Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho iyashaya? Noma ingabe uzizwa sengathi inyoni ishaya amaphiko ayo esifubeni sakho, noma inhliziyo yakho ishaya ngamandla kangangokuthi igxumagxuma phezulu naphansi? Abantu abaningi babhekane nalokhu. Esikhathini esiningi, akukho okufanele ukhathazeke ngakho. Ngokwezokwelapha, lesi simo sibizwa ngokuthi yi-Premature Ventricular Contractions, noma ama-PVC ngamafuphi. Ngakho-ke namuhla, ake sixoxe ngokuthi ziyini lezi PVC, ukuthi kungani zenzeka, nokuthi yini okudingeka sikwazi ngazo.
Kalula nje, ziyini lezi PVC?
Kulungile, ukuze siqonde lokhu, ake siqale sibheke ukuthi inhliziyo yethu isebenza kanjani. Cabanga ukuthi inhliziyo yethu ifana nendlu enesistimu encane kagesi. Kuphela uma le ndlu ithola ugesi ngesikhathi esifanele lapho izibani namafeni kungasebenza kahle. Inhliziyo yethu nayo inesistimu efanayo kagesi.
Ngokuvamile, e-atrium yangakwesokudla phezulu kwenhliziyo, kuneqoqo elincane lamaseli elibizwa ngokuthi i-sinoatrial node noma i-SA node. Lena 'i-master switch' yenhliziyo yethu. Isignali yokuqala kagesi etshela inhliziyo ukuthi ishaye iqala lapha. Lesi signali bese sihamba kuyo yonke inhliziyo bese siya emakamelweni amabili amakhulu phansi kwenhliziyo, ama-ventricle. Uma lesi signali samukelwa, imisipha yenhliziyo iyafinyela kahle bese ipompa igazi liye emzimbeni. Lena inqubo evamile.
Kodwa ku-PVC, kukhona okuhlukile kancane. Esikhundleni sesignali kagesi eqala ukushaya kwenhliziyo kusuka 'kuswishi enkulu' (i-SA node), ngokuzumayo iqala ekamelweni elingezansi lenhliziyo `(ventricle). Kufana nokuvula isibani ekamelweni elihlukile esikhundleni seswishi enkulu endlini. Lokhu kubangela ukuthi isigqi senhliziyo siphazamiseke kancane. Ngenxa yalokhu kushaya okwengeziwe, ukushaya kwenhliziyo okulandelayo okuvamile kuyephuza kancane. Yilapho-ke sizizwa sengathi 'siphuthelwe ukushaya kwenhliziyo'. Ukushaya okulandelayo kungase kuzwakale kunamandla kancane.
Esikhathini esiningi, ama-PVC awabi yingozi kangako. Cishe ama-75% abantu abaphilile bake babhekana nawo esikhathini esithile empilweni yabo. Kodwa uma kwenzeka njalo, kubalulekile ukukhuluma nodokotela.
Odokotela bangase basebenzise namanye amagama kulesi simo, ngakho khumbula la magama:
- Izakhiwo ze-ventricular zangaphambi kwesikhathi
- Ama-extrasystoles e-Ventricular
- Ukushaya kwe-Ventricular ngaphambi kwesikhathi
Ubani osengozini enkulu yokuthuthukisa ama-PVC?
Nakuba noma ubani angathola ama-PVC, abanye abantu basengozini enkulu. Ngokuqondile:
- Kwabantu abadala.
- Kulabo abanesifo senhliziyo.
- Kulabo abanomfutho wegazi ophezulu (i-Hypertension).
- Kulabo abake baba nokuhlaselwa yinhliziyo ngaphambilini.
- Kulabo abanesifo senhliziyo.
- Kubantu abane-hypertrophic cardiomyopathy.
Ziyini izimpawu zama-PVC? Sizizwa kanjani?
Into emangalisayo ukuthi abantu abaningi bane-PVC futhi abanazo izimpawu. Kungaba ingozi uma udokotela wakho enza i-EKG kwenye into. Kodwa uma kunezimpawu, zivame ukubukeka kanje:
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ukushaya Kwenhliziyo Okukhulu | Inhliziyo ishaya ngendlela exakile ngaphakathi esifubeni. Kuzwakala sengathi inhliziyo 'iyagxuma', 'iyagingqika', 'iyagxuma'. |
| Ukuphaphazela kwesifuba (ukuphaphazela) | Ungase uzizwe sengathi inyoni ishaya amaphiko ayo esifubeni sakho. |
| Ukushaya entanyeni | Abanye abantu bangase bazizwe ukushaya kwenhliziyo okwengeziwe ngamandla ngemithambo esentanyeni yabo. |
| Isiyezi/Ubumpumputhe | Uma kwenzeka ama-PVC amaningi elandelana, ungase uzizwe sengathi ulahlekelwa ingqondo noma uzizwa udidekile ngenxa yokwehla kancane kokugeleza kwegazi ebuchosheni. |
| Ukuphelelwa umoya | Lokhu kuvame ukubonakala lapho ama-PVC evele ekhona kumuntu osevele enesinye isifo senhliziyo. |
Ingabe lo muzwa uyafana kuwo wonke umuntu?
Cha. Abanye abantu bangase babe namakhulu ama-PVC ngosuku kodwa bangezwa lutho. Abanye bangase babe neyodwa noma ezimbili ngosuku futhi bazizwe kakhulu. Kuyahlukahluka kuye ngomuntu nomuntu.
Kungani sithola ama-PVC? Ziyini izimbangela?
Kunezikhathi lapho imbangela ethile yama-PVC ingatholakali khona. Kodwa-ke, lezi zinto zingadala noma zandise ama-PVC.
- Ukucindezeleka Nokukhathazeka: Uma sicindezelekile noma sesaba, umzimba wethu ukhiqiza i-hormone ebizwa ngokuthi i-adrenaline. Lokhu kungavuselela uhlelo lokubonisana lukagesi lwenhliziyo futhi kubangele ama-PVC.
- I-Caffeine Notshwala: I-Caffeine notshwala, okutholakala ezintweni ezifana nekhofi, itiye, ushokoledi, kanye nezinye iziphuzo ezibandayo, kungabangela ukushaya kwenhliziyo okungajwayelekile.
- Ukungalingani Kwama-Electrolyte: I-Potassium ne-magnesium kuyizinto ezibalulekile ekusebenzeni kahle kwezimpawu zikagesi emzimbeni wethu. Amazinga aphansi alokhu angaholela kuma-PVC.
- Isifo senhliziyo: Njengoba kushiwo ngaphambili, ama-PVC angabangelwa yizimo ezifana nokuhlaselwa yinhliziyo, umfutho wegazi ophakeme, kanye nesifo semithambo yenhliziyo.
- Ezinye izimo zezokwelapha: Lezi zingabangelwa nayizimo ezifana ne-hyperthyroidism kanye ne-anemia.
- Imithi ethile: Eminye imithi esetshenziswa ezimweni ezifana ne-asthma ingabangela nama-PVC.
Ukuthola kanjani lokhu, Dokotela?
Uma unalezi zimpawu, udokotela wakho uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha womndeni. Ngemuva kwalokho bazolalela inhliziyo yakho nge-stethoscope. Ngaphezu kwalokho, bangenza lezi zivivinyo.
- I-Electrocardiogram (EKG/ECG): Lesi yisilingo esilula kakhulu. Izinzwa ezincane ezifana nezitikha zifakwa esifubeni sakho, ezingalweni nasemilenzeni bese ziqopha umsebenzi kagesi wenhliziyo yakho imizuzu embalwa. Lokhu kungabonisa ngokucacile noma yimaphi ama-PVC akhona.
- I-Holter Monitor: Ngezinye izikhathi ama-PVC awahlali efika. Uma eza izikhathi ezimbalwa ngosuku, i-EKG evamile ingase ingazitholi. Ezimweni ezinjalo, udokotela wakho uzokucela ukuthi ugqoke umshini omncane amahora angama-24 noma angama-48. Lokhu kuzoqopha njalo isigqi senhliziyo yakho. Kufana nokugcina idayari yenhliziyo yakho.
- Ukuhlolwa Kokucindezeleka Kwenhliziyo: I-EKG yenziwa ngenkathi uhamba nge-treadmill. Lokhu kusiza ukubona ukuthi ama-PVC ayanda noma ayancipha yini ngesikhathi sokuzivocavoca.
- I-Echocardiogram: Lokhu ukuskena kwenhliziyo nge-ultrasound. Kungabheka izinto eziningi, njengokwakheka kwenhliziyo, ubukhulu bamakamelo, ukuthi ama-valve asebenza kanjani, nokuthi iphampa igazi kahle kangakanani. Lokhu kubaluleke kakhulu ukuthola ukuthi kukhona yini esinye isimo senhliziyo esingaphansi kwama-PVC.
- Ukuhlolwa Kwegazi: Ukuhlolwa kwegazi kungenziwa ukuze kuhlolwe amazinga e-potassium ne-magnesium emzimbeni, amazinga e-thyroid hormone, nokuthi ngabe kukhona yini i-anemia.
Ingabe ama-PVC adinga ukwelashwa?
Lokhu kuyinto ebaluleke kakhulu. Uma umuntu ophilile ongenaso esinye isifo senhliziyo eba nama-PVC kaningi, ngokuvamile akudingeki ukwelashwa. Udokotela wakho uzokutshela ukuthi wenze izinguquko ezincane endleleni yokuphila.
Kodwa-ke, ukwelashwa kungadingeka ezimweni ezinjengalezi:
- Uma izimpawu zakho ziphazamisa impilo yakho yansuku zonke.
- Uma inani lama-PVC ngosuku liphezulu kakhulu (isibonelo, ngaphezu kuka-15% wazo zonke izinhliziyo zi-PVC).
- Uma ikhono lenhliziyo lokupompa igazi (ingxenye yokukhipha igazi) lincipha ngenxa yama-PVC.
- Uma kukhona esinye isifo senhliziyo esibi esingaphansi kwama-PVC.
Okulandelayo kungasetshenziswa njengokwelashwa:
| Indlela yokwelapha | Incazelo |
|---|---|
| Izinguquko zendlela yokuphila | Ukuyeka i-caffeine, utshwala, nokubhema. Ukulawula ukucindezeleka (ukuzindla, i-yoga, njll.). Ukulala ngokwanele. |
| Imithi | Imithi efana nama-beta-blockers noma ama-calcium channel blockers ingalawula ukushaya kwenhliziyo. Ngezinye izikhathi imithi yokulwa nokuphazamiseka kwenhliziyo nayo inganikezwa. |
| Ukususwa kwe-Catheter | Lokhu kwelashwa kusetshenziswa uma unenani elikhulu lama-PVC angenakulawulwa ngemithi. Kulokhu, ithubhu elincane (i-catheter) lidluliselwa ngemithambo esesiswini sakho liye enhliziyweni yakho, kutholakale amangqamuzana athile abangela ama-PVC, bese kusetshenziswa i-radiofrequency ukubhubhisa lawo maseli. Lokhu kuyindlela yokwelapha ephumelela kakhulu. |
Ingabe kufanele ngikhathazeke ngama-PVC? Ngidinga nini ukwelashwa okuphuthumayo?
Ngokuvamile, ama-PVC kuphela awayona into ephuthumayo. Kodwa-ke, uma une-PVC kanye nalezi zimpawu ndawonye, ya emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ubuhlungu obukhulu besifuba
- Ubunzima obukhulu bokuphefumula
- Ukuzizwa unesizungu noma ukuphelelwa amandla okukhulu (i-syncope)
- Ukuphambana kwengqondo
Lezi zimpawu zibonisa ukuthi kungenzeka ukuthi kukhona into engathi sína kakhulu kune-PVC. Ngakho ungalindi isikhathi eside.
Khumbula, ama-PVC ayisifo esivame kakhulu. Akuvamile ukubangela umonakalo wesikhathi eside kumuntu onenhliziyo enempilo. Kodwa-ke, uma eqhubeka noma eba mandundu, angaholela esimweni esibizwa ngokuthi i-cardiomyopathy, okuwubuthakathaka bemisipha yenhliziyo. Yingakho kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvinjelwa Kwama-Ventricular Ngaphambi Kwesikhathi (ama-PVC) kuyisimo esivamile lapho isigqi senhliziyo sishintsha kancane. Esikhathini esiningi, lokhu akukubi kangako.
- Imizwa efana 'nokushaya kwenhliziyo' kanye 'nokushaya kwesifuba' yizimpawu ezivame kakhulu. Kodwa-ke, abantu abaningi abanazo izimpawu.
- Izinto ezifana nokucindezeleka, i-caffeine, notshwala zingandisa ama-PVC. Ukugwema lokhu kungasiza.
- Uma uhlangabezana nalezi zimpawu njalo, noma uma ukhathazekile ngazo, qiniseka ukuthi ubona udokotela wakho.
- Uma izimpawu ezifana nobuhlungu obukhulu besifuba noma ukulahlekelwa ukwazi kuhambisana nama-PVC, kuyisimo esiphuthumayo. Yiya esibhedlela ngokushesha.
- Abantu abanezinhliziyo eziphilile abadingi ukwelashwa. Uma kudingeka, kunezindlela zokwelapha ezisebenza kahle kakhulu ezitholakalayo.
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