I-fibrillation ye-Ventricular

I-Ventricular fibrillation (VF) iyisigqi senhliziyo esingajwayelekile (arrhythmia) esisongela impilo.

Inhliziyo iphampa igazi liye emaphashini, ebuchosheni nakwezinye izitho. Uma ukushaya kwenhliziyo kuphazamisekile, noma imizuzwana embalwa, kungaholela ekuqulekeni (i-syncope) noma ekuboshweni kwenhliziyo.

I-Fibrillation ukudikiza okungalawuleki noma ukuqhaqhazela kwemicu yemisipha (imicu). Uma kwenzeka emakamelweni aphansi enhliziyo, ibizwa nge-VF. Ngesikhathi se-VF, igazi alifakwa enhliziyweni. Imiphumela yokufa okungazelelwe kwenhliziyo.

Isizathu esivame kakhulu se-VF yisifo senhliziyo. Kodwa-ke, i-VF ingenzeka noma nini lapho imisipha yenhliziyo ingatholi i-oxygen eyanele. Izimo ezingaholela ku-VF zifaka:

• Izingozi zikagesi noma ukulimala enhliziyweni
• Ukuhlaselwa yinhliziyo noma i-angina
• Isifo senhliziyo esikhona ngesikhathi sokuzalwa (esibelethweni)
• Isifo semisipha yenhliziyo lapho imisipha yenhliziyo iba buthakathaka khona futhi yeluleke noma iqine
• Ukuhlinzwa kwenhliziyo
• Ukufa okungazelelwe kwenhliziyo (commotio cordis); imvamisa kwenzeka kubasubathi abathole ukushaywa okungazelele endaweni ngqo ngenhliziyo
• Imithi
• Amazinga aphezulu kakhulu noma aphansi kakhulu egazini

Abantu abaningi abane-VF abanamlando wesifo senhliziyo. Kodwa-ke, bavame ukuba nezici zesifo senhliziyo, ezifana nokubhema, umfutho wegazi ophakeme nesifo sikashukela.

Umuntu onesiqephu se-VF angawa ngokuzumayo noma aquleke. Lokhu kwenzeka ngoba ubuchopho nemisipha akulitholi igazi elisuka enhliziyweni.

Lezi zimpawu ezilandelayo zingavela ngaphakathi kwemizuzu kuya ehoreni elingu-1 ngaphambi kokuwa:

• Ubuhlungu besifuba
• Isiyezi
• Isicanucanu
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (ukushaya kwenhliziyo)
• Ukuphelelwa umoya

Umqaphi wenhliziyo uzobonisa isigqi senhliziyo esingahlelekile kahle ("esinobudlova").

Kuzokwenziwa izivivinyo ukubheka imbangela ye-VF.

I-VF yisimo esiphuthumayo sezokwelapha. Kumele ilashwe ngokushesha ukusindisa impilo yomuntu.

Shayela ku-911 noma inombolo ephuthumayo yendawo ukuze uthole usizo uma umuntu onesiqephu se-VF ewa ekhaya noma equleka.

• Ngenkathi ulinde usizo, beka ikhanda nentamo yomuntu ngokuhambisana nomzimba wonke ukuze usize ukwenza ukuphefumula kube lula. Qala i-CPR ngokwenza ukucindezela kwesifuba maphakathi nesifuba ("sunduza kanzima bese uphusha ngokushesha"). Ukucindezelwa kufanele kuhanjiswe ngesilinganiso esiphindwe ka-100 kuye kwayi-120 ngomzuzu. Ukuminyanisa kufanele kwenziwe ekujuleni okungenani kwama-intshi ama-2 (5 cm) kepha kungabi ngaphezu kwama-intshi ama-2 ((6 cm).
• Qhubeka wenze lokhu kuze kube yilapho umuntu ephapheme noma usizo lufika.

I-VF ilashwa ngokuletha ugesi osheshayo esifubeni. Kwenziwa kusetshenziswa idivaysi ebizwa nge-defibrillator yangaphandle. Ukushaqeka kukagesi kungabuyisa ngokushesha ukushaya kwenhliziyo kube nesigqi esijwayelekile, futhi kufanele kwenziwe ngokushesha okukhulu ngangokunokwenzeka. Izindawo eziningi zomphakathi manje zinayo le mishini.

Imithi inganikezwa ukulawula ukushaya kwenhliziyo nokusebenza kwenhliziyo.

I-cardioverter defibrillator (i-ICD) efakelwayo into engafakwa odongeni lwesifuba lwabantu abasengozini yalesi sifo esibi se-rhythm I-ICD ithola isigqi senhliziyo esiyingozi bese ithumela ngokushesha ukushaqeka ukuyilungisa. Kungumqondo omuhle ukuthi amalungu omndeni nabangane babantu abane-VF nesifo senhliziyo bathathe izifundo zeCPR. Izifundo ze-CPR ziyatholakala nge-American Red Cross, izibhedlela, noma i-American Heart Association.

I-VF izoholela ekufeni kungakapheli nemizuzu embalwa ngaphandle uma ilashwa ngokushesha nangendlela efanele. Noma kunjalo, ukusinda isikhathi eside kwabantu abaphila ngokuhlaselwa kwe-VF ngaphandle kwesibhedlela kuphansi.

Abantu abasindile ku-VF kungenzeka babe ku-coma noma babe nobuchopho besikhathi eside noma okunye ukulimala komzimba.

VF; I-fibrillation - i-ventricular; I-Arrhythmia - i-VF; Isigqi senhliziyo esingajwayelekile - i-VF; Ukuboshwa kwenhliziyo - i-VF; I-Defibrillator - VF; I-Cardioversion - i-VF; I-Defibrillate - VF

• I-cardioverter defibrillator engafakelwa - ukukhishwa

• Inhliziyo - isigaba phakathi nendawo
• Inhliziyo - ukubuka kwangaphambili

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