Ingabe inhliziyo yakho ngezinye izikhathi ishaya kakhulu? Ake sifunde nge-(Premature Junctional Contraction)!

O, wake wazizwa sengathi inhliziyo yakho yeqa ukushaya ngokuzumayo, noma ngokuzumayo yaqala ukushaya ngokweqile? Noma wake wazizwa sengathi isifuba sakho siyashaya? Ngezinye izikhathi sicabanga ukuthi lezi yizinto ezingahleliwe nje, kodwa ngezinye izikhathi kungase kube nesizathu esincane sezokwelapha ngemuva kwalokhu. Namuhla sizokhuluma ngokushaya okwengeziwe okunjalo enhliziyweni, okubizwa ngokuthi `(Premature Junctional Contraction)` noma i-PJC.

Kuyini lokhu (Ukuvinjelwa Kwe-Semature Junctional)? Ake sikuqonde kalula?

Kalula nje, `(Premature Junctional Contraction)` ukushaya kwenhliziyo okwengeziwe okwenzeka ngaphambi kwesikhathi esihleliwe . Lokhu kuqala endaweni ekhethekile enhliziyweni, esiyibiza ngokuthi `(Atrioventricular junction)` noma i-AV junction. Cabanga nje, inhliziyo yethu inamakamelo amabili phezulu, esiyibiza ngokuthi i-atria. Kunezinye izindlu ezimbili ngezansi, esizibiza ngokuthi ama-ventricles. Phakathi kwalawo ma-atria nama-ventricles, uma sikhuluma iqiniso, le AV junction itholakala phakathi nenhliziyo. Yilapho lokhu kushaya okwengeziwe, kwasekuqaleni kuqala khona.

I-PJC empeleni iyi-`(Arrhythmia)`, okusho ukungalingani kwesigqi senhliziyo . Ngokuvamile, inhliziyo yethu ishaya ngesigqi esithile. Isizathu salokhu uhlelo lwesignali kagesi oluncane enhliziyweni uqobo. Lezi zibonakaliso zikagesi zitshela inhliziyo ukuthi "ishaye manje, shaya manje". Kodwa-ke, uma kukhona okuphazamisa lezi zibonakaliso zikagesi, khona-ke ukushaya kwenhliziyo kuba okungajwayelekile. Yilokho esikubiza ngokuthi `(Arrhythmia)`. Khona-ke ukushaya kwenhliziyo kungaba kanje:

• Kungaba okungajwayelekile: okungukuthi, isigqi siyadlulwa, kwenzeka isigqi esengeziwe, noma isigqi asifani.
• Kungaba kancane kakhulu: sikubiza ngokuthi ``Bradycardia''.
• Ingashaya ngokushesha okukhulu: lokhu kubizwa ngokuthi `(Tachycardia)`.

I-PJC ingelinye lamaqembu ahambisana nalelo qembu elikhahlelayo.

Ubani onamathuba amaningi okuthuthukisa i-Premature Junctional Contractions?

Ngokuvamile, i-PJC iyenzeka kubantu asebevele benesifo senhliziyo (ukwehluleka kwenhliziyo) noma esinye isifo senhliziyo. Kodwa-ke, ngezinye izikhathi i-PJC ingenzeka nakubantu abanezinhliziyo eziphilile ezingenaso isifo . Ngakho-ke, kunzima ukusho ngokungangabazeki ukuthi lokhu kwenzeka kubantu abathile kuphela.

Zivame kangakanani lezi (Premature Junctional Contractions)?

I-PJC empeleni iyisimo esingavamile kakhulu kunezinye izinhlobo zokushaya kwenhliziyo okwengeziwe. Isibonelo, `(Premature Atrial Contractions - PACs)` noma `(Premature Ventricular Contractions - PVCs)` zivame kakhulu kune-PJC. Phakathi kwezinkinga zesigqi senhliziyo, `(Atrial fibrillation - Afib)` yisimo esivame kakhulu.

Lokhu (Ukuvinjelwa Kwangaphambi Kwesikhathi) kungithinta kanjani?

Cabanga nje, uthola eyodwa noma ezimbili zalezi PJC kaningi kakhulu. Khona-ke kungase kungabi yinkinga enkulu . Mhlawumbe ngeke ngisho uqaphe.

Kodwa, le PJCUma kwenzeka njalo, njalo, khona-ke udinga ukukhathazeka kancane. Ngoba, lapho i-PJC isenzeka njalo, ingaphenduka isimo esibizwa ngokuthi `(Junctional tachycardia)`. Okusho ukuthi, isimo lapho inhliziyo ishaya khona ngokushesha , kusukela ekuxhumaneni kwe-AV esikhulume ngakho ekuqaleni. `(Junctional tachycardia)` ngezinye izikhathi kungadinga ukwelashwa . Isibonelo, imithi inganikezwa ukulawula izinga lokushaya kwenhliziyo futhi ibuyisele esigqini esijwayelekile.

Yiziphi izimbangela ze-Premature Junctional Contractions?

Kunezici eziningana ezingabangela i-PJC. Ake sibheke eziyinhloko:

• Ubuthi be-Digitoxin: I-Digitoxin (isib. i-Digoxin, i-Digitoxin) umuthi osetshenziselwa ukwelapha izimo ezithile zenhliziyo njengokwehluleka kwenhliziyo kanye nokuphazamiseka kwe-rhythmia. Uma uthatha lo muthi omningi kakhulu, noma uma umzimba wakho ungakwazi ukuwuphatha kahle, ungaba nesimo esibizwa ngokuthi ubuthi be-digitalis. Lesi yimbangela enkulu ye-PJC.
• Ukusetshenziswa kwe-caffeine: Ukusetshenziswa ngokweqile kwe-caffeine, etholakala ekhofini, etiyeni, nakwezinye iziphuzo ezinikeza amandla.
• Isifo semithambo yenhliziyo: Ukuvaleka kwemithambo yegazi ehambisa igazi enhliziyweni.
• Ukuphuza utshwala: Njenganoma yini, ukuphuza utshwala obuningi akukuhle.
• Ukungalingani kwama-electrolyte: Ukungalingani kwama-electrolyte emzimbeni, njenge-sodium ne-potassium.
• I-Hypoxemia: Ukwehla kwamazinga omoya-mpilo egazini.
• Ukwehluleka kwenhliziyo: Inhliziyo ayikwazi ukupompa igazi kahle.
• Ukubhema noma ukusebenzisa imikhiqizo kagwayi.

I-PJC ingenzeka ngenxa yesizathu esisodwa noma ngaphezulu.

Ziyini izimpawu ze-(Premature Junctional Contraction)?

Uma ungavamile ukuba ne-PJC, ungase ungabi nazo izimpawu . Kodwa-ke, uma une-PJC njalo, ungase ubhekane nalokhu okulandelayo:

• Ukukhathala: Ukuzizwa ukhathele futhi ungenampilo.
• Ukuzizwa unesizungu: Ukuzizwa unesizungu noma ukuphelelwa amandla.
• Ukushaya kwenhliziyo okusheshayo: Umuzwa wokushaya kwenhliziyo okusheshayo, okushaya ngamandla, noma okushaya ngamandla esifubeni.

Khumbula, lezi zimpawu azibonakali kuwo wonke umuntu. Abanye abantu bangase bangabi nazo.

Ungazibona kanjani (Ukunqamuka Kwangaphambi Kwesikhathi)?

Uma utshela udokotela ngezimpawu zakho, uzoqala ngokukubuza ngazo bese enza ukuhlolwa ngokomzimba. Bangase futhi bakubuze ngalokhu:

• Umlando wakho wezempilo: Izinto ezifana nezifo zangaphambilini, kungakhathaliseki ukuthi kukhona yini emndenini wakho onesifo senhliziyo.
• Uphuza yiphi imithi?Imithi yezinye izifo, ngisho namavithamini.
• Indlela yakho yokuphila: Izinto ezinjengokuthi uyabhema, uyaphuza utshwala, nokuthi uphuza ikhofi elingakanani.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga ukugoba kwe-Semature Junctional?

Uma udokotela wakho esola ukuthi une-arrhythmia, bavame uku-oda i-electrocardiogram (EKG) . Lokhu kuyindlela elula, engenabuhlungu. Babeka izitikha ezincane (ama-electrode) esifubeni sakho bese beqopha umsebenzi kagesi wenhliziyo yakho, okuyinhliziyo yakho.

Uma ubheka imiphumela ye-EKG, ungase ubone i-PJC njengokushaya okuncane okwengeziwe phakathi kokushaya kwenhliziyo yakho okuvamile. Kodwa-ke, ngezinye izikhathi, le PJC ingafihlwa ngaphakathi kokushaya kwenhliziyo okuvamile. Uma i-EKG ingacacile, udokotela wakho angase ancome ezinye izivivinyo. Isibonelo:

• I-Echocardiogram: Lokhu kufana nokuskena kwenhliziyo nge-ultrasound. Kungabheka ukuma nokusebenza kwenhliziyo.
• Ukuhlolwa kokucindezeleka: Lokhu kuhlola ukuthi inhliziyo yakho isebenza kanjani uma uzivocavoca (njengokugijima ku-treadmill).
• Ukuhlolwa kwetafula lokutsheka: Ukushaya kwenhliziyo yakho kanye nomfutho wegazi kuyahlolwa njengoba ulele embhedeni okhethekile futhi umbhede utsheke ngezindlela ezahlukene. Lokhu kubalulekile kubantu ababhekene nokuquleka.

Odokotela baphatha kanjani ukugoba kwe-Junctional ngaphambi kwesikhathi?

Lapho belapha i-PJC, odokotela baqala ngokubheka imbangela eyisisekelo . Ukwelapha leyo nkinga kungasiza ekubuyiseleni isigqi senhliziyo esijwayelekile. Uhlelo lwakho lokwelapha lungafaka:

• Uma okwamanje usebenzisa i-digitalis, cabanga ngokunciphisa noma ukwandisa umthamo .
• Ukunikeza eminye imithi yokwelapha lesi simo ``(ubuthi be-Digitalis)``.
• Ukwelapha izimo ezinjengokwehluleka kwenhliziyo noma isifo semithambo yenhliziyo ngemithi .
• Izinguquko endleleni yokuphila: Izinto ezifana nokuyeka ukubhema, ukunciphisa utshwala noma ukusetshenziswa kwe-caffeine.

Into ebaluleke kakhulu ukulandela iseluleko sezokwelapha.

Ingabe ukuvinjelwa kokuhlangana kwangaphambi kwesikhathi kungavinjelwa?

Kungase kungabi njalo kungenzeka ukuvimbela ngokuphelele i-PJC. Kodwa-ke, ukulandela indlela yokuphila enempilo nokubona udokotela wakho njalo kungasiza ukugcina inhliziyo yakho iphilile. Udokotela wakho angase akuncome okulandelayo:

• Nciphisa noma uyeke ukuphuza utshwala: Amadoda akufanele aphuze iziphuzo ezingaphezu kwezimbili ngosuku. Abesifazane akufanele baphuze iziphuzo ezingaphezu kwesisodwa ngosuku.
• Ukunciphisa inani le-caffeine oyithola ezintweni ezifana nekhofi neziphuzo zamandla.
• Ukungabhemi noma ukusebenzisa imikhiqizo kagwayi.Uma usuvele ukwenza lokho, yeka nakanjani.
• Ukudla ukudla okunempilo okucebile ngezithelo, imifino, ubhontshisi kanye nokolweni ophelele.
• Ukuzivocavoca njalo njengokuhamba.
• Ukulawula ukucindezeleka .
• Ukuthatha imithi njengoba kuyalelwe ukuze kulawulwe ezinye izimo zempilo.

Kuthatha isikhathi esingakanani ukugoba kwe-Junctional ngaphambi kwesikhathi?

Uma imbangela eyisisekelo yelashwa kahle, i-PJC ingase ithuthuke noma inyamalale ngokuphelele , kuye ngesimo sakho kanye nendlela osabela ngayo ekwelashweni.

Ingabe ikhona imiphumela yesikhathi eside ye-Premature Junctional Contractions?

Akuvamile ukuthi i-PJC ibangele ukulimala kwenhliziyo . Kodwa-ke, uma i-PJC ibangelwa esinye isimo senhliziyo, kufanele ubonane nodokotela wakho ukuze agcine inhliziyo yakho iphilile. Ukwenza kanjalo kungasiza ekuvimbeleni noma ekunciphiseni imiphumela yesikhathi eside yesifo senhliziyo.

Kufanele ufune nini iseluleko sezokwelapha uma une-(Premature Junctional Contractions)?

Uma izimpawu zakho zishintsha noma ziba zimbi kakhulu, qiniseka ukuthi ubona udokotela wakho . Futhi, uma ubona noma yiziphi izimpawu "zokwehluleka kwenhliziyo", tshela udokotela wakho ngokushesha. Lezi zimpawu zifaka:

• Ukukhwehlela okomile nokuqhekeka .
• Ukuquleka .
• Ukuzizwa ukhathele noma ubuthakathaka lapho uzivocavoca noma wenza noma yimuphi umsebenzi.
• Ukuphelelwa umoya (i-dyspnea)
• Ukuvuvukala emaqakaleni, emilenzeni noma esiswini .

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Nokho, sesikhulume kakhulu nge-`(Premature Junctional Contraction)` manje.

Ukuquleka kwe-Junctional ngaphambi kwesikhathi ngokuvamile akuyona inkinga enkulu . Ngezinye izikhathi, okudingeka ukwenze nje ukuvakashela udokotela wakho ukuze akuhlole.

Kodwa-ke, uma imbangela ye-PJC ingenye inkinga yenhliziyo, udokotela wakho uzoncoma ukwelashwa okufanele nokuphumelelayo. Iningi labantu abane-PJC liphila impilo enempilo nesebenzayo . Ngakho-ke, ungesabi ngokungadingekile. Kodwa uma unezimpawu, ungakhohlwa ukufuna iseluleko sezokwelapha. Impilo enhle kuwe!

Ukufinyela Kwesigungu Esingaphambi Kwesikhathi, Ukushaya Kwenhliziyo, Isigqi Senhliziyo, Ukushaya Kwesigqi, Ukuhlangana Kwe-AV, Isifo Senhliziyo, I-EKG