Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokukhawuleza kunesiqhelo? Ngaba wakha waziva ngathi kukho into ejikelezayo esifubeni sakho kwaye ufumana kunzima ukuphefumla? Namhlanje siza kuthetha ngonyango olukhethekileyo olusetyenziswa ngoogqirha ukubuyisela izingqisho zentliziyo eziqhelekileyo (i-arrhythmias) kwiimeko ezinje. Oku kubizwa ngokuba yi-cardioversion.
Ngamafutshane, yintoni iCardioversion?
I-Cardioversion yinkqubo yezonyango eyenziwa ngoogqirha ukubuyisela isigqi sentliziyo yakho esingaqhelekanga, okanye isingqisho. Cinga ngayo njengokulungisa isixhobo somculo esiphulukene nesingqisho saso. Oku kungenziwa ngeendlela ezimbini. Enye kukusebenzisa isixhobo se-elektroniki. Enye kukunika amayeza. Kwezinye iimeko ezingxamisekileyo, njengemeko ebizwa ngokuba yi-ventricular arrhythmia, olu nyango lunokusindisa ubomi bakho. Kwezinye iimeko, lwenziwa ukuthintela iingxaki ezizayo.
Ziziphi iintlobo eziphambili zonyango lwe-cardioversion?
Njengoko besitshilo ngaphambili, oku kwenziwa ngeendlela ezimbini eziphambili. Masiyiqonde ngokucacileyo.
| Uhlobo lonyango | Ingaba isebenza kanjani |
|---|---|
| I-Cardioversion yoMbane | Oku kuquka ukuhambisa amandla ombane alawulwayo (umothuko) esifubeni sakho usebenzisa isixhobo esikhethekileyo esibizwa ngokuba yi-defibrillator . Oku kwenziwa ngee-pad ezimbini ezikhethekileyo (ii-electrode patches) ezibekwa esifubeni sakho nasemqolo. Oku kwenziwa emva kokuba ulele, ukuze ungaziva ntlungu. Kubantu abasengozini enkulu yeengxaki eziyingozi zesingqisho sentliziyo, isixhobo esincinci esibizwa ngokuba yi-Implantable Cardioverter-Defibrillator (ICD) naso singasetyenziswa. |
| Ngamayeza (iChemical Cardioversion) | Oku kuquka ukukunika amayeza nokuba yipilisi oyiginyayo okanye nge-IV efakwa emthanjeni osengalweni yakho. Amayeza anokuthatha imizuzu, iiyure, okanye iintsuku ukusebenza. Olu nyango ludla ngokwenziwa esibhedlele kuba ukusebenza kwentliziyo yakho kufuneka kujongwe. Ukuba usela amayeza akho ekhaya, kubalulekile ukuhlala unxibelelene nogqirha wakho. |
Zeziphi iimeko ezisetyenziselwa i-cardioversion?
Olu nyango lusetyenziselwa ukulungisa inani lee-heart rhythms ezikhawulezayo okanye ezingaqhelekanga. Ezinye zezi ziquka:
- I-Atrial Fibrillation kunye ne-Atrial Flutter: Ezi ziimeko ezimbini eziphathwa kakhulu nge-cardioversion.
- I-Atrial Tachycardia
- I-Ventricular Tachycardia
- I-Ventricular Fibrillation: Le yimeko engxamisekileyo nesongela ubomi.
Kutheni ndifuna unyango lwe-cardioversion?
Ukuze intliziyo yakho ikwazi ukupompa igazi elifanelekileyo emzimbeni wakho, kufuneka ibe nesingqisho nesingqisho esifanelekileyo. Xa intliziyo yakho ibetha ngendlela engaqhelekanga, unokufumana iimpawu ezifana nezi:
- Isifuba sam ngequbuliso sivakala ngathi sitsho ngamandla, ngathi ndibethwa yintlawulo.
- Ubunzima bokuphefumla.
- Ukungakhululeki esifubeni okanye iintlungu.
- Ukuziva unesizungu okanye udiniwe kakhulu.
Ezi mpawu zithetha ukuba intliziyo yakho ayimpompi igazi elaneleyo emzimbeni wakho. Nokuba awuziboni ezi mpawu, ukuba awunyangwa, usemngciphekweni omkhulu wokufumana izifo ezinzulu ezifana nokuhlaselwa yintliziyo okanye isifo sohlangothi kwixesha elizayo.
Ulungiselela njani usuku lonyango?
Iqela lakho lezonyango liza kukunika imiyalelo eneenkcukacha ngale nto, kodwa kukho izinto eziqhelekileyo ekufuneka uzikhumbule.
Ngosuku olungaphambi konyango kunye nentsasa yonyango
- Ukuqhuba: Awuyi kukwazi ukuqhuba iiyure ezingama-24 emva konyango. Ngoko ke, kubalulekile ukuba ube nomntu oza kukuyisa ekhaya.
- Ukutya Nesiselo: Yitya ngokuqhelekileyo ngobusuku obungaphambi konyango lwakho. Nangona kunjalo, ungatyi, usele, okanye uhlafune nantoni na emva kobusuku bobusuku. Oku kuquka amanzi, itshungama, okanye iminti. Kwakhona, lumka ungaginyi amanzi ngelixa uhlamba amazinyo akho.
- Amayeza: Ukuba uthatha amayeza okunciphisa igazi (i-blood thinners) okanye amayeza eswekile, qiniseka ukuba ubuza ugqirha wakho ukuba uwathatha njani ngosuku lonyango lwakho. Sela amanye amayeza aqhelekileyo njengesiqhelo ngamanzi amancinci, ngaphandle kokuba ugqirha wakho ekuxelela ukuba ungawenzi loo nto.
Yintoni omele uyenze xa ufika esibhedlele?
- Iimpahla:Yiza unxibe impahla ekhululekileyo elula ukuyinxiba nokuyikhulula. Kuya kufuneka unxibe ilokhwe yesibhedlele ngexesha lonyango lwakho.
- Ucoceko: Musa ukunxiba izinto zokuthambisa okanye ipolishi yeenzipho. Kwakhona, musa ukufaka nayiphi na i-deodorant, i-powder, okanye i-cream esifubeni okanye emqolo. Ezi zinto zinokuphazamisana nee-adhesive pads ezisetyenziselwa unyango.
- Izinto ezixabisekileyo: Shiya zonke izinto zobucwebe, iiwotshi, kunye nezinto ezixabisekileyo ekhaya, kuquka nemisesane yomtshato.
Kwenzeka ntoni ngexesha nasemva konyango?
Ukulungiselela ngaphambi konyango
Uza kubekwa ebhedini kwaye umgca we-IV (umgca we-intravenous) uza kufakwa emthanjeni osengalweni yakho. Kulapho uza kufumana khona amayeza kunye nolwelo olufunekayo ngexesha lonyango. Emva koko, ii-EKG pads kunye nee-Cardioversion pads ziya kubekwa esifubeni sakho nasemqolo. Ukuba kukho naluphi na unwele kwezo ndawo, ziya kususwa.
Kusenokufuneka wenze uvavanyo olubizwa ngokuba yi -Transesophageal Echocardiogram (TEE) ngaphambi kokuba uxilongwe ngentliziyo. Oku kuquka ukuxinanisa umqala wakho nokufaka umbhobho omncinci emqaleni wakho ukuze uthathe imifanekiso yentliziyo yakho ukujonga ukuba akukho mahlwili egazi, nto leyo enokuba yingozi ukuba ayaphuma ngexesha lonyango.
Ndivukile?
Hayi. Unikwa amayeza nge-IV uze ulale. Ngoko awuva nto, akukho ntlungu.
Ngexesha lonyango
Ngelixa ulele, ugqirha wakho usebenzisa umatshini we-cardioverter ukuhambisa amandla ombane alawulwayo (umothuko) entliziyweni yakho ngee-pad. La mandla ayamisa isigqi sombane esingaqhelekanga aze asivumele ukuba sibuyele kwisigqi esiqhelekileyo. Oku kunokufuneka kwenziwe amaxesha amaninzi ukubuyisela isigqi.
| Izinto kunye nezixhobo ekufuneka zijongwe ngexesha lonyango | |
|---|---|
| Isixhobo | Umsebenzi |
| I-Cardioverter / i-Defibrillator | Ukubonelela ngamandla ombane entliziyweni. |
| I-Electrocardiogram (ECG/EKG) | Ukujonga rhoqo umsebenzi wombane wentliziyo. |
| Ukujonga Uxinzelelo Lwegazi | Linganisa uxinzelelo lwakho lwegazi. |
| I-Oximeter | Ukulinganisa amanqanaba eoksijini egazini ngekliphu encinci enamathele emnweni. |
Emva konyango
Emva konyango, uza kuvuka. Uza kuziva ulele ngenxa yamayeza owanikiweyo. Isifuba sakho sinokuziva sibuhlungu kwaye singabi nanto kangangeentsuku ezimbalwa. Ukuba ugqirha wakho uyavuma, ungasebenzisa into efana nekhrimu ethi 'Hydrocortisone' koku. Xa uvukile ngokupheleleyo, ugqirha wakho uza kuthetha nawe ngeziphumo kunye nesicwangciso sakho sonyango lwexesha elizayo.
Zithini iingenelo kunye neengozi zonyango?
Njengakweyiphi na inkqubo yezonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
- Iingenelo: Iingenelo eziphambili kukwenza intliziyo ilungelelane, ukunciphisa iimpawu, kunye nokumpompa intliziyo ngendlela ephumelelayo.
- Iingozi: Iingxaki azixhaphakanga, kodwa zingabandakanya ukubomvu apho ii-pads zinamathele eluswini, ukukrweleka apho i-IV ifakwe khona, ukuqhekeka kwegazi entliziyweni okuphumayo kubangele isifo sohlangothi (yile nto yenziwa luvavanyo lwe-TEE ukuthintela), ukwehla kwesantya sentliziyo, okanye ukusabela kwi-allergy kumayeza.
Ngokwesiqhelo ungagoduka ngaloo mini inye. Kodwa akufanele uqhube iiyure ezingama-24. Ungatya kwaye usele ngokwesiqhelo emva konyango. Thetha nogqirha wakho ukuze ufumane ukuba ungabuyela nini emsebenzini.
Umyalezo Wokuya Ekhaya
- I-Cardioversion lunyango olusebenzayo nolukhuselekileyo olusetyenziselwa ukulungisa ukubetha kwentliziyo okungaqhelekanga.
- Oku kwenziwa ngokukulalisa ngokupheleleyo, ukukunika amandla ombane alawulwayo, okanye ukusebenzisa amayeza. Awuyi kuva ntlungu.
- Landela imiyalelo kagqirha wakho ngononophelo ngaphambi konyango, ingakumbi malunga nokutya, izinto eziselwayo, kunye namayeza okunciphisa igazi.
- Ekubeni ungenakuqhuba iiyure ezingama-24 emva konyango, kubalulekile ukuba nomntu oza kukuthatha akuse ekhaya.
- Ukuba uneempawu ezifana nokuxinana kwesifuba, ubunzima bokuphefumla, okanye isiyezi, musa ukuzityeshela. Bona ugqirha wakho ngoko nangoko.
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