Wonke umntu uba novalo kancinci xa esiva ngomatshini ongaphakathi esifubeni sakhe, akunjalo? Yinto eqhelekileyo leyo. Kodwa uyazi ukuba ezi matshini zincinci zinceda kangakanani izigidi zabantu abanesifo sentliziyo ukuba baphile ubomi obusempilweni nobude? Ezi zizixhobo zonyango ezibaluleke kakhulu ezinceda ekusindiseni ubomi. Namhlanje sithetha ngezi zixhobo zokunceda intliziyo, oko kukuthi, Izixhobo zoNcedo lwentliziyo. Masisuse uloyiko kunye namathandabuzo ngale nto size siziqonde nje ezi zinto.
Zeziphi ezi zixhobo zokuncedisa intliziyo?
Ngamafutshane, esi sisixhobo esincinci ugqirha wakho anokusifaka esifubeni sakho ukuze ancede intliziyo yakho isebenze ngcono. Esi sixhobo siyakunceda xa intliziyo yakho ifuna ukuvuselelwa.
Khawucinge nje, ukubetha kwentliziyo yabanye abantu kuya kuba yinto engahambelaniyo. Siyibiza ngokuba yi-"Arrhythmia". Kwiimeko ezinjalo, ezi zixhobo zinokunceda ekulawuleni ukubetha kwentliziyo, zithintele ukuminyana kwentliziyo ngequbuliso, okanye zincede intliziyo ipompe igazi emzimbeni wonke.
Usenokungakhululeki kancinci ngengcinga yokuba nomatshini esifubeni sakho, kodwa khumbula ukuba izigidi zabantu kwihlabathi liphela zixhomekeke kwezi zixhobo ukuze ziphile ubomi obusempilweni nobude.
Ziziphi iintlobo eziphambili zezi zixhobo?
Kukho iintlobo ezininzi eziphambili zezixhobo ezinceda intliziyo. Ugqirha ukhetha isixhobo esifanelekileyo ngokweemfuno zomntu ngamnye. Makhe sijonge iintlobo eziphambili.
| Uhlobo lweSixhobo | Ngamafutshane, kuthetha ukuthini oku? |
|---|---|
| Isixhobo sokuncedisa ukubetha kwentliziyo | Oku kuxelela izihlunu zentliziyo ukuthi, "Nanku, betha ngeli xesha." Oko kukuthi, ithumela imiqondiso emincinci yombane ukugcina isantya sentliziyo sikwinqanaba elifanelekileyo kumntu osantya sentliziyo yakhe siphezulu kakhulu. |
| I-Biventricular Pacemaker | Iingcingo zayo ziqhagamshelwe kwiigumbi ezimbini ezisezantsi zentliziyo (ii-ventricles) kunye negumbi eliphezulu lasekunene (i-atrium), nto leyo ebangela ukuba zonke ezi gumbi zisebenze kunye, ngesingqi esinye. |
| I-ICD (ICD) ye-ICD (ICD) | Ukuba isantya sentliziyo siba ngesantya esiyingozi, esi sixhobo sinokusibona size sinike umbane omncinci ukuze sibuyisele kwisantya esifanelekileyo. Oku kukhusela ekufeni ngequbuliso. |
| Isixhobo soNcedo lweVentricular (VAD) | Lo matshini unceda intliziyo ipompe igazi emzimbeni wonke. Ufana nomncedisi onciphisa umthwalo womsebenzi wentliziyo. Usetyenziselwa abantu abaneentliziyo ezibuthathaka kakhulu. |
Kutheni kufuneka isixhobo esinjalo?
Kukho izizathu ezininzi zokuba ugqirha wakho angacebisa isixhobo esifana nesi. Ezona ziphambili kukulawula isingqisho sentliziyo, ukuthintela ukuminxa kwentliziyo ngequbuliso, okanye ukuphucula amandla okumpompa.
Ukuba kukho ubuthathaka ekusebenzeni kwentliziyo, ngugqirha wakho oza kufumanisa unobangela ochanekileyo aze amisele isixhobo esifanelekileyo.
Ezi zixhobo zinokufunwa ngabantu abanezi meko zilandelayo zempilo:
- Ukuphazamiseka kwentliziyo `(Arrhythmia)`
- Ibloko lentliziyo
- Iingxaki ngesixhobo sentliziyo esisebenza njenge-pacemaker yendalo (i-sinus node) (i-Sick Sinus Syndrome)
- I-Long QT Syndrome (i-long QT syndrome)
- Ukubetha kwentliziyo ngokukhawuleza (iTachycardia)
- Intliziyo ecothayo kakhulu (iBradycardia)
- I-Ventricular Fibrillation, isifo esiyingozi nesisongela ubomi kwi-heart rhythm disorder
- Ukusilela kwentliziyo: Ukungakwazi kwentliziyo ukupompa igazi elaneleyo emzimbeni.
- I-Cardiomyopathy (izifo zemisipha yentliziyo)
Zisebenza njani ezi zixhobo?
Khawuthelekelele ukuba ugqirha wakho ubeka isixhobo ngononophelo, esifana ne-pacemaker okanye i-ICD, phantsi kwesikhumba sesifuba sakho. Emva koko, bancamathisela iingcingo ezincinci (ii-leads) ezivela kuso kwiindawo ezithile entliziyweni yakho. Ezi ngcingo zivumela isixhobo ukuba 'simamele' umsebenzi wentliziyo yakho kwaye sithumele imiqondiso yombane ukulungisa izinga lentliziyo yakho xa kufuneka. I-ICD inokubangela ukubetheka kombane ukuba kuyimfuneko.
Ezi zixhobo zisebenza ngokwenkqubo emiselwe ngugqirha ngaphandle. Zinebhetri encinci, ehlala ixesha elide .
Enye into entle kukuba ezinye izixhobo zinokuqokelela ulwazi malunga nentliziyo yakho zize ziluthumele kugqirha wakho ngefowuni okanye kwi-intanethi. Ngoko ke, nokuba awuyanga esibhedlele rhoqo, ugqirha wakho unokwazi imeko yentliziyo yakho. Oku kunokuba luncedo olukhulu ekuchongeni naluphi na utshintsho ngaphambi kokuba lube mandundu.
Zithini iingenelo zokusebenzisa ezi zixhobo?
- Ukhuseleko olusindisa ubomi ekubanjweni yintliziyo ngequbuliso.
- Ukujikeleza kwegazi emzimbeni ngcono.
- Ukulungelelanisa isigqi sentliziyo.
- Ukwehla kweempawu ezinxulumene nesantya sentliziyo (ezifana nesiyezi, ukudinwa).
- Ukuncipha kokulaliswa esibhedlele ngenxa yesifo sentliziyo.
- Ezinye izixhobo zinokufakwa nge-incision encinci kakhulu, endaweni ye-incision enkulu .
- Ibhetri yesixhobo ihlala ixesha elide , ukusuka kwiminyaka emi-6 ukuya kweli-15 .
Ziziphi iingozi okanye iziphumo ebezingalindelekanga ezinokubakho?
Njengakwezinye iinkqubo zonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo. Nangona kunjalo, kubalulekile ukukhumbula ukuba ezi azixhaphakanga kakhulu kwaye oogqirha bayalumkela kakhulu olu nyango.
- Ukopha.
- Umngxuma omncinci kakhulu entliziyweni unokwenziwa xa kufakwa isixhobo (oku kunqabile kakhulu).
- I-Pneumothorax.
- Ukuqunjelwa kwegazi.
- Ukonakala okanye ukwaphuka kweengcingo zesixhobo.
- Ukungasebenzi kakuhle kwesixhobo.
- Ukuhambisa isixhobo.
- Usulelo olunxulumene nezixhobo.
Ukuba kwenzeka into efana nale, iqela lakho lezonyango lihlala likulungele ukubonelela ngonyango olufunekayo.
Ndingalumka njani xa ndihlala nesixhobo?
Emva kokuba isixhobo sifakiwe, ungaqhubeka nobomi bakho bemihla ngemihla njengesiqhelo. Nangona kunjalo, kukho izinto ezimbalwa ekufuneka uzikhumbule.
| Inyani | Kwenziwe ntoni |
|---|---|
| Indlela Yokusika | Landela imiyalelo kagqirha malunga nendlela yokunyamekela i-incision. |
| Ukuzilolonga nokusebenza | Kuya kufuneka unciphise imisebenzi efana nokuphakamisa izinto ezinzima kwasekuqaleni. Buza ugqirha wakho ukuba ungaqala nini ukuqhuba nokubuyela emsebenzini kwakhona. |
| Iskeni ye-MRI | Ukuba kufuneka wenze i-MRI scan, qiniseka ukuba uthetha nogqirha wakho. Uninzi lwabantu abanezixhobo banokwenza i-MRI, kodwa ugqirha wakho kuya kufuneka azi ngamanyathelo akhethekileyo omawuwathathe ukuze ukhuseleke. |
| Izixhobo zemihla ngemihla | Izinto zemihla ngemihla ezifana neefowuni eziphathwayo, ii-oven ze-microwave, kunye nezikena zokhuseleko azidli ngokubangela ngxaki. Musa ukukhathazeka ngaloo nto. |
| Fowunela ugqirha wakho ukuba unezi mpawu: | |
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Kufuneka ubone ugqirha wakho ubuncinane kanye ngonyaka (rhoqo ekuqaleni) ukuqinisekisa ukuba isixhobo sisebenza kakuhle. Kwakhona, ungathandabuzi ukufowunela ugqirha wakho nanini na xa uziva into engaqhelekanga okanye engathandekiyo.
Umyalezo Wokuya Ekhaya
- Izixhobo zoNcedo lwentliziyo zibuchwepheshe obukhuselekileyo nobusindisa ubomi obunokukunceda uphile ubomi obude nobusempilweni. Musa ukoyika ukuzisebenzisa.
- Ngokuxhomekeke kwimeko yentliziyo yakho, kukho iintlobo ezahlukeneyo zezixhobo ezifana nee-pacemakers, ii-ICD, kunye nee-VAD. Ugqirha wakho uya kugqiba ukuba zeziphi ezikulungeleyo.
- Emva kokuba isixhobo sifakiwe, soloko ulandela imiyalelo kagqirha wakho malunga nemisebenzi, ii-MRI scans, njl.
- Akukho mfuneko yokoyika izixhobo ze-elektroniki zemihla ngemihla ezifana neefowuni eziphathwayo kunye nee-microwave.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ezinje ngomkhuhlane, iintlungu eziqatha, isiyezi, okanye ukudumba kwindawo yotyando, yazisa ugqirha wakho ngoko nangoko.
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