Ukubetha kwentliziyo okungaqhelekanga? Masithethe ngonyango lwe-CRT (uNyango lokuHlanganisa iintliziyo)

Cinga ngentliziyo yakho njengeqela lomculo. Xa wonke umntu esebenza ngaxeshanye, kwangaxeshanye, kudalwa umculo omnandi. Kodwa ngamanye amaxesha, ngakumbi kwiimeko ezifana nokusilela kwentliziyo, amagumbi amabini asezantsi entliziyo, iiventricles, aqala ukusebenza ngokuchaseneyo, ngokungangqalanga. Xa elinye libetha, elinye alibetha, kwaye xa elinye libetha, alibetha. Xa amagumbi amabini entliziyo eqhekeka, intliziyo ayikwazi ukupompa igazi ngokufanelekileyo. Kulapho unyango olukhethekileyo olubizwa ngokuba yiCardiac Resynchronization Therapy, okanye iCRT ngamafutshane, lusiza kusinceda.

Kalula nje, yintoni le CRT?

I-CRT lunyango olubuyisela isigqi sentliziyo kwisimo esiqhelekileyo. Ikwabizwa ngokuba yi-Biventricular Pacing. Igama elithi "Biventricular" lithetha "amagumbi omabini." Oku kuthetha ukuba olu nyango lubangela ukuba amagumbi amabini asezantsi (ii-ventricles) entliziyo abethe kunye ngaxeshanye. Ukuze enze oku, ugqirha wakho uza kufaka isixhobo esincinci phantsi kwesikhumba sesifuba sakho.

Oku kwahlukile kancinci kwi-pacemaker eqhelekileyo. I-pacemaker eqhelekileyo inentambo enye okanye ezimbini. Kodwa esi sixhobo se-CRT sineentambo ezintathu . Ezi ntambo zintathu ziqhagamshelwe kwiindawo ezintathu ezithile entliziyweni.

• Intambo enye iya kwigumbi eliphezulu lentliziyo (i-atrium yasekunene)
• Intambo yesibini iya kwigumbi elisezantsi lasekunene lentliziyo (i-ventricle yasekunene).
• Ucingo lwesithathu luya kwigumbi elisezantsi lasekhohlo lentliziyo (i-ventricle yasekhohlo).

Ezi ntambo zintathu zithumela imiqondiso yombane engabonakaliyo, nto leyo ebangela ukuba amagumbi entliziyo asebenzisane, ngaxeshanye. Kufana nomqhubi ohleli phambi kwe-orchestra aze anike wonke umntu imiqondiso yokuba badlale kunye. Oku kwandisa kakhulu ukusebenza kakuhle kwentliziyo.

Ngubani ngokwenene ofuna olu nyango lweCRT?

Olu nyango alulungelanga wonke umntu. Ugqirha wakho uza kujonga izinto ezininzi ngaphambi kokuba akucebise.

• Imeko Yokusilela Kwentliziyo: Ijonga ukuba unesifo sentliziyo esiphakathi okanye esiqatha.
• Unyango ngamayeza: Kwanasemva kokusebenzisa amayeza angcono kakhulu okusilela kwentliziyo, iimpawu (ukuphelelwa ngumphefumlo, ukudinwa) zisabonakala.
• Iingxaki zesingqisho sentliziyo: Uvavanyo lwe-ECG lujonga ukulibaziseka kokudluliselwa kwemiqondiso yombane entliziyweni yakho. Oku kudla ngokucetyiswa, ingakumbi kubantu abanemeko efana neLeft Bundle Branch Block .
• Amandla okupompa kwentliziyo:I-echocardiogram (i-heart scan) iya kujonga nokuba amandla entliziyo yakho okukhupha igazi (i-ejection fraction) aphantsi na.

Ngamafutshane, oogqirha bacinga ngolu hlobo lonyango kubantu abanentliziyo engaqhelekanga ekunzima ukuyilawula ngamayeza kunye notshintsho kwindlela abaphila ngayo.

Ulungiselela njani ngaphambi konyango?

Ekubeni olu lutyando oluncinci, kufuneka ulungiselele kwangaphambili. Ugqirha wakho uza kukuxelela ukuba wenze oku kulandelayo:

• Uvavanyo: Kwiintsuku ezimbalwa ngaphambi kotyando, uya kucelwa ukuba wenze i- echocardiogram , mhlawumbi i- MRI scan yentliziyo , kunye novavanyo lwegazi ukuze kuqinisekiswe imeko yentliziyo yakho.
• Ukuzila Ukutya: Uya kucetyiswa ukuba ungatyi okanye ungaseli nantoni na ubuncinane iiyure ezi-6 ngaphambi kotyando.
• Amayeza: Ngexesha lotyando, uza kunikwa amayeza okuthomalalisa iintlungu zakho nokukwenza ulale kancinci, ukuze ungaziva nto.

Lwenziwa njani olu tyando?

Le nkqubo ithatha iiyure ezininzi. Nantsi into eyenzekayo:

1. Ukufaka iintambo: Okokuqala, ugqirha ufaka iintambo ezintathu ezibhityileyo kakhulu ngomthambo osegxalabeni lakho, okanye mhlawumbi ethangeni lakho. Oku kwenziwa ngononophelo olukhulu xa ubukele umatshini we-X-ray.

2. Ukuthumela iintambo entliziyweni: Ezi ntambo emva koko zidluliselwa kwimithambo yegazi zize zibekwe kwiindawo ezintathu ezichaziweyo zentliziyo ekuthethwe ngazo ngaphambili (i-atrium yasekunene, i-ventricle yasekunene, kunye ne-ventricle yasekhohlo).

3. Ukwenza indawo yesixhobo: Okulandelayo, kwenziwa umngxuma omncinci eluswini olungaphantsi kwethambo lakho lekhola, nto leyo eya kudala indawo encinci (ipokotho) phantsi kwesikhumba. Kulapho isixhobo seCRT siya kubekwa khona.

4. Uqhagamshelo kunye novavanyo: Ezinye iziphelo zeengcingo ezintathu ezithunyelwa entliziyweni ziqhagamshelwe kwesi sixhobo seCRT. Emva koko, bayajonga ukuba sisebenza kakuhle na kwaye imiqondiso ihamba kakuhle na.

5. Ukufakelwa kwesixhobo: Ukuba yonke into ilungile, isixhobo seCRT sifakwa ngaphakathi kwipokotho eyenziweyo, i-incision ivalwe, kwaye izititshi zibekwe kakuhle.

Ziziphi iingenelo kunye neengozi zale ndlela yonyango?

Njengalo naluphi na unyango lwezonyango, i-CRT ineengenelo kunye neengozi. Kubalulekile ukuxoxa ngezi ngononophelo nogqirha wakho.

Kwenzeka ntoni emva konyango?

Kuya kufuneka uhlale esibhedlele malunga nosuku olunye emva kotyando.

• Endleleni egodukayo: Ekubeni unikwe iipilisi zokulala, awuzukukwazi ukuqhuba imoto . Ngoko ke, kubalulekile ukuzisa umntu oza kukuthatha akuse ekhaya.
• Ukuhamba kwengalo: Ingalo esecaleni apho isixhobo sifakwe khona (ngokuqhelekileyo ingalo yasekhohlo) kufuneka ihlale inganyakazi kwaye ingaphakanyiswa malunga neeyure ezili-12 . Oku kuvumela ukuba iingcingo ezifakiweyo zihlale kakuhle entliziyweni.
• Ikhadi Elikhethekileyo: Uza kunikwa ikhadi elikhethekileyo, elineenkcukacha zonke zesi sixhobo. Kubaluleke kakhulu ukugcina eli khadi kwisikhwama sakho ngamaxesha onke.
• Ukuchacha: Ungaphinda uqalise imisebenzi eqhelekileyo kwiintsuku ezimbalwa, kodwa akukhuthazwa ukuqhuba okanye ukuphakamisa izinto ezinzima kangangeveki.
• Ukuphinda Ujonge: Ngaphambi kokuba uthunyelwe ekhaya, i-X-ray okanye i-ECG inokuthathwa ukujonga ukuba iingcingo zisendaweni yazo.

Yintoni umahluko phakathi kwe-CRT kunye ne-ICD?

Le yinto edida abantu abaninzi. I-CRT kunye ne-ICD ziintlobo ezimbini zezixhobo.

• I-CRT (Unyango Lokuvuselela Intliziyo): Njengoko sele sixoxile, oku kusetyenziswa ukuvumelanisa ukubetha kwentliziyo. Oko kukuthi, kwenza amagumbi entliziyo asebenze kunye, ngesingqi esinye. Yinguqulelo ephucukileyo ye-pacemaker.
• I-ICD (I-Implantable Cardioverter-Defibrillator): Oku kwenza into eyahlukileyo. Ukuba intliziyo ibetha ngesantya esiyingozi, iyayibona ize ikhuphe umbane omncinci ukuze iyibuyisele kwimeko yayo yesiqhelo . Esi sisixhobo esisindisa ubomi.

Kodwa rhoqo, abantu abanesifo sentliziyo banokuba nazo zombini ezi ngxaki. Yiyo loo nto oogqirha befaka isixhobo esinye esinazo zombini ezi zakhono, i -CRT-D (CRT ene-Defibrillator) .

Uthetha nini nogqirha

Emva kokuba ufake isixhobo seCRT, kukho izinto ezithile ekufuneka uzilumkele.

Ukongeza, kufuneka uye kwimihla yekliniki ecwangcisiweyo.

• Ulandelelwano lokuqala luza kubanjwa malunga nenyanga emva kotyando.
• Emva koko, baza kucela ukukubona kube kanye okanye kabini ngonyaka.

Kwezi kliniki, ugqirha ujonga imeko yesixhobo, ibhetri yaso, kunye neengcingo. Ujonga nokuba ukusebenza kwentliziyo yakho kuphucuke kangakanani ngenxa yesi sixhobo.