Okufanele Ukwazi NgeSinus Bradycardia

-Delile

• Ingabe kubucayi?
• Izimbangela
• Izimpawu
• Ukuxilongwa
• Ukwelashwa
• Ukubonana nodokotela nini
• Okubalulekile

I-Bradycardia yenzeka lapho inhliziyo yakho ishaya kancane kunokujwayelekile. Inhliziyo yakho ijwayele ukushaya izikhathi eziphakathi kwama-60 no-100 ngomzuzu. I-Bradycardia ichazwa njengokushaya kwenhliziyo kancane kunokushaya okungu-60 ngomzuzu.

I-Sinus bradycardia uhlobo lokushaya kwenhliziyo okuhamba kancane okuvela ku-node yesono senhliziyo yakho. I-sinus node yakho ibizwa ngokuthi yi-pacemaker yenhliziyo yakho. Ikhiqiza imizwa ehleliwe kagesi eyenza inhliziyo yakho ishaye.

Kepha yini ebanga i-sinus bradycardia? Futhi ingabe kuyinto engathí sina? Qhubeka ufunde njengoba sihlola okuningi nge-bradycardia kanye nokuthi kutholakala kanjani nokuthi yelashwa kanjani.

Ingabe kubucayi?

ISinus bradycardia ayikhombisi njalo inkinga yezempilo. Kwabanye abantu, inhliziyo isengakwazi ukumpompa igazi kahle ngokushaya okumbalwa ngomzuzu. Isibonelo, abantu abadala abasebasha noma abagijimi abakhuthazelayo bangaba nesinus bradycardia.

Kungenzeka futhi ngesikhathi sokulala, ikakhulukazi uma ulele ubuthongo obukhulu. Lokhu kungenzeka kunoma ngubani, kepha kuvame kakhulu kubantu abadala asebekhulile.

I-Sinus bradycardia nayo ingenzeka kanye ne-sinus arrhythmia. I-sinus arrhythmia yilapho isikhathi esiphakathi kokushaya kwenhliziyo singavamile. Isibonelo, umuntu one-sinus arrhythmia angaba nokuhlukahluka kokushaya kwenhliziyo lapho ehogela futhi ekhipha.

I-Sinus bradycardia kanye ne-sinus arrhythmia kungenzeka kakhulu ngesikhathi sokulala. ISinus bradycardia ingaba uphawu lwenhliziyo enempilo. Kepha futhi kungaba wuphawu lohlelo lukagesi oluhlulekayo. Isibonelo, abantu abadala asebekhulile bangahlakulela i-sinus node engasebenzi ukukhiqiza amandla kagesi ngokuthembeka noma ngokushesha ngokwanele.

ISinus bradycardia ingaqala ukudala izinkinga uma inhliziyo ingampompozi kahle igazi kuwo wonke umzimba. Ezinye izinkinga ezingavela kulokhu zibandakanya ukuquleka, ukwehluleka kwenhliziyo, noma ukuboshwa kwenhliziyo okungazelelwe.

Izimbangela

I-Sinus bradycardia yenzeka lapho i-node yakho yesinus ikhiqiza ukushaya kwenhliziyo ngaphansi kwezikhathi ezingama-60 ngomzuzu. Kunezici eziningi ezingadala ukuthi lokhu kwenzeke. Zingafaka:

• ukulimala okwenzeka enhliziyweni ngezinto ezifana nokuguga, ukuhlinzwa kwenhliziyo, isifo senhliziyo, nokuhlaselwa yinhliziyo
• isimo sokuzalwa
• izimo ezibangela ukuvuvukala okuzungeze inhliziyo, njenge-pericarditis noma i-myocarditis
• ukungalingani kwe-electrolyte, ikakhulukazi i-potassium noma i-calcium
• izimo ezicashile, njengokuvimbela ukuphefumula kokulala nokuphazamiseka kokusebenza kwegilo, noma i-hypothyroidism
• izifo ezifana nesifo seLyme noma izinkinga ezivela ezifweni, njenge-rheumatic fever
• imithi ethile, kufaka phakathi i-beta-blockers, i-calcium channel blockers, noma i-lithium
• i-sinus syndrome noma ukungasebenzi kahle kwe-sinus node, okungenzeka njengohlelo lukagesi lweminyaka yenhliziyo

Izimpawu

Abantu abaningi abane-sinus bradycardia abanazo izimpawu. Kodwa-ke, uma kungekho igazi elanele elitofwa ezithweni zomzimba wakho, ungaqala ukuzwa izimpawu, ezinjengalezi:

• uzizwa unesiyezi noma unekhanda elincane
• ukhathala ngokushesha lapho usebenza ngokomzimba
• ukukhathala
• ukuphelelwa umoya
• ubuhlungu besifuba
• ukudideka noma ukuba nenkinga ngememori
• ukuquleka

Ukuxilongwa

Ukuthola i-sinus bradycardia, udokotela wakho uzoqala ahlole ngokomzimba. Lokhu kungafaka izinto njengokulalela inhliziyo yakho nokukala izinga lokushaya kwenhliziyo yakho nomfutho wegazi.

Okulandelayo, bazothatha umlando wakho wezokwelapha. Bazokubuza mayelana nezimpawu zakho, imiphi imishanguzo oyisebenzisayo njengamanje, nokuthi ngabe unezimo ezithile zezempilo.

Kuzosetshenziswa i-electrocardiogram (ECG) ukuthola nokubonisa i-bradycardia. Lokhu kuhlolwa kukala amasiginali kagesi adlula enhliziyweni yakho kusetshenziswa izinzwa ezimbalwa ezinamathele esifubeni sakho. Imiphumela irekhodwe njengephethini yamagagasi.

I-Bradycardia kungenzeka ingenzeki ngenkathi usehhovisi likadokotela. Ngenxa yalokhu, udokotela wakho angakucela ukuthi ugqoke idivayisi ephathekayo ye-ECG noma i- "arrhythmia monitor" ukurekhoda umsebenzi wenhliziyo yakho. Ungahle udinge ukugqoka insimbi izinsuku ezimbalwa noma kwesinye isikhathi ubude.

Ezinye izivivinyo ezimbalwa zingenziwa njengengxenye yenqubo yokuxilonga. Lokhu kungafaka:

• Ukuhlolwa kwengcindezi, okuhlola izinga lokushaya kwenhliziyo yakho ngenkathi uvivinya umzimba. Lokhu kungasiza udokotela wakho ukuthi aqonde ukuthi isilinganiso senhliziyo yakho siphendula kanjani ekusebenzeni komzimba.
• Ukuhlolwa kwegazi, okungasiza ukuthola uma izinto ezinjengokungalingani kwe-electrolyte, ukutheleleka, noma isimo esifana ne-hypothyroidism kubangela isimo sakho.
• Ukuqapha ukulala ukuthola i-apnea yokulala engadala i-bradycardia, ikakhulukazi ebusuku.

Ukwelashwa

Uma i-sinus bradycardia yakho ingabangeli izimpawu, ungahle ungadingi ukwelashwa. Kulabo abayidingayo, ukwelashwa kwe-sinus bradycardia kuya ngokuthi kubangelwa yini. Ezinye izinketho zokwelashwa zifaka:

• Ukwelapha izimo ezingaphansi: Uma into efana nesifo se-thyroid, i-apnea yokulala, noma ukutheleleka kubangela i-bradycardia yakho, udokotela wakho uzosebenzela ukukuphatha.
• Ukulungisa imithi: Uma umuthi owuthathayo ubangela ukushaya kwenhliziyo yakho kwehle, udokotela wakho angahle alungise isilinganiso somuthi noma awususe ngokuphelele, uma kungenzeka.
• I-Pacemaker: Abantu abane-sinus bradycardia ejwayelekile noma ebucayi bangadinga i-pacemaker. Le yithuluzi elincane elifakwe esifubeni sakho. Isebenzisa imizwa kagesi ukusiza ukugcina izinga lokushaya kwenhliziyo elijwayelekile.

Udokotela wakho angase futhi asikisele ukwenza izinguquko endleleni yokuphila. Lokhu kungafaka izinto ezifana:

• Ukudla ukudla okunempilo kwenhliziyo, okugxila kwimifino eminingi, izithelo, nakuzinhlamvu ezigcwele ngenkathi kugwenywa ukudla okunamafutha amaningi, usawoti kanye noshukela.
• Ukuhlala usebenza futhi uvivinya umzimba njalo.
• Ukugcina isisindo somgomo ophilile.
• Ukuphatha izimo ezinganikela ezifweni zenhliziyo, ezifana nomfutho wegazi ophakeme noma i-cholesterol ephezulu.
• Ukuhlolwa njalo nodokotela wakho, uqiniseke ukubazisa uma uhlangabezana nezimpawu ezintsha noma ushintsho lwezimpawu zesimo esivele sikhona.

Ukubonana nodokotela nini

Uma uhlangabezana nezimpawu ezihambisana ne-sinus bradycardia, yenza i-aphoyintimenti nodokotela wakho. Ngenkathi kwesinye isikhathi i-sinus bradycardia ingahle ingadingi ukwelashwa, futhi ingaba uphawu lwezimo zezempilo ezinzima ezidinga ukunakwa.

Njalo funa ukunakekelwa kwezimo eziphuthumayo uma uzwa ubuhlungu besifuba obuhlala isikhathi eside kunemizuzu embalwa, unenkinga yokuphefumula, noma uquleka. Ithuluzi leHealthline FindCare linganikeza izinketho endaweni yangakini uma ungenalo udokotela.

Okubalulekile

ISinus bradycardia ishaya kancane, njalo ukushaya kwenhliziyo. Kwenzeka lapho i-pacemaker yenhliziyo yakho, i-sinus node, ikhiqiza ukushaya kwenhliziyo izikhathi ezingaphansi kwezingu-60 ngomzuzu.

Kwabanye abantu, njengabantu abadala abanempilo nabagijimi, i-sinus bradycardia ingaba yinto ejwayelekile futhi iwuphawu lwempilo yenhliziyo. Kungenzeka futhi ngesikhathi sokulala okujulile. Abantu abaningi abanalesi sifo abazi ngisho nokuthi banaso.

Kwesinye isikhathi, i-sinus bradycardia ingadala izimpawu, kufaka phakathi isiyezi, ukukhathala, nokuquleka. Uma uhlangabezana nalezi zimpawu, bheka udokotela wakho. Bangasebenza nawe ukuxilonga i-sinus bradycardia futhi bathuthukise uhlelo lokwelashwa, uma kudingeka.