Ngaba ngamanye amaxesha uziva ngathi isantya sentliziyo yakho sinyuka ngequbuliso ngaphandle kwesizathu esicacileyo? Ngokungathi usanda kubaleka kakhulu? Oku kungaba luphawu lwemeko osenokuba uyivile ebizwa ngokuba yi-'Supraventricular Tachycardia' okanye '(SVT)'. Nangona oku kunokuba ngamava othusayo, ungakhathazeki. Ngoku kukho unyango olusebenzayo kakhulu koku. Namhlanje sithetha ngonyango olusebenzayo kakhulu, 'i-SVT Ablation'.
Ngamafutshane, yintoni i-SVT Ablation?
I-'SVT Ablation' yinkqubo eyonakalisa kwaye ivale iiseli ezimbalwa kumagumbi aphezulu entliziyo yakho eziphazamisana nemiqondiso yombane enxulumene nokubetha kwentliziyo. Cinga ngenkqubo yombane yentliziyo yethu njengenkqubo yocingo endlwini. Ngokwesiqhelo, intliziyo ibetha ngokufanelekileyo kuphela xa imiqondiso yombane ihamba ngendlela ecwangcisiweyo ngezi "ntambo."
Kodwa kwabanye abantu, iluphu encinci, okanye into efana neluphu, iyakheka kule nkqubo "yocingo". Emva koko iba ngathi "yi-short circuit" , isigqi esiqhelekileyo sentliziyo siyaphazamiseka, kwaye intliziyo iqala ukubetha ngokukhawuleza. Kunyango lwe-'Ablation', ityhubhu encinci kakhulu ebizwa ngokuba yi-'catheter' ekhethekileyo isetyenziselwa ukungena entliziyweni, ukufumana "i-short circuit" ethumela imiqondiso engalunganga, kwaye ingasebenzi.
Kukho iindlela ezimbini zokwenza oku:
- Amandla eRadiofrequency: Ezinye ii-catheter zithumela ubushushu ukuze zitshabalalise iiseli kwaye zenze isilonda esincinci.
- Ukuqandisa: Ezinye ii-catheter zisebenzisa ubushushu obugqithisileyo ukuze zivale ezo seli.
Zombini ezi ndlela zivala indlela ethumela imiqondiso yombane engalunganga, nto leyo evumela intliziyo ukuba ibethe ngokuqhelekileyo kwakhona.
Oogqirha badla ngokucebisa olu nyango ukuba i-SVT ayinakulawulwa ngamayeza, okanye ukuba amayeza abangela iziphumo ebezingalindelekanga. Nangona kunjalo, ngamanye amaxesha, kuxhomekeke kwimeko yesigulana, i-ablation ingacetyiswa njengonyango lokuqala.
Luqheleke kangakanani olu nyango?
Ngokomndilili, malunga nabantu ababini kwabayi-1,000 emhlabeni banokuba ne-SVT. Nangona kunjalo, inani elikhulu labantu, phakathi kwama-60% nama-80%, bafumana isiqabu esihle ngamayeza. Ngoko ke, olu nyango lwe-'Ablation' ludla ngokuba sisisombululo esihle kakhulu kwabo kunzima ukulawula ngamayeza.
Yintoni ekufuneka yenziwe ngaphambi kokususwa kwe-SVT?
Olu asilotyando olukhulu, kodwa lufuna amalungiselelo amancinci.
- Unyango lufuna ukuba umntu angazityi okanye angaseli ngokupheleleyo kangangeeyure ezi-6 ukuya kwezi-8 (ukuzila ukutya).
- Ugqirha wakho usenokuba unamayeza athile owasebenzisayo ngoku.(Ingakumbi amayeza okunciphisa igazi) angacetyiswa ukuba ayeke ukuwasebenzisa kangangeentsuku ezimbalwa. Ugqirha wakho uza kukunika imiyalelo ecacileyo ngale nto.
Kwenzeka ntoni ngexesha lonyango?
Olu nyango lwenziwa kwindawo ekhethekileyo ebizwa ngokuba yi-'electrophysiology lab.' Makhe sijonge inyathelo ngenyathelo ukuba kwenzeka ntoni koku.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukunika iintlungu zokuphelisa iintlungu | Umgca we-IV (umgca we-saline) ufakwa emthanjeni osengalweni yakho kwaye amayeza anikwa ngawo ukukunceda uphumle kwaye ungeva ntlungu. |
| 2. Ukufakwa kwe-catheter | Ulusu olukwindawo yakho yokuphefumla luphelelwe ngamandla kwaye kufakwa umbhobho omncinci kakhulu (i-catheter) ngomthambo omkhulu wegazi apho. |
| 3. Uhambo oluya entliziyweni | I-catheter ene-electrodes ezikhethekileyo idluliselwa kule tube iye entliziyweni yakho. |
| 4. Ukufumana ingxaki | Ugqirha uthumela imiqondiso emincinci yombane ngale catheter ukuze afumane indawo echanekileyo "ye-short circuit" ebangela ukuba intliziyo ibethe ngokukhawuleza. |
| 5. Ukususwa kwenkunkuma | Nje ukuba indawo echanekileyo yengxaki ichongiwe, ubushushu (amandla e-radiofrequency) okanye ukubanda kusetyenziswa ukutshabalalisa ezo seli. |
Ingaba ulahlekile ngokupheleleyo?
Ixesha elininzi, awuyi kuvukwa ngokupheleleyo. Uza kunikwa amayeza okukwenza uzive ulele kancinci, udiniwe kancinci. Oku sikubiza ngokuba yi -'conscious sedation'.Okwangoku, awuyazi kakuhle into eyenzekayo kufutshane nawe, kwaye awuziva ntlungu. Nangona kunjalo, kunqabile kakhulu, kwezinye iimeko ezikhethekileyo, unokufuna ukunikwa i-anesthesia jikelele. Oku kugqitywa ngugqirha ngokusekelwe kwimeko yakho.
Ingaba oku kubuhlungu?
Enyanisweni, awuva ntlungu xa ufudumeza ezo seli zingalunganga. Ugqirha uyayivala indawo apho kufakwe khona i-catheter. Ngoko ke intlungu oyivayo kuphela kukuvakalelwa kancinci, okuhlabayo xa ufumana inaliti yokuva buhlungu (lidocaine).
Kwenzeka ntoni emva konyango?
Emva kokuba unyango lugqityiwe kwaye zonke ii-catheter zisusiwe, indawo ye-catheter iyabotshelelwa ukuze kumiswe ukopha. Ngamanye amaxesha kusetyenziswa isixhobo esincinci esibizwa ngokuba sisixhobo sokuvala imithambo ukuvala inxeba. Emva koko, kuya kufuneka ulale ebhedini imilenze yakho yolulwe malunga neeyure ezi-6 ukuya kwezi-8 . Oku kusenokungakhululeki, kodwa kubalulekile ukuthintela iingxaki ezifana nokopha.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Njengakwezinye iindlela zonyango, kukho iingenelo kunye neengozi ezincinci kakhulu.
| Uhlobo | Inkcazo |
|---|---|
| Iingenelo | Olu nyango lunezinga eliphezulu kakhulu lempumelelo eliphakathi kwama-90% nama-95% . Oku kuthetha ukuba abantu abangama-95 kwabayi-100 bafumana unyango olupheleleyo. Amathuba okuba le meko ibuyele kwakhona aphantsi kakhulu (malunga ne-2% - 11%). |
| Iingozi | Ezi zizinto ezinqabileyo kakhulu.
|
Kuthatha ixesha elingakanani ukuphiliswa?
Enye into entle ngale nto kukuba ungaphila ngokukhawuleza. Ungaya ekhaya uqalise imisebenzi yakho yesiqhelo (njengomsebenzi waseofisini, umsebenzi wasekhaya) ngosuku olulandelayo . Nangona kunjalo, ukuba ufuna ukwenza into efuna umgudu omncinci, njengokuphakamisa iintsimbi, okanye ukuzilolonga, kungcono ulinde ubuncinane iintsuku ezintathu .
Ufanele uye nini kugqirha?
Kubaluleke kakhulu ukunyamekela umzimba wakho emva konyango. Qaphela ezi mpawu zilandelayo.
| Amathuba | Iimpawu |
|---|---|
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. | |
| Ingxamiseko |
|
| Thetha nogqirha wakho. | |
| Iimpawu ekufuneka uziqaphele |
|
Ukuba nentliziyo engaqhelekanga kunokuba yinto eyoyikisayo. Kodwa ungakhathazeki, kukho unyango olusebenzayo kakhulu. Ukususwa kwentliziyo nge-SVT lolunye unyango olusebenzayo kakhulu nolungenamngcipheko uphezulu. Ukuba unale mpawu, thetha nogqirha wakho ukuze agqibe ukuba olu nyango lukulungele na.
Umyalezo Wokuya Ekhaya
- I-SVT yimeko apho intliziyo ibetha ngokukhawuleza kakhulu ngenxa yemiqondiso yombane engalunganga evela kumagumbi aphezulu entliziyo.
- I-SVT Ablation lunyango olusebenza kakhulu oluyekisa "i-short circuit" ethumela ezi mpawu zingachanekanga.
- Oku kusetyenziswa kwiimeko apho amayeza engakwaziyo ukulawula imeko, okanye ngamanye amaxesha njengonyango lokuqala.
- Izinga lempumelelo yolu nyango lingaphezulu kwe-90%, kwaye iingozi ziphantsi kakhulu.
- Kuthatha iintsuku ezimbalwa nje ukuba uphile, kwaye ungabuyela kubomi bakho besiqhelo ngokukhawuleza.
- Ukuba kukho naziphi na iimpawu ezingaqhelekanga ezenzekayo emva konyango, yazisa ugqirha wakho ngoko nangoko.
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