Ukushaya kwenhliziyo kwe-Ectopic

Ukushaya kwenhliziyo kwe-Ectopic kuyizinguquko ekushayeni kwenhliziyo okujwayelekile. Lezi zinguquko ziholela ekushayweni kwenhliziyo okwengeziwe noma okweqiwe. Imvamisa asikho isizathu esicacile salezi zinguquko. Zijwayelekile.

Izinhlobo ezimbili ezivame kakhulu zokushaya kwenhliziyo kwe-ectopic yilezi:

• Ukuphambana kwangaphambi kwesikhathi kwe-ventricular (PVC)
• Ukuphambana kwangaphambi kwesikhathi kwe-atrial (PAC)

Ukushaya kwenhliziyo kwe-Ectopic kwesinye isikhathi kubonakala nge:

• Izinguquko egazini, njengezinga eliphansi le-potassium (hypokalemia)
• Nciphisa ukunikezwa kwegazi enhliziyweni
• Lapho inhliziyo ikhulisiwe noma ingahlelekile ngokuhlelekile

Ama-ectopic beats angabangelwa noma enziwe abe mabi kakhulu ngokubhema, ukusetshenziswa kotshwala, i-caffeine, imithi evuselelayo nezinye izidakamizwa zasemgwaqeni.

Ukushaya kwenhliziyo kwe-Ectopic akuvamile ezinganeni ezingenasifo senhliziyo ezazikhona ngesikhathi sokuzalwa (ukuzalwa). Iningi lokushaya kwenhliziyo elengeziwe ezinganeni ngama-PAC. Lezi zivame ukuba nobungozi.

Kubantu abadala, ukushaya kwenhliziyo kwe-ectopic kuvamile. Zivame kakhulu ngenxa yama-PAC noma ama-PVC. Umhlinzeki wakho wokunakekelwa kwezempilo kufanele abheke imbangela lapho ejwayelekile. Ukwelashwa kubhekiswe kwizimpawu kanye nembangela eyimbangela.

Izimpawu zifaka:

• Uzwa ukushaya kwenhliziyo yakho (ukushaya kwenhliziyo)
• Uzwa sengathi inhliziyo yakho ime noma yeqe ukushaya
• Ukuzwa ukushaya ngezikhathi ezithile, okunamandla

Qaphela: Kungase kungabikho zimpawu.

Ukuhlolwa komzimba kungakhombisa ukushaya kwenhliziyo okungalingani. Uma ukushaya kwenhliziyo kwe-ectopic KUNGENZEKI kaningi, umhlinzeki wakho kungenzeka angazitholi ngesikhathi sokuhlolwa komzimba.

Umfutho wegazi uvame kakhulu.

Kuzokwenziwa i-ECG. Imvamisa, akukho okunye ukuhlolwa okudingekayo lapho i-ECG yakho ingokwemvelo futhi izimpawu zingabi nzulu noma zikhathaze.

Uma udokotela wakho efuna ukwazi kabanzi ngesigqi senhliziyo yakho, bangahle ba-ode:

• Ukuqapha okugqoka lokho okurekhodayo nokugcina isigqi senhliziyo yakho amahora angama-24 kuye kwangama-48 (Holter monitor)
• Idivayisi yokurekhoda oyigqokayo, futhi iqopha isigqi senhliziyo yakho noma kunini lapho uzwa isigqi seqiwe

I-echocardiogram ingalawulwa uma udokotela wakho esola izinkinga ngosayizi noma ukwakheka kwenhliziyo yakho okuyimbangela.

Okulandelayo kungasiza ukunciphisa ukushaya kwenhliziyo kwe-ectopic kwabanye abantu:

• Ukunciphisa i-caffeine, utshwala nogwayi
• Ukuvivinya umzimba njalo kwabantu abangasebenzi

Ukushaya kwenhliziyo okuningi kwe-ectopic akudingi ukwelashwa. Isimo siphathwa kuphela uma izimpawu zakho zinzima noma uma amabhithi angaphezulu avela kaningi.

Imbangela yokushaya kwenhliziyo, uma ingatholakala, nayo ingadinga ukwelashwa.

Kwezinye izimo, ukushaya kwenhliziyo kwe-ectopic kungasho ukuthi usengozini enkulu yesigqi senhliziyo esingajwayelekile, njenge-ventricular tachycardia.

Shayela umhlinzeki wakho uma:

• Uqhubeka uzwa ukuzwa kwenhliziyo yakho ishaya ngamandla noma igijima (ukushaya ngamandla).
• Unokushaya ngamandla ngezinhlungu zesifuba noma ezinye izimpawu.
• Unalesi simo futhi izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa.

I-PVB (isigqi se-ventricular ngaphambi kwesikhathi); Amabhithi ngaphambi kwesikhathi; I-PVC (inkimbinkimbi / ukusikwa ngaphambi kwesikhathi kwe-ventricular); I-Extrasystole; Iziphazamiso ezingaphambi kwesikhathi se-supraventricular; PAC; Ukusikwa kwangaphambi kwesikhathi kwe-atrial; Ukushaya kwenhliziyo okungavamile

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili
• I-Electrocardiogram (ECG)

UFang JC, u-O'Gara PT. Ukuhlolwa komlando nokuhlolwa komzimba: indlela esekwe ebufakazini. Ku: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, ama-eds. Izifo Zenhliziyo zeBraunwald: Incwadi Yemithi Yezinhliziyo. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.

Olgin JE. Sondela esigulini ngama-arrhythmias asolwayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 56.