Phakathi nalesi sikhathi lapho ukhulelwe, ingabe inhliziyo yakho iqala ukushaya ngokushesha nangokuzumayo? Noma ingabe kuzwakala sengathi uphuthelwe ukushaya, njengokungathi kukhona okuphendukayo esifubeni sakho, njengokungathi uvemvane lundiza? Lokhu akusikho nje kuphela kuwe, kodwa futhi kuyinto omama abaningi ababhekana nayo ngesikhathi sokukhulelwa. Kuvamile ukuzizwa wesaba kancane uma uzizwa lokhu. Kodwa isikhathi esiningi, akuyona into okufanele uyesabe. Ngakho ake sibone ukuthi yini ebangela lokhu, ukuthi kufanele uyesabe nini, nokuthi yini okufanele uyenze ngakho.
Kuyini ukushaya kwenhliziyo ngesikhathi sokukhulelwa?
Kalula nje, sikhuluma ngendlela inhliziyo yakho eshaya ngayo ukuze uyizwe kahle. Ngokuvamile, asizizwa inhliziyo yethu ishaya. Kodwa ngalesi sikhathi, ungase uzizwe sengathi inhliziyo yakho ishaya ngokushesha kakhulu, noma ukuthi ishaya ngokungajwayelekile, njengokungathi yeqa ukushaya, noma sengathi inokushaya okwengeziwe. Kwabanye abantu, lokhu kuzwakala sengathi kukhona okushayayo esifubeni sabo.
Lesi simo sivame kakhulu ngesikhathi sokukhulelwa. Cabanga ngakho, uma ukhulelwa, inani legazi emzimbeni wakho liyanda cishe ngo-50%. Ngakho-ke, inhliziyo yakho kufanele isebenze kanzima kunokujwayelekile ukuze ipompe leli gazi elengeziwe emzimbeni wakho wonke kanye nengane esesibelethweni sakho. Lesi 'sikhathi esengeziwe' yisona esibangela ukuba inhliziyo yakho ishaye ngokushesha, futhi ngezinye izikhathi ungase uzizwe uqhuma kanje.
Esikhathini esiningi, lokhu kushaya kwenhliziyo akuyingozi futhi kuvame ukuphela ngemva kokuzalwa komntwana. Kodwa-ke, akuvamile kakhulu, kungaba uphawu lwesinye isimo sezokwelapha esiyisisekelo.
Yiziphi izimpawu ozibonayo?
Lokhu kungazwakala ngendlela ehlukile kumuntu ngamunye. Ake sibheke ezinye zezindlela eziyinhloko ezizwakala ngazo.
| Indlela ozizwa ngayo | Incazelo nje |
|---|---|
| Ukuphaphazela esifubeni | Abanye bachaza lokhu njengokuzizwa sengathi uvemvane luphaphazela esifubeni, noma sengathi inhliziyo iyagijima. |
| Isilinganiso senhliziyo esingajwayelekile | Kungase kuzwakale sengathi inhliziyo yakho yeqa ukushaya, ngokuzumayo yaqala ukushaya ngokushesha yabe isiyeka ukushaya futhi, noma kungase kuzwakale sengathi inhliziyo yakho yema umzuzwana noma emibili. |
| Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha (Ishaya ngamandla) | Inhliziyo ingase izwakale sengathi ishaya kakhulu. Abanye abantu bathi bayawuzwa lo msindo oshayayo ezindlebeni zombili. |
Kungani lokhu kwenzeka ngesikhathi sokukhulelwa? Yiziphi izizathu eziyinhloko?
Njengoba sixoxile ngaphambili, isizathu esiyinhloko ukwanda komthamo wegazi emzimbeni kanye nenhliziyo okumele isebenze kanzima. Ngaphezu kwalokho, kunezinye izinto eziningi ezingathinta lokhu.
- I-anemia: Ngesikhathi sokukhulelwa, i-anemia ingenzeka ngoba amangqamuzana abomvu egazi awandi ngesivinini esifanayo njengoba ingxenye yoketshezi yegazi (i-plasma) ikhula. Lokhu futhi kuyimbangela yokwanda kwesilinganiso senhliziyo.
- Ukukhathazeka nokucindezeleka: Izinguquko zama-hormone ngesikhathi sokukhulelwa kanye nokucindezeleka kokucabanga ngekusasa nakho kungabangela inhliziyo yakho ukuba ishaye ngokushesha.
- I-Caffeine: I-Caffeine, etholakala ezintweni ezifana nekhofi, itiye, kanye noshokoledi, ingakhuphula izinga lokushaya kwenhliziyo yakho.
- Ukudla okuthile: Abanye abantu bangase babe nalesi simo ngemva kokudla ukudla okunama-carbohydrate amaningi, ushukela, usawoti namafutha.
- Ukuphelelwa amanzi emzimbeni: Lokhu kubangelwa ukungatholi amanzi anele kanye nokungalingani kwama-electrolyte.
- Isisindo esengeziwe: Ukwanda kwesisindo ngaphambi nangesikhathi sokukhulelwa nakho kuthinta ukusebenza kwenhliziyo.
- Izinguquko zama-hormone: Izinguquko ezinkulu kuma-hormone, njenge-estrogen, zenzeka ngesikhathi sokukhulelwa.
- Ushukela ophansi egazini (i-Hypoglycemia): Lesi simo singavela, ikakhulukazi ku-trimester yokuqala.
- Umfutho wegazi ophakeme: Kujwayelekile ukuthi umfutho wegazi wehle kancane ngesikhathi sokukhulelwa, futhi kungathinta nesilinganiso senhliziyo.
Ezinye izinkinga zempilo okufanele uzikhathazeke ngazo
Akuvamile kakhulu, lokhu kushaya kwenhliziyo kungaba uphawu lwenye inkinga yezempilo eyisisekelo.
- Izinkinga zesigqi senhliziyo (i-Arrhythmias) - isibonelo (i-Atrial Fibrillation noma i-Afib) .
- Izinkinga ze-thyroid - isibonelo , i-hyperthyroidism .
- Izinkinga zesakhiwo senhliziyo, isibonelo, isifo se-valve yenhliziyo.
- Akuvamile kakhulu, izimo ezifana ne -myocarditis , ukuvuvukala kwemisipha yenhliziyo okubangelwa ukutheleleka ngegciwane.
Ukuthola kanjani lokhu, Dokotela?
Uma utshela udokotela wakho ngalezi zimpawu, uzoqala ngokukubuza imibuzo futhi alalele inhliziyo yakho. Ukuze akhiphe noma yiziphi izimbangela eziyisisekelo, angenza izivivinyo ezimbalwa, njengokuthi:
1. Ukuhlolwa kwegazi: Ukubalwa kwegazi okuphelele (i-CBC) kungabona izinto ezifana ne-anemia, izifo, noma izinkinga ze-thyroid.
2. Ukuhlolwa kwe-ECG (i-Electrocardiogram): Lokhu ukuhlolwa okulula kakhulu, okungenabuhlungu. Izinzwa eziningana zinamathiselwe esikhumbeni sakho futhi ziqopha umsebenzi kagesi wenhliziyo yakho. Asikho isidingo sokwesaba ukuthi lokhu kuzokwenziwa ngesikhathi sokukhulelwa.
3. I-Holter monitor: Ngezinye izikhathi izinga lokushaya kwenhliziyo yakho alishintshi ngesikhathi se-ECG yakho. Uma kunjalo, udokotela wakho uzokunika idivayisi encane ongayigqoka usuku olulodwa noma ezimbili, mhlawumbe amasonto ambalwa. Lokhu kuzoqopha njalo isigqi senhliziyo yakho njengoba uqhubeka nosuku lwakho, futhi udokotela wakho angasibuyekeza kamuva.
Ingabe ikhona indlela yokwelapha lokhu?
Esikhathini esiningi, ukushaya kwenhliziyo okuvamile ngesikhathi sokukhulelwa akudingi ukwelashwa okukhethekile. Ngaphandle kokuthi kukhona inkinga yezempilo eyisisekelo, udokotela wakho cishe uzokutshela ukuthi wenze izinguquko ezincane endleleni yakho yokuphila kanye nemikhuba yakho yokudla.
- Phuza amanzi amaningi: Kubalulekile ukugcina umzimba umanzi ngesikhathi sokukhulelwa.
- Gwema utshwala nokubhema ngokuphelele: Lokhu kuyingozi kakhulu enganeni futhi kungandisa nokushaya kwenhliziyo.
- Nciphisa i-caffeine, ushukela, namafutha: Nciphisa ikhofi enkomishini eyodwa ngosuku. Nciphisa ukudla okunoshokoledi, ushukela, namafutha ngangokunokwenzeka.
- Zama amasu okuzola: Uma uzizwa inhliziyo yakho ishaya ngamandla, thatha umoya ojulile ngekhala lakho bese ukhipha umoya kancane ngomlomo wakho. Izinto ezifana nokuzindla zingasiza ekuthuliseni ingqondo yakho.
Kodwa-ke, uma kutholakala ukuthi ukushaya kwenhliziyo kubangelwa yisimo senhliziyo, udokotela wakho uzokwakha uhlelo lokwelapha oluphephile kuwe nakumntwana wakho. Ngezinye izikhathi, imithi efana nama-beta- blockers inganikezwa. Udokotela wakho uzokuchazela konke lokhu.
Isikhathi sokuthola iseluleko sezokwelapha ngokushesha
Nakuba lokhu ngokuvamile kungekho okufanele ukhathazeke ngakho, uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo kanye nokushaya kwenhliziyo yakho, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
| Izimpawu zesexwayiso - hamba esibhedlela ngokushesha! | |
|---|---|
| ✔️ Ubuhlungu besifuba noma ukungakhululeki | ✔️ Ubunzima bokuphefumula noma ukuphefumula |
| ✔️ Isiyezi noma ikhanda elibuthakathaka | ✔️ Ukulahlekelwa ukwazi noma ukuquleka (i-Syncope) |
| ✔️ Ukuvuvukala okukhulu kwemilenze, amaqakala, nezinyawo (i-Edema) | ✔️ Ukukhathala okungajwayelekile noma okungazelelwe okukhulu |
Ungakhohlwa ukutshela udokotela wakho ngalokhu kushaya kwenhliziyo ngezikhathi zakho ezijwayelekile ukuze akwazi ukubheka isimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukushaya kwenhliziyo kuvamile ngesikhathi sokukhulelwa. Lokhu kungenxa yokuthi inhliziyo kufanele isebenze kanzima ngenxa yokwanda kwegazi emzimbeni.
- Lesi simo singalawulwa ngezinto ezilula njengokuphuza amanzi amaningi, ukunciphisa i-caffeine, nokugcina ingqondo izolile.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngalokhu ekuvakasheni kwakho njalo emtholampilo.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, ubunzima bokuphefumula, kanye nokuquleka kanye nokushaya kwenhliziyo yakho, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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