Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokukhawuleza ngaphandle kwesizathu, ngathi kukho into engalunganga esifubeni sakho? Isenokuba yinto eyahlukileyo. Kodwa ngamanye amaxesha inokuba luphawu lwesifo sentliziyo esibizwa ngokuba yi-atrial flutter. Ungakhathazeki, namhlanje siza kuthetha ngale meko kunye nonyango lwayo olusebenzayo kakhulu, olubizwa ngokuba yi-ablation.
Yintoni i-Atrial Flutter?
Ngamafutshane, le yingxaki ngesingqisho sentliziyo. Intliziyo yethu inamagumbi amabini, amagumbi aphezulu (i-atria) kunye namagumbi asezantsi (ii-ventricles). Kwintliziyo ephilileyo, la magumbi mabini abetha ngendlela ehlelekileyo, ngesingqisho esifanayo.
Cinga ngayo njenge-orchestra eqeqeshwe kakuhle edlala ingoma ngaxeshanye. Kodwa kwi-Atrial Flutter, amagumbi aphezulu entliziyo, okanye i-atria, aqala ukubetha ngokukhawuleza nangokungacwangciswanga. Kufana namalungu amaninzi e-orchestra ebetha iidrama nangasiphi na isantya asithandayo. Oku kuphazamisa ukusebenza kwentliziyo iyonke. Ukuba oku kuqhubeka ixesha elide, akulunganga entliziyweni.
Ngoko ke yintoni le ndlela yonyango lwe-Ablation?
I-Atrial Flutter Ablation yinkqubo etshabalalisa iiseli ezineempazamo ezibangela ukuba intliziyo ibethe ngokukhawuleza nangokungaqhelekanga.
Khawucinge ngesibane endlwini esicimayo siphinde sivuthe ngenxa yentambo engasebenzi kakuhle. Ukukhupha umbane yinkqubo yokufumana intambo engasebenzi kakuhle, ukuyicima, kunye nokusombulula ingxaki ngokusisigxina.
Kule meko, oogqirha badla ngokusebenzisa indlela ebizwa ngokuba yi-radiofrequency ablation ukuvala iiseli ezithumela imiqondiso engalunganga. Ngamanye amaxesha, oku kwenziwa ngokusebenzisa umkhuhlane omkhulu (cryoablation). Nokuba yeyiphi na indlela, injongo kukuyeka imiqondiso engalunganga nokubuyisela isigqi sentliziyo.
Eyona nto ibalulekileyo kukuba, olu asilotyando lwentliziyo evulekileyo.
Kutheni kufuneka ube ne-ablation?
Ugqirha usebenzisa olu nyango ukuba imeko ayinakulawulwa ngamayeza okanye inkqubo ebizwa ngokuba yi-cardioversion ukubuyisela isigqi sentliziyo. Ugqirha wakho uya kugqiba ukuba olu nyango lukulungele na.
Izinto ekufuneka uzazi ngaphambi nasemva konyango
Kukho izinto ezininzi ekufuneka uzazi ngaphambi nasemva kolu nyango.
Ukulungiselela ngaphambi konyango
- Ugqirha wakho uza kukuxelela ukuba uyeke ukutya okanye ukusela iiyure ezi-6-8 ngaphambi konyango.
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza owasebenzisayo kangangeentsuku ezimbalwa ngaphambi kokuba unyango luqale.
- Kodwa oku kubaluleke kakhulu: Ukuba usebenzisa amayeza okunciphisa igazi, ungawayeki nangasiphi na isizathu ngaphandle kokuba ugqirha wakho wentliziyo ekuxelela ukuba wenze njalo. Musa ukutsiba idosi enye.
Indlela unyango oluqhutywa ngayo
Oku kudla ngokwenzeka kwilebhu ye-cardiac catheterization. Uza kunikwa amayeza okukulalisa (twilight sedation), okanye mhlawumbi i-anesthesia jikelele. Emva koko:
1. Inaliti encinci ifakwa ngesikhumba kwindawo yempundu.
2. Ngayo, iityhubhu ezininzi ezincinci ezibizwa ngokuba yi-'catheters' zifakwa kwimithambo yegazi.
3. I-catheter ye-electrode idluliselwa kule tube iye entliziyweni yakho.
4. Sisebenzisa le catheter, singakwazi ukubona iiseli ezisentliziyweni ezibangela le ngxaki.
5. Emva koko, amandla e-radiofrequency asetyenziswa ukucima iiseli ezineengxaki.
Le nkqubo yonke ingathabatha malunga neeyure ezimbini ukuya kwezine.
Emva konyango
Nje ukuba unyango lugqityiwe, zonke iityhubhu ezifakiweyo ziyasuswa kwaye indawo ebhobokileyo iyaqiniswa. Emva koko, uya kucelwa ukuba ugcine umlenze wakho uthe tye malunga neeyure ezi-6-8. Kwanasemva kokuba ubuyele ekhaya, kuya kufuneka uqhubeke nokuthatha amayeza akho okunciphisa igazi de ugqirha wakho akuxelele ukuba wenze njalo.
Impumelelo yonyango, iingozi, kunye nezinto ekufuneka uziqaphele
Njengakwezinye iindlela zonyango, kukho izinto ezimbalwa ekufuneka uzazi. Masizijonge ngokusondeleyo.
| Uhlobo lolwazi | Yintoni ekufuneka uyazi |
|---|---|
| Izinga lempumelelo | Olu nyango lunempumelelo engaphezulu kwama-90% . Uninzi lwabantu lubuyela kwisantya sentliziyo yabo eqhelekileyo. Nangona kunjalo, ipesenti encinci, malunga ne-4%-6%, inokuphinda ibuyele esiqhelweni. |
| Iingozi | Umngcipheko weengxaki ungaphantsi kwe-1%.Nangona kunjalo, iingxaki ezingaqhelekanga ziquka: ukuvaleka kwentliziyo, isifo sohlangothi, ukugqobhoka kwentliziyo, usulelo, kunye nokopha kakhulu. |
| Ixesha lokuya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko | Ukuba inxeba apho inaliti ifakwe khona lidumba ngequbuliso okanye ukuba ukopha kwenxeba akunakulawulwa. |
| Ufanele ufowunele ugqirha nini ngoko nangoko | Ukuba ufumana ukopha okugqithisileyo, ubuthathaka, ukudideka, ubunzima bokuthetha, okanye uzive utyhafile kwaye ngathi ungawa. |
| Ezinye izinto ekufuneka ziqwalaselwe | Xelela ugqirha wakho ukuba ufumana ubunzima bokuphefumla, isiyezi, iintlungu zesifuba, ukungaziva mnandi emlenzeni owonzakeleyo, ukudumba okanye ukukrweleka okujikeleze inxeba, ukubetha kwentliziyo okungaqhelekanga, okanye intlungu yesisu. |
Kuthatha ixesha elingakanani ukuphiliswa?
Eyona nto ilungileyo ngale nto kukuba ayithathi xesha lide ukuphola.
Ungabuyela ekhaya uze uqhubeke nemisebenzi yakho yesiqhelo ngosuku olulandelayo. Nangona kunjalo, kububulumko ukuphepha imisebenzi enzima efana nokuzilolonga nokuphakamisa iintsimbi kangangeentsuku ezintathu.
Ngokuxhomekeke kwimeko yakho, kunokufuneka uthathe amayeza okunciphisa igazi, okwexesha elifutshane kunye nexesha elide, njengoko kucetyisiwe yingcali yentliziyo yakho.
Kuqhelekile ukuba nabani na abe noloyiko xa esiva ngengxaki yesingqisho sentliziyo. Kodwa i-Atrial Flutter yimeko enokunyangeka. I-Ablation yindlela esebenzayo nekhuselekileyo yokuyinyanga. Ngoko ke, thetha ngokukhululekileyo nogqirha wakho ngale nto uze ukhethe unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- I-Atrial flutter yimeko enokunyangeka ebangelwa kukubetha kwentliziyo okungaqhelekanga nangokukhawuleza.
- Utyando lwe-Ablation lolona luphumelele kakhulu (ngaphezulu kwe-90%) kwaye lukhuselekileyo koku. Asikotyando lwentliziyo oluvulekileyo.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva konyango, ingakumbi leyo iphathelele ukuthatha amayeza okunciphisa igazi.
- Qaphela iimpawu ezilumkisayo emva konyango, ezinje ngokopha kakhulu, ukuquleka, kunye nobunzima bokuthetha. Ukuba uneengxaki, yiya kugqirha wakho okanye kwiSebe leeNgxamiseko (ETU) elikufutshane nawe ngokukhawuleza.
- Musa ukoyika olu nyango, thetha ngalo ngokukhululekileyo nogqirha wakho wentliziyo uze wenze isigqibo.
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