Wake wazizwa sengathi inhliziyo yakho ishaya ngokushesha ngaphandle kwesizathu, sengathi kukhona okungahambi kahle esifubeni sakho? Kungaba yinto ehlukile. Kodwa ngezinye izikhathi kungaba uphawu lwesifo senhliziyo esibizwa ngokuthi i-atrial flutter. Ungakhathazeki, namuhla sizokhuluma ngalesi simo kanye nokwelashwa kwaso okuphumelelayo kakhulu, okubizwa ngokuthi i-ablation.
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Kuyini i-Atrial Flutter?
Kalula nje, lokhu kuyinkinga ngesigqi senhliziyo. Inhliziyo yethu inamakamelo amabili, amakamelo aphezulu (i-atria) kanye namakamelo aphansi (ama-ventricle). Enhliziyweni enempilo, la makamelo amabili ashaya ngendlela ehlelekile kakhulu, ngesigqi esifanayo.
Cabanga ngakho njenge-orchestra eqeqeshwe kahle edlala ingoma ngazwi linye. Kodwa ku-Atrial Flutter, amakamelo aphezulu enhliziyo, noma i-atria, aqala ukushaya ngokushesha okukhulu nangokungajwayelekile. Kufana namalungu amaningana e-orchestra eshaya izigubhu nganoma yisiphi isivinini asithandayo. Lokhu kuphazamisa ukusebenza kwenhliziyo iyonke. Uma lokhu kuqhubeka isikhathi eside, akukuhle enhliziyweni.
Ngakho-ke luyini lolu hlobo lokwelashwa kwe-Ablation?
I-Atrial Flutter Ablation inqubo ebhubhisa amangqamuzana anephutha abangela ukuba inhliziyo ishaye ngokushesha nangokungajwayelekile.
Cabanga ngesibani endlini esicimayo futhi sivutha ngenxa yezintambo ezingasebenzi kahle. Ukukhipha izintambo kuyindlela yokuthola izintambo ezingasebenzi kahle, ukuzikhubaza, nokuxazulula inkinga unomphela.
Kulokhu, odokotela bavame ukusebenzisa indlela ebizwa ngokuthi i-radiofrequency ablation ukuze bavale amangqamuzana athumela izimpawu ezingalungile. Ngezinye izikhathi, lokhu kwenziwa ngokusebenzisa umkhuhlane omkhulu (i-cryoablation). Noma ngabe yikuphi, umgomo uwukumisa izimpawu ezingalungile nokubuyisela isigqi senhliziyo.
Into ebaluleke kakhulu ukuthi, lokhu akusikho ukuhlinzwa kwenhliziyo okuvulekile.
Kungani udinga ukuhlinzwa kwesisu?
Udokotela uvame ukusebenzisa lokhu kwelashwa uma isimo singenakukwazi ukulawulwa ngemithi noma inqubo ebizwa ngokuthi i-cardioversion ukuze kubuyiselwe isigqi senhliziyo. Udokotela wakho uzonquma ukuthi lokhu kwelashwa kukufanele yini.
Izinto okufanele uziqaphele ngaphambi nangemva kokwelashwa
Kunezinto eziningana okudingeka uzazi ngaphambi nangemva kwalokhu kwelashwa.
Ukulungiselela ngaphambi kokwelashwa
- Udokotela wakho uzokutshela ukuthi ungadli noma uphuze amahora angu-6-8 ngaphambi kokwelashwa.
- Ungase ucelwe ukuthi uyeke ukuthatha eminye imithi oyithathayo izinsuku ezimbalwa ngaphambi kokwelashwa.
- Kodwa lokhu kubaluleke kakhulu: Uma usebenzisa imithi yokuvimbela ukuvuza kwegazi, ungayiyeki nganoma yisiphi isizathu ngaphandle kokuthi udokotela wakho wenhliziyo akutshele ukuthi uyeke. Ungayeki umthamo owodwa.
Indlela yokwelapha eyenziwa ngayo
Lokhu kuvame ukwenzeka elabhorethri yokwelapha inhliziyo nge-catheterization. Uzonikezwa umuthi wokukulalisa (i-twilight sedation), noma mhlawumbe i-anesthesia ejwayelekile. Bese:
1. Inaliti encane ifakwa esikhumbeni endaweni yesisu.
2. Ngayo, kufakwa amapayipi amaningana amancane abizwa ngokuthi 'ama-catheter' emthanjeni wegazi.
3. I-catheter ye-electrode idluliselwa ngaleli payipi iye enhliziyweni yakho.
4. Sisebenzisa le catheter, singakhomba amaseli asenhliziyweni abangela inkinga.
5. Ngemuva kwalokho, amandla e-radiofrequency asetshenziswa ukuvala amaseli anephutha.
Lonke lolu hlelo lungathatha cishe amahora amabili kuya kwamane.
Ngemva kokwelashwa
Uma ukwelashwa sekuqediwe, wonke amapayipi afakiwe ayasuswa bese indawo yokubhoboza iqiniswa. Ngemva kwalokho, uzocelwa ukuthi ugcine umlenze wakho uqonde cishe amahora angu-6-8. Ngisho nangemva kokuba usubuyele ekhaya, kuzodingeka uqhubeke nokuthatha imithi yakho yokuvimbela ukuphuma kwegazi kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
Impumelelo yokwelashwa, izingozi, nezinto okufanele uziqaphele
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezinto ezimbalwa okudingeka uzazi. Ake sizihlolisise.
| Uhlobo lolwazi | Okufanele ukwazi |
|---|---|
| Izinga Lempumelelo | Lokhu kwelashwa kunesilinganiso sempumelelo esingaphezu kuka-90% . Iningi labantu liphinde libuyele esimeni salo esijwayelekile sokushaya kwenhliziyo. Kodwa-ke, iphesenti elincane, cishe u-4%-6%, lingase liphinde libuye. |
| Izingozi | Ingozi yezinkinga ingaphansi kuka-1%.Kodwa-ke, izinkinga ezingavamile kakhulu zifaka: ukuvaleka kwenhliziyo, isifo sohlangothi, ukubhoboka kwenhliziyo, ukutheleleka, kanye nokopha ngokweqile. |
| Isikhathi sokuya e-ETU (Emergency Treatment Unit) ngokushesha | Uma inxeba lapho inaliti ifakwe khona livuvukala ngokuzumayo noma uma ukuphuma kwegazi enxebeni kungenakulawuleka. |
| Isikhathi sokufonela udokotela ngokushesha | Uma uzwa ukopha ngokweqile, ubuthakathaka, ukudideka, ubunzima bokukhuluma, noma uzizwa uphelelwe amandla futhi sengathi ungase uwe. |
| Ezinye izici okufanele uzinake | Tshela udokotela wakho uma ubhekene nobunzima bokuphefumula, isiyezi, ubuhlungu besifuba, ukungazweli emlenzeni olimele, ukuvuvukala noma ukuklwebheka eduze kwesilonda, ukushaya kwenhliziyo okungajwayelekile, noma ubuhlungu besisu. |
Kuthatha isikhathi esingakanani ukuphulukiswa?
Into engcono kakhulu ngalokhu ukuthi akuthathi isikhathi eside ukuphola.
Ungabuyela ekhaya bese uqhubeka nemisebenzi yakho evamile ngosuku olulandelayo. Kodwa-ke, kuwukuhlakanipha ukugwema imisebenzi enzima njengokuzivocavoca umzimba nokuphakamisa izinsimbi cishe izinsuku ezintathu.
Kuye ngesimo sakho, kungadingeka ukuthi uphuze imithi yokunciphisa igazi, yesikhathi esifushane neyesikhathi eside, njengoba kwelulekwe udokotela wakho wenhliziyo.
Kujwayelekile ukuthi noma ubani abe novalo kancane uma ezwa ngenkinga yesigqi senhliziyo. Kodwa i-Atrial Flutter iyisimo esingelapheka. I-Ablation iyindlela ephumelela kakhulu futhi ephephile yokuyelapha. Ngakho-ke, khuluma ngokukhululekile nodokotela wakho ngalokhu bese ukhetha ukwelashwa okungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Atrial flutter yisimo esingelapheka esibangelwa ukushaya kwenhliziyo okungajwayelekile nangokushesha emakamelweni aphezulu.
- Ukuhlinzwa kwenhliziyo okuphumelelayo kakhulu (ngaphezu kuka-90%) futhi kuyindlela yokwelapha ephephile kakhulu kulokhu. Akusikho ukuhlinzwa kwenhliziyo okuvulekile.
- Kubaluleke kakhulu ukulandela imiyalelo yezokwelapha ngokucophelela ngaphambi nangemva kokwelashwa, ikakhulukazi leyo ephathelene nokuthatha ama-anticoagulant.
- Qaphela izimpawu eziyisixwayiso ngemva kokwelashwa, njengokuphuma kwegazi okukhulu, ukuquleka, kanye nobunzima bokukhuluma. Uma unezinkinga, iya kudokotela wakho noma eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ungesabi lokhu kwelashwa, xoxa ngakho ngokukhululekile nodokotela wakho wenhliziyo bese wenza isinqumo.
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