Ngaba ngamanye amaxesha ukhe uzive intliziyo yakho ibetha ngokukhawuleza kangangokuba uzive usoyika, okanye isingqisho sentliziyo yakho sibonakala singahambelani? Njengaxa udlala idrama, intliziyo yakho iqala ukubetha ngokukhawuleza, kancinci, okanye itsibe isingqi. Namhlanje sithetha ngonyango olukhethekileyo olusetyenziswa ngoogqirha kwiimeko ezinjalo. Oku kubizwa ngokuba yi-'Chemical Cardioversion'. Nangona eli gama liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu.
Ngamafutshane, yintoni iChemical Cardioversion?
I-Chemical Cardioversion yinkqubo esebenzisa amayeza ukubuyisela isigqi sentliziyo esingaqhelekanga kwisigqi esiqhelekileyo. Kufana nepolisa lendlela eliza kulawula ukuxinana kwezithuthi ngendlela engaqhelekanga kwaye liqondise izithuthi ngendlela ecwangcisiweyo. Apha, 'ipolisa lendlela' liyeza elinikwa ngugqirha.
Impumelelo yolu nyango ixhomekeke kwizinto ezininzi, ezifana nokuba yintoni ebangela ukubetha kwentliziyo yakho okungahambelaniyo, ixesha elide kangakanani unale meko, kunye nohlobo lonyango olukhethwa ngugqirha wakho.
Amayeza anikwa olu nyango enza izinto ezininzi eziphambili:
- Ivula imithambo yegazi yakho kancinci, yenza ukuhamba kwegazi kube lula.
- Ikhulula izihlunu zentliziyo.
- Iyanciphisa umthwalo entliziyweni, oko kukuthi, umthwalo womsebenzi wentliziyo.
- Ilawula isantya semiqondiso yombane ebonisa ukuba intliziyo ibetha.
Ngokwesiqhelo, ukubetha kwentliziyo yethu kuqala ngendlela ehlelekileyo. Olu phawu lombane luqalwa yi-pacemaker yendalo entliziyweni ebizwa ngokuba yi-sinoatrial node. Olu phawu luhamba kwiindawo zentliziyo ngendlela ehlelekileyo, nto leyo ebangela ukuba intliziyo ifinyezeke kakuhle kwaye ipompe igazi. Ukuba kukho ingxaki kwindlela ezi mpawu ezihamba ngayo, isingqisho sentliziyo siba yinto engaqhelekanga.
Xa isingqisho sentliziyo siphazamisekile, asiyipompi igazi ngokufanelekileyo emzimbeni wonke. Iiseli zethu zengqondo, njengazo zonke ezinye iiseli, zifuna ioksijini. Le oksijini ithwalwa ligazi. Ngoko ke xa ukuhamba kwegazi kuncipha, iimpawu ezifana nesiyezi (vertigo), ukudinwa, ukuphefumla okufutshane, kunye nentlungu yesifuba zinokubakho.
Kutheni le nto siludinga olu nyango?
Ukuba intliziyo yakho ibetha ngokukhawuleza kakhulu okanye inesigqi esingahambelaniyo, unokufuna i-chemical cardioversion. Zininzi izizathu zokuba isigqi sentliziyo yakho singahambelani. Khawuthelekelele ukuba umhlobo wakho uNimal ngequbuliso waqala ukuziva isifuba sakhe sibetha ngamandla. Kuphela xa waya kugqirha apho wafumanisa ukuba usulelo olunzima luchaphazele isigqi sentliziyo yakhe.
Kwaye kukho nezinye izizathu ezininzi:
- Amanye amayeza owasebenzisayo: Amanye amayeza anokubangela utshintsho kwisantya sentliziyo njengesiphumo esingesihle.
- Iintsholongwane: Iintsholongwane okanye iintsholongwane zinokuchaphazela izihlunu zentliziyo.
- Uhlaselo lwentliziyo: Uhlaselo lwentliziyo lungonakalisa inkqubo yombane yentliziyo.
- Utshintsho kwisakhiwo sentliziyo: isifo sentliziyo esizalwa naso okanye utshintsho oluvela kamva.
- I-Pulmonary Embolism: Le yimeko engxamisekileyo.
- Ukusilela kwentliziyo exineneyo: Xa intliziyo iba buthathaka kwaye amandla ayo okupompa igazi ehla.
- Izifo zemiphunga: Iimeko ezifana neCOPD okanye i-Emphysema.
Zeziphi iintlobo zentliziyo ezinokunyangwa ngale ndlela?
I-cardioversion yamakhemikhali isetyenziselwa ukunyanga iintlobo ngeentlobo zentliziyo ezingaqhelekanga, kuquka:
| Igama le-heart rhythm engaqhelekanga (Igama le-Arrhythmia) | Ingcaciso elula |
|---|---|
| I-Atrial Fibrillation (i-Afib) | Imeko eqhelekileyo apho amagumbi aphezulu entliziyo (i-atria) ebetha ngokukhawuleza nangokungaqhelekanga. |
| I-Atrial Flutter | Amagumbi aphezulu entliziyo abetha ngokukhawuleza, kodwa ngesingqisho esicwangcisiweyo ngakumbi kunakwi-Afib. |
| I-Supraventricular Tachycardia (SVT) | Ukubetha kwentliziyo okukhawulezayo kakhulu okuqala kwinxalenye ephezulu yentliziyo. |
| I-Ventricular Tachycardia (VT) | Ukubetha kwentliziyo ngokukhawuleza okuqala kumagumbi asezantsi (ii-ventricles) entliziyo. Oku kunokuba yinto enzulu. |
Umahluko phakathi kwe-Electrical Cardioversion kunye nale
Mhlawumbi ukhe wakubona oku kwiimuvi, apho banika umothuko esifubeni ukuze kuqaliswe kwakhona intliziyo. Kubizwa ngokuba yi-'Electrical Cardioversion.' Kubandakanya ukuthumela umothuko olawulwayo entliziyweni ukuze 'kusetwe kwakhona' inkqubo yombane. Umothuko weChemical Cardioversion ubandakanya ukunika amayeza okwenza into efanayo.
Ugqirha wakho uza kukumisela unyango olungcono ngokusekelwe kwimeko yakho. Umzekelo, ukuba uxinzelelo lwakho lwegazi luphantsi kakhulu, ugqirha wakho angagqiba ekubeni enze i-electrical cardioversion.
Kwenzeka ntoni ngaphambi konyango kwaye sifanele silungiselele njani?
Ugqirha wakho uza kukunika imiyalelo ethile ngaphambi kolu nyango. Kubaluleke kakhulu ukuyilandela ngokuchanekileyo.
1. Ukuphepha ukutya nokusela: Uza kucelwa ukuba ungatyi okanye usele nantoni na kangangeeyure ezisi-8 ngaphambi konyango.
2. Jonga ukuba intliziyo yakho ayinazo ii-Clots: Ukuba intliziyo yakho ibisoloko ingaqhelekanga kangangeentsuku ezingaphezu kwezimbini, kukho ithuba lokuba ii-clots ezincinci zegazi zinokwenzeka ngaphakathi entliziyweni yakho. Ukuba isantya sentliziyo yakho sibuyela kwisiqhelo ngequbuliso emva kolu nyango, ukuba i-clot iyaqhekeka ize ibambeke kwimithambo yegazi engqondweni yakho, inokubangela imeko enzima efana ne-stroke. Ukujonga loo mngcipheko, ugqirha wakho unokucela ukuba wenze i-scan ekhethekileyo ebizwa ngokuba yi-Transesophageal Echocardiogram (TEE) . Oku kubandakanya ukufaka ityhubhu encinci entanyeni yakho kwaye ujonge ngokucacileyo ngasemva kwentliziyo yakho ukuze ubone ukuba kukho ii-clots zegazi.
3. Ii-Anticoagulants: Ukunciphisa umngcipheko wokuqhekeka kwegazi okukhankanyiweyo apha ngasentla, uya kucelwa ukuba uqale ukuthatha amayeza okunciphisa igazi malunga neeveki ezi-3 ngaphambi konyango. Kuya kufuneka uqhubeke nokuthatha la mayeza malunga neeveki ezi-4 emva konyango.
4. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo: Kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza okunciphisa iintlungu athengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye namayeza esintu. Amanye amayeza anokuchasana namayeza anikwe olu nyango.
Kwenzeka ntoni ngexesha lonyango?
Oku akuyonto onokuyenza ekhaya. Uza kungeniswa esibhedlele kwaye unikwe olu nyango phantsi kweliso elibukhali.
- Indawo: Uza kungeniswa kwigumbi lonyango olunzima (ICU) lesibhedlele okanye kwigumbi elifanayo apho unokujongwa khona ngokusondeleyo. Ungakhathazeki, oku kungenxa yokhuseleko lwakho. Kuba kufuneka ujongwe ngokusondeleyo ukuze ubone utshintsho kwisingqisho sentliziyo yakho xa unikwa amayeza.
- Ukubeka esweni: Umgca we-IV (i-cannula) uza kufakwa engalweni yakho kwaye i-monitor iya kuqhagamshelwa kuyo. Oku kuya kubeka esweni rhoqo i-ECG yakho (umsebenzi wombane wentliziyo), uxinzelelo lwegazi, kunye namanqanaba eoksijini.
- Indlela yokunika iyeza:Uza kunikwa iyeza nokuba lipilisi oza kulithatha ngomlomo okanye ulifake ngqo emthanjeni ngomgca we-IV engalweni yakho. Ngamanye amaxesha, ukuba idosi yokuqala ayisebenzi, unganikwa enye idosi.
- Ukhuseleko: Oogqirha kunye nabasebenzi bonyango balapho nawe. Bakwanazo nezixhobo ezifana ne-defibrillator kufutshane xa kukho esinye isigqi esingaqhelekanga. Ngoko ke ukwindawo ekhuselekileyo kakhulu.
Ngawaphi amayeza asetyenziswa koku?
Amayeza anikwa ngugqirha wakho aya kuxhomekeka kuhlobo lwesingqisho sentliziyo osifumanayo esingaqhelekanga. Amanye ala mayeza asetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kunye nokusilela kwentliziyo okuxineneyo.
Nazi ezinye zeentlobo eziphambili zamayeza asetyenziswayo:
- I-Adenosine
- I-Amiodarone
- I-Procainamide
- I-Ibutilide
- Ii-Beta-blockers - umz. iMetoprolol
- Izithinteli zeCalcium channel - umz. iDiltiazem
- I-Flecainide
- I-Propafenone
Elinye la mayeza lisebenza ngendlela eyahlukileyo, ngoko ke ngugqirha wakho kuphela onokukhetha iyeza elikulungeleyo.
Kwenzeka ntoni emva konyango?
Emva kokuba unikwe amayeza kwaye isantya sentliziyo yakho sibuyele esiqhelweni, ungagcinwa esibhedlele ezinye iiyure ezingama-24 ukuya kuma-48 phantsi koqwalaselo ukuqinisekisa ukuba yonke into izinzile. Emva koko, ungagoduka.
Abantu abaninzi baxela ukuba baziva bediniwe kwaye bengakhululekanga ngamayeza abawanikwayo. Oku kuqhelekile, kodwa ukuba unengxaki enkulu, nceda uxelele ugqirha wakho.
Zithini iingozi kunye neenzuzo zolu nyango?
Njengalo naluphi na unyango lwezonyango, kukho iingenelo kunye neengozi. Ugqirha wakho uza kucebisa olu nyango kuphela ukuba iingenelo zingaphezulu kweengozi.
| Iingenelo | Iingozi/Iingxaki |
|---|---|
| Ukukwazi ukubuyisela ukubetha kwentliziyo kwisigqi esiqhelekileyo. | Isingqisho esitsha esingaqhelekangaIsenokwenzeka okanye ibe mandundu. |
| Ukuncipha kweempawu ezifana nesiyezi, ukudinwa, kunye nokuphelelwa ngumphefumlo. | Kukho umngcipheko omncinci wokuba igazi liqhekeke lize libangele isifo sohlangothi (oku kunokunciphisa ngemithi yokunciphisa igazi). |
| Enye indlela yokunika i-Electrical Cardioversion (indlela yokunika i-shock). | Iziphumo ebezingalindelekanga ezifana nokucaphuka nokudinwa zinokubakho. |
| Amanye amayeza angathatha iinyanga ukuba asebenze. | |
| Ukuba unyango aluphumelelanga , ezinye iindlela zonyango ezifana ne-Electrical Cardioversion okanye i-Catheter Ablation zinokufuneka. |
Kunini apho kufuneka ubone ugqirha ngokukhawuleza?
Xa ubuyela ekhaya emva konyango, kubaluleke kakhulu ukuba uqaphele naziphi na iimpawu ezingaqhelekanga. Ukuba ufumana naziphi na iimpawu ezingezantsi, yiya kwiSebe lezeMpilo elikufutshane (ETU) okanye utsalele umnxeba ku-1990.
- Ukubetha kwentliziyo
- Isiyezi esiqatha
- Ukuba amehlo akho aba luhlaza okwesibhakabhaka kwaye uzive unentloko ekhaphukhaphu (intloko ekhaphukhaphu)
- Ubuthathaka
- Ukubila okugqithisileyo ngequbuliso (Ukubila)
- Iimpendulo ze-allergy ezifana nokurhawuzelela nokurhawuzelela
- Iintlungu zesifuba
- Ubunzima bokuphefumla
Ngaphambi nasemva konyango, thatha onke amayeza owanikwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo. Ukuba unamathandabuzo malunga nendlela yokuthatha amayeza akho, buza ugqirha wakho kwakhona ukuze akucacisele.
Umyalezo Wokuya Ekhaya
- I-cardioversion yamakhemikhali lunyango olusebenzisa amayeza ukubuyisela isigqi sentliziyo kwisimo esiqhelekileyo.
- Oku kwenzelwa ukuqinisekisa ukhuseleko lwakho, esibhedlele, phantsi kweliso likagqirha rhoqo.
- Ngaphambi konyango, kubalulekile ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo, kuquka iivithamini kunye namayeza e-Ayurvedic.
- Njengakwezinye iindlela zonyango, kukho iingozi ezithile, kodwa ugqirha wakho ukunike olu nyango kuba iingenelo zingaphezulu kakhulu kuneengozi.
- Emva konyango, kubaluleke kakhulu ukusela amayeza, ingakumbi amayeza okunciphisa igazi, njengoko kuchaziwe.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iimpawu ezingxamisekileyo ezifana neentlungu zesifuba, ubunzima bokuphefumla, okanye isiyezi esiqatha.
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