Ukubetha kwentliziyo ye-Ectopic

Ukubetha kwentliziyo kwe-Ectopic lutshintsho kwintliziyo ebetha ngendlela eqhelekileyo. Olu tshintsho lukhokelela kwiintliziyo ezongezelelweyo okanye ezitshixwayo. Amaxesha amaninzi akukho sizathu sicacileyo solu tshintsho. Ziqhelekile.

Ezona ntlobo zimbini ziqhelekileyo zokubetha kwentliziyo yi-ectopic zezi:

• Iicontralular contractions zaphambi kwexesha (PVC)
• Ukuchasana kwangaphambili kwe-atrial (PAC)

Ukubetha kwentliziyo kwe-Ectopic ngamanye amaxesha kubonwa kunye:

• Utshintsho egazini, njengezinga eliphantsi le potassium (hypokalemia)
• Ukuncipha kokunikezelwa kwegazi entliziyweni
• Xa intliziyo ikhulile okanye ingaqhelekanga

Ukubethwa kwe-Ectopic kunokubangelwa okanye kwenziwe mbi ngakumbi kukutshaya, ukusebenzisa utywala, icaffeine, amayeza avuselelayo, kunye nezinye iziyobisi ezitalatweni.

Ukubetha kwentliziyo kwe-Ectopic kunqabile kubantwana ngaphandle kwesifo sentliziyo esasikho xa kuzalwa (ukuzalwa). Uninzi lokubetha kwentliziyo kubantwana zii-PACs. Ezi zihlala zilungile.

Kubantu abadala, ukubetha kwentliziyo kwe-ectopic kuqhelekile. Zihlala zibangelwa zii-PACs okanye ii-PVCs. Umboneleli wakho wezempilo kufuneka ajonge kwisizathu xa behlala bekhona. Unyango lujolise kwiimpawu kunye nesizathu esisisiseko.

Iimpawu zibandakanya:

• Uziva ukubetha kwentliziyo yakho (ukubetha kwentliziyo)
• Uziva ngathi intliziyo yakho ime okanye yeqe ukubetha
• Ukuziva ngamanye amaxesha, ukubetha okunyanzelekileyo

Qaphela: Kungangabikho zimpawu.

Uvavanyo lomzimba lunokubonisa ukubetha okungalinganiyo ngamanye amaxesha. Ukuba ukubetha kwentliziyo kwe-ectopic AKUKHO kwenzeka rhoqo, umboneleli wakho akanakubafumana ngexesha lovavanyo lomzimba.

Uxinzelelo lwegazi luhlala luqhelekileyo.

Kuya kwenziwa i-ECG. Rhoqo, akukho luvavanyo lumbi luyafuneka xa i-ECG yakho iqhelekile kwaye iimpawu azikho qatha okanye ziyakhathaza.

Ukuba ugqirha wakho ufuna ukwazi ngakumbi malunga nesingqisho sentliziyo yakho, banokuyalela:

• Imonitha enxiba ezo rekhodi kwaye igcina isingqi sentliziyo yakho kangangeeyure ezingama-24 ukuya kuma-48 (Holter esweni)
• Isixhobo sokurekhoda osinxibayo, kwaye urekhode isingqisho sentliziyo yakho nanini na xa usiva isingqi esitshixwayo

I-echocardiogram inoku-odolwa ukuba ugqirha wakho ukrokrela iingxaki ngobungakanani okanye kulwakhiwo lwentliziyo yakho oyena nobangela.

Oku kulandelayo kunokunceda ukunciphisa ukubetha kwentliziyo kwabanye abantu:

• Ukunciphisa umda wecaffeine, utywala, kunye necuba
• Ukuzilolonga rhoqo kubantu abangasebenziyo

Iintliziyo ezininzi ze-ectopic azidingi kunyangwa. Imeko iphathwa kuphela ukuba iimpawu zakho zinzima okanye ukuba ukubetha okungaphezulu kwenzeka rhoqo.

Unobangela wokubetha kwentliziyo, ukuba unokufumaneka, unokufuna ukunyangwa.

Kwezinye iimeko, ukubetha kwentliziyo ye-ectopic kunokuthetha ukuba usemngciphekweni omkhulu wesingqisho sentliziyo esingaqhelekanga, esinjenge-tachycardia ye-ventricular.

Fowunela umnikezeli wakho ukuba:

• Uhlala uziva uvakalelo lwentliziyo yakho ukubetha okanye ukugijima (ukubetha).
• Unokubetha ngeentlungu zesifuba okanye ezinye iimpawu.
• Unayo le meko kwaye iimpawu zakho ziya zisiba mbi okanye aziphucuki kunyango.

I-PVB (ukubetha kwangethuba kwentliziyo); Ukubetha kwangaphambili; I-PVC (ubunzima be-ventricular / contraction ngaphambi kwexesha); Into eyongezelelweyo; Iziphambeko ezingaphambi kwexesha eliphambili; I-PAC; Ukuncipha kwangaphambili kwe-atrial; Ukubetha kwentliziyo okungaqhelekanga

• Icandelo lentliziyo phakathi embindini
• Intliziyo - umbono wangaphambili
• I-Electrocardiogram (ECG)

UFang JC, u-O'Gara PT. Imbali kunye novavanyo lomzimba: indlela esekwe kubungqina. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ii-eds. Isifo sentliziyo seBraunwald: Incwadi yesifundo seMpilo yeNtliziyo. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.

U-Olgin JE. Indlela yesigulana esineempawu zokurhanelwa. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.