Izakhiwo ze-ventricular zangaphambili, okanye i-PVCs, ziphakathi kwezona zinto ziqhelekileyo ze- cardiac arrhythmias . Ngelishwa, ukubaluleka kwezokwelapha - kwaye ngoko unyango lwabo ludla ngokudideka kubagqirha abaninzi kunye nezigulane.
Ukuba unayo i-PVC, unyango lwakho luxhomekeke kwimpendulo emibini imibuzo:
Okokuqala, unesi sifo sentliziyo?
Okwesibini, indlela ezinzima ngayo iimpawu eziveliswa yi-PVCs?
I-PVC ngokwabo ayisoloko iyingozi. Nangona ii-PVC ezidibeneyo zidibene neengozi yokufa, loo mngcipheko ophezulu ungobungozi bokubakho kwezifo zentliziyo kunye neengozi zengqondo yesifo . I-PVC ngokwayo, ngokubanzi, kucatshangelwa ukuba ikhulu kakhulu.
Iinjongo zokuNyango zokuThola - Ukunciphisa ubungozi beCardiac
Ngenxa yokuba ii-PVC zihlala zihambelana nesifo senhliziyo, ugqirha wakho kufuneka enze ukuhlolwa kwenhliziyo xa eqala ukuwafumanisa.
Ukuba kuvela ukuba unesifo senhliziyo, unyango olwaneleyo lwemoya yakho luya kuphelisa okanye ukunciphisa imvama yePVCs. Oku kuyinyani ngokukodwa ukuba unesifo se-coronary disease (CAD) okanye ukungaphumeleli kwentliziyo .
Kwezinye abantu abangaqhelekanga, ii-PVC eziqhelekileyo ngoku zicingelwa ukuba zixanduva lokuvelisa i- cardiomyopathy ( intsholongwane ephosakeleyo yentliziyo).
Ngoko, ukuba i-cardiomyopathy engabonakaliyo ifunyenwe phambi kwePVCs rhoqo, kunokunceda ukuphatha ii-PVC ukubona ukuba i-cardiomyopathy iphucula.
Ukuba ugqirha uyifumana intliziyo yakho ukuba ibe nempilo, yinto enhle kakhulu. Nangona kunjalo, ii-PVC zidibaniswa neemeko ezininzi zobungozi beCAD, ingakumbi ingozi yexinzelelo .
Ngoko wena kunye nogqirha wakho kufuneka wenze uvavanyo olupheleleyo lwezinto zonke ezinobungozi benhliziyo yakho kwaye uqalise inkqubo enobudlova yokuba ulawulwe phantsi. Ukongeza ekunciphiseni umngcipheko we-CAD, le mzamo inokuthi iphinde iyanciphise i-PVCs.
Injongo yesibini yokuPhatha - Ukunciphisa iimpawu
Ngethamsanqa, abaninzi abantu abanePVCs 'abazive' kubo. Nangona kunjalo, abanye baqonda i-PVCs njengama- palpitations , aqhelekileyo achaza ngokuthi "ukuqhekeka" okanye "ukukhupha" okungafaniyo ngokukrakra kancinci ukuphazamisa kakhulu.
Ngoko ke, ngaphezu kokwenza uvavanyo kwisifo senhliziyo, ngamanye amaxesha kuyimfuneko ukuqwalasela ukwenza okuthile malunga neePVC ngokwabo, ukwenzela ukunciphisa iimpawu.
Unyango lwe-PVCs luya kuba lula xa sineziyobisi ezichasayo (iziyobisi ezithatha i-arrhythmias cardiac) ezo zombini zikhuselekileyo kwaye zisebenzayo ekugqibeleni i-PVCs. Ngelishwa, oku akunjalo. Ngoko ukugqiba ukuba ngaba uphatha i-PVCs, nendlela yokuphatha ngayo, kudla kunzima kunokuba ungacinga.
Ukuba i-PVC yakho ayibangeli iimpawu, okanye ukuba iipilpitations ozifumanayo azixakeki kuwe, into enokuyenza yinto eqhelekileyo ukushiya yedwa.
Nangona kunjalo, ukuba i-PVC yakho ibangela ukuba izibilini zanele ukuphazamisa ubomi bakho, ngoko wena nodokotela wakho kufuneka nixoxe ngeendlela zokunyanga i-PVCs.
Okokuqala, kufuneka uzame ukususa i-caffeine ekudleni kwakho. Kubantu abanomdla, i-caffeine inokunyusa amaxesha e-PVCs. Into efanayo ihamba kwimveliso yocuba kunye notywala - ukuphelisa oku kusuka ekudleni kwakho kwakhona.
Kukho ubungqina bokuthi ukuvuthwa rhoqo kunokunciphisa iipilpitations. Ngoko ukuba uhlala uhlala, xela ugqirha wakho malunga nokuqala inkqubo yovavanyo.
Ukuba wenze ezi ntlobo zokuguquka kwendlela yokuphila kwaye usenokukhathazeka yimpawu ze-PVC, wena kunye nodokotela wakho ufuna ukucinga ngolu vavanyo lweyeza lonyango.
Ukuba ukhetha unyango lweziyobisi, ngokuqhelekileyo yinto efanelekileyo ukuqala ngetyala le-blocka blockers - iziyobisi ezingathinteli umphumo we-adrenaline. I-Beta blockers ayisebenzisekanga "njengeyinyaniso" izidakamizwa zokulwa nezidakamizwa ekupheliseni i-PVCs, kodwa ngokubanzi zikhuselekile kwaye zihlala zinyamezelekile. Ngelixa banokunciphisa i-PVC ngokwabo, i-beta blockers isebenze ngcono ekunciphiseni iimpawu zePVC.
Izidakamizwa ezinamandla ezinamandla kakhulu zihlala zisebenza ngokuphumelelayo ekunqandeni i-PVCs. Nangona kunjalo, ezi ziyobisi ziyakwazi ukudala iingxaki ezibalulekileyo. Oyintloko phakathi kwabo ngumkhono wokubangela "i-proarrhymia" - oko kukuthi, kubangela ukuba i-arrhythmias ibe yingozi kakhulu kunePVCs. I-proarrhymia inokwenzeka ngokukhethekileyo kubantu abanesifo senhliziyo, kodwa kunokwenzeka nakubani na. Ukongezelela, isicatshulwa ngasinye se-antiarrhymic sinepropati yaso ekhethekileyo yetyhefu eyenza le nkcazo yeziyobisi phakathi kweyona inetyhefu esetyenziswa kumayeza.
Ekugqibeleni, kwizigulane ezi-PVC ziphazamisa kakhulu kwaye azikwazi ukuphathwa ngokukhuselekileyo ngeenguqu zokuphila okanye iziyobisi, kunokwenzeka ukuba i-electrophysiologist iwaphulukise nge- inflation- mapping indawo ekhupha i-PVCs, kwaye iqulethe ngokukhethekileyo. catheter.
ILizwi
Ngenxa yokuba i-PVC ngokwabo ayisoloko iyingozi, ukusetyenziswa kakubi kwonyango lwabo kufuneka kusekelwe ngokubanzi malunga nokuba iipVC ziphazamisa njani ubomi bakho. Ngelixa linenhlanhla yokuba i-PVC idla ngokubangela iimpawu ezincinci kuphela, loo nto ayinakunceda kakhulu ukuba ungomnye wabantu abangenangqiqo abane-PVC zabo ezixhalabisa kakhulu. Kule meko uya kufuna ukufumana ugqirha onolwazi kunye novelwano onokukunceda ukuba uhambe kuzo zonke iindlela zokonyango kwaye uceba isicwangciso esilungileyo.
> Imithombo:
> Yokokawa M, Olungileyo E, Crawford T, et al. Ukubuyiselwa kwi-Dysfunction ye-Left Ventricular Emva kokunikwa kwe-Frequency Complexes Prelexity Complexes. Intliziyo yeRhythm 2013; 10: 172.
> Zipes, DP, Camm, AJ, Borggrefe, M, et al. I-ACC / AHA / ESC 2006 Izikhokelo zokuLawula izigulane ezine-Arrichydrias ze-Ventricular kunye nokuKhuselwa koKhuseleko lweCaracac Death-Summary Summary Umbiko we-American College of Cardiology / American Heart Association Task Force kunye ne-European Society yeKomiti yeCardiology yokuSebenzisa izikhokelo (Ukubhala IKomiti yokuphuhlisa izikhokelo zokuLawula iziguli ezine-Arrhythmias ze-Ventricular kunye nokuKhuselwa koKhuselo lweCardiac ngokukhawuleza). J Am Coll Cardiol 2006; 48: 1064.
> Zuchinali P, Ribeiro PA, Pimentel M, et al. Umphumo weCaffeine kwi-Ventricular Arrhythmia: UkuHlola okuSingqinisiso kunye nokuhlaziywa kweMeta yoPhando lweeNzululwazi kunye neZliniki. Europace 2016; 18: 257.