Ngaba wakha wayiva intliziyo yakho ibetha ngokukhawuleza, okanye ngathi kukho into ebhabha esifubeni sakho, okanye ngathi iyabetha? Ngamanye amaxesha ezi zizinto eziqhelekileyo. Nangona kunjalo, ukuba ezi zinto zenzeka rhoqo, zinokuba luphawu lwengxaki encinci entliziyweni yethu. Intliziyo yethu ayisiyonto nje yenyama, isebenza nenkqubo yombane entsonkothileyo kakhulu. Njengenkqubo 'yokuxhuma' endlwini yethu. Ngoko ke, ukuba kukho impazamo kule nkqubo yombane, kukho oogqirha abayijonga ngokukodwa baze bayinyange. Namhlanje sithetha ngabo gqirha baziingcali.
Ngubani lo ngcali ye-electrophysiology?
Ngamafutshane,
ingcali ye-electrophysiologist , okanye ngamanye amaxesha simbiza ngokuba
"ngugqirha we-EP" ngamafutshane, yingcali
yentliziyo . Kodwa ubuchule bakhe kukujonga inkqubo yombane yentliziyo kunye nokungahambi kakuhle kwesingqisho okwenzeka ngayo, oko kukuthi,
ukungaqheleki kwintliziyo (arrhythmias) . Cinga ngale ndlela. Ukubetha kwentliziyo yethu kulawulwa luthungelwano olubuthathaka kakhulu lwemiqondiso yombane. Ukuba ezi mpawu ziya kwindawo elungileyo nangexesha elifanelekileyo, intliziyo ibetha ngokufanelekileyo. Ukuba kukho nayiphi na impazamo, ukuphazamiseka, okanye umjikelo omfutshane kule nkqubo yemiqondiso yombane, ukubetha kwentliziyo kuyaphuma kulawulo. Nokuba kubetha ngokukhawuleza kakhulu, okanye kubetha kancinci kakhulu, okanye kubetha ngokungacwangciswanga. Yiloo nto siyibiza ngokuba yi-Electrophysiologist (EP) kugqirha onolwazi kwiingxaki 'zomsinga' wentliziyo.
Yintoni eyenziwa yingcali yentliziyo?
Ezi ngcali zihlala zisebenza kwizibhedlele ezinkulu. Zisebenzisa iimvavanyo kunye neenkqubo ezikhethekileyo ukuxilonga, ukuxilonga, kunye nokunyanga iingxaki zesingqisho sentliziyo. Zikwanika amayeza kunye neengcebiso malunga notshintsho lwendlela yokuphila. Jonga itheyibhile engezantsi ukuze ufumane uluhlu lweemeko eziphambili abazinyangayo.
| Imeko | Kalula nje... |
|---|
| I-Bradycardia | Ukuxinana kosuku kungaphezulu kakhulu kunokuba kuyimfuneko . |
| I-Tachycardia | Ukubetha kwentliziyo kwenzeka ngokukhawuleza kakhulu kunokuba kuyimfuneko . |
| I-Atrial Fibrillation | Ukuziva intliziyo ibetha ngendlela engaqhelekanga, ngokungathi iyabhabha . |
| Ukubanjwa kwe -cardiac | Ukuma kwentliziyo ngequbuliso . Oku kwahlukile kuhlaselo lwentliziyo. |
| Ezinye iingxaki zesingqisho sentliziyo | Ngaphandle koku, kukho nezinye iintlobo ezahlukeneyo zeengxaki zesingqisho ezinyangwayo. |
Kukweyiphi imeko apho ungathunyelwa khona kwi-EP?
Ngokwesiqhelo, awuyi kubona ingcali efana nale ngqo. Ugqirha wakho wosapho okanye ingcali yentliziyo esele ikunyanga iza kukuthumela kugqirha we-EP. Kunokubakho izizathu ezahlukeneyo zoku.
- Ukuba unesifo sentliziyo esibizwa ngokuba yi-arrhythmia (ukuphazamiseka kwentliziyo) .
- Ukuba ucwangciselwe ukufumana unyango olubizwa ngokuba yi -cardiac ablation , oku kuquka ukusebenzisa indlela ekhethekileyo yokucima iindawo zentliziyo ezithumela imiqondiso yombane engalunganga.
- Ukuba unemeko ebizwa ngokuba yi-syncope , apho ngequbuliso ulahlekelwa ziingqondo uze uwe ngaphandle kwesizathu esicacileyo.
- Ukuba ugqirha ufumanisa ukuba kukho umngcipheko omkhulu wokufa ngenxa yokufa ngesiquphe kwentliziyo.
- Ukuba ufuna isixhobo esifana ne - pacemaker okanye i- ICD (Implantable Cardiac Defibrillator) . Ezi zizixhobo ezincinci ezibekwa phantsi kwesikhumba ukulawula isigqi sentliziyo.
Eyona nto ibalulekileyo kukuba ukuba ugqirha wakho ukuthumele kwingcali efana nale, yenza njalo. Oku kuya kubavumela ukuba bajonge imeko yakho nzulu baze bakhethe unyango olukufaneleyo.
Kwenzeka ntoni xa udibana ne-EP?
Xa uthunyelwa kwi-EP, uza kuhlola iimpawu zakho, amayeza akho angaphambili, kunye neziphumo zovavanyo lwakho, kwaye ukuba kuyimfuneko, uyalele olunye uvavanyo olukhethekileyo. Olona lubalulekileyo kwezi yi
-Electrophysiology Study (EPS) . Musa ukothuka ligama. Oku kwenzelwa ukujonga umsebenzi wombane wentliziyo yakho kunye nokufumanisa ukuba ingxaki yesingqisho iqala phi kanye kanye.
Uvavanyo lwe-EPS lwenziwa njani?
Olu vavanyo lwenziwa kwilabhoratri ekhethekileyo (ilabhoratri ye-EP okanye ilabhoratri yeCath) esibhedlele. Ulaliswa (uthomalaliswe), ukuze ungabi nantlungu. Ugqirha ufaka ityhubhu encinci kakhulu, ethambileyo, ebizwa ngokuba
yi-electrode catheter , kumthambo omkhulu wegazi emqolo wakho, engalweni, okanye entanyeni nasentliziyweni yakho. Emva koko ugqirha uthumela imiqondiso emincinci yombane ngetyhubhu ukuya entliziyweni, aze arekhode umsebenzi wombane wentliziyo kwiscreen sekhompyutha. Oku kufana nokusebenzisa 'umvavanyi' ukufumana isiphene kwiintambo endlwini yakho. Emva kolu vavanyo, ugqirha uya kufumana unobangela ochanekileyo wengxaki yakho aze agqibe ngonyango olufanelekileyo kuyo.
Umyalezo Wokuya Ekhaya
- Ingcali ye-electrophysiologist ngugqirha ogxile kwinkqubo yombane yentliziyo kunye neengxaki zesingqisho (arrhythmias).
- Ukuba uneempawu ezifana nokubetha kwentliziyo okukhawulezayo okanye okucothayo, ukushukuma esifubeni sakho, okanye ukuziva nje ubuthathaka, musa ukuzityeshela. Bonana nogqirha wakho ngoko nangoko.
- Ukuba ugqirha wakho ukuthumele kwi-EP, oko kuthetha ukuba imeko yakho kufuneka iphandwe ngakumbi. Ngoko ke landela elo cebiso.
- Akukho mfuneko yokoyika iimvavanyo ezifana ne-EPS. Zikhuselekile, azinabuhlungu, kwaye ziluncedo kakhulu ekufumaneni unobangela ochanekileyo wesifo.
Isingqisho sentliziyo, i-Electrophysiologist, i-Cardiologist, i-Arrhythmia, i-Heartbeat, i-Pacemaker, i-Cardiac Ablation
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