Ingabe inhliziyo yakho iqala ukushaya ngokushesha okukhulu ngokuzumayo? Ingabe ngezinye izikhathi uzizwa sengathi inhliziyo yakho ishaya ngamandla ngendlela engavamile esifubeni sakho, noma isigqi senhliziyo yakho asivumelani? Uma uke wabhekana nalokhu, ungase ube nesifo esibizwa ngokuthi 'i-Atrial Flutter'. Ungakhathazeki, manje kunezindlela zokwelapha eziphumelela kakhulu kulokhu. Ngakho-ke namuhla sizokhuluma ngenye yezindlela zokwelapha eziphumelela kakhulu nezisetshenziswa kabanzi, 'i-Atrial Flutter Ablation'.
Kalula nje, kuyini i-Atrial Flutter Ablation?
Ngaphambi kokuba sikuqonde lokhu, ake siqale sibheke ukuthi iyini i-'Atrial Flutter'. Amakamelo amabili aphezulu enhliziyo yethu (i-atria) yiwo akhipha izimpawu zikagesi eziqala ukushaya kwenhliziyo. Ngokuvamile, lezi zimpawu zikhishwa ngendlela ehlelekile kakhulu, enesigqi. Kodwa kumuntu one-'Atrial Flutter', amanye amangqamuzana kula makamelo aphezulu aqala ukukhipha izimpawu zikagesi ezingavamile, ezisheshayo. Kufana nenye yezinsimbi zomculo eqenjini le-orchestra elidlala ngokushesha kakhulu futhi lingavumelani. Lokhu kubangela ukuthi isigqi senhliziyo sibe yisiphithiphithi futhi inhliziyo iqala ukushaya ngokushesha kakhulu.
I-Atrial Flutter Ablation iwukwelashwa okuhlonza futhi kubhubhise noma kuvale amangqamuzana abangela izimpawu zikagesi ezingajwayelekile. Ngemva kwalokhu, izimpawu ezingajwayelekile ziyama bese inhliziyo ishaya ngendlela evamile futhi.
Izindlela ezimbili eziyinhloko zisetshenziswa kulo msebenzi:
- Ukususwa kwama-Radiofrequency: Lokhu kuhilela ukusebenzisa ukushisa ukubhubhisa amangqamuzana anenkinga.
- Ukushisa: Lokhu kuhilela ukusebenzisa ukubanda okukhulu (ukuqandisa) ukuze kucinywe amaseli.
Zombili lezi zindlela zenza into efanayo: zivimba izimpawu ezivela emangqamuzaneni aphazamisa isigqi senhliziyo.
Kungani udinga lokhu kwelashwa?
Ngokuvamile, udokotela uqala ngokuzama ukulawula ukushaya kwenhliziyo ngokunikeza imithi. Kodwa ngezinye izikhathi imithi ayikwazi ukulawula isimo. Bese kuba nokwelashwa okubizwa ngokuthi "i-Cardioversion" ngezinye izikhathi. Lokhu kusho ukunikeza inhliziyo ukushaqeka okuncane kagesi ukuze izame ukuyiphinda ishaye.
Ngakho-ke, uma imithi noma ukuguguleka kwenhliziyo kungakwazi ukulawula ukushaya kwenhliziyo yakho , udokotela wakho angase ancome ukuguguleka kwe-atrial flutter njengesixazululo esilandelayo esingcono nesisebenza kahle kakhulu.
Uzilungiselela kanjani ngaphambi kokwelashwa?
Nakuba lokhu kungeyona inqubo enkulu yokuhlinzwa, kudinga ukulungiselela okuncane.
- Udokotela uzokutshela ukuthi ungadli noma uphuze lutho cishe amahora ayisithupha kuya kwayisishiyagalombili ngaphambi kokwelashwa.
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile oyithathayo njengamanje ezinsukwini ezimbalwa ngaphambi kwalokhu kwelashwa. Udokotela wakho uzokweluleka ngokucacile ngalokhu.
- Kubaluleke kakhulu: Uma uthatha ama-anticoagulant, ungayeki ukuwathatha nganoma yisiphi isizathu ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo. Lokhu kubaluleke kakhulu.
Lokhu kwelashwa kusebenza kanjani?
Abantu abaningi bacabanga ngalokhu 'njengokuhlinzwa kwenhliziyo evulekile'. Kodwa akunjalo. Lokhu kwenziwa eyunithi ekhethekile ezinikele kuphela ezifweni zenhliziyo (`ilabhorethri ye-catheterization yenhliziyo`).
Ngamazwi alula, okwenzekayo isinyathelo ngesinyathelo kanje:
1. Okokuqala, uzonikezwa umuthi wokudambisa ubuhlungu bakho nokukulalisa (`i-twilight sedation`). Ngezinye izikhathi, ungase unikezwe ne-anesthesia ejwayelekile.
2. Udokotela uzobe esefaka inaliti encane esikhumbeni sembobo yakho.
3. Ngayo, kufakwa amashubhu amaningana amahle kakhulu, aguquguqukayo (`(ama-catheter)`) emthanjeni wegazi.
4. Elinye ithubhu elincane eline-electrode (i-electrode catheter) lidluliselwa kuleli thubhu liye enhliziyweni.
5. Kusetshenziswa le electrode, kudalwa imephu yokunquma ngqo ukuthi izimpawu zikagesi eziyinkinga enhliziyweni zivela kuphi (`ukumaka`).
6. Uma amaseli anenkinga esetholakele, ayabhujiswa ngokuthumela amandla e-radiofrequency (ukushisa).
Lonke lolu hlelo lungathatha cishe amahora amabili kuya kwamane .
Kwenzekani ngemva kokwelashwa?
Ngemva kokuqeda ukwelashwa, noma yimaphi amapayipi afakiwe azosuswa. Udokotela ohlinzayo uzocindezela indawo yokufaka inaliti ukuze amise ukopha. Uzobe usuyalwa ukuba ugcine umlenze wakho weluliwe amahora ayisithupha kuya kwayisishiyagalombili .
Ngisho nangemva kokubuyela ekhaya, kufanele uqhubeke nokuthatha ama-anticoagulant akho (ama-blood thinners) njengoba eshiwo udokotela wakho, ngaphandle kokulahlekelwa umthamo owodwa. Uma uzwa ukopha ngokweqile, shayela udokotela wakho ngokushesha.
Kusebenza kangakanani lokhu kwelashwa? Futhi yiziphi izingozi?
Lena yinkinga enkulu kubantu abaningi. Izindaba ezinhle ukuthi "(Atrial Flutter Ablation)" ukwelashwa okunezinga lempumelelo elingaphezu kuka-90% . Ukushaya kwenhliziyo kwabantu abaningi kubuyela esimweni esijwayelekile ngemva kwalokhu. Kodwa-ke, inani elincane kakhulu labantu (cishe u-4%-6%) linethuba lokuthi lesi simo siphinde sivele.
Njenganoma iyiphi inqubo yezokwelapha, kunengozi encane kakhulu ehilelekile, kodwa amathuba ezinkinga angaphansi kuka-1%.
| Ingozi/Ubunkimbinkimbi | Incazelo elula |
|---|---|
| Ukuvimba Inhliziyo | Ukuphazamiseka kokudluliselwa kwesignali kagesi yenhliziyo. |
| Isifo sohlangothi | Ihlule legazi eliya ebuchosheni bese libuvimba (Ama-anticoagulant anikezwa ukuvimbela lokhu). |
| Ukubhoboka kwenhliziyo | Ukulimala ngengozi odongeni lwenhliziyo ngesikhathi sokwelashwa (okungavamile kakhulu). |
| Ukutheleleka | Ukutheleleka endaweni lapho inaliti ifakwe khona. |
| Ukopha | Ukopha ngokweqile okuvela endaweni yokubhoboza. |
Khumbula, lezi yizenzakalo ezingavamile kakhulu. Ithimba lakho lezokwelapha liqeqeshwe kahle ukuphatha lezi zingozi.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Enye into enhle ngalokhu ukuthi isikhathi sokululama sifushane kakhulu.
- Ungaqhubeka nemisebenzi evamile ngokushesha nje lapho ufika ekhaya.
- Kodwa-ke, kungcono ukuyeka imisebenzi enzima njengokufundisa umzimba nokuphakamisa izinsimbi cishe izinsuku ezintathu .
Kuye ngeseluleko sikadokotela wakho wenhliziyo, kungase kudingeke uqhubeke uthatha imithi yokunciphisa igazi, kungaba yesikhashana noma yesikhathi eside.
Kunini lapho udinga ukubonana nodokotela?
Kubaluleke kakhulu ukuthi ube nolwazi oluphelele ngalokhu. Qaphela izimpawu ezingezansi.
| Ezimweni lapho kudingeka khona ukunakekelwa kwezokwelapha okuphuthumayo - shayela ku-1990 noma uye ku-ETU ngokushesha! | |
|---|---|
| - Uma inxeba elivela ekuhlatshweni livuvukala ngokuzumayo nangokushesha. | - Uma ukuphuma kwegazi esilondeni kungenakuvinjelwa. |
| - Uma uzwa ubuhlungu obukhulu esifubeni. | - Uma uzwa izimpawu zokukhubazeka njengobunzima bokukhuluma, ukukhuluma okungacacile, noma ubuthakathaka ohlangothini olulodwa lomzimba. |
| Ukushayela nini udokotela wakho ucingo | |
| - Ubunzima bokuphefumula | - Uma uzizwa unesizungu noma uphelelwa amandla. |
| - Uma uzizwa ungenamizwa emlenzeni olimele | - Uma kukhona ukuvuvukala noma ukushaqeka okwandayo eduze kwesilonda |
| - Uma ukushaya kwenhliziyo yakho kuzwakala kungajwayelekile futhi | - Ukuphazamiseka kwesisu noma isicanucanu |
Ukuba nokushaya kwenhliziyo okungajwayelekile kungaba yinto ekhungathekisayo. Kodwa manje kunezindlela zokwelapha ezinhle kakhulu nezisebenzayo. I-Atrial Flutter Ablation ingenye yezindlela zokwelapha eziphumelela kakhulu. Umuntu ongcono kakhulu ukwazi ukuthi lokhu kwelashwa kulungile yini kuwe udokotela wakho. Khuluma naye ngakho ngokuphelele bese ubuza yonke imibuzo yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Atrial Flutter Ablation iyindlela yokwelapha ukushaya kwenhliziyo okungajwayelekile ephumelela ngaphezu kuka-90%.
- Lokhu akusikho ukuhlinzwa kokukhulisa isifuba. Kwenziwa ngokufaka ipayipi elincane elidlula emthanjeni wegazi embotsheni.
- Landela imiyalelo kadokotela wakho ngokucophelela ngaphambi nangemva kokwelashwa, ikakhulukazi mayelana nemithi yokunciphisa igazi.
- Isikhathi sokululama sifushane kakhulu. Ungabuyela empilweni evamile ezinsukwini ezimbalwa.
- Qaphela izimpawu eziphuthumayo ezifana nokopha kakhulu, ubuhlungu besifuba, nokuvuvukala okungazelelwe. Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment