Ziyimfuneko kangakanani, kwaye kufuneka wenze ntoni ngabo?
Phakathi kweentlobo ezininzi ezahlukeneyo ze- cardiac arrhythmias , bambalwa baye badala ubuninzi kunye nokudideka phakathi koogqirha kunye nezigulane njengengxubevange ye-ventricular premature (i-PVCs, ebizwa ngokuba yi-contraricular contractions). Kwiiofisi ezahlukeneyo zoogqirha, nakwiindawo ezahlukahlukeneyo kwimbali, ii-PVC ziye zithathwa njengobungozi bokufa okuzayo, okanye njengeziganeko ezintle ezingafuneki nto.
Impendulo eyiyo yindawo ethile phakathi kwezi zimbini. Ukuqonda ngokwenene ukubaluleka kwe-PVCs, kufuneka sihlolisise oko bayiyo, into ekuthethwa ngayo ngokubhekiselele kwonyango, indlela abafanele bahlolwe ngayo, nokuba bafanele baphathwe njani.
Sibanzi
I-PVC yindlela engakumbi yokusebenza kombane ephuma kwenye yeefayili zengqondo. Ngenxa yokuba le ntshukumo eyongezelelweyo ibonakala ngaphambi kokuba intliziyo yesiqhelo esele ilandeleke, inokuthiwa "kungekudala."
I-PVC ifunyanwa ngokuyiqwalasela kwi- electocardiogram . IipVC ziqhelekile. Abantu abangama-20 abaqhelekileyo baya kuba ne-PVC enye kwimigca emizuzu engama-ECG, kwaye ipesenti ephezulu ziza kuba ne-PVC kwi- Hora yeeyure ezingama-24.
Abanye abantu baya kuba neziqendu zePVC ezininzi. Ukuba kukho ii-PVC ezingaphezulu kweethathu ezilandelanayo, isiqwenga sithiwa yi -tachycardia engekho yendalo (NSVT) .
Iimpawu
Uninzi lwabantu abanePVCs abanalo nhlobo. Abafuni nje bazive. Nangona kunjalo, incinci yabantu abano-PVCs baya kuqonda i- palpitations -ukuqonda okungavamile kwentliziyo. Ezi nkathazo zivame ukuchazwa ngokuthi "iinqwelo ezinqabileyo" okanye "intliziyo ephazamisayo." Kwabanye abantu, le miqondiso ingenzima ukunyamezela.
Ingaba okanye uyazibona iimpawu ezivela kwi-PVCs yakho zihambelana nezinto ezininzi. Abanye abantu baqhelekile ngokwemvelo kwiimeko eziqhelekileyo ezenzeka kwizitho zawo zangaphakathi, kuquka neePVC. Abanye bengazi kakuhle ngePVCs zabo ngemini xa bekhuthele kwaye bephazamiseka, kodwa ngokukhawuleza baqala ukuziva xa bethabatha umhlala-phantsi ubusuku kunye nezisustim zangaphandle zisuswe. Ngenhlanhla, abaninzi abantu abanePVCs abazivekanga nhlobo.
Ukubaluleka
Ii-PVC zinokubaluleka kwezokwelapha ngaphandle kwento yokuba zinokuveza iimpawu. Kule minyaka, inkxalabo ephezulu malunga nePVCs ingcamango yokuba banokwandisa umngcipheko womntu wokufa ngokukhawuleza kwintliziyo yokubanjwa . Kwiminyaka emininzi, kwakukholelwa ukuba ubukho bePVC buphakamisa kakhulu ingozi. Ubungqina bwakutshanje buphakanyisile ukuba i-PVC ngokwayo ayinakwandisa umngcipheko wokufa ngokukhawuleza kakhulu (ukuba kukho konke), kwaye ukuba umbutho phakathi kwe-PVC kunye nokufa ngokukhawuleza kungabonanga ngqo.
Ngokukodwa, kubonakala ukuba abantu abahlala be-PVC bahlala banako ukufumana, okanye ukuphuhlisa kwiminyaka embalwa, isifo esibangelwa sisifo senhliziyo. Kwaye ekubeni abantu abaneentliziyo ezibalulekileyo ngokwenene banomngcipheko ophezulu wokufa ngokukhawuleza, ii-PVCs zidibene nalo mngcipheko ofanayo (nokuba okanye i-PVCs ngokwayo ayiphumelele ingozi).
Ngoko i-PVC ingadibana nokunyuka komngcipheko weengqondo , kodwa mhlawumbi asiyiyo imbangela yolu mngcipheko okhulayo.
Ukuxilongwa
Ukuphindaphinda, ukubaluleka kwezokwelapha kwe-PVC kukuba badibaniswa nobungozi besifo senhliziyo. Ngoko ukuba unayo i-PVCs, ugqirha wakho kufuneka enze ukuhlolwa kwentliziyo, ukukhangela isifo senhliziyo esingaziwa ngaphambili, nokuvavanya umngcipheko wakho wokuphucula isifo senhliziyo esikhathini esizayo.
Izifo zentliziyo zidla ngokudibanisa ne-PVC ziquka isifo se-coronary disease (CAD) kunye nokungaphumeleli kwintliziyo ngenxa ye-cardiomyopathy . I-PVC ibuye ibonwe ngokuxhomekeka kwe-cardiomyopathy , kunye nesifo se-valve senhliziyo .
Ngokuqhelekileyo, i- echocardiogram yindlela efanelekileyo yokukhusela iimeko ezininzi zeengqondo, nangona ugqirha wakho angaphinda afune ukuqhuba uxinzelelo lwe-thallium ukujonga ngokungakumbi ngeCAD.
Ukongezelela, wena nogqirha wakho kufuneka niphume ngokuhlola okusemngciphekweni okubandakanya ukuhlola ukutya kwakho, ubunzima, imbali yokutshaya, umkhuba wokusebenzisa, i- cholesterol kunye ne-triglyceride level, uxinzelelo lwegazi kunye nokuhlolwa kwegazi kwe-glucose.
Izinga lomngcipheko
Ulwazi olulungileyo esinalo namhlanje lubonisa ukuba ii-PVC ngokwazo aziqhelanga ukuba ziyingozi. Enyanisweni, uphando lubonisile ukuba ukuxinzelela i-PVC kunye neziyobisi ezidlulileyo akuphelelanga nje ukunciphisa umngcipheko wokufa, kodwa ngokwenene (kuxhomekeke kwisiphi isisetyenziswa esisetyenziswayo), kunokunyusa ingozi.
Lo mbuzo, nangona kunjalo, awusayi kulungiswa. Uvavanyo luka-2015 lubonise umbutho phakathi kobukho bePVC kunye nokuphuhliswa kwentliziyo engaphelelanga kwiminyaka eyi-10. Ngaba i-PVC ngokwayo yenza into ekuveliseni ukuhluleka kwentliziyo, okanye ingumqondiso nje ukuba ingxaki yexinzelelo yentliziyo ingaba khona? Uphando olungakumbi luya kubakho ukucinga oku.
Kule ngongoma, kunqabile kakhulu ukuba kunesidingo sempilo, okanye kuyimfuneko, ukuzama ukunqanda i-PVC ngamachiza.
Unyango
Ekubeni i-PVC ngokwayo ingacingwa ukuba yingozi kakhulu, akufanele imangaliswe ukuba unyango lwe-PVC aluyiyo yonke into ecacileyo. Enyanisweni, oogqirha bahlala bedidekile malunga noko bakufanele benzeyo xa esinye sezigulane zabo sinePVCs, ngakumbi xa ezo ziPVC zivelisa ezininzi iimpawu.
Ngokuqhelekileyo, unyango lwe-PVC lujolise ukwenza izinto ezimbini. Injongo yokuqala kunye ebaluleke kakhulu kukunciphisa ingozi enkulu yokuphuhlisa isifo senhliziyo, mhlawumbi kubandakanywa umngcipheko wokufa ngokukhawuleza. Injongo yesibini, eqinisweni, kukunciphisa impawu (ukuba zikhona) ezibangelwa yi-PVCs. Ezi ziinjongo ezimbini ezihlukileyo ngokupheleleyo, kwaye njengogqirha kunye nezigulane zenza izigqibo malunga nokuphathwa kwe-PVCs, nganye yeenjongo zonyango kufuneka iphendulwe ngokuzimela. Ungafunda ngakumbi apha malunga nokunyangwa kwePVCs.
ILizwi
Ii-PVC ziqhelekile, kwaphakathi kwabantu abaphilile ngokupheleleyo. Sekunjalo, ii-PVC zingabangela iimpawu, kwaye zingabonisa ukuba kukho uhlobo oluthile lwesifo senhliziyo esingaziwa. Ngoko ke, ukufumana i-PVC kufuneka, ubuncinci, kubangele ukuhlolwa kwenhliziyo.
> Imithombo:
> AmaDukes JW, uDewland TA, Vittinghoff E, et al. I-Ectopy ye-Ventricular njenge-Predictor of Heart Failure and Death. J Am Col Cardiol 2015; 66: 101-109.
> Priori SG, Blomström-Lundqvist C, Mazzanti A, et al. Izikhokelo ze-ESC zika-2015 zoLawulo lwezigulane ezine-Ventricular Arrhythmias kunye nokuKhuselwa koKhuseleko lweCardiac ngokukhawuleza: IQela lokuSebenza loLawulo lwezigulane nge-Ventricular Arrhythmias kunye nokuKhuselwa koKhuseleko lweCardiac ngokukhawuleza kwe-European Society of Cardiology (ESC). Uvunyelwe ngu: Umbutho we-Yurophu yaseYurophu kunye neCroology yeCatalology (AEPC). I-Eur Heart J 2015; 36: 2793.
> Lamba J, Redfearn DP, uMichael KA, et al. I-Radiofrequency Catheter Ablation kwi-Treatment ye-Idiopathic Ngaphambi kokusuka kwe-Ventricular Contractions Ephuma kwi-Right Ventricular Outflow Tract: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta. I-Pacing Clin Electrophysiol 2014; 37:73.