Ngaba ngamanye amaxesha uziva intliziyo yakho ibetha ngokukhawuleza, okanye ukubetha kwentliziyo yakho kutshaya, okanye kubetha ngendlela engaqhelekanga? Ngamanye amaxesha oku kunokuza nokuqina kwesifuba kunye nesiyezi. Ngokwezonyango, olu hlobo lokuphazamiseka kwesingqisho sentliziyo lubizwa ngokuba yi-'Arrhythmia'. Nokuba usebenzisa amayeza, le meko ngamanye amaxesha inokuba nzima ukuyilawula. Kodwa ungakhathazeki, kukho unyango olusebenzayo kakhulu, olungangenisi ntsholongwane koku. Olo nyango, oko kukuthi, iCardiac Ablation, yinto esiza kuthetha ngayo namhlanje.
Ngamafutshane, yintoni i-ablation yentliziyo?
Khawucinge ukuba kukho 'intambo' encinci 'emfutshane' okanye engalunganga kwindawo ethile kwinkqubo yombane yekhaya lakho. Emva koko isibane asihlali sikhanya kodwa 'siyakhanya', okanye sicime ngequbuliso, akunjalo? Yiloo nto eyenzekayo ezintliziyweni zethu. Intliziyo yethu ibetha ngenkqubo ethambileyo yemiqondiso yombane. Ukuba ezi miqondiso zombane ziqala kwindawo engafanelekanga, okanye ukuba zihamba ngendlela engafanelekanga, ukubetha kwentliziyo kuyatshintshatshintsha.
I-Cardiac Ablation (ekwabizwa ngokuba yi-Catheter Ablation) lunyango olufumana indawo encinci kakhulu yezicubu entliziyweni ebangela imiqondiso yombane engaqhelekanga ize iyicime. Olu asilotyando lukhulu. Ingcali yentliziyo ifaka umbhobho omncinci kakhulu, oguquguqukayo (oku sikubiza ngokuba yi-catheter ) entliziyweni yakho ngomthambo omkhulu wegazi emqolo wakho, engalweni, okanye entanyeni.
Emva koko, kusetyenziswa izixhobo ezisekupheleni kwale catheter, indawo yezicubu zentliziyo enengxaki iyanyangwa. Kukho iindlela ezahlukeneyo zokwenza oku:
- Ukususwa kweeRadiofrequency: Amaza eRadiofrequency (ubushushu) asetyenziselwa ukufudumeza izicubu, nto leyo edala isilonda esincinci.
- Ukucima: Ngobanda obugqithisileyo, izicubu ziyakhenkcezwa, nto leyo edala isilonda.
- Ukutsalwa kweNdlebe etyhalwayo: Oku kusebenzisa amaza amafutshane kakhulu ombane ukutshabalalisa izicubu.
Ngenxa yesilonda esincinci esenziwe ngolu hlobo, isignali yombane engalunganga ayinakudlula apho. Kufana nokubeka i-insulation tape kwi-short circuit endlwini yakho. Emva koko isantya sentliziyo yakho sibuyela kwisiqhelo. Awuyi kuva ntlungu ngexesha lonyango. Usenokunikwa i-sedation okanye i-anesthesia jikelele.
Zeziphi iintlobo zezifo zentliziyo ezinyangwa lolu nyango?
Ukususwa kwentliziyo kusetyenziswa kakhulu ukunyanga ukungasebenzi kakuhle kwentliziyo ngokukhawuleza. Le yeyona ndlela ilungileyo xa zingenakulawulwa ngamayeza okanye zibeka ubomi esichengeni.
Jonga itheyibhile engezantsi ukuze ubone ukuba zeziphi iimeko eziphambili ezisetyenziselwa olu nyango.
| Isimo Sesifo (Uhlobo lwe-Arrhythmia) | Kalula nje, kwenzeka ntoni? |
|---|---|
| I-Atrial Fibrillation (AFib) kunye ne-Atrial Flutter (AF) | Kule meko, amagumbi amabini aphezulu entliziyo (i-atria) abetha ngokukhawuleza nangokungaqhelekanga. Ngokungathi ayangcangcazela. Oku kubangela ukuba igazi lihlangane kwindawo enye endaweni yokumpompa ngokufanelekileyo, nto leyo enokubangela ukuba kubekho amahlwili egazi. Ukuba la mahlwili egazi aya engqondweni, anokubangela imeko enzima efana nestroke. |
| I-Supraventricular Tachycardia (SVT) | Olu lukubetha kwentliziyo okukhawulezileyo nokukhawulezileyo (ukuya kuthi ga kwi-300 beats ngomzuzu). Nangona oku kudla ngokuzilungisa emva kwexesha elithile, ukuba kuyaqhubeka okanye kwenzeka rhoqo, kunokubangela umonakalo entliziyweni. |
| I-Ventricular Tachycardia (VT) | Le yimeko eyingozi. Amagumbi amabini asezantsi entliziyo (ii-ventricles) aqala ukubetha ngokukhawuleza kakhulu. Oku kuthintela intliziyo ekupompeni igazi ngokufanelekileyo. Oku kwandisa umngcipheko wokuma kwentliziyo ngequbuliso. |
Ukongeza, olu nyango lunokucetyiswa kubantu abasengozini enkulu yokubanjwa yintliziyo ngequbuliso. Ngamanye amaxesha, ukuze bafumane ngqo apho ingxaki ivela khona, oogqirha benza uphando lwe-electrophysiology (uphando lwe-EP) ngaphambi kokuba le nkqubo yokukhupha igazi emzimbeni. Oku kuquka ukusebenzisa i-catheter ukulinganisa imiqondiso yombane ngaphakathi kwentliziyo.
Ndingazilungiselela njani ngaphambi konyango?
Nje ukuba ugqirha wakho agqibe ekubeni akwenzele olu nyango, kukho izinto ezimbalwa ekufuneka uzenze. Ugqirha wakho uza kukuchazela konke oku ngokucacileyo.
- Izithibi zegazi: Ukuba uthatha izithibi zegazi (umz., i-apixaban, i-rivaroxaban, i-warfarin), ugqirha wakho uya kukuxelela ukuba kufuneka uyeke ukuthatha ezi mithi kwiintsuku ezingaphi ngaphambi konyango. Ungaze uyeke ukuthatha la mayeza ngaphandle kwengcebiso kagqirha wakho.
- Ukutya neziselo:Uza kucelwa ukuba uyeke ukutya okanye ukusela kangangeeyure ezimbalwa ngaphambi konyango (ngesiqhelo ukususela ezinzulwini zobusuku).
- Umntu oza kukuyisa ekhaya: Lungiselela kwangaphambili ukuba umntu akuyise ekhaya emva konyango.
- Impahla nezinto: Nxiba impahla ekhululekileyo xa ufika esibhedlele. Kungcono ukushiya izinto ezixabisekileyo ezifana nezacholo kunye nemali ekhaya.
- Umgca we-IV: Esibhedlele, kufakwa ityhubhu encinci (umgca we-IV) emthanjeni osengalweni yakho. Kulapho uza kunikwa khona amayeza afunekayo, ityuwa, kunye ne-anesthetics.
Kwenzeka ntoni ngexesha lonyango?
Oku akoyikisi njengoko unokucinga. Yonke le nkqubo ihamba ngolu hlobo:
1. Ukulungiselela: Indawo apho i-catheter iza kufakwa khona (ngesiqhelo i-groin) iyachetywa, icocwe, kwaye ivalwe.
2. Ukufaka isingxobo: Umbhobho omncinci (isingxobo) ufakwa ngesikhumba ungene kwimithambo yegazi ukuze kubekho indlela.
3. Ukufakwa kwe-catheter: Ii-catheter ezintle ezinee-electrode zifakwa ngendlela elungisiweyo. Ezi zikhokelwa ngononophelo ukuya entliziyweni ngaphandle kwesikhokelo se-X-ray.
4. Ukumakisha ingxaki: Xa sele ingaphakathi entliziyweni, imiqondiso evela kwi-catheter iyajongwa ukuze kufunyanwe indawo echanekileyo yemiqondiso yombane engalunganga (ukumakisha).
5. Unyango (Ukuhluthwa): Nje ukuba indawo efanelekileyo ifunyenwe, njengoko bekutshiwo ngaphambili, izicubu ziyanyangwa kwaye zicinywe kusetyenziswa ubushushu, ukubanda, okanye amanye amandla.
6. Ukugqitywa: Emva kokuba unyango lugqityiwe, i-catheter kunye ne-sheath ziyasuswa ngononophelo kwaye kufakwa iplagi okanye umthungo ukuze kumiswe ukopha.
Yonke le nkqubo idla ngokuthatha iiyure ezi-2 ukuya kwezi-4, kodwa ngamanye amaxesha ingathatha ixesha elide.
Kwenzeka ntoni emva konyango?
Emva konyango, uza kusiwa kwigumbi lokuchacha iiyure ezimbalwa. Umongikazi uza kuqhubeka ejonga imeko yakho. Ngokuxhomekeke kwimeko yakho, unokukwazi ukuya ekhaya ngaloo mini inye, okanye kusenokufuneka uhlale esibhedlele ubusuku bonke.
Xa ubuyela ekhaya, uza kunikwa imiyalelo ethile ekufuneka uyilandele ekhaya. Usenokucelwa ukuba uthathe amayeza okunciphisa igazi ukuthintela ukuqhekeka kwegazi. Ngokuxhomekeke kwimbali yakho yezonyango, unokufuna ukuthatha la mayeza kangangeenyanga eziliqela okanye ngaphezulu.
Khumbula, njengoko izicubu zentliziyo ziphola kwiinyanga ezi-3 zokuqala emva konyango, ezinye zeempawu zakho zakudala zinokubuya. Oku kuqhelekile. Kodwa yazisa ugqirha wakho ngako.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengalo naluphi na unyango, oku kuneenzuzo kunye neengozi ezincinci.
Iinzuzo
- OkuAyilotyando olukhulu. Akunyanzelekanga ukuba ubophe isifuba sakho. Ukuze uphile ngokukhawuleza.
- Inika ithuba lokunyanga ngokusisigxina iingxaki zesingqisho sentliziyo ezingenakulawulwa ngamayeza.
- Abanye banokusindisa ubomi kwiimeko ezisongela ubomi.
- Ungayisusa imiphumo emibi yamayeza.
Iingozi
Iingozi zokususwa kwentliziyo ziphantsi kakhulu. Iingxaki azixhaphakanga, ingakumbi kwisibhedlele esinamava esenza olu nyango rhoqo. Kodwa kulungile ukwazi.
- Amahlwili egazi
- Ukonakala komthambo wegazi apho i-catheter ifakwe khona
- Ukonakala kwezicubu zentliziyo okanye iivalvu
- Usulelo okanye ukopha
- Istroke
- Isidingo se-pacemaker esisigxina (inqabile kakhulu)
Ndingaqala nini ukusebenza ngokuqhelekileyo kwakhona?
Ukuchacha kwakho kunokwahluka kumntu nomntu.
- Ukubuyela emsebenzini: Ukuba wenza umsebenzi ongengowomzimba, njengokuphakamisa iintsimbi, ungabuyela emsebenzini emva kweveki.
- Ukuphakamisa iintsimbi: Kuphephe ukuphakamisa nantoni na enzima ngaphezu kweekhilogram ezili-10 (malunga ne-4.5 kg) ubuncinane iveki.
- Ukuzilolonga nokuqhuba: Buza ugqirha wakho ngexesha elifanelekileyo lokuqalisa umthambo nokuqhuba.
Zeziphi iimpawu ekufuneka ndidibane nogqirha ngazo?
Ukuba ufumana naziphi na iimpawu ezingezantsi xa ubuyela ekhaya emva konyango, kufuneka ufowunele ugqirha wakho ngoko nangoko . Ezinye iimeko zinokufuna unyango olukhawulezileyo kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
| Uphawu | Kwenziwe ntoni |
|---|---|
| Ukopha, ukudumba, iintlungu, okanye ukuziva ngathi kukho amaqhuqhuva kwindawo efakwe kuyo i-catheter. | Thetha nogqirha wakho. |
| Intlungu esifubeni, isiyezi, okanye ukuziva ngathi ukhathazekile. | Thetha nogqirha wakho. |
| Isicaphucaphu okanye ukuhlanza. | Thetha nogqirha wakho. |
| Ukuba unyango lwenziwe emqolo, ukungaziva, iintlungu, okanye ukurhawuzelela emlenzeni. | Thetha nogqirha wakho. |
| Yiya kwiSebe leeNgxamiseko (ETU) ngoko nangoko! (Iimpawu zestroke) | |
| Icala elinye lobuso ligobile, ingalo engenabomi. | Ezi zinokuba ziimpawu zestroke. Yiya esibhedlele ngoko nangoko. |
| Iimpawu eziqatha ezifana nokubetha kwentliziyo ngokukhawuleza, isiyezi, ukuphefumla okufutshane, okanye iintlungu zesifuba ziyavela okanye zihlala ixesha elingaphezulu kweeyure ezi-3. | Yiya esibhedlele ngoko nangoko. |
Okokugqibela, kuyinto eqhelekileyo ukuziva unexhala okanye uxhalabile malunga notyando okanye unyango lwentliziyo yakho. Nangona kunjalo, i-Cardiac Ablation yinkqubo ekhuselekileyo, engenabungozi obuncinci esetyenziswe ngempumelelo ukunyanga abantu abaninzi abaneengxaki zesingqisho sentliziyo. Ukuba unemibuzo malunga noku, nceda ubuze ugqirha wakho. Nje ukuba uyiqonde le nkqubo, uloyiko lwakho luya kuncitshiswa.
Umyalezo Wokuya Ekhaya
- I-Cardiac Ablation lunyango olungenazo zonke iindlela ezisetyenziswa ukulungisa ukubetha kwentliziyo okungahambelaniyo (arrhythmias).
- Oku kuquka ukufumana indawo encinci yezicubu zentliziyo evelisa imiqondiso yombane engalunganga, ukuyinyanga, nokuyicima.
- Olu lunyango oluphumelele kakhulu nolukhuselekileyo, kwaye umngcipheko weengxaki uphantsi kakhulu.
- Kungathatha iiveki ezininzi ukuba intliziyo iphole ngokupheleleyo emva konyango, kwaye ezinye iimpawu zinokuphinda zibuye ngelo xesha.
- Landela imiyalelo kagqirha wakho ngononophelo emva konyango, ingakumbi malunga namayeza kunye nokuphumla.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (ingakumbi iintlungu zesifuba, isiyezi esinzima, iimpawu zestroke), funa ingcebiso kagqirha ngokukhawuleza.
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