IzimpawuJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 11 min

Ingabe ukushaya kwenhliziyo yakho kuyanda ngokuzumayo? Ingabe kungaba yi-Monomorphic Ventricular Tachycardia?

Creator: Dr. Priya Sammani
Published: 2026-07-16T13:39:43.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Wake waqaphela, noma wakuzwa, inhliziyo yakho ishaya ngokushesha okukhulu ngokuzumayo? Ngezinye izikhathi lokhu kungaba yinto evamile, kodwa ngezinye izikhathi kungaba yimbangela yokukhathazeka. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Monomorphic Ventricular Tachycardia , lapho izinga lokushaya kwenhliziyo likhuphuka ngendlela engavamile. Nakuba igama lide kancane, masiligcine lilula.

Kuyini i-Monomorphic Ventricular Tachycardia?

Kalula nje, lokhu ukushaya kwenhliziyo okungajwayelekile, noma i-arrhythmia . Yilapho amakamelo aphansi enhliziyo yakho, abizwa ngokuthi ama-ventricles , eqala ukushaya ngesivinini esiyingozi kakhulu. Kuye ngokuthi lokhu kwenzeka kanjani futhi nini, kungaba yinkinga eyingozi, ngisho nesongela ukuphila. Cabanga nje, lesi simo se- Ventricular Tachycardia (VT) , singaba sibi kakhulu futhi siphenduke i-arrhythmia ebulalayo ebizwa ngokuthi i-Ventricular Fibrillation (V-fib) . Uma lokho kwenzeka, inhliziyo ingayeka. Uma unomuntu futhi ngokuzumayo equleka futhi engenawo ukushaya kwenhliziyo, kubaluleke kakhulu ukushayela ucingo ku-911 ngokushesha (noma inombolo ephuthumayo efanele), uqale ngokushesha i-CPR (Cardiopulmonary Resuscitation), bese uthola i-AED (Automated External Defibrillator) uma umuntu eseduze.

Uma ungazi ukuthi ungayinikeza kanjani i-CPR , abasizi bezimo eziphuthumayo bavame ukuqeqeshwa ukukufundisa ukuthi ungayinikeza kanjani i-CPR ngocingo. Uma usezindaweni zomphakathi, izakhiwo eziningi nezikhungo zine -AED . Lawa ngamathuluzi ayigugu angasindisa izimpilo ezikhathini ezinjengalezi.

Lisho ukuthini igama lalesi simo?

Igama elithi "monomorphic ventricular tachycardia" lihlukaniswa ngezingxenye zalo futhi lisho:

I-Mono (I-Mono-) : Inye.
-morphic : isimo.
I-Ventricular : Ixhuma emakamelweni aphansi enhliziyo yakho, ama-ventricle angakwesobunxele nakwesokudla.
I-Tachy- : Ngokushesha.
-inhliziyo : inhliziyo .

Okusho ukuthi, i-ventricular tachycardia (VT) yisimo lapho amakamelo aphansi enhliziyo yakho eshaya khona ngokushesha, kodwa angapompi igazi kahle. Lokhu kuvame ukubangelwa yizijikelezo zikagesi ezingavamile emisipheni ye-ventricular. Igama elithi "monomorphic" livela endleleni lesi sigqi senhliziyo esiqoshwa ngayo ku-electrocardiogram (ECG).Enye – esiyibiza ngokuthi i-ECG noma i-EKG – isekelwe endleleni ebukeka ngayo. Ku-monomorphic VT , wonke amagagasi aku- ECG abukeka ngendlela efanayo, efana. Cishe ama-70% eziguli ze -VT analolu hlobo lwe-monomorphic. I -ECG ilinganisa umsebenzi kagesi wenhliziyo isebenzisa izinzwa eziningana, ezibizwa ngokuthi ama-electrode (ngokuvamile angu-12), anamathele esikhumbeni sesifuba sakho. Lawa ma-electrode abamba umsebenzi kagesi futhi awubonise njengochungechunge lwamagagasi ephepheni noma esikrinini. I-Monomorphic VT isho ukuthi wonke lawa magagasi abukeka ngendlela efanayo.

Kunezinhlobo ezimbili eziyinhloko ze-monomorphic VT:

Kunezinhlobo ezimbili eziyinhloko zalesi simo:

Okungasekelwa : Lolu hlobo lwe-monomorphic VT luhlala isikhathi esingaphezu kwezintathu zilandelana, kodwa lungaphansi kwemizuzwana engama-30. Kodwa-ke, lungenzeka ngokuphindaphindiwe. Uma lokhu kwenzeka, kungaba nzima ukukubona.
Okuqhubekayo : Lokhu kuyi-monomorphic VT ehlala isikhathi esingaphezu kwemizuzwana engama-30, noma edinga ukwelashwa okuthile ukuze inhliziyo ibuyele esigqini sayo esijwayelekile.

Uyini umehluko phakathi kwe-monomorphic ventricular tachycardia kanye ne-polymorphic ventricular tachycardia?

I-Polymorphic Ventricular Tachycardia yisimo esifana ne-monomorphic VT , kodwa ngomehluko omkhulu. Igama elithi "Polymorphic" lisho "izimo ezahlukene." Ku- ECG , amagagasi e-polymorphic VT ashintsha kusuka ekushayweni okukodwa kuya kokulandelayo. Lokhu kusho ukuthi umsebenzi kagesi wenhliziyo yakho awuguquguquki kakhulu kunaku-monomorphic VT .

Ubani othinteka kakhulu yilesi simo?

I-ventricular tachycardia ivame kakhulu kwabesilisa . Ithinta abantu abadala, ikakhulukazi asebekhulile, kanye nalabo abanesifo senhliziyo, ikakhulukazi labo abane -ejection fraction encishisiwe. Ingavela nasezinganeni, kodwa ayivamile kakhulu. Ivame ukwenzeka kubantu abanezifo zenhliziyo ezikhona lapho bezalwa. Futhi, izimo ezibangela i-ventricular tachycardia , njenge- Brugada syndrome noma i-arrhythmogenic right ventricular cardiomyopathy, zingazuzwa njengefa.

Sivame kangakanani lesi simo?

E-United States kuphela , i-ventricular tachycardia kanye ne-arrhythmia ehambisanayo ebizwa ngokuthi i-ventricular fibrillation ibangela ukufa kwabantu abangaba ngu-300,000 ngonyaka.

Lesi simo sithinta kanjani umzimba wami?

I-monomorphic ventricular tachycardia ivame ukubangelwa inkinga ohlelweni lukagesi lwenhliziyo yakho. Le nkinga ibangela ukuthi ama-ventricle ashaye ngokushesha kangangokuthi awanaso isikhathi sokugcwala ngegazi ngaphambi kokuba aphinde ashaye. Ama-ventricle angashaya nangesikhathi esingafanele, okubangela ukuthi alahlekelwe isigqi sawo ngamakamelo aphezulu enhliziyo. I-ventricular tachycardia ingaba yimbi kakhulu futhi ibe yi-ventricular fibrillation (V-fib) . Lesi futhi yisimo lapho amakamelo aphansi enhliziyo engakwazi ukugcwala ngegazi, kodwa kubi kakhulu. Ku -V-fib , ama-ventricle awashayi kahle, kodwa kunalokho ayathuthumela nje. Ngenxa yokuthi inhliziyo ayipompi igazi kahle, i-ventricular fibrillation ingaholela kalula ekushaqekeni kwenhliziyo noma ekumisweni kwenhliziyo ngokuzumayo . Lokhu kusho ukuthi inhliziyo yakho ayikwazi ukupompi igazi elanele ukuhlangabezana nezidingo zomzimba wakho. I-ventricular tachycardia ngezinye izikhathi ingaya ngqo ekuhlaselweni yinhliziyo ngaphandle kokungena ku -V-fib . Ukuma kwenhliziyo ngokuzumayo kuyisimo esingabulala ngemizuzu embalwa uma i-CPR inganikezwanga ngokushesha (ngokuvamile okubizwa ngokuthi Ukufa Kwenhliziyo Okuzumayo uma isiguli singenakusindiswa).

Yiziphi izimpawu ze-monomorphic ventricular tachycardia?

Abanye abantu bangase babe ne-monomorphic VT kodwa bangabi nazimpawu. Uma kungekho zimpawu, i-VT ivame ukuba yesikhashana futhi ayibi nkulu. Izimpawu ze-monomorphic VT zifaka:

Ukushaya kwenhliziyo okusheshayo (noma ukungabi khona kwenhliziyo) : Ku -VT eyodwa, izinga lokushaya kwenhliziyo yakho livame ukuba phakathi kwama-beats angu-140 no-180 ngomzuzu (amanani aphezulu ngokuvamile aba mabi kakhulu, futhi kungenzeka ukuthi ube nezimpawu). Kwezinye izimo, ungase ulahlekelwe yinhliziyo yakho ngokuphelele, okusho ukuthi unesifo senhliziyo.
Ukushaya kwenhliziyo : Lokhu kuwumuzwa ongakhululekile wenhliziyo yakho ishaya ngaphandle kokuzwa ukushaya kwenhliziyo. Kungase kuzwakale sengathi inhliziyo yakho iyashaya ngamandla, ishaya ngamandla, iyagxumagxuma, noma iyaphaphazela.
Ubuhlungu besifuba (i-Angina) : Lokhu kwenzeka lapho inhliziyo yakho ingatholi ukugeleza kwegazi okwanele.
Isiyezi noma ikhanda elibuthakathaka : Lokhu kwenzeka lapho inhliziyo yakho ingapompi igazi elanele ukuhlinzeka ubuchopho ngomoya-mpilo obuwudingayo.
I-Syncope : Lokhu kungenzeka ngemva kokuba nesiyezi lapho i-VT inzima kakhulu. Kungaba ukulahlekelwa ngokuphelele kwengqondo noma isimo esiqhubekayo sokucishe ube ne-syncope.
Ukuphelelwa umoya : Ukujikeleza kwegazi okungekuhle kubangela ukuthi umzimba wakho untule umoya-mpilo, okwenza uzizwe sengathi kunzima ukuphefumula.

Yini ebangela i-monomorphic ventricular tachycardia?

I-VT e-monomorphic ingabangelwa yizizathu ezahlukahlukene. Ezinye zazo zifaka:
Isifo senhliziyo esibangelwa yi-Ischemic : I-Ischemia, okuwukuncipha kokugeleza kwegazi, ingaphazamisa uhlelo lukagesi lwenhliziyo yakho futhi ibangele i-monomorphic VT .
I-Cardiomyopathy : Abantu abanezinhliziyo ezibuthakathaka nezinezibazi (ngenxa yezimbangela ezahlukahlukene, isibonelo, ischemia) bangaba nezifunda zikagesi ezingavamile ezingaholela ku -VT .
Ama-arrhythmia asevele ekhona : Izimo eziphazamisa uhlelo lukagesi lwenhliziyo yakho zingavela zodwa, noma zingaba khona kusukela ekuzalweni. Isibonelo salokhu yi -Brugada syndrome .
Izinkinga zenhliziyo ezakhiweni : Uhlelo lukagesi lwenhliziyo yakho luncike esimweni senhliziyo yakho. Uma leso simo sishintsha, ibanga elihanjwa ugesi linganda noma linciphe. Lezi zinguquko zingabangela ukuthi isikhathi sezinyathelo ezahlukene ekushayeni kwenhliziyo yakho singavumelani, okubangela i-monomorphic VT . Ungaba nezimo zenhliziyo ezakhiweni ozalwa nazo, ezinye zazo ozithola njengefa kubazali bakho.
Ukungalingani kwama-electrolyte : Lokhu kwenzeka lapho umzimba wakho unezakhi eziningi kakhulu (noma ezinganele) ezidingwa amaseli enhliziyo yakho ukuze asebenze kahle.
Imithi nezidakamizwa : Imithi kadokotela (njenge- digitalis ) kanye nezidakamizwa (njenge- methamphetamine noma i-cocaine ) ingabangela i-monomorphic VT .
I-Myocarditis : Lokhu ukuvuvukala kwemisipha yenhliziyo. Kungabangelwa yizinto ezahlukahlukene, okuhlanganisa nokutheleleka.
Ezinye izimo : Izimo ezifana ne -cardiac amyloidosis , i-lupus, noma i-rheumatoid arthritis nazo zingabangela i-monomorphic VT .
Ingabe lokhu kuyathelelana?
I-Monomorphic VT ayithelelani, ngakho ayisabalali isuka komunye umuntu iye komunye. Kodwa-ke, ezinye zezimo eziyibangela ziyizakhi zofuzo. Lokhu kusho ukuthi izingane zingayithola njengefa kubazali bazo. Ingabangelwa futhi ukuvuvukala okubangelwa izifo, ngezinye izikhathi ezingathelelana.
I-monomorphic ventricular tachycardia ihlolwa kanjani?
Ukuze kutholakale i-monomorphic VT , ukuhlolwa kwe -ECG kumele kwenziwe esibhedlela. Udokotela angasebenzisa lokhu kuhlolwa ukuzeLesi simo singatholakala ngesimo se-wave esisibonisayo. Indlela kuphela yokuthola i-monomorphic VT nge- ECG . Lokhu kungenxa yokuthi yindlela kuphela yokubona isimo esifanayo somsebenzi kagesi wenhliziyo. Uma une -monomorphic VT engaqhubeki , okusho ukuthi iyafika futhi idlule, kuzodingeka wenze izivivinyo ezisebenzisa izimiso ezifanayo ne -ECG , kodwa ezingadingi ukuthi uhlale esibhedlela. Lezi zibizwa ngokuthi ama-ambulatory monitors . Lawa amadivayisi angaqopha idatha ye-ECG isikhathi eside. Ungawathatha uwayise ekhaya uwagqoke izinsuku noma ngisho namasonto, kuye ngohlobo lwe-monitor.
Iphathwa kanjani i-monomorphic ventricular tachycardia? Ingabe ingelapheka?
Uma ungenayo i-ventricular tachycardia eqhubekayo futhi ungenazo izimpawu, ungase ungadingi ukwelashwa kwe -ventricular tachycardia . Kodwa-ke, udokotela wakho uvame ukukweluleka ukuthi uqaphele izimpawu zokuthi lesi simo singaba yinkinga kuwe. Ngenxa yokuthi i-ventricular tachycardia eqhubekayo ingaholela ekuhlaselweni yinhliziyo (ngokuqondile noma ngokuphenduka i-V-fib ), kubalulekile ukubuyisela inhliziyo yakho esimeni esijwayelekile. Lokhu kungadinga ukwelashwa okukodwa noma ngaphezulu, kusukela emithini kuya ekuhlinzweni. Kuye ngembangela ye-monomorphic VT , ngokuvamile ingelashwa, kodwa ayikwazi ukwelashwa njalo. Ukuthi isimo sakho singalashwa noma cha kuvame ukuncika embangela eyisisekelo.
Yimiphi imithi kanye nokwelashwa okusetshenziselwa i-monomorphic ventricular tachycardia?
Ukwelashwa kwe-monomorphic VT kuvame ukufaka okukodwa noma ngaphezulu kwalokhu okulandelayo:
Imithi : Imithi yokulwa nokuphazamiseka kwenhliziyo inganciphisa kakhulu ingozi yezinkinga kanye nokufa ngenxa ye -ventricular tachycardia . Eminye imithi ingasiza inhliziyo yakho ukuthi ibuyele esimeni sayo esijwayelekile. Eminye yale mithi inikezwa wena esibhedlela kuphela, ngoba inikezwa ngqo emzimbeni wakho ngomugqa we-intravenous (IV) noma ngomjovo. Eminye imithi ongayithatha nsuku zonke njengamaphilisi.
Ukushintshashintsha kwe-Electric : Lokhu kuhilela ukusebenzisa ugesi ukuze "ushaye" inhliziyo yakho ibe sesimweni esijwayelekile. Lokhu kuvame ukugcinelwa lapho isimo sakho sonke singazinzile, isibonelo, lapho umfutho wegazi wakho uphansi kakhulu ngenxa ye -ventricular tachycardia .
Ukucindezelwa kwesifuba : Lezi izindlela ezifanayo ezisetshenziswa ku -CPR . Lokhu yilokho okuvame ukwenziwa ngokushesha uma uhlaselwa yinhliziyo ngenxa ye -ventricular tachycardia . Uma une-pulse, lokhu akudingeki.
Umoya-mpilo, ukufakwa kwepayipi, kanye nokungenisa umoya : Ukukunikeza umoya-mpilo owengeziwe (njengokusebenzisa ipayipi elingaphansi kwekhala lakho) kungasiza ekunciphiseni ukucindezeleka enhliziyweni yakho. Uma isimo sakho singazinzile kangangokuthi awukwazi ukuphefumula, kungase kudingeke ukuthi ufakelwe ipayipi . Lokhu kuhilela ukufaka ipayipi emphinjeni wakho bese lingena epayipini lakho lomoya. Ipayipi lixhunywe emshinini obizwa ngokuthi i-ventilator , okwenzela umsebenzi wokuphefumula.
Ama-ICD afakwa ku-Cardioverter-Defibrillator (ama-ICD) : Uma une -VT eyodwa, amadivayisi afakwa ku-ICD angakuvikela ekuhlaselweni yinhliziyo. I-ICD iyithuluzi udokotela ohlinzayo angalifaka esifubeni sakho futhi alixhumanise nenhliziyo yakho ngezintambo (ezibizwa ngokuthi ama-lead ). I -ICD ingathola i-arrhythmia futhi ilethe ukushaqeka okuncane kagesi ukubuyisela inhliziyo yakho esigqini esijwayelekile.
Ukususwa kwezicubu : Kwezinye izimo, abahlinzeki bezempilo bangakha izicubu zesilonda enhliziyweni yakho ukuze baphule izifunda zikagesi ezibangela i-monomorphic VT . Le nqubo ibizwa ngokuthi i-ablation . Lokhu kungenziwa ngokuhlinzwa noma nge-catheter. Nge-catheter, umhlinzeki wezempilo ufaka idivayisi efana nethubhu emthanjeni omkhulu wegazi (ngokuvamile owodwa osethangeni lakho elingenhla) bese eyiqondisa enhliziyweni yakho. Uma sebesenhliziyweni, basebenzisa ukushisa okunembile kakhulu noma amandla abandayo kakhulu ukudala isilonda esiphula isifunda sikagesi esinephutha.
Izinkinga/imiphumela emibi yokwelashwa
Izinkinga nemiphumela emibi ongase ube nayo kulezi zindlela zokwelapha ingahluka kakhulu. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi yini engenzeka kakhulu esimweni sakho, njengoba engacabangela ukwelashwa okudingayo (noma osuvele ukutholile), umlando wakho wezempilo, kanye nanoma yiziphi izimo ezithile.
Ngizinakekela kanjani/ngiphatha kanjani izimpawu?
Ngenxa yokuthi i -ECG iyadingeka ukuze kutholakale i-monomorphic VT , awukwazi ukwazi ukuthi unayo ngaphandle kokufuna iseluleko sezokwelapha. Lokho kusho ukuthi awukwazi ukuyilapha wedwa ngaphandle kokuya kudokotela.
Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?
Abantu abaningi baqala ukuzizwa bengcono ngemva kokwelashwa, ikakhulukazi uma ukwelashwa kunciphisa izinga lokushaya kwenhliziyo yabo futhi kubuyisela inhliziyo yabo esigqini esijwayelekile. Kwezinye izimo, ungadinga ukwelashwa okwengeziwe noma ukuhlinzwa ngaphambi kokuba uqale ukuzizwa ungcono. Uma udinga ukuhlinzwa, ungase ungazizwa kahle ngokuphelele kuze kube ngemva kwenqubo. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngokuthi isikhathi sakho sokululama sizoba njani nokuthi kukhona yini ongakwenza ukukusiza ukuthi ululame ngokushesha.
Ngingayinciphisa yini ingozi yokuthi lokhu kwenzeke noma ngikuvimbele ngokuphelele?
Esikhathini esiningi, i-monomorphic VTKuyinkinga engalindelekile. Kusho ukuthi ayinakuvinjelwa. Okuwukuphela kwendlela yokuyivimbela ukugwema izimo noma imisebenzi ekwenza ube namathuba amaningi okuyithola. Isibonelo salokhu ukugwema ukusebenzisa izidakamizwa ezifana ne -methamphetamine noma i-cocaine . Uma unesinye isimo esibangela i-monomorphic VT , ungase ukwazi ukunciphisa ingozi yakho ye-VT ngokugwema noma ukulibazisa leso simo. Kodwa-ke, lokhu akunakwenzeka ngaso sonke isikhathi. Uma i-monomorphic VT ibangelwa yisimo esizuzwe njengefa noma sokuzalwa, ayinakuvinjelwa.
Uma nginalesi simo, yini okufanele ngiyilindele?
Uma ungenazo izimpawu ze-monomorphic VT , ungase ungadingi usizo lwezokwelapha. Uma unezimpawu ze-monomorphic VT , udinga usizo lwezokwelapha oluphuthumayo ngokushesha . Lokhu kungenxa yokuthi i-ventricular tachycardia ingaholela kalula ekuhlaselweni yinhliziyo (ngokushesha noma ngokuphenduka i -V-fib ).
I-monomorphic VT ihlala isikhathi esingakanani?
Lesi simo singaba sifushane kakhulu, sithathe imizuzwana embalwa kuphela ngesikhathi, noma singathatha imizuzu embalwa. Kodwa-ke, lesi simo siyingozi, ngakho akufanele usivumele siqhubeke. Yingakho ukwelashwa okuphuthumayo kubaluleke kakhulu ukuvimbela izinkinga noma ukufa.
Iyini ikusasa lalesi simo?
I-tachycardia ye-ventricular engaqhubeki , ikakhulukazi uma ingenazimpawu, ngokuvamile ayiyona inkinga eyingozi. Uma uke waba ne-VT eyodwa , ikakhulukazi uma inezimpawu, udinga ukwelashwa okuphuthumayo. Ngaphandle kwalokho kwelashwa, inhliziyo yakho ingaba ne-arrhythmia embi kakhulu noma iyeke ngokuphelele.
Ngizinakekela kanjani?
Udokotela wakho ungumuntu ongcono kakhulu ukukuqondisa ngalokho ongakwenza ukuze uzinakekele ngemva kokuxilongwa ukuthi une-monomorphic VT . Ngokuvamile, kufanele wenze lezi zinto:
Thatha imithi yakho njengoba uyalelwe . Lokhu kubaluleke kakhulu, ngoba imithi ingasiza ekuvimbeleni isigqi senhliziyo yakho ukuthi singashintshi sibe yi-monomorphic VT . Akufanele uyeke ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho. Uma unemibuzo mayelana nokuthatha noma ukugcina imithi yakho, khuluma nodokotela wakho noma nosokhemisi ukuze uthole ulwazi olwengeziwe.
Bona udokotela wakho njengoba kunconywa . Ukunakekelwa okulandelayo kanye nokuvakashela udokotela kubaluleke kakhulu ukuvimbela izinkinga noma ezinye izinkinga ezibangelwa yilesi simo.
Kufanele ngimbone nini udokotela wami?
Kufanele ubonane nodokotela wakho njalo njengoba kunconywa. Kufanele ubonane nodokotela wakho uma uqala ukuba nezimpawu, noma uma izimpawu zakho zishintsha futhi ziqala ukuphazamisa impilo yakho. Futhi, buza udokotela wakho nganoma yiziphi ezinye izimpawu noma izimpawu eziyisixwayiso ezingadinga ukuthi ushayele ihhovisi likadokotela wakho noma ufune usizo lwezokwelapha.
Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?
Uma unezimpawu ze-monomorphic VT , kufanele uye egumbini lezimo eziphuthumayo esibhedlela. Lokhu kungenxa yokuthi izimpawu zalesi simo zifana kakhulu nalezo ezibonakala kwezinye izimo eziyingozi, njengokuhlaselwa yinhliziyo noma i-pulmonary embolism . Izimpawu okufanele uziqaphele zifaka:
Ubuhlungu besifuba ( angina ).
Ukuzwa inhliziyo yakho ishaya ngamandla.
Ubunzima bokuphefumula.
Ukuzizwa unesizungu noma uzizwa ukhathazekile.
Ukuphupha.
Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:
I-monomorphic ventricular tachycardia iyisimo esingaba yingozi. Uma unezimpawu zalesi simo, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Uma ufuna ukwelashwa ngokushesha, kulapho kungenzeka khona ukuthi umhlinzeki wakho wezempilo azokwazi ukuxilonga nokwelapha isimo sakho ngaphambi kokuba sibe sibi kakhulu. Nakuba lesi simo singelapheki ngaso sonke isikhathi, ngokuvamile singelashwa ukuze ukwazi ukubuyela empilweni yakho kanye nemisebenzi oyijabulela kakhulu. Into ebaluleke kakhulu ukuhlala uzolile futhi ulandele imiyalelo kadokotela wakho. Ukushaya kwenhliziyo, i-tachycardia, i-arrhythmia, i-ECG, isifo senhliziyo, i-ventricular fibrillation, ukuboshwa kwenhliziyo okungazelelwe

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IzimpawuJulayi 16, 2026
Ingabe ukushaya kwenhliziyo yakho kuyanda ngokuzumayo? Ingabe kungaba yi-Monomorphic Ventricular Tachycardia?
Dr. Priya SammaniMedical Verification
⏱ 11 min read
📋Table of Contents
1. Kuyini i-Monomorphic Ventricular Tachycardia?
2. Lisho ukuthini igama lalesi simo?
3. Kunezinhlobo ezimbili eziyinhloko ze-monomorphic VT:
4. Uyini umehluko phakathi kwe-monomorphic ventricular tachycardia kanye ne-polymorphic ventricular tachycardia?
5. Ubani othinteka kakhulu yilesi simo?
6. Sivame kangakanani lesi simo?
7. Lesi simo sithinta kanjani umzimba wami?
8. Yiziphi izimpawu ze-monomorphic ventricular tachycardia?
9. Yini ebangela i-monomorphic ventricular tachycardia?
10. Ingabe lokhu kuyathelelana?
11. I-monomorphic ventricular tachycardia ihlolwa kanjani?
12. Iphathwa kanjani i-monomorphic ventricular tachycardia? Ingabe ingelapheka?
13. Yimiphi imithi kanye nokwelashwa okusetshenziselwa i-monomorphic ventricular tachycardia?
14. Izinkinga/imiphumela emibi yokwelashwa
15. Ngizinakekela kanjani/ngiphatha kanjani izimpawu?
16. Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?
17. Ngingayinciphisa yini ingozi yokuthi lokhu kwenzeke noma ngikuvimbele ngokuphelele?
18. Uma nginalesi simo, yini okufanele ngiyilindele?
19. I-monomorphic VT ihlala isikhathi esingakanani?
20. Iyini ikusasa lalesi simo?
21. Ngizinakekela kanjani?
22. Kufanele ngimbone nini udokotela wami?
23. Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?
24. Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:
Wake waqaphela, noma wakuzwa, inhliziyo yakho ishaya ngokushesha okukhulu ngokuzumayo? Ngezinye izikhathi lokhu kungaba yinto evamile, kodwa ngezinye izikhathi kungaba yimbangela yokukhathazeka. Namuhla sizokhuluma ngesimo esibizwa ngokuthi i-Monomorphic Ventricular Tachycardia , lapho izinga lokushaya kwenhliziyo likhuphuka ngendlela engavamile. Nakuba igama lide kancane, masiligcine lilula.
Kuyini i-Monomorphic Ventricular Tachycardia?
Kalula nje, lokhu ukushaya kwenhliziyo okungajwayelekile, noma i-arrhythmia . Yilapho amakamelo aphansi enhliziyo yakho, abizwa ngokuthi ama-ventricles , eqala ukushaya ngesivinini esiyingozi kakhulu. Kuye ngokuthi lokhu kwenzeka kanjani futhi nini, kungaba yinkinga eyingozi, ngisho nesongela ukuphila. Cabanga nje, lesi simo se- Ventricular Tachycardia (VT) , singaba sibi kakhulu futhi siphenduke i-arrhythmia ebulalayo ebizwa ngokuthi i-Ventricular Fibrillation (V-fib) . Uma lokho kwenzeka, inhliziyo ingayeka. Uma unomuntu futhi ngokuzumayo equleka futhi engenawo ukushaya kwenhliziyo, kubaluleke kakhulu ukushayela ucingo ku-911 ngokushesha (noma inombolo ephuthumayo efanele), uqale ngokushesha i-CPR (Cardiopulmonary Resuscitation), bese uthola i-AED (Automated External Defibrillator) uma umuntu eseduze.
Uma ungazi ukuthi ungayinikeza kanjani i-CPR , abasizi bezimo eziphuthumayo bavame ukuqeqeshwa ukukufundisa ukuthi ungayinikeza kanjani i-CPR ngocingo. Uma usezindaweni zomphakathi, izakhiwo eziningi nezikhungo zine -AED . Lawa ngamathuluzi ayigugu angasindisa izimpilo ezikhathini ezinjengalezi.
Lisho ukuthini igama lalesi simo?
Igama elithi "monomorphic ventricular tachycardia" lihlukaniswa ngezingxenye zalo futhi lisho:
I-Mono (I-Mono-) : Inye.
-morphic : isimo.
I-Ventricular : Ixhuma emakamelweni aphansi enhliziyo yakho, ama-ventricle angakwesobunxele nakwesokudla.
I-Tachy- : Ngokushesha.
-inhliziyo : inhliziyo .
Okusho ukuthi, i-ventricular tachycardia (VT) yisimo lapho amakamelo aphansi enhliziyo yakho eshaya khona ngokushesha, kodwa angapompi igazi kahle. Lokhu kuvame ukubangelwa yizijikelezo zikagesi ezingavamile emisipheni ye-ventricular. Igama elithi "monomorphic" livela endleleni lesi sigqi senhliziyo esiqoshwa ngayo ku-electrocardiogram (ECG).Enye – esiyibiza ngokuthi i-ECG noma i-EKG – isekelwe endleleni ebukeka ngayo. Ku-monomorphic VT , wonke amagagasi aku- ECG abukeka ngendlela efanayo, efana. Cishe ama-70% eziguli ze -VT analolu hlobo lwe-monomorphic. I -ECG ilinganisa umsebenzi kagesi wenhliziyo isebenzisa izinzwa eziningana, ezibizwa ngokuthi ama-electrode (ngokuvamile angu-12), anamathele esikhumbeni sesifuba sakho. Lawa ma-electrode abamba umsebenzi kagesi futhi awubonise njengochungechunge lwamagagasi ephepheni noma esikrinini. I-Monomorphic VT isho ukuthi wonke lawa magagasi abukeka ngendlela efanayo.
Kunezinhlobo ezimbili eziyinhloko ze-monomorphic VT:
Kunezinhlobo ezimbili eziyinhloko zalesi simo:
Okungasekelwa : Lolu hlobo lwe-monomorphic VT luhlala isikhathi esingaphezu kwezintathu zilandelana, kodwa lungaphansi kwemizuzwana engama-30. Kodwa-ke, lungenzeka ngokuphindaphindiwe. Uma lokhu kwenzeka, kungaba nzima ukukubona.
Okuqhubekayo : Lokhu kuyi-monomorphic VT ehlala isikhathi esingaphezu kwemizuzwana engama-30, noma edinga ukwelashwa okuthile ukuze inhliziyo ibuyele esigqini sayo esijwayelekile.
Uyini umehluko phakathi kwe-monomorphic ventricular tachycardia kanye ne-polymorphic ventricular tachycardia?
I-Polymorphic Ventricular Tachycardia yisimo esifana ne-monomorphic VT , kodwa ngomehluko omkhulu. Igama elithi "Polymorphic" lisho "izimo ezahlukene." Ku- ECG , amagagasi e-polymorphic VT ashintsha kusuka ekushayweni okukodwa kuya kokulandelayo. Lokhu kusho ukuthi umsebenzi kagesi wenhliziyo yakho awuguquguquki kakhulu kunaku-monomorphic VT .
Ubani othinteka kakhulu yilesi simo?
I-ventricular tachycardia ivame kakhulu kwabesilisa . Ithinta abantu abadala, ikakhulukazi asebekhulile, kanye nalabo abanesifo senhliziyo, ikakhulukazi labo abane -ejection fraction encishisiwe. Ingavela nasezinganeni, kodwa ayivamile kakhulu. Ivame ukwenzeka kubantu abanezifo zenhliziyo ezikhona lapho bezalwa. Futhi, izimo ezibangela i-ventricular tachycardia , njenge- Brugada syndrome noma i-arrhythmogenic right ventricular cardiomyopathy, zingazuzwa njengefa.
Sivame kangakanani lesi simo?
E-United States kuphela , i-ventricular tachycardia kanye ne-arrhythmia ehambisanayo ebizwa ngokuthi i-ventricular fibrillation ibangela ukufa kwabantu abangaba ngu-300,000 ngonyaka.
Lesi simo sithinta kanjani umzimba wami?
I-monomorphic ventricular tachycardia ivame ukubangelwa inkinga ohlelweni lukagesi lwenhliziyo yakho. Le nkinga ibangela ukuthi ama-ventricle ashaye ngokushesha kangangokuthi awanaso isikhathi sokugcwala ngegazi ngaphambi kokuba aphinde ashaye. Ama-ventricle angashaya nangesikhathi esingafanele, okubangela ukuthi alahlekelwe isigqi sawo ngamakamelo aphezulu enhliziyo. I-ventricular tachycardia ingaba yimbi kakhulu futhi ibe yi-ventricular fibrillation (V-fib) . Lesi futhi yisimo lapho amakamelo aphansi enhliziyo engakwazi ukugcwala ngegazi, kodwa kubi kakhulu. Ku -V-fib , ama-ventricle awashayi kahle, kodwa kunalokho ayathuthumela nje. Ngenxa yokuthi inhliziyo ayipompi igazi kahle, i-ventricular fibrillation ingaholela kalula ekushaqekeni kwenhliziyo noma ekumisweni kwenhliziyo ngokuzumayo . Lokhu kusho ukuthi inhliziyo yakho ayikwazi ukupompi igazi elanele ukuhlangabezana nezidingo zomzimba wakho. I-ventricular tachycardia ngezinye izikhathi ingaya ngqo ekuhlaselweni yinhliziyo ngaphandle kokungena ku -V-fib . Ukuma kwenhliziyo ngokuzumayo kuyisimo esingabulala ngemizuzu embalwa uma i-CPR inganikezwanga ngokushesha (ngokuvamile okubizwa ngokuthi Ukufa Kwenhliziyo Okuzumayo uma isiguli singenakusindiswa).
Yiziphi izimpawu ze-monomorphic ventricular tachycardia?
Abanye abantu bangase babe ne-monomorphic VT kodwa bangabi nazimpawu. Uma kungekho zimpawu, i-VT ivame ukuba yesikhashana futhi ayibi nkulu. Izimpawu ze-monomorphic VT zifaka:
Ukushaya kwenhliziyo okusheshayo (noma ukungabi khona kwenhliziyo) : Ku -VT eyodwa, izinga lokushaya kwenhliziyo yakho livame ukuba phakathi kwama-beats angu-140 no-180 ngomzuzu (amanani aphezulu ngokuvamile aba mabi kakhulu, futhi kungenzeka ukuthi ube nezimpawu). Kwezinye izimo, ungase ulahlekelwe yinhliziyo yakho ngokuphelele, okusho ukuthi unesifo senhliziyo.
Ukushaya kwenhliziyo : Lokhu kuwumuzwa ongakhululekile wenhliziyo yakho ishaya ngaphandle kokuzwa ukushaya kwenhliziyo. Kungase kuzwakale sengathi inhliziyo yakho iyashaya ngamandla, ishaya ngamandla, iyagxumagxuma, noma iyaphaphazela.
Ubuhlungu besifuba (i-Angina) : Lokhu kwenzeka lapho inhliziyo yakho ingatholi ukugeleza kwegazi okwanele.
Isiyezi noma ikhanda elibuthakathaka : Lokhu kwenzeka lapho inhliziyo yakho ingapompi igazi elanele ukuhlinzeka ubuchopho ngomoya-mpilo obuwudingayo.
I-Syncope : Lokhu kungenzeka ngemva kokuba nesiyezi lapho i-VT inzima kakhulu. Kungaba ukulahlekelwa ngokuphelele kwengqondo noma isimo esiqhubekayo sokucishe ube ne-syncope.
Ukuphelelwa umoya : Ukujikeleza kwegazi okungekuhle kubangela ukuthi umzimba wakho untule umoya-mpilo, okwenza uzizwe sengathi kunzima ukuphefumula.
Yini ebangela i-monomorphic ventricular tachycardia?
I-VT e-monomorphic ingabangelwa yizizathu ezahlukahlukene. Ezinye zazo zifaka:
Isifo senhliziyo esibangelwa yi-Ischemic : I-Ischemia, okuwukuncipha kokugeleza kwegazi, ingaphazamisa uhlelo lukagesi lwenhliziyo yakho futhi ibangele i-monomorphic VT .
I-Cardiomyopathy : Abantu abanezinhliziyo ezibuthakathaka nezinezibazi (ngenxa yezimbangela ezahlukahlukene, isibonelo, ischemia) bangaba nezifunda zikagesi ezingavamile ezingaholela ku -VT .
Ama-arrhythmia asevele ekhona : Izimo eziphazamisa uhlelo lukagesi lwenhliziyo yakho zingavela zodwa, noma zingaba khona kusukela ekuzalweni. Isibonelo salokhu yi -Brugada syndrome .
Izinkinga zenhliziyo ezakhiweni : Uhlelo lukagesi lwenhliziyo yakho luncike esimweni senhliziyo yakho. Uma leso simo sishintsha, ibanga elihanjwa ugesi linganda noma linciphe. Lezi zinguquko zingabangela ukuthi isikhathi sezinyathelo ezahlukene ekushayeni kwenhliziyo yakho singavumelani, okubangela i-monomorphic VT . Ungaba nezimo zenhliziyo ezakhiweni ozalwa nazo, ezinye zazo ozithola njengefa kubazali bakho.
Ukungalingani kwama-electrolyte : Lokhu kwenzeka lapho umzimba wakho unezakhi eziningi kakhulu (noma ezinganele) ezidingwa amaseli enhliziyo yakho ukuze asebenze kahle.
Imithi nezidakamizwa : Imithi kadokotela (njenge- digitalis ) kanye nezidakamizwa (njenge- methamphetamine noma i-cocaine ) ingabangela i-monomorphic VT .
I-Myocarditis : Lokhu ukuvuvukala kwemisipha yenhliziyo. Kungabangelwa yizinto ezahlukahlukene, okuhlanganisa nokutheleleka.
Ezinye izimo : Izimo ezifana ne -cardiac amyloidosis , i-lupus, noma i-rheumatoid arthritis nazo zingabangela i-monomorphic VT .
Ingabe lokhu kuyathelelana?
I-Monomorphic VT ayithelelani, ngakho ayisabalali isuka komunye umuntu iye komunye. Kodwa-ke, ezinye zezimo eziyibangela ziyizakhi zofuzo. Lokhu kusho ukuthi izingane zingayithola njengefa kubazali bazo. Ingabangelwa futhi ukuvuvukala okubangelwa izifo, ngezinye izikhathi ezingathelelana.
I-monomorphic ventricular tachycardia ihlolwa kanjani?
Ukuze kutholakale i-monomorphic VT , ukuhlolwa kwe -ECG kumele kwenziwe esibhedlela. Udokotela angasebenzisa lokhu kuhlolwa ukuzeLesi simo singatholakala ngesimo se-wave esisibonisayo. Indlela kuphela yokuthola i-monomorphic VT nge- ECG . Lokhu kungenxa yokuthi yindlela kuphela yokubona isimo esifanayo somsebenzi kagesi wenhliziyo. Uma une -monomorphic VT engaqhubeki , okusho ukuthi iyafika futhi idlule, kuzodingeka wenze izivivinyo ezisebenzisa izimiso ezifanayo ne -ECG , kodwa ezingadingi ukuthi uhlale esibhedlela. Lezi zibizwa ngokuthi ama-ambulatory monitors . Lawa amadivayisi angaqopha idatha ye-ECG isikhathi eside. Ungawathatha uwayise ekhaya uwagqoke izinsuku noma ngisho namasonto, kuye ngohlobo lwe-monitor.
Iphathwa kanjani i-monomorphic ventricular tachycardia? Ingabe ingelapheka?
Uma ungenayo i-ventricular tachycardia eqhubekayo futhi ungenazo izimpawu, ungase ungadingi ukwelashwa kwe -ventricular tachycardia . Kodwa-ke, udokotela wakho uvame ukukweluleka ukuthi uqaphele izimpawu zokuthi lesi simo singaba yinkinga kuwe. Ngenxa yokuthi i-ventricular tachycardia eqhubekayo ingaholela ekuhlaselweni yinhliziyo (ngokuqondile noma ngokuphenduka i-V-fib ), kubalulekile ukubuyisela inhliziyo yakho esimeni esijwayelekile. Lokhu kungadinga ukwelashwa okukodwa noma ngaphezulu, kusukela emithini kuya ekuhlinzweni. Kuye ngembangela ye-monomorphic VT , ngokuvamile ingelashwa, kodwa ayikwazi ukwelashwa njalo. Ukuthi isimo sakho singalashwa noma cha kuvame ukuncika embangela eyisisekelo.
Yimiphi imithi kanye nokwelashwa okusetshenziselwa i-monomorphic ventricular tachycardia?
Ukwelashwa kwe-monomorphic VT kuvame ukufaka okukodwa noma ngaphezulu kwalokhu okulandelayo:
Imithi : Imithi yokulwa nokuphazamiseka kwenhliziyo inganciphisa kakhulu ingozi yezinkinga kanye nokufa ngenxa ye -ventricular tachycardia . Eminye imithi ingasiza inhliziyo yakho ukuthi ibuyele esimeni sayo esijwayelekile. Eminye yale mithi inikezwa wena esibhedlela kuphela, ngoba inikezwa ngqo emzimbeni wakho ngomugqa we-intravenous (IV) noma ngomjovo. Eminye imithi ongayithatha nsuku zonke njengamaphilisi.
Ukushintshashintsha kwe-Electric : Lokhu kuhilela ukusebenzisa ugesi ukuze "ushaye" inhliziyo yakho ibe sesimweni esijwayelekile. Lokhu kuvame ukugcinelwa lapho isimo sakho sonke singazinzile, isibonelo, lapho umfutho wegazi wakho uphansi kakhulu ngenxa ye -ventricular tachycardia .
Ukucindezelwa kwesifuba : Lezi izindlela ezifanayo ezisetshenziswa ku -CPR . Lokhu yilokho okuvame ukwenziwa ngokushesha uma uhlaselwa yinhliziyo ngenxa ye -ventricular tachycardia . Uma une-pulse, lokhu akudingeki.
Umoya-mpilo, ukufakwa kwepayipi, kanye nokungenisa umoya : Ukukunikeza umoya-mpilo owengeziwe (njengokusebenzisa ipayipi elingaphansi kwekhala lakho) kungasiza ekunciphiseni ukucindezeleka enhliziyweni yakho. Uma isimo sakho singazinzile kangangokuthi awukwazi ukuphefumula, kungase kudingeke ukuthi ufakelwe ipayipi . Lokhu kuhilela ukufaka ipayipi emphinjeni wakho bese lingena epayipini lakho lomoya. Ipayipi lixhunywe emshinini obizwa ngokuthi i-ventilator , okwenzela umsebenzi wokuphefumula.
Ama-ICD afakwa ku-Cardioverter-Defibrillator (ama-ICD) : Uma une -VT eyodwa, amadivayisi afakwa ku-ICD angakuvikela ekuhlaselweni yinhliziyo. I-ICD iyithuluzi udokotela ohlinzayo angalifaka esifubeni sakho futhi alixhumanise nenhliziyo yakho ngezintambo (ezibizwa ngokuthi ama-lead ). I -ICD ingathola i-arrhythmia futhi ilethe ukushaqeka okuncane kagesi ukubuyisela inhliziyo yakho esigqini esijwayelekile.
Ukususwa kwezicubu : Kwezinye izimo, abahlinzeki bezempilo bangakha izicubu zesilonda enhliziyweni yakho ukuze baphule izifunda zikagesi ezibangela i-monomorphic VT . Le nqubo ibizwa ngokuthi i-ablation . Lokhu kungenziwa ngokuhlinzwa noma nge-catheter. Nge-catheter, umhlinzeki wezempilo ufaka idivayisi efana nethubhu emthanjeni omkhulu wegazi (ngokuvamile owodwa osethangeni lakho elingenhla) bese eyiqondisa enhliziyweni yakho. Uma sebesenhliziyweni, basebenzisa ukushisa okunembile kakhulu noma amandla abandayo kakhulu ukudala isilonda esiphula isifunda sikagesi esinephutha.
Izinkinga/imiphumela emibi yokwelashwa
Izinkinga nemiphumela emibi ongase ube nayo kulezi zindlela zokwelapha ingahluka kakhulu. Udokotela wakho ungumuntu ongcono kakhulu ukukutshela ukuthi yini engenzeka kakhulu esimweni sakho, njengoba engacabangela ukwelashwa okudingayo (noma osuvele ukutholile), umlando wakho wezempilo, kanye nanoma yiziphi izimo ezithile.
Ngizinakekela kanjani/ngiphatha kanjani izimpawu?
Ngenxa yokuthi i -ECG iyadingeka ukuze kutholakale i-monomorphic VT , awukwazi ukwazi ukuthi unayo ngaphandle kokufuna iseluleko sezokwelapha. Lokho kusho ukuthi awukwazi ukuyilapha wedwa ngaphandle kokuya kudokotela.
Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?
Abantu abaningi baqala ukuzizwa bengcono ngemva kokwelashwa, ikakhulukazi uma ukwelashwa kunciphisa izinga lokushaya kwenhliziyo yabo futhi kubuyisela inhliziyo yabo esigqini esijwayelekile. Kwezinye izimo, ungadinga ukwelashwa okwengeziwe noma ukuhlinzwa ngaphambi kokuba uqale ukuzizwa ungcono. Uma udinga ukuhlinzwa, ungase ungazizwa kahle ngokuphelele kuze kube ngemva kwenqubo. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngokuthi isikhathi sakho sokululama sizoba njani nokuthi kukhona yini ongakwenza ukukusiza ukuthi ululame ngokushesha.
Ngingayinciphisa yini ingozi yokuthi lokhu kwenzeke noma ngikuvimbele ngokuphelele?
Esikhathini esiningi, i-monomorphic VTKuyinkinga engalindelekile. Kusho ukuthi ayinakuvinjelwa. Okuwukuphela kwendlela yokuyivimbela ukugwema izimo noma imisebenzi ekwenza ube namathuba amaningi okuyithola. Isibonelo salokhu ukugwema ukusebenzisa izidakamizwa ezifana ne -methamphetamine noma i-cocaine . Uma unesinye isimo esibangela i-monomorphic VT , ungase ukwazi ukunciphisa ingozi yakho ye-VT ngokugwema noma ukulibazisa leso simo. Kodwa-ke, lokhu akunakwenzeka ngaso sonke isikhathi. Uma i-monomorphic VT ibangelwa yisimo esizuzwe njengefa noma sokuzalwa, ayinakuvinjelwa.
Uma nginalesi simo, yini okufanele ngiyilindele?
Uma ungenazo izimpawu ze-monomorphic VT , ungase ungadingi usizo lwezokwelapha. Uma unezimpawu ze-monomorphic VT , udinga usizo lwezokwelapha oluphuthumayo ngokushesha . Lokhu kungenxa yokuthi i-ventricular tachycardia ingaholela kalula ekuhlaselweni yinhliziyo (ngokushesha noma ngokuphenduka i -V-fib ).
I-monomorphic VT ihlala isikhathi esingakanani?
Lesi simo singaba sifushane kakhulu, sithathe imizuzwana embalwa kuphela ngesikhathi, noma singathatha imizuzu embalwa. Kodwa-ke, lesi simo siyingozi, ngakho akufanele usivumele siqhubeke. Yingakho ukwelashwa okuphuthumayo kubaluleke kakhulu ukuvimbela izinkinga noma ukufa.
Iyini ikusasa lalesi simo?
I-tachycardia ye-ventricular engaqhubeki , ikakhulukazi uma ingenazimpawu, ngokuvamile ayiyona inkinga eyingozi. Uma uke waba ne-VT eyodwa , ikakhulukazi uma inezimpawu, udinga ukwelashwa okuphuthumayo. Ngaphandle kwalokho kwelashwa, inhliziyo yakho ingaba ne-arrhythmia embi kakhulu noma iyeke ngokuphelele.
Ngizinakekela kanjani?
Udokotela wakho ungumuntu ongcono kakhulu ukukuqondisa ngalokho ongakwenza ukuze uzinakekele ngemva kokuxilongwa ukuthi une-monomorphic VT . Ngokuvamile, kufanele wenze lezi zinto:
Thatha imithi yakho njengoba uyalelwe . Lokhu kubaluleke kakhulu, ngoba imithi ingasiza ekuvimbeleni isigqi senhliziyo yakho ukuthi singashintshi sibe yi-monomorphic VT . Akufanele uyeke ukuthatha imithi yakho ngaphandle kokukhuluma nodokotela wakho. Uma unemibuzo mayelana nokuthatha noma ukugcina imithi yakho, khuluma nodokotela wakho noma nosokhemisi ukuze uthole ulwazi olwengeziwe.
Bona udokotela wakho njengoba kunconywa . Ukunakekelwa okulandelayo kanye nokuvakashela udokotela kubaluleke kakhulu ukuvimbela izinkinga noma ezinye izinkinga ezibangelwa yilesi simo.
Kufanele ngimbone nini udokotela wami?
Kufanele ubonane nodokotela wakho njalo njengoba kunconywa. Kufanele ubonane nodokotela wakho uma uqala ukuba nezimpawu, noma uma izimpawu zakho zishintsha futhi ziqala ukuphazamisa impilo yakho. Futhi, buza udokotela wakho nganoma yiziphi ezinye izimpawu noma izimpawu eziyisixwayiso ezingadinga ukuthi ushayele ihhovisi likadokotela wakho noma ufune usizo lwezokwelapha.
Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (i-ETU) ?
Uma unezimpawu ze-monomorphic VT , kufanele uye egumbini lezimo eziphuthumayo esibhedlela. Lokhu kungenxa yokuthi izimpawu zalesi simo zifana kakhulu nalezo ezibonakala kwezinye izimo eziyingozi, njengokuhlaselwa yinhliziyo noma i-pulmonary embolism . Izimpawu okufanele uziqaphele zifaka:
Ubuhlungu besifuba ( angina ).
Ukuzwa inhliziyo yakho ishaya ngamandla.
Ubunzima bokuphefumula.
Ukuzizwa unesizungu noma uzizwa ukhathazekile.
Ukuphupha.
Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:
I-monomorphic ventricular tachycardia iyisimo esingaba yingozi. Uma unezimpawu zalesi simo, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Uma ufuna ukwelashwa ngokushesha, kulapho kungenzeka khona ukuthi umhlinzeki wakho wezempilo azokwazi ukuxilonga nokwelapha isimo sakho ngaphambi kokuba sibe sibi kakhulu. Nakuba lesi simo singelapheki ngaso sonke isikhathi, ngokuvamile singelashwa ukuze ukwazi ukubuyela empilweni yakho kanye nemisebenzi oyijabulela kakhulu. Into ebaluleke kakhulu ukuhlala uzolile futhi ulandele imiyalelo kadokotela wakho. Ukushaya kwenhliziyo, i-tachycardia, i-arrhythmia, i-ECG, isifo senhliziyo, i-ventricular fibrillation, ukuboshwa kwenhliziyo okungazelelwe
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