Kuthintameleni ye-ventricular tachycardia, i-impulse ye-elekthrikhi engajwayelekile eqala emakhameni angaphansi ehliziwe yenza ukuthi ihlalise libe ngokushesha.
I-Ventricular tachycardia uhlobo lokubetha kwenhliziyo okungajwayelekile, okuthiwa yi-arrhythmia. Iqala emakhameni angaphansi ehliziwe, okuthiwa yi-ventricles. Lesi simo singabizwa nangokuthi yi-V-tach noma i-VT.
Inhliziyo enempilo ngokuvamile ibetha izikhathi ezingu-60 kuya ku-100 ngomzuzu ngesikhathi sokuphumula. Ku-ventricular tachycardia, inhliziyo ibetha ngokushesha, ngokuvamile ibetha izikhathi ezingaphezu kuka-100 ngomzuzu.
Ngesinye isikhathi ukubetha kwenhliziyo okusheshayo kuvimba amakhamera enhliziyo ukuba agcwalise ngegazi ngokufanele. Inhliziyo ingase ingakwazi ukupompa igazi elanele emzimbeni. Uma lokhu kwenzeka, ungase uzizwe uphefumula kanzima noma ukhanye. Abanye abantu bayalahlekelwa yikwazi.
Izigaba ze-ventricular tachycardia zingaba mfushane futhi zihlale imizuzwana embalwa kuphela ngaphandle kokulimaza. Kodwa izigaba ezithatha isikhathi esingaphezu kwemizuzwana embalwa, okuthiwa yi-sustained V-tach, zingaba yingozi eyingozi. Ngesinye isikhathi i-ventricular tachycardia ingabangela yonke imisebenzi yenhliziyo ukuba iyeke. Lolu hlobo lokulimala lubizwa ngokuthi yi-sudden cardiac arrest.
Izindlela zokwelapha i-ventricular tachycardia zihlanganisa imithi, ukushaywa kwenhliziyo, idivayisi yenhliziyo, kanye nenqubo noma ukuhlinzwa.
Ii-Ventricular arrhythmias zingase zenzeke ezinhliziyweni ezijwayelekile nezingajwayelekile ngokwakhe. Lokho esikushonayo ngalokhu ukuthi kunabantu abangaphandle abangenayo enye inkinga yenhliziyo ngaphandle kokungajwayelekile kwesistimu yabo ye-elekthrikhi yamakhamera angaphansi enhliziyo yabo, noma i-ventricles, engabangela ukuthi inhliziyo iphume esimweni. Lezi zingase zivele njengezinto eziyengeziwe ezingekho ngezinye izikhathi ezingase zivele njengokweqa kwama-beats, noma njengochungechunge olukhulu lwama-beats aqhubeka ngokulandelana, okuthiwa yi-ventricular tachycardia. Emacaleni ambalwa, uma inhliziyo ilungile ngokwakhe, lokhu empeleni kungabangela i-rhythm eyingozi, nakuba futhi lokho kuyinto engavamile uma kungekho enye inkinga yenhliziyo engase ibe nomthelela.
Manje, kubanye abantu, noma kunjalo, bangaba nenhliziyo engavamile ngezizathu ezihlukene. Kunezizathu eziningi ezenza ukuthi inhliziyo ibe ngeyona engavamile, njengokuthi uma uke waba nokuhlaselwa yinhliziyo esikhathini esidlule, uma unehlobo elithile lokulimala okuzuzwe ngokufuywa ongase ube uzuze kunina noma kuyihlo. Ungase ube nesifo esithinta inhliziyo, njenge-sarcoidosis noma i-myocarditis. Wonke la ma-syndromes ahlukene angase abe nomthelela ekungajwayelekile kwe-elekthrikhi ekhameni langaphansi lenhliziyo futhi, kodwa ngezinye izikhathi, uma abantu benalokho esikubiza ngokuthi yi-substrate, noma ukungajwayelekile kokwakheka okujwayelekile kwenhliziyo, lokhu kungabangela i-ventricular arrhythmias. Futhi kulaba bantu, lezi i-ventricular arrhythmias zingase zibe yingozi eyingozi.
Uma sibheka lezi arrhythmias ezenzeka, noma kunjalo, kufanele sithathe indlela ehlelekile yokuhlola kwazo nokwelashwa kwazo. Ngakho-ke ngisho ukuthini ngalokhu? Uma sikhuluma ngokuhlola, sibheka ukubona, Ingabe kunezinye izizathu ezenze? Ingabe kukhona imithi oyifakwe kuyo, ingabe kukhona ukungajwayelekile kwakho kwe-electrolytes, noma lokho obekukuthatha ngezizathu ezihlukene, njengezinto zokwelapha ezitholakala ngaphandle komthetho, ezingase zibe nomthelela ekutheni kungani ungase ube nalezi arrhythmias, futhi empeleni zingase zihambe uma singenzi lutho olunye?
Siphinde sizame ukuthola ukuthi i-arrhythmia ibaluleke kangakanani. Ingabe yinto eyingozi, noma ayilona, ngoba akuzona zonke ezingozi. Futhi uma sikhuluma ngokwelapha, sibheka ngempela izindawo ezinkulu ezimbili. Kulabo bantu abangenayo i-ventricular arrhythmias eyingozi, sibheka ukwelapha ukuthuthukisa ikhwalithi yokuphila, noma izimpawu, ngoba abanye abantu bangaba nezinhlobo ezahlukene zezimpawu ezihlobene nalezi arrhythmias, kuhlanganise imizwa yokweqa kwama-beats noma ukubetha kwenhliziyo okusheshayo, noma ngisho nokukhahlela. Kodwa abanye bangase bazizwe nje bekhuluphuku.
Kodwa-ke, iqembu elinye esikukhathalelayo yilabo abalezi arrhythmias zingase zibe yingozi. Ngamanye amazwi, zingabangela ukufa ngokuzumayo. Kulabo bantu, sifuna ukuhlukanisa ubungozi ukuthola ukuthi lezi arrhythmias zingozi, futhi singawuvikela kanjani labo bantu ekufeni ngokuzumayo.
Ukuvimbela i-arrhythmias ukuba zenzeke, kunama-mainstays amabili wokwelapha. Uma singakwazi ukuthola enye imbangela eshintshayo, singakunika imithi, futhi kunemithi eminingi esingayisebenzisa. Le mithi ibizwa ngokuthi yi-anti-arrhythmic drugs, futhi ivame ukuphumelela kubantu abaningi abangu-50% kuya ku-60%. Noma kunjalo, ingaba nemiphumela emibi, futhi kubanye abantu ingabangela ezinye i-arrhythmias, futhi ngezinye izikhathi i-arrhythmias eyingozi engabangela ukufa ngokuzumayo, futhi. Uma nje abantu belandelelwa kahle futhi ukuqaliswa kwemithi kwenziwa kahle, noma kunjalo, amathuba alo mkhuba amancane kakhulu.
Ngiyabonga ngokubambisana nami namuhla ukufunda okwengeziwe mayelana ne-ventricular tachycardia. Kuvidio oluzayo, ngizongena ngemininingwane ngalokho okubandakanya inqubo yokuhlinzwa kwe-ablation.
Uma isifuba sishaya ngokushesha kakhulu, singase singathumeli igazi elanele emzimbeni wonke. Ngakho-ke amangqamuzana nezicubu zingase zingalitholi i-oksijini eyanele. Izimpawu ze-tachycardia ye-ventricular zibangelwa ukushoda kwe-oksijini. Zingafaka: Ubuhlungu obusengifubeni, obubizwa ngokuthi i-angina.Ukudideka.Ukushushumbisa kwesifuba, okubizwa ngokuthi i-palpitations.Ukukhanya ekhanda.Ukuqina kokuphefumula. I-tachycardia ye-ventricular ingaba yiphuthuma lokudingeka kwelokuthi yikade, ngisho noma izimpawu zakho zincane. I-tachycardia ye-ventricular, ngezinye izikhathi ebizwa nge-V-tach noma i-VT, iqondiswe ngokuthi isikhathi eside kangakanani isiqephu sihlala. I-V-tach engayeki yodwa iyeka yodwa phakathi namaphezu angu-30. Iziqephu ezifushane zingase zingabangeli zimpawu.I-V-tach eqhubekayo ihlala isikhathi esingaphezu kwama-30. Lolu hlobo lwe-tachycardia ye-ventricular lungabangela izinkinga ezinkulu zempilo. Izimpawu ze-V-tach eqhubekayo zingafaka: Ukuphelelwa amandla.Ukulahlekelwa ukwazi.Ukuphazamiseka kwenhliziyo noma ukufa ngokuzuma. Izinto eziningi ezahlukene zingabangela i-tachycardia ye-ventricular, ngezinye izikhathi ebizwa nge-V-tach noma i-VT. Kubalulekile ukuthola ukuxilongwa okusheshayo, okuchane ngokunembile nokukhathalelwa okufanele. Ngisho noma unehliziyo enempilo, kufanele uthole usizo lwezokwelapha ngokushesha uma unezimpawu ze-V-tach. Yenza i-aphoyintimenti yokuhlolwa kwempilo uma ucabanga ukuthi une-heartbeat engajwayelekile. Ngezinye izikhathi, ukunakekelwa okuphaphandayo noma okuphaphandayo kuyadingeka. Shaya u-911 noma inombolo yakho yephuthuma lokudingeka kwelokuthi yikade kulezi zimpawu: Ubuhlungu besifuba obuhlala isikhathi esingaphezu kwemizuzu embalwa.Ukuphefumula okuqine.Ukuphelelwa amandla.Ukuqina kokuphefumula.
Izinto eziningi ezahlukene zingabangela i-ventricular tachycardia, ngezinye izikhathi ebizwa nge-V-tach noma i-VT. Kubalulekile ukuthola ukuxilongwa okusheshayo, okuchane ngokunembile kanye nokunakekelwa okufanele. Ngisho noma unempilo enhle yentliziyo, kufanele uthole usizo lwezokwelapha ngokushesha uma unezimpawu ze-V-tach. Yenza i-aphoyintimenti yokuhlolwa kwempilo uma ucabanga ukuthi une-heartbeat engajwayelekile. Ngezinye izikhathi, kuyadingeka ukunakekelwa okuphapheme noma okuphaphandwe. Shaya u-911 noma inombolo yakho yokuphuthuma lokhu:
I-tachycardia ye-ventricular ibangelwa ukungasebenzi kahle kokuthunyelwa komzimba kwentliziyo okwenza intliziyo ishaye ngokushesha kakhulu emakhameni angezansi entliziyo. Amakhamera angezansi entliziyo abizwa ngokuthi ama-ventricles. Izinga lentliziyo eliphakeme alivumeli ama-ventricles ukuba agcwalise futhi acindezele ukuze apompe igazi elanele emzimbeni.\n\Izinto eziningi zingabangela noma ziholele ezinkingeni zokuthunyelwa komzimba kwentliziyo futhi zibangele i-tachycardia ye-ventricular. Lezi zihlanganisa:\n\n- Ukugula kwentliziyo kwangaphambili.\n- Noma iyiphi inkinga yentliziyo ebangela ukuba khona kwezilawuli zethusi lentliziyo, okuthiwa yisifo sentliziyo esakhiwe.\n- Ukungasebenzi kahle kokugeleza kwegazi emshinini wentliziyo ngenxa yesifo se-coronary artery.\n- Izinkinga zentliziyo ezikhona ekuzalweni, kuhlanganise i-long QT syndrome.\n- Ukushintsha amazinga emigoqo yomzimba ebizwa ngama-electrolytes. Lezi zihlanganisa i-potassium, i-sodium, i-calcium ne-magnesium.\n- Imiphumela emibi yemithi.\n- Ukusetshenziswa kwezithuthukisi ezifana ne-cocaine noma i-methamphetamine.\n\Ngezinye izikhathi, imbangela eqondile ye-tachycardia ye-ventricular ayikwazi ukunqunywa. Lokhu kubizwa ngokuthi i-tachycardia ye-ventricular idiopathic.\n\nEkuhambeni okujwayelekile kwentliziyo, iqembu elincane lamaseli e-sinus node lithumela isinyathelo samandla. Isinyathelo samandla sihamba-ke ngama-atria kuya e-atrioventricular (AV) node bese sidlula kuma-ventricles, sibenza baqinisise futhi bapompe igazi.\n\nUkuqonda kangcono imbangela ye-tachycardia ye-ventricular, kungasiza ukwazi ukuthi intliziyo isebenza kanjani.\n\nIntliziyo ejwayelekile inamakamelo amane.\n\n- Amakamelo amabili aphezulu abizwa ngama-atria.\n- Amakamelo amabili angezansi abizwa ngama-ventricles.\n\nUhlelo lwamandla lentliziyo luphatha ukushaya kwentliziyo. Izibonakaliso zamandla zentliziyo ziqala eqenjini lamaseli phezulu kwentliziyo elibizwa nge-sinus node. Zidlula endleleni phakathi kwamakamelo aphezulu naphansi entliziyo ebizwa nge-atrioventricular (AV) node. Ukuhamba kwezibonakaliso kwenza intliziyo icindezele futhi iphonse igazi.\n\nEntliziyweni enempilo, le nqubo yokuthunyelwa komzimba kwentliziyo ivame ukuhamba kahle, iholele ezingeni lentliziyo eliphumule ngama-beats angu-60 kuya ku-100 ngomzuzu.\n\nKodwa izinto ezithile zingashintsha indlela izibonakaliso zamandla ezihamba ngayo entliziyweni. Ku-tachycardia ye-ventricular, ukungasebenzi kahle kokuthunyelwa komzimba kwentliziyo emakhameni angezansi kwenza intliziyo ishaye izikhathi ezingaphezu kuka-100 ngomzuzu.
anoma yimiphi imibandela ebekela inhliziyo ubunzima noma elimaza inyama yenhliziyo ingandisa ingozi ye-ventricular tachycardia. Ukushintsha kwendlela yokuphila njengokudla okunempilo nokungaqhubi, kunganciphisa ingozi. Kubalulekile futhi ukuthola ukwelashwa okufanele kwezokwelapha uma unezinye zezimo nezehlakalo ezilandelayo:
Umlando womndeni we-tachycardia noma ezinye izifo ze-rhythm yenhliziyo futhi wenza umuntu abe nethuba elikhulu lokuthola i-ventricular tachycardia.
Izinkinga ze-ventricular tachycardia kuncike ku:
Inkinga eyingozi impilo ye-V-tach yi-ventricular fibrillation, ebizwa nangokuthi i-V-fib. I-V-fib ingabangela ukuba yonke imisebenzi yenhliziyo iyeke ngokuzumayo, okuthiwa yi-sudden cardiac arrest. Kudingeka ukwelashwa okusheshayo ukuvimbela ukufa. I-V-fib iqala kakhulu kubantu abanesifo senhliziyo noma abake baba ne-heart attack. Ngezinye izikhathi kwenzeka kulabo abanama-potassium aphezulu noma aphansi noma ezinye izinguquko amazinga emigodi emzimbeni.
Ezinye izinkinga ezingase zenzeke ze-ventricular tachycardia zifaka:
Ukuvimbela i-tachycardia ye-ventricular kuqala ngokugcina inhliziyo iphilile. Uma une-sickness yenhliziyo, thola ukuhlolwa kwempilo njalo bese ulandela uhlelo lwakho lokwelashwa. Thatha wonke amaphilisi njengoba kuqondiswe. Thatha izinyathelo ezilandelayo ukuze ugcine inhliziyo iphilile. I-American Heart Association iphakamisa lezi zinyathelo ezisishiyagalombili:
Ukuhlolwa okuhle okuqondile komzimba, umlando wezokwelapha kanye nokuhlolwa kuyadingeka ukuze kuhlonishwe i-tachycardia ye-ventricular.
I-tachycardia ye-ventricular ngezinye izikhathi idinga ukunakekelwa kwezokwelapha okuphaphandakazayo futhi ingahlolwa esibhedlela. Uma kungenzeka, ochwepheshe bezempilo bangase bakubuze wena noma umndeni wakho imibuzo mayelana nezimpawu, imikhuba yokuphila kanye nomlando wezokwelapha.
I-electrocardiogram (ECG noma EKG) ukuhlolwa okuqopha izibonakaliso zamandla enhliziyweni. Kubonisa ukuthi inhliziyo ishaya kanjani. Izicucu ezinamathelayo ebizwa ngokuthi ama-electrodes zibekwa esifubeni futhi ngezinye izikhathi ezandleni noma ezinyaweni. Izingcingo zixhuma izicucu kukhompyutha, ephrinta noma ebonisa imiphumela.
I-Holter monitor iyidivayisi encane, egqokwayo eqopha ngokuqhubekayo izinga lenhliziyo usuku olulodwa noma ngaphezulu. Ochwepheshe bezempilo bangabuka idatha ebanjwe kudivayisi yokuqopha ukuze baqonde ukuthi ukushaya kwenhliziyo okungajwayelekile, okuthiwa yi-arrhythmia, kutholakala yini.
I-monitor yesigameko senhliziyo egqokwayo ingase isetshenziswe ukuze kuhlonishwe i-tachycardia. Lolu hlobo lwedivayisi ye-ECG ephathekayo luqopha umsebenzi wenhliziyo kuphela phakathi nezikhathi zokushaya kwenhliziyo okungajwayelekile, okuthiwa yi-arrhythmias.
Ukuhlolwa kwenziwa ukuze kuhlolwe inhliziyo futhi kuqinisekiswe ukuxilongwa kwe-tachycardia ye-ventricular, okuthiwa futhi yi-V-tach noma i-VT. Imiphumela yokuhlolwa ingasiza futhi ekuqondeni ukuthi enye inkinga yempilo ibangela i-V-tach yini.
Ekuvivinyweni kokucindezela komzimba, izinzwa ebizwa ngokuthi ama-electrodes zibekwa esifubeni futhi ngezinye izikhathi ezandleni nasezinyaweni. Izinzwa ziqopha ulwazi mayelana nokushaya kwenhliziyo. Ochwepheshe bezempilo bahlola inhliziyo ngesikhathi umuntu ehamba etreadmill noma egiya ibhayisikili elimi.
Ukuhlolwa kwezithombe kungasiza iqembu lakho lokunakekela ukuhlola ubukhulu benhliziyo yakho. Ukuhlolwa kwezithombe zenhliziyo okusetshenziswa ukuze kuhlonishwe i-tachycardia ye-ventricular kufaka phakathi:
Bheka ukuthi i-heart MRI, ebizwa nangokuthi i-cardiac MRI, isebenza kanjani ukubuka inhliziyo.
Ukuhlolwa okunye kwenziwa ukuze kuqinisekiswe i-tachycardia kanye nembangela yayo nokuze kufundwe ukuthi iholela ezinye izinkinga zempilo kanjani. Lokhu kuhlolwa kufaka phakathi:
Ukubuthaka kwe-ventricular okuphikelela ngaphezu kwamasekhondi angu-30, okubizwa ngokuthi yi-V-tach eqhubekayo, kudinga ukwelashwa okusheshayo kwezokwelapha. I-V-tach eqhubekayo ngezinye izikhathi ingabangela ukufa kwenhliziyo ngokuzumayo. Imigomo yokwelapha ukubuthaka kwe-ventricular iwukuthi:
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.