Ngaba wakha wayiva intliziyo yakho ibetha ngokukhawuleza nangokungaqhelekanga? Le meko, evakala ngathi kukho into eshukumayo esifubeni sakho, yaziwa ngokwezonyango njenge- Atrial Fibrillation. Xa oku kungenakulawulwa ngamayeza, sithetha ngendlela yonyango enzima kodwa esebenzayo kakhulu esetyenziswa njengesisombululo. Leyo yiNkqubo yeMaze.
Iyintoni le nkqubo yeMaze?
Ngamafutshane, kufana ne-maze. Usenokuba wawudlala nge-mazes usengumntwana, apho ungena ngomnyango omnye kwaye kufuneka uthathe indlela enye echanekileyo ukuze uphume. Olu tyando lufana.
Ukubetha kwentliziyo yethu kulawulwa ziimpawu zombane. Kwi-atrial fibrillation, iimpawu zombane ezikwiigumbi ezimbini eziphezulu zentliziyo, ezibizwa ngokuba yi-atria, ziyaguquguquka kwaye ziqale ukuthumela iimpawu ezingalunganga. Intliziyo emva koko iqala ukubetha ngokungaguqukiyo.
Kwinkqubo yeMaze, ugqirha wenza izicubu zesilonda ngendlela ethambileyo necwangcisiweyo kwi-atria yentliziyo. Ezi zicubu zesilonda zisebenza njengomqobo, zithintela imiqondiso yombane engalunganga ukuba ingahambi kuyo yonke intliziyo. Nangona kunjalo, ishiya indlela yemiqondiso echanekileyo kuphela efunekayo ukuze intliziyo ibethe ngokufanelekileyo. Njengokuba kukho indlela enye echanekileyo kuloo maze. Oku kuvumela intliziyo ukuba ibethe ngokuqhelekileyo kwakhona.
Zimbini iindlela ezisetyenziswayo ukwenza le tissue yesilonda:
- I-Cryoablation: Ukungasebenzi kwezicubu ngokusebenzisa ubushushu obugqithisileyo (ukuziqandisa).
- Ukususwa kweRadiofrequency: Ukufudumeza izicwili kusetyenziswa ubushushu obuphezulu (amaza erediyo).
Olu tyando lungenziwa njengotyando olwahlukileyo, okanye lungenziwa ngaxeshanye notyando lwe-bypass okanye utyando lwe-heart valve.
Kutheni le nkqubo yeMaze yenziwa?
Olu tyando alukhuthazwa ngumntu wonke. Kukho iimeko ezininzi apho ugqirha wakho angacebisa olu nyango:
- Ukuba amayeza anikwe i-atrial fibrillation awasebenzi kuwe okanye uneziphumo ebezingalindelekanga ezikuthintelayo ukuwasebenzisa.
- Ukuba le meko ibangele ukuba kubekho amahlwili egazi emzimbeni wakho kwaye kubekho iimeko ezinzima ezifana nestroke .
- Ukuba wenza olunye utyando lwentliziyo (umz. i-bypass, i-valve replacement) kwaye une-atrial fibrillation.
- Ukuba unyango lwangaphambili olufana ne-`(Catheter Ablation)` aluzange luphumelele.
I-Atrial Fibrillation ayisiyonto ilula. Iyandisa umngcipheko westroke ngokuphindwe kahlanu. Inokubangela nokusilela kwentliziyo. Kungoko ke, kubaluleke kakhulu ukufumana unyango olufanelekileyo loku.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ekubeni olu lutyando olukhulu, uza kuhlolwa ngononophelo ngaphambi kokuba luqale.
| Ukulungiselela ngaphambi kotyando | |
|---|---|
| Uvavanyo |
|
| Imiyalelo | Kuza kunikwa iingcebiso malunga nokuba uza kutya ntoni kwaye usele ntoni ngaphambi kotyando kunye namayeza ekufuneka uwathathe/uyeke ukuwathatha. |
| Ixesha lokuqeshwa kukagqirha | Uza kufumana ithuba lokudibana nokuthetha nogqirha wakho, ingcali yentliziyo, kunye nengcali yokubulala iintlungu. |
Iindlela ezimbini zotyando
Kukho iindlela ezimbini eziphambili zotyando. Iqela lakho lezonyango liza kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
1. Utyando Oluvulekileyo (Indlela Yokuhlinzwa Kwesibindi): Kule ndlela, utyando lwenziwa ngokusikwa okuziisentimitha ezi-6-8 embindini wethambo lesifuba.
2. Utyando olungenabungozi kangako (Indlela yeThoracoscopic): Kule ndlela, endaweni yokusikwa okukhulu esifubeni, kwenziwa imingxunya emininzi emincinci phakathi kweembambo kunye nekhamera kwaye kufakwa izixhobo ezithambileyo. Ixesha lokuchacha lifutshane kule ndlela.
Ukususwa kwe-Atrial Appendage ekhohlo
Enye inxalenye ebaluleke kakhulu yolu tyando kukuvalwa okanye ukususwa kwenxalenye encinci ebizwa ngokuba yiLeft Atrial Appendage . Le yingxowa encinci, efana nendlebe enamathele kwi-atrium yasekhohlo yentliziyo.
Ama-90% amahlwili egazi abangela isifo sohlangothi kwizigulana ezine-atrial fibrillation ayenzeka kule sac incinci.Kuye kwafunyaniswa ukuba. Ngenxa yokuba intliziyo ayibethi kakuhle, igazi liyaqokelelana kule ndawo lize lijike. Ukuba eli jike legazi liyaphuma lize liye ebuchotsheni, kubakho isifo sohlangothi. Ngoko ke, ngexesha lenkqubo yeMaze, le ndawo ivalwa ngezititshi, iistaple, okanye isixhobo esikhethekileyo. Oku kunokunciphisa kakhulu umngcipheko wesifo sohlangothi.
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 wenze utyando oluncinci (thoracoscopic), uya kukwazi ukuya ekhaya kwiintsuku ezi-4. Ukuba wenze utyando oluvulekileyo, uza kuba sesibhedlele kangangeveki.
Kusaza kufuneka usele iintlobo ezahlukeneyo zamayeza kangangeenyanga ezimbalwa emva kokuba ubuyele ekhaya.
- Izinto zokunciphisa igazi (Anticoagulants): Kuya kufuneka uthathe amayeza afana ne-`Warfarin` okanye i-`Apixaban` ubuncinane iinyanga ezi-3 ukuthintela ukuqhekeka kwegazi. Emva koko, ugqirha wakho uya kugqiba ukuba kufuneka uqhubeke uwasebenzisa na.
- Amayeza okulawula izinga lentliziyo: Ukulawula ukubetha kwentliziyo okungahambelaniyo okunokwenzeka ngexesha lokuqala kokubuyela kwentliziyo.
- I-Diuretics: Yehlisa ukuqokelelana kolwelo olungeyomfuneko emzimbeni.
Ziziphi iingenelo kunye neengozi zalo tyando?
| Iingenelo | Iingozi/Iingxaki |
|---|---|
|
Kuthatha ixesha elingakanani ukuphiliswa kwaye kufuneka ndiphinde ndimbone nini ugqirha?
Buyela kwimisebenzi yakho yesiqhelo njengesiqhelo.Kungathatha phakathi kweeveki ezi-3 nezi-6 . Ukuba utyando lwenziwe ngendlela engangenisi kakhulu, ixesha lokuchacha lifutshane kakhulu.
Emva kotyando, kuya kufuneka ubone ugqirha ngokweshedyuli ecwangcisiweyo.
- Emva kweveki ndiphumile esibhedlele.
- Emva kwenyanga ephumile esibhedlele (ingcali yentliziyo).
- Uvavanyo lwe-ECG kwiinyanga ezi-3, ezi-6, nezi-12.
- Uvavanyo lwe-`Holter Monitor` (isixhobo esijonga ukubetha kwentliziyo iiyure ezingama-24) kwiinyanga ezi-6 nezili-12.
Kubalulekile ukuba ube sempilweni ukuze ube khona kuzo zonke ezi mvavanyo kunye neekliniki.
Umyalezo Wokuya Ekhaya
- Inkqubo yeMaze lutyando oluphumelele kakhulu kwi-atrial fibrillation olungalawulwa ngamayeza.
- Oku kudala ipateni yezicubu ezibomvu ukuthintela imiqondiso yombane engalunganga yentliziyo, ukubuyisela ukubetha kwentliziyo okuqhelekileyo.
- Kukho iindlela ezimbini, utyando oluvulelekileyo nolungenazo kakhulu, kwaye ugqirha wakho uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe.
- Ukuvala i-'Left Atrial Appendage' okwenziwe ngexesha lotyando kunceda kakhulu ekunciphiseni umngcipheko we-stroke.
- Kuthatha ixesha ukuchacha emva kotyando, kwaye kubaluleke kakhulu ukusela amayeza anikwe ngugqirha (ingakumbi amayeza okunciphisa igazi) ngokuchanekileyo nokubona ugqirha ngemihla ebekiweyo.
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