Ngaba wakha wayiva intliziyo yakho ibetha ngokukhawuleza ngequbuliso ngaphandle kwesizathu, okanye waziva uvakalelwa ngendlela engaqhelekanga ngathi ziibhabhathane esifubeni sakho? Olu hlobo lotshintsho kwisingqisho sentliziyo (ukubetha kwentliziyo okungaqhelekanga) ngamanye amaxesha luyinto ekufuneka ixhalatyelwe. Namhlanje, siza kuthetha ngonyango olukhethekileyo olusetyenziswa ngoogqirha ukunyanga olu hlobo lokubetha kwentliziyo okungaqhelekanga.
Ngamafutshane, yintoni iChemical Cardioversion?
Ngamafutshane, i-chemical cardioversion kukusebenzisa amayeza ukubuyisela isigqi sentliziyo yakho esikhawulezayo ngokungaqhelekanga okanye esingaqhelekanga kwisigqi esiqhelekileyo. Impumelelo yolu nyango ixhomekeke kwisizathu sentliziyo yakho engaqhelekanga, ukuba ibikho ixesha elingakanani, kunye nohlobo lwamayeza olukhethwa ngugqirha wakho.
Sikwabiza oku ngokuba yi-Pharmacologic Cardioversion. Amayeza anikwayo ngeli xesha lonyango enza izinto ezininzi eziphambili:
- Iyaphumza imithambo yegazi yakho.
- Inika ukuphumla kwimisipha yentliziyo.
- Inciphisa umthwalo womsebenzi entliziyweni.
- Ilawula isantya apho imiqondiso yombane ixelela intliziyo ukuba ibethe ngaso.
Cinga ngentliziyo yethu njengendlu enesekethe yombane entsonkothileyo. Ineswitshi ephambili, esiyibiza ngokuba yi-sinoatrial node. Isignali yombane eyenza ukubetha kwentliziyo iqala apho. Emva koko loo signali ihamba ngamagumbi aphezulu entliziyo (i-Atria) ize ifikelele kwenye indawo edibana kuyo (i-Atrioventricular node). Ekugqibeleni, esi signali sifikelela kumagumbi asezantsi entliziyo (iiVentricles). Ukuba kukho impazamo kule ndlela yomqondiso, isingqisho sentliziyo sinokuphazamiseka.
Xa isingqisho sentliziyo singahambelani, asikwazi ukupompa igazi elaneleyo emzimbeni wonke. Yonke iseli emzimbeni wethu, ingakumbi ingqondo, ifuna ukunikezelwa rhoqo kweoksijini egazini. Xa ukuhamba kwegazi kuphazamiseka ngale ndlela, unokufumana iimpawu ezifana nesiyezi, ukudinwa, ukuphefumla okufutshane, kunye nentlungu yesifuba .
Kutheni le nto isetyenziselwa olu nyango kwaye zeziphi izifo?
Ukuba ukubetha kwentliziyo yakho kukhawuleza kakhulu okanye kungaqhelekanga, unokufuna i-chemical cardioversion. Kukho izizathu ezahlukeneyo zokuba isingqisho sentliziyo yakho sisenokungahambelani.
- Amanye amayeza owasebenzisayo
- Iimeko ezisulelayo ezifana ne-pneumonia
- Ukuhlaselwa yintliziyo
- Utshintsho kwisakhiwo sentliziyo
- Ukuxhuzula kwemithambo yegazi (pulmonary embolism)
- Ukungaphumeleli kwentliziyo okubangelwa kukunganyamezelani
- Izifo zemiphunga ezifana neCOPD okanye i-Emphysema
I-Chemical Cardioversion isetyenziswa kakhulu ukunyanga ezi meko zilandelayo zentliziyo engaqhelekanga:
| Igama lemeko yezonyango (Igama lesiNgesi) | Ingcaciso elula |
|---|---|
| I-Atrial Fibrillation (i-Afib) | I-Atrial fibrillation yimeko apho amagumbi aphezulu entliziyo ebetha ngokukhawuleza nangokungaqhelekanga. Le yeyona meko ixhaphakileyo yokubetha kwentliziyo okungaqhelekanga. |
| I-Atrial Flutter | Amagumbi aphezulu entliziyo abetha ngokukhawuleza kodwa rhoqo kancinci kunakwi-fibrillation. |
| I-Supraventricular Tachycardia (SVT) | Ukubetha kwentliziyo okukhawulezayo kakhulu okuqala ngaphezu kwamagumbi asezantsi entliziyo. |
| I-Ventricular Tachycardia (VT) | Ukubetha kwentliziyo ngokukhawuleza okuqala kumagumbi asezantsi entliziyo. Oku ngamanye amaxesha kunokuba yingozi. |
Kwenzeka ntoni ngaphambi konyango?
Ugqirha wakho uya kugqiba ukuba loluphi unyango olukulungeleyo (amayeza okanye i-electrical cardioversion). Ukuba uxinzelelo lwakho lwegazi luphantsi kakhulu, ugqirha wakho unokukhetha i-electrical cardioversion.
- Ukutya Neziselo: Uya kucetyiswa ukuba uyeke ukutya okanye ukusela malunga neeyure ezisi-8 ngaphambi kolu nyango.
- Uvavanyo: Ukuba unesifo sentliziyo esingahambelaniyo (atrial arrhythmia) kangangeentsuku ezingaphezu kwezimbini, ugqirha wakho angenza uvavanyo olubizwa ngokuba yiTransesophageal Echocardiogram (TEE) . Oku kukujonga ukuba akukho mahlwili egazi ngaphakathi entliziyweni. Oku kunokubangela istroke ukuba ihlwili liphuma ngexesha lonyango.
- Amayeza: Malunga namayeza onke owasebenzisayo, kuquka amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kwanamayeza aseSinhala.Ufanele uxelele ugqirha wakho. Ungacelwa ukuba uqalise ukuthatha amayeza okunciphisa igazi kwiiveki ezintathu ngaphambi konyango ukunciphisa umngcipheko wokuqhekeka kwegazi.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango ludla ngokwenziwa kwigumbi labagula kakhulu (ICU) esibhedlele okanye kwigumbi elikhethekileyo elibekelwe lona. Oku kungenxa yokuba kukho umngcipheko omncinci wezinye iintlobo zokubetha kwentliziyo okungaqhelekanga xa unikwa iyeza, ngoko ke kufuneka ujongwe ngokusondeleyo.
Awuwedwa ngeli xesha. Oogqirha kunye nabahlengikazi bakunye nawe, behlala bejonga uxinzelelo lwegazi kunye nesantya sentliziyo yakho (ECG). Zonke izixhobo ezifunekayo (ezifana ne-defibrillator) zilungile xa kukho imeko engxamisekileyo.
Eli yeza linikwa njengepilisi oyiginyayo okanye nge-IV emthanjeni osengalweni yakho . Ngamanye amaxesha, ukuba idosi yokuqala yeyeza ayisebenzi, unokunikwa enye idosi.
Amayeza asetyenziswa rhoqo
Uhlobo lwamayeza owanikwayo luya kwahluka ngokuxhomekeke kwimeko yakho. Amanye amayeza asetyenziswa kakhulu ngala:
- I-Amiodarone (iCordarone®)
- I-Procainamide
- I-Ibutilide
- I-Flecainide
- I-Propafenone (Rythmol®)
- ISotalol (iBetapace®)
- Ii-Beta-blockers ezifana ne-metoprolol (Lopressor®)
- Izithinteli zeCalcium channel ezifana neDiltiazem (Cardizem®)
- I-Adenosine (i-Adenocard®)
Zithini izinto ezilungileyo nezingalunganga zonyango?
Ungagcinwa esibhedlele ukuze ujongwe iiyure ezingama-24 ukuya kwezingama-48 emva konyango. Abanye abantu banokuziva bediniwe okanye bengakhululekanga ngenxa yale yeza.
Iingenelo:
- Ukubetha kwentliziyo kunokubuyiselwa kwisingqisho esiqhelekileyo.
- Iimpawu ezifana nesiyezi kunye nokudinwa ziyancitshiswa.
- Ingasetyenziswa njengendlela yokutshintsha indlela yokwelapha i-cardioversion yombane.
Iingozi kunye neengxaki:
- Ukuqala kwentliziyo entsha engahambelaniyo okanye ukuba mandundu kwentliziyo esele ikho.
- Ihlwili legazi linokuphuma lize libangele isifo sohlangothi .
- Iziphumo ebezingalindelekanga ezifana nokucaphuka nokudinwa.
- Amanye amayeza angathatha iinyanga ukuba asebenze.
- Ukuba olu nyango aluphumelelanga, kunokufuneka usebenzise ezinye iindlela zonyango ezifana nonyango lwe-electroconvulsive okanye i-catheter ablation.
- Amayeza awasebenzi kakuhle ngokulinganayo kubo bonke abantu. Ngamanye amaxesha, izinga lempumelelo yexesha elide limalunga nama-50%.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Ukuba ufumana naziphi na ezi mpawu zingaqhelekanga zilandelayo emva kokuba unesifo sentliziyo esibangelwa ziikhemikhali, yiya kwiSebe lezeMpilo elikufutshane (ETU) ngoko nangoko:Okanye utsalele inkonzo ye-ambulensi ngo-1990. Musa ukuzithatha lula ezi zinto.
- Ukubetha kwentliziyo
- Isiyezi esiqatha
- Ubukrelekrele
- Ubuthathaka bomzimba
- Ukubila ngequbuliso
- Iintlungu zesifuba
- Ubunzima bokuphefumla
- Iimpawu ze-allergy ezifana ne-hives
Sela onke amayeza owanikwe ngugqirha wakho, ngaphambi nasemva konyango, ngokuchanekileyo nangexesha elifanelekileyo. Ukuba unemibuzo, ungaze woyike ukubuza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-cardioversion yekhemikhali lunyango olusebenzisa amayeza ukubuyisela ukubetha kwentliziyo okungaqhelekanga kwimeko yesiqhelo.
- Ngugqirha wakho kuphela onokugqiba ukuba olu nyango lukulungele na.
- Oku kwenziwa esibhedlele, phantsi kweliso elingqongqo lezonyango, ngoko ke akukho mfuneko yokoyika.
- Nangona oku kuneenzuzo ezininzi, kunokubangela iingozi kunye nemiphumo emibi.
- Ukuba ufumana iimpawu ezifana neentlungu zesifuba, isiyezi esiqatha, okanye ubunzima bokuphefumla emva konyango, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
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