UtyandoJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 7 min

Ingaba isingqisho sentliziyo yakho asihambelani? Masithethe ngeNkqubo yeMaze, isisombululo se-Atrial Fibrillation!

Creator: Dr. Priya Sammani
Published: 2026-07-15T22:50:43.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokungathi iyaphambana, ibetha ngokukhawuleza nangokungaqhelekanga, kwaye uzive ngathi unento engaqhelekanga esifubeni sakho? Le yinto esiyibiza ngokuba yi-Atrial Fibrillation (AFib) kunyango. Le yingxaki eqhelekileyo yesingqisho sentliziyo. Uninzi lwexesha, le meko inokulawulwa ngamayeza. Kodwa kwabanye abantu, kunzima ukuyilawula ngamayeza kuphela. Ngamaxesha anjalo, namhlanje siza kuthetha ngotyando oluphumelele kakhulu olucetywayo ngoogqirha. Lubizwa ngokuba yiMaze Procedure . Nangona eli gama lingaqhelekanga, liye lakwazi ukuphilisa ubomi babantu abaninzi abane-AFib.

Ngamafutshane, yintoni le nkqubo yeMaze?

Cinga ngomdlalo we-maze. Kukho indlela enye kuphela yokungena, indlela enye yokuphuma, kunye nendlela enye elungileyo phakathi. Kodwa kukwakho neendlela ezininzi ezingalunganga ezikhokelela phambili nangasemva ngaphakathi kuwo. Kwenzeka into efanayo kwi-Maze Procedure.

Ngamafutshane, kule nkqubo, ugqirha wenza ipateni ethambileyo necwangcisiweyo yezicubu zesilonda kwizicubu zentliziyo yakho. Kufana nokwenza i-maze ngaphakathi entliziyweni.

Ngoku khangela, okwenzekayo entliziyweni yomntu one-Atrial Fibrillation kukuba imiqondiso yombane elawula ukubetha kwentliziyo iqala ngendlela engacwangciswanga, iqala kwindawo enye ize isasazeke kuzo zone iingalo. Yiyo loo nto intliziyo ilahlekelwa sisigqi sayo ize iqale ukubetha ngokukhawuleza.

Ipateni yezicubu ezibomvu eyenziwe kwiNkqubo yeMaze ivala iindlela zemiqondiso yombane engaqhelekanga nengalunganga ukuba ihambe isiya phambili nangasemva . Kwangaxeshanye, indlela ekuphela kwayo yokuba isignali yombane echanekileyo ibethe ivuliwe . Njengendlela echanekileyo kwi-maze. Oku kuvala zonke iimpawu ezingalunganga kwaye kuvumela kuphela iimpawu ezichanekileyo ukuba zihambe. Ekugqibeleni, isantya sentliziyo yakho sibuyela kwisigqi esiqhelekileyo nesisempilweni.

Oogqirha basebenzisa iindlela ezimbini ukulungisa le ngxaki:

I-Cryoablation: Isebenzisa ukubanda kakhulu (ukuqandisa) ukonakalisa izicwili kwaye ibangele amanxeba.
Amandla eRadiofrequency: Amandla eRadiofrequency asetyenziselwa ukufudumeza izicwili kwaye abangele amanxeba.

Le nkqubo ngamanye amaxesha inokwenziwa ngaxeshanye nolunye utyando lwentliziyo (njengotyando lwe-bypass). Okanye, ingenziwa yodwa. Namhlanje, uhlobo olutsha noluphucukileyo lolu tyando, inkqubo ye-Cox-maze IV , ithathwa njenge "mgangatho wegolide" we-atrial fibrillation.

Kweziphi iimeko apho olu tyando lwenziwa khona?

Inkqubo yeMaze ayikhuthazwa kubo bonke abaguli be-AFIB. Ugqirha wakho uya kuxoxa nawe ngale nkqubo ukuba:

Iodolwe wenaUkuba amayeza awakwazi ukulawula isigqi sentliziyo yakho, okanye ukuba awukwazi ukusebenzisa amayeza athile ngenxa yeziphumo ebezingalindelekanga.
Ukuba une-atrial fibrillation, ebangele ukuba kubekho amahlwili egazi emzimbeni wakho kwaye ibangele iimeko eziyingozi ezifana ne-stroke .
Ukuba ucwangciselwe ukwenza utyando lwesinye isifo sentliziyo (umz., ukulungiswa kwevalvu yentliziyo, utyando lwe-bypass) , le ndlela ingasetyenziselwa ukunyanga i-atrial fibrillation yakho ngaxeshanye notyando.
Ukuba ukhe wasebenzisa unyango olubizwa ngokuba yiCatheter Ablation ngaphambili kwaye aluzange luphumelele.

Ukuba ayinyangwa, imeko ebizwa ngokuba yi-atrial fibrillation inokuphinda kabini umngcipheko wokufa kwaye inyuse umngcipheko we-stroke ngokuphindwe kahlanu ukuya kwesixhenxe. Ingakhokelela nasekufeni kwentliziyo. Ke ngoko, kubaluleke kakhulu ukufumana unyango olufanelekileyo lwale meko.

Kwenzeka ntoni ngaphambi kotyando?

Awunakuya kutyando olunje ngaxeshanye. Ngaphambi koko, kufuneka uhlolisise kakuhle imeko yomzimba wakho. Oku kubandakanya uvavanyo oluninzi kunye nokuya kugqirha.

I-Transthoracic Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ijonga ubungakanani be-atrium yakho yasekhohlo kunye nokuba kukho naziphi na iingxaki zevalvu yentliziyo.
I-CT yesifuba (i-Computed Tomography) Scan: I-CT scan yesifuba iyenziwa. Ngamanye amaxesha, ukuba uza kwenziwa utyando olungenabungozi kangako, kunokufuneka wenze i-CT scan yesisu kunye ne-pelvis.
Intlanganiso noogqirha: Ingcali yakho yentliziyo, ugqirha wotyando, kunye nengcali yokubulala iintlungu baza kudibana nawe ukuze bakuchazele ngolu tyando, iingozi zalo, kunye nendlela oluza kwenziwa ngayo unyango lokubulala iintlungu. Buza nayiphi na imibuzo onokuba nayo ngeli xesha.
Ukubonelela ngemiyalelo: Uza kunikwa imiyalelo ecacileyo malunga nokuba uza kutya ntoni, usele ntoni, uyeke ukuthatha amayeza, kunye namayeza omawuwathathe kwiintsuku ezingaphambi kotyando.

Lwenziwa njani utyando?

Inkqubo yeMaze inokwenziwa ngeendlela ezimbini eziphambili. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kwimeko yakho.

Indlela yotyando	Indlela yokwenza oku ilula.
Utyando oluvulekileyo (indlela ye-Sternotomy)	Kwenziwa ukusika okuthe nkqo malunga nee-intshi ezi-1.5-1.5 phakathi kwesifuba, ecaleni kwethambo lesifuba (sternum). Uza kuqhagamshelwa kumatshini we-cardiopulmonary bypass , othatha okwethutyana umsebenzi wentliziyo yakho kunye nemiphunga ngexesha lotyando. Ukususwa kwezicubu (nokuba kubanda okanye kubushushu) kudala izicubu ezibomvu ngendlela ecwangcisiweyo 'kwi-maze' kwi-atria yasekhohlo nasekunene yentliziyo. Inxalenye yentliziyo ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe (siza kuthetha ngale nto kancinci).
Utyando lwe-Keyhole (indlela ye-Thoracoscopic)	Endaweni yokusikwa okukhulu esifubeni, kwenziwa imingxunya emininzi emincinci phakathi kweembambo. Umoya kwelinye icala lomphunga ususwa okwethutyana (utsalwe umoya) ukuze kuvulwe indawo yotyando. Ngale migqomo mincinci, kufakwa ityhubhu enekhamera eqhotyoshelweyo (i-endoscope) kunye nezixhobo ezithambileyo ezifunekayo xa kutyandwa. Njengakwityando elivulekileyo, indlela yokukhupha izicubu idala ipateni yesilonda. Inxalenye ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe.

Indlela yotyando

Indlela yokwenza oku ilula.

Utyando oluvulekileyo (indlela ye-Sternotomy)

Kwenziwa ukusika okuthe nkqo malunga nee-intshi ezi-1.5-1.5 phakathi kwesifuba, ecaleni kwethambo lesifuba (sternum).

Uza kuqhagamshelwa kumatshini we-cardiopulmonary bypass , othatha okwethutyana umsebenzi wentliziyo yakho kunye nemiphunga ngexesha lotyando.

Ukususwa kwezicubu (nokuba kubanda okanye kubushushu) kudala izicubu ezibomvu ngendlela ecwangcisiweyo 'kwi-maze' kwi-atria yasekhohlo nasekunene yentliziyo.

Inxalenye yentliziyo ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe (siza kuthetha ngale nto kancinci).

Utyando lwe-Keyhole (indlela ye-Thoracoscopic)

Endaweni yokusikwa okukhulu esifubeni, kwenziwa imingxunya emininzi emincinci phakathi kweembambo.

Umoya kwelinye icala lomphunga ususwa okwethutyana (utsalwe umoya) ukuze kuvulwe indawo yotyando.

Ngale migqomo mincinci, kufakwa ityhubhu enekhamera eqhotyoshelweyo (i-endoscope) kunye nezixhobo ezithambileyo ezifunekayo xa kutyandwa.

Njengakwityando elivulekileyo, indlela yokukhupha izicubu idala ipateni yesilonda.

Inxalenye ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe.

Ngenxa yokuba utyando lwe-keyhole (i-Thoracoscopic) lwenziwa ngokusikwa okuncinci kakhulu, iingxaki zimbalwa kwaye ixesha lokuhlala esibhedlele lifutshane.

Yintoni eyenziwa kwi-Left Atrial Appendage?

Le yinxalenye ebaluleke kakhulu yeNkqubo yeMaze. I-Left Atrial Appendage sisingxobo esincinci, esimile okwendlebe sezicubu esinamathele kwi-atrium yasekhohlo yentliziyo. Le yindawo ephambili yokwakheka kwe-blood clot kubantu abane-atrial fibrillation.

Uphando lufumanise ukuba ama-90% amahlwili egazi abangela isifo sohlangothi kwizigulane ze-AFIB akhiwa kule ndawo incinci.

Xa isingqisho sentliziyo siphazamisekile, igazi elingena kwesi sitho liyama apho, nto leyo eyenza kube lula ukuba kubekho amahlwili egazi. Ukuba ihlwili legazi elenzeka ngolu hlobo liyaphuma lize lihambe ngemithambo yegazi lize libambeke emthanjeni osebuchotsheni, linokubangela istroke.

Ngoko ke, ngexesha leNkqubo yeMaze, ugqirha uyayivala le Left Atrial Appendage esebenzisa izititshi, iistaple, okanye isixhobo esikhethekileyo, okanye ayinqumle ngokupheleleyo. Oku kunokunciphisa kakhulu umngcipheko wokuba nestroke kwixesha elizayo.

Kwenzeka ntoni emva kotyando?

Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) ukuze ujongwe usuku olunye okanye ezimbini, uze emva koko udluliselwe kwigumbi eliqhelekileyo. Ukuba ukhe wenza olunye utyando, ukuhlala kwakho esibhedlele kungathatha ixesha elide. Ngokwesiqhelo, umntu okhe wenza utyando lwe-keyhole angabuyela ekhaya kwiintsuku ezine. Ukuba ukhe wenza utyando oluvulekileyo, kunokufuneka uhlale malunga neveki.

Kwanasemva kokuba ubuyele ekhaya, kuya kufuneka usele amayeza kangangeenyanga eziliqela.

Ii-Anticoagulants (izithibi zegazi): Kuya kufuneka uthathe la mayeza (umz., i-warfarin, i-apixaban) ubuncinane iinyanga ezintathu ukuthintela ukuqhekeka kwegazi. Emva koko, ugqirha wakho uya kugqiba ukuba kufuneka uqhubeke nokusebenzisa la mayeza na.
Amayeza okulawula izinga lokubetha kwentliziyo: La mayeza anokufuneka ukulawula ukubetha kwentliziyo okungaqhelekanga okunokwenzeka ngexesha lokuqala kokubuyela kwentliziyo.
I-Diuretics: La mayeza anikwa ukunciphisa ukuqokelelana kolwelo ngokungeyomfuneko emzimbeni.

Ngamanye amaxesha, i-AFIB ayisonjululwa ngokupheleleyo emva kweNkqubo yeMaze. Kwiimeko ezinjalo, kunokufuneka ukuba kufakwe i-catheter ablation eyongezelelweyo. Ke ngoko, kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho wentliziyo emva kwenkqubo.

Ziziphi iingenelo kunye neengozi zalo tyando?

Iingenelo	Iingozi kunye neengxaki
Izinga lempumelelo eliphezulu kakhulu: Izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-80% ukuya kwi-90%. Isisombululo sexesha elide: Unyango lwexesha elide lunokwenzeka kwi-atrial fibrillation. Umngcipheko wesifo sohlangothi onciphileyo: Umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi unciphile kakhulu.	Ukuphazamiseka kwentliziyo okwethutyana: Malunga ne-30%-50% yezigulana zinokubetha kwentliziyo okutsityiweyo okanye ukuphinda kwe-AFIB okwexeshana kwiinyanga ezi-3 zokuqala emva kotyando. Oku kungenxa yokuba izicubu zentliziyo ziyadumba. Oku kunokulawulwa ngamayeza. Le meko iyaphela njengoko intliziyo iphola. Ukufuna i-pacemaker:Malunga ne-6% yezigulana kuya kufuneka zifakelwe i-pacemaker emva kotyando. Oku kungenxa yokuba ezinye iingxaki zesingqisho sentliziyo (umz., i-sick sinus syndrome , i-heart block ) ezingakhange zifunyaniswe ngaphambi kotyando ziye zavela.

Iingenelo

Iingozi kunye neengxaki

Izinga lempumelelo eliphezulu kakhulu: Izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-80% ukuya kwi-90%.

Isisombululo sexesha elide: Unyango lwexesha elide lunokwenzeka kwi-atrial fibrillation.

Umngcipheko wesifo sohlangothi onciphileyo: Umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi unciphile kakhulu.

Ukuphazamiseka kwentliziyo okwethutyana: Malunga ne-30%-50% yezigulana zinokubetha kwentliziyo okutsityiweyo okanye ukuphinda kwe-AFIB okwexeshana kwiinyanga ezi-3 zokuqala emva kotyando. Oku kungenxa yokuba izicubu zentliziyo ziyadumba. Oku kunokulawulwa ngamayeza. Le meko iyaphela njengoko intliziyo iphola.

Ukufuna i-pacemaker:Malunga ne-6% yezigulana kuya kufuneka zifakelwe i-pacemaker emva kotyando. Oku kungenxa yokuba ezinye iingxaki zesingqisho sentliziyo (umz., i-sick sinus syndrome , i-heart block ) ezingakhange zifunyaniswe ngaphambi kotyando ziye zavela.

Kuthatha ixesha elingakanani ukuphiliswa?

Kudla ngokuthatha iiveki ezintathu ukuya kwezintandathu ukubuyela kwimisebenzi yakho yemihla ngemihla. Ukuba ukhe watyandwa umngxuma wesihlunu, ixesha lokuchacha liya kukhawuleza kakhulu kuba akukho nxeba likhulu esifubeni sakho.

Kufuneka uphinde uye kugqirha wakho nini kwakhona?

Ukuba ufumana iimpawu ze-AFIB kwakhona emva kotyando, yazisa ugqirha wakho wentliziyo ngoko nangoko. Ukongeza, kuya kufuneka ugcine ishedyuli ethile yovavanyo kunye nemihlangano.

Ndabuyela ekhaya ndivela esibhedlele emva kweveki.
Bona ugqirha wentliziyo emva kwenyanga.
Uvavanyo lwe-Electrocardiogram (EKG) kwiinyanga ezi-3, ezi-6, nezi-12 emva kotyando, uze emva koko kube kanye ngonyaka.
Isixhobo sokujonga umva seHolter (isixhobo esijonga ukusebenza kwentliziyo iiyure ezingama-24) sivavanywa kwiinyanga ezi-6 nezili-12 emva kotyando.

Kubaluleke kakhulu ukuba zonke ezi vavanyo zenziwe ngokuchanekileyo ukuqinisekisa impilo yakho.

Umyalezo Wokuya Ekhaya

Inkqubo yeMaze lutyando oluphumelele kakhulu kwi-Atrial Fibrillation (AFib), imeko ekunzima ukuyilawula ngamayeza.

Oku kuquka ukudala ipateni efana 'ne-maze' yezicubu zesilonda ukuvala imiqondiso yombane engalunganga entliziyweni.

Olu tyando luyenza isantya sentliziyo yakho sibe sisiqhelo kwaye lunciphisa kakhulu umngcipheko westroke.

Kukho iindlela ezimbini: utyando oluvulekileyo kunye notyando lwemingxuma yesitshixo. Ixesha lokuchacha emva kotyando lwemingxuma yesitshixo likhawuleza.

Nceda uxoxe nogqirha wakho malunga nokuba olu tyando lukulungele na kwaye zeziphi iingenelo kunye neengozi.

Inkqubo yeMaze, i-Atrial Fibrillation, utyando lwentliziyo, i-Heart Rhythm, i-AFIB, i-Cox-maze, iStroke, isifo sentliziyo, ukubetha kwentliziyo, i-Blood Clot, iStroke, utyando lwentliziyo

Frequently Asked Questions (FAQ)

Kuthatha ixesha elingakanani ukuphiliswa?

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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UtyandoJulayi 16, 2026
Ingaba isingqisho sentliziyo yakho asihambelani? Masithethe ngeNkqubo yeMaze, isisombululo se-Atrial Fibrillation!
Dr. Priya SammaniMedical Verification
⏱ 7 min read
📋Table of Contents
1. Ngamafutshane, yintoni le nkqubo yeMaze?
2. Kweziphi iimeko apho olu tyando lwenziwa khona?
3. Kwenzeka ntoni ngaphambi kotyando?
4. Lwenziwa njani utyando?
5. Yintoni eyenziwa kwi-Left Atrial Appendage?
6. Kwenzeka ntoni emva kotyando?
7. Ziziphi iingenelo kunye neengozi zalo tyando?
8. Kuthatha ixesha elingakanani ukuphiliswa?
9. Kufuneka uphinde uye kugqirha wakho nini kwakhona?
10. Umyalezo Wokuya Ekhaya
Ngaba wakha waziva ngathi intliziyo yakho ibetha ngokungathi iyaphambana, ibetha ngokukhawuleza nangokungaqhelekanga, kwaye uzive ngathi unento engaqhelekanga esifubeni sakho? Le yinto esiyibiza ngokuba yi-Atrial Fibrillation (AFib) kunyango. Le yingxaki eqhelekileyo yesingqisho sentliziyo. Uninzi lwexesha, le meko inokulawulwa ngamayeza. Kodwa kwabanye abantu, kunzima ukuyilawula ngamayeza kuphela. Ngamaxesha anjalo, namhlanje siza kuthetha ngotyando oluphumelele kakhulu olucetywayo ngoogqirha. Lubizwa ngokuba yiMaze Procedure . Nangona eli gama lingaqhelekanga, liye lakwazi ukuphilisa ubomi babantu abaninzi abane-AFib.
Ngamafutshane, yintoni le nkqubo yeMaze?
Cinga ngomdlalo we-maze. Kukho indlela enye kuphela yokungena, indlela enye yokuphuma, kunye nendlela enye elungileyo phakathi. Kodwa kukwakho neendlela ezininzi ezingalunganga ezikhokelela phambili nangasemva ngaphakathi kuwo. Kwenzeka into efanayo kwi-Maze Procedure.
Ngamafutshane, kule nkqubo, ugqirha wenza ipateni ethambileyo necwangcisiweyo yezicubu zesilonda kwizicubu zentliziyo yakho. Kufana nokwenza i-maze ngaphakathi entliziyweni.
Ngoku khangela, okwenzekayo entliziyweni yomntu one-Atrial Fibrillation kukuba imiqondiso yombane elawula ukubetha kwentliziyo iqala ngendlela engacwangciswanga, iqala kwindawo enye ize isasazeke kuzo zone iingalo. Yiyo loo nto intliziyo ilahlekelwa sisigqi sayo ize iqale ukubetha ngokukhawuleza.
Ipateni yezicubu ezibomvu eyenziwe kwiNkqubo yeMaze ivala iindlela zemiqondiso yombane engaqhelekanga nengalunganga ukuba ihambe isiya phambili nangasemva . Kwangaxeshanye, indlela ekuphela kwayo yokuba isignali yombane echanekileyo ibethe ivuliwe . Njengendlela echanekileyo kwi-maze. Oku kuvala zonke iimpawu ezingalunganga kwaye kuvumela kuphela iimpawu ezichanekileyo ukuba zihambe. Ekugqibeleni, isantya sentliziyo yakho sibuyela kwisigqi esiqhelekileyo nesisempilweni.
Oogqirha basebenzisa iindlela ezimbini ukulungisa le ngxaki:
I-Cryoablation: Isebenzisa ukubanda kakhulu (ukuqandisa) ukonakalisa izicwili kwaye ibangele amanxeba.
Amandla eRadiofrequency: Amandla eRadiofrequency asetyenziselwa ukufudumeza izicwili kwaye abangele amanxeba.
Le nkqubo ngamanye amaxesha inokwenziwa ngaxeshanye nolunye utyando lwentliziyo (njengotyando lwe-bypass). Okanye, ingenziwa yodwa. Namhlanje, uhlobo olutsha noluphucukileyo lolu tyando, inkqubo ye-Cox-maze IV , ithathwa njenge "mgangatho wegolide" we-atrial fibrillation.
Kweziphi iimeko apho olu tyando lwenziwa khona?
Inkqubo yeMaze ayikhuthazwa kubo bonke abaguli be-AFIB. Ugqirha wakho uya kuxoxa nawe ngale nkqubo ukuba:
Iodolwe wenaUkuba amayeza awakwazi ukulawula isigqi sentliziyo yakho, okanye ukuba awukwazi ukusebenzisa amayeza athile ngenxa yeziphumo ebezingalindelekanga.
Ukuba une-atrial fibrillation, ebangele ukuba kubekho amahlwili egazi emzimbeni wakho kwaye ibangele iimeko eziyingozi ezifana ne-stroke .
Ukuba ucwangciselwe ukwenza utyando lwesinye isifo sentliziyo (umz., ukulungiswa kwevalvu yentliziyo, utyando lwe-bypass) , le ndlela ingasetyenziselwa ukunyanga i-atrial fibrillation yakho ngaxeshanye notyando.
Ukuba ukhe wasebenzisa unyango olubizwa ngokuba yiCatheter Ablation ngaphambili kwaye aluzange luphumelele.
Ukuba ayinyangwa, imeko ebizwa ngokuba yi-atrial fibrillation inokuphinda kabini umngcipheko wokufa kwaye inyuse umngcipheko we-stroke ngokuphindwe kahlanu ukuya kwesixhenxe. Ingakhokelela nasekufeni kwentliziyo. Ke ngoko, kubaluleke kakhulu ukufumana unyango olufanelekileyo lwale meko.
Kwenzeka ntoni ngaphambi kotyando?
Awunakuya kutyando olunje ngaxeshanye. Ngaphambi koko, kufuneka uhlolisise kakuhle imeko yomzimba wakho. Oku kubandakanya uvavanyo oluninzi kunye nokuya kugqirha.
I-Transthoracic Echocardiogram: Oku kufana ne-ultrasound scan yentliziyo. Ijonga ubungakanani be-atrium yakho yasekhohlo kunye nokuba kukho naziphi na iingxaki zevalvu yentliziyo.
I-CT yesifuba (i-Computed Tomography) Scan: I-CT scan yesifuba iyenziwa. Ngamanye amaxesha, ukuba uza kwenziwa utyando olungenabungozi kangako, kunokufuneka wenze i-CT scan yesisu kunye ne-pelvis.
Intlanganiso noogqirha: Ingcali yakho yentliziyo, ugqirha wotyando, kunye nengcali yokubulala iintlungu baza kudibana nawe ukuze bakuchazele ngolu tyando, iingozi zalo, kunye nendlela oluza kwenziwa ngayo unyango lokubulala iintlungu. Buza nayiphi na imibuzo onokuba nayo ngeli xesha.
Ukubonelela ngemiyalelo: Uza kunikwa imiyalelo ecacileyo malunga nokuba uza kutya ntoni, usele ntoni, uyeke ukuthatha amayeza, kunye namayeza omawuwathathe kwiintsuku ezingaphambi kotyando.
Lwenziwa njani utyando?
Inkqubo yeMaze inokwenziwa ngeendlela ezimbini eziphambili. Ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kwimeko yakho.
Indlela yotyando Indlela yokwenza oku ilula.
Utyando oluvulekileyo (indlela ye-Sternotomy)
Kwenziwa ukusika okuthe nkqo malunga nee-intshi ezi-1.5-1.5 phakathi kwesifuba, ecaleni kwethambo lesifuba (sternum).
Uza kuqhagamshelwa kumatshini we-cardiopulmonary bypass , othatha okwethutyana umsebenzi wentliziyo yakho kunye nemiphunga ngexesha lotyando.
Ukususwa kwezicubu (nokuba kubanda okanye kubushushu) kudala izicubu ezibomvu ngendlela ecwangcisiweyo 'kwi-maze' kwi-atria yasekhohlo nasekunene yentliziyo.
Inxalenye yentliziyo ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe (siza kuthetha ngale nto kancinci).
Utyando lwe-Keyhole (indlela ye-Thoracoscopic)
Endaweni yokusikwa okukhulu esifubeni, kwenziwa imingxunya emininzi emincinci phakathi kweembambo.
Umoya kwelinye icala lomphunga ususwa okwethutyana (utsalwe umoya) ukuze kuvulwe indawo yotyando.
Ngale migqomo mincinci, kufakwa ityhubhu enekhamera eqhotyoshelweyo (i-endoscope) kunye nezixhobo ezithambileyo ezifunekayo xa kutyandwa.
Njengakwityando elivulekileyo, indlela yokukhupha izicubu idala ipateni yesilonda.
Inxalenye ebizwa ngokuba yiLeft Atrial Appendage iyasuswa okanye ivalwe.
Ngenxa yokuba utyando lwe-keyhole (i-Thoracoscopic) lwenziwa ngokusikwa okuncinci kakhulu, iingxaki zimbalwa kwaye ixesha lokuhlala esibhedlele lifutshane.
Yintoni eyenziwa kwi-Left Atrial Appendage?
Le yinxalenye ebaluleke kakhulu yeNkqubo yeMaze. I-Left Atrial Appendage sisingxobo esincinci, esimile okwendlebe sezicubu esinamathele kwi-atrium yasekhohlo yentliziyo. Le yindawo ephambili yokwakheka kwe-blood clot kubantu abane-atrial fibrillation.
Uphando lufumanise ukuba ama-90% amahlwili egazi abangela isifo sohlangothi kwizigulane ze-AFIB akhiwa kule ndawo incinci.
Xa isingqisho sentliziyo siphazamisekile, igazi elingena kwesi sitho liyama apho, nto leyo eyenza kube lula ukuba kubekho amahlwili egazi. Ukuba ihlwili legazi elenzeka ngolu hlobo liyaphuma lize lihambe ngemithambo yegazi lize libambeke emthanjeni osebuchotsheni, linokubangela istroke.
Ngoko ke, ngexesha leNkqubo yeMaze, ugqirha uyayivala le Left Atrial Appendage esebenzisa izititshi, iistaple, okanye isixhobo esikhethekileyo, okanye ayinqumle ngokupheleleyo. Oku kunokunciphisa kakhulu umngcipheko wokuba nestroke kwixesha elizayo.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kugcinwa kwigumbi labagula kakhulu (ICU) ukuze ujongwe usuku olunye okanye ezimbini, uze emva koko udluliselwe kwigumbi eliqhelekileyo. Ukuba ukhe wenza olunye utyando, ukuhlala kwakho esibhedlele kungathatha ixesha elide. Ngokwesiqhelo, umntu okhe wenza utyando lwe-keyhole angabuyela ekhaya kwiintsuku ezine. Ukuba ukhe wenza utyando oluvulekileyo, kunokufuneka uhlale malunga neveki.
Kwanasemva kokuba ubuyele ekhaya, kuya kufuneka usele amayeza kangangeenyanga eziliqela.
Ii-Anticoagulants (izithibi zegazi): Kuya kufuneka uthathe la mayeza (umz., i-warfarin, i-apixaban) ubuncinane iinyanga ezintathu ukuthintela ukuqhekeka kwegazi. Emva koko, ugqirha wakho uya kugqiba ukuba kufuneka uqhubeke nokusebenzisa la mayeza na.
Amayeza okulawula izinga lokubetha kwentliziyo: La mayeza anokufuneka ukulawula ukubetha kwentliziyo okungaqhelekanga okunokwenzeka ngexesha lokuqala kokubuyela kwentliziyo.
I-Diuretics: La mayeza anikwa ukunciphisa ukuqokelelana kolwelo ngokungeyomfuneko emzimbeni.
Ngamanye amaxesha, i-AFIB ayisonjululwa ngokupheleleyo emva kweNkqubo yeMaze. Kwiimeko ezinjalo, kunokufuneka ukuba kufakwe i-catheter ablation eyongezelelweyo. Ke ngoko, kubaluleke kakhulu ukuhlala unxibelelana nogqirha wakho wentliziyo emva kwenkqubo.
Ziziphi iingenelo kunye neengozi zalo tyando?
Iingenelo Iingozi kunye neengxaki
Izinga lempumelelo eliphezulu kakhulu: Izinga lempumelelo yolu tyando liphezulu ukuya kuthi ga kwi-80% ukuya kwi-90%.
Isisombululo sexesha elide: Unyango lwexesha elide lunokwenzeka kwi-atrial fibrillation.
Umngcipheko wesifo sohlangothi onciphileyo: Umngcipheko wokuqhekeka kwegazi kunye nesifo sohlangothi unciphile kakhulu.
Ukuphazamiseka kwentliziyo okwethutyana: Malunga ne-30%-50% yezigulana zinokubetha kwentliziyo okutsityiweyo okanye ukuphinda kwe-AFIB okwexeshana kwiinyanga ezi-3 zokuqala emva kotyando. Oku kungenxa yokuba izicubu zentliziyo ziyadumba. Oku kunokulawulwa ngamayeza. Le meko iyaphela njengoko intliziyo iphola.
Ukufuna i-pacemaker:Malunga ne-6% yezigulana kuya kufuneka zifakelwe i-pacemaker emva kotyando. Oku kungenxa yokuba ezinye iingxaki zesingqisho sentliziyo (umz., i-sick sinus syndrome , i-heart block ) ezingakhange zifunyaniswe ngaphambi kotyando ziye zavela.
Kuthatha ixesha elingakanani ukuphiliswa?
Kudla ngokuthatha iiveki ezintathu ukuya kwezintandathu ukubuyela kwimisebenzi yakho yemihla ngemihla. Ukuba ukhe watyandwa umngxuma wesihlunu, ixesha lokuchacha liya kukhawuleza kakhulu kuba akukho nxeba likhulu esifubeni sakho.
Kufuneka uphinde uye kugqirha wakho nini kwakhona?
Ukuba ufumana iimpawu ze-AFIB kwakhona emva kotyando, yazisa ugqirha wakho wentliziyo ngoko nangoko. Ukongeza, kuya kufuneka ugcine ishedyuli ethile yovavanyo kunye nemihlangano.
Ndabuyela ekhaya ndivela esibhedlele emva kweveki.
Bona ugqirha wentliziyo emva kwenyanga.
Uvavanyo lwe-Electrocardiogram (EKG) kwiinyanga ezi-3, ezi-6, nezi-12 emva kotyando, uze emva koko kube kanye ngonyaka.
Isixhobo sokujonga umva seHolter (isixhobo esijonga ukusebenza kwentliziyo iiyure ezingama-24) sivavanywa kwiinyanga ezi-6 nezili-12 emva kotyando.
Kubaluleke kakhulu ukuba zonke ezi vavanyo zenziwe ngokuchanekileyo ukuqinisekisa impilo yakho.
Umyalezo Wokuya Ekhaya
Inkqubo yeMaze lutyando oluphumelele kakhulu kwi-Atrial Fibrillation (AFib), imeko ekunzima ukuyilawula ngamayeza.
Oku kuquka ukudala ipateni efana 'ne-maze' yezicubu zesilonda ukuvala imiqondiso yombane engalunganga entliziyweni.
Olu tyando luyenza isantya sentliziyo yakho sibe sisiqhelo kwaye lunciphisa kakhulu umngcipheko westroke.
Kukho iindlela ezimbini: utyando oluvulekileyo kunye notyando lwemingxuma yesitshixo. Ixesha lokuchacha emva kotyando lwemingxuma yesitshixo likhawuleza.
Nceda uxoxe nogqirha wakho malunga nokuba olu tyando lukulungele na kwaye zeziphi iingenelo kunye neengozi.
Inkqubo yeMaze, i-Atrial Fibrillation, utyando lwentliziyo, i-Heart Rhythm, i-AFIB, i-Cox-maze, iStroke, isifo sentliziyo, ukubetha kwentliziyo, i-Blood Clot, iStroke, utyando lwentliziyo
Frequently Asked Questions (FAQ)
Kuthatha ixesha elingakanani ukuphiliswa?
Kudla ngokuthatha iiveki ezintathu ukuya kwezintandathu ukubuyela kwimisebenzi yakho yemihla ngemihla. Ukuba ukhe watyandwa umngxuma wesihlunu, ixesha lokuchacha liya kukhawuleza kakhulu kuba akukho nxeba likhulu esifubeni sakho.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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