbela noma kuphazamisa ukuhamba kwezimpawu zikagesi, okwenza inhliziyo ishaye ngokungajwayelekile.
- Izinhlobo zemithi (`(Izidakamizwa)`):Eminye imithi, njenge-beta-blockers, i-calcium-channel blockers, imithi yokulwa nokuphazamiseka kwengqondo, imithi yokubulala izinhlungu yezidakamizwa, i-lithium, kanye neminye imithi yokucindezeleka, ingabangela i-bradycardia. Futhi, izidakamizwa ezifana nensangu (i-cannabis) zingabangela i-bradycardia.
- Ukuhlinzwa kwenhliziyo: I-Bradycardia ingabangelwa nokuhlinzwa kokwelapha izimo zenhliziyo zokuzalwa, ukulungiswa kwamavalvu enhliziyo , noma ukushintshwa.
- Ukwelashwa ngemisebe: Ukwelashwa ngemisebe ezintweni ezinjengomdlavuza kungaba nemiphumela emibi enhliziyweni, okubangela izimo ezifana nesifo senhliziyo esibangelwa imisebe.
Ungakubona kanjani lokhu?
Udokotela angakuthola ukuthi une-bradycardia yini ngokukuhlola, ukukala izinga lokushaya kwenhliziyo yakho, nokwenza izivivinyo ezihlaziya isigqi senhliziyo yakho.
Hlobo luni lokuhlolwa okwenziwayo?
Lezi yizivivinyo ezivame ukwenziwa:
- Ukuhlolwa komzimba
- I-Electrocardiogram (`(ECG noma EKG)`)
- Ukuhlolwa kwegazi (`(Ukuhlolwa kwelebhu)`) (ukuhlola ama-electrolyte, ama-hormone e-thyroid, amazinga e-troponin)
Iphathwa kanjani i-Bradycardia?
Uma une-bradycardia kodwa ungenazo izimpawu, cishe awudingi ukwelashwa. Kodwa kulabo abanezimpawu,
i-bradycardia cishe ingelapheka njalo, futhi ngezinye izikhathi iyelapheka ngokuphelele. Izinketho zokwelapha zifaka phakathi
imithi namadivayisi afana ne
-pacemaker . I-pacemaker ehlala njalo ingasiza ekulawuleni lesi simo isikhathi eside.
Umlayezo Wokuya Nawe Ekhaya
I-Bradycardia ingaba yisimo esingenazo izimpawu esingaba khona ngezizathu ezahlukahlukene. Kodwa-ke, uma unemibuzo engaphenduliwe manje, noma uma ucabanga ukuthi ungase ube nezinkinga esikhathini esizayo, kuvamile ukuzizwa ukhathazekile futhi wesaba. Ingxenye engcono kakhulu ukuthi i-bradycardia cishe njalo iyisimo esingelapheka. Udokotela wakho angakunikeza isiqondiso neseluleko ukukusiza ulungiselele lokho obhekene nakho nalokho okuzayo. Ngakho-ke, uma ucabanga ukuthi unenkinga, akukaze kube sekwephuzile ukufuna iseluleko sezokwelapha.
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