Nantsi eyona nto yenzekayo xa intliziyo yakho itsibela ukubetha

Imfundo yezeMpilo

Xa usiva igama elithi ukubetha kwentliziyo, kuvakala ngokungathí sina — kodwa enyanisweni, yinto abantu abaninzi abahlangabezana nayo yonke imihla. Yeyona flutter uyiva esifubeni sakho xa ukutyumka kwakho kuhamba. Okanye, uvakalelo lwentliziyo yakho lume okomzuzwana xa ufumana iindaba ezimbi. Banokude babe kukubaleka, ukubila uziva emva kokuba uthathe ithamo le-Sudafed. Yintoni ebangela ukubetha kwentliziyo? Zininzi izinto ezibazisayo. Nantsi indlela yokwazi xa uziva ulungile, okanye uphawu lwento ebaluleke ngakumbi.

Zithini ukubetha kwentliziyo?

Iipalpitations Chaza imvakalelo evakalayo yokuba intliziyo yakho iyabhabha, ukubetha, ukubhabha, ukugijima, okanye ukutsiba isingqi. Ngokuqhelekileyo bachaza imeko xa ukuqonda kwakho kwentliziyo yakho kuphakanyiswa ngenxa yezizathu ezithile.

Ngelixa ukubetha kwentliziyo kunokuphazamiseka, xa kusenzeka rhoqo, akuqhelekanga uphawu lwesifo sentliziyo. Phantse wonke umntu uziva amaxesha ngamaxesha, utshilo uLeonard Pianko, MD, ugqirha wezentliziyo e Iziko leAventura Cardiovascular Centre . Uninzi lwexesha lokubetha kwentliziyo lilungile.

Ngapha koko, ziqhelekile phakathi kwawo onke amaqela eminyaka, utshilo uFahmi Farah, MD, ugqirha wezentliziyo e I-Baylor Scott kunye neMpilo emhlophe kunye neBentley Heart. Uninzi lwabantu kwi-20s yabo yonke indlela eya kubantu abaneminyaka yobudala engaphezulu kwe-65 nangaphezulu banokufumana ukubetha.

Yintoni ebangela ukubetha kwentliziyo?

Ukubetha kwentliziyo kunezizathu ezininzi ezinokubangela. Apha ngezantsi kukho ezinye zeenkcazo eziqhelekileyo, ubukhulu becala ezingenabungozi kwiipiliti zentliziyo:

• Iimvakalelo: Amabinzana afana nokusweleka kwentliziyo eyaphukileyo kunye noloyiko lokufa awanyanzelekanga ukuba abe nje. Izifundo ezininzi ubophe uxinzelelo, uxinzelelo, uloyiko, kunye namanye amava abukhali ngokweemvakalelo kwisingqisho sentliziyo esingaqhelekanga, esifana nokubetha. Xa uziva unamandla, umzimba wakho ukhupha iihomoni ezichaphazela ukubetha kwentliziyo yakho. Ngobhubhane we-COVID-19, ixhala ligalelo elikhulu ekwandiseni ukubetha kwentliziyo, utshilo uGqirha Farah.
• Umsebenzi onamandla : Xa usenza umthambo, izinga lokubetha kwentliziyo yakho kunye nemveliso yentliziyo (ubungakanani begazi elijikeleza emzimbeni wakho ngomzuzu) lonyuka kakhulu. Oko kunokubangela ukubetha kwentliziyo kwabanye abantu abasempilweni — ngakumbi ukuba awukhange usebenze ixesha elide.
• Utshintsho lwehormone: Ukutshintsha amanqanaba ehomoni ngexesha lokuya exesheni, ukukhulelwa, nangaphambi kokuya exesheni kunokubangela ukubola kwentliziyo. Ukuphazamiseka komzimba okuxhaphakileyo, okufana nesifo seMangcwaba okanye ityhefu yetyhefu, kunokukhokelela ekubambeni. Isifo se-adrenal esinqabileyo esibizwa ngokuba yi-pheochromocytoma sonyusa iihormones zoxinzelelo, esikhokelela ekubambeni kunye nentlungu esifubeni.
• Izinto ezikhuthazayo: I-Nicotine, icocaine, ii-amphetamines, kunye nezinye izinto ezinokubangela utshintsho kwizinga lokubetha kwentliziyo. Umgangatho wempembelelo uyahluka ukusuka komnye umntu ukuya komnye. Ngelixa ukubetha kwentliziyo kuye kwachazwa njengecaffeine, kutsha nje ukufunda isuka e Ijenali yoMbutho weNtliziyo yaseMelika debunks olu nxibelelwano. Kubantu abasempilweni, nokuba yi-caffeine egqithisileyo ayinakubangela utshintsho olukhulu kwisingqi sentliziyo.
• Uxinzelelo lwegazi oluphantsi: Ukuhla enyuka koxinzelelo lwegazi kunokwenzeka ngenxa yezizathu ezininzi, ezinje ngokutshintsha komzimba okanye ukutya. Xa uxinzelelo lwegazi luyehla, enye yeendlela intliziyo yakho ehlawula ngayo kukunyusa izinga lokubetha kwentliziyo ukukunceda ukugcina ukuhamba kwegazi kuzinzile emzimbeni wonke. Oku kunyuka kweebethi kunokubangela ukuba intliziyo ibhabhe.
• Amayeza: Amayeza Isetyenziselwa ukunyanga isifuba, uxinzelelo lwegazi oluphezulu, kunye nokuchasana nezinto ezikhutshelwa ngaphandle kunokubangela ukubetha kwentliziyo ngokuxhomekeke emntwini.
• Iswekile esezantsi yegazi: Xa ulambile kakhulu, ungaqala ukuziva ubuthathaka, ukubila, okanye ngathi intliziyo yakho ibaleka. Olu hlobo lokucofa lubangelwa yi-adrenaline, ihormone ekhutshwa ngumzimba wakho ukulungiselela ukunqongophala kokutya.
• Ifiva: Xa ubushushu bomzimba wakho buphezulu, usebenzisa amandla ngokukhawuleza kunesiqhelo. Oku kunokuchaphazela ukubetha kwentliziyo yakho.
• Utywala: Ukuzinkcinkca ngotywala kwabantu abadala kunokubangela ukuba intliziyo yakho ibethe ngokukhawuleza, ikunike olo luvo.
• Iimeko ezithile zonyango: Iingxaki ze-thyroid, uxinzelelo lwegazi kunye nesifo senhliziyo se-valvular zizinye zeemeko zonyango ezinokukhuthaza ukubetha, ngokukaGqirha Pianko.

Ukuba uneentliziyo ezibetha ngamanye amaxesha ngesinye sezi zizathu, ihlala ingeyona ngxaki yezempilo.

Ezinxulumene: Iimpawu ze-13 zeengxaki zentliziyo ekufuneka uzikhathaze ngazo

Ngaba ukubetha kwentliziyo kubaluleke kakhulu?

Uninzi lweentliziyo lubetha ngokungekho sizathu sokukhathazeka. Kodwa, kukho iimeko apho ukuziva ubethabethana kungumqondiso wento ebaluleke ngakumbi. Zingabangelwa yi-cardiac arrhythmia-iqela leemeko zentliziyo ezenza intliziyo ibethe kancinci okanye ngokukhawuleza. Ezona ntlobo zixhaphakileyo zibandakanya:

• I-Atrial fibrillation okanye i-AFib (engaqhelekanga, intliziyo engavumelekanga)
• I-Bradycardia (ukubetha kwentliziyo kancinci)
• I-Supraventricular tachycardia (ukubetha kwentliziyo ngokukhawuleza okuqala kumagumbi aphezulu ngaphezulu kwee-ventricles)

Ukwahlula phakathi kokubetheka okuhle kunye nobunzima

Ukubetha kwentliziyo rhoqo kunokubangelwa kukuvaleka kwemithambo okanye uhlobo oluthile lwesifo sentliziyo. Ukuchonga unobangela wentliziyo yakho, unikezela ngononophelo lwempilo angakuthumela kugqirha wezifo zentliziyo kuvavanyo olongezelelekileyo, olunje:

• Echocardiogram ukubona ukuba iindonga zentliziyo kunye neevaluva zisebenza ngendlela ebekufanele ukuba zisebenza ngayo
• Uvavanyo loxinzelelo ukubona indlela ukusebenza kwentliziyo kunye nokuphefumla okuchaphazeleka ngamandla
• Electrocardiogram (ECG okanye i-EKG) ukuchonga izingqisho zentliziyo engaqhelekanga
• Umvavanyi kaHolter -Isixhobo esiphathwayo seECG esirekhoda ngokuqhubekayo isingqisho senhliziyo iiyure ezingama-24 ukuya kuma-48

Qiniseka ukuba ufuna unyango okanye tsalela umnxeba ku-911 ukuba ufumana naziphi na kwezi mpawu zilandelayo ukongeza kwiipalpitations:

• Intlungu yesifuba / ukuqina
• Ukuphefumla kancinci okanye ukuphefumla nzima
• Utywala okanye intloko
• Ukudideka
• Ukuphulukana nokuqonda

Oku kunokuba yimiqondiso yokubanjwa kwentliziyo, enokusongela ubomi.

Ezinxulumene: Ukubanjwa kwe-Cardiac vs.ukuhlaselwa yintliziyo: Yeyiphi eyona imbi kakhulu?

Ungamisa njani ukubetha kwempilo

Ngaphambi kokuxoxa ngonyango, umboneleli wakho wezempilo kuya kufuneka ayazi imbali yakho: unexesha elingakanani uneeplpitations, ukuba zihlala ixesha elingakanani, nokuba kukho iintshukumo ezithile okanye iimeko ezibangela- kunye nayo nayiphi na imeko yezempilo. Iipalpitations zingabonisa into eyahlukileyo kumntu one-anemia xa kuthelekiswa nomntu onesifo semiphunga xa kuthelekiswa nomntu onesifo sentliziyo okanye ukusilela kwentliziyo, utsho INupoor uNarula, MD , unjingalwazi oncedisayo kwezamayeza kwiWeill Cornell Medical College.

Kwiimeko ezinobunzima bokubetha kwentliziyo, uhlengahlengiso kwindlela yokuphila lunceda ukunciphisa isantya, okanye ukunceda ukucothisa ukubetha kwentliziyo. Ukufumana amayeza okubetha ngokuqaqanjelwa okanye okunyanga rhoqo kunokufuneka.

Utshintsho kwindlela yokuphila

Qala ngokuqaphela ukuba yintoni ebangela ukubetha kwentliziyo yakho. Emva koko, thabatha amanyathelo okunciphisa ukubonakaliswa kwakho kweso sikhuthazo. Ezinye zezi ndlela zibandakanya:

• Ziqhelanise neyoga okanye ukucamngca: Enye yezona zinto zixhaphake kakhulu ukubetha kwentliziyo lixhala. I-Yoga kunye nokucamngca kunokunceda ukulawula uxinzelelo, olunokunciphisa ukubetha kwentliziyo.
• Funda iindlela zokuphefumla nzulu: Isantya sokuphefumla kunye nokubetha kwentliziyo kuhlala kubotshelelwe kunye. Sebenzisa ibhokisi yokuphefumla (imizuzwana emine uphefumlela ngaphakathi, imizuzwana emine ubambe, imizuzwana emine ukuphefumlela ngaphandle, imizuzwana emine ubambe) unokulawula ukuphefumla kunye nokubetha kwentliziyo, ukunciphisa ukubetha.
• Nciphisa ukutya i-caffeine: Ngelixa icaffeine isenokungabangeli ukubethabethana kwentliziyo kwindalo iphela, umntu ngamnye uneemvakalelo ezahlukeneyo. Kunokuba luncedo ukunciphisa ikofu yakho uyisebenzisa ngelixa uzama ukuyeka ukubetha kwentliziyo.
• Yeka ukutshaya: Ukuyeka ukutshaya kunciphisa ukubonakaliswa kwe-nicotine, into enokubangela ukubetha kwentliziyo.
• Yitya rhoqo: Ukulandela i- ukutya okusempilweni , kunye nokutya ukutya okuqhelekileyo kunokumisa i-spikes kunye nokuhla kweswekile yegazi kunokubangela ukubetha kwentliziyo.

Ukuba utywala okanye amayeza angaphaya kwekhawunta abangela ukubetha kwakho, sebenza nomboneleli wakho wezempilo ukuba wenze isicwangciso sokuphepha loo nto.

Amayeza

Kwiimeko apho utshintsho kwindlela yokuphila alwanelanga, zimbini iintlobo zamayeza ezihlala zisetyenziselwa ukubetha kwentliziyo: iibhloko ze-beta kunye ne-block block ye-calcium-channel. Zombini ezi zinceda ukucotha kunye nokulawula ukubetha kwentliziyo yakho.

Ukuba imeko ebangela ukubetha kwentliziyo yakho, unyango luya kubandakanya ukunyanga loo meko. Umzekelo, unokumiselwa u-Ativan ukunceda ukulawula uxinzelelo. Okanye, ungagoduka kunye nonyango lwe-thyroid engasebenzi (hyperthyroidism).

Iinkqubo

Kwiimeko ezinqabileyo kakhulu, ukubetha kwentliziyo akunakuphendula kulungiso lwendlela yokuphila okanye amayeza. Iinkqubo ezinjenge-catheter ablation, pacemaker, okanye i-impibrillator enokufakwa inokufuneka.

Ayizizo zonke ukubetha kwentliziyo ezinesizathu ngqo, kwaye uninzi aludingi nyango. Nangona banokuziva benoxinzelelo, vumela umboneleli wakho wezempilo akuqinisekise ukuba into ohlangabezana nayo ayinabungozi. Phinda uhlaziye iimpawu zakho rhoqo, kwaye ufikelele ukuba akukho lutshintsho.