Ukuqondwa kwe-Bradycardia: Izimpawu, Izimbangela, Nokwelashwa

Iyini i-Bradycardia?

I-Bradycardia kungenxa yokuthi inhliziyo yakho ibetha kancane kunokujwayelekile, ngokuvamile ngaphansi kwezimpumulo ezingama-60 ngomzuzu. Cabanga ngenhliziyo yakho njengoba inepheysisi yayo yemvelo engasikhathi esithile isebenza kancane.

Kubantu abaningi, izinga lenhliziyo eliphansi aliyona inkinga. Abagijimi bavame ukuba nezinga lenhliziyo elisezingeni lama-40 noma ama-50 ngoba izinhliziyo zabo ziphumelela kakhulu. Noma kunjalo, uma i-bradycardia ibangela izimpawu ezinjengokukhungatheka noma ukukhathala, kungase kudingeke ukunakekelwa kwezokwelapha.

Uhlelo lwe-elekthrikhi lenhliziyo yakho luphequlula impumulo ngayinye ngezicubu ezikhethekile ezenza izibonakaliso eziqondile. Uma lesi sistimu siphazamiseka, inhliziyo yakho ingase ibetha kancane kakhulu ukupompa igazi elanele ukuhlangabezana nezidingo zomzimba wakho.

Ziyini Izimpawu ze-Bradycardia?

Abantu abaningi abane-bradycardia ephansi bazizwa bephilile ngokuphelele futhi abazi ukuthi bayina. Izimpawu ngokuvamile zivele kuphela uma izinga lenhliziyo yakho liwela phansi ngokwanele ukuthi umzimba wakho awutholi umjikelezo wegazi ofanele.

Nawa izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukuzizwa ukhungathekile noma ukhanya, ikakhulukazi uma ukuma
• Ukukhathala okungavamile noma ubuthakathaka ngesikhathi semisebenzi evamile
• Ukuqina komoya, ikakhulukazi ngesikhathi somsebenzi womzimba
• Ubuhlungu noma ukungakhululeki kwesifuba
• Ukuphazamiseka noma ubunzima bokuqonda
• Ukuwa noma izehlakalo ezisondelene nokuwa

Lezi zimpawu zenzeka ngoba amalungu akho awatholi igazi elanele elicebile nge-oksijini. Uma uhlangabezana nanoma yiluphi olulodwa lwalezi njalo, kufanele uxoxe nodokotela wakho.

Ziyini Izinhlobo ze-Bradycardia?

I-Bradycardia iza ngezindlela ezahlukene kuye ngokuthi inkinga ivela kuphi ohlelweni lwe-elekthrikhi lenhliziyo yakho. Ukuqonda uhlobo kusiza odokotela ukuba bakhethe indlela yokwelapha engcono kakhulu.

Izinhlobo eziyinhloko zihlanganisa:

• I-Sinus bradycardia: Ipheysisi yemvelo yenhliziyo yakho (i-sinus node) ithumela izibonakaliso kancane kakhulu
• Ukubambezeleka kwenhliziyo: Izibonakaliso ze-elekthrikhi ziqiniswa noma zivalwe njengoba zihamba ngenhliziyo yakho
• I-Sick sinus syndrome: Ipheysisi yenhliziyo yakho iba yingcindezi, ihluka phakathi kwezinga ezikhulu nezincane

Uhlobo ngalunye lunezimbangela ezahlukene futhi lungase ludinge ukwelashwa okuhlukile. Udokotela wakho angabona ukuthi yiluphi uhlobo olukhona ngokuhlolwa okulula njenge-electrocardiogram (ECG).

Yini Ebangela i-Bradycardia?

I-Bradycardia ingathuthukiswa izinto ezihlukahlukene ezihlupha uhlelo lwe-elekthrikhi lenhliziyo yakho. Ezinye izimbangela zingezesikhashana futhi ziphenduka, kanti ezinye zingase zibe ziphakade.

Izimbangela ezivamile zihlanganisa:

• Imithi ethile efana ne-beta-blockers, i-calcium channel blockers, noma i-digoxin
• Ukuguquka okuhlobene nobudala ohlelweni lwe-elekthrikhi lenhliziyo yakho
• Izifo zenhliziyo ezinjenge-coronary artery disease noma ukuhlaselwa yinhliziyo
• Izifo ze-thyroid, ikakhulukazi i-thyroid engasebenzi kahle
• I-sleep apnea ephazamisa izindlela zokuphefumula eziqondile
• Ukungahambisani kwe-electrolyte, ikakhulukazi i-potassium noma i-calcium ephansi

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa:

• Isimo sokuvuvukala njenge-myocarditis noma i-rheumatic fever
• Ukuhlupheka kwenhliziyo okuvela ekuzalweni
• I-Lyme disease noma ezinye izifo ezithinta inhliziyo
• I-hypothermia eqinile noma izifo ze-metabolic

Ngesinye isikhathi, akukho sizathu esithile esingabonakala, okuyikho odokotela abakubiza ngokuthi i-bradycardia ye-idiopathic. Izindaba ezinhle ukuthi izimbangela eziningi zilawuleka uma zitholakele.

Nini Okufanele Ubone Udokotela Nge-Bradycardia?

Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana nezimpawu eziphazamisa imisebenzi yakho yansuku zonke. Ungakhathazeki ngokuba nezinga lenhliziyo "eliphelele", kodwa qaphela indlela ozizwa ngayo.

Xhumana nodokotela wakho ngokushesha uma uqaphela ukukhungatheka okuqhubekayo, ukukhathala okungavamile, noma ukuqina komoya ngesikhathi semisebenzi evamile. Lezi zimpawu zibonisa ukuthi inhliziyo yakho ingase ingapompi igazi elanele ukuhlangabezana nezidingo zomzimba wakho.

Funana ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nokuwa, ubuhlungu besifuba obukhulu, noma ukuphazamiseka okungazelelwe. Lezi zimpawu zingabonisa ukuthi izinga lenhliziyo yakho liyehla ezingeni eliyingozi.

Uma uthatha imithi yenhliziyo futhi uqaphela izimpawu ezintsha, ungayeki imithi yakho ngokuzumayo. Esikhundleni salokho, xhumana nomhlinzeki wakho wezinsizakalo zezempilo ukuze uxoxe ngokulungisa uhlelo lwakho lokwelapha ngokuphepha.

Ziyini Izingozi ze-Bradycardia?

Izinto ezithile zingandisa amathuba akho okukhula kwe-bradycardia. Ukuqonda lezi zinto ezingozi kusiza wena nodokotela wakho ukuba niqaphele ukuguquka okungenzeka kwesilinganiso senhliziyo.

Ubudala yiyona nto eyingozi kakhulu, njengoba uhlelo lwe-elekthrikhi lenhliziyo yakho luyahluka ngokwemvelo ngokuhamba kwesikhathi. Abantu abangaphezu kweminyaka engama-65 banamathuba amaningi okukhula kwe-bradycardia, nakuba ingase ivela kunoma yimuphi ubudala.

Ezinye izinto ezingozi ezibalulekile zihlanganisa:

• Ukuthatha imithi ehambisa izinga lenhliziyo
• Ukuba nesifo senhliziyo noma ukuhlinzwa kwenhliziyo kwangaphambili
• Uxinzelelo lwegazi oluphezulu noma isifo sikashukela
• Izifo ze-thyroid
• I-sleep apnea noma ezinye izifo zokuphefumula
• Umlando womndeni wezinkinga zesilinganiso senhliziyo

Ukuba umdlali wezemidlalo wokuzikhandla kungase futhi kuholele e-bradycardia, nakuba lokhu ngokuvamile kuyisibonakaliso sokuqina okuhle kwe-cardiovascular kunokuba yinkinga yezokwelapha.

Ziyini Izingozi Ezingase Zivele Nge-Bradycardia?

Abantu abaningi abane-bradycardia baphila impilo evamile, enempilo ngokuphathwa okuqondile. Noma kunjalo, i-bradycardia eqinile noma engaphathwe ingase iholele ezingozini ezithinta ikhwalithi yempilo yakho.

Ukukhathazeka okukhulu ukuthi inhliziyo yakho ingase ingapompi igazi elanele ukunikeza amalungu akho ngokwanele. Lokhu kungase kuholele ku:

• Izehlakalo zokwa eziqhutshwayo ezandisa ingozi yokulimaza
• Ukungasebenzi kahle kwenhliziyo uma inhliziyo yakho ingakwazi ukuhlangabezana nezidingo zomzimba wakho
• Ukuqina kwenhliziyo okungazelelwe ezimweni ezinkulu
• Izinkinga zokuqonda ngenxa yokunciphisa ukugcwala kwegazi ebuchosheni bakho

Lezi zingozi zivame kakhulu ngezinga lenhliziyo eliphansi kakhulu noma uma i-bradycardia ithuthuka ngokuzumayo. Ngokulandelela okuqondile nokwelashwa, izingozi eziningi zingavikeleka noma ziphathwe kahle.

I-Bradycardia Ingavikeleka Kanjani?

Nakuba ungakwazi ukuvimbela zonke izimbangela ze-bradycardia, ungathatha izinyathelo zokugcina uhlelo lwe-elekthrikhi lenhliziyo yakho luphilile. Izinyathelo eziningi zokuvimbela futhi ziyazuza impilo yakho yonke ye-cardiovascular.

Gxila ekutholeni impilo enempilo yenhliziyo ngokudla ukudla okuqondile okugcwele izithelo, imifino, namanye ama-grains. Ukusebenza komzimba njalo kuqinisa inhliziyo yakho, nakuba kufanele usebenze nodokotela wakho ukuthola izinga elifanele lokusebenza lomzimba olufanele wena.

Ukuphatha ezinye izimo zezempilo kubaluleke kakhulu. Gcina uxinzelelo lwegazi, i-cholesterol, nesisifo sikashukela kuqondiswe kahle ngemithi nokuguqulwa kwesitayela sempilo. Uma une-sleep apnea, ukusebenzisa ukwelashwa kwakho okuqokiwe njalo kungasiza ukuvimbela izinkinga zesilinganiso senhliziyo.

Sebenza eduze neqembu lakho lezempilo uma uthatha imithi ethinta izinga lenhliziyo. Ungalokothi uyeke noma uguqule imithi yenhliziyo ngaphandle kokunakekelwa kwezokwelapha, njengoba lokhu kungaba yingozi.

I-Bradycardia Ihlonishwa Kanjani?

Ukuxilonga i-bradycardia kuqala ngodokotela wakho olalela inhliziyo yakho futhi uxoxe ngezimpawu zakho. Bazofuna ukwazi ukuthi nini uzizwa ukhathele, ukhungathekile, noma une-shortness of breath futhi yiziphi imisebenzi ebangela lezi mizuzu.

I-electrocardiogram (ECG) iyona viviro ebaluleke kakhulu esetshenziswa ukuxilonga i-bradycardia. Lolu hlolo olungeziwe luqopha umsebenzi we-elekthrikhi wenhliziyo yakho futhi lubonisa izinga lenhliziyo yakho nezindlela zayo. Uzobe unamalitha amancane afakwe esifubeni sakho, ezandleni, nasezinzweni zakho imizuzu embalwa.

Uma i-bradycardia yakho iza iye, udokotela wakho angase akukhuthaze:

• I-Holter monitor: Idivayisi ephathekayo ye-ECG oyigqokayo amahora angama-24-48
• I-Event monitor: Idivayisi oyivula uma izimpawu zivele
• Ukuhlolwa kokucindezela komzimba: Kulandelela izinga lenhliziyo yakho ngesikhathi somsebenzi womzimba
• Isifundo se-electrophysiology: Ukuhlolwa okuningiliziwe kohlelo lwe-elekthrikhi lenhliziyo yakho

Izivivinyo zegazi zingasiza ukubona izimbangela eziyinhloko njengezinkinga ze-thyroid noma imiphumela yemithi. Udokotela wakho uzokhetha ukuxuba okuqondile kwezivivinyo kuye ngezimpawu zakho ezikhethekile nomlando wakho wezokwelapha.

Iyini Ukwelashwa kwe-Bradycardia?

Ukuphathwa kwe-bradycardia kuncike kulokho okubangela futhi indlela okuthinta ngayo impilo yakho yansuku zonke. Uma uzizwa kahle futhi awunazo izimpawu, ungase nje udinga ukulandelela okuvamile ngaphandle kokwelashwa okuqondile.

Uma i-bradycardia ibangelwa imithi, udokotela wakho angase alungise imithamo noma ashintshe imithi ehlukile. Ngalezi zimo ezinjenge-hypothyroidism noma i-sleep apnea, ukwelapha inkinga eyiyinhloko ngokuvamile kuthuthukisa izinga lenhliziyo yakho.

Nge-bradycardia enezimpawu engaphenduli ekwelapheni okunye, i-pacemaker ingase ikhuthazwe. Le divayisi encane ifakwe phansi kwesikhumba sakho futhi ithumela izibonakaliso ze-elekthrikhi ukugcina inhliziyo yakho ibetha ngesilinganiso esiqondile. Ama-pacemakers ajwayelekile athendeka kakhulu futhi angathuthukisa kakhulu ikhwalithi yempilo yakho.

Ezimweni eziphuthumayo ngezinga lenhliziyo eliphansi kakhulu, ukwelashwa okwesikhashana njengemithi ye-intravenous noma i-pacing yangaphandle kungase kusetshenziswe kuze kube yilapho isisombululo esiqondile singafakwa.

Indlela Yokunakekela Wena Ekhaya Nge-Bradycardia?

Ukuphila ne-bradycardia ngokuvamile kusho ukwenza ukulungiswa okuthile ukuze usekele impilo yakho yenhliziyo nama-energy levels. Izindaba ezinhle ukuthi abantu abaningi bazijwayeza kahle futhi baqhubeka bejabulela imisebenzi yabo evamile.

Qaphela izibonakaliso zomzimba wakho futhi uphumule uma uzizwa ukhathele. Awudingi ukugwema ukusebenza komzimba, kodwa ungase udinge ukukhawulela ngendlela ehlukile. Qala kancane ngokusebenza komzimba futhi ukhule kancane ngamandla njengoba kukhuthazwa.

Hlala uthambile futhi ugweme i-caffeine noma utshwala ngokweqile, okuthinta izinga lenhliziyo yakho. Uma uthatha imithi, yithathe ngokuqondile njengoba kuqokiwe futhi ugcine uhlu lwemithi yonke ukuze uhlanganyele nanoma yimuphi umhlinzeki wezinsizakalo zezempilo.

Landelela izimpawu zakho futhi ugcine amanothi mayelana nokuthi nini uzizwa ukhungathekile, ukhathele, noma une-shortness of breath. Lolu lwazi lusiza udokotela wakho ukuba alungise uhlelo lwakho lokwelapha. Unganqikazi ukuxhumana neqembu lakho lezempilo uma izimpawu ziyanda noma ezintsha zithuthuka.

Kufanele Uzilungiselele Kanjani Ukuya Kwadokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Qala ngokubhala izimpawu zakho, kufaka phakathi ukuthi zenzeka nini futhi yini ebonakala iyibangela.

Letha uhlu oluphelele lwemithi yonke, izithasiselo, namavithamini owa thatha, kufaka phakathi imithamo nesikhathi. Uma une-ECGs yangaphambili noma imiphumela yokuhlolwa kwenhliziyo, letha amakhophi. Udokotela wakho angaqhathanisa imiphumela yamanje naleyo yangaphambili ukuze alandelele ukuguquka.

Bhala imibuzo ofuna ukuyibuza, njengalezi:

• Yini ebangela i-bradycardia yami?
• Ingabe ngidinga ukulinganisela noma iyiphi imisebenzi?
• Kufanele ngilandelelwe kangakanani?
• Ingabe kunezibonakaliso zokuqaphela engingazibona?
• Ngingakubiza nini phakathi kwama-aphoyintimenti?

Cabanga ngokuletha ilungu lomndeni noma umngani ukukusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi se-aphoyintimenti. Ungesabi ukucela incazelo uma kukhona okungacaci.

Iyini Iphuzu Eliyinhloko Mayelana ne-Bradycardia?

I-Bradycardia yisimo esilawuleka esithinta abantu abaningi ngaphandle kokubangela izinkinga ezinkulu. Iphuzu eliyinhloko ukusebenza neqembu lakho lezempilo ukuthola imbangela futhi uthuthukise uhlelo lokwelapha olufanele.

Khumbula ukuthi ukuba nezinga lenhliziyo eliphansi akusho ukuthi uneinkinga enzima. Abantu abaningi abane-bradycardia baphila impilo esebenzayo, ezele ngokunakekelwa okuqondile nokulandelwa.

Gxila ekutholeni impilo enhle yonke ngokunakekelwa okuvamile kwezokwelapha, isitayela sempilo esinempilo yenhliziyo, nokuba olukhulu mayelana nesimo sakho. Ngokusebenzisa ukwelashwa kwamanje, kufaka phakathi ama-pacemakers aphezulu uma kudingeka, umbono wabantu abane-bradycardia ngokuvamile uqondile kakhulu.

Themba izibonakaliso zomzimba wakho futhi unganqikazi ukufuna ukunakekelwa kwezokwelapha uma kukhona okungazweli kahle. Iqembu lakho lezempilo likhona ukukusekela yonke inyathelo lendlela.

Imibuzo Evame Ukubuzwa Mayelana ne-Bradycardia

Q1: Ingabe i-bradycardia ingaphiliswa ngokuphelele?

Impendulo icindezelwe yilokho okubangela i-bradycardia yakho. Uma kubangelwa imithi, izinkinga ze-thyroid, noma ezinye izimo ezilawuleka, ukulungisa imbangela eyiyinhloko kungase kuqede izinga lenhliziyo eliphansi ngokuphelele. Noma kunjalo, ukuguquka okuhlobene nobudala noma ukonakala okuphakade kwenhliziyo kungase kudinge ukuphathwa okuqhubekayo kunokuba kube ukwelashwa okuphelele.

Q2: Ingabe kuphephile ukusebenza nge-bradycardia?

Abantu abaningi abane-bradycardia bangasebenza ngokuphepha, nakuba ungase udinge ukulungisa uhlelo lwakho. Qala kancane futhi qaphela indlela ozizwa ngayo ngesikhathi somsebenzi. Uma uhlangabezana nokukhungatheka, ubuhlungu besifuba, noma ukuqina komoya okukhulu, yeka ukusebenza futhi ubuze udokotela wakho mayelana namazinga omsebenzi ofanele isimo sakho esithile.

Q3: Ingabe ngizodinga i-pacemaker nge-bradycardia yami?

Akuwona wonke umuntu one-bradycardia odinga i-pacemaker. Lokhu kwelashwa ngokuvamile kunconywa kuphela uma izinga lenhliziyo eliphansi libangela izimpawu ezinkulu eziphazamisa impilo yansuku zonke futhi zingaphenduli ekwelapheni okunye. Udokotela wakho uzobheka izimpawu zakho, impilo yonke, nekhalithi yempilo uma enza lesi sicelo.

Q4: Ingabe ukucindezeleka noma ukukhathazeka kungabangela i-bradycardia?

Ukucindezeleka nokukhathazeka ngokuvamile kubangela izinga lenhliziyo eliphakeme kunokuba liphansi. Noma kunjalo, imithi ethile esetshenziswa ukwelapha ukukhathazeka, njenge-beta-blockers, ingase ihambise izinga lenhliziyo yakho. Uma ukhathazekile ngokuthi ukucindezeleka nokuqina kwenhliziyo yakho, xoxa nomhlinzeki wakho wezinsizakalo zezempilo.

Q5: Kufanele ngihlole izinga lenhliziyo yami kangakanani uma ngine-bradycardia?

Ukuqhutshwa kokulandelela kuncike ezimpawu zakho nobunzima besimo sakho. Abanye abantu badinga ukuhlolwa nyanga zonke ekuqaleni, kanti abanye abane-bradycardia eqondile, engapheliyo bangase badinge kuphela ukuhlolwa minyaka yonke. Udokotela wakho uzokwenza uhlelo lokulandelela olufanele isimo sakho esithile futhi alulungise njengoba kudingeka ngokuhamba kwesikhathi.