Iimpawu eziphambili ze-11 ze-arrhythmia yentliziyo

Umxholo

• Ngubani osengozini enkulu yokufumana isifo
• Uxilongo lwenziwa njani
• Uvavanyo lokufumanisa isifo
• Unyango lwenziwa njani
• Ungayikhusela njani i-arrhythmia yentliziyo

Iimpawu ze-arrhythmia yentliziyo zibandakanya imvakalelo yentliziyo ebetha ngamandla okanye ebaleka kwaye inokwenzeka kubantu abanentliziyo esempilweni okanye esele benesifo sentliziyo, ezinje ngoxinzelelo oluphezulu lwegazi okanye ukusilela kwentliziyo.

I-Arrhythmia inokwenzeka nakweyiphi na iminyaka, kodwa ixhaphake kakhulu kubantu abadala kwaye kwiimeko ezininzi, ichongiwe kuvavanyo oluqhelekileyo hayi ngeempawu. Nangona kunjalo, kwezinye iimeko iimpawu zokubetha zingahamba kunye nemvakalelo yokuba buthathaka, isiyezi, ukuqaqanjelwa sisisu, ukuphefumla kancinci, iintlungu esifubeni, ukubola okanye ukubila okubandayo, umzekelo, okubonisa iingxaki zesingqi ezinzulu ngakumbi.

Xa ufumana naziphi na iimpawu ezenza ukuba ukrokre i-arrhythmia, kubalulekile ukuba ufune uncedo lwezonyango kwangoko okanye uye kwigumbi likaxakeka elikufutshane. Ukongeza, kubalulekile ukubonisana nodokotela wezentliziyo ukuze kulandelwe kwaye kunyango olufanelekileyo, ukuthintela iingxaki.

Iimpawu eziphambili ezinokubonisa i-arrhythmia yentliziyo zezi:

1. Ukubetha kwentliziyo;
2. Intliziyo ibaleka okanye icothe;
3. Iintlungu zesifuba;
4. Ukuphefumla okufutshane;
5. Ukuva kwesigaxa emqaleni;
6. Ukudinwa;
7. Ukuziva ubuthathaka;
8. Ukuba nesiyezi okanye ukuphelelwa ngamandla;
9. Malaise;
10. Ixhala;
11. Ukubila okubandayo.

Ukuba unayo nayiphi na le mpawu, kufuneka ufune uncedo lwezonyango ngokukhawuleza okanye kwigumbi likaxakeka elikufutshane.

Jonga ezinye iimpawu ezinokubonisa iingxaki zentliziyo.

Ngubani osengozini enkulu yokufumana isifo

I-arrhythmia yentliziyo inokuvela ngaphandle kwesizathu esibonakalayo okanye ngenkqubo yokuguga yendalo, umzekelo. Nangona kunjalo, ezinye izinto zinokunyusa umngcipheko wokuphuhlisa i-arrhythmia yentliziyo kwaye zibandakanya:

• Izifo zentliziyo njenge-atherosclerosis, infarction okanye ukusilela kwentliziyo;
• Emva kokuba enziwe utyando lwentliziyo ngaphambili;
• Uxinzelelo oluphezulu;
• Izifo zokuzalwa kwentliziyo;
• Iingxaki ze-thyroid, ezifana ne-hyperthyroidism;
• Isifo seswekile, ngakumbi xa singalawuleki, amanqanaba eswekile yegazi ehlala ephezulu;
• Ukulala;
• Ukungalingani kwemichiza egazini njengokutshintsha koxinaniso lwe potassium, isodiyam, imagniziyam kunye necalcium;
• Ukusetyenziswa kwamayeza afana ne-digitalis okanye i-salbutamol okanye amayeza omkhuhlane aqukethe i-phenylephrine, umzekelo;
• Isifo seChagas;
• Anemia;
• Ukutshaya;
• Ukutya kakhulu ikofu.

Ukongeza, ukuselwa kotywala gwenxa okanye iziyobisi gwenxa, ezinje ngecocaine okanye iamphetamines, zinokutshintsha ukubetha kwentliziyo kunye nokunyusa umngcipheko wentliziyo.

Uxilongo lwenziwa njani

Ukuchongwa kwe-arrhythmia yentliziyo kwenziwa ngugqirha wezifo zentliziyo ovavanya imbali kunye neempawu zempilo, kunye nokuba kunokwenzeka kokusebenzisa amayeza okanye iziyobisi.

Uvavanyo lokufumanisa isifo

Ukongeza kuvavanyo lonyango, ezinye iimvavanyo zaselebhu ezibalulekileyo ekuqinisekiseni isifo kwaye zichonge unobangela we-arrhythmia inoku-odolwa:

• I-Electrocardiogram;
• Iimvavanyo zaselebhu ezifana nokubala kwegazi, amanqanaba egazi wemagniziyam, ikhalsiyam, isodiyam kunye ne potassium;
• Ukuvavanywa kwamanqanaba egazi le-troponin ukuvavanya ukubetheka kwentliziyo;
• Iimviwo ze-thyroid;
• Ukuzivocavoca umzimba;
• I-holter yeeyure ezingama-24.

Olunye uvavanyo olunoku-odolwa yi-echocardiography, i-cardiac magnetic resonance okanye i-scintigraphy yenyukliya, umzekelo.

Unyango lwenziwa njani

Unyango lwe-arrhythmia luya kuxhomekeka kwiimpawu, ubungqongqo kunye nomngcipheko weengxaki ze-arrhythmia. Ngokubanzi, kwiimeko ezinobuzaza, unyango lunokubandakanya isikhokelo esilula, utshintsho kwindlela ophila ngayo, ukulandelelwa kwezonyango ngamaxesha athile, okanye ukuyekiswa kwamayeza abangele i-arrhythmia.

Kwiimeko ezinzima kakhulu zesifo sentliziyo, unyango lunokwenziwa ngamayeza amiselwe ngugqirha okanye ngoqhaqho, umzekelo. Bona ezinye iinkcukacha kunyango lwe-arrhythmia yentliziyo.

Ungayikhusela njani i-arrhythmia yentliziyo

Olunye utshintsho kwindlela yokuphila lunokunceda ukuthintela ukukhula kwe-arrhythmia yentliziyo enje ngezi:

• Yenza ukutya okunempilo kunye nokulinganisela;
• Ziqhelanise nemisebenzi yomzimba rhoqo;
• Ukunciphisa umzimba kwiimeko zokutyeba kakhulu okanye ukutyeba okungaphezulu;
• Kuphephe ukutshaya;
• Ukunciphisa ukusetyenziswa kotywala;
• Gwema ukusebenzisa iziyobisi ezinezikhuthazi zentliziyo, ezinje nge phenylephrine.

Ukongeza, kubalulekile ukuthintela iimeko ezinokubangela uxinzelelo kunye noxinzelelo, ukuthintela umngcipheko we-arrhythmia yentliziyo okanye ezinye iingxaki zentliziyo. Jonga iingcebiso malunga nendlela yokunciphisa uxinzelelo.

Kwiphepha lethu ipodcastUgqirha Ricardo Alckmin ucacisa amathandabuzo aphambili malunga nokubetha kwentliziyo: