Dzimwe nguva unonzwa sekuti moyo wako uri kurova, chipfuva chako chiri kurova, kana kuti unonzwa kupera simba kana kuti dzungu here? Zvinhu izvi zvinogona kukonzerwa nedambudziko diki riri mumagetsi emoyo wako. Apa ndipo panogona kukuudza chiremba wako kuti uite EP study. Saka ngatitaurei nezvazvo nenzira iri nyore nhasi.
Zvichitaurwa zviri nyore, chii chinonzi EP Study?
Chidzidzo cheEP, kana kuti Chidzidzo cheElectrophysiology, iongororo yakadzama yekushanda kwemagetsi emwoyo wako. Mwoyo wedu wakaita sepombi ine sisitimu diki yemagetsi. Mwoyo unorova zvakanaka chete kana zviratidzo zvemagetsi izvi zvichiyerera nemazvo uye nenzira yakarongeka.
Fungidzira, tine sisitimu yemagetsi mumba medu. Kuti girobhu riyerere kana switch yabatidzwa, waya dzinofanira kunge dzakabatana nemazvo. Ndizvo zvinoitikawo kumoyo. Dzimwe nguva pane dambudziko diki munzira yemasaini aya emagetsi, kana kuti chiratidzo chitsva chingatanga panzvimbo isiriyo, kana chiratidzo chingafamba nekukurumidza kana kunonoka kupfuura zvachinofanira kufamba. Tinoti izvi kurova kwemoyo kusina kurongeka (arrhythmia).
Chidzidzo cheEP chinosanganisira kuisa machubhu matete, akapfava (catheters) mumoyo kuti uzive kuti masaini aya emagetsi ari kubva kupi, ari kuenda kupi, uye kuti dambudziko riri kupi. Zvakafanana nenyanzvi yemagetsi inowana dambudziko muwaya mumba mako. Nenzira iyi, unogona kuwana ruzivo rwakawanda kubva mukati memoyo kupfuura ECG, inova sticker yaunonamira pachipfuva chako.
Sei uchifanira kuita EP Study? Chii chichawanikwa?
Kana chiremba wako achifungidzira kuti une kurova kwemoyo kusina kurongeka (arrhythmia), vanokutumira kune iyi bvunzo kuti uiongorore zvakanyanya. Chidzidzo cheEP chinogona kuratidza ruzivo rwakawanda rusingawanzo kuwanikwa mumiedzo yakaita seECG, Holter monitor, kana stress test.
| Zvakawanikwa kubva mukuferefeta | Tsananguro iri nyore |
|---|---|
| Rudzi rwekusarongeka | Unogona kuziva rudzi rwechirwere chemwoyo chaunacho. |
| Chikonzero chedambudziko | Unogona kuwana chikonzero chikuru chedambudziko iri. |
| Mudzi wedambudziko | Unogona kunyora chiratidzo chemagetsi chisina kunaka panobva chiratidzo ichi chemagetsi mumoyo. |
| Kurapa kwakanakisa | Unogona kusarudza kana mushonga wakakunakira, kana kuti unoda kurapwa senge catheter ablation, kana pacemaker. |
| Njodzi yeramangwana | Zvinokwanisika kuziva pachine nguva kana paine njodzi dzakakomba, dzakadai sekufa kamwe kamwe kwemwoyo, dzinogona kukonzerwa nezvimwe zvirwere. |
Chinhu chakakosha ndechekuti dzimwe nguva, pavanenge vachiita EP Study iyi, vanachiremba vanogonawo kuwana nzvimbo yedambudziko voita kurapa (catheter ablation). Izvi zvinoreva kuti vanogona kuita zvinhu zviviri panguva imwe chete.
Unogadzirira sei Chidzidzo cheEP?
Chiremba wako achakupa mazano ekugadzirira bvunzo iyi, asi kazhinji, yeuka pfungwa idzi.
Kugadzirira kwakajairika
- Kutyaira: Haugone kutyaira kwemaawa makumi maviri nemana mushure mekubvunzurudzwa, saka ronga kuti mumwe munhu akutore akuendese kumba.
- Zvipfeko: Pfeka zvipfeko zvakareruka uye zvinonyaradza paunouya kuchipatara.
- Zvishongo nezvinhu zvinokosha: Bvisa zvishongo zvese, zvakaita semhete, mitsipa yemuhuro, nemawachi, wozvisiya kumba.
- Kuchenesa nzara: Bvisa kupukuta nzara uye makeup yese.
- Kurwara: Kana uine allergies yezvinhu zvakaita se latex, kana kuti kana uine dambudziko reanesthesia, udza chiremba wako pachine nguva.
Mazano pamusoro pemishonga uye kudya
- Mishonga yaunotora: Udza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini nemishonga yemishonga). Ungakumbirwa kuti urege kutora mimwe mishonga mazuva mashoma bvunzo isati yaitwa.Usamborega kutora mishonga usina kubvunza chiremba wako.
- Chirwere cheshuga: Kana uine chirwere cheshuga, bvunza chiremba wako kuti unganwa sei mushonga wako pazuva rekuongororwa.
- Zvekudya Nekunwa: Idyai zvakanaka husiku husati hwasvika bvunzo. Zvisinei, musadye, musanwe, kana kutsenga chingamu mushure mehusiku. Izvi zvakakosha zvikuru kuti muve vakachengeteka. Inwai mushonga nemvura shoma chete kana muchida, uye itai izvozvo chete kana chiremba wenyu akakuudzai kuti mudaro.
Chii chinoitika pazuva rebvunzo?
Bvunzo iyi inoitirwa mukamuri rakakosha, rinonzi EP lab kana catheterization lab.
Kana warara pamubhedha,
1. Kuisa mutsetse weIV: Kannula kadiki (mutsetse weIV) kachaiswa mutsinga iri muruoko rwako. Apa ndipo pachapihwa mishonga nemvura zvinodiwa panguva yekuongororwa.
2. Kuchenesa: Nzvimbo inopinzwa macatheter (kazhinji nzvimbo yemudumbu) inogerwa, kana zvichidikanwa, uye inocheneswa zvakanaka nemushonga unouraya utachiona.
3. Kubvisa utachiona: Uchaputirwa nejira risina utachiona. Maoko ako achasungwa netambo kuti asabata nzvimbo isina utachiona.
Munguva yebvunzo
Chiremba achabaya mushonga unobaya munzvimbo ichaiswa catheter. Zvadaro, machubhu akati wandei matete, anochinjika (catheters) achaiswa mutsinga achipinda mumoyo. Hauzonzwi kurwadziwa kana izvi zvaitwa. Chiremba achashandisa X-ray monitor (fluoroscopy) kutungamira macatheter aya zvakananga mumakamuri emwoyo.
Masensa ari pamakatheta aya anorekodha masaini emagetsi emoyo. Zvadaro,
- Kufamba: Chiratidzo chidiki chemagetsi chinotumirwa kuburikidza necatheter kuti mwoyo wako ukurumidze kurova. Unganzwa chipfuva chako chichirova panguva iyi. Usazvidya moyo, zvese izvi zvinoitwa nenzira yakarongeka.
- Kuziva dambudziko: Nenzira iyi, unogona kushandura kurova kwemoyo, kugadzira kusagadzikana kwaunako, uye kuedza kutsvaga kuti zvinotangira papi chaizvo.
- Kurapa: Kana zvichidikanwa uye zvakakodzera, kana dambudziko raonekwa, catheter ablation , kurapwa kunoparadza masero ari kutumira masaini emagetsi asiri iwo, kunogona kuitwa panguva imwe chete.
Kana uchinzwa kusagadzikana panguva yekuongororwa (semuenzaniso kurwadziwa pachipfuva, kupera simba), taurira chiremba kana nesi nekukasika. Wakachengeteka chose, uye michina nemishonga inodiwa kuti kurova kwemoyo wako kudzokere pakare chero nguva zvagadzirira panguva iyoyo.
Chii chinoitika mushure mekuyedzwa?
Mushure mekunge bvunzo iyi, iyo inotora awa imwe kusvika ina, yapera, chiremba anobvisa catheter, oibata panzvimbo kwenguva yakati kuti amise kubuda kweropa, uye oisa plaster diki.
- Kana catheter yakaiswa nepaburi remudumbu, uchafanira kuzorora pamubhedha makumbo ako akatwasuka kwemaawa mashoma.
- Kazhinji, unogona kuenda kumba manheru iwayo. Zvisinei, dzimwe nguva ungafanira kugara muchipatara kwezuva rimwe chete zvichienderana nemigumisiro.
- Unogona kutangazve mabasa ako ezuva rinotevera, asi usasimudza zvinhu zvinorema kweinenge vhiki.
- Chengeta nzvimbo yecatheter yakachena uye yakaoma.
Pane njodzi here nebvunzo iyi?
Sekunge kune chero bvunzo dzekurapa, kune njodzi diki diki dzinobatanidzwa. Zvisinei, inoonekwa sebvunzo yakachengeteka zvikuru . Mikana yezvinetso yakaderera zvikuru.
- Kubuda ropa kana hutachiona panzvimbo inopinzwa catheter.
- Kukuvadzwa kudiki kwetsinga yeropa kana moyo.
- Kuumbwa kweropa rakagwamba.
- Kusagadzikana kwemoyo.
Chiremba nechikwata chevanachiremba vari kungwarira zvikuru kuderedza njodzi idzi dzese. Saka hapana chikonzero chekunyanya kunetseka nezvazvo.
Nguva yekuona chiremba
Kana ukaona chimwe chezviratidzo zviri pazasi mushure mekudzokera kumba, fonera chiremba wako nekukasika.
- Kuzvimba, kutsvuka, kana mvura yakaita semapundu iri kubuda panzvimbo yecatheter.
- Kushaya simba muruoko kana gumbo iroro.
- Kunzwa kutonhora kana kushata kweruvara muruoko kana gumbo iroro.
- Kurwadziwa kwechipfuva.
- Kurutsa.
| Emergency! Enda kuETU (Emergency Treatment Unit) nekukasika. | |
|---|---|
| Kubuda ropa nguva dzose | Kana kubuda ropa kusingamire kunyangwe mushure mekudzvanya panzvimbo yekuisa catheter. |
| Kuzvimba kamwe kamwe | Kana nzvimbo yakaisirwa catheter ikangoerekana yazvimba pasina chikonzero. |
Mharidzo Yekuenda Nayo Kumba
- Chidzidzo cheEP bvunzo yakakosha uye yakachengeteka inotarisa matambudziko ane chekuita nemagetsi emwoyo wako.
- Kunyangwe izvi zvingaita sekunge zvakaoma, uchapihwa mushonga wekudzivirira kuti usanzwe kurwadziwa. Uchanzwa hope shoma chete.
- Kuongororwa uku kuchabatsira zvikuru chiremba wako kuwana chikonzero chaicho chekurova kwemoyo wako kusina kurongeka (arrhythmia) uye kusarudza mushonga wakanakira.
- Dzimwe nguva, kubvisa catheter kunogona kuitwa panguva imwe chete nebvunzo, uye dambudziko rako rinogona kupora zvachose.
- Kana muine mibvunzo kana zvinokunetsai nezvazvo, taurai nachiremba wenyu nezvazvo pachena.
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