I-cardiac engaqhelekanga edibene nokukhathala okungachazwanga
I-CFS ye-fatigue syndrome (i-CFS) - nayo ibizwa ngokuba yi-myalgic encephalopathy, okanye i- ME / CFS -imeko yonyango ebonakalisa ukukhathala okuqhubekayo kunye nezinye iimpawu ezinciphisa amandla omntu okwenza imisebenzi eqhelekileyo yemihla ngemihla. I-ME / CFS ayiqondwa kakuhle kwaye ikholelwa ukuba ibangelwa kukudibanisa kwengqondo, i-genetic, ne-biological factors.
Kwiminyaka yakutshanje, abaphandi baye baqaphela ukuba, ngaphezu kweempawu zokudina, abantu abane-ME / CFS banamazinga aphezulu entliziyweni kunabantu bonke. Nangona kunzima ukuxhuma imbangela ngokusebenza, kukho abaninzi kummandla wophando okholelwa ukuba lo mbutho awukho ngaphezu kokungabikho.
Iintlobo zeentliziyo ezingavumelekanga
Olunye uphando olusisiseko olwenziwe ngo-2006 lubhengeze ukuba abantu abane-ME / CFS abafa ngenxa yokuhluleka kwentliziyo bekuneminyaka engama-58.7 ubudala xa kuthelekiswa neminyaka engama-83.7 kwabangenayo i-ME / CFS. Ngoxa kungekho namnye onokukwazi ngokuqinisekileyo ukuba zeziphi iziganeko ezinokuba negalelo kulo mphumo, izifundo ezinjengalezi ziye zaphakamisa ukuba i-ME / CFS ixhunyaniswa ngokusesikweni komsebenzi wenhliziyo.
Kwaye ukungaqhelekanga akuyeki apho. Abanye abaphandi baye bajonga amanqanaba aphakamileyo afana neemfesane zentliziyo, kuquka:
- ukungabi nantoni yokutshintsha kwezinga lentliziyo (intsingiselo yentliziyo ingaphumeleli njengoko ikulindeleke ngexesha lokulala)
- i-ventricle encinci (idilesi yentliziyo egxotha igazi kuwo wonke umzimba)
- i-tachycardia yangasemva (imeko apho iqondo lentliziyo likhawuleza, ngokungaqhelekanga, xa umntu ephuma)
- Ixesha elifutshane le-QT (i-disorder of disorder echaphazela inkqubo yombane yentliziyo kwaye ibangela ukutshatyalaliswa okanye ukulahleka ngokukhawuleza kokuqonda)
- imiqulu engaphantsi kwegazi
Ezi zitenxo zingathi zichaze ezinye zeempawu eziphambili ze-ME / CFS. Baphakamisa ukuba abantu abahlala ne-ME / CFS bangadinga ukusebenza nzima ukuba bahlale benempilo entliziyweni kunabantu abemi.
Ixabiso lentliziyo eliphantsi
Uphando oluqhutywe ngo-2011 lubhekisele kwiipatheni zokulala kubantu abane-ME / CFS ukuze kuqondwe ukuba kutheni ukulala okungapheliyo kudlalwa ngokubanzi kweli qela. Oko bakufumanisayo, ngokumangalisa kukuba ngaba abantu abane-ME / CFS babenokutshintshwa okuncinane kwinqanaba lentliziyo yabo imini nobusuku, imeko eyaziwa njenge-low rate rate rate (HRV).
Ukuze uqonde oku, ukuba uvakalelwa ukutshiza kwakho uze uphefumule kwaye uphume ngokukhawuleza, uya kuqaphela ukuba izinga lentliziyo yakho liguquka ngokukhawuleza, ukukhawuleza xa uphefumlela kwaye uphucula xa uphefumula. Leyo ntlawulo yezinga lentliziyo.
U-HRV ophantsi ebusuku ucebisa ukuba kukho ingxaki ngeempawu zentsholongwane ezilawula i-pacemaker yentliziyo (ebizwa ngokuba yi -node sinus ). Oku kuhambelana nokucinga ukuba i-ME / CFS ingabangela, ubuncinane inxalenye, ngeziphene kwinkqubo yokuzimela yomntu (inkqubo elawula imisebenzi engabonakaliyo njengokuphefumula, ukugaya, kunye nentliziyo yezinga).
I-Ventricle encinci
Uphononongo olwenziwe ngo-2011 lufumene ukuba abanye abantu abane-ME / CFS banamashishini amancinane asekhohlo, ikamelo lentliziyo elinoxanduva lokupompa igazi kuwo wonke umzimba. Ngenxa yoko, abantu baya kuhlala befumana iimpawu zento ebizwa ngokuba yi- orthostatic tolerance (OI) .
Ngokuqhelekileyo, xa sisuka kwindawo ehleli okanye elalayo, uxinzelelo lwegazi luya kuvuka ngokukhawuleza ukulwa nokunyaniseka nokugcina igazi ligeleza kwingqondo. Ngawe, oku akukwenzekayo, kwaye umntu uya kugqiba eziva ehlaziwayo okanye ephazamiseka nanini na xa evuka. Le nyiyo yomzimba ingachaza ukuba kutheni ukunyanzeliswa kokuncinci kubambelela umntu kunye ne-ME / CFS ngaphezu kwabanye.
Postural Tachycardia
I-postural tachycardia ifana ne-O ngaphandle kokuba iquka ukulinganisa kwe-pulse kunokuxinzelelo lwegazi. I-Tachycardia iyigama lezonyango ngenxa yezinga lentliziyo elikhawulezayo. I-Postural tachycardia ithetha ukuba isantya senhliziyo yakho sihamba ngokugqithiseleyo xa usukuma, okubangelwa ukuzondla okanye ukuphelelwa amandla. I-Postural tachycardia ibonakala ngokubonakalayo kubantu abane-ME / CFS, baqhuba kathathu izinga le-jikelele labantu.
Ixesha elifutshane leQT
Ixesha le-QT ligama elisetyenziselwa ukuchaza isikhala phakathi kwee-certain-up-down beats kwi-readout ye-electrocardiogram (ECG). Ixesha elifutshane le-QT lithetha ukuba intliziyo yakho ibetha ngokuqhelekileyo kodwa inethuba elingaphantsi lokubuyisela emva kwentliziyo. Ixesha elifutshane le-QT libhekwa njengengxaki yesifo kwaye idibene nomngcipheko ophezulu wokufa kwegazi ngokukhawuleza. Ngelixa linqabile kubemi bonke, ixesha elifutshane leQT liyabonakala rhoqo kubantu abane-ME / CFS.
Umqulu Wegazi Ongaqhelekanga
Izifundo ezimbini ezenziwe ngo-2009 kunye no-2010 zabika ukuba abantu abane-ME / CFS banemiqulu engaphantsi kwegazi kunabantu bonke. Ngaphezu koko, ubunzima be-ME / CFS ngokuchanekileyo buhambelana nokunciphisa umthamo wegazi, oku kuthetha ukuba abo babengenako ukukwazi ukusebenza babenegazi elingaphantsi kunelo. Uninzi lwezenzululwazi ngoku lukholelwa ukuba umthamo wegazi ophantsi ugalela ezininzi iimpawu ze-ME / CFS nje ngokulahla iiseli ze-oksijini ezifunekayo ukuvelisa amandla.
Oko Uphando lusitshela
Nangona uphando lubonisa ukuba ukungaqhelekanga kwentliziyo kunye nenkqubo yeentlonelo kubangele kwizinga eliphezulu lokuhluleka kwenhliziyo kubantu abane-ME / CFS, akufanele bacebise ukuba yimiba yodwa. Ezinye izinto, ezinjengobunzima nokuphila kwindlela yokuphila , zinganceda okanye zininzi.
Ekugqibeleni, ezininzi zezi zifundo zincinci kwaye zimele kwaye zifuna uphando olunzulu ukuba luqwalaselwe ngokugqibeleleyo. Oko bakufanele baqakathekise, nangona kunjalo, imfuneko yokwandisa impilo yempilo yabantu abahlala ne-ME / CFS. Oku kuyinyani ngakumbi kwabo baneempawu ezinzima kunye nabani na abaneengxaki zokugula ngengqondo (kuquka ukutshaya, ukukhuluphala, nokungabikho kokuzivocavoca).
Yintoni ecaca ngokucacileyo kukuba i-ME / CFS "ayinayo yonke intloko yakho." Ukuba uhlala ne-ME / CFS, yiphathe njengokuba nayiphi na imeko yonyango ngokujonga kuphela kwisifo ngokwayo kodwa kwimpembelelo yayo kwimpilo yakho yonke.
> Imithombo:
> Hurwitz, B., kunye. al. "Isifo esingapheliyo sesifo sokugula: ukugula kanzima, ukuhlala kwindlela yokuphila, umthamo wegazi kunye nobungqina bokunciphisa umzimba." 2009; 118 (2): 125-35.
> Jason LA, kunye. al. Unonophelo lwezempilo kumazwe ngamazwe. 2006 Aug; 27 (7): 615-26. Izizathu zokufa phakathi kwezigulane ezinesifo esingapheliyo.
> Miwa, K. no Fujita, M. "Intliziyo encinci kunye nesiphumo somoya esiphantsi sokunyamezela komzimba kwizigulane ezinesifo esingapheliyo." I- Cardiology Clinic. 2011; 34 (12): 782-6.
> Naschitz J., et. al. "Ixesha elifutshane elifutshane le-QT: into ehlukile yedysautonomia ye-syndrome engapheliyo." IYurophu yeYurophu yeMithi yoPhakathi. 2006; 39 (4): 389-94.
> Rahman K., et. al. "Ukuzila ukulala kwi-syndrome engapheliyo." Ukulala. 2011; 34 (5): 671-8.