Ukukhubazeka kwe-cardiac okuhlobene nokukhathala okungachaziwe
Ukukhathala okungapheli (i-CFS) - okubizwa nangokuthi i-myalgic encephalopathy, noma i- ME / CFS- yisimo sezokwelapha esibonakala ukukhathala okuqhubekayo nezinye izimpawu ezinciphisa ikhono lomuntu ukwenza imisebenzi evamile, yansuku zonke. I-ME / CFS ayiqondakali kahle futhi ikholelwa ukuthi ibangelwa ukuhlanganiswa kwengqondo, izakhi zofuzo nezici eziphilayo.
Eminyakeni yamuva nje, abacwaningi baye baqaphela ukuthi, ngaphezu kwezibonakaliso zokukhathala, abantu abane-ME / CFS banamanani aphakeme kakhulu enhliziyo kunabantu abaningi. Yize ngokuvamile kunzima ukuxhuma imbangela ngomphumela, baningi emphakathini wocwaningo abakholelwa ukuthi le nhlangano ingaphezu kokungavamile.
Izinhlobo Zenhliziyo Ezingavamile
Esinye isifundo esisisekelo esenziwe ngo-2006 sabika ukuthi abantu abane-ME / CFS abafa ngokuhluleka kwenhliziyo benza kanjalo eminyakeni engama-58.7 uma kuqhathaniswa neminyaka engu-83.7 kulabo abangenawo i-ME / CFS. Ngenkathi kungekho muntu owaziyo ukuthi yiziphi izici ezingase zibe nomthelela kule mphumela, izifundo ezinjengalezi ziyisikhathi eside ziphakamise ukuthi i-ME / CFS ihlanganiswe ngokwemvelo nokusebenza ngokwanele kwenhliziyo.
Futhi okungajwayelekile akumeli lapho. Abanye abaphenyi baye baphawula amazinga aphezulu afanayo okungahambi kahle kwenhliziyo, okufaka:
- ukungabi nhlobo kokushisa kwenhliziyo ebusuku (okusho ukuthi inhliziyo ihluleka ukuhamba kancane njengoba kulindelwe ngesikhathi sokulala)
- i-ventricle encane engakwesokunxele (ekamelweni lenhliziyo elaphuza igazi kuwo wonke umzimba)
- i-postural tachycardia (isimo lapho izinga lenhliziyo ligijimela khona, ngokuvamile lingenalutho, lapho umuntu ekhuphuka)
- Isikhathi esincane se-QT (isifo sezofuzo esithinta isistimu kagesi yenhliziyo futhi sibangele ukuphazamiseka noma ukulahlekelwa ngokungazelelwe kolwazi)
- imiqulu engavamile yegazi
Lezi zingalungile zingase zichaze ezinye zezimpawu eziyinhloko ze-ME / CFS. Baphakamisa nokuthi abantu abahlala ne-ME / CFS bangadinga ukusebenza kanzima ukuze balondoloze impilo enhle yenhliziyo kunabantu abanobonke.
Ukushintsha kwezinga eliphansi le-Heart Heart
Ucwaningo oluqhutshwa ngo-2011 lwabheka ukulala kwabantu kubantu abane-ME / CFS ukuze baqonde kangcono ukuthi kungani ukulala okungapheli kuvame ukubikwa kuleli qembu. Abayitholile, ngokumangalisayo, ukuthi abantu abane ME / CFS babenokushintshashintsha okuncane ezinhliziyweni zabo kusukela ngosuku nosuku, isimo esaziwa ngokuthi ukuhluka kwenhliziyo ephansi (HRV).
Ukuze uzwisise lokhu, uma uzizwa ukushisa kwakho bese uphefumulela futhi uphume kancane, uzobona ukuthi izinga lakho lenhliziyo lishintsha kancane, ukusheshisa uma uphefumulela futhi uphumule uma uphefumula. Ukuhluka kwezinga lenhliziyo.
I-HRV ephansi ebusuku yenza isiphakamiso sokuthi kunenkinga ngezibonakaliso zesisindo ezilawula i-pacemaker yenhliziyo (ebizwa ngokuthi i -node sinus ). Lokhu kuhambisana nokucabanga ukuthi i-ME / CFS ingahle ibangelwe, okungenani ngeyingxenye, ngamaphutha ohlelweni lomuntu oluyimimandla (uhlelo olulawula imisebenzi engenzi lutho njengokuphefumula, ukugaya nokushaya kwenhliziyo).
I-ventricle encane engakwesokunxele
Ucwaningo olwenziwe ngo-2011 lwathola ukuthi abanye abantu abane-ME / CFS bane-ventricle encane engakwesokunxele, ikamelo lenhliziyo elibhekene nokushaya igazi kuwo wonke umzimba. Ngenxa yalokhu, abantu bazohlala bezwa izimpawu zalokho okubizwa ngokuthi ukungabekezelelani kwe-orthostatic (OI) .
Ngokuvamile, lapho sisuka endaweni ehlezi noma elele, umfutho wegazi wethu uzovuka maduze ukulwa nokuvuthwa nokugcina igazi ligeleza ebuchosheni. Nge-OI, lokhu akukwenzeki, futhi umuntu uzophela ekuzizwa ehlaziyekile noma ephazamise noma nini lapho evuka. Le-anomaly yezemvelo ingachaza ukuthi kungani ukulingana okuncane kunamathemba ukuphelelwa umuntu onomunye nomunye we-ME / CFS kunabanye.
I-Postural Tachycardia
I-postural tachycardia ifana ne-OI ngaphandle kokuthi ibandakanya isilinganiso se-pulse kunokucindezela kwegazi. I-Tachycardia iyinkulumo yezokwelapha ngenani lezinhliziyo eziphuthumayo ngokushesha. I-postural tachycardia imane nje isho ukuthi izinga lakho lenhliziyo liyashesha ngokungajwayelekile lapho uvuka, okuholela ekutheni uzwela noma ukuphelelwa amandla. I-postural tachycardia ivame ukubonakala kubantu abane-ME / CFS, egijima kathathu izinga labantu abaningi.
Isikhathi esincane se-QT
Isikhathi se-QT igama elisetshenziselwa ukuchaza isikhala phakathi kwezibhamu ezithile eziphezulu nokuya phansi ekufundwa kwe-electrocardiogram (ECG). Isikhathi esincane se-QT sisho ukuthi inhliziyo yakho ibetha ngendlela evamile kodwa inethuba elincane lokuyilula ngemuva kokushaya kwenhliziyo. Isikhathi esincane se-QT ngokuvamile sibhekwa njengesifo sofuzo futhi sihlobene nobungozi obandayo bokufa kwe-cardiac ngokushesha. Nakuba kungavamile kubantu abaningi, isikhathi esincane se-QT sibonakala njalo kubantu abane-ME / CFS.
I-Low Blood Low Volume
Ucwaningo olwenziwe ngo-2009 no-2010 lwabikwa ukuthi abantu abane-ME / CFS banamanani aphansi egazi kunabantu abaningi. Ngaphezu kwalokho, ubukhulu be-ME / CFS buhambelana ngqo nokuncipha kwevolumu yegazi, okusho ukuthi labo ababengakwazi ukusebenza babenegazi eliphansi kakhulu kunalabo ababekhona. Ososayensi abaningi manje bakholelwa ukuthi umthamo wegazi ophansi unomthelela ezinkomba eziningi ze-ME / CFS ngokumosha amangqamuzana oksijini okudingeka akhiqize amandla.
Lokho Ucwaningo Olukusitshelayo
Nakuba izifundo zibonisa ukuthi ukungajwayelekile kwenhliziyo nesistimu yezinzwa kubangele izinga eliphezulu lokuhluleka kwenhliziyo kubantu abane-ME / CFS, akufanele baphakamise ukuthi yizo kuphela izici. Ezinye izinto, ezifana nesisindo nokuphila okuhlala ngasendlini , zingasiza kakhulu noma ngaphezulu.
Ekugcineni, iningi lalezi zifundo zincane futhi zihlukanisiwe futhi zidinga uphenyo oluningi ukuze zibhekwe njengeziqine. Okufanele baqokomise, noma kunjalo, yisidingo esengeziwe sokuqapha impilo yomzimba yabantu abahlala ne-ME / CFS. Lokhu kuyiqiniso ikakhulu kulabo abanezibonakaliso ezinzima kanye nanoma ngubani onobungozi besifo senhliziyo (kubandakanya ukubhema, ukukhuluphala, nokuntuleka kokuzivocavoca).
Yini eqhubeka ngokucacile ukuthi i-ME / CFS "ayikho konke ekhanda lakho." Uma uhlala ne-ME / CFS, yiphathe ngendlela ongayithola ngayo enye inkinga yezokwelapha ngokubhekisisa hhayi kuphela ekuguleni ngokwalo kodwa ekuthinteni kwayo empilweni yakho yonke enhle.
> Imithombo:
> Hurwitz, B., et. al. "Ukukhathala kwesifo esingapheliyo: ukugula okucindezelayo, indlela yokuphila engezansi, umthamo wegazi nobufakazi bokusebenza komzimba okunciphise." 2009; 118 (2): 125-35.
> Jason LA, et. al. Ukunakekelwa kwezempilo kwabesifazane emhlabeni jikelele. 2006 Aug; 27 (7): 615-26. Izimbangela zokufa phakathi kweziguli ezine-syndrome ezingapheliyo.
> Miwa, K. no Fujita, M. "Inhliziyo encane enekhono eliphansi lomzimba lokungabekezelelani okwemvelo kulabo abagulayo abane-syndrome engapheliyo." I-Cardiology Clinic. 2011; 34 (12): 782-6.
> Naschitz J., et. al. "Isikhathi sokunciphisa i-QT: isici esihlukile se-dysautonomia ye-syndrome engapheliyo." I-European Journal of Medicine yangaphakathi. 2006; 39 (4): 389-94.
> Rahman K., et. al. "Ukulala-ukuziphatha ngendlela yokugula engapheliyo." Ukulala. 2011; 34 (5): 671-8.