arrhythmia

Ukwelashwa kwe-Arrhythmia e-Hyderabad, e-India

Ekushayeni kwenhliziyo okuvamile, iqoqo elincane lamaseli ku-sinus node lithumela amasignali kagesi ahamba nge-atria aye endaweni eyi-atrioventricular bese edlulela kuma-ventricles, okubangela ukuthi inhliziyo ifinyele futhi iphampe igazi. 

I-arrhythmia yenhliziyo wukuphazamiseka kwenhliziyo lapho ukushaya kwenhliziyo kungavamile. I-arrhythmia yenhliziyo yenzeka lapho amasignali kagesi anesibopho sokuxhumanisa ukushaya kwenhliziyo engasebenzi kahle. Lokhu kusayina okungalungile kubangela ukuthi inhliziyo ishaye ngokushesha (tachycardia), kancane kakhulu (bradycardia), noma ngesigqi esingavamile. I-arrhythmia yenhliziyo ingase izwakale njengenhliziyo egijimayo. Nakuba ngokuvamile ingenabungozi, ngezinye izikhathi ingabangela izinkinga ezingase zibeke ukuphila engozini.

Izinhlobo ze-arrhythmia yenhliziyo

I-arrhythmia yenhliziyo ingahlukaniswa ngezigaba ezimbili ezibanzi:

1. I-Tachycardia - isimo senhliziyo lapho inhliziyo ishaya khona ngokushesha ngesilinganiso esingaphezu kwe-100 ngomzuzu. 

2. I-Bradycardia - isimo senhliziyo lapho ishaya khona kancane kunama-beats angama-60 ngomzuzu.

I-tachycardia ne-bradycardia ingaphinde ihlukaniswe ngezigaba ngokusho kokungahambi kahle kwenhliziyo.

Izinhlobo ze-tachycardia

• I-Atrial fibrillation: Ukushaya kwenhliziyo okusheshayo, okungahlanganisiwe kubangela iziqephu ze-atrial fibrillation, okuthi, uma zingelashwa, zingabangela izinkinga ezinkulu ezifana nokushaywa unhlangothi.
• I-Atrial flutter: I-Atrial flutter iwuhlobo oluhleleke kakhulu lwe-atrial fibrillation futhi iphinde ixhunywe nesifo sohlangothi.
• I-Supraventricular tachycardia (SVT): I-supraventricular tachycardia ihlanganisa i-arrhythmias eqala ngekamelo lenhliziyo ephansi (i-ventricle) futhi ibangela iziqephu zenhliziyo eshaya ngamandla (i-palpitations) ephela kungazelelwe.
• I-fibrillation ye-ventricular: Uma izimpawu zikagesi ezisheshayo neziyaluzayo zibangela ukuba amagumbi aphansi enhliziyo (ama-ventricles) aqhaqhazele esikhundleni sokufinyela ngendlela ehlelekile, kwaziwa ngokuthi i-Ventricular fibrillation. Uma ingelashwa, ingabulala emizuzwini embalwa. Iningi labantu abahlushwa i-fibrillation ye-ventricular baye babhekana nesifo senhliziyo esingaphansi noma baye babhekana nokuhlukunyezwa okukhulu.
• I-tachycardia ye-ventricular: Izimpawu zikagesi ezingalungile ezivela kuma-ventricles zibangela isigqi senhliziyo esisheshayo, esingajwayelekile esingavumeli igazi ukuthi ligcwale kuma-ventricles ngendlela efanele. I-ventricular tachycardia ingase ingabi yinkinga kwezinye iziguli ezinempilo kodwa ingase ibulale iziguli ezinesifo senhliziyo.

Izinhlobo ze-bradycardia 

• Sick-sinus syndrome: I-sinus node enhliziyweni inesibopho sokuthumela amasignali kagesi kuyo yonke inhliziyo. Ukubonisa okungalungile kungase kubangele inhliziyo ukuthi ishaye ngokushesha noma kancane kakhulu. Ukwehliswa kwezicubu ze-sinus kunesibopho sokunciphisa, ukuphazamisa, noma ukuvimba amasignali ekuhambeni ukusuka ku-node. 
• Ibhulokhi yokuqhuba: Ukuvaleka ezindleleni zikagesi kungabangela ukushaya kwenhliziyo kancane noma kume ngokuphelele. 

Izimpawu ze-arrhythmias

Kwezinye iziguli, i-arrhythmias ingase ingabangela izimpawu noma izimpawu nhlobo. Udokotela angase abone ukushaya kwenhliziyo okungavamile lapho ehlola isiguli ngenye inkinga yezempilo. Kodwa-ke, kunezimpawu ezijwayelekile ezibonwa ezigulini ezingabalwa kanje:

• Ukushaya kwenhliziyo okusheshayo noma okunensa kunokujwayelekile

• Ukuphelelwa umoya

• Ukukhathala

• I-Palpitations (ukushaya ngamandla, ukuphaphazela)

• Ubuhlungu besifuba (angina)

• ukukhathazeka

• isiyezi

• Ukuphoqa

• Ukuphelelwa amandla

Izinkinga ze-arrhythmias

Izinkinga ze-arrhythmia zihlanganisa:

• I-Coronary Artery Disease: Ukuba khona kwe-coronary artery disease, ethinta imithambo yegazi ehlinzeka inhliziyo.
• I-Irritable Heart Tissue: Ukucasuka kwezicubu zenhliziyo, okuvela kuzo zonke izici zofuzo noma izimo ezitholiwe.
• Umfutho Wegazi Ophakeme: Umfutho wegazi ophakeme njengesici esinomthelela.
• Izinguquko Emisipha Yenhliziyo: Izinguquko emisipha yenhliziyo, evame ukuhlotshaniswa ne-cardiomyopathy.
• I-Valve Abnormalities: Ukuphazamiseka okuthinta ama-valve enhliziyo.
• Ukungalingani kwe-Electrolyte: Ukungalingani emazingeni e-electrolyte yegazi.
• Ukulimala Kwenhliziyo: Ukulimala okubangelwa isifo senhliziyo.
• Ukuphulukiswa Kokuhlinzwa Kwenhliziyo: Inqubo yokuphulukisa ngemva kokuhlinzwa kwenhliziyo.
• Ezinye Izimo Zezokwelapha: Izimo ezihlukahlukene zezokwelapha ezingaphansi ezingaba nomthelela ekuqalekeni kwe-arrhythmias.

Yiziphi izinkinga zempilo ezivela ku-arrhythmias?

Izinkinga zincike ohlotsheni lwe-arrhythmia oluthuthukisiwe. Ngokuvamile, uma zishiywe zingalashwa, izinkinga ze-arrhythmia zihlanganisa isifo senhliziyo, ukufa okungazelelwe, kanye yokumelwa yinhliziyo. Amahlule egazi angase akheke ngenxa ye-arrhythmia yenhliziyo, engase ihambe isuka enhliziyweni iye ebuchosheni futhi ibangele isifo sohlangothi.

Ukuxilongwa kwe-arrhythmias

Ezibhedlela ze-CARE, abasebenzi bethu abaqeqeshwe kahle bazokusiza ngenqubo yokuxilongwa, bakubuze ngomlando wakho wezokwelapha, babuyekeze izici eziyingozi futhi batuse inqubo efanele yokuxilonga. Sihlinzeka ngezinsizakalo zokuxilonga ezilandelayo:

• I-Electrocardiogram (ECG): Ukuhlolwa kwe-electrocardiogram kuqopha ukusebenza kukagesi kwenhliziyo futhi kungathola ukumelwa yinhliziyo kanye nezinkinga zesigqi senhliziyo.

• I-catheterization yenhliziyo: I-catheterization yenhliziyo, nayo i-angiogram yenhliziyo, iwukuhlolwa kokuxilonga okuhlaselayo kokuthwebula imithambo yenhliziyo kusetshenziswa amashubhu amancane ukuhlola ukusebenza kwenhliziyo, okuhlanganisa ukuba khona kwe-coronary artery disease.

• I-Cardiac CT scan: I-computed tomography (CT) scan iyindlela yokuthwebula engahlanyisi kusetshenziswa ama-X-ray ukuze kwakhe isithombe esinemininingwane senhliziyo nemithambo yegazi.

Lezi ezinye zezifo umuntu okufanele adlule kukho ukuze aqhubekisele phambili ukwelashwa okungcono kakhulu kwe-arrhythmia ezibhedlela ze-CARE.

Izici eziyingozi ze-arrhythmia

Izici ezandisa ingozi yokuthuthukisa i-arrhythmia zihlanganisa:

• Ukusebenzisa Ugwayi: Ukuzibandakanya ekusebenziseni imikhiqizo kagwayi.
• Ukuphuza Utshwala: Ukuphuza utshwala.
• Ukuthatha Iziphuzo Ezine-Caffeine Nokudla: Ukudla iziphuzo nokudla okuqukethe i-caffeine.
• Ukusetshenziswa Kwezikhuthazi: Ukuthatha izikhuthazi njengemithi ebandayo etholakala ngaphandle kwekhawunta noma izithasiselo zamakhambi.
• Umfutho Wegazi Ophakeme: Ukuba khona komfutho wegazi ophakeme.
• I-BMI Ephakeme (I-Body Mass Index): Ukuba ne-BMI engaphezu kuka-30, ekhombisa ukukhuluphala.
• Ushukela Wegazi Ophakeme: Ukuba khona kwamazinga aphezulu kashukela egazini.
• I-Sleep Apnea: Ukuba ne-apnea yokulala, isimo esibonakala ngokuma kokuphefumula ngesikhathi sokulala.

Ukwelashwa kwe-arrhythmias 

Ukwelashwa kwe-Arrhythmia e-Hyderabad okunikezwa e-CARE Hospitals kuhlanganisa ukusetshenziswa kwemithi kanye nezinqubo zokuhlinza ukubuyisela noma ukulungisa isigqi senhliziyo.

Ukwelashwa kwe-arrhythmia yezifo zenhliziyo ezilandelayo kuhlinzekwa:

• I-arrhythmia - Izinkinga zesigqi senhliziyo ukubangela ukushaya kwenhliziyo okusheshayo noma okunensa kakhulu ngomzuzu.

• I-Atrial fibrillation ibonakala ngokushaya kwenhliziyo okusheshayo nokungavamile okungaholela ekuhlulekeni kwegazi.

• I-Supraventricular tachycardia (SVT): Ukushaya okungahleliwe okuvela ku-ventricle yesokunxele yenhliziyo ephela kungazelelwe.

Ezibhedlela ze-CARE, kwenziwa lezi zinqubo ezilandelayo zokugula kwenhliziyo okubalulwe ngenhla:

• I-Cardioversion - Le ndlela yokwelapha ihlanganisa ukwelapha okuthuthumela ngogesi okulethwa ngama-paddles noma ama-patches axhunywe esifubeni. Ukushaqeka kuthinta amagalelo kagesi enhliziyo futhi kusetha isigqi ngendlela efanele.

• I-pacemaker iyisisetshenziswa sikagesi esincane esifakwe eduze kwethambo lenhliziyo. Uma ukushaya kwenhliziyo kushesha kakhulu noma kuhamba kancane kakhulu, i-pacemaker ithumela amagalelo kagesi ukuze ashukumise inhliziyo ukuba ishaye ngesigqi esivamile.

• I-Implantable cardioverter-defibrillator (ICD) - I-ICD iyisisetshenziswa sikagesi esiqapha ngokuqhubekayo isigqi senhliziyo futhi, uma kutholwa okungavamile, iletha ukushaqeka kukagesi okunamandla aphansi noma aphezulu ukuze kubuyiselwe isigqi senhliziyo esivamile. Singase sincome ukufakelwa kwe-ICD uma isiguli sisengozini yokuthola isigqi sokushaya kwenhliziyo okungavamile noma sesivele sihlaselwe yisifo senhliziyo noma ukuboshwa kwenhliziyo.

Udokotela angase atuse ukuhlinzwa ngokudlula kwenhliziyo ukuthuthukisa ukugeleza kwegazi enhliziyweni uma isiguli sine-arrhythmia kanye nezinye izifo ze-coronary artery.

Izibhedlela ze-CARE zingasiza kanjani?

Ezibhedlela ze-CARE, sihlinzeka ngezinsiza ezibanzi zokuxilonga emkhakheni wezokwelapha zenhliziyo sisebenzisa amathuluzi asezingeni eliphezulu kanye nobuchwepheshe obusisiza ngokuqhubekayo ukuthi sikunikeze Ukwelashwa Okungcono Kakhulu Kwe-Arrhythmia e-Hyderabad. Ukwesekwa kwethu kwabasebenzi bemikhakha eminingi abaqeqeshwe kahle kuzohlinzeka ngosizo nokunakekelwa ngesikhathi sokululama ngemva kokuhlinzwa kanye nokwesekwa ngaphandle kwasesibhedlela kuyo yonke imibuzo yakho nezinkinga zenhliziyo. Izibhedlela ze-CARE sezithuthukile futhi zesimanje ukuhlinzwa okuncane kakhulu izinqubo zizosiza ukuthuthukisa izinga lakho lempilo.