Ukuba unesigqi senhliziyo esingaqhelekanga, isinyathelo sokuqala sokufumana unyango kukuba ugqirha wakho ukuba aqonde ukuba luhlobo luni lwe-arrhythmia. Ukufumanisa i- arrhythmias ye-cardiac ingaba yinto encinane, kulula, okanye kwindawo ephakathi. Ukwenza ukuxilongwa kukulula xa unesigxina esingapheliyo okanye esingapheliyo-ke yinto nje yokurekhoda i- electrocardiogram (ECG) kunye nokubhala ubungqina kunye nohlobo lwe-arrhythmia ojongene nayo.
Ngelishwa, i-arrhythmias yenyama i-epidemic in nature-iza kwaye zihamba ngaphandle kwesixwayiso. Kule meko, iimpawu zakho zingenzeka njengeziqwenga zepratodi, zihlala zihlala nje imizuzwana embalwa, ngoko ke ukurekhoda i-ECG engama-12 yesibini engabonakaliyo ingabonakali i-arrhythmia, kunye nokuhlolwa okongeziweyo kuyimfuneko. Kodwa umgaqo-siseko uhlala ufana: ukufumanisa i-cardiac arrhythmia, i-arrhythmia ngokwayo idinga ukuba "ifakwe" kwintlobo yesimo somculo sokurekhoda.
IiLabs kunye novavanyo
Ukuba ugqirha wakho ucinga ukuba unokuba ne-cardiac arrhythmias, umbuzo wokuqala ukuba ingaba i-arrhythmias iyakusongela ubomi. Ukuba unesibi sokungacacisekanga, utywala obunzima, okanye ube ne- syncope (ukulahlekelwa kwengqondo) -kodwa xa unesifo sengqondo-ugqirha wakho uya kucinga ukuba unakho ulungelelaniso oluyingozi, olunjenge-tricycardia ye-ventricular okanye intliziyo .
Ukuba kunjalo, kufuneka ukuba ubekwe esibhedlele kweso sigxina senhliziyo kuze kube yinkqubo yokuxilongwa ngokucacileyo kwaye, ukuba kuyimfuneko, unyango olusebenzayo lusekwe.
Imbali Yonyango kunye noPhulo lweMvelo
Ukuba ugqirha wakho ubona ukuba iimpawu zakho zingabesongela ubomi, uya kuqala ngokuvavanya umzimba kunye nokuhlaziywa kweempawu zakho kunye nezimo ezinokuthi zenze i-arrhythmia.
Ngokomzekelo, ukuba uyakrokrela ukuba unesifo se-thyroid okanye isifo senhliziyo esenza ukuba u-arrhythmia, unokuvavanywa kwezi meko. Ukongezelela, unokuba novavanyo lokuhlola intliziyo ezifana ne-electrocardiogram okanye i-echocardiogram.
Electrocardiogram
Izimpawu eziqhelekileyo ze-arrhythmia ezifana ne- palpitations , ukukhathala kancinci, okanye ukunyamezela, ukuxakeka kwexesha elidlulileyo, akunakwenzeka ukuba kubonakalise i-arrhythmia yokusongela ubomi kunye nokuhlolwa kwesimo somzimba kunokusetyenziswa. Ngokuqhelekileyo, oku kufezekiswa ngokuzama ukurekhoda i- electrocardiogram (ECG) ngexesha lesiganeko seempawu. Ngomxholo we-ECG oyintloko, unombane odibeneyo kwisifuba sakho esibhala umbane wentliziyo yakho, kubandakanywa nini kunye nexesha elide leentliziyo zakho zenzeka. Kufuneka ukuba usebenzise i-ECG ephathekayo ongayigqoba xa uhamba malunga nendlela yakho yemihla ngemihla.
Monitor Monitor
Ukuba iimpawu zakho zenzeka imihla ngemihla okanye phantse kwimihla ngemihla, ukhetho oluhle lokufumanisa isizathu esilunokuba lunokusebenzisa i-Monitor ye-Holter, i-ECG ephathekayo egcina iireyinti yeentliziyo kwixesha leeyure ezingama-24-48. Unokucelwa ukuba ugcine idayari ngokucophelela, ukhangele ixesha elichanekileyo apho iziganeko zeempawu zivela. Idayari inokuthi ilandelane kunye nokurekhoda kwengqungquthela ukubonisa ukuba impawu zidibene ne-cardiac arrhymia.
Monitor Monitor
Ukuba iimpawu zakho zenzeka kangangoko kunoko yonke imihla okanye zonke iintsuku ezimbalwa okanye zenzeke ngokukhawuleza, ukhetho oluhle lunokuba ngumlindi wesiganeko, olunye uhlobo lwe-ECG ephathekayo. Uyakunamathela emzimbeni wakho xa unempawu kwaye cinezela iqhosha ukurekhoda umsebenzi wakho wombane ngelo xesha.
Iimviwo zePatch
Olunye ukhetho ukuba iimpawu zakho zivela ngaphantsi kweso sihlandlo se-patch esifana ne-Zio patch, isixhobo sokurekhoda sesikhathi eside esilathintelayo esingagcina iiveki ezi-2 zokurekhoda okuqhubekayo kwintliziyo yakho kunye nokuzijonga ngokuzenzekelayo nayiphi na i-arrhythmias ye-cardiac. .
Kukho kwakhona inkqubo ye-SEEQ MT, engayibhala kunye nokubeka iliso kwiintsuku ezingama-30. Ukungabikho kwezicatshulwa zezipaki kukuba bangabi xabisa kuba bengasetyenziswanga kwaye kungathatha ixesha elongezelelweyo ukufumana iziphumo zakho, kodwa zikulungele, ukukhuseleka kwamanzi, kulula ukuyisebenzisa, kwaye ukhululekile.
Echocardiogram
I- echocardiogram luhlobo oluthile olungenalubuhlungu lwama-ultrasound olusetyenziswa ukujonga ubungakanani kunye nesakhiwo senhliziyo yakho, kunye nendlela yokubetha ngayo. Unako ukufumana i-echocardiogram xa usebenzisa okanye xa uphumla.
I-Loop Recorder efakekayo
Ukuba iimpawu zakho zithe gqolo kakhulu, kukho iingxelo ezincinci zentliziyo ezinokuthi zingasetyenziselwa ukufikelela kwiminyaka emithathu ukurekhoda intliziyo yesigqi kunye nokuthatha i-arrhythmias ukuba iincinci zengqondo zincinci zingaphantsi. Le fowuni ifakwa phantsi kwesikhumba sakho esifubeni kwaye inokuba luncedo ngakumbi xa unesifo sokubetha ukuba ubonise ntoni.
Ukutolika i-ECG
Injongo yokurekhoda intliziyo yakho kwisiganeko seempawu kukuzama ukulungelelanisa iimpawu zakho kunye nokurekhoda kwe-ECG yakho ngexesha leempawu ezikhoyo. Ngokufanelekileyo, ukwenza ukuba uhlalutyo, iimpawu ziya kuqala xa i-arrhythmia yenza, kwaye usombulule xa i-arrhythmia ima. Ukuba loo ndlela ibonakala, kucacile ukuba i-arrhythmia ivelisa iimpawu.
Ngokuqhelekileyo, ke, abantu baya kubika iimpawu ngamanye amaxesha isantya sentliziyo siba yinto eqhelekileyo; okanye ngokuchaseneyo, i-arrhythmia iya kubhalwa ngexesha apho kungekho zibonakalo. Ngaphantsi kwezi meko, mhlawumbi ukuba iimpawu ozifumanayo azikho ngenxa ye-arrhythmia, kwaye ugqirha wakho kufuneka aqale ukuqwalasela ezinye iinkcazo zempawu zakho.
Ukuba ugqirha wakho akafumani i-arthmia nonke kwi-test test-heart-test, kodwa usakrokrela ukuba unayo, unokuzama ukwenza enye isebenzisa le mvavanyo:
Uxinzelelo lweengxaki
Ekubeni ezinye i-arrhythmias zibangelwa okanye zenziwe zibi kakhulu ngokuzivocavoca okanye ukunyamezela, ugqirha wakho unokukwenza uvavanyo lokunyamezela, ukubeka iliso intliziyo yakho xa usebenza ngebhayisikili okanye kwindawo yokuhamba. Ukuba kukho isizathu sokuba ungeke usebenze, unokuba unikwe isilwanyana esishukumisayo.
Uvavanyo lweTable Table
Ukuba usenokuba utyhafile, ugqirha wakho angathanda ukwenza ukuhlolwa kwetafile ejikelezayo . Nangona ulala phantsi etafileni, intliziyo yakho kunye nokuxinzelelwa kwegazi kuhlolwa. Unokuphinda unikezwe umgca wecala (IV) xa ufuna unyango. Itheyibhile iyatshitshiswa ukuze ibonakale nje ukuba uyimile ngoxa ugqirha wakho ehlola utshintsho kwigazi lakho kunye / okanye kwintliziyo.
Isifundo se-Electrophysiology (EPS)
Ukuba i-arrhythmia yakho ingapheliyo okanye ugqirha wakho unzima ukuwufumana okanye ucinga ukuba unokusongela ubomi, unokuqhuba isifundo se-electrophysiology (i-EPS), uvavanyo olukhethekileyo lwe- catheterization apho i-electrode catheters (i-flexible, wire wires izicwangciso ze-electrode) zifakwe entliziyweni yakho ukuze ufunde inkqubo yombane yomzimba.
Yintoni enokuyilindela: Ukuba ugqirha wakho ekubhekiselele kwi-EPS, uya kufakwa kwi-laboratory ye-electrophysiology (i-laboratory ye-catheterization laboratory) apho uya kulala khona kwitafile zeemviwo. Uya kunikelwa i-aneshesia yendawo, kwaye mhlawumbi i-sedative ye-sedative, kunye ne-electrode catheters izakufakwa kwenye okanye eminye imithwalo yegazi. Ama-catheters afakwe ngento encinci okanye nge-stick stick-stick, ngokuqhelekileyo kwisandla sakho, ukubola okanye intamo. Ixesha eliqhelekileyo lisetyenzisiwe, kwaye zingeniswa kwiziko elingaphaya kwesinye. Ukusebenzisa i-fluoroscopy, efana ne-x-ray, i-catheters iqhutywe phambili kwimithambo yegazi kwaye ibekwe kwiindawo ezithile entliziyweni yakho.
Xa sele bebekwe ngokufanelekileyo, i-catheters ye-electrode isetyenziselwa ukwenza imisebenzi emibini ebalulekileyo: ukurekhoda iimpawu zombane eziveliswe ngentliziyo yakho kunye nokunyanzela intliziyo yakho. I-Pacing ifezekiswa ngokuthumela amatshini ambane kagesi nge-catheter ye-electrode. Ngokurekhoda nokuhamba kwiindawo ezicwangcisiweyo entliziyweni yakho, ezininzi iintlobo ze-arrhythmias zengqondo zinokufundiswa ngokupheleleyo. Xa inkqubo iphelele, i-catheter (s) isuswe. Ukuhlamba kulawulwa ngokubeka uxinzelelo kwisiza sokungcebeleka imizuzu engama-30 ukuya kwangama-60.
Oko Kuthethayo: I-EPS inokukunceda ukuvavanya zombini i- bradycardias (i-slow heart arrhythmias) kunye ne- tachycardias (i-arrhythmias ye-heart fast). I-Tachycardias ihlolwa ngokusetyenziswa kwamasu okucwangcisa i-tachycardia. Ukuba i-tachycardias inokukhutshwa ngexesha le-EPS, ngoko ngokufunda izibonakaliso zombane ezirekhodiweyo kwi-catheters ye-electrode, isizathu esicacileyo se-tachycardia sinokuqatshelwa. Xa oku kufeziwe, uvavanyo olufanelekileyo luhlala lucacile.
Ukuqaphela Ukonyango: Kukho iindlela ezimbalwa i-EPS inokukunceda wena kunye nodokotela wakho wenze izigqibo zonyango. Iindlela zokonyango ezinokuqwalaselwa ngokusekelwe kwiziphumo ze-EPS ziquka:
- Ukufakwa kwe-pacemaker: Ukuba i-EPS iqinisekisa ubungqina bebradycardia ebalulekileyo, i- pacemaker engunaphakade ingafakwa ngokukhawuleza, ngexesha elifanayo.
- I-Ablation: Ukuba i -tachycardia ye-tachycardia (SVT) -nezinye iifomycardia ze-ventricular (VT) -yifumene, ukuxhoma kwe-radiofrequency is often therapy of choice. Inkqubo yokuphulukisa isetyenziswa rhoqo ngexesha elifanayo, ngokukhawuleza emva kwe-EPS.
- Ukufakwa kwe-defibrillator enokutsha: Ukuba iifom ze-VT kunye / okanye i- fibrillation ye-ventricular (VF) zichongiwe ngexesha le-EPS, ngokuqhelekileyo i- defibrillator engenakho ukusetyenziswa yonyango olukhethiweyo. Esi sixhobo sinokufakwa rhoqo kwi-laboratory ye-EP, ngokukhawuleza emva kwe-EPS. Kwiminyaka edlulileyo, i-EPS yayisetyenziselwa ukuchonga izixhobo eziphambili zokulwa nezigulane ezine-VT okanye i-VF, kodwa namhlanje ziyazi ukuba akukho nkunkuma ye-anti-arrhythm ephumelelayo njengesixhobo sokukhusela i-defibrillator ekukhuselweni kokufa ngokukhawuleza kwezi zi-arrhythmias.
Iingozi : Iingozi zobungozi bokuba ne-EPS zifana nalabo abanesifo sengqondo sokugula. Ezi nkqubo zikhuselekile, kodwa ngenxa yokuba ziyimigaqo echaphazela intliziyo, kukho iingxaki ezininzi. Akufanele ube ne-EPS ngaphandle kokuba kunokwenzeka ukuba ulwazi olufunyenweyo kule nkqubo luya kuba luncedo olukhulu.
Iingxaki ezincinci ziquka ukuphuma kwamanzi kwisayithi lokufakwa kwe-catheter, ukuphazamiseka kwintliziyo yesikhashana eyenziwa yintambo ephazamisa intliziyo yesifo, kunye neenguqu zentsholongwane yegazi. Iingxaki ezibaluleke ngakumbi zibandakanya ukugqithiswa kwodonga lwenhliziyo obangela imeko esongela ubomi ebizwa ngokuthi i- tamponade ye-cardia , ukuphuma kwamanzi, okanye, ngenxa yokuba i-arrhythmias ebulalayo inokubanjelwa, ukuboshwa kwentliziyo. Umngcipheko wokufa ngexesha le-EPS ungaphantsi kwe-1 kwi-1,000.
> Imithombo:
> American Heart Association. Iimvavanyo eziqhelekileyo zeArrhythmia. Ukuhlaziywa kweDisemba 21, 2016.
> Fung E, uJarvelin MR, uDoshi RN, et al. I-Electrocardiographic Patch Devices ne-Contemporary Wireless Monitoring Cardiac. Imida kwiPhysics . 2015; 6: 149. i-doi: 10.3389 / fphys.2015.00149.
> ULevy S. Arrhythmia Ulawulo lweNqununu yeNtloko. Isemgangathweno. Ukuhlaziywa kwe-Apreli 17, 2017.
> Abasebenzi beKliniki yabasebenzi. Intliziyo yeArrhythmias. Clinical Mayo. Ukuhlaziywa kweDisemba 27, 2017.