Ngaba ngamanye amaxesha uziva ngathi isifuba sakho sibetha ngokukhawuleza, isingqisho sentliziyo yakho siphuma ngequbuliso, okanye isifuba sakho sibetha ngendlela engaqhelekanga? Ngamanye amaxesha oku kunokuba ngamava othusayo kakhulu. Namhlanje siza kuthetha ngendlela ekhethekileyo yonyango esetyenziswa ngoogqirha kolu hlobo lwesifo sentliziyo. Oku kubizwa ngokuba yiCardioversion. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni iCardioversion?
I-Cardioversion, ngamafutshane, lunyango olusetyenziswa ngoogqirha ukubuyisela isigqi sentliziyo yakho esingaqhelekanga kwisigqi esiqhelekileyo nesisempilweni. Kufana nokubuyisela isixhobo somculo esifanelekileyo.
Cinga ngale ndlela: intliziyo yethu ifana nepompo esebenza ngesingqisho. Xa ibetha ngokufanelekileyo, ipompa igazi kuwo wonke umzimba. Xa esi singqisho siphazamisekile, intliziyo ayikwazi ukusebenza ngokufanelekileyo. I-Cardioversion 'iphinda iqalise' le nkqubo yesignali yombane ephazamisekileyo kwaye iyenze isebenze ngesingqisho esifanelekileyo kwakhona.
Ngamanye amaxesha, xa isingqisho sentliziyo siphazamiseka kakhulu (umzekelo, i-Ventricular Arrhythmia), imeko engxamisekileyo efana nokuhlaselwa yintliziyo inokwenzeka. Kwiimeko ezinjalo, olu nyango lwe-cardioversion lusetyenziselwa ukusindisa ubomi. Kwakhona, ngamanye amaxesha, nokuba akukho ngxamiseko, kukho amaxesha apho olu nyango lucwangciselwe ukuthintela iingxaki zexesha elizayo.
Kukho iindlela ezimbini zokwenza unyango lwe-cardioversion:
Olu nyango lwenziwa ngeendlela ezimbini: ngombane kunye namayeza. Makhe sijonge nganye nganye ngokwahlukeneyo.
| Indlela yonyango | Ungayenza njani loo nto? |
|---|---|
| Intliziyo eguqulwa ngombane | Oku kuquka ukusebenzisa isixhobo esikhethekileyo (i-defibrillator) ukuze unike intliziyo yakho umbane olawulwayo. Oku kwenziwa ngeemicu ezimbini ezikhethekileyo (ii-electrode patches) ezinamathele esifubeni sakho kwaye mhlawumbi emqolo wakho. Awuyi kuva nto ngeli xesha, kuba uza kulaliswa ngokupheleleyo ukuze oku kwenzeke. Kwabanye abantu, ukuba usengozini enkulu yokuba nentliziyo engaqhelekanga, ugqirha wakho unokugqiba ekubeni afake isixhobo esincinci emzimbeni wakho esibizwa ngokuba yi-Implantable Cardioverter-Defibrillator (ICD) . Esi sixhobo ngokuzenzekelayo sizisa ukubetha kombane okuncinci entliziyweni yakho ngalo lonke ixesha xa kukho ukubetha kwentliziyo okungaqhelekanga. |
| I-Cardioversion yeKhemikhali | Kule nkqubo, unikwa uhlobo oluthile lwamayeza ukunceda ukulawula isigqi sentliziyo yakho. Eli yeza linokunikwa njengepilisi okanye njengenaliti ye-IV emthanjeni osengalweni yakho. Iziphumo zale yeza zinokuhlala imizuzu, iiyure, okanye iintsuku. Ixesha elininzi, eli yeza linikwa xa usesibhedlele kuba oogqirha kufuneka bahlale bejonga isingqisho sentliziyo yakho. Ukuba ulisela ekhaya eli yeza, kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho. |
Zeziphi izifo eziphambili ezinyangwa yi-cardioversion?
Olu nyango lunokulungisa uluhlu olubanzi lwezingqisho zentliziyo ezikhawulezayo okanye ezingaqhelekanga (ii-arrhythmias). Ezona zibalulekileyo kwezi zezi:
- I-Atrial fibrillation kunye ne-atrial flutter: Ezi ziimeko ezimbini apho i-cardioversion isetyenziswa kakhulu. Amagumbi aphezulu entliziyo (i-atria) aqala ukubetha ngokukhawuleza nangokungaqhelekanga.
- I-Atrial tachycardia: Le yintliziyo ekhawulezayo eqala kwigumbi eliphezulu lentliziyo.
- I-Ventricular tachycardia: Le yi-heart rhythm ekhawulezayo neyingozi eqala kumagumbi asezantsi entliziyo (ii-ventricles).
- Ukuxinana kwemithambo yegazi: Le yimeko engxamisekileyo enzulu kakhulu nesongela ubomi. Kule meko, amagumbi asezantsi entliziyo ayangcangcazela endaweni yokubetha. Oku kubangela ukuba ukumpompa kwegazi kuyeke ngokupheleleyo.
Kutheni kufuneka ndibe ne-cardioversion?
Ukuba unale mpawu, ugqirha wakho unokucebisa olu nyango kuba ezi mpawu zibonisa ukuba intliziyo yakho ayimpompi igazi elaneleyo emzimbeni wakho.
Ngamafutshane, injongo ephambili yonyango lwe-cardioversion kukubuyisela izinga lentliziyo yakho kunye nesingqisho kwimeko yesiqhelo kunye nokunceda intliziyo yenze umsebenzi wayo ngokufanelekileyo.
Nazi ezinye iimpawu ekufuneka uziqwalasele:
- Ukuziva ngathi kukho into ebetha esifubeni, ngokungathi ibetha ngokukhawuleza kakhulu.
- Ubunzima bokuphefumla, ukuphefumla nzima.
- Ukuva ubuhlungu okanye iintlungu esifubeni.
- Ukudinwa okanye ukudinwa kakhulu.
Usenokungaziboni ezi mpawu konke konke. Kodwa ukuba azinyangwa, kukho umngcipheko weemeko ezinzima ezifana nokuhlaselwa yintliziyo okanye isifo sohlangothi kwixesha elizayo. Ke ngoko, ukuba unazo ezi mpawu, qiniseka ukuba ubona ugqirha wakho kwaye ucele ingcebiso.
Ulungiselela njani usuku lonyango?
Iqela lakho lezonyango liza kukunika lonke icebiso olifunayo ngaphambi kolu nyango, kodwa kukho izinto ezimbalwa eziqhelekileyo ekufuneka uzazi.
Ngaphambi kokuba uze kunyango
- Lungisa imoto: Awuyi kukwazi ukuqhuba iiyure ezingama-24 emva konyango, ngoko ke kubalulekile ukuba nomntu oza kukuyisa ekhaya.
- Buza ugqirha wakho ngamayeza akho: Ukuba uthatha amayeza okunciphisa igazi/alwa negazi, amayeza eswekile, okanye i-insulin, buza ugqirha wakho kwangaphambili ukuba uza kuwathatha njani ngosuku lonyango lwakho. Sela amanye amayeza aqhelekileyo njengesiqhelo ngamanzi amancinci, ngaphandle kokuba ugqirha wakho ukuxelele ngenye indlela.
- Ukutya Nesiselo: Yitya ngokuqhelekileyo ngobusuku obungaphambi konyango lwakho. Kodwa ungatyi, usele, okanye uhlafune nantoni na emva kobusuku. Ungatyi netshungama, iminti, okanye amanzi. Kwakhona, lumka ungaginyi manzi xa uhlamba amazinyo akho.
Ndifanele ndinxibe ntoni? Ndifanele ndiphathe ntoni?
- Impahla: Xa ufika esibhedlele, nxiba impahla ekhululekileyo nekulula ukuyisusa. Ngexesha lonyango, kuya kufuneka unxibe ilokhwe enikezelwe yisibhedlele.
- Musa: Ukunxiba izinto zokuthambisa. Musa ukufaka ipolishi yeenzipho. Musa ukufaka nayiphi na i-deodorant, i-powder, i-cream, okanye i-lotion esifubeni okanye emqolo. Ezi zinto zinokuphazamisana nee-adhesive pads ezisetyenziselwa unyango.
- Izinto Ezixabisekileyo: Shiya zonke izinto zakho zobucwebe (kuquka indandatho yomtshato), iiwotshi, nezinye izinto ezixabisekileyo ekhaya.
- Izinto onokuzizisa: Zisa uluhlu olupheleleyo lwamayeza owaselayo kunye nobungakanani bamayeza owadingayo ngosuku olunye.
Kwenzeka ntoni ngokwenene esibhedlele?
Xa ufika esibhedlele, uza kulaliswa ebhedini kwaye kuza kufakwa umgca we-IV emthanjeni osengalweni yakho. Kulapho uza kunikwa khona amayeza kunye nolwelo olufunekayo ngexesha lonyango lwakho.
Emva koko, iileyiti ze-EKG kunye neeteyiphu zokuncamathelisa ezikhethekileyo zonyango lwentliziyo ziya kufakwa esifubeni sakho mhlawumbi nasemqolo wakho. Ukuba kukho iinwele kwezo ndawo, ziya kuchetywa.
Ngamanye amaxesha, ngaphambi kokuba unyango lwe-cardioversion luqale, unokufuna i-Transesophageal Echocardiogram (TEE).Kusenokufuneka wenze uvavanyo olubizwa ngokuba yi-angiogram. Musa ukoyika. Oku kuquka ukugoba umqala wakho, ukufaka umbhobho omncinci kakhulu kuwo, nokuthatha imifanekiso yentliziyo yakho. Oku kujonga ukuba akukho maqhuqhuva egazi entliziyweni. Oku kunokuba yingxaki ukuba loo maqhuqhuva ayaphuma ngexesha lonyango.
Ngaba ndiza kube ndivukile ngexesha lonyango?
Hayi. Amayeza owanikwa nge-IV aya kukwenza ulale ngokupheleleyo . Ngoko ke awuyi kuva ntlungu okanye ukungakhululeki.
Kwenzeka ntoni ngexesha lonyango?
Ngelixa ulele ubuthongo obupheleleyo, ugqirha usebenzisa i-cardioverter (defibrillator) ukuhambisa umothuko wamandla athile entliziyweni yakho ngeentambo eziqhotyoshelweyo. Olu mothuko luyekisa umsebenzi ongaqhelekanga wombane entliziyweni yakho kwaye luyivumela ukuba iqalise isigqi esiqhelekileyo kwakhona. Ngamanye amaxesha, kunokufuneka umothuko oliqela ukuze isingqi sibuyele esiqhelweni. Kodwa kuba ulele, awuyi kuva nto.
Lonke eli xesha lithatha imizuzu embalwa kuphela, kodwa xa ulungiselela kwaye ubuyela esimeni emva konyango, uza kuba sesibhedlele malunga neeyure ezine ukuya kwezintandathu.
Kwenzeka ntoni emva konyango?
Emva kokuba unyango luphelile, uza kuvuka. Uza kuziva ulele kancinci ngenxa ye-anesthetic. Usenokuba nentlungu okanye ububomvu esifubeni sakho kangangeentsuku ezimbalwa. Ugqirha uza kukunika ikhrimu yokwenza oku.
Wakuba uvukile ngokupheleleyo, ugqirha wakho uza kuthetha nawe ngeziphumo zonyango lwakho kunye nezicwangciso zakho zexesha elizayo. Babuze ukuba ngaba kufuneka uqhubeke nokusela amayeza akho njengoko wawunjalo ngaphambili okanye ukuba kufuneka wenze naluphi na utshintsho. Kwiimeko ezininzi, kuya kufuneka uqhubeke nokusela amayeza akho ukuthintela ukuba isingqisho sentliziyo yakho singabi mandundu.
Emva kokuba udluliselwe kwindawo yokuchacha, uza kunikwa into yokutya nokusela, kwaye usapho lwakho lunokukutyelela. Uxinzelelo lwakho lwegazi kunye nesantya sentliziyo yakho ziya kuqhubeka zijongwa ngaphambi kokuba ugoduke.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Iingenelo
Eyona nzuzo inkulu yolu nyango kukuba isingqisho sentliziyo yakho sibuyela kwisiqhelo kwaye iimpawu ezinxulumene noko (ezifana nokuphefumla kancinci kunye nesiyezi) ziyanyamalala. Ukongeza, ukusebenza kwentliziyo yakho kunokuphucula emva kokuphazamiseka kwentliziyo.
Iingozi okanye iingxaki
Iingxaki ezivela kolu nyango azixhaphakanga kakhulu, kodwa kubalulekile ukuba uzazi.
- Ubomvu obuncinci okanye umonakalo wesikhashana kulusu apho iteyiphu yayifakwe khona.
- Mhlawumbi ubuluhlaza apho kufakwe khona i-IV cannula.
- Kukho umngcipheko omncinci kakhulu wokuba igazi elijiyileyo entliziyweni liqhekeke lize libangele isifo sohlangothi (i-TEE yenziwe ukunciphisa lo mngcipheko).
- Ngamanye amaxesha isingqisho sentliziyo siba sibi ngakumbi.
- Iimpendulo ze-allergy kwiyeza elisetyenzisiweyo.
Ndifanele ndimbone nini ugqirha emva kokuba ndibuyele ekhaya?
Kusenokwenzeka ukuba uza kukwazi ukuya ekhaya ngaloo mini yonyango lwakho, kodwa khumbula ukuba awuyi kukwazi ukuqhuba iiyure ezingama-24 ngenxa yokozela okubangelwa yi-anesthesia.
Ungaya ekhaya uye kwenza imisebenzi yakho yesiqhelo. Kodwa buza ugqirha wakho ukuba ungabuyela nini emsebenzini.
Eyona nto ibalulekileyo kukukhumbula ukuya kwintlanganiso yakho yokulandelela kanye ngemihla ugqirha wakho akunike yona . Kubaluleke kakhulu ukubona indlela osabela ngayo kunyango kunye nokuba idosi emiselweyo yamayeza ikulungele na. Ukuba uziva ngathi iimpawu zakho zakudala ziyabuya, xelela ugqirha wakho ngoko nangoko.
I-Cardioversion yinxalenye enye yesicwangciso sakho sonyango. Kubalulekile nokusela amayeza akho njengoko ugqirha wakho ekuyalele, uhlale uphila ubomi obusempilweni (ukutya okunempilo, ukuzilolonga), kwaye uye kwiindibano zakho ezicwangcisiweyo.
Umyalezo Wokuya Ekhaya
- I-Cardioversion lunyango 'olubuyisela' isigqi sentliziyo esingaqhelekanga kwaye sibuyisele kwisimo saso esiqhelekileyo.
- Oku kungenziwa ngomatshini wombane okanye weekhemikhali.
- I-Electrical cardioversion ikwenza ulale ngokupheleleyo, ukuze ungaziva ntlungu.
- Landela imiyalelo kagqirha (ungatyi okanye ungaseli, ungasebenzisi amayeza) kanye ngaphambi konyango.
- Kubalulekile ukuba ube nomntu oza kukusa ekhaya emva konyango, kuba awuyi kukwazi ukuqhuba iiyure ezingama-24.
- Bona ugqirha wakho ngexesha. Musa ukoyika ukuthetha naye ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo.
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