I-paroxysmal supraventricular tachycardia (PSVT)

I-Paroxysmal supraventricular tachycardia (i-PSVT) iziqendu zentliziyo ekhawulezayo eqala kwinxalenye yentliziyo ngaphezulu kwee-ventricles. "I-Paroxysmal" ithetha amaxesha ngamaxesha.

Ngokwesiqhelo, amagumbi entliziyo (i-atria kunye nee-ventricles) enza isivumelwano ngendlela elungelelanisiweyo.

• Ukuchasana kubangelwa ngumqondiso wombane oqala kwindawo yentliziyo ebizwa ngokuba yi-sinoatrial node (ekwabizwa ngokuba yi-sinus node okanye i-SA node).
• Umqondiso uhamba kumagumbi aphezulu entliziyo (i-atria) kwaye uxelele i-atria ukuba ikhontrakthi.
• Emva koku, umqondiso usiya ezantsi entliziyweni kwaye uxelele amagumbi asezantsi (ii-ventricles) ukuba zenze isivumelwano.

Isantya sentliziyo esikhawulezayo esivela kwi-PSVT sinokuqala ngeziganeko ezenzeka kwiindawo zentliziyo ngaphezulu kwamagumbi asezantsi (ii-ventricles).

Kukho inani lezizathu ezithile zePSVT. Ingakhula xa iidosi zonyango lweentliziyo, idigitalis, ziphezulu kakhulu. Inokuthi yenzeke kwimeko eyaziwa ngokuba yi-Wolff-Parkinson-White syndrome, edla ngokubonakala kubantu abancinci nakwiintsana.

Oku kulandelayo kwandisa umngcipheko wePSVT:

• Ukusetyenziswa kotywala
• Ukusetyenziswa kweCaffeine
• Ukusetyenziswa gwenxa kweziyobisi
• Ukutshaya

Iimpawu zihlala ziqala kwaye zime ngokukhawuleza. Banokuhlala okwemizuzu embalwa okanye iiyure ezininzi. Iimpawu zingabandakanya:

• Ixhala
• Ukuqina kwesifuba
• Iipalpitations (imvakalelo yokuva ukubetha kwentliziyo), rhoqo ngenqanaba elingaqhelekanga okanye elikhawulezayo (umdyarho)
• Ukubetha ngokukhawuleza
• Ukuqhawukelwa ngumphefumlo

Ezinye iimpawu ezinokuthi zenzeke ngale meko zibandakanya:

• Ukuba nesiyezi
• Ukufa isiqaqa

Uvavanyo lomzimba ngexesha lesiqendu sePSVT luya kubonisa inqanaba lentliziyo elikhawulezayo. Ingabonisa ukubetha okunamandla entanyeni.

Inqanaba lentliziyo linokuba ngaphezulu kwe-100, kwaye nangaphezulu kwama-250 beats ngomzuzu (bpm). Kubantwana, izinga lokubetha kwentliziyo lihlala liphezulu kakhulu. Kukho ukubakho kweempawu zokuhamba gazi okungalunganga njengobunzima bentloko. Phakathi kweziqendu ze-PSVT, izinga lentliziyo liqhelekileyo (60 ukuya kwi-100 bpm).

I-ECG ngexesha leempawu ibonisa iPSVT. Isifundo se-electrophysiology (EPS) sinokufuneka ukuze kufunyaniswe isifo esichanekileyo kwaye sifumane olona nyango lulungileyo.

Ngenxa yokuba i-PSVT iza kwaye ihamba, ukuyixilonga abantu kungafuneka banxibe esweni i-Holter yeeyure ezingama-24. Ixesha elide, enye iteyipu yesixhobo sokurekhoda isingqisho inokusetyenziswa.

I-PSVT eyenzeka kube kanye ngexeshana ayinakufuna unyango ukuba awunazo iimpawu okanye ezinye iingxaki zentliziyo.

Ungazama ezi ndlela zilandelayo ukuphazamisa ukubetha kwentliziyo okukhawulezileyo ngexesha lesiqendu sePSVT:

• Umqhubi weValsalva. Ukwenza oku, ubamba umphefumlo wakho kunye noxinzelelo, ngokungathi uzama ukuba nokuhamba kwamathumbu.
• Ukukhohlela ngelixa uhleli nomzimba wakho ongaphezulu ugobile ngaphambili.
• Ukutshiza amanzi e-ice ebusweni bakho

Kuya kufuneka uphephe ukutshaya, icaffeine, utywala, kunye neziyobisi ezingekho mthethweni.

Unyango olungxamisekileyo lokunciphisa ukubetha kwentliziyo kwesiqhelo kunokubandakanya:

• Ukuphefumla ngombane, ukusetyenziswa komothuko wombane
• Amayeza ngomthambo

Unyango lwexesha elide kubantu abaphindayo iziqendu zePSVT, okanye abanesifo sentliziyo, banokubandakanya:

• Ukupheliswa kwentliziyo, inkqubo esetyenziselwa ukutshabalalisa iindawo ezincinci entliziyweni yakho ezinokubangela ukubetha kwentliziyo okukhawulezileyo (okwangoku unyango olukhethiweyo kwii-PSVTs ezininzi)
• Amayeza emihla ngemihla ukunqanda iziqendu eziphindaphindwayo
• Abenzi bepemethe ukuqhuba ukubetha kwentliziyo okukhawulezayo (ngamanye amaxesha kunokusetyenziswa kubantwana abanePSVT abangaphendulanga kolunye unyango)
• Utyando lokutshintsha iindlela ezisentliziyweni ezithumela imiqondiso yombane (oku kunokucetyiswa kwezinye iimeko kubantu abafuna olunye uqhaqho lwentliziyo)

I-PSVT ngokubanzi ayisosisongelo kubomi. Ukuba ezinye iingxaki zentliziyo zikhona, zinokukhokelela ekusileleni kwentliziyo okanye kwi-angina.

Fowunela umboneleli wakho wezempilo ukuba:

• Unoluvo lokuba intliziyo yakho ibetha ngokukhawuleza kwaye iimpawu azipheli zodwa kwimizuzu embalwa.
• Unembali yePSVT kwaye isiqendu asihambi kunye nokuqhuba kweValsalva okanye ngokukhohlela.
• Unazo ezinye iimpawu ngesantya sentliziyo esikhawulezayo.
• Iimpawu zibuya rhoqo.
• Iimpawu ezintsha ziyavela.

Kubaluleke ngakumbi ukunxibelelana nomboneleli wakho ukuba unazo nezinye iingxaki zentliziyo.

I-PSVT; Supraventricular tachycardia; Isingqisho sentliziyo esingaqhelekanga -i-PSVT; Arrhythmia - PSVT; Inqanaba lentliziyo elikhawulezayo- iPSVT; Inqanaba lentliziyo elikhawulezayo- iPSVT

• Inkqubo yokuqhuba kwentliziyo
• Imonitha yentliziyo kaHolter

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