Izakhiwo ze-ventricular zangaphambili, noma i-PVCs, ziphakathi kwezinto ezivame kakhulu ze- arrhythmias zenhliziyo . Ngeshwa, ukubaluleka kwabo kwezokwelapha - ngakho-ke ukwelashwa kwabo - kuvamise ukudideka odokotela abaningi kanye neziguli.
Uma une-PVC, ukwelashwa kwakho kufanele kuxhomeke kwimpendulo emibuzo emibili:
Okokuqala, ingabe unesifo senhliziyo esingaphansi?
Futhi okwesibili, izimpawu ezivezwa yi-PVCs zimbi kangakanani?
Ama-PVC ngokwawo ayisobala ayingozi. Nakuba izibalo ze-PVC zihlotshaniswa nobungozi obandayo bokufa, leyo nengozi eyengeziwe ibangelwa ukutholakala kwesifo senhliziyo nesimo esiyingozi ngenxa yesifo senhliziyo . I-PVC ngokwayo, ngokujwayelekile, icatshangwa ukuthi iyinhlonipho enkulu.
Injongo Yokuqala Yokuphulukisa - Ukunciphisa Inengozi Yenhliziyo
Ngenxa yokuthi i-PVC ivame ukuhlotshaniswa nesifo senhliziyo, udokotela wakho kufanele enze ukuhlolwa kwenhliziyo lapho eqala ukuwathola.
Uma kuvela ukuthi unesifo senhliziyo, ukwelashwa okwanele kwesimo sakho senhliziyo kuzoqeda noma kuncishiswe imvamisa ye-PVCs. Lokhu kuyiqiniso ikakhulukazi uma une- coronary artery disease (CAD) noma ukuhluleka kwenhliziyo .
Kwezinye abantu abangavamile, ama-PVC ajwayelekile kakhulu manje acatshangwa ukuthi anesibopho sokukhiqiza inhliziyo (isisindo senhliziyo esibuthakathaka).
Ngakho-ke, uma i-cardiomyopathy engaqondakali ingatholakali phambi kwama-PVC amaningi kakhulu, kungase kube usizo ukuphatha ama-PVC ukuze ubone ukuthi i-cardiomyopathy ithuthukisa yini.
Uma udokotela wakho ethola inhliziyo yakho ukuba ibe nempilo, lokho kuyinto enhle kakhulu. Kodwa-ke, ama-PVC ahlanganiswa nezinkinga eziningana ze-CAD, ikakhulukazi umfutho wegazi ophezulu .
Ngakho wena nodokotela wakho kufanele nihlole ngokucophelela zonke izifo zenu zengozi yomzimba futhi niqale uhlelo oluhlukumezayo ukuze nizitholele. Ngaphezu kokunciphisa ingozi yakho ye-CAD, lo mzamo ungase futhi unciphise ama-PVC wakho.
Inhloso yesibili yokwelashwa - ukunciphisa izimpawu
Ngenhlanhla, iningi labantu abanePVCs 'abazizwa' nhlobo. Kodwa-ke, abanye babona ama-PVC abo njengama- palpitations , ngokuvamile awakuchaza ngokuthi "ukweqa" noma "ukuphazamisa" okungahlukahluka ngokucasula ngomoya omuhle ukuphazamisa ngokweqile.
Ngakho-ke, ngaphezu kokwenza ukuhlolwa kwesifo senhliziyo, ngezinye izikhathi kubalulekile ukucabangela ukwenza okuthile mayelana nama-PVC ngokwabo, ukuze unciphise izimpawu.
Ukwelashwa kwama-PVC kungaba lula uma sinezidakamizwa eziphikisana nezidakamizwa (izidakamizwa eziphatha ama-arrhythmias enhliziyo) kokubili ephephile futhi ngempumelelo ekuqedeni ama-PVCs. Ngeshwa, lokhu akunjalo. Ngakho-ke ukukhetha ukuthi ukwelapha i-PVCs, nokuthi uyayiphatha kanjani, kuvame ukulukhuni kunalokho ongacabanga.
Uma ama-PVC akho engabonakali izimpawu, noma uma ama-palpitations awubhekana nawo awunzima kuwe, into engcono kakhulu ongayenza ngokuvamile ukuwashiya wedwa.
Kodwa-ke, uma ama-PVC akho enza ukuthi iziphazamiso zanele ukuphazamisa impilo yakho, wena nodokotela wakho kufanele nikhulume ngezindlela zokwelapha i-PVCs.
Okokuqala, kufanele uzame ukuqeda i-caffeine ekudleni kwakho. Kubantu abakuzwayo, i-caffeine ingandisa imvamisa ye-PVCs. Okufanayo kuhamba ngemikhiqizo kagwayi nokuphuza utshwala - ukuqeda lokhu kusuka ekudleni kwakho futhi.
Kukhona nobufakazi bokuthi ukuzivocavoca umzimba njalo kunganciphisa izimpande. Ngakho-ke uma ngabe usuhlala phansi, khuluma nodokotela wakho ngokuqala uhlelo lokuzivocavoca.
Uma wenze lezi zindlela zokuguqula impilo futhi usenenkinga yezimpawu ze-PVCs, wena nodokotela wakho bangase bafune ukucubungula isilingo semithi yokwelashwa.
Uma ukhetha ukwelapha izidakamizwa, ngokuvamile umqondo omuhle ukuqala ngesilingo se-beta blockers - izidakamizwa ezingafani nomphumela we-adrenaline. Abavimbela i-Beta abaphumelelisi njengezidakamizwa "eziyiqiniso" zokuvimbela ama-PVC, kodwa ngokuvamile ziphephile futhi ngokuvamile zibekezeleleke kahle. Nakuba zinganciphisa ama-PVC ngokwawo, i-beta blockers isebenza kangcono ekunciphiseni izimpawu ze-PVCs.
Izidakamizwa ezinamandla kakhulu zokulwa nezidakamizwa zivame ukuphumelela ekucindezeleni i-PVCs. Kodwa-ke, lezi zidakamizwa zijwayele ukudala izinkinga ezibalulekile. Oyinhloko phakathi kwabo ukuthambekela kokubangela "i-proarrhythmia" - okungukuthi, empeleni kubangela i-arrhythmias engaba yingozi kakhulu kune-PVCs. I-prostarhythmia cishe inabantu abanesifo senhliziyo, kepha kungenzeka kunoma ubani. Ngaphezu kwalokho, imithi ngayinye elwa nokulwa nayo inephrofayli yayo eyingqayizivele yobuthi eyenza leli klasi lezidakamizwa phakathi kwesifo esinobuthi kakhulu esisetshenziswe emithi.
Okokugcina, ezigulini zazo ezine-PVC eziphazamisa kakhulu futhi azikwazi ukuphathwa ngokuphepha nezinguquko zendlela yokuphila noma izidakamizwa, kungenzeka ukuthi i-electrophysiologist iwaphathe nge- ablation therapy - ibalazwe kagesi endaweni ekhiqiza ama-PVCs, futhi i-cauterizing it ekhethekile i-catheter yenhliziyo.
Izwi elivela
Ngenxa yokuthi i-PVC ngokwabo ayinayo ingozi, ukuhlukunyezwa okusetshenziselwa ukwelashwa kwayo kumele kusekelwe ngokugcwele kangakanani ukuthi ama-PVC ayaphazamisa kanjani impilo yakho. Nakuba kunenhlanhla ukuthi ama-PVC ngokuvamile adala izimpawu ezincane kuphela, lelo qiniso alisizi kakhulu uma ungomunye wabambalwa abangenangqondo abaPVC abo abahlupha kakhulu. Kulesi simo uzodinga ukuthola udokotela owaziyo nozwelayo ongakusiza ukuba uhambe kuzo zonke izinketho zokwelapha bese uhlela isu elikufanele.
> Imithombo:
> Yokokawa M, Good E, Crawford T, et al. Ukubuyiswa kokungasebenzi kokungena kwe-Ventftular emva kokukhishwa kwama-Complexes angakapheli ngaphambili. I-Heart Rhythm 2013; 10: 172.
> Zipes, DP, Camm, AJ, Borggrefe, M, et al. I-ACC / AHA / ESC 2006 Imihlahlandlela yokuphathwa kweziguli ezine-Arrhythmias ezinamandla kanye nokuvimbela ukufa kwe-Cardiac Death-Summary Summary Umbiko we-American College of Cardiology / American Heart Association Task Force kanye ne-European Society of Cardiology Committee for Practice Guidelines (Ukubhala IKomidi Yokuthuthukisa Imihlahlandlela Yokuphathwa Kweziguli Eziphethe I-Arrhythmias Yomnotho kanye Nokuvimbela Ukufa Kwezinhliziyo ZaseNingizimu Afrika). J Am Coll Cardiol 2006; 48: 1064.
> Zuchinali P, Ribeiro PA, uPimentel M, et al. Umphumela weCafeine on Arrhythmia ye-ventricular: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta-Ucwaningo lwamaCwaningo. I-Europace 2016; 18: 257.