Izimpawu eziyi-11 eziyinhloko ze-arrhythmia yenhliziyo

-Delile

• Ubani osengozini enkulu ye-arrhythmia
• Ukuxilongwa kwenziwa kanjani
• Ukuhlolwa kokuhlonza i-arrhythmia
• Yelashwa kanjani
• Ungayivimbela kanjani i-arrhythmia yenhliziyo

Izimpawu ze-arrhythmia yenhliziyo zifaka phakathi umuzwa wenhliziyo oshayayo noma ogijimayo futhi kungenzeka kubantu abanenhliziyo enempilo noma asebevele benesifo senhliziyo, esifana nomfutho wegazi ophakeme noma ukwehluleka kwenhliziyo.

I-Arrhythmia ingenzeka kunoma yisiphi isikhathi, kepha ivame kakhulu kubantu asebekhulile futhi ezimweni eziningi, itholakala ekuhlolweni okujwayelekile hhayi ngezimpawu. Kodwa-ke, kwezinye izimo izimpawu zokushaya ngamandla zingahambisana nomuzwa wobuthakathaka, isiyezi, ukuqaqamba kwesifuba, ukuphefumula okuncane, ubuhlungu besifuba, umunyu noma umjuluko obandayo, ngokwesibonelo, okukhombisa izinkinga zesigqi senhliziyo ezinzima kakhulu.

Uma uhlangabezana nanoma yiziphi izimpawu ezikwenza usole i-arrhythmia, kubalulekile ukuthi ufune usizo lwezokwelapha ngokushesha noma uye egumbini labezimo eziphuthumayo eliseduze. Ngaphezu kwalokho, kubalulekile ukubonisana nodokotela wenhliziyo ukuze kulandelwe kanye nokwelashwa okufanele kakhulu, kuvimbele izinkinga.

Izimpawu eziyinhloko ezingakhombisa ukuhlelwa kwenhliziyo yilezi:

1. Ukushaya kwenhliziyo;
2. Ukushaya kwenhliziyo noma ukuhamba kancane;
3. Ubuhlungu besifuba;
4. Ukuphefumula okufishane;
5. Ukuzwa kwesigaxa emphinjeni;
6. Ukukhathala;
7. Ukuzizwa ubuthakathaka;
8. Isiyezi noma ukuquleka;
9. Malaise;
10. Ukukhathazeka;
11. Umjuluko obandayo.

Uma unanoma iyiphi yalezi zimpawu, kufanele ufune usizo lwezokwelapha ngokushesha okukhulu noma ekamelweni lezimo eziphuthumayo eliseduze.

Bheka ezinye izimpawu ezingakhombisa izinkinga zenhliziyo.

Ubani osengozini enkulu ye-arrhythmia

I-arrhythmia yenhliziyo ingavela ngaphandle kwesizathu noma ngenqubo yokuguga yemvelo, ngokwesibonelo. Kodwa-ke, ezinye izinto zingakhuphula ubungozi bokuthuthukisa i-arrhythmia yenhliziyo futhi zibandakanye:

• Izifo zenhliziyo ezifana ne-atherosclerosis, infarction noma ukwehluleka kwenhliziyo;
• Njengoba uke wahlinzwa inhliziyo ngaphambilini;
• Ingcindezi ephezulu;
• Izifo zokuzalwa zenhliziyo;
• Izinkinga ze-thyroid, njenge-hyperthyroidism;
• Isifo sikashukela, ikakhulukazi uma singalawulwa, amazinga kashukela egazini ahlala ephakeme;
• I-apnea yokulala;
• Ukungalingani kwamakhemikhali egazini njengezinguquko ekugxileni kwe-potassium, i-sodium, i-magnesium ne-calcium;
• Ukusetshenziswa kwemithi efana ne-digitalis noma i-salbutamol noma amakhambi omkhuhlane aqukethe i-phenylephrine, isibonelo;
• Isifo se-Chagas;
• Ukushoda kwegazi;
• Ukubhema;
• Ukuphuza ngokweqile kwekhofi.

Ngaphezu kwalokho, ukuphuza ngokweqile utshwala noma izidakamizwa zokuhlukumeza, njenge-cocaine noma i-amphetamines, kungashintsha ukushaya kwenhliziyo futhi kwandise ubungozi be-arrhythmia yenhliziyo.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-arrhythmia yenhliziyo kwenziwa ngudokotela wenhliziyo ohlola umlando nezimpawu zempilo, kanye nokuthi kungenzeka yini ukusebenzisa imithi noma izidakamizwa zokuhlukumeza.

Ukuhlolwa kokuhlonza i-arrhythmia

Ngaphezu kokuhlolwa kwezokwelapha, ezinye izivivinyo zaselebhu ezibalulekile ukuqinisekisa ukuxilongwa nokuthola imbangela ye-arrhythmia nazo zinga-odwa:

• I-Electrocardiogram;
• Ukuhlolwa kwelabhorethri njengokubala kwegazi, amazinga wegazi we-magnesium, calcium, sodium ne-potassium;
• Ukuhlolwa kwamazinga egazi le-troponin ukuhlola ukusikwa kwenhliziyo;
• Izivivinyo ze-thyroid;
• Ukuzivocavoca umzimba;
• Holter wamahora angama-24.

Olunye uvivinyo olungalawulwa yi-echocardiography, i-cardiac magnetic resonance noma i-scintigraphy yenuzi, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwe-arrhythmia kuzoya ngezimpawu, ukuqina nobungozi bezinkinga ze-arrhythmia. Ngokuvamile, ezimweni ezinzima, ukwelashwa kungabandakanya ukuholwa okulula, izinguquko endleleni yokuphila, ukulandelwa kwezokwelapha ngezikhathi ezithile, noma ukuyeka imithi edale i-arrhythmia.

Ezimweni ezimbi kakhulu ze-arrhythmia yenhliziyo, ukwelashwa kungenziwa ngemithi enikezwe udokotela noma ukuhlinzwa, isibonelo. Bona imininingwane eminingi ekwelashweni kwe-arrhythmia yenhliziyo.

Ungayivimbela kanjani i-arrhythmia yenhliziyo

Olunye ushintsho lwendlela yokuphila lungasiza ekuvimbeleni ukukhula kwe-arrhythmia yenhliziyo efana nale:

• Yenza ukudla okunempilo nokulinganisela;
• Prakthiza imisebenzi yomzimba njalo;
• Ukwehlisa isisindo ezimweni zokukhuluphala noma isisindo esiningi;
• Gwema ukubhema;
• Nciphisa ukusetshenziswa kotshwala;
• Gwema ukusebenzisa izidakamizwa eziqukethe izikhuthazi zenhliziyo, njenge-phenylephrine.

Ngaphezu kwalokho, kubalulekile ukugwema izimo ezingadala ukucindezeleka nokukhathazeka, ukuvimbela ubungozi be-arrhythmia yenhliziyo noma ezinye izinkinga zenhliziyo. Bona amathiphu okuthi unganciphisa kanjani ukucindezeleka.

Kwiphepha lethu le- i-podcast, UDkt. Ricardo Alckmin ucacisa ukungabaza okuyinhloko nge-arrhythmia yenhliziyo: