Wake wazizwa sengathi inhliziyo yakho ishaya ngokushesha okukhulu, noma uzizwa sengathi ime endaweni eyodwa, noma ishaya ngokungajwayelekile? Lokhu kuyinto eyenzeka kubantu abaningi. Lokhu sikubiza ngokuthi ukushaya kwenhliziyo okungajwayelekile, noma ngokwezokwelapha, i-arrhythmia . Ngakho-ke namuhla sizokhuluma ngemithi enikezwa ukulawula lokhu kushaya kwenhliziyo okungajwayelekile, okungukuthi, i-Antiarrhythmics.
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Kalula nje, yiziphi lezi zinto ezilwa nokushaya kwenhliziyo?
Imithi yokulwa nokushaya kwenhliziyo (antiarrhythmics) imithi enikezwa ukuvimbela nokwelapha ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. Cabanga ngenhliziyo yakho njengenjini encane esebenza ohlelweni oluncane lukagesi. Uma kukhona okungahambi kahle ngalolu hlelo lukagesi, inhliziyo yakho iqala ukushaya ngokushesha okukhulu, ngokushesha okukhulu, noma ngokungajwayelekile.
Imithi yokulwa nokushaya kwenhliziyo isebenza ngokulungisa leli phutha lesistimu kagesi nokubuyisela isigqi senhliziyo esilinganisweni esijwayelekile. Le mithi isetshenziselwa ukwelapha izimo ezibangela ukushaya kwenhliziyo okungajwayelekile, njenge -Atrial Fibrillation , i-Atrial Flutter , i-Ventricular Tachycardia , kanye ne -Ventricular Fibrillation .
Lomuthi usebenza kanjani?
Le mithi isebenza ngezindlela ezimbili eziyinhloko:
1. Kuvimba izimpawu zikagesi ezingadingekile nezingeziwe enhliziyweni.
2. Ilawula isivinini sezimpawu zikagesi ezihamba ngokushesha okungajwayelekile ezicutshini zenhliziyo.
Iningi lale mithi ithathwa ngomlomo ukuze isetshenziswe isikhathi eside. Kodwa-ke, kwezinye izimo eziphuthumayo, uma isimo sesiguli sibucayi noma uma imithi yomlomo ingenakwenzeka, inganikezwa ngemithambo yegazi (IV).
Yiziphi izindlela zokwelapha ukushaya kwenhliziyo okungajwayelekile?
Kunezindlela eziningana zokwelapha ukushaya kwenhliziyo okungajwayelekile.
- Imithi
- Izinguquko zendlela yokuphila
- Amadivayisi ezokwelapha afakwe
- Ukuhlinzwa
Udokotela wakho uzokhetha ukwelashwa okungcono kakhulu kuwe ngokusekelwe kuhlobo lwe-arrhythmia onayo kanye nobunzima bayo. Ngokuvamile, udokotela wakho angakunikeza imithi yokulwa ne-arrhythmia ezimweni ezilandelayo:
- Uma lesi sifo singenakulawuleka ngokushintsha indlela yokuphila kuphela.
- Uma lesi simo siphazamisa imisebenzi yakho yansuku zonke.
- Lokhu kukubeka engcupheni yezinkinga ezisongela ukuphila njengokwehluleka kwenhliziyo , ukumiswa kwenhliziyo , noma isifo sohlangothi .
Yiziphi izinhlobo zemithi yokulwa nokuvuvukala kwemisipha?
Le mithi ihlukaniswe ngezigaba ezine eziyinhloko. Ake sibone ukuthi iyini.
| Isigaba sezidakamizwa (Isigaba) | Indlela esebenza ngayo | Izibonelo |
|---|---|---|
| Isigaba I: Ama-Sodium Channel Blockers | Kuvimbela i-sodium ukuthi ingangeni emaseli enhliziyo. Lokhu kunciphisa isivinini lapho izimpawu zikagesi zihamba khona enhliziyweni. | I-Disopyramide, i-Flecainide, i-Mexiletine, i-Propafenone, i-Quinidine |
| Isigaba II: Ama-Beta Blockers | Ivimba ama-hormone afana ne-adrenaline futhi yehlisa izinga lokushaya kwenhliziyo. | I-Atenolol, i-Bisoprolol, i-Metoprolol, i-Propranolol, i-Nadolol |
| Isigaba III: Ama-Potassium Channel Blockers | Kuvimbela i-potassium ukuthi ingangeni emaseli enhliziyo. Lokhu kulawula ijubane lezimpawu zikagesi zenhliziyo. | Amiodarone, Dofetilide, Dronedarone, Sotalol |
| Isigaba IV: Ama-Calcium Channel Blockers | Ivimba imigudu ye-calcium emisipheni yenhliziyo, inciphise izinga lokushaya kwenhliziyo kanye namandla okufinyela kwenhliziyo. | I-Diltiazem, i-Verapamil |
| Ezinye izidakamizwa ze-antiarrhythmic | ||
| I-Adenosine | Yehlisa noma ivimbele isivinini lapho izimpawu zikagesi zihamba khona phakathi kwamakamelo aphezulu nangaphansi enhliziyo. | |
| I-Digoxin | Kwehlisa izinga lokushaya kwenhliziyo futhi kwandisa ikhono lenhliziyo lokufinyela. | |
Into ebaluleke kakhulu ukuthi udokotela wakho akhethe ofanele wena kule mithi. Akuyona neze into enhle ukusebenzisa le mithi wedwa.
Yiziphi izinzuzo nezingozi zale mithi?
Ukusebenzisa le mithi kunganciphisa kakhulu ukungakhululeki okuzwayo. Isibonelo:
- Ubuhlungu besifuba
- Ukuzizwa unesizungu noma uzizwa ukhululekile
- Ukuqeda ubuciko
- Ukushaya kwenhliziyo
- Ubunzima bokuphefumula
Kodwa-ke, kunezingozi ngale mithi. Ingozi enkulu ukuthi le mithi ngezinye izikhathi ingabangela ezinye izinhlobo zokuphazamiseka kwenhliziyo. Yingakho ukuqapha eduze kukadokotela kubalulekile lapho usebenzisa le mithi. Udokotela wakho, mhlawumbe udokotela wenhliziyo noma isazi se-electrophysiology, uzokuhlola njalo. Uma kukhona izinkinga, bazoshintsha umthamo womuthi noma batuse umuthi ohlukile.
Ingabe ukuphuza umuthi omningi ngokweqile (ukudlula umthamo) kuyingozi?
Yebo, kuyingozi impela. Kubaluleke kakhulu ukuphuza le mithi njengoba nje udokotela wakho ekuyalele. Ukuthatha imithi eminingi kakhulu kungaholela ezimweni ezimbi ezilandelayo:
- Isifo sokulahlekelwa yingqondo
- Ukulimala kwezicubu zenhliziyo
- Ukuboshwa Kokuphefumula
- Ukulala ungazi ukuthi kwenzekani eduze kwakho (Ukuphumula)
- Ukuquleka
- I-Coma
Uma usola ukuthi othile uphuze kakhulu le mithi, myise e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Ingabe ikhona imiphumela emibi?
Njenganoma yimuphi umuthi, le mithi ingabangela eminye imiphumela emibi. Akuwona wonke umuntu oyitholayo. Eminye yemiphumela emibi evame kakhulu yile:
- Ukuqunjelwa
- Isiyezi
- Ukoma ngokweqile
- Izinguquko zesikhumba (isib. ukubomvu, ukoma)
- Ikhanda elibuhlungu
- Isicanucanu
- Ukukhala ezindlebeni (i-Tinnitus)
- Ukuzwela elangeni
- I-Edema (ukuvuvukala okubangelwa ukunqwabelana koketshezi emzimbeni)
- Ubunzima bokuchama
- Izinguquko zombono
- Ukubhebhetheka kwesifuba somoya
Ingabe kudingeka ngiqaphele lapho ngisebenzisa lezi zinto kanye neminye imithi?
Yebo, impela. Imithi yokulwa nokushaya kwenhliziyo ingasebenzisana neminye imithi. Ngakho-ke, tshela udokotela wakho ngakho konke okuthathayo. Lokho kufaka phakathi:
- Imithi kadokotela yezinye izifo
- Imithi etholakala ngaphandle kwemithi kadokotela
- Izinhlobo zokhilimu ezifakwa esikhumbeni
- Izifutho zokuphefumula
- Amavithamini, amaminerali, imikhiqizo yamakhambi, noma ezinye izithasiselo.
Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala lo muthi.
Umlayezo Wokuya Nawe Ekhaya
- Imithi yokulwa nokushaya kwenhliziyo (antiarrhythmias) imithi enikezwa ukulawula ukushaya kwenhliziyo okungajwayelekile (i-arrhythmias).
- Le mithi kumele ithathwe njengoba kunqunywe udokotela, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe.
- Ngesikhathi uthatha lo muthi, kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi uye emitholampilo ngezinsuku ezihleliwe.
- Ungayeki ukuphuza imithi yakho noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kokubuza udokotela wakho.
- Yazisa udokotela wakho ngayo yonke eminye imithi kanye nezithasiselo ozithathayo.
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