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Tachycardia Ye-Ventricular

Uhlolojikelele

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.

Izimpawu

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.

Isikhathi sokubona udokotela

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:

  • Ubuhlungu besifuba obuhlala isikhathi esingaphezu kwemizuzu embalwa.
  • Ukuphefumula okuyinselele.
  • Ukuphelelwa amandla.
  • Ukuphefumula okufushane. Bhalisela mahhala, bese uthola okuqukethwe kokutshalwa kwentliziyo kanye nokungasebenzi kahle kwentliziyo, kanye nochwepheshe ekuphileni kwentliziyo. ErrorSelect indawo
Izimbangela

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.

Izici eziyingozi

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:

  • Isikhathi senhliziyo.
  • Imiphumela emibi yemithi.
  • Ukushintsha okukhulu amazinga emigodi yomzimba, okuthiwa ukungalingani kwe-electrolyte.
  • Umlando wokusebenzisa izidakamizwa ezishukumisayo ezinjenge-cocaine noma i-methamphetamine.

Umlando womndeni we-tachycardia noma ezinye izifo ze-rhythm yenhliziyo futhi wenza umuntu abe nethuba elikhulu lokuthola i-ventricular tachycardia.

Izingqinamba

Izinkinga ze-ventricular tachycardia kuncike ku:

  • Ukushesha kokushaya kwenhliziyo.
  • Isikhathi sokushaya kwenhliziyo okusheshayo.
  • Ukuthi kukhona ezinye izimo zenhliziyo.

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:

  • Ukuhlushwa njalo yi-fainting spells noma ukungazi lutho.
  • Ukwehluleka kwenhliziyo.
  • Ukufa ngokuzumayo okubangelwa yi-cardiac arrest.
Ukuvimbela

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:

  • Dla ukudla okulinganiselwe, okunomsoco. Dla ukudla okunempilo oluphansi omunyu namafutha aqinile futhi olucebile ngezithelo, imifino namanye amazambane.
  • Zama ukuzivocavoca njalo. Zama ukuzivocavoca okungenani imizuzu engama-30 ezinsukwini eziningi. Buza iqembu lakho lokunakekelwa kwezempilo ukuthi yikuphi ukuzivocavoca okuvikelekile kuwe.
  • Gcina isisindo esinempilo. Ukukhuluphala kukwandisa ingozi yesifo senhliziyo. Xoxa neqembu lakho lokunakekelwa kwezempilo ukuze ubeke imigomo efanele ye-body mass index (BMI) nesisindo.
  • Phatha ukucindezeleka. Ukucindezeleka kungenza inhliziyo ishaye ngokushesha. Ukuzivocavoca okwengeziwe, ukuqeqeshwa kwengqondo nokuhlangana nabanye emaqenjini wokusekela zingazindlela zokunciphisa nokuphatha ukucindezeleka.
  • Khawukhawuleli utshwala. Uma ukhetha ukuphuza utshwala, yenza kanjalo ngokulinganisela. Kubantu abadala abaphilile, lokho kusho ukuphuza okukodwa ngosuku kwabesifazane nokuphuza okukabili ngosuku kwabesilisa.
  • Yekela ukubhema. Uma ubhema futhi awukwazi ukuyeka wedwa, xoxa nochwepheshe wezempilo ngezindlela zokusiza ukuba uyeke.
  • Sebenzisa imikhuba emihle yokulala. Ukulala okubi kungase kukhulise ingozi yesifo senhliziyo nezinye izimo zempilo zesikhathi eside. Abantu abadala kufanele bafune ukuthola amahora angu-7 kuya kwangu-9 okulala nsuku zonke. Lala uvuke ngesikhathi esifanayo nsuku zonke, kufaka phakathi amaviki. Uma unengcindezi yokulala, xoxa nochwepheshe wezempilo ngezindlela ezingase zikusize. Ukushintsha kokuphila okunye kungasiza futhi ekuvikeleni impilo yenhliziyo futhi kungavimbela ukushaya kwenhliziyo okungavamile:
  • Khawukhawuleli i-caffeine. I-caffeine iyisidakamizwa. Ingenza inhliziyo ishaye ngokushesha.
  • Ungasebenzisi izidakamizwa ezingamthetho. Izidakamizwa ezifana ne-cocaine ne-methamphetamine zingakhuphula izinga lenhliziyo. Uma udinga usizo lokuyeka, xoxa neqembu lakho lokunakekelwa kwezempilo ngohlelo olufanele kuwe.
  • Hlola izithako zephilisi. Amanye amaphilisi efriji nekhwezi athengwa ngaphandle kwesikripthi aqukethe izidakamizwa ezingase zikhulise izinga lenhliziyo. Njalo tshela iqembu lakho lokunakekelwa kwezempilo ngayo yonke imithi oyithathayo.
  • Iya ekuhlolweni kwempilo oluhleliwe. Yiba nokuhlolwa komzimba njalo bese ubika noma yiziphi izimpawu ezintsha eqenjini lakho lokunakekelwa kwezempilo.
Ukuxilongwa

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.

  • I-Electrocardiogram (ECG noma EKG). Lona ukuhlolwa okuvamile kakhulu kokuhlola i-tachycardia. I-ECG ibonisa ukuthi inhliziyo ishaya kanjani. Izinzwa ezincane, ebizwa ngokuthi ama-electrodes, zinamathela esifubeni futhi ngezinye izikhathi ezandleni nasezinyaweni. Izingcingo zixhuma izinzwa kukhompyutha, ephrinta noma ebonisa imiphumela. Ukuhlolwa kungasiza ekuqondeni uhlobo lwe-tachycardia.
  • I-Holter monitor. Uma i-ECG ejwayelekile inganiki imininingwane eyanele, iqembu lakho lokunakekela lingase likubuze ukuthi ugqoke i-monitor yenhliziyo ekhaya. I-Holter monitor iyidivayisi encane ye-ECG. Igqokwa usuku olulodwa noma ngaphezulu ukuze iqophe umsebenzi wenhliziyo phakathi kwemisebenzi yansuku zonke. Amanye amadivayisi siqu, afana nama-smartwatches, anikeza ukuqapha kwe-ECG ephathekayo. Buza iqembu lakho lokunakekela uma lokhu kuyinketho kuwe.
  • I-Implantable loop recorder. Le divayisi encane iqopha ukushaya kwenhliziyo ngokuqhubekayo iminyaka emithathu. Ibizwa futhi ngokuthi i-recorder yesigameko senhliziyo. Le divayisi ithi iqembu lakho lokunakekela ukuthi inhliziyo yakho ishaya kanjani phakathi kwemisebenzi yansuku zonke. Ibekwa ngaphansi kwesikhumba sesifuba ngenqubo encane.

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:

  • I-X-ray yesifuba. I-X-ray yesifuba ibonisa isimo senhliziyo nemiphunga.
  • I-Echocardiogram. Lolu hlolo luyisondo lenhliziyo. Lusebenzisa amaza omsindo ukudala isithombe senhliziyo eshaya. Lingabonisa izindawo zokuhamba okubi kwegazi nezingqinamba zevalvu yenhliziyo.
  • Ukuhlolwa kokucindezela komzimba. Lokhu akuyona ukuhlolwa kwezithombe, kodwa kungase kwenziwe ngesikhathi sokuhlolwa kwezithombe okuthiwa yi-echocardiogram. Ukuhlolwa ngokuvamile kuhilela ukuhamba etreadmill noma ukuqhubela ibhayisikili elimi ngesikhathi ochwepheshe wokunakekela ebuka ukushaya kwenhliziyo. Amanye ama-tachycardia aqubuka noma abiyela ngokuzivocavoca. Uma ungakwazi ukuzivocavoca, ungase uthole imithi ethonya ukushaya kwenhliziyo njengokuzivocavoca.
  • I-Cardiac magnetic resonance imaging (MRI). Lolu hlolo ludala izithombe ezimi noma ezihamba zokuhamba kwegazi ngenhliziyo. Ngokuvamile kwenziwa ukuze kuqondwe imbangela ye-tachycardia ye-ventricular noma i-ventricular fibrillation.
  • I-Cardiac computerized tomography (CT). I-CT scans ihlanganisa izithombe eziningi ze-X-ray ukuze inikeze umbono onemininingwane ngokwengeziwe wendawo efundwayo. I-CT scan yenhliziyo, ebizwa ngokuthi i-cardiac CT scan, ingase yenziwe ukuze kutholakale imbangela ye-tachycardia ye-ventricular.
  • I-Coronary angiogram. I-coronary angiogram yenziwa ukuze kuhlolwe imithambo yegazi evaliwe noma ecindezelwe enhliziyweni. Isebenzisa umbala nama-X-ray akhethekile ukubonisa ngaphakathi kwe-coronary arteries. Lolu hlolo lungase lenziwe ukuze kubhekwe ukunikezwa kwegazi kwenhliziyo kubantu abane-tachycardia ye-ventricular noma i-ventricular fibrillation.

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:

  • Isifundo se-Electrophysiological (EP). Isifundo se-EP yizinhlelo zokuhlola ezisiza ekudaleni imephu enemininingwane kakhulu yokuthi izibonakaliso zihamba kanjani phakathi kokushaya kwenhliziyo ngakunye. Kungase kwenziwe ukuze kuqinisekiswe i-tachycardia noma ukuthola ukuthi kuphi enhliziyweni lapho ukukhanya okungalungile kwenzeka khona. Ngokuvamile kwenziwa ukuze kuhlonishwe ukushaya kwenhliziyo okungajwayelekile okuhlukile. Udokotela ufake i-tube elilodwa noma ngaphezulu elincane, elithambile emithambeni yegazi futhi aliqondise enhliziyweni. Izinzwa eziphepheni ze-tubes zithumela izibonakaliso zamandla enhliziyweni futhi ziqophe umsebenzi wama-electrical wenhliziyo.
Ukwelashwa

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:

  • Nciphisa izinga lokubhula kwenhliziyo elilukhulu.
  • Vimbela izehlakalo ezizayo zokubhula kwenhliziyo okusheshayo. Ukwelashwa kokubuthaka kwe-ventricular kungafaka imithi, izinqubo namadivayisi okulawula noma ukuqalisa kabusha izinga lokubhula kwenhliziyo, kanye nokuhlinzwa kwenhliziyo. Uma kukhona enye isimo sezokwelapha esibangela ukubuthaka, ukwelapha inkinga ebanjelwe phansi kunganciphisa noma ukuvimbela izehlakalo zokubhula kwenhliziyo okusheshayo. Imithi inikezwa ukuze inciphise izinga lokubhula kwenhliziyo elilukhulu. Imithi esetshenziswa ekwelapheni ukubuthaka ingafaka i-beta blockers. Ungase udinga imithi engaphezu kwesisodwa. Xoxa neqembu lakho lokunakekelwa kwezempilo ngohlobo lwemithi olufanele kuwe. I-ICD ilawula ukubhula kwenhliziyo ngokunikeza imithikithi enhliziyweni lapho idivayisi ithola ukubhula kwenhliziyo okungajwayelekile. I-subcutaneous implantable cardioverter-defibrillator (S-ICD) iyindlela engathinti kakhulu kunesi-ICD esiqondile. Idivayisi ye-S-ICD ifakwa ngaphansi kwesikhumba eceleni lesifuba ngaphansi kwesikhumba. Iyixhuma kumqaphi oqhubeka nomgogodla webele. Ukuhlinzwa noma inqubo kungase kudingeke ukulawula noma ukuvimbela izehlakalo zokubuthaka.
  • Ukuguqulwa kwe-Cardioversion. Lolu lwelo lwasetshenziswa uma kunesidingo sokukhathalela okusheshayo ngesikhathi eside sokubuthaka kwe-ventricular. I-Cardioversion isebenzisa imithikithi esheshayo, ephansi yamandla ukuqalisa kabusha izinga lokubhula kwenhliziyo. Kungenzeka futhi ukwenza i-cardioversion ngemithi. Ukuthinta kungase futhi kunikezwe enhliziyweni usebenzisa i-automated external defibrillator (AED).
  • Ukuhlinzwa kwenhliziyo evulekile. Abanye abantu abane-tachycardia badinga ukuhlinzwa kwenhliziyo evulekile ukuqothula indlela eyengeziwe yokunikeza umqondo wenhliziyo ebangela ukubuthaka. Olunjalo ukuhlinzwa kuvame ukwenziwa lapho ezinye izindlela zokwelapha zingasebenzi noma lapho ukuhlinzwa kudingeka ukwelapha enye isimo senhliziyo. Abanye abantu abane-tachycardia badinga idivayisi ezosiza ukulawula ukubhula kwenhliziyo nokuqalisa kabusha izinga lokubhula kwenhliziyo. Amadivayisi enhliziyo afaka:
  • Implantable cardioverter-defibrillator (ICD). Iqembu lakho lokunakekelwa lingase liqondise le divayisi uma unesongo elikhulu lokubhula kwenhliziyo okusheshayo noma okungajwayelekile emakhameni aphansi enhliziyo. I-ICD ifakwa ngaphansi kwesikhumba eduze kwentamo. Ihlola njalo izinga lokubhula kwenhliziyo. Uma idivayisi ithola ukubhula kwenhliziyo okungajwayelekile, ithumela ukuthinta ukuqalisa kabusha izinga lokubhula kwenhliziyo.
  • I-Pacemaker. Uma ukubhula kwenhliziyo okuhamba kancane kungabi nesizathu esingalungiswa, i-pacemaker ingase idingeke. I-pacemaker iyidivayisi encane efakwe esifubeni ukuze isize ukulawula ukubhula kwenhliziyo. Uma ithola ukubhula kwenhliziyo okungajwayelekile, ithumela isinyathelo samandla esisiza ukulungisa izinga lokubhula kwenhliziyo. Bhalisa mahhala, futhi uthole okuqukethwe kokutshalwa kwenhliziyo nokungaphumeleli kwenhliziyo, kanye nochwepheshe ekuphileni kwenhliziyo. ErrorSelect indawo sixhumanisi sokuyeka ukubhalisa i-imeyili. Yenza amacebo okulawula izehlakalo zokubhula kwenhliziyo okusheshayo. Ukwenza kanjalo kungakusiza uzizwe uzolile futhi ulawuleke kakhulu lapho kwenzeka. Xoxa neqembu lakho lokukhathalela ngokuthi:
  • Indlela yokuhlola izinga lokubhula kwenhliziyo yakho nokuthi yiliphi izinga elifanele kuwe.
  • Lapho kufanele ubizane neqembu lakho lokunakekelwa kwezempilo.
  • Lapho kufanele uthole ukunakekelwa okusheshayo.

Ikheli: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

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.

Yenziwe eNdiya, yomhlaba