Iinqununu zomzimba ze-cardiac zinokuvelisa uluhlu lweempawu, ukusuka kumnene (okanye nakwekho) ukuya kusongela ubomi. Lezi zimpawu zinokwahlukana kwiqela "leklasikhi" leempawu ezifanele zenze ugqirha ubhekise ngokucacileyo ukuba yi-cardiac arrhythmia njengento ebangela ukuba "nezinye" iimpawu zeempawu ezinokuthi zibangelwe ezinye iimeko zonyango.
Iimpawu zeClassic
Abantu abaninzi abafunyaniswa ukuba bane-cardiac arrhythmia baya kubalisa ukuba abanaso iimpawu. Nangona kunjalo, yimeko apho izihlandlo ezininzi ze-cardiac arrhythmias zingenakuvelisa nayiphi na impawu. Oku kuyinyani ngokukhethekileyo kwiimighythmi ezivelisa intliziyo "eyongezelelweyo" ehamba phambili-izakhiwo ze-atrial zangaphambili zangaphambili (PACs) kunye neengxube ze-ventricular complex (PVCs) .
Abanye bangakwazi ukufumana le mpawu yeklasiki.
Iipilpitations
Iipilpitations yinto engavamile yokuqonda intliziyo. Ngokuqhelekileyo banamava njengokuphaphazela okanye ukuphazamiseka, iintliziyo ezinqabileyo ezinokuziva ziqine okanye ziphazamisekile, iziqwenga zokukhawuleza okanye "ukuphunyuka" kwentliziyo, okanye iintliziyo ezithathwa njengento engavumelekile kunokuba zenzeke.
Iipilpitations zichaphazela abantu abahlukeneyo ngeendlela ezahlukeneyo. Abanye abantu ababafumani ngokukrakra ngakumbi, ngoxa abanye bafumana bexakeka kakhulu kwaye bekrakra.
Phantse nayiphi na i-cardiac arrhythmia inokuvelisa iipilpitations, kuquka neendidi ezininzi ze- bradycardia (iqondo lentliziyo elincinci) kunye ne- tachycardia (ixabiso lentliziyo ekhawulezayo), ii-PACs kunye nee-PVCs, okanye iipisiti ze- block block .
Lightheadedness
Ukuba i-cardiac arrhythmia iyathintela intliziyo ekupompozeni igazi ngokwaneleyo ukubonelela izidingo zomzimba, iziqephu zesikhumba esiphathekayo zingabangela.
Xa i-arrhythmia ikhiqiza i-headheadness, kunokwenzeka ukuba wenze njalo xa uthe tye, okanye xa wenza okuthile okusebenzayo. Ukuphumla okanye ukulala phantsi kuya kuphucula le mpawu.
Ukugqithisa impawu eziqhelekileyo ezinokubangela ezininzi kwiinkqubo ze-arrhythmias. Kodwa xa i-arrhythmia ikhiqiza i-headheadness, kuyimpawu yokuba i-arrhythmia ngokwayo ingabungozi, kwaye inokukhokelela kwiingxaki ezinzima ngakumbi ezifana ne-syncope okanye nokuba kubanjwe intliziyo.
Kungenxa yokuba ukukhanya kwamanzi kungumqondiso wenkinga enokuyingozi, oku kuyimpawu engazange iguqulwe, kodwa kufuneka ihlale ihlolwe ngugqirha.
Syncope
I-Syncope , okanye ukulahleka kwexesha elide, yingxaki eqhelekileyo (efana nobunzima obukhulu) inobangela obuninzi obunokubangela, ubuninzi babo buhle kakhulu. Kodwa xa i-syncope ibangelwa yi-cardiac arrhythmia, yinto ebonisa ukuba i-arrhythmia ngokwayo iyingozi kakhulu. Ngokuqhelekileyo kuthetha ukuba i-arrhythmia iyathintela ingqondo ukuba ifumane i-oksijini eyaneleyo yokugcina ingqalelo.
Iziqwenga ze syncope zingakhokelela ekubeni yi-bradycardia (ukuba isantya senhliziyo siphuzulise ngokwaneleyo), okanye i-tachycardia (ukuba iqondo lentliziyo likhawuleza ngokwaneleyo). Ukuba loo ndlela ye-arrhythmia kwakufuneka iqhubekele ngaphezu kweminye imizuzwana embalwa (ekude ilungele ukuvelisa i-syncope), ukuboshwa kwintliziyo kungenziwa.
Ngenxa yesi sizathu, i-episode ye-syncope engachazwanga idinga rhoqo uphononongo lwezonyango, ukucacisa isizathu esiyintloko. Nayiphi na i-arrhythmia ebangela ukuba i-syncope ibhekwe ingozi yokuphila kwaye kufuneka iphathwe kakubi.
Ukubanjwa kwe-cardiac
Ukubanjwa kwentliziyo kwenzeka xa i-stroac arrhythmia eqhubekayo, isifo esiyingozi senqanda ukuphuma kwegazi kwingqondo kwixesha elide. Umehluko phakathi kwe-arrhythmia evelisa i-syncope kunye novelisa ukuboshwa kwentliziyo ngokukhawuleza ukuba i-arrhythmia iqhubeka kangakanani.
Nangona i-bradycardia enamandla ingabangela ukuboshwa kwentliziyo, ngokuqhelekileyo le meko iveliswa yi- fibrillation okanye i- tachycardia ye-ventricular .
Ukubanjwa kwenhliziyo kuya kubangela ukuba ukufa ngokukhawuleza (kwaye kubangelwa imbangela enkulu yokufa ngokukhawuleza), ngaphandle kokuba i-arrhythmia iphela ngokwawo, okanye ukuvuselelwa kwe-cardiopulmonary ilawulwa kwimizuzu embalwa kakhulu.
Nabani na osindileyo ekubanjweni kwenhliziyo kufuneka kuthathelwe ingqalelo kwiimeko ezilandelayo zokubanjwa kwentliziyo kwaye kufuneka athole unyango olunamandla kunye nolululo. Uninzi lwaba bantu luya kubakho abaqinekileyo abaviwa be- defibrillator .
Ezinye iziMpawu
Ukongezelela kule miqondiso yeklasiki, i-arrhythmias ye-cardiac ingaphinda ivelise emininzi impawu ezithile, iimpawu ezongezelelekileyo ezingabalulekanga ukuba ugqithise ugqirha ekubhekiseni i-arrhythmia njengesizathu.
Uninzi lwale "minye" iimpawu zihambelana ne-arrhythmia ebangela ukunciphisa isiqhelo kwintliziyo yepompoza igazi kumalungu omzimba. Ezi zimpawu ziyakwenzeka xa umntu ethe tye okanye ezama; kunye nabantu abanezinye iimeko zonyango ngokongeza kwi-arrhythmia, njengokwehluleka kwentliziyo , isifo sikashukela , iingxaki zemiphunga, okanye i- coronary artery disease .
Ezi zimpawu ziquka:
- Ubuthakathaka jikelele
- Ukudideka
- Dyspnea (ukuphefumula okufutshane)
- Ukunyamezela ukunyamezela
- Iintlungu zesifuba
Nini ukubona iDokotela
Naliphi na le mpawu kufuneka lihambele ugqirha. Ingqungquthela yobunzima obunzima okanye i-syncope engachazwanga kufuneka ihlolwe ngokukhawuleza, kwaye ivumele ukuba ifowuni ibe yi-911.
Nangona iinqununu zentliziyo ezininzi ziqhelekile kwaye zivame ukuba zinobungozi, ezinye ziyingozi kwaye zifuna ukuphathwa. Oku kuthetha ukuba kubalulekile ukuba ugqirha wakho abone ukuba i-arrhythmia ikhiqiza iimpawu zakho, kwaye ukuba kunjalo, yiyiphi i-arrhythmia ethile ebangela ingxaki, kwaye unobundlobongela ukuba uphathe ngayo.
> Imithombo:
> Kenny RA, Brignole M, Dan GA, et al. I-Syncope Iyunithi: Isizathu kunye nesimfuneko - I-European Heart Rhythm Association Isikhundla seNkcazo evunywe yi-Heart Heart Rhythm. Europace 2015; 17: 1325.
> Schreiber D, uSattar A, Drigalla D, i-Higgins S. I-Cardiac Monitoring yeSebe elijongene nexesha elizimeleyo Izigulane ezinokuthi zi-Arrhythmias zeCardiac. West J Emerg Med 2014; 15: 194.