Ingabe ngezinye izikhathi uzizwa inhliziyo yakho ishaya ngokushesha kangangokuthi uzizwa wesaba, noma isigqi sokushaya kwenhliziyo yakho sibonakala singavumelani? Njengoba nje udlala isigubhu, inhliziyo yakho ngokuzumayo iqala ukushaya ngokushesha, kancane, noma yeqe ukushaya. Namuhla sikhuluma ngokwelashwa okukhethekile okusetshenziswa odokotela ezimweni ezinjalo. Lokhu kubizwa ngokuthi 'i-Chemical Cardioversion'. Nakuba igama liyinkimbinkimbi kancane, incazelo yalokhu ilula kakhulu.
Kalula nje, kuyini i-Chemical Cardioversion?
I-Chemical Cardioversion inqubo esebenzisa imithi ukubuyisela isigqi senhliziyo esingajwayelekile esigqini esijwayelekile. Kufana nephoyisa lomgwaqo elizolawula ukuminyana kwezimoto okuphithizelayo futhi liqondise izimoto ngendlela ehlelekile. Lapha, 'iphoyisa lomgwaqo' umuthi onikezwa udokotela.
Impumelelo yalokhu kwelashwa incike ezintweni eziningana, njengokuthi yini ebangela ukushaya kwenhliziyo okungajwayelekile, ukuthi usunesikhathi esingakanani unalesi simo, kanye nohlobo luni lomuthi olukhethwa udokotela wakho.
Imithi enikezwayo yalolu hlobo lokwelashwa yenza izinto eziningana ezibalulekile:
- Kuvula imithambo yegazi yakho kancane, okwenza ukugeleza kwegazi kube lula.
- Kuphumuza imisipha yenhliziyo.
- Kunciphisa umthwalo enhliziyweni, okungukuthi, umthwalo womsebenzi wenhliziyo.
- Ilawula ijubane lezimpawu zikagesi ezibonisa ukuthi inhliziyo ishaya.
Ngokuvamile, ukushaya kwenhliziyo yethu kuqala ngendlela ehlelekile kakhulu. Lesi siginali kagesi siqalwa yi-pacemaker yemvelo enhliziyweni ebizwa ngokuthi i-sinoatrial node. Lesi siginali bese sihamba ezingxenyeni zenhliziyo ngendlela ehlelekile, okwenza inhliziyo ifinyele kahle futhi ipompe igazi. Uma kunenkinga ngendlela lezi zimpawu ezihamba ngayo, isigqi senhliziyo siba esingavamile.
Uma isigqi senhliziyo siphazamiseka, asikwazi ukupompa igazi kahle emzimbeni wonke. Amangqamuzana ethu obuchopho, njengawo wonke amanye amangqamuzana, adinga umoya-mpilo. Lo moya-mpilo uthwalwa yigazi. Ngakho-ke lapho ukugeleza kwegazi kwehla, izimpawu ezifana nokuzumeka (vertigo), ukukhathala, ukuphelelwa umoya, kanye nobuhlungu besifuba zingavela.
Kungani sidinga lokhu kwelashwa?
Uma inhliziyo yakho ishaya ngokushesha kakhulu noma inesigqi esingajwayelekile, ungase udinge ukuguqulwa kwenhliziyo ngamakhemikhali. Kunezizathu eziningi ezenza isigqi senhliziyo yakho singabi esingajwayelekile. Cabanga ukuthi umngane wakho uNimal waqala ukuzwa isifuba sakhe sishaya ngamandla. Kwakungemva nje kokuba eya kudokotela lapho athola khona ukuthi ukutheleleka okukhulu kuthinte isigqi senhliziyo yakhe.
Futhi kunezinye izizathu eziningi:
- Eminye imithi oyithathayo: Eminye imithi ingabangela ushintsho ekushayweni kwenhliziyo njengomphumela ongemuhle.
- Ukutheleleka: Ukutheleleka ngamagciwane noma ngamagciwane kungathinta imisipha yenhliziyo.
- Ukuhlaselwa Yinhliziyo: Ukuhlaselwa yinhliziyo kungalimaza uhlelo lukagesi lwenhliziyo.
- Izinguquko esakhiweni senhliziyo: isifo senhliziyo esizalwa naso noma izinguquko ezenzeka kamuva.
- I-Pulmonary Embolism: Lesi yisimo esiphuthumayo.
- Ukwehluleka Kwenhliziyo Okubangelwa Ukucindezeleka: Lapho inhliziyo iba buthakathaka futhi ikhono layo lokupompa igazi lincipha.
- Izifo zamaphaphu: Izimo ezifana ne-COPD noma i-Emphysema.
Yiziphi izinhlobo zemisipha yenhliziyo ezingelashwa ngale ndlela?
I-Chemical cardioversion isetshenziselwa ukwelapha izinhlobo ezahlukene ze-cardio ezingavamile, okuhlanganisa:
| Igama lesigqi senhliziyo esingajwayelekile (Igama le-Arrhythmia) | Incazelo elula |
|---|---|
| I-Atrial Fibrillation (Afib) | Isimo esivamile lapho amakamelo aphezulu enhliziyo (i-atria) eshaya khona ngokushesha okukhulu nangokungajwayelekile. |
| Ukukhukhuleka kwe-Atrial | Amakamelo aphezulu enhliziyo ashaya ngokushesha, kodwa ngesigqi esihlelekile kakhulu kunase-Afib. |
| I-Supraventricular Tachycardia (SVT) | Ukushaya kwenhliziyo okusheshayo kakhulu okuqala engxenyeni engenhla yenhliziyo. |
| I-Ventricular Tachycardia (VT) | Ukushaya kwenhliziyo okusheshayo okuqala emakamelweni angaphansi (ama-ventricle) enhliziyo. Lokhu kungaba yinto engathi sína. |
Umehluko phakathi kwe-Electrical Cardioversion kanye nalokhu
Cishe uke wakubona kumamuvi, lapho beshaya khona isifuba ukuze kuqalwe kabusha inhliziyo. Kubizwa ngokuthi 'i-Electrical Cardioversion.' Kuhilela ukuthumela i-electric shock elawulwayo enhliziyweni ukuze 'kusethwe kabusha' uhlelo lukagesi. I-Chemical Cardioversion ihilela ukunikeza imithi yokwenza into efanayo.
Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe esimweni sakho. Isibonelo, uma umfutho wegazi wakho uphansi kakhulu, udokotela wakho angase anqume ukwenza i-electrical cardioversion.
Kwenzekani ngaphambi kokwelashwa futhi kufanele silungiselele kanjani?
Udokotela wakho uzokunikeza imiyalelo ethile ngaphambi kwalokhu kwelashwa. Kubaluleke kakhulu ukuyilandela ngqo.
1. Ukugwema ukudla nokuphuza: Uzocelwa ukuthi ugweme ukudla noma ukuphuza noma yini cishe amahora angu-8 ngaphambi kokwelashwa.
2. Hlola Amahlule Egazi: Uma inhliziyo yakho ibilokhu ingajwayelekile izinsuku ezingaphezu kwezimbili, kungenzeka ukuthi amahlule amancane egazi angase akheke enhliziyweni yakho. Uma ukushaya kwenhliziyo yakho kubuyela esimweni esijwayelekile ngokuzumayo ngemva kwalokhu kwelashwa, uma ihlule liqhuma bese libhajwa emthanjeni wegazi ebuchosheni bakho, lingabangela isimo esibi njengesifo sohlangothi. Ukuze uhlole leyo ngozi, udokotela wakho angakucela ukuba wenze i-scan ekhethekile ebizwa ngokuthi i-Transesophageal Echocardiogram (TEE) . Lokhu kuhilela ukufaka ipayipi elincane emphinjeni wakho bese ubheka ngokucacile ngemuva kwenhliziyo yakho ukuze ubone ukuthi kukhona amahlule egazi.
3. Ama-Anticoagulant: Ukuze unciphise ingozi yokuqhekeka kwegazi okukhulunywe ngakho ngenhla, uzocelwa ukuthi uqale ukuthatha ama-blood thinner cishe amasonto amathathu ngaphambi kokwelashwa. Kuzodingeka uqhubeke nokuthatha le mithi cishe amasonto amane ngemuva kokwelashwa.
4. Tshela udokotela wakho ngayo yonke imithi oyithathayo: Kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi yamakhambi. Eminye imithi ingase ihlangane nemithi enikezwayo yalokhu kwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu akuyona into ongayenza ekhaya. Uzolaliswa esibhedlela futhi unikezwe lolu hlobo lokwelashwa ngaphansi kokubhekwa njalo.
- Indawo: Uzongeniswa egunjini lokunakekelwa okujulile esibhedlela (ICU) noma egunjini elifanayo lapho ungaqashwa khona eduze. Ungakhathazeki, lokhu kungenxa yokuphepha kwakho. Ngoba udinga ukuqashelwa eduze ukuze kutholakale izinguquko endleleni inhliziyo yakho eshaya ngayo lapho unikezwa imithi.
- Ukuqapha: Umugqa we-IV (i-cannula) uzofakwa engalweni yakho bese kufakwa i-monitor kuyo. Lokhu kuzoqapha njalo i-ECG yakho (umsebenzi kagesi wenhliziyo), umfutho wegazi, kanye namazinga omoya-mpilo.
- Indlela yokunikeza umuthi:Uzonikezwa umuthi njengephilisi okufanele uwuphuze ngomlomo noma uwufake ngqo emthanjeni ngomugqa we-IV engalweni yakho. Ngezinye izikhathi, uma umthamo wokuqala ungasebenzi, unganikwa omunye umthamo.
- Ukuphepha: Odokotela kanye nabasebenzi abahlengikazi bakhona lapho nawe. Banemishini efana ne-defibrillator eduze uma kwenzeka noma yimuphi omunye umjikelezo ongajwayelekile. Ngakho-ke usendaweni ephephile kakhulu.
Yimiphi imithi esetshenziswa kulokhu?
Umuthi udokotela wakho akunika wona uzoncika ohlotsheni lwesigqi senhliziyo esingavamile onaso. Eminye yale mithi isetshenziselwa ukwelapha umfutho wegazi ophakeme kanye nokwehluleka kwenhliziyo okubangelwa ukuminyana.
Nazi ezinye zezinhlobo eziyinhloko zemithi esetshenziswayo:
- I-Adenosine
- I-Amiodarone
- I-Procainamide
- I-Ibutilide
- Ama-Beta-blockers - isib. i-Metoprolol
- Ama-calcium channel blockers - isibonelo i-Diltiazem
- I-Flecainide
- I-Propafenone
Umuthi ngamunye usebenza ngendlela ehlukile, ngakho udokotela wakho kuphela ongakhetha umuthi okulungele wena.
Kwenzekani ngemva kokwelashwa?
Ngemva kokunikezwa umuthi nokushaya kwenhliziyo yakho kubuyele esimweni esijwayelekile, ungase ugcinwe esibhedlela amanye amahora angama-24 kuya kwangu-48 uqashwe ukuze kuqinisekiswe ukuthi konke kuzinzile. Ngemva kwalokho, ungaya ekhaya.
Abantu abaningi babika ukuthi bazizwa bekhathele futhi bengakhululekile ngemithi abayinikwayo. Lokhu kuvamile, kodwa uma unenkinga enkulu, sicela utshele udokotela wakho.
Yiziphi izingozi nezinzuzo zalokhu kwelashwa?
Njenganoma yiluphi ukwelashwa kwezokwelapha, kunezinzuzo nezingozi. Udokotela wakho uzoncoma lokhu kwelashwa kuphela uma izinzuzo zidlula izingozi.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Ukukwazi ukubuyisela ukushaya kwenhliziyo esigqini esijwayelekile. | Isigqi esisha esingavamileKungase kwenzeke noma kube kubi kakhulu. |
| Ukuncipha kwezimpawu ezifana nokuzungeza, ukukhathala, kanye nokuphelelwa umoya. | Kukhona ingozi encane yokuthi igazi liqhekeke bese kuba nesifo sohlangothi (lokhu kungancishiswa ngokuthatha imithi yokunciphisa igazi). |
| Enye indlela esikhundleni se-Electrical Cardioversion (indlela yokunikeza ukushaqeka). | Imiphumela emibi efana nokucasuka nokukhathala ingase ivele. |
| Eminye imithi ingathatha izinyanga ukuthi isebenze. | |
| Uma ukwelashwa kungaphumeleli , kungadingeka ezinye izindlela zokwelapha ezifana ne-Electrical Cardioversion noma i-Catheter Ablation. |
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma ubuyela ekhaya ngemva kokwelashwa, kubaluleke kakhulu ukuqaphela noma yiziphi izimpawu ezingavamile. Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha noma ushayele u-1990.
- Ukushaya kwenhliziyo
- isiyezi esinzima
- Uma amehlo akho eba luhlaza okwesibhakabhaka futhi uzizwa unekhanda elikhanyayo (ikhanda elikhanyayo)
- Ubuthakathaka
- Ukujuluka ngokweqile okungazelelwe (Ukujuluka)
- Ukusabela kokungezwani komzimba okufana nokuqubuka nokulunywa
- Ubuhlungu besifuba
- Ubunzima bokuphefumula
Ngaphambi nangemva kokwelashwa, thatha yonke imithi oyinikezwe udokotela wakho ngesikhathi esifanele. Uma unemibuzo mayelana nokuthi ungayithatha kanjani imithi yakho, cela udokotela wakho futhi ukuze akucacisele.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa kwenhliziyo ngamakhemikhali kuyindlela yokwelapha esebenzisa imithi ukubuyisela isigqi senhliziyo esimweni esijwayelekile.
- Lokhu kwenzelwa ukuqinisekisa ukuphepha kwakho, esibhedlela, ngaphansi kokuqashwa njalo kwezokwelapha.
- Ngaphambi kokwelashwa, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi ye-Ayurvedic.
- Njengakuzo zonke izindlela zokwelapha, kunezingozi ezithile, kodwa udokotela wakho ukunikeze lokhu kwelashwa ngoba izinzuzo zidlula kakhulu izingozi.
- Ngemva kokwelashwa, kubaluleke kakhulu ukuphuza imithi, ikakhulukazi imithi yokunciphisa igazi, njengoba nje kuyalelwe.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu eziphuthumayo njengobuhlungu besifuba, ubunzima bokuphefumula, noma isiyezi esinzima.
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