Ingabe isigqi senhliziyo yakho asijwayelekile? Nakhu konke okudingeka ukwazi mayelana nokwelashwa kwe-cardioversion!

Ingabe ngezinye izikhathi uzizwa sengathi isifuba sakho sishaya ngokushesha, isigqi senhliziyo yakho siphuma ngokuzumayo, noma isifuba sakho sishaya ngendlela exakile? Ngezinye izikhathi lokhu kungaba yinto eyesabekayo kakhulu. Namuhla sizokhuluma ngendlela yokwelapha ekhethekile esetshenziswa odokotela kulolu hlobo lwesifo senhliziyo. Lokhu kubizwa ngokuthi i-Cardioversion. Ungakhathazeki, sizoxoxa ngakho konke kalula.

Kalula nje, kuyini i-Cardioversion?

Ukuguqulwa kwenhliziyo, ngamafuphi, kuyindlela yokwelapha esetshenziswa odokotela ukubuyisela isigqi senhliziyo yakho esingajwayelekile esilinganisweni esijwayelekile nesinempilo. Kufana nokubuyisela insimbi yomculo esimweni sayo.

Cabanga ngale ndlela: inhliziyo yethu ifana nephampu esebenza ngesigqi. Uma ishaya kahle, ipompa igazi kuwo wonke umzimba. Uma lesi sigqi siphazamiseka, inhliziyo ayikwazi ukusebenza kahle. I-cardioversion 'isetha kabusha' lesi simiso sesignali kagesi esiphazamisekile futhi isenze sisebenze ngesigqi esifanele futhi.

Ngezinye izikhathi, lapho isigqi senhliziyo siphazamiseka kakhulu (isibonelo, i-Ventricular Arrhythmia), isimo esiphuthumayo njengokuhlaselwa yinhliziyo singavela. Ezimweni ezinjalo, lokhu kwelashwa kwe-cardioversion kusetshenziselwa ukusindisa impilo. Futhi, ngezinye izikhathi, noma kungekho okuphuthumayo, kunezikhathi lapho lokhu kwelashwa kuhlelwa ukuvimbela izinkinga zesikhathi esizayo.

Kunezindlela ezimbili zokwenza ukwelashwa kwe-cardioversion:

Lokhu kwelashwa kwenziwa kakhulu ngezindlela ezimbili: ngokushaqeka ngogesi kanye nangemithi. Ake sibheke ngayinye yazo ngokwehlukana.

Yiziphi izimo eziyinhloko eziphathwa nge-cardioversion?

Lokhu kwelashwa kungalungisa izinhlobo eziningi ze-arrhythmias zenhliziyo ezisheshayo noma ezingajwayelekile. Okubaluleke kakhulu kulokhu yile:

• I-Atrial fibrillation kanye ne-atrial flutter: Lezi yizimo ezimbili lapho i-cardioversion ivame ukusetshenziswa khona. Amakamelo aphezulu enhliziyo (i-atria) aqala ukushaya ngokushesha okukhulu nangokungajwayelekile.
• I-atrial tachycardia: Lokhu futhi ukushaya kwenhliziyo okusheshayo okuqala emakamelweni aphezulu enhliziyo.
• I-Ventricular tachycardia: Lokhu kuyisigqi senhliziyo esisheshayo nesiyingozi esiqala emakamelweni aphansi enhliziyo (ama-ventricle).
• Ukushaya kwenhliziyo okubangelwa yi-ventricular: Lesi yisimo esiphuthumayo esibucayi kakhulu, esisongela ukuphila. Kulesi simo, amakamelo aphansi enhliziyo ayathuthumela esikhundleni sokushaya. Lokhu kubangela ukuthi ukumpompa kwegazi kume ngokuphelele.

Kungani ngidinga ukuba ne-cardioversion?

Uma unalezi zimpawu, udokotela wakho angase akuncome lokhu kwelashwa ngoba lezi zimpawu zibonisa ukuthi inhliziyo yakho ayipompi igazi elanele emzimbeni wakho.

Nazi ezinye izimpawu okufanele uziqaphele:

• Umuzwa wokushaya ngamandla esifubeni, sengathi ushaya ngokushesha okukhulu.
• Ubunzima bokuphefumula, ukushoda kokuphefumula.
• Ukuzwa ukungakhululeki noma ubuhlungu esifubeni.
• Isiyezi (i-vertigo) noma ukuzizwa ukhathele kakhulu.

Ungase ungaziboni nhlobo lezi zimpawu. Kodwa uma zingelashwa, kunengozi yezimo ezingathi sína njengokuhlaselwa yinhliziyo noma isifo sohlangothi esikhathini esizayo. Ngakho-ke, uma unalezi zimpawu, qiniseka ukuthi ubona udokotela wakho futhi ucele iseluleko.

Ulungiselela kanjani usuku lokwelashwa?

Ithimba lakho lezokwelapha lizokunikeza zonke izeluleko ozidingayo ngaphambi kwalokhu kwelashwa, kodwa kunezinto ezimbalwa ezijwayelekile okufanele uzazi.

Ngaphambi kokuza ukuzokwelashwa

• Lungisa imoto: Ngeke ukwazi ukushayela amahora angama-24 ngemuva kokwelashwa, ngakho -ke kubalulekile ukuba nomuntu ozokuhambisa ekhaya.
• Buza udokotela wakho ngemithi yakho: Uma uthatha imithi yokunciphisa igazi/imithi yokunciphisa igazi, imithi yesifo sikashukela, noma i-insulin, buza udokotela wakho kusenesikhathi ukuthi uzoyithatha kanjani ngosuku lokwelashwa kwakho. Thatha eminye imithi evamile njengenjwayelo ngamanzi amancane, ngaphandle kokuthi udokotela wakho ekuyalele ngenye indlela.
• Ukudla Nokuphuza: Yidla njalo ngobusuku bangaphambi kokwelashwa kwakho. Kodwa ungadli, ungaphuzi, noma ungahlafuni lutho ngemva kwamabili. Ungahlafuni ngisho netshungama, iminti, noma amanzi. Futhi, qaphela ukuthi ungagwinyi amanzi ngenkathi uxubha amazinyo akho.

Yini okufanele ngiyigqoke? Yini okufanele ngiyiphathe?

• Izingubo: Uma ufika esibhedlela, gqoka izingubo ezikhululekile nezilula ukuzikhumula. Ngesikhathi sokwelashwa, kuzodingeka ugqoke ingubo ehlinzekwe yisibhedlela.
• Ungafaki: Ufake izimonyo. Ungafaki i-nail polish. Ungafaki noma iyiphi i-deodorant, i-powder, ukhilimu, noma i-lotion esifubeni noma emhlane wakho. Lokhu kungaphazamisa ama-adhesive pad asetshenziselwa ukwelashwa.
• Izinto Eziyigugu: Shiya zonke izinto zakho zokuhloba (kufaka phakathi indandatho yakho yomshado), amawashi, nezinye izinto eziyigugu ekhaya.
• Izinto okufanele uzithathe: Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo kanye nenani lomuthi ngamunye owudingayo ngosuku olulodwa.

Kwenzekani ngempela esibhedlela?

Uma ufika esibhedlela, uzolaliswa embhedeni bese kufakwa i-IV line emthanjeni ongalweni yakho. Yilapho uzonikezwa khona imithi edingekayo kanye noketshezi ngesikhathi sokwelashwa kwakho.

Ngemuva kwalokho, kuzofakwa ama-lead e-EKG kanye namatheyiphu anamathelayo akhethekile okwelapha ngenhliziyo futhi mhlawumbe emhlane wakho. Uma kukhona izinwele kulezo zindawo, zizosuswa.

Ngezinye izikhathi, ngaphambi kokwelashwa kwe-cardioversion, ungadinga i-Transesophageal Echocardiogram (TEE).Kungase kudingeke wenze isivivinyo esibizwa ngokuthi i-angiogram. Ungesabi. Lokhu kuhilela ukufaka umphimbo wakho enkingeni, ukufaka ipayipi elincane kakhulu kuwo, nokuthatha izithombe zenhliziyo yakho. Lokhu kuhlola amahlule egazi ngaphakathi enhliziyweni. Lokhu kungaba yinkinga uma lawo mahlule ephuma ngesikhathi sokwelashwa.

Ingabe ngizobe ngivukile ngesikhathi sokwelashwa?

Cha. Imithi oyinikwa nge-IV izokulalisa ngokuphelele . Ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.

Kwenzekani ngesikhathi sokwelashwa?

Ngesikhathi ulele ubuthongo obukhulu, udokotela usebenzisa i-cardioverter (i-defibrillator) ukuze alethe ukushaqeka kwenani elithile lamandla enhliziyweni yakho ngezintambo ezinamathele. Lokhu kushaqeka kumisa umsebenzi kagesi ongajwayelekile enhliziyweni yakho futhi kuvumele ukuthi iqale isigqi esijwayelekile futhi. Ngezinye izikhathi, kungadingeka ukushaqeka okuningana ukuze isigqi sibuyele esimweni esijwayelekile. Kodwa ngoba ulele, ngeke uzwe lutho.

Yonke inqubo ithatha imizuzu embalwa kuphela, kodwa ngesikhathi sokulungiselela kanye nesikhathi sokululama ngemva kokwelashwa, uzobe usesibhedlela cishe amahora amane kuya kwayisithupha.

Kwenzekani ngemva kokwelashwa?

Ngemva kokuphela kokwelashwa, uzovuka. Uzozizwa ulele kancane ngenxa yomuthi wokubulala izinzwa. Ungase ube nobuhlungu noma ukubomvu esifubeni sakho izinsuku ezimbalwa. Udokotela uzokunikeza ukhilimu walokhu.

Uma usuvukile ngokuphelele, udokotela wakho uzokhuluma nawe ngemiphumela yokwelashwa kwakho kanye nezinhlelo zakho zesikhathi esizayo. Babuze ukuthi udinga yini ukuqhubeka uthatha imithi yakho njengoba wawunjalo ngaphambili noma uma udinga ukwenza noma yiziphi izinguquko. Ezimweni eziningi, kuzodingeka uqhubeke uthatha imithi yakho ukuze uvimbele ukushaya kwenhliziyo yakho ukuthi kube kubi kakhulu.

Ngemva kokushintshelwa endaweni yokululama, uzonikezwa okuthile ongakudla nokuphuza, futhi umndeni wakho ungakuvakashela. Umfutho wegazi lakho kanye nokushaya kwenhliziyo yakho kuzoqhubeka nokubhekwa ngaphambi kokuba uye ekhaya.

Yiziphi izinzuzo nezingozi zalokhu kwelashwa?

Izinzuzo

Inzuzo enkulu yalokhu kwelashwa ukuthi isigqi senhliziyo yakho sibuyela esimweni esijwayelekile futhi izimpawu ezihlobene (njengokuphelelwa umoya kanye nesiyezi) ziyanyamalala. Ngaphezu kwalokho, ukusebenza kwenhliziyo yakho kungathuthuka nangemva kokuguquka kwenhliziyo.

Izingozi noma Izinkinga

Izinkinga ezivela kulokhu kwelashwa azivamile, kodwa kubalulekile ukuziqaphela.

• Ubomvu obuncane noma umonakalo wesikhashana esikhumbeni lapho kwafakwa khona i-tape.
• Kungenzeka ukuthi i-blueness lapho kufakwe khona i-IV cannula.
• Kukhona ingozi encane kakhulu yokuthi igazi liqhekeke enhliziyweni bese kuba nesifo sohlangothi (i-TEE yenzelwe ukunciphisa le ngozi).
• Ngezinye izikhathi isigqi senhliziyo siba sibi kakhulu.
• Ukusabela kokungezwani komzimba nomuthi osetshenzisiwe.

Kufanele ngimbone nini udokotela ngemva kokubuyela ekhaya?

Cishe uzokwazi ukuya ekhaya ngalolo suku lokwelashwa kwakho, kodwa khumbula ukuthi ngeke ukwazi ukushayela amahora angama-24 ngenxa yokozela okubangelwa ukuhlinzwa.

Ungaya ekhaya uyokwenza imisebenzi yakho evamile. Kodwa buza udokotela wakho ukuthi ungabuyela nini emsebenzini.

Into ebaluleke kakhulu ukukhumbula ukuya kuma-aphoyintimenti akho okulandelela ngezinsuku udokotela wakho akunikeza zona . Kubaluleke kakhulu ukubona ukuthi usabela kanjani ekwelashweni nokuthi umthamo wemithi owunikeziwe ukulungele yini. Uma uzizwa sengathi izimpawu zakho zakudala ziyabuya, tshela udokotela wakho ngokushesha.

Ukwelashwa kwenhliziyo kuyingxenye eyodwa kuphela yohlelo lwakho lokwelashwa. Kubalulekile futhi ukuthatha imithi yakho njengoba uyalelwe udokotela wakho, ulondoloze indlela yokuphila enempilo (ukudla okuhle, ukuzivocavoca umzimba), kanye nokuya emihlanganweni yakho ehleliwe.