Wake walalela ukushaya kwenhliziyo yakho ngenkathi uthule? Ngezinye izikhathi kwakuzwakala sengathi kushaya ngokushesha, kanti ngezinye izikhathi kwakuzwakala sengathi kushaya kancane. Ikakhulukazi uma uzizwa sengathi ukushaya kwenhliziyo yakho kuyanda kancane uma uphefumula ngokujulile, bese kwehla ijubane uma uphefumula kancane, ungase ube nesifo esibizwa ngokuthi "i-Sinus Arrhythmia." Kodwa ungakhathazeki ngaleli gama. Ngoba ingxenye ethi "arrhythmia" yaleli gama, okusho ukuthi "ukushaya kwenhliziyo okungajwayelekile," yenza abantu abaningi bacabange ukuthi lesi yisifo esibi kakhulu. Kodwa iqiniso lihlukile kakhulu. Kulesi sihloko, sizoxoxa ngokuthi siyini ngempela, ukuthi kungani ngokuvamile kuyinto enhle, nokuthi kufanele yini uyesabe.
Kalula nje, iyini i-Sinus Arrhythmia?
I-Sinus arrhythmia iwukungahleleki kwesigqi senhliziyo. Kodwa akufani nezinye izimo zenhliziyo eziyingozi. Uhlobo oluvame kakhulu noluvame kakhulu esilubonayo yilapho isikhathi esiphakathi kokushaya kwenhliziyo sishintsha kancane ngendlela ophefumula ngayo.
Cabanga ngakho ngale ndlela,
- Uma uphefumula (Ugqozi): Isilinganiso senhliziyo yakho siyanda kancane.
- Uma ukhipha umoya (Expiration): Inhliziyo yakho ishaya kancane futhi.
Lokhu kufana nokunyathela kancane i-accelerator yemoto bese uyidedela. Lokhu kujwayelekile futhi kunempilo . Eqinisweni, lokhu kuyisibonakaliso esihle sokuthi inhliziyo yakho iphilile. Kubonisa ukuthi ukuxhumana phakathi kwenhliziyo yakho nohlelo lwakho lwezinzwa kusebenza kahle kakhulu. Ngakho-ke uma udokotela ekubona lokhu ku-ECG yakho, ngeke akhathazeke ngakho.
Lokhu kuhluke kanjani kwezinye izinkinga eziyingozi zesigqi senhliziyo?
Abantu abaningi bayesaba lapho bezwa igama elithi "arrhythmia" ngoba kunezimo eziningana ezingathi sína ezibizwa ngalelo gama. Isibonelo, i-atrial fibrillation. Kodwa i-sinus arrhythmia iyisimo esihluke ngokuphelele futhi esingenangozi. Udokotela angahlukanisa kalula phakathi kwe-sinus arrhythmia nesinye isimo esingathi sína ngokubheka i-ECG yakho.
Ake siwuqonde kangcono lo mehluko kusukela kuthebula elingezansi.
| Isimo sesigqi senhliziyo | Kalula nje, kuyini lokhu? |
|---|---|
| I-Sinus Arrhythmia | Ushintsho olujwayelekile nolungenangozi ekushayeni kwenhliziyo okwenzeka ngokuphefumula nokungena. Ngokuvamile azikho izimpawu. |
| I-Atrial Fibrillation | Isimo esibi lapho amakamelo aphezulu enhliziyo (i-atria) eshaya khona ngokushesha okukhulu nangokungajwayelekile. Izimpawu zingase zihlanganise ubuhlungu besifuba, ukukhathala kanye nesiyezi. |
| Ukukhukhuleka kwe-Atrial | Esinye isimo esibi lapho amakamelo aphezulu enhliziyo eshaya khona ngokushesha okukhulu, kodwa ngesigqi esithile, sidinga usizo lwezokwelapha. |
| I-Bradyarrhythmia | Ukushaya kwenhliziyo okuhamba kancane ngendlela engavamile. Ezinye izinhlobo zingadinga ukwelashwa. |
Uyabona, akunjalo? Nakuba ezinye izimo zimbi kakhulu, zinezimpawu futhi zingase zidinge ukwelashwa, i-sinus arrhythmia ayiyona enye yazo.
Ubani okungenzeka kakhulu ukuthi abone lesi simo?
Nakuba kungenzeka kubantu banoma yimuphi ubudala, kuvame kakhulu ezinganeni ezinempilo kanye nabantu abadala abasebasha . Eqinisweni, odokotela bezingane bavame ukukubona kuma-ECG ezingane.
Lokhu kungenxa yokuthi uhlelo lwezinzwa oluzimele lwabantu abasha nezingane - uhlelo olulawula izinto esingenakuzilawula, njengokushaya kwenhliziyo nokuphefumula - lusebenza kakhulu. Lokhu kusho ukuthi izinzwa ezilawula ukuphefumula nokushaya kwenhliziyo ziyazwela kakhulu futhi zisabela ngokushesha. Yingakho ungabona ngokucacile lo mehluko esilinganisweni senhliziyo yazo. Lesi simo sivame ukwehla kancane kancane njengoba sikhula.
Into ebaluleke kakhulu ukuthi ukubona lesi simo kumuntu osemusha ophilile kusho ukuthi akukho nkinga ngenhliziyo yakhe, futhi isebenza kahle.
Yiziphi izimbangela ze-sinus arrhythmia?
Odokotela bahlukanisa lesi simo ngezigaba eziningana eziyinhloko ngokusekelwe ezimbangela. Ake sibone ukuthi ziyini.
1. Uhlobo olubangelwa ukuphefumula (i-Respiratory Sinus Arrhythmia)
Lolu uhlobo oluvame kakhulu nolujwayelekile ngokuphelele esikhulume ngalo kuze kube manje. Lubangelwa ukuphefumula nje. Uma sibheka ngokwesayensi kancane ukuthi kwenzekani, isikhathi esiphakathi kokushaya kwenhliziyo okukodwa nokwesibili ku-ECG sibizwa ngokuthi isikhawu se-PP. Ngokuvamile, lesi sikhathi kufanele sifane. Kodwa uma umuntu onalesi simo ephefumula, isikhathi esiphakathi kwalezi zigigaba ezimbili singaba isikhathi eside kunemizuzwana engu-0.16. Udokotela uyakubona lokhu ngokubona lo mehluko ku-ECG.
2. Uhlobo olungahlobene nokuphefumula (i-Nonrespiratory Sinus Arrhythmia)
Lokhu kuyinto engavamile. Nakuba lolu hlobo lwe-ECG lufana nohlobo olujwayelekile okukhulunywe ngalo ekuqaleni, alubangelwa ukuphefumula. Ngokuvamile lubonakala ngenxa yesinye isimo esiyisisekelo.
- Noma iyiphi ingozi ekhanda noma entanyeni.
- Ukweqisa imithi ethile yenhliziyo, njenge-Digoxin (Digoxin - Digitek®).
- Ukuba khona kwezinye izifo zenhliziyo.
Nakuba lokhu kungatholakala nge-ECG, udokotela uzofinyelela esiphethweni ngalokhu kuphela ngokubheka umlando wakho wezokwelapha kanye nezinye izimpawu.
3. I-Ventriculophasic Sinus Arrhythmia
Lolu futhi uhlobo olukhethekile nolungavamile olungatholakala kuphela ngokuhlolwa kwe-ECG. Luvame ukubonakala kubantu abanenkinga ngendlela izimpawu zikagesi zenhliziyo ezihamba ngayo, njenge-AV block yezinga lesithathu. Lokhu kuyinkimbinkimbi kancane, ngakho udokotela wakho uzokuchazela ngokubheka i-ECG.
Ngikuthola kanjani lokhu? Ingabe kudinga ukwelashwa?
Esikhathini esiningi, i-sinus arrhythmia itholakala ngengozi. Udokotela wakho cishe uzoyibona ngesikhathi sokuhlolwa kwe-electrocardiogram (EKG) okwenzayo ngesinye isizathu, mhlawumbe ukuhlolwa okuvamile kwezokwelapha noma ngaphambi kokuhlinzwa. Uyazi, ukuhlolwa okuqopha umsebenzi kagesi wenhliziyo yakho ngokunamathisela izitika ezincane esifubeni sakho, ezingalweni nasemilenzeni, okubizwa ngokuthi i-EKG.
Manje ake sifike embuzweni obaluleke kakhulu: Ingabe lokhu kudinga ukwelashwa?
Izindaba ezinhle ukuthi i-respiratory sinus arrhythmia, isimo esivamile esihlotshaniswa nokuphefumula , asidingi ukwelashwa ngoba akusona isifo.
Nakuba kunezinhlobo ezimbili zezinye (ezingezona ezokuphefumula kanye ne-Ventriculophasic), azivamile ukwelashwa ngokuqondile. Kunalokho, odokotela belapha isimo sezokwelapha esiyisisekelo esibangele lokhu (njengesifo senhliziyo noma ukweqisa izidakamizwa).
Ngakho-ke ingabe lokhu kuyingozi? Ngingathola ubuhlungu esifubeni?
Lona ngumbuzo omkhulu kunayo yonke engqondweni yawo wonke umuntu. Lapho nje kuvela into ebizwa ngokuthi "ingajwayelekile" ku-ECG, siyesaba.
Kodwa, cha. I-Respiratory Sinus Arrhythmia akuyona into evamile. Eqinisweni, kuyisibonakaliso esihle sokuthi inhliziyo yakho iphilile, ivumelana kahle nendawo ezungezile, futhi isebenza kahle. Lesi simo asinakuvinjelwa, futhi asikho isidingo sokusivimbela.
Enye into ebalulekile okufanele uyiqaphele ukuthi i-sinus arrhythmia ayibangeli ubuhlungu besifuba. Uma unezimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, ukukhathala, noma isiyezi, kungaba yinto ehlukile kune-sinus arrhythmia. Ngakho-ke, uma unezinye zalezi zimpawu, ungazinaki. Bona udokotela wakho ngokushesha.
Ngakho-ke, ngesikhathi esizayo udokotela wakho ethi une-sinus arrhythmia ku-ECG yakho, ungesabi. Cishe kuyizindaba ezinhle ngenhliziyo yakho enempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-Sinus arrhythmia iwukushintsha kwesilinganiso senhliziyo lapho uphefumula. Lesi akusona isifo ezimweni eziningi, kodwa isimo esijwayelekile ngokuphelele .
- Lokhu kuvame kakhulu ezinganeni eziphilile kanye nentsha , futhi kubhekwa njengophawu oluhle lwenhliziyo enempilo.
- I-sinus arrhythmia evamile ayinazo izimpawu futhi ayidingi ukwelashwa .
- Lesi simo sitholakala ngokuhlolwa kwe-EKG . Sivame ukutholakala ngengozi uma kwenziwa i-EKG ngesinye isizathu.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, ukuphelelwa umoya, ukushaya kwenhliziyo, noma ukuquleka, ungakuzibi ngoba kuyi-sinus arrhythmia. Bona udokotela wakho ngokushesha .
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