I-arrhythmias ye-cardiac ingaveza izimpawu eziningi, kusukela kumnene kakhulu (noma ngisho noyedwa) ekuphileni kokusongela ukuphila. Lezi zimpawu zingahlukaniswa njengeqembu "eliyingqayizivele" lezimpawu okufanele zenze udokotela abheke ngokucacile ukuthi i-arrhythmia ye-cardiac ibe imbangela kanye nenye "yeqembu" lezimpawu ezingase zibangelwe ezinye izimo zezokwelapha.
Izimpawu Zokuqala
Abantu abaningi abatholwa ukuthi bane-arrhythmia ye-cardiac bazoveza isimanga ukuthi abazange babone izimpawu. Kodwa-ke, kunjalo ukuthi izikhathi eziningi ama-arrhythmias enhliziyo angeke akhiphe izimpawu nakancane. Lokhu kuyiqiniso ikakhulukazi kuma-arrhythmias akhiqiza izinhliziyo eziningana "ezengeziwe" ezibethayo-izinkimbinkimbi zangasese zangaphambi kwesikhathi (PACs) nezinkimbinkimbi zangaphambi kwesikhathi ze-ventricular (PVCs) .
Abanye bangathola lezi zimpawu zakudala.
Amapulpitations
Ukuphambanisa kungukuqaphela okungavamile kwenhliziyo. Zivame ukubhekana nokuphazamiseka noma ukuyeka, ukushaya kwenhliziyo, ukushaya kwenhliziyo, iziqephu zokushaya kwenhliziyo okusheshayo noma "ukuphunyuka", noma izinhliziyo ezithathwa njengezingavamile.
Amapulpitations anithinta abantu abahlukene ngezindlela ezahlukene. Abanye abantu ababafumani ikakhulukazi ecasulayo, kanti abanye bakuthola becindezela kakhulu futhi besaba kakhulu.
Cishe noma iyiphi i-arrhythmia ye-cardiac ingaveza izilonda, kufaka phakathi izinhlobo eziningi ze- bradycardia (amazinga wezinhliziyo ezincane) kanye ne- tachycardia (amazinga wenhliziyo ngokushesha), ama-PAC nama-PVCs, noma iziqephu ze- block block .
Lightheadedness
Uma i-arrhythmia ye-cardiac ivimbela inhliziyo ekuphampheni igazi ngokwanele ukuhlinzeka izidingo zomzimba, iziqephu zekhanda elikhanyayo zingaholela.
Uma i-arrhythmia ikhiqiza ikhanda elikhanyayo, kungenzeka ukuthi wenze njalo uma ulungile, noma uma wenza okuthile okusebenzayo. Ukuphumula noma ukulala phansi kuvame ukuthuthukisa le mpawu.
Ukuziqhenya kuyinto uphawu oluvamile olunezimbangela eziningi ezingaphezu kokuhlelwa kwe-arrhythmias. Kodwa uma i-arrhythmia ikhiqiza ikhanda, kuyisibonakaliso sokuthi i-arrhythmia ngokwayo ingaba yingozi, futhi ingaholela ezinkingeni ezinzima kakhulu ezifana ne-syncope noma ngisho nokuboshwa komzimba.
Ngenxa yokuthi ikhanda lingaba uphawu lwezinkinga ezingase zibe yingozi, lokhu kuyimpawu engafanele iguqulwe, kepha kufanele ihlolwe njalo ngudokotela.
I-Syncope
I-syncope , noma ukulahleka okungajwayelekile kwenkinga, kuyinkinga evamile ukuthi (njengamakhanda amancane) anezimbangela eziningi ezingabangela, eziningi zazo ezihle kakhulu. Kodwa uma i-syncope ibangelwa i-arrhythmia ye-cardiac, lokho kuyisibonakaliso esihle sokuthi i-arrhythmia ngokwayo iyingozi kakhulu. Ngokuvamile kusho ukuthi i-arrhythmia ivimbela ubuchopho ukuthi bungatholi umoya okwanele ukuze uhlale unolwazi.
Iziqephu ze-syncope zingabangelwa yi-bradycardia (uma izinga lenhliziyo liphuza ngokwanele), noma i-tachycardia (uma isilinganiso senhliziyo sishesha ngokwanele). Uma i-arrhythmia enjalo kufanele iqhubekele ngaphezu kwamasekhondi ambalwa (okude isikhathi eside ukukhiqiza i-syncope), ukuboshwa komzimba kungase kutholakale.
Ngenxa yalesi sizathu, isiqephu se-syncope esingachazwanga ngaso sonke isikhathi sidinga ukuhlolwa okuphelele kwezokwelapha, ukukhomba ukuthi imbangela ebalulekile. Noma iyiphi i-arrhythmia eye yabangela i-syncope kufanele ibhekwe njengengozi yokusongela impilo futhi kufanele iphathwe kabi.
Ukuboshwa kwe-Cardiac
Ukuboshwa kwenhliziyo kwenzeka lapho ukuphikelela okuqhubekayo, ukukhubazeka kwenhliziyo kumisa ukugeleza kwegazi ebuchosheni isikhathi eside. Umehluko phakathi kwe-arrhythmia eveza i-syncope neyodwa eveza ukuboshwa komzimba nje ukuthi i-arrhythmia iphikelela isikhathi eside kangakanani.
Nakuba i-bradycardia eqinile ingabangela ukuboshwa komzimba, ngokuvamile ngokuvamile lesi simo sikhiqizwa yi- ventricular fibrillation noma i- tricycardia ye-ventricular .
Ukuboshwa kwe-cardiac kuholela ekufeni okusheshayo (futhi kuyimbangela enkulu yokufa okungazelelwe), ngaphandle uma i-arrhythmia iphela ngokwayo, noma ukuvuselelwa kwe-cardiopulmonary ephumelelayo kuhlinzeka phakathi nemizuzu embalwa kakhulu.
Noma ubani osinda ekuboshiwe inhliziyo kufanele athathwe njengengozi enkulu yezigameko ezilandelayo zokuboshwa komzimba futhi kufanele athole ukwelashwa okunonya nokusebenza kahle. Abaningi balaba bantu bayoba abaqine amandla okwakhiwa kwe-defibrillator .
Ezinye Izimpawu
Ngaphandle kwalezi zimpawu zakudala, ama-arrhythmias enhliziyo angase akhiqize izimpawu ezimbalwa ezingezansi, izimpawu ezenziwe ngokubanzi ezingase zingabhekisi udokotela ngokubhekwa kokucubungula i-arrhythmia njengesizathu.
Iningi lalezi "ezinye" izimpawu zihlobene ne-arrhythmia ebangela ukunciphisa ukulinganisa ikhono lenhliziyo ukupompa igazi ezithombeni zomzimba. Lezi zimpawu zingase zenzeke uma umuntu eqotho noma eqhuba yena; futhi kubantu abanezinye izimo zezokwelapha ngaphezu kwe-arrhythmia, njenge- heart failure , isifo sikashukela , izinkinga zamaphaphu, noma isifo se-coronary artery .
Lezi zimpawu zihlanganisa:
- Ububuthakathaka jikelele
- Ukudideka
- I-Dyspnea (ukuphefumula okuncane )
- Ukuzivocavoca okungahambi kahle
- Ubuhlungu besifuba
Nini Ukubona Udokotela
Noma iyiphi yalezi zimpawu kufanele ivakashele udokotela. Isiqephu sobunzima obukhulu noma i-syncope engaqondakali kufanele sihlolwe ngokushesha, futhi sivumele ikholi ku-911.
Nakuba ama-arrhythmias amaningi enhliziyo ejwayelekile futhi evame ukuziphatha kahle, amanye ayingozi futhi adinga ukwelashwa. Lokhu kusho ukuthi kubalulekile ukuthi udokotela wakho abone ukuthi i-arrhythmia ikhiqiza izimpawu zakho, futhi uma kunjalo, iyiphi i-arrhythmia ethize eyabangela inkinga, futhi ukuthi ulaka kangakanani ukuyiphatha.
> Imithombo:
> Kenny RA, Brignole M, Dan GA, et al. I-Syncope Unit: Ukulinganisa Nesidingo - I-European Heart Rhythm Association Isikhundla Isitatimende Sivunyelwe By Heart Rhythm Society. I-Europace 2015; 17: 1325.
> Schreiber D, Sattar A, Drigalla D, Higgins S. Ambulatory Monitoring Cardiac For Emergency Department Emergency Patients With Possible Cardiac Arrhythmias. West J Emerg Med 2014; 15: 194.