Ngaba wakha waziva intliziyo yakho ibetha ngamandla kwaye ibetha ngamandla ngaphandle kwesizathu esicacileyo xa wawudidekile? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile ngamaxesha anje. Esinye sezizathu zolu xinzelelo lwentliziyo olukhawulezayo yi-SVT, emele i-Supraventricular Tachycardia. Ngoko ke namhlanje siza kuthetha ngonyango oluphumelele kakhulu koku. Yiyo loo nto i-SVT Ablation.
Ngamafutshane, yintoni i-SVT kunye ne-Ablation?
Masiqale sibone ukuba yintoni i-SVT. Intliziyo yethu sisitho esimangalisayo. Inenkqubo yemiqondiso yombane yokusebenza kwayo. Njengenkqubo yocingo endlwini. Xa ezi miqondiso zombane zihamba ngokuchanekileyo nangendlela ehlelekileyo, intliziyo yethu ibetha ngesingqisho esifanelekileyo.
Kodwa kwabanye abantu, "i-short circuit" encinci inokwenzeka kwinkqubo yokubonisa umbane kwigumbi eliphezulu lentliziyo. Yicinge njenge-wire loop. Emva koko imiqondiso yombane ekufanele ukuba ihambe ngolungelelwano iyaphazamiseka ngenxa yale short circuit, kwaye intliziyo iqala ukubetha ngokukhawuleza kakhulu. Oku sikubiza ngokuba yi -SVT (Supraventricular Tachycardia) .
Ngoku makhe sijonge ukuba yintoni i-Ablation . Olu lunyango "olukhubaza" iiseli ezineengxaki ezidala loo mjikelo umfutshane. Oogqirha basebenzisa ii-catheters ezikhethekileyo, iityhubhu ezincinci kakhulu, ukuze bangene nzulu entliziyweni baze bafumane kanye apho kuvela khona imiqondiso yombane eneengxaki. Emva koko, benza umonakalo omncinci kuloo ndawo.
- Amandla e-Radiofrequency: Kule ndlela, iiseli ziyafudunyezwa kwaye kudaleke isilonda esincinci.
- Ukucima: Kule ndlela, kusetyenziswa ubushushu obugqithisileyo (i-nitric oxide) ukukhenkceza iiseli, nto leyo edala isilonda.
Xa isilonda senziwe ngale ndlela, isignali yombane engalunganga ayinakudlula. Oko kuthetha ukuba i-short circuit iyaphuka. Emva koko intliziyo iqala ukubetha ngesingqi esiqhelekileyo kwakhona.
Oogqirha badla ngokusebenzisa olu nyango ukuba imeko ayinakulawulwa ngamayeza, okanye ukuba amayeza abangela iziphumo ebezingalindelekanga. Nangona kunjalo, ngamanye amaxesha kuyacetyiswa njengokhetho lokuqala.
Kwenzeka ntoni ngaphambi nangexesha lonyango?
Emva kokugqiba usuku lokufumana olu nyango, ugqirha uza kukunika imiyalelo ekhethekileyo.
- Uza kucelwa ukuba ungatyi okanye ungaseli nto iiyure ezi-6 ukuya kwezi-8 ngaphambi konyango (ukuzila ukutya) .
- Usenokucelwa ukuba uyeke okwethutyana ukusebenzisa amanye amayeza owasebenzisayo. Kufuneka uxoxe nogqirha wakho ngako konke oku ukuze uqiniseke.
Unyango lwenziwa kwilabhoratri ye-electrophysiology exhotyiswe ngokukodwa. Makhe sijonge inyathelo ngenyathelo okwenzekayo apho:
1. Okokuqala, uza kunikwa amayeza ngemithambo yegazi (IV) ukukunceda uphumle kwaye ungeva ntlungu. Uninzi lwexesha, uza kunikwa into ebizwa ngokuba yi-conscious sedation . Oku kuthetha ukuba awuyi kulala ngokupheleleyo, kodwa uza kuphumla kwaye wozele kancinci.
2. Emva koko, ulusu olukwindawo yakho yokuphefumla luba ndindisholo (i-local anesthetic), kwaye kufakwa i-catheter encinci kwimithambo yegazi. Awuyi kuva ntlungu ingako ngenxa yokundindisholo.
3. Le catheter ihanjiswa ngemithambo yegazi ukuya entliziyweni.
4. Emva koko, imiqondiso yombane ithunyelwa ngale catheter ukuze kufunyanwe indawo echanekileyo yeeseli ezibangela ingxaki.
5. Xa indawo ilungile, amandla e-radiofrequency esithethe ngawo ngaphambili asetyenziswa ukucima ezo seli. Awuyi kuva ntlungu ngeli xesha.
Kwenzeka ntoni emva konyango? Kwaye wenza ntoni xa ubuyela ekhaya?
Emva kokuba unyango luphelile, indawo ye-catheter iya kufakwa i-clamp okwethutyana ukuze kumiswe ukopha. Ngamanye amaxesha kuya kusetyenziswa isixhobo esikhethekileyo (isixhobo sokuvala imithambo yegazi). Emva koko, uya kuyalelwa ukuba ugcine umlenze wakho woluliwe malunga neeyure ezi-6 ukuya kwezi-8.
Emva kokuba ubuyele ekhaya, ungaqala ukwenza imisebenzi eqhelekileyo ngosuku olulandelayo . Nangona kunjalo, kubaluleke kakhulu ukuphepha imisebenzi enzima efana nokubaleka, ukutsiba, okanye ukuphakamisa iintsimbi kangangeentsuku ezintathu.
Ziziphi iingenelo kunye neengozi zale ndlela yonyango?
Eyona nzuzo inkulu yoku kukuba izinga lempumelelo liphezulu kakhulu . Kwiintlobo ezininzi ze-SVT, olu nyango luphumelela nge-90% - 95% . Oku kuthetha ukuba ukuba wenza oku kubantu abalishumi, abalithoba baya kunyangeka ngokupheleleyo. Nangona kunjalo, inani elincinci kakhulu (2% - 11%) linokuthi le meko ibuye kwakhona.
Njengakwezinye iindlela zonyango, kukho iingozi ezincinci kakhulu. Masifumanise ukuba zeziphi.
| Ingozi/imiphumo emibi | Ingcaciso elula |
|---|---|
| Ukopha okanye usulelo | Ingxaki enokwenzeka kwindawo yokufaka i-catheter. Oku kunqabile kakhulu. |
| I-Hematoma | Igazi liqokelelana phantsi kwesikhumba apho kufakwe khona i-catheter. |
| Amahlwili egazi | Kukho umngcipheko omncinci kakhulu wokuba igazi liqhekeke kwimithambo yegazi. |
| I-Tamponade yentliziyo | Umngxuma ojikeleze intliziyo ozele ligazi okanye lulwelo. Le yingxamiseko engaqhelekanga. |
| Imfuneko ye-pacemaker | Kunqabile kakhulu, ukuba inkqubo yombane eqhelekileyo yentliziyo yonakele, i -pacemaker inokufuneka ifakwe ukulawula ukusebenza kwentliziyo. |
Eyona nto ibalulekileyo: Ufanele ukhumbule ukuba uninzi lwale mingcipheko alunakwenzeka , kwaye oogqirha abakunyangayo baya kukulumkela oku.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Sikwafanele sazi ukuba masenze ntoni xa kuvela ingxaki emva kokuba sifikile ekhaya.
| Ingxamiseko! Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. | |
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| Ukuba unale mpawu, thetha nogqirha wakho. | |
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Kunokuba yinto eyoyikisayo ukwazi ukuba unengxaki yesingqisho sentliziyo. Kodwa uya kuziva ukhululekile xa usazi ukuba kukho unyango olusebenzayo kakhulu. I-SVT Ablation lolunye unyango olusebenzayo kakhulu. Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho ukuze ufumane yonke into echazwe.
Umyalezo Wokuya Ekhaya
- I-SVT (i-Supraventricular Tachycardia) yimeko apho intliziyo ibetha ngokukhawuleza ngenxa yesiphene esifana "ne-short circuit" kwinkqubo yombane yentliziyo.
- I-SVT Ablation yindlela yonyango ephumelele kakhulu esebenzisa ii-catheters ezikhethekileyo ukungena entliziyweni kwaye zingasebenzi iiseli ezineengxaki ngokuzifudumeza okanye ukuziqandisa, zibuyisele isigqi sentliziyo.
- Izinga lempumelelo yolu nyango liphezulu ukuya kuthi ga kwi -90% - 95% .
- Ukuchacha kukhawuleza emva konyango, kwaye ungabuyela kubomi obuqhelekileyo kwiintsuku ezimbalwa.
- Ukuba inxeba lidumba kakhulu okanye liphuma igazi rhoqo, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. Ukuba ufumana ezinye iimpawu ezingaqhelekanga, yazisa ugqirha wakho.
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