I-tachycardia ye-Supraventricular, okanye i-SVT, yintsapho ye-arrhythmias ye-cardiac eyenza ixabiso lentliziyo elikhawulezileyo. I-SVTs ivela kwi-atria (amacumbi aphezulu entliziyo ). Igama elidala le-SVT, enokuthi uhlale uliva, li-paroxysmal tacycardia ye-atrial (PAT).
Iimpawu zeSVT
Ngokuqhelekileyo, i-SVT ivela kwiziqwenga ezidibeneyo, eziqhelekileyo ziqala ngokukhawuleza kwaye ziyeke ngokukhawuleza.
Ngoko iimpawu ze-SVT zivame ukubonakala zingekho ndawo kwaye zinyamalale ngokukhawuleza. Ubungakanani bee-episodes kunokuvela kumzuzwana embalwa ukuya kwiiyure eziliqela.
Ngexesha lesiganeko se-SVT, intlawulo yenhliziyo ubuncinane ubunzima be-100 ngomzuzu kodwa ngokuqhelekileyo ukufuphi ukuya kwi-150 ngeengqungquthela ngomzuzu. Kwamanye abantu, izinga lentliziyo linokukhawuleza ngakumbi kunjalo, ngamanye amaxesha angaphezu kwama-200 bhitshi ngomzuzu. I-SVT ivame ukuvelisa iipilpitations - ukuvakalelwa kweentliziyo ezininzi okanye intliziyo yokugijima-into enokuyikrakra. Ukongezelela, umntu unokufumana ubunzima obukhulu kunye noxinzelelo , ubuthathaka, ukukhathala okanye i- dyspnea (ukuphefumula okufutshane). Oku kuthetha ukuba i-SVT ingaba buhlungu kakhulu, kwaye ukuba kwenzeka njalo, ngokwaneleyo, i-SVT inokuba yinto ephazamisayo ebomini bakho. Ngethamsanqa, i-SVT ayidla ngokusongela ubomi.
Yintoni eyenza i-SVT?
Kwiimeko ezininzi, i-SVT ivela kubantu abazalwa benxibelelwano olongezelelweyo lombane entliziyweni .
Ngaphantsi kweemeko ezithile, ezi zidibaniso ezingaphezulu zingaphazamisa ngokukhawuleza iipateni zombane eziqhelekileyo ngaphakathi kwentliziyo kwaye zenze ixeshana zamandla zombane ezivelisa i-arrhythmia.
Kwamanye abantu, iziqendu ze-SVT zinokubangelwa ngumzimba, uxinzelelo, iimpawu zesisu (njengentlanzi, ukuhlanza okanye ukugcoba) okanye amayeza.
Kodwa kubantu abaninzi, i-SVT ibonakala ivela ngenxa yezizathu ezithile.
Ezinye iingxaki zonyango zibonakala zenza i-SVT, ingakumbi isifo se-lung kunye ne- hyperthyroidism . I-SVT ebangelwa zizifo ezinjalo zonyango ngokuqhelekileyo zihluke kwi-SVT ebonakalayo, kuba ihlala iqhubeka. Ukunyanga okwaneleyo ngokuqhelekileyo kufuna ukunyanga ngokugqithiseleyo ingxaki yonyango.
Ziziphi iintlobo zeSVT?
I-SVT ngokwenene yintsapho yama-arrhythmias ahlobene, kwaye ngaphakathi kwintsapho, kukho iintlobo ezininzi. Izimpawu zazo zonke iintlobo ze-SVT zifana. Nangona uluhlu lweendlela zokwelapha luyefana, i-"optimal" yonyango inokuhluka, kuxhomekeke kohlobo.
Ngoko ukuba unayo i-SVT, unokufuna ukubuza ugqirha wakho malunga nohlobo oluthile onalo, ukuze ufunde kabanzi malunga nalo.
SVT ithathwa njani?
Iziqendu eziqhelekileyo ze-SVT ziphantse ziyeke ngokukhawuleza emva kwemizuzu embalwa okanye iiyure ezimbalwa. Nangona kunjalo, abantu abaninzi baye bafunda ukuyeka iziqendu zabo ngokwenza into yokwandisa ithoni ye- vagus nererve . Indlela elula kakhulu yokwandisa ithoni yakho ye-vagal ukuqhuba uValsalva . Indlela encinane engumnandi kukuba uqalise ukudibanisa ngokucwilisa ubuso bakho emanzini aseqhoqho embalwa imizuzwana.
Ukuba i-SVT yakho ingayeki imizuzu engama-15 ukuya kwe-30, okanye ukuba impawu zakho zinzima, kufuneka uhambe kwigumbi lexakeka. Ugqirha unokuhlala eshiya isiqendu se-SVT ngemizuzwana ngokunika i- adenosine okanye iCalan (verapamil) .
Ungaphinda ufune ukuqwalasela unyango olungapheliyo olujoliswe ekukhuseleni i-SVT ephindaphinda. Kubalulekile ukugcina engqondweni ukuba i-SVT ayinabungozi kuphela (kodwa "kuphela" ukuvelisa iimpawu). Oku kuthetha ukuba kukho iindlela ezininzi zokwenza unyango olungapheliyo.
Ngokomzekelo, abantu abaninzi abaneziganeko ezikhawulezileyo kunye nexesha elikhawulelweyo lwe-SVT abakhetha naluphi unyango oluthe ngqo; bavele bajongane neziqendu zabo njengoko zenzeka.
Kwimeko eninzi yamatyala, i-SVT inokuphiliswa kanye kunye nayo yonke inkqubo yokuphulukisa . Ininzi i-SVTs ibangelwa iindlela ezongezelelweyo zikagesi, kwaye ngokuqhelekileyo, loo mizila eyongezelelweyo ingafumaneka ngokuchanekileyo ngendawo yamandla ngexesha lokufundwa kwe- electrophysiology kwaye ixutywe. Emva kokuba indlela eyongezelelweyo ihambe, i-SVT akufanele ibuye ibuye.
Izidakamizwa ze-Antiarrhymic zingasetyenziselwa ukuzama ukukhusela i-SVT, kodwa ekubeni ezi ziyobisi zihlala zisebenza kakuhle, kwaye ezininzi zazo zinokubangela iziphumo ezibi kakhulu, oogqirha abaninzi banqabile ukuba banikeze unyango olungapheliyo lwezonyango zokuphatha i-SVT, kwakhona kwakhona i-arrhythmia enobungozi engenzeka kuphela. Kwabanye abantu, nangona kunjalo, umthamo owodwa wesigqirha esingafaniyo, esithathwe ekuqaleni kwe-SVT, unokukunceda ukuphelisa isiqhelo ngokukhawuleza.
ILizwi
I-SVT, ngelixa lingaqhelwananga ukusongela ubomi, lunokubangela iimpawu ezibalulekileyo kwaye lunokuphazamisa ubomi obuqhelekileyo. Ngethamsanqa, phantse zonke iintlobo ze-SVT zingaphathwa ngempumelelo kwaye zikhuselwe.
Ukuba unayo i-SVT, ibhetri yakho engcono kukuthetha ne-electrophysiologist ye-cardiac (i-cardiologist eneengxaki zeengcamango zentliziyo), ngubani onokuziphonononga kunye nenzuzo kunye neengxaki kuzo zonke iindlela zokwenza unyango oluthile lwakho oluthile lwe-SVT.
> Imithombo:
> Ikhonkco MS. Ukusebenza kwezonyango. UkuVavanywa nokuPhathwa koPhando lweTasycardia. N Engl J Med 2012; 367: 1438.
> Ikhasi RL, Joglar JA, Caldwell MA, et al. Isikhokelo se-ACC / i-AHA / HRS yoLawulo lwabadala abane-Supermarket Tachycardia: Ingxelo ye-American College of Cardiology / American Heart Association Task Force kwi-Clinical Practice Guidelines kunye ne-Heart Rhythm Society. J Am Coll Cardiol 2016; 67: e27.