Ingabe inhliziyo yakho ishaya ngokushesha ngokuzumayo? Ake sixoxe nge-Ventricular Tachycardia!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngokushesha okukhulu, ishaya ngamandla? Ungase uzwe ngisho nesifuba sakho sishaya ngamandla, uzizwe uphelelwa umoya, noma uzizwe unesizungu. Uma uke waba nalokhu, noma uma uke wezwa ngomuntu omaziyo obhekana nalokhu, kubalulekile ukuthi uqaphele isimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Ventricular Tachycardia.

Kuyini ngempela lokhu kushaya kwenhliziyo okusheshayo (i-Ventricular Tachycardia)?

Kalula nje, `(Ventricular Tachycardia)` yilapho inhliziyo yakho ishaya ngesivinini esingaphezu kwama-beats angu-120 ngomzuzu. Kodwa into ekhethekile ngalokhu ukuthi lokhu kushaya kwenhliziyo okusheshayo akuqali ohlelweni olujwayelekile lwesignali kagesi lwenhliziyo. Ngokuvamile, inhliziyo yethu kufanele iqale ukushaya kusuka kusignali kagesi evela endaweni ebizwa ngokuthi `(Sinoatrial Node)`, esebenza njengeswishi phezulu kwenhliziyo. Kodwa ku-`(Ventricular Tachycardia)`, lokhu kushaya kwenhliziyo kuqala kusuka emakamelweni amabili amakhulu phansi kwenhliziyo, okungukuthi, ama-ventricle . Lena inkinga eyenzeka ngoba okuthile kudlula indlela evamile kagesi yenhliziyo.

Uma sivame ukuphumula, izinhliziyo zethu zishaya phakathi kuka-60 no-100 ngomzuzu, akunjalo? Ngakho cabanga ukuthi kwenzekani lapho leli nani likhuphuka ngokuzumayo lifinyelela ku-120! Uma inhliziyo ishaya ngokushesha kangaka, lezi zinto ezibalulekile ziyenzeka:

• Umfutho wegazi wakho ungase wehle ngokuzumayo.
• Inhliziyo ayinaso isikhathi esanele sokugcwalisa amagumbi ngegazi bese ilipompa libuyele emzimbeni. Ngenxa yalokho , ezinye izingxenye zomzimba, ikakhulukazi ubuchopho nezitho zomzimba, azitholi umoya-mpilo eziwudingayo.
• Ngenxa yalezi zizathu, uqala ukuzwa izimpawu ezahlukahlukene.

Ingabe lesi yisimo esibucayi ngempela?

Yebo, lesi yisimo esibucayi kakhulu, futhi sidinga ukwelashwa ngokushesha. Uma lokhu kushaya kwenhliziyo okusheshayo okubizwa ngokuthi `(Ventricular Tachycardia)` kuthatha imizuzwana engaphezu kwengu-30 (sikubiza ngokuthi `sustained Ventricular Tachycardia`), kungaqhubekela esimweni esibucayi kakhulu esibizwa ngokuthi `(Ventricular Fibrillation)`. Uma lokho kwenzeka, kungenzeka ukuthi inhliziyo imiswe ngokuzumayo ngisho nokufa. Ngakho-ke lokhu akuyona into okufanele ithathwe kalula.

Uyini umehluko phakathi kwe-`(Ventricular Tachycardia)` kanye ne-`(Ventricular Fibrillation)`?

Zombili ziyizigqi zenhliziyo ezishesha ngendlela engavamile. Kodwa-ke, i-"Ventricular Fibrillation" iyisimo esibi kakhulu nesisongela impilo kune-"Ventricular Tachycardia".

Cabanga nje, ku-`(Ventricular Tachycardia)` inhliziyo ishaya ngokushesha, kodwa ipompa igazi elithile liye emzimbeni. Kodwa ngenxa yaleso sivinini, umzimba awutholi igazi elanele.

Kodwa ku-`(Ventricular Fibrillation)`, esikhundleni sokushaya kahle, imisipha yenhliziyo iyanyakaza nje. Ngemuva kwalokho inhliziyo ayipompi igazi liye emzimbeni nhlobo. Lokhu kungaholela ekufeni kwenhliziyo ngokuzumayo.Kungenzeka.

Ingabe i-Ventricular Tachycardia ingazilungisa ngokwayo ?

Yebo, kwezinye izimo lokhu kungase kuthathe imizuzwana embalwa nje kuphela futhi isigqi senhliziyo singase sibuyele esimweni esijwayelekile. Ezimweni ezinjalo, ngeke kube khona umonakalo omkhulu. Kodwa asikwazi ukulindela ukuthi lokho kwenzeke ngaso sonke isikhathi.

Ubani onamathuba amaningi okuthuthukisa lokhu? - Izici eziyingozi

Kunezici ezithile eziyingozi ezingathinta ukuthuthukiswa kwe-`(Ventricular Tachycardia)`. Uma unalezi zinto, kungenzeka kakhulu ukuthi ube nalesi simo kunezinye:

• Uma uke waba nesifo senhliziyo ngaphambilini.
• Uma kukhona emndenini wakho oke waba nezinkinga zesigqi senhliziyo (okungukuthi, isixhumanisi sofuzo).
• Uma unesifo semithambo yegazi yenhliziyo .
• Uma unesifo esibizwa ngokuthi "i-Myocarditis" , okuwukuvuvukala kwemisipha yenhliziyo.
• Uma unezinkinga zenhliziyo .
• Uma inhliziyo ikhulisiwe, kusho ukuthi une -cardiomyopathy .
• Uma unesifo se-valve yenhliziyo .
• Uma uke waba nokuhlaselwa yinhliziyo ngaphambilini (`Myocardial Infarction`) noma uma uke wahlinzwa inhliziyo.
• Uma kukhona ukungalingani okukhulu kuma -electrolyte omzimba, okungukuthi, usawoti (njenge-potassium ne-magnesium).
• Uma usebenzisa imithi ethile evuselelayo (isibonelo, i-cocaine, i-methamphetamine).

I-Ventricular Tachycardia ithinta kanjani umzimba wami?

Uma kwenzeka i-`(Ventricular Tachycardia)`, inhliziyo yakho ishaya ngokushesha kangangokuthi amakamelo enhliziyo awatholi isikhathi esanele sokugcwala igazi ngaphambi kokushaya okulandelayo. Cabanga ngebhasi elima endaweni yokuma isikhashana esifushane kakhulu. Bese akuwona wonke umuntu othola isikhathi sokugibela ibhasi, kanti abanye bayasala emgwaqweni. Yilokho okwenzekayo nalapha. Lapho inhliziyo ingenaso isikhathi esanele sokugcwala igazi, inani legazi elimpontshwayo emzimbeni wonke liyancipha. Bese amaseli nezicubu zomzimba zithola umoya-mpilo omncane kanye nezakhamzimba.

Ziyini izimpawu zalokhu?

Izimpawu ze-`(Ventricular Tachycardia)` zingahluka kuye ngomuntu nomuntu. Abanye abantu bangase bangabi nazo izimpawu. Kodwa lezi yizimpawu ezivame kakhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele uye ekamelweni eliphuthumayo ngokushesha. Lokhu kungaholela ekumisweni kwenhliziyo ngisho nokufa.

• Ubuhlungu besifuba noma ukuqina.
• Ubunzima bokuphefumula.
• Ukuzwa inhliziyo ishaya ngokushesha, ukuzwa isifuba sishaya ngamandla (`Izinhliziyo ezibuhlungu/ukushaya kwenhliziyo okusheshayo`).
• Ukuzizwa unesizungu, ikhanda elibuhlungu, noma ukuquleka.

Into ebaluleke kakhulu ukungazinaki lezi zimpawu. Ngisho noma zingase zibonakale ziyinto encane, zingaba yingozi empilweni.

Kungani lokhu kwenzeka (i-Ventricular Tachycardia)?

Kulungile, manje ake sibone ukuthi kungani lokhu kwenzeka. Uma kuvela izimpawu zikagesi ezingavamile emakamelweni aphansi enhliziyo yakho, abizwa ngokuthi ama-ventricles, lezo zimpawu zingqubuzana nezibonakaliso ezivela ku-node ye-sinoatrial, elawula isigqi esivamile senhliziyo. Lokhu kubangela ukuthi inhliziyo ishaye ngokungalawuleki futhi ngokushesha okukhulu. Lesi sivinini asivumeli amakamelo enhliziyo ukuba agcwale igazi.

Iningi labantu abane-Ventricular Tachycardia banesinye isifo senhliziyo esingaphansi. Izimbangela eziyinhloko yilezi:

• Isifo Semithambo Yenhliziyo.
• Ukwehluleka kwenhliziyo.
• I-Myocarditis .
• Ukwanda kwenhliziyo (i-Cardiomyopathy) .
• Isifo se-valve yenhliziyo .
• Ukuhlinzwa kwenhliziyo kwangaphambilini.
• Izibazi enhliziyweni ngenxa yokuhlaselwa yinhliziyo ngaphambilini (`Myocardial Infarction`) .
• Ezinye izimo zezokwelapha ezifana ne -`(Sarcoidosis)` .
• Ezinye izimo ezizuzwe njengefa .

Kunezinye izimbangela ezingahlobene nenhliziyo, kodwa ezingabangela `(Ventricular Tachycardia)`:

• Eminye imithi .
• Ukungalingani kwama -electrolyte emzimbeni (lawa amaminerali alawula isigqi senhliziyo).
• Ukuphuza i-caffeine noma utshwala ngokweqile.
• Ukusetshenziswa kwezidakamizwa ezingekho emthethweni (`Izidakamizwa zokuzijabulisa`) .
• Ngezinye izikhathi kungaba ngenxa yokuvivinya umzimba ngokweqile .

Ngezinye izikhathi kungase kungenzeki ukuthola isizathu salokhu.

Yisiphi isizathu esivame kakhulu?

Imbangela evame kakhulu ye-Ventricular Tachycardia yisifo senhliziyo esibangelwa yi-ischemic . Lokhu kubizwa nangokuthi isifo senhliziyo noma isifo semithambo yegazi. Kalula nje, imisipha yenhliziyo ayitholi igazi ne-oxygen eyanele ngenxa yokuvaleka kwemithambo yegazi. Lokhu kuvaleka kuvame ukubangelwa yi -atherosclerosis .

Ungayibona kanjani i-`(Ventricular Tachycardia)`?

Ukuze uthole ukuthi unayo yini i-`(Ventricular Tachycardia)`, udokotela wakho uzokwenza lezi zinto:

• Bazokhuluma nawe ngokuningiliziwe ngezimpawu zakho.
• Kuzohlolwa umzimba, okuhlanganisa nokuhlola izinga lokushaya kwenhliziyo yakho.
• Iqoqa ulwazi mayelana nomlando wakho wezokwelapha .
• Iyalela ukuthi kwenziwe izivivinyo eziningana ezidingekayo.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Isivivinyo esiyinhloko nesisetshenziswa kakhulu ukuxilonga i-Ventricular Tachycardia yi -electrocardiogram (ECG/EKG) . Lokhu kurekhoda umsebenzi kagesi wenhliziyo yakho.

Ngaphezu kwalokho, kungenziwa ezinye izivivinyo, ezifana nalezi:

• I-Holter monitor: Lena idivayisi encane eqopha njalo isigqi senhliziyo yakho amahora angama-24 noma angama-48.
• Ucwaningo lwe-Electrophysiology (EPS): Lokhu kuhilela ukudlulisa ucingo oluncane enhliziyweni nokuhlola uhlelo lukagesi lwenhliziyo ngokujulile.
• Isiqaphi semicimbi yenhliziyo: Lokhu kufana nesiqaphi se-Holter, kodwa ungasisebenzisa wena bese uqopha ukushaya kwenhliziyo yakho uma unezimpawu.
• Ukuhlolwa kokucindezeleka kwe-Treadmill: Lokhu kuhlola ukuthi inhliziyo yakho isabela kanjani uma uzivocavoca (gijima ku-treadmill).
• I-Echocardiogram: Lokhu ukuskena kwenhliziyo nge-ultrasound. Kungabheka isakhiwo kanye nomsebenzi wenhliziyo.
• Ukuhlolwa kwegazi: Hlola izinto ezifana namazinga e-electrolyte nama-enzyme enhliziyo.

Iphathwa kanjani i-Ventricular Tachycardia?

Uma unezimpawu, noma uma une-Ventricular Tachycardia imizuzwana engaphezu kwengu-30 noma ngabe awunazo izimpawu, udinga ukwelashwa nakanjani.

Uma welapha lokhu, into eyinhloko ukwelapha isifo esiyisisekelo esibangele lesi simo. Lokhu kwelashwa kungathuthukisa lokhu kushaya kwenhliziyo okungavamile futhi kuvimbele ukuthi kungabuyi.

Ukwelashwa okuphuthumayo kwe-Ventricular Tachycardia yilokhu:

• I-CPR (Ukuvuselelwa Kwenhliziyo): Ukwelashwa kosizo lokuqala ukusindisa impilo uma inhliziyo iyeka ukushaya.
• Ukushintshashintsha kwe-electric defibrillation: Inhliziyo ishaywa ugesi ukuze izame ukuyibuyisela esigqini sayo esijwayelekile.
• Imithi ye-IV: Lawula izinga lokushaya kwenhliziyo.

Ezimweni ezingezona eziphuthumayo, ukwelashwa okuvamile yile:

• I-Radiofrequency Catheter Ablation (RCA): Kulokhu, kutholakala indawo eqondile yesigqi senhliziyo esingavamile, bese kusetshenziswa i-catheter (ithubhu elincane) ukubhubhisa izicubu kuleyo ndawo ngogesi.
• I-ICD (ICD) Engatshalwa: Lena idivayisi encane efakwa ngokuhlinzwa ngaphansi kwesikhumba eduze kwenhliziyo. Ihlala iqapha isigqi senhliziyo yakho. Uma kwenzeka i-ventricular tachycardia, idivayisi iyayibona bese ithumela ngokushesha isignali kagesi ukuze ibuyisele inhliziyo esigqini sayo esijwayelekile.
• Imithi: Imithi inikezwa ukuze kwehliswe ijubane lokushaya kwenhliziyo nokugcina isigqi esijwayelekile. Kodwa-ke, eminye imithi ingaba nemiphumela emibi. Udokotela wakho uzokuchazela lokhu.

Ingabe kukhona izinkinga ekwelashweni?

Ukususwa kwe-catheter kwe-ventricular tachycardia ngokuvamile kuphephile futhi kuyasebenza. Kodwa-ke, ezinye izinkinga zingavela kaningi. Lezi zifaka:

• Ukulimala kwenhliziyo noma imithambo yegazi.
• Amahlule egazi.
• Ukopha.
• Ukutheleleka .

Kuthatha isikhathi esingakanani ukululama ngemva kokwelashwa?

Ngemva kokuhlinzwa kwe-`(Ventricular Tachycardia Ablation)`, kuzodingeka uhlale esibhedlela okungenani ubusuku obubodwa. Ngokuvamile ungabuyela emisebenzini evamile zingakapheli izinsuku ezimbalwa uphumile esibhedlela. Kodwa-ke , akukhuthazwa ukwenza noma yini esindayo noma enzima okungenani izinsuku ezintathu, noma kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.

Ngingayinciphisa kanjani le ngozi?

Ngokugwema izifo zenhliziyo ezibangela i-Ventricular Tachycardia, unganciphisa ingozi yokuthola lesi simo.

Ungenza lezi zinto ukuze uzivikele esifweni semithambo yenhliziyo, okuyimbangela evame kakhulu yalokhu:

• Yidla ukudla okunempilo okunamafutha amancane nosawoti omncane .
• Vivinya umzimba njalo.
• Gcina isisindo esinempilo.
• Yeka ngokuphelele ukusebenzisa yonke imikhiqizo kagwayi.
• Thatha imithi udokotela wakho ayinikezayo yomfutho wegazi ophakeme kanye ne-cholesterol ephezulu.

Kwenzekani uma ngine-`(Ventricular Tachycardia)`? (Isibikezelo)

Ukubikezela kwakho kuncike ekutheni i-Ventricular Tachycardia yakho imbi kangakanani nokuthi unezinye izifo zenhliziyo. Lesi simo singaba sibi kakhulu, ikakhulukazi uma i-ventricle yesobunxele yenhliziyo yakho ingasebenzi kahle. Kodwa ngokwelashwa okufanele, abantu abaningi bangaphila impilo evamile.

Ingabe i-Ventricular Tachycardia ingalapheka ngokuphelele?

Lokhu kuncike embangela eyinhloko. Kwabanye abantu, i-Radiofrequency Catheter Ablation ingayelapha ngokuphelele le rhythm engavamile, futhi akukho ukwelashwa okwengeziwe okudingekayo. Amadivayisi abizwa ngokuthi ama-Implantable Cardioverter Defibrillators (ICDs) awayilaphi le rhythm, kodwa asebenza kahle kakhulu ekusizeni ukubuyisela inhliziyo esigqini esijwayelekile ngokuletha ukushaya okusheshayo noma ukushaqeka ezimweni ezisongela ukuphila ze-Ventricular Tachycardia.

Ngizinakekela kanjani?

Njengomuntu one-`(Ventricular Tachycardia)`, kufanele wenze lezi zinto ukuze uzinakekele:

• Landela ukudla okunempilo kwenhliziyo kanye nohlelo lokuzivocavoca olunconywe yithimba lakho lezokwelapha.
• Yeka ukusebenzisa imikhiqizo kagwayi.
• Qhubeka uthatha imithi udokotela wakho akunike yona njengoba uyalelwe, ngaphandle kokweqa noma yimiphi imithamo.

Kufanele ngimbone nini udokotela wami?

Kubaluleke kakhulu ukubona udokotela wakho njalo ukuze uthole izivivinyo zokulandelela. Udokotela wakho uzofuna:

• Bona ukuthi unjani.
• Qiniseka ukuthi ukwelashwa kwakho kusebenza kahle.
• Khuluma nganoma yiziphi izimpawu ezintsha onazo noma izinguquko endleleni ozizwa ngayo.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela u-1990 (uma useSri Lanka) ngokushesha, noma uye ekamelweni lezimo eziphuthumayo ngokushesha:

• Ubuhlungu besifuba.
• Ukuquleka.
• Ukushaya kwenhliziyo okusheshayo nokungajwayelekile.

Ungashayeli wedwa ngesikhathi esinjengalesi. Cela usizo ngokushesha okukhulu.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungangabazi ukubuza imibuzo efana nale. Kubaluleke kakhulu ukuthi uqonde kahle isimo sakho.

• Kukangaki ngidinga ukuza ukuze ngiyohlolwa "okulandelayo"?
• Ingabe ngizodinga i-ICD?
• Ingabe kuzodingeka ngiphinde ngihlinzwe nge-catheter?
• Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?

Ukuqaphela ukushaya kwenhliziyo yakho kanye nendlela ozizwa ngayo kungakusiza ukuthi uthole ukwelashwa uma ukudinga. Ukwelashwa kusenesikhathi kwe-Ventricular Tachycardia kubaluleke kakhulu. Ngakho-ke uma wena noma othandekayo wakho edinga usizo, ungakuhlehlisi. Ngisho nangemva kokuphuma esibhedlela, landela imiyalelo kadokotela ngqo. Thatha imithi njengoba uyalelwe. Yamukela indlela yokuphila enempilo. Ikakhulukazi uma unedivayisi yezokwelapha efakiwe njengokwelashwa, iya ezivivinyweni `(zokulandelela)` ngaphandle kokuphuthelwa.

Okokugcina, izinto okufanele uzikhumbule

I-Ventricular Tachycardia ukushaya kwenhliziyo okusheshayo nokungavamile okuqala emakamelweni aphansi enhliziyo. Lokhu kungaba yisimo esibi kakhulu, ngakho ungazinaki izimpawu. Uma uzwa ubuhlungu esifubeni, ubunzima bokuphefumula, isiyezi, noma ukuquleka , funa usizo lwezokwelapha ngokushesha.

Ngenhlanhla, kunezindlela zokwelapha ezisebenzayo zalesi simo. Imithi, i-catheter ablation, kanye namadivayisi e-ICD kungasiza ekulawuleni lesi simo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho futhi uphile impilo enempilo. Khona-ke ungaphila kahle nalesi simo.

Isilinganiso senhliziyo , isifo senhliziyo, i-tachycardia, ukumiswa kwenhliziyo ngokuzumayo, isigqi senhliziyo, ukwelashwa kwenhliziyo, i-ICD