Ngokuqhelekileyo, kukho izizathu ezibini ugqirha wakho angathanda ukukubeka kumayeza ngenxa ye- cardiac arrhythmia . Okokuqala, i-arrhythmia inokubangela ukuba ube neempawu, ezinjenge- palpitations okanye ukukhanya okulula , kwaye unyango lunokuba luleke ukukhupha loo mpawu. Okwesibini, i-arrhythmia inokubangela ukulimaza okanye ukusongela ukwenza njalo. Abaninzi bama-arrhythmias akwenzi nanye kwezi zinto zimbini kwaye abafunanga unyango olujoliswe ngqo kwi-arrhythmia ngokwayo.
Ukuba une-arrhythmia edinga unyango lwezempilo, kukho iiklasi ezintathu eziqhelekileyo zonyango ezinokuba luncedo, kuxhomekeke kuhlobo lwesigqirha. Iqela lokuqala liqulethwe ngamachiza e-antiarrhythm-drugs ngokukodwa okujoliswe ekunciphiseni iziqhelo zentliziyo ezingavamile. Okwesibini liqukethe iziyobisi ezichaphazela i- AV node , esetyenziswa kakhulu kwi -tachycardias engaphezulu (SVT). Iqela lesithathu liqukethe izidakamizwa ezahlukahlukeneyo eziye zaboniswa ukunciphisa umngcipheko wokufa ngokukhawuleza kwi-arrhythmias yenyama.
Izidakamizwa zeAnrrhythmic
Iziyobisi ezi-antiarrhymic ziyeza ukuba zitshintshe izixhobo zombane zeethambo zomzimba, ngokwenza njalo, utshintshe indlela intetho yombane yentliziyo isasazeka ngayo yonke intliziyo. Ekubeni i- tachycardias (i-arrhythmias ebangela ukukhawuleza kwenani lentliziyo) ngokuqhelekileyo ihambelana nokungaqhelekanga kwisiganeko sombane, iziyobisi ezitshintshisayo isiginali sombane zintliziyo zihlala ziphucula ezo i-arrhythmias.
Izidakamizwa ze-Antiarrhythm zihlala zisebenza kakuhle, okanye zincinci ngempumelelo, ekuphatheni iintlobo ezininzi ze-tachycardias.
Ngelishwa, izidakamizwa ezinqamlekileyo njengeqela zivame ukudala ubuninzi besifo sohlobo oluthile okanye olunye, kwaye ngenxa yoko, kunokuba kunzima ukuthatha. Isilwanyana ngasinye esichaphazelekayo sinepropati yaso yodwa, kwaye kubalulekile ukuba ugqirha wakho acacise ukuba iingxaki ezinokuthi zenzeke ngeziyobisi ezikhethiweyo.
Nangona kunjalo, kukho enye ingxaki esilungeleyo eqhelekileyo kuzo zonke izidakamizwa ezichasayo: ngamanye amaxesha ezi zi yobisi zenza i-arrhythmia ibe nzima kunokuba ibe ngcono.
Le nxalenye yezidakamizwa ezichaziweyo-ezibizwa ngokuthi "i-proarrhythmia" -iya kuba yipropati yezilwanyana eziguqula isigxina sombane senhliziyo. Ukubeka nje, xa wenza nantoni na ukuba utshintshe indlela isignali kagesi isasazeka ngayo yonke intliziyo, kungenzeka ukuba utshintsho luya kwenza i-tachycardia ibe bhetele, okanye yimbi.
Izidakamizwa eziqhelekileyo ezisetyenziswayo ziquka i-amiodarone (iCordarone, i-Pacerone), i-sotalol (i-Betapace), i-propafenone (iRhythmol) kunye ne- dronedarone (i-Multaq).
I-Amiodarone yiyona ndlela iphumelele kakhulu yeziyobisi kwaye isenokuba yinto encinci yokwenza i-proarrhymia kunezinye iziyobisi. Ngelishwa, ezinye iindidi zetyhefu ezibonwayo kunye ne-amiodarone zinokuba zibi kakhulu, kwaye le nkunkuma kufuneka isetyenziswe kuphela (njengezo zonke iziyobisi ezichasayo) xa kuyimfuneko.
Umgca wecala kukuba oogqirha-kwaye kufuneka bafune ukuzithemba ukunyanzela iziyobisi ezichasayo. Ezi zi yobisi kufuneka zisetyenziswe kuphela xa i-arrhythmia ivelisa iimpawu ezibalulekileyo okanye ibeka ingozi kwimpilo yengqondo.
I-AV Nodal Blocking Drugs
Amachiza eyaziwa njenge-AV nodal block blocking drugs- beta blockers , i- calcium channel blockers , kunye ne-digoxin-work by slowing the signal of electrical signal njengoko idlula kwi-AV node endleleni yayo esuka kwi-atria ukuya kwi-ventricles.
Oku kwenza ukuba i-AV igxininise izixhobo ezivakalayo ezincedo ekuphatheni i-SVT. Ezinye iifom ze-SVT (ngokukodwa, i- AV nodal reentrant tachycardia kunye ne-tachycardias ebangelwa ngamaphecana ajikelezayo), idinga i-AV node ukuqhuba isalathisi kagesi ngokuchanekileyo, kwaye ukuba i-AV node ingenziwa ukuqhuba isalathisi kagesi ngokukhawuleza, i-SVT nje yeka.
Kwi-SVT eyaziwa ngokuba yi- fibrillation ye-atrial , i-AV nodal block blocking drugs ayigcini i-arrhythmia, kodwa iyancipha izinga lentliziyo ukunceda ukuphelisa impawu. Enyanisweni, ukulawula izinga lentliziyo nge-AV nodal block blocking drugs is often the best way to manage fibrillation .
Iziyobisi ezinciphisa Ubungozi bokufa ngokukhawuleza
Amacandelo ambalwa acinga ukuba anciphise umngcipheko wokufa ngokukhawuleza, mhlawumbi ngokunciphisa umngcipheko we- tachycardia ye- ventricular okanye i- fibrillation ye-ventricular , i-arrhythmias evelisa ukuboshwa kwentliziyo .
Uphando lubonisa ukuba i-beta blockers mhlawumbi iyanciphisa umngcipheko wokufa ngokukhawuleza ngokuthintela umphumo we-adrenaline kwi-heart muscle, ngaloo ndlela ukunciphisa amathuba okuphucula ama-arrhythmias abulalayo. Zonke izigulane eziye zaqhubeka zihlaselwa yintliziyo okanye zineentliziyo ezingaphumeleli kufuneka zithathe i-beta blockers.
Ukulula okulula ukuchaza ukunciphisa ukufa ngokukhawuleza kuxelwe kwizigulane ezithatha izitembu , okanye zidla i-omega-3 fatty acids, kodwa ezi zonyango zibonakala zinceda.
> Imithombo:
> Banika iAO. Iikhamera ze-Caronac Ion. I-Circ Arrythm Electrophysiol 2009; 2: 185.
> I-Gambit yeSicilian. Indlela entsha kwiHlelo loLuntu lweAriarrhythmic ezixutywe kwiiNkqubo zabo kwiindlela zeArrhymmogenic. Igqiza lomsebenzi weQela lokuSebenza kwiArrhythmias ye-European Society of Cardiology. Ukuhamba ngo-1991; 84: 1831.