Yini Ebangabangela Futhi Kufanele Babhekiswe Kanjani?
Izinhliziyo zomzimba zibhekisela ekuqapheliseni okungavamile kwenhliziyo. Abantu abanama-palpitations bavame ukuwachaza ngokuthi "beqa" ezinhliziyweni, izinhliziyo zesikhathi esizizwa ziqine kakhulu, noma izinhliziyo zenhliziyo eziphuthumayo kanye / noma ezingavamile.
Isimpawu se-palpitation sivame kakhulu, futhi sithinta abantu abaningi ngesikhathi esithile empilweni yabo. Ngenkathi abantu abaningi abanezintambo bekwazi ukuzishaya indiva, abanye bakuthola bephazamisa kakhulu noma besabisa kakhulu, futhi bavame ukukhathazeka ngokuthi bazofa nganoma isiphi isikhathi.
Ngenhlanhla, iqiniso liwukuthi iningi lezintambo azibangelwa ukuphazamiseka kwengqondo yenhliziyo eyingozi noma esongela ukuphila. Noma kunjalo, i-palpitations ingabonisa ngezikhathi ezithile ukuhlelwa kwe-cardiac achythmia, ngakho-ke noma ubani onenkinga kufanele abike kudokotela wabo. Futhi kungumsebenzi udokotela ukuba athathe lesi simbolo ngokungathí sina.
Uma utshela udokotela wakho ukuthi unezikhalazo, kufanele athathe izinyathelo ezifanele ukukhomba imbangela eyinhloko yezintambo zakho, bese ekunikeza iseluleko esihle sokuphatha leso sizathu.
Yiziphi izinhlobo ze-Arrhythmias ezikhiqiza ukuguqulwa?
Iningi labantu elinama-palpitations linomhlobo othile we-arrhythmia yenhliziyo. Cishe noma iyiphi i-arrhythmia ingabangela ukuphazamiseka, kodwa izimbangela ezivame kakhulu zinkimbinkimbi ze-atrial zangaphambi kwesikhathi (PACs) , izakhiwo ze-ventricular zangaphambi kwesikhathi (PVCs) , iziqephu ze -fibrillation ye-atrial kanye neziqephu ze -tachycardia engaphezulu (SVT) .
Kodwa-ke, ngezinye izikhathi izimpingane zingabangelwa yi-arrhythmias eyingozi, njenge- tricycardia ye-ventricular . Izindlela zokusongela ukuphila zivame ukubonakala kubantu abanezinhlobo ezithile zesifo senhliziyo esibalulekile, ngakho-ke kubaluleke kakhulu ukubona ukuthi kungani imbangela yokugulisa abantu abanesifo senhliziyo, noma obani abanezici ezibangela ingozi yesifo senhliziyo (njengomlando womndeni isifo senhliziyo, ukubhema, i- cholesterol ephezulu , ukukhuluphala ngokweqile, noma indlela yokuphila yokuhlala).
Akubona bonke abantu ababika i-palpitations babe nama-arrhythmias yenhliziyo, noma kunjalo. Izinhlobo ezifanayo zezimpawu zingabangelwa izinkinga zesishuloskeletal noma ukuphazamiseka kwamathumbu, njengegesi.
Kumelwe Kuhlolwe Kanjani Ukuguqulwa Kwama-Palpitations
Uma une-palpitations, i-oda lokuqala lebhizinisi lakho lokwelapha ukuthola ukuthi i-palpitations ibangelwa ukuphazamiseka kwenhliziyo, futhi ukukhomba ukuhlela okuthile okuveza isifo.
Lokhu kufanele kube okuqondile ukukwenza, ngakho-ke kuyamangaza ukuthi odokotela babonakala benenkinga kangakanani. "Ikhohlisi" ekwenzeni ukuxilongwa kubhekene nje ukurekhoda i- electrocardiogram (ECG) ngesikhathi izimpawu zenzeka. Okusho ukuthi, ama-palpitations kufanele 'athunjwe' ku-ECG. Yilokho - akusikho i-rocket yesayensi. Ngeshwa, inqubo yokwenza i-diagnostic efanele ivame ukwenziwa kanzima kunokuba kufanele.
Ungavumeli Lazi Amaphutha Zenzeke Kuwe
Odokotela bavame ukwenza amaphutha amabili emzamweni wabo wokunquma imbangela yokugqwala:
- Bavame ukuhluleka ukubhala i-arrhythmia ebangela izimpawu.
- Bavame ukufakazela ukuthi i-palpitations i-arrhythmia empeleni ayibangele.
Iphutha 1: Udokotela uzoyala i-ECG (erekhoda isigqi senhliziyo ngamasekhondi angu-12 kuphela) noma isifundo sokuqapha sokuthutha isikhathi esinganele.
Uma lokhu kwenzeka njalo kuvame ukuba kungabikho ama-palpitations noma ama-arrhythmia azobonakala ngesikhathi sokuqapha. Ezimweni ezinjalo odokotela baye baziwa ngokungafanele ngokuthi amaphupho awahlobene no-arrhythmia. Okubi nakakhulu, udokotela angatshela isiguli sakhe ukuthi izimpawu "zisekhanda lakho." Eqinisweni, ukukhwabanisa kukadokotela kwakunganele.
Ukwenza i-diagnostic efanele, i-palpitations nokuqoshwa kwe-ECG kufanele kwenzeke ngesikhathi esifanayo. Uma i-palpitations ivele kuphela ngezikhathi ezithile, futhi ikakhulukazi uma ingenzi njalo ngosuku olulodwa, esikhundleni sokwenza i-ECG noma ukwenza ukuqapha kwe-ambulatory kuphela ihora lamahora angu-24 noma ihora lama-48 (isikhathi eside kakhulu esisebenzisayo nalezi zifundo ), isikhathi eside kakhulu sokuqopha kufanele sisetshenziswe.
Amasistimu okuqapha ambulatory ayatholakala angakwazi ukurekhoda isigqi senhliziyo amasonto ambalwa - noma ngisho nezinyanga - ngesikhathi. Iphuzu liwukuthi, ukwenza ukuxilongwa okucacile okuqoshiwe kudinga ukuqhubeka kungakhathaliseki ukuthi kuthatha isikhathi eside ukuthatha "ukuthatha" isiqephu.
Iphutha 2: Udokotela uzobona i-arrhythmia phakathi nenkathi yokuqapha engahlotshaniswa ne-palpitations, futhi asole amaphupho kulowo mkhuba. Lokhu akulungile. Ukuze unqume ukuthi i-arrhythmia ethile iyimbangela yamapulpitations, i-arrhythmia kanye ne-palpitations kufanele kwenzeke ngesikhathi esifanayo.
Njengoba odokotela bavame ukwenza lezi zephutha ezimbili, kubalulekile ukuba uhlale ukhumbula lo mthetho olula uma unezinkinga zokuthola izifo: Ukuze uhlolwe kahle, i-ECG kumele iqoshwe ngesikhathi esifanayo. Uma udokotela wakho ecabanga ukuthi ukuphefumula kuqedile ngaphambi kokuba lokhu kufezeke, kufanele uqondise imizamo yakhe ngokusebenzisa izikhumbuzo ezinomusa, ukukhohlisa, ukucela ukucabanga, ukuthukuthela okulungile noma noma yini okudingekayo.
Ukuphatha ama-Palpitations
Ukwelapha ngokufanelekile izidakamizwa kuncike ngokuphelele ekutheni izibalo zibaphi. Ama-arrhythmias enhliziyo ehlukene ngokuvamile afuna izindlela ezihlukene zokwelapha.
Amaphutha amaningi abangelwa yi-arrhythmias "enobungozi" - okungukuthi, hhayi ukusongela impilo, noma ukusongela impilo yakho. Kulezi zimo, ngokuvamile izilonda zingaphathwa ngendlela efanele "ngokuphathwa" ngokuqinisekiswa okulula, ngoba ngokuvamile ukwesaba okubangelwa yizinhliziyo, kunokuba kuvezwe amaphupho, okukhulisa izimpawu.
Uma i-arrhythmia ebangela ukuphazamiseka ingaba yingozi empilweni noma empilweni, khona-ke i-arrhythmia ngokwayo iyodinga ukuxazululwa. Uma uthola enye yalezi zi-arrhythmias, kufanele ufunde konke ongakwenza ngakho, futhi mayelana nezinketho zokwelashwa ezitholakalayo. Funda lapha mayelana nama-arrhythmias enhliziyo .
> Imithombo:
> Crawford MH, Bernstein SJ, Deedwania PC, et al. Imikhombandlela ye-ACC / AHA ye-Electrocardiography e-Ambulatory: Isifinyezo Esiphezulu kanye Nencomo. Umbiko we-American College of Cardiology / American Heart Association Task Force on Iziqondiso Zokuzikhandla (Ikomidi Lokubuyekeza Izinkombandlela ze-Electrocardiography). Ukujikeleza kuka-1999; 100: 886.
> Mayou R, Sprigings D, Birkhead J, Price J. Izimpawu zeziguli ezethula emtholampilo weCardiac nge-Palpitation. QJM 2003; 96: 115.
> Zimetbaum, P, Josephson, ME. Ukuhlolwa kweziguli ezine-Palpitations. N Engl J Med 1998; 338: 1369.