Ngaba uyayazi i-CRT (Cardiac Resynchronization Therapy), ebangela ukuba amagumbi entliziyo abethe kunye?

Ngaba ngamanye amaxesha uziva udiniwe ngaphandle kwesizathu, okanye unengxaki yokuphefumla xa unyuka izinyuko? Mhlawumbi ugqirha wakho ukuxelele ukuba intliziyo yakho isebenza kancinci, nto leyo ethetha ukuba unesifo esibizwa ngokuba yi-'Heart Failure'. Eyona nto iphambili eyenzekayo kwiimeko ezinjalo kukuba amagumbi entliziyo awabethi ngaxeshanye nangesingqi esifanayo. Ngenxa yoku, intliziyo ayikwazi ukupompa igazi elifunekayo emzimbeni ngokufanelekileyo. Esi sisisombululo sale ngxaki sithetha ngayo namhlanje, olu nyango lukhethekileyo olubizwa ngokuba yi-CRT.

Ngamafutshane, yintoni olu nyango lwe-CRT?

I-CRT sisifinyezo segama elithi 'Cardiac Resynchronization Therapy'. Ngokuchanekileyo, le yinkqubo apho kufakwa khona isixhobo sokuncedisa intliziyo esikhethekileyo entliziyweni ngenkqubo yotyando oluncinci. Elinye igama lale nto yi-'biventricular pacing'.

Khawuthelekelele, intliziyo yethu ineegumbi ezimbini ezisezantsi, esizibiza ngokuba zii-ventricles ngokwezonyango. Kwintliziyo ephilileyo, zombini ezi gumbi kufuneka zifinyele kunye, ngaxeshanye, ukuze zipompe igazi liye emzimbeni. Kodwa kwiimeko ezifana nokusilela kwentliziyo, ezi gumbi zimbini zifinyele ngamaxesha ahlukeneyo. Oku kubizwa ngokuba yi-'dyssynchrony.' Ngelo xesha, into eyenziwa sesi sixhobo se-CRT kukuthumela imiqondiso emincinci yombane ukwenza zombini ezi gumbi zibethe ngaxeshanye, ngesingqi esinye. Oko kukuthi, iphinda ivumelane nokubetha kwentliziyo.

Isebenza njani le CRT device?

Mhlawumbi ukhe weva ngee-pacemaker eziqhelekileyo. Zinee-lead enye okanye ezimbini. Kodwa le CRT pacemaker inee -lead ezintathu . Yile nto ikhethekileyo.

Khawucinge nje, enye yezi ntambo zintathu iqhagamshelwe kwi-ventricle yasekunene yentliziyo, kwaye enye kwi-ventricle yasekhohlo. Intambo yesithathu iqhagamshelwe kwi-atrium yasekunene, eliyigumbi elingaphezulu kwentliziyo. Ngoko ke, isingqisho sentliziyo sijongwa rhoqo ngezi ntambo zintathu. Ukuba kubonwa ukungaqhelekanga kwisingqisho, oko kukuthi, ukuba amagumbi awangqubani, esi sixhobo sithumela isignali yombane encinci ngexesha elifanelekileyo kwaye senza ezo gumbi zisebenze kunye. Kufana nomqhubi we-orchestra, elawula wonke umntu kwisingqisho esinye.

Yintoni umahluko phakathi kwe-CRT kunye ne-ICD?

Usenokuba ukhe weva ngesixhobo esibizwa ngokuba yi-ICD. Musa ukubhidanisa ezi zimbini. Ezi zimbini zenza imisebenzi emibini. Masiqonde oku ngetafile.

Kodwa kukho enye into. Abanye abaguli banokuba nazo zombini ezi ngxaki. Oko kukuthi, amagumbi entliziyo awabetheki kunye, kwaye kwenzeka isigqi esiyingozi. Kubantu abanjalo, oogqirha bacebisa ukufaka indibaniselwano yezi zixhobo zimbini (isixhobo se-CRT-D) .

Ngubani ofuna olu nyango?

Ngokwesiqhelo, abantu abanezingqisho zentliziyo ezingahambelaniyo (arrhythmias) badinga olu hlobo lwe-pacemaker. Nangona kunjalo, unyango lwe-CRT lucetyiswa ngokukodwa kubantu abahlangabezana neemfuno ezithile. Kunokubakho izizathu ezininzi zokuba intliziyo ibuthathaka okanye ibe nesingqisho esingahambelaniyo.

• Ukusilela kwentliziyo: Intliziyo ayikwazi ukupompa igazi elaneleyo emzimbeni.
• Umonakalo wentliziyo ngenxa yokuhlaselwa yintliziyo kwangaphambili .
• Ukusebenza kwentliziyo kuyehla xa umntu ekhula.
• Ngenxa yamayeza athile.
• Isifo sentliziyo esizalwa naso .
• Ukuphazamiseka ekudlulisweni kwemiqondiso yombane entliziyweni. Umzekelo, imeko ebizwa ngokuba yi -'Bundle Branch Block' .

Indlela oluqhutywa ngayo utyando

Kwenzeka ntoni ngaphambi kotyando?

Kwiintsuku ezimbalwa ngaphambi kotyando, ugqirha wakho uya kuyalela iimvavanyo ezininzi ukujonga ukusebenza kunye nolwakhiwo lwentliziyo yakho. Umzekelo, unokucelwa ukuba wenze i-MRI scan yentliziyo okanye i-Transthoracic Echocardiogram (TTE) . Uya kunikwa i-anesthesia ukuthintela ukuba uzive naziphi na iintlungu ngexesha lotyando. Ungalaliswa.

Ngexesha lotyando...

1. Okokuqala, ugqirha ufaka iingcingo ezintathu ezikhethekileyo kwiindawo ezithile entliziyweni yakho, nokuba ngomthambo osegxalabeni lakho okanye mhlawumbi ethangeni lakho.

2. Okulandelayo, kwenziwa umngxuma omncinci eluswini olungaphantsi kwegxalaba ukuze kwenziwe ipokotho encinci yokubamba isixhobo se-pacemaker (ibhokisi encinci equlethe ibhetri kunye ne-circuitry).

3. Emva koko iingcingo ezithunyelwa entliziyweni ziqhagamshelwe kwesi sixhobo kwaye zijongwe ukuba zisebenza kakuhle na.

4. Ukuba yonke into ilungile, isixhobo sifakwa ngaphakathi kwipokotho eyenziweyo, kwaye ulusu luvalwe ngezititshi ezinyibilikayo.

Kwenzeka ntoni emva kotyando?

• Kuya kufuneka uhlale esibhedlele iiyure ezimbalwa okanye ubusuku bonke.
• Ekubeni ukhe waphathwa i-anesthesia, musa ukuqhuba imoto uye ekhaya. Kuya kufuneka uhambe nomnye umntu.
• Bakuxelela ukuba ungashukumi kakhulu ingalo yakho yasekhohlo kangangeeyure ezili-12 emva kotyando de iingcingo zihlale endaweni yazo.
• Uza kunikwa ikhadi elikhethekileyo. Liqulethe iinkcukacha malunga nesixhobo esafakwa kuwe. Kubaluleke kakhulu ukugcina eli khadi nawe ngamaxesha onke . Oku kuyimfuneko kwiindawo ezifana nee-airports.
• Kusenokufuneka uthathe i-X-ray ukuqinisekisa ukuba iingcingo zikwindawo efanelekileyo, okanye kusenokufuneka wenze i -EKG (i-electrocardiogram) ukujonga isigqi sentliziyo yakho.

Iingenelo kunye neengozi zonyango lwe-CRT

Iingenelo zonyango

Ukuba olu nyango luphumelele, umgangatho wobomi bakho ungaphucuka kakhulu.

• Ubungakanani begazi elimpontshwa yintliziyo ukuya emzimbeni buyanda.
• Ukusebenza kakuhle kwentliziyo kuyanda.
• Iimpawu ezifana nokuphefumla kancinci kunye nokudinwa ziyancipha.
• Inciphisa umngcipheko we-heart rhythms engaqhelekanga.
• Ixesha lokuphila linokwanda.
• Neemeko ezifana nokubuyela kwesisu emzimbeni (mitral regurgitation), apho igazi lihamba libuyela umva ngevalvu yentliziyo, zinokuphucuka.
• Amandla okuzilolonga ayaphucuka.

Akukho mngcipheko na koku?

• Iingcingo ezifakiweyo ziyaphuka okanye ziyasuka endaweni yazo.
• Usulelo kwindawo yotyando.
• Amahlwili egazi .
• Ukusabela kwi-allergy kwi-anesthetics okanye nantoni na enye.
• Ukuba nenye ingxaki yentliziyo, njengokuhlaselwa yintliziyo (kunqabile kakhulu).

Ukuchacha kunye nokufuna iingcebiso zonyango

Ungaqhubeka nemisebenzi yakho yesiqhelo kwiintsuku ezimbalwa emva kotyando. Nangona kunjalo, oogqirha bakucebisa ukuba ungenzi nto efana nokuqhuba okanye ukuphakamisa iintsimbi kangangeveki okanye ezimbini . Ibhetri ekwi-pacemaker efakelweyo idla ngokuhlala iminyaka eyi-7-10. Xa ibhetri iba buthathaka, ingatshintshwa ngolunye utyando oluncinci.

Ufanele uye nini kugqirha?

Uza kuba nedibano yokulandelela emva kwenyanga emva kotyando. Emva koko, kuya kufuneka ubone ugqirha kanye okanye kabini ngonyaka. Baza kujonga isixhobo, ibhetri, kunye neengcingo kwikhompyutha ukuqinisekisa ukuba zisebenza kakuhle.

Kubaluleke kakhulu: Ukuba uqalisa ukuba nomkhuhlane, okanye ukuba indawo apho isixhobo sifakwe khona iba bomvu, idumbe, okanye ibe buhlungu, iiveki okanye iinyanga emva kotyando, tsalela umnxeba ugqirha wakho ngoko nangoko. Oku kungaba luphawu losulelo.