Ingabe nawe uzwa inhliziyo eshaya ngamandla? Ake sixoxe nge-tachycardia!

Wake wazizwa inhliziyo yakho ishaya ngokushesha lapho ukhathazekile kakhulu noma ukhathele kakhulu? Kuvamile. Kodwa uma, ngaphandle kwesizathu, inhliziyo yakho ishaya ngokushesha ngisho noma umile nje, uma kuzwakala sengathi umsindo oshayayo uvela esifubeni sakho, kungaba yinto okufanele uyikhathazeke. Namuhla sizokhuluma ngesimo esinjalo sokushaya kwenhliziyo okusheshayo, okubizwa ngokuthi i-tachycardia .

Kuyini i-tachycardia? Masiyiqonde kalula!

Kalula nje, i-tachycardia yilapho inhliziyo yakho ishaya ngokushesha kunokujwayelekile uma uphumule. Ngokuvamile, uma siphumule, izinga lokushaya kwenhliziyo yethu kufanele libe phakathi kwama-beats angu-60 no-100 ngomzuzu. Kodwa-ke, uma kwenzeka i-tachycardia, leli nani liyakhuphuka liye kuma-beats angaphezu kwe-100 ngomzuzu. Lokhu kushaya kwenhliziyo okusheshayo kungahlala kusukela kumasekhondi ambalwa kuya emahoreni amaningana.

Cabanga ukuthi kwenzekani lapho inhliziyo ishaya ngokushesha kangaka. Inhliziyo ayinaso ngisho nesikhathi sokugcwala igazi kahle, ngoba ukushaya kushesha kakhulu. Khona-ke amanye amangqamuzana emzimbeni wethu awatholi igazi nomoya-mpilo awudingayo. Lokhu kungaba yingozi kancane , ngoba wonke umzimba wethu uncike egazini elivela enhliziyweni.

Yiziphi izinhlobo eziyinhloko ze-tachycardia?

I-Tachycardia ingafika ngezindlela eziningi. Ezinye izinhlobo zingavela kaningi, futhi zingaba zimbi kakhulu. Nakuba ezinye izinhlobo ze-tachycardia zingase zingabangeli umonakalo omkhulu, ezinye zingadala umonakalo ophakathi kuya konzima. Udokotela kuphela ongakutshela ngqo ukuthi hlobo luni lwe-tachycardia onalo nokuthi ungayiphatha kanjani.

Inhliziyo yethu inezindawo ezine eziyinhloko. I-tachycardia ingenzeka kunoma yiliphi lala magumbi. Isizathu salokhu ukuthi kunenkinga ngezibonakaliso zikagesi enhliziyweni.

Kunezinhlobo ezimbili eziyinhloko ze-tachycardia:

1. I-Supraventricular tachycardias (SVTs) : Lokhu kuqala emakamelweni aphezulu enhliziyo, i-atria. Izibonelo zifaka phakathi i-atrial fibrillation kanye nokufinyela kwe-atrial ngaphambi kwesikhathi .

2. I-Ventricular tachycardias : Lokhu kuqala emakamelweni aphansi enhliziyo, abizwa ngokuthi ama-ventricles. Izibonelo zifaka phakathi i-ventricular fibrillation kanye ne-torsades de pointes . Lezi ngokuvamile yizimo ezidinga ukukhathazeka okuthile .

Yiziphi izimpawu eziboniswa umuntu one-tachycardia?

Abanye abantu bane-tachycardia futhi ababonisi zimpawu. Kodwa abanye bangaba nezimpawu ezisukela kwezincane kuya kwezinzima, ezimbi kakhulu . Bheka ukuthi uhlangabezana nanoma yikuphi kwalokhu:

• Ukushaya kwenhliziyo (ukuzwa sengathi isifuba sakho siyashaya)
• Ukuphelelwa umoya (ukuzizwa sengathi uyacinana, unenkinga yokuphefumula )
• Ubuhlungu besifuba noma ukuqina kwesifuba
• Ukuzwa ukushaya kwenhliziyo okungajwayelekile (ukuzwa sengathi isigqi senhliziyo sishintshile, sengathi sishaya ngokuzumayo - `Ukushaya kwenhliziyo`)
• Isiyezi
• Ukuzizwa unesizungu (ukuzizwa unezizungu, uphelelwa amandla)
• Ukulahlekelwa yinkumbulo (i-amnesia)
• Isicanucanu (ukuzizwa sengathi uhlanza)
• Ukuzizwa ukhathele kakhulu (ukhathele kakhulu ukwenza noma yini)

Uma uhlangabezana nolunye noma ngaphezulu kwalezi zimpawu njalo, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Kungani kwenzeka le-tachycardia? Ziyini izimbangela?

Inhliziyo yethu ivame ukusebenza ngokwezimpawu zikagesi ezivela endaweni ekhethekile enhliziyweni ebizwa ngokuthi i-sinoatrial (SA) node . Lezi zimpawu zilawula ukuthi inhliziyo kufanele ishaye kangaki. Isibonelo, uma usaba ngokuzumayo, noma uzizwa ukhathazekile kakhulu, noma ukhathazekile, noma uma uzivocavoca, inhliziyo ikhulisa izinga lokuthumela lezi zimpawu isikhathi esifushane. Lokhu kubizwa ngokuthi i-sinus tachycardia . Lokhu kuvame ukuphela uma uzolile noma uphumule. Akuyona inkinga enkulu.

Kodwa-ke, ukusebenzisa izidakamizwa, ukubhema, ukuphuza i-caffeine ngokweqile noma utshwala nakho kungabangela ukwanda kwenhliziyo.

Ngaphezu kwalokho, kunezinye izizathu eziningana ezingabangela i-tachycardia:

• Ukucindezeleka
• Ukuphelelwa amanzi emzimbeni
• Umfutho wegazi ophakeme
• Ezinye izifo zenhliziyo, isibonelo isifo semithambo yenhliziyo
• Ushukela wegazi ophansi
• Ukukhulelwa
• I-anemia (ukuntuleka kwegazi emzimbeni)

Yiziphi izinto ezibangela ukuhlaselwa yi-tachycardia?

Abanye abantu basengozini enkulu yokuthola i-tachycardia. Nazi ezinye izinto ezingathinta lokhu:

• Uma othile emndenini ene-tachycardia (Umlando womndeni we-tachycardia)
• Ukukhuluphala ngokweqile
• Isifo Sikashukela (i-Diabetes Mellitus)`
• Izifo zezinso noma zamaphaphu
• Izinkinga ze-thyroid ezingalashwanga
• AbanyeImithi , isibonelo, imithi yokulwa nokuphazamiseka kwengqondo kanye nemithi yokucindezeleka

Yiziphi izinkinga ezingaba khona ngenxa yalesi simo?

Uma kungelashwa kahle, ezinye izinhlobo ze-tachycardia zingabangela ukuthi izinso zakho, isibindi, noma inhliziyo yakho yehluleke ukusebenza . I-tachycardia ingaholela nasezimweni ezifana nalezi:

• Amahlule egazi - Uma lokhu kuhamba kuye ebuchosheni, kungabangela isifo sohlangothi.
• Isifo sohlangothi
• Isifo senhliziyo
• Ubuthakathaka bemisipha yenhliziyo (i-Cardiomyopathy)
• Ukuma kwenhliziyo okungazelelwe

Ngakho-ke, uma unezimpawu ze-tachycardia, ungazinaki. Kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Ungayithola kanjani i-tachycardia? (Ukuxilongwa)

Uma ubona udokotela, uzokubuza ngomlando wakho wezokwelapha futhi akwenze ukuhlolwa ngokomzimba . Ngaphezu kwalokho, bangase ba-ode ezinye izivivinyo, ezifana nalezi:

• I-Electrocardiogram (EKG) : Lokhu kuhlola ukusebenza kukagesi kwenhliziyo.
• I-monitor ye-Holter noma enye i-monitor egqokwayo : Lokhu kugqokwa usuku olulodwa noma ezimbili futhi kuqopha ukusebenza kwenhliziyo phakathi naleso sikhathi.
• Ukuhlolwa kwetafula lokutsheka : Lokhu kuhlola ukuthi izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kushintsha kanjani njengoba ushintsha indawo yakho.
• Ukuhlolwa kokucindezeleka : Lokhu kuhlola indlela inhliziyo esabela ngayo ekuzivocavoceni.
• Ukuhlolwa kwe-Electrophysiology (ucwaningo lwe-EP) : Ukuhlolwa okukhethekile kokuhlonza izinkinga ohlelweni lukagesi lwenhliziyo.
• I-Echocardiogram : Ukuhlolwa kwenhliziyo nge-ultrasound. Kubheka isakhiwo kanye nomsebenzi wenhliziyo.
• Ukuhlolwa kwegazi : Hlola izinto ezifana nezinkinga ze-thyroid kanye ne-anemia.
• Ukuhlolwa kofuzo : Hlola izimbangela zofuzo.
• Ukuthwebula izithombe zenhliziyo : Kufana ne-MRI.

Yiziphi izindlela zokwelapha i-tachycardia?

I-tachycardia iphathwa kakhulu ngezinqubo nemithi . Ukwelashwa kuncike ohlotsheni lwe-tachycardia onayo kanye nembangela yayo.

Izindlela zokwelapha:

• Izindlela zokulawula ukushaya kwenhliziyo : Ngezinye izikhathi udokotela wakho uzokufundisa lokhu. Lezi izindlela ezilula ezingasiza ekulawuleni ukushaya kwenhliziyo yakho kancane.
• Ukususwa kwemisipha : Inqubo ebhubhisa izindawo zenhliziyo ezibangela izimpawu zikagesi ezingajwayelekile.
• Ukuguqulwa kwenhliziyo: Inhliziyo ishaywa ugesi ukuze kubuyiselwe isigqi senhliziyo esijwayelekile.
• I-Implantable cardiac defibrillator (ICD) : Idivayisi ethola futhi ilungise izigqi zenhliziyo ezisongela ukuphila ngokuletha ukushaqeka kukagesi.
• I-Pacemaker : Idivayisi esiza ukulawula ukushaya kwenhliziyo.
• Ukuvalwa kwesitho sangasese se-atrial : Lokhu kwenzelwa ukuvimbela ukuqhekeka kwegazi kubantu abane-atrial fibrillation.

Izinhlobo zemithi:

• Ama-Beta-blocker
• Izithiyo zesiteshi se-calcium
• Izithiyo zesiteshi se-potassium
• Izithiyo zesiteshi se-sodium
• Imithi yokulwa nokushaya kwenhliziyo
• Ama-blood thinner noma ama-anticoagulant (ikakhulukazi kulabo abane-atrial fibrillation)

Kwezinye izimo eziphuthumayo, i-CPR (Cardiopulmonary Resuscitation) ingadingeka.

Yini eyenzeka kumuntu one-tachycardia?

Okuhlangenwe nakho kwakho kuzoncika ohlotsheni lwe-tachycardia onayo. Kungaba uphawu olungenangozi, noma kungaba yisimo esisongela ukuphila, njenge-ventricular tachycardia noma i-fibrillation. Imithi kanye nezinye izindlela zokwelapha zingasiza ekulawuleni ukushaya kwenhliziyo yakho okusheshayo.

Ukuze ubone ukuthi imithi yakho isebenza kahle yini, kungadingeka ugqoke i -monitor ye-Holter noma uhlolwe nge-electrophysiology .

I-tachycardia ihlala isikhathi esingakanani? Ingabe ingelapheka?

Uma une-sinus tachycardia, izimpawu zakho zizophela uma ukucindezeleka noma ukukhathazeka okubangele lokho kuphelile. Kodwa ezinye izinhlobo eziningi ze-tachycardia zidinga imithi noma ukwelashwa ukuvimbela ukushaya kwenhliziyo okusheshayo kanye nezinye izimpawu ukuthi zingabuyi.

I-tachycardia esongela ukuphila ayibi ngcono ngokwayo. Udinga ukulandela indlela yokuphila enempilo, uphuze imithi yakho kahle, futhi ngezinye izikhathi wenze inqubo yokwelashwa efana nokuhlanza umzimba.

Nakuba imithi ingakwazi ukwelapha i-tachycardia ngokuphelele, ingasiza ekulawuleni ukushaya kwenhliziyo . Ukwelashwa nge-ablation kunganikeza ikhambi lesikhathi eside, futhi ngezinye izikhathi ikhambi, kwezinye izinhlobo ze-tachycardia.

Ngingayinakekela kanjani impilo yenhliziyo yami?

Uma udokotela wakho ekufundisile izindlela zokuphatha uhudo, ungase ukwazi ukulawula i-tachycardia yakho ngezinga elithile.

Ngaphezu kwalokho, qaphela lezi zinto:

• Lawula izimo ezifana nomfutho wegazi ophakeme kanye ne-cholesterol ephezulu .
• Thatha imithi oyinikezwe udokotela wakho ngesikhathi esifanele.
• Nciphisa iziphuzo eziqukethe i-caffeine notshwala . (Nciphisa inani lezinkomishi zekhofi netiye oziphuzayo ngosuku.)
• Yeka ukusebenzisa imikhiqizo kagwayi ngokuphelele.
• Gcina isisindo esinempilo esikufanele.
• Yidla ukudla okunempilo kwenhliziyo (okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi).
• Lawula ukucindezeleka. (Izinto ezifana nokuzindla, i-yoga, kanye nezinto zokuzilibazisa zingasiza.)

Kufanele ngimbone nini udokotela? Kufanele ngiye nini eMnyangweni Wezimo Eziphuthumayo (ETU) ?

Uma usutholakale une-tachycardia, uzoba nokuhlolwa okuvamile nodokotela wakho. Kodwa-ke, uma imithi yakho ingakuniki impumuzo eyanele, noma uma uba nezimpawu ezintsha, yazisa udokotela wakho ngokushesha.

Kulokhu, iya ekamelweni lezimo eziphuthumayo (i-ETU) ngokushesha:

• Uma unenkinga yokuphefumula
• Uma uzizwa inhliziyo yakho ishaya ngamandla (ishaya ngamandla)
• Uma unezinhlungu esifubeni
• Uma uzizwa unesiyezi noma unekhanda elibuhlungu

Futhi, uma umuntu ewa ngokuzumayo noma elahlekelwa ukuqonda ngenxa ye-ventricular fibrillation, funa usizo lwezokwelapha ngokushesha. I-CPR kufanele yenziwe kuze kufike i-ambulensi ukuze isindise impilo yakhe.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• Ingabe nginohlobo oluyingozi lwe-tachycardia?
• Hlobo luni lokwelashwa olungincomayo?
• Lingakanani izinga lakho lempumelelo ekwelashweni kwe-ablation yenhliziyo?
• Ingabe umndeni wami nawo usengozini yokuthola i-tachycardia?

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Uma uzizwa inhliziyo yakho ishaya ngokushesha, kuvamile ukuyeka lokho okwenzayo bese uzibuza ukuthi kwenzekani. Izimpawu ze-tachycardia zingaba zincane kuya kwezinzima, kuye ngohlobo lwe-tachycardia onayo. Qiniseka ukuthi uma unezimpawu, khuluma nodokotela wakho. Uzokutshela uma kukhona okukhathazayo.

Into ebaluleke kakhulu ukuphuza imithi udokotela wakho ayinikezayo, ikakhulukazi imithi yenhliziyo, njengoba nje inikezwe. Ungayeki ukuyithatha ngaphandle kwemvume kadokotela wakho. Futhi, qiniseka ukuthi ulandela imihlangano yakho ejwayelekile.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Izinhliziyo ezinempilo kubo bonke!

I- Tachycardia, ukushaya kwenhliziyo, isifo senhliziyo, ukushaya kwenhliziyo, ubuhlungu besifuba, ukuphelelwa umoya, impilo yenhliziyo