Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho iyabetha ngamandla, isifuba sakho siyabetha ngamandla, okanye uziva ubuthathaka okanye unesizungu? Ezi zinto zinokubangelwa yingxaki encinci kwinkqubo yombane yentliziyo yakho. Kulapho ugqirha wakho anokukuxelela ukuba wenze uphando lwe-EP. Ngoko masithethe ngale nto ngokulula namhlanje.
Ngamafutshane, yintoni i-EP Study?
Isifundo se-EP, okanye iSifundo se-Electrophysiology, luvavanyo olunzulu kakhulu lomsebenzi wombane wentliziyo yakho. Intliziyo yethu ifana nepompo enenkqubo yombane encinci. Intliziyo ibetha ngokufanelekileyo kuphela xa ezi zimpawu zombane zihamba ngokuchanekileyo nangendlela ehlelekileyo.
Khawuthelekelele, sinenkqubo yocingo endlwini yethu. Ukuze ibhalbhu yesibane ivuleke xa iswitshi ivuliwe, iingcingo kufuneka ziqhagamshelwe ngokuchanekileyo. Kunjalo nangentliziyo. Ngamanye amaxesha kukho ingxaki encinci kwindlela yezi signali zombane, okanye isignali entsha ingaqala kwindawo engafanelekanga, okanye isignali ingahamba ngokukhawuleza okanye kancinci kunokuba kufanele. Oku sikubiza ngokuba kukubetha kwentliziyo okungahambelaniyo (arrhythmia).
Uphononongo lwe-EP lubandakanya ukufaka iityhubhu ezincinci kakhulu nezithambileyo (ii-catheters) entliziyweni ukuze kufunyaniswe ukuba ezi signali zombane zivela phi, ziya phi, kwaye ingxaki iphi. Kufana nengcali yombane efumana isiphene kwiintambo zentambo ekhayeni lakho. Ngale ndlela, unokufumana ulwazi oluninzi ngaphakathi entliziyweni kune-ECG, esisitikha osincamathisela esifubeni sakho.
Kutheni usenza uphando lwe-EP? Luza kufumana ntoni?
Xa ugqirha wakho ekrokrela ukuba unesifo sentliziyo esingaqhelekanga (i-arrhythmia), uthumela kolu vavanyo ukuze aluphande ngakumbi. Uphononongo lwe-EP lunokubonisa ulwazi oluninzi olungafumaneki rhoqo kwiimvavanyo ezifana ne-ECG, i-Holter monitor, okanye uvavanyo loxinzelelo.
| Iziphumo ezivela kuphando | Ingcaciso elula |
|---|---|
| Uhlobo lokungalungelelani | Ungayibona kakuhle ukuba loluphi uhlobo lwesifo sentliziyo onayo. |
| Unobangela wengxaki | Ungafumanisa ukuba yintoni unobangela wale ngxaki. |
| Ingcambu yengxaki | Ungaphawula ngqo apho esi siginali yombane enengxaki iqala khona entliziyweni. |
| Unyango olungcono kakhulu | Ungagqiba ukuba amayeza akulungele na, okanye ufuna unyango olufana nokususwa kwe-catheter, okanye i-pacemaker. |
| Umngcipheko wexesha elizayo | Kunokwenzeka ukwazi kwangaphambili ukuba kukho iimeko ezinobungozi obukhulu, ezifana nokufa ngesiquphe kwentliziyo, ezinokubangelwa ziingxaki ezithile. |
Into ebalulekileyo kukuba ngamanye amaxesha, ngelixa besenza olu phononongo lwe-EP, oogqirha banokuyifumana indawo yengxaki baze benze unyango (i-catheter ablation). Oku kuthetha ukuba banokwenza izinto ezimbini ngaxeshanye.
Ulungiselela njani iSifundo se-EP?
Ugqirha wakho uza kukucebisa ngendlela yokulungiselela olu vavanyo, kodwa ngokubanzi, khumbula la manqaku.
Ukulungiselela ngokubanzi
- Ukuqhuba: Awunakuqhuba iiyure ezingama-24 emva kovavanyo, ngoko ke lungiselela ukuba umntu akuthathe akuse ekhaya.
- Impahla: Nxiba impahla ekhaphukhaphu nekhululekileyo xa ufika esibhedlele.
- Ubucwebe nezinto ezixabisekileyo: Susa zonke izinto zobucwebe, ezifana nemisesane, imigexo, kunye neewotshi, uze uzishiye ekhaya.
- I-Nail Polish: Susa yonke i-nail polish kunye ne-makeup.
- Ii-Allergy: Ukuba une-allergies kwizinto ezifana ne-latex, okanye ukuba unengxaki ye-anesthesia, xelela ugqirha wakho kwangaphambili.
Iingcebiso ngamayeza kunye nokutya
- Amayeza owasebenzisayo: Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Usenokucelwa ukuba uyeke ukusebenzisa amanye amayeza kwiintsuku ezimbalwa ngaphambi kovavanyo.Ungaze uyeke ukuthatha amayeza ngaphandle kokubuza ugqirha wakho.
- Isifo seswekile: Ukuba unesifo seswekile, buza ugqirha wakho ngokuchanekileyo indlela yokusela amayeza akho ngomhla wovavanyo.
- Ukutya Nesiselo: Yitya ngokuqhelekileyo ngobusuku obungaphambi kovavanyo. Nangona kunjalo, musa ukutya, ukusela, okanye ukuhlafuna itshungama emva kobusuku. Oku kubaluleke kakhulu kukhuseleko lwakho. Sela amayeza kuphela kunye nesiselo samanzi ukuba kuyimfuneko, kwaye yenza oko kuphela xa ugqirha wakho ekuyalela ukuba wenze njalo.
Kwenzeka ntoni ngomhla wovavanyo?
Olu vavanyo lwenziwa kwigumbi elikhethekileyo, elibizwa ngokuba yi-EP lab okanye i-catheterization lab.
Emva kokulala ebhedini,
1. Ukufaka umgca we-IV: I-cannula encinci (umgca we-IV) iya kufakwa emthanjeni osengalweni yakho. Kulapho amayeza afunekayo kunye nolwelo oluya kunikwa khona ngexesha lovavanyo.
2. Ukucoca: Indawo apho kufakwa khona ii-catheters (ngokuqhelekileyo indawo ye-groin) iyachetywa, ukuba kuyimfuneko, kwaye icocwe kakuhle ngesisombululo se-antiseptic.
3. Ukubulala iintsholongwane: Uza kugutyungelwa ngelaphu elingcolileyo. Izandla zakho ziza kubanjwa ngentambo ukuze zingachukumisi indawo engcolileyo.
Ngexesha lovavanyo
Ugqirha uza kufaka iyeza elibangela ukuba iintlungu zingabi nanto kwindawo apho kuza kufakwa khona i-catheter. Emva koko, kuza kufakwa iityhubhu ezininzi ezincinci neziguquguqukayo (ii-catheters) eziya kudlula emthanjeni ziye entliziyweni. Awuyi kuva ntlungu xa oku kusenziwa. Ugqirha uza kusebenzisa i-X-ray monitor (i-fluoroscopy) ukukhokela ezi catheters ngqo kwiigumbi zentliziyo.
Iisensors kwezi catheters zirekhoda imiqondiso yombane yentliziyo. Emva koko,
- Ukujikeleza: Isignali encinci yombane ithunyelwa nge-catheter ukuze intliziyo yakho ibethe ngokukhawuleza. Usenokuziva isifuba sakho sibetha ngamandla ngeli xesha. Ungakhathazeki, konke oku kwenziwa ngendlela elawulekayo.
- Ukuchonga ingxaki: Ngale ndlela, ungatshintsha isantya sentliziyo, udale ukungaqheleki onako, uze uzame ukufumanisa ukuba iqala phi kanye kanye.
- Unyango: Ukuba kuyimfuneko kwaye kufanelekile, xa ingxaki ifunyenwe, i-catheter ablation , unyango olutshabalalisa iiseli ezithumela imiqondiso yombane engafanelekanga, lunokwenziwa ngaxeshanye.
Ukuba uziva ungakhululekanga ngexesha lovavanyo (umz. iintlungu zesifuba, ukuquleka), xelela ugqirha okanye umongikazi ngokukhawuleza. Ukhuselekile ngokupheleleyo, kwaye izixhobo kunye namayeza afunekayo ukubuyisela izinga lentliziyo yakho kwisimo esiqhelekileyo nangaliphi na ixesha akulungele ngelo xesha.
Kwenzeka ntoni emva kovavanyo?
Emva kokuba uvavanyo, oluthatha malunga neyure enye ukuya kwezine, lugqityiwe, ugqirha uyayisusa i-catheter, ayibambe endaweni yayo okwethutyana ukuze ayeke ukopha, aze afake iplasta encinci.
- Ukuba i-catheter ifakwe ngaphakathi kwe-groin, kuya kufuneka uphumle ebhedini imilenze yakho ithe tye kangangeeyure ezimbalwa.
- Ngokwesiqhelo, ungagoduka ngokuhlwa. Nangona kunjalo, ngamanye amaxesha kusenokufuneka uhlale esibhedlele usuku lonke kuxhomekeke kwiziphumo.
- Ungaphinda uqalise imisebenzi eqhelekileyo ngosuku olulandelayo, kodwa ungaphakamisi izinto ezinzima kangangeveki.
- Gcina indawo ye-catheter icocekile kwaye yomile.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Njengakuyo nayiphi na uvavanyo lwezonyango, kukho iingozi ezincinci kakhulu ezibandakanyekayo. Nangona kunjalo, luthathwa njengovavanyo olukhuselekileyo kakhulu . Amathuba okuba neengxaki aphantsi kakhulu.
- Ukopha okanye usulelo kwindawo yokufaka i-catheter.
- Umonakalo omncinci kumthambo wegazi okanye entliziyweni.
- Ukwakheka kwehlwili legazi.
- Ukuphazamiseka kwesigqi sentliziyo.
Ugqirha kunye neqela lezonyango baqikelela kakhulu ukunciphisa zonke ezi ngozi. Ngoko ke akukho mfuneko yokukhathazeka kakhulu ngale nto.
Ufika nini kugqirha
Ukuba ufumanisa naziphi na iimpawu ezingezantsi emva kokubuyela ekhaya, fowunela ugqirha wakho ngoko nangoko.
- Ukudumba, ukuba bomvu, okanye ulwelo olufana nobovu oluphuma kwindawo ye-catheter.
- Ukungabi namandla kuloo ngalo okanye umlenze.
- Ukuziva ubanda okanye utshintshe umbala esandleni okanye emlenzeni.
- Iintlungu zesifuba.
- Ukuhlanza.
| Ingxamiseko! Yiya kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko. | |
|---|---|
| Ukopha okungapheliyo | Ukuba ukopha akuyeki nokuba emva kokufaka uxinzelelo kwindawo yokufaka i-catheter. |
| Ukudumba ngequbuliso | Ukuba indawo apho i-catheter ifakwe khona ngequbuliso idumba ngaphandle kwesizathu. |
Umyalezo Wokuya Ekhaya
- Uphononongo lwe-EP luvavanyo olubaluleke kakhulu nolukhuselekileyo olujonga iingxaki kwinkqubo yombane yentliziyo yakho.
- Nangona oku kungabonakala kunzima kancinci, uza kunikwa amayeza okukuthintela ukuba ungaziva iintlungu. Uza kuziva ukozela okuncinci.
- Olu vavanyo luza kunceda kakhulu ugqirha wakho ukuba afumane unobangela ochanekileyo wentliziyo yakho engahambelaniyo (i-arrhythmia) aze akhethe unyango olufanelekileyo.
- Ngamanye amaxesha, ukususwa kwe-catheter kungenziwa ngexesha elinye novavanyo, kwaye ingxaki yakho inokunyangeka ngokupheleleyo.
- Ukuba unemibuzo okanye iinkxalabo malunga noku, thetha nogqirha wakho ngokukhululekileyo.
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