Ingabe inhliziyo yakho ishaya ngokushesha noma uzizwa sengathi iyagxumagxuma? Ake sixoxe nge-Heart Palpitations!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngokushesha? Noma uzizwa sengathi inhliziyo yakho ishaya kancane, sengathi kukhona okujikelezayo esifubeni sakho, noma sengathi kuhamba ngamandla? Lokhu yilokho esikubiza ngokuthi 'Ukushaya Kwenhliziyo' noma umuzwa wenhliziyo yakho ushaya ngendlela engavamile. Eqinisweni, lokhu kuyinto abantu abaningi ababhekana nayo ngesikhathi esithile empilweni yabo. Ngakho-ke ungesabi ngokushesha, ake sixoxe ngalokhu ngokuningiliziwe nangokulula.

Kuyini Ukushaya Kwenhliziyo Okubuhlungu?

Kalula nje, 'Ukushaya Kwenhliziyo' kwenzeka lapho uzwa ushintsho endleleni inhliziyo yakho eshaya ngayo. Ngokuvamile, asiqapheli ukuthi inhliziyo yethu iyashaya, kumane kwenzeka. Kodwa kulokhu, uzizwa inhliziyo yakho ngokuzumayo:

• Kufana nokugijima ngesivinini esikhulu (`Racing`)
• Njengokushaywa esifubeni kakhulu ('Ukushaya')
• Kufana nokuthi ukushaya kwenhliziyo kuphuthelwe (`Anginaso isigqi`)
• Njengokushaywa okwengeziwe.
• Ukuzwa sengathi kukhona okujikayo esifubeni (`Ukujika-ukuhamba`)
• Ukuphaphazela , njengovemvane oluphaphazela kancane futhi ngendlela exakile .

Ungase uzwe lokhu kushaya kwenhliziyo okungajwayelekile hhayi esifubeni sakho kuphela, kodwa ngezinye izikhathi endaweni yomphimbo noma entanyeni yakho. Lokhu kungenzeka nganoma yisiphi isikhathi, ngisho nalapho uhleli nje, usebenza, noma ulele. Kuvamile ukuzizwa wethukile futhi wesaba kancane uma uzizwa lokhu ngokuzumayo. Kodwa isikhathi esiningi, lokhu akukubi futhi akulimazi . Kodwa-ke, ezimweni ezingavamile, lokhu kungaba uphawu lwesigqi senhliziyo esingajwayelekile. Ezimweni ezinjalo, kubalulekile ukufuna iseluleko sezokwelapha.

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Eqinisweni, noma ubani angabhekana nalesi simo sokushaya kwenhliziyo okungajwayelekile. Kodwa-ke, ucwaningo luthole ukuthi abesifazane banamathuba amaningi okubhekana nalesi simo . Futhi, singaba khona ngezikhathi ezahlukene empilweni. Isibonelo, ungabhekana nalolu hlobo lokushaya kwenhliziyo ngesikhathi sobusha, ngesikhathi sokukhulelwa, noma ngesikhathi sokunqamuka kokuya esikhathini.

Kuvamile kakhulu, ucwaningo olulodwa luthole ukuthi abantu abangu-16% bavakashela umhlinzeki wabo wokunakekelwa okuyinhloko ukuze baxoxe ngokushaya kwenhliziyo kwabo. Eqinisweni, ukushaya kwenhliziyo yisona sizathu esiyinhloko esenza iziguli zibone odokotela benhliziyo. Ngakho ungacabanga ukuthi lokhu kuvame kangakanani.

Ukushaya kwenhliziyo kungahlala isikhathi esingakanani?

Ngokuvamile, lokhu kushaya kwenhliziyo akuhlali isikhathi eside. Esikhathini esiningi, kuhlala imizuzwana embalwa noma imizuzu embalwa . Kodwa-ke, ngezinye izikhathi kungahlala isikhathi eside, ngisho nemizuzu embalwa.

Yini ebangela lokhu kushaya kwenhliziyo?

Kulungile, manje ake sibone ukuthi kungani inhliziyo iqala ukushaya ngendlela exakile kanje. Empeleni kungaba nezizathu eziningi zalokhu. Ezinye zazo yilezi:

• Izimo zengqondo:
• Ukukhathazeka
• Ukucindezeleka
• Ukwesaba noma ukushaqeka okungazelelwe (`Ukwesaba`)
• Ukuhlaselwa uvalo okungalawuleki (`ukuhlaselwa uvalo`)
• Izinto ezihlobene nendlela yokuphila:
• Ukuzivocavoca (ikakhulukazi uma uqala ngokuzumayo ukuzivocavoca okunzima)
• Ukukhulelwa
• Ukusetshenziswa ngokweqile kweziphuzo eziqukethe i-caffeine (ikhofi, itiye, iziphuzo ezibandayo)
• Ukusetshenziswa kukagwayi oqukethe i-nicotine
• Ukusetshenziswa kotshwala
• Ukusetshenziswa kwemithi ethile (isb., `i-Cocaine`, `i-Amphetamine` (isivinini))
• Izizathu zezokwelapha:
• I-thyroid esebenza ngokweqile (i-Hyperthyroidism)
• Ushukela ophansi egazini (i-Hypoglycemia)
• Ukwehla kwamazinga e-potassium noma oksijini egazini
• Ukwehla kwamazinga e-carbon dioxide egazini
• Imfiva
• I-anemia (ukuntuleka kwegazi)
• Ukulahlekelwa amanzi ngokweqile emzimbeni (`Ukuphelelwa amanzi emzimbeni`)
• Ukopha okukhulu ('Ukulahlekelwa yigazi')
• Imithi nezinye izinto:
• Ezinye izinhlobo ze-inhaler ezisetshenziselwa i-asthma (`i-asthma inhaler`)
• Amanye ama-beta-blocker (imithi esetshenziselwa umfutho wegazi ophakeme noma isifo senhliziyo) (ikakhulukazi lapho uyeka ukusebenzisa noma ushintsha umthamo)
• Imithi esetshenziselwa izifo ze-thyroid
• Imithi esetshenziselwa ukushaya kwenhliziyo okungajwayelekile (imithi yokulwa nokushaya kwenhliziyo)
• Eminye imithi yomkhuhlane/yokukhwehlela (ikakhulukazi leyo equkethe 'imithi yokuqeda ukuminyana')
• Ezinye izithako zezitshalo nezomsoco

Cabanga nje, uma udla isidlo esinongwe kakhulu, uphuza inkomishi yekhofi ngemva kwalokho, bese uzizwa ukhathazekile kancane, usengathola isifo senhliziyo esinjengalesi!

Kunini lapho lokhu kushaya kwenhliziyo kungazwakala khona kakhulu?

Lokhu kushaya kwenhliziyo kungenzeka ngezikhathi ezahlukene empilweni. Ake sibheke ezinye izibonelo:

• Uma ukukhathazeka kukhula: Njengoba sishilo ngaphambili, uma uzizwa ukhathazekile, wesaba, noma ukhathazekile, lokhu kushaya kwenhliziyo kungenzeka njengendlela yomzimba yokusabela kukho.
• Ngemva kokudla: Abanye abantu bazizwa inhliziyo yabo ishaya ngamandla ngemva kokudla. Lokhu kungenzeka ikakhulukazi ngemva kokudla ukudla okubabayo, okunamafutha, noma okubabayo , noma ngemva kokuphuza iziphuzo ezine-caffeine (njengekhofi noma itiye), noma ngemva kokuphuza utshwala.
• Ebusuku: Lokhu kushaya kwenhliziyo kungenzeka emini nasebusuku. Kodwa-ke, kungenzeka kakhulu ukuthi kuzwakale ebusuku ngoba asiwenzi eminye imisebenzi futhi indawo ezungezile ithule.
• Uma ulele ngohlangothi: Ngezinye izikhathi uma ulele ngohlangothi lwakho, ikakhulukazi uma ulele ngohlangothi lwakho lwesobunxele, ingcindezi ngaphakathi emzimbeni inganda futhi ibangele ukushaya kwenhliziyo okusheshayo.
• Usuku lonke: Ngokuvamile, ukushaya kwenhliziyo akuphelanga isikhathi eside. Kodwa-ke, uma ukushaya kwenhliziyo usuku lonke , kufanele nakanjani ufune iseluleko sezokwelapha.
• Ngesikhathi sokukhulelwa: Lokhu kuyinto abantu abaningi ababhekana nayo ngesikhathi sokukhulelwa. Lokhu kungenxa yokuthi ukushaya kwenhliziyo yakho kanye nenani legazi elijikeleza emzimbeni wakho kuyakhula ukuze kunikezwe ingane izakhamzimba nomoya-mpilo eyidingayo. Lokhu ngokuvamile akulimazi. Kodwa-ke, ungabuza udokotela wakho mayelana nokuthatha umuthi ophephile ngesikhathi sokukhulelwa.

Udokotela uhlonza kanjani lokhu?

Uma uya kudokotela ngalokhu kukhononda kwenhliziyo, uzoqala alalele inhliziyo namaphaphu akho nge-stethoscope. Ngaphezu kwalokho, uzokubuza ngalokhu okulandelayo:

• Umlando wakho ophelele wezokwelapha ( izifo zangaphambilini, imithi, njll.).
• Yiziphi izimpawu ozibonayo njengamanje ( njengokushaya kwenhliziyo nje, noma zikhona nezinye izimpawu?)
• Ukudla kwakho ( njengokudla okudlayo, i-caffeine, kanye nokuphuza utshwala).
• Imithi kanye nemikhiqizo yamakhambi oyisebenzisayo njengamanje .

Futhi, kungaba usizo uma udokotela engakutshela imininingwane elandelayo mayelana nokushaya kwenhliziyo yakho:

• Lokhu kwenzeka nini futhi kangaki ?
• Sekuyisikhathi esingakanani ?
• Uzizwa kanjani uma lokhu kwenzeka (njengokuzizwa udidekile, udidekile)?
• Wawenzani lapho lokhu kuqala?
• Yini ekwenza uzizwe kahle futhi ukhululekile uma ukwenza ?

Ungase uphuthelwe yilokhu kushaya kwenhliziyo uma uya kudokotela. Uma lokho kwenzeka, udokotela angakucela ukuthi uthinte iminwe yakho etafuleni ukuze ubonise isigqi.

Hlobo luni lokuhlolwa oluzokwenziwa?

Ukuze athole imbangela eqondile, udokotela angase acele nokuhlolwa okuthile. Ezinye zazo yilezi:

• Ukuhlolwa kwegazi: Hlola izinto ezifana ne-anemia, izinkinga ze-thyroid, kanye nokungalingani kwama-electrolyte.
• Ukuhlolwa komchamo: Uma kudingeka.
• I-Electrocardiogram (ECG/EKG): Lokhu kurekhoda umsebenzi kagesi wenhliziyo. Uma kukhona ukushaya kwenhliziyo ngaleso sikhathi, kuyaqoshwa.
• Ukuhlolwa kokucindezeleka (i-Exercise ECG): I-ECG ithathwa ngenkathi ugijima ku-treadmill noma ugibela ibhayisikili ukuze ubone ukuthi inhliziyo yakho isabela kanjani.
• I-Echocardiogram: Lokhu ukuskena kwenhliziyo nge-ultrasound. Kungabheka izinto ezifana nesakhiwo senhliziyo kanye nomsebenzi wama-valve.
• Isikrini se-Holter:Lena idivayisi encane oyigqoka amahora angama-24 noma angama-48, mhlawumbe isikhathi eside. Iqopha njalo i-ECG yenhliziyo yakho. Iphinde ikucele ukuthi uqophe izikhathi lapho uzwa khona ukushaya kwenhliziyo yakho.
• Ucwaningo lwe-Electrophysiology (EPS): Lolu vivinyo oluyinkimbinkimbi kakhulu. Lubheka uhlelo lukagesi lwenhliziyo ngokuningiliziwe ukuthola izindawo lapho kwenzeka khona izigqi ezingavamile.
• Ukufakwa kwe-catheter emithanjeni yegazi yenhliziyo: Uma kudingeka, lokhu kuhlolwa kwenziwa ukuze kuhlolwe ukuvaleka kwemithambo yegazi yenhliziyo.

Kungase kudingeke futhi ukuthi ubonane nodokotela we-electrophysiologist, udokotela ogxile ezilinganisweni zenhliziyo ezingavamile (ama-arrhythmia).

Iyini indlela yokwelapha lokhu? (`Ukwelashwa`)

Ukwelashwa okungcono kakhulu kwakho kuzoncika embangeni yokushaya kwenhliziyo kwakho. Ungase ungadingi ukwelashwa nhlobo . Isibonelo, uma ukushaya kwenhliziyo kwakho kubangelwa ikhofi noma ukukhathazeka, ungase ukwazi ukugwema lezo zinto.

Kodwa-ke, uma kutholakala ukuthi unesifo senhliziyo noma isigqi senhliziyo esingajwayelekile, kungadingeka ukuthi uthathe imithi, wenze inqubo, uhlinzwe, noma ube nedivayisi efana ne-pacemaker ukulawula ukushaya kwenhliziyo yakho . Into ebaluleke kakhulu ukulandela yonke imiyalelo kadokotela wakho bese uya kuma-aphoyintimenti okulandelela.

Yini engingayenza ukuze ngimise ukushaya kwenhliziyo?

Uma ukushaya kwenhliziyo yakho kubangelwa ukukhathazeka noma ukucindezeleka, ungenza okulandelayo:

• Yenza i-yoga .
• Yenza ukuzindla .
• Yenza ukuzivocavoca kokuzindla okugxile ekuphefumuleni .
• Yenza eminye imisebenzi ezolisa ingqondo.

Futhi, uma ucabanga ukuthi lokhu kubangelwa yi-caffeine, kuzodingeka unciphise noma uyeke ngokuphelele ukuphuza iziphuzo ezine-caffeine njengekhofi netiye.

Ingabe lokhu kushaya kwenhliziyo kuzophela?

Ezimweni eziningi, uma ukushaya kwenhliziyo yakho kubangelwa okuthile okudlayo noma okwenzayo (isib. ukubhema, utshwala, i-caffeine, ukudla okunezinongo, ukuvivinya umzimba ngokweqile), ukugwema lezo zinto ezibangela lokhu kungasiza ukuthi ziphele ngaphandle kokwelashwa .

Kodwa, njengoba kushiwo ngaphambili, uma kukhona isifo senhliziyo esingaphansi noma ukushaya kwenhliziyo okungavamile, sidinga ukwelashwa nakanjani.

Ungakuvimbela kanjani ukuhlaselwa yinhliziyo? (Ukuvimbela)

Kuye ngembangela yokushaya kwenhliziyo yakho, unganciphisa ukuvama kwalezi zimo ngokulandela lawa macebiso:

• Nciphisa ukucindezeleka kwakho.Zama izinto ezifana nokuzivocavoca okujulile, ukuzivocavoca kokuphumula, i-yoga, i-tai chi, izithombe eziqondisiwe, noma amasu e-biofeedback.
• Gwema noma unciphise inani lotshwala obuphuzayo.
• Gwema noma unciphise inani le-caffeine ekudleni kwakho.
• Ungasebenzisi ugwayi noma imikhiqizo equkethe i-nicotine .
• Vivinya umzimba njalo . Kodwa ngaphambi kokuba uqale, buza udokotela wakho ukuthi yikuphi ukuzivocavoca okufanele.
• Gwema ukudla, iziphuzo kanye nemisebenzi ekhulisa ukushaya kwenhliziyo.
• Lawula umfutho wegazi lakho kanye namazinga e-cholesterol .

Ingabe ukushaya kwenhliziyo kuyingozi? Ingabe lokhu kujwayelekile?

Cha, isikhathi esiningi, ukushaya kwenhliziyo akuyingozi . Lokhu kuvame kakhulu. Esikhathini esiningi, lokhu kumane kuyindlela evamile yokusabela komzimba ekucindezelekeni noma ekukhathazekeni. Abantu abanalesi simo bangakwazi ukuqhubeka nokuphila kwabo okuvamile njengokujwayelekile.

Kufanele ubonane nini nodokotela?

Lokhu kubaluleke kakhulu. Ngisho noma kuyinhliziyo evamile, kwezinye izimo kufanele ufune usizo lwezokwelapha ngokushesha.

Shayela u-1990 (Sri Lankan Ambulance Service) ngokushesha noma uye esibhedlela esiseduze uma ukushaya kwenhliziyo kungayeki, noma uma kuhambisana nalezi zimpawu:

* Ukuquleka noma ukuquleka .

* Ubuhlungu obukhulu, ingcindezi, noma ukuqina esifubeni sakho, entanyeni, emhlathini, engalweni(ezingalo), noma emhlane ongaphezulu .

* Ubunzima obukhulu bokuphefumula / Ukuphelelwa umoya .

* Isiyezi esikhulu noma ikhanda elibuthakathaka .

Uma uzwa ukushaya kwenhliziyo ngezikhathi ezithile kodwa ungenazo izimpawu ezinzima ezishiwo ngenhla, bona udokotela womndeni wakho. Futhi, uma ukushaya kwenhliziyo kwakho kuba kubi kakhulu noma ngokuzumayo kuqala ukwenzeka kaningi , qiniseka ukuthi wazisa udokotela wakho.

Kunini lapho kufanele ukhathazeke khona ngokuhlaselwa yinhliziyo?

Nakuba ukushaya kwenhliziyo ngokuvamile kungesiyo ingozi, uma kuhambisana nalezi zimpawu, kungaba uphawu lwenkinga enkulu yempilo. Ngakho-ke qaphela lokhu:

• Ukuzizwa udidekile, udidekile, noma udidekile.
• Ubuhlungu besifuba noma ingcindezi.
• Ukuphelelwa umoya.
• Ukujuluka okungavamile.
• Uma ukushaya kwenhliziyo kuya kuba kubi noma kwenzeka kaningi.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungabuza le mibuzo. Lokhu kuzokusiza ukuthi uqonde kangcono isimo:

• "Dokotela, kungani inhliziyo yami ishaya ngamandla?" ('Yini ebangela ukushaya ngamandla kwenhliziyo yami?')
• "Ingabe ngidinga ukwelashwa kokushaya kwenhliziyo yami?"
• "Ngizoba nokushaya kwenhliziyo isikhathi esingakanani?"
• "Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?"
• "Yiziphi izimpawu okufanele ngizazi ngokukhethekile?"

Ngakho-ke, izinto ezibaluleke kakhulu okufanele uzikhumbule yilezi:

Ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma okuhamba kancane) akuyona into esivame ukuyizwa, ngakho-ke uma sizizwa ngokuzumayo, zingase zishaqise futhi zesabise kancane. Kodwa-ke, isikhathi esiningi, azilimazi . Isikhathi esiningi, zibangelwa izinto ezifana nokucindezeleka, ukukhathazeka, kanye nokudla esikudlayo.

Kodwa-ke, uma uhlangabezana nezinye izimpawu ezinzima ezifana nesiyezi, ubuhlungu besifuba, ukuphelelwa umoya, noma ukuquleka lapho inhliziyo yakho ishaya ngamandla, kungaba uphawu lwenkinga enkulu yezokwelapha . Esimweni esinjalo, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokuchitha isikhathi .

Ungesabi, kodwa nakekela umzimba wakho. Ngoba impilo yakho ibaluleke kakhulu kuwe!

Ukushaya kwenhliziyo, ukushaya kwenhliziyo, ubuhlungu besifuba, ukushaya kwenhliziyo okungavamile, ukushaya kwenhliziyo okungapheli, ukukhathazeka, ukucindezeleka