Ngaba wena okanye umntu osapho lwakho unesixhobo sokuncedisa intliziyo (pacemaker) okanye esinye isixhobo sentliziyo? Ukuba kunjalo, kusenokwenzeka ukuba ukhe weva ngentambo encinci esuka kwisixhobo iye entliziyweni. Ezi zihlala zifakelwa ubomi bonke. Nangona kunjalo, kwezinye iimeko ezikhethekileyo, ezi ntambo kufuneka zisuswe ngononophelo okanye zisuswe entliziyweni. Oku kubizwa ngokuba yi-'lead extraction' kunyango. Kutheni oku kusenziwa? Ingaba kuyingozi? Siza kuthetha ngale nto ngokulula namhlanje, ngendlela onokuyiqonda.
Okokuqala, masibone ukuba oku kubizwa ngokuba 'li-lead' kuthetha ukuthini.
Xa ucinga 'nge-lead', musa ukucinga nge-lead yepensile! Le yinto eyahlukileyo ngokupheleleyo. Ngamafutshane, yintambo encinci kakhulu egqunywe nge-insulation ekhethekileyo. Ihamba kwisixhobo sakho se-pacemaker okanye kwi-ICD (implantable cardioverter-defibrillator) iye entliziyweni yakho.
Uyazi, ezi zixhobo zisetyenziselwa ukunyanga iingxaki zesingqisho sentliziyo, ezithi xa intliziyo ibetha ngokukhawuleza kakhulu, kancinci kakhulu, okanye ngokungacwangciswanga (arrhythmias). Ngoko ke, xa isingqisho sentliziyo singahambi kakuhle, isignali yombane encinci evela kwisixhobo ihamba ngale ndlela iye entliziyweni. Eso signali yiyo eyenza intliziyo ibethe ngokuqhelekileyo kwakhona. Kufana nokuvula iTV nge-remote.
Ngoko ke yintoni 'iLead Extraction'?
Ngamafutshane, oku kubhekisa kutyando lokususa enye okanye ezingaphezulu kwezi ntambo 'zelothe' ngaphakathi entliziyweni.
Kodwa oku akulula njengoko kubonakala. Isizathu kukuba emva kokuba olu cingo lufakwe entliziyweni, ngokuhamba kwexesha, imizimba yethu yenza izicubu ezincinci zesilonda ezijikeleze yona. Olu luhlu lwezilonda lubangela ukuba ucingo lunamathele ngokuqinileyo kwimithambo yegazi kunye nodonga lwentliziyo. Oku kwenza kube nzima ukulususa ngokuqhelekileyo. Ukwenza njalo kunokonakalisa imithambo yegazi.
Ngoko ke, izixhobo ezikhethekileyo kunye nobuchule bengcali yentliziyo enamava kakhulu zibalulekile ukuze kuqhekezwe ngononophelo esi silonda kwaye kukhululwe olu cingo ngaphandle kokonakalisa imithambo yegazi.
Kaloku, kutheni kufuneka uzisuse ezi ntambo ngequbuliso?
Kukho izizathu ezahlukeneyo zoku. Ezinye ziimeko ezingxamisekileyo, ezinye zicwangciswe kwangaphambili. Makhe sijonge izizathu eziphambili.
| Isizathu sokususwa | Ingcaciso elula |
|---|---|
| Usulelo kwisixhobo okanye ucingo | Le yeyona nto iphambili neyona ixhaphakileyo . Usulelo egazini (i-bacteremia) lunokusasazeka luye kwisixhobo nakwintambo. Ngamanye amaxesha iivalvu zentliziyo nazo zinokosulelwa (i-infective endocarditis). Kwiimeko ezinjalo, kuyimfuneko ukususa yonke inkqubo (isixhobo kunye nentambo) ukulawula usulelo. |
| Ukwaphuka kwentambo okanye ukungasebenzi kakuhle | Ekuhambeni kwexesha, ucingo lunokuqhekeka ngaphakathi okanye ngaphandle. Emva koko isignali ethunyelwa kwisixhobo ayifikeleli entliziyweni ngokufanelekileyo. Ngoko ke, ucingo oluqhekekileyo, olungenamsebenzi, kufuneka lususwe. |
| Ukwakheka kwezicubu ezixineneyo (Exit Block) | Xa isiphelo sentambo, apho iqhagamshela khona entliziyweni, siba sikhulu kakhulu ngenxa yezicubu ezibomvu, isignali yombane ayikwazi ukudlula kuloo mqobo uye entliziyweni. Oku kubizwa ngokuba yi-'exit block'. Oku kubangela ukuba isixhobo singasebenzi kakuhle. |
| Ezinye iingxaki | Ngamanye amaxesha ucingo ngokwalo lunokubangela ukungqubana kwentliziyo. Kwakhona, amahlwili egazi anokwenzakala ejikeleze ucingo, nto leyo ethintela ukuhamba kwegazi. |
| Ukubuyiselwa ngumvelisi | Amaxesha amaninzi, umenzi unokukhumbula uhlobo oluthile lwentambo ngenxa yesiphene. Nangona kunjalo, kuya kufuneka zisuswe. |
Olu tyando lwenziwa njani kanye kanye?
Zimbini iindlela eziphambili zokwenza olu tyando. Eyona ndlela ixhaphakileyo kukusebenzisa umthambo we-subclavian, okwi-collarbone (clavicle). Ukuba oko akunakwenzeka, kungenziwa nangomthambo ose-groin (femoral vein).
Nantsi inkcazo elula yenyathelo ngenyathelo yoko kwenzekayo ngexesha lotyando:
1. I-Anesthesia: Okokuqala, uza kufakwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto de utyando luphele, kwaye uza kube ulele.
2. Ukufakwa kwetyhubhu ekhethekileyo:Emva koko ugqirha ufaka ityhubhu ekhethekileyo ebizwa ngokuba 'yi-sheath' kwenye yemithambo yegazi yakho aze ayikhokelele 'kwi-lead' esentliziyweni yakho.
3. Ukugquma ucingo: Okulandelayo, ucingo oludala lugqunywa ngokupheleleyo 'ngalo', njengokugquma isiciko sepeni ngesiciko.
4. Ukusebenzisa ii-X-reyi eziphilayo: Konke oku kwenziwa kusetyenziswa imifanekiso ye-X-reyi eziphilayo (fluoroscopy). Ukuze ugqirha akwazi ukubona ngokucacileyo okwenzekayo emzimbeni.
5. Ukutshatyalaliswa kwezicubu ezifileyo: Kusetyenziswa izixhobo ezikhethekileyo ezisekupheleni 'kwesigxobo', izicubu ezifileyo ezijikeleze ucingo ziyaqhekeka kancinci kancinci, zikhulule ucingo. Ngamanye amaxesha, imisebe yelaser isetyenziselwa oku. Amandla elaser ayayitshisa izicubu ezifileyo aze azisuse.
6. Ukususa ucingo: Xa ucingo lungenazo zonke izicwili zesilonda, lususwa ngononophelo emzimbeni kunye 'nesingxobo'.
7. Ukuvala inxeba: Ekugqibeleni, inxeba livalwa ngezititshi lize ligqunywe ngebhandishi.
Ngaba uza kuphinda ufake iingcingo ezintsha?
Oku kuxhomekeke kwisizathu sokususa ucingo. Masithi isizathu sisifo. Kwimeko enjalo, isifo kufuneka sinyangeke ngokupheleleyo kuqala . Oku kungadinga iintsuku ezimbalwa okanye iiveki zee-antibiotics. Kuphela emva kokuba isifo siphelile apho kuya kufakwa isixhobo esitsha kunye nocingo. Nangona kunjalo, ukuba isizathu siyinto efana nocingo oluqhekekileyo, olutsha lunokufakelwa ngaxeshanye notyando lokususa oludala.
Ziziphi iingenelo kunye neengozi ezinokubakho zolu tyando?
Njengakweminye inkqubo yezonyango, kukho iingenelo kunye neengozi. Iingozi zingancitshiswa xa olu tyando lwenziwa liqela lezonyango elinamava.
| Iingenelo eziphambili | |
|---|---|
| ✅ | Ukuba bekukho usulelo, lunokunyangeka ngokupheleleyo. |
| ✅ | Ukubuyisela ukusebenza kakuhle kwesixhobo ngokutshintsha ucingo oluphukileyo okanye olungasebenzi kakuhle ngocingo olutsha, olusebenza kakuhle. |
| ✅ | Ukusombulula iingxaki ezinje ngokungahambi kakuhle kwesingqisho sentliziyo kunye nokuqhekeka kwegazi okubangelwa yintambo. |
Eyona nto ibalulekileyo kukukhetha ugqirha wentliziyo oqeqeshwe kakuhle nonamava kunye nesibhedlele, kuba olu lutyando oluntsonkothileyo.
| Iingozi ezinokwenzeka (ezinqabileyo kakhulu) | |
|---|---|
| ⚠️ | Ukonakala komthambo wegazi okanye udonga lwentliziyo kunye nokopha kakhulu. |
| ⚠️ | Xa isusiwe, ucingo luyaphuka kwaye iqhekeza elincinci lihlala ngaphakathi emzimbeni. |
| ⚠️ | Igazi lijikeleza intliziyo. |
| ⚠️ | Iingxaki ezinxulumene ne-anesthesia. |
Ngaba kufuneka ndihlale esibhedlele emva kotyando?
Ewe, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Kungathatha ixesha elide. Ngeli xesha:
- Ukuphumla: Kuya kufuneka ulale ebhedini uze uphumle iiyure ezininzi, ingakumbi ukuba utyando lwenziwe nge-groin.
- Ukunika amayeza okubulala iintsholongwane: Ukuba utyando lwenziwe ngenxa yosulelo, amayeza okubulala iintsholongwane ayaqhubeka.
- Ii-X-reyi: I-X-reyi yesifuba yenziwa kusasa olulandelayo ukujonga ukuba iingcingo ezintsha zikwindawo eyiyo na.
Emva kokubuyela ekhaya, zeziphi izihlandlo ekufuneka uthethe nogqirha ngazo?
Kubaluleke kakhulu ukuqaphela utshintsho emzimbeni wakho nokuba sele ubuyele ekhaya. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane.
- Ukuba unengxaki yokuphefumla.
- Ukuba uqalisa ukuba nomkhuhlane (ngaphezulu kwe-101°F) .
- Ukuba kukho ukudumba, ukopha kakhulu, okanye ulwelo olufana nobovu oluphuma kwindawo yotyando.
- Ukuba ubona ukudumba okungaqhelekanga kwiminwe okanye ezinzwaneni zakho.
Musa ukuzityeshela ezi mpawu. Unyango lwangethuba lunokuthintela iingxaki ezinkulu.
Umyalezo Wokuya Ekhaya
- Ukukhupha ilothe lutyando olukhethekileyo olususa iingcingo ze-pacemakers okanye izixhobo ze-ICD entliziyweni.
- Eyona nto ibangela oku kukwasuleleka kwisixhobo okanye ucingo. Ukongeza, ucingo lunokuqhekeka okanye lungasebenzi kakuhle.
- Olu lutyando oluntsonkothileyo olumele lwenziwe ngononophelo olukhulu ngugqirha onamava, njengoko izicubu zesilonda zijikeleza ucingo ngokuhamba kwexesha.
- Kubaluleke kakhulu ukuqaphela iimpawu ezilumkisayo (umkhuhlane, ubunzima bokuphefumla, ukudumba) ezinokuvela emva kotyando kwaye ufune ingcebiso kagqirha ngoko nangoko ukuba imeko enjalo iyenzeka.
- Ukuba unenkxalabo okanye uloyiko malunga noku, thetha ngokukhululekileyo nogqirha wakho wentliziyo. Baza kukuchazela yonke into.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment