Ngaba intliziyo yakho iqala ukubetha ngokukhawuleza ngequbuliso? Ngaba ngamanye amaxesha uziva ngathi kukho into engaqhelekanga esifubeni sakho, okanye isingqisho sentliziyo yakho asihambelani? Ukuba ukhe wadibana nale meko, usenokuba unesifo esibizwa ngokuba yi-'Atrial Flutter'. Ungakhathazeki, ngoku kukho unyango olusebenzayo kakhulu loku. Ngoko ke namhlanje siza kuthetha ngonyango olusebenzayo nolusetyenziswa kakhulu, 'Atrial Flutter Ablation'.
Ngamafutshane, yintoni i-Atrial Flutter Ablation?
Ngaphambi kokuba sikuqonde oku, masiqale sijonge ukuba yintoni i-'Atrial Flutter'. Amagumbi amabini aphezulu entliziyo yethu (i-atria) ngawo akhupha imiqondiso yombane eqala ukubetha kwentliziyo. Ngokwesiqhelo, la manqaku akhutshwa ngendlela ehlelekileyo nenesingqisho. Kodwa kumntu one-'Atrial Flutter', amanye amaseli kula magumbi aphezulu aqala ukukhupha imiqondiso yombane engaqhelekanga nekhawulezayo. Kufana nesinye sezixhobo zomculo kwi-orchestra edlala ngokukhawuleza kakhulu kwaye ingahambelani nesandi. Oku kubangela ukuba isingqisho sentliziyo sibe sisiphithiphithi kwaye intliziyo iqale ukubetha ngokukhawuleza kakhulu.
I-Atrial Flutter Ablation lunyango oluchonga kwaye lutshabalalise okanye lucime iiseli ezibangela imiqondiso yombane engahambelaniyo. Emva koku, imiqondiso engahambelaniyo iyayeka kwaye intliziyo ibetha ngokuqhelekileyo kwakhona.
Iindlela ezimbini eziphambili zisetyenziselwa lo msebenzi:
- Ukususwa kweeRadiofrequency: Oku kuquka ukusebenzisa ubushushu ukutshabalalisa iiseli ezinengxaki.
- Ukucima: Oku kuquka ukusebenzisa ubushushu obuphezulu (ukukhenkceza) ukuze kucinywe iiseli.
Zombini ezi ndlela zenza into efanayo: ziyayimisa imiqondiso evela kwiiseli eziphazamisa isigqi sentliziyo.
Kutheni udinga olu nyango?
Ngokwesiqhelo, ugqirha uqala ngokuzama ukulawula izinga lentliziyo ngokunika amayeza. Kodwa ngamanye amaxesha amayeza awakwazi ukulawula imeko. Emva koko, kwenziwa unyango olubizwa ngokuba yi-"Cardioversion" ngamanye amaxesha. Oku kuthetha ukunika intliziyo umbane omncinci ukuzama ukuyibetha kwakhona.
Ngoko ke, ukuba amayeza okanye i-cardioversion ayinakulawula isantya sentliziyo yakho , ugqirha wakho unokucebisa i-atrial flutter ablation njengesisombululo esilandelayo esingcono nesisebenzayo.
Ulungiselela njani ngaphambi konyango?
Nangona olu tyando lungelulo olukhulu, lufuna ukulungiswa kancinci.
- Ugqirha uza kukuxelela ukuba ungatyi okanye ungaseli nto malunga neeyure ezintandathu ukuya kwezisibhozo ngaphambi konyango.
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza owasebenzisayo okwangoku kwiintsuku ezimbalwa ngaphambi kolu nyango. Ugqirha wakho uza kukucebisa ngokucacileyo ngale nto.
- Kubaluleke kakhulu: Ukuba uthatha amayeza okunciphisa igazi, ungayeki ukuwathatha nangasiphi na isizathu ngaphandle kokuba ugqirha wakho ekuxelele ukuba wenze njalo. Oku kubaluleke kakhulu.
Lusebenza njani olu nyango?
Abantu abaninzi bacinga ukuba oku 'kukutyanda intliziyo evulekileyo'. Kodwa akunjalo. Oku kwenziwa kwicandelo elikhethekileyo elizinikele kwizifo zentliziyo ('ilabhoratri ye-catheterization yentliziyo').
Ngamazwi alula, okwenzekayo inyathelo ngenyathelo ngolu hlobo lulandelayo:
1. Okokuqala, uza kunikwa amayeza okuthomalalisa iintlungu zakho nokukulalisa (`twilight sedation`). Ngamanye amaxesha, unganikwa ne-anesthesia eqhelekileyo.
2. Emva koko ugqirha ufaka inaliti encinci eluswini lwe-groin yakho.
3. Ngayo, iityhubhu ezininzi ezincinci neziguquguqukayo (`(iiCatheters)`) zifakwa kwimithambo yegazi.
4. Ngale tube, enye ityhubhu ebhityileyo ene-electrode (i-`electrode catheter`) idluliselwa entliziyweni.
5. Kusetyenziswa le electrode, kwenziwa imephu yokuchonga ngqo apho kuvela khona imiqondiso yombane enengxaki entliziyweni (`mapping`).
6. Nje ukuba iiseli ezinengxaki zichongiwe, ziyatshatyalaliswa ngokuthumela amandla e-radiofrequency (ubushushu).
Le nkqubo yonke idla ngokuthatha malunga neeyure ezimbini ukuya kwezine .
Kwenzeka ntoni emva konyango?
Emva kokuba unyango lugqityiwe, naziphi na iityhubhu ezifakiweyo ziya kususwa. Ugqirha uza kubeka uxinzelelo kwindawo efakwe kuyo inaliti ukuze ayeke ukopha. Emva koko uya kuyalelwa ukuba ugcine umlenze wakho woluliwe iiyure ezintandathu ukuya kwezisibhozo .
Nokuba sele ubuyele ekhaya, kufuneka uqhubeke nokuthatha amayeza akho okunciphisa igazi (i-blood thinners) njengoko ugqirha wakho ekuyalele, ngaphandle kokuphosa idosi enye. Ukuba ufumana ukopha kakhulu, fowunela ugqirha wakho ngoko nangoko.
Lusebenza kangakanani olu nyango? Kwaye zithini iingozi zalo?
Le yeyona ngxaki inkulu kubantu abaninzi. Iindaba ezimnandi zezokuba "(Atrial Flutter Ablation)" lunyango olunezinga lempumelelo elingaphezulu kwama-90% . Ukubetha kwentliziyo yabantu abaninzi kubuyela esiqhelweni emva koku. Nangona kunjalo, inani elincinci kakhulu labantu (malunga ne-4%-6%) linethuba lokuba le meko ibuyele esiqhelweni.
Njengakweminye inkqubo yezonyango, kukho umngcipheko omncinci kakhulu obandakanyekayo, kodwa amathuba okuba neengxaki angaphantsi kwe-1%.
| Umngcipheko/Ubuntsonkothi | Ingcaciso elula |
|---|---|
| Ibloko lentliziyo | Ukuphazamiseka kokudluliselwa kwesignali yombane yentliziyo. |
| Istroke | Ihlwili legazi eliya engqondweni lize liyithintele (Kunikwa amayeza okuthintela ukugabha kwegazi ukuthintela oku). |
| Ukugqobhoka kwentliziyo | Umonakalo owenzeka ngengozi eludongeni lwentliziyo ngexesha lonyango (olunqabileyo kakhulu). |
| Usulelo | Usulelo kwindawo efakwe kuyo inaliti. |
| Ukopha | Ukopha kakhulu kwindawo ebhoboziweyo. |
Khumbula, ezi ziziganeko ezingaqhelekanga kakhulu. Iqela lakho lezonyango liqeqeshwe kakuhle ukulawula ezi ngozi.
Kuthatha ixesha elingakanani ukuphiliswa?
Enye into entle ngale nto kukuba ixesha lokuchacha lifutshane kakhulu.
- Ungaqhubeka nemisebenzi yakho yesiqhelo kwangoko nje wakufika ekhaya.
- Nangona kunjalo, kungcono ukuyeka imisebenzi enzima efana nemfundo yomzimba kunye nokuphakamisa iintsimbi kangangeentsuku ezintathu .
Ngokuxhomekeke kwingcebiso yengcali yentliziyo yakho, kunokufuneka uqhubeke nokusela amayeza okunciphisa igazi, nokuba lixesha elifutshane okanye elide.
Udinga nini ukubona ugqirha?
Kubaluleke kakhulu ukuba ube nolwazi olupheleleyo ngale nto. Qaphela iimpawu ezingezantsi.
| Kwimeko apho kufuneka unyango olungxamisekileyo - tsalela umnxeba ku-1990 okanye uye kwi-ETU ngoko nangoko! | |
|---|---|
| - Ukuba inxeba elivela ekuhlatyweni lidumba ngequbuliso nangokukhawuleza. | - Ukuba ukopha enxebeni akunakunqandwa. |
| - Ukuba ufumana iintlungu eziqatha esifubeni. | - Ukuba ufumana iimpawu zokungakwazi ukuthetha kakuhle, ukuthetha okungacacanga, okanye ubuthathaka kwelinye icala lomzimba. |
| Umele ufowunele ugqirha wakho nini | |
| - Ubunzima bokuphefumla | - Ukuba uziva unesizungu okanye utyhafile. |
| - Ukuba uziva ungenamdla emlenzeni olimeleyo | - Ukuba kukho ukudumba okwandayo okanye ukukrweleka okujikeleze inxeba |
| - Ukuba ukubetha kwentliziyo yakho kuvakala kungaqhelekanga kwakhona | - Ukuphazamiseka kwesisu okanye isicaphucaphu |
Ukuba nentliziyo engaqhelekanga kunokuba yinto ecaphukisayo. Kodwa ngoku kukho unyango oluhle kakhulu nolusebenzayo. I-Atrial Flutter Ablation lolunye unyango olusebenzayo kakhulu. Umntu ongcono ukwazi ukuba olu nyango lukulungele na ngugqirha wakho. Thetha naye ngayo yonke into kwaye ubuze yonke imibuzo yakho.
Umyalezo Wokuya Ekhaya
- I-Atrial Flutter Ablation lunyango lokubetha kwentliziyo okungacwangciswanga oluphumelela ngaphezu kwama-90%.
- Olu asilotyando lokwandisa isifuba. Lwenziwa ngokufaka umbhobho omncinci ngemithambo yegazi emqolo.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi nasemva konyango, ingakumbi malunga nezinto ezinciphisa igazi.
- Ixesha lokuchacha lifutshane kakhulu. Ungabuyela kubomi obuqhelekileyo kwiintsuku ezimbalwa.
- Lumka ngeempawu ezingxamisekileyo ezifana nokopha kakhulu, iintlungu zesifuba, kunye nokudumba ngequbuliso. Ukuba kukho nayiphi na kwezi, funa ingcebiso kagqirha ngokukhawuleza.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho