Ingabe inhliziyo yakho ishaya ngendlela exakile ngezinye izikhathi? Ake sixoxe nge-Premature Ventricular Contractions (PVCs)!

Wake wazizwa sengathi inhliziyo yakho ishaya ngendlela exakile, sengathi igxumagxuma, noma sengathi ishaya ngokuzumayo esifubeni sakho? Abanye abantu bathi kuzwakala sengathi inhliziyo yakho "iyandiza." Abantu abaningi bahlangabezane nalokhu. Namuhla, sizokhuluma ngesizathu esisodwa esingaba yimbangela yalokhu, isimo esibizwa ngokuthi yi-Premature Ventricular Contractions (PVCs) . Ungakhathazeki, masikwenze kube lula.

Ngakho-ke, yiziphi lezi ziNciphiso ze-Ventricular zangaphambi kwesikhathi (ama-PVC)?

Kalula nje, ukuQondana Kwama-Ventricular Ngaphambi Kwesikhathi (ama-PVC) kuyisimo esingajwayelekile ekushaya kwenhliziyo yakho. Ngokukhethekile, kwenzeka lapho isignali kagesi eqala ukushaya kwenhliziyo ingaveli endaweni evamile, kodwa ivela kwelinye lamakamelo amabili aphansi enhliziyo (abizwa ngokuthi ama- ventricles ). Ngokuvamile, isignali kagesi eqala ukushaya kwenhliziyo iqala ekamelweni eliphezulu kwesokudla lenhliziyo ( i-atrium ).

Lawa ma-PVC awayona inkinga enkulu ngaso sonke isikhathi. Kodwa-ke, uma eqhubeka izinyanga noma iminyaka, angenza buthaka imisipha yenhliziyo. Lokhu kubizwa ngokuthi i-Cardiomyopathy . Ezimweni eziningi, lawa ma-PVC angelashwa ngemithi noma ngokwelashwa okuncane.

Abanye abantu babiza lesi simo ngokuthi "ukufinyela kwe-ventricular ngaphambi kokubeletha." Odokotela bangase basibize ngala magama:

• Izakhiwo ze-ventricular zangaphambi kwesikhathi
• Ama-extrasystoles e-Ventricular
• Ukushaya kwe-Ventricular ngaphambi kwesikhathi

Izimpawu zikagesi zenhliziyo zilawula kanjani ukushaya kwenhliziyo?

Ukushaya kwenhliziyo yethu kulawulwa uhlelo lukagesi olumangalisayo kakhulu. Ngokuvamile, iqoqo lamaseli ku-atrium yangakwesokudla, phezulu kwenhliziyo yakho, elibizwa ngokuthi i-sinoatrial node (SA node) , lithumela isignali yokuqala kagesi yokushaya kwenhliziyo. Lesi signali sihamba kuyo yonke inhliziyo futhi siye emakamelweni angakwesobunxele nakwesokudla (ama-ventricle) phansi kwenhliziyo. Yilapho inhliziyo ithola khona umyalo wokuncipha, noma ukushaya.

Kodwa, uma kwenzeka ama-PVC, lesi siginali sokuqala siqala ekamelweni elingezansi lenhliziyo (i-ventricle). Bese, indlela leyo siginali ehamba ngayo enhliziyweni iyashintsha, okubangela ukushaya kwenhliziyo okungajwayelekile. Ngezinye izikhathi, uma une-PVC, ungase uzizwe sengathi inhliziyo yakho "iyagxumagxuma."

Ubani okungenzeka kakhulu ukuthi akhiqize ama-PVC? Avame kangakanani?

Ama-PVC angenzeka kunoma ubani. Kodwa-ke, avame kakhulu kubantu abadala kanye nabantu abanesifo senhliziyo. Usengozini enkulu yokuthola ama-PVC uma unezinye zezimo ezilandelayo:

• Ukwehluleka kwenhliziyo
• Umfutho wegazi ophezulu ( i-Hypertension )
• Uma uke waba nesifo senhliziyo ngaphambili
• I-hypertrophic cardiomyopathy

Ama-PVC empeleni avame kakhulu kunalokho ongakucabanga.Ucwaningo lubonise ukuthi cishe abantu abangu-75% babhekene nalesi simo.

Ingabe kufanele sikhathazeke ngala ma-PVC? Ingabe lokhu kuyingozi?

Iningi labantu alinazo izimpawu noma izinkinga zempilo ezivela kuma-PVC. Kodwa-ke, uma unezimpawu, qiniseka ukuthi ubona udokotela . Ungadinga ukwelashwa, ikakhulukazi ukuze kunqunywe izifo zenhliziyo njenge -cardiomyopathy .

Ama-PVC ngokuvamile awasongeli impilo. Kodwa-ke, uma eqhubeka nokuvela isikhathi eside, angalimaza imisipha yenhliziyo yakho.

Yiziphi izimpawu ze-Premature Ventricular Contractions (PVCs)?

Iningi labantu alibi nazo izimpawu ze-PVC. Kodwa uma uzibona izimpawu, ngokuvamile azibangeli zimpawu. Isibonelo:

• Isiyezi
• Ukuzizwa ubuthakathaka, useduze nokuquleka
• Ukushaya kwenhliziyo
• Ukuzwa ukuqina emithanjeni yentamo

Uma unezinye izinkinga zenhliziyo, kungenzeka ukuthi uke waba nobunzima bokuphefumula ( ukuphelelwa umoya ) ngenxa ye-PVC. Futhi, njengoba ukwanda kwama-PVC kukhuphuka, ungase uqaphele izimpawu ezengeziwe.

Kuzwakala kanjani uma kwenzeka ama-PVC?

Abantu abaningi bachaza ama-PVC njengokuphaphazela, umuzwa wokuphaphazela, noma umuzwa ofana nokushaya kweqiwe . Kodwa, ungase ungezwa lutho. Eqinisweni, abantu abaningi abazizwa ngisho ne-PVC.

Yini ebangela ama-PVC?

Kunezizathu eziningi zokuthi kungani i-PVC ingenzeka. Ezinye zazo yilezi:

• Ukungalingani kwama-electrolyte emzimbeni, isibonelo, amazinga aphansi e -potassium noma i-magnesium .
• Ukuhlaselwa yinhliziyo
• Ukwehluleka kwenhliziyo
• Ukwanda kwamazinga e-adrenaline emzimbeni - Lokhu kungaba ngenxa yokukhathazeka noma ukucindezeleka .
• Ukuncipha kokunikezwa kwegazi enhliziyweni, isibonelo, uma kunesifo semithambo yenhliziyo .

Kuhlonzwa kanjani ukuQondana Kwama-Ventricular Ngaphambi Kwesikhathi (ama-PVC)?

Uma ubona udokotela, uzokubuza ngezimpawu zakho, umlando wakho wezempilo, futhi ahlole umzimba. Bangase futhi balalele ukushaya kwenhliziyo yakho nge-stethoscope ukuhlola noma yikuphi ukukhubazeka.

Ukuhlolwa kokuqala okwenziwa ngokuvamile yi -electrocardiogram (EKG).Ukuhlolwa. I-EKG ilinganisa izinga lokushaya kwenhliziyo yakho futhi ihlole izimpawu zikagesi enhliziyweni yakho. I-EKG ingasiza udokotela wakho ukuthi abone ukuthi une-arrhythmia, noma ukushaya okwengeziwe.

Ngezinye izikhathi, ungase ucelwe ukuthi ugqoke i-Holter monitor noma enye idivayisi eqapha ukusebenza kwenhliziyo yakho izinsuku ezimbalwa. Lokhu kungasiza ekutholeni ngisho nama-PVC angavamile ngokulinganisa izinga lokushaya kwenhliziyo yakho kanye nesigqi.

Yiziphi izivivinyo ezenziwayo ukuthola izimbangela eziyisisekelo zama-PVC?

Uma une-PVC njalo noma usuyisebenzisile isikhathi eside, udokotela wakho angase ancome ezinye izivivinyo ezengeziwe. Lezi zivivinyo zisetshenziselwa ukubheka ezinye izimo zenhliziyo ezingase zibangele i-PVC yakho. Ungase ube nezivivinyo ezinjengalezi:

• Ukuhlolwa kwegazi - Lokhu kuhlola amazinga akho e-potassium kanye nama-hormone e-thyroid.
• Ukuhlolwa kokucindezeleka kwenhliziyo - kulinganisa izinga lokushaya kwenhliziyo yakho kanye nokugeleza kwegazi ngemithambo yegazi yenhliziyo yakho ngenkathi uzivocavoca.
• I-cardiac MRI noma i-CT scan - Lokhu kubheka isakhiwo, umsebenzi, kanye nokugeleza kwegazi kwenhliziyo.
• I-Coronary angiogram - Ukuhlolwa okubonisa imithambo yegazi enhliziyweni. Lokhu kusiza ekuboneni ukungasebenzi kahle kokugeleza kwegazi, imithambo yegazi evalekile noma encishisiwe.
• I-Echocardiogram ( i-Echocardiogram / i-Echo ) - Lokhu kuhlola ngokubonakalayo ukusebenza kwenhliziyo, ukusebenza kwama-valve, kanye nendlela igazi eligeleza ngayo emakamelweni enhliziyo.
• Ucwaningo lwe -Electrophysiology - Lokhu kuhlaziya umsebenzi kagesi wenhliziyo.

Iphathwa kanjani i-Premature Ventricular Contractions (PVCs)?

Abantu abangavamile ukuba nama-PVC bangase bangadingi ukwelashwa. Ukwelapha isimo senhliziyo esiyisisekelo kunganciphisa ukuvama kwama-PVC. Isibonelo, kungadingeka ukuthi uthathe umuthi wokwehlisa umfutho wegazi lakho noma wehlise izinga lokushaya kwenhliziyo yakho. Le mithi inganciphisa nokuvama kwama-PVC.

Ngezinye izikhathi, udokotela wakho angase akunikeze ukwelashwa okuqondile kwama-PVC. Lolu hlobo lokwelashwa ludingeka kuphela kuma-PVC uma uvame ukushaya kwenhliziyo okungajwayelekile futhi usengozini yokulimaza imisipha yenhliziyo yakho. Ukwelashwa kungafaka:

• Inqubo yokukhipha i-catheter : Lena inqubo engangenisi kakhulu, engahlinzeki ehilela ukuhlonza nokubhubhisa ingxenye yenhliziyo ebangela ukushaya kwenhliziyo okungajwayelekile.
• Imithi: Isibonelo, imithi yokulwa nokushaya kwenhliziyo okungajwayelekile, noma ama-beta-blockers noma ama-calcium channel blockers ukuze kwehliswe umfutho wegazi.Njengomuthi.

Ingabe ukuvinjelwa kwe-Ventricular Contractions ngaphambi kwesikhathi (ama-PVC) kungavinjelwa?

Ayikho indlela yokuvimbela ngokuphelele ama-PVC. Kodwa-ke, ukwenza lezi zinto kungasiza ngandlela thile ekugcineni impilo yenhliziyo yakho yonke isesimweni esihle:

• Gcina isisindo esinempilo esifanele ubude bakho, ubulili kanye nohlobo lomzimba wakho.
• Yeka ngokuphelele ukusebenzisa ugwayi futhi unciphise izinto ezifana notshwala ne-caffeine.
• Yidla ukudla okunempilo, okunempilo nekulinganiselayo okucebile ngezithelo, imifino kanye nokudla okusanhlamvu okuphelele.
• Ukuzivocavoca okuvamile - Lokhu kuhlanganisa ukuzivocavoca nge-aerobic , ukuqeqeshwa kwamandla, kanye nokwelula umzimba.
• Ukugcina amazinga e-cholesterol anempilo kanye nomfutho wegazi.
• Ukusebenzisa izindlela ezinempilo zokuphatha ukukhathazeka nokucindezeleka - isibonelo, ukwelashwa ngengxoxo noma ukuzindla.
• Lala okungenani amahora ayisikhombisa ebusuku.

Ngingazi kanjani ukuthi ngisengozini yokuthuthukisa ama-PVC?

Kunezici eziningana ezingandisa ingozi yakho yokuthola ama-PVC. Ezinye zazo zifaka:

• Njengoba kutholakale ukuthi unezinye izinkinga zenhliziyo, okuhlanganisa nezinkinga zenhliziyo zokuzalwa nazo .
• Ukuba nomlando womndeni we-arrhythmia (ukushaya kwenhliziyo okungajwayelekile).
• Uma uke waba nezinkinga zenhliziyo ngaphambili.

Iyini inhloso yesimo sama-PVC?

Ngokuvamile, umbono wabantu abane-PVC muhle. Iningi labantu alikho engozini yokuthola izinkinga zempilo ngenxa yalokhu.

Kodwa-ke, uma unezinye izinkinga zempilo, noma uke waba nokuhlaselwa yinhliziyo esikhathini esidlule, ingozi yakho yezinkinga zempilo, okusho ukuthi isikhathi sokuphila esifushane, nayo inganda.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma une-PVC, noma ucabanga ukuthi ungase ube nazo, kuwumqondo omuhle ukubuza udokotela wakho le mibuzo:

• Yisiphi isizathu esingaba khona sokuba ngibe nalezi PVC?
• Ingabe lezi zimpawu zingabangelwa esinye isimo sempilo?
• Ingabe ngidinga ukuhlolwa ukuze kubonakale ukuthi nginesifo senhliziyo esiyisisekelo?
• Yiziphi izivivinyo okudingeka ngizenze ukuze ngithole ama-PVC?
• Ingabe ngidinga ukwelashwa kwama-PVC?
• Yiziphi izimpawu zokuthi ama-PVC aya ngokuya eba mabi kakhulu?
• Ingabe ama-PVC azophela ngokuphelele ngemva kokwelashwa?

Kufanele uye nini eGumbini Eliphuthumayo?

Ama-PVC akuvamile ukuba yisimo esiphuthumayo. Kodwa-ke, uma unalezi zimpawu kanye nama-PVC, shayela u-911 ngokushesha (eSri Lanka, shayela u-1990 Suwaseriya Ambulance Service) noma uye egumbini lezimo eziphuthumayo eliseduze:

• Ukuzizwa unesizungu noma ukuphelelwa yithemba ( i-Syncope ) / ukulahlekelwa ukwazi
• Ukuzizwa unesizungu - (ukuzizwa unesizungu)
• Ubuhlungu esifubeni, entanyeni, emhlathini, noma ezingalweni
• Ubunzima bokuphefumula ( i-Dyspnea )
• Ukuphambana kwengqondo

Okubalulekile: Ingabe i-PVC ingadala ukufa okuzumayo?

Uma unesifo senhliziyo esingaphansi kwesakhiwo, noma uma ama-PVC eqala ezindaweni ezithile zenhliziyo, ama-PVC angandisa ingozi yakho yokufa kwenhliziyo ngokuzumayo . Kodwa-ke, kubantu abaningi, ama-PVC ayisimo esingenangozi futhi awaholeli ekufeni ngokuzumayo.

Ingabe ezinye izimo zempilo zingadala izimpawu ezifana neze-PVC?

Yebo. Izimpawu ezifana nokushaya kwenhliziyo kanye nokuqina kwesifuba nazo zingabangelwa ezinye izimo zempilo. Isibonelo:

• I-anemia (ukwehla kwamangqamuzana abomvu egazi)
• Izinkinga zokukhathazeka noma ukuhlaselwa uvalo
• I-Hyperthyroidism (i-thyroid gland esebenza ngokweqile)
• I-Hypoglycemia (ushukela ophansi egazini)
• Ukungalingani kwe-electrolyte

Umyalezo Wokugcina Wokuya Nasekhaya

Ukuvinjelwa Kwemithambo Yenhliziyo Ngaphambi Kwesikhathi (ama-PVC) kuyinhliziyo engajwayelekile. Kwenzeka lapho isignali kagesi ebangela ukuba inhliziyo ishaye iqala emakamelweni aphansi enhliziyo esikhundleni sasekamelweni eliphezulu. I-PVC ivame ukuzwakala njengokushaya kweqa, noma umuzwa wokuphapha noma wokuphapha esifubeni. Kodwa-ke, abantu abaningi abanazo izimpawu.

Ama-PVC awayona ingozi kubantu abaningi. Kodwa-ke, uma unezinye izimo zempilo, ikakhulukazi isifo senhliziyo, usengozini enkulu yokuthola izinkinga ezivela kuma-PVC. Uma unemibuzo noma ukukhathazeka, kungcono ukufuna iseluleko sezokwelapha. Ngemuva kwalokho ungathola ukuhlolwa okudingekayo bese uthola ukwelashwa okufanele. Ungakhohlwa ukuthi ukuphila impilo enempilo nakho kubaluleke kakhulu empilweni yenhliziyo.

Ukuncishiswa Kwemithambo Yenhliziyo Ngaphambi Kwesikhathi , Ama-PVC, Ukushaya Kwenhliziyo, Ukushaya Kwenhliziyo Okungajwayelekile, Isifo Senhliziyo, Izimpawu Zikagesi Zokushaya Kwenhliziyo, Amaseli, I-Atria, I-EKG, Izimpawu Zesifo Senhliziyo