Ingabe ulala ngokuzumayo? Lokhu kungaba yiStokes-Adams Syndrome!

Ingabe ngezinye izikhathi uvele uphelelwe amandla ngokuzumayo ngaphandle kwesizathu, ulahlekelwe ingqondo bese uwela phansi? Noma ingabe lokhu kwenzeke kothile omaziyo? Mhlawumbe ubuye uqonde ngemva kwesikhashana. Uma uke waba nokuhlangenwe nakho okunjalo, akuyona into okufanele ithathwe kalula. Isizathu salokhu kungaba yisimo esibangelwa ukungalingani kwesigqi senhliziyo yakho, okungukuthi, indlela inhliziyo yakho eshaya ngayo. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi i-Stokes-Adams Syndrome .

Iyini i-Stokes-Adams Syndrome?

Kalula nje, i-Stokes-Adams Syndrome iwukulahlekelwa ukwazi okuphuthumayo, okufushane okubangelwa ukungajwayelekile kwesigqi senhliziyo, okuholela ekunciphiseni okuphawulekayo kwegazi elimpontshelwa yinhliziyo emzimbeni (`ukuphuma kwenhliziyo`). Ngezinye izikhathi kubizwa ngokuthi i-`cardiac syncope` . Ulahlekelwa ukwazi ngoba ubuchopho bakho abutholi igazi elanele elinomoya-mpilo. Cabanga ngakho njengesibani esicimayo lapho isibani sicima.

Lesi simo sivame ukwenzeka kubantu abanezimo ezithile zenhliziyo. Futhi, singaba yingozi empilweni kwabanye abantu. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.

Sivame kangakanani lesi simo?

Ucwaningo lubonisa ukuthi cishe abantu abangu-34% abalahlekelwa ingqondo abaneminyaka engu-65 noma ngaphezulu banesifo senhliziyo. Kulezi zimo zenhliziyo, ukushaya kwenhliziyo okungajwayelekile kuyimbangela evame kakhulu.

Ziyini izimpawu zalokhu?

I-Stokes-Adams syndrome ingaba nezimpawu eziningana. Ake sibone ukuthi ziyini:

• Ukuwa okungazelelwe kanye nokulahlekelwa ukwazi (ukuquleka): Lokhu kungenzeka, ikakhulukazi uma ukhathele noma uma ulele ngomhlane.
• Isikhumba esikhanyayo uma ulahlekelwa ingqondo: Kungase kubonakale sengathi ulahlekelwe igazi elincane.
• Ukubomvu kwesikhumba ngemva kokubuyela engqondweni: Lokhu kungenzeka uma ukujikeleza kwegazi sekubuyele esimweni esijwayelekile.
• Isimo sokudlikiza: Ngezinye izikhathi izitho zingase zidikize futhi zithuthumele. Yingakho abanye abantu bengase baphambanise lokhu nokudlikiza (`isithuthwane`).
• Ukushaya kwenhliziyo: Lokhu kungazwakala sengathi othile ushaya isigubhu esifubeni sakho.

Odokotela babiza lokhu kuphelelwa yisikhathi okufushane kokungazi ngokuthi ukuhlaselwa kukaStokes-Adams .

Yini ebangela i-Stokes-Adams syndrome?

Kunezizathu eziningana eziyinhloko ezithinta lesi simo. Lezi yizi:

• Ukuvaleka okuphelele noma okungaphelele kokudluliselwa kwesignali kagesi phakathi kwe-atria nama-ventricle enhliziyo (`i-Atrioventricular heart block`): Inkinga ngemiyalezo kagesi edlula isuka emakamelweni aphezulu enhliziyo (i-atria) iye emakamelweni aphansi (ama-ventricle). Njengocingo olusesigxotsheni sesibani oluphazanyiswayo.
• I-tachycardia ye-ventricular:Amakamelo (amangqamuzana) enhliziyo aqala ukushaya ngokushesha okukhulu nangokungalawuleki.
• I-Ventricular fibrillation: Lesi yisimo lapho amakamelo aphansi enhliziyo (amakamelo e-ventricular) enyakaza futhi eshaya ngokungajwayelekile. Lesi yisimo esiyingozi kakhulu.
• I-Bradycardia: Ukushaya kwenhliziyo okuhamba kancane kakhulu kunokujwayelekile.
• Akuvamile, amakamelo aphansi enhliziyo ayeke ukushaya ngokuzumayo (`ukuma kwe-ventricular ye-Paroxysmal`): Lokhu kwenzeka kaningi kakhulu.

Kungenxa yezizathu ezinjengalezi ukuthi ukusebenza kwenhliziyo kuyehla ngokuzumayo futhi ukugeleza kwegazi ebuchosheni kwehla.

Ubani osengozini enkulu yokuthola lesi simo?

Kunezici eziningana ezingabangela ingozi engaba nomthelela ekuthuthukisweni kwe-Stokes-Adams syndrome:

• Ukuba neminyaka engaphezu kwengu-60 ubudala: Ngoba izinguquko ezithile zenzeka enhliziyweni njengoba siguga.
• Ukuvaleka kwezindlela ezithwala izimpawu zikagesi enhliziyweni (`Ibhulokhi legatsha le-Bundle`).
• Usuvele unesifo senhliziyo.
• Ukuba nomlando womndeni wesifo senhliziyo noma ukuphazamiseka kwesigqi senhliziyo: Ezinye izifo zenhliziyo zingaba yifa.

Yiziphi izinkinga zalesi simo?

Ezinye zezinkinga zesigqi senhliziyo ezibangela i-Stokes-Adams syndrome zingabangela ngisho nokuma kwenhliziyo okungazelelwe . Lokhu kusho ukuthi inhliziyo iyayeka ukushaya ngokuzumayo. Futhi, abantu abanalesi simo bangalimalela kakhulu uma belahlekelwa ingqondo bese bewa. Yeka ubuhlungu ukushayisa ikhanda noma ukuphuka isitho, akunjalo? Akukhona lokho kuphela, kodwa uma kwenzeka into efana nale ngenkathi ushayela, kunengozi enkulu yengozi yemoto . Ungase ungakwazi ukuya emsebenzini izinsuku eziningi ngenxa yezimpawu.

Okubalulekile: Uma bengelashwa, abantu abane-Stokes-Adams syndrome banamathuba aphindwe kabili kuya kwamane okuba sengozini yemoto kunomuntu ojwayelekile. Ngakho-ke, uma unalezi zimpawu, kufanele ukhulume nodokotela, ufake i-pacemaker uma kudingeka, futhi ugweme ukushayela kuze kube yilapho ukuxhuzula sekuphelile ngokuphelele.

Itholakala kanjani i-Stokes-Adams syndrome?

Uma unalezi zimpawu, uma ubona udokotela, bazobuza ngalokhu:

• Imininingwane efana nokuthi lesi simo wasithola kanjani, ukuthi sesibe khona isikhathi esingakanani, nokuthi kwenzekani ngaleso sikhathi.
• Mayelana nezinye izifo onazo kanye nemithi oyiphuzayo.

Udokotela uzokwenza lezi zinto:

• Bazokwenza ukuhlolwa ngokomzimba futhi bahlole ukushaya kwenhliziyo yakho kanye nesigqi sayo.
• Umfutho wegazi lakho uzolinganiswa.
• Uma kudingeka, bazo-oda ukuhlolwa okukhethekile okuhlobene nenhliziyo .

Yiziphi izivivinyo ezenziwayo ngalokhu?

Kunezivivinyo eziningana ezisetshenziswa odokotela ukuze baxilonge ngokunembile i-Stokes-Adams syndrome:

• I-Electrocardiogram (`I-Electrocardiogram - EKG`):Lokhu kuhlola ukusebenza kukagesi kwenhliziyo. Lokhu kubaluleke kakhulu ekutholeni ukungasebenzi kahle kwesigqi senhliziyo.
• Ukuhlolwa kwegazi: Lokhu kusiza ukuhlola izinto ezifana namazinga kasawoti kanye nama-hormone e-thyroid emzimbeni.
• Ukuhlolwa kwetafula elitshekile: Ukuhlolwa lapho ulala embhedeni okhethekile bese ushukunyiswa kusuka kolunye uhlangothi kuya kolunye ukuze kubonakale ukuthi izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kuyashintsha yini. Lokhu kusetshenziselwa ukuthola ukuthi inhliziyo yakho ishaya kanjani.
• Ucwaningo lwe-electrophysiological: Lolu vivinyo oluyinkimbinkimbi kancane. Izintambo ezincane zidluliselwa enhliziyweni ukuze zihlole ngokuseduze ukusebenza kwesistimu kagesi yenhliziyo.
• Ukuhlikihla i-carotid sinus: Ukuhlikihla okuthambile kwe-carotid sinus entanyeni ukuqapha ukushaya kwenhliziyo. Lokhu kwenziwa ngokucophelela kakhulu futhi kwenziwa udokotela kuphela.

Kuphathwa kanjani lokhu?

Ukwelashwa okuyinhloko kwe-Stokes-Adams syndrome ukufakwa kwe- pacemaker . Lokhu kubaluleke kakhulu uma lesi simo sibangelwa ukushaya kwenhliziyo okuhamba kancane (bradycardia) noma ukuvaleka kwezimpawu zikagesi zenhliziyo (ukuvimba kwenhliziyo).

I -pacemaker yesikhashana ngezinye izikhathi ingasetshenziswa ukulawula izimpawu kuze kube yilapho kufakwa i-pacemaker ehlala njalo .

Uma usebenzisa i-pacemaker ehlala njalo, lezi zinto zenzeka:

• Kugcina inhliziyo yakho ishaya ngesigqi esijwayelekile.
• Kuvimbela amathuba okubanjwa yinhliziyo.
• Kuzokuvimbela ekutholeni induna.

Cabanga ngalokhu: i-pacemaker ifana nekhompyutha encane esiza inhliziyo. Ihlala iqapha isigqi senhliziyo futhi ithumela isignali encane kagesi enhliziyweni ukuze iyisize ishaye kahle uma kudingeka.

Ingabe kukhona izinkinga noma imiphumela emibi yokwelashwa?

Ngezinye izikhathi, izinkinga ezinjengalezi zingavela uma kufakwa i-pacemaker yesikhashana:

• Idivayisi ayisebenzi kahle.
• Ukutheleleka.
• Akuvamile, ukulimala kwenhliziyo.

Ama-pacemaker ahlala njalo angaphelelwa amabhethri, noma izingxenye zingase zingasebenzi kahle. Kodwa ungakhathazeki, udokotela angazishintsha lezo zingxenye noma ashintshe yonke i-pacemaker.

Kuthatha isikhathi esingakanani ukululama kulokhu kwelashwa?

Ngemva kokufaka i-pacemaker, uzokwazi ukuya ekhaya ngalolo suku noma ngakusasa. Kuye ngomsebenzi wakho, ungase ungakwazi ukuya emsebenzini cishe isonto lonke. Kungathatha cishe amasonto amane ukululama ngokuphelele.

Ngingayinciphisa kanjani le ngozi?

Ukuze unciphise ingozi yokuba nokuphazamiseka kwesigqi senhliziyo okubangela i-Stokes-Adams syndrome, udinga ukunakekela inhliziyo yakho kahle. Ungenza okulandelayo:

• Ukuvivinya umzimba njalo: Okufana nokuhamba okungenani imizuzu engama-30 ngosuku kuhle.
• Yidla ukudla okunempilo enhliziyweni okunamafutha nosawoti omncane: Yidla imifino eminingi, izithelo, kanye nemifino eluhlaza.
• Ukunciphisa ukucindezeleka: Izinto ezifana nokuzindla nokuphumula zingasiza.
• Ukunciphisa ukusetshenziswa kotshwala.
• Ukugwema ngokuphelele imikhiqizo kagwayi.
• Lala kahle njalo ebusuku.

Lezi zinto zingasiza ekugcineni impilo yakho iyonke, kanye nempilo yenhliziyo yakho.

Kwenzekani uma ngine-Stokes-Adams syndrome?

I-Stokes-Adams syndrome ingadala ukuphazamiseka okukhulu empilweni yakho yansuku zonke. Kukhona futhi nengozi yokulimala uma ulahlekelwa ingqondo bese uwela. Ngakho-ke, udinga ukwelashwa ukuze uvimbele lokhu kuquleka ukuthi kungenzeki futhi uvimbele ukufa okuzumayo ngenxa yokuphazamiseka kwenhliziyo.

Iyini inhloso ye-Stokes-Adams syndrome?

Uma une-pacemaker, amathuba akho okuba nokuhlaselwa yi-Stokes-Adams okunye angama-5% noma ngaphansi. Kungandisa futhi isikhathi okulindeleke ukuba uphile ngaso. Uma kungelashwa, izinga lokufa liphakathi kwama-20% nama-30%, ngakho ungakuthathi kancane lokhu.

Ngizinakekela kanjani?

Into ebaluleke kakhulu ukuphatha isifo senhliziyo esikubangele ukuthi ube ne-Stokes-Adams syndrome. Futhi, qiniseka ukuthi i-pacemaker yakho isebenza kahle. Thatha imithi udokotela wakho ayinikezayo ngesikhathi esifanele.

Kufanele ngimbone nini udokotela wami?

Qiniseka ukuthi ugcina wonke ama-aphoyintimenti okulandelela udokotela wakho akunike wona. Lokhu kwenzelwa ukuthi akwazi ukuhlola ukuthi i-pacemaker yakho isebenza kahle. Uma unomuzwa wokuthi kunenkinga nge-pacemaker yakho ngesikhathi sama-aphoyintimenti akho okulandelela, tshela udokotela wakho ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• "Kudingeka ngize kangaki ukuze ngihlolwe i-pacemaker yami?"
• "Ingabe izihlobo zami nazo zisengozini yokuthola lezi zinhlobo zokuphazamiseka kwesigqi senhliziyo?"
• "Kuzodingeka ngishintshe i-pacemaker yami noma ibhethri layo isikhathi esingakanani?"

Ngenxa yokuthi izimpawu ze-Stokes-Adams syndrome ngezinye izikhathi zingafana nokuxhuzula (isithuthwane), kubalulekile ukuthola ukuxilongwa okufanele. Uma ucabanga ukuthi izimpawu zakho zingase zibangelwe inkinga yenhliziyo, ungesabi ukukhuluma nodokotela wakho ngayo. Udokotela wakho angakusiza ukuthi uthole ukuthi yisiphi isimo obhekene naso. Ngemuva kwalokho ungaqala ukwelashwa ngokuzethemba.

Umlayezo Wokuya Nawe Ekhaya

I-Stokes-Adams syndrome yisimo lapho umuntu elahlekelwa khona ukuqonda ngokuzumayo ngenxa yenkinga ngesigqi senhliziyo. Kungaba kubi kakhulu, kodwa kungaphathwa ngempumelelo ngokuxilongwa nokwelashwa okufanele, njenge-pacemaker. Uma unezimpawu ezifana nokuzungeza okungazelelwe noma ubuhlungu besifuba, funa iseluleko sezokwelapha ngokushesha. Ukunakekela inhliziyo yakho kufana nokunakekela impilo yakho.

I- Stokes-Adams Syndrome, I-Stokes-Adams Syndrome, I-Cardiac Syndrome, Ukungasebenzi Kahle Kwenhliziyo, Ukuquleka, I-Pacemaker, Isifo Senhliziyo, I-EKG, Ukushaya Kwenhliziyo, Impilo Yenhliziyo