Ukuba ufumene unyango lwe- cardiac arrhythmia , unyango luya kuxhomekeka kukuphi uhlobo onalo kunye nokuba lubi kangakanani. Ukuba ayibangeli iimpawu ezinkulu kwaye awukho engozini yokuphuhlisa i-arrhythmia okanye inkathazo, mhlawumbi akayi kuyidinga unyango. Nangona kunjalo, ukuba iimpawu zakho zinzima kunye / okanye ugqirha wakho uxhalabisa ukuba i-arrhythmia ingaba yinto engathandekiyo, unokuncoma unyango olulungele iimfuno zakho.
Imigaqo
Ngokuqhelekileyo, kukho izizathu ezibini ugqirha wakho angathanda ukukubeka kumayeza ngenxa ye-cardiac arrhythmia. Okokuqala, i-arrhythmia inokubangela ukuba ube neempawu, ezinjenge- palpitations okanye ukukhanya okulula , kwaye unyango lunokuba luleke ukukhupha loo mpawu. Okwesibini, i-arrhythmia inokubangela ukulimaza okanye ukwesongela ukwenza njalo.
Izidakamizwa zeAnrrhythmic
Iziyobisi zange-antiarrhymic ziyeza ukuguqula izakhiwo zombane zeethambo zenyama, kwaye ngokwenza njalo, utshintshe indlela intliziyo yakho yombane isasazeka ngayo yonke intliziyo yakho. Ekubeni i- tachycardias (i-arrhythmias eyenza ixabiso lentliziyo elikhawulezayo) liqhelekile lihambelana nokungaqhelekanga kwisiganeko sombane, iziyobisi ezitshintshisayo isignali yombane yakho inokuthi ziphucule ezo zi-arrhythmias. Izidakamizwa ze-Antiarrhythm zihlala zisebenza kakuhle, okanye zincinci ngempumelelo, ekuphatheni iintlobo ezininzi ze-tachycardias.
Ngelishwa, izidakamizwa ezinqamlekileyo njengeqela zivame ukudala inani elifanelekileyo lemiphumo yelinye uhlobo okanye enye, kwaye ngenxa yoko, kunokuba kunzima ukuthatha.
Isilwanyana ngasinye esichaphazelekayo sinepropati yaso yodwa, kwaye kubalulekile ukuba ugqirha wakho acacise ukuba iingxaki ezinokuthi zenzeke ngeziyobisi ezikhethiweyo.
Nangona kunjalo, kukho enye ingxaki esilungeleyo eqhelekileyo kuzo zonke izidakamizwa ezichasayo: ngamanye amaxesha ezi zi yobisi zenza i-arrhythmia ibe nzima kunokuba ibe ngcono.
Le nxalenye yezidakamizwa ezichanekileyo-ezibizwa ngokuba yi-proarrhythmia-ibuye ibe yipropati yezilwanyana eziguqula isigxina sombane senhliziyo. Ukubeka nje, xa wenza nantoni na ukuba utshintshe indlela isignali kagesi isasazeka ngayo intliziyo, kungenzeka ukuba utshintsho luya kwenza i-tachycardia ibe bhetele, okanye iyakwenza ibe nzima.
Izidakamizwa ezisetyenziswa ngokuqhelekileyo zibandakanya iCordarone okanye iPacerone (amiodarone), i-Betapace (sotalol), iRhythmol (propafenone) kunye ne-Multaq ( dronedarone ). I-Amiodarone yiyona ndlela isisetyenziswa kakhulu kwisicatshulwa sogqirha kwaye iyancipha kakhulu ukuba ibangele i-proarrhymia kunezinye iziyobisi. Ngelishwa, ezinye iindidi ezinobungozi obonwayo kunye ne-amiodarone , njengomonakalo wamaphaphu okanye umonakalo wesibindi, lunokuba luhle kakhulu, kwaye le nkunkuma ifanele isetyenziswe kuphela, njengezo zonke izidakamizwa ezichasayo, xa ziyimfuneko.
Umgca wecala kukuba oogqirha-kwaye kufuneka bafune ukuzithemba ukunyanzela iziyobisi ezichasayo. Ezi ziyobisi kufuneka zisetyenziswe kuphela xa i-arrhythmia ivelisa iimpawu ezibalulekileyo okanye ibeka ingozi kwimpilo yakho ye-cardiovascular.
I-AV Nodal Blocking Drugs
Amachiza eyaziwa njenge-AV nodal block blocking drugs- beta blockers , i- calcium channel blockers , kunye ne-digoxin-work by slowing the signal of your heart electrical signal njengoko idlula kwi- AV node endleleni yayo ukusuka kwi-atria ukuya kwi-ventricles.
Oku kwenza i-AV nodal block blocking drugs isiluncedo ngakumbi ekuphatheni i -tachycardias esezantsi (SVT). Ezinye iifom ze-SVT, ngokuthe ngqo kwi- AV nodal reentrant reentrant tentycardia kunye ne-tachycardias ezibangelwa ngamaphetshana, zifuna i-AV node ukuba iqhube isalathisi kagesi ngokufanelekileyo, kwaye ukuba i-AV node ingenziwa ukuqhuba isalathisi kagesi ngokukhawuleza, i-SVT imane nje.
Ukuba i-SVT eyaziwa njenge- fibrillation ye-atrial , i-AV nodal block blocking drugs ayigcini i-arrhythmia, kodwa iyanciphisa izinga lentliziyo yakho ukunceda ekupheliseni iimpawu. Enyanisweni, ukulawula intliziyo yakho nge-AV nodal block blocking drugs is often the best way to manage fibrillation .
Imizekelo ye-block blockers iquka i-Sectral (acebutolol), i-Tenormin (i-atenolol), i-Zebeta (i-bisoprolol), i-Lopressor okanye i-Toprol-XL (i-metoprolol), i-Corgard (nadolol), i-Bystolic (nebivolol) kunye ne-Inderal LA okanye i-InnoPran XL (ipropranolol). Oku kunokubangela iziphumo ezisecaleni ezifana nokudandatheka, izinga lentliziyo elincinci, ukukhathala, isifo sikaRaynaud, ukungasebenzi kwezesondo, ukuphefumula okufutshane, kunye neendlela zokuhamba ngomoya.
Kuphela i-blockers ye-calcium isinceda ukunyanga i-arrhythmias, kuquka iKardizem okanye iTiazac (diltiazem), kunye neCalan okanye i-Verelan (verapamil). Imiphumo emibi yimizila ibandakanya ukunyuka kweenyawo, ukunqandeka, isifo sohudo, kunye noxinzelelo lwegazi oluphantsi.
Anticoagulants
Ukuba usemngciphekweni wokuphuhlisa i-clots yegazi, oku kungakhokelela ekubetheni, ugqirha wakho unokumisela i- anticoagulant (igazi elincinci) . La mayeza aya kugcina igazi lakho ekugqibeleni kwaye liyeke ukuvala amaqatha osuke ufumana ekubeni ukhulu, nangona awanako ukunciphisa ubukhulu begazi elikhoyo. Ukuba une-stroke okanye une-fibrillation ye-agriyo, kunethuba elihle ugqirha wakho uyakukubeka kwi-anticoagulant. Iziphumo eziqhelekileyo zeziphumo ze-anticoagulants ziquka ukunqanda, i-gesi, isifo sohudo, isisonguluko, ukuhlanza, nokungabi nxila.
Iziyobisi ezinokunciphisa ubungozi bokugqithiswa kweCardiac Cardiac
Amacandelo ambalwa acingelwa ukuba anciphise umngcipheko wokubanjwa kwantliziyo ngokukhawuleza, mhlawumbi ngokunciphisa umngcipheko we- tachycardia ye- ventricular okanye i- fibrillation ye-ventricular , i-arrhythmias evelisa ukuboshwa kwentliziyo . Uphando lubonisa ukuba i-beta blockers ibonakala iyanciphisa ingozi yokubanjwa kwantliziyo ngokukhawuleza ngokuthintela umphumo we-adrenaline kwi-heart muscle, ngaloo ndlela ukunciphisa amathuba okuba i-arrhythmias ebulalayo. Zonke izigulane eziye zaqhubeka zihlaselwa yintliziyo okanye zineentliziyo ezingaphumeleli kufuneka zithathe i-beta blockers.
Ezinye izidakamizwa ugqirha wakho angayichaza ukuba usemngciphekweni wokubanjwa ngokukhawuleza kwegazi zibandakanya i- angiotensin-guqula i-enzyme (ACE) inhibitors , i-block block ye-calcium, kunye ne-antiodrhythmic drug-amiodarone.
Izixhobo ezifakekayo
Ezinye iindidi ze-arrhythmias zingadinga idivaysi engenakunceda ukulawula isigqi seentliziyo yakho.
I-Pacemaker
Ukuba intliziyo yakho ihamba ngokukhawuleza okanye ingaqhelekanga, ugqirha wakho unokuncoma i- pacemaker , isistim eqhutywe ngebhetri esenza intliziyo yakho ibethe ngezinga eliqhelekileyo, eliqhelekileyo. Kubekwa phantsi kwesikhumba sakho kufuphi ne collarbone yakho, apho ixhunyaniswe nentambo entliziyweni yakho. I-pacemaker ke ivelise iimpembelelo zombane ezinceda intliziyo yakho ibetha ngokuqhelekileyo, ukukhusela i-arrhythmias.
Implantable Cardioverter Defibrillator (ICD)
Ukuba uye wabanjwa ngokukhawuleza kwenyama, ufunyenwe ukuba ube ne-ventricular tachycardia okanye i-fibrillation ye-ventricular, okanye usemngciphekweni wokuphuhlisa nokuba yeyiphi yala ma-arrhythmias, ugqirha wakho unokuncoma ukuba i- cardioverter defibrillator (ICD) ifakwe . Ezi zixhobo zinokuthintela ukufa ngokukhawuleza ekubanjweni kwentliziyo, esona sizathu esona sisisetyenziswayo. Njenge-pacemaker, i-ICD nayo ibhetri inikwe amandla kwaye iphinde ibekwe ngaphantsi kwesikhumba sakho kufuphi nekholeji yakho. Iifowuni kunye ne-electrodes kwiingcebiso ziqhotyoshelwe entliziyweni yakho kwaye i-ICD ibeka intliziyo yakho rhoqo. Ngokungafani ne-pacemaker, i-ICD igxotha kuphela xa ifumana isigqi esingaqhelekanga, ithumela ukutshitshiswa okanye unyango olwenziwe entliziyweni yakho ukuba lubuyisele kwisimo esiqhelekileyo. Ekubeni ama-ICD ayithinteli ama-arrhythmias, kuya kufuneka ukuba uthabathe imithi.
Iinkqubo zokuPhepha kunye neNgcaciso yeeNgcaciso
Kukho iinkqubo ezikhethekileyo okanye utyando olungasetyenziselwa ukuphatha i-arrhythmia yakho. Kwakhona, ezi zonyango zixhomekeke kuhlobo kunye nobukhulu be-arrhythmia yakho.
Ablation
Ezinye i-arrhythmias zibangelwa yinto engafanelekanga kwimeko yesimo senhliziyo. Kule meko, inkqubo yokuphulukisa ingakwazi ukuphazamisa ukungaqhelekanga kombane. Ukuqhekeza kungasetyenziselwa ukhetho lwenyango ukuba awukwazi ukunyamezela amayeza okanye asebenzi. Injongo yale nkqubo ngokuqhelekileyo kukuba ilahle i-arrhymia ngokupheleleyo.
Nangona iinkqubo zokunyuselwa kwintsebenzo zingenziwa kwindawo yokusebenza ngexesha lokuhlinzwa ngentliziyo evulekileyo , ngokugqithiseleyo uhlobo oluqhelekileyo lokuqheliswa kwempahla lufezekiswa ngexesha lekhethekileyo lokunyanyiswa komzimba olubizwa ngokuba yi-electrophysiology study (EPS).
Ezi zifundo zenziwa yi-carroac electrophysiologists-izazi ze-cardiologists eziqeqesha ngokukhethekileyo ekwenzeni i-arrhythmias yenhliziyo. I-EPS inokwenziwa njengenkqubo yokuxilonga xa kubalulekile ukukrazula ngokuchanekileyo indlela yokwenza i-arrhythmia kwaye ngokuqhelekileyo ukugqiba ukuba ngaba inkqubo yokuphulukisa iyakuthi iphilise i-arrhythmia. Namhlanje, izifundo ezininzi ze-electrophysiology zidibanisa uvavanyo lokuxilonga kunye nenkqubo yokuphucula.
Ngethuba lenkqubo yokuphulukisa, i-catheters ekhethekileyo enee-electrode kwi-tip zibekwe kwiindawo ezahlukeneyo ngaphakathi kwentliziyo yakho, kwaye yonke inkqubo yesiganeko yombane ifundwa kwaye ilandwe. Ukuba indawo engavumelekanga iyabangela ukuvelisa i-arrhythmia, isalathisi senkathazo siqondiswa kwindawo engavumelekanga, kwaye i-ablation yenziwa nge-catheter. Ukuqhekeza okufezekileyo kufezekiswa ngokudlulisela uhlobo oluthile lwamandla ngekathetha (amandla okushisa, amandla okushisa, okanye amandla omlilo) ukwenzela ukulimaza (ablate) izicubu kwi-tip of catheter. Oku kudala ibhloko kwindlela yamandla eyenza u-arrhythmia.
Kwiminyaka yakutshanje, iinkqubo zokuqhawula iziphumo ziye zahamba phambili, kwaye zixhaphaza iinkqubo zeemephu zeekhompyutha ezixhasayo ezizisebenzisayo zombini i-3D-imaging kunye neemephu zombane ukuze zichaze indawo efanelekileyo yokuphucula. Ngokuqhelekileyo kuthatha iiyure ezimbalwa kwaye udinga usuku okanye ezimbini kwixesha lokubuyisela esibhedlele.
I-Ablation isebenza ngamaphesenti angama-60 ukuya kuma-80 ekhulwini kwithuba labantu abanemigqaliselo enengxaki ezinjenge-fibrillation ye-atrial, i-tacycardia ye-atrial, kunye ne-tachycardia ye-ventricular. Kubantu abanama-tachycardias aphezulu, izinga lokuphumelela lingama-90% ukuya kuma-95 ekhulwini.
I-Cardioversion
Kweentlobo ezithile ze-arrhythmias njenge-fibrillation ye-atrial kunye ne-fibrillation ye-ventricular, i- cardioversion ingaba yindlela yokonyango. Kule nkqubo, intliziyo yakho iyatshukunyiswa ngombane ngeepadle okanye iifatki kwisifuba sakho ukusuka kwisipilisi. Ukutshatyalaza kunokunyanzela intliziyo yakho buyele kwisigqi esivamile.
Inkqubo yoLwandle
Ukuba awuphendulanga kwezinye iirhythmias okanye unentsholongwane yentliziyo ngesinye isizathu, ugqirha wakho unokucebisa inkqubo yenkqubo . Oku kubandakanya ukwenza izinto ezibonakalayo kwinxalenye yakho yentliziyo (i-atria) enqabileyo kwaye ikhusele impembelelo yombane ekudaleni i-arrhythmia ekubeni iinjongo zingenakukwazi ukuhamba neziqhekeza ezibomvu.
Coronary Bypass
Kwiimeko ze-coronary disease artery disease eyenza u-arrhythmia, ugqirha wakho unokuncoma i- coronary bypass , enokuphucula igazi entliziyweni yakho.
IziPhulo zaseKhaya kunye nokuPhila
Ukwenza utshintsho oluthile lunokukunceda ukugcina intliziyo yakho iphilile kwaye unciphise umngcipheko wokuba nesifo senhliziyo.
Yidla i-Heart-Healthy Diet
Qinisekisa ukuba ukutya kwakho kugcwele iintlobo ezahlukeneyo zezityalo, iziqhamo, kunye nemifuno kwaye iphantsi kwityuwa, i-cholesterol kunye neoli. Sitshintshela kwi-fat-fat or fat-free-milk and eat nutrition, chicken, and fish.
Hlala uqhubeka
Ukuzivocavoca kugcina intliziyo yakho iphilile. Zama ukufumana yonke imihla okanye usethe umgomo wokunyusa umsebenzi wakho kwaye usebenze kuwo.
Jonga ubukhulu bakho
Ukugqithisa okanye ukugqithisela kwandisa ingozi yesifo senhliziyo kuba usebenza intliziyo yakho nzima. Ukutya ukutya okunempilo nokwandisa umsebenzi wakho kunokukunceda ufikelele kwaye ugcine ubunzima obuhle.
Uphule umkhuba wokutshaya
Ukuba utshaya, sebenzela ukuyeka. Esi sisigqibo esiphezulu kakhulu ongayenza kuwo wonke umzimba wakho, ungakhangeli intliziyo yakho.
Gcina uxinzelelo lwegazi kunye neeNqanaba zeCholesterol
Phunyezwa utshintsho olungentla ngasentla kwaye uqiniseke ukuba uthathe nawaphi na amayeza onqunywe ukuba uxinzelelo lwegazi eliphezulu kunye / okanye i-cholesterol.
Ukulawula Ukukhathazeka Kwakho
Ukuxinezeleka kunokufaka isandla kwi-arrhythmias, Qinisekisa ukuba uthatha ixesha lokwenza imisebenzi oyithandayo. Funda ezinye iindlela zokuphumla. Yenza umsebenzi wakho uxinzelelo ngomsebenzi.
Utywala obuncinane
Ugqirha wakho akafuni ukuba uphuze utshwala kuba kunokukwenza intliziyo yakho ibetha ngokukhawuleza, kodwa ukuba wenzayo, qiniseka ukuba wenza ngokumodareyitha. Ubuninzi bokusela kotywala buya kusiselo olunye ngosuku ngamabhinqa namadoda angaphantsi kweminyaka engama-65 ukuya kwiingxowuni ezimbini ngosuku ngamadoda angaphantsi kwe-65.
Gcina iiNyulo zakho
Nangona uvakalelwa kakuhle, qiniseka ukuba ugcine ugqirha lakho kunye nenye yononophelo yolondolozo. Thatha amayeza akho njengoko uyalelwe kwaye uvumele ugqirha wakho ukuba uyazi ukuba unayo nayiphi na impawu okanye umonakalo ochaphazelekayo.
I-Alternative Medicine (CAM)
Kukho ezinye iindlela zonyango ezinokukunceda ukuphatha i-arrhythmias okanye uxinzelelo olungabangela ukuba kube nzima. Ezi ziquka:
Vagal Maneuvers
Ukuba unayo i-tachycardia engummiselo, ukuqeqeshwa okulula okubizwa ngokuba yi-vagal maneuvers kunokunceda ukuphucotha okanye ukuyeka. Ezi ntshukumo zisebenza ngokuchaphazela i-vagus nererve, elawula ukunyamekela kwakho, kwaye iquka:
- Ukuguqa
- Ukuhlahlela
- Ukugqithisa ubuso bakho emanzini e-ice
- Ukubamba ukuphefumula ngexesha uzama ukukhupha ngamandla
- Ukubeka iminwe yakho kwiinkophezelo zakho kwaye ucinezele ngokunyanisekileyo
Thetha ugqirha wakho malunga nokusebenzisa izigulane ngenxa yokungabi naluphi unyango olululo.
Ukwenza i-Acupuncture
Nangona uphando oluninzi lufunekayo, uphando lubonise ukuba ukunyanga kwamanzi kungabakho unyango olukhuselekileyo noluncedo kumacandelo athile, ikakhulukazi i-tachycardia, i-ventricular beat premature, i-tusycardia yesinstriya kunye ne-fibrillation ye-atrial. Ukongezelela, i-acupuncture inobungozi obuncinane, ngoko oku kuyafaneleka ukuba uzame.
UkuNcitshiswa kweengxaki
Ekubeni ukuxinezeleka kukubangela ukuba ulungelelaniso lwakho lube lubi nakakhulu, unokuzama ukunciphisa ubunzima obuthatyayo. Nazi ezinye iindlela zokuncedisa:
- Yoga
- Ukucamngca
- Izindlela zokuphucula ezifana nokuphefumla okuchukumisayo, ukuphumla kwemisipha kunye nokubonakala
> Imithombo:
> American Heart Association. Imithi yeArrhythmia. Ukuhlaziywa kweSeptemba 2016.
> Bohnen M, Stevenson WG, Tedrow UB, et al. Isiganeko kunye nokuQala kwangaphambili kweengxaki ezinkulu kwiCatheter Catheter Ablation Ukuphatha i-Cardiac Arrhythmias. I-Heart Rhythm . Novemba 2011; 8 (11): 1661-6. I-doi: 10.1016 / j.hrthm.2011.05.017.
> Li Y, Barajas-Martinez H, Li B, et al. Ukuphumelela ngokuthelekiswa kokusetyenziswa kwamathambo kunye ne-Antiarrhythmic Drugs for the Prevention of Cardiac Arrhythmias: Uhlolo lokuHlola kunye ne-Meta-Analysis of Trials Controled Trials. Imida kwiPhysics . 2017; 8: 358. i-doi: 10.3389 / fphys.2017.00358.
> Abasebenzi beKliniki yabasebenzi. Intliziyo yeArrhythmia. Clinical Mayo. Ukuhlaziywa kweDisemba 27, 2017.
> Mitchell LB. Ubume bemixholo yeengqondo ezingavumelekanga. I-Merck Manual: I-Consumer Version.