Ibhloko yentliziyo

Ibhloko yentliziyo yingxaki kwimiqondiso yombane entliziyweni.

Ngokwesiqhelo, ukubetha kwentliziyo kuqala kwindawo yamagumbi aphezulu entliziyo (atria). Le ndawo yintliziyo yentliziyo. Imiqondiso yombane iya kumagumbi asezantsi entliziyo (ii-ventricles). Oku kugcina ukubetha kwentliziyo kuzinzile kwaye kuqhelekile.

Ibhloko yentliziyo yenzeka xa isiginali yombane icothisiwe okanye ingafikeleli kumagumbi asezantsi entliziyo. Intliziyo yakho inokubetha kancinci, okanye isenokutsiba ukubetha. Ibhloko yentliziyo inokuzisombulula yodwa, okanye inokuba sisigxina kwaye ifune unyango.

Zintathu izidanga zentliziyo. Ibhloko yentliziyo yesidanga sokuqala lolona hlobo luthambileyo kunye nenqanaba lesithathu lelona libukhali.

Ibhloko yentliziyo yokuqala:

• Kunqabile ukuba neempawu okanye kubangele iingxaki

Ibhloko yesibini yentliziyo:

• Impembelelo yombane ayinakufikelela kumagumbi asezantsi entliziyo.
• Intliziyo inokuphosa ukubetha okanye ukubetha kwaye isenokucotha kwaye ingaqhelekanga.
• Unokuziva unesiyezi, utyhafile, okanye unezinye iimpawu.
• Oku kunokuba nzima kwezinye iimeko.

Ibhloko yentliziyo yesithathu:

• Isiginali sombane asihambeli kumagumbi asezantsi entliziyo. Kule meko, amagumbi asezantsi abetha ngesantya esicothayo, kwaye amagumbi aphezulu naphantsi awabethi ngokulandelelana (elinye emva kwelinye) njengoko esenza ngesiqhelo.
• Intliziyo iyasilela ukumpompa igazi elaneleyo emzimbeni. Oku kunokukhokelela ekuphelelweni ngamandla nasemiphefumlweni.
• Olu lungxamiseko olufuna uncedo lwezonyango kwangoko.

Ibhloko yentliziyo inokubangelwa:

• Iziphumo ebezingalindelekanga zamayeza. Ibhloko yentliziyo inokuba sisiphumo esisecaleni se-digitalis, i-beta-blockers, i-calcium channel blockers kunye namanye amayeza.
• Isifo sentliziyo esonakalisa inkqubo yombane entliziyweni.
• Izifo zentliziyo, ezinjengesifo sentliziyo kunye nesarcoidosis yentliziyo.
• Ezinye izifo, ezifana nesifo seLyme.
• Utyando lwentliziyo.

Unokuba nentliziyo ebhlokileyo kuba uzelwe nayo. Usengozini yoku ukuba:

• Unesiphene sentliziyo.
• Umama wakho unesifo somzimba, njenge-lupus.

Abanye abantu abaqhelekileyo, baya kuba nedigri yokuqala xa bephumle okanye xa belele. Oku kuhlala kwenzeka kubantu abancinci abasempilweni.

Thetha nomboneleli wakho wezempilo malunga neempawu zakho. Iimpawu zinokwahluka kwibloko yentliziyo yokuqala, yesibini, neyesithathu.

Awunakho ukuba naziphi na iimpawu zentliziyo yesidanga sokuqala. Usenokungazi ukuba unebhloko yentliziyo ide ibonakale kuvavanyo olubizwa ngokuba yi-electrocardiogram (ECG).

Ukuba unesidanga sesibini okanye ibhloko yentliziyo yesithathu, iimpawu zinokubandakanya:

• Iintlungu zesifuba.
• Ukuba nesiyezi.
• Ndiziva ndidiniwe okanye ndityhafile.
• Ukudinwa.
• Ukubetha kwentliziyo- Ukubetha kwentliziyo kuxa intliziyo yakho ivakalelwa kukuba iyabetha, ibetha ngendlela engaqhelekanga, okanye ibaleka.

Umboneleli wakho uya kuthi akuthumele kugqirha wentliziyo (ugqirha wentliziyo) ukujonga okanye ukuvavanya ngakumbi ibhloko yentliziyo.

Ugqirha wentliziyo uza kuthetha nawe ngembali yakho yezonyango kunye namayeza owathathayo. I-cardiologist iya kuthi:

• Yenza uvavanyo olupheleleyo lomzimba. Umboneleli uya kukujonga imiqondiso yokusilela kwentliziyo, njengamaqatha adumbileyo neenyawo.
• Yenza uvavanyo lwe-ECG ukujonga imiqondiso yombane entliziyweni yakho.
• Kuya kufuneka unxibe esweni intliziyo iiyure ezingama-24 ukuya kuma-48 okanye ngaphezulu ukujonga imiqondiso yombane entliziyweni yakho.

Unyango lwebhloko yentliziyo luxhomekeke kuhlobo lwebhloko yentliziyo onayo kunye nonobangela.

Ukuba awunazo iimpawu ezinzulu kwaye unoluhlobo olunzima lwebhloko yentliziyo, unokufuna:

• Jonga rhoqo umboneleli wakho.
• Funda indlela yokujonga ukubetha kwentliziyo yakho.
• Qaphela iimpawu zakho kwaye wazi ukuba ubiza nini umboneleli wakho ukuba iimpawu ziyaguquka.

Ukuba unesibini senqanaba lesibini okanye lesithathu, unokufuna i-pacemaker yokunceda intliziyo yakho ibethe rhoqo.

• I-pacemaker incinci kunendawo yamakhadi kwaye inokuba ncinane njengewotshi yesihlahla. Ifakwa ngaphakathi kwesikhumba esifubeni sakho. Inika imiqondiso yombane ukwenza ukuba intliziyo yakho ibethe kwinqanaba eliqhelekileyo kunye nesigqi.
• Uhlobo olutsha lwe-pacemaker lincinci kakhulu (malunga nobukhulu beepilisi ze-capsule ezi-2 ukuya kwezi-3)
• Ngamanye amaxesha, ukuba ibhloko yentliziyo kulindeleke ukuba isombulule usuku okanye njalo, kuya kusetyenziswa isincedisi-ntliziyo sethutyana. Olu hlobo lwesixhobo alufakwanga emzimbeni. Endaweni yokuba ucingo lunokufakwa ngomthambo kwaye lujolise entliziyweni kwaye luqhagamshelwe kwisincedisi-ntliziyo. Isincedisi-ntliziyo sethutyana sinokusetyenziswa kwimeko kaxakeka phambi kokuba kufakelwe isigcina-ntliziyo esisigxina. Abantu abane pacemaker yethutyana bajongwa kwigumbi labagula kakhulu esibhedlele.
• Ibhloko yentliziyo ebangelwa sisifo sentliziyo okanye uqhaqho lwentliziyo inokuhamba njengoko uchacha.
• Ukuba iyeza libangela ibhloko yentliziyo, ukutshintsha amayeza kunokuyilungisa ingxaki. SUKUYEKE okanye utshintshe indlela owathatha ngayo nawaphi na amayeza ngaphandle kokuba umboneleli wakho ukuxelele ukuba wenze njalo.

Ngokubeka iliso rhoqo kunye nonyango, kuya kufuneka ukwazi ukujonga uninzi lwemisebenzi yesiqhelo.

Intloko yebhloko inokunyusa umngcipheko woku:

• Ezinye iintlobo zeengxaki zesingqisho senhliziyo (arrhythmias), ezinje nge-atrial fibrillation. Thetha nomboneleli wakho malunga neempawu zezinye ii-arrhythmias.
• Ukuhlaselwa yintliziyo.

Ukuba une-pacemaker, awunakuba kufutshane nemimandla enamandla kazibuthe. Kuya kufuneka wazise abantu ukuba une-pacemaker.

• SUKUYA kwisikhululo sokhuseleko esiqhelekileyo kwisikhululo seenqwelomoya, kwinkundla yamatyala, okanye kwenye indawo efuna ukuba abantu bahambe ngovavanyo lwezokhuseleko. Xelela abezokhuseleko ukuba une-pacemaker kwaye ucele olunye uhlobo lovavanyo lokhuseleko.
• SUKUFUMANA i-MRI ngaphandle kokuxelela ubuchwephesha nge-pacemaker yakho.

Fowunela umboneleli wakho ukuba uziva:

• Unesiyezi
• Ebuthathaka
• Isiqaqa
• Ukubetha kwentliziyo ukubetha
• Yatsiba ukubetha kwentliziyo
• Iintlungu zesifuba

Fowunela umnikezeli wakho ukuba unempawu zokwehluleka kwentliziyo

• Ubuthathaka
• Imilenze idumbile, amaqatha okanye iinyawo
• Uziva uphefumla kancinci

Vimba i-AV; Arrhythmia; Ibhloko yentliziyo yokuqala; Ibhloko yesibini yentliziyo; Uhlobo lweMobitz 1; Ibhloko leWenckebach; Uhlobo lweMobitz II; Ibhloko yentliziyo yesithathu; I-Pacemaker - ibhloko yentliziyo

I-Kusumoto FM, iSchoenfeld MH, uBarrett C, uEdgerton JR, et al. Isikhokelo se-2018 ACC / AHA / HRS kuvavanyo kunye nolawulo lwezigulana ezine-bradycardia kunye nokulibaziseka kokuqhutywa kwentliziyo. Ukujikeleza. Ngo-2018: ICIR0000000000000628. IINKCUKACHA: 30586772 www.ncbi.nlm.nih.gov/pubmed/30586772.

I-Olgin JE, iZipes DP. I-Bradyarrhythmias kunye nebhloko ye-atrioventricular. 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 40.

I-Swerdlow CD, i-Wang PJ, iZipes DP. Iipemaker kunye ne-cardioverter-defibrillators enokufakwa. 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 41.