Intliziyo yethu yimpompo emangalisayo, engayekiyo, akunjalo? Ukususela ngomhla esizalwa ngawo de kube yimini esifa ngayo, eli lungu lincinci limpompa igazi emzimbeni wethu ngaphandle kokusilela. Kodwa ubusazi na ukuba ukuze le mpompo isebenze kakuhle, inenkqubo yayo yombane? Ewe, njengenkqubo 'yokuxhuma' emakhayeni ethu. Imiqondiso emincinci evela kule nkqubo yombane yile ixelela intliziyo ukuba "ibethe ngoku." Konke oku kwenzeka ngesingqi esicwangcisiweyo nesiqhelekileyo. Nangona kunjalo, ngamanye amaxesha, iimpazamo ezincinci zinokwenzeka kule nkqubo yombane. Kulapho ukubetha kwentliziyo kuqala ukutsiba apha naphaya, kukhawuleze, okanye kunciphe. Ngamaxesha anje, sidinga uncedo lomntu onolwazi olukhethekileyo kule nkqubo yombane, kunokuba ngugqirha oqhelekileyo. Yiloo nto siyibiza ngokuba yi-Electrophysiologist .
Ngamafutshane, ngubani lo Electrophysiologist?
Khawucinge ukuba kukho ingxaki enkulu ngeengcingo endlwini yakho, izibane ziyavutha kwaye zicima, kwaye kukho ii-short circuits kwezinye iindawo. Ngelo xesha, awuthethi nombane oqhelekileyo, kodwa uthetha nombane onobuchule okwaziyo oku kakuhle. Yiyo loo nto kunjalo. Ingcali ye-electrophysiology yingcali kwinkqubo yombane yentliziyo.
Bangoogqirha bentliziyo, kodwa ubuchule babo bukwinkqubo yombane elawula isigqi sentliziyo. Le nkqubo yombane yiyo eyenza intliziyo yethu ibethe, ilawule isantya sayo, kwaye igcine ibetha ngendlela eqhelekileyo. Ukuba kukho ingxaki ndaweni ithile koku, i-Electrophysiologist ikhona ukuze ifumanise ukuba iphi kanye kanye, yintoni ingxaki, kwaye iyinyange.
Sikwabiza iingcali ze -electrophysiologists zabantwana ezinyanga iingxaki zesingqisho sentliziyo kubantwana abancinci nakubantu abakwishumi elivisayo.
Yintoni umahluko phakathi kwe-Cardiologist kunye ne-Electrophysiologist?
Eli lithuba apho abantu abaninzi badideka khona. Ngoko masiyiqonde le nto ngokulula.
- Ingcali yentliziyo ngugqirha ogxile kuzo zonke izifo ezinxulumene nentliziyo. Umzekelo, unyanga iimeko ezininzi, ezinje ngoxinzelelo lwegazi oluphezulu, ukuhlaselwa yintliziyo, iingxaki zevalvu yentliziyo, kunye nokungasebenzi kakuhle kwentliziyo. Ufana 'noGqirha Jikelele' wentliziyo.
- Ingcali ye-electrophysiologist yingcali yentliziyo, kodwa iqeqeshwe ngokukodwa kwinxalenye enye yentliziyo, oko kukuthi inkqubo yombane kunye nesingqisho sentliziyo .
Ngamafutshane, yonke i-Electrophysiologist yi-Cardiologist. Kodwa ayinguye wonke i-Cardiologist oyi-Electrophysiologist. Kufana nokuba ayinguye wonke umntu oyaziyo imoto oyingcali kwi-gearbox.
Ukuba unesifo sentliziyo esingahambelaniyo (arrhythmia), ugqirha wakho wentliziyo unokukuthumela kwi-electrophysiologist.
Zeziphi iimeko ezinyangwa yi-electrophysiologist?
Ezi ngcali zonyango zinyanga iintlobo ngeentlobo zeemeko ezibangelwa ziziphene ezahlukeneyo kwinkqubo yombane yentliziyo. Nangona ezinye zezi zingekho nzulu, ezinye zinokuba yingozi ebomini. Ke ngoko, ubuchule be-Electrophysiologist bubalulekile ukuze kwahlulwe phakathi kwezi zinto kwaye kubonelelwe ngonyango olufanelekileyo.
Le theyibhile ingezantsi idwelisa ezinye zeemeko eziphambili zonyango kunye neenkcazo zazo ezilula.
| Igama leMeko | Ingcaciso elula |
|---|---|
| I-Atrial Fibrillation (AFib) | Amagumbi aphezulu entliziyo (i-atria) abetha ngokukhawuleza nangokungaqhelekanga, ngokungathi ayangcangcazela. Oku kunokukhokelela kwiimeko ezifana nestroke. |
| I-Atrial Flutter | Ifana kancinci ne-AFIB, kodwa apha amagumbi aphezulu entliziyo abetha ngokukhawuleza, kodwa rhoqo. |
| I-Supraventricular Tachycardia (SVT) | Ukubetha kwentliziyo okukhawulezayo kakhulu okuqala kwinxalenye ephezulu yentliziyo kuze kwenzeke ngequbuliso kuze kume ngokukhawuleza. |
| I-Ventricular Tachycardia (VT) | Ukubetha kwentliziyo okukhawulezayo nokunokuba yingozi kakhulu okuqala kumagumbi asezantsi (ii-ventricles) entliziyo. |
| I-Fibrillation yeVentricular (VFib) | Imeko esongela ubomi apho amagumbi asezantsi entliziyo engcangcazela ngokungalawulekiyo, nto leyo ebangela ukuba intliziyo ingasebenzi ngequbuliso. |
| Ibloko lentliziyo | Ukuvaleka okanye ukulibaziseka kwemiqondiso yombane yentliziyo esuka kumagumbi aphezulu ukuya kumagumbi asezantsi. Oku kunokubangela ukuba intliziyo ibethe kancinci kakhulu. |
| Isifo seSinus esiGulayo | Ukubuthathaka komsebenzi we-sinus node, i-pacemaker yendalo yentliziyo. Oku kunokubangela ukuba intliziyo ibethe ngokukhawuleza okanye kancinci. |
Kutheni uthunyelwa kwi-Electrophysiologist?
Ngokwesiqhelo, ugqirha wakho wosapho okanye ingcali yentliziyo yakho iya kukuthumela kwingcali ye-electrophysiologist. Kunokubakho izizathu ezahlukeneyo zoku.
- Ukuba ufumanisa ukuba isantya sentliziyo yakho sikhawuleza kunesiqhelo (iTachycardia) okanye sicotha kunesiqhelo (iBradycardia) .
- Ukuba uvavanyo lwe-ECG lubonisa ukuba ukubetha kwentliziyo yakho akuhambelani .
- Ukuba usoloko uphelelwa ngamandla okanye unesiphene sokungakwazi uphefumla , jonga ukuba ingaba imbangela yingxaki kwinkqubo yombane yentliziyo.
- Ukuba kukho umntu kusapho lwakho oye wafa ngequbuliso ngenxa yesifo sentliziyo, khangela ukuba usemngciphekweni na.
Khawuthelekelele, xa usiya kugqirha wakho, ujonga i-ECG aze athi, "Kukho into engaqhelekanga kwisantya sentliziyo yakho, makhe sijonge oku ngakumbi size sikubonise ingcali eyaziyo ngale nto." Kulapho ke uthunyelwa khona kwi-Electrophysiologist.
Zeziphi iimvavanyo ezenziwa ngaba gqirha?
Ukuze afumanise ukuba yintoni kanye kanye ingxaki kwinkqubo yombane yentliziyo, ingcali ye-electrophysiology isebenzisa iintlobo ngeentlobo zovavanyo. Uninzi lwale vavanyo lulula, alungenisi ntsholongwane.
| Igama lovavanyo | Wenza ntoni ngale nto? |
|---|---|
| I-Electrocardiogram (EKG/ECG) | Olu lolona vavanyo lulula. Iisensors, njengezitikha, zinamathele esifubeni sakho, ezingalweni nasemilenzeni, kwaye umsebenzi wombane wentliziyo yakho uyarekhodwa ngelo xesha. |
| I-Holter Monitor | Lo matshini mncinci. Uza kucelwa ukuba uwunxibe malunga neeyure ezingama-24 okanye ezingama-48. Uza kurekhoda rhoqo ukubetha kwentliziyo yakho njengoko uqhubeka nemisebenzi yakho yemihla ngemihla. |
| Umgcini weMicimbi | Ifana nesixhobo sokubona ukubetha kwentliziyo iHolter, kodwa inganxitywa kangangeentsuku okanye iiveki. Xa uziva iimpawu, ungacinezela iqhosha uze urekhode isantya sentliziyo yakho ngelo xesha. |
| I-Echocardiogram (I-Echo) | Oku kufana ne-ultrasound scan yentliziyo. Ingajonga ulwakhiwo lwentliziyo, iivalvu, kunye nendlela esebenza ngayo intliziyo. |
| Uvavanyo lweTheyibhile eThambekileyo | Uvavanyo lwabantu abasoloko bequleka. Ubekwa ebhedini kwaye uxinzelelo lwegazi kunye nesantya sentliziyo yakho ziyajongwa njengoko ibhedi ijikwa kancinci kancinci ngokuthe nkqo. |
| Uphononongo lwe-Electrophysiology (Uphononongo lwe-EP) | Olu lolona vavanyo lunzulu. Iintambo ezincinci kakhulu (ii-catheters) zidluliselwa ngomthambo osemlenzeni okanye engalweni ukuya entliziyweni, zenze imephu yenkqubo yombane yentliziyo ukuze ibonise indawo echanekileyo yengxaki. |
Zeziphi iimpawu ekufuneka ndidibane nogqirha we-electrophysiologist?
Ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, kubaluleke kakhulu ukuthetha nogqirha wakho ngazo. Uza kukuthumela kwi-electrophysiologist ukuba kuyimfuneko.
- Ukubetha Kwentliziyo:Ukubetha kwentliziyo yinto esiyibiza ngokuba yimvakalelo yokubetha kwentliziyo yethu. Ingathi intliziyo yethu ibetha ngamandla esifubeni sethu, ngokungathi ibetha ngokukhawuleza ize iyeke, okanye ngathi itsiba isingqi.
- Ukuphefumla nzima: Ukuziva ngathi unengxaki yokuphefumla nokuba unemisebenzi emincinci.
- Intlungu okanye ukungakhululeki esifubeni: Ukuziva uxinene okanye ukuxinana esifubeni.
- Ukuba nesiyezi okanye ukutyhafa: Le meko ingaqala ekubeni nentloko ekhaphukhaphu xa uvuka ngequbuliso ukuya ekulahlekelweni zingqondo.
- Ukudinwa: Ukuziva udiniwe kakhulu ngalo lonke ixesha ngaphandle kwesizathu esicacileyo.
Ngenxa yokuba ezi mpawu zihlala zifana, ubuchule bengcali ye-electrophysiologist bubalulekile ukuze kuchongwe ukuba yintoni kanye kanye ingxaki.
Iingxaki zesingqisho sentliziyo ziphathwa njani?
Eyona nto ingcono kukuba namhlanje kukho unyango olusebenzayo kakhulu kwiingxaki ezininzi zesingqisho sentliziyo. Nje ukuba ingcali ye-electrophysiologist iyichonge ngokuchanekileyo imeko yakho, iya kukucebisa unyango olufanelekileyo kuwe.
| Indlela Yonyango | Kwenzeka ntoni ngale nto? |
|---|---|
| Amayeza | Iipilisi ezilawula ukubetha kwentliziyo, ziyicothise, okanye zithintele ukuqhekeka kwegazi. |
| Ukususwa kweCatheter | Uphononongo lwe-EP lufumanise ukuba indawo yentliziyo ethumela imiqondiso yombane engalunganga yenziwa ngokusebenzisa amandla afana ne-radiofrequency ukwenza isilonda esincinci. Emva koko imiqondiso engalunganga ayisayi kuza. Olu lunyango oluphumelele ngaphezu kwe-90%. |
| Isixhobo sokuncedisa ukubetha kwentliziyo | Isixhobo esincinci se-elektroniki esinceda abantu abaneentliziyo ezicothayo ukuba bagcine isantya esiqhelekileyo. Sifakwa ngotyando phantsi kolusu. |
| I-ICD (ICD) ye-ICD (ICD) | Oku kufana kancinci ne-pacemaker, kodwa into ekhethekileyo ngale kukuba inokubona ukubetha kwentliziyo okukhawulezayo kakhulu (okufana ne-VT okanye i-VFib) okunokuba yingozi ebomini, kwaye kuzise ukubetha kombane entliziyweni ukuze kuyibuyisele kwimeko yesiqhelo. |
| Intliziyo eguquguqukayo | Kwimeko engxamisekileyo, ukubetha ngombane kuveliswa ngokubeka 'amaphedi' ngaphandle kwesifuba ukuze kubuyiselwe ngokukhawuleza ukubetha kwentliziyo okukhawulezayo nokungaqhelekanga. |
Ukuba ufuna ukubona i-Electrophysiologist, ungoyiki. Baziingcali eziqeqeshwe kakhulu kweli candelo kwaye bazinikele ekuphuculeni umgangatho wobomi bakho. Thetha nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Fumana ukuqonda okucacileyo ngemeko yakho kunye nonyango lwakho.
Umyalezo Wokuya Ekhaya
- Ingcali ye-electrophysiologist yingcali yentliziyo egxile kwinkqubo yombane yentliziyo kunye nesingqisho sentliziyo.
- Ukuba uneempawu ezifana nokubetha kwentliziyo okukhawulezayo, okucothayo, okungahambelaniyo, okanye ukuquleka rhoqo, oko kungaba luphawu lwesiphene kwinkqubo yombane yentliziyo.
- Musa ukuzityeshela iimpawu ezinje. Qiniseka ukuba uthetha nogqirha wakho ngazo.
- Namhlanje, kukho unyango olusebenzayo kakhulu lokubetha kwentliziyo ngendlela engacwangciswanga (arrhythmias), ukusuka kumayeza ukuya kwi-ablation kunye ne-pacemakers.
- Musa ukoyika ukudibana nengcali ye-electrophysiologist. Bakho ukukunceda. Mamela imibuzo yakho kwaye uqiniseke ukuba uyiqonda kakuhle yonke into.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment