Ukuqhuma Kwezinhliziyo Ezingaphambili: Izimpawu, Izimbangela, Nokwelashwa

Ukuqhuma kwezinhliziyo ezingaphambili (PVCs) kuyizinhliziyo ezengeziwe eziqala emakhameni angaphansi enhliziyo yakho futhi zenzeka ngaphambi kwesikhathi senhliziyo yakho ejwayelekile. Cabanga ngazo njengokuphuma kwenhliziyo yakho noma ukwengeza ukushaya okwengeziwe ngaphambi kokubuyela esikhathini sayo esivamile.

Lezi zinhliziyo ezingavamile zivame kakhulu futhi ngokuvamile azilimazi. Abantu abaningi bahlangabezana ne-PVCs ngesinye isikhathi ekuphileni kwabo, yize ungase ungaziboni zisenzeka. Inhliziyo yakho ngokwemvelo inesistimu yombane elawula isikhathi sayo, futhi ngezinye izikhathi le sistimu ithumela isignali yokuqala eyenza lezi zinhliziyo ezengeziwe.

Ziyini izimpawu zokuqhuma kwenhliziyo ezingaphambili?

Abantu abaningi abane-PVCs abazizwa zimpawu nhlobo. Uma izimpawu zivele, ngokuvamile ziyamboza futhi uzizwa sengathi inhliziyo yakho yenza into engavamile okwesikhashana nje.

Nazi izimpawu ezivame kakhulu abantu abazibona uma bene-PVCs:

• Ukuzwa okuzwakala esifubeni sakho
• Ukuzwa sengathi inhliziyo yakho iphumele isikhathi
• Ukushaya okukhulu noma okwengeziwe okulandelelwa ukumisa
• Ukuzwa okuthi “thud” noma “thump” esifubeni sakho
• Izikhathi ezimfushane lapho uzwa inhliziyo yakho igijima khona
• Ukuhlupheka okuncane esifubeni okuza futhi kuhamba ngokushesha

Lezi mizwa ngokuvamile ihlala imizuzwana embalwa nje bese inhliziyo yakho ibuya esikhathini sayo esivamile. Abantu abaningi bachaza ukuzwa njengokubonakala kodwa akusibi noma akukhathazi kakhulu uma beqonda ukuthi kwenzekani.

Kwezinye izimo ezingavamile, i-PVCs ejwayelekile ingabangela izimpawu ezifana nokukhungatheka, ukuphefumula kanzima, noma ukukhathala. Lokhu ngokuvamile kwenzeka uma i-PVCs ivela njalo usuku lonke, okungase ngezinye izikhathi kuthonye indlela inhliziyo yakho esusa ngayo igazi.

Yini ebangela ukuqhuma kwenhliziyo ezingaphambili?

I-PVCs ivela uma izibonakaliso zombane emakhameni angaphansi enhliziyo yakho zishaya ngaphambi kwesikhathi. Lokhu kwenza ukushaya okwengeziwe okuqeda isikhathi esivamile senhliziyo yakho.

Izimbangela ezivame kakhulu ze-PVCs zihlanganisa izinto zansuku zonke eziqeda isistimu yombane yenhliziyo yakho:

• I-Caffeine evela ekhofini, itiye, iziphuzo zamandla, noma i-chocolate
• Ukuqina nokukhathazeka
• Ukwehluleka ukulala noma ukungabi nalutho lokuphumula
• Ukusebenzisa utshwala
• I-Nicotine evela ekubhekeni noma ekusebenziseni i-vape
• Ukuzivocavoca okukhulu
• Ukuphelelwa amanzi
• Amazinga aphansi e-potassium noma i-magnesium egazini lakho

Lezi zimbangela azibangeli i-PVCs kubo bonke, kodwa zingazenza zibe khona kakhulu uma usuvele ukhona kuzo. Ukuzwela kwakho kulezi zimbangela kungashintsha usuku nosuku ngokususelwa empilweni yakho jikelele kanye namazinga okucindezeleka.

Ngezinye izikhathi i-PVCs ivela ngaphandle kwesimbangela esicacile, okuvamile ngokuphelele. Isistimu yombane yenhliziyo yakho ingase ihluleke ngezinye izikhathi ngisho noma unempilo futhi uphumule.

Ngokungavamile, izimo zenhliziyo ezingaphansi zingase zifake isandla kwi-PVCs. Lezi zihlanganisa isifo se-coronary artery, izinkinga zevalvu yenhliziyo, i-cardiomyopathy, noma ukuhlaselwa kwenhliziyo kwangaphambili. Imithi ethile, izifo ze-thyroid, kanye nokungalingani kwe-electrolyte kungase futhi kukhulise amathuba okuhlangabezana ne-PVCs.

Nini okufanele ubona udokotela ngokuqhuma kwenhliziyo ezingaphambili?

I-PVCs eningi ayilimazi futhi ayidingi ukunakekelwa kwezokwelapha. Noma kunjalo, kufanele uxhumane nodokotela wakho uma ubona izindlela ezithile noma izimpawu ezihambisana nazo.

Kufanele ubona udokotela wakho uma uhlangabezana nalokhu okulandelayo:

• I-PVCs evela njalo usuku lonke
• Ubuhlungu besifuba obuhlala ngaphezu kwemizuzu embalwa
• Ukuphefumula kanzima ngesikhathi semisebenzi evamile
• Ukukhungatheka noma ukuzwa sengathi ungase udle
• I-PVCs eba njalo kakhulu ngokuzumayo
• Ukuthinta kwesikhathi senhliziyo okukukhathazayo

Themba izinzwa zakho ngomzimba wakho. Uma kukhona okuzwa okuhlukile noma okukukhathazayo ngesikhathi senhliziyo yakho, kuhlale kulungile ukuhlola nodokotela wakho ukuze uthole ukuzola kwengqondo.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu besifuba ngokubila, isicanucanu, noma ubuhlungu obuya engalweni yakho noma emaxatheni. Lokhu kungaba izimpawu zokuhlukunyezwa kwenhliziyo, okuhlukile kwi-PVCs kodwa kudinga ukunakekelwa okusheshayo.

Ziyini izimbangela zengozi zokuqhuma kwenhliziyo ezingaphambili?

Noma ubani angaba ne-PVCs, kodwa izinto ezithile zingazenza zibe khona kakhulu. Ukuqonda lezi zimbangela zengozi kungakusiza ukuthi ubone izimbangela ezingaba khona ekuphileni kwakho.

Izimbangela zengozi ezivamile ezikhuphula amathuba okuhlangabezana ne-PVCs zihlanganisa:

• Amazinga aphezulu okucindezeleka noma ukukhathazeka
• Ukusebenzisa i-caffeine njalo
• Ukubhema noma ukusebenzisa imikhiqizo yotshwala
• Ukusebenzisa utshwala njalo
• Ukuba ngumkhulu
• Ukuba nokucindezeleka kwegazi
• Ukuguga, njengoba i-PVCs iba yinto evamile njengoba ukhula
• Ukuba ne-sleep apnea noma ezinye izifo zokulala

Lezi zimbangela azikuqinisekisi ukuthi uzoba ne-PVCs, kodwa zingenza isistimu yombane yenhliziyo yakho ibe nomuzwa kakhulu wokungalingani. Eziningi zalezi zimbangela zengozi nazo yizinto ongazishintsha ngokushintsha indlela yokuphila.

Izimo zezokwelapha ezithile zingase futhi zikhulise ingozi yakho ye-PVCs. Lezi zihlanganisa izifo ze-thyroid, isifo sikashukela, isifo sezinso, nanoma yiziphi izimo zenhliziyo ezikhona. Imithi ethile, kuhlanganise ne-inhalers ethile ye-asthma kanye ne-decongestants, ingase futhi yenze i-PVCs ibe khona kakhulu.

Ziyini izinhlanganisela ezingaba khona zokuqhuma kwenhliziyo ezingaphambili?

Kubantu abaningi, i-PVCs ayibangeli lutho futhi ihlala iyinguquko yesikhathi senhliziyo esingalimi. Inhliziyo yakho iqinile kakhulu futhi ingaphatha izinhliziyo ezengeziwe ngezinye izikhathi ngaphandle kwezinkinga.

Kodwa-ke, uma i-PVCs ivela njalo, ezinye izinhlanganisela zingase zivele ngokuhamba kwesikhathi:

• I-Cardiomyopathy, lapho i-PVCs ejwayelekile ibuthakathaka khona umusculus wenhliziyo
• Ukusebenza okuncane kwenhliziyo uma i-PVCs ihlanganisa ngaphezu kuka-20% yezinhliziyo zakho
• Ukukhathazeka okwandayo ngezimpawu zenhliziyo
• Ukuphazamiseka kokulala uma i-PVCs ibonakala ngesikhathi sokulala

Lezi zinhlanganisela azivamile futhi ngokuvamile zivele kuphela uma umuntu enezinkulungwane ze-PVCs ngosuku ngezinyanga noma iminyaka. Abantu abaningi abane-PVCs ngezinye izikhathi abakaze bahlangabezane nanoma yiziphi lezi zinkinga.

Kwezinye izimo ezingavamile, i-PVCs ingase iqale izinkinga zesikhathi senhliziyo ezinkulu, ikakhulu kubantu abasenesifo senhliziyo esikhulu. Kungakho udokotela wakho azofuna ukuhlola i-PVCs ejwayelekile, ikakhulu uma unesinye isimo senhliziyo.

Ukuqhuma kwenhliziyo ezingaphambili kungavikeleka kanjani?

Ngenkathi ungakwazi ukuvimbela yonke i-PVCs, unganciphisa kakhulu ukuthi ivela kangaki ngokulawula izimbangela zakho nokugcina imikhuba yempilo enhle yenhliziyo.

Nazi izindlela ezisebenza kakhulu zokunciphisa i-PVCs:

• Limita ukusetshenziswa kwe-caffeine, ikakhulu uma uqaphela ukuthi kubangela i-PVCs yakho
• Lawula ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca, noma ukwelashwa
• Thola ukulala okwanele, uqonde amahora angu-7-9 ngobusuku
• Hlala unamanzi usuku lonke
• Limita noma gwema ukusebenzisa utshwala
• Yekela ukubhema futhi ugweme imikhiqizo ye-nicotine
• Zivocavoca njalo kodwa gwema ukuzivocavoca ngokweqile
• Gcina isisindo esinempilo

Qaphela izimbangela zakho siqu ngokugcina idayari elula yokuvela kwe-PVCs nokuthi ubenzeni ngaphambi kwalokho. Lokhu kungakusiza ukuthi ubone izindlela futhi wenze ukulungiswa kokuphila okuqondiswe.

Ukuphatha izimo zempilo ezikhona ezifana nokucindezeleka kwegazi, isifo sikashukela, noma izifo ze-thyroid kungase futhi kusize ekuqedeni i-PVCs. Ukuhlola njalo nodokotela wakho kuqinisekisa ukuthi lezi zimo ziyalawulwa kahle.

Ukuqhuma kwenhliziyo ezingaphambili kunqunywa kanjani?

Udokotela wakho uzoqala ngokulalela ukukhathazeka kwakho nokubuza ngezimpawu zakho, kuhlanganise nokuthi nini uqaphela i-PVCs nokuthi yini engase iyibangele. Le ngxoxo iyabasiza ukuthi baqonde isimo sakho esithile futhi banqume indlela engcono kakhulu yokuhlola.

Ivivinyo eliyinhloko elisetshenziswa ekuqondeni i-PVCs yi-electrocardiogram (ECG noma EKG), ebhala umsebenzi wombane wenhliziyo yakho. Leli vivinyo liyashesha, alibuhlungu, futhi ngokuvamile lingabamba i-PVCs uma ivela ngemizuzu embalwa oxhunyiwe emishini.

Uma i-PVCs ingaveli ngesikhathi sokuvakashela kwakho ehhovisi, udokotela wakho angase akukhuthaze ukugqoka i-monitor yenhliziyo ephathekayo. I-Holter monitor ibhala isikhathi senhliziyo yakho amahora angu-24-48, kuyilapho i-monitor yesigameko ingagqokwa amasonto amaningi futhi isebenze uma uzwa izimpawu.

Udokotela wakho uzokwenza nezivivinyo zegazi ukuhlola amazinga e-electrolyte, umsebenzi we-thyroid, kanye nempilo yakho jikelele. Lezi zivivinyo zisiza ekutholeni noma yiziphi izimbangela ezingaphansi ezingase zifake isandla kwi-PVCs yakho.

Kwezinye izimo, udokotela wakho angase akukhuthaze i-echocardiogram, esebenzisa i-ultrasound ukwenza izithombe zenhliziyo yakho. Leli vivinyo lisiza ekuqinisekiseni ukuthi ubukhulu nenhliziyo yakho kuvamile, okubalulekile ekuqondeni ukuthi i-PVCs yakho ingaba khulu kangakanani.

Yikuphi ukwelashwa kokuqhuma kwenhliziyo ezingaphambili?

I-PVCs eningi ayidingi ukwelashwa kwezokwelapha ngaphandle kokulungiswa kokuphila nokukhuthazwa. Indlela yokuqala yodokotela wakho ngokuvamile izogxila ekutholeni nasekugwemeni izimbangela zakho siqu.

Uma ukushintsha kokuphila akwanele ukulawula i-PVCs ephazamisayo, udokotela wakho angase acabangele izinketho zemithi:

• I-Beta-blockers, engase icindezele ukuthi i-PVCs ivela kangaki
• I-Calcium channel blockers yezinye izinhlobo ze-PVCs
• Imithi yokulwa ne-arrhythmia ye-PVCs ejwayelekile noma eyingozi
• I-Magnesium noma i-potassium supplements uma amazinga egazi aphansi

Le mithi isebenza ngokuthinta isistimu yombane yenhliziyo yakho ukuze i-PVCs ingabi khona kakhulu. Udokotela wakho uzocubungula ngokucophelela izinzuzo kanye nemiphumela emibi engaba khona ngaphambi kokukhuthaza noma iyiphi imithi.

Kubantu abane-PVCs ejwayelekile kakhulu engaphenduli ekushintsheni kokuphila noma emithini, inqubo ebizwa ngokuthi i-catheter ablation ingase icatshangelwe. Lokhu kuhilela ukusebenzisa amandla okushisa noma okubanda ukuqeda indawo ethile yethishu yenhliziyo ebangela izinhliziyo ezengeziwe.

Abantu abaningi bathola ukuthi ukulungiswa kokuphila okulula kunciphise kakhulu i-PVCs yabo ngaphandle kokudingi noma iyiphi inqubo yezokwelapha noma imithi yesikhathi eside.

Indlela yokuphatha ukuqhuma kwenhliziyo ezingaphambili ekhaya?

Ukuphatha i-PVCs ekhaya kugxila ekudaleni indlela yokuphila enempilo yenhliziyo nokufunda izindlela zokuzola uma uqaphela izinhliziyo ezingavamile. Abantu abaningi banganciphisa kakhulu i-PVCs yabo ngemikhuba yokunakekela yansuku zonke.

Qala ngokulandelela i-PVCs yakho encwadini elula noma kuhlelo lokusebenza lwefoni. Qaphela isikhathi esenzeka ngaso, ukuthi ubenzeni, ukuthi udle noma uphuze ini, kanye namazinga akho okucindezeleka. Lolu lwazi lukusiza ukuthi ubone izimbangela zakho siqu futhi ulinganise ukuthuthuka ngokuhamba kwesikhathi.

Uma uzwa i-PVCs ivela, zama lezi zindlela zokuzola:

• Thatha ubuthongo obude, obujulile ukuze usebenze impendulo yomzimba wakho yokuphumula
• Zama ukuphumula kwemisipha okuqhubekayo ngokubopha nokukhulula amaqembu emisipha
• Sebenzisa izinhlelo zokusebenza zokuzindla noma ukuzindla ukuze uthole ukuphumula okuqondiswayo
• Gcoba ngobumnene intamo yakho noma itempile ukuze unikeze umuzwa we-vagus nerve
• Shintsha izikhundla ngokucophelela uma ubuhlale noma ulele

Gxila emikhumbeni yansuku zonke eqinile esekela impilo yakho yenhliziyo. Lokhu kuhlanganisa ukudla ukudla okuvamile, ukuhlala unamanzi, ukuthola ukulala okuhle, nokwenza ukuzivocavoca okuvamile okujabulisayo.

Khumbula ukuthi ukukhathazeka nge-PVCs ngezinye izikhathi kungazenza zibe zimbi, kudale umjikelezo wokukhathazeka kanye nezimpawu. Ukufunda ukwamukela ukuthi i-PVCs ngezinye izikhathi ivamile kungasiza ekuqedeni lo mjikelezo nokunciphisa ukuthi ivela kangaki.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ulwazi olusizo kakhulu nokukhathalelwa ekuvakasheni kwakho. Udokotela wakho uzofuna ukuqonda isipiliyoni sakho esithile se-PVCs nokuthi zikuqeda kanjani impilo yakho yansuku zonke.

Ngaphambi kwe-aphoyintimenti yakho, bhala imininingwane ngezimpawu zakho:

• Ukuthi uqaphela kangaki i-PVCs nokuthi ngokuvamile ivela nini
• Ukuthi imizwa izwakala kanjani ngamazwi akho
• Noma yimiphi imisebenzi, ukudla, noma izimo ezibonakala zibangela
• Ukuthi isikhathi eside kangakanani iziqephu zihlala futhi uzizwa kanjani ngemva kwalokho
• Noma yiziphi ezinye izimpawu ezenzeka ngesikhathi esifanayo
• Ukuthi yini esiza ekuwenzeni kube ngcono noma kube sibi

Letha uhlu oluphelele lwazo zonke imithi, izithasiselo, namavithamini owathathayo, kuhlanganise nemikhiqizo yokuthengwa ngaphandle kwesikripthi. Ezinye izinto zingathinta isikhathi senhliziyo, ngakho-ke lolu lwazi lubalulekile ekulinganisweni lodokotela wakho.

Cabanga ngemibuzo ofuna ukuyibuza, njengokuthi i-PVCs yakho ikukhathaza yini, uma kufanele ugweme imisebenzi ethile, noma nini okufanele ucele usizo. Ukubhala lokhu ngaphambi kwesikhathi kuqinisekisa ukuthi awukhohlwa izihloko ezibalulekile ngesikhathi sokuvakashela kwakho.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukuba ukhumbule ulwazi oluhlanganyelwe udokotela wakho futhi unikeze ukwesekwa ngesikhathi se-aphoyintimenti.

Yikuphi okubalulekile ngokuqhuma kwenhliziyo ezingaphambili?

Into ebaluleke kakhulu okumele uyiqonde nge-PVCs ukuthi ngokuvamile ayilimazi futhi ivame kakhulu. Cishe wonke umuntu uyayithola ngesinye isikhathi, futhi kubantu abaningi, ayibonisi noma yiziphi izinkinga ezinkulu zenhliziyo.

Ngenkathi i-PVCs ingase izwakale ikukhathaza uma uyibona okokuqala, ukufunda ukuthi yini ebangela futhi indlela yokulawula izimbangela ngokuvamile kunikeza impumuzo enkulu. Ukushintsha kokuphila okulula njengokunciphisa i-caffeine, ukulawula ukucindezeleka, nokuthola ukulala okuhle kungenza umehluko omkhulu ekutheni ivela kangaki.

Themba umzimba wakho futhi ungangabazi ukuxoxa ngokukhathazeka kwakho nodokotela wakho. Bangakunikeza isiqondiso esiqondene nesimo sakho esithile futhi basize ekuqondeni ukuthi noma yiluphi uvivinyo noma ukwelashwa kuyadingeka. Abantu abaningi bathola ukuthi ukuqonda i-PVCs yabo nokuba nokuqinisekiswa kodokotela kwezokwelapha kubasiza ukuthi bazizwe bekhululekile kakhulu ngale miqulu evamile yesikhathi senhliziyo.

Khumbula ukuthi ukuba ne-PVCs akusho ukuthi udinga ukulinganisela imisebenzi yakho noma ukukhathazeka njalo ngenhliziyo yakho. Ngokuqonda okufanele nokuphathwa, ungaqhubeka uphila impilo yakho evamile, esebenzayo ngenkathi ugcina lezi zinhliziyo ezengeziwe ngezinye izikhathi.

Imibuzo evamile ebuzwayo ngokuqhuma kwenhliziyo ezingaphambili

Ingabe i-PVCs iyingozi noma iyingozi ekuphileni?

Kubantu abaningi, i-PVCs ayilimazi noma ayilimazi impilo. Ngokuvamile kuyizinguquko zesikhathi senhliziyo ezingalimi ezingadingi ukwelashwa ngaphandle kokulungiswa kokuphila. Kodwa-ke, i-PVCs ejwayelekile kakhulu noma leyo evela ngesifo senhliziyo esikhona ingase idinge ukuhlolwa kwezokwelapha ukuqinisekisa ukuthi ayithonye ukusebenza kwenhliziyo ngokuhamba kwesikhathi.

Ingabe ukucindezeleka nokukhathazeka kungabangela i-PVCs?

Yebo, ukucindezeleka nokukhathazeka kuhlanganiswe ezimbangelweni ezivame kakhulu ze-PVCs. Uma ucindezelekile, umzimba wakho ukhulula ama-hormone angenza isistimu yombane yenhliziyo yakho ibe nomuzwa kakhulu futhi ibe nezinhliziyo ezengeziwe. Ukufunda izindlela zokulawula ukucindezeleka ngokuvamile kunciphise ukuthi i-PVCs ivela kangaki.

Ingabe i-PVCs izohamba yodwa?

Abantu abaningi bathola ukuthi i-PVCs yabo iba yinto engavamile noma iphela uma beqaphela futhi begwema izimbangela zabo siqu. Kodwa-ke, abanye abantu baqhubeka behlangabezana ne-PVCs ngezinye izikhathi ekuphileni kwabo, okuvamile ngokuphelele futhi ngokuvamile akuyona inkinga. Okubalulekile ukufunda ukuyilawula kunokulindela ukuthi iphele ngokuphelele.

Ngingazivocavoca yini uma ngine-PVCs?

Abantu abaningi abane-PVCs bangazivocavoca ngokuvamile futhi kufanele baqhubeke behlala bekhuthele ngempilo yabo yenhliziyo jikelele. Kodwa-ke, uma uqaphela ukuthi ukuzivocavoca okukhulu kubangela i-PVCs yakho noma uma zivela njalo ngesikhathi semisebenzi, xoxa nodokotela wakho. Bangakusiza ekuqondeni imiyalo efanele yokuvocavoca ngokususelwa esimweni sakho esithile.

Ingabe i-PVCs isho ukuthi nginesifo senhliziyo?

Ukuba ne-PVCs akusho ukuthi unayo isimo senhliziyo. I-PVCs eningi ivela kubantu abanezinhliziyo eziphilile ngokuphelele futhi yizinguquko nje esistimu yombane yenhliziyo. Kodwa-ke, udokotela wakho angase akukhuthaze ukuhlolwa ukuhlola ubukhulu nenhliziyo yakho, ikakhulu uma i-PVCs ivame noma uma unezinye izimbangela zengozi ze-cardiovascular.