Ingabe ngezinye izikhathi uzizwa sengathi
inhliziyo yakho ishaya ngokushesha kakhulu, ngezinye izikhathi ishaya ngamandla? Noma uzizwa ukhathele noma unesizungu ngaphandle kwesizathu? Lokhu ngezinye izikhathi kungaba okuvamile. Kodwa-ke, ngezinye izikhathi kungaba izimpawu zenkinga ngokusebenza kwenhliziyo yethu. Namuhla sikhuluma ngesinye sezimo ezinjalo, i-Sick Sinus Syndrome (SSS). Ungakhathazeki, ake sikuqonde kalula lokhu.
Kalula nje, iyini i-Sick Sinus Syndrome (SSS)?
Cabanga ngenhliziyo yakho njengejeneretha ekhaya lakho. Le jeneretha ithumela izimpawu zikagesi kuyo yonke inhliziyo ukuze ishaye kahle. Sibiza le jeneretha yemvelo enhliziyweni yethu ngokuthi i-sinus node. Lena yi
-pacemaker yemvelo yenhliziyo.
I-Sick Sinus Syndrome (SSS) yisimo lapho i-pacemaker yemvelo yenhliziyo, i-sinus node, ingasebenzi kahle. Ngemuva kwalokho isigqi senhliziyo siba esingajwayelekile. Ngezinye izikhathi sishaya ngokushesha kakhulu, ngezinye izikhathi sishaya ngokushesha kakhulu, futhi ngezinye izikhathi siyeka ukushaya okwesikhashana. Izinhlobo ezahlukene zokushaya kwenhliziyo okungajwayelekile (ama-arrhythmia) zingenzeka.
Yiziphi izinhlobo eziyinhloko ze-SSS?
Lesi simo asiveli ngesimo esisodwa kuphela. Kunezinhlobo eziningana eziyinhloko ezisekelwe ekushintsheni kwesigqi senhliziyo. Ake sibheke ukuthi ziyini.
| Uhlobo lwe-SSS | Incazelo elula |
|---|
| I-Sinus Bradycardia | Lokhu kusho ukuthi ukushaya kwenhliziyo kuhamba kancane kakhulu kunokujwayelekile (ngaphansi kokushaya okungu-60 ngomzuzu). Lokhu kuvamile kubadlali abazivocavoca kahle. Kodwa kwabanye, inhliziyo ingase ingakwazi ukupompa umoya-mpilo owanele emzimbeni uma ishaya ngokushesha kangaka. |
| I-Bradycardia-Tachycardia | Lesi yisimo esididayo kakhulu. Okwenzekayo lapha ukuthi ukushaya kwenhliziyo kuyehla ngokuzumayo bese kuphinde kusheshiswe ngokuzumayo . Kufana nokukhanya okukhanyayo. |
| Ukuboshwa/Ukumiswa Kwesinus | Okwenzekayo lapha ukuthi umshini wokushaya kwenhliziyo wemvelo uyeka ukusebenza okwesikhashana . Okusho ukuthi, ukushaya kwenhliziyo okukodwa noma ngaphezulu kuyayekwa. |
| Ukungasebenzi kahle kwe-Chronotropic | Lokhu kuyinkimbinkimbi kancane. Kalula nje, izinga lokushaya kwenhliziyo yakho lingase libe elijwayelekile uma uphumule. Kodwa uma uzivocavoca, njengalapho wenza ukuzivocavoca okunzima njengokukhuphuka izitebhisi, izinga lokushaya kwenhliziyo yakho alikhuphuki kakhulu njengoba kufanele . |
Kungani lesi simo senzeka?
Kunzima ukukhomba imbangela eyodwa ye-SSS. Ngezinye izikhathi, imbangela ayitholakali. Kodwa kunezimbangela ezimbalwa ezivamile:
- Ukuguga : Njengoba siguga, izicubu zenhliziyo, njengezinye izingxenye zomzimba wethu, ziyaba buthaka. Lesi yisona sizathu esiyinhloko.
- Isifo senhliziyo : Uma uke waba nokuhlaselwa yinhliziyo ngaphambilini, noma uma inhliziyo yakho yonakele ngenxa yezimo ezifana nomfutho wegazi ophakeme noma isifo semithambo yegazi yenhliziyo .
- Ukuhlinzwa kwenhliziyo : Izicubu zezibazi ezakheka ngemva kokuhlinzwa kwenhliziyo zingalimaza i -sinus node.
- Imithi ethile: Eminye imithi, njenge-beta-blockers kanye ne-calcium channel blockers yomfutho wegazi ophakeme, inganciphisa izinga lokushaya kwenhliziyo .
- Ezinye izimo zezokwelapha: Ukuphefumula okunzima, izinkinga ze-thyroid, kanye nezinye izifo zokuvuvukala nakho kungabangela lesi simo.
- Izimbangela zofuzo: Akuvamile kakhulu, i-SSS ingabangelwa izinguquko zofuzo ezidluliselwa ezizukulwaneni ngezizukulwane.
Ziyini izimpawu zalokhu?
Iningi labantu abane-SSS
alibi nazo izimpawu . Noma izimpawu zingase zibe zicashile kangangokuthi azibonakali. Kodwa-ke, uma izimpawu zivela, zingase zihlanganise:
- Ukukhathala
- IsiyeziNoma uzizwa ukhululekile
- Ukuquleka
- Ubunzima bokuphefumula, ukuphelelwa umoya (Ukuzizwa uphelelwa umoya)
- Ubuhlungu besifuba noma ukungakhululeki
- Ukulahlekelwa inkumbulo, ukudideka
- Ukushaya kwenhliziyo okuhamba kancane kakhulu
- Ukushaya kwenhliziyo
Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, sicela ungazinaki. Qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko. Mhlawumbe ukushintsha omunye wemithi oyiphuzayo kungase kuxazulule inkinga.
Ukuthola kanjani lokhu, Dokotela?
Udokotela wakho uzoqala ngokukubuza ngezimpawu zakho. Ngenxa yokuthi izimpawu ze-SSS zifana nezezinye izifo, kungadingeka ukuhlolwa okuningana ukuze kutholakale ukuxilongwa okunembile.
- I-Electrocardiogram (ECG): Lolu vivinyo oluyisisekelo kakhulu. Umsebenzi kagesi wenhliziyo yakho uqoshwa njengegrafu yomugqa. Ungase futhi ucelwe ukuthi wenze i-ECG ngenkathi uzivocavoca (Ukuhlolwa kweTreadmill).
- I-Holter Monitor: I-ECG ibonisa kuphela izinga lokushaya kwenhliziyo yakho ngaleso sikhathi. Kodwa izinguquko esigqini se-SSS zenzeka ngezikhathi ezithile. Ngakho-ke umshini omncane oxhunywe emzimbeni wakho uqopha njalo izinga lokushaya kwenhliziyo yakho cishe amahora angama-24 noma angama-48.
- Ukuqapha Imicimbi: Uma ukuqapha kwe-Holter kungaboni izinguquko zesigqi, ukuqapha imicimbi kunganikezwa okungasetshenziswa amasonto amaningana.
- Ucwaningo lwe-Electrophysiology (EPS): Lolu vivinyo olukhethekile oluhilela ukudlulisa izintambo ezincane zijule enhliziyweni, ukumaka izindlela zikagesi zenhliziyo, nokukhomba indawo eqondile yenkinga.
Wenzani njengokwelashwa?
Ukwelashwa kuncike ohlotsheni lwe-SSS onayo, ubukhali bezimpawu zakho, kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo.
| Indlela yokwelapha | Incazelo |
|---|
| Ukushintsha imithi | Uma inkinga ibangelwa umuthi owuthathayo, ungayixazulula inkinga ngokukhuluma nodokotela wakho bese ushintsha umuthi noma unciphise umthamo. |
| Ukufakelwa kwe-Pacemaker | Abantu abaningi abane-SSS bagcina bedinga i-pacemaker. Lena idivayisi encane kakhulu. Ifakwa ngaphansi kwesikhumba, ngaphansi nje kwe-collarbone, ngesikhathi sokuhlinzwa okuncane kakhulu. Ithola ukuthi ukushaya kwenhliziyo kuhamba kancane kakhulu bese ithumela izimpawu zikagesi enhliziyweni ukuze iqhubeke ishaya ngesivinini esifanele. |
| Izinto Zokunciphisa Igazi | Njengoba ingozi yokuqhekeka kwegazi enhliziyweni iphakeme ezimweni ezifana neBradycardia-Tachycardia, le mithi ingase inikezwe ukuvimbela izimo ezifana nesifo sohlangothi. |
| Ukwelashwa kokukhipha isisu | Lawula izigqi zenhliziyo ezisheshayo, thola indawo yezimpawu zikagesi ezingajwayelekile enhliziyweni, bese usebenzisa ukwelashwa okukhethekile okuzicisha. |
Umlayezo Wokuya Nawe Ekhaya
- I-Sick Sinus Syndrome (SSS) ukushaya kwenhliziyo okungajwayelekile okubangelwa yi-pacemaker yemvelo yenhliziyo (i-sinus node) engasebenzi kahle.
- Izimpawu ezifana nesiyezi, ukukhathala okukhulu, kanye nokulahlekelwa ubuthongo zingase zibe khona. Kodwa-ke, abantu abaningi bangase bangabi nazo nhlobo izimpawu.
- Uma unalezi zimpawu, ungesabi noma ungazazi, futhi nakanjani bonana nodokotela wakho.
- Kukhona ukwelashwa (ama-pacemaker, imithi). Udokotela wakho uzonquma ukwelashwa okufanelana kahle nesimo sakho.
- Kubaluleke kakhulu ukugcina inhliziyo yakho iphilile ngokugwema ukubhema, ukulawula i-cholesterol kanye nomfutho wegazi, ukudla ukudla okunempilo, kanye nokuzivocavoca.
I-Sick Sinus Syndrome, i-SSS, ukushaya kwenhliziyo, isigqi senhliziyo, i-pacemaker, isiyezi, i-bradycardia, i-tachycardia, isifo senhliziyo, isifo senhliziyo, i-pacemaker, i-arrhythmia, ubuhlungu besifuba
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