Ngaba kukho ingxaki ngesingqisho sentliziyo yakho? Emva koko bonana ne-Electrophysiologist!

Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngesantya esahlukileyo okanye ngendlela eyahlukileyo? Ezi zinto zinokubangelwa lutshintsho kwinkqubo yombane yentliziyo. Kulapho ke kufuneka sibone ingcali ye-electrophysiologist , ugqirha ogxile kwimisebenzi yombane yentliziyo. Ngaba singathetha ngale nto ngokweenkcukacha?

Ngubani ke lo (i-Electrophysiologist)? Wenza ntoni?

Ngamafutshane, "i-Electrophysiologist" yingcali yentliziyo enolwazi olunzulu "ngenkqubo yombane" yentliziyo yakho. Uyazi, intliziyo yethu ibetha kwaye ipompa igazi emzimbeni wonke ngenxa yale nkqubo yombane. Ifana "nombane" endlwini. Intliziyo isebenza kakuhle kuphela xa ezi mpawu zombane "iimpawu zombane" zihamba entliziyweni ngendlela efanelekileyo necwangcisiweyo.

Nangona kunjalo, ngamanye amaxesha ukuba kukho ingxaki ngezi mpawu zombane, ezifana nokubetha kwentliziyo okungaqhelekanga (i-arrhythmia) , unokufuna ukubona i-electrophysiologist. Emva koko unokufumanisa kanye ukuba kwenzeka ntoni entliziyweni yakho aze ayinyange. Iingcali zonyango lweengxaki zesingqisho sentliziyo kubantwana abancinci, njengeentsana nabantwana abancinci, zibizwa ngokuba zii-electrophysiologists zabantwana.

Ngoko ke, into eyenziwa ngulo gqirha (ingcali ye-Electrophysiology) kukufumanisa nokunyanga iingxaki nge-(inkqubo yokuqhuba) yentliziyo yakho. Oko kukuthi, ukhangela izizathu zokuba intliziyo yakho ibetha ngokungacwangciswanga, isizathu sokuba imiqondiso yombane entliziyweni yakho ingahambi ngendlela eqhelekileyo. Kukho iintlobo ezithile ze-(Arrhythmia)`, ezingengobungozi kangako, zizinto nje ezicaphukisayo. Kodwa ezinye zazo zinokuba yingozi ebomini . Ingcali ye-`(ingcali ye-Cardiac Electrophysiology)` ingawubona umahluko phakathi kwezi zimbini.

Baza kufumanisa ukuba yintoni ebangela ingxaki yakho yombane kwaye iqala phi. Nje ukuba bayazi unobangela ochanekileyo, banokuyinyanga. Umzekelo, ngonyango olufana ne-`(Catheter Ablation)`, unyango luphumelela ngaphezu kwe-90% . Ngenxa yoku, oogqirha be-`(Electrophysiologist)` baye bakwazi ukuphucula umgangatho wobomi babantu abaninzi ababanyangayo.

Yintoni umahluko phakathi kwengcali yentliziyo kunye nengcali ye-electrophysiology?

Le yingxaki enabantu abaninzi. "Ingcali ye-Electrophysiology" yingcali yentliziyo eqeqeshwe ngokukodwa . Ingcali yentliziyo iyonke inyanga izifo ezahlukeneyo ezenzeka entliziyweni. Kodwa ingcali ye-Electrophysiology inobuchule ngakumbi kwinkqubo yombane yentliziyo, elawula isigqi sentliziyo yakho.Oku kuthetha ukuba uye wangena nzulu kancinci kweli cala le-elektroniki waza wafumana ulwazi.

Zeziphi izifo ezinyangwa yi-electrophysiologist?

Ingcali ye-electrophysiologist inyanga inani leengxaki zentliziyo ezinxulumene nesingqisho sentliziyo. Uninzi lwezi meko ziquka ukubetha kwentliziyo okungahambelaniyo okanye ukubetha kwentliziyo ngokukhawuleza . Ezinye iimeko zinokuba yingozi ngakumbi kunezinye. Nazi ezinye zeemeko zesingqisho sentliziyo:

• I-Atrial Fibrillation : Kule meko, amagumbi aphezulu entliziyo (i-atria) abonakala eshukuma endaweni yokubetha kakuhle.
• Ukuphaphazela kwe-Atrial : Oku kukwabetha ngokukhawuleza nangokungaqhelekanga kwi-atria.
• I-Atrial Tachycardia : Ukubetha kwentliziyo okukhawulezayo okuqala kwi-atria.
• Ukuvaleka kwentliziyo : Intliziyo ibetha ngokukhawuleza kakhulu kuba imiqondiso yombane entliziyweni ayihambi kakuhle.
• Isifo sikaWolff-Parkinson-White : Esi sisifo apho intliziyo inendlela yombane engaphezulu, enokubangela ukuba intliziyo ibethe ngokukhawuleza.
• Ukufiphalisa kwemithambo yegazi : Le yimeko eyingozi kakhulu. Amagumbi asezantsi (iiseli) zentliziyo ayaqhaqhazela ngaphandle kokubetha kakuhle. Kufuneka unyango olukhawulezileyo.
• I-Ventricular Tachycardia : Ukubetha kwentliziyo okukhawulezayo okuqala kwiiventricles. Oku kunokuba yingozi.
• I-Supraventricular Tachycardia (SVT) : Iqela leentliziyo ezibetha ngokukhawuleza eziqala ngaphezulu kweeventricle.
• Ukukhawulelana kwe-Atrial ngaphambi kwexesha (ii-PAC) : Ukubetha okongezelelweyo, kwangethuba kwi-atria.
• Ukukhawulelana Kwangaphambi Kwexesha Kwemithambo Yentliziyo (iiPVC) : Ukubetha okongezelelweyo, kwangethuba okuvela kwiiventricle.
• I-Sick Sinus Syndrome : Ubuthathaka bokusebenza kwesixhobo sokusebenza kwentliziyo esisebenzayo.
• I-Long QT Syndrome : Iingxaki eziyingozi ze-arrhythmias zinokwenzeka kuba inkqubo yombane yentliziyo ithatha ixesha elide kakhulu ukuba ibuyele esiqhelweni.

Kutheni ndithunyelwa kwi-Electrophysiologist?

Ukuba ugqirha wakho ukrokrela ukuba kukho ingxaki kwinkqubo yombane yentliziyo yakho, angakuthumela kwi-electrophysiologist. Umzekelo, ukuba intliziyo yakho ibetha ngokukhawuleza kunesiqhelo, okanye ngokukhawuleza kakhulu, okanye ukuba ibetha ngendlela engaqhelekanga.Usenokuba ubona i-"Cardiac Electrophysiologist". Cinga ngayo, ngamanye amaxesha uziva ngathi isifuba sakho siyabetha, okanye uziva ngathi uyaphambana, okanye uziva ngathi ulahlekelwa zingqondo. Ezi zinto zinokubangelwa yingxaki ngesingqisho sentliziyo yakho.

Loluphi uhlobo lovavanyo oluqhutywa yingcali ye-electrophysiologist?

Ingcali ye-electrophysiologist ingenza uvavanyo olwahlukeneyo ukunceda ekufumaneni unobangela wengxaki yakho. Ezinye zezi vavanyo ziquka ukurekhoda isigqi, kwaye ezinye ziquka ukulinganisa intliziyo. Uninzi lwezi vavanyo azihlaseli . Ezinye zinokufuna ukuba kufakwe i-cannula encinci (IV) emthanjeni osengalweni yakho. Ezinye zezi vavanyo ziquka:

• Uphononongo lwe-Electrophysiology (EPS) : Oku kuquka ukufaka iingcingo ezincinci (ii-catheters) entliziyweni ukuze kuhlolwe umsebenzi wombane wentliziyo nzulu.
• Uvavanyo lweTable Tilt : Oku kwenzelwa ukujonga ukuba uziva ubuthathaka na xa usukuma.
• I-Electrocardiogram (ECG/EKG) : Uvavanyo olulula olurekhoda umsebenzi wombane wentliziyo.
• I-Holter Monitor : Isixhobo esincinci esinokurekhoda ukubetha kwentliziyo yakho rhoqo kangangeeyure ezingama-24 okanye ezingama-48.
• Isixhobo sokujonga iziganeko : Sisixhobo esikuvumela ukuba urekhode xa uneempawu. Esi sixhobo kufuneka sisetyenziswe iintsuku okanye iiveki ezimbalwa.
• I-Transthoracic Echocardiogram (TTE) : Uvavanyo lwentliziyo olusebenzisa i-ultrasound.
• I-Transesophageal Echocardiogram (TEE) : Olu luvavanyo lwe-echo, kodwa kolu vavanyo, ityhubhu encinci idlula kwi-esophagus ukuze kufunyanwe imifanekiso ecacileyo yentliziyo.
• I-CT Scan eQokelelweyo : I-CT scan inokuvelisa imifanekiso eneenkcukacha zentliziyo.
• I-MRI yentliziyo : Ukufumana imifanekiso yentliziyo kusetyenziswa iMagnetic Resonance Imaging.

Ndifanele ndibonane nini ne-electrophysiologist?

Kungcono ukubona i-Cardiac Electrophysiologist ukuba uneempawu ezilandelayo:

• Ukuqhawukelwa ngumphefumlo
• Iintlungu zesifuba
• Ukubetha kwentliziyo - Oku kuthetha ukuba ungaziva isifuba sakho sibetha, ngamanye amaxesha ngendlela engaqhelekanga.

Khawucinge nje, nokuba umi nje, uzive ngathi unengxaki yokuphefumla, isifuba sakho sivakala siqinile, okanye intliziyo yakho iqala ukubetha ngamandla ngequbuliso. Ngamaxesha anje, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.

Iingxaki ezininzi zesingqisho sentliziyo zineempawu ezifanayo, ngoko ke ubuchule be-electrophysiologist bubalulekile ukuze kuchongwe ukuba loluphi uhlobo lwesingqisho sentliziyo esingaqhelekanga onaso.

Ngaba udinga ingcebiso yokubona ingcali ye-electrophysiologist?

Kusenokwenzeka ukuba kunjalo. Usenokufuna ingcebiso yokubona ingcali ye-electrophysiologist. Nangona inkampani yakho yeinshorensi isenokungafuni ingcebiso yokubhekisa, ugqirha wakho wosapho okanye omnye umntu ochwephesha uya kukuthumela kwingcali ye-electrophysiologist ukuba bacinga ukuba unengxaki yesingqisho sentliziyo.

Yintoni omele uyilindele xa usiya kubona i-electrophysiologist?

Okokuqala, i-electrophysiologist iya kubuza ngembali yakho yezonyango ize ixoxe ngeempawu zakho zangoku. Baya kufuna uluhlu lwamayeza onke owasebenzisayo, kuquka amayeza athengiswa ngaphandle kwemvume kagqirha. I-electrophysiologist yentliziyo inokukwazi ukwenza uvavanyo olukhawulezileyo, olufana ne-ECG, ngoko nangoko, okanye ikuthumele ekhaya nesixhobo, esifana nesixhobo sokujonga ukubetha kwentliziyo yakho, esirekhoda ukubetha kwentliziyo yakho kangangeentsuku ezininzi.

Ukuba sele ulwenzile olu vavanyo, ingcali ye-electrophysiologist ingenza olunye uvavanyo ukukunceda ufumane uxilongo. Emva kokufumanisa uxilongo, ingcali ye-electrophysiologist ingaqala unyango. Ngamanye amaxesha, unyango lunokunikwa ngexesha elifanayo. Unyango lunokubandakanya amayeza okanye ukufakwa kwesixhobo.

Oogqirha baziphatha njani iingxaki zesingqisho sentliziyo?

Ingcali ye-electrophysiologist inokuxilonga ingxaki yakho ize ibone unyango olulungele wena. Kunokuba lula njengokuqala amayeza amatsha. Abanye banokufuna isixhobo sokubanceda bahlale bebetha intliziyo yabo ngendlela eqhelekileyo. Nazi ezinye zeendlela eziphambili zonyango:

• Amayeza : La mayeza ungawanikwa yonke imihla, okanye uwanikwe ngemithambo yegazi (IV) xa kukho imeko engxamisekileyo.
• IiPacemakers : Ezi zisebenzisa ii-electrical impulses ukulungisa ingxaki kwinkqubo yombane yentliziyo. Zihlala zisetyenziswa kubantu abaneentliziyo ezibetha ngokungalungelelananga.
• Ii-ICDs ezifakelwa kwi-Cardioverter Defibrillators (ICDs) : Ezi zinceda ekuthinteleni ii-arrhythmias eziyingozi ngokuletha umbane entliziyweni yakho xa uwufuna.
• I-Cardioversion : Oku kuquka ukunika intliziyo yakho umbane usebenzisa isixhobo sangaphandle ukubuyisela izinga lentliziyo yakho kwisiqhelo.
• Ukususwa kweCatheter: Kule nto, ugqirha udala amanxeba amancinci kwiindlela apho imiqondiso yombane engahambelaniyo ihamba ngaphakathi entliziyweni. Oku kumisa imiqondiso engahambelaniyo kwaye kumisa isigqi sentliziyo esingaqhelekanga. Olu lunyango olusebenzayo kakhulu.

Luhlobo luni loqeqesho olunikwa yingcali ye-electrophysiologist?

Oku kulungile ukwazi. "Ingcali ye-Electrophysiology" yingcali eqeqeshwe kakhulu . Emva kwesikolo sezonyango, benza izifundo zokuhlala kwi-"General Internal Medicine". Emva koko benza izifundo kwi-"Cardiovascular Disease", baze emva koko benze olunye unyaka okanye emibini yoqeqesho olukhethekileyo kwi-"Clinical Cardiac Electrophysiology." Ngoko ke ungabona ukuba bazinikele kangakanani ekubeni ziingcali kweli candelo? Ngoko ungabathemba.

Basebenza phi oogqirha be-electrophysiologist?

Iingcali ze-Electrophysiology zihlala zisebenza ngasese kunye nezinye iingcali zentliziyo. Zikwasebenza nasezibhedlele. Ilabhoratri ekhethekileyo apho benza khona uvavanyo ibizwa ngokuba yilabhoratri ye-electrophysiology okanye ilebhu ye-EP. Ngamanye amaxesha ibizwa ngokuba yilabhoratri ye-catheterization okanye ilebhu ye-Cath.

Okokugqibela, zimbalwa izinto ekufuneka uzikhumbule

Ukuba usoloko uphelelwa ngamandla, uneentlungu esifubeni, okanye uphelelwa ngumphefumlo, ungafuna ukubona ingcali ye-electrophysiologist ukuze ufumane ukuba yintoni ebangela oku. Ukuba awuqinisekanga ngovavanyo okanye unyango abaza kukwenzela lona, ​​ungoyiki ukubuza imibuzo . Ugqirha uza kukuchazela yonke into.

Khumbula, ukubona ingcali kungaba ngamava amatsha kuwe. Kodwa oogqirha be-"Electrophysiologist" ziingcali ekuqondeni nasekunyangeni iingxaki zesingqisho sentliziyo. Ngoko ke ungabathemba ukuba baza kunyamekela impilo yentliziyo yakho. Ungakhathazeki, uninzi lwezi meko zinokulawulwa ngonyango olufanelekileyo.

Isingqisho sentliziyo , i-electrophysiologist, ukubetha kwentliziyo, isifo sentliziyo, i-pacemaker, i-catheter ablation, i-ECG, inkqubo yombane yentliziyo, i-arrhythmia, ingcali yentliziyo