Ngaba intliziyo yakho ngamanye amaxesha ibetha ngamandla ngaphandle kwesizathu? Ivakala ngathi yidrama ibetha esifubeni sakho, ngaphandle kwesingqisho, kwaye ivakala iyoyikisa kakhulu, akunjalo? Le meko inokukwenza udinwe, ube nesiyezi, kwaye uphelelwe ngumphefumlo. Olu hlobo lokubetha kwentliziyo okungaqhelekanga, ingakumbi imeko oogqirha abayibiza ngokuba yi-'Atrial Fibrillation' (AFib), ngamanye amaxesha ayilawulwa kakuhle ngamayeza amiselweyo ukuyilawula. Kulapho oogqirha bacinga khona ngonyango olukhethekileyo olubizwa ngokuba yi-'AV Node Ablation'.
Ngamafutshane, yintoni i-AV Node Ablation?
Kulungile, eli lisenokubonakala ngathi ligama elintsonkothileyo, kodwa masiligcine lilula.
Okokuqala, makhe sijonge inkqubo yombane yentliziyo yethu. Khawuthelekelele intliziyo yakho njengendlu enamagumbi amane. Amagumbi amabini amancinci aphezulu abizwa ngokuba yi-atria. Amagumbi amabini amakhulu asezantsi abizwa ngokuba yi-ventricles. Ukuze intliziyo isebenze kakuhle, la magumbi kufuneka anciphe ngendlela ehlelekileyo nenesingqi. Lo msebenzi ulawulwa yinkqubo yombane yendalo ngaphakathi kwentliziyo.
Kwimeko efana ne-'Atrial Fibrillation' (AFib), imiqondiso yombane emagumbini amabini aphezulu entliziyo (atria) iyaphazamiseka, nto leyo ebangela ukuba ibethe ngokukhawuleza nangokungacwangciswanga. Kufana ne-orchestra engenamqhubi, wonke umntu edlala iculo lakhe.
Apha, ngaphambi kokuba ezi mpawu zombane zingasebenzi kakuhle zihambe ukusuka kumagumbi aphezulu ukuya kumagumbi amakhulu (iiseli), kufuneka zidlule "kwisango" elincinci. Eli sango yinto esiyibiza ngokuba yi-AV node . Eli candelo le-AV lifana nephoyisa lendlela. Lizama ukulawula imeko ngokuvumela ukuba kudlule imiqondiso embalwa ekhawulezayo nengalawulekiyo evela phezulu.
Kodwa ngamanye amaxesha le ngxaki iba nzima kangangokuba ne-AV node ayikwazi ukuyilawula. Kulapho oogqirha benza khona into ebizwa ngokuba yi-'AV Node Ablation.'
I-'Ablation' ithetha ukucima inxalenye yethishu usebenzisa ubushushu okanye ukubanda kakhulu. Ngoko ke i-'AV Node Ablation' ithetha ukucima ngabom "isango" (i-AV node) apho imiqondiso ephazamisayo idlula khona.
Oku kubangela ukuba umbane ongaqhelekanga kumagumbi angasentla uyeke ngokupheleleyo ukuya kumagumbi okumpompa angundoqo angezantsi.
Kutheni i-pacemaker iyimfuneko ngokupheleleyo?
Le yeyona nto ibalulekileyo ekufuneka uyazi malunga nolu nyango.
Xa sivala isango elivumela imiqondiso evela phezulu ukuba idlule (i-AV node), amagumbi amabini (iiseli) entliziyo awasafumani mqondiso wokubetha. Ngaba intliziyo iza kuyeka ukubetha ke ngoko? Hayi. Yiyo loo nto oogqirha befaka isixhobo esihlala sihleli kuwe njengesisombululo.
Le pacemaker sisixhobo esisebenza ngebhetri encinci.Ithumela imiqondiso yombane kumagumbi asezantsi entliziyo ukuze ibethe ngesingqisho esithile nangesantya esithile. Ngamafutshane, sivala inxalenye engasebenzi kakuhle yenkqubo yombane yendalo yentliziyo size siyitshintshe ngesilawuli sombane esenziweyo esisebenza kakuhle kakhulu.
Eyona nto ibalulekileyo kukuba unyango olubizwa ngokuba yi-AV Node Ablation alunakuguqulwa kwaye luhlala luhleli. Oku kuthetha ukuba emva kokuba lugqityiwe, kuya kufuneka uhlale ne-pacemaker ubomi bakho bonke.
Ngubani ocebisa olu nyango?
I-AV Node Ablation ayilonyango lomntu wonke. Kukho izizathu ezininzi eziphambili zokuba ugqirha angakucebisa:
- Ukuba onke amanye amayeza anikwe ukulawula ukubetha kwentliziyo yakho okungaqhelekanga aye angasebenzi.
- Ukuba awukwazi ukuqhubeka nokusebenzisa amayeza ngenxa yeziphumo ebezingalindelekanga ezibi kakhulu .
- Ukuba sele ufake i-pacemaker ngesizathu esinye.
- Ukuba ukusebenza kwentliziyo yakho kuyawohloka ngenxa yemeko yakho ye-'AFib'.
Esi sigqibo senziwa emva kokuba ugqirha wakho wentliziyo ekuxilongile ngononophelo.
Ulungiselela njani ngaphambi konyango?
Ukuba awunayo i-pacemaker, ugqirha wakho uza kukufakela i-pacemaker kwiiveki ezimbalwa ngaphambi kokuba i-ablation iqale, ngexesha elifanayo ne-ablation, okanye emva kokuba yenziwe.
Ukongeza, ngaphambi kokuba benze i-'ablation', oogqirha benza i- EP Study ('Electrophysiology Study') . Oku kuquka ukumapha iindlela zombane zentliziyo ukuze kufunyanwe indawo echanekileyo ye-AV node esiza kuyicima.
Indlela olusebenza ngayo unyango - inyathelo ngenyathelo
Ungoyiki ukuthi lutyando olukhulu. I-AV Node Ablation yinkqubo engangenisi gazi kakhulu edla ngokwenziwa ngomngxuma omncinci eluswini, ngaphandle kokusikwa okukhulu. Makhe sijonge indlela eyenziwa ngayo.
| Amanyathelo | Inkcazo elula yoko kwenzekayo |
|---|---|
| 1. Ukulungiselela | I-cannula encinci (IV) ifakwa emthanjeni engalweni yakho kwaye unikwa amayeza okukunceda ulale kwaye uphumle, ukuze ungabi nantlungu ingako. |
| 2. Ukuba ndindisholo | Indawo yakho yangaphakathi, engalweni, okanye entanyeni iya kuba ne-numbness. Kulapho i-catheter iza kufakwa khona. |
| 3. Ukufaka i-catheter | Ii-catheters ziingcungcu ezibhityileyo, ezinde, neziguquguqukayo ezidluliselwa ngomthambo ukusuka kwindawo echaphazelekayo ukuya entliziyweni. |
| 4. Ukubeka iliso | Kuyo yonke le nkqubo yonyango, oogqirha kunye nabongikazi bajonga izinto ezifana nokubetha kwentliziyo yakho kunye noxinzelelo lwegazi kwizikrini zekhompyutha. |
| 5. Ukufumana i-AV node | Esebenzisa ii-X-reyi kunye nemephu yombane yentliziyo, ugqirha uya kufumana indawo echanekileyo ekuyo i-AV node. |
| 6. Ukukhupha (ukucima) | Isixhobo esikhethekileyo esikwincam ye-catheter sisebenzisa ubushushu (`amandla e-radiofrequency`) okanye ukubanda kakhulu (`cryoablation`) ukuvala i-AV node. |
Le nkqubo yonke ingathatha ngaphantsi kweyure ukuya kwiiyure ezininzi.
Zithini iingenelo kunye neengozi?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
Iingenelo eziphambili
- Akuyi kufuneka usele amayeza okulawula isantya sentliziyo yakho (kodwa kusenokufuneka uqhubeke nokuthatha amayeza okunciphisa igazi).
- Iimpawu ezifana nesiyezi, ukudinwa, kunye nokuphefumla kancinci ziyancitshiswa kwaye umgangatho wobomi uyaphucuka.
- Uza kukwazi ukwenza imisebenzi yomzimba emininzi kunangaphambili.
- Iyanciphisa isidingo sokulaliswa esibhedlele okanye ukuya kwiSebe leeNgxamiseko (ETU) rhoqo ngenxa yeengxaki zentliziyo.
- Le yimpumelelo enkulu kakhulu kwaye ikhuselekileUkuba yindlela yonyango.
Iingxaki ezinokwenzeka (ezinqabileyo kakhulu)
Iingxaki azixhaphakanga, kodwa kubalulekile ukuba uzazi.
- Ukuqokelelana kolwelo kwi-membrane ejikeleze intliziyo (i-pericardial effusion).
- Olunye uhlobo lokubetha kwentliziyo okungaqhelekanga.
- Ukungasebenzi kakuhle kwe-ventricle yasekhohlo yentliziyo (oku kungalungiswa nge-pacemaker ekhethekileyo).
- Ukufa ngequbuliso (oku kunqabile kakhulu).
Ugqirha wakho uza kukuchazela ezi ngozi ngokweenkcukacha.
Kwenzeka ntoni emva konyango?
Emva kokuba unyango lugqityiwe, ugqirha uza kususa ii-catheters aze abambe iindawo zokufaka i-infusion kangangemizuzu eli-15. Emva koko, kuya kufuneka ulale ebhedini iiyure ezimbalwa.
Ngokwesiqhelo uza kuhlala esibhedlele ubusuku bonke uze ugoduke ngosuku olulandelayo. Kuqhelekile ukuziva udiniwe kwaye ubuhlungu kancinci kangangeentsuku ezimbini okanye ezintathu emva kokuba ugodukile. Kodwa uya kukwazi ukuqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa.
Uza kucelwa ukuba uze kutyelelo olulandelayo emva kwenyanga emva kokuba kufakwe i-pacemaker. Emva koko, kuya kufuneka uhlolwe rhoqo kanye okanye kabini ngonyaka.
Ufika nini kugqirha
Emva konyango, ukuba ufumana ezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko.
| Amathuba | Iimpawu ekufuneka uzijonge |
|---|---|
| Iimpawu zosulelo | Ukuba indawo apho kufakwe khona i-pacemaker ibuhlungu, idumbile, ibomvu, okanye ivakala ngathi inomkhuhlane okanye ibanda (oku kungenzeka emva kweenyanga). |
| Ukuba ucinga ukuba kukho ingxaki nge-pacemaker yakho | Ukuba uhlala unesizungu, uphelelwa ngamandla, okanye uphefumla nzima. |
Ngaba zikho ezinye iindlela zonyango?
Ewe. Olunye unyango oluthathwa njengolunye uhlobo lwe-'AV Node Ablation' yi -'Pulmonary Vein Isolation' (PVI) .
Oku kuquka ukufumana iindawo apho imiqondiso yombane engaqhelekanga ebangela i-AFIB iqala khona (kwimithambo yemiphunga) uze uyicime ukuze iyeke. Emva konyango lwe-PVI, i-pacemaker ayisoloko iyimfuneko. Nangona kunjalo, ugqirha wakho uya kugqiba ukuba loluphi unyango kwezi zimbini olulungele wena.
Ukwenza isigqibo sokuba ne-AV Node Ablation akulula. Akunakuguqulwa. Kwaye abanye abantu abayithandi ingcamango yokuhlala ne-pacemaker ubomi babo bonke. Nangona kunjalo, izinga lempumelelo yolu nyango lisondele kwi-100%. Kwaye ukukhululeka kunye nomgangatho wobomi bakho okuziswa yiyo kuphezulu kakhulu.
Ngoko ke, xoxa ngokukhululekileyo ngayo yonke imibuzo yakho kunye noloyiko lwakho nogqirha wakho. Uza kukuchazela yonke into aze akuncede wenze isigqibo esifanelekileyo kwimeko yakho.
Umyalezo Wokuya Ekhaya
- I-AV Node Ablation lunyango oluphumelelayo lwentliziyo engaqhelekanga (i-Atrial Fibrillation) ekunzima ukuyilawula ngamayeza.
- Oku kuyayimisa ngokusisigxina imiqondiso yombane engalawulekiyo ehamba ukusuka kumagumbi aphezulu entliziyo ukuya kumagumbi asezantsi.
- Olu lunyango olungenakuguqulwa, oko kuthetha ukuba alunakuguqulwa xa sele lwenziwe.
- Emva kokusetyenziswa kwe-AV Node Ablation, kuyimfuneko ukunxiba i-pacemaker esisigxina ubomi bakho bonke ukuze ubambe ukubetha kwentliziyo rhoqo.
- Olu nyango lunezinga eliphezulu lempumelelo, lunciphisa iimpawu kwaye luphucula kakhulu umgangatho wobomi.
- Ngaphambi kokuba wenze naziphi na izigqibo, xoxa ngononophelo ngezinto ezilungileyo, iingxaki, kunye neendlela zonyango kunye nogqirha wakho wentliziyo.
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