Inhliziyo ishaya ngamandla

Ukushaywa kwemizwa yimizwa noma ukuzwa inhliziyo yakho ishaya ngamandla noma igijima. Zizwakala esifubeni sakho, emphinjeni, noma entanyeni.

Ungakwazi:

• Yiba nokuqwashisa okungathandeki ngokushaya kwenhliziyo yakho
• Zizwe sengathi inhliziyo yakho yeqiwe noma imiswe amabhithi

Isigqi senhliziyo singase sibe esejwayelekile noma esingajwayelekile uma ushayekile.

Imvamisa inhliziyo ishaya izikhathi ezingama-60 kuya kwayi-100 ngomzuzu. Izinga lingehla ngaphansi kwama-beats angama-60 ngomzuzu kubantu abavivinya umzimba njalo noma abathathe imishanguzo ebambezela inhliziyo.

Uma izinga lokushaya kwenhliziyo yakho lishesha (ngaphezu kwama-beats ayi-100 ngomzuzu), lokhu kubizwa ngokuthi i-tachycardia. Ukushaya kwenhliziyo kuhamba kancane kunama-60 kubizwa nge-bradycardia. Ukushaya kwenhliziyo okwengeziwe ngezikhathi ezithile ngenxa yesigqi kwaziwa njenge-extrasystole.

Ukushaywa kwenhliziyo akuyona into ebucayi isikhathi esiningi. Imizwa emele isigqi senhliziyo esingajwayelekile (i-arrhythmia) ingaba yimbi kakhulu.

Izimo ezilandelayo zikwenza ube sethubeni lokuba nesigqi senhliziyo esingajwayelekile:

• Isifo senhliziyo esaziwayo ngesikhathi kuqala ukushaya kwenhliziyo
• Izingozi ezibalulekile zesifo senhliziyo
• I-valve yenhliziyo engajwayelekile
• Ukungajwayelekile kwe-electrolyte egazini lakho - ngokwesibonelo, izinga eliphansi le-potassium

Ukushaya kwenhliziyo kungaba ngenxa yalokhu:

• Ukukhathazeka, ingcindezi, ukwethuka, noma ukwesaba
• Ukudla kwe-caffeine
• Cocaine noma ezinye izidakamizwa ezingekho emthethweni
• Imithi yokuqeda amandla, efana ne-phenylephrine noma i-pseudoephedrine
• Amaphilisi okudla
• Ukuzivocavoca umzimba
• Imfiva
• Ukudla kweNicotine

Kodwa-ke, okunye ukushaya kwenhliziyo kungenxa yesigqi senhliziyo esingajwayelekile, esingabangelwa:

• Isifo senhliziyo
• I-valve yenhliziyo engajwayelekile, njenge-mitral valve prolapse
• Izinga legazi elingajwayelekile le-potassium
• Imithi ethile, kufaka phakathi leyo esetshenziselwa ukwelapha isifuba somoya, umfutho wegazi ophakeme, noma izinkinga zenhliziyo
• Indlala yegilo eyeqile
• Izinga eliphansi le-oxygen egazini lakho

Izinto ongazenza ukunciphisa ukushaya kwenhliziyo zifaka:

• Yehlisa ukudla kwakho i-caffeine ne-nicotine. Lokhu kuvame ukunciphisa ukushaya kwenhliziyo.
• Funda ukunciphisa ukucindezeleka nokukhathazeka. Lokhu kungasiza ukuvimbela ukushaya kwenhliziyo futhi kukusize ukuphatha kangcono lapho kwenzeka.
• Zama ukuphumula okujulile noma izivivinyo zokuphefumula.
• Zijwayeze i-yoga, ukuzindla, noma i-tai chi.
• Vivinya umzimba njalo.
• Ungabhemi.

Uma imbangela ebucayi seyikhishwe ngumhlinzeki wakho, zama ukunganaki kakhulu ukushaya kwenhliziyo. Lokhu kungadala ukucindezeleka. Kodwa-ke, xhumana nomhlinzeki wakho uma ubona ukwanda okungazelelwe noma ushintsho kuzo.

Uma ungakaze ushaywe yinhliziyo ngaphambili, bona umhlinzeki wakho.

Shayela ku-911 noma inombolo ephuthumayo yendawo uma une:

• Ukulahlekelwa ukuqaphela (ukwazi)
• Ubuhlungu besifuba
• Ukuphelelwa umoya
• Ukujuluka okungajwayelekile
• Isiyezi noma ikhanda elikhanyayo

Shayela umhlinzeki wakho ngokushesha uma:

• Uvame ukuzwa ukushaya kwenhliziyo okungaphezulu (ngaphezulu kuka-6 ngomzuzu noma ukuza ngamaqembu wabathathu noma ngaphezulu).
• Unezici zobungozi zesifo senhliziyo, njenge-cholesterol ephezulu, isifo sikashukela, noma umfutho wegazi ophakeme.
• Unokushaya kwenhliziyo okusha noma okuhlukile.
• I-pulse yakho ingaphezu kokushaya okungu-100 ngomzuzu (ngaphandle kokuzivocavoca, ukukhathazeka, noma imfiva).
• Unezimpawu ezihlobene, ezifana nobuhlungu besifuba, ukuphefumula okuncane, ukuzwa ukuquleka, noma ukulahlekelwa ukwazi.
  

Umhlinzeki wakho uzokuhlola abuze imibuzo ngomlando wakho wezokwelapha nezimpawu.

Ungabuzwa:

• Ingabe uzizwa weqiwe noma umisiwe ukushaywa?
• Ngabe ukushaya kwenhliziyo yakho kuzizwa kuhamba kancane noma kuyashesha uma ushayekile?
• Ngabe uzizwa ugijima, ushaya ngamandla, noma uphephetha?
• Ingabe kukhona iphethini ejwayelekile noma engajwayelekile yokuzwa kwenhliziyo okungajwayelekile?
• Ngabe ukushaya kwesibindi kuqale noma kwaphela ngokungazelelwe?
• Kwenzeka nini ukushaya kwenhliziyo? Ukuphendula izikhumbuzo zesehlakalo esibuhlungu? Lapho ulele uphumule? Lapho ushintsha ukuma komzimba wakho? Lapho uzizwa ukhathazekile?
• Unazo ezinye izimpawu?

Kungenzeka kwenziwe i-electrocardiogram.

Uma uya egumbini lezimo eziphuthumayo, uzoxhunywa kusiqaphi senhliziyo. Kodwa-ke, abantu abaningi abane-palpitations abadingi ukuya ekamelweni eliphuthumayo ukuze bathole ukwelashwa.

Uma umhlinzeki wakho ekuthola unesigqi senhliziyo esingajwayelekile, okunye ukuhlolwa kungenziwa. Lokhu kungafaka:

• Ukuqapha kweHolter amahora angama-24, noma enye i-heart monitor yamaviki ama-2 noma ngaphezulu
• I-Echocardiogram
• Ucwaningo lwe-Electrophysiology (EPS)
• I-Coronary angiography

Imizwa yokushaya kwenhliziyo; Ukushaya kwenhliziyo okungajwayelekile; Ukushaya kancane; Inhliziyo ishaya ngamandla noma igijima

• Amakamelo enhliziyo
• Ukushaya kwenhliziyo
• I-Yoga

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.

UMiller JM, uTomaselli GF, uZipes DP. Ukuxilongwa kwama-arrhythmias enhliziyo. 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 35.

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