Ukubetha kwentliziyo

Iipalpitations ziimvakalelo okanye iimvakalelo ezithi intliziyo yakho ibetheke okanye ibaleke. Ziyakuva esifubeni sakho, emqaleni, okanye entanyeni.

Unga:

• Yazi ngokungathandekiyo ukubetha kwentliziyo yakho
• Yiva ngathi intliziyo yakho itsiba okanye iyeke ukubetha

Isingqisho sentliziyo sinokuba sesiqhelekileyo okanye esingaqhelekanga xa unokubetha.

Ngokwesiqhelo intliziyo ibetha izihlandlo ezingama-60 ukuya kwezi-100 ngomzuzu. Ireyithi inokwehla ngaphantsi kwe-60 beats ngomzuzu kubantu abenza imithambo rhoqo okanye bathathe amayeza acothisa intliziyo.

Ukuba izinga lokubetha kwentliziyo yakho liyakhawuleza (ngaphezulu kwe-100 beats ngomzuzu), oku kubizwa ngokuba yi-tachycardia. Inqanaba lentliziyo elincinci kunama-60 libizwa ngokuba yi-bradycardia. Ukubetha kwentliziyo ngamanye amaxesha ngaphandle kwesingqisho kuyaziwa njenge-extrasystole.

Iipalpitations azikho nzulu kuninzi lwexesha. Iimvakalelo ezimele isigqi senhliziyo esingaqhelekanga (arrhythmia) sinokuba sibi ngakumbi.

Ezi meko zilandelayo zikwenza ukuba ube nakho ukuba nesingqisho sentliziyo esingaqhelekanga:

• Isifo sentliziyo esaziwayo ngexesha lokuqalisa ukubetha kwentliziyo
• Umngcipheko obalulekileyo wesifo sentliziyo
• Isivingco sentliziyo esingaqhelekanga
• Ukungaqheleki kwe-electrolyte egazini lakho-umzekelo, inqanaba eliphantsi le-potassium

Ukubetha kwentliziyo kungakho ngenxa:

• Ixhala, uxinzelelo, uloyiko, okanye uloyiko
• Ukutya kweCaffeine
• Cocaine okanye ezinye iziyobisi ezingekho mthethweni
• Amayeza amayeza anqabileyo, anje nge phenylephrine okanye ipseudoephedrine
• Iipilisi zokutya
• Zilolonge
• Ifiva
• Ukutya iNicotine

Nangona kunjalo, ezinye iimpazamo zibangelwa sisingqi sentliziyo esingaqhelekanga, esinokubangelwa ngu:

• Isifo sentliziyo
• I-valve yenhliziyo engaqhelekanga, njenge-mitral valve prolapse
• Inqanaba legazi elingaqhelekanga le potassium
• Amayeza athile, kubandakanya lawo asetyenziselwa ukunyanga isifuba, uxinzelelo lwegazi, okanye iingxaki zentliziyo
• Ukugqithisa kwe-thyroid
• Umgangatho ophantsi weoksijini egazini lakho

Izinto onokuzenza ukunciphisa ukubetheka zibandakanya:

• Yehlisa ukutya kwakho icaffeine kunye nenicotine. Oku kuya kuhlala kunciphisa ukubetha kwentliziyo.
• Funda ukunciphisa uxinzelelo kunye noxinzelelo. Oku kunokunceda ukukhusela ukubetha kunye nokukunceda ukuba ulawule ngcono xa zisenzeka.
• Zama ukuphumla okunzulu okanye umthambo wokuphefumla.
• Ziqhelanise neyoga, ukucamngca, okanye tai chi.
• Yenza umthambo rhoqo.
• Musa ukutshaya.

Nje ukuba isizathu esibi sikhutshelwe ngaphandle ngumboneleli wakho, zama ukunganikeli ngqalelo kwiipiliti zentliziyo. Oku kunokubangela uxinzelelo. Nangona kunjalo, nxibelelana nomboneleli wakho ukuba ubona ukonyuka ngequbuliso okanye utshintsho kubo.

Ukuba awuzange ube nokubetha kwentliziyo ngaphambili, jonga umboneleli wakho.

Tsalela u-911 okanye inombolo yongxamiseko yendawo ukuba unayo:

• Ukuphulukana nokulumka (ukwazi)
• Iintlungu zesifuba
• Ukuqhawukelwa ngumphefumlo
• Ukubila okungaqhelekanga
• Utywala okanye intloko

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Uhlala uziva ukubetha kwentliziyo okungaphezulu (ngaphezulu kwe-6 ngomzuzu okanye ukuza ngokwamaqela ama-3 nangaphezulu).
• Unobungozi besifo sentliziyo, njenge-cholesterol ephezulu, isifo seswekile, okanye uxinzelelo lwegazi.
• Unentliziyo entsha okanye eyahlukileyo yokubetha kwentliziyo.
• Ukubetha kwakho kungaphezulu kwe-100 beats ngomzuzu (ngaphandle kokuzilolonga, unxunguphalo, okanye umkhuhlane).
• Unempawu ezinxulumene noko, ezinje ngesifuba, ukuphefumla kancinci, ukuziva udakumbile, okanye ukulahleka kwengqondo.
  

Umboneleli wakho uya kukuvavanya kwaye akubuze imibuzo malunga nembali yakho yezonyango kunye neempawu.

Usenokubuzwa:

• Ngaba uziva utsiwe okanye uyekile ukubetha?
• Ngaba izinga lokubetha kwentliziyo yakho liziva licotha okanye likhawuleza xa unokubetha?
• Ngaba uziva umdyarho, ukubetha, okanye ukubetha?
• Ngaba kukho ipateni eqhelekileyo okanye engaqhelekanga yokuziva ubetha kwentliziyo ngokungaqhelekanga?
• Ngaba ukubetha kwaqala okanye kwaphela ngokukhawuleza?
• Ngaba ukubetha kwenzeka phi? Ukuphendula kwizikhumbuzo zesehlo esibuhlungu? Xa ulele phantsi kwaye uphumle? Xa utshintsha indawo omi kuyo? Xa uziva uvakalelo?
• Ngaba unazo ezinye iimpawu?

I-electrocardiogram inokwenziwa.

Ukuba uya kwigumbi likaxakeka, uya kudityaniswa nokubekwa esweni ngentliziyo. Nangona kunjalo, uninzi lwabantu abaneziphene aludingi ukuya kwigumbi likaxakeka kunyango.

Ukuba umboneleli wakho ufumanisa ukuba unesingqisho sentliziyo esingaqhelekanga, olunye uvavanyo lunokwenziwa. Oku kunokubandakanya:

• Ukubeka iliso kwiHolter iiyure ezingama-24, okanye enye esweni kwentliziyo kangangeeveki ezi-2 okanye ngaphezulu
• Echocardiogram
• Isifundo se-Electrophysiology (EPS)
• I-Coronary angiography

Imvakalelo yokubetha kwentliziyo; Ukubetha kwentliziyo ngokungaqhelekanga; Ubambo: Intliziyo ibetha ngamandla okanye ibaleka

• Amagumbi entliziyo
• Intliziyo ibetha
• Yoga

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.

UMiller JM, uTomaselli GF, uZipes DP. Ukuchongwa kwe-arrhythmias yentliziyo. 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 35.

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