Yini i-Adenosine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Adenosine iyimithi yenhliziyo enamandla odokotela abayisebenzisela ukubuyisela ngokushesha isigqi senhliziyo esijwayelekile lapho inhliziyo yakho ishaya ngokushesha kakhulu. Inikezwa ngokuqondile emthanjeni wakho nge-IV, futhi isebenza ngemizuzwana ukusiza inhliziyo yakho ukuthi ibuyele ekushayeni kwayo okuvamile, okuzinzile.

Le mithi ivame ukusetshenziswa ezimweni eziphuthumayo noma ezindaweni zezokwelapha ezilawulwayo lapho isigqi senhliziyo yakho sidinga ukulungiswa ngokushesha. Cabanga ngayo njenge-“inkinobho yokusetha kabusha” yezinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile okungenza uzizwe unesiyezi, uphelelwe umoya, noma unganamahloni.

Yini i-Adenosine?

I-Adenosine iyinto ekhona ngokwemvelo umzimba wakho osuvele uyenza, kodwa ngesimo semithi, igxilisiwe futhi ihlanzekile ukuze isetshenziswe kwezokwelapha. Uma inikezwa njengomuthi, yehlisa okwesikhashana amasignali kagesi enhliziyweni yakho, okuyivumela ukuthi isethe kabusha esigqini esijwayelekile.

Lo muthi ungowesigaba esibizwa ngokuthi imithi elwa nokushaya kwenhliziyo okungajwayelekile, eqondise ngqo izinkinga zesigqi senhliziyo. Ngokungafani neminye imithi yenhliziyo oyithatha nsuku zonke, i-adenosine isetshenziswa kuphela uma idingeka futhi isebenza ngokushesha kakhulu, ngokuvamile ngaphakathi kwemizuzwana engu-10-20 ngemuva kokunikezwa.

Uzothola i-adenosine kuphela esibhedlela noma endaweni yezokwelapha lapho ochwepheshe bezempilo bengaqapha khona inhliziyo yakho ngokucophelela. Akuyona into ongayithatha ekhaya, njengoba idinga ukugadwa kwezokwelapha ngokucophelela kanye nemishini ekhethekile.

Isetshenziselwani i-Adenosine?

I-Adenosine isetshenziswa ikakhulukazi ukwelapha uhlobo oluthile lwesigqi senhliziyo esisheshayo olubizwa ngokuthi i-supraventricular tachycardia (SVT). Lesi simo senza inhliziyo yakho ishaye ngokushesha kakhulu, ngokuvamile ukushaya okungu-150-250 ngomzuzu, okungenza uzizwe ukhathazekile, unesiyezi, noma uphelelwe umoya.

I-SVT yenzeka lapho izimpawu zikagesi emagumbini aphezulu enhliziyo yakho zibanjwa kulu, okwenza inhliziyo yakho ishaye ngokushesha kakhulu kunokujwayelekile. I-Adenosine iphula leli lu ngokuvimba okwesikhashana lezi zimpawu zikagesi, ivumela inhliziyo yakho ukuthi ibuyele esigqi sayo esivamile.

Ngezinye izikhathi odokotela basebenzisa i-adenosine njengensiza yokuxilonga ngesikhathi sokuhlolwa kwenhliziyo ethile. Kungabasiza ukuthi babone ukuthi inhliziyo yakho isabela kanjani ekucindezelekeni noma ukuhlonza izinhlobo ezithile zezinkinga zesigqi senhliziyo ezingase zingabonakali ngesikhathi sokuhlolwa okuvamile.

Isebenza Kanjani I-Adenosine?

I-Adenosine isebenza ngokuvimba okwesikhashana izindlela zikagesi enhliziyweni yakho, ikakhulukazi endaweni ebizwa nge-AV node. Lokhu kudala ukuma okufushane ohlelweni lukagesi lwenhliziyo yakho, okuyivumela ukuthi isethe kabusha esigqini esivamile.

Umuthi uthathwa njengonamandla kakhulu futhi usebenza ngokushesha, yingakho usebenza kahle ezimweni eziphuthumayo. Ngemizuzwana ngemva kokuwuthola, ungase uzwe umzuzwana omfushane lapho inhliziyo yakho ibonakala sengathi iyama noma igxuma ukushaya, kodwa lokhu kuvamile futhi kulindelekile.

Umzimba wakho uhlukanisa i-adenosine ngokushesha okukhulu, ngokuvamile ngaphakathi kwemizuzwana engu-10-30, okusho ukuthi imiphumela yayo ihlala isikhathi esifushane. Lokhu kuhlukaniswa okusheshayo empeleni kuyasiza ngoba kusho ukuthi noma yimiphi imiphumela emibi ongase uyizwe izodlula ngokushesha kakhulu.

Kufanele Ngiyithathe Kanjani I-Adenosine?

Ngeke 'uthathwe' i-adenosine ngokwakho - ngaso sonke isikhathi inikezwa ochwepheshe bezempilo ngomugqa we-IV engalweni yakho. Umuthi kufanele ujovwe ngokushesha okukhulu, kulandelwe ngokushesha ukukhishwa kwesisombululo se-saline ukuze kuqinisekiswe ukuthi ifinyelela enhliziyweni yakho ngokushesha.

Ngaphambi kokuthola i-adenosine, uzoxhunywa emishinini yokuqapha inhliziyo ukuze ithimba lakho lezokwelapha likwazi ukubuka isigqi senhliziyo yakho ngokucophelela. Ngokuvamile uzobe ulele ngesikhathi senqubo, njengoba abanye abantu bezizwa benesiyezi noma bengakhululekile imizuzwana embalwa ngemva kokuyithola.

Isikhathi nendlela yokunikeza i-adenosine kubalulekile ukuze isebenze kahle. Ithimba lakho lezempilo lizobe selilungiselele konke futhi lizoxhumanisa umjovo ngokucophelela ukuqinisekisa imiphumela engcono kakhulu esimweni sakho esithile.

Ngingayithatha isikhathi esingakanani i-Adenosine?

I-Adenosine yikhambi elilodwa elisebenza ngokushesha futhi alidingi ukusetshenziswa okuqhubekayo. Abantu abaningi badinga umthamo owodwa kuphela, nakuba ngezinye izikhathi kungase kunikezwe umthamo wesibili noma wesithathu uma owokuqala ungabuyiseli isigqi senhliziyo esijwayelekile.

Umuthi ngokwawo uphuma ngokuphelele emzimbeni wakho ngemizuzu, kodwa isigqi senhliziyo yakho kufanele sibuyele kokujwayelekile futhi sihlale ngaleyo ndlela. Uma inkinga yesigqi senhliziyo yakho ibuyela, udokotela wakho uzodinga ukuhlola izimbangela ezingaphansi futhi mhlawumbe ancome ukwelashwa okuhlukile.

Ngemva kokuthola i-adenosine, uzoqashwa isikhashana ukuze uqiniseke ukuthi isigqi senhliziyo yakho sihlala sizinzile. Abanye abantu baya ekhaya ngosuku olufanayo, kanti abanye bangase badinge ukubhekwa okwengeziwe noma ukwelashwa kuye ngesimo sabo esithile.

Yiziphi Imiphumela Eceleni Ye-Adenosine?

Abantu abaningi bahlangabezana nemiphumela ethile yesikhashana evela ku-adenosine, kodwa ngokuvamile ihlala imizuzwana engu-10-30 kuphela. Umuzwa ovamile kakhulu umuzwa omfushane wokungakhululeki esifubeni noma ukucindezela, okwenzeka ngoba umuthi wehlisa inhliziyo yakho okwesikhashana.

Nansi imiphumela engase yenzeke ngemizuzwana embalwa yokuqala ngemva kokuthola i-adenosine:

• Ukungakhululeki okufushane esifubeni noma ukucindezela
• Umuzwa wokuthi awukwazi ukuphefumula noma ukuphefumula kanzima
• Isiyezi noma ukukhathala
• Isicanucanu noma ukuzwa sengathi uyagula
• Ukunambitheka kwensimbi emlonyeni wakho
• Ukubomvu ebusweni noma ukuzwa ukushisa
• Umuzwa wokwesaba okuzayo noma ukukhathazeka

Le mizwa ingase izizwe inamandla kodwa ijwayelekile ngokuphelele futhi izodlula ngokushesha. Ithimba lakho lezempilo lizokuxwayisa ngale miphumela ngaphambili ukuze wazi ukuthi yini ongayilindela.

Ngokungavamile, abanye abantu bangase bahlangabezane nemiphumela engathi sína njengokushaya kwenhliziyo okuhamba kancane noma ubunzima bokuphefumula. Yingakho i-adenosine inikezwa kuphela ezindaweni zezokwelapha lapho ukwelashwa ngokushesha kutholakala uma kudingeka.

Ubani Ongafanele Athole I-Adenosine?

I-Adenosine ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukunikeza yona. Abantu abanezimo ezithile zenhliziyo noma izinkinga zokuphefumula kungenzeka bangabi ngabantu abafanelekayo kulo muthi.

Udokotela wakho uzoba nokuqapha okukhethekile uma unezimo ezilandelayo:

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• Isifuba esikhulu noma isifo samaphaphu esingamahlalakhona
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• Ukuvinjelwa kwenhliziyo (izinkinga ngezimpawu zikagesi enhliziyweni yakho)
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• Umfutho wegazi ophansi kakhulu
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• Ukuhlaselwa yinhliziyo kwakamuva
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• Ukwehluleka kwenhliziyo okukhulu
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• Ukungezwani okwaziwayo ne-adenosine
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Uma uphuza i-caffeine njalo noma uthatha i-theophylline (umuthi wezinkinga zokuphefumula), lokhu kungaphazamisa ukuthi i-adenosine isebenza kanjani. Udokotela wakho uzodinga ukwazi ngayo yonke imithi nezithasiselo ozithathayo.

Abantu abanezinhlobo ezithile zezinkinga zesigqi senhliziyo, ikakhulukazi lezo ezihilela amagumbi aphansi enhliziyo, ngokuvamile akufanele bathole i-adenosine njengoba ingase yenze isimo sabo sibe sibi.

Amagama Omkhiqizo we-Adenosine

I-Adenosine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Adenocard iyona esetshenziswa kakhulu e-United States. Ungase futhi uyizwe ibizwa nge-Adenoscan, esetshenziselwa ukuhlolwa kwenhliziyo yokuxilonga kunokwelapha izinkinga zesigqi.

Izibhedlela ezihlukene nezikhungo zezokwelapha zingase zisebenzise amagama omkhiqizo ahlukene, kodwa zonke ziqukethe isithako esifanayo esisebenzayo futhi zisebenza ngendlela efanayo. Ithimba lakho lezempilo lizosebenzisa noma iyiphi inguqulo etholakalayo futhi efanele isimo sakho esithile.

Igama elivamile elithi

Uma i-adenosine ingakulungele noma ingasebenzi kahle, udokotela wakho unezinye izinketho eziningi zokwelapha ukushaya kwenhliziyo okusheshayo. Ukukhetha kuncike ohlotsheni lwakho oluthile lwenkinga yokushaya kwenhliziyo nempilo yakho yonke.

Imithi enye ingabandakanya i-verapamil noma i-diltiazem, esebenza kancane kodwa ingasebenza ezinhlotsheni ezithile zezinkinga zokushaya kwenhliziyo. Lezi zinikezwa nge-IV njenge-adenosine kodwa zithatha isikhathi eside ukusebenza.

Kwezinye izimo, udokotela wakho angase ancome i-cardioversion kagesi, esebenzisa ukushaqeka kagesi okulawulwayo ukuze kusethwe kabusha ukushaya kwenhliziyo yakho. Lokhu kuvame ukwenziwa ngaphansi kokuthulisa futhi kusebenza kahle kakhulu ezinhlotsheni ezahlukene zezinkinga zokushaya kwenhliziyo.

Ukuze kulawulwe isikhathi eside, udokotela wakho angase asikisele imithi yansuku zonke, izinguquko zendlela yokuphila, noma izinqubo ezinjenge-catheter ablation, engalungisa unomphela izinhlobo ezithile zezinkinga zokushaya kwenhliziyo.

Ingabe i-Adenosine Ingcono Kune-Verapamil?

I-Adenosine ne-verapamil zombili ziyasebenza ekwelapheni ukushaya kwenhliziyo okusheshayo, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukile. I-Adenosine isebenza ngokushesha okukhulu, ngokuvamile ngemizuzwana, kuyilapho i-verapamil ithatha imizuzu eminingana ukukhombisa imiphumela yayo.

I-Adenosine ivame ukukhethwa njengokukhetha kokuqala ngoba isebenza ngokushesha futhi ishiya uhlelo lwakho ngokushesha. Lokhu kusho ukuthi uma kungasebenzi noma kubangela izinkinga, imiphumela iyaphela ngokushesha, futhi odokotela bangazama enye into.

I-Verapamil ingase ikhethwe uma une-asthma enzima noma isifo samaphaphu, njengoba ngokuvamile iphephe kakhulu kubantu abanezinkinga zokuphefumula. Futhi ivame ukubangela imizwa embalwa engakhululekile engakhiqizwa yi-adenosine.

Udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe enkingeni yakho ethile yokushaya kwenhliziyo, umlando wakho wezokwelapha, nokuthi ukushaya kwenhliziyo yakho kudingeka kulungiswe ngokushesha kangakanani.

Imibuzo Evame Ukubuzwa Mayelana ne-Adenosine

Ingabe i-Adenosine iphephile kubantu abanezifo zenhliziyo?

I-Adenosine ingaba yingozi kubantu abanezifo zenhliziyo, kodwa idinga ukuhlolwa ngokucophelela ithimba lakho lezokwelapha. Udokotela wakho uzocabangela uhlobo lwakho oluthile lwesifo senhliziyo, ukuthi sinzima kangakanani, nokuthi i-adenosine iyona yini engcono kakhulu esimweni sakho.

Abantu abanezinhlobo ezithile zesifo senhliziyo, njengokwehluleka kwenhliziyo okukhulu noma ukuhlaselwa yinhliziyo kwakamuva, bangase badinge izinyathelo zokuphepha ezikhethekile noma ezinye izindlela zokwelapha. Ithimba lakho lezempilo lizokuqapha ngokucophelela uma unezinkinga zenhliziyo ezikhona.

Okubalulekile ukuba nochwepheshe bezokwelapha abanolwazi abangaphendula ngokushesha uma kuvela noma yiziphi izinkinga. Yingakho i-adenosine inikezwa kuphela ezikhungweni zezokwelapha ezinemishini efanele yokuqapha nabasebenzi abaqeqeshiwe.

Kufanele ngenzeni uma ngithola i-Adenosine eningi ngengozi?

Akudingeki ukhathazeke ngokuthola i-adenosine eningi ngengozi ngoba inikezwa kuphela ochwepheshe bezempilo abaqeqeshiwe ababala futhi balinganise ngokuqikelela umthamo ngamunye. Umuthi ulungiswa futhi unikezwe ngaphansi kokuqashwa kwezokwelapha okuqinile.

Noma ngabe i-adenosine eningi yanikezwa, imiphumela izoba yesikhashana ngoba umzimba wakho uyayihlukanisa ngokushesha. Ithimba lakho lezokwelapha lizobe lilapho ukuze linikeze ukwesekwa ngokushesha nokwelashwa uma kudingeka.

Izimiso zokuphepha ezikhungweni zezokwelapha zenzelwe ukuvimbela amaphutha emithi, okuhlanganisa ukuhlolwa okuningi ngaphambi kokuba kunikezwe noma yimuphi umuthi, ikakhulukazi lezo ezinamandla njenge-adenosine.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Adenosine?

Lo mbuzo awusebenzi ngempela ku-adenosine ngoba akuyona imithi oyithatha njalo ekhaya. Inikezwa kuphela uma unezinkinga ezithile zesigqi senhliziyo ezidinga ukwelashwa ngokushesha.

Uma inkinga yakho yesigqi senhliziyo ibuyela emuva ngemva kokwelashwa ngempumelelo nge-adenosine, uzodinga ukufuna ukunakekelwa kwezokwelapha futhi. Lokhu akufani "nokuphuthelwa umthamo" - kungaba yisigameko esisha esidinga ukuhlolwa nokwelashwa.

Udktela wakho uzoxoxa nawe ukuthi yini okufanele uyenze uma uhlangabezana nezinkinga zesigqi senhliziyo esikhathini esizayo, okungase kuhlanganise nokucela usizo oluphuthumayo noma ukuya esibhedlela, kuye ngesimo sakho esithile.

Ngingayeka nini ukuthatha i-Adenosine?

I-Adenosine iyeka ukusebenza yodwa ngemizuzwana kuya emizuzwini ngemva kokunikezwa, ngakho-ke asikho isidingo soku "yeka" ukuyithatha ngokuqondile. Uma isinikeziwe futhi yenza umsebenzi wayo wokulungisa kabusha isigqi senhliziyo yakho, isuswa ngokuzenzakalelayo emzimbeni wakho.

Umbuzo wokuyeka ukwelashwa uhlobene kakhulu neminye imithi edokotela wakho angase ayinikeze ukuvimbela izinkinga zesigqi senhliziyo esikhathini esizayo. Lezi zinqumo zincike kulokho okubangele inkinga yakho yesigqi ekuqaleni.

Udktela wakho uzoxoxa nawe nganoma yiziphi izinhlelo zokuqhubeka nokwelashwa, ezingase zihlanganise imithi yansuku zonke, izinguquko zendlela yokuphila, noma izinqubo zokubhekana nesizathu esiyisisekelo sezinkinga zakho zesigqi senhliziyo.

Ngingashayela ngemva kokuthola i-Adenosine?

Akufanele ushayele ngemva nje kokuthola i-adenosine, njengoba abanye abantu bezizwa benesiyezi noma bekhathele isikhashana ngemva kwalokho. Ithimba lakho lezokwelapha lizohlola ukuthi uzizwa kanjani nokuthi kuliphi ithuba eliphephile ngawe ukuqhubeka nemisebenzi ejwayelekile.

Abantu abaningi bazizwa bejwayelekile ngokuphelele kungakapheli ihora noma amabili ngemva kokuthola i-adenosine, kodwa lokhu kungahluka kumuntu nomuntu. Uma uze esibhedlela uwedwa, kungase kudingeke ukuthi uhlele ukuthi othile akuqhubele ekhaya.

Udktela wakho uzokunikeza imiyalelo ethile mayelana nokuthi ungasheshela nini ukushayela futhi ngokuphepha, okuyinto evame ukuncika ekutheni uzizwa kanjani nokuthi ngabe udinga yini okunye ukwelashwa noma ukuqashwa.