Ingabe i-cardiac arrhythmia iyelapheka? Kunzima?

-Delile

• Ngabe i-arrhythmia inzima kangakanani?
• Izinketho zokwelashwa

I-arrhythmia yenhliziyo iyelapheka, kepha kufanele yelashwe ngokushesha lapho izimpawu zokuqala zivela ukugwema izinkinga ezingaba khona ezibangelwa yisifo, njengokuhlaselwa yinhliziyo, isifo sohlangothi, ukushaqeka kwenhliziyo noma ukufa.

Ukwelashwa kwe-arrhythmia yenhliziyo kuzoya ngobukhulu bezimpawu, ukuhlangana noma cha nezinye izifo zenhliziyo nohlobo lwe-arrhythmia, okungaba:

• I-Benign arrhythmia, lapho izinguquko ekushayeni kwenhliziyo zinganyamalala ngisho nangokuzenzekelayo, futhi zingalawulwa kalula ngemithi ekhonjiswe ngudokotela kanye nokwenza kwemisebenzi ejwayelekile yomzimba. Kodwa-ke, kufanele kube nokubonisana ngezikhathi ezithile nodokotela wenhliziyo ukuze kwenziwe ukuhlolwa kwenhliziyo ngezikhathi ezithile ukuze kuhlolwe umsebenzi wenhliziyo futhi kuhlolwe ukuthi kunesidingo sokwenza noma yiluphi uhlobo lwenqubo yokuhlinzwa;
• I-arrhythmia enobungozi, lapho izinguquko zinganyamalali ngokuzenzekelayo futhi ziba zimbi ngomzamo noma ukuzivocavoca umzimba, okungaholela ekufeni uma kungalashwa ngokushesha nangendlela eyiyo.

I-Arrhythmia ihambelana nezinguquko ekushayeni kwenhliziyo, okwenza ukushaya kwenhliziyo kusheshe, kuhamba kancane noma kumise inhliziyo, okuholela ezimpawu ezifana nokukhathala, ubuhlungu besifuba, i-pallor, ukujuluka okubandayo nokuphefumula okuncane. Funda ukuthi ungayibona kanjani i-arrhythmia yenhliziyo.

Ngabe i-arrhythmia inzima kangakanani?

Ezimweni eziningi ze-arrhythmia, abukho ubungozi bezempilo. Iningi lama-arrhythmias liyanyamalala ngokuzenzekelayo, likhiqiza izimpawu ezimbalwa, futhi lithuthuke ngoshintsho oluthile lwendlela yokuphila, njengokuvivinya umzimba njalo, ukuqinisekisa ukulala kahle ebusuku, ukuqeda osikilidi neziphuzo, kanye nokugwema ukusetshenziswa kwamandla nezikhuthazi ezifana nekhofi.

I-Arrhythmia ingabhekwa njengeyimbi noma ebucayi uma ivela ngenxa yokushintsha kokusebenza kukagesi wenhliziyo noma lapho imisipha yenhliziyo ithinteka yisifo. Kulezi zimo, imbangela inzima kakhulu ukuyigwema futhi, ngakho-ke, kunengozi enkulu yokuthi isigqi sizoguqulwa isikhathi eside, sandise amathuba okuboshwa kwenhliziyo, ngokwesibonelo.

Ngaphezu kwalokho, kubantu abane-fibrillation ye-atrial, kukhona nengozi yama-clots ukwakha, okungasusa futhi kufinyelele ebuchosheni obangela isifo sohlangothi.

Izinketho zokwelashwa

Izinketho zokwelashwa ziyahlukahluka ngokuya ngezimpawu ezilethwayo, ngokuziphatha okulandelayo kuvame kakhulu:

• Ukushaqeka kukagesi, ukushintsha kwenhliziyo kagesi noma ukushisa ngamandla: inomsebenzi wokuhlela kabusha isigqi senhliziyo kwezinye izinhlobo zama-arrhythmias aphuthumayo, njengakumacala ukuqhuma i-atrial, i-fibrillation ye-atrial ne-tachycardia ye-ventricular;
• Imithi: izidakamizwa eziyinhloko ezingakhonjiswa ngudokotela wenhliziyo ukulawula izimpawu nokwenza ukushaya kwenhliziyo kube yiPropafenone, iSotalol, iDofetilide, i-Amiodarone ne-Ibutilide;
• Ukufakwa kwe-pacemaker yokufakelwa: i-pacemaker iyithuluzi eliqukethe ibhethri elihlala isikhathi eside elinomsebenzi wokuphatha inhliziyo njengenqubo kadokotela, elawula ukushaya kwenhliziyo futhi avumele umuntu ukuthi aphile impilo ejwayelekile. Bona ukuthi yini ukunakekela nge-pacemaker;
• Ukuhlinzwa kwe-Cauterization noma kwe-ablation: lapho kwenziwa khona ukushiswa okwenziwe kwasendaweni nokunemba kakhulu, okuzovimbela noma kuvimbele ukuhlaselwa okusha kwe-arrhythmia. Inqubo ihlala amahora ambalwa futhi ingadinga ukuthomalalisa umzimba noma ukubulala izinzwa okuvamile.

Ezinye izindlela ezibalulekile zokwelapha nokuvikela i-arrhythmia yizinguquko endleleni yokuphila, okungukuthi, ukuphuza utshwala, izidakamizwa, iziphuzo ezine-caffeine, itiye elimnyama nogwayi kufanele kugwenywe. Ngaphezu kwalokho, kubalulekile ukuqhuba imisebenzi ejwayelekile yomzimba futhi ube nokudla okunomsoco.

Kwiphepha lethu le- i-podcast, UDkt. Ricardo Alckmin, umongameli weBrazilian Society of Cardiology, ucacisa ukungabaza okuyinhloko nge-arrhythmia yenhliziyo: