Ingabe kukhona inkinga ngesigqi senhliziyo yakho? Bese ubona i-Electrophysiologist!

Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngesivinini esihlukile noma ngendlela ehlukile? Lezi zinto zingabangelwa izinguquko ohlelweni lukagesi lwenhliziyo. Yilapho-ke sidinga ukubona isazi se-electrophysiology , udokotela ogxile emsebenzini kagesi wenhliziyo. Ingabe singakhuluma ngalokhu ngokuningiliziwe?

Ngakho-ke ngubani lo (i-Electrophysiologist)? Wenzani?

Kalula nje, "i-Electrophysiologist" ingudokotela wenhliziyo onolwazi olujulile "ngohlelo lukagesi" lwenhliziyo yakho. Uyazi, inhliziyo yethu ishaya futhi ipompa igazi emzimbeni wonke ngenxa yalolu hlelo lukagesi. Kufana "nogesi" endlini. Inhliziyo isebenza kahle kuphela uma lezi zimpawu zikagesi "izimpawu zikagesi" zihamba enhliziyweni ngendlela efanele nehlelekile.

Kodwa-ke, ngezinye izikhathi uma kunenkinga ngalezi zimpawu zikagesi, njengokushaya kwenhliziyo okungajwayelekile (i-arrhythmia) , kungadingeka ukuthi ubonane nodokotela we-electrophysiologist. Angakwazi ukuthola ukuthi kwenzekani enhliziyweni yakho bese ekwelapha. Ochwepheshe abaphatha izinkinga zesigqi senhliziyo ezinganeni ezincane, njengezinsana nezingane ezincane, babizwa ngokuthi odokotela be-electrophysiologist bezingane.

Ngakho-ke, lokho okwenziwa yilo dokotela (we-Electrophysiologist)` ukuxilonga nokwelapha izinkinga nge-`(uhlelo lokuhambisa)` lwenhliziyo yakho. Okusho ukuthi, ubheka izizathu zokuthi kungani inhliziyo yakho ishaya ngokungajwayelekile, ukuthi kungani izimpawu zikagesi enhliziyweni yakho zingahambi ngendlela evamile. Kunezinhlobo ezithile ze-`(Arrhythmia)`, ezingeyona ingozi kakhulu, kodwa ziyisicefe esincane nje. Kodwa ezinye zazo zingaba yingozi empilweni . I-`(I-Cardiac Electrophysiologist)` ingabona umehluko phakathi kwalezi ezimbili.

Bazothola ukuthi yini ebangela inkinga yakho kagesi nokuthi iqala kuphi. Uma sebeyazi imbangela eqondile, bangayilapha. Isibonelo, ngokwelashwa okufana ne-`(Catheter Ablation)`, ukwelashwa kuphumelele ngaphezu kuka-90% . Ngenxa yalokhu, odokotela be-`(Electrophysiologist)` bakwazile ukuthuthukisa ikhwalithi yokuphila kwabantu abaningi ababaphathayo.

Uyini umehluko phakathi kwesazi senhliziyo kanye nesazi se-electrophysiology?

Lena futhi inkinga abantu abaningi abanayo. "I-Electrophysiologist" ingudokotela wenhliziyo oqeqeshwe ngokukhethekile . I-general cardiologist yelapha izifo ezahlukahlukene ezenzeka enhliziyweni. Kodwa "I-Electrophysiologist" inekhono elikhethekile ohlelweni lukagesi lwenhliziyo, olulawula isigqi senhliziyo yakho.Lokhu kusho ukuthi usengene wajula kancane kulolu hlangothi lwe-elekthronikhi futhi wathola ulwazi.

Yiziphi izifo ezelashwa yi-electrophysiologist?

Udokotela we-electrophysiologist welapha izifo eziningana zenhliziyo ezihlobene nesigqi senhliziyo. Eziningi zalezi zimo zifaka phakathi ukushaya kwenhliziyo okungajwayelekile noma ukushaya kwenhliziyo okusheshayo . Ezinye izimo zingaba yingozi kakhulu kunezinye. Nazi ezinye zezimo zesigqi senhliziyo:

• I-Atrial Fibrillation : Kulesi simo, amakamelo aphezulu enhliziyo (i-atria) abonakala eqhaqhazela esikhundleni sokushaya kahle.
• Ukushaqeka kwe-Atrial : Lokhu futhi ukushaya okusheshayo, okungajwayelekile ku-atria.
• I-Atrial Tachycardia : Ukushaya kwenhliziyo okusheshayo okuqala e-atria.
• Ukuvinjwa Kwenhliziyo : Inhliziyo ishaya ngokushesha kakhulu ngoba izimpawu zikagesi enhliziyweni azihambi kahle.
• I-Wolff-Parkinson-White Syndrome : Lesi yisimo lapho inhliziyo inomzila kagesi owengeziwe, ongabangela ukuthi inhliziyo ishaye ngokushesha.
• Ukuqina kwemithambo yegazi : Lesi yisimo esiyingozi kakhulu. Amakamelo aphansi (amaseli) enhliziyo ayaqhaqhazela ngaphandle kokushaya kahle. Kudingeka ukwelashwa ngokushesha.
• I-Ventricular Tachycardia : Ukushaya kwenhliziyo okusheshayo okuqala kuma-ventricles. Lokhu kungaba yingozi futhi.
• I-Supraventricular Tachycardia (SVT) : Iqembu lokushaya kwenhliziyo okusheshayo okuqala ngaphezu kwama-ventricle.
• Ukuncishiswa Kwe -Atrial Ngaphambi Kwesikhathi (ama-PAC) : Ukushaya okwengeziwe, kwasekuqaleni kwe-atria.
• Ukuncishiswa Kwama-Ventricular Ngaphambi Kwesikhathi (ama-PVC) : Ukushaya okwengeziwe, kwasekuqaleni okuvela kuma-ventricles.
• I-Sick Sinus Syndrome : Ubuthakathaka bomsebenzi we-pacemaker yemvelo yenhliziyo.
• I-Long QT Syndrome : I-arrhythmias eyingozi ingenzeka ngoba uhlelo lukagesi lwenhliziyo luthatha isikhathi eside kakhulu ukubuyela esimweni esijwayelekile.

Kungani ngithunyelwa ku-Electrophysiologist?

Uma udokotela wakho esola ukuthi kunenkinga ngesistimu kagesi yenhliziyo yakho, angakuthumela kudokotela we-electrophysiologist. Isibonelo, uma inhliziyo yakho ishaya ngokushesha kunokujwayelekile, noma ngokushesha kakhulu, noma uma ishaya ngokungajwayelekile.Ungase ubone "i-Cardiac Electrophysiologist". Cabanga ngakho, ngezinye izikhathi uzizwa sengathi isifuba sakho siyashaya, noma uzizwa unesiyezi, noma uzizwa sengathi ulahlekelwa ingqondo. Lezi zinto zingabangelwa yinkinga ngesigqi senhliziyo yakho.

Hlobo luni lokuhlolwa okwenziwa yi-electrophysiologist?

Udokotela we-electrophysiologist angenza izivivinyo ezahlukahlukene ukusiza ekutholeni imbangela yenkinga yakho. Ezinye zalezi zivivinyo zifaka phakathi ukuqoshwa kwesigqi, kanti ezinye zifaka phakathi ukuthwebula izithombe zenhliziyo. Iningi lalezi zivivinyo azihlaseli . Ezinye zidinga i-cannula encane (IV) ukuthi ifakwe emthanjeni ongalweni yakho. Ezinye zalezi zivivinyo zifaka:

• Ucwaningo lwe-Electrophysiology (EPS) : Lokhu kuhilela ukudlulisa izintambo ezincane (ama-catheter) enhliziyweni ukuze kuhlolwe umsebenzi kagesi wenhliziyo ngokujulile.
• Ukuhlolwa Kwethebula Elitshekile : Lokhu kwenzelwa ukubona ukuthi uzizwa ubuthakathaka yini uma usukuma.
• I-Electrocardiogram (ECG/EKG) : Ukuhlolwa okulula okuqopha umsebenzi kagesi wenhliziyo.
• I-Holter Monitor : Idivayisi encane engaqopha ukushaya kwenhliziyo yakho njalo amahora angama-24 noma angama-48.
• I-Event Monitor : Idivayisi ekuvumela ukuthi urekhode uma unezimpawu. Lokhu kufanele kusetshenziswe izinsuku noma amasonto ambalwa.
• I-Transthoracic Echocardiogram (TTE) : Ukuhlolwa kwenhliziyo nge-ultrasound.
• I-Transesophageal Echocardiogram (TEE) : Lokhu futhi kuyindlela yokuhlola i-echo, kodwa kulokhu kuhlola, kudluliswa ithubhu elincane e-esophagus ukuze kutholakale izithombe ezicacile zenhliziyo.
• I-Computed Tomography (CT) Scan : I-CT scan ingaveza izithombe ezinemininingwane zenhliziyo.
• I-MRI Yenhliziyo : Ukuthola izithombe zenhliziyo kusetshenziswa i-Magnetic Resonance Imaging.

Kufanele ngimbone nini udokotela we-electrophysiologist?

Kungcono ukubona i-Cardiac Electrophysiologist uma unezimpawu ezilandelayo:

• Ukuphelelwa umoya
• Ubuhlungu besifuba
• Ukushaya kwenhliziyo - Lokhu kusho ukuthi ungazizwa isifuba sakho sishaya, ngezinye izikhathi ngokungajwayelekile.

Cabanga nje, ngisho noma umi nje, uzizwa sengathi unenkinga yokuphefumula, isifuba sakho sizwakala siqinile, noma inhliziyo yakho iqala ukushaya ngamandla ngokuzumayo. Ngezikhathi ezinjengalezi, kufanele nakanjani ufune iseluleko sezokwelapha.

Izinkinga eziningi zesigqi senhliziyo zinezimpawu ezifanayo, ngakho-ke ulwazi lukachwepheshe we-electrophysiology lubalulekile ukuze kutholakale ukuthi hlobo luni lwesigqi senhliziyo olungavamile onalo.

Ingabe udinga i-referral ukuze ubone i-electrophysiologist?

Cishe yebo. Ungase udinge ukudluliselwa ukuze ubone isazi se-electrophysiologist. Nakuba inkampani yakho yomshuwalense ingase ingadingi ukudluliselwa, udokotela wakho womndeni noma omunye uchwepheshe uzovame ukukudlulisela kudokotela we-electrophysiologist uma besola ukuthi unenkinga yesigqi senhliziyo.

Yini okufanele uyilindele uma uya kudokotela we-electrophysiologist?

Okokuqala, i-electrophysiologist izokubuza ngomlando wakho wezokwelapha futhi ixoxe ngezimpawu zakho zamanje. Bazodinga uhlu lwazo zonke izidakamizwa ozithathayo, okuhlanganisa nemithi ethengiswa ngaphandle kwemithi kadokotela. I-electrophysiologist yenhliziyo ingase ikwazi ukwenza ukuhlolwa okusheshayo, njenge-ECG, ngokushesha, noma ikuthumele ekhaya ngedivayisi, njenge-event monitor, eqopha ukushaya kwenhliziyo yakho izinsuku eziningana.

Uma usuvele uke wabhekana nalezi zivivinyo, isazi se-electrophysiologist singenza ezinye izivivinyo ukukusiza ukuthi uthole ukuxilongwa. Ngemva kokuthola ukuxilongwa, isazi se-electrophysiologist singaqala ukwelashwa. Ngezinye izikhathi, ukwelashwa kunganikezwa ngesikhathi esifanayo. Ukwelashwa kungafaka imithi noma ukufakwa kwedivayisi.

Odokotela baziphatha kanjani izinkinga zesigqi senhliziyo?

Udokotela we-electrophysiologist angaxilonga inkinga yakho futhi anqume ukwelashwa okungcono kakhulu kuwe. Kungaba lula njengokuqala umuthi omusha. Abanye bangadinga ithuluzi elizosiza ukugcina inhliziyo yabo ishaya ngendlela evamile. Nazi ezinye zezindlela zokwelapha eziyinhloko:

• Imithi : Le mithi inganikezwa nsuku zonke, noma inikezwe ngemithambo yegazi (IV) uma kunesimo esiphuthumayo.
• Ama-pacemaker : Lawa asebenzisa ama-electrical pulse ukulungisa inkinga ohlelweni lukagesi lwenhliziyo. Avame ukusetshenziswa kubantu abanokushaya kwenhliziyo okungajwayelekile.
• Ama-ICD (ama-ICD) afakwa ku-Implant Cardioverter : Lawa asiza ekumiseni i-arrhythmias eyingozi ngokuletha ukushaqeka kukagesi enhliziyweni yakho uma ukudinga.
• Ukuguqulwa kwenhliziyo : Lokhu kuhilela ukufaka ukushaqeka kukagesi enhliziyweni yakho usebenzisa idivayisi yangaphandle ukubuyisela izinga lokushaya kwenhliziyo yakho esimweni esijwayelekile.
• Ukususwa kwe-Catheter: Kulokhu, udokotela udala izibazi ezincane ezindleleni lapho izimpawu zikagesi ezingajwayelekile zihamba khona ngaphakathi kwenhliziyo. Lokhu kuvimbela izimpawu ezingajwayelekile ukuthi zihambe futhi kuvimbele ukujikeleza kwenhliziyo okungajwayelekile. Lokhu kuyindlela yokwelapha ephumelela kakhulu.

Hlobo luni lokuqeqeshwa olunikezwa yi-electrophysiologist?

Lokhu kuhle futhi ukwazi. "Isazi se-Electrophysiology" singuchwepheshe oqeqeshwe kakhulu . Ngemva kwesikole sezokwelapha, benza izifundo zokuhlala ku-"General Internal Medicine". Bese benza izifundo ku-"Cardiovascular Disease", bese kuba unyaka owodwa noma emibili yokuqeqeshwa okukhethekile ku-"Clinical Cardiac Electrophysiology." Ngakho-ke ungabona ukuthi bazinikele kangakanani ekubeni ochwepheshe kulo mkhakha? Ngakho ungabethemba.

Odokotela be-electrophysiologist basebenza kuphi?

Odokotela be-electrophysiology bavame ukusebenza ngasese nabanye odokotela benhliziyo. Basebenza nasezibhedlela. Ilabhorethri ekhethekile lapho benza khona izivivinyo ibizwa ngokuthi ilabhorethri ye-electrophysiology noma ilabhorethri ye-EP. Ngezinye izikhathi ibizwa ngokuthi ilabhorethri ye-catheterization noma ilabhorethri ye-Cath.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Uma uvame ukuquleka, ubuhlungu besifuba, noma ukuphelelwa umoya, ungase ufune ukubona udokotela we-electrophysiologist ukuze uthole ukuthi yini ebangela lokhu. Uma ungaqiniseki ngokuhlolwa noma ukwelashwa abazokwenzela kona, ungesabi ukubuza imibuzo . Udokotela uzokuchazela konke.

Khumbula, ukubona uchwepheshe kungaba yinto entsha kuwe. Kodwa odokotela be-"Electrophysiologist" bangochwepheshe ekuqondeni nasekwelapheni izinkinga zesigqi senhliziyo. Ngakho-ke ungabethemba ukuthi bazonakekela impilo yenhliziyo yakho. Ungakhathazeki, eziningi zalezi zimo zingalawulwa ngokwelashwa okufanele.

` Isigqi senhliziyo, isazi se-electrophysiologist, ukushaya kwenhliziyo, isifo senhliziyo, i-pacemaker, i-catheter ablation, i-ECG, uhlelo lukagesi lwenhliziyo, i-arrhythmia, isazi senhliziyo