Iyini i-bradycardia enezimpawu?

I-Bradycardia ibhekisela ekushayeni kwenhliziyo okunensa kunokujwayelekile, ngokuvamile okuchazwa njengokushaywa okungaphansi kwama-60 ngomzuzu. Nakuba ukushaya kwenhliziyo okuhamba kancane kungase kube uphawu lokuqina komzimba okuhle kwabanye abantu, kwabanye, kungase kubonise isimo sezempilo esicashile. Lapho i-bradycardia ihambisana nezimpawu, ibizwa ngokuthi i-bradycardia ephawulekayo.

I-bradycardia enezimpawu yenzeka lapho ukushaya kwenhliziyo kuhamba kancane kangangokuthi ayikwazi ukumpompa igazi elanele ukuhlangabezana nezidingo zomzimba. Lokhu kungaholela ezinhlobonhlobo zezimpawu, kusukela kokuncane kuye kwezinzima. Kulo mhlahlandlela ophelele, sizohlola izimbangela, izimpawu, ukuxilongwa, kanye nezinketho zokwelapha ze-bradycardia enezimpawu.

Izimbangela ze-bradycardia ephawulekayo

I-bradycardia ye-Symptomatic ingabangelwa izici ezihlukahlukene. Ezinye zezimbangela ezivame kakhulu zihlanganisa:

Ukuguga: Njengoba abantu bekhula, amangqamuzana enhliziyo enhliziyo enhliziyo angaqala ukuwohloka, okuholela ekushayeni kwenhliziyo kancane.

Imithi: Imithi ethile, njengama-beta-blockers, i-calcium channel blockers, nemithi elwa nokuvuvukala, inganciphisa ukushaya kwenhliziyo.

Isifo senhliziyo: Izimo ezifana nesifo se-coronary artery, ukuhlaselwa yinhliziyo, ukuhluleka kwenhliziyo, kanye ne-cardiomyopathy konke kungaholela ku-bradycardia.

I-Hypothyroidism: Indlala yegilo engasebenzi kahle ingaholela ekushayeni kwenhliziyo kancane.

Ukutheleleka: Izifo ezithile, njenge-Lyme disease, zingathinta isimiso sikagesi senhliziyo futhi ziholele ku-bradycardia.

Ukukhubazeka kwenhliziyo yokuzalwa: Abanye abantu bazalwa benokukhubazeka kwesakhiwo ezinhliziyweni zabo okungaholela ku-bradycardia.

Izimpawu ze-bradycardia ye-symptomatic

Izimpawu ze-bradycardia enezimpawu zingahluka kuye ngobunzima besimo. Kwezinye izimo, abantu bangase bangabi nazo izimpawu nhlobo. Kodwa-ke, lapho kuvela izimpawu, zingabandakanya:

Ukukhathala: Lapho ukushaya kwenhliziyo kuhamba kancane, umzimba ungase ungatholi umoya-mpilo owanele, okuholela ekukhathaleni.

Ukuphefumula: Njengoba inhliziyo idonsa kanzima ukumpompa igazi elanele, amaphaphu angase angawutholi umoya-mpilo owanele, okuholela ekuphefumuleni.

Isiyezi: Ukushaya kwenhliziyo kancane kungaholela ekwehleni komfutho wegazi, okungabangela isiyezi noma ikhanda elilula.

Ukuquleka: Ezimweni ezimbi kakhulu, ukushaya kwenhliziyo okunensayo kungabangela ukuquleka noma i-syncope.

Ubuhlungu besifuba: Kwezinye izimo, i-bradycardia ingabangela ubuhlungu besifuba, ikakhulukazi uma ihambisana nezinye izimo ezihlobene nenhliziyo ezifana ne-angina.

Ukudideka: Uma ubuchopho bungawutholi umoya-mpilo owanele, ukudideka noma ukudideka kungenzeka.

Ukuxilongwa kwe-bradycardia ye-symptomatic

Uma uhlangabezana nezimpawu ze-bradycardia, udokotela wakho angase enze izivivinyo ezihlukahlukene ukuze anqume imbangela nobukhulu besimo. Lezi zivivinyo zingabandakanya:

I-Electrocardiogram (ECG): I-ECG isivivinyo esingahlaseli esirekhoda ukusebenza kukagesi wenhliziyo. Lokhu kuhlola kungasiza ekunqumeni ukuthi kukhona yini okungavamile kusigqi senhliziyo.

I-Holter monitor: I-Holter monitor iyisisetshenziswa esiphathwayo se-ECG osigqoka usuku noma ezimbili ukuze urekhode isigqi senhliziyo yakho. Lokhu kuhlolwa kungasiza udokotela wakho abone ukuthi ukushaya kwenhliziyo yakho kuhlala kuhamba kancane.

Irekhoda yomcimbi: Irekhoda yomcimbi iyidivayisi oyigqoka isikhathi eside, ngokuvamile esingafika enyangeni. Lokhu kuhlola kurekhoda isigqi senhliziyo yakho lapho uthola izimpawu ze-bradycardia.

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