Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokukhawuleza kakhulu, ingalawuleki? Kufana nedrama ibetha ngokukhawuleza kodwa ingenasigqi. Kwizonyango, le meko siyibiza ngokuba yi-Atrial Fibrillation . Ixesha elininzi, oku kunokulawulwa ngamayeza. Nangona kunjalo, ukuba akunakulawulwa ngamayeza, namhlanje sithetha ngendlela ekhethekileyo yonyango esetyenziswa ngoogqirha.
Ngamafutshane, yintoni i-AV Node Ablation?
Kulungile, eli gama livakala liyinkimbinkimbi kancinci, kodwa inkqubo ilula kakhulu. Ngamafutshane, i-AV Node Ablation yinkqubo engaphantsi kakhulu ebandakanya ukonakalisa indawo encinci yezicubu entliziyweni yakho ebizwa ngokuba yi-AV node (i-Atrioventricular node) ngobushushu okanye kubanda kakhulu, okuyekisa ukusebenza kwayo.
Ngoku mhlawumbi ucinga, "Owu, ubuthetha ukukhubaza inxalenye yentliziyo?" Ungakhathazeki, masicacise ngaloo nto.
Cinga ngale node ye-AV njengesixhobo esikhulu sokudibanisa umbane kwinkqubo yombane yentliziyo. Imiqondiso yombane ithunyelwa ukusuka kumagumbi aphezulu (i-atria) yentliziyo ukuya kumagumbi asezantsi (ii-ventricles) ngale ndlela yokudibanisa umbane. Kwi-atrial fibrillation, imiqondiso yombane evela kumagumbi aphezulu iyaphazamiseka kakhulu kwaye iyakhawuleza. Ngoko ke, ukuze sithintele le miqondiso iphazamisekileyo ukuba ingangeni kumagumbi asezantsi, sivala le ndlela yokudibanisa umbane (i-AV node).
Emva koko, ukuze ulawule isantya sentliziyo yakho, uza kufakelwa isixhobo sokuncedisa intliziyo esihlala sihleli nokuba ngaphambi okanye ngexesha lonyango. Oku kuthetha ukuba isixhobo sokuncedisa intliziyo siya kuthatha imisebenzi ye-AV node. Oku kuya kunceda ukugcina isantya sentliziyo sihamba kakuhle.
Ngubani ngokwenene odinga olu nyango?
I-Atrial Fibrillation yimeko ekufuneka inyangwe. Nangona kunjalo, i-AV Node Ablation ayifanelekanga kuye wonke umntu. Ugqirha wakho angacebisa olu nyango ukuba uwela kwenye yezi ndidi zilandelayo:
- Ukuba amayeza awasebenzi: Ukuba amayeza anikwe ukulawula i-atrial fibrillation awakwazi ukulawula ukubetha kwentliziyo yakho.
- Ukuba awukwazi ukunyamezela amayeza: Abanye abantu bakufumanisa kunzima ukuqhubeka nokusebenzisa amayeza ngenxa yeziphumo ebezingalindelekanga.
- Ukuba ezinye iindlela zonyango ziye zasilela: Ukuba ezinye iindlela zonyango, ezinje ngokuhlukaniswa kwemithambo yemiphunga, ziye zasilela ukulawula isantya sentliziyo.
- Ukuba sele unayo i-pacemaker: Ngamanye amaxesha olu nyango lungacetyiswa nakubantu abasele besebenzisa i-pacemaker ngezinye izizathu.
I-AV Node Ablation ayinyangi kuphela i-Atrial Fibrillation, kodwa ikwanyanga nezinye iintlungu zentliziyo ezingaqhelekanga ezenzeka kumagumbi aphezulu entliziyo. Umzekelo:
- I-Atrial Flutter
- Ii-Arrhythmias zeSupraventricular
Indlela olusebenza ngayo unyango, inyathelo ngenyathelo
Nangona olu tyando lungelulo olukhulu, yinto eyenziwa ngononophelo olukhulu.
Kwenzeka ntoni ngaphambi konyango?
Ukuba awunayo i-pacemaker, uza kufakelwa i-pacemaker esisigxina kwiiveki ezimbalwa ngaphambi kolu nyango, okanye ngamanye amaxesha ngosuku lonyango. Ukongeza, ugqirha wakho uza kwenza uphando lwe-electrophysiology yentliziyo yakho ukuze afumane indawo echanekileyo ye-AV node.
Xa uqala unyango:
1. I-cannula encinci (IV) iya kufakwa emthanjeni engalweni yakho kwaye uya kunikwa amayeza okukwenza ulale kancinci (ukuthomalalisa).
2. Ukurhawuzelela kumphezulu wesikhumba kwindawo efana ne-groin, intamo, okanye ingalo.
3. Ngayo, iityhubhu ezinde (ii-catheters) ezincinci kakhulu zifakwa entliziyweni yakho ngomnye wemithambo yakho.
Kwenzeka ntoni ngexesha lonyango?
Emva kokufaka i-catheter, iqela lezonyango:
- Iimpawu zakho ezibalulekileyo kunye nesingqisho sentliziyo yakho ziya kuqhubeka zijongwa.
- Ngokusebenzisa iteknoloji ye-X-ray, i-catheter ikhokelwa kwi-AV node.
- Ngokusebenzisa incam ye-catheter ekhethekileyo, i-AV node iyacinywa bubushushu (i-Radiofrequency ablation) okanye kubanda kakhulu (i-Cryoablation) .
Emva konyango?
Xa inkqubo igqityiwe, ugqirha uza kususa ii-catheters aze azibambe endaweni yazo kangangemizuzu eli-15. Emva koko uza kucelwa ukuba ulale ebhedini iiyure ezimbalwa. Ngokwesiqhelo uza kuhlala esibhedlele ubusuku bonke uze ugoduke ngosuku olulandelayo.
Umahluko phakathi kwe-AV Node Ablation kunye ne-PVI
Abanye abantu bakhetha unyango olubizwa ngokuba yiPulmonary Vein Isolation (PVI) endaweni ye-AV Node Ablation. Nangona zombini zijolise ekulawuleni i-Atrial Fibrillation, kukho umahluko omncinci kwindlela yokusebenza kunye neziphumo. Masijonge ngale ndlela.
| Uphawu | Ukususwa kweNode ye-AV | Ukwahlulwa kwemithambo yemiphunga (i-PVI) |
|---|---|---|
| Injongo ephambili | Ukuthintela imiqondiso yombane engalawulekiyo ukuba ingangeni kwinxalenye esezantsi yentliziyo. | Ukwakheka komqobo ojikeleze indawo apho kuvela khona imiqondiso yombane engalawulekiyo (imithambo yemiphunga). |
| Imfuneko ye-pacemaker | Ngokuqinisekileyo iyimfuneko ebomini. | Akusoloko kuyimfuneko. |
| Izinga lempumelelo | Iphezulu kakhulu (ngaphezu kwama-90%). | Iphantsi kakhulu (phakathi kwama-60% - 80%). |
Zithini iingenelo kunye neengozi?
Iingenelo zoku
- Isantya sentliziyo esilungileyo: Kunokwenzeka ukulawula isingqisho sentliziyo ngaphandle kwamayeza (nangona kunjalo, kunokufuneka uqhubeke nokuthatha amayeza okunciphisa igazi).
- Ubomi obusemgangathweni: Iimpawu ziyancipha, ubomi buya bukhululeka ngakumbi.
- Ukuzilolonga kungenza: Amandla omzimba okusebenza nzima ayakhula.
- Ukuncipha kokulaliswa esibhedlele: Inani lokulaliswa esibhedlele okanye ukutyelela iYunithi yoNyango oluNgxamisekileyo (ETU) liyancipha.
Ngaba kukho naziphi na iingozi?
Njengakwezinye iindlela zonyango, kukho iingozi ezincinci kakhulu, kodwa ezi azifumaneki rhoqo.
- Iingxaki nge-pacemaker efakelweyo.
- Ii-Ventricular arrhythmias (ukubetha kwentliziyo okungaqhelekanga kwigumbi elisezantsi lentliziyo).
- Ukungasebenzi kakuhle kwe-ventricle yasekhohlo yentliziyo (oku kungalungiswa nangokufaka i-pacemaker lead eyongezelelweyo (i-Biventricular pacing).
Eyona nto ibalulekileyo kukuba i-AV Node Ablation lunyango oluhlala luhleli olungenakuguqulwa (olungaguqukiyo) . Yiyo loo nto kufuneka i-pacemaker ubomi bonke. Le yinto ekufuneka uyicinge ngononophelo ngaphambi kokuba wenze esi sigqibo.
Udinga nini ukubona ugqirha?
Emva kokuba une-pacemaker, kuya kufuneka ubone ugqirha wakho rhoqo. Ngokwesiqhelo emva kwenyanga yokuqala, uze emva koko kube kanye okanye kabini ngonyaka. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, bona ugqirha wakho ngoko nangoko.
| Amathuba | Iimpawu ekufuneka uzijonge |
|---|---|
| Ukuba ukrokrela ukuba kukho usulelo kwindawo ye-pacemaker: | |
| Iimpawu zosulelo | Ifiva |
| Ukungcangcazela ngenxa yokubanda | |
| Intlungu, ubomvu, okanye ukudumba apho kukho khona isixhobo sokuncedisa umgudu wokuphefumula | |
| Ukuba ucinga ukuba i-pacemaker yakho ayisebenzi kakuhle: | |
| Iingxaki zokusebenza | Isiyezi (vertigo) |
| Ukuhamba ungenawotshi (ubudala) | |
| Ubunzima bokuphefumla | |
Ukugqiba ekubeni ne-AV Node Ablation akulula. Kuba ayinakuguqulwa kwaye kuya kufuneka uhlale ne-pacemaker ubomi bakho bonke. Nangona kunjalo, izinga lempumelelo liphezulu kakhulu. Ke ngoko, xoxa ngayo yonke imibuzo yakho kunye noloyiko lwakho nogqirha wakho. Eyona nto ibalulekileyo kukwazi yonke into kwaye wenze isigqibo esifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- I-AV Node Ablation lunyango olusebenza kakhulu kwi-atrial fibrillation enzima engakhange ilawulwe zezinye iindlela zonyango.
- Olu lunyango oluhlala luhleli, olungenakuguqulwa, kwaye emva konyango uya kufuna i-pacemaker ubomi bakho bonke.
- Olu nyango lunempumelelo engaphezulu kwama-90% kwaye lunokuphucula kakhulu umgangatho wobomi bakho.
- Esi sisigqibo esikhulu. Ngoko ke, yenza isigqibo esinolwazi ngokuxoxa ngokukhululekileyo ngezinto ezilungileyo, iingxaki, kunye nazo naziphi na iingxaki onokuba nazo nogqirha wakho.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho