Ingabe ngezinye izikhathi uzizwa inhliziyo yakho ishaya ngokushesha, noma ukushaya kwenhliziyo yakho kweqa, noma ukushaya ngendlela engavamile? Ngezinye izikhathi lokhu kungahambisana nokuqina kwesifuba kanye nesiyezi. Ngokwezokwelapha, lolu hlobo lokuphazamiseka kwesigqi senhliziyo lubizwa ngokuthi 'i-Arrhythmia'. Ngisho noma kunemithi, lesi simo ngezinye izikhathi kungaba nzima ukusilawula. Kodwa ungakhathazeki, kukhona ukwelashwa okuphumelelayo kakhulu, okungangenisi umfutho kulokhu. Lokho kwelashwa, okungukuthi, i-Cardiac Ablation, yilokho esizokhuluma ngakho namuhla.
Kalula nje, kuyini ukususwa kwenhliziyo?
Cabanga ukuthi kukhona 'ukuxhumanisa' okuncane 'okufushane' noma okunephutha endaweni ethile ohlelweni lukagesi lwekhaya lakho. Bese ukukhanya kungahlali kukhanya kodwa 'kuyakhanya', noma kucime ngokuzumayo, akunjalo? Yilokho okwenzeka ezinhliziyweni zethu. Inhliziyo yethu ishaya ngohlelo olubucayi lwezimpawu zikagesi. Uma lezi zimpawu zikagesi ziqala endaweni engafanele, noma uma zihamba ngendlela engafanele, ukushaya kwenhliziyo kuyashintshashintsha.
I-Cardiac Ablation (ebizwa nangokuthi i-Catheter Ablation) iyindlela yokwelapha ethola indawo encane kakhulu yezicubu enhliziyweni ebangela izimpawu zikagesi ezingavamile bese iyivala. Lokhu akuyona inqubo enkulu. Udokotela wenhliziyo ufaka ipayipi elincane kakhulu neliguquguqukayo (lokhu esikubiza ngokuthi i-catheter ) enhliziyweni yakho ngomthambo omkhulu wegazi esinqeni sakho, engalweni, noma entanyeni.
Bese kuthi, kusetshenziswa amathuluzi asekupheleni kwale catheter, indawo ethintekile yezicubu zenhliziyo iyelashwa. Kunezindlela eziningana zokwenza lokhu:
- Ukususwa Kwama-Radiofrequency: Amagagasi e-Radiofrequency (ukushisa) asetshenziselwa ukushisa izicubu, okudala isibazi esincane.
- Ukushisa: Ngokusebenzisa ubanda obukhulu, izicubu ziyaqandiswa, okudala isilonda.
- Ukususwa Kwensimu Eshukunyiswayo: Lokhu kusebenzisa amaza kagesi amafushane kakhulu ukubhubhisa izicubu.
Ngenxa yesibazi esincane esidalwe ngale ndlela, isignali kagesi enephutha ayikwazi ukuhamba ngale kwalelo phuzu. Kufana nokufaka i-insulation tape phezu kwe-short circuit endlini yakho. Khona-ke ukushaya kwenhliziyo yakho kubuyela esimweni esijwayelekile. Ngeke uzizwe ubuhlungu phakathi nalokhu kwelashwa. Ungase unikezwe i-sedation noma i-anesthesia ejwayelekile.
Yiziphi izinhlobo zezifo zenhliziyo eziphathwa yilolu hlobo lokwelashwa?
Ukususwa kwenhliziyo kusetshenziselwa kakhulu ukwelapha ukungasebenzi kahle kwenhliziyo okusheshayo. Lesi yisisombululo esingcono kakhulu uma zingenakulawulwa ngemithi noma zisongela ukuphila.
Bheka ithebula elingezansi ukuze ubone ukuthi yiziphi izimo eziyinhloko ezisetshenziselwa lokhu kwelashwa.
| Isimo Sesifo (Uhlobo lwe-Arrhythmia) | Kalula nje, kwenzekani? |
|---|---|
| I-Atrial Fibrillation (AFib) kanye ne-Atrial Flutter (AF) | Kulokhu, amakamelo amabili aphezulu enhliziyo (i-atria) ashaya ngokushesha okukhulu nangokungajwayelekile. Njengokungathi ayathuthumela. Lokhu kubangela ukuthi igazi lihlangane endaweni eyodwa esikhundleni sokumpompa kahle, okungaholela ekwakhekeni kwamahlule egazi. Uma la mahlule egazi eya ebuchosheni, angabangela isimo esibi njengesifo sohlangothi. |
| I-Supraventricular Tachycardia (SVT) | Lokhu ukushaya kwenhliziyo okuzumayo nokushesha kakhulu (kufika ku-300 beats ngomzuzu). Nakuba lokhu kuvame ukuxazululeka ngemva kwesikhashana, uma kuqhubeka noma kwenzeka njalo, kungabangela ukulimala kwenhliziyo. |
| I-Ventricular Tachycardia (VT) | Lesi yisimo esiyingozi. Amakamelo amabili angezansi enhliziyo (ama-ventricle) aqala ukushaya ngokushesha okukhulu. Lokhu kuvimbela inhliziyo ukuthi ipompe igazi ngendlela efanele. Lokhu kwandisa ingozi yokuma kwenhliziyo ngokuzumayo. |
Ngaphezu kwalokho, lokhu kwelashwa kunganconywa kubantu abasengozini enkulu yokuma kwenhliziyo ngokuzumayo. Ngezinye izikhathi, ukuze bathole ukuthi inkinga ivela kuphi, odokotela benza ucwaningo lwe-electrophysiology (isifundo se-EP) ngaphambi kwale nqubo yokukhipha isisu. Lokhu kuhilela ukusebenzisa i-catheter ukukala izimpawu zikagesi ngaphakathi kwenhliziyo.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Uma udokotela wakho esenqume ukwenza lokhu kwelashwa, kunezinto ezimbalwa okudingeka uzenze. Udokotela wakho uzokuchazela konke lokhu ngokucacile.
- Izithibi zegazi: Uma uthatha izithibi zegazi (isib. i-apixaban, i-rivaroxaban, i-warfarin), udokotela wakho uzokutshela ukuthi kufanele uyeke ukuthatha le mithi izinsuku ezingaki ngaphambi kokwelashwa. Ungalokothi uyeke ukuthatha le mithi ngaphandle kweseluleko sikadokotela wakho.
- Ukudla neziphuzo:Uzocelwa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokwelashwa (ngokuvamile kusukela phakathi kwamabili).
- Umuntu ozokuhambisa ekhaya: Hlela kusenesikhathi ukuthi othile akuhambise ekhaya ngemva kokwelashwa.
- Izingubo nezinto: Gqoka izingubo ezikhululekile uma uza esibhedlela. Kungcono ukushiya izinto eziyigugu njengobucwebe nemali ekhaya.
- Umugqa we-IV: Esibhedlela, kufakwa ithubhu elincane (umugqa we-IV) emthanjeni ongalweni yakho. Yilapho uzonikezwa khona imithi edingekayo, usawoti, kanye nemithi yokubulala izinzwa.
Kwenzekani ngesikhathi sokwelashwa?
Empeleni lokhu akwesabisi njengoba ungase ucabange. Yonke inqubo ihamba kanje:
1. Ukulungiselela: Indawo lapho kuzofakwa khona i-catheter (ngokuvamile i-groin) iyagundwa, ihlanzwe, futhi ivalwe.
2. Ukufaka igobolondo: Ipayipi elincane (igobolondo) lifakwa ngesikhumba lingene emthanjeni wegazi ukuze kudalwe indlela.
3. Ukufakwa kwe-catheter: Ama-catheter amahle anama-electrode afakwa ngendlela elungisiwe. Lawa aqondiswa ngokucophelela enhliziyweni ngaphandle kwesiqondiso se-X-ray.
4. Ukudweba inkinga: Uma sezingaphakathi enhliziyweni, izimpawu ezivela ku-catheter ziyabhekwa ukuze kutholakale indawo eqondile yezimpawu zikagesi ezinephutha (ukudweba).
5. Ukwelashwa (Ukuhlanzwa): Uma indawo efanele isitholakele, njengoba kushiwo ngaphambili, izicubu ziyaphathwa futhi zicinywe kusetshenziswa ukushisa, ukubanda, noma amanye amandla.
6. Ukuqeda: Ngemva kokuqeda ukwelashwa, i-catheter kanye ne-sheath kuyasuswa ngokucophelela bese kufakwa ipulaki noma i-suture ukuze kumiswe ukopha.
Yonke inqubo ivame ukuthatha amahora amabili kuya kwamane, kodwa ngezinye izikhathi ingathatha isikhathi eside.
Kwenzekani ngemva kokwelashwa?
Ngemva kokwelashwa, uzoyiswa ekamelweni lokululama amahora ambalwa. Umhlengikazi uzoqhubeka nokuqapha isimo sakho. Kuye ngesimo sakho, ungase ukwazi ukuya ekhaya ngalolo suku, noma kungase kudingeke uhlale esibhedlela ubusuku bonke.
Uma usuya ekhaya, uzonikezwa imiyalelo ethile okufanele uyilandele ekhaya. Ungase ucelwe ukuthi uthathe imithi yokunciphisa igazi ukuze uvimbele ukuqhekeka kwegazi. Kuye ngomlando wakho wezokwelapha, kungase kudingeke ukuthi uphuze le mithi izinyanga eziningana noma ngaphezulu.
Khumbula, njengoba izicubu zenhliziyo ziphola phakathi nezinyanga ezintathu zokuqala ngemva kokwelashwa, ezinye zezimpawu zakho zakudala zingase zibuye. Lokhu kuvamile. Kodwa yazisa udokotela wakho ngakho.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Njenganoma yikuphi ukwelashwa, lokhu kunezinzuzo kanye nezingozi ezincane.
Izinzuzo
- LokhuAkuyona indlela enkulu yokuhlinzwa. Akudingeki ukuthi uboshwe isifuba sakho. Ukuze ululame ngokushesha.
- Inikeza ithuba lokwelapha unomphela izinkinga zesigqi senhliziyo ezingenakukwazi ukulawulwa ngemithi.
- Abanye bangasindisa izimpilo ezimweni ezisongela ukuphila.
- Ungasusa imiphumela emibi yemithi.
Izingozi
Izingozi zokususwa kwenhliziyo ziphansi kakhulu. Izinkinga azivamile, ikakhulukazi esibhedlela esinolwazi esivame ukwenza lokhu kwelashwa. Kodwa kuhle ukuqaphela.
- Amahlule egazi
- Ukulimala emthanjeni wegazi lapho kwafakwa khona i-catheter
- Ukulimala kwezicubu zenhliziyo noma ama-valve
- Ukutheleleka noma ukuphuma kwegazi
- Isifo sohlangothi
- Isidingo se-pacemaker ehlala njalo (engavamile kakhulu)
Kufanele ngiqale nini ukusebenza ngokujwayelekile futhi?
Ukululama kwakho kungahluka kuye ngomuntu nomuntu.
- Ukubuyela emsebenzini: Uma wenza umsebenzi ongewona owomzimba, njengokuphakamisa izinsimbi, ungabuyela emsebenzini cishe ngesonto.
- Ukuphakamisa izinsimbi: Gwema ukuphakamisa noma yini esinda ngaphezu kwamakhilogremu angu-10 (cishe amakhilogremu angu-4.5) okungenani isonto lonke.
- Ukuzivocavoca nokushayela: Buza udokotela wakho ngesikhathi esingcono kakhulu sokuqhubeka nokuzivocavoca nokushayela.
Yiziphi izimpawu okufanele ngizibonele udokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi lapho uya ekhaya ngemva kokwelashwa, kufanele ushayele udokotela wakho ucingo ngokushesha . Amanye amacala angadinga ukwelashwa ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
| Isibonakaliso | Okufanele ngikwenze |
|---|---|
| Ukopha, ukuvuvukala, ubuhlungu, noma umuzwa wokuqhuma endaweni yokufaka i-catheter. | Khuluma nodokotela wakho. |
| Ubuhlungu esifubeni, isiyezi, noma ukuzizwa ukhathazekile. | Khuluma nodokotela wakho. |
| Ukucanuzela noma ukuhlanza. | Khuluma nodokotela wakho. |
| Uma ukwelashwa kwenziwe embotsheni, ukungazweli, ubuhlungu, noma ukuqaqamba emlenzeni. | Khuluma nodokotela wakho. |
| Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha! (Izimpawu zesifo sohlangothi) | |
| Uhlangothi olulodwa lobuso lugobile, ingalo engenampilo. | Lokhu kungaba izimpawu zokuhlaselwa yisifo sohlangothi. Yiya esibhedlela ngokushesha. |
| Izimpawu ezinzima ezifana nokushaya kwenhliziyo okusheshayo, isiyezi, ukuphelelwa umoya, noma ubuhlungu besifuba zenzeka noma zihlala isikhathi esingaphezu kwamahora amathathu. | Yiya esibhedlela ngokushesha. |
Okokugcina, kuvamile ukuzizwa ukhathazekile noma ukhathazekile ngokuhlinzwa noma ukwelashwa kwenhliziyo yakho. Kodwa-ke, i-Cardiac Ablation inqubo ephephile, engenangozi ephansi esetshenziswe ngempumelelo ukwelapha abantu abaningi abanezinkinga zesigqi senhliziyo. Uma unemibuzo ngalokhu, sicela ubuze udokotela wakho. Uma usuyiqondile inqubo, ukwesaba kwakho kuzoncipha.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa kwe-Cardiac Ablation kuyindlela yokwelapha engadingi ukungenelela okuningi esetshenziselwa ukulungisa ukushaya kwenhliziyo okungajwayelekile (ama-arrhythmia).
- Lokhu kuhilela ukuthola indawo encane yezicubu zenhliziyo ekhiqiza izimpawu zikagesi ezinephutha, ukuyiphatha, nokuyikhubaza.
- Lokhu kuyindlela yokwelapha ephumelela kakhulu futhi ephephile, futhi ingozi yezinkinga iphansi kakhulu.
- Kungathatha amasonto ambalwa ukuthi inhliziyo ilulame ngokuphelele ngemva kokwelashwa, futhi ezinye izimpawu zingase zibuye phakathi naleso sikhathi.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokwelashwa, ikakhulukazi mayelana nemithi nokuphumula.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ikakhulukazi ubuhlungu besifuba, isiyezi esinzima, izimpawu zokushaya kwenhliziyo), funa iseluleko sezokwelapha ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho