Ingabe isigqi senhliziyo yakho ngezinye izikhathi siya ngezindlela ezingavamile? Ake sixoxe nge-'Idioventricular Rhythm'!

Ingabe ngezinye izikhathi uzizwa sengathi kukhona okuhlukile kancane ngendlela inhliziyo yakho eshaya ngayo? Mhlawumbe ishesha kakhulu, noma izwakala sengathi ishaya ngendlela exakile? Ungakhathazeki, isikhathi esiningi lezi akuzona izinkinga ezinkulu. Kodwa-ke, kubalulekile ukuthi uqaphele lesi simo esizokhuluma ngaso namuhla, esibizwa ngokuthi 'Idioventricular Rhythm'.

Kuyini 'i-Idioventricular Rhythm'? Ake sikuqonde kalula!

Kalula nje, i-"Idioventricular Rhythm" iyisigqi senhliziyo lapho amakamelo aphansi enhliziyo yakho, ama-"ventricles" , eshaya kancane kunokujwayelekile. Cabanga ngakho, amakamelo aphezulu enhliziyo yethu (i-"atria") yilapho kutholakala khona "i-pacemaker yemvelo", noma ngokunembile i-"node ye-sinoatrial". Uma le pacemaker ingasebenzi kahle, amaseli engxenyeni engezansi yenhliziyo acabanga ukuthi, "Kulungile, ake senze inhliziyo ishaye." Kodwa, angenza ukuthi ishaye kancane kancane.

Ngokuvamile, kule "Idioventricular Rhythm", inhliziyo ishaya ngaphansi kwezikhathi ezingama-50 ngomzuzu .

Kodwa-ke, kukhona omunye umehluko omncane, ubizwa ngokuthi `I-Accelerated Idioventricular Rhythm (AIVR).` Khona-ke izinga lokushaya kwenhliziyo liphakathi kwama-beats angu-50 no-110 ngomzuzu. Lokhu kuhlukile esimweni esibizwa ngokuthi `I-Ventricular Tachycardia` (I-Ventricular Tachycardia), lapho inhliziyo ishaya khona ngokushesha (ngaphezu kwama-beats ayi-100 ngomzuzu), akunjalo?

Lokhu akufanele kudidaniswe nezinye izinkinga zesigqi senhliziyo, akunjalo?

Yebo, kunezinye izimo eziningi ezihlobene nesigqi senhliziyo. Ngakho-ke, le 'Idioventricular Rhythm' ingadidaniswa nenye. Leyo 'Junctional Rhythm'.

• Isigqi se-Idioventricular: Lokhu kuqala emakamelweni aphansi enhliziyo, ama-ventricle.
• Isigqi Sokuhlangana: Lokhu kuqala lapho kuhlangana khona amakamelo aphezulu nangaphansi enhliziyo (okuhlotshaniswa ne-AV node).

Uwubonile umehluko? Ngisho noma zombili izigqi ziqala endaweni engafanele enhliziyweni, amaphuzu amabili okuqala ahlukile.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Nakuba noma ubani angaba nesimo esibizwa ngokuthi "i-Idioventricular Rhythm," abanye abantu banamathuba amaningi okuba naso. Yilezi:

• Abantu abanokuvinjwa kwenhliziyo okuphelele noma okunzima.
• Abantu abanezinkinga nge-pacemaker yemvelo yenhliziyo, njengokuthi 'i-sinus arrest' noma 'i-sinoatrial nodal block'.
• Abantu abake baba nesifo senhliziyo.
• Abantu abasebenzisa imithi ethile (ikakhulukazi leyo yesifo senhliziyo) kanye nezidakamizwa ezingekho emthethweni.
• Akuvamile kakhulu, kungenzeka nakubantu abanezinkinga zenhliziyo abazalwa nazo.

I-Accelerated Idioventricular Rhythm (AIVR) ngezinye izikhathi ingenzeka kubadlali abanempilo. Kodwa-ke, ivame ukubonakala kubantu abanezinye izimo zenhliziyo eziyisisekelo, njenge:

• I-Ischemic cardiomyopathy (ICM) iwubuthakathaka bemisipha yenhliziyo ngenxa yokuvaleka kwemithambo yegazi enikeza inhliziyo.
• `Isifo senhliziyo esihambisana namathambo` (umonakalo kuma-valve enhliziyo ngemva kokutheleleka komphimbo).
• I-cardiomyopathy evulekile (i-cardiomyopathy evulekile - imisipha yenhliziyo iba buthakathaka futhi ikhule).
• `I-Acute coronary syndromes` (i-acute coronary syndromes - ukuphazamiseka okungazelelwe kokunikezwa kwegazi enhliziyweni).
• `I-acute myocarditis` (ukuvuvukala/ukuvuvukala okukhulu kwemisipha yenhliziyo).

Ziyini izimpawu? Noma awuzizwa nhlobo?

Nasi iqiniso elimangalisayo! Esikhathini esiningi, abantu abane-'Idioventricular Rhythm' ababi nazo izimpawu . Yebo, kuyiqiniso. Cabanga nje, abanye abantu abazi nokuthi banalesi simo, futhi sitholakala ngengozi lapho benziwe i-'ECG' ngenxa yento ethile.

Kodwa-ke, abanye abantu bangase babe nezimpawu. Uma kunjalo, bangase babe nalokhu okulandelayo:

• Ukukhathala: Ungase uzizwe ukhathele.
• Ukuzungeza: Ungase uzizwe sengathi ikhanda lakho liyazungeza futhi ungase uzizwe sengathi ulahlekelwa ibhalansi yakho.
• Ukuquleka/Ukulahlekelwa ukwazi: Abanye abantu bangase balahlekelwe ukwazi ngokuzumayo bese bewa. Lokhu kuyisibonakaliso esingathi sína kakhulu.
• Ukushaya kwenhliziyo: Ungase uzizwe inhliziyo yakho ishaya ngokushesha, njengokungathi ishaya kakhulu esifubeni sakho.

Khumbula, lezi zimpawu azenzeki kuwo wonke umuntu. Kodwa-ke, uma ubhekana nalezi zimpawu njalo, kungcono ukubona udokotela.

Kungani kwenzeka le `Accelerated Idioventricular Rhythm (AIVR)`? Ziyini izimbangela?

Kunezimbangela eziningana ezithile ze-'Accelerated Idioventricular Rhythm (AIVR)' esixoxe ngazo ngaphambili, okuyisimo lapho inhliziyo ishaya khona ngesivinini esiphakathi kwama-beats angu-50-110 ngomzuzu. Lezi yizi:

• I-Myocarditis (ukuvuvukala kwemisipha yenhliziyo).
• Ngemva kokuhlaselwa yinhliziyo.
• Ezinye izinhlobo ze-'cardiomyopathies' (i-cardiomyopathy - isifo semisipha yenhliziyo).
• Ngemva kokuvuselelwa (isibonelo, ngemva kokuhlaselwa yinhliziyo, lapho uvuselelwa nge-`CPR`).
• Izinga eliphezulu kakhulu le-electrolyte potassium emzimbeni.
• Ubuthi obubangelwa ukuthatha imithi yenhliziyo eningi kakhulu ethi `Digoxin (Digitek® noma iCardoxin®)`.

Udokotela ukuthola kanjani lokhu?

Uma unalezi zimpawu, noma nganoma yisiphi esinye isizathu, uma ubona udokotela, uzoqala akuhlole kahle ('ukuhlolwa ngokomzimba'). Ngemuva kwalokho uzobuza ngomlando wakho wezokwelapha kanye nomlando womndeni.

Ngaphezu kwalokho, ukuhlolwa okulandelayo kungenziwa ukuze kutholakale ukuthi ngabe lesi simo se-'Idioventricular Rhythm' sikhona yini:

• I-Electrocardiogram (ECG/EKG): Lesi isivivinyo esibaluleke kakhulu. Siqopha umsebenzi kagesi wenhliziyo. Ku-Idioventricular Rhythm, i-ECG ikhombisa ukuthi amakamelo aphansi enhliziyo ashaya ngesigqi esijwayelekile, kodwa amakamelo aphezulu (i-atria) awajwayelekile noma awakho.
• `Isiqaphi se-Holter`: Lokhu kufana nomshini omncane we-`ECG`. Kodwa kufanele uwugqoke amahora angama-24 noma angama-48. Ungaqapha ukuthi isigqi senhliziyo yakho sishintsha kanjani ngenkathi uqhubeka nemisebenzi yakho yansuku zonke. Ngezinye izikhathi, lezi zigqi ezingavamile zingase zingabonakali ngesikhathi esifushane esithathayo ukuthola i-`ECG`.

Yiziphi izindlela zokwelapha? Ingabe lokhu kuyinto okufanele uyesabe ngempela?

Nazi izindaba ezinhle! Kwabaningi, isimo esibizwa ngokuthi ``Idioventricular Rhythm'' asiyona ingozi (``ingozi``) futhi asidingi ukwelashwa okukhethekile. Ezimweni eziningi, simane siphele sodwa.

Kodwa-ke, uma udokotela wakho enquma ukuyelapha, ngokuvamile kuzoba ngokwelapha inkinga eyisisekelo ebangele lesi simo. Isibonelo:

• Uma lesi simo sibangelwe umuthi othile, yeka noma ushintshe lowo muthi.
• Uma kunenkinga ngokusebenza kwenhliziyo (isib. ukuvimba kwenhliziyo), yelaphe.

Manje, uma i-`Accelerated Idioventricular Rhythm (AIVR)` iqhubeka, futhi umfutho wegazi lakho nawo uyehla, khona-ke udokotela angenza okulandelayo ukuze abuyisele isigqi senhliziyo esijwayelekile:

• Ukunikeza imithi efana ne-`Atropine (Atreza® noma i-Sal-Tropine®)` noma i-`isoproterenol`.
• Ukusebenzisa idivayisi ekhethekile (isb., i-pacemaker yesikhashana) ukubuyisela isigqi samakamelo aphezulu enhliziyo.

Yini esingayenza ukuze sinciphise le ngozi?

Nakuba i-Idioventricular Rhythm ingeyona ingozi ezimweni eziningi, ingozi yokuthola izimo ezinjalo ingancishiswa kancane ngokuthatha izinyathelo zokugcina izinhliziyo zethu ziphilile.

• Vivinya umzimba njalo futhi udle ukudla okunempilo kwenhliziyo (okunamafutha amancane, usawoti, noshukela, izithelo nemifino eminingi).
• Zama ukugcina amazinga e-electrolyte emzimbeni wakho (ikakhulukazi i-potassium) ejwayelekile . Ukudla okunempilo kubalulekile kulokhu.

Kwenzekani uma une-'Idioventricular Rhythm'? Yini ongayilindela?

Futhi, kubantu abaningi, lesi akusona isimo esiyingozi futhi sizophela ngaphandle kokwelashwa. Kodwa-ke, uma uzwa ukushaya kwenhliziyo njalo futhi lesi sigqi esingavamile siqhubeka singabuyeli esimweni esijwayelekile, kufanele nakanjani ufune usizo lwezokwelapha.

Kufanele ufune nini iseluleko sezokwelapha?

Ezimweni eziningi, awudingi ukwenza lutho olukhethekile nge-'Idioventricular Rhythm'. Izophela yodwa. Kodwa-ke, uma lesi simo singabi ngcono sodwa futhi uhlangabezana nezimpawu ezifana nokuquleka, bheka udokotela ngokushesha.

Okubaluleke kakhulu: Uma ucabanga ukuthi unezimpawu 'zokuhlaselwa yinhliziyo' (isib. ubuhlungu obukhulu phakathi kwesifuba, ubunzima bokuphefumula, ukuhlanza, ukujuluka ngokweqile), shayela u-1990 ngokushesha bese ushayela i-ambulensi!

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma udokotela wakho ekutshela ukuthi une-"Idioventricular Rhythm", kuwumqondo omuhle ukubuza le mibuzo:

• "Dokotela, ungangitshela ukuthi yini ngempela ebangela i-'Idioventricular Rhythm' yami?"
• "Uma ngidinga ukwelashwa ngalokhu, yikuphi ukwelashwa okungcono kakhulu kimi?"

Nakuba i-'Idioventricular Rhythm' ngokuvamile ingeyona inkinga enkulu, eminye imijikelezo yenhliziyo engavamile ingaba yingozi. Ngakho-ke, uma uzizwa ukushaya kwenhliziyo okungajwayelekile, uma uzwa izinto ezifana nesiyezi, bona udokotela ngaphandle kokulibala. Uma udokotela wakho ekutshela ukuthi uqale noma uyeke ukuthatha noma yimuphi umuthi, landela leyo miyalelo ngqo. Futhi, kubaluleke kakhulu ukuya ezivivinyweni 'zokulandelela' ngezinsuku ezihleliwe.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho ake sikukhumbuze kafushane ngamaphuzu abalulekile kulokho esikhulume ngakho:

• I-Idioventricular Rhythm iyisigqi senhliziyo esiqala emakamelweni aphansi (amaseli) enhliziyo futhi ngokuvamile sihamba kancane.
• Esikhathini esiningi, lesi akusona isimo esiyingozi, futhi abantu abaningi ababonisi ngisho nezimpawu.
• Kodwa-ke, uma lesi simo siqhubeka nezimpawu ezifana nesicanucanu , kufanele nakanjani ufune iseluleko sikadokotela.
• Ukwelashwa kuvame ukubhekana nesimo esiyisisekelo esibangele lokhu, futhi ngezinye izikhathi kungaphathwa ngemithi.
• Landela njalo imiyalelo kadokotela wakho futhi uye kohlolwa okuhleliwe.

Kubaluleke kakhulu ukunakekela inhliziyo yakho. Ngithemba ukuthi lolu lwazi luzokusiza!

` Isigqi se-Idioventricular, isigqi senhliziyo, ukushaya kwenhliziyo okuhamba kancane, Isigqi se-Idioventricular esisheshayo, izimpawu zesifo senhliziyo, i-ECG, i-Holter monitor