Ingabe ukushaya kwenhliziyo yakho kuyashesha? Ake sifunde nge-Sinus Bradycardia.

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya kancane kakhulu? Noma uzizwa nje ukushaya kwenhliziyo yakho bese kuba phansi kunalokho obekulindelekile? Ungakhathazeki. Lokhu akuyona inkinga enkulu ngaso sonke isikhathi. Kungaba yisimo esibizwa ngokuthi i-Sinus Bradycardia . Namuhla, sizoxoxa ngalokhu ngendlela elula ongayiqonda.

Kuyini i-Sinus Bradycardia?

Kalula nje, i-sinus bradycardia yilapho ukushaya kwenhliziyo yakho kuhamba kancane kunokulindelekile. Yilokhu esikubiza ngokuthi lapho inhliziyo yomuntu omdala ishaya ngaphansi kwezikhathi ezingama-60 ngomzuzu, kodwa okunye ukusebenza kwenhliziyo kujwayelekile.

Khumbula, lokhu ngezinye izikhathi kungaba uphawu lwesifo senhliziyo. Kodwa ungamangali, ngezinye izikhathi kungaba uphawu lokuthi usesimweni esihle somzimba , ikakhulukazi uma uzivocavoca njalo.

Abantu abaningi abanalesi simo ababi nazimpawu. Kodwa-ke, uma kuvela izimpawu, isizathu esiyinhloko ukuthi inhliziyo ishaya kancane, ayikwazi ukupompa igazi elanele emzimbeni wonke.

Kungani lokhu kubizwa ngokuthi "iSinus Bradycardia"?

Leli gama lakhiwe izingxenye ezimbili. Igama elithi "Bradycardia" livela olimini lwesiGreki. Igama elithi "Bradys" lisho "ukuhamba kancane" kanti elithi "kardia" lisho "inhliziyo." Bese elithi "Sinus" lisho ukuthi ukushaya kwenhliziyo kulawulwa yisigqi se-sinus .

Manje, bheka, ukushaya kwenhliziyo yonke enhliziyweni yethu kuqala ngenqwaba yamaseli asebenza ngogesi phezulu kwenhliziyo yethu. Yilokhu esikubiza ngokuthi i-sinoatrial node (i-SA node) , noma i-sinus node. Lena yi -pacemaker yemvelo yenhliziyo yethu. Yilapho kukhiqizwa khona isignali kagesi ebangela ukuba inhliziyo ishaye. Ngakho-ke, "isigqi se-sinus" sisho ukuthi ukushaya kwenhliziyo yakho kulawulwa yi-sinus node, futhi lokho kuvamile. Khona-ke, i-sinus bradycardia isho ukuthi inhliziyo ishaya ngesigqi se-sinus, kodwa ngesivinini esiphansi.

Ubani othinteka kakhulu yilesi simo?

I-sinus bradycardia ivame kakhulu kubantu abadala, ikakhulukazi labo abaneminyaka engaphezu kwengu-65. Lokhu kungenxa yokuthi ukushaya kwenhliziyo kuyehla ngokwemvelo njengoba sikhula. Akuvamile ezinganeni ezincane, kodwa kungabangelwa yisimo sokuzalwa.

Futhi, njengoba kushiwo ngaphambili, i-sinus bradycardia ivame ngisho nakubantu abazivocavoca njalo futhi abasesimweni esihle somzimba. Ukuzivocavoca njalo kuvuselela imizwa yethu yesitho sangasese sowesifazane.Inomphumela omuhle. Le nerve ixhumene ngqo nobuchopho, futhi iyingxenye yesimiso sethu sezinzwa esizimele. Uma i-vagus nerve isebenza kangcono, kunciphisa izinga lokushaya kwenhliziyo yakho yokuphumula.

Sivame kangakanani lesi simo?

I-sinus bradycardia enezimpawu ithinta cishe umuntu oyedwa kwabangu-600 abantu abadala abangaphezu kweminyaka engu-65. Kodwa-ke, abantu abaningi abanalesi simo ababi nazo izimpawu, ikakhulukazi njengoba kuvamile kubantu abavivinya umzimba njalo. Ngakho-ke, inani langempela labantu abanalesi simo lingase libe phezulu kakhulu.

Lesi simo sithinta kanjani umzimba wami?

Njengoba abantu abaningi bengenazo izimpawu ezivela ku-sinus bradycardia, ngokuvamile kuyisimo esingesihle . Abanye abantu abazi nokuthi izinga lokushaya kwenhliziyo yabo lingaphansi kwama-beats angu-60 ngomzuzu kuze kube yilapho behlola ukushaya kwenhliziyo yabo.

Kodwa-ke, kulabo abanezimpawu, i-sinus bradycardia iyisibonakaliso sokuthi umzimba awupompi igazi elanele. Lokhu kusho ukuthi ubuchopho nezinye izingxenye zomzimba azitholi umoya-mpilo owanele. Lokhu kuntuleka komoya-mpilo kuyimbangela eyinhloko yezimpawu.

Ziyini izimpawu ze-Sinus Bradycardia?

Abantu abaningi, ikakhulukazi labo abaphilile ngokomzimba, ababi nazo izimpawu ze-sinus bradycardia ngoba izinhliziyo zabo zisebenza kahle kakhulu.

Kodwa-ke, kwabanye, izimpawu ze-Sinus Bradycardia zingase zihlanganise:

• Ukuphelelwa umoya - Ukuzizwa sengathi uzophelelwa amandla uma uzikhandla kancane.
• Ubuhlungu besifuba (i-angina) - Ubuhlungu bokucindezela, ukucindezela esifubeni.
• Ukukhathala - Ukuzizwa ukhathele kangangokuthi awukwazi ukwenza lutho.
• Ukushaya kwenhliziyo - Ukuzwa inhliziyo yakho ishaya kabi (ngaphandle kokubheka ukushaya kwenhliziyo).
• Izinkinga zememori .
• Ukudideka - Ukungakwazi ukuqonda okwenzekayo.
• Ubunzima bokugxilisa ingqondo .
• Isiyezi, ikhanda elikhanyayo kanye nokuquleka (i-Syncope) .
• Ukucasuka, ukucasuka noma ezinye izinguquko zobuntu .

Yiziphi izizathu eziyinhloko zalesi simo?

Kunezimbangela eziningana ezingaba khona ze-Sinus Bradycardia. Ake sibheke ukuthi ziyini:

• Ukuntuleka kwe-Electrolyte: Ukungatholi ama-electrolyte anele njenge-calcium, i-magnesium, ne-potassium, abalulekile emizimbeni yethu, kungathinta izinga lokushaya kwenhliziyo.
• I-Anorexia nervosa: Lokhu kuyisifo sokudla. Lokhu kungaba yimbangela ye-sinus bradycardia.
• Ukuvuvukala: Izimo ezinjengokuvuvukala kolwelwesi lwangaphakathi lwenhliziyo ( endocarditis ), ukuvuvukala kwemisipha yenhliziyo ( myocarditis ), noma ukuvuvukala kwesikhwama esimboza inhliziyo ( pericarditis ).
• Ukutheleleka: Amagciwane abangela umphimbo obuhlungu, uma engelashwa kahle, angalimaza inhliziyo, ikakhulukazi ama-valve enhliziyo.
• Umkhuhlane we-rheumatic kanye nesifo senhliziyo esihambisana nokuvuvukala kwamalunga: Ukutheleleka ngamagciwane, njenge-strep throat, okushiywa kungelashwa isikhathi eside kungaholela kumkhuhlane we-rheumatic. Lokhu kungaholela esifweni senhliziyo esihambisana nokuvuvukala kwamalunga eminyakeni eminingi kamuva.
• Isifo se-Lyme: Lesi isifo esibangelwa amagciwane esisakazwa yizimpukane. Uma singelashwa kahle, singathinta inhliziyo.
• Isifo iChagas: Njengesifo iLyme, lesi yisifo esibangelwa yi-parasite edluliselwa yizinambuzane ezimunca igazi (izimbungulu eziqabulayo).
• I-sick sinus syndrome: Lokhu kwenzeka lapho i-sinoatrial node (i-SA node), i-pacemaker yemvelo yenhliziyo, ingasebenzi kahle. Lokhu kusho ukuthi izimpawu zikagesi ezidingekayo ukuze kubangele izingxenye ezahlukene zenhliziyo ukuthi zinciphe ngesikhathi esifanele azikhiqizwa kahle.
• Ukuvinjwa kwenhliziyo: Leli igama elivamile lokuvinjwa kwesistimu kagesi yenhliziyo. Lokhu kuvinjwa kwehlisa ijubane noma kumise isignali kagesi ukuthi ingahambi.
• Izidakamizwa: Eminye imithi, njenge-beta-blockers, i-calcium-channel-blockers, imithi yokulawula isigqi senhliziyo, imithi yokubulala izinhlungu yezidakamizwa, i-lithium, kanye nemithi yokucindezeleka, kanye nemithi efana ne-cannabis/marijuana, nayo ingabangela lokhu.
• Ukuhlinzwa kwenhliziyo: I-Sinus bradycardia ingabangelwa nokuhlinzwa kokwelapha izimo zenhliziyo zokuzalwa, ukulungiswa kwama-valve, kanye nokufakwa esikhundleni sama-valve.
• Ukwelashwa ngemisebe: Lesi simo singaba umphumela ongemuhle wokwelashwa ngemisebe ezifweni ezifana nomdlavuza, okubangela umonakalo enhliziyweni.

Ezinye izimbangela ezingaba khona:

• Isifo senhliziyo
• Ukwehluleka kwenhliziyo
• Isifo semithambo ye-coronary
• I-Duchenne muscular dystrophy
• I-Lupus
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-Scleroderma
• Ukulimala/ukuhlukumezeka
• Ukushisa komzimba okuphansi (i-Hypothermia)
• I-Hypothyroidism
• Ukuphefumula komoya ngesikhathi sokulala
• Umfutho wegazi ophakeme ngaphakathi kobuchopho - Umfutho wegazi ophakeme ebuchosheni obangelwa yimbangela efana nokuvuvukala kobuchopho noma ukopha kwegazi.

Ingabe i-Sinus Bradycardia iyathelelana?

Cha, i-sinus bradycardia ayithelelani. Kodwa-ke, ezinye izifo ezingabangela lesi simo, njenge-strep throat, zingathelelana.

Kutholakala kanjani lokhu?

Udokotela, ngokuvamile udokotela womndeni wakho, angakwazi ukuxilonga i-sinus bradycardia esebenzisa inhlanganisela yezivivinyo nezinqubo.

Hlobo luni lokuhlolwa okwenziwayo?

Lokhu akukwazi ukutholakala ngokuhlolwa ngokomzimba kuphela. Ukuhlolwa okubaluleke kakhulu kokuxilonga lokhu ukuhlolwa kwe-ECG (ECG noma i-EKG - Electrocardiogram) . Lokhu kungenxa yokuthi kungokuhlaziya umsebenzi kagesi wenhliziyo kuphela lapho singanquma khona ngokunembile ukuthi isigqi senhliziyo sijwayelekile.

Ngesikhathi sokuhlolwa kwe-ECG, ama-electrode amancane abekwa esifubeni sakho bese eqopha umsebenzi kagesi wenhliziyo yakho njengamagagasi ephepheni noma esikrinini. Odokotela babheka la magagasi ukuze babone ukuthi kukhona yini okungahambi kahle ngohlelo lukagesi lwenhliziyo yakho. Uma izinga lokushaya kwenhliziyo yakho lihamba kancane kodwa livamile, lokho kwanele ukuthi udokotela axilonge i-sinus bradycardia.

Kodwa-ke, uma unezimpawu ze-Sinus Bradycardia, kubaluleke kakhulu ukuthola ukuthi yini ebangela lokhu. Kungenziwa ezinye izivivinyo eziningana ukuze kutholakale imbangela.

• Amazinga e-Electrolyte: Kukala inani lama-electrolyte egazini lakho, ikakhulukazi i-calcium ne-magnesium.
• Amazinga e-hormone ye-thyroid: I-Hypothyroidism ingaba yimbangela ye-sinus bradycardia.
• I-Troponin: Amaseli emisipha yenhliziyo aqukethe iphrotheni ekhethekile ebizwa ngokuthi i-troponin. Uma lawa maseli onakele, i-troponin ikhishwa egazini. Lesi yisibonakaliso esibalulekile odokotela abasisebenzisayo ukuthola isifo senhliziyo.
• Isivivinyo se-Toxicology: Ukuhlolwa okuhlola igazi lakho ukuthi alinazo yini izinto ezinobuthi. Lokhu kungakhomba imithi (etholakala ngomuthi kadokotela noma etholakala ngaphandle kwemithi kadokotela) engase ibangele i-sinus bradycardia, kanye nezinye izinto eziyingozi enhliziyweni.

Ezinye izivivinyo zingasiza ekutholeni imbangela yesimo sakho. Kodwa-ke, udokotela wakho uzoba umuntu ongcono kakhulu ukukutshela ukuthi yiziphi izivivinyo ozidingayo. Uzophinde akuchazele ukuthi izivivinyo zenziwa kanjani nokuthi kungani zidingeka.

Iphathwa kanjani i-Sinus Bradycardia? Ingabe ingelapheka?

Ngokuvamile, awudingi ukwelashwa kwe-sinus bradycardia uma ungenazo izimpawu.Lokhu akuyona into okufanele ukhathazeke ngayo, ikakhulukazi uma uphilile ngokomzimba futhi uzivocavoca njalo.

Nokho, kunezindlela ezimbili eziyinhloko zokwelapha labo abanezimpawu:

1. Imithi

2. Amadivayisi asebenzisa amandla kagesi ukuvuselela imisipha yenhliziyo ngokwenziwa (ngokuvamile abizwa ngokuthi ama-pacemaker ).

Ukuhamba ngesivinini sikagesi

Uma i-pacemaker yemvelo yenhliziyo yakho, i-sinoatrial node (i-SA node), iyeka ukusebenza kahle, kunezindlela zokwenziwa zokufeza umphumela ofanayo. I-pacemakers ehlala njalo yimishini udokotela wenhliziyo noma udokotela ohlinzayo angayifakela esifubeni sakho. Iletha ugesi ukusiza inhliziyo yakho ishaye kahle. Lawa madivayisi angahlala iminyaka engaphezu kweyishumi.

Kwezinye izimo, kunendlela yesikhashana esebenza ngesimiso esifanayo. Ibizwa ngokuthi i-temporary pacing . Lokhu kusebenzisa idivayisi ethumela ama-electrical impulses emzimbeni nge-pad enamathiselwe esikhumbeni noma ucingo lwesikhashana olufakwa enhliziyweni. Lokhu kuvame ukwenziwa ngenkathi ulinde ukufakwa kwe-pacemaker ehlala njalo, noma ngabe uyidinga.

Kukhona namadivayisi amasha abizwa ngokuthi ama-pacemaker angenama-lead . Lawa angafakwa nge-catheter. Kule nqubo, udokotela wakho wenza ukusikwa okuncane phezu komthambo wegazi omkhulu ethangeni lakho bese efaka i-catheter ngawo. Ngemuva kwalokho, idivayisi efana nethubhu ifakwa nge-blood vessel iye enhliziyweni yakho, lapho i-pacemaker (ecishe ibe yi-capsule enkulu yamavithamini amaningi) ifakwa ngqo kwi-ventricle yesokudla yenhliziyo yakho.

Imithi

Kuye ngokuthi imbangela ye-sinus bradycardia ibangelwa yini, ikakhulukazi uma imbangela ingeyesikhashana, imithi ingasetshenziswa. Imithi efana ne -atropine enikezwa ngemithambo yegazi (IV) noma ejovwe ingakhuphula izinga lokushaya kwenhliziyo isikhathi esifushane.

Yiziphi izinkinga nemiphumela emibi ye-bradycardia noma ukwelashwa kwayo?

Udokotela wakho angakweluleka kangcono ngemiphumela emibi engaba khona yanoma yikuphi ukwelashwa, imithi, noma inqubo ye-sinus bradycardia yakho. I-sinus bradycardia ngokuvamile ayibangeli izinkinga ngaphandle kokuthi imbi ngokwanele ukubangela izimpawu. Kodwa-ke, ingozi yezinkinga iyanda uma ukwelashwa kwephuza.

Ngingazilawula kanjani izimpawu uma ngingazinakekeli?

Njengoba kudingeka i-ECG ukuze kutholakale i-Sinus Bradycardia, ungacabangi ukuthi unayo ngokusekelwe ezimpawu zakho zodwa. Kungcono ukubona udokotela uma unezimpawu ze-Sinus Bradycardia. Bangasithola lesi simo futhi banqume ukuthi sibi ngokwanele yini ukuthi sidinga ukwelashwa.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uzoqala ukuzizwa ungcono ngokushesha ngemva kokuthola ukwelashwa okuphumelelayo kwe-Sinus Bradycardia (imithi noma ijubane lesikhashana). Uma udinga i-pacemaker ehlala njalo, uzoqala ukuzizwa ungcono ngemva kokuhlinzwa (ikakhulukazi ngesikhathi sokululama ngemva kokuhlinzwa). Iningi labantu liyalulama zingakapheli amasonto ambalwa ngemva kokuhlinzwa ukuze lifake i-pacemaker.

Kungakhathaliseki ukuthi uthola ukwelashwa okunjani, udokotela wakho angakutshela kangcono ukuthi kuzothatha isikhathi esingakanani ukuthi ululame nokuthi yini ongayilindela, ngoba uzocabangela isimo sakho kanye nesizinda sakho.

Ngingakwazi yini ukuvimbela noma ukunciphisa ingozi ye-bradycardia?

Ngokuvamile, i-Sinus Bradycardia ayinakuvinjelwa. Ongakwenza ukuzama ukugwema izimo ezenza kube lula ukuthi yenzeke. Lokho kusho ukuthi:

• Gwema ukusebenzisa izidakamizwa.
• Funa ukwelashwa ngokushesha nje lapho kuvela ukutheleleka.
• Uma unezinkinga zokudla, funa ukwelashwa kwazo.

Yini okufanele ngiyilindele uma nginalesi simo?

Iningi labantu abane-Sinus Bradycardia abanazo izimpawu, futhi ayinawo umthelela omkhulu empilweni yakho. Kodwa-ke, uma unazo izimpawu, ukuxilongwa nokwelashwa kusenesikhathi kungenza umehluko omkhulu endleleni lesi simo esikuthinta ngayo.

I-bradycardia ihlala isikhathi esingakanani?

I-Sinus bradycardia ingaba yinkinga yesikhashana, ikakhulukazi uma ibangelwa imithi (kadokotela noma izidakamizwa) noma ezinye izimbangela zesikhashana. Kodwa-ke, uma ibangelwa ezinye izimo zezokwelapha, ikakhulukazi lezo ezizalwa nazo noma ezizuzwe njengefa kubazali, ngokuvamile kuba yinkinga yempilo yonke. Ezimweni ezinjalo, imithi yansuku zonke noma i-pacemaker ingadingeka ukuphatha izimpawu nezinkinga ezihlobene nazo.

Ngizinakekela kanjani?

Uma udokotela wakho ekutholile ukuthi une-Sinus Bradycardia futhi unezimpawu, bona udokotela wakho njengoba kunconywa, bese uthatha imithi yakho njengoba kuyalelwe. Uma une-pacemaker, kufanele ubonane nodokotela wakho njengoba kunconywa ukuqinisekisa ukuthi isebenza kahle (iningi le-pacemakers manje lingahlolwa kusetshenziswa ubuchwepheshe obungenantambo, okwenza lokhu kungabi buhlungu futhi kube lula).

Kufanele ngimbone nini udokotela wami noma ngifune iseluleko sezokwelapha?

Ngisho noma une-sinus bradycardia engenazimpawu, kungumqondo omuhle ukwenza ukuhlolwa ngokomzimba kwaminyaka yonke . Lokhu kuhlolwa kwaminyaka yonke kungasiza ekuboneni izinkinga nezimpawu ezintsha ngaphambi kokuba zivele.

Uma une-sinus bradycardia enezimpawu, uma izimpawu zakho zishintsha kakhulu, noma uma izimpawu zakho ziqala ukuthinta impilo yakho yansuku zonke kanye nomsebenzi, bona udokotela wakho.

Kufanele ngiye nini egumbini lezimo eziphuthumayo esibhedlela?

Ezinye zezimpawu ze-sinus bradycardia zifana nezezinye izifo zenhliziyo ezimbi, ngakho-ke kuwumqondo omuhle ukuya esibhedlela uma uhlangabezana nalezi zimpawu:

• Ubuhlungu besifuba (i-Angina)
• Ubunzima bokuphefumula (ukuphelelwa umoya)
• Ukuzungeza, ukuba nekhanda elikhanyayo, noma ukuquleka (i-syncope)

I-Sinus bradycardia yisimo ongase ungazi nokuthi unaso. Abantu abaningi abanazo izimpawu. Kodwa-ke, uma unazo, udokotela wakho angakusiza ukuthi uthole ukuthi yini ebangela lokhu nokuthi ngabe kuyinto okufanele ukhathazeke ngayo. Ngenhlanhla, ngisho nakulabo abadinga ukwelashwa, lesi simo sivame ukulawulwa kahle, futhi asinawo umthelela omkhulu empilweni yakho yansuku zonke.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, manje usunokuqonda okungcono ngalokho esikhulume ngakho namuhla, i-Sinus Bradycardia. Khumbula:

• I-Sinus bradycardia yilapho inhliziyo ishaya kancane kunokujwayelekile, kodwa isigqi senhliziyo sivamile.
• Abantu abaningi, ikakhulukazi labo abazivocavoca kahle, ababi nazo izimpawu .
• Uma unezimpawu, kubalulekile ukuthola imbangela bese uthola ukwelashwa. Uma unezimpawu ezifana nesiyezi, ubuhlungu besifuba, noma ubunzima bokuphefumula , kufanele nakanjani ubone udokotela .
• Ukwelashwa kuyahlukahluka kuye ngembangela. Ngezinye izikhathi kungadingeka imithi noma i-pacemaker.
• Ungesabi! Lesi yisimo esingalawuleka ezimweni eziningi. Into ebaluleke kakhulu ukulandela iseluleko sezokwelapha esifanele.

Uma uneminye imibuzo mayelana nalokhu, ungabi namahloni ubuze udokotela wakho. Hlala uphilile!

I - Sinus bradycardia, ukushaya kwenhliziyo, ukushaya kwenhliziyo okuhamba kancane, i-pacemaker, i-ECG, izimpawu zenhliziyo, impilo yenhliziyo