Ukuba isingqisho sentliziyo yakho siyaphazamiseka, oko kukuthi, i-Atrial Fibrillation (Afib), isifo sentliziyo, siyaqhubeka nangona usela amayeza kunye nezinye iindlela zonyango, ungaziva ngathi akukho sisombululo sihlala sihleli koku? Ngamanye amaxesha le meko inokukwenza uzive ukhathazekile kakhulu. Kodwa ungakhathazeki, ngokuhambela phambili kwesayensi yezonyango, ngoku kukho unyango olusebenzayo kakhulu kwezi meko. Kukwabantu abanjalo kanye esithetha ngale ndlela intsha yonyango namhlanje.
Iyintoni le nkqubo yokuguqula izinto?
Ngamafutshane, olu ludibaniso lweendlela ezimbini zonyango. Oko kukuthi, utyando oluncinci lokusikwa kunye nonyango olubizwa ngokuba yi-catheter ablation . Sikwabiza olu hlobo lonyango oluxutyiweyo.
Cinga nje, intliziyo yethu inesixokelelwano sombane. Yiyo le nto igcina intliziyo ibetha kakuhle. Kwi-Afib, ezi zimpawu ziyaphazamiseka, kwaye amagumbi aphezulu (i-atria) entliziyo athumela imiqondiso engaqhelekanga nekhawulezayo. Kwinkqubo edibeneyo, oogqirha kunye neengcali zentliziyo basebenzisana ukwenza imingxunya emincinci kakhulu ngaphakathi nangaphandle kwentliziyo yakho apho ezi zimpawu zingaqhelekanga zivela khona. Ezi zigxunyeko zithintela imiqondiso yombane engaqhelekanga ukuba ingahambi. Kufana nokuvala indlela engalunganga kwaye uthumele iimoto kwakhona kwindlela efanelekileyo.
Ngubani olu nyango lufanelekileyo kuye?
Olu nyango alulungelanga wonke umntu. Lucetyiswa ngokukodwa kwezi zinto zilandelayo:
- Kwabo bane- Afib engapheliyo .
- Kwabo baneengxaki ze-Afib eziphindaphindayo nangona besebenzisa amayeza kwaye befumana unyango oluqhelekileyo lwe-catheter ablation.
Ukuba unesifo esifanayo, ungathetha nogqirha wakho ukuze agqibe ukuba olu nyango lukulungele na.
Uzilungiselela njani ngaphambi kotyando?
Njengalo naluphi na utyando, kukho amalungiselelo amancinci afunekayo.
- Izinto zokunciphisa igazi (izinto ezithintela ukugabha kwegazi): Ukuba usebenzisa la mayeza, kuya kufuneka uwayeke kwiintsuku ezimbalwa ngaphambi kotyando. Ugqirha wakho uza kukuxelela ukuba zingaphi iintsuku ngaphambi kokuba utyando kunye namayeza omawuyeke. Ungaze uyeke ukuthatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.
- Ukuzila Ukutya: Ngaphambi kotyando, uya kucelwa ukuba uyeke ukutya nokusela kangangexesha elithile (ukuzila ukutya). Ugqirha wakho uya kukwazisa ngeli xesha.
Ngamanye amaxesha zombini ezi nxalenye zonyango zenziwa ngosuku olunye. Ngamanye amaxesha zenziwa emva kweeveki ezine. Iqela lakho lezonyango liza kukuchazela oku.
Lwenziwa njani olu tyando?
Olu nyango luneziqendu ezimbini eziphambili. Makhe sijonge okwenzekayo kwicandelo ngalinye.
| Inxalenye yonyango | Okwenzekayo kulula. |
|---|---|
| Inxalenye Yokuqala: Utyando (Unyango lweNtliziyo oluvela Ngaphandle) | Emva kokuba uhlatywe ngokupheleleyo, ugqirha wentliziyo wenza utyando oluncinci kakhulu, malunga neesentimitha ezi-3-4 ngaphantsi kwethambo lesifuba sakho (sternum). Emva koko, ulwelwesi oluncinci olujikeleze intliziyo (pericardium) luyasikwa kwaye kufakwa ikhamera (endoscope). Emva koko, ityhubhu ekhethekileyo eqhuba amandla (catheter) isetyenziselwa ukunyanga (ukususa) iindawo ezingaphandle kwentliziyo ezivelisa imiqondiso yombane engaqhelekanga. Eli candelo lithatha malunga neyure enesiqingatha. |
| Icandelo Lesibini: Ukususwa kweCatheter (Unyango oluvela ngaphakathi kwentliziyo) | Le nxalenye idla ngokwenziwa ngosuku olwahlukileyo, emva kweeveki ezimbalwa. Apha, ingcali yentliziyo (i-electrophysiologist) ifaka i-catheter entliziyweni yakho ngomthambo osesinqeni sakho. Emva koko inyanga ingaphakathi lentliziyo yakho , kwiindawo ebekunzima ukufikelela kuzo ngexesha lotyando lwangaphambili. Uza kunikwa i-anesthesia elula okanye eqhelekileyo ngexesha lale nkqubo. |
Yintoni iConvergent Plus?
Ngamanye amaxesha, ngaxeshanye nolu tyando, oogqirha benza enye into ukunciphisa umngcipheko westroke. Oko kukuthi, bavala inxalenye encinci ye-atrium yasekhohlo yentliziyo (i-left atrial appendage). Xa la manyathelo ongezelelweyo ongeziweyo, siwabiza ngokuba yinkqubo ethi "Convergent Plus".
Zithini iingenelo zolu nyango?
Kukho iingenelo ezininzi ezithile kule ndlela yonyango:
- Izinga eliphezulu lempumelelo: Oku kuphumelele ngakumbi kunonyango oluqhelekileyo lwe-catheter ablation kuba lunyanga zombini ingaphakathi nengaphandle kwentliziyo.
- Umngcipheko ophantsi:Ngexesha lotyando, oogqirha banokuyibona ngokucacileyo i-esophagus, ekwiimva kwentliziyo, ngoko ke umngcipheko wokuyonakalisa uphantsi kakhulu.
- Ayilotyando lwentliziyo evulekileyo: Oku akudingi ukuba intliziyo yakho imiswe uze uyidibanise nomatshini wentliziyo nemiphunga (i-cardiopulmonary bypass).
Ngaba kukho naziphi na iingozi okanye iingxaki?
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezithile ezinokwenzeka. Nangona kunjalo, ezi azixhaphakanga kwiimeko ezininzi. Ziquka:
- Ukukhwehlela
- Ukudinwa
- Ubunzima bokuphefumla
- Istroke
- Ukopha
- Ukuqokelelana kolwelo olujikeleze intliziyo (i-pericardial effusion)
- Umonakalo wemithambo-luvo
- Uhlaselo lwe-ischemic olukhawulezileyo (TIA)
Akukho mfuneko yokukhathazeka ngale nto. Ugqirha wakho uza kukuchazela yonke into kakuhle ngaphambi kotyando.
Kuthatha ixesha elingakanani ukuphiliswa?
Emva kwenxalenye yokuqala yotyando, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Ukuba inxalenye yesibini iza kugqitywa, mhlawumbi iza kugqitywa kwiinyanga ezintathu.
Uza kucwangciselwa ukuba uphinde ubonane nogqirha wakho ngexesha lokuchacha kwakho. Oku kudla ngokuba ziiveki ezi-3 emva kotyando, uze uphinde kwakhona kwiinyanga ezi-3, ezi-6, nezi-12. Ngelo xesha, unganikwa umatshini omncinci (i-Holter monitor) onxitywa esifubeni sakho kangangeentsuku ezimbalwa ukuze ujonge isingqisho sentliziyo yakho.
Ufuna ukuphinda umbone ugqirha kwakhona nini?
Ukuba ufumana ezi mpawu zilandelayo, yazisa ugqirha wakho ngoko nangoko.
- Ukuba iimpawu ze-Afib (ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza, ukuqina kwesifuba, ukudinwa) ziyaphinda zibuye.
- Ukuba kukho ukopha okanye usulelo (ukudumba, ukubomvu, ubomvu) kwindawo yotyando.
Umyalezo Wokuya Ekhaya
- Inkqubo Yokuguqula Umzimba lunyango olusebenza kakhulu nolwanamhlanje lwe-Atrial Fibrillation (Afib) yexesha elide olungalawulwa ngamayeza okanye unyango oluqhelekileyo.
- Olu ludibaniso lotyando kunye nonyango lwe-catheter, ngoko ke lunokulungisa iingxaki ngaphakathi nangaphandle kwentliziyo.
- Izinga lempumelelo yolu nyango liphezulu kakhulu, kwaye ixesha lokuchacha lifutshane kakhulu.
- Umntu ofanelekileyo ukwazi ukuba olu nyango lukulungele na ngugqirha wakho wentliziyo. Thetha naye ngale nto ngokukhululekileyo nangaphandle koloyiko, uze wenze isigqibo.
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