Ingabe inhliziyo yakho iqala ukushaya ngokushesha ngokuzumayo? Ake sifunde nge-Supraventricular Tachycardia (SVT)!

Wake wazizwa inhliziyo yakho iqala ukushaya ngokushesha esifubeni sakho? Njengokuthi uyagijima, noma wesaba okuthile. Okuhlangenwe nakho okufana nalokhu kungaba okwesabisayo ngezinye izikhathi, akunjalo? Uma kunjalo, ungase ube nesifo esibizwa ngokuthi i-Supraventricular Tachycardia, noma i-SVT ngamafuphi. Ake sibheke ukuthi siyini, kungani senzeka, nokuthi yini ongayenza ngakho.

Kuyini i-Supraventricular Tachycardia (SVT)?

Kalula nje, i-SVT iwukwanda kwesilinganiso senhliziyo okungazelelwe, okuqala emakamelweni aphezulu enhliziyo yakho. Cabanga, noma uhleli nje uthule, inhliziyo yakho ishaya izikhathi ezingaphezu kwe-100 ngomzuzu. Ngokuvamile, uma siphumule, inhliziyo yethu ishaya izikhathi eziphakathi kuka-60 no-100 ngomzuzu. Ngakho-ke, ku-SVT, lesi silinganiso sikhuphuka kakhulu kunalokho.

Kwenzekani lapho inhliziyo iqala ukushaya ngokushesha kangaka? Amakamelo enhliziyo awasenaso ngisho nesikhathi sokugcwala igazi, ngaphambi kokuba anciphe. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi elanele emzimbeni . Lesi simo singahlala imizuzwana embalwa, noma ngezinye izikhathi amahora.

Cabanga ngakho 'njengomjikelezo omfushane' omncane ohlelweni lukagesi lwekhaya lakho. Inhliziyo iqala ukushaya ngokushesha ngenxa yenkinga ethile ezimpawini zikagesi enhliziyweni.

Ingabe kunezinhlobo ezahlukene ze-SVT?

Yebo, kunezinhlobo ezahlukene ze-SVT. Udokotela wakho cishe uzokutshela ukuthi kunje. Nakuba lawa angazwakala njengamagama ayinkimbinkimbi, udokotela wakho uzokwazi ukubona uhlobo oluthile onalo futhi akunikeze ukwelashwa okufanele.

• (Ukufinyela kwe-atrial ngaphambi kwesikhathi - ama-PAC)
• (I-Paroxysmal supraventricular tachycardia - PSVT) (Lolu uhlobo oluvame kakhulu)
• (I-tachycardias yendlela yokwengeza) - Isibonelo salokhu yi- (Wolff-Parkinson-White - WPW syndrome) .
• (I-AV (atrioventricular) nodal reentrant tachycardia - AVNRT) (Lokhu futhi kuvame kakhulu)
• (I-tachycardia ye-Atrial)
• (I-fibrillation ye-atrial)
• (Ukuphaphazela kwe-Atrial)

Zonke lezi ziyizindlela zokushaya kwenhliziyo okusheshayo eziqala ezingxenyeni ezingaphezulu zenhliziyo, kodwa izindlela zikagesi kanye nezindlela ezibangela lokhu zihlukile kancane.

Kuzwakala kanjani uma une-SVT?

Abanye abantu bangase bangabi nazo izimpawu uma bene-SVT. Kodwa-ke, ngisho nakulaba bantu, inhliziyo ishaya izikhathi ezingaphezu kwekhulu ngomzuzu uma bephumule. Kodwa-ke, abantu abaningi bahlangabezana nezinye izimpawu. Ungase ube nezinto ezifana nalezi:

• Ubuhlungu besifuba noma ukungakhululeki.
• Ukuzizwa ukhathele kakhulu futhi ukhathele .
• Ukuzizwa unekhanda elithambile, njengokungathi ikhanda lakho liyazungeza .
• Ukujuluka .
• Isiyezi .
• Ngezinye izikhathi ungase ulahlekelwe ngisho nokuqwasha .
• Ukushaya kwenhliziyo (ukuzwa sengathi inhliziyo yakho ishaya ngokushesha futhi isifuba sakho siyashaya ).
• Ubunzima bokuphefumula (i-Dyspnea) .

Lezi zimpawu zingaba mnene kakhulu kwabanye abantu, futhi zibe nzima kwabanye. Uma uhlangabezana nento efana nale, ukukhumbula imininingwane efana nokuthi izwakala kanjani nokuthi sekuyisikhathi eside kangakanani iqhubeka kungasiza udokotela ukuthi athole ukuxilongwa okufanele.

Kungani le SVT yenzeka? Ziyini izimbangela?

Njengoba kushiwo ngaphambili, imbangela eyinhloko ye-SVT ukungasebenzi kahle ohlelweni lokubonisana lukagesi lwenhliziyo noma izifunda ezihlobene. Abanye abantu bangase bangakwazi ukuthola ukuthi yini ebangela lokhu. Kodwa kwabanye, i-SVT ibangelwa "yizinto ezithile ezibangela lokhu." Okusho ukuthi, izinto ezithile zingabangela ukuthi lokhu kushaya kwenhliziyo kukhuphuke.

Bheka ukuthi lezi zinto ziyakuthinta yini nawe:

• Ukucindezeleka : Uma umsebenzi ukhula, kusondela ukuhlolwa, noma kuvela inkinga yomndeni.
• I-Caffeine : I-Caffeine etholakala ekhofini, etiyeni, nakwezinye iziphuzo ezibandayo.
• Iziphuzo eziqukethe utshwala .
• Intuthu kagwayi .
• Umsebenzi womzimba onamandla : Ukuzivocavoca ngokweqile kwenziwa ngesikhathi esisodwa.
• Ukuntuleka kokulala : Ukusebenza ngenkathi ulele.
• Ukuphelelwa amanzi emzimbeni : Ukungaphuzi amanzi anele.

Ubani osengozini enkulu yokuthola i-SVT?

I-SVT ingathinta kokubili izingane kanye nabantu abadala. Kodwa-ke, abanye abantu banamathuba amaningi okuba nayo. Lokho kusho ukuthi kunezici eziyingozi.

• Ukuba ngowesifazane : Abesifazane banamathuba amaningi okuthuthukisa i-SVT kunabesilisa.
• Ukuba nokukhathazeka .
• Ukuphuza utshwala obuningi kunalokho okunconywayo.
• Ukusetshenziswa kwemikhiqizo kagwayi .
• Ukuphuza iziphuzo ezine-caffeine eziningi kunalokho okunconywayo.
• Ukuzibandakanya ekuqeqeshweni okunamandla ngokomzimba (isib. abasubathi).
• Ukuba nezinye izinkinga zempilo ezifana nesifo samaphaphu, isifo senhliziyo, isifo se-thyroid, noma isifo sikashukela .
• Ukukhulelwa .

Ingabe i-SVT ingadala izimo eziyingozi?

Esikhathini esiningi, i-SVT ayisongeli impilo. Kodwa-ke, kwabanye abantu, ikakhulukazi labo abanezinye izinkinga zenhliziyo, i-SVT ingabangela izinkinga uma iba nzima.

• (Ukwehluleka kwenhliziyo )
• Ukungazi lutho
• (Ukuboshwa kwenhliziyo )

Kodwa khumbula, lezi zimo ezibucayi azivamile. I-SVT ngokuvamile ayiyona ingozi kangako, ikakhulukazi kumuntu onenhliziyo enempilo. Kodwa uma unezimpawu, kungcono ukubona udokotela.

Udokotela uyixilonga kanjani i-SVT?

Uma uya kudokotela, uzoqala ngokukubuza ngomlando wakho wezokwelapha kanye nezimpawu ozizwayo. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba.

Cishe udokotela wakho uzoyala ukuhlolwa kwe -electrocardiogram (EKG noma i-ECG) . Lokhu kurekhoda umsebenzi kagesi wenhliziyo yakho. Ngezinye izikhathi, uma ungakwazi ukuthola i-ECG ngokushesha lapho unesiqephu se-SVT, udokotela wakho angakunika idivayisi encane ebizwa ngokuthi i-heart monitor oyigqoka esifubeni sakho usuku olulodwa noma ezimbili, noma ngisho nangaphezulu. Lokhu kuzoqopha njalo ukushaya kwenhliziyo yakho futhi kuthole noma iyiphi i-SVT eyenzekayo.

Yiziphi izindlela zokwelapha i-SVT?

Ngezinye izikhathi ungase ungadingi ukwelashwa kwe-SVT. Abanye abantu bazizwa bengcono ngokuphumula ngokwanele, ukunciphisa izinto ezifana nekhofi notshwala, nokuyeka ukubhema. Kodwa uma lokho kungasebenzi, kunezinye izindlela eziningi zokwelapha.

Izinto ongazenza ekhaya

Uma usunayo i-SVT, ungazama izinto ezilula ezifana nalezi:

• Yiba mude .
• Beka ithawula elibandayo elicwiliswe emanzini eqhwa ebusweni bakho .
• Ukukhwehlela .

Lokhu kubizwa ngokuthi ama-vagal maneuvers , futhi ngezinye izikhathi angasiza ekubuyiseleni izinga lokushaya kwenhliziyo elijwayelekile.

Izinhlobo zemithi enqunywe udokotela

Udokotela wakho angase akunike imithi ehlukahlukene yokulawula izinga lokushaya kwenhliziyo yakho:

• (I-Adenosine) (Lona umuthi ofakwa emthanjeni uma kunesimo esiphuthumayo)
• (I-Atropine)
• (Ama-Beta-blockers)
• (Ama-Calcium channel blockers)
• (I-Digitalis - digoxin)
• (Ama-blocker eziteshi ze-potassium)

Uma udokotela wakho ekubhalela imithi, kubaluleke kakhulu ukuyithatha njengoba uyalelwe nangezikhathi ozibekiwe. Futhi, ungakhohlwa ukubuyela ukuyobona udokotela wakho ngezinsuku ezibekiwe.

Izindlela namasu akhethekile ezokwelapha

Ngezinye izikhathi, ngaphezu noma ngaphambi kokuthatha imithi, udokotela wakho angase asikisele ukwelashwa okufana nalokhu:

• (Ukusebenza kwe-vagal) : Lokhu kungenziwa udokotela. Isibonelo ukufaka ingcindezi ezindaweni ezithile zentamo (i-Carotid sinus massage) . Lokhu akuwona umqondo omuhle ukuzenzela wena.
• Ukuguqulwa kwenhliziyo : Kulokhu, inhliziyo ishaywa ugesi omncane ukuze kubuyiselwe isigqi senhliziyo esijwayelekile. Lokhu kwenziwa ngaphansi kwe-anesthesia.
• Ukususwa kwe-catheter : Lena yindlela yokwelapha ephumelela kakhulu ye-SVT.Kulokhu, kufakwa i-catheter encane (ithubhu elincane) enhliziyweni bese kubhujiswa izindlela zikagesi ezingavamile noma amaseli enhliziyweni abangela i-(SVT). Lokhu kungaholela ekwelapheni okuphelele okungenzeka kube ngaphezu kuka-95%, kuye ngohlobo lwe-(SVT). Ngezinye izikhathi odokotela batusa lokhu kwelashwa ngaphambi kokunikeza imithi.
• (I-ICD) ye-Implantable cardioverter defibrillator : Lena inqubo engavamile kakhulu. Lena idivayisi encane efakwa ngaphansi kwesikhumba. Uma izinga lokushaya kwenhliziyo lishintsha ngendlela eyingozi, le divayisi ibangela ngokuzenzakalelayo ukushaqeka kukagesi ukuze kubuyiselwe izinga lokushaya kwenhliziyo.

Ingabe ikhona imiphumela emibi yokwelashwa?

Noma yimuphi umuthi ungabangela imiphumela emibi, udokotela wakho azochaza kuwe.

Ingozi yezinkinga ezinkulu ezivela ekukhishweni kwe-catheter iphansi kakhulu. Kodwa-ke, ezimweni ezingavamile, okulandelayo kungenzeka:

• Ukopha.
• (Ukuhlaselwa yinhliziyo) (ukuhlaselwa yinhliziyo).
• (Ukuvimba kwenhliziyo) (ukuvinjelwa kokudluliselwa kwezimpawu zikagesi enhliziyweni).
• (Isifo Sohlangothi) (Ukukhubazeka).

Udokotela uzokhuluma nawe ngalezi zingozi.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Ukwelashwa okulula ekhaya kanye nokunyakaza kwesitho sangasese sowesifazane kungakusiza uzizwe ungcono ngokushesha , uma uphumelela. Imithi kanye nezinye izindlela zokwelapha zithembeke kakhulu, kodwa zithatha isikhathi ukusebenza. Kuhle ukuzama izindlela zokwelapha ekhaya uma unesiqephu se-SVT. Kodwa ngokuhamba kwesikhathi, ungadinga imithi noma ezinye izindlela zokwelapha.

Yini ongayenza ukuze unciphise ingozi ye-SVT futhi uzinakekele?

Uma ungakwazi ukushintsha izimbangela ze-SVT, ungenza okulandelayo:

• Zama ukulawula ukucindezeleka kwakho . Izinto ezifana nokuzindla, i-yoga, kanye nezinto zokuzilibazisa zingasiza.
• Yehlisa noma uyeke ngokuphelele ukuphuza utshwala .
• Yeka ukusebenzisa imikhiqizo kagwayi .
• Nciphisa ukuphuza ikhofi nezinye iziphuzo eziqukethe i-caffeine .
• Phumula futhi ulale ngokwanele .
• Phuza amanzi amaningi .

Futhi, kubaluleke kakhulu ukuphuza imithi udokotela wakho akunike yona ngqo.

Kungenzeka yini ukuphila impilo evamile nge-SVT?

Yebo, ungakwazi! Iningi labantu abane-SVT lingaphila impilo evamile nesebenzayo. Izigameko ezingavamile ze-SVT zingalawulwa ngemithi. Ngemva kokwelashwa okuphumelelayo njengokususwa kwe-catheter , ungenza izinto eziningi ezivamile ozijabulelayo. Khumbula, ukususwa kwe-ablation nakho kungalapha ngokuphelele ezinye izinhlobo ze-SVT.

Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uthola ukuthi une-SVT. Kodwa-ke, ukuthola ukuxilongwa kusho ukuthi usesendleleni eya esixazululweni.

Ngingayibona nini udokotela?

Bona udokotela uma unezimpawu ze-(SVT), ezifana nalezi:

• Ubuhlungu besifuba.
• Ukukhathala okukhulu.
• Ukuzwa ukuthi inhliziyo ishaya ngokushesha.
• Ukuzizwa unesizungu.
• Isiyezi.
• Ukulahlekelwa ukwazi.
• Ukushaya kwenhliziyo.
• Ubunzima bokuphefumula.

Kunini lapho kudingeka uye e-Emergency Treatment Unit (ETU) ?

Uma unalezi zimpawu ezinzima , shayela u-911 noma inombolo yakho yezimo eziphuthumayo yasendaweni ngokushesha :

• Uma unezinhlungu zesifuba ezinzima .
• Uma kunzima kakhulu ukuphefumula .
• Uma uzizwa ubuthakathaka kakhulu .

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela wakho?

Uma uya kudokotela, ungesabi ukubuza imibuzo esengqondweni yakho. Kuhle ukubuza imibuzo efana nale:

• Luyingozi kangakanani uhlobo lwe-(SVT) enginalo?
• Ingabe isimo sami sibucayi ngokwanele ukuthi sidinga ukwelashwa?
• Ingabe ngidinga imithi noma enye inqubo yezokwelapha?
• Yikuphi ukwelashwa okungcono kakhulu kwalokhu?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?

Izinto ezibaluleke kakhulu okufanele uzikhumbule kulesi sihloko

Kuvamile ukuzizwa ukhathazekile uma uzizwa sengathi kukhona okungahambi kahle enhliziyweni yakho. Kodwa uma usuthole ukuthi une-Supraventricular Tachycardia (SVT), ungathola ikhambi.

(SVT) yisimo esivamile, futhi ezimweni eziningi asisongeli impilo.

Kunezindlela ezahlukene zokwelapha lokhu, kanti ezinye izindlela zokwelapha zingaholela ngisho nasekululameni okuphelele.

Ukwenza izinguquko ezilula endleleni yokuphila kungasiza futhi ekulawuleni izimpawu.

Khuluma nodokotela wakho ukuze uthole ukwelashwa okungcono kakhulu kuwe. Kungase kube nezinto ezilula ongazenza ukusiza ekulawuleni izimpawu zakho. Thatha imithi yakho njengoba uyalelwe, futhi ukhumbule ukugcina ama-aphoyintimenti akho. Ngikufisela ukululama okusheshayo!

` I-SVT, i-Supraventricular Tachycardia, ukushaya kwenhliziyo, ukushaya kwenhliziyo okusheshayo, ukushaya kwesifuba, isifo senhliziyo, i-EKG, ukususwa kwe-catheter