Wake wazizwa inhliziyo yakho ishaya ngokushesha ngokuzumayo ngaphandle kwesizathu, noma uzwe umuzwa ongavamile wokundiza njengezimvemvane esifubeni sakho? Lezi zinhlobo zezinguquko zesigqi senhliziyo (ukushaya kwenhliziyo okungajwayelekile) ngezinye izikhathi ziyinto okufanele ukhathazeke ngayo. Namuhla, sizokhuluma ngokwelashwa okukhethekile okusetshenziswa odokotela ukwelapha lezi zinhlobo zokushaya kwenhliziyo okungajwayelekile.
Kalula nje, kuyini i-Chemical Cardioversion?
Kalula nje, i-chemical cardioversion ukusetshenziswa kwemithi ukubuyisela isigqi senhliziyo yakho esisheshayo noma esingajwayelekile kwisigqi esijwayelekile. Impumelelo yalokhu kwelashwa incike embangeni yokushaya kwenhliziyo yakho okungajwayelekile, ukuthi sekunesikhathi esingakanani ikhona, kanye nohlobo lomuthi udokotela wakho awukhethayo.
Lokhu sikubiza nangokuthi i-Pharmacologic Cardioversion. Imithi enikezwa phakathi nalokhu kwelashwa yenza izinto eziningana ezibalulekile:
- Kuphumuza imithambo yegazi yakho.
- Inikeza ukuphumula emisipheni yenhliziyo.
- Kunciphisa umthwalo womsebenzi enhliziyweni.
- Ilawula isivinini lapho izimpawu zikagesi zitshela inhliziyo ukuthi ishaye khona.
Cabanga ngenhliziyo yethu njengendlu enesekethe kagesi eyinkimbinkimbi. Ineswishi eyinhloko, esibizwa ngokuthi i-node ye-sinoatrial kwezokwelapha. Isignali kagesi eyenza ukushaya kwenhliziyo iqala lapho. Bese leso signali sihamba emakamelweni aphezulu enhliziyo (i-Atria) bese sifika kwenye indawo (i-node ye-Atrioventricular). Ekugcineni, lesi signali sifika emakamelweni aphansi enhliziyo (ama-Ventricles). Uma kukhona iphutha kule ndlela yesignali, isigqi senhliziyo singaphazamiseka.
Uma isigqi senhliziyo singajwayelekile, asikwazi ukupompa igazi elanele emzimbeni wonke. Wonke amaseli emzimbeni wethu, ikakhulukazi ubuchopho, adinga ukuhlinzekwa njalo komoya-mpilo ovela egazini. Uma ukugeleza kwegazi kuphazamiseka ngale ndlela, ungathola izimpawu ezifana nesiyezi, ukukhathala, ukuphelelwa umoya, kanye nobuhlungu besifuba .
Kungani lokhu kwelashwa kusetshenziswa futhi yiziphi izifo?
Uma ukushaya kwenhliziyo yakho kushesha kakhulu noma kungajwayelekile, ungase udinge i-cardioversion yamakhemikhali. Kunezizathu eziningana zokuthi kungani isigqi senhliziyo yakho singase singajwayelekile.
- Eminye yemithi oyisebenzisayo
- Izimo ezithathelwanayo njenge-pneumonia
- Isifo senhliziyo
- Izinguquko esakhiweni senhliziyo
- I-embolism yamaphaphu
- Ukwehluleka kwenhliziyo okubangelwa ukuminyana
- Izifo zamaphaphu ezifana ne-COPD noma i-Emphysema
I-Chemical Cardioversion isetshenziswa kakhulu ekwelapheni izimo ezilandelayo zenhliziyo ezingavamile:
| Igama lesimo sezokwelapha (Igama lesiNgisi) | Incazelo elula |
|---|---|
| I-Atrial Fibrillation (Afib) | I-Atrial fibrillation yisimo lapho amakamelo aphezulu enhliziyo eshaya khona ngokushesha okukhulu nangokungajwayelekile. Lesi yisimo esivame kakhulu sokushaya kwenhliziyo okungajwayelekile. |
| Ukukhukhuleka kwe-Atrial | Amakamelo aphezulu enhliziyo ashaya ngokushesha kodwa kaningi kunase-fibrillation. |
| I-Supraventricular Tachycardia (SVT) | Ukushaya kwenhliziyo okusheshayo kakhulu okuqala ngaphezu kwamakamelo aphansi enhliziyo. |
| I-Ventricular Tachycardia (VT) | Ukushaya kwenhliziyo okusheshayo okuqala emakamelweni aphansi enhliziyo. Lokhu kungaba yingozi ngezinye izikhathi. |
Kwenzekani ngaphambi kokwelashwa?
Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okukulungele (imithi noma i-electrical cardioversion). Uma umfutho wegazi wakho uphansi kakhulu, udokotela wakho angakhetha i-electrical cardioversion.
- Ukudla Nokuphuza: Uzokwaziswa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kwalokhu kwelashwa.
- Ukuhlolwa: Uma unenhliziyo engajwayelekile (i-atrial arrhythmia) izinsuku ezingaphezu kwezimbili, udokotela wakho angenza ukuhlolwa okubizwa ngokuthi i-Transesophageal Echocardiogram (TEE) . Lokhu kwenzelwa ukuhlola amahlule egazi ngaphakathi kwenhliziyo. Lokhu kungabangela isifo sohlangothi uma ihlule liqhuma ngesikhathi sokwelashwa.
- Imithi: Cishe yonke imithi oyithathayo, okuhlanganisa imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi yesiSinhala.Kufanele utshele udokotela wakho. Ungase ucelwe futhi ukuthi uqale ukuthatha ama-anticoagulant amasonto amathathu ngaphambi kokwelashwa ukuze unciphise ingozi yokuqhekeka kwegazi.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kwelashwa kuvame ukwenziwa egunjini lokunakekelwa okujulile (ICU) lesibhedlela noma ekamelweni elikhethekile elibekelwe lona. Lokhu kungenxa yokuthi kunengozi encane yezinye izinhlobo zokushaya kwenhliziyo okungajwayelekile lapho unikezwa umuthi, ngakho-ke udinga ukubhekwa ngokucophelela.
Awuwedwa okwamanje. Odokotela nabahlengikazi baseduze kwakho, beqapha njalo umfutho wegazi lakho kanye nesilinganiso senhliziyo (ECG). Yonke imishini edingekayo (njenge-defibrillator) isilungile uma kwenzeka isimo esiphuthumayo.
Umuthi unikezwa njengephilisi oligwinyayo noma nge-IV emthanjeni osengalweni yakho . Ngezinye izikhathi, uma umthamo wokuqala womuthi ungasebenzi, unganikezwa omunye umthamo.
Imithi evame ukusetshenziswa
Uhlobo lomuthi owunikezwayo luzohluka kuye ngesimo sakho. Eminye yemithi esetshenziswa kakhulu yile:
- I-Amiodarone (i-Cordarone®)
- I-Procainamide
- I-Ibutilide
- I-Flecainide
- I-Propafenone (Rythmol®)
- I-Sotalol (i-Betapace®)
- Ama-Beta-blocker afana ne-metoprolol (Lopressor®)
- Ama-calcium channel blocker afana ne-diltiazem (Cardizem®)
- I-Adenosine (i-Adenocard®)
Yiziphi izinzuzo nezingozi zokwelashwa?
Ungagcinwa esibhedlela ukuze uhlolwe amahora angama-24 kuya kwangu-48 ngemuva kokwelashwa. Abanye abantu bangase bazizwe bekhathele noma bengakhululekile ngenxa yalo muthi.
Izinzuzo:
- Ukushaya kwenhliziyo kungabuyiselwa esigqini esijwayelekile.
- Izimpawu ezifana nesiyezi kanye nokukhathala ziyancishiswa.
- Ingasetshenziswa njengendlela ehlukile esikhundleni se-electrical cardioversion.
Izingozi Nezinkinga:
- Ukuqala kokushaya kwenhliziyo okusha okungajwayelekile noma ukwehla kwenhliziyo okukhona.
- Ihlule legazi lingaphuma bese libangela isifo sohlangothi .
- Imiphumela emibi efana nokucasuka nokukhathala.
- Eminye imithi ingathatha izinyanga ukuthi isebenze.
- Uma lokhu kwelashwa kungaphumeleli, kungadingeka usebenzise ezinye izindlela zokwelapha ezifana nokwelashwa nge-electroconvulsive noma i-catheter ablation.
- Imithi ayisebenzi kahle ngokulinganayo kuwo wonke umuntu. Ngezinye izikhathi, izinga lempumelelo yesikhathi eside licishe libe ngu-50%.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ezingavamile ngemva kokuguqulwa kwenhliziyo ngamakhemikhali, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU):Noma shayela isevisi ye-ambulensi ngo-1990. Ungazithathi kalula lezi zinto.
- Ukushaya kwenhliziyo
- isiyezi esinzima
- Ubuhlanya
- Ubuthakathaka bomzimba
- Ukujuluka okungazelelwe
- Ubuhlungu besifuba
- Ubunzima bokuphefumula
- Izimpawu zokungezwani komzimba ezifana nama-hives
Thatha yonke imithi oyinikwa udokotela wakho, ngaphambi nangemva kokwelashwa, ngesikhathi esifanele. Uma unemibuzo, ungesabi ukubuza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-cardioversion yamakhemikhali iyindlela yokwelapha esebenzisa imithi yokubuyisela ukushaya kwenhliziyo okungajwayelekile esimweni esijwayelekile.
- Udokotela wakho kuphela onganquma ukuthi lokhu kwelashwa kukufanele yini.
- Lokhu kwenziwa esibhedlela, ngaphansi kokuqashwa okuqinile kwezokwelapha, ngakho-ke asikho isidingo sokwesaba.
- Nakuba lokhu kunikeza izinzuzo eziningi, kungabangela nezingozi ezithile kanye nemiphumela emibi.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba, isiyezi esinzima, noma ubunzima bokuphefumula ngemva kokwelashwa, hamba ngokushesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
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