Ukushaya kwenhliziyo

Ukugijima kwenhliziyo noma ukundiza ngokungalindelekile, okwaziwa ngokuthi inhliziyo iyashaya, kungase kuphazamise futhi kuvame ukushiya abantu bezibuza ngempilo yenhliziyo yabo. Ukushaya kwenhliziyo kuyisenzakalo esivamile esithinta abantu abaningi ngesikhathi esithile ekuphileni kwabo. Nakuba zingasabisa, ezimweni eziningi, azinangozi futhi azibonisi isimo esibucayi esingaphansi. 

Kuyini Ukushaywa Kwenhliziyo? 

Ukushaya kwenhliziyo yimizwa ekwenza uzizwe sengathi inhliziyo yakho ishaya ngamandla, igijima, noma ibhakuza. Le mizwa ingenzeka esifubeni sakho, emphinjeni, noma entanyeni. Ukushaya kwenhliziyo kungenzeka noma nini, ngisho naphakathi nokuphumula noma imisebenzi evamile. Le mizwa ngokuvamile ihlala amasekhondi ambalwa noma amaminithi kodwa ngezinye izikhathi iphikelela isikhathi eside. 

Nakuba kungase kuthuse, ukushaya kwenhliziyo kuvame ukuvama. Cishe i-16% yabantu ivakashela udokotela wabo oyinhloko ngenxa yezikhalazo zokushaya kwenhliziyo. Ukushaya kwenhliziyo ngokuvamile akunangozi; ezimweni ezingavamile, zingase zibonise isimo esibi kakhulu senhliziyo esidinga ukwelashwa. 

I-Palpitations Yenhliziyo Izimbangela 

Lokhu okulandelayo yizizathu ezivamile zokushaya kwenhliziyo: 

• Izici Zomzwelo: ukukhathazeka, ukucindezeleka, noma ukwethuka kuvame ukuvusa le mizwa. 
• Ukukhetha Indlela Yokuphila: I-caffeine, i-nicotine, izidakamizwa ezingekho emthethweni, nokuphuzwa kotshwala kungabangela ukushaya kwenhliziyo. 
• Umsebenzi Womzimba Onamandla: Ukuzikhandla ngokomzimba ngesikhathi sokuzivocavoca kungabangela ukushaya kwenhliziyo.  
• Ngemuva Kokudla: Abanye abantu bangase bazizwe beshaya inhliziyo ngemva kokudla ukudla okunzima okucebile ngoshukela, ama-carbohydrate, izinongo, i-MSG, i-monosodium glutamate namafutha. 
• Imithi: Imithi ethile enjengama-decongestants, i-asthma inhalers, amaphilisi okunciphisa umzimba, kanye nezidakamizwa ze-thyroid engasebenzi ingase ibangele ukushaya kwenhliziyo njengomphumela omubi. 
• Izimo Ezihlelekile: Izimo ezithile zezokwelapha, kuhlanganise ukuphazamiseka kwe-yegilo, i-anemia, kanye nokwehla koshukela egazini, kungase kuholele ekushayeni kwenhliziyo. 
• I-Hormonal Factor: Ukushintsha kwamahomoni ngesikhathi sokukhulelwa noma menopause anganikela futhi. 
• Izimo Zenhliziyo: Ukushaya kwenhliziyo ngezinye izikhathi kubangelwa izimo zenhliziyo ezingaphansi, njenge-arrhythmias noma izinkinga ze-valve. 
• I-Electrolyte Factors: Ukungalingani kwe-Electrolyte kanye namazinga aphansi e-oksijeni egazini yizimbangela ezengeziwe ezingase zibe khona. 

Izimpawu Zokushaywa Kwenhliziyo 

Ukushaya kwenhliziyo kuvame ukubonakala njengokuqaphela okukhulu ukushaya kwenhliziyo yomuntu. 

Nakuba ukushaya kwenhliziyo akuhlali kubi kakhulu, ngezinye izikhathi kungabonisa izinkinga zenhliziyo ezingaphansi. Ukushaya kwenhliziyo kungase kube ukushaya kwenhliziyo okusheshayo okubizwa ngokuthi i-tachycardia noma ukushaya kwenhliziyo okunensa okubizwa ngokuthi i-bradycardia. Abantu ngezinye izikhathi bangase babe nesiyezi, ubuhlungu besifuba, noma ukuphelelwa umoya eduze nokushaya kwenhliziyo. 

Kubalulekile ukuqaphela ukuthi ukushaya kwenhliziyo kungenzeka ngisho nalapho isigqi senhliziyo sijwayelekile, futhi akubona bonke abantu abane-palpitations abazoba nezimpawu eziphawulekayo. 

Izingozi Zezingozi 

Kunezici eziningana ezandisa amathuba okuba nenhliziyo eshaya ngamandla, njenge: 

• Abesifazane kanye nabantu abanikezwe abesifazane lapho bezalwa bathambekele kakhulu kule mizwa. 
• Ukudla okucebile nge-MSG, i-nitrate, noma i-sodium kungase kwenyuse ingozi yokushaya kwenhliziyo. 
• Ukwenyuka kwenhliziyo nomthamo wegazi ukusekela umntwana ngesikhathi sokukhulelwa kuvame ukuholela kulesi sibonakaliso. 
• Ukutheleleka kwamathumbu okubangela ukuhlanza kanye nesifo sohudo kungase kwandise ingozi yokushaya kwenhliziyo. 
• Ukungalali kahle noma ukungalali kungandisa amathuba okuba inhliziyo ishaye ngamandla. 
• Ukulahlekelwa kakhulu kwegazi kungase kwandise ingozi yalolu phawu. 
• Ukuphelelwa amanzi emzimbeni futhi kunomthelela ekuveleni kokushaya kwenhliziyo. 
• Izici zendlela yokuphila zidlala indima, futhi. Ukudla kakhulu i-caffeine, ukusetshenziswa kwe-laxative, nokukhathazeka konke kungaba nomthelela ekushayeni kwenhliziyo. 

Izinkinga 

Nakuba ukushaya kwenhliziyo ngokuvamile kungenangozi, ngezinye izikhathi kungase kubonise izinto ezibucayi kakhulu, njenge: 

• Ukushaya kwenhliziyo okubangelwa ukwehla okukhulu komfutho wegazi noma ukushaya kwenhliziyo okungajwayelekile kungase kubangele ukuquleka ngenxa yokuncipha kokugeleza kwegazi eliya ebuchosheni. 
• Uma kuyekwa kungelashwa, ukushaya kwenhliziyo okuhlala isikhathi eside noma okuvamisile, ikakhulukazi lokho okubangelwa yi-arrhythmias, kungenza inhliziyo ibe buthakathaka ngokuhamba kwesikhathi, okungase kuholele ekuhlulekeni kwenhliziyo. 
• Ukushaya kwenhliziyo ngenxa yezifo zenhliziyo nemithambo yegazi kungadala izimo ezisongela ukuphila, njengokushaywa unhlangothi, ukuhluleka kwenhliziyo, noma ukuboshwa kwenhliziyo kungazelelwe. 

Sifo 

Ukuxilongwa kwe-palpitations yenhliziyo kuhlanganisa indlela ebanzi, njenge: 

• Umlando Wezokwelapha kanye Nokuhlolwa Komzimba:
  • Odokotela bazoxoxa ngezimpawu zesiguli kanye nomlando wezokwelapha wezifo zesistimu futhi bahlole umzimba. Balalela inhliziyo besebenzisa i-stethoscope futhi babheke izimpawu zezimo ezingaphansi. 
• Ukuhlolwa Kwaselabhorethri: 
  • Ukuhlolwa kwegazi ukuhlola i-anemia, ukushoda kwamavithamini, noma ukungalingani kwamahomoni. 
  • I-electrocardiogram (ECG) isiza ukukala umsebenzi kagesi wenhliziyo. 
  • Ukuqapha kwe-Holter ukuze uqophe ngokuqhubekayo isigqi senhliziyo amahora angaphezu kwama-24 noma ngaphezulu 
  • Odokotela bangasebenzisa ukuqapha umcimbi ukuze bashaye kancane, okuvumela iziguli ukuthi zirekhode umsebenzi wazo wenhliziyo lapho izimpawu zenzeka. 
  • I-echocardiogram yokuthola ukugeleza kwegazi kanye nezinkinga zesakhiwo ngenhliziyo. 

Ukwelashwa Kwezinhlungu Zenhliziyo 

Indlela yokwelapha ukushaya kwenhliziyo incike kumbangela yawo eyisisekelo. Ngokuvamile, akukho ukwelashwa okuqondile okudingekile uma ukushaya kwenhliziyo kungabangelwa isimo esibucayi. 

• Imithi: Odokotela bangase banikeze imithi efanele yokulawula isimo uma inkinga yezokwelapha ibonakala. 
  • Uma isimo senhliziyo sibangela ukushaya kwenhliziyo, odokotela batusa ama-beta-blockers, ama-calcium channel blockers, noma imishanguzo elwa nokuvuvukala. 
  • Imithi yegilo 
  • I-Electrolytes 
  • Ukwelashwa kwamahomoni 
• Ukulungiswa Kwendlela Yokuphila: Kwabanye abantu, izinguquko zendlela yokuphila zingasiza ekulawuleni ukushaya kwenhliziyo. Lokhu kungase kuhlanganise ukunciphisa i-caffeine notshwala, ukuyeka ukubhema, nokulawula ukucindezeleka ngezindlela zokuphumula. 
• Ukungenelela Ngokuhlinzwa: Ezimweni ezingavamile lapho imithi ingasebenzi, izinqubo ezifana nokukhishwa kwe-catheter noma ukufakwa kwe-pacemaker kungase kucatshangelwe. 

Uzoyibona Nini Udokotela 

Nakuba ukushaya kwenhliziyo ngokuvamile kungenangozi, izimo ezithile zidinga ukunakekelwa kwezokwelapha. Xhumana nodokotela wakho uma une-palpitations eyenzeka nezinye izimpawu ezifana nalezi: 

• ubuhlungu besifuba 
• isiyezi 
• Ukuphelelwa amandla 
• Ukulahlekelwa kokwazi 
• Ukudideka 
• Ukuphelelwa umoya 
• Ukujuluka okungajwayelekile 
• Ubuhlungu ezingalweni, entanyeni, emhlathini, ehlombe, noma emhlane ongenhla 
• Inhliziyo ephumule ishaya ngaphezu kwe-100 ngomzuzu 

Ukuvimbela 

Izinguquko eziningana zendlela yokuphila zingasebenza ekuvimbeleni ukushaya kwenhliziyo, okuhlanganisa: 

• Ukunciphisa ingcindezi ngezinqubo zokuphumula ezifana nokuzindla, i-yoga, noma ukuphefumula okujulile kusiza ukulawula izimpawu. 
• Ukugwema izinto ezibangela i-caffeine, i-nicotine, neziphuzo ezinikeza amandla kubalulekile. 
• Ukuhlala unamanzi amaningi ngokuphuza amanzi amaningi kungavimbela ukushaya kwenhliziyo okubangelwa ukuphelelwa amanzi emzimbeni. 
• Ukudla okunomsoco okunothiselwe izithelo, imifino, kanye nemikhiqizo yokusanhlamvu kuyilapho kunciphisa amafutha agcwele kanye nokudla okugayiwe kusekela impilo yenhliziyo. 
• Ukuvivinya umzimba njalo kuqinisa inhliziyo futhi kunciphisa ukucindezeleka, kodwa kubalulekile ukukhomba noma yiziphi izinhlobo zokuzivocavoca eziyinkinga. 
• Ukulandelela iziqephu nokwabelana ngazo nodokotela kusiza ukuhlonza izinkinga ezidinga ukwelashwa. 
• Abantu banganciphisa ngempumelelo noma baqede ukushaya kwenhliziyo futhi bathuthukise impilo yonke yenhliziyo ngokwenza lezi zinguquko. 

Isiphetho 

Ukuqonda ukushaya kwenhliziyo kunomthelela omkhulu ekulawuleni impilo yomuntu ngempumelelo. Nakuba ngokuvamile kungenangozi, le mizwa ngezinye izikhathi ingabonisa okungaphansi 
izindaba ezidinga ukunakwa. Ngokuqaphela izimbangela ezihlukahlukene, kusukela ezintweni ezivusa amadlingozi zansuku zonke njenge-caffeine kuya ezimweni zezokwelapha ezingathi sína, abantu bangathatha izinyathelo ezimbalwa ezisebenzayo ukuze balawule impilo yenhliziyo yabo. Kubalulekile ukukhumbula ukuthi nakuba izici ezithile eziyingozi zikhona, ukushaya kwenhliziyo kungase kuthinte noma ubani osezigabeni ezihlukene zokuphila. 

Kulabo abahlangabezana nezimpawu eziphikelelayo noma eziphathelene nezimpawu, ukubonisana nodokotela kuqinisekisa ukuxilongwa nokwelashwa okufanele uma kudingeka. Ngokuhlala sinolwazi futhi sinake imizimba yethu, singazulazula ngokuzethemba emhlabeni wokushaya kwenhliziyo futhi silawule impilo yethu yenhliziyo nemithambo yegazi. 

FAQ sika 

1. Kuthinta bani? 

Ukushaya kwenhliziyo kungathinta noma ubani, kodwa kuvame kakhulu kwabesifazane nakubantu abanikezwa abesifazane lapho bezalwa. Zingenzeka ezigabeni ezihlukahlukene zokuphila, kuhlanganise nobusha, ukukhulelwa, kanye nokunqamuka kokuya esikhathini. 

2. Abantu bashaywa nini? 

Abantu bangase babe nokushaya kwenhliziyo kungazelelwe ngezikhathi ezihlukahlukene, ngokuvamile okubangelwa ukukhathazeka, ukucindezeleka, ukuphuza i-caffeine, ukuphuza utshwala, noma imithi ethile. Zingenzeka futhi ngesikhathi sokuzivocavoca noma lapho ulele ebusuku. 

3. Ingabe ukushaya kwenhliziyo kuzophela? 

Ukushaya kwenhliziyo okuningi akunangozi futhi kuyazihambela. Ukunciphisa ukudla okune-caffeine, ukulawula ingcindezi, nokugwema izinto ezibangisayo kungasiza ekudambiseni izimpawu. Nokho, ukushaya kwenhliziyo okuphikelelayo noma okunamandla kungase kudinge usizo lwezokwelapha. 

4. Kufanele ngikhathazeke nini ngokushaya kwenhliziyo? 

Funa usizo lwezokwelapha ngokushesha uma ukushaya kwenhliziyo kuhambisana nokungakhululeki kwesifuba noma ubuhlungu, ukuphelelwa umoya, isiyezi, noma ukuquleka. Futhi, thintana nodokotela uma ukushaya kwenhliziyo kuvame, kuba kubi ngokuhamba kwesikhathi, noma kwenzeka nezinye izimpawu eziphathelene. 

5. Kuyoze kube nini ngishaywa yinhliziyo? 

Isikhathi sokushaya kwenhliziyo siyahlukahluka. Iziqephu eziningi zihlala imizuzwana embalwa noma imizuzu. Kodwa-ke, abanye abantu bangase babe nazo isikhathi eside, ikakhulukazi uma izimo ezikhona zikhona. 

6. Ngikumisa kanjani ukushaya kwenhliziyo? 

Ukuze unciphise ukushaya kwenhliziyo, zama amasu okuphumula njengokuphefumula okujulile noma ukuzindla. Gwema izinto ezibangela i-caffeine, i-nicotine, notshwala. Ukuzivivinya umzimba njalo nokugcina indlela yokuphila enempilo nakho kungasiza ekulawuleni izimpawu. 

7. Ukushaya kwenhliziyo kuthatha isikhathi esingakanani? 

Ukushaya kwenhliziyo ngokuvamile kuthatha imizuzwana embalwa ukuya emaminithini ambalwa. Nokho, kwezinye izimo, zingase ziqhubeke isikhathi eside. Uma ukushaya kwenhliziyo kuthatha isikhathi eside noma kwenzeka kaningi, kutuswa ukubonana nodokotela. 

UDkt. Varun Bhargava

MD, PGIMER
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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