Ngaba ukunyanga kwentliziyo kuyanyangeka? ingqongqo?

Umxholo

• Xa arrhythmia kakhulu?
• Izinketho zonyango

I-arrhythmia ye-Cardiac iyanyangeka, kodwa kufuneka inyangwe ngokukhawuleza nje ukuba iimpawu zokuqala zibonakalise ukuthintela iingxaki ezinokubangelwa sesi sifo, njengokuhlaselwa sisifo sentliziyo, ukubetha, ukothuka kunye nokufa.

Unyango lwe-arrhythmia yentliziyo luya kuxhomekeka kubukhali beempawu, umbutho okanye hayi nezinye izifo zentliziyo kunye nohlobo lwe-arrhythmia, enokuthi:

• I-Benign arrhythmia, apho utshintsho ekubetheni kwentliziyo lunokuthi lunyamalale ngokuzenzekelayo, kwaye lunokulawulwa ngokulula ngamayeza aboniswe ngugqirha kunye nokwenza imisebenzi yesiqhelo yomzimba. Nangona kunjalo, kufanele ukuba kubekho ukubonisana maxa wambi kunye nentliziyo ukuze uvavanyo lwentliziyo olwenziwa ngamaxesha athile ukuze kuhlolwe umsebenzi wentliziyo kwaye kujongwe ukuba kukho imfuneko yokwenza naluphi na uhlobo lwenkqubo yotyando;
• I-arrhythmia enobungozi, apho utshintsho lunganyamalaliyo ngokuzenzekelayo kwaye luye lube mandundu ngomzamo okanye ukuziqhelanisa nokuzilolonga umzimba, okungakhokelela ekufeni ukuba alunyangwa ngokukhawuleza nangendlela echanekileyo.

I-Arrhythmia iyangqinelana notshintsho ekubetheni kwentliziyo, isenza ukubetha kwentliziyo ngokukhawuleza, kancinci okanye ukumisa intliziyo, ekhokelela kwiimpawu ezinjengokudinwa, iintlungu esifubeni, ukubola, ukubila nokubanda nokuphefumla. Funda indlela yokuchonga isifo sentliziyo.

Xa arrhythmia kakhulu?

Kwiimeko ezininzi ze-arrhythmia, akukho bungozi kwezempilo. Uninzi lwe-arrhythmias luyanyamalala ngokuzenzekelayo, luvelise iimpawu ezimbalwa, kwaye luphucule notshintsho kwindlela ophila ngayo, njengokuziqhelanisa nokwenza umthambo rhoqo, ukuqinisekisa ukulala kamnandi ebusuku, ukuphelisa icuba kunye neziselo, kunye nokuphepha ukusebenzisa amandla kunye nezinto ezikhuthazayo, ezinje ngekofu.

I-Arrhythmia inokuthi ithathelwe ingqalelo kakhulu okanye ibe yingozi xa ivela ngenxa yotshintsho ekusebenzeni kombane kwentliziyo okanye xa izihlunu zentliziyo zichaphazeleka sisifo. Kwezi meko, unobangela kunzima ngakumbi ukunqanda kwaye, ke ngoko, kukho umngcipheko omkhulu wokuba isingqisho sitshintshwe ixesha elide, sandise amathuba okubanjwa kwentliziyo, umzekelo.

Ukongeza, kubantu abane-fibrillation ye-atrial, kukwakhona umngcipheko wamahlwili abumba, anokufumana kunye nokufikelela kwingqondo ebangela ukubetha.

Izinketho zonyango

Iinketho zonyango ziyahluka ngokweempawu ezibonisiweyo, kwaye ezi ndlela zokuziphatha zilandelayo zixhaphake kakhulu:

• Ukutshitshiswa kombane, ukutshintshwa kwentliziyo yombane okanye ukusasazeka kwesixhobo: inomsebenzi wokuhlengahlengisa isingqisho senhliziyo kwezinye iintlobo ze-arrhythmias ezingxamisekileyo, njengakumeko flutter i-atrial, i-fibrillation ye-atrial kunye ne-tachycardia ye-ventricular;
• Amayeza: amachiza aphambili anokubonakaliswa ngugqirha wezentliziyo ukulawula iimpawu kunye nokubetha kwentliziyo yiPropafenone, iSotalol, iDofetilide, i-Amiodarone kunye ne-Ibutilide;
• Ukunyanzeliswa kwentliziyo pacemaker: pacemaker sisixhobo esinebhetri ehlala ixesha elide enomsebenzi wokulawula intliziyo njengeeshedyuli zikagqirha, ukulawula ukubetha kwentliziyo kunye nokuvumela umntu ukuba aphile ubomi obuqhelekileyo. Jonga ukhathalelo lwe pacemaker;
• Ukunyanzeliswa okanye ukuhlinzwa kwe-ablation: apho kutshiswe khona indawo echanekileyo kwaye ichanekile, eya kuthi ithintele okanye ithintele uhlaselo olutsha lwe-arrhythmia. Inkqubo ihlala iiyure ezimbalwa kwaye inokufuna i-sedation okanye i-anesthesia ngokubanzi.

Amanye amanyathelo abalulekileyo ukunyanga nokukhusela i-arrhythmia ziinguqu kwindlela yokuphila, oko kukuthi, ukusela utywala, iziyobisi, iziselo ezine-caffeine, iti emnyama kunye necuba kufuneka kuthintelwe. Ukongeza, kubalulekile ukuziqhelanisa nemisebenzi yomzimba rhoqo kunye nokutya okufanelekileyo.

Kwiphepha lethu ipodcastUgqirha Ricardo Alckmin, umongameli weBrazilian Society of Cardiology, ucacisa amathandabuzo aphambili malunga nesifo sentliziyo: