Yintoni Eyabangele kwaye Bamele Baphathwe Njani?
Iintliziyo zengqondo zibhekiselele kwingqalelo engavamile yentliziyo. Abantu abafumana iipelpitations bahlala bechaza ngokuthi "baqhekeka" kwintliziyo, izibilini zentsapho ezivakalelwa ngamandla, okanye ngokukhawuleza kunye / okanye ezintle iintliziyo.
Iimpawu zentlungu zixhaphake kakhulu, kwaye zichaphazela abantu abaninzi ngexesha elithile ebomini babo. Ngelixa abantu abaninzi abanama-palpitations abakwazi ukuwahoxisa, abanye bafumana bephazamisekile okanye bekrakra, kwaye bahlala bexhalabisa ukuba baya kufa nganoma yimuphi umzuzu.
Ngethamsanqa, inyaniso kukuba ininzi yeepilitations ayibangelwa yingozi yongcipheko okanye isifo esisongela ubomi. Sekunjalo, izibilini zingaphawuleza zibonise i-cardiac arrhythmia enkulu, ngoko ke nabani na abaneengxaki kufuneka baxelele ugqirha wabo. Kwaye umsebenzi ugqirha ukuba athathe le nto impawu.
Xa utshilo ugqirha wakho unesifo, ufanele athathe amanyathelo afanelekileyo ukufumanisa isizathu esiyimbangela yokubetha kwakho, kwaye ke akunike isiluleko esihle kakhulu sokwenza oko.
Ziziphi iintlobo zeArrhythmias eziveliswayo?
Uninzi lwabantu abaneepilpitations banomnye uhlobo lwe-cardiac arrhythmia. Cishe nayiphi na i-arrhythmia inokubangela iipilpitations, kodwa izizathu eziqhelekileyo ziyinkimbinkimbi ye-arrixia yangaphambi kwexesha (PACs) , izakhiwo ze-ventricular zangaphambi kwexesha (i-PVCs) , iziqulatho ze- fibrillation ye-atrial kunye neziqendu ze -tachycardia (SVT) .
Nangona kunjalo, kwezinye iimeko izibilini zibangelwa yimigqomo eyingozi, njenge- tachycardia ye-ventricular . Iingqungquthela zokusongela ubomi zibonakala kubantu abanesifo esithile senhliziyo, ngoko kubaluleke ngakumbi ukufumanisa imbangela yokuphazamiseka kubantu abanesifo senhliziyo, okanye abanobungozi obunzulu beentliziyo zesifo (njengentsapho yembali isifo senhliziyo, ukutshaya, i- cholesterol ephezulu , ukugqithisa, okanye ukuhlala kwindlela yokuphila ).
Akunabo bonke abantu abavakalisa iipilpitations benentliziyo ye-arrhythmias, nangona kunjalo. Zinjalo iintlobo zeempawu ezingabangela iingxaki ze-musculoskelet okanye iziphazamiso zesisu, ezifana negesi.
Iipilpitations kufuneka Zihlolwe njani
Ukuba unesilathiso, ugqirha wakho wokuqala wezoshishino kukufumanisa ukuba iipilpitations zibangelwa kukuphazamiseka kwentliziyo kunye nokuchonga i-arrhythmia ethile eyenza uphawu.
Oku kufanele kube ngokuthe tye ukuba kwenziwe, ngoko kuyamangalisa ukuba kaninzi oogqirha babonakala benenkathazo ngayo. "Inkohliso" ekwenzeni ukuxilongwa nje kukurekhoda i- electrocardiogram (ECG) ngexesha leempawu ezenzekayo. Okokuthi, iipilpitations kufuneka 'zithathwe' kwi-ECG. Yiloo nto - akuyiyo i-rocket yesayensi. Ngelishwa, inkqubo yokwenza i-diagnostic efanelekileyo isoloko yenziwa nzima kunokuba ibe yintoni.
Musa ukuvumela ezi mpazamo zenzeke kuwe
Oogqirha badla ngokuzenza iimpazamo ezibini kwizame zabo zokubangela ukuba izibilini zibangelwa njani.
- Bahlala behluleka ukurekhoda i-arrhythmia ebangela iimpawu.
- Bahlala becinga ukuba iipilpitations ziya ku-arrhythmia ezingabangeli.
Iphutha 1: Ugqirha uya kuyala i-ECG (erekhoda isigqi sengqondo imizuzwana engama-12) okanye isifundo sokuhlola esilungelelweyo ixesha elinganeleyo.
Xa oku kwenzekayo kudla ngokuba yinto engekho i-palpitations okanye i-arrmthmia eya kubonakala ngexesha lokubeka iliso. Kwiimeko ezinjalo oogqirha baye baziwa ngokungahambi kakuhle ukuba iipilpitations azihambelani ne-arrhythmia. Okugqithisileyo, ugqirha unokuxelela isigulane sakhe ukuba iimpawu "zizonke entloko yakho." Enyanisweni, ukugqithwa kwegqirha kwakungenakwaneleyo.
Ukwenza ukuxilongwa ngokuchanekileyo, iipilpitations kunye nokurekhoda kwe-ECG kufuneka kwenzeke ngexesha elifanayo. Ukuba iipilpitations zenzeka kuphela ngokukhawuleza, kwaye ngokukodwa ukuba zenzekanga rhoqo ngosuku, kunokuba zenze i-ECG okanye zenze i-monitoring ye-ambulatory kuphela kwiyure ezingama-24 okanye kwiiyure ezingama-48 (ubude bexesha eliqhelekileyo eziqeshwe kwezi zifundo ), ixesha elide lokurekhoda kufuneka lisetyenziswe.
Iinkqubo zokubeka iliso ezinobulunga ziyafumaneka zikwazi ukurekhoda isigqi seentliziyo kwiiveki eziliqela-okanye iinyanga-ngelo xesha. Inqaku liwukuthi, ukwenza ukuxilongwa ngokucacileyo ukurekhoda kudinga ukuqhubela phambili nangona kunjalo kuthatha ixesha elide ukuthatha "ukuthatha" isiqhelo.
Iphutha 2: Ugqirha uya kubona i-arrhythmia ngexesha lokubeka esingaxhatyaniswa neepilpitations, kwaye ubeka isohlwayo kwi-arrhythmia. Oku kubi. Ukuze kuqinisekiswe ukuba i-arrhythmia ethile yimbangela yeepilpitations, i-arrhythmia kunye ne-palpitations kufuneka zenzeke ngexesha elifanayo.
Ekubeni oogqirha bahlala bezenza ezi mpazamo zimbini, kubalulekile ukuba ugcine engqondweni le mithetho elula ukuba unesifo se-palpitations: Ukwenza i-diagnostic echanekileyo, kufuneka i-ECG ibhalwe ngexesha elifanayo. Ukuba ugqirha wakho ucinga ukuba umgqomo uphelelekile ngaphambi kokuba le nto ifezeke, kufuneka uhambise imizamo yakhe ngokusebenzisa izikhumbuzo ezintle, ubuqhetseba, ubhenela ukuqiqa, ukuthukuthela okulungileyo okanye nantoni na.
UkuPhatha iPalpitations
Ukuphatha ngokufanelekileyo iipilpitations kuxhomekeke ngokupheleleyo apho i-arrhythmia ibangele. Iimpawu ezihlukeneyo zengqondo zifuna iindlela ezahlukeneyo zonyango.
Uninzi lweepilitations lubangelwa yi-arrhythmias "ngokupheleleyo" - oko kungukuthi, ingasongela ubomi, okanye usongela impilo yakho. Kule meko, ngokuphindaphindiweyo iipilpitations ziyakwazi "ukuphathwa" ngokwaneleyo ngokuqinisekiswa, kuba ngokuqhelekileyo ukwesaba okubangelwa yintliziyo yokubetha, kunokuba zibethe iimbilini, eziphakamisa iimpawu.
Ukuba i-arrhythmia ebangela iipilpitations ingabungozi ebomini okanye kwimpilo, ngoko-ke i-arrhythmia ngokwayo iyakufuneka iqwalaselwe. Ukuba uya kuba nelinye lala ma-arrhythmias, kufuneka ufunde konke onakho malunga nalo, kunye neendlela zokwelapha ezikhoyo. Funda apha malunga nama-arrhythmias .
> Imithombo:
> Crawford MH, Bernstein SJ, Deedwania PC, et al. I-ACC / I-AHA Izikhokelo ze-Electrocardiography e-Ambulatory: Isishwankathelo seSigqeba kunye neNcomelo. Ingxelo ye-American College of Cardiology / i-American Heart Association Task Force kwiZikhokelo zoQeqesho (iKomiti yokuHlola izikhokelo ze-Electrocardiography). Uhambo luka-1999; 100: 886.
> Mayou R, i-Sprigings D, i-Birkhead J, i-Price J. Iinkcukacha zezigulana ezihambisa kwiKlinikhi yeCardiac kunye nePalpitation. QJM 2003; 96: 115.
> Zimetbaum, P, Josephson, ME. Ukuvavanywa kwezigulane ngePalpitations. N Engl J Med 1998; 338: 1369.