Kusenjalo, inhliziyo yakho ishaya sengathi izogxuma iphume esifubeni sakho, uzwe ukungingiza okunamandla esifubeni sakho, noma uzwa sengathi inhliziyo yakho ishaya emphinjeni wakho... Umbuzo wokuqala ofika engqondweni yawo wonke umuntu ohlangabezana nalesi simo uyafana: "Yini ebangela ukushayeka kwenhliziyo?"
Ungakhathazeki, isikhathi esiningi, ukushaya kwenhliziyo (okwaziwa ngokuthi ukushaya kwenhliziyo) akunangozi nhlobo futhi kuyisenzakalo esivamile ekuphileni kwansuku zonke. Kodwa-ke, kwezinye izimo, kungase kube uphawu lokuqala lwesifo esibi. Kulesi sihloko, ngizochaza ngokuningiliziwe izimbangela ezingu-20 ezivame kakhulu zokushaya kwenhliziyo, ngichaze ngokuningiliziwe ukuthi yiziphi izimo ezivamile, ezidinga udokotela, nokuthi yini ongayenza ekhaya.
Kuyini Ukushaya kwenhliziyo futhi kuzwakala kanjani?
Ukushaya kwenhliziyo yisimo lapho umuntu ezwa khona ukuthi ukushaya kwenhliziyo yakhe kunamandla, kuyashesha noma akujwayelekile kunokuvamile. Ngolimi lwezokwelapha, kubizwa ngokuthi "palpitation". Umuntu ovamile akakuboni ukushaya kwenhliziyo yakhe lapho ephumule. Nokho, phakathi nokushaya kwenhliziyo, inhliziyo ngokwezwi nezwi “ikukhumbuza ukuba khona kwayo”: umuzwa wokucinana kwesifuba, ukushaya okunamandla, ukushaya emphinjeni, ukushaya ezindlebeni, noma umuzwa ongathi kundiza izimvemvane esifubeni.
Lo muzwa ungase uhlale amasekhondi ambalwa noma amahora. Nakuba ngezinye izikhathi kwenzeka njengamabhithi ambalwa nje angeziwe (amabhithi asekuqaleni), ngezinye izikhathi ingazibonakalisa njengesigqi esisheshayo samabhithi angu-150-200 ngomzuzu.
Yini Edala Ukushaya kwenhliziyo? 20 Izizathu Ezivamile
1. Ukuxineka, Ukukhathazeka kanye Nokuhlaselwa Kokwethuka
Kulezi zinsuku, imbangela evame kakhulu yokushaya kwenhliziyo ingcindezi. Ngaphambi kokuhlolwa, ngaphambi komhlangano obalulekile, noma phakathi nengxoxo, umzimba wakho ungena kumodi "yokulwa noma yokundiza". Amahomoni e-Adrenaline kanye ne-noradrenaline akhishwa ezindlala ze-adrenal, futhi inhliziyo iqala ukushaya ngokushesha nanamandla. Phakathi naleso sikhathi, kokubili i-tachycardia (ukushaya ngokushesha) nokushaywa ngaphambi kwesikhathi kuvame kakhulu. Ngesikhathi sokuhlaselwa uvalo, ukushaya kwenhliziyo kuba kubi kakhulu kangangokuthi umuntu ucabanga ukuthi "Ngimelwa yinhliziyo."
2. Ukusetshenziswa Kwe-caffeine Kakhulu
Ingilazi eyodwa enkulu yekhofi yokuhlunga (200-250 mg caffeine), 2-3 amathini eziphuzo ezinamandla noma amanani amakhulu wetiye elimnyama noshokoledi… I-caffeine ivuselela ama-beta receptors enhliziyo futhi ikhuphule izinga lokushaya kwenhliziyo ngokuqondile. Ngisho nenkomishi engu-1 yekhofi yaseTurkey ingabangela ukushaya kwenhliziyo okukhulu phakathi nemizuzu engu-10-15, ikakhulukazi kubantu abazwelayo.
3. Ugwayi Notshwala
I-Nicotine kugwayi iyisivuseleli esinamandla esizwelayo; Phakathi nemizuzu engu-5-10 ngemva kokubhema ugwayi, izinga lokushaya kwenhliziyo lingakhuphuka ngo-10-20 beats. Utshwala bona buqala bukhuphule izinga lokushaya kwenhliziyo bese buholela esigqini esingavamile (ikakhulukazi i-atrial fibrillation). Yilokhu kanye okuyikho "i-holiday heart syndrome", okuvamile ngakusasa ekuseni kulabo abaphuza kakhulu ngempelasonto.
4. I-anemia kanye nokuntuleka kwe-iron
Lapho i-hemoglobin, ethwala umoya-mpilo egazini, incipha, inhliziyo kufanele ishaye ngokushesha ukuze ilethe inani elifanayo lomoya-mpilo ezicutshini. Ikakhulukazi kwabesifazane abasebasha, ukuntuleka kwe-iron anemia ngenxa yokopha ukuya esikhathini kuyimbangela evame kakhulu yokushaya kwenhliziyo.
5. Ukusebenza ngokweqile Kwendlala Yegilo (Hyperthyroidism)
Amahomoni egilo alawula ngokuqondile izinga lenhliziyo. Lapho isifo se-Basedow-Graves noma izigaxana zegilo zikhipha ama-hormone amaningi, inhliziyo ihlale isebenza ngesivinini esikhulu. Iziguli zikuchaza njengokuthi "inhliziyo yami ayibambezeli, ishaya ngokushesha ngisho nasebusuku."
6. Ushukela Ophansi (I-Hypoglycemia)
Ikakhulukazi ezigulini ezinesifo sikashukela ezisebenzisa i-insulin noma esezizile ukudla isikhathi eside, lapho ushukela wegazi wehla, umzimba ukhipha i-adrenaline bese kuqala ukushaya kwenhliziyo. Abantu abaningi bathi, "Uma ngilambile, inhliziyo yami ishaya njengokusangana."
7. Ukushoda kwe-Magnesium ne-Potassium
I-Magnesium iyiminerali ebaluleke kakhulu ohlelweni lukagesi lwenhliziyo. Ngokuntula kwayo, ukushaya ngaphambi kwesikhathi (extrasystole) kuvame kakhulu. Ukuntuleka kwe-potassium ngokufanayo kubangela ukuphazamiseka kwesigqi. Uhudo, ukuhlanza, kanye nokusebenzisa kakhulu imithi ekhipha amanzi emzimbeni kungase kubangele lokhu kusilela.
8. Imithi Oyisebenzisayo
Imithi ye-asthma (salbutamol, terbutaline), i-pseudoephedrine emithini ebandayo, amanye ama-antidepressants (venlafaxine, bupropion), ukweqisa kwemithi yegilo, imithi ye-cortisone, kanye nezinye izifutho zamakhala kungabangela ukushaya kwenhliziyo.
9. Ukunqamuka kokuya esikhathini kanye nokushintshashintsha kwamahomoni
Ukwehla okungazelelwe kumazinga e-estrogen kubangela ukushaya kwenhliziyo kanye nokushisa okushisayo. Abesifazane abaningi bakuchaza "njengokuzizwa kushisa futhi inhliziyo yami izwa sengathi izophuma esifubeni sami."
10. Ezemidlalo Nokuzikhandla Okudlulele
Izinga lokushaya kwenhliziyo liyakhuphuka ngokomzimba ezimeni ezifana nangemuva kokujima okukhulu noma ukuphakamisa isindayo kungazelelwe. Lesi simo sizwakala ngokucace kakhudlwana kubantu abangaqeqeshiwe.
11. I-Apnea yokulala kanye nokuhona
Uma ukuphefumula kuma ubusuku bonke, umoya-mpilo osegazini uyancipha futhi umzimba usheshisa inhliziyo ukuze unxephezele. I-apnea uma ulele ivamile kubantu abavuka ekuseni bekhathele futhi bezwe ukushaya kwenhliziyo usuku lonke.
12. Izinkinga zesigqi senhliziyo
- I-Supraventricular tachycardia (AVRT, AVNRT): Ukuqala nokuqeda kungazelelwe, amanani angu-150-220 amabhithi ngomzuzu
- I-Atrial fibrillation: Isigqi esingavamile nesivame ukushesha
- Ukushaya kwe-ventricular ngaphambi kwesikhathi: Ukuzwa sengathi "inhliziyo ilenga bese ishaya"
13. Izifo ze-valve yenhliziyo
I-Mitral valve prolapse ivamile, ikakhulukazi kwabesifazane abasebasha, futhi ingase ibangele ukushaya kwenhliziyo. Ukushaya kwenhliziyo kwenzeka futhi ezimeni zokumelwa kwe-valve okubi kakhulu noma ukuvuza.
14. Ukuhluleka kwenhliziyo kanye nesifo se-Coronary Vascular
Lapho imisipha yenhliziyo iba buthaka noma imithambo iyancipha, inhliziyo kufanele isebenze kanzima.
15. Izifo Zomkhuhlane
Kuwo wonke amazinga okushisa omzimba angu-1 degree, izinga lokushaya kwenhliziyo likhuphuka cishe ngamabhithi angu-10. Ukushaya kwenhliziyo kuvame kakhulu ezifweni ezinjengomkhuhlane, inyumoniya, kanye nokutheleleka ngomgudu womchamo.
16. Isikhathi Sokukhulelwa
Ngesikhathi sokukhulelwa, umthamo wegazi ukhuphuka ngo-40-50% futhi inhliziyo isebenza kanzima. Ukushaya kwenhliziyo kuthathwa njengokujwayelekile, ikakhulukazi ku-3rd trimester nasemavikini okuqala ngemva kokuzalwa.
17. Izinkinga ze-Reflux kanye Nesisu
Isisu nenhliziyo kuvinjwe inzwa efanayo (vagus nerve). I-reflux enzima, i-gastritis, noma ukuqunjelwa kwesisu kungashukumisa i-vagus nerve futhi kubangele ukushaya kwenhliziyo. Ukulala phansi ngokushesha ngemva kokudla kwandisa lesi simo.
18. Ukuphelelwa amanzi emzimbeni
Lapho umzimba uphelelwa amanzi emzimbeni, umthamo wegazi uyancipha futhi inhliziyo iqale ukushaya ngokushesha ukuze kunxeshezelwe.
19. Ezinye Izithako Zemithi Nemikhiqizo
I-Ginseng, ephedra (ma huang), iwolintshi elibabayo, ngisho nemithamo ephezulu kavithamini C ingabangela ukushaya kwenhliziyo kwabanye abantu.
20. I-Benign, Palpitations Engavunyelwe
Yap Uma kwenziwa i-ECG (Holter) yamahora angu-24, kubonakala ukuthi abantu abaningi banamabhithi angaphambi kwesikhathi angu-100-200 ngosuku. Eziningi zazo azinangozi ngokuphelele futhi azibangeli izimpawu. Abantu abazwelayo kuphela abaqaphelayo.
Kunini Ukushaya Kwenhliziyo Kuyingozi?
Uma unesinye kwalezi zimpawu ezilandelayo kanye nokushaya ngamandla, shayela udokotela noma u-112 ngokushesha:
- Ubuhlungu besifuba noma umuzwa wengcindezi
- Ukuquleka noma ukuquleka
- Ukuphelelwa umoya kakhulu
- Ukushaya kwenhliziyo okuhlala isikhathi eside kunamaminithi angu-5 futhi kushesha kakhulu
- Ingalo, umhlathi noma ubuhlungu beqolo
- Ukulahlekelwa ukubona noma ukuhluleka kokukhuluma kungazelelwe
Yini Elungele Ukushaya Kwenhliziyo? Izinto Ongayenza Ekhaya
- Phuza amanzi abandayo bese ugeza ubuso bakho ngamanzi abandayo uma ushaywa yinhliziyo kungazelelwe
- Yenza indlela ye-Valsalva: Vala ikhala lakho nomlomo wenze sengathi uyacindezela
- Hofuzela ujule: donsa umoya ngekhala imizuzwana emi-4, ubambe imizuzwana engu-7, khipha ngomlomo imizuzwana eyi-8 (4-7-8 technique)
- Yidla ukudla okuqukethe i-magnesium: Ama-alimondi, isipinashi, ubhanana, ushokoledi omnyama
- Yehlisa i-caffeine, iziphuzo ezinamandla notshwala
- Ukulawula ukulala nokucindezeleka kubaluleke kakhulu
Iziphi Izivivinyo Ozenziwayo Uma Uya Kudokotela?
- ECG (12-lead electrocardiogram)
- 24-48 amahora Holter monitor
- Ukuhlolwa kwegazi (igilo, i-anemia, i-electrolytes, i-magnesium)
- I-Echocardiography (i-heart ultrasound)
- Isivivinyo sokuzikhandla
- Irekhoda yomcimbi noma ukuqapha isigqi sesikhathi eside uma kunesidingo
Imibuzo Evame Ukubuzwa
Yini ebangela ukushaya kwenhliziyo ngesikhathi ulele ebusuku?
Izimbangela ezivame kakhulu zokushaya kwenhliziyo ebusuku ukuphuphuma umoya uma ulele, ukusabela kwe-reflux, ukuhlaselwa uvalo, ushukela ophansi egazini kanye namabhithi ngaphambi kwesikhathi akhuphukayo uma ulele ngakwesokunxele. Ukushaya kwenhliziyo, ikakhulukazi lapho ulala noma phakathi kuka-3 no-5 ekuseni, kuvame ukuba buhlungu.
Yini ebangela ukushaya kwenhliziyo kubantu abasha?
Izimbangela ezivame kakhulu kubantu abasha ukucindezeleka, i-caffeine, ugwayi, iziphuzo zamandla, i-anemia, isifo se-thyroid kanye ne-POTS (i-postural orthostatic tachycardia syndrome). Ukwengeza, amabhithi ayingozi angaphambi kwesikhathi avamile kubantu abasha.
Ingabe ingcindezi idala ukushaya kwenhliziyo, kuthatha isikhathi esingakanani?
Yebo, ingcindezi iyimbangela evame kakhulu yokushaya kwenhliziyo. Kungase kuthathe emaminithini kuya emahoreni ngesikhathi somcimbi ocindezelayo. Uma kukhona ukucindezeleka okungapheli, ukushaya kwenhliziyo okungapheli kungase kwenzeke usuku lonke.
Uyini umehluko phakathi kokushaya kwenhliziyo nokuhlaselwa uvalo?
Ekuhlaselweni kokwesaba, ngaphezu kokushaya kwenhliziyo, kunezimpawu ezinjengokwesaba ukufa okukhulu, ukujuluka, ukuvevezela, ukuba ndikindiki, ukuzwa ukuqunjelwa, nobuhlungu besisu. Uma ukushaya kwenhliziyo kukodwa, ngokuvamile akukhona ukuhlaselwa uvalo.
Ingabe ukushaya kwenhliziyo kuwuphawu lomdlavuza?
Kuyivelakancane kakhulu. Kodwa-ke, izimila ezingavamile kakhulu njenge-pheochromocytoma (i-adrenal gland tumor) kanye ne-carcinoid syndrome zingabangela ukushaya kwenhliziyo. Ukushaya kwenhliziyo akulona uphawu ekuhlolweni komdlavuza okujwayelekile.
